Synopsis

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

Ruscus, particularly Ruscus aculeatus (commonly known as butcher’s broom), has a history of use in traditional herbal medicine for circulatory disorders, but its use for varicose veins is also supported by modern scientific evidence. Clinical studies and systematic reviews have evaluated standardized extracts of Ruscus (often combined with hesperidin methylchalcone and ascorbic acid) for chronic venous insufficiency (CVI), a condition closely related to varicose veins. These studies indicate that Ruscus extract can improve symptoms such as leg swelling, heaviness, and discomfort, which are commonly associated with varicose veins and venous insufficiency. The active constituents, mainly ruscogenins, are believed to exert venotonic effects—improving venous tone and possibly reducing capillary permeability and fragility. Several randomized controlled trials have reported that Ruscus extract is more effective than placebo in reducing symptoms of CVI, and some European guidelines consider it among the venoactive drugs recommended for these conditions. However, while the evidence is promising and exceeds that for many other herbal remedies, most studies are of moderate methodological quality, and more high-quality research is needed for definitive conclusions. Overall, Ruscus is both a traditional and scientifically supported remedy for venous insufficiency and varicose vein-related symptoms, meriting a moderate evidence rating.

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