Plant Profile

Butcher’s Broom

Ruscus aculeatus
Family: Asparagaceae  ·  Parts used: Rhizome (underground parts)  ·  Also known as: Knee holly, Box holly, Sweet broom

The complete database record: 2 documented constituents, 2 pharmacological actions, 4 traditional / indicated uses, with 15 cited sources.

Botanical Description

Evergreen, rhizomatous subshrub (Asparagaceae), 30-80 cm tall. Unusually, its apparent 'leaves' are flattened, leaf-like stems (cladodes) - stiff, dark green, ending in a sharp spine; the true leaves are reduced to tiny scales. Small greenish-white flowers arise from the centre of the cladode, followed on female plants by a bright red berry.[5]

Height: 30-80 cm
Habit: Evergreen, rhizomatous subshrub
Leaves: True leaves reduced to tiny scales; photosynthesis occurs via leaf-like cladodes
Flowers: Small, greenish-white, borne from the centre of the cladode
Stem: Stiff, upright, with flattened spine-tipped cladodes
Root: Underground rhizome - the medicinal part
Fruit: Bright red berry (on female plants)
Flowering Period: Winter to early spring (January-April)

Habitat & Distribution

Native to the Mediterranean region and western Europe, growing in dry woodland, scrub and rocky ground, often in shade under trees.[5]

Harvesting

The underground rhizome, the medicinal part, is dug in autumn or spring from established plants.[5]

Parts: Rhizome (underground parts)
Season: Autumn or spring

Key Constituents

Steroidal saponins (spirostanol and furostanol)[5, 10]

Aglycones ruscogenin and neoruscogenin carry the vasoconstrictive and venotonic activity.

Saponins
Phytosterols and flavonoids[5, 6]

Supporting constituents of the rhizome.

PhytosterolsFlavonoids

Pharmacological Actions

Anti-oedematous (reduces swelling)[2, 4, 5, 12, 14]

Anti-oedematous (reduces leg swelling)

Venotonic / vasoprotective[1, 2, 3, 4, 5, 7, 9, 11, 14, 15]

Venotonic / vasoconstrictive support for chronic venous insufficiency (heavy, tired, swollen legs and varicose veins) - a meta-analysis of a Ruscus-based combination (with hesperidin methyl chalcone and vitamin C) significantly reduced pain, cramps, heaviness and paraesthesia versus placebo

Traditional & Indicated Uses

Haemorrhoids[5, 14]Preliminary · 2/10

Relief of haemorrhoid symptoms

Mechanistic Exclude Ids: REF-1558
Evidence: 2
Label: Haemorrhoids

more plants for haemorrhoids →detailed sources →

Pain (general)[5, 14, 15]Good · 7/10

Venotonic / vasoconstrictive support for chronic venous insufficiency (heavy, tired, swollen legs and varicose veins) - a meta-analysis of a Ruscus-based combination (with hesperidin methyl chalcone and vitamin C) significantly reduced pain, cramps, heaviness and paraesthesia versus placebo

Evidence: 7
Label: Pain (general)

more plants for pain (general) →detailed sources →

Swelling / fluid retention[5, 14]Preliminary · 2/10

Anti-oedematous (reduces leg swelling)

Mechanistic Exclude Ids: REF-1558
Evidence: 2
Label: Swelling / fluid retention

more plants for swelling / fluid retention →detailed sources →

Varicose veins[5, 11, 12, 14, 15]Good · 8/10

Venotonic / vasoconstrictive support for chronic venous insufficiency (heavy, tired, swollen legs and varicose veins) - a meta-analysis of a Ruscus-based combination (with hesperidin methyl chalcone and vitamin C) significantly reduced pain, cramps, heaviness and paraesthesia versus placebo

Evidence: 8
Label: Varicose veins

more plants for varicose veins →detailed sources →

Traditional Use & History

Butcher's broom takes its name from the traditional use of its stiff, bristly stems bundled together as a broom by butchers. Medicinally its rhizome has a long European tradition, and modern use, supported by clinical trials, is for chronic venous insufficiency (heavy, tired, swollen legs, varicose veins) and haemorrhoids, reflecting its steroidal-saponin-driven venotonic and vasoconstrictive activity.[5, 14]

Preparations

Standardised extract (capsule/tablet)[5, 14]

The clinically studied commercial form, often combined with hesperidin methyl chalcone and vitamin C.

