PDR for Herbal Medicines

(Barré) #1
HERBAL MONOGRAPHS CASCARA SAGRADA/153

then become flattened, curled and sometimes 'bifid. The
segments are linear and usually 3 to 8 mm wide. The margin
is linguiform, later repeatedly dividing into bifid thallus
lobes. The thallus is cartilaginous and double-layered. The
internal tissue is made up of reticulately linked cells. The
bark layer is at right angles to the thallus. The bifurcated cell
strings are like strings of pearls that are spread radially.

Habitat: Carrageen is found from the coast of Iceland to the
Baltic, from northern Russia to the south of Spain, Morocco
and the Cape Verde Islands, and also in parts of North
America and some Japanese coastal regions.

Production: Carrageen is the dried and bleached thalli of
Chondrus crispus as well as other varieties of Gigartina
species. After being cleaned, the algae are left to bleach in
the sun, then dried.

Not to be Confused With: Confusion can arise with related
species of Gigartina stellata and Gigartina pistillata.

Other Names: Irish Moss, Chondrus, Carrahan,
Carrageennan

ACTIONS AND PHARMACOLOGY
COMPOUNDS
Carrageenans: (carrageenine): in particular kappa-, iota- and
lambda-carrageenan (muciform galactane sulphates)

Proteins

Mineral salts: including iodides and bromides

EFFECTS
The drug contains hydrocolloids of the carrageenan type.
Carrageen is considered a mucilage because it hinders the
effect of peptides in digestive enzymes. It also acts as an
expectorant and secretory agent. In animal experiments the
drug was not absorbed. There are no studies available on
absorption in humans. The drug's purported demulcent and
antitussive effects have not been confirmed.
INDICATIONS AND USAGE
Unproven Uses: Folk medicine internal uses of Carrageen
include as roughage for constipation and as a mucilage for
diarrhea, as well as for peptic ulcers. Sometimes a decoction
is used for coughs, bronchitis and tuberculosis.

PRECAUTIONS AND ADVERSE REACTIONS
No health hazards or side effects are known in conjunction
with the proper administration of designated therapeutic
dosages. Intracutaneous injections of solutions, however, can
trigger local inflammations.

DOSAGE
Mode of Administration: Seldom used as a drug, but is
included in compound preparations as syrup and granules.


Preparation: Irish moss extract is prepared using a diluted,
almost boiling alkali solution. Filtration and vacuum inspis-
sation follow prior to extensive dehydration. A decoction is
prepared by combining 1.5 g drug with 1 cup water.

Storage: The drug should be stored in tightly sealed
containers.
LITERATURE
Chapman B, Chapman VJ, Chapman DJ, Seaweeds and their
uses. Chapmann and Hall, London, New York 1980.
Standoff DJ, Renn DW, (1975) ACS Symp Ser. 15:282.
Thomson AW, Home CHW, (1976) Brit J Exp Pathol 57:455.
Further information in:
Hansel R, Keller K, Rimpler H, Schneider G (Hrsg.), Hagers
Handbuch der Pharmazeutischen Praxis, 5. Aufl.. Bde 4-6
(Drogen), Springer Verlag Berlin, Heidelberg, New York, 1992-
1994.
Steinegger E, Hansel R, Pharmakognosie, 5. Aufl., Springer
Verlag Heidelberg 1992.
Teuscher E, Biogene Arzneimittel, 5. Aufl., Wiss. Verlagsges.
mbH Stuttgart 1997.

Carthamus tinctorius
See Safflower

Carum carvi
See Caraway

Cascara Sagrada
Rhamnus purshiana
TRADE NAMES
Cascara Sagrada (available from numerous manufacturers),
Cascara Sagrada Bark Mild Stimulant Laxative, Cascara
Sagrada Natural Laxative, Cascara Sagrada Bark
DESCRIPTION
Medicinal Parts: The medicinal part is the dried bark.
Flower and Fruit: The flowers are in axillary richly
blossomed racemes. The receptacles are green and the sepals
are larger than the petals. Both receptacles and sepals are
white. The ovary is longer than the style and is trilocular.
The fruit is dark purple and top-shaped. The seeds are ovate,
black, glossy, domed on the outside and have a distinct line
on the inside.
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