How does it feel?
The smell of Jamaican dogwood is difficult to describe, with a slight sweetness, but notes that are chemical-like, described in the traditional pharmacopoeias as “opium-like”. Although it does not contain any opium-related constituents, this fragrance could relate to the narcotic and hypnotic properties. Jamaican dogwood is quite fragrant and sweet in flavour, but then bitter, acrid, sharp and slightly aromatic. The aftertaste is somewhat sour and produces a slight tingling and burning sensation in the mouth. The sour taste is associated with the cooling and sedative action (1). It is the sour, slightly acidic taste that accounts for the mild burning sensation which can be experienced in the mouth after tasting Jamaican dogwood. The acrid taste indicates the relaxant and antispasmodic properties (1). The antispasmodic action has been linked to the isoflavone constituents (2). The aromatic and fragrant bitterness indicates several different actions, but in this case links to calming and relaxing effects. A soporific sensation sweeps over the body quickly after taking Jamaican dogwood, as the aromatic compounds directly calm the nervous system.
The key actions of Jamaican dogwood are: analgesic, antispasmodic, narcotic, sedative, soporific, hypnotic.
What can I use it for?
Jamaican dogwood is a mild narcotic and analgesic herb which is used primarily for pain relief (3). It is particularly effective if the pain stems from the nervous system, such as in cases of migraine headaches, toothache, sciatica and other neuralgic pain (4).
The sedative action makes it a potent remedy for insomnia, especially if the sleep disturbance is caused by pain, nervous tension or stress (3, 5). Jamaican Dogwood is a potent relaxant on the nervous system and mildly hypnotic in action.
The antispasmodic action makes Jamaican dogwood suited to dysmenorrhea (painful periods), and the anti-inflammatory actions suit musculoskeletal pain such as rheumatism and arthritis (3).
Due to potential toxicity, and a restriction on dosage applied by some professional herbal institutes, Jamaican dogwood is best used for short-term relief of symptoms. For this reason it is advisable to work with a qualified herbalist to identify the cause of an ailment and determine the suitability of Jamaican dogwood as a treatment.
The narcotic, analgesic, sedative, antispasmodic and anti-inflammatory properties of Jamaican dogwood have only been scientifically evidenced in pre-clinical, animal studies. Although the toxicity is reported to be low in animal studies (6), there is a lack of direct investigation into the toxicity in human trials. Therefore, there is an absence of clinical studies to support the use of Jamaican dogwood, or assess the efficacy and safety of this herb for general use. It is advisable to work with a qualified practitioner before using Jamaican dogwood.
Into the heart of jamaican dogwood
Energetically Jamaican dogwood is considered to be cooling and relaxing (3). A cooling action is required when there is an excess of heat in the body from over-excitement or irritation (1). This state often stems from the nervous system, and presents as nervous over-excitement, restlessness, irritation, and a heightened sensitivity to pain (1).
A relaxing action is suited to constricted and tense states, which result from prolonged overstimulation of the neuromuscular system (1). This prolonged tension in the system can lead to muscle tension, headaches, muscle aches, and digestive tension causing cramps, trapped wind, constipation or diarrhoea.
The combination of the cooling and relaxing energetics of Jamaican Dogwood makes it suited to conditions of nervous system excitability and tension. These states are seen in both acute anxiety, and the ailments that manifest from a period of prolonged stress.
Traditional uses
Due to a lack of contemporary research into Jamaican dogwood, much of the modern day knowledge, uses and indications are still based on the original pharmacopoeias from the eighteenth and early nineteenth centuries. The specific indications listed in King’s American Dispensary (1898) were: “insomnia and nervous unrest; to allay spasm, control pain and allay nervous excitability; migraine; neuralgia” (7).
The narcotic, analgesic, and soporific properties of Jamaican Dogwood were identified in 1844 (8). Its chief use was for pain and to produce sleep, and was recommended as a replacement for opium (7). The British Pharmaceutical Codex (BPC, 1911) recommended Jamaican dogwood as a narcotic that does not have the side effects of constipation or headaches (9). In 1919, Ellingwood reported that although it lacks the same power as opium, it operates as a desirable analgesic (10). He stated that it was especially useful in cases where the patient could not take opium or morphine, and does not produce toxic or undesirable effects in medicinal doses (10). It was used as an analgesic for pain of all kinds, including toothache, migraine headaches and neuralgia, particularly sciatica and facial neuralgia (8,10). In 1953, Auxence wrote “The bark and wood of the root and stem of this West Indian tree have long been used by the natives of the Antilles as an analgesic” (11).
