METHUSELAH ARCHIVE INGREDIENTS / ESSIAC FOUR-HERB BLEND (BURDOCK ROOT, SHEEP SORREL, SLIPPERY ELM, INDIAN RHUBARB)

Essiac four-herb blend (burdock root, sheep sorrel, slippery elm, Indian rhubarb)

botanical
provenance:botanical
first introduced:1922
regulatory status:supplement
context:The core formula Rene Caisse said she obtained in 1922 from a patient who attributed it to an Ontario Ojibwa medicine man: burdock root (Arctium lappa), sheep sorrel (Rumex acetosella), the inner bark of slippery elm (Ulmus rubra/fulva), and Indian (Turkish) rhubarb root (Rheum palmatum), per the peer-reviewed description in Zick et al. 2006 (J Altern Complement Med) and the ingredient list independently confirmed by Memorial Sloan Kettering's current monograph.
MECHANISM CLAIMED
Strengthens or boosts the immune system, thereby fighting, controlling, or curing cancer.
MECHANISM ACTUAL
No controlled human clinical data demonstrate an anticancer effect (NCI PDQ). A controlled in vivo animal study found only a modest gastric-protective effect and no significant hepatoprotective, hypoglycemic, or immunomodulatory activity (Leonard et al. 2006). A separate in vitro study found antioxidant and immune-cell-activating signals alongside inhibition of CYP450 drug-metabolizing enzymes and clot fibrinolysis; the authors said the clinical significance remained undetermined (Seely et al. 2007). These are laboratory-only surrogate signals, not a demonstrated clinical benefit. Memorial Sloan Kettering's current monograph notes that in laboratory studies rhubarb, one of the four herbs, actually suppressed part of the immune system, directly contradicting the immune-boosting claim. Most strikingly, a controlled laboratory study found that 1%-8% concentrations of Essiac and the distinct eight-herb Flor-Essence product stimulated human breast cancer cell growth in vitro; in MCF-7 cells, 16% Flor-Essence did not differ significantly from controls and 32% was cytotoxic, and the authors said human target-cell concentrations were unknown (Kulp et al. 2006).
INTERVENTIONS USING IT
NOTES

The proprietary blend at the center of the Essiac tea used since 1922: four dried herbs steeped into a tea and promoted as an immune booster capable of fighting cancer. Individual constituent herbs show scattered laboratory-level biological activity, but the finished formula has not been shown in any controlled human study to treat, control, or cure cancer. One laboratory study found that 1%-8% concentrations of Essiac and the distinct eight-herb Flor-Essence product stimulated human breast cancer cell growth in vitro; in MCF-7 cells, 16% Flor-Essence did not differ significantly from controls and 32% was cytotoxic, and the authors said human target-cell concentrations were unknown.