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ALCHEMILLA
AlsoKnownAs:
Alchmille,AlchmilleCommune,AlchmilleJauntre,AlchmilleVertJaune,
Alquimila,Alquimilla,Feuillesd'Alchmille,Frauenmantel,Frauenmantelkraut,
Lady'sMantle,Leontopodium,Lion'sFoot,ManteaudeNotreDame,Mantodela

Virgen,Marienmantel,NineHooks,NueveGanchos,PiedeLen,PieddeLion,
Silerkraut,Stellaria.
CAUTION:SeeseparatelistingforAlpineLady'sMantle.
ScientificName:
Alchemillaxanthochlora,Alchemillavulgaris.

Family:Rosaceae.
PeopleUseThisFor:
Orally,alchemillaisusedformilddiarrhea,heavymenstrualflow,diabetes,
menopausalcomplaints,painfulmenses,gastrointestinaldisorders,asarelaxantfor
musclespasms,anantiinflammatory,adiuretic,andasagargleformouthand
throatinflammation.
Topically,alchemillaisusedasanastringentforbleeding,toimprovewound
healing,forulcers,eczema,skinrashes,andasabathadditivefortreatinglower
abdominalailments.
Safety:
POSSIBLYSAFE...whenusedorallyandappropriately.Alchemillahasbeenused
formanyyearswithoutreportsofsignificanttoxicity(6,8,12).
Thereisinsufficientreliableinformationavailableaboutthesafetyofthetopicaluse

ofalchemilla.
PREGNANCYANDLACTATION:Insufficientreliableinformationavailable
avoidusing.
Effectiveness:
Thereisinsufficientreliableinformationavailableabouttheeffectivenessof

alchemilla.
MechanismofAction:
Theapplicablepartsofalchemillaaretheabovegroundparts.Alchemillacontains
68%tannins(8),whichmightaccountforitsperceivedastringentactivity(6).An
aqueousextractofAlchemillaxanthochlorademonstrateslipidperoxidationand

superoxideanionscavengingactivity(6).Flavonoidextractsinhibitproteolytic
enzymes,includingelastase,trypsin,andalphachymotrypsin.Thisproperty
suggestsalchemillamighthavearoleinprotectingconjunctiveandelastictissues(6).
AdverseReactions:
Rarely,alchemillacancauseliverdamage(8).
InteractionswithHerbs&Supplements:
TANNINCONTAININGHERBS:Somelaboratoryevidencesuggeststhatthe
abovegroundpartsofalchemillacontain6%to16%tannins(8,57998).Theoretically,

herbssuchasalchemilla,whichcontainhighpercentagesoftannins,mightcause
precipitationofconstituentsofotherherbs.
InteractionswithDrugs:
ORALDRUGS
InteractionRating=ModerateBecautiouswiththiscombination.
Severity=ModerateOccurrence=PossibleLevelofEvidence=D
Somelaboratoryevidencesuggeststhattheabovegroundpartsofalchemillacontain

6%to16%tannins(8,57998).Theoretically,concomitantusewithoraldrugsmay
causeprecipitationofthesedrugsduetothehightannincontent.Separate
administrationoforaldrugsandtannincontainingherbsbythelongestperiodof
timepractical.
InteractionswithFoods:
Noneknown.
InteractionswithLabTests:
Noneknown.
InteractionswithDiseasesorConditions:
Noneknown.
Dosage/Administration:
ORAL:Fordiarrhea,atypicaldoseisonecuptea,preparedbysteeping14grams
abovegroundpartsinboilingwaterfor10minutesandthenstraining(8),usedupto
threetimesperdaybetweenmeals.Theaverageamountusedperdayis510grams.

Equivalentpreparationscanalsobeused(2).Diarrheapersistingformorethan34
daysshouldbemedicallyevaluated(8).
TOPICAL:Notypicaldosage.
Editor'sComments:

AlthoughtheGermanStandardLicensewarnsaboutpossibleliverdamage,some
expertsconsidertheconcerntobeexaggerated(8).

Thismonographwaslastreviewedon12/24/2012andlastupdatedon11/20/2014.Monographsare
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suggestionsonsomethingthatshouldbereviewedorincluded,pleasetelltheeditors.Fordetailsaboutour
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