AEGiS-GMHC: Common Alternative Therapies: Echinacea Gay Men's Health CrisisImportant note: Information in this article was accurate in 1993. The state of the art may have changed since the publication date.
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Common Alternative Therapies: Echinacea

Gay Men's Health Crisis: Treatment Issues, Volume 7 no. 11/12 - Winter, 1993/94
Bree Scott-Hartland


The leaves and root of "Echinacea" (Echinacea angustifolia or E. purpurea) have been used by Native Americans for a broad range of pains and illnesses. Broad immunostimulatory effects have been attributed to the herb. Advocates of echinacea have pointed to test tube and animal studies to support these claims.[1]

Test tube studies conducted in Germany showed that purified extracts from echinacea stimulate T-cells and macrophages1 and may have anti-viral properties.[2]

In a clinical trial in Germany, fifteen patients with colorectal cancer were injected with 60mg/square meter of body area of echinacin (a purified extract of Echinacea) and thymostimulin after initial treatment with cyclophosphamide, an immunosuppressive drug.[3] Tumor regression was noted in two patients after two months of therapy, and disease stabilized in six others. (This stabilization was possibly part of the natural course of the disease, however.) Echinacin was also reported to have stimulated macrophages to release chemical messengers such as TNF-a (Tumor Necrosis Factor-alpha), IL-1 (Interleukin-1) and Interferon beta (IFN-b). This and other studies[4] also noted that echinacin may have helped increase the number of CD4 cells relative to CD8 cells within three days after cyclophosphamide treatment.

An additional study found that the administration of Echinacea extracts to people stimulated cell-mediated immunity after a single dose, but that repeated daily doses suppressed the immune response.[5]

Injections of purified Echinacea are believed to be relatively non-toxic, even at high doses[6], although there are reports of skin rashes and insomnia.[7]

Unfortunately, few clinical trials have been performed using either injected polysaccharides or oral, over-the-counter Echinacea supplements, which are the most common form of this remedy. Therefore, the effects and ideal dosing of this remedy are unknown.

1. Foster S. Echinacea: Nature's Immune Enhancer. Rochester, VT: Healing Arts Press, 1990.

2. Wacker A, et al. Planta Medica, 33, 89-102, 1978.

3. Lersch C., et al. Cancer Investigation. 1992;10:343-48.

4. Wiseman C, et al. Proc. AACR. 1989; 30:412.

5. Coeugniet EG, Elek E. Onkologie. 1987;10(suppl.3):27.

6. Luettig B, et al. Journal of the National Cancer Institute. 1989;81:669.

7. Korsia, S. IHITTG. 1992; 7:3-4.

Copyright (c) 1993 - Gay Men's Health Crisis. All rights reserved. Noncommercial reproduction is encouraged.
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Copyright © 1993 - Treatment Issues. Reproduced with permission. Treatment Issues is published twelve times yearly by GMHC, Inc. All rights reserved. Noncommercial reproduction is encouraged. Subscription lists are kept confidential. GMHC Treatment Issues, The Tisch Building, 119 West 24th Street, New York, NY 10011  fredg@gmhc.org  http://www.gmhc.org

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