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Family Asteraceae

Milfoil
Achillea millefolium Linn.
YARROW

Shi cao

Scientific names Common names
Achillea dentifera DC. Carpenter's weed (Engl.)
Achillea millefolim Linn. Common yarrow (Engl.)
Achillea tanacetifolia var. dentifera W.D.J.Koch Milfoil (Engl.)
Achillea tenuifolia Salisb. Thousand leaf (Engl.)
Alitubus millefolium (L.) Dulac Thousand-seal (Engl.)
Chamaemelum millefolium (L.) E.H.L.Krause Yarrow (Engl.)
Santolina millefolium (L.) Baill. Yarroway (Engl.)
Accepted infraspecifics (5)  
Achillea millefolium subsp. alpestris (Wimm., Gunt. & Grab.) Gremli  
Achillea millefolium subsp. chitralensis Hub.-Mor.  
Achillea millefolium subsp. collina (Wirtg.) Oborny  
Achillea millefolium subsp. elbursensis Hub.-Mor.  
Achillea millefolium subsp. millefolium  
Achillea millefolium L. is an accepted species. KEW: Plants of the World Online

Other vernacular names
ARABIC: Om alf waraka, Suila, Fafor.
BRAZILIAN: Milfolhas.
CHINESE: Ou shi, Qian ye shi, Ju cao, Shi cao.
CROATIAN: Armanj, Jezičec, Jutrocel, Kačak, Paprac, Rebrac, Reza, Rman
DANISH: Duizendblad.
FINNISH: Aivastusjuuri, Akantupakki, Siank
FRENCH: Millefeuille, Herbe aux coupures, Herbe aux militaires, Herbe de St. Jean.
GERMAN: Gemeine schafgarbe, Tausendblatt, Wiesen-Schafgarb.
HINDI: Grandmaar, Gandna.
IRAN: Bomaderan, Brinjasif, Buimaderan.
ITALIAN: Millefoglie, Milefoglio.
JAPANESE: Seiyou no kogirisou, Yaroo.
KASHMIRI: Momadru, Chopandiga.
NORWEGIAN: Ryllik, Vanlig ryllik.
POLISH: Krwawnik pospolity.
PORTUGESE: Espuma-do-mar, Mil-em-rama, Mil-folhas.
RUSSIAN: Tysjačelistnik obyknovennyj.
SERBIAN: Ajdučica, Ajdučka trava, Aspra, Jalovi mesecnjak, Kunji rep, Krokoted.
SLOVENIAN: Arman, Grenki man, Erman, Zavrelec, Mezinec, Rmanc, Runica.
SPANISH: Alcanfor, Ciento en rama, Mil hojas, Milefolio , Milenrama, Milhojas.

Gen info
- Achillea is a widespread genus of about 130 flowering and perennial species. (46)
- One of the oldest known botanicals used by humans is Achillea millefolium (yarrow).
- Achillea millefolium is included in the national pharmacopoeias of Germany, Czech Republic, France, and Switzerland. In Brazil, it is in the list of 16 medicinal plants of Verde Saude (Green Health), a public health phytotherapy agency.  (46)
-   Etymology: Yarrow (Achilles millefolium) was named after Achilles, the Greek mythical hero who used it to stop the bleeding wounds of his soldiers.
(1) The "Achilles Heel" is from the mythological narrative of his mother, the Goddess Thetis, who was afraid to let go of her infant Achilles completely while he was being dipped into the river Styx to make him invincible, held on to her son's ankles rendering it vulnerable.
- Ancient Europeans referred to it as Herba Militaris due to its roles in curing battle wounds. (38)

Botany
• Milfoil is an erect perennial herb growing to a height of 50 to 90 centimeters. Leaves are without stalks, 1- to 2-pinnately parted into linear-toothed segments. Heads occur in flat-topped corymbs. Flowers are white, red, or purplish, with five rays.

 Achillea millefolium is an erect, herbaceous, perennial plant that produces one to several stems 0.2-1 meter (8-40 inches) in height, with a spreading rhizomatous growth form. Cauline and more or less clasping, the leaves appear spirally and evenly along the stem, with the largest and most petiolate towards the base; 5-20 cm (2-8 in) long and fernlike, divided bipinnately or tripinnately. The inflorescence has 4 to 9 phyllaries and contains ray and disk flowers, which are white to pink, blooming from March to October. Tiny disk flowers range from 10 to 40. Inflorescence is produced in a flat-topped capitulum cluster. The inflorescences are visited by many insects, featuring a generalized pollination system. The small achene-like fruits are called cypsela. The plant has a sweet scent similar to chrysanthemums, so powerful that it may be irritating to some. (13)

Distribution
- Introduced to the Philippines.
- Locally naturalized in mountainous areas.
- Occurs in Baguio and the Mountain Province as an ornamental, cultivated for its flowers and foliage.
- Also found in the Western Himalayas, extending to Northern Asia, Europe and America.

