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TABLE OF CONTENTS | REFERENCES | GLOSSARY
Milk Thistle
(Silybum marianum, Carduus marianus)
Milk Thistle
General Description
Milk thistle is an annual/biennial plant that grows in dry, rocky soil throughout southern and western Europe, and in some parts of the United States. The branched stem grows up to three feet in height and bears spiny, scalloped-edged leaves, which are dark green in color and streaked with white along the veins. Milk thistle flowers from June to August, bearing a single spiny, reddish-purple blossom. The fruit of the plant (commonly misidentified as the seed) is used for health purposes.

Health applications

  • Liver health
  • Detoxification
  • Hepatitis
  • Cirrhosis
  • Diabetes
History and traditional use
For more than 2,000 years, milk thistle has been used as a medicinal herb for a wide range of applications. In the Middle Ages, it was used to treat liver diseases, and as a general tonic for the stomach, gall bladder, and spleen. The renowned eighteenth-century herbalist Culpepper recommended it for treatment of jaundice and "obstructions" of the liver and spleen. Milk thistle was also used in folk medicine to promote milk production in nursing mothers (a practice from which the herb's common name originates). Milk thistle remains popular to this day as a natural tonic for rejuvenating the liver.

Chemical composition
The active components of milk thistle are a group flavonoids known as silymarin, which consists of three compounds: silibinin, silydianin, and silychristin. Of the three, silibinin appears to exhibit the most biological activity. Milk thistle extracts are commonly standardized to contain 70 to 80 percent silymarin.

Liver health
Most of the health applications of milk thistle relate to its impact on the liver. Standardized milk thistle extracts are approved by the German Commission E (Germany's counterpart to the FDA) for the treatment of toxic liver damage and for supportive treatment of chronic inflammatory liver disease and chronic hepatic cirrhosis. According to The Complete German Commission E Monographs, the therapeutic activity of silymarin is based on two mechanisms of action: (a) it alters the structure of the outer membrane of liver cells in such a way as to prevent penetration of toxins into the interior of the cell; (b) it stimulates an increase in protein synthesis, contributing to the formation of new liver cells and the regenerative capability of the liver.1 Research shows that silymarin has powerful antioxidant properties that enhance the activity of the primary liver antioxidants superoxide dismutase (SOD)2,3 and glutathione peroxidase.4 Studies indicate that silymarin can help improve liver function in people with cirrhosis,2-11 diabetes,12,13 and viral hepatitis.14,15

Detoxification
Milk thistle's popular use as a detoxifier and general system cleanser appears consistent with the herb's activity as a liver tonic. The liver is responsible for removing many toxic substances from the body, and milk thistle's ability to enhance the antioxidant activity of liver enzymes may aid this process. Studies have shown that silymarin counteracts the toxic effects of Deathcap mushroom (Aminita phalloides),16-19 acetaminophen,20 and a variety of other poisons.

Dosage/Toxicity
Studies on milk thistle have used doses ranging from 200 to 600 mg per day, and there have been no significant side effects reported in this dosage range. Milk thistle has no known toxicity, even in extremely high doses. To ensure consistent potency, most herbalists recommend milk thistle extracts that are standardized to contain 70 to 80 percent silymarin.


Eyebright, as its name suggests, has traditionally been used as an eye tonic. Although it is unknown when this use started, eyebright was well established as an eye medicine by the 14th century. more…

 

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