{"id":77640,"date":"2025-04-25T11:34:51","date_gmt":"2025-04-25T10:34:51","guid":{"rendered":"https:\/\/www.herbalreality.com\/?post_type=herb&#038;p=77640"},"modified":"2025-11-02T10:37:17","modified_gmt":"2025-11-02T10:37:17","slug":"birch","status":"publish","type":"herb","link":"https:\/\/www.herbalreality.com\/herb\/birch\/","title":{"rendered":"Birch"},"content":{"rendered":"\n<p data-beyondwords-marker=\"239ff147-de3a-4abc-9d37-c94285e63ed2\"><\/p>\n","protected":false},"featured_media":77656,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"footnotes":"","beyondwords_generate_audio":"1","beyondwords_project_id":"47224","beyondwords_content_id":"6b4fbee3-34ce-463a-9298-58057d00a9d6","beyondwords_preview_token":"227f106a-c966-4183-ae25-90bc0e914e86","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":[],"conditions":[694,685,699,700,697],"sustainability":[1576],"sense":[31,18,786],"western_action":[989,990,992,993,994,1824,1132,996,1000,1001,1004,1006,1007,1008,1013,1826,1025],"chinese_action":[],"ayurvedic_action":[],"energetics_action":[1499,1498,1382,1487,1379,1497,1496],"region":[1893],"class_list":["post-77640","herb","type-herb","status-publish","has-post-thumbnail","hentry","conditions-cardiovascular-system","conditions-digestive-system","conditions-musculoskeletal-system","conditions-skin","conditions-urinary-system","sustainability-green-sustainability-status","sense-astringent-taste","sense-bitter","sense-cooling","western_action-alterative","western_action-analgesic","western_action-anti-inflammatory","western_action-antimicrobial","western_action-antioxidant","western_action-antipruritic","western_action-antipyretic","western_action-antirheumatic","western_action-astringent","western_action-bitter","western_action-cholagogue-and-choleretic","western_action-depurative","western_action-diaphoretic","western_action-diuretic","western_action-hepatic","western_action-lymphatic","western_action-vulnerary","energetics_action-astringent","energetics_action-bitter","energetics_action-cool","energetics_action-dry","energetics_action-hot","energetics_action-pungent","energetics_action-sour","region-western-herbs"],"acf":{"last_reviewed":"20250404","herb_author":1932,"banner_text":"Silver birch is a strong depurative and diuretic herb","latin_name":"<i><span style=\"font-weight: 400;\">Betula lenta<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">B. alba<\/span><\/i><span style=\"font-weight: 400;\">, <\/span><i><span style=\"font-weight: 400;\">B. pendula<\/span><\/i>","pseudonym_name":"","family_name":"Betulaceae","herb_summary":"Through bile stimulation and diuresis, birch cleanses the digestive and urinary systems, adding benefit to skin conditions. The anti-arthritic action involves reducing inflammatory markers and aiding elimination of uric acid.","key_benefits":"Anti-inflammatory \r\nAnti-arthritic \r\nDetoxifying \r\nAnalgesic \r\nLymphatic \r\nDiuretic \r\nUrinary antiseptic ","how_does_it_feel":"<span style=\"font-weight: 400;\">The elegance of all parts of the tree, the smooth texture of the leaves and the silvery white of the bark of a young <\/span><i><span style=\"font-weight: 400;\">Betula alba<\/span><\/i><span style=\"font-weight: 400;\"> give the impression of potentially calming, cleansing and cooling actions. Sensations evoked on tasting the tea, sap, tincture or juice are each slightly different. The tea has an astringency but is not particularly bitter and the sweeter sap is mildly pleasant. There is a very bitter yet slightly spicy taste to the tincture, ending in astringency. Whereas the juice of the leaves has a pungent and sour element, followed by a cooling after effect. While the scent of the tea is faint by comparison with other preparations, the juice of the leaves has a strong, sour astringency.<\/span>","hdif_image_1":77659,"hdif_image_2":77662,"hdif_image_3":77656,"hdif_video":"https:\/\/youtu.be\/iRAK6MEp9-A","sense":[31,18,786],"what_can_i_use_it_for":"[caption id=\"attachment_77662\" align=\"alignright\" width=\"545\"]<img class=\" wp-image-77662\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112218\/Birch-tree-Betula-alba-1000x667.jpg\" alt=\"Birch (Betula alba)\" width=\"545\" height=\"363\" \/> Birch (<em>Betula alba<\/em>)[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">Birch may be used to treat urinary Infections, and inflammation of the urinary passage (1). The diuretic action is further known for aiding elimination of uric acid, so is of benefit to those suffering from gout. This herb is especially indicated for arthritic disease as it can relieve rheumatic and arthritic pain and reduce swelling (2). Fibromyalgia can also respond well to the inclusion of birch in the prescription, with birch easing both myalgia and neuralgia (3).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">In promoting detoxification, the herb releases retained metabolic waste thereby helping to improve cellulitis (4). Birch bud can be given to reduce swollen lymph glands, whereas the bark is considered more active on the liver, stimulating bile flow and relieving constipation (5).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The diuretic, diaphoretic and anti-inflammatory actions of birch are also of value in the treatment of skin conditions such as eczema and psoriasis (5). External applications can accelerate healing of wounds and sores. With stimulant properties aiding hair growth, birch is included in treatments for alopecia (6).