Constituents
• Contains a bitter glucoside - achilleine, tannin, bluish volatile oil, aconitic acid, resin, nitrate, inuline, asparagin.
• Contains a volatile oil rich in sesquiterpene lactones and alkamides.
• Volatile oil is the best source of the blue hydrocarbon, azulene, with a great percentage of borneol and thujone.
• Roots contain volatile oil, 0.032%.
• Yields three alkaloids: achilleine, achilletine and moscatine.
• Oil has yielded eucalyptol, camphor, alpha-terpineol, beta-pinene and borneol as principal components.
• Analysis of essential oil identified 33 peaks, representing 81.4 % of the oil. The main compounds were 1,8-cineole (22%), camphor (21%), borneol (7.6%) and b-pinene (5.3%).

• Study of oil yielded: methyl alcohol, formaldehyde, probably formic acid, ethyl alcohol, acetone, furfurol, valeric acid, eugenol, pinene, nopinene, cineol, thujone, borneol, camphor, caryophyllen, and azulen.
• The volatile oil is considered a good source of blue hydrocarbon, azulene, and contains a good percentage of borneol and thujone.

Analysis of EO composition revealed 2.4 mL/kg in dried herb; 2.5-fold greater amounts were obtained from flowers with average of 6.1 mL/kg, accounting for 0.235% and 0.598%, respectively. The herb yielded 70 substances (986.24%) and 68 compounds from flower EO. ß-pinene was the main component of both EOs (9.90% and 12.22%, respectively). Substantial amounts (over 5%) of 1,8 cineole (5.83% NDS 6.45%), camphor (5.81% and 5.28%), and borneol (6.18% and 5.25%) in both EOs. (49)

Properties
• Flowering plant and flowers considered stimulant, aromatic, sudorific, tonic, astringent, diuretic, vulnerary.
• Considered anti-inflammatory, antioxidant and antimicrobial.
Studies have suggested anti-ulcer, antimicrobial, choleretic, antitumor, anti-leishmaniasis, antioxidant antimutagenic, antimelanogenesis, fumigant, analgesic, analgesic, anti-trypanocidal, antimicrobial, anti-nociceptive, anti-inflammatory, wound healing, hepatoprotective, blood pressure lowering, spasmogenic, anticholinergic, antifibrotic, orexigenic, anticancer, prokinetic, MS-beneficial, antiviral, Anti-COVID anti-tumoral properties.

Parts utilized
Bark, leaves.

Uses
Edibility
• Bitter-salty and spicy young leaves are used as seasoning for sauces, soups, and fish. (49)
• Yarrow inflorescences are used for preparing teas. (49)
Folkloric
• Used for colds, fevers, obstructed perspiration.
• Use to open the pores in obstructed perspiration and as blood purifier.
• Used for hysteria, flatulence, heartburn, colic and epilepsy.
• In England, used as vulnerary, taken internally to suppress hemorrhages and profuse mucoid discharges.
• Used for intermittent fevers and as antispasmodic in flatulent colic and nervous affections.
• In France, hot infusion used as emmenagogue and for suppression of lochia; sometimes used in low exanthematous fevers with obstinate eruptions.
• Ointment of the fresh plant used by the Scottish Highlanders for hemorrhoids.
• Decoction of whole herb used for bleeding hemorrhoids and kidney disorders.
• Used as hair wash for prevention of baldness.
• An whole plant tincture made with wine, in diluted strength, used in small doses for arresting bleeding in the lungs, kidneys and nose.
• Leaves believed to encourage clotting; used fresh for nosebleeds. Also, a strong decoction of leaves used as injection into the nostrils to stop bleeding.
• Fresh juice of the plant used to improve appetite.
• Fresh juice used as astringent for piles, varicose ulcers and sore nipples.
• Fresh bruised herb used as vulnerary and styptic.
• In Norway, used for rheumatism; leaves chewed for toothaches.
• In Scotland, fresh leaves used for colds and various childhood ailments.
• In France, powdered leaves used as sternutatory; rolled leaf applied to nostrils to induce bleeding and relieve headaches.
• In California, leaves steeped in hot water are applied to cuts and bruises; also used for poulticing skin rashes.
• Essential oil from the flowers used to stimulate the appetite.
• Leaves chewed for toothaches; infusion used as drops to fill ear canals for earaches.
• In Eastern Azerbaijan, Iran, used for wound healing and to stop bleeding: yarrow oil is massaged on the pain area or burned on the wound site. Also used for gastritis, stomach ulcers, fever, reducing blood pressure. (44)
• In traditional Haudenosaunee medicine in N.Y., infusion of smashed yarrow used to treat diarrhea. (45)
Others
Alcohol: In Sweden and some parts of Africa, plant has been used in making beer; Linnaeus considered milfoil brewed beer to more intoxicating than hops-beer. Yarrow essential oil is added to liquers.
Grut: In the middle ages, yarrow was an ingredient of the herbal mixture called grut, used in the flavoring of beer prior to the use of hops.

