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Sarsaparilla / Rough bindweed

Traditionally used for: Skin complaints such as eczema and psoriasis; Joint pain and rheumatism; Spring tonic; Mild water pill (diuretic) effect.

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What is Sarsaparilla / Rough bindweed? Sarsaparilla here means Smilax aspera, a thorny climbing vine of southern Europe. It is also called rough bindweed. The root and rhizome (underground stem) were the parts used as a remedy. Village healers in Spain, Portugal, Italy and Greece gave the root as a spring tonic. It was also used for skin rashes and joint pain. Human evidence for any of these uses is very thin. Long use in folk medicine is not proof of effect, and not proof of safety. Shop sarsaparilla is often a different plant. Most capsules and drinks use Smilax ornata or Smilax regelii from the Americas. How does Sarsaparilla / Rough bindweed work? No one has shown how Smilax aspera works in people. The ideas below come from lab and animal work, not from trials. The root holds steroidal saponins, which are soap-like plant compounds. In test tubes, saponins bind cholesterol and bile salts. Whether that changes anything inside the body is not known. In cell and animal studies, extracts of Smilax aspera appear to lower markers of inflammation. Lab tests also show antioxidant activity. These are early signals, not proof of a health effect. Folk writers called the root a blood purifier. That idea does not match how the body works. Your kidneys and liver clear waste from blood, and no herb takes over that job. What forms does Sarsaparilla / Rough bindweed come in? Sarsaparilla reaches you in a few shapes. - Dried root and rhizome, for a decoction (a simmered water extract) - Tea bags and blended tonic tea mixes - Capsules and tablets of powdered root - Liquid extracts and tinctures made with alcohol - Root beer and soft drinks, flavoured with sarsaparilla or a lab-made stand-in Check the species named on the label. Many products marked sarsaparilla hold Smilax ornata or Smilax regelii. The European plant, Smilax aspera, is less common in trade. In Spain and Italy the young shoots are eaten as a vegetable. They are cooked much like asparagus. That food use is separate from the root remedy. Where it comes from: Smilax aspera has a long record in Mediterranean folk medicine. Healers simmered the root in water and gave it in spring. It was framed as a way to clean the blood after winter. The same drink was offered for rashes and aching joints. From the 1500s, American sarsaparilla was shipped into Europe and sold against syphilis. The cheaper local vine was swapped in when the import cost too much. Later doctors found that neither plant worked for that disease. By the 1800s the root was mainly a flavouring and a pharmacy tonic. Official medicine dropped it as proof failed to appear. Country use carried on, and the flavour survived in soft drinks.

Helps

What does Sarsaparilla / Rough bindweed help with? Skin complaints such as eczema and psoriasis: This was the main folk use for the root. Healers gave it for itchy, scaly or weeping skin. There are no controlled human trials of Smilax aspera for skin disease. Old reports used American sarsaparilla species in psoriasis. Those studies were small and poorly designed. Skin problems come and go on their own. That makes personal before-and-after stories weak evidence. Joint pain and rheumatism: Tradition used the root for stiff, aching joints. It was often taken as a long spring course. In cell and animal studies, Smilax extracts appear to lower inflammation markers. Whether that helps a painful joint in a person is not known. No trial has tested the root against arthritis in people. Spring tonic and so-called blood cleansing: Rural households drank the root in spring to refresh the body. The idea was to wash out winter waste. Blood cleansing is not a real process. Your kidneys and liver already do that work every day. There is no evidence that sarsaparilla improves on them. Mild water pill (diuretic) effect: Folk texts say the root makes you pass more urine. Some users still report this. The effect has not been measured in a proper human study. Saponins are the usual explanation given, but that is a theory. If you already take a water pill, adding this is a reason to speak to your doctor first. Poor appetite and sluggish digestion: The tannins give the root a bitter, drying taste. Bitter drinks were a common European way to wake up the appetite. Bitters can trigger saliva and stomach juices. That broad effect is not specific to sarsaparilla. No trial supports this plant for digestion. Historic use against syphilis: From the 1500s to the 1800s, sarsaparilla was sold across Europe for syphilis. It did not work. The disease is treated today with antibiotics prescribed by a doctor. This entry is history only, and is not a reason to try the plant.

