Medical Uses Of Senna

Other Common Names: Alexandrian Senna, Nubian Senna, Cassia Senna, Cassia lenitiva, Cassia Lanceolata, Cassia officinalis, Cassia aethiopica, Senna acutifolia, Egyptian Senna, Sene de la palthe, Tinnevelly Senna, East Indian Senna, Cassia angustifolia, Cassia Acutifolia

Range: Egypt, Nubia, Arabia, Sennar

Several species of Cassia contribute to the drug of commerce, and were comprised in a single species by Linnaeus under the name of Cassia Senna. Since his day, the subject has been more fully investigated, and it is known that several countries utilize the leaves of their own indigenous varieties in the same way. The two most widely exported and officially recognized are C. acutifolia and C. angustifolia (India or Tinnevelly Senna).

Senna is an Arabian name, and the drug was first brought into use by the Arabian physicians Serapion and Mesue, and Achiarius was the first of the Greeks to notice it. He recommends not the leaves but the fruit, and Mesue also prefers the pods to the leaves, thinking them more powerful, though they are actually less so, but they do not cause griping.

The purgative constituents are closely allied to those of Aloes and Rhubarb, the activities of the drug being largely due to anthraquinone derivatives and their glucosides. It contains rhein, aloe-emedin, kaempferol, isormamnetin, both free and as glucosides together with myricyl alcohol, etc. The ash amounts to about 8 per cent, consisting chiefly of earthy and ashy carbonates.

The active purgative principle was discovered in 1866. It is a glucoside of weak acid character, and was named Cathartic Acid. By boiling its alcoholic solution with acids it yields Cathartogenic Acid and sugar. There were also found Chrysophanic Acid, Sennacrol and Sennapicrin, and a peculiar non-fermentable saccharine principle which was named Cathartomannite or Sennit.

Purgative. Its action being chiefly on the lower bowel, it is especially suitable in habitual costiveness. It increases the peristaltic movements of the colon by its local action upon the intestinal wall. Its active principle must pass out of the system in the secretions unaltered, for when Senna is taken by nurses, the suckling infant becomes purged. It acts neither as a sedative nor as a refrigerant, but has a slight, stimulating influence. In addition to the nauseating taste, it is apt to cause sickness, and griping pains, so that few can take it alone; but these characteristics can be overcome or removed, when it is well adapted for children, elderly persons, and delicate women. The coloring matter is absorbable, and twenty or thirty minutes after the ingestion of the drug it appears in the urine, and may be recognized by a red color on the addition of ammonia.

The addition of cloves, ginger, cinnamon, or other aromatics are excellent correctives of the nauseous effects. A teaspoonful of cream of tartar to a teacupful of the decoction of infusion of Senna, is a mild and pleasant cathartic, well suited for women if required soon after delivery. Some practitioners add neutral laxative salts, or saccharine and aromatic substances. The purgative effect is increased by the addition of pure bitters; the decoction of guaiacum is said to answer a similar purpose. Senna is contraindicated in an inflammatory condition of the alimentary canal, hemorrhoids, prolapsus, ani, etc. The well-known 'black draught' is a combination of Senna and Gentian.html">Gentian, with any aromatic, as cardamom or coriander seeds, or the rind of the Seville orange. The term 'black draught,' it is stated, should never be used, as mistakes have been made in reading the prescriptions, and 'black drop' or vinegar of opium has been given instead, several deaths having been caused in this way.

Senna pods, or the dried, ripe fruits, are official in the British Pharmacopceia, though the quantity is restricted, as an adulterant, in the United States Pharmacopoeia.

They are milder in their effects than the leaflets, as the griping is largely due to the resin, and the pods contain none, but have about 25 per cent more cathartie acid and emodin than the leaves, without volatile oil. From 6 to 12 pods for the adult, or from 3 to 6 for the young or very aged, infused in a claret-glass of cold water, act mildly but thoroughly upon the whole intestine.

Owing to the high price, what is known as 'broken Senna' is found on the market and sold for the genuine article with government sanction in the United States of America. Also, 'Senna siftings,' containing sand and other foreign matter have been offered for sale, causing trouble to government inspectors.

  • Grieve. M. A Modern Herbal. Penguin 1984 ISBN 0-14-046-440-9

Discuss It!

clarissa said:

can it be used as a diet supplement?

Wanda said:

I have had abdominal adhesions removed 3 times and it just comes back thicker and more painful than before. What can I use internally and externally to dissolve and prevent these painful adhesions?

Zshin said:

May i ask what is the latin name of senna?