Order: Gentianales Juss. ex Bercht. & J.Presl
Family: Apocynaceae Juss.
According to some authors, the name Vinca derives from the Latin vincire (to tie), because of the thin and flexible stems, while according to others it derives from the verb vincere (to win), perhaps as an allusion to the ability of the herb to fight diseases or to withstand the ravages of weather. [Peroni]
The Vinca genus counts 6 species (accepted names): Vinca difformis Pourr., Vinca erecta Regel & Schmalh., Vinca herbacea Waldst. & Kit., Vinca major L., Vinca minor L., and Vinca soneri Koyuncu. It is a member of the Apocynaceae family, which also includes the genera Catharanthus, Rauwolfia, Apocynum, Trachomitum and Oleander, well known for including medicinally powerful and very often poisonous plants.
V. minor L. (lesser periwinkle) and V. major L. (greater periwinkle) are probably the best known species belonging to the genus.
Vinca major L., Vinca minor L.
Sun; Cancer [Angelini]
Cold and dry with a hot and dry part.
Astringent, acrid and very bitter [Durante, Giannelli, Mattioli, Wood]
Uterus, stomach, digestive system, nervous system, skin
Eliminate excess heat and/or fluids, toxic heat and phlegmatic-bilious residues, and resolve Tension excess and stagnation; supplement deficient Tension (in nervous system, digestive system, uterus, urinary organs and mucous membranes in primis) and help to preserve correct Phlegm
Antidiabetic, antidiarrheic, anti-hypertensive/hypotensive, anti-inflammatory, antiscorbutic, astringent, carminative, decongestant, depurative, digestive, diuretic, febrifuge, galactofuge, hemostatic, laxative, sedative, spasmolitic, tonic, vasodilatator, vasoprotective, vulnerary
Aerial parts, flowering aerial parts, whole plant, flowering whole plant, roots
Even if the alkaloid composition of V. minor and V. major differ somewhat, nonetheless they are usually considered as generically interchangeable from the medicinal point of view, apart from some differences.
Castore Durante, who, like Mattioli, called the periwinkles “first clematis”, tells that “two types are found, i.e. major and minor” and describes them without making any further distinctions. [Durante]
James A. Duke writes: “Most authors suggest that the greater and lesser periwinkle are generically interchangeable medicinally, and I agree, so far.” [Duke]
According to Gabriele Peroni “in Italy four species of Vinca are recognized: V. minor L., V. major L., rather common; the rare V. difformis Pourret and the very rare, endemic V. sardoa (Stearn) Pignatti. They all share the same medicinal properties.” [Peroni]
According to Mrs. Grieve, V. major is “the species more generally used in herbal medicine, as an astringent and tonic, in menorrhagia and in haemorrhages, also as a laxative, and gargle”, while V. minor is “employed in homoeopathy for preparation of a tincture used for haemorrhages.” [Grieve] Anyhow she later states that “both species of Periwinkle are used in medicine for their acrid, astringent and tonic properties,” and that “the small periwinkle possesses all the virtues of the other kind and may very properly supply its place.” [Grieve]
Matthew Wood tells that “although the properties are similar, the greater has been cited as a lymphatic alterative and the lesser as a cerebral tonic (Menzies-Trull).” [Wood]
Peter Holmes describes the differences in a more extensive manner: “Greater periwinkle is a reliable astringent and mucous decongestant herb with a significant hemostatic action, especially (but not solely) for menorrhagia and metrorrhagia. It will also stop leakage and discharge from the digestive and urogenital organs and is also used in formulas for diarrhea, leucorrhea and urinary leakage, including enuresis.
The Lesser periwinkle […] has somewhat different applications. The herb and root are both employed, which contain the alkaloid vincamine as well as tannins. This bitter, pungent remedy is used as a restorative for anemia and anorexia, and as a pungent carminative for damp intestinal conditions with dyspeptic flatulence, indigestion and belching. Its astringent action will treat discharges and hemorrhage, especially diarrhea, leucorrhea and hemoptysis. Lesser periwinkle is also hypotensive in hypertension (an African medicine use) and antidiabetic. Like Ginkgo leaf, this remedy also mildly increases cerebral circulation (an action of vincamine), indicating use for loss of mental focus and memory, dizziness, headache, tinnitus, peripheral arterial deficiency and so on.” [Holmes]
In this text, therefore, we will treat both V. minor and V. major in an indistinguishable way, except for any differences which will be explicitly highlighted.
Very bitter plants, rich in tannins and alkaloids (see paragraph “Vinca alkaloids”), periwinkles have astringent, antispasmodic and purifying properties. According to Durante, “Of its leaves, and likewise of the stems, the decoction made in wine, and drunk, resolves dysentery, and the other fluxes of the body, and the leaves eaten in fritters stagnate the menses: Drunk with vinegar, the leaves are beneficial to the bites of asps as well.” [Durante]
A particular use, certainly connected to the astringency of the plants, is described as follows: “Tied this herb around the thighs, it stagnates the flow of menses, and prevents pregnant women from aborting. Placed on the head, and wrapped around the neck, it stagnates the blood from the nose, and is usefully put into wound drinks, and poultices”. [Durante]
Their roots are recognized as having diuretic and hypotensive properties, while the leaves (which constitute the part most often used in medicine) are recognized as astringent, antiscorbutic, diuretic, vulnerary, tonic, haemostatic, purifying, digestive, decongestant and slightly galactofuge. With periwinkles, medicated wines are prepared which are administered to treat anemia and anorexia and as tonic coadjuvants in convalescence. [Peroni]
Due to their astringent and purifying properties, periwinkles are also used externally as remedy for abscesses, sores and bruises (in the form of poultices) and for sore throat and inflammation of the oral cavity (for rinses and gargles). [Peroni]
According to Duraffourd and Lapraz, V. minor (the authors do not mention V. major) is a herb with a mixed endocrine and exocrine pancreatic tropism, with a spasmolytic activity (sympatho- and parasympatholytic), and has galactofuge, vasodilator and cerebral hypotensive, capillary protector, coronary artery dilator, analgesic, and FSH-stimulating. [Duffourd-Lapraz]
Alkaloids are rather abundant in the Apocynaceae family, and also the Vinca species contain several of them.
