Herbal Cascara Sagrada (Rhamnus purshiana) and Constipation

Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc.,
Constipation is a condition of bowel movements that are infrequent or hard to pass. Statistic showed that constipation most often are women, adults ages 65 and older. Constipation is highly prevalent, with approximately 12 million general practitioner prescriptions for laxatives in England in 2001.

The Ingredients
The chemical constituents of Cascara Sagrada include Aloe-emodin, Anthrquinone glycosides (Barbaloin Cascarosides A, B, C and D ChrysaloinFrangul), Chrysophanol, Emodin, Heterodianthrones palmidin A, B, and C, dianthrones, Oxanthrone, Rhein, Tannins, etc.

The benefits
Constipation is highly prevalent, with approximately 12 million general practitioner prescriptions for laxatives in England in 2001. Cascara Sagrada, the herb used as laxative in herbal medicine may be a potential use to treat constipation. Other in the study of Effect of ear mushroom (Auricularia) on functional constipation, showed a positive result of Both ear mushrooms alone and ear mushrooms with additives (including Cascara Sagrada)  in significantly improved number of bowel movement, straining, sense of incomplete evacuation, stool consistency and satisfactory relief in patients with functional chronic constipation. 'Fiber 7' supplement used in oral diet has found to be effective to   allow discontinuation of laxatives in 63 of 92 nursing home residents


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References
(1) Rhamnus purshiana (Cascara)
(2) Constipation in adults. by Mueller-Lissner SA, Wald A.(PubMed)
(3) [Effect of ear mushroom (Auricularia) on functional constipation].[Article in Korean] by Kim TI, Park SJ, Choi CH, Lee SK, Kim WH.(PubMed)