Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Large-Leaved Linden (Tilia platyphyllos) has a long history of traditional use in European herbal medicine for treating coughs, particularly those described as spastic or irritating. The flowers of the linden tree have been used in infusions and teas for their soothing, demulcent, and mild antispasmodic properties. The traditional rationale is based on the presence of mucilage, flavonoids, and volatile oils, which are believed to help coat the throat, reduce irritation, and potentially calm cough reflexes. Historical texts and pharmacopeias from Europe, including the German Commission E monographs, recognize linden flower preparations for their use in catarrhs of the upper respiratory tract and as a cough remedy.

However, modern scientific validation is limited. Few clinical studies have specifically evaluated linden flower preparations for cough (spastic or otherwise), and most available evidence is derived from historical use, anecdotal reports, and the pharmacological properties of its constituents in vitro or in animal models. No large-scale, well-controlled human clinical trials have substantiated its efficacy for this indication. Therefore, the support for its use in spastic cough remains primarily traditional, with a moderate level of evidence based on its long history of use and the known soothing effects of its mucilage content.

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