The name “vinca alkaloids” usually refers to a set of bisindole alkaloids, vinblastine and vincristine being the best known, contained in the Madagascar periwinkle and used as antineoplastic agents. Even if originally classified as Vinca rosea L., Madagascar periwinkle has been moved to the Catharanthus genus and it is now classified as Catharanthus roseus (L.) G.Don.
The plants strictly belonging to the Vinca genus also contain indole alkaloids, but they are mostly monoindole derivatives and therefore they are structurally different from those contained in Catharanthus roseus. In V. minor indole alkaloids amount to abt. 0.15-1.4% of the plant dry weight [PDR, Vachnadze]. So far, more than 50 such alkaloids have been isolated from the aerial parts and the root of V. minor, a few of which have a quaternary ammonium salt structure (1,4-dimethyl-2,16-dihydroakuammicinium chloride, 4-methylraucubaininium chloride, 4-methylstrictaminium chloride and 4-methylakuammicinium chloride, all contained in the leaves). [Farahanikia, Proksa4]
Vincamine is the dominant alkaloid in V. minor (0.02-0.13% of the dried plant weight) [AHPA, Farahanikia, Karabaev, Proksa3, Vachnadze, Weiss]. Also reserpine have been isolated from V. minor [Malikov, PDR].
Vincarubine is the only bisindole alkaloid isolated so far from lesser periwinkle2 (it is found only in the leaves, abt. 0.007% [Proksa3]). Vincarubine has shown a considerable cytotoxic effect against the P388 leukemia cells; indeed, it inhibits the incorporation of precursors of proteosynthesis and synthesis of nucleic acids into P388 cells (even if to a smaller extent than vincadifformine, another monomeric indole alkaloid isolated from V. minor). The cytotoxic effect of vincarubine is greater than that of vinblastine. Unlike vinblastine, vincarubine displays inhibition of the RNA synthesis and does not exhibit mutagenic effects. [Bahadori, Farahanikia, Proksa, Proksa2]
V. major also contains indole alkaloids, among which vincamine (even though in a lesser quantity than V. minor) and other alkaloids not found in V. minor [Cheng, Ciorîță, Malikov].
Vinblastine and vincristine are not present at all in V. minor nor in V. major, although several sources erroneously mention them in lesser periwinkle.
The toxicity of vincamine and the other indole alkaloids found in V. minor is quite low [Rossi]. In different acute toxicity studies, the oral LD50 for vincamine has been found to be 810 or 1200 mg/kg in rats and 460, 825, or 1000 mg/kg in mice. Ventricular extrasystoles were observed in rabbits after oral administration of 20 mg/kg vincamine. [AHPA, EMEA]
In subacute toxicity tests, no signs of toxicity were observed in rats orally administered 30 or 100 mg/kg of vincamine daily for 6 weeks. In rats orally administered 120 mg/kg of vincamine for 6 days, no changes in liver enzyme levels were observed. [AHPA, EMEA]
In mice, the LD50 for intraperitoneal injections of aqueous vincamine solutions was 375 mg/kg. The LD50 values for the total common periwinkle alkaloid extract were 400 mg/kg for intraperitoneal injections and above 600 mg/kg for peroral administration. [Vachnadze]
In subchronic toxicity tests, no signs of toxicity were observed in rats orally administered 6.6, 20, or 62 mg/kg of vincamine or guinea pigs given 2.5 mg/kg daily for 3 months. In dogs orally administered 1, 7, or 20 mg/kg of vincamine daily for 3 months, behavioral changes were observed at the 20 mg/kg dose, with no effects reported at lower doses. [AHPA, EMEA]
James Duke reports, for V. minor, the following LD50 values in mice: for “drug” (not better specified) 1400 mg/kg i.p., for “mixed alkaloids” 76 mg/kg i.p., 24 mg/kg i.v. and 500 mg/kg oral administration. For V. major, he reports LD50 (mixed alkaloids) = 37 mg/kg i.v. in mice. [Duke]
Vincamine has been found to have a hypotensive action, similar to that of reserpine, and to reduce the response to angiotensin. Its administration produces a reduction in diastolic blood pressure and a simultaneous lowering of the cerebral concentration of norepinephrine, with consequent vasodilatation of both coronaries and cerebral capillaries: reduced cerebral flow shows a definite increase, cerebral oxygen consumption rises, and the arteriovenous glucose difference increases. [Peroni, Rossi, Weiss]
This activity also corresponds to a protective effect on the vessel walls, especially those of capillaries. [Rossi]
Both vincamine and vinpocetine (ethyl apovincaminate), a synthetic derivative of vincamine, are currently approved as dietary supplements in US and Canada mainly as nootropics. Vincamine is sold as a prescription drug in Europe. The main indications for vincamine are disorders of cerebral blood flow and metabolism due to arteriosclerosis, the sequelae of brain trauma and the sequelae of strokes with symptoms such as poor memory, behaviour disorders, irritability, restlessness, speech disorders, vertigo and headaches. Lack of attention and memory disorders, as well as emotional disorders due to mild forms of cerebral arteriosclerosis respond well to vincamine. [Weiss]
The drug has also a good effect on tinnitus and hearing defects in old age, on the dizziness that occurs with Ménière’s syndrome and on disorders of blood flow in the retina. [Weiss]
When vincamine is given orally, between three and six weeks usually are needed before subjective and objective improvement are noted. [Weiss]
Tolerance of vincamine is quite good. Gastrointestinal symptoms do sometimes develop, but they are always reversible and not very marked. [Weiss]
Temperature and taste
According to the authors which are closest to the Hippocratic-Galenic tradition, periwinkles (V. major and V. minor) are cold and dry, with an astringent and very bitter taste [Durante, Giannelli, Mattioli].
