Balai du Boucher, Box Holly, Fragon, Fragon Épineux, Fragon Faux Houx, Fragon Piquant, Houx Frelon, Jew's Myrtle, Knee Holly, Kneeholly, Kneeholm, Kneeholy, Oxymyrsine pungens, Petit Houx, Pettigree, Stickmyrten, Sweet Broom, Rusci Aculeati, Rusci Aculeati Rhizoma, Rusco, Ruscus aculeatus, Ruscus dumosus, Ruscus flexuosus, Ruscus laxus, Ruscus parasiticus, Ruscus ponticus.


Overview Information

Butcher's broom is a plant. The root is used to make medicine.

Butcher's broom is commonly taken by mouth for symptoms of poor blood circulation, such as pain, leg cramps, leg swelling, varicose veins, and itching. Butcher's broom is sometimes used by mouth for kidney stones, gallstones, "hardening of the arteries" (atherosclerosis), constipation and many other conditions. But there is no good scientific research to support these other uses.

Some people apply butcher's broom to the skin to reduce hemorrhoids and signs of aging, but there is no good scientific research to support these uses.

In some cultures, the roots of butcher's broom are eaten in much the same way as asparagus.

How does it work?

The chemicals in butcher's broom might cause the blood vessels to narrow or constrict. Butcher's broom might improve blood circulation in the legs by preventing blood from "pooling" in the veins.


Uses & Effectiveness?

Possibly Effective for

  • Circulatory problems (chronic venous insufficiency). Some research shows that taking butcher's broom by mouth, alone or in combination with vitamin C and hesperidin, seems to relieve the symptoms of poor circulation in the legs, such as pain, heaviness, cramps, itching, and swelling.

Insufficient Evidence for

More evidence is needed to rate the effectiveness of butcher's broom for these uses.

Side Effects

Side Effects & Safety

Butcher's broom is POSSIBLY SAFE for most people when taken by mouth for up to 3 months.

It may cause stomach upset, nausea, vomiting, diarrhea, and heartburn.

There is INSUFFICIENT EVIDENCE about the safety of butcher's broom when applied to the skin. It may cause allergic reactions.

Special Precautions & Warnings:

Pregnancy and breast-feeding: There is not enough reliable information about the safety of taking butcher's broom if you are pregnant or breast-feeding. Stay on the safe side and avoid use.



Moderate Interaction

Be cautious with this combination

  • Medications used for high blood pressure (Alpha-adrenergic antagonists) interacts with BUTCHER'S BROOM

    Butcher's broom might speed up the nervous system, increase blood pressure, and make the heart beat fast. By increasing blood pressure, butcher's broom might decrease the effectiveness of some medications used for high blood pressure.
    Some of these medications used for high blood pressure include doxazosin (Cardura), terazosin (Hytrin), and others.

  • Stimulant Medications (Alpha-adrenergic agonists) interacts with BUTCHER'S BROOM

    Butcher's broom might speed up the nervous system, increase blood pressure, and make the heart beat fast. Stimulant medications can also speed up the nervous system, increase blood pressure, and make the heart beat fast. Taking butcher's broom with stimulant medications might cause too much stimulation. This might make the blood pressure go too high or the heart beat too fast.
    Some of these stimulant medications include pseudoephedrine (Sudafed, others), ephedrine, phenylpropanolamine, and others.



The following doses have been studied in scientific research:


  • For relieving symptoms of poor circulation (chronic venous insufficiency): 150-300 mg of butcher's broom root extract, combined with 150-300 mg of hesperidin and 100-200 mg of vitamin C, two to three times/day. Taking 75 mg of butcher's broom root extract with 75 mg of hesperidin and 50 mg of vitamin C two times/day may also be used. Taking 75 mg of butcher's broom extract per day split in two doses has also been used.

