Butcher's BroomRuscus aculeatus
So named because its branches were a traditional source of broom straw used by butchers, this Mediterranean evergreen bush has a long history of traditional use in the treatment of urinary conditions. More recently, it has been studied as a treatment for vein-related conditions.
What Is Butcher's Broom Used for Today?
Butcher's broom has been approved by Germany's Commission E as supportive therapy for chronic venous insufficiency
This recommendation was in place before any meaningful studies had been performed evaluating butcher’s broom for either of these purposes. However, several studies performed subsequently now provide preliminary supporting evidence for its use in chronic venous insufficiency.
No substantial studies have evaluated butcher’s broom for hemorrhoids, but because hemorrhoids are similar to varicose veins, it is a reasonable supposition that butcher’s broom might be helpful.
Various treatments used for venous insufficiency have also shown promise for treating arm swelling (lymphedema) following
What is the Scientific Evidence for Butcher’s Broom?
A well-designed and reported
Similar results were seen in a 12-week, double-blind, placebo-controlled trial with 148 participants.
Another 12-week, double-blind, placebo-controlled trial with 141 participants used a combination of butcher’s broom extract and the bioflavonoid trimethylhesperidin chalcone, and found benefits.
In a double-blind study, 57 women with lymphedema received either placebo or butcher's broom combined with the modified
A typical dose of butcher's broom is 36.0 to 37.5 mg twice daily of a methanol extract concentrated at a level of 15-20:1. This should supply about 7-11 mg ruscogenin (also called ruscogenine) daily.
For hemorrhoids, butcher's broom is sometimes applied as an ointment or in the form of a suppository.
In clinical trials, use of butcher's broom has not been associated with any serious adverse effects. However, comprehensive safety studies have not been reported. Maximum safe doses in young children, pregnant or nursing women, or those with liver or kidney disease have not been established.
1. Lucker P, Jost V, Wolna P, et al. Efficacy and safety of ruscus extract compared to placebo in patients suffering from chronic venous insufficiency [abstract]. Phytomedicine. 2000;7(suppl 2):P-155.
2. Rudofsky G, Diehm C, Gruss JD, et al. Chronic venous insufficiency. Treatment with Ruscus extract and trimethylhesperidin chalcone [in German; English abstract]. MMW Munch Med Wochenschr. 1990;132:205–210.
3. Weindorf N, Schultz-Ehrenburg U. Controlled study of increasing venous tone in primary varicose veins by oral administration of Ruscus aculeatus and trimethylhespiridinchalcone [in German; English abstract]. Z Hautkr. 1987;62:28–30,35–38.
4. Vanscheidt W, Jost V, Wolna P, et al. Efficacy and safety of a Butcher's broom preparation ( Ruscus aculeatus L. extract ) compared to placebo in patients suffering from chronic venous insufficiency. Arzneimittelforschung . 2002;52(4):243-250.
Last reviewed April 2009 by EBSCO CAM Review Board
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