Culpeper classifies them as “Hot in the second degree, something dry and binding”. [Culpeper]
According to Matthew Wood, they are acrid and astringent and suitable to treat the constriction and relaxation tissue states [Wood].
The unquestionably astringent and anti-inflammatory/analgesic abilities of the two plants, particularly well known to classical and Renaissance authors, justify their classification as cold and dry drugs. However, the acrid-bitter taste, which accounts for their purifying, tonic and “relaxing” action on tissue constriction, is a decidedly warm characteristic.
We will therefore say that periwinkles are drugs with a dual nature, in which a cold and dry part (Earth) and a decidedly hot and dry part (Bile) coexist.
Culpeper tells “Venus owns this herb, and saith, That the leaves eaten by man and wife together, cause love between them.” [Culpeper]
Angelo Angelini classifies it as a plant with a Jovian function and Cancerian potential, acting on brain-spinal cord and stomach [Angelini].
According to Robin Murphy, periwinkles are associated to the planet Saturn. [Murphy]
Actions and indications
Periwinkles have a purifying and anti-inflammatory/analgesic action, as can be inferred from their strongly bitter taste. They also have a dispersing action on excessive Tension (especially at the level of blood vessels and the brain). In humoral terms, they eliminate excess heat and/or fluids, toxic heat and phlegmatic-bilious residues, and resolve Tension excess and stagnation (they are both sympatho- and parasympatholytic).
Astringency accounts for their ability to dry excess fluids and to stop the body “fluxes” (excessive menstruation, hemorrhage, leucorrhea, enuresis, diarrhea): in this sense, they act by supplementing Tension where its deficiency causes fluid (Phlegm) loss. The tonic action (supplementing of Tension) exercised both on the digestive and the nervous system can be attributed to the acrid-bitter taste of the plants. In humoral terms, they supplement deficient Tension (in nervous system, digestive system, uterus, urinary organs and mucous membranes in primis) and help to preserve correct Phlegm.
Uterus, stomach, digestive system, nervous system, skin.
Antidiabetic, antidiarrheic, anti-hypertensive/hypotensive, anti-inflammatory, antiscorbutic, astringent, carminative, decongestant, depurative, digestive, diuretic, febrifuge, galactofuge, hemostatic, laxative, sedative, spasmolitic, tonic, vasodilatator, vasoprotective, vulnerary.
Anti-diabetic (V. minor). [Holmes]
Antidiarrheal [Culpeper, Giannelli, Peroni, Zevin]:
- Liter.: “Dioscorides, Galen, and ægineta, commend it against the lasks [diarrhea] and fluxes of the belly to be drank in wine.” [Culpeper]
Analgesic, anti-inflammatory. [Duraffourd-Lapraz, Giannelli, Peroni, Rossi, Zevin]
Anti-hypertensive/hypotensive. [Holmes, Peroni, Rossi, Zevin]
Anti-scorbutic (leaves). [Peroni]
Astringent [Holmes, Peroni, Zevin]; mild astringent tonic (Tenore) [Peroni].
Carminative (V. minor) [Holmes]:
- for damp intestinal conditions with dyspeptic flatulence, indigestion and belching. [Holmes]
Decongestant (leaves). [Peroni]
Depurative [Peroni, Zevin]; (leaves) [Peroni].
Digestive (leaves). [Peroni]
Diuretic (leaves, roots) [Peroni]:
- as a diuretic and hypotensive (2% root decoction: 2-3 cups a day). [Peroni]
- as a diuretic (tincture of roots: 10-15 drops 2-3 times a day). [Peroni]
Hemostatic. [Culpeper, Holmes, Peroni, Rossi]; (foglie) [Peroni]
Galactofuge [Duraffourd-Lapraz, Peroni, Rossi]:
- mild galactofuge (leaf powder: 1 g, 2-3 times a day). [Peroni]
Laxative (fresh flowers or fresh flower syrup) [Grieve, Holmes]:
- Liter.: “The flowers of the Greater (and probably also of the Lesser) Periwinkle are gently purgative, but lose their effect on drying. If gathered in the spring and made into a syrup, they will impart thereto all their virtues, and this, it is stated, is excellent as a gentle laxative for children and also for overcoming chronic constipation in grown persons.” [Grieve]
- Liter.: “Fresh Periwinkle flower syrup is a nice laxative in occasional constipation.” [Holmes]
- Liter.: “Drinking periwinkle tea has a calming effect on the central nervous system and is recommended for people who are nervous and tense.” [Zevin]
Spasmolytic (sympatho- and parasympatholytic). [Duraffourd-Lapraz]
Tonic [Grieve, Holmes, Peroni]:
- Restorative for anemia and anorexia ( minor). [Holmes]
Vasodilator. [Duraffourd-Lapraz, Peroni, Zevin]
- Cerebral hypotensive and vasodilator, coronary artery dilator. [Duraffourd-Lapraz]
Vasoprotective [Duraffourd-Lapraz, Peroni]:
- In particular toward microcirculation. [Peroni]
- Capillary protective. [Duraffourd-Lapraz]
Vulnerary. [Peroni, Zevin]
In this section, all entries refer to both V. minor and V. major (and possibly also at least to V. difformis subsp. sardoa Stearn), unless explicitly indicated otherwise.
