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Black haw
Description
Black haw (Viburnum prunifolium ), is a shrub or small tree with serrated oval leaves. Its white flowers and dark
berries occur in clusters. The stem bark of black haw is approved for use in foods in the United States. It is
native to the woodlands of temperate and subtropical parts of North America, Europe, and Asia. Its other
names are stag-bush and American sloe. Black haw belongs to the same genus as the guelder rose Viburnum
opulus which is also known as cramp bark . The two are sometimes used interchangeably and have similar
properties, but black haw is more specific in its effects on the uterus. The actions of black haw are described
as antispasmodic, sedative, astringent, muscle relaxant, cardiotonic, uterine relaxant, and anti-inflammatory.
General use
Black haw has been used traditionally for problems related to the female reproductive tract. It acts as a general
antispasmodic that may relax skeletal muscle as well, but is particularly effective on the uterus. As such, it is a
potential agent to be included in the treatment of threatened miscarriage, menstrual cramps, false labor, and
the afterpains of childbirth . The antispasmodic properties of black haw are also reportedly useful for colic ,
bladder spasms, cramping pain in the bile ducts, diarrhea , and heavy bleeding during menopause . Black
haw may also have some ability to lower high blood pressure.
The most common use of black haw is as an antispasmodic for menstrual pain. To relax the uterus and relieve
menstrual cramping, the most commonly recommended dose is 5 mL (1tsp) of the tincture in water, taken three
to five times daily as needed. Tinctures of black haw are generally prepared by placing an ounce of fresh herb
in an ounce of 50% alcohol, and steeping the mixture for six weeks. Alcohol may extract certain chemical
components of the herb more or less strongly than water does, so tinctures may exert different levels of activity
than teas (generally the least strong preparations) or infusions. Tinctures and other preparations of black haw
are commercially available from some herbalists or health food stores.
Black haw is sometimes used to prevent chronic miscarriage. It has been similarly utilized for the condition of
irritable uterus occurring in late pregnancy . The reported nervine (nerve-calming) effect of black haw may be
useful in addition to its spasmolytic properties. One recommended dose for these indications is 12 cups of tea
per day as soon as pregnancy is diagnosed. Alternatively, the patient may take 0.5 cup per day of an infusion
of black haw. A tea can be prepared with 1 tsp of dried herb in 1 cup of boiling water, steeped for up to 20
minutes. An infusion is prepared by putting 1 oz of black haw in a pint jar, filling the jar with boiling water, and
steeping for eight hours. This preparation is thought to act as a uterine relaxant but will not prevent a
miscarriage due to abnormalities in the fetus or placenta. Women should consult a health care practitioner
knowledgeable about herbal use in pregnancy before using black haw or any other herbal remedy when
pregnant.
For afterpains following childbirth, 1 oz of black haw or cramp bark can be combined with 0.5 oz of blue
cohosh root and 0.25 oz of dried hops flowers. The mixture of herbs is steeped in a quart of boiling water for
eight hours to make an infusion for the relief of uterine pain. This combination is also said to aid milk
production and encourage sleep. Small amounts of the infusion are taken as needed.
One of the historical uses of black haw was for the relief of asthma . Evidence from contemporary clinical
studies does not support this use, although black haw's activity as a smooth muscle relaxant could theoretically
relieve bronchoconstriction. On the other hand, some components of black haw, particularly the salicylates,
have the potential to trigger an asthmatic reaction in sensitive individuals. Asthma is a serious condition that
should be monitored and managed by a health care provider. Conventional medications are available that are
generally safe and proven effective to control asthma.
Preparations
The bark of the branches and roots of the plant contain the pharmacologically active ingredients of black haw.
These components include salicyclic acid, salicin, oxalic acid, tannins, and scopoletin. The latter ingredient is
probably the uterine relaxant. The salicylate constituents would contribute to black haw's anti-inflammatory

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effects. The root bark should be harvested only in the fall. Bark from the branches may be used either in spring
or fall.
Fresh plant material from the shrub may be grown or purchased to make teas, tinctures, or infusions. Some of
these remedies are described above. These preparations may also be commercially available from
professional herbalists or specialty stores.
Precautions
People who are allergic to aspirin could theoretically have a reaction to black haw, as one of its components is
a salicylate (compound related to aspirin). Bleeding time may also be prolonged as a result in patients who
take high chronic doses of black haw. Patients with a history of kidney stones should not use this herb, as the
oxalic acid it contains could increase the risk of a recurrence of the disorder.
Some sources say that black haw should not be used in pregnancy. Women should consult a health care
practitioner experienced in the use of natural remedies for advice on the use of black haw for the prevention of
miscarriage or other possible indications for pregnancy.
Side effects
This species of Viburnum has not been well-studied in regard to its efficacy, side effects, or safety, although it
has centuries of traditional use in humans.
Interactions
There are no identified interactions of black haw with foods, other herbs, or standard medications.
Resources

BOOKS
Chevallier, Andrew. The Encyclopedia of Medicinal Plants. New York: DK Publishing, Inc., 1996.
Jellin, J.M., F. Batz, and K. Hitchens. Pharmacist's Letter/Prescriber's Letter Natural Medicines Comprehensive
Database. Stockton, CA: Therapeutic Research Faculty, 1999.
Ody, Penelope. The Complete Medicinal Herbal. New York: DK Publishing, Inc., 1993.
Weed, Susun. Wise Woman Herbal for the Childbearing Year. Woodstock, NY: Ash Tree Publishing, 1986.
Judith Turner