Slippery elm's therapeutic uses

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

PRINCIPAL PROPOSED USES: None

OTHER PROPOSED USES: Cough, dyspepsia, esophageal reflux, gastritis, hemorrhoids, inflammatory bowel disease, irritable bowel syndrome, skin health, lactation support, urinary tract health

Overview

The dried inner bark of the slippery elm tree was a favorite medicinal substance of many American Indian tribes and was subsequently adopted by European colonists. Like marshmallow and mullein, slippery elm was used as a treatment for sore throat, coughs, dryness of the lungs, skin inflammation, wounds, and digestive tract irritation. It was also made into a porridge to be taken by weaned infants and during recovery from illness. Various heroes of the American Civil War are said to have credited slippery elm with their recovery from war wounds.

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Therapeutic Dosages

Cough lozenges made with slippery elm may be consumed as needed. For internal use, a typical dose of slippery elm is 500 to 1,000 milligrams (mg) three times daily.

Therapeutic Uses

Slippery elm has not been scientifically studied to any significant extent. It remained primarily used in cough lozenges widely available in pharmacies. Small-scale studies have shown benefit from slippery elm for this use when compared to a placebo. Based on its soothing properties, slippery elm has also sometimes been recommended for treating irritable bowel syndrome, inflammatory bowel disease (such as Crohn’s disease and ulcerative colitis), gastritis, esophageal reflux (heartburn), and hemorrhoids. Slippery elm may help constipation, increase milk production in lactating women, and help manage urinary tract inflammation. In its powder form, it may be useful in treating wounds and burns, which is a traditional American Indian use. However, there remained very limited meaningful scientific evidence that it is helpful for any of these conditions.

Safety Issues

Other than occasional allergic reactions, slippery elm has not been associated with any toxicity. However, its safety has been subject to little formal study. Safety in young children, pregnant or nursing women, and those with severe liver or kidney disease has not been established.

Bibliography

Brinckmann, Josef, et al. "Safety and Efficacy of a Traditional Herbal Medicine (Throat Coat) in Symptomatic Temporary Relief of Pain in Patients with Acute Pharyngitis: A Multicenter, Prospective, Randomized, Double-Blinded, Placebo-Controlled Study." Journal of Alternative and Complementary Medicine, vol. 9, no. 2, 2003, pp. 285–98, doi:10.1089/10755530360623400. Accessed 16 Sept. 2024.

Castleman, M. "Slippery Elm." The New Healing Herbs. Rev. ed., Rodale Press, 2001.

Pletcher, Peggy and Jacquelyn Cafasso. "The Therapeutic Capabilities of Slippery Elm Bark." Healthline, 8 Mar. 2019, www.healthline.com/health/food-nutrition/slippery-elm-bark. Accessed 16 Sept. 2024.

"Slippery Elm." Mount Sinai, www.mountsinai.org/health-library/herb/slippery-elm. Accessed 16 Sept. 2024.