PDR for Herbal Medicines

(Barré) #1
HERBAL MONOGRAPHS SAGE /655

Sage
Salvia officinalis

TRADE NAMES
Sage (available from a number of manufacturers), Alcohol-
Free Sage.

DESCRIPTION
Medicinal Parts: The medicinal parts are the fresh leaves
and the fresh flowering aerial parts, the dried leaves, and the
oils extracted from the flowers and stems.

Flower and Fruit: The medium-sized, pale violet, white or
pink labiate flowers are in 6- to 12- blossomed false whorls,
which are arranged above each other in 4 to 8 rows. The
surrounding leaves fall early. The calyx is 10 to 14 mm long,
funnel-shaped-campanulate, downy, glandular punctate and
bilabiate. The upper lip has 3 throrny-awned teeth; the lower
lip has 2. The corolla tube has a ring of hair inside. The
upper lip is almost straight and the lower lip has 3 segments.
There are 2 stamens with almost semicircular bent filaments.

Leaves,.Stem and Root: Sage grows as.a bush up to 60 cm
high. The stem is erect and woody at the base with leafy,
quadrangular, white-gray tomentose branches. The leaves are
simple, oblong or oblong-lanceolate and narrowed at the
base. They are petiolate, densely and finely crenate, ribbed-
wrinkled, and white-gray tomentose initially, tough, and
evergreen.

Characteristics: The leaves are aromatic, tangy, and bitterly
astringent.

Habitat: The plant is indigenous to the Mediterranean region
and has naturalized in all of Europe. It is cultivated in North
America.

Production: Sage leaf consists of the fresh or dried leaf of
Salvia officinalis. In the wild, sage is collected from the
former Yugoslavia, the Adriatic coast and those areas that
are farther from the coast but are still under Mediterranean
influence. The harvest lasts from mid-July until December,
depending on the area. October is recommended as the most
favorable time to harvest Dalmatian sage.

When Sage is cultivated, it is recommended that the harvest
take place beginning in the second vegetation year at the
beginning of the flowering period and in the afternoon.

Sage can be dried in direct sunlight, but up to 25% of the oil
can be lost. Drying in shade reduces oil loss to 2 to 10%.
Optimum drying conditions for preventing oil loss use a
drying chamber with vertical incoming air currents at 50° C
with 0.9% absolute humidity.


Not to be Confused With: Confusion can arise with the
leaves of Salvia triloba and also with Salvia or Phlomis
species.

ACTIONS AND PHARMACOLOGY
COMPOUNDS
Volatile oil (1.5-3.5%): chief constituents alpha-thujone and
beta-thujone(20-60%), 1,8-cineole (6-16%), camphor (14-
37%), borneol, isobutyl acetate, camphene, linalool, alpha-
and beta-pinene, viridiflorol, alpha- and beta-caryophyllene
(humulene)

Caffeic acid derivatives (3-6%): rosmarinic acid, chlorogenic
acid - :,..-

Diterpenes: chief components carnosolic acid (picrosalvin,
0.2-0.4%), rosmanol, safficinolide

Flavonoids: including, among others, apigenin- and luteolin-
7-glucosides, numerous methoxylated aglycones, including
among others, genkwanin, genkwanin-6-methylether

Triterpenes: chief components ursolic acid (5%)


  • EFFECTS
    Sage has antibacterial, fungistatic, virostatic, astringent,
    secretolytic, and perspiration-inhibiting effects. In animal
    experiments, the herb was found to be antihypertensive and
    choleretic. It acts on the CNS and is a spasmolytic agent.
    Proof of an antidiabetic effect found in one study has not yet
    been confirmed. The essential oil has bactericidal, fungistat-
    ic, and virostatic.


INDICATIONS AND USAGE
Approved by Commission E:


  • Loss of appetite

  • Inflammation of the mouth and pharynx

  • Excessive perspiration


Sage is used externally for inflammation of the mucous
membranes of the nose and throat and internally for
dyspeptic symptoms and as a diaphoretic.

Unproven Uses: In folk medicine, the drug is used internally
for gastric disorders such as loss of appetite, bloating,
flatulence, diarrhea, enteritis, and excessive perspiration.
Externally, Sage is used as a rinse and gargle for light
injuries and skin inflammation, bleeding gums, stomatitis,
laryngitis, pharyngitis, and for firming the gums.

Homeopathic Uses: The most common application in
homeopathy is for excessive perspiration.

CONTRAINDICATIONS
Sage preparations are contraindicated during pregnancy.
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