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Photo: SAplants, CC BY-SA 4.0 (via Wikimedia Commons)

Milk Root

Xysmalobium undulatum

Also known as Uzara, African Milkweed, Bitterwortel, Milkwort

At a glance
Family
Apocynaceae (milkweed subfamily Asclepiadoideae)
Type
Perennial herb with milky latex sap
Parts used
Root (historically; now restricted to regulated pharmaceutical processing)
Size
Low clumping stems, roughly 12 to 24 inches tall
Bloom
Small star-shaped, purple-brown to yellow-green flowers in rounded umbels
Habitat
Open grassland and dry savanna of southern Africa
Acquisition
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Key benefits

Traditional diarrhea remedy
Historic Zulu healing root
Source of cardiac glycosides
Basis of a regulated pharmaceutical

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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Pairs well with
  • Pelargonium sidoides
  • Buchu
  • Wild garlic (Tulbaghia)
Substitutes
  • Blackberry root
  • Chamomile
Choose it when

The bitter root of the open veld, once entrusted only to healers who knew exactly how much was too much.

Did you know?

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.

Safety

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.