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Capsella bursa-pastoris

Early evidence for: Nosebleeds; Minor wound bleeding; Mild urinary complaints.

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What is Capsella bursa-pastoris? Shepherd's purse is a small weedy plant in the cabbage family. Folk healers in Europe used it mainly to slow bleeding, above all heavy periods. The dried flowering tops are the part used. The plant now grows almost everywhere. Its flat seed pods are heart shaped, like an old shepherd's pouch. In Japan it is called nazuna and eaten as a spring food. The honest verdict on evidence: thin. A few small trials hint that it may reduce heavy period bleeding. They are short, mostly from one country, and not strong enough to settle the question. Traditional use tells you that people trusted a plant for a long time. It is not proof that the plant works, and it is not proof that it is safe. Both have to be tested on their own. As a leaf vegetable, eaten in normal food amounts, shepherd's purse has a long and quiet record. Concentrated teas, tinctures and capsules are a different matter. They are stronger, and they carry the cautions listed further down this page. How does Capsella bursa-pastoris work? No one has shown clearly how shepherd's purse acts in the human body. What follows is proposed, not proven. In animal studies, extracts of the plant have made the womb muscle contract. Tradition used this to explain why it was given for heavy bleeding and after childbirth. Whether the same thing happens in a woman who drinks the tea has not been shown. In test tube work, the plant shows effects on blood clotting and on blood vessel tone. Some animal work points to a drop in blood pressure. These are laboratory findings, and they do not prove a clinical effect. The plant also holds vitamin K, which your body uses to form clots. The amount in a cup of tea is small. Still, it is one reason the plant is taken seriously around blood thinning medicines. In lab tests, the flavonoids in the plant mop up free radicals and slow some bacteria. Many edible plants do this in a dish. It says little about what happens inside you. So the short answer is simple. There is a plausible story, built on animal and test tube work, and very little human proof to back it. What forms does Capsella bursa-pastoris come in? You will most often meet it in these forms: - Dried herb, loose or in tea bags, for an infusion. - Liquid tincture or fluid extract, usually in alcohol. - Capsules or tablets of dried, powdered herb. - Fresh young leaves, eaten in soups and salads, mainly in East Asia. - Homeopathic drops, which are so dilute they are a different thing altogether. Tradition also used fresh crushed leaves on small wounds and nosebleeds. There is no good human trial behind that use, and a dirty plant on a cut is its own risk. Strengths are not standardised. A label saying "shepherd's purse extract" does not tell you how strong it is. Look for a product that names the plant part, the amount per dose and the maker. Where it comes from: Shepherd's purse has one of the longest records of any European bleeding herb. Writers from the Middle Ages onward listed it for wounds, nosebleeds and heavy periods. It was used during the First World War, when standard clotting drugs ran short. Midwives in several countries gave it after childbirth to slow bleeding. German herbal practice later kept it on the official list for light bleeding problems. In East Asia the plant took a different path. It became a spring vegetable, one of the seven herbs eaten in Japan in early January. Chinese and Korean cooking use it in dumplings and soups. Folk use also covered urinary complaints, diarrhoea and high blood pressure. These uses faded as better treatments arrived. This history is background, not a recommendation. Heavy or unexplained bleeding needs a diagnosis, and that is a job for a doctor rather than a tea.

Helps

What does Capsella bursa-pastoris help with? Heavy menstrual bleeding: This is the best studied use, and the evidence is still weak. A few small trials compared a shepherd's purse extract with a standard anti-inflammatory tablet. Blood loss fell in both groups over one or two cycles. The trials were small and short. Most came from one region, and none has been clearly repeated elsewhere. That is not enough to call the effect real. Heavy bleeding has causes, such as fibroids, polyps, thyroid problems and clotting disorders. Masking it with a tea can delay finding the cause. Bleeding after childbirth: Tradition is strong here and human evidence is close to absent. Midwives gave it to help the womb contract after delivery. Bleeding after childbirth can turn dangerous within minutes. It is a medical emergency, not a self-care problem. Nothing on this page should be used in place of urgent care. Nosebleeds: Old practice used the fresh juice or a soaked pad on the nose. There are no modern human trials testing this. Most nosebleeds stop with firm pinching of the soft part of the nose for ten minutes. A nosebleed that will not stop, or that keeps coming back, needs a doctor. Minor cuts and grazes: Crushed leaves were pressed onto small wounds to slow bleeding. In lab tests the plant slows some bacteria, but whether that happens on skin is not established. There is no human trial supporting wound use. Clean water, pressure and a plaster are better first aid. Mild urinary complaints: European folk use included bladder irritation and blood in the urine. No useful human trials exist for either. Blood in the urine always needs checking. It can point to infection, stones or something more serious. High blood pressure: Some animal work shows a fall in blood pressure after extracts are given. This has not been tested properly in people. Do not treat high blood pressure (raised pressure in your arteries) with a herb. It usually causes no symptoms and still damages your heart and kidneys.

Capsella bursa-pastoris

Quick Facts

  • What it is: A common cabbage-family weed, used in European folk medicine to slow bleeding and eaten as a spring vegetable in East Asia.
  • Main uses: Heavy menstrual bleeding, Nosebleeds, Minor wound bleeding, Mild urinary complaints
  • Active ingredients: Flavonoids (rutin, quercetin, luteolin), Glucosinolates such as sinigrin, Tyramine and choline, Vitamin K, Fumaric acid
  • Forms: Dried herb tea, Tincture or fluid extract, Capsules, Fresh leaves as food
  • Time to effect: Within one menstrual cycle, if it works at all
  • Side effects: Usually mild: stomach upset, loose stools, drowsiness, occasional rash.
  • Pregnancy & breastfeeding: Avoid: reported to act on the womb.

