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ESPINHEIRA SANTA
Family: Celastraceae
Genus: Maytenus
Species: ilicifolia
Common Names: Espinhera Santa, Cancerosa, Cancrosa, Chuchuwasi, Maiteno, Limaosinho
Parts Used: Leaves, Bark, Roots
DESCRIPTION
Properties/Actions:
Antacid, Antibiotic, Analgesic, Anti-asthmatic, Anti-bacterial, Anti-cancerous, Anti-tumorous, Anti-septic, Anti-ulcerogenic, Cicatrizant, Detoxifier, Disinfectant, Diuretic, Laxative, Stomachic, Tonic
Phytochemicals:

4'-methyl-(-)-epigallocatechin, 6-benzoyl-6-deacetylmayteine, 22-hydroxytingenone, Maytansine, Maytenin, Pristimerine, phenoldienones, Tingenone, and proanthocyanidins (Ouratea-proanthocyanidins A and B)

Traditional Remedy:
One-half cup leaf decoction 2-3 times daily or 2-3 ml of a 4:1 tincture twice daily with meals. 2 -3 grams of leaf powder in tablets or capsules or stirred into juice or water 1-2 times daily can be substituted if desired. See Traditional Herbal Remedies Preparation Methods page if necessary for definitions.
ETHNOBOTANY: WORLDWIDE USES
Argentina
Cancer, Tea
Brazil
Cancer, Analgesic, Ulcers, Aperitif, Aphrodisiac Astringent, Cicatrizant, Intestine Stomachic, Tea, Tonic
Elsewhere
Anti-arthritic, Anti-rheumatic, Aphrodisiac, Cancer, Diuretic, Tonic, Tea
Paraguay
Anti-fertility, Aphrodisiac, Contraceptive
Espinheira Santa is a small shrubby evergreen tree growing to 5 meters in height with leaves and berries that resembles holly. It is native to many parts of South America and southern Brazil and it is even found in city landscapes for its attractive holly-like appearance. With over 200 species of Maytenus distributed in temperate and tropical regions throughout South America and the West Indies, there are many Maytenus species that are indigenous to the Amazon region which have been used medicinally by indigenous tribes, including Chuchuhuasi (Maytenus krukovii and M. laevis).(1)
Espinheira Santa (Maytenus ilicifolia) has a much longer and well documented history of use in urban areas and in South American herbal medicine practices than in tribal areas, probably because of the types of illnesses that it treats. It is also one of the few tropical South American medicinal plants that have been the subject of so many clinical studies, fueled by its effectiveness in treating ulcers and even cancer with research beginning as early as the mid-1960's.(2, 3) Early research revealed that Espinheira Santa as well as a few other species in the Maytenus family contain anti-biotic compounds which showed potent anti-tumor and anti-leukemic activities at very low dosages.(4 - 8) Two of these compounds, maytansine and mayteine, were tested in cancer patients in the United States and South America in the 1970's.(9 - 13) Although there were some significant regressions in ovarian carcinoma and some lymphomas with Maytansine, (11) further research was not continued due to the toxicity at the dosages used.(14) Research with the compound Mayteine, revealed little to no toxicity (6, 9, 10) and validated its uses in traditional and folk medicine for various types of skin cancers (3, 15) and cancer research is still ongoing in South America with this compound. In traditional medicine today, an application of the leaves of Espinheira Santa is employed as an ointment for treating skin cancer and a decoction as a wash for cancers.(16)
Although Espinheira Santa is still employed in traditional medicine for various types of cancer, its most popular use has been for the treatment of ulcers, indigestion, chronic gastritis, and dyspepsia with a long recorded history of use for these purposes dating back to the 1930's.(17) In Brazilian traditional medicine, Espinheira Santa is described as an excellent analgesic, disinfectant, tonic and cicatrizant and as the leading remedy for gastritis, ulcers and other stomach disorders.(18) Western researchers have once again validated these traditional uses within the last ten years. It's potent anti-ulcerogenic abilities were demonstrated in a 1991 study which showed that a simple hot water extract of Espinheira Santa leaves was as effective as two of the leading anti-ulcer drugs, Ranitidine and Cimetidine, and that it was shown to cause an increase in volume and pH of gastric juice.(19) Toxicological studies were also published in 1991 which demonstrated the plant's safety of use with out side effects. ( 20)

