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Marshmallow (Althea officinalis)-the herb, not the white puffy
confection you roast on a campfire-has been used for centuries as both a food
and a medicine. Its name comes from the Greek word "altho," which means "to
cure." The Romans, Chinese, Egyptians, and Syrians used mallow as a source of
food, while the Arabs made poultices from its leaves to treat inflammation.
Studies show that the mucilage, or gummy secretion, in the leaves and
particularly the root is excellent for soothing sore throats and smoothing
skin.
Plant Description
Found in southern and western Europe, western Asia, and the northeastern
region of North America, marshmallow originally grew on salty soils but now
thrives in moist, uncultivated ground. Its fleshy, erect stems reach a height of
three to four feet. The stems give off simple branches or, at most, a few
sideways branches. The pale yellow roots are tapered, long, and thick, with a
tough yet flexible exterior. The short-stemmed leaves are roundish, with
irregularly toothed margins and three to five lobes. A soft and velvety down
covers the leaves and stem. The flowers have five reddish-white petals. The
whole plant, especially the perennial root, is filled with a mild mucilage.
Parts Used
The following parts of marshmallow are used for medicinal purposes.
Medicinal Uses/Indications
Marshmallow is used to treat the following conditions and symptoms.
- Sore throat and dry cough
- Gastric and intestinal conditions
- Ulcers
Marshmallow is also used to gently increase urine production, reduce
inflammation, prevent formation of kidney stones, and promote wound healing.
Traditionally, marshmallow is also used as a topical treatment for abscesses,
boils, and other conditions.
Available Forms
Marshmallow is available in the following forms.
- Leaf
- Flowers
- Infusion or cold-water maceration
- Dried root
- Tincture
- Marshmallow syrup
- Ointments, creams
How to Take It
The following are the recommended doses for marshmallow.
- Leaf: 5 g or equivalent preparations daily
- Flowers: 5 g mallow as gastrointestinal tea
- Root: infusion or cold-water maceration (2% to 5%): 150 ml (1 to 2 tsp.)
taken to soothe cough and sore throat
- Dried root: 2 to 6 g or equivalent preparations daily (cold infusion three
times a day)
- Tincture: 5 to 15 ml (1:5, 25% ethanol) three times a day
- Marshmallow syrup (from root): 2 to 10 g per single dose (syrup contains
sugar, which should be considered by diabetics)
- Root topical preparations: 5% to 10% drug in ointment or cream base
Precautions
There are no reported side effects of marshmallow, and it reportedly causes
no problem for use during pregnancy or breastfeeding.
Possible Interactions
Taking marshmallow with oral medications may delay the absorption of these
medications.
Supporting Research
Blumenthal M, ed. The Complete German Commission E Monographs. Boston,
Mass: Integrative Medicine Communications; 1998:166-167.
Brinker F. Herb Contraindications and Drug Interactions. 2nd ed.
Sandy, Ore: Eclectic Medical; 1998:99.
British Herbal Pharmacopoeia. 4th ed. Great Britain: Biddles Ltd,
Guildford and King's Lynn; 1996: 151-152.
Dorland's Illustrated Medical Dictionary. 25th ed. Philadelphia, Pa:
WB. Saunders; 1974.
Franz G. Polysaccharides in pharmacy. Current Applications and future
concepts. Planta Med. 1989; 55:493-497.
Grieve M. A Modern Herbal. Vol. II. New York, NY: Dover; 1971:
507-508.
Gysling E. Leitfaden zur Pharmakotherpie. Vienna: Huber, Bern
Stuttgart; 1976:86.
Hahn HL. Husten: Mechanismen, pathophysiologie und therapie. Disch Apoth
A. 1987;127(suppl 5):3-26.
Kurz H. 1989 Antitussiva und Expektoranzien. Wissenschaftliche.
Verlagsgesellschaft Stuggart; 1989.
Mascolo N, et al. Biological screening of Italian plants for
anti-inflammatory activity. Phytotherapy Res. 1987;I:28-31.
Newall C, Anderson L, Phillipson J. Herbal Medicines: A Guide for
Health-care Professionals. London, England: Pharmaceutical Press;
1996:188.
Nosal'ova G, Strapkova A, Kardosova A, Capek P, Zathurecky L, Bukovska E.
Antitussive action of extracts and polysaccharides of marsh mallow (Althea
officinalis L., var. robusta). Pharmazie. 1992;47(3): 224-226.
Recio MC, et al. Antimicrobial activity of selected plants employed in the
Spanish Mediterranean area. Part II. Phytotherapy Res. 1989;3:77-80.
Schulz V, Hansel R, Tyler V. Rational Phytotherapy: A Physicians' Guide to
Herbal Medicine. 3rd ed. Berlin, Germany: Springer; 1998:150,183.
Thomson WA. Medicines from the Earth: A Guide to Healing Plants.
Maidenhead, England: McGraw-Hill Book Company; 1978:41.
Tomoda M, Norika S, Oshima Y, Takahashi M, Murakami M, Hikino H. Hypoglycemic
activity of twenty plant mucilages and three modified products. Planta Med.
1987;53:8-12.
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