Synopsis

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

Longleaf buchu (Agathosma betulina, and related species) has a long history of use in traditional South African herbal medicine, particularly among the Khoisan people, for supporting urinary tract and bladder health. The aromatic leaves were commonly prepared as teas or tinctures to help relieve urinary discomfort and promote healthy urination. European settlers adopted buchu in the 19th century, and it became a popular ingredient in various patent medicines for urinary complaints. The traditional use is based on its reputed diuretic and mild antiseptic properties, attributed to its essential oils (notably diosphenol) and flavonoids. However, while there are some laboratory studies suggesting mild antimicrobial and anti-inflammatory effects, there is insufficient modern clinical research directly validating buchu’s efficacy for bladder health in humans. Most evidence is anecdotal or based on animal models, and reputable health authorities generally do not endorse its use due to a lack of robust human trials. Nonetheless, traditional evidence strongly supports its longstanding use for urinary tract and bladder support.

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