{"id":76441,"date":"2025-04-23T15:53:06","date_gmt":"2025-04-23T14:53:06","guid":{"rendered":"https:\/\/www.herbalreality.com\/?post_type=herb&#038;p=76441"},"modified":"2025-05-23T08:52:27","modified_gmt":"2025-05-23T07:52:27","slug":"butchers-broom","status":"publish","type":"herb","link":"https:\/\/www.herbalreality.com\/herb\/butchers-broom\/","title":{"rendered":"Butcher&#8217;s broom"},"content":{"rendered":"","protected":false},"featured_media":76467,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"footnotes":"","beyondwords_generate_audio":"1","beyondwords_project_id":"47224","beyondwords_content_id":"490f9c7c-d292-418b-8546-f946bc199a7e","beyondwords_preview_token":"aad1cbcb-a7a5-4a46-b768-05026e9f026a","beyondwords_player_content":"","beyondwords_player_style":"","beyondwords_language_code":"","beyondwords_language_id":"","beyondwords_title_voice_id":"","beyondwords_body_voice_id":"","beyondwords_summary_voice_id":"","beyondwords_error_message":"","beyondwords_disabled":"","beyondwords_delete_content":"","beyondwords_podcast_id":"","beyondwords_hash":"","publish_post_to_speechkit":"","speechkit_hash":"","speechkit_generate_audio":"","speechkit_project_id":"","speechkit_podcast_id":"","speechkit_error_message":"","speechkit_disabled":"","speechkit_access_key":"","speechkit_error":"","speechkit_info":"","speechkit_response":"","speechkit_retries":"","speechkit_status":"","speechkit_updated_at":"","_speechkit_link":"","_speechkit_text":""},"tags":[1946],"conditions":[694,698],"sustainability":[1576],"sense":[31,18,30,27],"western_action":[992,994,1000,1007,1008,1826],"chinese_action":[],"ayurvedic_action":[],"energetics_action":[],"region":[1893],"class_list":["post-76441","herb","type-herb","status-publish","has-post-thumbnail","hentry","tag-vascular-tonic","conditions-cardiovascular-system","conditions-reproductive-system","sustainability-green-sustainability-status","sense-astringent-taste","sense-bitter","sense-sharp","sense-sweet","western_action-anti-inflammatory","western_action-antioxidant","western_action-astringent","western_action-diaphoretic","western_action-diuretic","western_action-lymphatic","region-western-herbs"],"acf":{"last_reviewed":"20250404","herb_author":1910,"banner_text":"Butcher's broom is a venous tonic for varicose veins and haemorrhoids ","latin_name":"<i><span style=\"font-weight: 400;\">Ruscus aculeatus<\/span><\/i>","pseudonym_name":"","family_name":"Asparagaceae","herb_summary":"Butcher's broom is used to improve blood circulation, reduce swelling, and relieve symptoms of varicose veins, haemorrhoids, and leg discomfort linked to poor venous health.","key_benefits":"Anti-inflammatory \r\nVenous tonic\r\nVaricose veins\r\nHaemorrhoids\r\nChronic venous insufficiency\r\nVenous health\r\nLymphatic flow","how_does_it_feel":"<span style=\"font-weight: 400;\">Butchers broom root tincture smells sweet, sharp and slightly bitter. The taste is pleasant, mostly sweet, with no unfavourable aftertaste. The sweet taste is common to medicines made from the root of plants, indicating a nourishing quality. The taste is similar to <a href=\"https:\/\/www.herbalreality.com\/herb\/liquorice\/\">liquorice<\/a>, and adds a balancing flavour to mixed herbal formulas, which can sometimes be bitter or acrid tasting. The acute sensations through the body are subtle, initially warming in the centre of the body, but can be felt moving out into the periphery. A mild vibration and subtle stimulation of perspiration can be felt as a prickle on the skin, followed by the cooling sensation that this mechanism provokes. After several days of taking a therapeutic dose, the skin may become more nourished and glowing. <\/span>","hdif_image_1":76470,"hdif_image_2":76468,"hdif_image_3":76471,"hdif_video":"","sense":[31,18,30,27],"what_can_i_use_it_for":"[caption id=\"attachment_76474\" align=\"alignright\" width=\"565\"]<img class=\" wp-image-76474\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154123\/Butchers-broom-tree-Ruscus-aculeatus-1000x750.jpg\" alt=\"Butcher's broom (Ruscus aculeatus)\" width=\"565\" height=\"424\" \/> Butcher's broom (<em>Ruscus aculeatus<\/em>)[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom is the common name for the medicinal plant <\/span><i><span style=\"font-weight: 400;\">Ruscus aculeatus<\/span><\/i><span style=\"font-weight: 400;\">. It is primarily anti-inflammatory, anti-oedematous, a venotonic, diuretic and diaphoretic (1,2). Butcher\u2019s broom is a vascular tonic, specific for toning veins, reducing the swelling and inflammation associated with venous stagnation, varicose veins and haemorrhoids, and preventing blood clots (3,4). It is used as an internal and external treatment for venous insufficiency, causing pain and heaviness, leg cramping, itching, swelling, varicose veins, haemorrhoids, phlebitis (inflammation of a vein) and bruises (1).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.herbalreality.com\/western-action\/anti-inflammatory\/\"><span style=\"font-weight: 400;\">anti-inflammatory<\/span><\/a><span style=\"font-weight: 400;\"> and tonic actions on the vascular system specifically protect and strengthen the venous and capillary walls. This reduces capillary permeability which decreases oedema and tones the walls of the blood vessels to move congestion by supporting the return of blood from the periphery. This support for the blood vessel walls enhances elasticity, improves blood flow and venous return, which prevents the pooling of blood responsible for varicose veins and haemorrhoids.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom can be used to support other conditions affecting the <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/cardiovascular-health\/\"><span style=\"font-weight: 400;\">circulatory system<\/span><\/a><span style=\"font-weight: 400;\">, including lymphedema, orthostatic hypotension as well as helping to support premenstrual symptoms.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher' s broom can be taken internally as a decoction of the root, or used externally as an ointment, cream or balm, or as a suppository for haemorrhoids.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">These actions and indications are similar to <\/span><a href=\"https:\/\/www.herbalreality.com\/herb\/horse-chestnut\/\"><span style=\"font-weight: 400;\">horse chestnut<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Aesculus hippocastanum<\/span><\/i><span style=\"font-weight: 400;\">), and the two herbs are often used interchangeably (2,5). Although there is overlap in the actions and indications of both herbs, the constituents and mechanisms of action differ slightly, allowing them to complement each other and combine well together.