Educational information, not medical advice.See how evidence is graded

chanca piedra / quebra-pedra

Early evidence for: Kidney stones; Help clearing fragments after shock wave treatment; Liver and gallbladder complaints; Gout.

Home

What is chanca piedra / quebra-pedra? What is chanca piedra? Chanca piedra is a small tropical weed, Phyllanthus niruri. The whole dried plant is used as a tea, capsule or liquid extract. Its Spanish and Portuguese names both mean "stone breaker". People take it mainly for kidney stones. It is also used for gallstones, liver complaints, gout and blood sugar. Here is the honest verdict. Human evidence is thin and mixed, and a few small trials only hint at help with stones. Long use in tradition is not proof that a remedy works, and it is not proof that it is safe. How does chanca piedra / quebra-pedra work? How is it supposed to work? No one has shown how it works in people. Most claims rest on lab dishes and animal work. In test tubes, extracts slow the growth and clumping of calcium oxalate crystals. Those crystals make up most kidney stones. Whether the same thing happens inside a human kidney is not known. In small human studies, urine chemistry shifted a little, such as lower urinary calcium. That is a measurement, not proof that fewer stones form. In animals it appears to raise urine output slightly. That may help flush out grit. Lab tests also point to antioxidant action and effects that calm inflammation (swelling). In cell studies, extracts slow the hepatitis B virus. None of that has been confirmed as a benefit in people. What forms does chanca piedra / quebra-pedra come in? What forms is it sold in? - Dried loose herb and tea bags, brewed as an infusion - Capsules and tablets of powdered herb - Alcohol tinctures and glycerine extracts - Standardised extracts, usually labelled for lignan content - Blended "kidney" or "liver" formulas, often mixed with other herbs Blends are harder to judge. If a product holds six herbs, you cannot tell which one caused a benefit or a side effect. Labels in some markets use the names quebra-pedra, bhumyamalaki or gale of the wind. Related Phyllanthus species are sometimes sold under the same common name. Where it comes from: Where does it come from? Healers in the Amazon basin, Peru and Brazil used the plant for urinary gravel and stones. That use gave the plant its name. Records of this folk use go back several centuries. It was also given in those traditions for jaundice, fevers and stomach upsets. In Ayurveda, the same plant is known as bhumyamalaki and was used for liver and digestive complaints. The plant moved into the wider supplement trade in the late twentieth century. These are historical uses, described here as history, not as a plan for treating yourself.

Helps

What does chanca piedra / quebra-pedra help with? Kidney stones: This is the main traditional use, and the best studied one. Tradition held that the plant broke up or passed stones. Small human studies found changes in urine, such as lower calcium levels. Some found fewer crystals. These are early signals, and the trials were small and not all well run. No good trial shows that it dissolves an existing stone. Do not use it instead of care for a stone that is blocking urine. Clearing stone fragments after shock wave treatment: This is the most promising use, and still not settled. Shock wave treatment breaks a stone into bits that must then pass. One randomised trial in people with lower kidney stones found better clearance of fragments in the group given the herb. Other work has been mixed or too small to judge. If you are offered this alongside hospital treatment, discuss it with your urologist first. Gallstones: Tradition used it for gallstones as well as kidney stones. Human evidence here is close to absent. There are no good trials showing that it shrinks or clears gallstones. A blocked bile duct is a medical emergency, not a job for a tea. Hepatitis B: Early trials in the 1980s and 1990s raised hopes, but the picture did not hold up. Reviews of the pooled trials found poor study quality and no convincing benefit. Modern antiviral drugs do have strong evidence here. Do not swap them for a herb. Gout and high uric acid: Folk use linked the plant to gout and "gravel". Support comes mostly from animal work and a few small studies on urine chemistry. There is no good human trial showing fewer gout attacks. Treat this as unproven. High blood sugar: Animal studies show lower blood sugar with some extracts. Human data is very limited. This matters as a caution as much as a claim. If you take diabetes medicine, the two together may push your sugar too low.

chanca piedra / quebra-pedra

Quick Facts

  • What it is: A tropical weed, Phyllanthus niruri, taken as a tea or capsule and long used in Latin America for kidney stones.
  • Main uses: Kidney stones, Help clearing fragments after shock wave treatment, Liver and gallbladder complaints, Gout
  • Active ingredients: Phyllanthin, Hypophyllanthin, Niranthin, Geraniin, Corilagin, Quercetin
  • Forms: Dried herb tea, Capsules, Tincture, Standardised extract
  • Time to effect: Weeks in studies, if anything happens at all
  • Side effects: Usually mild stomach upset; main risks come from mixing it with medicines.
  • Pregnancy & breastfeeding: Avoid: traditionally used to stimulate the womb.

