Synopsis

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

Birch polypore (Piptoporus betulinus) has a long history of traditional use, particularly in European folk medicine, for treating external ulcerations and wounds. Historical records, including ethnobotanical sources, report its use as a topical dressing to clean wounds, help stop bleeding, and promote healing. The fungus was sometimes dried, sliced, and applied directly to ulcers or wounds, or processed into poultices. Otzi the Iceman, a naturally preserved mummy from around 3300 BCE, was found carrying pieces of birch polypore, which some researchers speculate may have been used for medicinal purposes, including wound care. Despite these traditional applications, modern scientific evidence for its efficacy in treating ulcerations externally is limited. Some in vitro studies have identified antimicrobial and anti-inflammatory properties in extracts of birch polypore, suggesting a potential mechanism for its traditional use. These properties could theoretically support wound healing and infection prevention. However, there are no substantial clinical trials or robust preclinical studies directly evaluating its effectiveness specifically for external ulcerations in humans. In summary, the use of birch polypore for external ulcerations is primarily supported by historical and ethnobotanical documentation rather than rigorous scientific validation. The evidence rating reflects the strength of traditional use and limited supporting laboratory findings, but a lack of direct clinical evidence.

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