\u00a0<\/span>","into_the_heart_of":"[caption id=\"attachment_76469\" align=\"alignright\" width=\"537\"]<img class=\" wp-image-76469\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154049\/Butchers-broom-fruiting-Ruscus-aculeatus-1000x667.jpg\" alt=\"Butcher's broom (Ruscus aculeatus)\" width=\"537\" height=\"358\" \/> Butcher's broom (<em>Ruscus aculeatus<\/em>)[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">The steroidal saponins (ruscogenins), the saponin glycosides (ruscosides), and the coumarins (esculin), are the main active constituents in butcher\u2019s broom (6,7). A reduction in hyperpermeability of the epithelial cells has been linked to several of the steroidal saponins including deglucoruscin, ruscin, and esculin (8). The ruscogenins have an anti-inflammatory action by inhibiting leukocyte adhesion to the endothelial walls and, subsequently, the inflammatory cascade which would increase the permeability of the blood vessels (2). The decreased vascular permeability from butcher\u2019s broom lowers the rate at which small proteins, electrolytes, and water are filtered into the surrounding tissue space. This affects the initial phase of inflammation by exerting a 'sealing' effect on capillaries and by reducing the number and diameter of capillary pores thereby also reducing vascular leakage, oedema, and swelling (9).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The ruscogenins also protect blood vessels by inhibiting the activity of liposomal enzymes, specifically elastase enzymes which break down the elasticity of the vascular walls (10). This anti-elastase activity protects the elasticity of the vascular walls and supports blood flow and venous return.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom also causes a vasoconstriction of the venules by activating smooth muscle receptors in the vascular walls (2). It has a direct effect on <\/span><span style=\"font-weight: 400;\">\u03b1<\/span><span style=\"font-weight: 400;\">-adrenergic receptors of the smooth muscle cells, initiating a contractile effect in venous and lymphatic vasculature (7). This contraction of the vessel walls increases the peripheral venous tone and raises the flow velocity in the veins and lymphatic vessels (11). This vasoconstriction, combined with the decreased permeability of the vessel walls improves the peripheral vascular tone and reduces venous swelling, oedema and varicosity.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom extract increases fibrinolytic activity in the vein walls, the process where fibrin (a protein involved in blood clot formation) is broken down (2). This activity prevents or dissolves blood clots, ensuring proper blood flow in the veins.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">One of the flavonoids in butchers broom, rutin, strengthens the capillaries and has a venotonic action (6). Flavonoids are recognised as having anti-inflammatory properties and the coumarin esculin is antioxidant, anti-inflammatory and acts as a tonic to the venous vessels (6). These actions all contribute to the therapeutic effect on varicose veins, spider veins, leg oedema and haemorrhoids (6).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Energetically, butcher\u2019s broom is cooling, drying, and slightly constricting (3).<\/span>","tradtional_uses":"[caption id=\"attachment_76471\" align=\"alignright\" width=\"543\"]<img class=\" wp-image-76471\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154116\/Butchers-broom-red-fruit-Ruscus-aculeatus-1000x667.jpg\" alt=\"Butcher's broom (Ruscus aculeatus)\" width=\"543\" height=\"362\" \/> Butcher's broom (<em>Ruscus aculeatus<\/em>)[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom was recommended by Dioscorides and the ancient physicians (50\u201380AD) as an aperient (cathartic, purgative), appetite stimulant, and diuretic used for dropsy (oedema), urinary obstructions and nephritic (kidney) ailments (12,13).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Parkinson (1640) used butcher\u2019s broom to protect meat, by erecting little hedges with the spiky leaves to prevent it from being eaten by vermin (4,12). He also reported its use to make sweeping brooms, by tying together a bundle of stalks (12). This was not only because of the stiffness and solidity of the stems, but also because of the essential oils with antibacterial properties (7). The combination of use for protecting meat and also making brooms explains the common name for the herb.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Culpeper refers to Butcher\u2019s broom in 1643 as \u201cbeing of gallant, cleansing and opening quality\u201d (14). A decoction of the root in wine was used to open obstructions, provoke urine, expel gravel and stones, clear yellow jaundice and associated headaches, and, clear the chest of phlegm and \u201cclammy humours gathered within\u201d (14).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">As with the modern-day applications, the root was used externally, however Culpeper also refers to a poultice made from the berries and leaves to be effective for \u201cknitting and consolidating broken bones or parts out of joint\u201d (14).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">In 1812 when butcher\u2019s broom began appearing in American Pharmacopoeias, John Hill regarded it as \u201can excellent medicine to remove obstructions. It works powerfully by urine, and is good in jaundices, and in stoppages of the menses, and excellent in the gravel\u201d (15).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">In 1931, Grieve was recommending a decoction of the root for jaundice and gravel in the gallbladder and kidney, or combined with honey to clear the chest of phlegm and relieve breathing difficulties (12). As a decoction or infusion she recommended one ounce (~25 g) of the root or twigs per pint (~500 ml) of water.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The modern day uses as a venous tonic for conditions arising from venous insufficiency only came to light following research in the 1950s by French researchers identifying the steroidal saponins in butcher's broom root, and their actions on the circulatory system (16).\u00a0<\/span>","what_practioners_say":"[caption id=\"attachment_76473\" align=\"alignright\" width=\"381\"]<img class=\" wp-image-76473\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154120\/Butchers-broom-root-plant-Ruscus-aculeatus-667x1000.jpg\" alt=\"Butcher's broom root (Ruscus aculeatus)\" width=\"381\" height=\"571\" \/> Butcher's broom root (<em>Ruscus aculeatus<\/em>)[\/caption]\r\n<h3>Cardiovascular<\/h3>\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom is most commonly used to treat conditions arising from chronic venous insufficiency (CVI) and venous congestion, such as varicose veins and haemorrhoids, with clinical data to support these uses. CVI of the lower limbs is a major cause of morbidity and varicose veins in the western world (17). The German Commission E, which provides therapeutic guides for herbal medicine professionals, approves its use as a supportive therapy for symptoms of CVI, including pain and heaviness, leg cramps, itching, swelling, and haemorrhoids (18).