WHITE WILLOW ( SALIX ALBA L.) ++ SALICACEAE[MPB Duke]"Willows are handsome, fast-growing trees, useful for holding banks against flooding." ACTIVITIES (WHITE WILLOW )DOSAGES (WHITE WILLOW )

"1–2 ml bark tincture (25% alcohol) 3 r /day (APA; SKY); 20–40 mg salicin (APA); 1–3 g dry bark, or in tea, 3 r /day (CAN); 1–3 ml liquid extract (1:1 in 25% ethanol) 3 r /day (CAN); 1–2 g bark (20–40 mg salicin), two or three 380-mg capsules every 3 hours (JAD); 60–120 mg salicin per day (KOM; PIP); 2–4 Tbsp fresh bark (PED); 3–6 g dry bark (PED); 4.5 g dry bark:22 ml alcohol/23 ml water (PED); 2–3 g bark in cold water, bring to boil, steep 5 minutes (PH2), 1–5 r /day (SKY). Bosnians apply wine bark decoction to corns and warts (JLH). Cherokee take the astringent bark for alopecia, diarrhea, dyspnea, fever, and hoarseness (DEM). North Africans consider the leaves are calmative, antispasmodic, genital sedative, the bark useful for fever and rheumatism (BOU)"

DOWNSIDES (WHITE WILLOW )

Class 1. Salicylates; tannins (AHP, 1997)....excessive use, especially during lactation and pregnancy, should be avoided. Individuals with aspirin hypersensitivity, asthma, diabetes, gastrosis, gout, hemophilia, hepatosis, hypothrombinaemia, nephrosis, and peptic ulcers should be cautious with salicylates. Alcohol, barbiturates, and oral sedatives may potentiate salicylate toxicity. Beware of salicylate interaction with oral anticoagulants, methotrexate, metoclopramide, phenytoin, pronebecid, spiron olactone, and valproate. Salicylates excreted in breast milk reportedly can cause macular rashes in breast-fed babies. Salicylate toxicity may cause dermatosis, gastrosis, hematochezia, nausea, nephrosis, tinnitus, and vomiting (CAN). Excessive use of the tannin-rich bark may cause diarrhea and nausea (SKY). Still, “willow is much safer than aspirin” (SKY). Not for use during viral infections because of [remote theoretical; JAD] possibility of Reye’s syndrome (WAM).

EXTRACTS (WHITE WILLOW)

Salicylates antiaggregant, antiinflmmatory, antipyretic, antiuricosuric/uricocsuric, and hyper/ hypoglycemic. The pro-drug salicin, which does not irritate the stomach, is metabolized to saligenin in the GI tract and salicylic acid after absorption. “Products containing willow should preferably be standardized on their salicin content …” (CAN). “The analgesic actions of willow are typically slow-acting but last longer than standard aspirin products” (SKY). McCarty and Block (2006) note the potential in cancer and diabetes for IKKbeta Inhibitors like salicylic acid, found presumably in all willow species. IKKbeta Inhibitors may help reverse insulin resistance and control type-2 diabetes. Serving as IKKbeta Inhibitors in vitro are the salicylic acid, resveratrol from the biblical grape, and silybinin from milk thistle (X16880431).