View References


  • Bohmer, D. Action of Ruscus extract cream in the treatment of sports injuries. In: Vanhoutte, P. M. Return Circulation and Norepinephrine: An Update. Paris: John Libbey Euretext;1991.
  • Bouskela, E., Cyrino, F. Z., and Marcelon, G. Effects of Ruscus extract on the internal diameter of arterioles and venules of the hamster cheek pouch microcirculation. J Cardiovasc.Pharmacol 1993;22(2):221-224. View abstract.
  • Bouskela, E., Cyrino, F. Z., and Marcelon, G. Possible mechanisms for the inhibitory effect of Ruscus extract on increased microvascular permeability induced by histamine in hamster cheek pouch. J Cardiovasc.Pharmacol 1994;24(2):281-285. View abstract.
  • Boyle, P., Diehm, C., and Robertson, C. Meta-analysis of clinical trials of Cyclo 3 Fort in the treatment of chronic venous insufficiency. Int Angiol. 2003;22(3):250-262. View abstract.
  • Cluzan, R. V., Alliot, F., Ghabboun, S., and Pascot, M. Treatment of secondary lymphedema of the upper limb with CYCLO 3 FORT. Lymphology 1996;29(1):29-35. View abstract.
  • Consoli, A. [Chronic venous insufficiency: an open trial of FLEBS Crema]. Minerva Cardioangiol. 2003;51(4):411-416. View abstract.
  • Dunouau, C., Belle, R., Oulad-Ali, A., Anton, R., and David, B. Triterpenes and sterols from Ruscus aculeatus. Planta Med 1996;62(2):189-190. View abstract.
  • Jiminez Cossio, J. A., Magallon Orton, P. J., and Capilla Montes, M. T. Therapeutic test of Ruscus extract in pregnant women: evaluation of the fetal tolerance applying the pulse Doppler's method of the cord. In: Vanhoutte, P. M. Return Circulation and Norepinephrine: An Update. Paris: John Libbey Euretext;1991.
  • Lagrue, G., Behar, A., Chaabane, A., and Laurent, J. Edema induced by calcium antagonists. Effects of Ruscus extract on clinical and biological parameters. In: Vanhoutte, P. M. Return Circulation and Norepinephrine: An Update. Paris: John Libbey Euretext;1991.
  • Landa, N., Aguirre, A., Goday, J., Raton, J. A., and Diaz-Perez, J. L. Allergic contact dermatitis from a vasoconstrictor cream. Contact Dermatitis 1990;22(5):290-291. View abstract.
  • MacKay, D. Hemorrhoids and varicose veins: a review of treatment options. Altern Med Rev 2001;6(2):126-140. View abstract.
  • Mimaki, Y., Kuroda, M., Kameyama, A., Yokosuka, A., and Sashida, Y. Aculeoside B, a new bisdesmosidic spirostanol saponin from the underground parts of Ruscus aculeatus. J Nat.Prod 1998;61(10):1279-1282. View abstract.
  • Mimaki, Y., Kuroda, M., Kameyama, A., Yokosuka, A., and Sashida, Y. Steroidal saponins from the underground parts of Ruscus aculeatus and their cytostatic activity on HL-60 cells. Phytochemistry 1998;48(3):485-493. View abstract.
  • Monteil-Seurin, J. Efficacy of Ruscus extract in the treatment of the premenstrual syndrome. In: Vanhoutte, P. M. Return Circulation and Norepinephrine: An Update. Paris: John Libbey Euretext;1991.
  • Rudofsky, G. [Improving venous tone and capillary sealing. Effect of a combination of Ruscus extract and hesperidine methyl chalcone in healthy probands in heat stress]. Fortschr.Med 6-30-1989;107(19):52, 55-52, 58. View abstract.
  • Weindorf, N. and Schultz-Ehrenburg, U. [Controlled study of increasing venous tone in primary varicose veins by oral administration of Ruscus aculeatus and trimethylhespiridinchalcone]. Z.Hautkr. 1-1-1987;62(1):28-38. View abstract.
  • Archimowicz-Cyrylowska B, Adamek B, Drozdzik M, et al. Clinical effect of buckwheat herb, Ruscus extract and troxerutin on retinopathy and lipids in diabetic patients. Phytother Res 1996;10:659-62.
  • Beltramino R, Penenory A, Buceta AM. An open-label, randomized multicenter study comparing the efficacy and safety of Cyclo 3 Fort versus hydroxyethyl rutoside in chronic venous lymphatic insufficiency. Angiology 2000;51:535-44.. View abstract.
  • Bennani, A., Biadillah, M. C., and Cherkaoui, A. Acute attack of hemorrhoids: Efficacy of. Cyclo 3 Fort® based on results in 124 cases reported by specialists. Phlebologie 1999;52:89-93.
  • Blumenthal M, Goldberg A, Brinckmann J, eds. Herbal Medicine Expanded Commission E Monographs. Newton, MA: Integrative Medicine Communications, 2000.
  • Calapai G, Minciullo P, Miroddi M, et al. Contact dermatitis as an adverse reaction to some topically used European herbal medicinal products - part 3. Contact Dermatitis 2016;74:131-44. View abstract.