\u00a0<\/span>","into_the_heart_of":"[caption id=\"attachment_77659\" align=\"alignright\" width=\"537\"]<img class=\" wp-image-77659\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112205\/Birch-leaves-Betula-alba-1000x742.jpg\" alt=\"Birch (Betula alba)\" width=\"537\" height=\"399\" \/> Birch (<em>Betula alba<\/em>)[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">The bright, clean appearance of the young silver bark is fitting for revealing the tree\u2019s cleansing properties. Yet, the patterns of darker markings which over time, often develop into diamond shapes suggest a complexity of action. This is borne out by different uses and variations for the sap, resinous buds, elegant triangular, tooth-edged young leaves, delicate twigs and inner bark. The tree has proved itself to be adaptable, often growing quickly as a pioneer tree in challenging situations. <\/span><i><span style=\"font-weight: 400;\">Betula alba<\/span><\/i><span style=\"font-weight: 400;\"> is a tree of youth giving spring harvests but is generally not long-lived, reaching only 80\u2013100 years (7). <\/span><i><span style=\"font-weight: 400;\">Betula lenta<\/span><\/i><span style=\"font-weight: 400;\"> may live for twice that time (8).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Birch is more often seen as cooling, especially with use of the leaves in cooling eruptive and inflammatory conditions. The catkins and bark, however, are noted to have more heating qualities (9). The bark of <\/span><i><span style=\"font-weight: 400;\">Betula lenta<\/span><\/i><span style=\"font-weight: 400;\"> is distilled to make wintergreen essential oil known for its anti-inflammatory properties especially for joint pain, muscle aches and inflammatory skin conditions. The oil also has potent antimicrobial actions and can be used for helping to treat infections (10). <\/span>","tradtional_uses":"[caption id=\"attachment_77662\" align=\"alignright\" width=\"542\"]<img class=\" wp-image-77662\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112218\/Birch-tree-Betula-alba-1000x667.jpg\" alt=\"Birch (Betula alba)\" width=\"542\" height=\"361\" \/> Birch (<em>Betula alba<\/em>)[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">Traditional use has emphasised the importance of the sap for urinary diseases and conditions including stones, gravel and dropsy. This was to be tapped from the tree in February or early March. Precise details on the method of tapping and ways to preserve the sap, such as pouring olive oil over the surface, are given in traditional herbals. The sap from the branches was often recommended in place of the trunk. This instruction was further refined to branches not thicker than three inches, by the nineteenth century (11,12). Wine from the sap has been valued for centuries and was made by adding sugar, honey or raisins and bringing the liquor to the boil, before cooling a little and adding yeast (11).\u00a0<\/span>\r\n\r\n<span style=\"font-weight: 400;\">In the 17th and 18th centuries, both the juice of the leaves and the sap were recommended as effective for dissolving <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/kidney-stones\/\"><span style=\"font-weight: 400;\">kidney and bladder stones<\/span><\/a><span style=\"font-weight: 400;\">. The sap was also recommended for relieving scurvy and jaundice. It was noted that large doses of the sap were laxative (11,13). The distilled sap was specifically valued for dissolving kidney and bladder stones (9,12). Enthusiasm for the cleansing action through diuresis extended to appreciation of birch as beneficial for dropsy, the itch (used both internally and externally), gravel, blood in the urine and inability to pass urine (14). The leaves and bark were decocted to be used as a wash to cleanse skin eruptions (11,13).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Traditional use for the urinary system and skin is strong in Britain, but the wider applications of birch for treating rheumatism, arthritis and gout appear to be adopted from Eastern Europe in the twentieth century (7). Alma Hutchens records the Russian use of the steam bath with leaves set over hot rocks using the cleansing properties of the moist vapour, followed by thrashing the body with birch twigs. Birch buds were preserved in vodka to treat colds, liver and gall stones and rheumatism (15). Various birch species were used by Native Americans and the black birch twigs, sap and inner bark by Canadian First Nations (5,16). It has recorded use in the nineteenth century for colds, scrofula and sores (17).\u00a0<\/span>","what_practioners_say":"[caption id=\"attachment_77661\" align=\"alignright\" width=\"542\"]<img class=\" wp-image-77661\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112214\/Birch-oil-Betula-alba-1000x666.jpg\" alt=\"Birch (Betula alba)\" width=\"542\" height=\"361\" \/> Birch (<em>Betula alba<\/em>)[\/caption]\r\n<h3>Circulatory system<\/h3>\r\n<span style=\"font-weight: 400;\">Birch has lipid-lowering and antioxidant effects<\/span> <span style=\"font-weight: 400;\">that are thought to lower <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/high-cholesterol\/\"><span style=\"font-weight: 400;\">high cholesterol<\/span><\/a><span style=\"font-weight: 400;\"> (6).\u00a0<\/span>\r\n<h3>Digestive system<\/h3>\r\n<span style=\"font-weight: 400;\">By stimulating the flow of bile and dissolving deposits, birch relieves liver congestion and <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/constipation-and-digestive-detoxification\/\"><span style=\"font-weight: 400;\">constipation<\/span><\/a><span style=\"font-weight: 400;\"> (5). This additionally benefits chronic skin conditions and coupled with diuresis acts as a systemic detoxifier.