In 1915, Wren listed Jamaican dogwood to be used for its antispasmodic action, to control asthma, whooping cough, chronic bronchitis and a “consumptive cough” (12). The properties of Jamaican Dogwood were used to promote a restful sleep, and to support cases of nervous debility (8). Jamaican dogwood was a favourite remedy, recommended instead of opiates, for prolonged insomnia “particularly in the aged, and in those of an excessively nervous temperament” (7). Ellingwood extended this recommendation to when insomnia was due to nervous excitement, mental worry or anxiety, neurasthenia (fatigue causing physical and mental exhaustion, similar to chronic fatigue syndrome), and children (10).
Grieve (8) states use for dysmenorrhea, and in 1915, Wren (12) stated that Jamaican dogwood combines well with black haw (Viburnum prunifolium) for “female complaints”. Felter echoed this, stating that “in the disorders of women it has rendered excellent service in alleviating neuralgic and other forms of dysmenorrhoea and in various pelvic neuroses. With viburnum, it has been administered to check false labour-pains and threatened abortion and hysterical convulsions” (7).
At low doses side effects of Jamaican dogwood were reported to include nausea, vomiting, headaches, excess salivation, perspiration, bradycardia (7). It was known to produce toxic and unpleasant side effects and gastric distress if taken in excess (8, 12). Overdose of Jamaican dogwood would cause shortness of breath (dyspnoea), tetanic spasm, convulsions and eventual death by heart failure or asphyxiation from respiratory paralysis (10).
The recommended dosages for internal use were 10–20 drops of a fluid extract (1:1 strength tincture) every 2–3 hours (7). In 1919, Ellingwood stated that the dose needed to be repeated to be effective (10). Direct, local application of Jamaican dogwood was recommended for toothache, infections in the mouth and haemorrhoids (7).
Traditional actions
Herbal actions describe therapeutic changes that occur in the body in response to taking a herb. These actions are used to express how a herb physiologically influences cells, tissues, organs or systems. Clinical observations are traditionally what have defined these actions: an increase in urine output, diuretic; improved wound healing, vulnerary; or a reduction in fever, antipyretic. These descriptors too have become a means to group herbs by their effects on the body — herbs with a nervine action have become the nervines, herbs with a bitter action are the bitters. Recognising herbs as members of these groups provides a preliminary familiarity with their mechanisms from which to then develop an understanding of their affinities and nuance and discern their clinical significance.
Traditional energetic actions
Herbal energetics are the descriptions Herbalists have given to plants, mushrooms, lichens, foods, and some minerals based on the direct experience of how they taste, feel, and work in the body. All traditional health systems use these principles to explain how the environment we live in and absorb, impacts our health. Find out more about traditional energetic actions in our article “An introduction to herbal energetics“.
What practitioners say
Nervous system
Pain
Physical pain is not a disease or illness, but almost always a symptom of an imbalance in at least one area of the body (13). A truly holistic herbal practitioner will seek to determine the root cause of an ailment rather than focussing on the isolated symptoms (4). However, it may be necessary to relieve suffering in painful conditions, since the pain may have been the main motivator for someone seeking a medical support (13). Jamaican Dogwood has analgesic action, making it suited to relieve acute and chronic painful conditions. Herbs aimed at relieving pain should be used in combination with other herbs as part of a whole treatment plan, focussing on the root cause of the painful condition (4).
Headaches
Headaches can stem from many causes which can be psychological or physical, including: stress; anxiety; lack of sleep; postural issues; muscle tension; eye strain; digestive problems; diet; hydration; hormonal fluctuations; allergies; or have environmental origins (4, 14, 15). A herbalist will work with a patient to determine the cause of the headache, however, Jamaican Dogwood is a useful herb to add to a herbal prescription to relieve symptoms while the root cause is being treated. Headaches are usually acute and short term, so a herbalist may provide a separate medicine to use in cases of a headache attack, as opposed to including in a daily formula. Jamaican Dogwood is particularly effective for relief from a migraine headache, and combines well with feverfew, wood betony, and ginger. A recent systematic review in 2020 (15) exploring herbal treatments for migraine did not identify the Jamaican dogwood within their findings because there are no human randomised controlled trials that have been carried out. However, the study identified feverfew, butterbur, curcumin, coriander, menthol and chamomile to be efficacious (15). These herbs provide a sensible alternative to Jamaican dogwood for cases of migraine headache.