- Weakness and prostration [Clarke, Murphy, Phatak, Scholten, Vermeulen, Vermeulen2]:
- Weakness as if he would die. [Clarke, Murphy, Phatak, Scholten, Vermeulen]
- The stool caused exhaustion. [Clarke, Murphy]
- Great debility accompanying menses/uterine haemorrhage. [Boericke, Clarke, Murphy, Phatak, Scholten, Vermeulen, Vermeulen2]
- Anemia [Holmes, Peroni]:
- (Medicated wine). [Holmes]
- As a restorative ( minor). [Holmes]
- Convalescence (medicated wine, ad a tonic coadjuvant). [Peroni]
- Drowsiness (2% whole plant infusion: 1/2 liter per day). [Peroni]
- Cancer ( major) [Wood], (V. minor) [Murphy].
- Behavior disorders, lack of attention, irritability, restlessness ( minor). [Wood]
- Loss of mental focus, poor memory ( minor). [Holmes, Weiss, Wood]
- Nervous disorders [Grieve]:
- Liter.: “may be used with advantage in hysteric and other fits…. It is good in nervous disorders.” [Grieve]
- Trembling sensation, especially in upper limbs, and tendency to be startled, especially during mental exertion. [Clarke, Murphy, Phatak, Vermeulen, Vermeulen2]
- [Grieve, Wood]
- Liter.: “the young tops made into a conserve is good for the night-mare.” [Grieve]
- Spots on scalp, oozing foul moisture, matting hair together [Boericke, Hansen, Murphy, Phatak, Scholten, Vermeulen]. Crusta lactea [Clarke, Hansen, Murphy]. Favus [Clarke, Murphy]. Plica polonica [Boericke, Clarke, Hansen, Murphy, Phatak, Reckeweg, Scholten].
- Headache, migraine [Holmes, Peroni, Rossi, Weiss]:
- (mother tincture: 30-40 drops, 3-4 times a day). [Peroni]
- Headache, temporal to crown, ache behind the eyes, watery eyes ( minor). [Wood]
- Vertigo ( minor) [Boericke, Holmes, Murphy, Rossi, Scholten, Vermeulen, Weiss, Wood]; (V. major, V. minor) [Peroni]:
- (mother tincture: 30-40 drops, 3-4 times a day) [Peroni]
- Cerebral atherosclerosis. [Weiss, Wood]
- Sequelae of brain trauma. [Weiss]
- Sequelae of strokes. [Weiss]
- Tinnitus ( minor). [Boericke, Holmes, Murphy, Scholten, Vermeulen, Wood]
- Hearing deficit ( minor) [Weiss, Wood], in old age [Weiss].
- Ménière syndrome ( minor) [Rossi, Vermeulen, Weiss, Wood]; (V. major e V. minor) [Peroni]
- (mother tincture: 30-40 drops, 3-4 times a day) [Peroni]
- Otitis (external use) [Durante, Giannelli]:
- (plant juice). [Durante]
- Disorders of blood flow in the retina (vincamine). [Weiss]
- Optic atrophy ( minor). [Wood]
Mouth and throat
- Inflammation of the mouth, angina, pharyngitis (gargle with decoction or herb chewed) [Holmes, Peroni, Zevin]:
- (6% leaf decoction, as a mouthwash). [Peroni]
- Liter.: “Michele Tenore proposed the decoction, at the dose of ’15 grams of herb for each jug of water’, in ‘relaxation of the uvula’.” [Peroni]
- Relaxed sore throat, swollen tonsils, inflamed tonsils (gargle). [Grieve, Holmes, Wood]
- Tootache (external use) [Durante, Giannelli, Mattioli, Zevin]:
- (chewed leaves) [Durante, Mattioli]; (plant juice) [Durante].
- Hemorrhages [Boericke, Clarke, Culpeper, Grieve, Hansen, Peroni, Rossi, Scholten, Vermeulen, Vermeulen2]:
- Internal hemorrhages [Grieve, Peroni]:
- (1-2% leaves infusion: a spoonful every half hour). [Peroni]
- Liter.: “A homoeopathic tincture is prepared from the fresh leaves of Vinca minor and […] is given medicinally for the milk-crust of infants as well as for internal haemorrhages, the dose being from 2 to 10 drops, three or four times in the day, with a spoonful of water.” [Grieve]
- Hemorrhages from nose [Clarke, Culpeper, Grieve, Hansen, Holmes, Murphy, Zevin], mouth [Culpeper, Grieve, Holmes, Zevin], lungs, bowels [Hansen], uterus [Boericke, Clarke, Murphy, Hansen, Phatak, Scholten, Vermeulen, Vermeulen2].
- Nasal bleeding [Grieve, Wood, Zevin]:
- (bruised leaves put into the nostrils). [Grieve]
- Frequent nosebleed. [Clarke, Murphy]
- Hemoptysis ( minor). [Holmes]
- Liter.: “stays bleeding both at mouth and nose, if some of the leaves be chewed.” [Culpeper]
- Nasal bleeding [Grieve, Wood, Zevin]:
- Wounds (as a vulnerary, external use) [Giannelli, Zevin]; to heal war wounds [Zevin]; to treat minor wounds (decoction) [Zevin].