Commission E approved the internal use of yarrow flower for loss of appetite and dyspeptic ailments i.e., mild, spastic discomforts of the GI tract; externally, as sitz bath for painful, crampy conditions of psychosomatic origin in the lower part of the female pelvis. (41)
Cosmetics and skin care: Yarrow raw materials have numerous applications in cosmetics. Extracts and essential oil are added to soothing and regenerating masks, facial creams, lotions, shampoos, and toothpastes; the dried herb is applied externally for hair and skin care and use in preparation of relaxing baths. Yarrow EO is also used for sunburn protection. (49)



Studies

Anti-Ulcer: Study showed the antiulcer potential of the aerial parts of Achillea millefolium, with no signs of toxicity even at chronic exposure.
(1)
Antimicrobial: Study has shown the oil to have antimicrobial activity against S pneumoniae, C perfringens, C albicans, Mycobacterium smegmatis, Candida krusei.
Essential Oils / Chamazulene: Essential oils isolated from 20 different plants of A millefolium were: chamazulene, germacrene
, b-thujone, a-thujone, sabinene, b-pinene among others. The plants of A. millefolium which produced the highest content of chamazulene was propagated by rhizome for further production of oils rich in blue pigment. (2)
Antitumor: Study has yielded three sesquiterpenoids, achimillic acids A, B and C which showed antitumor activities. Compounds were active against P-388 leukemia cells in vivo.
Cutaneous Leishmaniasis Treatment: Study results suggest that Achillea millefolium, Thymus vulgaris and propolis extracts are effective in the treatment of cutaneous leishmaniansis in mice, alone or in combination. (3)
Choleretic Effects: In the study, a fraction enriched in dicaffeoylquinic acids and luteolin-7-O-[beta]-D-glucoronide prepared from methanolic extract of yarrow was investigated for its choleretic effect. Results showed a dose-dependent increase in bile flow in the isolated perfused rat liver. (4)
Antimotility Effect: Study showed A millefolium extract inhibited electrical-induced contractions of the guinea-pig ileum when tested in vitro in a dose-dependent and reversible effect. (6)
Anti-Inflammatory / Antioxidant: Study confirms the antiphlogistic activity of A. millefolium aqueous extract. The anti-inflammatory effects were partially mediated by the suppression of the activation of transcription factor NF-kB and p38 MAPK signaling cascade. It also showed good free radical scavenging activity and an ability to decrease the levels of intracellular ROS. (8)
Antimicrobial: Study showed the alcoholic extract of yarrow has considerable antimicrobial effect on control and wound pathogen microorganisms. The antibacterial effect was lesser than Ampicillin and greater or similar to other penicillin derivatives.
(9)
Anti-Trypanocidal: A study evaluated the anti-epimastigote activity of varied fractions of four medicinal plants, including A millefolium, against the epimastigotes of Trypanosoma cruzi, the etiologic agent causing Chagas disease. Results revealed that Achillea and Satureja species could be a source of active trypanocidal compounds. (10)
Antinociceptive Effect / Anti-Inflammatory / Antispasmodic / Rutin: A study of the hydroalcoholic extracts of A. millefolium and A vulgaris confirmed their folkloric use as analgesic, anti-inflammatory and antispasmodic agents. Both showed rutin as the principal flavonoid glycoside constituent. (11)
Cutaneous Leishmaniasis: Study showed extracts of Thymus vulgaris, Achillea millefolium and propolis are effective for treatment of cutaneous leishmaniasis in mice. Randomized clinical trials are suggested in humans. (14)
Antimutagenic: Study evaluated the cytotoxic and antimutagenic potential of aqueous extracts of A. millefolium and Bauhinia forficata. The extracts of A. millefolium and B. forficata have antimutagenic potential, reducing the percentage of chromosomal alterations induced by cyclophosphamide. (16)
Antioxidant: Study evaluated the antioxidant activity of A. millefolium herb using various assays. Results showed significant antioxidant activity on on-line HPLC-DPPH assay attributed to the presence of active components amongst phenolic compounds. Fluorimetric measurements demonstrated that YE at concentrations that had no effect on the State 3 respiration rate significantly decreased H2O2 production in mitochondria. (17)
Wound Healing / Essential Oil: Study evaluated the effect of essential oil of Achilles millefolium on wound healing in male chickens. Results showed higher concentrations have significant healing properties on chicken's wound. Results suggest a potential source for natural alternative components for wound healing. (18)