Topical cream/gel[14]

Rhizome extract applied to affected areas for haemorrhoid symptoms.

Dosage

Standardised extract[5, 14]

Clinical trials for venous insufficiency have most often used standardised rhizome extract in combination products (e.g. with hesperidin methyl chalcone and vitamin C), typically providing the equivalent of roughly 72-150 mg of ruscogenins daily. Educational reference only, not a prescription.

Safety, Cautions & Contraindications

Safety note[5, 14]Info

Generally well tolerated; occasional mild gastrointestinal upset is the main reported effect.

Safety note[5]Caution

Because it is vasoconstrictive, use with caution if you have high blood pressure or take circulatory medicines; safety in pregnancy and breastfeeding is not established, so avoid medicinal doses.

Harvest Readiness

[13]

Part: rhizome
Signals: Dig the rhizome and root in autumn.
Basis: traditional
Source Quote: The root is harvested in the autumn and dried for later use
Species Confirmed: 1
Notes: PFAF (REF-3329); the rhizome and root are dug in autumn. Single lineage -> provisional.

External Identifiers

References & Sources

  1. (Alternative Medicine Review) (2001) 'Ruscus aculeatus (butcher's broom). Monograph', Alternative Medicine Review, 6(6), pp. 608-612. Meta-analysis / review
    https://scholar.google.com/scholar?q=Ruscus%20aculeatus%20%28butcher%27s%20broom%29.%20Monograph
  2. Vanscheidt, W., Jost, V., Wolna, P., Lucker, P.W. and others (2002) 'Efficacy and safety of a Butcher's broom preparation (Ruscus aculeatus L. extract) compared to placebo in patients suffering from chronic venous insufficiency', Arzneimittel-Forschung, 52(4), pp. 243-250. doi:10.1055/s-0031-1299887 Randomized trial
    https://doi.org/10.1055/s-0031-1299887
  3. Allaert, F.A (2016) 'Combination of Ruscus aculeatus extract, hesperidin methyl chalcone and ascorbic acid: a comprehensive review of their pharmacological and clinical effects and of the pathophysiology of chronic venous disease', International Angiology, 35(2), pp. 111-116. Meta-analysis / review
    https://scholar.google.com/scholar?q=Combination%20of%20Ruscus%20aculeatus%20extract%2C%20hesperidin%20methyl%20chalcone%20and%20ascorbic%20acid%3A%20a%20comprehensive%20review%20of%20their%20pharmacological%20and%20clinical%20effects%20and%20of%20the%20pathophysiology%20of%20chronic%20venous%20disease
  4. Jawien, A., Bouskela, E., Allaert, F.A. and Nicolaides, A.N (2017) 'The place of Ruscus extract, hesperidin methyl chalcone, and vitamin C in the management of chronic venous disease', International Angiology, 36(1), pp. 31-41. doi:10.23736/S0392-9590.16.03788-3 Meta-analysis / review
    https://doi.org/10.23736/S0392-9590.16.03788-3
  5. Masullo, M., Pizza, C. and Piacente, S (2016) 'Ruscus Genus: A Rich Source of Bioactive Steroidal Saponins', Planta Medica. doi:10.1055/s-0042-119728 Traditional / reference
    https://doi.org/10.1055/s-0042-119728
  6. Rodrigues, J.P.B., Fernandes, A., Dias, M.I., Pereira, C. and others (2021) 'Phenolic Compounds and Bioactive Properties of Ruscus aculeatus L. (Asparagaceae): The Pharmacological Potential of an Underexploited Subshrub', Molecules, 26(7), pp. 1882. doi:10.3390/molecules26071882 Preclinical
    https://doi.org/10.3390/molecules26071882
  7. Redman, D.A (2000) 'Ruscus aculeatus (butcher's broom) as a potential treatment for orthostatic hypotension, with a case report', Journal of Alternative and Complementary Medicine, 6(6), pp. 539-549. doi:10.1089/acm.2000.6.539 Clinical study