- Hypertension (leaves, roots; decoction, tincture) [Peroni, Rossi, Vermeulen, Zevin]:
- Hypertension affecting the microcirculation and the peripheral vascularization. [Rossi]
- Vascular insufficiency [Holmes, Peroni, Rossi]:
- peripheral (mother tincture: 30-40 drops, 3-4 times a day). [Peroni]
- peripheral with vascular sclerosis in geriatric patients. [Rossi]
- with spasmophilia (mother tincture). [Peroni]
- Peripheral arterial deficiency ( minor). [Holmes]
- Coronary insufficiency with spasmophilia [Peroni, Rossi]:
- (mother tincture: 30-40 drops, 3-4 times a day). [Peroni]
- Vascular sclerosis [Peroni, Rossi]:
- (mother tincture: 30-40 drops, 3-4 times a day). [Peroni]
- Angina pectoris. [Peroni]
- Internal hemorrhages [Grieve, Peroni]:
- Diarrhea (foglie) [Culpeper, Durante, Giannelli, Grieve, Holmes, Mattioli, Peroni, Zevin], Enteritis [Peroni].
- Dyspepsia, flatulence. [Wood]
- Damp intestinal conditions with dyspeptic flatulence, indigestion and belching ( minor). [Holmes]
- Relaxation of the intestines, chronic diarrhea, chronic constipation. [Wood]
- Mucus in the intestines. [Grieve, Wood]
- Gastric hemorrhage. [Wood]
- Hemorrhoids (external and internal use) [Clarke, Grieve, Holmes, Murphy, Wood]:
- (Ointment made with lard). [Grieve]
- For bleeding piles, it may be applied externally, as well as taken internally. [Grieve]
- Bleeding internal hemorrhoids. [Wood]
- Hemorrhoids constantly sore, smarting after stool. [Clarke, Murphy]
- Diabetes [Duke, Peroni, Wood]:
- (fluid extract: 3-5 g a day). [Peroni]
- Diabetes ( minor). [Duke]
- Diabetes mellitus ( major). [Wood]
- Hypoglycemia ( major). [Wood]
- Anorexia (medicated wine, fluid extract) [Peroni]:
- to activate stomach functions in anorexia (fluid extract: 3-5 g per day). [Peroni]
- As a restorative ( minor). [Holmes]
Immune system and respiratory system
- [Boericke, Hansen, Murphy, Scholten]
- Chronic catarrh (leaves) [Peroni], mucus in the lungs [Grieve, Wood].
- Intermittent fevers (leaves). [Peroni]
- Urinary leakage, including enuresis ( major). [Holmes]
Female sex organs
- PMS (minor). [Wood]
- Uterine spasms (external use). [Giannelli]
- Prevents abortion [Durante, Giannelli, Mattioli]:
- Liter.: “Tied this herb around the thighs, it stagnates the flow of menses, and prevents pregnant women from aborting.” [Mattioli]; simil. [Durante]
- Menorrhagia, metrorrhagia [Culpeper, Durante, Grieve, Holmes, Mattioli, Wood, Zevin]:
- Menses profuse (menorrhagia), flowing continuously like a stream, with extreme weakness [Boericke, Clarke, Murphy, Phatak, Scholten, Vermeulen, Vermeulen2], faintness, and chilliness [Vermeulen]; blood dark red [Clarke, Murphy, Vermeulen2].
- Passive uterine haemorrhages. [Boericke, Clarke, Murphy, Scholten]
- Menometrorrhagia at climacteric. [Boericke, Hansen, Murphy, Phatak, Scholten].
- Bleeding fibroids. [Boericke, Hansen, Murphy, Phatak, Scholten]
- To reduce excessive menstrual flow and curb blood loss between periods. [Zevin]
- (infusion of leaves at 1-2%: one glass in the morning on an empty stomach). [Peroni]
- Metrorrhagia (decoction of leaves at 6%, for douche). [Peroni]
- Vaginal discharge, leucorrhoea. [Holmes, Peroni, Wood]
- Breast engorgement, mastitis, galactorrhea. [Peroni, Wood]
- [Grieve, Murphy, Wood]
- Cramp in the lower limbs. [Wood]
- Cramp-like drawing in feet and toes. [Murphy]
- Congested, red, ulcerated and itchy tissues; sores, ulcers (infusion, poultice, or ointment; external use) [Holmes, Peroni, Wood, Zevin]:
- (5% leaf infusion: for washings and compresses). [Peroni]
- Exudative rash, head eczema (6% leaf decoction, for poultices). [Peroni]
- Skin rash and itching (infusion, external use: effective treatment). [Zevin]
- Dermatitis (external use). [Holmes]
- Eczema [Boericke, Hansen, Murphy, Phatak, Scholten, Vermeulen2], especially pustulous [Hansen] or weeping, intermingled with foul, thick crusts [Murphy, Phatak].
- Abscesses (poultice as a resolutive, external use). [Peroni]
- Bruises (poultice as a resolutive, external use). [Peroni]
- Milk crust of infants [Clarke, Grieve, Hansen, Murphy, Wood]:
- (tincture of fresh leaves of minor). [Grieve]
- ( minor tincture; 2–10 drops in water, 3-4x/day). [Wood]
- Poisonous snake bite (leaf poultice). [Durante, Mattioli]
Parts used and their collection
The aerial parts (leaves only or both stems and leaves) are the portion of periwinkles which is used most often [Holmes, PDR, Peroni, Reckeweg, Rossi, Zevin], but sometimes also the roots or the whole plant are used, especially in the case of V. minor [Clarke, Peroni, Holmes].
The aerial parts or the whole plant are harvested from May to July-August [Peroni, Rossi], or in early spring, at the beginning of [Reckeweg] or during flowering [Zevin]. The aerial parts or the whole plant are dried in the shade or used fresh to make a hydroalcoholic tincture (1:3 in 30% ethanol [Holmes] or 1:10 (dry weight) up to a final strength of abt. 60% [Rossi]; the solvent can be slightly acidified to help the solubilization of the alkaloids [Rossi]).
