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

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Synopsis

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

Couch grass (Elymus repens, formerly Agropyron repens) has a long history of traditional use in Europe and other regions as a remedy for urinary tract issues, including urinary tract infections (UTIs). The rhizomes of couch grass have been utilized in folk medicine as a diuretic and soothing agent for the urinary tract. Traditional herbal references, such as those from the European Pharmacopoeia and the British Herbal Pharmacopoeia, mention couch grass as a treatment for conditions like cystitis, urethritis, and general irritation of the urinary system. The mechanism is thought to be related to its mild diuretic action, which may help flush bacteria out of the urinary tract, and its mucilaginous content, which could soothe inflamed mucous membranes. However, scientific evidence supporting these uses is limited. Few clinical studies have rigorously evaluated couch grass for UTIs, and those that exist are small or methodologically weak. Some in vitro studies suggest mild antimicrobial or anti-inflammatory activity, but these findings have not been robustly confirmed in humans. Overall, the use of couch grass for UTIs is primarily justified by longstanding traditional use rather than strong scientific validation. Thus, while it is widely included in traditional herbal blends for urinary health, anyone considering its use should consult a healthcare professional, especially if symptoms are severe or persistent.

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