Prickly ash's therapeutic uses

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

Principal proposed uses: None

Other proposed uses: Dry mouth, intermittent claudication, osteoarthritis, Raynaud’s syndrome, toothache

Overview

The prickly ash tree has a long history of use in Native American medicine. The bark was used to treat intestinal cramps, dry mouth, muscle and joint pain, toothache, nervous disorders, arthritis, and leg ulcers. The berries were used for circulatory problems such as intermittent claudication and Raynaud’s syndrome.

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Therapeutic Dosages

Prickly ash is often taken in the form of tea, made by boiling five to ten grams (g) of the bark in a cup of water for ten to fifteen minutes. For toothache, the pieces of the bark may be chewed. Tinctures are also available.

Therapeutic Uses

There are no documented medical uses of prickly ash bark. In test-tube studies, substances called furanocoumarins in prickly ash have shown antifungal properties. Another prickly ash constituent, chelerythrine, has shown activity against antibiotic-resistant staph bacteria. While these findings show promise in the efficacy of prickly ash to treat multiple infections, it is a long way from studies like these to actual evidence of efficacy. Prickly ash also showed promise in its abundance of alkaloids and flavonoids, as well as providing analgesic effects for inflammation-related pain. These anti-inflammatory properties could aid in the treatment of osteoarthritis. Prickly ask is believed to help digestive disorders like gastritis and diarrhea. Promise has been shown in prickly ash's ability to treat malaria, sleeping sickness, coughs, colds, and wounds. Only double-blind, placebo-controlled studies can show that treatment actually works, and none have been performed on prickly ash. Clinical study of prickly ash on humans is severely lacking.

Safety Issues

Prickly ash has not undergone any modern scientific safety evaluation. It contains potentially toxic alkaloids; whether these lead to any harmful effects remains unknown. Safety in young children, pregnant or nursing women, or people with severe liver or kidney disease has not been established. Patients who suffer from Irritable Bowel Syndrome, Ulcerative Colitis, and Crohn’s disease should avoid prickly ash.

Bibliography

Bafi-Yeboa, N. F., et al. “Antifungal Constituents of Northern Prickly Ash, Zanthoxylumamericanum mill.” Phytomedicine 12 (2005): 370-377.

“Common Prickly Ash.” Missouri Department of Conservation, mdc.mo.gov/discover-nature/field-guide/common-prickly-ash. Accessed 17 Aug. 2023.

Gibbons, S., et al. “Activity of Zanthoxylum clava-herculis Extracts Against Multi-drug Resistant Methicillin-Resistant Staphylococcus aureus (mdr-MRSA).” Phytotherapy Research 17 (2003): 274-275.

Kubala, Jillian. “Prickly Ash: Benefits, Dosage, and Side Effects.” Healthline, 5 Dec. 2019, www.healthline.com/nutrition/prickly-ash. Accessed 17 Aug. 2023.