Ivy Leaf (Hedera helix)

Ivy is an evergreen climber native to the damp woods of western, central, and southern Europe. The leaf is used medicinally. It should be carefully distinguished from poison ivy found in the Americas.


While very few human clinical trials have been performed on ivy leaf, it is approved by the German Commission E for use against chronic inflammatory bronchial conditions and productive coughs due to its actions as an expectorant. Herbal[/glossary] Medicines. Boston, MA: Integrative Medicine Communications, 1998, p.153

] One double-blind human trial found ivy leaf to be as effective as the drug ambroxol for treating the symptoms of chronic bronchitis.

In addition to the use of ivy to treat asthma, clinical reports from Europe suggest that topical cream preparations containing ivy, horsetail, and lady’s mantle are beneficial in reducing, although not eliminating, skin stretch marks.


Standardized ivy leaf extract can be taken by itself or in water at 25 drops twice per day as a supportive treatment for children with a cough or bronchitis. At least double this amount may be necessary to benefit adults.

Active Ingredients

Although ivy’s composition has not been subject to detailed scientific investigations, it is known to contain 5-8% saponins. Other constituents in the leaf include an alkaloid called emetine that is similar to one found in the herb tylophora. Although emetine typically induces vomiting, in ivy leaf it seems to increase the secretion of mucus in the lungs. While the emetine content is very low in ivy, this could in part explain its traditional use as an expectorant. Animal studies have shown the saponins found in ivy extract prevent the spasm of muscles in the bronchial area.


The 0.3gm daily tea preparation of the herb, suggested in the German Commission E monographs, is not recommended for pediatric use because the quantities of the saponins it contains are too variable and could induce nausea and vomiting. Since ivy contains small amounts of emetine, it is not recommended during pregnancy, as this specific alkaloid may increase uterine contractions. In addition, the leaf itself can be quite irritating when handled and may cause allergic skin reactions.

At the time of writing, there were no well-known drug interactions with ivy leaf.


Ivy Leaf (Hedera helix) can help with the following



A controlled trial in a group of children with bronchial asthma found that 25 drops of ivy leaf extract given twice per day was effective in improving airflow into the lungs after only three days of use. [Münch Med Wschr 1998;140: pp.32-6] However, the incidence of cough and shortness of breath symptoms did not change during the short trial period.

Standardized ivy leaf extract can be taken by itself or in water at 25 drops twice per day as a supportive treatment for children with asthma. [Giornale Italiano de Dermatologia Venereologia 1993;128; pp.619-24] At least double this amount may be necessary to benefit adults with asthma.


May do some good



Usually Chronic illness: Illness extending over a long period of time.


A substance that promotes the removal of mucous from the respiratory tract.


Inflammation of the mucous membrane of the bronchial tubes, frequently accompanied by cough, hypersecretion of mucus, and expectoration of sputum. Acute bronchitis is usually caused by an infectious agent and of short duration. Chronic bronchitis, generally the result of smoking, may also be known as Chronic Obstructive Pulmonary Disease (COPD) or Emphysema.


A lung disorder marked by attacks of breathing difficulty, wheezing, coughing, and thick mucus coming from the lungs. The episodes may be triggered by breathing foreign substances (allergens) or pollutants, infection, vigorous exercise, or emotional stress.


Most commonly 'topical application': Administration to the skin.


Any of various mostly toxic glucosides that occur in plants (as soapwort or soapbark) and are characterized by the property of producing a soapy lather.


Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with one teaspoon herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Tinctures may be used singly or in combination as noted. The high doses of single herbs suggested may be best taken as dried extracts (in capsules), although tinctures (60 drops four times per day) and teas (4 to 6 cups per day) may also be used.


Involuntary contraction of one or more muscle groups.


(gm): A metric unit of weight, there being approximately 28 grams in one ounce.


Symptoms resulting from an inclination to vomit.

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