Educational information, not medical advice — ask your doctor or midwife.

What is Capsella bursa-pastoris?

Shepherd's purse is a small weedy plant in the cabbage family. Folk healers in Europe used it mainly to slow bleeding, above all heavy periods. The dried flowering tops are the part used.

The plant now grows almost everywhere. Its flat seed pods are heart shaped, like an old shepherd's pouch. In Japan it is called nazuna and eaten as a spring food.

The honest verdict on evidence: thin. A few small trials hint that it may reduce heavy period bleeding. They are short, mostly from one country, and not strong enough to settle the question.

Traditional use tells you that people trusted a plant for a long time. It is not proof that the plant works, and it is not proof that it is safe. Both have to be tested on their own.

As a leaf vegetable, eaten in normal food amounts, shepherd's purse has a long and quiet record. Concentrated teas, tinctures and capsules are a different matter. They are stronger, and they carry the cautions listed further down this page.

How does Capsella bursa-pastoris work?

No one has shown clearly how shepherd's purse acts in the human body. What follows is proposed, not proven.

In animal studies, extracts of the plant have made the womb muscle contract. Tradition used this to explain why it was given for heavy bleeding and after childbirth. Whether the same thing happens in a woman who drinks the tea has not been shown.

In test tube work, the plant shows effects on blood clotting and on blood vessel tone. Some animal work points to a drop in blood pressure. These are laboratory findings, and they do not prove a clinical effect.

The plant also holds vitamin K, which your body uses to form clots. The amount in a cup of tea is small. Still, it is one reason the plant is taken seriously around blood thinning medicines.

In lab tests, the flavonoids in the plant mop up free radicals and slow some bacteria. Many edible plants do this in a dish. It says little about what happens inside you.

So the short answer is simple. There is a plausible story, built on animal and test tube work, and very little human proof to back it.

What forms does Capsella bursa-pastoris come in?

You will most often meet it in these forms:

- Dried herb, loose or in tea bags, for an infusion. - Liquid tincture or fluid extract, usually in alcohol. - Capsules or tablets of dried, powdered herb.

- Fresh young leaves, eaten in soups and salads, mainly in East Asia. - Homeopathic drops, which are so dilute they are a different thing altogether.

Tradition also used fresh crushed leaves on small wounds and nosebleeds. There is no good human trial behind that use, and a dirty plant on a cut is its own risk.

Strengths are not standardised. A label saying "shepherd's purse extract" does not tell you how strong it is. Look for a product that names the plant part, the amount per dose and the maker.

Where it comes from:

Shepherd's purse has one of the longest records of any European bleeding herb. Writers from the Middle Ages onward listed it for wounds, nosebleeds and heavy periods.

It was used during the First World War, when standard clotting drugs ran short. Midwives in several countries gave it after childbirth to slow bleeding. German herbal practice later kept it on the official list for light bleeding problems.

In East Asia the plant took a different path. It became a spring vegetable, one of the seven herbs eaten in Japan in early January. Chinese and Korean cooking use it in dumplings and soups.

Folk use also covered urinary complaints, diarrhoea and high blood pressure. These uses faded as better treatments arrived.

This history is background, not a recommendation. Heavy or unexplained bleeding needs a diagnosis, and that is a job for a doctor rather than a tea.

Who should avoid Capsella bursa-pastoris?

  • Do not use if you are pregnant. Animal work shows the plant can make the womb contract, and the risk to a pregnancy is not known.
  • Do not use if you are trying to become pregnant.
  • Avoid it while breastfeeding, as there is no safety data for your baby.
  • Do not use if you take a blood thinner (anticoagulant) such as warfarin, apixaban or rivaroxaban.
  • Do not use if you take an older MAOI antidepressant such as phenelzine or tranylcypromine.
  • Do not use if you take thyroid medicine such as levothyroxine.
  • Do not use if you have had a blood clot, a stroke or a heart attack.
  • Do not use if you have an irregular heartbeat (arrhythmia) or take digoxin.
  • Do not use if you take tablets for high blood pressure (hypertension), unless your doctor agrees.
  • Do not use if you have had kidney stones, since the plant carries oxalates.
  • Avoid it if you react to cabbage-family plants such as mustard, broccoli or cress.
  • Do not give it to children.
  • Stop at least two weeks before any planned surgery, and tell your surgeon you have used it.

When should you see a doctor?

Stop and get medical advice if you feel dizzy, faint, unusually sleepy, or your heartbeat feels odd.

See a doctor the same week if you have:

- Periods that soak through a pad or tampon every hour - Bleeding that lasts more than seven days - Bleeding between periods, or any bleeding after menopause - Blood in your urine or stool - Growing tiredness, breathlessness or pale skin, which can mean low iron

Get emergency help for heavy bleeding after childbirth, a nosebleed that will not stop after twenty minutes of pressure, or bleeding with fainting. Do not wait to see if a herb helps.

Is Capsella bursa-pastoris legal where you live?

In the United States it is sold as a dietary supplement. It is not approved by the FDA as a drug for any condition.

In Germany the official Commission E herbal monograph listed the herb for light bleeding problems. In the UK, Canada and Australia it is sold as a traditional herbal product, which means the listing rests on history of use, not on trial proof.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

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