Willow
Botanical name: Salix alba
© Steven Foster
Parts used and where grown
The willow tree grows primarily in central and southern Europe, although it is also found
in North America. The bark is used to make herbal extracts.
Willow has been used in
connection with the following conditions (refer to the individual
health concern for complete information):
Historical or traditional use (may
or may not be supported by scientific studies)
Willow bark was used traditionally by herbalists for fever, headache, pain, and rheumatic complaints.1 In the
late 19th century, the constituent salicylic acid was isolated from willow bark and went on to
become the model for the development of
aspirin (acetylsalicylic acid).2
Active constituents
The glycoside salicin, from which the body can split off salicylic acid, is thought to be
the source of the anti-inflammatory and pain-relieving actions of willow.3 The
analgesic actions of willow are typically slow to develop but may last longer than the effects
of standard aspirin products. One trial has found that a combination herbal product including
100 mg willow bark taken for two months improved functioning via pain relief in people with osteoarthritis.4 Another trial found
that 1360 mg of willow bark extract per day (delivering 240 mg of salicin) for two weeks was
somewhat effective in treating pain associated with knee and/or hip osteoarthritis.5 Use of high amounts of
willow bark extract may also help people with low back pain. One four-week trial found 240 mg
of salicin from a willow extract was effective in reducing exacerbations of low back
pain.6
How much is usually taken?
Willow extracts standardized for salicin content are available. The commonly recommended
intake of salicin has been 60–120 mg per day.7 However, newer studies suggest
a higher salicin intake of 240 mg per day may be more effective for treating pain.8
A willow tea can be prepared from 1/4–1/2 teaspoon (1–2 grams) of bark boiled in
about 7 ounces (200 ml) of water for ten minutes. Five or more cups (1250 ml) of this tea can
be drunk per day. Tincture, 1–1 1/2 teaspoons (5–8 ml) three times per day, is
also occasionally used.
Are there any side effects or interactions?
As with aspirin, some people may experience stomach upset from taking willow. Although such
symptoms are less likely from willow than from
aspirin, people with ulcers and gastritis should, nevertheless, avoid this
herb.9 Again, as with aspirin, willow should not be used to treat fevers in
children since it may cause Reye’s syndrome.
There is one published report of a severe allergic reaction (anaphylaxis) occurring in a
person who took a supplement that contained willow bark.10 The possibility of
allergy to willow bark should be considered by anyone who is allergic to aspirin or other
salicylates.
Are there any drug
interactions?
Certain medicines may interact with willow. Refer to drug interactions for a list of those medicines.
References
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1. Weiss RF. Herbal Medicine. Gothenburg, Sweden: Ab Arcanum,
1988, 31, 303.
2. Foster S. 101 Medicinal Herbs. Loveland, CO: Interweave
Press, 1998, 210–1.
3. Bradley PR (ed). British Herbal Compendium, vol 1.
Bournemouth, Dorset, UK: British Herbal Medicine Association, 1992, 224–6.
4. Mills SY, Jacoby RK, Chacksfield M, Willoughby M. Effect of a
proprietary herbal medicine on the relief of chronic arthritic pain: A double-blind study.
Br J Rheum 1996;35:874–8.
5. Schmid B, Tschirdewahn B, Kàtter I, et al. Analgesic effects of
willow bark extract in osteoarthritis: results of a clinical double-blind trial. Fact
1998;3:186.
6. Chrubasik S, Eisenberg E, Balan E, et al. Treatment of low back pain
exacerbations with willow bark extract: A randomized double-blind study. Am J Med
2000;109:9–14.
7. Blumenthal M, Busse WR, Goldberg A, et al. (eds). The Complete
Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, MA: Integrative
Medicine Communications, 1998, 230.
8. Chrubasik S, Eisenberg E, Balan E, et al. Treatment of low back pain
exacerbations with willow bark extract: A randomized double-blind study. Am J Med
2000;109:9–14.
9. Blumenthal M, Busse WR, Goldberg A, et al. (eds). The Complete
Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, MA: Integrative
Medicine Communications, 1998, 230.
10. Boullata JI, McDonnell PJ, Oliva CD. Anaphylactic reaction to a
dietary supplement containing willow bark. Ann Pharmacother 2003;37:832–5.
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The information presented in Aisle7 is for informational purposes only.
It is based on scientific studies (human, animal, or in vitro), clinical experience,
or traditional usage as cited in each article. The results reported may not necessarily occur
in all individuals. For many of the conditions discussed, treatment with prescription or over
the counter medication is also available. Consult your doctor, practitioner, and/or chemist
for any health problem and before using any supplements or before making any changes in
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