Health practitioners in Brazil and other parts of South America utilize Espinheira Santa for acne, anemia, stomach ulcers, gastric ulcers, cancers, constipation, gastritis, dyspepsia, liver disorders, and many types of stomach disorders. (16, 18, 21) With its popularity and beneficial results in South America as well as its recent western research, Espinheira Santa is slowing becoming more popular and known to health practitioners in the United States where the leaf extract is being used for ulcers, restoring intestinal flora and inhibiting pathogenic bacteria, as a laxative, a colic remedy, to eliminate toxins through the kidneys and skin, to regulate hydrochloric acid production in the stomach, for nervous disorders, and to support kidney, adrenal glands, digestive and immune functions.(22, 23, 24) While research continues on Espinheira Santa's anti-cancer and anti-tumor properties,(25) natural health practitioners around the world will still have an important and highly effective natural remedy for many types of stomach and intestinal disorders at their disposal.

Footnotes:
  1. Schultes, R.E, and Raffauf, The Healing Forest, R.F. Dioscorides Press, 1990.

  2. Flemming K. [Increase of phagocytosis activity by Maytenus laevis leaves and Scholler-Tornesch lignine (Porlisan)] Naturwissenschaften, 1965 Jun.

  3. J.L. Hartwell, "Plants Used Against Cancer: A Survey," Lloydia 31 (1968): 114.

  4. Lima OG de, et al. "Substabcias Anti-microbiano De Plantas Superiores. Comunicacao XXXI. Maitenina, Novo Anti-microbiano con Acao Anti-neoplastica, Isolade de Celastracea de pernambuco," Revista do Instituto de Anti-bioticos (Recife) 9 1969): 17-25.

  5. Lima OG de, et al. [Anti-microbial substances from higher plants. XXXVI. On the presence of maytenin and pristimerine in the cortical part of the roots of Maytenus ilicifolia from the South of Brazil] Rev Inst Anti-biotic (Recife), 1971 Jun.

  6. Monache, F.D., et al., "Maitenin: A New Anti-tumoral Substance from Maytenus sp.," Gazetta Chimica Italiana 102 (1972): 317-20.

  7. M.K. Wolpert-Defillipes et al, "Initial Studies on the Cytotoxic Action of Maytansine, a Novel Ansa Macrolide," Biochemical Pharmacology 24 (1975): 751-54.

  8. R.J. Spjut and R.E. Perdue, Jr., "Plant Folklore: a Tool for Prediciting Sources of Anti-tumor Activity?" Cancer Treatment Reports 60 (1976) 979-85.

  9. de Santana, C.F., et al, "Primeiras Observacoes Sobre O Emprego Da Maitenina Em Pacientes Cancerosos," Rev Inst Anti-biot (Recife)11 (1971): 37-49.

  10. Melo AM, et al. [First observations on the topical use of Primin, Plumbagin and Maytenin in patients with skin cancer] Rev Inst Anti-biot (Recife), 1974 Dec.

  11. F. Cabanillas, et.al., "Phase I Study of Maytansine Using a 3-day Schedule," Cancer Treatment Reports 60 (1976): 1127-39.

  12. Chabner, B.A., et al., "Initial Clinical Trials of Mayansine, and Anti-tumor Plant Alkaloid." Cancer Treatment Reports 62 (1978): 429-33.

  13. O'Connell, M.J., et al., "Phase II Trial of Maytansine in patients with Advanced Colorectal Carcinoma," Cancer Treatment Reports 62 (1978): 1237-38.

  14. Suffnes, M.J., et al., "Current Status of the NCI Plant and Animal Product Program," Journal of Natural Products 45 (1982) 1-14.

  15. Paul Martinez Crovetto, Las Plantas Utilizadas en Medicina Popular en el Noroeste de Corrientes, Miscelanea no 69. (Tucuman, Argentina: Ministeris de Cultura y Educacion, Foundacion Miguel Lillo, 1981), 69.

  16. Kenneth Jones, Pau d'Arco Immune Power from the Rainforest, Healing Arts Press, 1995, 63.

  17. Freise, F.W., Plantas Medicinais Brasileiras Boletim de Agricultura 34 (1933): 410.

  18. G.L. Cruz, Dicionario das Plantas Uties do Brasil, Bertrand Publ. Brasil, (1995).

  19. Oliveira MG, et al. Pharmacologic and toxicologic effects of two Maytenus species in laboratory animals. J Ethnopharmacol, 1991 Aug.