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The treatment of CVI attempts to both ameliorate the clinical symptoms and discomfort, as well as reduce the development of chronic venous disease (17). Butcher\u2019s broom prevents degradation of the vascular walls and maintains vascular integrity, preventing the vascular hyperpermeability that causes oedema and swelling. The reduction in hyperpermeability of the epithelial cells has been linked to several of the steroidal saponins (ruscogenins) which inhibit the activity of enzymes that break down the elasticity of the vascular walls (8,10). Horse chestnut has a similar action, where the escin constituent prevents the activity of hyaluronidase enzymes from breaking down proteins in the vascular walls (11). <\/span>\r\n\r\n<span style=\"font-weight: 400;\">In chronic pathological vascular conditions such as CVI, phlebitis (vein inflammation), and varicosities, there is an increased activity of these enzymes which cause a breakdown of the capillary walls (19). Butcher\u2019s broom lacks this action on hyaluronidase enzymes, which is why many herbalists combine the two herbs in formulas to protect and strengthen the vascular system (10). Horse chestnut and butcher\u2019s broom also work by different mechanisms to stimulate vasoconstriction in the peripheral vasculature. The two herbs can be used interchangeably, however they complement each other well, with butcher\u2019s broom primarily increasing the venous tone and elasticity of the vessels, and horse chestnut protecting the vascular structures and integrity.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom is most commonly prescribed for internal use as a tincture, combining well with: <\/span>\r\n<ul>\r\n \t<li><a href=\"https:\/\/www.herbalreality.com\/herb\/horse-chestnut\/\"><span style=\"font-weight: 400;\">Horse chestnut<\/span><\/a><\/li>\r\n \t<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.herbalreality.com\/herb\/yarrow\/\">Yarrow<\/a> (<\/span><i><span style=\"font-weight: 400;\">Achillea millefolium<\/span><\/i><span style=\"font-weight: 400;\">) to stimulate the peripheral circulation<\/span><\/li>\r\n \t<li><a href=\"https:\/\/www.herbalreality.com\/herb\/gotu-kola\/\"><span style=\"font-weight: 400;\">Gotu kola<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Centella asiatica<\/span><\/i><span style=\"font-weight: 400;\">) to support the connective tissues<\/span><\/li>\r\n \t<li><a href=\"https:\/\/www.herbalreality.com\/herb\/bilberry\/\"><span style=\"font-weight: 400;\">Bilberry<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Vaccinium myrtillus<\/span><\/i><span style=\"font-weight: 400;\">) to further support the integrity of the microvasculature<\/span><\/li>\r\n \t<li><a href=\"https:\/\/www.herbalreality.com\/herb\/prickly-ash\/\"><span style=\"font-weight: 400;\">Prickly ash<\/span><\/a><span style=\"font-weight: 400;\"> (<\/span><i><span style=\"font-weight: 400;\">Zanthoxylum americanum<\/span><\/i><span style=\"font-weight: 400;\">) as an analgesic which also stimulates the peripheral circulation<\/span><\/li>\r\n<\/ul>\r\n<span style=\"font-weight: 400;\">The Committee on Herbal Medicinal Products concluded that butcher\u2019s broom preparations can be used to relieve discomfort and heaviness of legs related to minor problems of blood circulation, and to relieve itching and burning of haemorrhoids (7). Subsequently, the European Medicines Agency has approved the licensing of several internal and external products containing butcher\u2019s broom extracts, in various countries across Europe (7).<\/span>\r\n<h3>Topical applications<\/h3>\r\n<span style=\"font-weight: 400;\">Although butcher\u2019s broom is often taken internally, the saponins in the whole herb extract can have low bioavailability across the gastrointestinal tract (GIT) (2). However, standardised extracts hydrolyse the saponins, yielding the aglycones (ruscogenin), which increases GIT absorption (7). The active constituents in whole-herb extracts are absorbed transdermally (through the skin) and butcher\u2019s broom is often used concurrently in both internal and external formulas. The actions on the vessels in the peripheral circulatory system make butchers broom an excellent external treatment for varicose veins, spider veins, capillary fragility, haematomas, contusions, sprains, bruises, and haemorrhoids. It is applied as an ointment, cream or balm, or used in suppositories for haemorrhoids.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The additional benefit of external applications is the opportunity to massage the area of swelling and oedema. Rubbing a cream, balm or gel into the skin, massaging towards the centre of the body, provides an additional support to the blood flow back to the heart, as well as dissipating the oedema from the surrounding tissues. Other lifestyle advice to support CVI and varicose veins includes the use of compression stockings, avoiding standing for long periods, frequently walking around to support blood flow, and sleeping with the legs on a pillow or elevating the foot of the bed slightly.<\/span>\r\n\r\n[caption id=\"attachment_76467\" align=\"alignleft\" width=\"515\"]<img class=\" wp-image-76467\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-1000x667.jpg\" alt=\"Butcher's broom (Ruscus aculeatus)\" width=\"515\" height=\"343\" \/> Butcher's broom (<em>Ruscus aculeatus<\/em>)[\/caption]\r\n<h3>Orthostatic hypotension<\/h3>\r\n<span style=\"font-weight: 400;\">Orthostatic hypotension (OH) or postural hypotension is a disorder characterised by low blood pressure upon standing and the body's inability to make rapid changes in response to the upright position (20). This is due to a combination of factors related to the neuronal signalling in the central nervous system, hemodynamic responses, sub-optimal venous tone and hormonal mechanisms (20). The condition results in a prolonged reduction in venous return to the heart, pooling of blood in the legs and symptoms of light-headedness, blurred vision, neck pain, fainting, nausea, fatigue, weakness, sleepiness, headaches, flushing, excessive sweating, oedema, and impaired mental capacity (20). <\/span>\r\n\r\n<span style=\"font-weight: 400;\">The vasoconstrictive and venotonic actions of butcher\u2019s broom can counteract blood pooling in the lower limbs, which indicates its use to prevent or support orthostatic hypotension associated with many chronic cardiovascular conditions (2). Butcher\u2019s broom combines well with horse chestnut for OH; a small case report demonstrated that the combination greatly ameliorated the patient's symptoms and improved quality of life, with horse chestnut alone having negligible effects (20).