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Botanical illustration of Horsetail
MedicinalSourced entry

Horsetail

Equisetum arvense

A plant recognized in Europe as a traditional medicine for minor urinary complaints and, as a wash or dressing, for superficial wounds. One small trial found a horsetail ointment helped episiotomy wounds heal.

What is Horsetail?

Plant family
Equisetaceae, the horsetail family
Parts used
The green above-ground parts (herb)
Genus
Equisetum
Species
arvense

Also called

Field Horsetail, Horse Tail

Traditionally used for

  • Superficial wounds
  • Urinary complaints

Traditionally described as

  • May increase urination

Health topics

Where Horsetail appears in symptom search, and why. Being listed doesn't mean it's a proven treatment.

Traditions that use it

  • European Folk Medicine

    Recognized in Europe as a traditional herbal medicine for minor urinary complaints and, used on the skin, for superficial wounds.

Safety

Who should avoid it

  • Don't take horsetail for urinary complaints if you've been told to limit how much you drink, for example because of serious heart or kidney disease. See a doctor if you get fever, painful urination, cramps or blood in the urine.[1]

Side effects

  • Allergic reactions, such as a rash or swelling of the face, have been reported. Taken by mouth, it may cause mild stomach and gut complaints. How often these happen isn't known.[1]

Pregnancy

  • There isn't enough safety data, so horsetail isn't recommended during pregnancy.[1]

Breastfeeding

  • Horsetail taken by mouth isn't recommended while breastfeeding, and horsetail products shouldn't be put on the breasts of breastfeeding women.[1]

How much to use

  • Horsetail medicines aren't recommended for children under 12. On wounds, see a doctor if the skin looks infected, symptoms get worse, or they last longer than 1 week.[1]

What does the research say?

Traditional use

These are traditional uses, not proven treatments.

  • Based on long-standing use, the European Medicines Agency recognizes horsetail as a traditional herbal medicine for:

    • Increasing urine to flush the urinary tract in minor urinary complaints (as a tea or by mouth)
    • Supporting the treatment of superficial wounds (as a boiled wash or soaked dressing)

    It is for adults and teens over 12.[1]

Research in people

  • A small study in healthy men suggested horsetail has a mild effect on increasing urine. The European Medicines Agency found no clinical studies of horsetail for wounds.[2]

  • In a trial of 108 first-time mothers, a 3% horsetail ointment or a placebo was applied to their episiotomy wound (a cut made during childbirth) for 10 days. Wound healing and pain scores were significantly better in the horsetail group at 5 and 10 days.[3]

    Technical detail: double-blind, randomized, placebo-controlled; REEDA wound-healing scale and visual analog pain scale; Tabriz, Iran.

In short

Don't use it for urinary complaints if you've been told to limit fluids, for example with serious heart or kidney disease.

Sources

  1. [1] European Union herbal monograph on Equisetum arvense L., herba (EMA/HMPC/278091/2015) — European Medicines Agency, Committee on Herbal Medicinal Products (HMPC)Government health agency
  2. [2] Horsetail herb (Equisetum arvense L., herba): summary of the HMPC conclusions (EMA/147173/2016) — European Medicines Agency, Committee on Herbal Medicinal Products (HMPC)Government health agency
  3. [3] The effect of Equisetum arvense (horse tail) ointment on wound healing and pain intensity after episiotomy: a randomized placebo-controlled trial — Iranian Red Crescent Medical Journal · DOI: 10.5812/ircmj.25637Peer-reviewed study

This information is educational and traditional in nature, and is not a substitute for professional medical advice.