  20. Souza-Formigoni ML, et al. Anti-ulcerogenic effects of two Maytenus species in laboratory animals. J Ethnopharmacol, 1991 Aug.

  21. de Almeida, E.R., 1993. Plantas Medicinais Brasileiras, Conhecimentos Populares E Cientificos. Hemus Editora Ltda. Sau Paulo, Brazil.

  22. Dr. Donna Schwontkowski, HERBS OF THE AMAZON Traditional and Common Uses, Science Student BrainTrust Publishing, 1993 .

  23. Powerful and Unusual Herbs from the Amazon and China, The World Preservation Society, Inc. 1993,1995

  24. John Easterling , Traditional Uses of Rainforest Botanicals, 1993.

  25. Shirota O, et al. Cytotoxic aromatic triterpenes from Maytenus ilicifolia and Maytenus chuchuhuasca. J Nat Prod, 1994 Dec.
REFERENCED QUOTES ON ESPINHEIRA SANTA
1 "Espinheira Santa regulates stomach hydrochloric acid production and is therefore useful for stomach ulcers, especially those produced by nervousness. It also helps heal wounds. Other effects on the digestive system include its ability to restore intestinal flora, inhibit pathogenic bacteria, produce laxative effects, and benefit colic. Espinheira Santa is thought to neutralize acid throughout the whole system and aid elimination of toxins through the kidneys and skin. it is sometimes used as an anti-asthmatic agent." 2 "Espinhiera santa has been used for nervous disorders and helps to soothe and heal stomach ulcers. It helps support the adrenal glands which may help to improve energy levels, immune response and digestion. It helps to neutralize acids throughout the body. It helps with kidney function, skin respiration, and nourishes stomach yin. South American Indians used the tree to "cure" arthritis and rheumatism." 3 "ACTIONS Soothes nervous stomach, Neutralizes acid, Calming, Aids Kidney function TRADITIONAL USE: Used as a remedy for nervous disorders. Believed effective in treating ulcers of the stomach. Neutralizes acid throughout the system. Aids elimination via kidneys and skin. Espinheira Santa has been used as an auxiliary in the treatment of ulcers. MERIDIAN INDICATIONS: Nourishes Stomach Yin, Increases Yin. EVA POINTS: Stomach, Circulation, Kidney." 11" Espinheira santa's effects also include the elimination of toxins in the body. This plant is sometimes used as an anti-asthmatic agent. Espinheira santa benefits the intestinal tract and the immune system indirectly by inhibiting pathogenic bacteria and helping restore the intestinal flora, a characteristic shared with Una de gato." 12 "It was more intriguing to learn that like the shaman in Peru, who uses the bark of chuchuhuasi, Professor Accorsi mixed pau d'arco with a species of Maytenus (M. ilicifolia Mart.), which is commonly known in Brazil as Espinheira santa. And elsewhere in the tropics, there are reports of Maytenus in African folk medicine for treating excessive mucus discharge, wounds,and cancer.
These plants contain anti-biotic compounds that in animals have shown potent anti-tumor and anti-leukemic activities at very low dosages (of micrograms per kilogram of body weight). In Brazil, as part of ongoing research with local herbs to find cancer treatments, earlier clinical studies found good results with the compound mayenin, a quinoid triterpene derived from the roots of Maytenus ilicifolia. Applied topically to treat carcinomas, it showed little irritation .Other tests using the compound intravenously in patients with resistant carcinomas found best results in epidermal carcinoma (larynx, tongue base, and tonsil pillars). No toxic effects were found, but neither were there any "cures". It appears that the best results are from topical uses, just as indicated by folk medicine.
Records in Brazil hold that the leaves of espinheira santa (Maytenus ilicifolia), which appear remarkably like those of holly, are applied as an analgesic (pain reliever), an intestinal antiseptic, and a tonic. Applications of the leaves include an ointment for treating skin cancer and a decoction as a wash for cancers. Other names in Brazil include limaosinho and cancerosa . This is the species Professor Accorsi combined with Pau d'arco.
According to various herbalists in Brazil, espinheira santa is widely available and more commonly used for such problems as acne, anemia, stomach ulcers, cancer of the uterus, and constipation. Comparable activity to a well-known anti-ulcer drug (cimetidine) was shown with a water extract of two Maytenus species (M. aquafolium and M. ilicifolia) in animals. Gastric ulcers, chronic gastritis, and dyspepsias have long been treated with Maytenus in Brazilian folk medicine, but this was the first time an anti-ulcerogenic effect was demonstrated scientifically. Oral administration showed a protective effect against ulcer formation. Maytenus also caused an increase in gastric juices and a higher pH."
Effect of Maytenus ilicifolia Mart.ex. Reiss on spermatogenesis.
Montanari T, de Carvalho JE, Dolder H
Department of Cell Biology, UNICAMP, Porto Alegre, Brazil.
Contraception 1998 May;57(5):335-9