\u00a0<\/span>\r\n<h3>Deep vein thrombosis<\/h3>\r\n<span style=\"font-weight: 400;\">CVI, phlebitis (inflammation of veins) and varicose veins carry an increased risk of deep vein thrombosis (DVT), and butcher\u2019s broom shows promise in reducing this risk (2,21).). A clinic trial which contained butchers broom extract (450 mg) in a combination formula found an increase in the breakdown of fibrin in blood vessels, a protein which causes blood clots (2). This fibrinolytic activity in the vein walls reduces the risk of blood clots and DVT in patients with venous insufficiency. <\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom can be used both internally or externally before and during long flights to reduce oedema and for preventing thrombosis, particularly in patients with existing varicosities. Butcher\u2019s broom can be used prophylactically before surgical treatment, for those at risk of DVT.<\/span>\r\n<h3>Lymphoedema<span style=\"font-weight: 400;\">\u00a0<\/span><\/h3>\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom increases the contractile properties and reduces the permeability of both veins and lymphatic vessels (7). Reductions in arm lymphoedema in post breast cancer patients has been clinically demonstrated with the use of butcher\u2019s broom extract (2).<\/span>\r\n<h3>Blood lipids<\/h3>\r\n<span style=\"font-weight: 400;\">Butchers broom can be used as part of a formula for <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/high-cholesterol\/\"><span style=\"font-weight: 400;\">hypercholesterolemia<\/span><\/a><span style=\"font-weight: 400;\">, arteriosclerosis and hypertension (19). The ruscosides in butcher\u2019s broom can decrease the cholesterol content of the blood, reduce blood lipid deposits in the arteries, and lower liver arterial tension (19).<\/span>\r\n<h3>Diabetes<span style=\"font-weight: 400;\">\u00a0<\/span><\/h3>\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom, and specifically the ruscogenin constituent, reduces vascular permeability and can be used to improve symptoms of retinopathy in diabetic patients (8). Similarly, butcher\u2019s broom can support the microcirculation in the skin in cases of diabetic neuropathy and diabetic ulcerated lesions.<\/span>\r\n<h3>Female reproductive system <span style=\"font-weight: 400;\">\u00a0<\/span><\/h3>\r\n<span style=\"font-weight: 400;\">The circulatory action of butcher\u2019s broom supports the removal of pelvic stagnation and is good for congested menstrual problems such as <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/dysmenorrhoea\/\"><span style=\"font-weight: 400;\">dysmenorrhea<\/span><\/a><span style=\"font-weight: 400;\"> and menorrhagia (4). This can also help to reduce oedema associated with premenstrual fluid retention. Butcher\u2019s broom has a mild hormone balancing action on <a href=\"https:\/\/www.herbalreality.com\/health-lifestyle\/mobility-fitness\/balancing-oestrogen\/\">oestrogen<\/a> and progesterone, and is useful in premenstrual syndrome (PMS), menopause and cases of vaginal dryness (4). Clinical research has shown butcher\u2019s broom to be effective in reducing symptoms of PMS including mastalgia, menstrual pain and low mood (22).\u00a0<\/span>","research":"[caption id=\"attachment_76468\" align=\"alignright\" width=\"541\"]<img class=\" wp-image-76468\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154047\/Butchers-broom-fruit-Ruscus-aculeatus-1000x563.jpg\" alt=\"Butcher's broom (Ruscus aculeatus)\" width=\"541\" height=\"304\" \/> Butcher's broom (<em>Ruscus aculeatus<\/em>)[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">Clinical data supports both internal and external use of butcher\u2019s broom for CVI, varicose veins, haemorrhoids, varicose ulcers, lymphoedema, PMS, and diabetic retinopathy (2). Most research uses preparation of a butchers broom extract (150 mg), often in combination with hesperidin metylchalkone (150 mg), and ascorbic acid (100 mg), taken 2\u20133 times per day (Cyclo 3 Fort). Hesperidin methylchalcone and ascorbic acid both reduce capillary permeability and increase capillary integrity (2). There is a lack of clinical research exploring the efficacy of butchers broom alone, or as liquid\/alcohol extracts of the whole plant, or use of the powdered root.\u00a0<\/span>\r\n<h3>Chronic venous insufficiency<\/h3>\r\n<span style=\"font-weight: 400;\">Over 30 studies have assessed the effects of butcher\u2019s broom extract in patients with CVI.\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">A meta-analysis in 2003 reviewed the clinical studies up to that point to estimate the overall effect of butcher\u2019s broom extract on the symptoms and severity of CVI (17). The study included a total of 31 trials, comprising: 20 placebo-controlled, randomised, double-blind studies; five randomised studies against a comparator drug; and six single arm studies with no placebo, all using the combination extract Cyclo 3 Fort, detailed above (17). <\/span>\r\n\r\n<span style=\"font-weight: 400;\">The butcher\u2019s broom extract significantly reduced the severity of pain, cramps, heaviness, and paraesthesia, compared to placebo. There was also a significant reduction in venous capacity, although reductions in the severity of oedema, and calf and ankle circumference were not significantly different. The authors concluded the study provides a strong and objective demonstration of the clinical efficacy of butcher\u2019s broom combination extract in treating patients with CVI, by reducing the severity of symptoms (17).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">After the publication of the meta-analysis, another double-blind, randomised, placebo-controlled trial examined the efficacy and safety of a butcher\u2019s broom extract (72 mg per day of a 20:1 extract), in 148 women with CVI (23). After 12 weeks of treatment the butcher\u2019s broom extract group had a significant reduction in leg volume, ankle and leg circumference, and subjective symptoms of heavy tired legs and sensations of tension, compared to the placebo group.<\/span>\r\n\r\n<span style=\"font-weight: 400;\"> The overall assessment of tolerability was very good, and the efficacy was significantly better for the butcher\u2019s broom extract compared to placebo. The authors concluded that butchers broom extract, in the recommended daily dosage according to the German monograph, is a safe and effective treatment for patients suffering from CVI (23).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">A observational, prospective study in 2009 assessed the effect of butcher\u2019s broom combination extract (Cyto 3 Fort) on the quality of life (QoL) of 917 patients with chronic venous disorders (24). After 12 weeks of treatment the overall QoL scores significantly improved. There were significant sub-category improvements in lower limb heaviness (83% has improved),\u00a0 lower limb pain (81.5%), lower limb swelling (68.5%), paraesthesia (72.8%), and cramps (66.8%). There was also a statistically significant decrease in ankle circumference after treatment. It should be noted that this was an observational study and the lack of a control group makes it difficult to rule out a placebo effect (24).