Evidence supporting the use of: Ruscus
For the health condition: Phlebitis

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Synopsis

Source of validity: Scientific
Rating (out of 5): 2

Ruscus (commonly Ruscus aculeatus, or butcher’s broom) has been traditionally used in Europe for conditions involving venous insufficiency, such as varicose veins and hemorrhoids. More recently, scientific investigations have explored its efficacy for venous disorders, which are closely related to phlebitis (inflammation of veins). The principal active constituents are steroidal saponins, which are believed to promote vasoconstriction and reduce capillary permeability.

Several randomized controlled trials and meta-analyses have examined standardized butcher’s broom extracts (often in combination with hesperidin methyl chalcone and ascorbic acid) for symptoms of chronic venous insufficiency. These studies have found modest benefits in reducing leg swelling, pain, and heaviness. However, direct studies on Ruscus for phlebitis (specifically inflammation of a vein, often post-infusion or post-injury) are lacking. Thus, while butcher’s broom is included in some European monographs (such as the German Commission E and ESCOP) for venous disorders, its use for phlebitis per se is an extrapolation from its benefits in chronic venous insufficiency. Safety data suggest that adverse effects are rare and generally mild.

In summary, there is some scientific validation for Ruscus in venous disorders broadly, but only indirect evidence for its use in phlebitis specifically. The overall quality and quantity of evidence remain limited, supporting a moderate evidence rating.

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