Neuralgia
Neuralgia (nerve pain) can be caused by a degeneration of the nerve pathway (multiple sclerosis), viral infection (shingles) or a musculoskeletal impingement on the nerve (sciatica). Regardless of the cause, analgesic herbs such as Jamaican dogwood can provide acute, short-term relief. In order to heal neuralgia in the long term, the cause of the pain will need to be addressed and treated. For example, Jamaican dogwood can be included in a formula to treat shingles and provide pain relief, but will need to be combined with herbs to strengthen the nervous system and support the immune system (4).
Insomnia
Jamaican dogwood is a very helpful herb to induce sleep and relieve insomnia. This sleep-support should not replace the need to address the underlying cause of the sleep disturbance. However, in the short term it may be necessary to aid sleep in order to reset the sleep cycle and support the body when other ailments are causing sleep deprivation. Jamaican dogwood is particularly helpful when pain is interfering with sleep. The mild hypnotic action of Jamaican dogwood combines well with other gentle nervines such as chamomile, limeflower, hops or valerian to support a restful sleep, particularly when pain is interfering with a restful night (4).
Anxiety
Sedative action of Jamaican dogwood can also help with acute anxiety or to calm the nervous system when an individual is experiencing long term anxiety. Jamaican dogwood can be taken acutely to abate a panic attack, and combines well with passionflower, motherwort and lemon balm in this case.
Musculoskeletal
Jamaican dogwood is both analgesic and anti-inflammatory, which can reduce painful conditions such as arthritis, but will only be effective when combined with measures to address the root cause of the arthritis (4). Similarly, headaches may be rooted in muscular tension or postural problems, which Jamaican dogwood can relieve in the short term but the underlying cause will need to be addressed.
Digestive system
The analgesic and antispasmodic actions of Jamaican dogwood can help to alleviate the acute symptoms spasm and pain in the gastro-intestinal tract. As with all the conditions outlined, the cause of pain and spasm needs to be explored and remedied, rather than repeatedly relieving the symptoms. Headaches can often stem from the diet or an issue in the digestive system, meaning Jamaican Dogwood may be indicted to relieve a stomach-related headache in the short term, while the digestive cause is being treated.
Reproductive system
The antispasmodic and analgesic actions of Jamaican dogwood make it suited to dysmenorrhea (8). In such cases Jamaican dogwood combines well with valerian and cramp bark for acute relief. Menstrual cramps and menstrual headaches are likely to be rooted in a hormonal cause, which will need to be treated to correct the imbalance (4). However, this can take several months of treatment, and in the short term Jamaican dogwood can acutely provide relief to the symptoms.
Respiratory
Jamaican dogwood is useful as an antispasmodic for violent coughs, or the persistent coughs that can result from bronchitis (16). Asthmatic wheezing, and spasming coughs which are tight, breathless and non-productive can often stem from the nervous system (14). Other herbs to consider for a spasming coughs include wild cherry bark or hyssop, and elecampane.
Research
Very little research has been carried out on Jamaican dogwood, with no human clinical trials existing in the literature. The indications and current knowledge of the herbal usage is based on the original pharmacopeia’s from the nineteenth and early twentieth centuries.
Early research using animal models identified Jamaican Dogwood to have a depressant and antispasmodic action in uterine tissue in vitro and in vivo (6). More recently, an animal study using mice has demonstrated both anxiolytic and sedative activity (17). The antispasmodic activity of Jamaican dogwood has been attributable to the isoflavone constituents (2).
The evidence for toxicity is limited to data from animal studies. One study orally administered rats very high doses of Jamaican dogwood extract (90g/kg) with no toxic effects (6).
A review article in 2005 evaluated the evidence for the safety and efficacy of non-prescription therapies for insomnia, including Jamaican dogwood (18). The paper concluded that Jamaican dogwood demonstrated sedative effects in animal studies, but there is no clinical or scientific studies verifying this effect in humans.
Did you know?
Some of the constituents on Jamaican dogwood are toxic to fish, and it is used extensively throughout Central and South America as a fish poison (5). Pounded leaves and branches are dropped into the water which stupefies the fish and eases the catch (8).
Additional information
Botanical description
Jamaican dogwood is a perennial, deciduous, medium to large (25–41 feet/ 12–15m), non-climbing tree (21). The trunk expands to three feet in diameter, the crown is irregular and composed of many erect or irregularly-shaped branches (22). The leaves are compound, with unequally pinnate, oval leaflets (7). The leaves are dark green coloured on the top of the leaf and pale underneath (22). Flowers appear in spring, which are white, pink and lavender coloured have a broad, bell-shaped, five-toothed calyx (7). The fruit is light brown, bean-like pods with four papery wings, in the autumn (22).