\u00a0<\/span>","did_you_know":"<span style=\"font-weight: 400;\">The name \u2018knee holly\u2019 comes from its growth to the height of a man\u2019s knee, and from the prickly, evergreen leaves, resembling true holly (<\/span><i><span style=\"font-weight: 400;\">Ilex aquifolium<\/span><\/i><span style=\"font-weight: 400;\">), although the two plants are unrelated (12).<\/span>","additional_information_right":{"illustration":76487},"additional_information_left":{"botany":"<span style=\"font-weight: 400;\">Butcher\u2019s broom is a bushy, dioecious, evergreen subshrub, categorised as a rhizomatous geophyte, growing to 0.5\u20131 metre in height and spread (27,28,29). It reproduces by creeping rhizomes and seed (29).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butche\u2019rs broom has a tough, erect, striated stem, sending out short branches from the upper part (12). Leaves are glossy, lance-shaped and 2.5 cm in length (27). The leaves are not really leaves, but flattened explanations of the branching stems (cladodes), terminating with a single, sharp spine (8,12).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom is easy to identify in spring when a tiny solitary flower appears in the centre of each leaf. The small, (4\u20135 mm) pale yellow-green flowers have four petals, and sit on the leaves (30). In the summer and autumn, glossy red berries develop on female plants, also appearing as a single berry, the size of a pea, sitting on each leaf (15,27).<\/span>","common_names":"<ul>\r\n \t<li><span style=\"font-weight: 400;\">Box holly<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Knee holly<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Knee holm<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Knee hull<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Kneeholy<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Sweet broom<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Pettigree<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Pettigrue<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Prickly box<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Shepherd's myrtle<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">Wild myrtle<\/span><\/li>\r\n<\/ul>","safety":"<span style=\"font-weight: 400;\">There is a lack of evidence regarding safety during pregnancy and lactation (7). Only use during pregnancy and when breast-feeding under the guidance of a medical practitioner (1).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">No other noted risks or side effects (7).<\/span>","interactions":"<span style=\"font-weight: 400;\">None known (2)<\/span>","contraindications":"<span style=\"font-weight: 400;\">Butcher\u2019s broom should not be applied to broken or ulcerated skin due to the irritant effect of the saponins (26).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom should be avoided or only taken under the guidance of a medical\/clinical herbalist by patients with severe renal or cardiac disease e.g. renal and heart failure (7).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Due to the saponin content, caution is warranted in cases of coeliac disease, fat malabsorption, vitamin A, D, E and K deficiency, and pre-existing cholestasis (2).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">You can find qualified medical herbal professionals on our page <\/span><a href=\"https:\/\/www.herbalreality.com\/resources\/find-herbalist\/\"><span style=\"font-weight: 400;\">Where to find a herbalist<\/span><\/a><span style=\"font-weight: 400;\">. <\/span>","preparation":"<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tincture<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infusion<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decoction\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tablets\/capsule\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cream\/balm\/ointment\/gel\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Suppository<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Compress\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bath\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wash<\/span><\/li>\r\n<\/ul>\r\n<span style=\"font-weight: 400;\">The European Medicines Agency (EMA) has approved the licensing of several commercially available herbal medicine products as capsules for internal use, and cream for external use (7). <\/span>","dosage":"<ul>\r\n \t<li><span style=\"font-weight: 400;\"><strong>Decoction:<\/strong> 1.5\u20133 g dried root per day (2)<\/span><\/li>\r\n \t<li><strong>Tincture (1:5 | 60%):<\/strong> 7\u201315 ml, per day, <span>(2,<\/span><span>3<\/span><span>). <\/span><span>Up to 30\u201350 ml\/week <\/span><span>(<\/span><span>1<\/span><span>)<\/span><\/li>\r\n \t<li><strong>FE (1:1 extract):<\/strong> 3\u20136 ml per day (2)<\/li>\r\n \t<li><strong>Capsules:<\/strong> 300\u20131000 mg powdered root per day (3,7). 200 mg, 4:1 extract containing 20 mg ruscogenin, 2\u20133 times per day (2). <span>Commercially available capsule containing butchers broom extract (150 mg); hesperidin methylchalkone (150 mg); ascorbic acid (100 mg), 2\u20133 per day (7).<\/span><\/li>\r\n<\/ul>\r\n<h3>Topical<\/h3>\r\n<ul>\r\n \t<li><strong>Cream or lotion:<\/strong> Made from tincture, oil and\/or decoction (see recipe)<\/li>\r\n \t<li><strong>Commercial preparations:<\/strong> Containing 16 mg extract (per 1 g cream), applied twice per day <span>(7)<\/span><\/li>\r\n<\/ul>","constituents":"<ul>\r\n \t<li><strong>Steroidal saponins<\/strong><span style=\"font-weight: 400;\"><strong> (0.5-1.5%):<\/strong> Deglucoruscin, ruscin, esculin (2, 8)<\/span>\r\n<ul>\r\n \t<li><b>Saponin aglycone<\/b>: Rusogenin, neoruscogenin (7)<\/li>\r\n \t<li><b>Saponin glycosides<\/b>: Ruscine, ruscoside, aculeosides A and B (8)<\/li>\r\n \t<li><b>Flavonoids<\/b>: Rutin (6)<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><b>Sterols:<\/b> Sitosterol, campersterol, stigmasterol (1)<\/li>\r\n \t<li><b>Coumarins:<\/b> Esculin and esculetin, sparteine, tyramine and glycolic acid (7)<\/li>\r\n<\/ul>","plant_part_used":"<span style=\"font-weight: 400;\">Roots and rhizomes<\/span>"},"habitat":"<span style=\"font-weight: 400;\">Butcher\u2019s broom is native to Great Britain; Central, Western and Southern Europe, from Mediterranean to Macaronesia, and North Africa (28). It has been introduced in Ireland, Germany and Mexico, and grows primarily in the temperate biome (28). It can be found in a range of habitats including woodlands, scrubland, coastal dunes, marine areas, grasslands, forests, rocky places, and moist areas (31).