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

What is chanca piedra / quebra-pedra?

What is chanca piedra?

Chanca piedra is a small tropical weed, Phyllanthus niruri. The whole dried plant is used as a tea, capsule or liquid extract. Its Spanish and Portuguese names both mean "stone breaker".

People take it mainly for kidney stones. It is also used for gallstones, liver complaints, gout and blood sugar.

Here is the honest verdict. Human evidence is thin and mixed, and a few small trials only hint at help with stones. Long use in tradition is not proof that a remedy works, and it is not proof that it is safe.

How does chanca piedra / quebra-pedra work?

How is it supposed to work?

No one has shown how it works in people. Most claims rest on lab dishes and animal work.

In test tubes, extracts slow the growth and clumping of calcium oxalate crystals. Those crystals make up most kidney stones. Whether the same thing happens inside a human kidney is not known.

In small human studies, urine chemistry shifted a little, such as lower urinary calcium. That is a measurement, not proof that fewer stones form.

In animals it appears to raise urine output slightly. That may help flush out grit.

Lab tests also point to antioxidant action and effects that calm inflammation (swelling). In cell studies, extracts slow the hepatitis B virus. None of that has been confirmed as a benefit in people.

What forms does chanca piedra / quebra-pedra come in?

What forms is it sold in?

- Dried loose herb and tea bags, brewed as an infusion - Capsules and tablets of powdered herb - Alcohol tinctures and glycerine extracts

- Standardised extracts, usually labelled for lignan content - Blended "kidney" or "liver" formulas, often mixed with other herbs

Blends are harder to judge. If a product holds six herbs, you cannot tell which one caused a benefit or a side effect.

Labels in some markets use the names quebra-pedra, bhumyamalaki or gale of the wind. Related Phyllanthus species are sometimes sold under the same common name.

Where it comes from:

Where does it come from?

Healers in the Amazon basin, Peru and Brazil used the plant for urinary gravel and stones. That use gave the plant its name. Records of this folk use go back several centuries.

It was also given in those traditions for jaundice, fevers and stomach upsets. In Ayurveda, the same plant is known as bhumyamalaki and was used for liver and digestive complaints.

The plant moved into the wider supplement trade in the late twentieth century. These are historical uses, described here as history, not as a plan for treating yourself.

Who should avoid chanca piedra / quebra-pedra?

  • Do not use if you are pregnant. Traditional sources used this plant to bring on periods, and safety in pregnancy is unknown.
  • Do not use if you are breastfeeding.
  • Do not give it to children.
  • Do not use if you take a blood thinner (anticoagulant or antiplatelet drug) such as warfarin, aspirin or clopidogrel, unless your doctor agrees.
  • Do not use in the two weeks before planned surgery, because of the possible bleeding risk.
  • Do not use if you take lithium.
  • Do not use if you take medicines that lower the immune system (immunosuppressive drugs) after a transplant.
  • Avoid it if you take insulin or diabetes tablets, unless your doctor is watching your blood sugar.
  • Avoid self-treating if you have liver disease, kidney disease or only one working kidney. Speak to your doctor first.
  • Never use it in place of care for a stone that is blocking urine flow.

When should you see a doctor?

When to see a doctor

Get emergency help now if you have:

- Severe pain in your side or back that comes in waves - Fever or chills with that pain - Vomiting that will not stop - Blood in your urine - Little or no urine passed

Stop the herb and see a doctor soon if you notice:

- Yellow skin or eyes, or dark urine - Easy bruising or bleeding - Repeated dizziness or faintness - Signs of low blood sugar, such as shakiness, sweating or confusion - A rash or swelling after taking it

Tell your doctor or pharmacist that you are taking it, especially before surgery or a scan.

Is chanca piedra / quebra-pedra legal where you live?

In the United States it is sold as a dietary supplement, not an approved medicine. In the UK and the EU it is sold as a food supplement. No regulator has approved it to treat kidney stones or any other disease.

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

Remedies related to chanca piedra / quebra-pedra

The evidence behind this remedy, in one page

What it is typically used for, usual dose, cautions, and the study behind it where real trial data exists.

One email with the summary. We'll also send a short weekly evidence update — unsubscribe any time.