Herbal Remedies & Vitamin Guide

29 May 2008

buchu

Botanical names
Barosma betulina, Agathosma betulina, Agathosma crenultata
Parts used and where grown
Buchu is a low shrub native to the Cape region of South Africa. The dried leaves are harvested during the flowering season. The oil can be obtained by steam distillation of the leaves. The two primary species of buchu used commercially are Agathosma betulina (syn. Barosma betulina) and Agathosma crenulata (syn. Barosma crenultata).
Buchu has been used in connection with the following conditions (refer to the individual health concern for complete information):
Science Ratings - Health Concerns
* - Urinary tract infections and inflammation
*** - Reliable and relatively consistent scientific data showing a substantial health
benefit.
** - Contradictory, insufficient, or preliminary studies suggesting a health benefit or minimal health benefit.
* - For an herb, supported by traditional use but minimal or no scientific evidence. For a supplement, little scientific support and/or minimal health benefit.
Historical or traditional use (may or may not be supported by scientific studies)
Buchu leaf preparations have a long history of use in traditional herbal medicine as a urinary tract disinfectant and
diuretic.1 Buchu was used by herbalists to treat urinary tract infections and inflammation, as well as inflammation of the prostate. In Europe, it was also used to treat gout.2 The original use of buchu by the native peoples of southern Africa is unclear because buchu is a general term for aromatic plants.3 It appears to have been applied topically, possibly as an insect repellant, and also used internally for stomach problems, rheumatism and bladder problems.
Active constituents
The leaves of buchu contain 1.0–3.5% volatile oils as well as flavonoids.4 The urinary tract antiseptic actions of buchu are thought to be due to the volatile oils. The primary volatile oil component thought to have antibacterial action is the monoterpene disophenol. However, one test tube study using buchu oil found no significant antibacterial effect.5

How much is usually taken?
The German Commission E Monograph concludes there is insufficient evidence to support the modern use of buchu for the treatment of urinary tract infections or inflammation.6 However, some traditional herbal practitioners continue to recommend the herb for these conditions. Traditional recommendations for the herb include the use of 1–2 grams of the dried leaf taken three times daily in capsules or in a tea.7 Tinctures can be used at 2–4 ml three times per day.

Are there any side effects or interactions?
Buchu may cause gastrointestinal irritation and should only be taken with meals. Also, it should not be used by
pregnant or breast-feeding women.
Are there any drug interactions?
Certain medicines may interact with buchu. Refer to drug interactions for a list of those medicines.
Drug Interactions
Certain medicines interact with
buchu: Some interactions may increase the need for buchu (+), other interactions may be negative (-) and indicate buchu should not be taken without first speaking with your physician or pharmacist, others may require further explanation (?). Refer to the individual drug article for specific details about an interaction.
Note: The following list only includes the generic or class name of a medicine. To find a specific brand name, use the
Medicines index.
Loop Diuretics (-)
Spironolactone (-)
Thiazide Diuretics (-)
Triamterene (-)

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