The roots are harvested in spring or autumn and dried in the sun or used fresh to make a hydroalcoholic tincture. [Peroni]
For homeopathic preparations, the whole fresh plant is used. [Clarke, Murphy]
Fresh periwinkle flower syrup is a nice laxative in occasional constipation. [Holmes]
Preparation and dosage
The dried plant can be administered as a powder or, roughly cut, can be used to make infusions and decoctions. The dried or (better) fresh plant can be used for making tinctures. [Duke, Holmes, PDR, Peroni, Wood, Zevin]
Powder dosage: 2-4 g. [Duke]
Infusion (V. minor): 1 teaspoonful dry herb in 200-250 ml boiling water, steep for 10-15 minutes, then strain [Duke, PDR, Wood]. Dosage: 2-3 x/day [Duke, PDR].
Infusion (V. major): 2-4 g dry herb in 250 ml boiling water. Dosage: up to 3 x/day. [Duke]
Decoction: put 20-60 g of drug in 1 liter of water; heat to boiling, reduce heat and simmer for 2-15 minutes; turn off the flame and steep for 10 minutes-1 hour, then strain [PDR, Zevin]. Dosage: 2-4 cups between meals or 1 cup after meals for diarrhea [PDR]; 1-2 tablespoons (15-30 ml) every 2 hours [Zevin].
Medicated wine: macerate 100 g of drug in 1 l of wine for 10 days, decant and press [Duke, PDR]. Dosage: 1 dessertspoonful [abt. 9 ml] after meals [Duke].
Liquid for gargling or washing: boil 2 dessertspoonfuls of drug for a few minutes in 1/2 liter water. Dosage: as needed. [PDR]
Tincture dosage (V. major and V. minor): 2-5 ml at 1:3 strength in 30% eth. [Holmes]; 1-3 drops of fresh or dried leaves tincture 1-3x/day [Wood].
Contraindications and collateral effects
V. minor and V. major have a low toxicity. AHPA reports a Safety Class 1 (“Herbs that can be safely consumed when used appropriately”) and Interaction Class A (“Herbs for which no clinically relevant interactions are expected”) for V. minor [AHPA]. James Duke reports a Class 2d (“Restrictions as noted”) for V. minor [Duke].
No health hazards are known in conjunction with the proper administration of designated therapeutic dosages. [Duke, PDR, Weiss]
Some authors suggest that the flowers can be used as a decoration in salads [Tucci]. In Sardinia, the bottom of the corolla of Vinca difformis subsp. sardoa Stearn is sucked to extract the nectar from the nectaries present therein [Atzei].
Gastrointestinal complaints and skin flushing3 have been observed as side effects [Duke, PDR, Weiss]. Being a galactofuge, it causes reduction in milk flow [Rossi].
Overdosage can bring about a severe drop in blood pressure [Duke, PDR]. Cases of poisonings have not yet been recorded [PDR].
Commission E reports hematological changes (e.g., leucocytopenia, lymphocytopenia, reduced globulin levels) have been observed in animals. [AHPA, Duke, Rossi]
Indeed, in an experiment with rabbits, administration of dried and powdered V. minor leaves and stalks caused transient decrease in in the numbers of white cells and lymphocytes in the peripheral blood of the rabbits, a transient decrease in the levels of total serum protein, α1, α2 and γ-globulins and a rise of the β-globulin fraction. Albumins were almost unchanged. Fourteen days after discontinuation of the herbs, the altered parameters gradually returned to normal values. [Kiersnowska, Kiersnowska2]
In other experiments with rabbits, V. minor caused a drop in the numbers of red blood cells, granulocytes and lymphocytes in the peripheral blood, and after longer administration also in the percentages of lymphocytes in bone marrow. [Kiersnowska, Kiersnowska2]
A couple of such experiments were carried out with rabbits (weighting 4-4.80 kg in one experiment) treated with 10 g V. minor per day over 42 or 78 days. This corresponds to 2.1-2.5 g/kg dried herb [Kiersnowska, Kiersnowska2]. Therefore, the herb dosage was significantly greater than the dosage used for humans and the period of administration quite long.
Contraindicated in case of hypotension, pregnancy, breastfeeding [Duke, Rossi]. Brain tumors and diseases involving an increase in intracranial pressure are also given as contraindications [Weiss, Wood].
Use with care in case of constipation (due to astringency), leucytopenia and/or lymphocytopenia.
V. major have not been subject to significant homeopathic proving. V. minor, instead, is known for some peculiar symptoms.
Paralysis, after intermittent fever. [Vermeulen]
Nightmares, hysteric and other fits. [Scholten]
Abusive, < evening. [Scholten, Vermeulen]
General: haemorrhages. [Scholten]
Rectum: diarrhoea, bleeding piles. [Scholten]
Female: menorrhagia, heavy menses [Scholten]; excessive profuse menses, flowing like a stream, with great debility. Passive uterine haemorrhage from fibroid tumours [Vermeulen].
Skin: wounds. [Scholten]
Vinca minor – Vinc.
The homeopathic remedies are prepared with the tincture of whole fresh plant. [Clarke]
Tremulousness [Clarke, Murphy, Phatak, Vermeulen, Vermeulen2]:
- Trembling sensation, especially in upper limbs, and tendency to be startled, especially during mental exertion. [Clarke, Murphy, Phatak, Vermeulen, Vermeulen2].
