Birch: Benefits, Dosage, Contraindications

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Birches (Betulaceae) generally grow in temperate and humid regions (Europe, North America, Asia) on poor and often siliceous lands. This is a tree that can reach a height of 30 m, with its white bark due to betulin, its main constituent. The leaves, sap, buds, and bark are used in Phytotherapy. The leaf contains at least 1.5% flavonoids expressed in hyperoside. Phenol 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 suggested for the treatment of urinary infections, to help eliminate urinary stones, and to relieve pain related to osteoarthritis. It is also used against minor skin conditions.

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

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of 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 urine volume for cleansing the urinary tract, as an adjunct to the treatment of moderate urinary tract pain. ESCOP indicates birch for urinary tract irrigation, particularly in cases of inflammation and kidney stones, and as an adjunct in bacterial urinary tract infection treatment. Some studies corroborate this use. In a field study, 1066 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 during a 2 to 4-week treatment period. Patients were classified into four groups: 73.8% suffered from urinary tract infections, cystitis, or other inflammatory disorders, 14.2% from an irritable bladder, 9.3% from stones, and 2.7% from miscellaneous disorders. 56% of the first group also received antibiotic therapy. After treatment, symptoms disappeared in 78% of the first group, 65% of the second group, and 65% of the third group. 80% of patients treated with antibiotics and 75% of those treated without antibiotics saw their symptoms disappear. Doctors and patients rated the effectiveness as very good or good.

Posologie

posologieOral route: 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 reduces inflammation and irritations of the urinary tract and helps eliminate kidney stones and has some effectiveness on urinary infections.

Posologie

posologieOral route: leaf, bark, sap, buds

posologie4 - 9 g

formulationgemmotherapy, dry extract, juice


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

Posologie

posologieOral route: leaf, bark, sap, buds

formulationgemmotherapy, dry extract, juice


Gout
✪✪✪✪

The renal drainage promoted by birch suggests an interest in cases of gout, characterized by increased uric acid concentration in the blood.

Posologie

posologieOral route: 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 seems, based on studies conducted on animals, that the high potassium content in the leaves causes the diuretic effect, leading to an increased urine volume and battling minor urinary disorders. The mechanism remains unknown due to a lack of reliable information, and this use is justified by traditional medicine.

Usages associés

Kidney stone, Gout, Urinary disorders

Anti-inflammatory

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

Usages associés

Kidney stone, Urinary disorders

Depurative

full-leaffull-leafempty-leafempty-leaf

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

Usages associés

Detoxification, Gout

Antioxidant

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In mice, the oral administration of a dried birch leaf extract demonstrated antioxidant activity. This activity was maximal during acute administration; chronic administration over 14 days led to a reduction in antioxidant effects.


Safety dosage

Adult from 18 years: 360 mg - 1200 mg (dry extract)

- Dried leaves: 2 to 3 g per day; - Infusion: 1 to 2 teaspoons of plant per 150 ml of boiling water, infusion for 15 minutes, to be drunk 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 reserving its use for adults and children over 12 years of age.

Adolescent from 12 to 18 years:

The European Medicines Agency recommends reserving its use for adults and children over twelve years of age.


Interactions

Médicaments

Diuretics: weak interaction

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

Aspirin: weak interaction

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


Precautions

Allergies: avoid

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

High blood pressure: use with caution

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

Child up to 12 years: avoid

The European Medicines Agency recommends reserving its use for adults and children over twelve years of age.

Edema: avoid

People suffering from edemas (swellings) related to heart or kidney disease should refrain from using birch.

Pregnant woman: avoid

Although studies have not shown fetal toxicity, it is preferable not to consume birch during pregnancy.

Breastfeeding woman: avoid

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