\u00a0<\/span>\r\n<h3>Musculoskeletal system<\/h3>\r\n<span style=\"font-weight: 400;\">The salicylates in birch offer short term analgesia and further cleansing effects through its diuretic action and stimulation of digestion. It is thought that rather than simply clearing excess fluid, birch also removes accumulated waste products from the body. This indicates birch in the treatment of rheumatic diseases. Birch helps to clear uric acid and is often incorporated into a herbalist\u2019s treatment programme for <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/arthritis\/\"><span style=\"font-weight: 400;\">osteoarthritis<\/span><\/a><span style=\"font-weight: 400;\"> (1,18).<\/span>\r\n<h3>Urinary system<\/h3>\r\n<span style=\"font-weight: 400;\">An infusion of birch leaf extracts has been found to be effective as a diuretic which produces both increased urine excretion and increased electrolyte elimination. Aqueous extracts of the leaves were found to be more effective than alcoholic extracts. Additionally, birch also acts as a <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/urinary-tract-infections\/\"><span style=\"font-weight: 400;\">urinary antiseptic<\/span><\/a><span style=\"font-weight: 400;\"> (1).\u00a0<\/span>\r\n<h3>Skin andhair<\/h3>\r\n<span style=\"font-weight: 400;\">The depurative, anti-inflammatory, antimicrobial and antiparasitic properties of birch have long encouraged use for treating skin conditions ranging from <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/eczema\/\"><span style=\"font-weight: 400;\">eczema<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.herbalreality.com\/condition\/psoriasis\/\"><span style=\"font-weight: 400;\">psoriasis<\/span><\/a><span style=\"font-weight: 400;\"> to scabies. Dandruff and alopecia have also benefited from birch treatment as it promotes and strengthens hair growth (3,5). More recently, research has been carried out to explore the role of betulinic acid in supporting various types of cancer including breast, bladder and gastric. <\/span>","research":"[caption id=\"attachment_77665\" align=\"alignright\" width=\"542\"]<img class=\" wp-image-77665\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112559\/Birch-tincture-Betula-alba-1000x667.jpg\" alt=\"Birch tincture (Betula alba)\" width=\"542\" height=\"361\" \/> Birch tincture (<em>Betula alba<\/em>)[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">Limited clinical studies have been carried out on the effect of birch, a review of its uses has been included below. Leaves of <\/span><i><span style=\"font-weight: 400;\">Betula pendula, B. pubescens <\/span><\/i><span style=\"font-weight: 400;\">and <\/span><i><span style=\"font-weight: 400;\">B. verrucosa<\/span><\/i><span style=\"font-weight: 400;\"> have a positive assessment in the Commission E statement for treating bacterial and inflammatory diseases of the efferent urinary passages, renal gravel, and rheumatic complaints (1).\u00a0<\/span>\r\n<h3><span style=\"font-weight: 400;\">Medicinal plants of the genus <\/span><i><span style=\"font-weight: 400;\">Betula<\/span><\/i><span style=\"font-weight: 400;\">\u2014traditional uses and a phytochemical-pharmacological review<\/span><\/h3>\r\n<span style=\"font-weight: 400;\">A review of medicinal plants of the genus <\/span><i><span style=\"font-weight: 400;\">Betula<\/span><\/i><span style=\"font-weight: 400;\">, looking at the traditional uses, and phytochemical-pharmacological aspects has been undertaken. Rastogi, Pandey and Rawat found that seven different <\/span><i><span style=\"font-weight: 400;\">Betula <\/span><\/i><span style=\"font-weight: 400;\">species have been documented for their traditional uses. Several of these have been found to be potentially useful in treating degenerative joint disease. Antiarthritic and anticancer actions are the two major areas of research conducted on these species.\u00a0There is convincing evidence in experimental animal models to support their anticarcinogenic effects. It was concluded that further investigation of biochemical and physiological mechanisms, bioavailability, pharmacokinetics and pharmacodynamics of active extracts is worthwhile (19).\u00a0\u00a0<\/span>\r\n<h3><span style=\"font-weight: 400;\">An aqueous birch leaf extract of Betula pendula inhibits the growth and cell division of inflammatory lymphocytes<\/span><\/h3>\r\n<span style=\"font-weight: 400;\">An in vitro study was undertaken to investigate the efficacy of birch leaf extract in the traditional role of treating rheumatoid and osteoarthritis (RA and OA, respectively). Activated lymphocytes play a major role in the initiation and maintenance of RA. Aqueous leaf extracts of <\/span><i><span style=\"font-weight: 400;\">Betula pendula <\/span><\/i><span style=\"font-weight: 400;\">were used on human primary lymphocytes in this in vitro study to determine whether these extracts would inhibit the growth and cell division of inflammatory lymphocytes. Results showed that leaf extracts inhibited the growth and cell division of activated, but not of resting T lymphocytes in a significant dose-dependent manner.\u00a0It was concluded that there is a rational basis for the use of <\/span><i><span style=\"font-weight: 400;\">Betula pendula<\/span><\/i><span style=\"font-weight: 400;\"> leaf extract for the treatment of immune disorders, like RA r, by diminishing proliferating inflammatory lymphocytes (20).