Evidence supporting the use of: Buchu
For the health condition: Urinary Tract Infections

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Synopsis

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

Buchu (Agathosma betulina and related species) has a long history of traditional use in South African herbal medicine, particularly by the Khoisan and other indigenous peoples, for the treatment of urinary tract infections (UTIs), kidney ailments, and other urinary issues. European settlers adopted buchu in the 19th century, and it became popular as a remedy for urinary problems in Western herbalism as well. The leaves are typically made into teas, tinctures, or extracts. The rationale for its use is primarily based on its diuretic and mild antiseptic properties, attributed to volatile oils like diosphenol (barosma camphor) and flavonoids.

Despite its traditional reputation, scientific validation for buchu's effectiveness in treating UTIs is limited. A few laboratory studies have indicated some antimicrobial activity of buchu extracts against common urinary pathogens, but clinical trials in humans are lacking. There is insufficient evidence to recommend buchu as a primary or adjunctive therapy for UTIs according to modern medical standards. Safety data is also limited, and high doses may be toxic. Overall, while buchu’s use for UTIs is well-rooted in tradition and has some plausible mechanisms, robust scientific evidence is lacking.

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