The Eden Institute Biblical Herbalism Education

Eden Apothecary · Herb Profile

Senna

Senna alexandrina

Pronounced Senna: SEN-uh · Senna alexandrina: SEN-uh a-lek-zan-DREE-nuh

Cold, dry, and forcefully downward-draining: a stimulant purgative that whips the sluggish, heat-bound bowel into evacuation, depleting and habit-forming if leaned upon.

At a glance

Botanical name
Senna alexandrina
Family
Fabaceae (Leguminosae)
Part used
Leaf (leaflets) and pod (fruit)
Taste
Bitter
Temperature
Cold
Moisture
Dry

Safety at a glance

In pregnancy

Contraindicated in pregnancy (EMA), because of experimental data concerning a genotoxic risk of several anthranoids. AHPA Botanical Safety Handbook Class 2b (not verified against AHPA) (not to be used during pregnancy except under qualified supervision); stimulant laxatives are second-line to bulk-forming agents. Sources: EMA EU herbal monograph on Senna alexandrina folium, Rev. 1; AHPA Botanical Safety Handbook, 2nd ed.; WHO Monographs on Selected Medicinal Plants, Vol. 1 (Folium Sennae).

While breastfeeding

Sources disagree on breastfeeding: the EMA advises against senna while breastfeeding; NIH LactMed considers occasional use acceptable because little reaches the milk. Avoid unless a practitioner advises it. Sources: NIH LactMed; EMA EU herbal monograph on Senna alexandrina folium, Rev. 1; AHPA Botanical Safety Handbook, 2nd ed. (Class 2c (not verified against AHPA)).

For children

Contraindicated in children under 12 years (EMA). Sources: EMA EU herbal monograph on Senna alexandrina folium, Rev. 1; ESCOP Monographs, 2nd ed.; German Commission E (Sennae folium).

Cautions

Expect cramping and griping; combine with a carminative (ginger, fennel) and start with the lowest dose. Not for long-term use (not more than 1 week, EMA): risk of laxative dependence, melanosis coli, and fluid or electrolyte depletion. Harmless reddish-brown urine discoloration may occur.

General contraindications

Intestinal obstruction or ileus, acute inflammatory bowel disease (Crohn's disease, ulcerative colitis), appendicitis, undiagnosed abdominal pain, and severe dehydration with electrolyte depletion.

Stewardship

Not of conservation concern. Grown as a commodity field crop (Alexandrian senna in Sudan and Egypt; Tinnevelly senna in Tamil Nadu, India). Choose cultivated, sustainably harvested leaf and pod; not listed by United Plant Savers.

In the traditional record

Not in the canonical biblical texts and unknown to the classical Greeks and Romans; introduced to Western materia medica by Arab physicians (Mesue and Serapion, c. 9th century). Alexandrian senna is native to the Nile valley and Arabia; Tinnevelly senna is cultivated in India.

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