- Tremulousness in all the blood-vessels. [Clarke, Murphy, Vermeulen]
Anger [Clarke, Vermeulen, Vermeulen2]:
- Quick anger, quarrelsome; repentance soon afterwards. [Vermeulen, Vermeulen2]
- The nose becomes red from the slightest cause; when the least bit angry. [Clarke, Vermeulen]
Dream of being threatened and cursed by a patient one has treated unsuccessfully. [Vermeulen]
Weakness [Boericke, Clarke, Murphy, Phatak, Scholten, Vermeulen, Vermeulen2]:
- Weakness and prostration. Weakness as if he would die. [Clarke, Murphy, Phatak, Scholten, Vermeulen]
- The stool caused exhaustion. [Clarke, Murphy]
- Great debility accompanied the uterine haemorrhage. [Boericke, Clarke, Murphy, Phatak, Scholten, Vermeulen, Vermeulen2]
- Excessive weakness, faintness, and chilliness during menses. [Vermeulen]
- Due to leucorrhea. [Vermeulen2]
Hemorrhages [Boericke, Clarke, Hansen, Murphy, Scholten, Vermeulen, Vermeulen2]:
- Frequent nosebleed. [Clarke, Murphy]
- [Boericke, Clarke, Scholten, Vermeulen, Vermeulen2]
- From nose, lungs, bowels, vagina. [Hansen]
- Great sensitiveness of skin, with redness and soreness from slight rubbing. [Boericke, Clarke, Scholten, Vermeulen2]
- Nails sensitive to pressure, as if inflamed. [Vermeulen]
- Stomach sore to touch or pressure of clothing. [Clarke, Vermeulen2]
- Haemorrhoids constantly sore, smarting after stool. [Clarke, Vermeulen2]
- Tearing pain in vertex. [Boericke, Scholten].
- Sore spots on the scalp. [Clarke]
Inclination to stretch [Clarke]; inclination to stretch the limbs [Vermeulen].
Hunger alternates with loss of appetite before hunger has been satisfied. No thirst. [Murphy, Vermeulen]
Dryness of mucous membranes: nose, tongue, nasopharynx, throat. [Vermeulen]
Aversion: drinks, no thirst; food, loss of appetite. [Scholten]
Food: liquids (especially beer) causes empty eructations; coffee causes nausea [Murphy, Scholten, Vermeulen, Vermeulen2]. Abdominal colic and diarrhoea from sour things, during menses [Vermeulen].
Physical: < stooping; < walking [Clarke, Murphy, Phatak, Scholten]; < reading [Clarke, Murphy, Scholten]; < moving; < swallowing [Murphy, Phatak, Scholten]; < menopause [Scholten]; < in open air [Murphy, Scholten]; > moving in open air [Clarke, Vermeulen]; < drinking [Murphy, Scholten]; < anger [Murphy, Phatak]. Toothache > by warmth of bed [Clarke, Murphy].
Laterality: Left side most affected. [Clarke, Murphy, Vermeulen2]
As if he would die from weakness. [Clarke, Murphy, Scholten, Vermeulen]
Trembling in blood vessels. [Clarke, Vermeulen]
Feeling of emptiness in various parts of the body [Clarke, Murphy, Scholten, Vermeulen]:
- Stomach as if empty. [Clarke, Murphy, Scholten, Vermeulen]
- Chest as if empty [Clarke, Murphy, Vermeulen], & pressure on sternum [Murphy, Vermeulen].
- Throat as if hollow. [Vermeulen]
Hammer striking from within outwards in vertex. [Clarke, Murphy, Vermeulen]
Objects as if turning, during dizziness. [Vermeulen]
Cold wind in ears [Clarke, Murphy]. Cold wind blowing out of ears, especially left [Vermeulen].
Crawling insects or spider webs on face. [Vermeulen]
Throat as if so much extended in length that food cannot reach oesophagus. [Vermeulen]
Fine layer of dust in throat and larynx, on waking in morning. [Vermeulen]
Something sticking low down in oesophagus [Clarke, Murphy, Vermeulen], must swallow [Vermeulen].
Weight on nape of neck [Vermeulen], on cervical muscles [Clarke, Murphy].
Hips as if paralysed. [Vermeulen]
Whirling vertigo [Boericke, Murphy, Scholten, Vermeulen]; with flickering before eyes [Boericke, Murphy]; with blackness and flames before eyes [Vermeulen]. Objects as if turning, during dizziness [Vermeulen].
Tearing pain in vertex, with ringing and whistling in the ears. [Boericke, Murphy, Scholten]
Sensation as a hammer striking from within outwards in vertex. [Clarke, Murphy, Vermeulen]
Spots on scalp, oozing foul moisture, matting hair together [Boericke, Hansen, Murphy, Phatak, Scholten, Vermeulen]. Crusta lactea [Clarke, Hansen, Murphy]. Favus [Clarke, Murphy]. Plica polonica [Boericke, Clarke, Hansen, Murphy, Phatak, Reckeweg, Scholten]:
- Liter.: “The most characteristic effect is on the scalp, where it produces a condition having many features of crusta lactea, favus, and plica polonica.” [Clarke]
- Liter.: “Eczema, matting the hair together from formation of crusts over the discharge.” [Hansen]
Corrosive itching of scalp [Boericke, Murphy, Phatak, Vermeulen]. Irresistible desire to scratch [Boericke, Murphy]. Great heat, must scratch, burning after scratching [Vermeulen].
Sore spots on the scalp. [Clarke]
Bald spots, alopecia [Boericke, Hansen, Murphy, Phatak, Scholten, Vermeulen2]:
- Bald spots sometimes covered with short woolly hair [Hansen, Murphy, Phatak, Vermeulen2]; hair falls out and is replaced by gray hair [Murphy, Phatak]; hair grey after eczema [Scholten].
