Epimedium pubescens Maxim. Berberidaceae. Horny (sic) Goat Weed. Distribution: China. Marketed as an aphrodisiac, with the ability to act like sildenafil and for osteoporosis. Side effects reported include dizziness, dry mouth, vomiting and cardiac irregularity. It is not listed in Wiart (2006) or Wichtl (1994). Its reputation began, apparently, when a Chinese farmer observed increased sexual activity in his goats after they had been eating Epimedium. Given the enormous profits made by medicines such as sildenafil, it is indicative of its therapeutic value that it has not been taken up by a pharmaceutical company. Poor absorption from the gut and lack of information on toxicity may be responsible. It is not licensed for sale in the UK as a Traditional Herbal Remedy (Traditional Herbal Medicines Registration, January 2013) and has not been assessed or approved by the European Medicines Agency's Committee on Herbal Medicinal Products (HMPC). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Scutellaria baicalensis Georgi Lamiaceae. Baikal skullcap. Distribution: China. There are several hundred species of Scutellaria, also known as skull caps, so correct identification is important - in particular from Scutellaria lateriflora an American species known as Blue skullcap. The latter is used as an abortifacient and to expel placenta by the Cherokee and for cleaning the throat by the Iroquois (Austin, 2004). Much vaunted as a treatment for rabies with unlikely statistics (1,400 cases cured by one doctor alone). Also as ‘antispasmodic, nervine, [for] chorea, convulsions, tetanus, tremors, delirium tremens, [and as a] diaphoretic and diuretic'. Toxicity symptoms include mental confusion, stupor, headache, vertigo, photophobia, dilated pupils, difficulty in micturition, bradycardia, tremulousness and languor, followed by wakefulness and restlessness (Milspaugh, 1974). Hutchens (1991) reported that it reduces sexual desire and was used for almost every nervous illness. Scutellaria baicalensis contains baicalin, baicalein and wogonin (European Medicines Agency, September 2010). It is used in Traditional Chinese Medicine for treating inflammation, cancer, bacterial and viral infections of the lungs and gut and is one of the '50 Chinese herbs' in the lists of some authors. Scutellaria lateriflora (combined with Verbena officinalis, Passiflora incarnata and the seed of Avena sativa (oats) is licensed for use in Britain as a herbal medicine for temporary relief of mild symptoms of stress such as mild anxiety and to aid sleep, based upon traditional use only. Scutellaria baicalensis is not licensed for use in the UK (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Epimedium grandiflorum 'Lilafee'

Vitex agnus-castus var. latifolia

Ruscus aculeatus L. Ruscaceae Butchers Broom., Box holly, Knee Holly, Jew’s myrtle. Distribution: Mediterranean to Britain. Aculeatus means 'prickly' which describes the plant well. Dioscorides in 70 AD (Gunther, 1959) says of this plant ‘... ye leaves and berries drunk in wine have ye force to move urine, expel the menstrua, and to break ye stones in ye bladder ...’ and adds also ‘ ... it cures also ye Icterus and ye strangurie and ye headache.' Its use did not change for a millennium and a half

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