<\/span>","sustainability":"<span style=\"font-weight: 400;\"><img class=\" wp-image-10530 alignright\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2023\/10\/09115149\/sustainability-icon-green.jpg\" alt=\"Green sustainability status\" width=\"304\" height=\"303\" \/>The International Union for Conservation of Nature (IUCN) conducted a European assessment of butcher\u2019s broom in 2011 and listed it as \u201cLeast Concern\u201d (31). They state that the species population is stable with widespread distribution across Europe, and abundant in Spain, France and Hungary (31). There are currently no major threats or risk of extinction (28, 31). There is no CITES legislation for butcher\u2019s broom (33).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Habitat loss and over-harvesting from the wild are two of the biggest threats faced by medicinal plant species. There are an increasing number of well-known herbal medicines at risk of extinction. We must, therefore, ensure that we source our medicines with sustainability in mind.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The herb supplement industry is growing at a rapid rate and until recent years a vast majority of medicinal plant produce in global trade was of unknown origin. There are some very real and urgent issues surrounding sustainability in the herb industry. These include environmental factors that affect the medicinal viability of herbs, the safety of the habitats that they are taken from, as well as the welfare of workers in the trade.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The botanical supply chain efforts for improved visibility (transparency and traceability) into verifiably sustainable production sites around the world is now certificated through the emergence of credible international voluntary sustainability standards (VSS).<\/span><span style=\"font-weight: 400;\">\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Read our article on <\/span><a href=\"https:\/\/www.herbalreality.com\/herbalism\/safety\/herbal-quality-safety-what-know-before-you-buy\/\"><span style=\"font-weight: 400;\">Herbal quality and safety: What to know before you buy<\/span><\/a><span style=\"font-weight: 400;\">\u00a0and <\/span><a href=\"https:\/\/www.herbalreality.com\/herbalism\/western-herbal-medicine\/where-your-herbs-come-from\/\"><span style=\"font-weight: 400;\">Sustainable sourcing of herbs<\/span><\/a><span style=\"font-weight: 400;\"> to learn more about what to look for and questions to ask suppliers about sustainability.<\/span>","sustainability_content":"","sustainability_alternatives":"","quality_control":"<span style=\"font-weight: 400;\">Herbal medicines are often very safe to take; however, their safety and efficacy can be jeopardised by quality issues. So, it is important to buy herbal medicines from a reputable supplier, from sources known to test their herbs to ensure there is no contamination, adulteration or substitution with incorrect plant matter, as well as ensuring that recognised marker compounds are at appropriate levels in the herbs.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Some important quality assurances to look for are certified organic labelling, the correct scientific\/botanical name, and the availability of information from the supplier about ingredient origins. A supplier should be able to tell you where the herbs have come from, what contaminants are not in the herb, and what the primary compounds are.<\/span>","how_to_grow":"<span style=\"font-weight: 400;\">Propagation is by seed or\u00a0root\/rhizome division in autumn, which soon spreads into large clumps from the creeping rhizomes (12).\u00a0\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Butcher\u2019s broom is very hardy, thriving in most soil conditions. It is popular in gardens due to the unique flowers and berries, which remain attractive after the deciduous trees have shed their leaves (12). The shrub is maintained by cutting out dead stems to the base in spring (27).<\/span>","recipe":"<h3><img class=\" wp-image-76497 alignright\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23155931\/Aloe-vera-and-butchers-broom-lotion-1000x667.jpg\" alt=\"Aloe Vera And Butchers Broom Lotion\" width=\"542\" height=\"361\" \/>Vein-soothing lotion*<\/h3>\r\n<h4><span style=\"font-weight: 400;\">Ingredients<\/span><\/h4>\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">250 g <\/span><a href=\"https:\/\/www.herbalreality.com\/herb\/aloe-vera\/\"><span style=\"font-weight: 400;\">aloe vera<\/span><\/a><span style=\"font-weight: 400;\"> gel or plain base cream<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">10 ml butchers broom root infused oil<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">10 ml <\/span><a href=\"https:\/\/www.herbalreality.com\/herb\/calendula\/\"><span style=\"font-weight: 400;\">calendula<\/span><\/a><span style=\"font-weight: 400;\"> oil<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">10 ml butchers broom root tincture<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">10 ml <\/span><a href=\"https:\/\/www.herbalreality.com\/herb\/horse-chestnut\/\"><span style=\"font-weight: 400;\">horse chestnut<\/span><\/a><span style=\"font-weight: 400;\"> seed tincture<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">10 ml <\/span><a href=\"https:\/\/www.herbalreality.com\/herb\/yarrow\/\"><span style=\"font-weight: 400;\">yarrow<\/span><\/a><span style=\"font-weight: 400;\"> tincture<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">10 ml <\/span><a href=\"https:\/\/www.herbalreality.com\/herb\/witch-hazel\/\"><span style=\"font-weight: 400;\">witch hazel<\/span><\/a><span style=\"font-weight: 400;\"> distilled water<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">20 ml <\/span><a href=\"https:\/\/www.herbalreality.com\/herb\/mint\/\"><span style=\"font-weight: 400;\">peppermint<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/www.herbalreality.com\/herb\/rosemary\/\"><span style=\"font-weight: 400;\">rosemary<\/span><\/a><span style=\"font-weight: 400;\"> essential oil<\/span><\/li>\r\n<\/ul>\r\n<h4>Method<\/h4>\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Place the aloe vera or base cream in a bowl and gradually whisk in the oils, one teaspoon at a time.\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use the same method to gradually add the tincture, whisking thoroughly.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Add the essential oil, then the witch hazel water<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Apply twice per day to varicose veins, thread veins or haemorrhoids.<\/span><\/li>\r\n<\/ul>\r\n* adapted from Chown and Walker<span style=\"font-weight: 400;\"> (25)<\/span>","references":"<ol>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thomsen M.\u00a0<\/span><i><span style=\"font-weight: 400;\">The Phytotherapy Desk Reference: 6th Edition<\/span><\/i><span style=\"font-weight: 400;\">. 6th ed. Aeon Books; 2022.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bone K and Mills S.\u00a0<\/span><i><span style=\"font-weight: 400;\">Principles and Practice of Phytotherapy: Modern Herbal Medicine<\/span><\/i><span style=\"font-weight: 400;\">. Elsevier Health Sciences; 2013.