Common names
- Fish poison tree
- West Indian dogwood
- Piscidia
- Fish fuddle
Safety
Jamaican dogwood does not have a legally enforced restriction upon use, but does have a voluntary restriction applied by several professional herbal practitioner associations. This means that medical herbalists practising as members of various professional associations will apply a restriction on the dose prescribed. Overdose can be toxic by causing neuromuscular depression, with symptoms including numbness, tremors, sweating and salivation (5). The prescription for use should be of limited duration (16). For these reasons, is advised to consult with a qualified medical herbalist before using Jamaican dogwood.
Interactions
Jamaican dogwood may potentiate the sedative effect of central nervous system (CNS) depressant medications, strong analgesics, sedatives, tranquilisers (5, 19, 20). Jamaican dogwood should be discontinued for 7–10 days prior to surgery (20).
Contraindications
Jamaican dogwood should be avoided or only taken under the guidance of a medical herbalist in cases of hypotension or cardiac insufficiency (14) and bradycardia (20). Use Jamaican dogwood with caution in cases of liver and kidney disease (16).
The neuro-muscular depressant effects are particularly potent in children and the elderly, and this heightened sensitivity contraindicates Jamaican dogwood from use in these populations (19). Use with caution in cases of depression due to the sedative effects (19).
Avoid Jamaican dogwood in pregnancy due to possible uterine depressant effects, and risk of foetal malformation (19). Only consume Jamaican dogwood when breast-feeding under the guidance of a medical practitioner (19). You can find qualified medical herbal professionals on our page “Where to find a herbalist“.
Dosage
Decoction: 1–2g dried root, three times per day (5). Maximum of 5–10g (1–2 teaspoon) per day as decoction simmered for 10–15 minutes (4)
Tincture: 0.5–3ml every four hours, 1:5, 80% (3). 2–4ml (1:5), three times per day (4). Up to a maximum of 50ml/week of a 1:3 extract
FE (1:1 extract): 1–2ml, three times per day (5)
Glycerite: 5–10ml (1:8) every four hours (3)
Plant parts used
- Bark
- Root bark
Constituents
- Isoflavones: Ichthynone, jamaicin, piscerythrone, piscidone, dehydromillettone, lisetin (5). Rotenoids: rotenone, milletone, isomillettone (20)
- Glycosides: Piscidin, jamaicin, icthyone (4, 5)
- Tannins (4)
- β-sitosterol (4, 5)
- Volatile oil (0.01%) and resin (5)
Habitat
The Jamaican dogwood tree is native in Mexico and across Central America from Florida to Caribbean (21). This ancient tree prefers coastal locations with moist, well-drained sandy soil and a humus top layer (22).
Sustainability
Jamaican dogwood is reported as “secure” by Nature Serve (23) and does not appear on the U.S. Endangered Species act (23) or the United Plant Savers “to watch” list (24). The International Union for Conservation of Nature (25) have global assessed Piscidia piscipula and list it as “Least Concern”. The species is widely distributed across North and South America, with a stable population that currently has no major threats reported (25).
Quality control
When buying any herbal medicine it is important to obtain from a reliable source. Unreputable sources can be contaminated, adulterated or replaced with the wrong plant material. To ensure the quality of a product look out for certified organic labelling, check that the correct botanical name is used, and obtain information from suppliers regarding the origin of the product’s ingredients.
How to grow
The Jamaican dogwood tree can be grown from the seeds in the ripe pods, germinating in 8–10 days. Cuttings will take root and establish quickly. The tree grows quickly and has a high drought tolerance, not requiring any supplemental water once it is established (22).
References
- Wood M. The Practice of Traditional Western Herbalism: Basic doctrine; energetics and classification. North Atlantic Books; 2004.
- Della Loggia R, Zilli C, Del Negro P, Redaelli C, Tubaro A. Isoflavones as spasmolytic principles of Piscidia erythrina. Progress in Clinical and Biological Research. 1988;280:365-368. PMID: 3174700.
- Easley T, Horne S. The Modern Herbal Dispensatory: A Medicine-Making Guide. North Atlantic Books; 2016.
- Hoffman D. Medicinal Herbalism, The Science and Practice of Herbal Medicine. Healing Arts Press; 2003.
- Barnes, J., Anderson, L.A. and Phillipson, J.D. Herbal medicines: a guide for healthcare professionals: Third Edition. Pharmaceutical press; 2007.
- Costello CH, Butler CL. An investigation of Piscidia erythrina (Jamaica dogwood). Journal of the American Pharmaceutical Association. 1948;37(3):89-97. https://doi.org/10.1002/jps.3030370302. Accessed on 1st March 2024.
