This problem is a symptom and not a disease in itself. Careful differential diagnosis will elucidate the cause and thus the core treatment needed. However, a number of plants can have a direct effect upon the metabolism and build up of bilirubin in the body. These can be used to ease the discomfort whilst focusing upon the underlying cause.

A review of the complexities of bilirubin metabolism shows the range of pathologies that can underlie jaundice. Accurate differential diagnosis goes beyond the level of biochemical and technical sophistication that is appropriate for this course.

The commonest cause is described as Cholestasis, itself caused by a range of processes. It describes a state where there is an impaired flow of bile. This will lead to a back up behind the blockage and so the development of jaundice. The cause of the blockage must be sort. It could be due to inflamed tissue swelling, ducts blocked by gall stones, cancer or even parasites.

Actions indicated for the processes behind Jaundice:
Cholagogues are remedies that have a direct upon the secretion and release of bile.
Hepatics have a positive metabolic effect upon liver metabolism and functioning.
Bitters will help as tonics that also often supply the previous actions.
"Eliminative support" must be given to help the body as a whole deal with the build of bilirubin as well as other metabolites. Laxatives, diuretics and diaphoretics are the most important ones to consider.
Alteratives/Tonics will support the body as a whole in its healing work.
Lymphatics support the tissue drainage work of this important system.
Anti-pruritics will ease the often intense itching.
Anti-microbials will be crucial if there is an infectious basis to the jaundice. They will still be helpful as surface immune support even if there is no infection present.

System Support
The liver, digestion and circulation are primarily important, but due to the often unclear etiology as well as the body wide effects of the bilirubin, general toning is called for.

Specific Remedies
Traditionally in Europe, Dandelion root and Vervain are considered specifics. Many of the bitter hepatic/cholagogue could be considered specific. The hepato-regenerative potentials of Milk Thistle must be taken advantage of to ensure there is no hepato-toxicity due to backed up bile. Please also review Fringetree Bark, Black Root & Balmony.

One possible prescription

Dandelion root - 2 parts

Vervain - 1 part

Milk Thistle - 1 part

Fringetree Bark -1 part

Boldo - 1 part as tincture to 2.5ml three times a day, building up to 5 ml three times a day.

This supplies the range of actions needed as well as specific help:

• Hepatics (Dandelion root, Vervain, Milk Thistle, Fringetree Bark, Boldo)
• Bitters (Dandelion root, Boldo)
• Alteratives/Tonics (Dandelionoroot, Boldo
• Anti-pruritics (Chickweed)