Psyllium Health Article

Description

Psyllium is a seed used for medicinal purposes taken from the common fleawort, Plantago psyllium. There are about 250 species of the genus Plantago found worldwide; they belong to the Plantaginaceae family. The most common species producing seed for medicinal use, in addition to P. psyllium, are P. afra, P. isphagula, P. ovata, and P. indica.

Psyllium is extensively cultivated in many parts of the world. Shrubby perennial plants with narrow green leaves put up spikes of small flowers that mature into seedpods. The seeds and husks are harvested and used in healing. The seeds are small (1.5–2 cm) and brown or reddish-brown.

Psyllium has been used in Ayurvedic medicine in India and in traditional Chinese medicine for thousands of years. It has also been used in Europe for many years, but it has become common in North American healing only near the end of the twentieth century.

General use

Psyllium has three major uses that have been well documented by modern scientific research. These include the treatment of diarrhea, the relief of constipation,

and the lowering of serum cholesterol levels. Psyllium also has other uses in folk medicine that have not been scientifically documented.

Psyllium seed is high in dietary fiber, making it a good bulk laxative for treating chronic constipation. It is also used to soften stools and ease bowel movements after operations involving the anus and rectum, when hemorrhoids or anal fissures are present; or during pregnancy to lessen the strain of bowel movements.

Psyllium seeds are coated with a substance called mucilage that swells or "bulks up" when exposed to water. This extra volume stimulates the movement of material through the bowel. In addition, the moist, gummy mucilage lubricates the lining of the intestine. Both United States health authorities and the German Federal Health Agency's Commission E, established in 1978 to independently review and evaluate scientific literature and case studies pertaining to herb and plant medications, approve the use of psyllium to treat constipation.

Although it may at first seem contradictory, psyllium is also used to treat diarrhea and bouts of irritable bowel syndrome, a condition in which periods of diarrhea alternate with periods of constipation. As psyllium passes through the intestines, it absorbs water. This reduces the amount of fluid in the bowel and helps to control diarrhea. Both United States health authorities and the German Commission E have approved the use of psyllium to treat diarrhea.

German health authorities approved the use of psyllium to reduce serum cholesterol levels in the early 1990s, while the U. S. Food and Drug Administration (FDA) did not permit health claims to be made for psyllium content in foods until 1997. In that year, the FDA reviewed several scientific studies indicating that a daily intake of 10.2 grams of psyllium seed husk, combined with a diet low in saturated fats, consistently lowered blood cholesterol levels. A recent Canadian study confirmed the FDA's daily intake recommendation. Moreover, an improvement in the ratio of high-density lipoproteins (HDL, or "good" cholesterol) to low-density lipoproteins (LDL, or "bad" cholesterol) occurs when psyllium is used on a daily basis. The beneficial effects of psyllium on blood cholesterol levels, however, are somewhat affected by sex and age. Other surveys have found that wellness programs in which psyllium intake is one component of personalized behavioral change recommendations are more effective in lowering blood cholesterol than simply taking psyllium by itself.

In addition to these approved therapeutic uses, psyllium is used in traditional Chinese medicine to treat stomach and intestinal ulcers, heartburn, and to help manage non-insulin dependent (type 2) diabetes. One Western study showed that psyllium taken before meals reduced the rise in blood glucose that occurred after eating, suggesting a valid role for psyllium in diabetes management. Additional studies are being undertaken.

In Ayurvedic medicine, psyllium is used to cleanse the body by absorbing toxins in the large intestine so that they can be eliminated from the body. Some herbalists believe this action helps reduce the risk of colon cancer. Psyllium is also used by Ayurvedic practitioners to treat urethritis.