Indigo's therapeutic uses

DEFINITION: Natural plant product used to treat specific health conditions.

PRINCIPAL PROPOSED USES: None

OTHER PROPOSED USES: Antiseptic, liver protection

Overview

The leaflets and branches of the indigo plant yield an exquisite blue dye; people around the globe have used it to color textiles and clothing for centuries. Before the development of synthetic blue dyes, indigo was cultivated for this pigment rather than for medicinal use. It is also sometimes called Qing Dai.

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In the traditional medicine of India and China, indigo was used in the treatment of conditions now known as epilepsy, bronchitis, liver disease, and psychiatric illness. It was also used for sore throats, fever, Crohn's disease, and skin boils. However, few scientific studies support the medicinal use of indigo.

Therapeutic Dosages

No standard dosage of indigo has been established. Doses over 30 grams are known to cause adverse side effects.

Therapeutic Uses

Based on its traditional use for liver problems, researchers have investigated whether indigo might protect the liver against chemically induced injury. Animal studies suggest that extracts of the indigo species Indigofera tinctoria protect the liver from damage by toxic chemicals. One study examining indigo’s effects on the liver found it caused mild liver dysfunction.

The species I. oblongifolia has been tested for its antibacterial and antifungal activity. In a test-tube trial, this plant showed significant activity against certain bacteria and fungi. This research is still in its preliminary stages, so it is too early to tell whether I. oblongifolia will prove useful for the treatment of any infectious diseases. The species I. oblongifolia also showed antioxidant, anti-inflammatory, and antiapoptotic properties in another clinical study. Preliminary evidence also suggests it may aid in treating psoriasis and gastrointestinal issues, such as ulcerative colitis.

A different plant called wild indigo (Baptisia tinctoria), in combination with echinacea and white cedar, has been studied as a possible immune stimulant. However, wild indigo is not part of the Indigofera genus of plants and is not discussed here.

Safety Issues

The indigo species I. tinctoria has a history of use in traditional medical systems, and it is regarded by herbalists as safe; occasional allergic reactions have been reported. However, comprehensive safety tests have not been performed. For this reason, indigo should not be used by pregnant or nursing women, young children, or persons with severe liver or kidney disease. Safety in other persons is unknown. Long-term use can cause pulmonary hypertension. Individuals who regularly use Indigo to treat ulcerative colitis experience negative effects and a return of their ulcerative colitis symptoms when trying to stop using the herb.

The species I. spicata (formerly I. endecaphylla), however, is poisonous: It has killed cattle and other animals and has caused congenital abnormalities in rats. Other indigo species have also been found to be lethal. For this reason, it is important to avoid ingesting indigo internally unless one is certain that it has been harvested and processed expertly and reliably.

Bibliography

Dahot, M. U. “Antibacterial and Antifungal Activity of Small Protein of Indigofera oblongifolia Leaves.” Journal of Ethnopharmacology vol. 64, 1999, pp. 277-82.

Dkhil, Mohamed A., et al. "Effect of Indigofera Oblongifolia on the Hepatic Oxidative Status and Expression of Inflammatory and Apoptotic Genes during Blood-Stage Murine Malaria." Oxidative Medicine and Cellular Longevity, 2019, doi.org/10.1155/2019/8264861.

“Indigo Uses, Benefits & Dosage.” Drugs.com, 18 Dec. 2023, www.drugs.com/npp/indigo.html. Accessed 20 Sept. 2024.

Matsuno, Yuichi, et al. “One-year Clinical Efficacy and Safety of Indigo naturalis for Active Ulcerative Colitis: A Real-world Prospective Study.” Intestinal Research, vol. 20, no. 2, 2022, pp. 260-68. doi:10.5217/ir.2021.00124.

Shimada, F., et al. "Clinical Outcomes of Patients with Remitting Ulcerative Colitis after Discontinuation of Indigo Naturalis." Scientific Reports, vol. 14, no. 5778, 2024, doi.org/10.1038/s41598-024-56543-y.

Speranza, Jasmine, et al. "Isatis Tinctoria L. (Woad): A Review of Its Botany, Ethnobotanical Uses, Phytochemistry, Biological Activities, and Biotechnological Studies." Plants, vol. 9, no. 3, 2020, doi.org/10.3390/plants9030298.

Wustenberg, P., et al. “Efficacy and Mode of Action of an Immunomodulator Herbal Preparation Containing Echinacea, Wild Indigo, and White Cedar.” Advances in Therapy vol. 16, 1999, pp. 51-70.