\u00a0<\/span>\r\n<h3><span style=\"font-weight: 400;\">Betulinic acid restricts human bladder cancer cell proliferation in vitro by inducing caspase-dependent cell death and cell cycle arrest, and decreasing metastatic potential<\/span><\/h3>\r\n<span style=\"font-weight: 400;\">Betulinic acid found in the bark of birch has been found to exhibit anti-tumour effects which have been explored in studies with several cancers. This in vitro study aims to identify the underlying mechanism of action for the antiproliferative effect of the acid in human bladder cancer cell lines. Betulinic acid was prepared as a 10 mg\/mL solution in dimethyl sulfoxide (DMSO) and applied to bladder cancer cell lines at concentrations of 5\u201330\u202f\u03bcg\/mL for between 24\u201372 hours. Findings included observations of betulinic acid decreasing the expression of cell cycle regulators and causing loss of mitochondrial membrane potential. These led to the conclusion that betulinic acid suppresses proliferation of human bladder cancer cells by inducing apoptosis, necrosis and cell cycle arrest, thus decreasing migration and invasion (21).<\/span>\r\n<h3>Treatment of actinic keratoses with birch bark extract: A pilot study<\/h3>\r\n<span style=\"font-weight: 400;\">A pilot study was carried out on treatment of actinic keratoses using birch bark extract by Huyke and colleagues. Twenty-eight patients were enrolled on this controlled study, using either birch bark ointment as a monotherapy, or birch bark ointment with cryotherapy for 50% of the patients. The bark contains betulinic acid, betulin, oleanolic acid and lupeol. These are known to be apoptosis-inducing and contain anti-inflammatory\u00a0constituents. More than 75% of lesions cleared for 79% of patients with birch bark ointment alone. The combined treatment gave a 93% success rate. It was concluded that standardised birch bark ointment was effective and had no side effects (22).<\/span>\r\n<h3><span style=\"font-weight: 400;\">From a traditional medicinal plant to a rational drug: Understanding the clinically proven wound healing efficacy of birch bark extract<\/span><\/h3>\r\n<span style=\"font-weight: 400;\">A preclinical study combined of both in vitro and ex vivo research was carried out to examine the\u00a0 traditional use of birch bark for wound healing. The aim was to explore the molecular mechanism of this proven effect. Birch bark was prepared in sunflower oil at a ratio of 10% or dissolved in phosphate-buffered saline (PBS) at a concentration of between 1\u201310 \u03bcg\/mL over a period of 24\u201348 hours.. The triterpene extract and botulin were shown to cause transient up-regulation of several pro-inflammatory mediators, including cytokines, chemokines and cyclooxygenase-2 on gene and protein level. They were also shown to enhance migration of keratinocytes, essential for the second phase of wound healing. It was concluded that the results, together with proven clinical efficacy, identify birch bark as having a high potential to improve wound healing (23).<\/span>","did_you_know":"<span style=\"font-weight: 400;\">The fungus <\/span><i><span style=\"font-weight: 400;\">Fomes fomentarius<\/span><\/i><span style=\"font-weight: 400;\"> is commonly found growing on birch trees in Britain. It contains polyporic acid which is active against certain mycobacteria (24). Sweet birch oil from <\/span><i><span style=\"font-weight: 400;\">Betula lenta<\/span><\/i><span style=\"font-weight: 400;\"> has been used in dentistry products for the large amounts of methyl salicylate it contains. <\/span><i><span style=\"font-weight: 400;\">Betula<\/span><\/i> <i><span style=\"font-weight: 400;\">alba <\/span><\/i><span style=\"font-weight: 400;\">is associated with the youthful form of the white goddess, who presides over birth and initiation in Welsh tradition<\/span> <span style=\"font-weight: 400;\">(7).<\/span>","additional_information_right":{"illustration":77671},"additional_information_left":{"botany":"<span style=\"font-weight: 400;\">Young deciduous silver birch trees are fast growing with shallow roots. They can reach up to 30 m high when fully grown. As tissue-like layers of bark are discarded, the smooth, silver appearance becomes fissured with black lines, eventually often leaving raised white diamond shaped areas. With age, the slender, elegant branches tend to hang down. The twigs are smooth but may have dark warty growths. <\/span>\r\n\r\n<span style=\"font-weight: 400;\">The male catkins form in autumn and mature in spring before the leaves open. Often, the smaller female catkins pass unnoticed as they may be slightly higher than the males on new growth. After pollination they turn red and produce seed. Birch leaves have a triangular shape with a toothed edge and are thin, light and smooth. The leaf buds are resinous (32).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">The North American black or cherry birch <\/span><i><span style=\"font-weight: 400;\">Betula lenta,<\/span><\/i><span style=\"font-weight: 400;\"> has bark ranging from greyish black to dark red or dark brown, marked with horizontal lines and vertical cracks similarl to <\/span><i><span style=\"font-weight: 400;\">Betula alba<\/span><\/i><span style=\"font-weight: 400;\">. It resembles a wild cherry tree, giving the common name of cherry birch. The oval, finely toothed leaves are alternate, with tufts of white hair on the undersides. The catkins and twigs are hairless. Male and female flowers are found on the same tree. This birch can live for up to 200 years (8).