Synopsis

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

The use of bitter principles (also known as bitters) to treat or support colic in adults is primarily justified by tradition. Bitter herbs and preparations have a long history in various systems of traditional medicine, including European, Ayurvedic, and Chinese practices, where they are thought to stimulate digestion, increase appetite, and relieve symptoms such as bloating, gas, and abdominal discomfort, which are often associated with colic. Historical uses include gentian, wormwood, and other bitter-tasting plants, which were often included in digestive tonics and bitters. Scientific evidence specifically supporting the use of bitters for adult colic is limited. While some small studies and reviews suggest that bitters may stimulate gastric secretions and improve digestive motility, robust clinical trials demonstrating clear efficacy in the treatment of adult colic are lacking. Current understanding of colic in adults is also less clearly defined than in infants, making it difficult to evaluate outcomes. Nevertheless, the longstanding traditional use and anecdotal reports have maintained the popularity of bitters for digestive complaints, including colic-like symptoms in adults. In summary, while tradition supports the use of bitter principles for adult colic, scientific validation remains minimal, resulting in a moderate evidence rating.

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