Evidence supporting the use of: American Elder
For the body system: Sinuses

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Synopsis

Source of validity: Traditional
Rating (out of 5): 3

American Elder (Sambucus canadensis), commonly referred to as elderberry, has a long history of traditional use in supporting respiratory health, including the sinuses. Native American and European herbal traditions have employed elderberry preparations—such as teas, syrups, and tinctures—for symptoms associated with colds, influenza, and sinus congestion. The rationale behind these uses often centers on the plant’s reputed ability to reduce inflammation and promote drainage of mucus from the sinuses.

While some modern studies have investigated elderberry’s antiviral and immune-modulating properties, these have largely focused on European elder (Sambucus nigra), which is closely related but not identical to American elder. Evidence from laboratory and a few clinical studies suggests that elderberry extracts may decrease the duration and severity of some upper respiratory symptoms, but direct, robust scientific evidence specifically linking American elder to improved sinus health is lacking. Most claims regarding sinus support rely on traditional usage and anecdotal reports rather than controlled scientific trials.

In summary, the use of American elder for sinus support is primarily justified by traditional practices and historical use, with only indirect or preliminary scientific support. Therefore, evidence strength is rated as moderate based on longstanding herbal tradition rather than strong clinical validation.

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