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Gotu Kola (Centella asiatica) - Gotu kola has been used as a medicinal herb for thousands of years in India, China and Indonesia. Its ability to heal wounds, improve mental clarity, and treat skin conditions such as leprosy and psoriasis were important reasons for its extensive use in these countries. It has also been called one of the "miracle elixirs of life" because legend has it that an ancient Chinese herbalist lived for more than 200 years as a result of using the herb. Historically, gotu kola has also been used to treat syphilis, hepatitis, stomach ulcers, mental fatigue, epilepsy, diarrhea, fever, and asthma. Today, American and European herbalists use gotu kola for disorders that cause connective tissue swelling, such as scleroderma, psoriatic arthritis (arthritis occurring in conjunction with psoriasis), anklylosing spondylitis (arthritis of the spine), and rheumatoid arthritis. Recent studies confirm some of the traditional uses and also suggest possible new applications for gotu kola, such as lowering high blood pressure, treating venous insufficiency (pooling of blood in the veins, usually in the legs, boosting memory and intelligence, easing anxiety, and speeding wound healing. Medicinal Uses and Indications Treatment Wound Healing and Skin Lesions Gotu kola contains triterpenoids, compounds that have been shown to aid in wound healing. For example, animal studies indicate that triterpenoids strengthen the skin, increase the concentration of antioxidants in wounds, and restore inflamed tissues by increasing blood supply. Because of these properties, gotu kola has been used externally for burns, psoriasis, prevention of scar formation following surgery, recovery from an episiotomy following vaginal delivery of a newborn, and treatment of external fistulas (a tear at or near the anus). Venous Insufficiency and Varicose Veins When blood vessels lose their elasticity, blood pools in the legs and fluid leaks out of the blood vessels, causing the legs to swell (venous insufficiency). In a study of 94 people with venous insufficiency, those who took gotu kola reported a significant improvement in symptoms compared to those who took placebo. In another study of people with varicose veins, ultrasound examination revealed improvements in the vascular tone of those who took gotu cola. High Blood Pressure In a study of people with heart disease and high blood pressure, those who took abana (an Ayurvedic herbal mixture containing gotu kola) experienced a significant reduction in diastolic blood pressure (pressure on blood vessels when the heart is at rest) compared to those who took placebo. Further studies are needed to determine whether gotu kola alone, some other herb in the Ayurvedic mixture, or the particular combination of all the herbs in the remedy is responsible for the beneficial effect. Anxiety Triterpenoids (active compounds in gotu kola) have been shown to soothe anxiety and boost mental function in mice. A recent study found that people who took gotu kola were less likely to be startled by a novel noise (a potential indicator of anxiety) than those who took placebo. Although the results of this study are somewhat promising, the dose used in this study was extremely high, making it difficult to draw any conclusions about how gotu kola might be used by people with anxiety. Scleroderma One study involving 13 females with scleroderma found that gotu kola decreased joint pain, skin hardening, and improved finger movement. |
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