Synopsis

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

Alchemilla (commonly known as lady's mantle) has a long history of traditional use in European herbal medicine, especially for external application to wounds and ulcerations. Historical herbal texts, such as those by Culpeper and in central European folk medicine, recommend the topical use of Alchemilla preparations (often as compresses or washes) for promoting wound healing and managing external ulcerations. The rationale is primarily attributed to its astringent properties due to the high tannin content in its leaves, which can help to contract tissue and reduce inflammation. However, the scientific validation for its efficacy in treating external ulcerations is limited. While some in vitro studies have demonstrated antimicrobial and anti-inflammatory effects of Alchemilla extracts, and the astringent action is pharmacologically plausible, there are no robust clinical trials or modern medical guidelines supporting its use specifically for ulcerations. Thus, the support for this application is rooted in tradition, with limited but plausible pharmacological support from basic research.

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