
Hedera
Also known as Common ivy, English ivy.
Ivy is a familiar evergreen climbing vine native to Europe and western Asia, now naturalized widely, valued in Western herbal practice chiefly for its dried leaf. Standardized leaf extracts have become a mainstay of European phytotherapy for coughs, particularly in children, and the plant has a long history in eclectic and folk medicine as an expectorant and topical remedy. The whole plant, including its berries, contains irritant saponins and is otherwise regarded as unsuitable for internal use outside carefully standardized leaf preparations.

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Ask HerbertTight, unproductive cough that becomes rattly and hard to clear, especially in children who cannot expectorate well
Spasmodic cough with audible wheeze where mucus is thick and tenacious
Low dose botanical. Used in drop doses in the classical practice; not a plant to dose freely.
Pregnancy: Standardized leaf extract at labeled doses is not known to be harmful but data are limited, so use only under professional guidance and avoid raw leaf or berry preparations entirely.
Breastfeeding: No specific concerns reported with standardized extracts at typical doses, but avoid raw plant material and monitor the infant if used.
The record lists 4 contraindications; open the plate in the library to read them in full.
Ivy leaf extract is one of the better studied plant based expectorants and earns a regular place in the cough cabinet, especially for children with a productive but poorly cleared cough, or the tight, dry cough that becomes loose and rattly as the mucus starts to move.
| Preparation | As written | Metric |
|---|---|---|
| Standardized dry leaf extract syrup | as directed on product, typically 25-50 mg extract in divided doses daily for children, higher for adults | 25-50 mg |
| Tincture (1:5) | 0.5-1 mL three times daily | 0.5-1 mL |
| Marasmus of children, rachitis, and pulmonary affections have been benefited by the dried leaves in powder, in doses of 20 grains or more. | 1296-1296 mg |
Doses are reproduced from the sources for practitioners and are not a recommendation for any person.
Overview. Ivy is a familiar evergreen climbing vine native to Europe and western Asia, now naturalized widely, valued in Western herbal practice chiefly for its dried leaf. Standardized leaf extracts have become a mainstay of European phytotherapy for coughs, particularly in children, and the plant has a long history in eclectic and folk medicine as an expectorant and topical remedy. The whole plant, including its berries, contains irritant saponins and is otherwise regarded as unsuitable for internal use outside carefully standardized leaf preparations.
Clinical Notes. Ivy leaf extract is one of the better studied plant based expectorants and earns a regular place in the cough cabinet, especially for children with a productive but poorly cleared cough, or the tight, dry cough that becomes loose and rattly as the mucus starts to move.
Drawn from King's American Dispensatory, 18th edition (Felter and Lloyd), and the Bountiful Herbs editorial.

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