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Herbs: Turkey Rhubarb




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Common Name: Turkish Rhubarb



Scientific Names: Rheum palmatum L.



Family: Polygonaceae



Forms for use: Aqueous extract of coarsely cut or powdered dried

root



Traditional Usage:



! Anti-diarrheal ! Anti-inflammatory ! Antioxidant ! Cellular

Regeneration ! Cleansing ! Detoxifying ! Dysentry ! Diuretic !

Laxative ! Scurvy



Overview: The root of Turkish rhubarb has been used

traditionally to improve both digestion and loss of appetite.

The bitter tea is rich in tannins that increase the flow of

saliva and gastric secretions and can be used as an astringent

or stomachic at a low dosage to stop diarrhea (0.1-0.2g).



Formerly, the root was an important drug in many army camps,

said to stop the deadly scourge of dysentry in its tracks. At a

higher dosage (1.0-2.0g) the anthraquinones that it contains

function as a safe and effective laxative. This is an example of

a plant that can be used for opposite purposes depending upon

the dosage.



The German Pharmacopoeia recommends the root against

constipation and for all disorders in which defecation with a

soft stool is desired, e.g. anal fissures, hemorrhoids and after

rectal operations. It also recommends a small dose for stomach

and bowel catarrh.



Today the drug is mostly used as a laxative and is a component

of many choleretic drugs (a choleretic increases the flow of

bile into the intestines and is recommended in cases of liver

and biliary disorders that often cause constipation). The active

glycosides are hydrolyzed in the gut into their aglycones at

least in part by the action of bacterial enzymes. By influencing

the water and electrolyte transport in the colon, these

aglycones are responsible for the laxative action.



In China, Rheum officinale (considered interchangeable with

Rheum palmatum by most authors) is also used against toothaches,

and is said to improve bleeding ulcers up to 90% within a few

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Active Ingredients: Turkish rhubarb root contains 3-12%

anthraquinones including 60-80% chrysophanol, emodin,

aloe_emodin, rhein, physcionin, citreorosein, chrysophanol 1,

emodin1, aloe-emodin 8_glucoside; 10-25% dianthraquinones:

sennosides A, B, C, D, E & F; naphtalins, 1% stilbenes; 5-10%

tannins; and 2-3% flavonoids including rutin and several

polyphenols.



Emodin at different concentrations has many therapeutic benefits

including: anti-inflammatory at 15mg/kg; antiseptic;

antispasmodic; antiulcer, cathartic; vasorelaxant and viricidal.

Anthraquinones are also cytotoxic and stimulate cellular

regeneration, detoxification and cleansing.



Suggested Amount.



Unless otherwise prescribed: The finely chopped or powdered root

or powdered dry extract is used for making an infusion or

decoction. Hot water (approximately 150ml) is poured over

approximately one half to one flat teaspoonful of finely chopped

Turkish rhubarb root and after 10 to 15 minutes passed through a

strainer.



For constipation, a cup of the freshly prepared infusion is

drunk in the morning and/or at night before going to bed.



For stomach and bowel catarrh, a tablespoonful of the infusion

is taken several times. The average daily dosage as a laxative

contains 30-120mg hydroxyanthracene derivatives corresponding to

1.2-4.8g of drug (powdered root). The average daily dosage as a

bitter tea used as an astringent, stomachic and against ulcers

contains 3-9mg of hydroxyanthracene derivatives corresponding to

0.12-0.36g of powdered root. For soothing a toothache, Chinese

herbalists fry the root then steep it in alcohol to create a

tincture and then apply this on the affected tooth with a cotton

ball for five minutes. (Rhubarb root contains at least five

different pain relieving compounds, however, there are better

remedies than this for toothache that should be used first if

available).



Drug Interactions: In large dosages, the anthraquinones type

laxative compounds may increase the action of other laxatives

and should not be taken at the same time. With chronic

use/abuse, a potassium deficiency may develop that may

potentiate the effects of cardiotonic glycosides.



Contraindications: Laxatives are contraindicated in the case of

impacted bowel (serious bowel obstruction) or ileus of any

origin (danger of intestinal rupture). Rhubarb root should also

not be taken during pregnancy due to reflex stimulation of the

uterus or during lactation because a proportion of the active

aglycones reach the mother's milk.



Side Effects: If used as prescribed, none known. Like all other

anthracene glycoside laxatives, rhubarb root should not be used

continuously over a prolonged period as this disturbs the water

and electrolyte balance of the body. An increased loss of water

and salts, especially potassium salts, may occur and ultimately

a dangerous electrolyte imbalance can develop that can be fatal

if it persists. Large doses of Turkish rhubarb root tea may

cause gastric disturbance, nausea and diarrhea due to

anthraquinones type laxative compounds.



Burdock is a very important component in an ancient native North

American herbal decoction, usually available as either powder to

brew a tea from or as a liquid tonic itself. It is known

variously by many names, but most commonly as Essiac. The basic

Essiac Ingredients are.



1. Burdock Root (Arctium lappa), 2. Sheep Sorrel (Rumex

acetosella) 3. Slippery Elm (Ulmus fulva) 4. Turkey Rhubarb

(Rheum palmatum).



References:



Dreessen M, Eyssen H, and Lemli J. 1981. The metabolism of

sennosides A and B by the intestinal microflora: in vitro and in

vivo studies on rat and mouse. J Pharm Pharmacol 33: 678-681.

Driscoll JS, Hazard Jr HB, Wood Jr, and Goldin A. 1974.

Structure_antitumor- activity relationships among quinone

derivatives. Cancer Chem Rep, Part 2 4: 1-27. Duke JA. 1985.

Turkish rhubarb. In Handbook of Medicinal Herbs. CRC Press, Boca

Raton, FL, p. 404; Emodin. p. 572. Wichtl M (ed). 1994. Rhei

radix - Turkish rhubarb root (English translation by Norman

Grainger Bisset). In Herbal Drugs and Phytopharmaceuticals. CRC

Press, Stuttgart, pp. 415-418. Yagi T, Yamauchi K, and Kuwano S.

1997. The synergistic purgative action of aloe-emodin anthrone

and rhein anthrone in mice: synergism in large intestinal

propulsion and water secretion. J Pharm Pharmacol 49: 22-25.



Disclaimer: This article in no way should be taken as medical

advice on any product, condition or course of action, nor does

it constitute in any way medical advice endorsing any specific

product, specific result, nor any possible cure for any

condition or problem. This article is meant as a source of

information upon which you may base your decision as to whether

or not you should begin using any vitamin, mineral and/or herbal

supplement for better health, or begin using a greens product

as a dietary supplement.



If in doubt, or if you have questions, you should consult your

physician and, if possible, consult a second physician for a

possible different opinion. The author does not bear any

responsibility for your decisions nor for the outcome of your

actions based upon those decisions.



About the author:

Loring Windblad has studied nutrition and exercise for more than

40 years, is a published author and freelance writer.



This article is Copyright 2005 by http://www.organicgreens.us,

http://www.organicgreens.ca and Loring Windblad. This article

may be freely copied and used on other web sites only if it is

copied complete with all links and text, including the Authors

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