Ash: benefits, dosage, contraindications

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The ash is a tree that can reach 35 meters in height and grows throughout Europe. Ash wood is sought after for its quality. Its bark, grayish and smooth when young, becomes rough with age. The bark is febrifuge and has earned it the name "Quinine of Europe". The European ash is easily recognized by its dull, globular black buds. The leaves are composed of 2 to 6 pairs of opposite leaflets, finely toothed and dark green. The leaves and buds are used for their medicinal properties. The properties of the ash leaf are due to secoiridoids: excelsioside, oleuropein. It also contains mannitol and potassium salts with diuretic properties, tannins (catechic and gallic), flavonoids (rutoside), mucilages and a small amount of coumarinic heterosides (fraxoside). Traditionally, it is used as a diuretic and depurative. When taken orally, ash is used for rheumatism, gout, bladder problems, as a laxative, and as a tonic.

Other name(s) 

European ash

Scientific name(s)

Fraxinus excelsior

Family or group: 

Plants

Active ingredients:

Tannins

Coumarins

Flavonoids

Mucilages

Excelsioside


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.


Gout
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In gemmotherapy, buds are used to increase urine output (use confirmed by the EMA) and to lower the uric acid level responsible for gout.

Posologie

posologieOral: buds

posologie40 - 100 drops

formulationgemmotherapy


Synergies


Joint pain, Tendinitis
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The EMA states that ash (leaf) is used to relieve minor joint pain.

Posologie

posologieOral: leaf, buds

posologie10 - 30 g

formulationgemmotherapy, aqueous decoction


Rheumatism
✪✪✪✪

Various in vitro and especially in vivo studies have demonstrated its anti-inflammatory and antirheumatic properties, often comparable to nonsteroidal anti-inflammatory drugs, but with few or no side effects. In gemmotherapy, the buds are recommended for rheumatic conditions, particularly osteoarthritis, rheumatoid arthritis, and gouty rheumatism.

Posologie

posologieOral: buds, leaf

posologie10 - 30 g

formulationgemmotherapy


Urinary disorders
✪✪✪✪

The EMA recommends ash leaves as a traditional herbal medicinal product used to increase urine output and as an adjunct in minor urinary complaints.

Posologie

posologieOral: leaf, buds

posologie10 - 30 g

formulationgemmotherapy, aqueous decoction


Properties


Diuretic

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The aqueous extract of ash significantly increased urine production in normotensive and hypertensive rats according to a study. It caused a significant increase in urinary excretion of sodium, potassium, and chloride, which is an indicator of a diuretic effect. In normotensive rats, the ash extract increased the glomerular filtration rate, an important indicator of renal function that measures the amount of blood filtered. These results suggest that the ash extract may be effective in promoting urinary excretion and improving renal function, thus having potential for the treatment of conditions requiring increased diuresis.

Usages associés

Urinary disorders, gout

Analgesic

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The analgesic properties of ash have been demonstrated with combination products containing ash bark, Populus tremula (aspen) bark/leaf and Solidago herba (goldenrod) in clinical studies on rheumatoid arthritis and osteoarthritis. The efficacy of the combination product would be similar to that of nonsteroidal anti-inflammatory drugs (NSAIDs), and adverse effects were half as frequent.

Usages associés

Joint pain, rheumatism

Anti-inflammatory

full-leaffull-leafempty-leafempty-leaf

Extracts from various Fraxinus species reduced the production of inflammatory mediators and leukocyte influx. Ash leaf extracts decrease the release of pro-inflammatory cytokines such as TNF-α and IL-6. This reduces inflammation and the associated tissue damage. Ash extracts also increase the expression of the receptor for IL-10, an anti-inflammatory cytokine, which helps regulate and control the immune response. Certain specific ash compounds, such as oleuropein, ligstroside, verbascoside, and rutoside, have been identified as contributing to these anti-inflammatory effects.

Usages associés

Joint pain, rheumatism


Safe dosage

Adults (18 years and older): 10 g - 30 g

Herbal tea: 10 to 30 g of crushed plant material in 1000 ml of boiling water as an infusion, divided into 2 or 3 individual doses. In gemmotherapy: 40 to 100 drops per day of the 1D glycerinated macerate.


Precautions

Children up to 18 years: avoid

Use in children and adolescents under 18 years has not been established due to a lack of adequate data.

Pregnant women: avoid

Safety during pregnancy has not been established.

Breastfeeding women: avoid

Safety during breastfeeding has not been established.


Contraindications

Renal insufficiency: contraindicated

Contraindicated in conditions where reduced fluid intake is recommended (for example, severe cardiac or renal disease).