<\/span>","common_names":"<h3><em><span style=\"font-weight: 400;\">Betula lenta<\/span><\/em><\/h3>\r\n<ul>\r\n \t<li><span style=\"font-weight: 400;\">Black birch<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"> American birch<\/span><\/li>\r\n<\/ul>\r\n<h3><i><span style=\"font-weight: 400;\">Betula alba<\/span><\/i><\/h3>\r\n<ul>\r\n \t<li><span style=\"font-weight: 400;\">Silver birch <\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\">European birch<\/span><\/li>\r\n<\/ul>\r\n<h3><i><span style=\"font-weight: 400;\">Betula pendula<\/span><\/i><\/h3>\r\n<ul>\r\n \t<li><span style=\"font-weight: 400;\">Weeping birch<\/span><\/li>\r\n<\/ul>","safety":"<span style=\"font-weight: 400;\">Birch is given as a mild remedy with minimal chronic toxicity (5). Natural oil of wintergreen is distilled from the bark of <\/span><i><span style=\"font-weight: 400;\">Betula lenta <\/span><\/i><span style=\"font-weight: 400;\">(26). Birch essential oil is toxic and is easily absorbed through the skin (3). This product is formed during distillation and does not exist in parts of the birch tree (18). Birch produces a high amount of pollen, and this causes allergic reactions in 20% of Europeans (27). <\/span>\r\n\r\n<span style=\"font-weight: 400;\">There is also a chance of sensitivity reactions to other parts of birch when used topically or internally. There is insufficient evidence to determine the safety of taking or applying birch topically during pregnancy (28).<\/span>","interactions":"<span style=\"font-weight: 400;\">None found (27,28)<\/span>","contraindications":"<span style=\"font-weight: 400;\">Birch should not be given to anyone with salicylate sensitivity (6).<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Contraindicated with oedema from cardiac or renal insufficiency (3,30).<\/span>","preparation":"<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tincture\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Infusion of leaf\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decoction of bark<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decoction of buds\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Juice<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Preserved sap<\/span><\/li>\r\n<\/ul>","dosage":"<ul>\r\n \t<li><span style=\"font-weight: 400;\"><strong>Tincture (ratio | %):<\/strong> 1:4 or 1:5 1 ml three times daily, increasing over 5 days to 5 ml three times daily. (30)<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"><strong>Infusion of leaves:<\/strong> 10 g to 500 ml of boiling water (4)<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"><strong>A cold Infusion<\/strong> with 1\/2 teaspoon of bicarbonate of soda added (5)<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"><strong>Decoction of bark:<\/strong> 30 g of herb to 1 litre, simmered for 5\u201310 minutes<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"><strong>Decoction of buds:<\/strong> A gentle decoction simmered for 5\u201310 minutes (4)<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"><strong>Juice:<\/strong> 10 ml twice daily or as directed<\/span><\/li>\r\n \t<li><span style=\"font-weight: 400;\"><strong>Compress:<\/strong> Apply a cloth which has been soaked in the decoction and wrung out to remove excess liquid<\/span><\/li>\r\n<\/ul>","constituents":"<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Saponins:<\/strong> Steroidal and triterpenoid including betulin, betulinic, pendulic, papyferic and betuloleanolic acids<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Flavonoids:<\/strong> Hyperosides, luteolin, quercetin, avicularin and myricetin glycosides<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Volatile oils:<\/strong> betulenols, germacrene D, \u03b1-copaene<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Tannins:<\/strong> Hydrolysable<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Resin<\/strong><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Phenolic compounds:<\/strong> Chlorogenic and caffeic acid and proanthocyanidins<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Methyl salicyclic acid<\/strong><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Minerals:<\/strong> Potassium, sodium, calcium, phosphorous and zinc (1,18, 30, 32)<\/span><\/li>\r\n<\/ul>","plant_part_used":"<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sap<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bark<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bud<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leaf<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Twigs<\/span><\/li>\r\n<\/ul>"},"habitat":"<span style=\"font-weight: 400;\">Silver birch (<\/span><i><span style=\"font-weight: 400;\">Betula alba<\/span><\/i><span style=\"font-weight: 400;\">), is native to the British Isles and prefers sandy, acid soil, although it can be grown in almost any soil. It grows naturally on open heaths and high ground and has long been regarded as a successful pioneer tree where other trees are not yet established. Silver birch provides food for over 300 Insect species as well as being host to seven fungi (32)<\/span><span style=\"font-weight: 400;\">.<\/span>\r\n\r\n<span style=\"font-weight: 400;\">Black, or cherry birch (<\/span><i><span style=\"font-weight: 400;\">Betula lenta<\/span><\/i><span style=\"font-weight: 400;\">), is native to the north-eastern United States, growing with upland hardwoods and eastern hemlock. The range is from Maine to Alabama and west as far as Ohio. The tree prefers moist, well-drained soils (8).