- & Great itching of the scalp. [Vermeulen2]
Ringing, whistling. [Boericke, Murphy, Scholten]
Feeling of cold wind in ears or blowing out of ears [Clarke, Murphy, Vermeulen], especially the left [Murphy, Vermeulen].
Tip gets red easily [Boericke, Murphy, Scholten]. The nose becomes red from the slightest cause; when the least bit angry [Clarke, Murphy, Phatak, Vermeulen].
Sores in nose. [Boericke, Murphy, Phatak, Scholten]
Moist eruption on septum [Boericke, Scholten]. Scabby eruptions about the nose and on the septum [Clarke].
Stoppage of one nostril. [Boericke, Scholten]
Frequent nose-bleed. [Clarke, Murphy, Phatak]
Heat and dryness in nose extending to frontal sinuses. [Vermeulen]
Toothache > warmth of bed. [Clarke, Murphy]
Acne. [Clarke, Murphy]
Seborrhea upper lip and base of nose. [Scholten]
Difficult swallowing. [Boericke, Murphy, Scholten]
Ulcers. [Boericke, Scholten]
Frequent hawking. [Boericke, Murphy, Scholten]
Diphtheria [Boericke, Hansen, Murphy, Scholten]. Recommended in diphteria [Hansen].
Cutting sensation in lower oesophagus [Clarke, Murphy, Phatak, Scholten]; while swallowing food, continuing after [Clarke]; which provokes swallowing [Murphy, Phatak].
Chest as if empty [Clarke, Murphy, Vermeulen], with feeling of pressure on sternum [Murphy, Vermeulen].
Pains in chest with sticking and dyspnea. [Murphy]
Stitching in sternum. [Murphy]
An empty, all-gone sensation [Clarke, Murphy, Scholten], > by eating [Clarke].
Stomach sore to touch or pressure of clothing. [Clarke, Murphy]
Abdomen full, tense but painless. [Murphy]
Rumbling and gurgling with passage of much offensive flatus. [Murphy]
Empty eructations from beer and other beverages. [Murphy, Scholten, Vermeulen, Vermeulen2]
Nausea from coffee. [Murphy, Scholten, Vermeulen, Vermeulen2]
Abdominal colic and diarrhoea from sour things, during menses. [Vermeulen]
Violent, bitter, copious vomiting of yellowish-green liquid. [Murphy]
Diminished secretion of urine. [Murphy]
Urine pale yellow. [Murphy]
Stool, rectum & anus
Constipation from induration of faeces. [Clarke]
Diarrhea & sense of weakness in hypogastrium, and nausea. [Vermeulen]
Urging to stool. Stool first hard, then soft. [Murphy]
Haemorrhoids constantly sore, smarting after stool. [Clarke, Murphy]
Distension of abdomen after stool. [Clarke, Murphy]
Stool caused exhaustion [Clarke, Murphy], with burning in anus [Murphy].
Painful tension and stiffness of cervical muscles with an illusive sensation as if a weight were lying on them. [Clarke, Murphy, Vermeulen]
Menses profuse (menorrhagia), flowing continuously like a stream, with extreme weakness [Boericke, Clarke, Murphy, Phatak, Scholten, Vermeulen, Vermeulen2], faintness, and chilliness [Vermeulen]; blood dark red [Clarke, Murphy, Vermeulen2].
Passive uterine haemorrhages. [Boericke, Clarke, Murphy, Scholten]
Menometrorrhagia at climacteric. [Boericke, Hansen, Murphy, Phatak, Scholten]
Bleeding fibroids. [Boericke, Hansen, Murphy, Phatak, Scholten]
Right hand cold, left one warm. [Vermeulen]
Inclination to stretch limbs. [Murphy, Vermeulen]
Cramp-like drawing in feet and toes. [Murphy]
Eczema [Boericke, Hansen, Murphy, Phatak, Scholten, Vermeulen2]:
- Eczema of head and face [Boericke, Murphy, Scholten, Vermeulen2], especially pustulous [Hansen].
- Eczema, matting the hair together from formation of crusts over the discharge (see Head). [Hansen]
- Weeping eczema intermingled with foul, thick crusts. [Murphy, Phatak]
- Corrosive itching [Boericke, Clarke, Murphy, Scholten]; must scratch [Clarke, Scholten]; moist spots, and burning in ulcers [Clarke]; pustules, itching, burning, and offensive odor [Boericke, Hansen, Murphy, Scholten].
Great sensitiveness of skin [Clarke, Murphy, Phatak, Scholten]; with redness or soreness even from slight irritation [Boericke, Clarke, Murphy, Scholten] or slight rubbing [Phatak]; with redness and excoriation from slight rubbing [Vermeulen].
Nails sensitive to pressure, as if inflamed. [Vermeulen]
Frequent yawning. [Clarke, Murphy]
Sleeplessness and restlessness at night. [Clarke, Murphy]
Lascivious dreams. [Clarke, Murphy]
Sudden paroxysms of shivering. [Clarke]
Heat with firm, hard pulse. [Clarke].
Great warmth in scalp with prickling. [Clarke]
Heat of cheeks with redness. [Clarke].
Tremor in every blood-vessel. [Clarke]
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2. Another bis-indole alkaloids, vincalutine, is reported for V. minor in [Bahadori], but no other reference mention it.
3. A report from France describes the case of a 71 years old lady which ate “une salade avec 8 fleurs et feuilles de Vinca minor avec des asperges et de la vinaigrette”, reporting afterward a strong facial flushing which lasted a few hours, together with a systolic pressure of 170 which anyhow was usual for the last few days before the event (she suffered from high blood pressure treated with irbesartan). [Von Fabeck]