Lady's mantle: benefits, dosage, contraindications

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From the Rosaceae family, lady's mantle is a perennial plant widespread throughout Europe. It grows in plains, mountains, and woods. 20 to 30 cm tall, with a strong brown root, its stem bears rounded light-green leaves edged with toothed, alternate leaflets. It is also called the 'Virgin's mantle' because in the Middle Ages it was dedicated to the Virgin Mary. It was considered a woman's remedy for ailments specific to them: leukorrhea (white discharge), uterine pain, problems related to childbirth... In phytotherapy, the aerial parts of the plant are used. Lady's mantle contains tannins up to 16% (derived from gallic acid, derived from ellagic acid), sterols, salicylic acid and flavonoids up to 2%. Lady's mantle has progesterone-like properties, is astringent — related to the presence of tannins — and hemostatic. Lady's mantle is traditionally used for venous insufficiency (heavy legs, hemorrhoids), menstrual disorders (premenstrual syndrome, dysmenorrhea), mild diarrhea and oral hygiene.

Scientific name(s)

Alchemilla vulgaris, Alchemilla glabra

Family or group: 

Plants

Active ingredients:

Tannins

Linoleic acid

Sterols


Indications

Scoring methodology

EFSA approval.

Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with consistently positive conclusions for the indication.
Several randomized, double-blind, controlled clinical trials (> 2), including a significant number of patients (>100), with positive conclusions for the indication.
One or more randomized studies, or several cohorts or epidemiological studies, with positive conclusions for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or conflicting.
No clinical studies to date that can demonstrate the indication.


Aphthous ulcers
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Traditionally recommended as an infusion used as a mouthwash for inflamed gum problems such as gingivitis or aphthous ulcers.

Posologie

posologieOral use: aerial parts

formulationgel, lotion


Dysmenorrhea
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Related to its luteotropic action (regulates ovarian progesterone secretion, facilitates luteal secretion and production): nn- Premenstrual syndromenn- Dysmenorrheann- Fibroidsnn- Acne flare-ups during menstruation.nn

Posologie

posologieOral administration: aerial parts

populationAdolescents, Women

formulationtisane/tea/infusion, mother tincture, dry extract


Premenstrual syndrome
✪✪✪✪

Related to its luteotropic action (regulates ovarian progesterone secretion, facilitates luteal secretion and production).nn

Posologie

posologieOral administration: aerial parts

populationAdolescents, Women

formulationtisane/tea/infusion, mother tincture, dry extract


Diarrhea
✪✪✪✪

Thanks to its tannin content and its antimicrobial action, lady's mantle is recommended for mild diarrhea. nnWhen taken internally, lady's mantle is primarily consumed as an infusion: 2 to 4.5 g of dried leaves infused in 200 ml of water to make a tea to be drunk in two to three cups per day to relieve mild diarrhea.nn

Posologie

posologieOral administration: aerial parts

populationAdolescents, Adults

formulationtisane/tea/infusion, mother tincture, dry extract


Endometriosis
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Because of its (phyto)progestative action.nn

Posologie

posologieOral administration: aerial parts

formulationtisane/tea/infusion, mother tincture, dry extract


Uterine fibroids
✪✪✪✪

Related to its luteotropic action (regulates ovarian progesterone secretion, facilitates luteal secretion and production).

Posologie

posologieBy mouth: aerial parts

formulationherbal tea/tea/infusion, mother tincture, dry extract


Properties


Progesterone-like action

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Lady's mantle regulates ovarian progesterone secretion, facilitates luteal secretion and production, and is effective against menstrual disorders and endometriosis.

Usages associés

Dysmenorrhea, Premenstrual syndrome, Endometriosis, Uterine fibroids

Astringent

full-leaffull-leaffull-leafempty-leaf

Thanks to its richness in tannins (ellagitannins), lady's mantle exerts a hemostatic and anti-diarrheal effect.

Usages associés

Diarrhea

Wound healing

full-leaffull-leafempty-leafempty-leaf

Alchemilla stimulates the proliferation of epithelial cells and myofibroblasts. It thus protects the skin and improves its healing. The flavonoid extracts of Alchemilla inhibit proteolytic enzymes, notably elastase, trypsin and alpha-chymotrypsin, which are degrading enzymes, and increase fibroblast migration which could help protect connective and elastic tissues while improving wound healing.

Usages associés

Mouth ulcers, skin wound healing

Anti-inflammatory

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Alchemilla has shown anti-inflammatory activity in vitro: inhibition of NO production and pro-inflammatory cytokines.

Usages associés

Aphthous ulcers

Antimicrobial

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Due to its tannin content, Alchemilla has an antimicrobial role and is used for vaginal or intestinal fungal infections.


Safe dosage

Adult: 2 g - 5 g (infusion)

Orally, lady's mantle is mainly consumed as an infusion. The aerial part of the plant is used at 1 to 2 g per liter of boiling water, infused for 10 minutes; - 2 to 3 cups per day, or 8 teaspoons (= 6.4 g) of dried plant per day. Increase to 5 g in case of diarrhea. - Mother tincture: 3 * 100 drops per day in a glass of water.


Interactions

Médicaments

Oral medications: moderate interaction

Some laboratory data suggest that the aerial parts of lady's mantle contain 6–16% tannins. In theory, concomitant use with oral medications may cause these medications to precipitate due to the high tannin content of lady's mantle. Separate the administration of oral medications and tannin-containing plants by as long a period as possible.


Precautions

Pregnant women: avoid

Contains phytosterols; avoid as a precaution.

Breastfeeding women: avoid

Contains phytosterols; avoid as a precaution.