Butcher’s broom (Ruscus aculeatus) has a long history of use in traditional European medicine for circulatory disorders, particularly chronic venous insufficiency (CVI) and varicose veins. The roots contain steroidal saponins (such as ruscogenin and neoruscogenin) believed to have vasoconstrictive and anti-inflammatory effects. Several clinical studies and reviews, particularly from Europe, have evaluated standardized extracts of butcher’s broom for venous insufficiency symptoms such as leg swelling, heaviness, and discomfort—often conditions associated with varicose veins.

Research, including randomized controlled trials and meta-analyses, suggests that butcher’s broom may help reduce edema (swelling) and improve subjective symptoms of venous insufficiency. One systematic review (Cesarone et al., 2014) found that butcher’s broom extract, especially when combined with hesperidin and ascorbic acid, was more effective than placebo for relieving symptoms and reducing leg circumference. The European Medicines Agency recognizes the use of butcher’s broom for symptomatic treatment of chronic venous insufficiency. However, the studies are moderate in quality, often small in size, and sometimes use combination products, making it difficult to attribute all benefits solely to butcher’s broom.

Overall, there is moderate scientific support (evidence score: 3) for butcher’s broom in supporting venous health and managing symptoms related to varicose veins, but more high-quality research is needed to confirm these effects and establish optimal dosing.