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Easley T Horne S. <\/span><i><span style=\"font-weight: 400;\">The Modern Herbal Dispensatory: A Medicine-Making Guide<\/span><\/i><span style=\"font-weight: 400;\">. North Atlantic Books; 2016.<\/span><\/li>\r\n \t<li aria-level=\"1\"><span style=\"font-weight: 400;\">Burton-Seal J. and Seal M. <\/span><i><span style=\"font-weight: 400;\">Wayside Medicine: forgotten plants and how to use them<\/span><\/i><span style=\"font-weight: 400;\">. Merlin Unwin Books; 2017.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Waddell, G. Plant Medicine: A collection of the teachings of herbalists Christopher Hedley and Non Shaw. Aeon; 2023.\u00a0\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ganora, L. Herbal Constituents: <\/span><i><span style=\"font-weight: 400;\">Foundations of Phytochemistry<\/span><\/i><span style=\"font-weight: 400;\">. Herbalchem Press; 2009.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">European Committee on Herbal Medicine Products (HMPC). <\/span><i><span style=\"font-weight: 400;\">Rusci rhizoma<\/span><\/i><span style=\"font-weight: 400;\"> -\u00a0herbal medicinal product (<\/span><i><span style=\"font-weight: 400;\">Butcher's Broom). <\/span><\/i><span style=\"font-weight: 400;\">Accessed 20 March, 2025. <\/span><a href=\"https:\/\/www.ema.europa.eu\/en\/medicines\/herbal\/rusci-rhizoma\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">h<\/span><span style=\"font-weight: 400;\">ttps:\/\/www.ema.europa.eu\/en\/medicines\/herbal\/rusci-rhizoma<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heinrich, M., Barnes, J., Prieto-Garcia, J., Gibbons, S. and Williamson, E.M.\u00a0<\/span><i><span style=\"font-weight: 400;\">Fundamentals of Pharmacognosy and Phytotherapy<\/span><\/i><span style=\"font-weight: 400;\">. Third Edition. Elsevier Health Sciences; 2018.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Barnes, J., Anderson, L.A. and Phillipson, J.D. <\/span><i><span style=\"font-weight: 400;\">Herbal medicines: a guide for healthcare professionals:<\/span><\/i><span style=\"font-weight: 400;\"> Third Edition. Pharmaceutical press; 2007.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Braun L, Cohen M. <\/span><i><span style=\"font-weight: 400;\">Herbs and natural supplements, Volume 2: An evidence-based guide<\/span><\/i><span style=\"font-weight: 400;\">. Elsevier Health Sciences; 2014.\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Suter A, Bommer S, Rechner J. Treatment of patients with venous insufficiency with fresh plant horse chestnut seed extract: a review of 5 clinical studies. <\/span><i><span style=\"font-weight: 400;\">Advances in therapy<\/span><\/i><span style=\"font-weight: 400;\">. 2006 Jan;23:179-90. <\/span><a href=\"https:\/\/doi.org\/10.1007\/BF02850359\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1007\/BF02850359<\/span><\/a><span style=\"font-weight: 400;\">\u00a0\u00a0\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Grieve M, Leyel CF, Marshall M. <\/span><i><span style=\"font-weight: 400;\">A Modern Herbal. the Medicinal, Culinary, Cosmetic and Economic Properties, Cultivation and Folk-Lore of Herbs, Grasses, Fungi, Shrubs &amp; Trees with All Their Modern Scientific Uses<\/span><\/i><span style=\"font-weight: 400;\">. Dover Publications; 1982.\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wood M.\u00a0<\/span><i><span style=\"font-weight: 400;\">The Earthwise Herbal Volume 1: A Complete Guide to New World Medicinal Plants<\/span><\/i><span style=\"font-weight: 400;\">. North Atlantic Books; 2008.\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Culpeper N. <\/span><i><span style=\"font-weight: 400;\">Culpepers\u2019 Complete Herbal: a book of natural remedies for ancient ills<\/span><\/i><span style=\"font-weight: 400;\"> [1653]. Wordworth Reference; 1995.\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hill J. <\/span><i><span style=\"font-weight: 400;\">The Family Herbal;<\/span><\/i><span style=\"font-weight: 400;\"> 1812. Reprinted on Henritttas Herbpages. Accessed March 19, 2025. <\/span><a href=\"https:\/\/www.henriettes-herb.com\/eclectic\/hill\/butchers-broom.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.henriettes-herb.com\/eclectic\/hill\/butchers-broom.html<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">American Botanical Council. <\/span><i><span style=\"font-weight: 400;\">Expanded Commission E Monograph: Butcher's Broom.<\/span><\/i><span style=\"font-weight: 400;\"> Accessed March 23, 2025. <\/span><a href=\"https:\/\/www.herbalgram.org\/resources\/expanded-commission-e-monographs\/butchers-broom\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.herbalgram.org\/resources\/expanded-commission-e-monographs\/butchers-broom\/<\/span><\/a><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Boyle P, Diehm C, Robertson C. Meta-analysis of clinical trials of Cyclo 3 Fort in the treatment of chronic venous insufficiency. International angiology. 2003;22(3):250.\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blumenthal M, Busse WR. Butchers Broom. In: <\/span><i><span style=\"font-weight: 400;\">The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines<\/span><\/i><span style=\"font-weight: 400;\">. American Botanical Council; 1999. Accessed March 23, 2025. <\/span><a href=\"https:\/\/www.herbalgram.org\/resources\/commission-e-monographs\/monograph-approved-herbs\/butchers-broom\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.herbalgram.org\/resources\/commission-e-monographs\/monograph-approved-herbs\/butchers-broom<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hoffmann D.\u00a0<\/span><i><span style=\"font-weight: 400;\">Medicinal Herbalism, The Science and Practice of Herbal Medicine<\/span><\/i><span style=\"font-weight: 400;\">. Healing Arts Press; 2003.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Redman DA. <\/span><i><span style=\"font-weight: 400;\">Ruscus aculeatus<\/span><\/i><span style=\"font-weight: 400;\"> (butcher's broom) as a potential treatment for orthostatic hypotension, with a case report. <\/span><i><span style=\"font-weight: 400;\">Alternative Medicine Review<\/span><\/i><span style=\"font-weight: 400;\">. 2001;6(2):218.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wilkinson, I., Wilkinson, I. B., Raine, T., Wiles, K., Goodhart, A., Hall, C., &amp; O'Neill, H. Oxford handbook of clinical medicine. Oxford university press; 2017.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Monteil-Seurin J, Ladure P. Return circulation and Norepinephrine: an update. Ed. PM Vanhoutte. John Libbey Eurotext, Paris\u00a9 1991, pp. 43-53. In: Return Circulation and Norepinephrine: An Update: Proceedings of the 3rd International Symposium Held in Cairo (Egypt) March 12-17th, 1990 1991 (p. 43). John Libbey Eurotext.