Black elder

Early febrile illness with hot dry skin and no sweat, where a gentle diaphoretic is wanted

Stuffy nose and watery eyes of a cold or mild allergy calling for the flower infusion

Overview. Sambucus nigra is a small deciduous tree or large shrub native to Europe, western Asia, and North Africa, now widely naturalized and cultivated, including selections grown in North America. The creamy flat-topped flower clusters and the dark purple-black berries are the parts used medicinally and as food once properly prepared; the leaves, bark, and root contain cyanogenic compounds and are not used internally in modern practice. Elderflower has a long history as a cooling diaphoretic for feverish colds, while the cooked berry has become a staple modern remedy for cold and flu season.

Clinical Notes. Berries=sweet, tart, anti-oxidant, anti-viral, mast cell stabilization, anti-rheumatic, contain vitamin C Flowers=bitter, sweet, diaphoretic, inflammation modulator, decongestant, nervine, diuretic, anti-catarrhal, anti-histamine Leaves, root, & bark=topical use only, vulnerary & astringent for hemorrhoids, labial tears, wounds Usually combined w/ other herbs for URI, allergic rhinitis & congestion.

Clinical Notes. GRAS status (flowers only) Avoid other plant parts (contain cyanogenic glycosides) Traditional use for common cold supported by monograph Children under 12 not recommended

Clinical Notes. Elderflower infusion is a classic choice for the early stage of a feverish cold, when the skin is hot and dry and a gentle push toward sweating and detoxification through the skin is wanted; it combines well with yarrow and peppermint in the old diaphoretic formula pattern, taken as a hot infusion at the onset of symptoms.