Birch: benefits, dosage, contraindications

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Birches (Betulaceae) generally grow in temperate, humid regions (Europe, North America, Asia) on poor, often siliceous soils. They are trees that can reach 30 m in height, and the white color of their bark is due to betulin, its main constituent. Leaves, sap, buds, and bark are used in herbal medicine. The leaf contains at least 1.5% flavonoids expressed as hyperoside. Phenolic acids such as chlorogenic acid, vitamin C, various minerals (including potassium), salicylic acid, betulinic acid, tannins, and various sugars are also found in the sap. Birch is used in "spring cures" as a depurative. Thanks to its diuretic and anti-inflammatory properties, birch is proposed for the treatment of urinary tract infections, to help eliminate urinary stones and relieve pain related to osteoarthritis. It is also used for minor skin ailments.

Other name(s) 

"White birch", "Fragrant birch" or "Tree of Wisdom"

Scientific name(s)

Betula pubescens, Betula pendula, Betula verrucosa, Betula alba

Family or group: 

Plants

Active ingredients:

Betulinic acid

Salicylic acid

Potassium

Flavonoids

Vitamin C


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.


Urinary disorders
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The EMA indicates the traditional use of birch to increase the volume of urine passed in order to perform a urinary tract wash, as an adjuvant means for the treatment of moderate urinary tract pain. ESCOP indicates birch for irrigation of the urinary tract, particularly in cases of inflammation and kidney stones, and as an adjuvant in the treatment of bacterial urinary tract infections. Some studies corroborate these uses. In a field study, 1,066 patients received a dry aqueous extract of birch leaves at doses ranging from 180 mg to 1080 mg or more per day for urinary tract irrigation for a treatment period of 2 to 4 weeks. Patients were classified into four groups: 73.8% suffered from urinary tract infections, cystitis or other inflammatory disorders, 14.2% from irritable bladder, 9.3% from stones and 2.7% from various disorders. 56% of the patients in the first group also received antibiotic therapy. After treatment, symptoms disappeared in 78% of the patients in the first group, 65% of the second group and 65% of the third group. Symptoms disappeared in 80% of patients treated with antibiotics and in 75% of those treated without antibiotics. Physicians and patients considered the efficacy to be very good or good.

Posologie

posologieOrally: leaf, bark, sap, buds

posologie1 - 5.6 g

duration4 - weeks

populationAdolescents, Adults, Seniors

formulationgemmotherapy, dry extract, juice


Kidney stone
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A clinical study showed that birch leaf tea can reduce inflammation and irritation of the urinary tract, and helps eliminate kidney stones, as well as showing some effectiveness against urinary tract infections.

Posologie

posologieOral use: leaf, bark, sap, buds

posologie4 - 9 g

formulationgemmotherapy, dry extract, juice


Detoxification
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The renal drainage promoted by birch suggests a potential benefit in cases of gout, which is a disease characterized by an increased concentration of uric acid in the blood. Birch is also indicated as an adjunct treatment for inflammatory skin conditions (eczema, psoriasis, acne, seborrheic dermatitis).

Posologie

posologieOral use: leaf, bark, sap, buds

formulationgemmotherapy, dry extract, juice


Gout
✪✪✪✪

The renal drainage promoted by birch suggests a potential benefit in cases of gout, which is a disease characterized by an increased concentration of uric acid in the blood.

Posologie

posologieOral use: leaf, bark, sap, buds

formulationgemmotherapy, dry extract, juice


Properties


Diuretic

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Birch leaves are rich in betulinic acid, flavonoids (hyperoside and quercetin), and vitamin C. It appears, based on animal studies, that the high potassium content of the leaves produces the diuretic effect, allowing an increase in urine volume and helping to address minor urinary disorders. The mechanism remains unknown due to a lack of reliable information, and the justification for this use relies on traditional medicine.

Usages associés

Kidney stones, Gout, Urinary disorders

Anti-inflammatory

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The E Commission of the German Ministry of Health and ESCOP indicate the use of birch as "therapeutic irrigation of the urinary tract in cases of inflammation and kidney stones; as an adjuvant in the treatment of bacterial infections of the urinary tract". Traditionally, birch is used in the treatment of rheumatism.

Usages associés

Kidney stones, Urinary disorders

Depurative

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The renal drainage promoted by birch suggests it may be useful in cases of gout, which is a disease characterized by an increased concentration of uric acid in the blood.

Usages associés

Detoxification, Gout

Antioxidant

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In mice, oral administration of an extract of dried birch leaves demonstrated antioxidant activity. This activity was maximal with acute administration; chronic administration for 14 days resulted in a reduction of the antioxidant effects.


Safe dosage

Adults aged 18 and over: 360 mg - 1200 mg (dry extract)

- Dried leaves: 2 to 3 g per day; - Infusion: 1 to 2 teaspoons of plant for 150 ml of boiling water, steep for 15 minutes, drink 3 times a day; - Birch juice: 1 to 2 tablespoons per day in water; - Birch sap: 3 times 15 ml of sap. - Dry extract: 300 mg, 3 to 4 times per day. - Gemmotherapy glycerinated macerate 1 D: 50 drops The European Medicines Agency recommends restricting use to adults and children over 12 years of age.

Adolescent from 12 to 18 years:

The European Medicines Agency recommends restricting use to adults and children over twelve years of age.


Interactions

Médicaments

Diuretics: low interaction

Anyone taking a diuretic medication should discuss with their doctor the potential use of birch.

Aspirin: low interaction

The bark contains betuloside and monotropitoside (heterosides), which, by hydrolysis, release methyl salicylate, which, like aspirin, is analgesic, anti-inflammatory and diuretic. Combined use of aspirin and birch is therefore not recommended.


Precautions

Allergies: avoid

It should be avoided in case of hypersensitivity to any of the active substances or in case of pollen allergy.

High blood pressure: use with caution

Theoretically, birch leaf could increase sodium retention and worsen hypertension.

Child up to 12 years: avoid

The European Medicines Agency recommends restricting use to adults and children over twelve years of age.

Edema: avoid

People who suffer from edema (swelling) related to heart or kidney disease should refrain from using birch.

Pregnant women: avoid

Although studies have not shown toxicity to the fetus, it is preferable not to take birch during pregnancy.

Breastfeeding women: avoid

Breastfeeding women should refrain from taking it, since the active substances in birch may pass into breast milk.