Melanogenesis Alteration Effects / Hyperpigmentation Treatment Potential / Essential Oil: Study evaluated the effect of essential oil of A. millefolium on melanogenesis in melanocyte stimulating hormone (α-MSH) treated melanoma cells. Results showed AM-EO suppresses melanin production by decreasing tyrosinase activity through regulation of the JNK and ERK signaling pathways. Results suggest a potential for EO to treat hyperpigmentation in the future.(19)
Fumigant / Essential Oil: Study showed essential oils of A. millefolium, A. dracunculus and H. persicum have potential as fumigants for controlling P. interpunctella, and an alternative to conventional synthetic insecticides. (20)
Hepatoprotection / Hepatic Fibrosis: Study evaluated the anti-hepatofibrotic effect of Achilles millefolium extract on experimental hepatic fibrosis and its partial mechanism. Results showed hepatoprotection and prevention of progression of hepatic fibrosis in rats. (21)
Protection Against Cyclophosphamide-Induced Reproductive Toxicity: Study showed A. millefolium inflorescences aqueous extract may be partially protective against reproductive toxicity during CP treatment in a rat model. (22)
Analgesic: Study of an aqueous extract of Achillea millefolium assessed in rat's formalin assay showed analgesic effects provably resulting from its central action. (23)
Inhibition of Ileum Contractions: Study showed Achillea millefolium extract inhibits ileum contractions. Results suggest it might be used in patients to reduce ileum spasms. (24)
Inhibition of Ileum Contractions: Study of Achillea millefolium plant extract for showed a mild stimulatory effect on ß-adrenoceptor of tracheal smooth muscle. (25)
Drug Interactions / Anticoagulant Concerns: Caution on major interactions with medications that slow blood clotting such as anticoagulants and antiplatelets (heparin, enoxaparin, warfarin, clopidogrel), together with NSAIDs, aspirin, and others. (27)
Effect on Plasma Nitrate Levels in Chronic Kidney Diseases: Randomized controlled study evaluated the possible effect of Achillea millefolium on plasma nitric oxide concentration in 31 patients with chronic kidney disease. Although not statistically significant, plasma nitrite and nitrate concentrations decreased after 2 months administration of A. millefolium. Countercurrent to the placebo group, plasma nitric oxide metabolites were marginally decreased. Author posits higher doses or longer duration of plant administration may make the changes more significant. (29)
Anti-Fibrogenic / Inhibition of Bleomycin Induced Lung Fibrosis: Study evaluated the effect of yarrow extract on bleomycin-induced lung fibrosis in Sprague Dawley rats. Results showed yarrow extract may be able to impair the rate of fibroblast/myofibrolast proliferation and collagen deposition in lung tissue due to bleomycin. Effect may be due to plant ingredients with anti-inflammatory and antioxidant properties. (30)
Report on Anticholinergic Effect Due to Yarrow: Study reports on a 43-year old female patient presenting to the ER with blurred vision, dryness of the mouth, facial flushing, and palpitations. The report attributes the symptomatology to the use of yarrow tea (five cups daily for one week) that the patient has been using for the treatment of menometrorrhagia. Although considered safe, the author cautions on possible pharmacological effects of Achilles species. (31)
Antifungal / Antioxidant / Essential Oil: Extracts obtained from shade dried plant in 1:1 water:ethanol mixture and essential oil were evaluated for antioxidant and antifungal effects. Study yielded 41 components in the extract and 82 components in the essential oil. Both showed good antioxidant effect on DPPH assay and in vitro antifungal activity against two relevant fungal strains Aspergillus niger and Penicillium hirsutum. Results suggest potential for applications in herbal product formulations for both human consumption and control of mycotoxigenic fungi. (32)
Orexigenic Effect / Effect on Appetite Hormone in Rats: Study evaluated the possible orexigenic effect of hydroalcoholic extract of A. millefolium in 30 male Wistar rats by measuring plasma ghrelin level. Results showed positive dose-related effects evidenced by increased appetite in rats. The orexigenic activity of the extract was not related to changes in plasma ghrelin levels. (34)
