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| Rating | Health Concerns |
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Gastroesophageal reflux disease (GERD) Heartburn (symptom relief) |
Reliable and relatively consistent scientific data showing a substantial health benefit. Contradictory, insufficient, or preliminary
studies suggesting a health benefit or minimal health benefit. For an herb, supported by traditional use but
minimal or no scientific evidence. For a supplement, little scientific support and/or minimal
health benefit. | |
Native Americans found innumerable medicinal and other uses for this tree. Canoes, baskets, and other household goods were made from the tree and its bark. Slippery elm was also used internally for conditions such as sore throats and diarrhoea.1 As a poultice, it was considered a remedy for many inflammatory skin conditions.
The mucilage of slippery elm, found in the inner bark, gives it the soothing effect for which it is known.2 In people with heartburn, the mucilage appears to act as a barrier against the damaging effects of acid on the oesophagus. It may also have an anti-inflammatory effect locally in the stomach and intestines. This soothing effect may also extend to the throat. Clinical research, verifying these effects in humans has not been conducted.
The dried inner bark in capsules or tablets, 800–1,000 mg three to four time per day, may be used. A tea can also be made by boiling 1/2–2 grams of the bark in 200 ml of water for ten to fifteen minutes, then cooled before drinking. Three to four cups a day can be used.3 Tincture, 5 ml three times per day, can be taken as well. Slippery elm is also an ingredient of some sore throat and cough lozenges.
Slippery elm is quite safe. There are no known reasons to avoid its use during pregnancy or breast feeding. However, because it is so mucilaginous, it may interfere with the absorption of medicine taken at the same time.
At the time of writing, there were no well-known drug interactions with slippery elm.
1. Duke JA. CRC Handbook of Medicinal Herbs. Boca Raton, FL: CRC Press, 1985, 495–6.
2. Wren RC, Williamson EM, Evans FJ. Potter’s New Cyclopedia of Botanical Drugs and Preparations. Essex, UK: CW Daniel Company, 1988, 252.
3. Foster S. Herbs for Your Health. Loveland, CO: Interweave Press, 1996, 88–9.
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