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vanscheidt W, Jost V, Wolna P, L\u00fccker PW, M\u00fcller A, Theurer C, Patz B, Gr\u00fctzner KI. Efficacy and safety of a Butcher\u2019s broom preparation (Ruscus aculeatus L. extract) compared to placebo in patients suffering from chronic venous insufficiency. <\/span><i><span style=\"font-weight: 400;\">Arzneimittelforschung<\/span><\/i><span style=\"font-weight: 400;\">. 2002;52(04):243-50. <\/span><a href=\"https:\/\/doi.org\/10.1055\/s-0031-1299887\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1055\/s-0031-1299887<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Guex JJ, Enriquez Vega DM, Avril L, Boussetta S, Ta\u00efeb C. Assessment of quality of life in Mexican patients suffering from chronic venous disorder\u2013impact of oral Ruscus aculeatus-hesperidin\u2013methyl-chalcone\u2013ascorbic acid treatment\u2013\u2018QUALITY Study\u2019. <\/span><i><span style=\"font-weight: 400;\">Phlebology<\/span><\/i><span style=\"font-weight: 400;\">. 2009;24(4):157-65. <\/span><a href=\"https:\/\/doi.org\/10.1258\/phleb.2009.008066\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1258\/phleb.2009.00806<\/span><\/a><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chown V and Walker K. <\/span><i><span style=\"font-weight: 400;\">The Handmade Apothecary: Healing Herbal Remedies<\/span><\/i><span style=\"font-weight: 400;\">. Kyle Books; 2017.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Brinker, FJ.\u00a0<\/span><i><span style=\"font-weight: 400;\">Herbal Contraindications &amp; Drug Interactions: Plus Herbal Adjuncts with Medicines<\/span><\/i><span style=\"font-weight: 400;\">. Eclectic Medical Publications, 2010.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Royal Horticultural Society. <\/span><i><span style=\"font-weight: 400;\">Ruscus\u00a0aculeatus <\/span><\/i><span style=\"font-weight: 400;\">Butcher's broom. Accessed March 18, 2025. <\/span><a href=\"https:\/\/www.rhs.org.uk\/plants\/16177\/ruscus-aculeatus\/details\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.rhs.org.uk\/plants\/16177\/ruscus-aculeatus\/details<\/span><\/a> <span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Royal Botanical Gardens Kew (RBGK). <\/span><i><span style=\"font-weight: 400;\">Ruscus aculeatus L.<\/span><\/i><span style=\"font-weight: 400;\"> Plants of the Word Online (POWO). Accessed March 18, 2025. <\/span><a href=\"https:\/\/powo.science.kew.org\/taxon\/urn:lsid:ipni.org:names:540443-1#distributions\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/powo.science.kew.org\/taxon\/urn:lsid:ipni.org:names:540443-1#distributions<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Taylor I. <\/span><i><span style=\"font-weight: 400;\">Ruscus aculeatus<\/span><\/i><span style=\"font-weight: 400;\"> L. BSBI Online Plant Atlas. Published 2020. Accessed March 18, 2025.\u00a0 <\/span><a href=\"https:\/\/plantatlas2020.org\/atlas\/2cd4p9h.fy3\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/plantatlas2020.org\/atlas\/2cd4p9h.fy3<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Blamey M, Fitter R, Fitter AH.\u00a0<\/span><i><span style=\"font-weight: 400;\">Wild Flowers of Britain and Ireland: 2nd Edition<\/span><\/i><span style=\"font-weight: 400;\">. A &amp; C Black; 2013.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bilz M.\u00a0<\/span><i><span style=\"font-weight: 400;\">Ruscus aculeatus (Europe assessment)<\/span><\/i><span style=\"font-weight: 400;\">.\u00a0<\/span><i><span style=\"font-weight: 400;\">The IUCN Red List of Threatened Species<\/span><\/i><span style=\"font-weight: 400;\">\u00a02011: e.T162375A5581331.\u00a0Accessed on\u00a018 March 2025. <\/span><a href=\"https:\/\/www.iucnredlist.org\/species\/162375\/5581331\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.iucnredlist.org\/species\/162375\/5581331<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cheffings C, Farrell L, (eds), Dines, T.D., Jones, R.A., Leach, S.J., McKean, D.R., Pearman, D.A., Preston, C.D., Rumsey, F.J., Taylor, I. The Vascular Plant Red Data List for Great Britain. Species Status No. 7. Joint National Conservation Committee. 2005. Accessed March 18, 2025. <\/span><a href=\"https:\/\/hub.jncc.gov.uk\/assets\/cc1e96f8-b105-4dd0-bd87-4a4f60449907\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/hub.jncc.gov.uk\/assets\/cc1e96f8-b105-4dd0-bd87-4a4f60449907<\/span><\/a><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES). Accessed March 18, 2025. <\/span><a href=\"https:\/\/checklist.cites.org\/#\/en\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/checklist.cites.org\/#\/en<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">NatureServe explorer 2.0. Natureserve.org. Accessed March 18, 2025. <\/span><span style=\"font-weight: 400;\">https:\/\/explorer.natureserve.org\/\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">UpS list of herbs &amp; analogs. United Plant Savers. Published May 14, 2021. Accessed March 18, 2025. <\/span><a href=\"https:\/\/unitedplantsavers.org\/ups-list-of-herbs-analogs\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/unitedplantsavers.org\/ups-list-of-herbs-analogs\/<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/li>\r\n<\/ol>","related_condition":[42036,60873],"related_herb":[11154,9859],"related_article":[3761,10251],"herb_overview_content_one":"","herb_overview_content_two":"","herb_overview_content_three":"","herb_overview_content_four":"","herb_overview_content_five":"","herb_overview_content_six":"","herb_overview_content_seven":"","herb_overview_content_eight":"","botany":"","botanical_description":"","botanical_image":null,"common_names":"","herbal_preperation_image":null,"preparation":"","plant_part_used":"","dosage":"","constituents":"","recipe_image":null,"safety_post":null,"safety":"","interactions":"","contraindications":"","sustainability_image_one":null,"sustainability_image_two":null,"faqs":null,"not_suitable_for":[]},"featured_image_urls_v2":{"full":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-scaled.jpg",2560,1707,false],"thumbnail":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-600x600.jpg",600,600,true],"medium":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-1000x667.jpg",1000,667,true],"large":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-1300x867.jpg",580,387,true],"banner_image":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-1600x800.jpg",1600,800,true],"gform-image-choice-sm":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-scaled.jpg",300,200,false],"gform-image-choice-md":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-scaled.jpg",400,267,false],"gform-image-choice-lg":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/23154045\/Butchers-broom-Ruscus-aculeatus-scaled.jpg",600,400,false]},"post_excerpt_stackable_v2":"","category_list_v2":"","author_info_v2":{"name":"","url":""},"comments_num_v2":"0 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