    https://doi.org/10.1089/acm.2000.6.539
  8. Chakuleska, L., Michailova, R., Shkondrov, A., Manov, V. and others (2019) 'Bone protective effects of purified extract from Ruscus aculeatus on ovariectomy-induced osteoporosis in rats', Food and Chemical Toxicology, 132, pp. 110668. doi:10.1016/j.fct.2019.110668 Preclinical
    https://doi.org/10.1016/j.fct.2019.110668
  9. Nocera, R., Eletto, D., Santoro, V., Parisi, V. and others (2023) 'Design of an Herbal Preparation Composed by a Combination of Ruscus aculeatus L. and Vitis vinifera L. Extracts, Magnolol and Diosmetin to Address Chronic Venous Diseases through an Anti-Inflammatory Effect and AP-1 Modulation', Plants, 12(5), pp. 1051. doi:10.3390/plants12051051 Preclinical
    https://doi.org/10.3390/plants12051051
  10. Vlase, L., Kiss, B., Balica, G., Tamas, M. and others (2009) 'High-throughput LC/MS/MS analysis of ruscogenin and neoruscogenin in Ruscus aculeatus L', Journal of AOAC International, 92(4), pp. 1055-1059. doi:10.1093/jaoac/92.4.1055 Preclinical
    https://doi.org/10.1093/jaoac/92.4.1055
  11. Bencsik, T., Balazs, V.L., Farkas, A., Csikos, E., Horvath, A., Acs, K., Kocsis, M., Dosedel, M., Fialova, S.B., Czigle, S., Nagy, M., Toth, J., Protti, M., Mercolini, L., Mladenka, P., Szentpeteri, J. and Horvath, G (2024) 'Herbal drugs in chronic venous disease treatment: An update', Fitoterapia, 179, pp. 106256. doi:10.1016/j.fitote.2024.106256 Clinical study
    https://doi.org/10.1016/j.fitote.2024.106256
  12. Lichota, A., Gwozdzinski, L. and Gwozdzinski, K (2019) 'Therapeutic potential of natural compounds in inflammation and chronic venous insufficiency', European Journal of Medicinal Chemistry, 176, pp. 68-91. doi:10.1016/j.ejmech.2019.04.075 Preclinical
    https://doi.org/10.1016/j.ejmech.2019.04.075
  13. Plants For A Future 'Ruscus aculeatus (Butcher's Broom)'. Available at: https://pfaf.org/user/Plant.aspx?LatinName=Ruscus+aculeatus Traditional / reference
    https://pfaf.org/user/Plant.aspx?LatinName=Ruscus+aculeatus
  14. Bylka, W. and Kornobis, J (2005) 'Butcher's Broom, in the treatment of venous insufficiency', Polski Merkuriusz Lekarski. Preclinical
    https://scholar.google.com/scholar?q=Butcher%27s%20Broom%2C%20in%20the%20treatment%20of%20venous%20insufficiency
  15. Boyle, P., Diehm, C. and Robertson, C (2003) 'Meta-analysis of clinical trials of Cyclo 3 Fort in the treatment of chronic venous insufficiency', International Angiology, 22(3), pp. 250--262. Meta-analysis / review
    https://scholar.google.com/scholar?q=Meta-analysis%20of%20clinical%20trials%20of%20Cyclo%203%20Fort%20in%20the%20treatment%20of%20chronic%20venous%20insufficiency

This fact sheet is generated automatically from the Omnia Sana plant database and reflects its latest synced data. It is provided for educational purposes only and is not medical advice. How this site is built.

Selected studies & references

Educational use only. This profile summarises traditional and scientific sources for reference. It is not medical advice and not a substitute for a qualified practitioner. Some plants carry safety cautions and drug interactions - always check before use.
This profile is assembled automatically from the Omnia Sana plant database, which we curate by hand. How this site is built.
← Browse all plants