Additional notes (click to expand)

Horticulture

Very fast growing, rhizomatous perennial with kidney-shaped, irregularly toothed, basal leaves, to 80cm (32in) across, hairy beneath, borne on stalks 1m (3ft) long. Densely clustered corymbs of yellowish white flower heads, to 1.5cm across. Dioecious flowers are borne before leaves in late winter and early spring. 1m high by 3m wide.

Sow seed in a cold frame as soon as it is ripe or in early spring. Just cover the seeds lightly with compost and do not allow the seedlings to dry out. Alternatively, divide after flowering.

Medicinal

Tumor
Germplasm Resources Information Network (GRIN) at www.ars-grin.gov/cgi-bin/npgs/html/tax_search.pl

Extracts of butterbur used for a variety of conditions such as spasms of the urogenital and digestive tracts, asthma, migraines, and allergic rhinitis. Commercially available in a variety of forms (e.g., capsules, extracts, powders, tinctures, and softgels) and marketed in the U.S as a dietary supplement.
National Toxicology Program (Nov.2009)Chemical Information Review Document for Butterbur (petasites hybridus, ext.). U.S. Department of Health and Human Services. http://ntp-server.niehs.nih.gov/NTP/Noms/Support_Docs/Butterbur_nov2009.pdf link

Used as an anticonvulsive since the Middle Ages. Active principle Petasin, a terpene discovered in the 1950's. Also used as a febrifuge.
Mabberley, D.J. (1997) The Plant Book, ed.2, Cambridge University Press p.554

Culpeper: “The roots are ... exceeding good in violent and pestilential fevers, they provoke the terms, expel poison, and kill worms.”
Culpeper, Nicholas. (1650). A Physical Directory . London, Peter Cole.

In a trial aimed at reducing frequency of migraine attacks, a standardised commercial preparation was well tolerated, and was effective at higher doses, but placebo in this trial reduced migraines by over 50% in 49% of the patients
Neurology (2004) 63:2240-2244

Nomenclature

The Greek name, from petasos, a hat with a broad brim; with reference to the large leaves.
Stearn, W.T. (1996). Dictionary of Plant Names for Gardeners. Cassell. p.236

Other Common names = BOG RHUBARB; CLEATS; CLEETS; FLEA DOCK; GALLON; OXWORT; PESTILENCE WORT; POISON RHUBARB; SON-BEFORE-THE-FATHER; UMBRELLA LEAF; WATER DOCKEN

Other use

Petasites hybridus – butterbur: a curious remedy for a curious disorder Butterbur or bog rhubarb grows in Europe and north-west Asia. Dioscorides recommended the ground-up leaves, applied as a poultice, as a topical treatment for ‘malignant and cancerous ulcers’. Lyte regarded it as an exceptional medicine against plague as it caused sweating, and that it was also good for treating intestinal worms and for the ‘suffocation and strangling of the mother’. In this latter curious phrase ‘mother’ means ‘womb’, and refers to mental disorders in women, which were thought to be due to disorders of the womb, in particular the then current concept that the womb wandered about the body and had to be brought back to its correct position by aromatic pessaries. We still use the word ‘hysterical’ for types of mental illness, not realising that it too stems from the curious idea that it was similarly caused, for the word comes from ‘husterikos’, the Greek for the womb. Modern herbalists recommend Petasites for a wide range of therapies, but caution that it contains potentially toxic alkaloids so internal use is not advised.
Oakeley, Dr. Henry. (2011). A Year in the Medicinal Garden of the Royal College of Physicians, revised edition. Royal College of Physicians, London. link

Toxicity

Reported adverse side effects of butterbur consumption include headaches, drowsiness, constipation, gastrointestinal upset, hair loss, reversible cholestatic hepatitis, depression, and skin discoloration. One report suggests that butterbur may increase liver enzyme levels. Several reports describe the removal of a product in Switzerland due to the development of severe liver damage. Butterbur may exacerbate the therapeutic and adverse effects produced by anticholinergic drugs and herbs.
National Toxicology Program (Nov.2009)Chemical Information Review Document for Butterbur (petasites hybridus, ext.). U.S. Department of Health and Human Services. http://ntp-server.niehs.nih.gov/NTP/Noms/Support_Docs/Butterbur_nov2009.pdf link

Geographical distribution

  • Asia-Temperate, Caucasus, North Caucasus
  • Asia-Temperate, Caucasus, Transcaucasus
  • Asia-Temperate, Western Asia, Turkey
  • Europe, Eastern Europe, Belarus
  • Europe, Eastern Europe, Northwest European Russia
  • Europe, Eastern Europe, Ukraine
  • Europe, Middle Europe, Austria
  • Europe, Middle Europe, Belgium
  • Europe, Middle Europe, Czech Republic
  • Europe, Middle Europe, Germany
  • Europe, Middle Europe, Hungary
  • Europe, Middle Europe, Netherlands
  • Europe, Middle Europe, Poland
  • Europe, Middle Europe, Switzerland
  • Europe, Northern Europe, Great Britain
  • Europe, Northern Europe, Ireland
  • Europe, Southeastern Europe, Albania
  • Europe, Southeastern Europe, Bulgaria
  • Europe, Southeastern Europe, Greece
  • Europe, Southeastern Europe, Italy
  • Europe, Southeastern Europe, Romania
  • Europe, Southeastern Europe, Sicilia
  • Europe, Southeastern Europe, Yugoslavia
  • Europe, Southwestern Europe, France
  • Europe, Southwestern Europe, Spain

Podcast

Petasites hybridus (L.) G. Gaertn. et al.

Family: ASTERACEAE
Genus: Petasites
Species: hybridus (L.) G. Gaertn. et al.
Common names: Butterbur; Batter Dock; Butter Dock; bog rhubarb
Pharmacopoeia Londinensis name: Petasitis
Distribution summary: Europe, , W. Asia, Caucasus
Conservation status (IUCN Red List): Least Concern
Habit: Perennial
Hardiness: H5 - Hardy; cold winter
Habitat: Grassy sites:meadows, pastures and dappled shade
Garden status: Currently grown
Garden location: Pharmacopoeia Londinensis 1618 'Roots' (HSE 2)
Flowering months: March, April
Reason for growing: Medicinal


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