Sarsaparilla / Rough bindweed

Quick Facts

  • What it is: The root of Smilax aspera, a thorny Mediterranean vine used in European folk medicine as a spring tonic.
  • Main uses: Skin complaints such as eczema and psoriasis, Joint pain and rheumatism, Spring tonic, Mild water pill (diuretic) effect
  • Active ingredients: Steroidal saponins (sarsasapogenin, smilagenin), Flavonoids, Phenolic acids, Tannins
  • Forms: Dried root for decoction, Tea bags, Capsules, Tincture or liquid extract, Soft drink flavouring
  • Time to effect: Unproven; folk use judged it after two to four weeks, and it may do nothing.
  • Side effects: Mostly stomach upset; rarely rash, or wheeze after breathing the root dust.
  • Pregnancy & breastfeeding: Not studied in pregnancy; avoid unless your clinician advises otherwise.

Educational information, not medical advice — ask your doctor or midwife.

What is Sarsaparilla / Rough bindweed?

Sarsaparilla here means Smilax aspera, a thorny climbing vine of southern Europe. It is also called rough bindweed. The root and rhizome (underground stem) were the parts used as a remedy.

Village healers in Spain, Portugal, Italy and Greece gave the root as a spring tonic. It was also used for skin rashes and joint pain. Human evidence for any of these uses is very thin.

Long use in folk medicine is not proof of effect, and not proof of safety. Shop sarsaparilla is often a different plant. Most capsules and drinks use Smilax ornata or Smilax regelii from the Americas.

How does Sarsaparilla / Rough bindweed work?

No one has shown how Smilax aspera works in people. The ideas below come from lab and animal work, not from trials.

The root holds steroidal saponins, which are soap-like plant compounds. In test tubes, saponins bind cholesterol and bile salts. Whether that changes anything inside the body is not known.

In cell and animal studies, extracts of Smilax aspera appear to lower markers of inflammation. Lab tests also show antioxidant activity. These are early signals, not proof of a health effect.

Folk writers called the root a blood purifier. That idea does not match how the body works. Your kidneys and liver clear waste from blood, and no herb takes over that job.

What forms does Sarsaparilla / Rough bindweed come in?

Sarsaparilla reaches you in a few shapes.

- Dried root and rhizome, for a decoction (a simmered water extract) - Tea bags and blended tonic tea mixes - Capsules and tablets of powdered root - Liquid extracts and tinctures made with alcohol - Root beer and soft drinks, flavoured with sarsaparilla or a lab-made stand-in

Check the species named on the label. Many products marked sarsaparilla hold Smilax ornata or Smilax regelii. The European plant, Smilax aspera, is less common in trade.

In Spain and Italy the young shoots are eaten as a vegetable. They are cooked much like asparagus. That food use is separate from the root remedy.

Where it comes from:

Smilax aspera has a long record in Mediterranean folk medicine.

Healers simmered the root in water and gave it in spring. It was framed as a way to clean the blood after winter. The same drink was offered for rashes and aching joints.

From the 1500s, American sarsaparilla was shipped into Europe and sold against syphilis. The cheaper local vine was swapped in when the import cost too much. Later doctors found that neither plant worked for that disease.

By the 1800s the root was mainly a flavouring and a pharmacy tonic. Official medicine dropped it as proof failed to appear. Country use carried on, and the flavour survived in soft drinks.

Who should avoid Sarsaparilla / Rough bindweed?

  • Do not use if you are pregnant or trying to get pregnant, because safety is unknown.
  • Do not use if you are breastfeeding.
  • Do not give it to children.
  • Do not use if you have kidney disease or have had kidney stones.
  • Do not use if you take lithium.
  • Do not use if you take a water pill (diuretic), unless your doctor agrees.
  • Do not use if you are allergic to Smilax plants or have reacted to sarsaparilla before.
  • Never breathe in the dried root dust, which has triggered asthma attacks in workers.
  • Avoid it if you have asthma that flares around plant dusts.
  • Do not use it in place of treatment for an infection, eczema, psoriasis or arthritis.
  • Avoid it in the two weeks before planned surgery.

When should you see a doctor?

Stop and see a doctor if you get a rash, a wheeze, or swelling of the lips or face.

Get emergency help for trouble breathing or a tight throat. These can mean a severe allergic reaction.

See a doctor if you have blood in your urine, pain in your side or back, or you pass much less urine.

Also see a doctor if your skin or joint problem gets worse, or has not improved after a few weeks.

Is Sarsaparilla / Rough bindweed legal where you live?

In the UK, the EU and the US, sarsaparilla root is sold as a food supplement and a flavouring, not as a licensed medicine. No health claim for it is approved in these markets.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

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