- Felter H. W, Lloyd J. U (1898) Kings American Dispensary. Piscidia – Jamaican Dogwood. Available as reprint at: https://www.henriettes-herb.com/eclectic/kings/piscidia.html. Accessed on 3 March 2024.
- Grieve M, Leyel CF, Marshall M. A Modern Herbal. the Medicinal, Culinary, Cosmetic and Economic Properties, Cultivation and Folk-Lore of Herbs, Grasses, Fungi, Shrubs & Trees with All Their Modern Scientific Uses. Dover Publications; 1982.
- BPC – The British Pharmaceutical Codex. Council of the Pharmaceutical Society of Great Britain, 1911. Available as reprint at: https://www.henriettes-herb.com/eclectic/bpc1911/piscidia.html. Accessed on 3 March 2024.
- Ellingwood, F. The American Materia Medica, Therapeutics and Pharmacognosy, Group I Agents acting on the nervous system. Division I Sedatives and depressants. Chapter III Sedatives used to induce sleep; 1919. Available as reprint at: https://www.henriettes-herb.com/eclectic/ellingwood/piscidia.html. Accessed on 3 March 2024.
- Auxence, E.G. A pharmacognostic study of Piscidia Erythrina. Economic Botany, 7, 270–284 (1953). https://doi.org/10.1007/BF02984953. Accessed on March 1, 2024.
- Wren, R.C. Potter’s Cyclopedia of Botanical Drugs and Preparations. Second Edition. Potter and Clark Ltd; 1915.
- Barker JE, Meletis CD. Naturopathic pain management. Alternative & Complementary Therapies. 2004, 1;10(4):188-93. https://www.liebertpub.com/doi/abs/10.1089/1076280041580350?journalCode=act. Accessed on 3 March, 2024.
- Bone K and Mills S. Principles and Practice of Phytotherapy: Modern Herbal Medicine. Elsevier Health Sciences; 2013.
- Lopresti AL, Smith SJ, Drummond PD. Herbal treatments for migraine: A systematic review of randomised‐controlled studies. Phytotherapy Research. 2020;34(10):2493-517. https://onlinelibrary.wiley.com/doi/abs/10.1002/ptr.6701. Accessed on 3 March 2024.
- Thomsen M. The Phytotherapy Desk Reference: 6th Edition. 6th ed. Aeon Books; 2022.
- Della Loggia R, Tubaro A, Redaelli C. Evaluation of the activity on the mouse CNS of several plant extracts and a combination of them. Riv Neurol. 1981;51(5):297-310. PMID: 6118937.
- Meolie AL, Rosen C, Kristo D, Kohrman, M., Gooneratne, N., Aguillard, R. N., Fayle, R., Troell, R., Townsend, D., Claman, D., Hoban, T., Mahowald, M.,& Committee of Sleep Medicine. Oral nonprescription treatment for insomnia: an evaluation of products with limited evidence. Journal of Clinical Sleep Medicine. 2005;1(2):173-187. Available at: https://jcsm.aasm.org/doi/pdf/10.5664/jcsm.26314. Accessed on March 1, 2024.
- Brinker, FJ. Herbal Contraindications & Drug Interactions: Plus Herbal Adjuncts with Medicines. Eclectic Medical Publications, 2010.
- McIntyre A, Boudin M. Dispensing with Tradition: A Practitioner’s Guide to Using Indian and Western Herbs the Ayurvedic Way. Anne McIntyre & Michelle Boudin; 2012.
- Royal Botanical Gardens Kew (RBGK). Piscidia piscipula Sarg. Plants of the Word Online (POWO). Accessed February 26, 2024. https://powo.science.kew.org/taxon/urn:lsid:ipni.org:names:199978-2
- IRC – Natives for your neighborhood conservation of rare plants, animals, and ecosystems. IRC – Natives for Your Neighborhood. Accessed March 1, 2024. https://www.regionalconservation.org/beta/nfyn/plantdetail.asp?tx=Piscpisc.
- NatureServe explorer 2.0. Natureserve.org. Accessed February 26, 2024. https://explorer.natureserve.org/Taxon/ELEMENT_GLOBAL.2.135857/Piscidia_piscipula
- UpS list of herbs & analogs. United Plant Savers. Published May 14, 2021. Accessed February 26, 2024. https://unitedplantsavers.org/ups-list-of-herbs-analogs/
- IUCN SSC Global Tree Specialist Group & Botanic Gardens Conservation International (BGCI). 2020. Piscidia piscipula. The IUCN Red List of Threatened Species 2020: e.T156770819A156770821. https://dx.doi.org/10.2305/IUCN.UK.2020-1.RLTS.T156770819A156770821.en. Accessed on 26 February 2024.