Indications

Cardiovascular
• engorged and inflamed veins
• varicose veins
• hemorrhoids
• anal fisures
• venous insufficiency
• edema
• lymphedema

Dermatologic
• trauma and skin lesions
- sprains
- leg ulcers
- hematomas
• post-surgical swelling (topical application)
• acne rosacea

Male reproduction
• varicocele associated male infertility

Other
• Bell's palsy
• male infertility

Actions

• Astringent
• Venotonic
• Antiinflammatory
• Antiedema
• Antiexudative
• Vasoconstrictor
• Vasoprotective

Constituents

• Coumarins (Aesculetin)
• Triterpenoid Glycosides (Aescin)
• Tannins
• Purine Derivatives (Allantoin )

Posology

• Tincture (1:5 in 40% EtOH): 1-4 ml tid
• Standardized extract (0-150 mg triterpenoids): qd

Safety

Generally considered safe when used as indicated.

Interactions

• Coumadin • contains courmarins that may interact

References

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Barnes J, Anderson LA, Phillipson JD. Herbal Medicines, 3rd ed. London: Pharmaceutical Press, 2007.

Bone K. Principles and Practice of Phytotherapy. Edinburgh: Churchill Livingstone, 2000.

Bone K. A Clinical Guide to Blending Liquid Herbs: Herbal Formulations for the Individual Patient. St Louis, MO: Churchill Livingstone, 2003.

Brinker F. The Toxicology of Botanical Medicines, 3rd ed. Sandy, Oregon: Eclectic Medical Publications, 2000.

Felter HW, Lloyd JU. King's American Dispensatory. 1898. http://www.ibiblio.org/herbmed/eclectic/kings/main.html. Accessed: August 19, 2006.

Hoffman D. Medical Herbalism. Rochester, Vermont: Healing Arts Press, 2003.

Weiss RF. Herbal Medicine. Beaconsfield, England: Beaconsfield Publishers Ltd, 1988.

Williamson EM, ed. Major Herbs of Ayurveda. Edinburgh: Churchill Livingstone, 2002