Published erratum appears in Contraception 1998 Aug;58(2):146
The effect of the ethanolic extract of Maytenus ilicifolia Mart.ex. Reiss leaves on spermatogenesis was studied in Swiss mice by evaluating morphological characteristics by light and electron microscopy. The extract was administered at a dose of 200 mg/kg/day intraperitoneally for 20 days, and at a dose of 800 mg/kg/day orally for 30 days. Structural analysis of the germ epithelium showed that treated animals were not noticeably different from control animals. The alterations included some exfoliated immature germ cells, occasional germ cell death (recognized as pyknotic nuclei) and a few vacuolized seminiferous tubules. Ultrastructurally, enlarged lipid droplets were found in Sertoli cells and swollen acrosomes occurred in early spermatids of animals treated with the higher dose. Sperm production indicated that the ethanolic extract of M. ilicifolia leaves did not contain substances sufficient to arrest spermatogenesis.
Cytotoxic aromatic triterpenes from Maytenus ilicifolia and Maytenus chuchuhuasca.
Shirota O, Morita H, Takeya K, Itokawa H
Department of Pharmacognosy, Tokyo College of Pharmacy, Japan.
J Nat Prod 1994 Dec;57(12):1675-81

The isolation and structure elucidation of four cytotoxic aromatic triterpenes [1-4] along with three known quinoid triterpenes [5-7] from the South American medicinal plants Maytenus ilicifolia and M. chuchuhuasca are described. The structures of these aromatic triterpenes contained aromatized A rings and C-6 oxygenated B rings, and were elucidated by 1H- and 13C-nmr spectroscopic studies and by X-ray crystallographic analysis of 3.
Pharmacologic and toxicologic effects of two Maytenus species in laboratory animals.
Oliveira MG, Monteiro MG, Macaubas C, Barbosa VP, Carlini EA
Department of Psychobiology, Escola Paulista de Medicina, Sao Paulo, Brazil.
J Ethnopharmacol 1991 Aug;34(1):29-41

Leaves of Maytenus species are used in the popular medicine of Brazil for their reported antacid and anti-ulcerogenic activity. The present work examined the effects of a boiling water extract of equal parts of M. aquifolium and M. ilicifolia leaves on acute administration in rats and mice, in an attempt to detect any general depressant, hypnotic, anti-convulsant and analgesic effects. General depressant and hypnotic effects were seen only after intraperitoneal administration. After chronic administration, the overall behavior of animals did not change and they continued to gain weight at the same rate as controls. Several biochemical and hematological parameters as well as pathological examination of different organs did not show any significant alterations after 3 months of treatment. A search for the potential effects of the extract on the fertility of female and male rats and on the course of pregnancy as well as a search for potential teratogenic effects did not reveal any significant differences from controls. Taken together, the results indicate that these Maytenus species may be safe for human use and deserve further investigation.
Anti-ulcerogenic effects of two Maytenus species in laboratory animals.
Souza-Formigoni ML, Oliveira MG, Monteiro MG, da Silveira-Filho NG, Braz S, Carlini EA
Department of Psychobiology, Escola Paulista de Medicina, Sao Paulo, Brazil.
J Ethnopharmacol 1991 Aug;34(1):21-7

Leaves of Maytenus species are commonly used in Brazil for the treatment of gastric ulcers, dyspepsias and other gastric problems. The present study evaluated the anti-ulcerogenic potential of a boiling water extract of equal parts of M. aquifolium and M. ilicifolia leaves against ulcer lesions induced by indomethacin and cold-restraint stress in rats. Ranitidine and cimetidine were used as reference drugs. The oral and intraperitoneal administration of the extract had a potent anti-ulcerogenic effect against both types of ulcers. The extract was shown to cause an increase in volume and pH of gastric juice of the animals with the pH effects comparable to those of cimetidine. The results tend to confirm the popular use of the plant.
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