
Photo: SAplants, CC BY-SA 4.0 (via Wikimedia Commons)
Milk Root
Xysmalobium undulatum
Also known as Uzara, African Milkweed, Bitterwortel, Milkwort
Key benefits
✦Traditional uses
✦For generations, traditional healers among the Zulu, Xhosa, and Sotho peoples of southern Africa dug the tuberous root of this grassland plant and brewed it into a bitter decoction for stubborn diarrhea and dysentery. Its milky sap and gnarled root made it easy to recognize among the region's healers, who passed the knowledge of its use down carefully, aware of its strength. In the early twentieth century, German researchers studying the root isolated its active cardiac glycosides and turned it into a standardized pharmaceutical extract that is still sold in some countries today as a tightly dosed, over-the-counter treatment for acute diarrhea. That journey from veld to pharmacy shelf makes milk root one of the few southern African traditional medicines to become a mainstream regulated drug, precisely because its potency demanded that kind of care.
How to grow & use it
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Traditional remedies and step-by-step preparations, a complete growing guide, and how to harvest, dry, and store it, all unlocked with HerbLens Unlimited.
- ✦Remedies & preparations
- ✦ Growing guide
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“The bitter root of the open veld, once entrusted only to healers who knew exactly how much was too much.”
Milk root's cardiac glycosides, uzarin and xysmalorin among them, were studied so thoroughly by early twentieth century pharmacologists that the plant gave its African name, uzara, directly to the regulated diarrhea medicine still manufactured from it today.
Milk root's cardiac glycosides make it dangerous to eat as a raw root or home preparation, capable of causing nausea, vomiting, and life-threatening heart rhythm disturbances. It is especially risky for anyone with heart disease or taking digoxin or other heart medications, and it must be avoided during pregnancy, breastfeeding, and in children. Never gather, dry, or prepare this root at home; regulated pharmaceutical extracts are dosed under strict medical control and are not comparable to a home tea or tincture.