  • Cappelli R, Nicora M, Di Perri T. Use of extract of Ruscus aculeatus in venous disease in the lower limbs. Drugs Exp Clin Res 1988;14:277-83. View abstract.
  • Engels G. Butcher's broom. HerbalGram 2010;85:1-4.
  • European Medicines Agency. Assessment report on Ruscus Aculeatus L rhizome. EMEA/HMPC/261939/2007. London, September 4, 2008. Available at: https://www.ema.europa.eu/docs/en_GB/document_library/Herbal_-_HMPC_assessment_report/2009/12/WC500018288.pdf. Accessed September 25, 2017.
  • Huang YL, Kou JP, Ma L, Song JX, Yu BY. Possible mechanism of the anti-inflammatory activity of ruscogenin: role of intercellular adhesion molecule-1 and nuclear factor-kappaB. J Pharmacol Sci 2008;108(2):198-205. View abstract.
  • Jager, K., Eichlisberger, R., Jeanneret, C., and Lobs, K. H. Pharmacodynamic Effects of Ruscus Extract (Cyclo 3 Fort) on Superficial and Deep Veins in Patients with Primary Varicose Veins: Assessment by Duplexsonography. Clinical Drug Investigation 1999;17(4):265-73.
  • Kakkos SK, Allaert FA. Efficacy of Ruscus extract, HMC and vitamin C, constituents of Cyclo 3 fort, on improving individual venous symptoms and edema: a systematic review and meta-analysis of randomized double-blind placebo-controlled trials. Int Angiol 2017;36(2):93-106. View abstract.
  • Montorsi F, Strambi LF, Guazzoni G, et al. Effect of yohimbine-trazodone on psychogenic impotence: a randomized, double-blind, placebo-controlled study. Urology 1994;44:732-6. View abstract.
  • Parrado F, Buzzi A. A study of the efficacy and tolerability of a preparation containing Ruscus aculeatus in the treatment of chronic venous insufficiency of the lower limbs. Clin Drug Invest 1999;18(4):255-61.
  • Planta Europa (2008) A Sustainable Future for Europe; the European Strategy for Plant Conservation 2008-2014. Plantlife International (Salisbury, UK) and the Council of Europe (Strasbourg, France). Available at: https://ichn.iec.cat/ECCF/Documents%20europeus/29-gdos-2010_plant_conservation-48s.PDF. Accessed September 25, 2017.
  • Ramirez-Hernandez M, Garcia-Selles J, Merida-Fernandez C, Martinez-Escribano JA. Allergic contact dermatitis to ruscogenins. Contact Dermatitis 2006;54(1):60. View abstract.
  • Rauly-Lestienne I, Heusler P, Cussac D, et al. Contribution of muscarinic receptors to in vitro and in vivo effects of Ruscus extract. Microvasc Res 2017;114:1-11. View abstract.
  • Redman DA. Ruscus aculeatus (butcher's broom) as a potential treatment for orthostatic hypotension, with a case report. J Altern Complement Med 2000;6:539-49.. View abstract.
  • Sadarmin PP, Timperley J. An unusual case of Butcher's Broom precipitating diabetic ketoacidosis. J Emerg Med 2013;45(3):e63-e65. View abstract.
  • Vanscheidt W, Jost V, Wolna P, et al. Efficacy and safety of a Butcher's broom preparation (Ruscus aculeatus L. extract) compared to placebo in patients suffering from chronic venous insufficiency. Arzneimittelforschung 2002;52:243-250.. View abstract.

Vitamins Survey

Have you ever purchased BUTCHER'S BROOM?

Did you or will you purchase this product in-store or online?

Where did you or where do you plan to purchase this product?

Where did you or where do you plan to purchase this product?

What factors influenced or will influence your purchase? (check all that apply)

Vitamins Survey

Where did you or where do you plan to purchase this product?

Do you buy vitamins online or instore?

What factors are most important to you? (check all that apply)

This survey is being conducted by the WebMD marketing sciences department.Read More

More Resources for BUTCHER'S BROOM

CONDITIONS OF USE AND IMPORTANT INFORMATION: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. This information may not fit your specific health circumstances. Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. You should always speak with your doctor or health care professional before you start, stop, or change any prescribed part of your health care plan or treatment and to determine what course of therapy is right for you.

This copyrighted material is provided by Natural Medicines Comprehensive Database Consumer Version. Information from this source is evidence-based and objective, and without commercial influence. For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version.
© Therapeutic Research Faculty .