Diuretics

Diuretics are agents (both herbs and drugs), that help the body to rid itself of excess fluids
by increasing the rate of urine production by the kidneys. The accumulation of excess fluids in tissues, known as
edema, is symptomatic of a wide range of heart, kidney, liver, and other disorders. Such disorders must be addressed,
but diuretics may be used in conjunction with other herbs. Many diuretics alter the excretion of electrolytes by the
kidneys; these electrolytes, such as sodium and potassium salts, are involved in many body processes including the
regulation of blood pressure, nerve impulse transmission and muscle contraction. An electrolyte is a chemical
that, when dissolved in a suitable solvent, forms a medium that conducts an electric current.

In Herbal Medicine, with its ancient traditions, the term diuretic has come to imply a herb that has some sort of beneficial action on the urinary system. Thus not only are diuretics as such included, but can also urinary demulcents and anti-inflammatory
remedies. This can, regrettably, lead to confusion when selecting remedies for a particular individual. Hopefully what
follows will clarify this situation to some degree.

How do Diuretics Work

If we limit ourselves to the strict
sense of the word, there appear to be two broad groups, those that increase kidney blood flow and those that reduce
the water reabsorption in the nephrons of the kidney.


The first group includes not only diuretics such as Broom
but all the herbs that are cardio-active and circulatory stimulants. These increase the blood flow in the kidney by effects
on the heart or elsewhere in the body. Because there is more blood passing through the kidney, more urine is
produced. Caffeine-containing herbs such as Kola, Guarana, Tea and Coffee also have this effect


* The second group work in a number of different ways, but they cause diuresis be cause some of their constituents are secreted
via the kidney. This may change the osmotic balance causing more water to be lost. This appears to be the case
with Dandelion Leaf, Couch grass and Corn silk. Others work by irritating there absorption mechanism in some way,
either through volatile oils, saponins or alkaloids.


Varieties of “Diuretic”

In addition to the herbs that
have a markedly diuretic impact, there are others called “diuretics” that have other than a primarily diuretic effect
upon the kidneys. The phytotherapist has the option to reduce inflammation through demulcents and
anti-inflammatories. Infection can be treated directly through “diuretics” that are anti-microbial. Similarly, if these
problems are associated with stone formation there are plants known as anti-lithics, discussed in the section on
calculus.

Anti-inflammatory: Celery Seed, Cleavers, Corn Silk, Couch grass, Gravel Root

Anti-Lithic:
Gravel Root, Hydrangea, Stone Root

Anti-microbial: Bearberry, Buchu, Couch grass, Juniper,
Yarrow

Astringent: Agrimony, Bearberry, Broom, Horsetail, Kola, Yarrow

Demulcent: Bearberry,
Corn Silk, Couch grass, Stone Root

Diuretics for Different Parts of the Body

The core of the model
used throughout this book is that each herb has a range of actions and that some have specific system and organ
affinities. The fundamental importance of both the urinary system and diuretics, emphasize the possibilities if secondary
actions and system affinity is taken into account. To clarify this consider the following:


Circulatory system:
As already pointed out, the cardio-active remedies have a diuretic effect because they increase blood flow
through the kidneys. Remedies for this system include Lily of the Valley, Broom, Dandelion and Yarrow. The first two are cardio-active and the others are tonic. All diuretics help remove water from the body and can be of benefit for the cardiovascular system. Care should be taken to ensure the right ones are used in the specific condition being treated. Broom should not be used in high blood pressure, for example.


Respiratory system: If pulmonary congestion is occurring due to heart problems, then most of the diuretics will be of value.
Remedies that have an affinity for this system include Boneset, Cleavers, Elder, Yarrow and Eucalyptus.



Digestive system
: Some of the laxative herbs act as diuretics as well. Here we can mention Agrimony, Blue Flag,
Boldo, Borage, Celery Seed, Dandelion, Parsley, Pumpkin Seed.


Reproductive system: The antiseptic
diuretics often work in the same way on the reproductive system. Of special relevance is Bearberry. Saw Palmetto is
a mild diuretic.

Muscles and skeleton: Because of their cleansing action, many diuretics help in problems
of muscles and bones. Boneset, Celery Seed, Yarrow and Gravel Root are but a few.

Nervous system: Borage
and Bugleweed are the only real diuretics to impact the nervous system directly. However, if there is much tension,
using a nervine to relax may allow more urine to be passed.

Skin: All the diuretics potentially help the skin
by an inner cleansing process. Especially important are Cleavers, Couch grass and Dandelion. An important point is
that some diuretics act as diaphoretics when drunk hot.



A Selection of Important Diuretics

















































































Agrimony

Agrimonia eupatoria

Elder

Sambucus nigra

Bearberry

Arctostaphylos uva-ursi

Gravel Root

Eupatorium purpureum

Blue Flag

Iris versicolor

Hawthorn

Crataegus spp.

Boldo

Peumus boldo

Juniper

Juniperus communis

Boneset

Eupatorium perfoliatum

Kola

Kola vera

Broom

Sarothamnus scoparius

Lily of the Valley

Convallaria majalis

Buchu

Barosma betulina

Linden

Tilia europaea

Bugleweed

Lycopus europaeus

Parsley

Petroselinum crispum

Burdock

Arctium lappa

Saw Palmetto

Serenoa serrulata

Celery Seed

Apium graveolens

Sea Holly

Eryngium maritimum

Cleavers

Galium aparine

Stone Root

Collinsonia canadensis

Corn Silk

Zea mays

Wild Carrot

Daucus carota

Couchgrass

Agropyron repens

Yarrow

Achillea millefolium

Dandelion lf.

Taraxacum officinalis



David L. Hoffmann BSc Hons MNIMH Written by David L. Hoffmann BSc Hons MNIMH

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