<\/span>","sustainability":"[caption id=\"attachment_100303\" align=\"alignright\" width=\"272\"]<a href=\"https:\/\/www.fairwild.org\/ingredients\/betulapendula\" target=\"_blank\" rel=\"noopener\"><img class=\" wp-image-100303\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2021\/08\/31082342\/FairWild-Certification-logo-1000x672.jpg\" alt=\"FairWild Certification Logo\" width=\"272\" height=\"183\" \/><\/a> Find <a href=\"https:\/\/www.fairwild.org\/ingredients\/betulapendula\" target=\"_blank\" rel=\"noopener\">FairWild certified producers for birch<\/a>.[\/caption]\r\n\r\n<span style=\"font-weight: 400;\">Although in the past, <\/span><i><span style=\"font-weight: 400;\">Betula lenta<\/span><\/i><span style=\"font-weight: 400;\"> was almost wiped out by overharvesting for distillation of wintergreen oil, it was saved by the production of synthetic oil (8). It was classified as Least Concern in 2013. The IUCN European forest genetic resources programme lists threats to silver birch as low because the natural regeneration is common, and the species is widely planted (33).<\/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 is 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 which 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 &amp; 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;\">Birch can be grown from seed, cuttings are more difficult to nurture. The young tree may be planted early in the year in a sunny or partially shaded position preferably into sandy, or well-drained soil. Birch is a very hardy tree which historically has often achieved success as a pioneer in open sites. It grows quickly and can reach a height of 30 metres. Since the roots are shallow this leaves the tree vulnerable to dry periods followed by strong winds. When planting in a garden, care should be taken to place the young tree well away from the house.\u00a0 Protection from weeds and the attention of deer and small animals when young and drought when newly planted is important. Pruning should not be necessary (34).<\/span>","recipe":"[caption id=\"attachment_77661\" align=\"alignright\" width=\"542\"]<img class=\" wp-image-77661\" src=\"https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112214\/Birch-oil-Betula-alba-1000x666.jpg\" alt=\"Birch (Betula alba)\" width=\"542\" height=\"361\" \/> Birch (<em>Betula alba<\/em>)[\/caption]\r\n<h3>Recipe birch ointment*<\/h3>\r\nThis birch ointment recipe is a<span style=\"font-weight: 400;\">\u00a0soothing and healing salve for wounds and skin conditions<\/span>.\r\n<h4>Ingredients<\/h4>\r\n<ul>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dried birch leaves, birch bark\u00a0<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">600 ml Organic virgin cold-pressed olive oil<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">50 g Organic Beeswax<\/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;\">Pour the oil into an ovenproof container<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Add equal quantities of the cut dried leaf and powdered bark to fill the oil.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Place in the middle of the oven with the temperature set to 100 degrees.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heat gently for 4\u20135 hours.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Strain the herb through a muslin cloth.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Add chopped beeswax to the oil and return to the oven for a few minutes.<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Once the wax has melted, pour into amber glass screw top jars and label.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/li>\r\n<\/ul>\r\n<span style=\"font-weight: 400;\">* Adapted from James Green <\/span><i><span style=\"font-weight: 400;\">The Herbal Medicine-Makers Handbook <\/span><\/i><span style=\"font-weight: 400;\">(24)<\/span>","references":"<ol>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Weiss RF. <\/span><i><span style=\"font-weight: 400;\">Herbal medicine.<\/span><\/i><span style=\"font-weight: 400;\"> Stuttgart, Germany: Thieme; 2000.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mills S, Bone K. <\/span><i><span style=\"font-weight: 400;\">Principles and practice of phytotherapy.<\/span><\/i><span style=\"font-weight: 400;\"> Edinburgh, Scotland: Churchill Livingstone; 2000.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Duke J. <\/span><i><span style=\"font-weight: 400;\">Handbook of medicinal herbs.<\/span><\/i><span style=\"font-weight: 400;\"> Boca Raton, FL: CRC Press; 2002.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Barker J. <\/span><i><span style=\"font-weight: 400;\">The medicinal flora of Britain and northwestern Europe.<\/span><\/i><span style=\"font-weight: 400;\"> Winter Press; 2001.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Holmes P. <\/span><i><span style=\"font-weight: 400;\">The energetics of Western herbs.<\/span><\/i><span style=\"font-weight: 400;\"> Snow Lotus Press; 1998.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Chown V, Walker K. <\/span><i><span style=\"font-weight: 400;\">The handmade apothecary.<\/span><\/i><span style=\"font-weight: 400;\"> London, England: Kyle Books; 2017.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stapley C. <\/span><i><span style=\"font-weight: 400;\">The tree dispensary: the uses, history and herbalism of native European trees.<\/span><\/i><span style=\"font-weight: 400;\"> London, England: Aeon Books; 2021.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Harris M. <\/span><i><span style=\"font-weight: 400;\">Botanica. 