| What is it?
In herbal medicine it is sometimes the bark but primarily the ‘fruits’ (perhaps more accurately described as the nuts) that are used from the Horsechestnut tree. Horsechestnuts can grow to nearly 40 meters tall and they are often planted in parks and botanical gardens because of their beauty, abundant foliage and flowers.
How has it been used?
Horsechestnut has a long history of use for improving circulation and the strength of the blood vessels. This has seen it being taken internally for conditions such as excessive uterine bleeding, varicose veins and bleeding haemorrhoids.
A tea made from Horsechestnut has also been used externally to treat similar problems such as chronic leg ulcers or open wounds where the blood vessels on the surface are not mending themselves well.
Rudolph Weiss M.D writes 'today it is a proven fact that standardised Horsechestnut extract is an effective preparation for the treatment of chronic venous insufficiency'.
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Science on Horsechestnut
~ Horsechestnut has been the subject of some intriguing and compelling studies that show it to be a potent and active medicine with much to offer in its sphere of influence:
~ A review of no less than 14 randomised, double-blind, controlled studies showed that Horsechestnut categorically helps the symptoms of chronic venous insufficiency. A dosage of 600mg a day of Horsechestnut extract was used in the majority of the trials. Adverse effects were mild and infrequent (Pittler MH, Ernst E: Altern Ther Health Med 7(3):108, 2001)
~ A case observation study involving more than 800 German GPs and over 5000 patients with chronic venous insufficiency showed that Horsechestnut extract improved symptoms markedly. Horsechestnut was considered an economical, practice-relevant therapeutic tool that had better patient compliance than compression stocking therapies (Leskow P. Therapiewoche 1996; 46:874-877)
~ A significant reduction in leg volume was recorded after Horsechestnut treatment in pregnant women with varicose veins and Horsechestnut extract increased vascular blood flow in healthy volunteers in a double-blind, placebo-controlled study (Erler M. Med Welt 1991; 42:593-596)
Safety of Horsechestnut
Horsechestnut is a potent herb that must be used with care. Symptoms of using too much of it include nausea, dizziness, headache or skin-itching -- do not take these as a sign to not use it but rather to use less. There are no reports in the literature of it doing harm to a pregnant woman or her baby, or being a problem for breastfeeding mothers but, because of how it can be hard to tolerate, I would not personally use this herb for a woman in these times and nor would I give it to a child unless there was some compelling reason to and nothing else would suffice or work as well.
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I have had a great many good results in my own practice with the use of Horsechestnut for the treatment of varicose veins and other conditions of poor blood flow through the veins and so for some time now I have felt confident to suggest it as a treatment which will have a high likelihood of success.
Varicose veins are a tough problem to treat and most people are told there is no solution other than a surgical one but based on my own experience with it I can say that a wider appreciation and use of Horsechestnut would see a great deal of surgical ‘stripping’ of varicose veins to be able to be avoided.
Horsechestnut very clearly has ingredients within it that make it remarkably effective at strengthening weakened blood vessels. These are more than likely to be the flavonoids of the Horsechestnut.
I have also find Horsechestnut to be of value in some cases of another tricky condition; acne rosacea. Here it seems that, if taken for long enough, it seems to reduce the propensity of the blood vessels of the face to hemorrhage and form broken capillaries over the nose, cheeks and forehead.
Horsechestnut is a very strong herb and you have to be careful not to overdo it or you can get some symptoms of nausea. In any case I don't think that especially high doses are needed for a good result but rather it needs to be taken consistently and patiently for at least a month before deciding if it might be doing some real good.
There are many commercial products of this herb available and if someone is confident of the authenticity of their source of supply then any preparation that provides around 600mgs a day of high quality Horsechestnut extract should be sufficient to see it working.
Horsechestnut combines perfectly with Limeflowers and Yarrow to strengthen blood vessels and with Cayenne to improve circulation.
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Much of the information here about the traditional uses of Horsechestnut is consistent with the model of thinking whereby one may treat problem A with plant B. There is value in this approach, especially in how it helps us pass on useful knowledge to one another, but it falls short in one vital area; and that is that people are not all cut from the same cloth! Something that works brilliantly for one person may do less for another -- why is this?
The reason is that people vary in their constitutions as to whether they are more hot or cool and at the same time more dry or damp; more info about this here.
There is an old wisdom in treating the person first and the condition second and in this light Horsechestnut can particularly offer its benefits when a nourishing action is needed in the 'cycle of healing' - something that is discussed here and shown in a chart here.
Excerpt from Felter & Lloyd's Kings Dispensatory from 1898
Horse-chestnut's power over the circulation is pronounced, particularly its control over the portal vessels. Gangrenous and ill-conditioned ulcers have-been benefited by a strong infusion of the bark. The whitish, central part of the nuts, when in powder, has been recommended as a sternutatory in some cases of ophthalmia and headache.
Specific medication has taught us that it is a remedy, not for active conditions, but for congestion and engorgement. It is indicated in general by capillary engorgement—a condition of stasis—with vascular fullness and sense of soreness, throbbing, and malaise all over the body. An uneasy, full, aching pain in the hepatic region is also an indication. Rectal disorders, such as rectal irritation and hemorrhoids, with marked congestion and a sense of constriction, as if closing spasmodically upon some foreign body, with itching, heat, pain, aching, or simple uneasiness, are fields in which Horse-chestnut exerts a specific influence.
Please understand that I cannot personally advise you, including on products or dosage, without seeing you in my clinic but ideas
on how you might find a good herbalist in your area are here.
This living 'book' is my labour of love so, wherever you are, I wish you peace & good health!
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