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Phytochemistry and Biological Profile of Gaultheria procumbens L. and Wintergreen Essential Oil: From Traditional Application to Molecular Mechanisms and Therapeutic Targets. <\/span><i><span style=\"font-weight: 400;\">International Journal of Molecular Sciences<\/span><\/i><span style=\"font-weight: 400;\">. 2024;25(1):565. <\/span><a href=\"https:\/\/doi.org\/10.3390\/ijms25010565\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.3390\/ijms25010565<\/span><\/a><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Meyrick W. <\/span><i><span style=\"font-weight: 400;\">The family herbal or domestic physician.<\/span><\/i><span style=\"font-weight: 400;\"> Birmingham, England: Thomas Pearson; 1790.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Waller JA. <\/span><i><span style=\"font-weight: 400;\">Waller\u2019s new British domestic herbal.<\/span><\/i><span style=\"font-weight: 400;\"> E Cox &amp; Son; 1822.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pechey J. <\/span><i><span style=\"font-weight: 400;\">The English herbal of physical plants.<\/span><\/i><span style=\"font-weight: 400;\"> London, England; 1694.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Miller J. <\/span><i><span style=\"font-weight: 400;\">Botanicum officinale.<\/span><\/i><span style=\"font-weight: 400;\"> London, England: Bell; 1722.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hutchens AR. <\/span><i><span style=\"font-weight: 400;\">Indian herbalogy of North America.<\/span><\/i><span style=\"font-weight: 400;\"> Boulder, CO: Shambhala; 1973.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tantaquidgeon G. <\/span><i><span style=\"font-weight: 400;\">Folk medicine of the Delaware and related Algonkian Indians.<\/span><\/i><span style=\"font-weight: 400;\"> Harrisburg, PA: The Pennsylvania Historical and Museum Commission; 2001.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Menzies-Trull C. <\/span><i><span style=\"font-weight: 400;\">Herbal medicine keys to physiomedicalism including pharmacopoeia.<\/span><\/i><span style=\"font-weight: 400;\">Faculty of Physiomedical Herbal Medicine Publications; 2013.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mills S. <\/span><i><span style=\"font-weight: 400;\">Out of the earth.<\/span><\/i><span style=\"font-weight: 400;\"> London, England: Viking Arcana; 1991.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rastogi S, Pandey MM, Rawat AKS. Medicinal plants of the genus <\/span><i><span style=\"font-weight: 400;\">Betula<\/span><\/i><span style=\"font-weight: 400;\">\u2014traditional uses and a phytochemical-pharmacological review. <\/span><i><span style=\"font-weight: 400;\">J Ethnopharmacol.<\/span><\/i><span style=\"font-weight: 400;\"> 2015;159:62-83. <\/span><a href=\"https:\/\/doi.org\/10.1016\/j.jep.2014.11.010\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1016\/j.jep.2014.11.010<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gr\u00fcndemann C, Gruber CW, Hertrampf A, Zehl M, Kopp B, Huber R. An aqueous birch leaf extract of <\/span><i><span style=\"font-weight: 400;\">Betula pendula<\/span><\/i><span style=\"font-weight: 400;\"> inhibits the growth and cell division of inflammatory lymphocytes. <\/span><i><span style=\"font-weight: 400;\">J Ethnopharmacol.<\/span><\/i><span style=\"font-weight: 400;\"> 2011;136(3):444-451. <\/span><a href=\"https:\/\/doi.org\/10.1016\/j.jep.2011.05.018\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.1016\/j.jep.2011.05.018<\/span><\/a><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kim SY, Hwangbo H, Kim MY, et al. Betulinic acid restricts human bladder cancer cell proliferation <\/span><i><span style=\"font-weight: 400;\">in vitro<\/span><\/i><span style=\"font-weight: 400;\"> by inducing caspase-dependent cell death and cell cycle arrest, and decreasing metastatic potential. <\/span><i><span style=\"font-weight: 400;\">Molecules.<\/span><\/i><span style=\"font-weight: 400;\"> 2021;26(5):1381. <\/span><a href=\"https:\/\/doi.org\/10.3390\/molecules26051381\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/doi.org\/10.3390\/molecules26051381<\/span><\/a><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Huyke C, Laszczyk M, Scheffler A, Ernst R, Schempp CM. Treatment of actinic keratoses with birch bark extract: a pilot study. <\/span><i><span style=\"font-weight: 400;\">J Dtsch Dermatol Ges.<\/span><\/i><span style=\"font-weight: 400;\"> 2006;4(2):132-136. <a title=\"https:\/\/doi.org\/10.1111\/j.1610-0387.2006.05906.x\" href=\"https:\/\/doi.org\/10.1111\/j.1610-0387.2006.05906.x\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1111\/j.1610-0387.2006.05906.x<\/a><\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">[No authors listed.] From a traditional medicinal plant to a rational drug: understanding the clinically proven wound healing efficacy of birch bark extract. <\/span><i><span style=\"font-weight: 400;\">PLoS One.<\/span><\/i><span style=\"font-weight: 400;\"> 2014;9(1):e86147.<a title=\"https:\/\/doi.org\/10.1371\/journal.pone.0086147\" href=\"https:\/\/doi.org\/10.1371\/journal.pone.0086147\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1371\/journal.pone.0086147<\/a><\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kolund\u017ei\u0107 M, et al. 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[Published online ahead of print, 2015.] Accessed [date].<\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0926669015304702\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0926669015304702<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/a><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Green J. <\/span><i><span style=\"font-weight: 400;\">The medicine-makers handbook.<\/span><\/i><span style=\"font-weight: 400;\"> Freedom, CA: The Crossing Press; 2000.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Todd RG, ed. <\/span><i><span style=\"font-weight: 400;\">Extra pharmacopoeia Martindale.<\/span><\/i><span style=\"font-weight: 400;\"> 25th ed. London, England: Pharmaceutical Press; 1967.<\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ziemianin M, Waga J, Czarnobilska E, Myszkowska D. Changes in qualitative and quantitative traits of birch (<\/span><i><span style=\"font-weight: 400;\">Betula pendula<\/span><\/i><span style=\"font-weight: 400;\">) pollen allergenic proteins in relation to the pollution contamination. <\/span><i><span style=\"font-weight: 400;\">Environ Sci Pollut Res Int.<\/span><\/i><span style=\"font-weight: 400;\"> 2021;28(29):39952-39965. <a title=\"https:\/\/doi.org\/10.1007\/s11356-021-13483-8\" href=\"https:\/\/doi.org\/10.1007\/s11356-021-13483-8\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1007\/s11356-021-13483-8<\/a><\/span><span style=\"font-weight: 400;\">\r\n<\/span><\/li>\r\n \t<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Natural Medicines. Birch. <\/span><i><span style=\"font-weight: 400;\">Natural Medicines<\/span><\/i><span style=\"font-weight: 400;\"> website.<\/span><a href=\"https:\/\/naturalmedicines.therapeuticresearch.com\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">https:\/\/naturalmedicines.therapeuticresearch.com<\/span><\/a><span style=\"font-weight: 400;\">. Published 2024. 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Accessed.<\/span><\/li>\r\n<\/ol>","related_condition":[9895,3204],"related_herb":[8817,1867],"related_article":[14101,7828],"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":"","common_names":"","herbal_preperation_image":"","preparation":"","plant_part_used":"","dosage":"","constituents":"","recipe_image":"","safety_post":"","safety":"","interactions":"","contraindications":"","sustainability_image_one":"","sustainability_image_two":"","faqs":null,"not_suitable_for":[]},"featured_image_urls_v2":{"full":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112150\/Birch-Betula-alba.jpg",1696,1132,false],"thumbnail":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112150\/Birch-Betula-alba-600x600.jpg",600,600,true],"medium":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112150\/Birch-Betula-alba-1000x667.jpg",1000,667,true],"large":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112150\/Birch-Betula-alba-1300x868.jpg",580,387,true],"banner_image":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112150\/Birch-Betula-alba-1600x800.jpg",1600,800,true],"gform-image-choice-sm":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112150\/Birch-Betula-alba.jpg",300,200,false],"gform-image-choice-md":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112150\/Birch-Betula-alba.jpg",400,267,false],"gform-image-choice-lg":["https:\/\/i.herbalreality.com\/wp-content\/uploads\/2025\/04\/25112150\/Birch-Betula-alba.jpg",600,400,false]},"post_excerpt_stackable_v2":"","category_list_v2":"","author_info_v2":{"name":"","url":""},"comments_num_v2":"0 comments","_links":{"self":[{"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/herb\/77640","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/herb"}],"about":[{"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/types\/herb"}],"version-history":[{"count":0,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/herb\/77640\/revisions"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/posts\/7828"},{"embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/posts\/14101"},{"embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/herb\/1867"},{"embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/herb\/8817"},{"embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/condition\/3204"},{"embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/condition\/9895"}],"acf:term":[{"embeddable":true,"taxonomy":"sense","href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/sense\/786"},{"embeddable":true,"taxonomy":"sense","href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/sense\/18"},{"embeddable":true,"taxonomy":"sense","href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/sense\/31"},{"embeddable":true,"taxonomy":"writer","href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/writer\/1932"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/media\/77656"}],"wp:attachment":[{"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/media?parent=77640"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/tags?post=77640"},{"taxonomy":"conditions","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/conditions?post=77640"},{"taxonomy":"sustainability","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/sustainability?post=77640"},{"taxonomy":"sense","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/sense?post=77640"},{"taxonomy":"western_action","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/western_action?post=77640"},{"taxonomy":"chinese_action","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/chinese_action?post=77640"},{"taxonomy":"ayurvedic_action","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/ayurvedic_action?post=77640"},{"taxonomy":"energetics_action","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/energetics_action?post=77640"},{"taxonomy":"region","embeddable":true,"href":"https:\/\/www.herbalreality.com\/wp-json\/wp\/v2\/region?post=77640"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}