Shortening of Gastroenteritis Recovery Time: Studies have suggested A. millefolium extract can affect intestinal movements in rats. Randomized controlled trial investigated the effect of AM on recovery of 44 human subjects from gastroenteritis who received 0.5 ml/kg of distillate every 8 hours. Results showed adding AM distillate to the usual treatment for simple gastroenteritis was effective in shortening the recovery time. (35)
Antioxidant / Cytotoxic on MCF-7 Breast Cancer Cell Line / Leaf and Flower: Study evaluat4ed the antioxidant and anti-proliferative potential of Achilles milefolim leaf and flower extracts. The antioxidant activity was measured by DPPH and FRAP assays while anti-prolferative activi5ty was evaluated by MTT assay on MCF-7 human breast cancer cell line. The ethanolic extracts were more cytotoxic and the flower extract exhibited higher antiproliferative effect than the leaf extract. The presence of antioxidant activity and high cytotoxic effect of all examined extracts suggest that Achilles millefolium may possess a potential chemotherapeutic activity for breast cancer treatment. (36)
Blood Pressure Lowering / Cardio-Depressant / Bronchodilatory: Study showed Achillea millefolium exhibited hypotensive, cardio-suppressant, vasodilator, and bronchodilator activities, possibly mediated through Ca++ antagonism in addition to an endothelium-dependent relaxant component. Results explain its medicinal use in hyperactive cardiovascular and airway diseases such as hypertension and asthma. (37)
Inhibitory Effects on Muscarinic Receptors / Relaxant Effect: Study investigated a possible mechanism for the observed relaxant effect of A. millefolium. Study showed inhibitory effect of the plant extract on muscarinic receptors of guinea pig tracheal smooth muscle. (39)
Wound Healing / Leaves: Study evaluated the wound healing activity of alcoholic and aqueous extracts of leaves of A. millefolium on adult Wistar albino rats using incision, excision, and dead space wound models. Results showed a significant increase in rate of wound contraction, breaking strength, of skin and granulation tissue, granulation tissue dry weight, along with histopath evidence of increased collagen. (40)
No Effect on Electrophysiological Properties of Rat Barrel Cortex Neurons: Yarrow is often prescribed for treatment of nervous system-related disorders. This study evaluated the effects of acute oral administration of A. millefolium on the responses of barrel cortex neurons in the rat. In this study, the aqueous extract did not change the level of ON and OFF responses of any of the ISIs (inter-stimulus intervals). The aqueous extract did not modulate electrophysiological responses of neurons. (42)
Wound Healing / Dried Aerial Parts: Study evaluated the effect of hydroalcoholic extract of dried aerial parts on wound healing in rabbit using a topical eucerin based formulation of 2, 5, and 10% w/w on full thickness excision wound model. Yarrow showed considerable potential for wound healing possibly by accelerating collagenation and proliferation phase of wound healing. (43)
Anti-Fertility Activity: Study evaluated the effects of A. millefolium extract on spermatogenesis in adult male Wistar rats. At intraperitoneal injection dose of 800 mg/kg, thickened seminiferous tubules on basement membrane, decrease cell accumulation in seminiferous tubules, severe disarrangement, degenerative cells and severe decrease in sperm count were seen. (Nasin T, Hosseini MJ et al) (46)
Anti-Diabetic: Study showed the effect of A. millefolium on interleukin-1ß (IL-1ß) and iNOS gene expression of pancreatic tissue in diabetic rats and reported higher insulin level associated with lower glucose and higher weight compared to control. The beneficial effect of A. millefolium on diabetes may be due to amelioration of IL-1ß and iNOS gene over expression and its antioxidant activity with a possible ß-cell protective effect. (46)
Effect on Plasma Nitrite and Nitrate Levels in Chronic Kidney Disease: Increase plasma nitric oxide concentration is one of the possible mechanisms of bleeding tendency in patients suffering from chronic renal disease. Study evaluated any possible effect of A. millefolium on plasma nitric oxide concentration in these patients. Although not statistically significant, plasma nitrite and nitrate concentrations decreased after two months of administration of A. millefolium. Plasma nitric oxide metabolites were marginally decreased after A. millefolium treatment. Author suggests higher doses may make these changes more significant.   (47)
Prokinetic Effect / Flowering Tops: Yarrow preparations are traditional remedies used to treat dyspeptic complaints. Study evaluated the effect of standardized dry water extract from A. millefolium flowering tops (AME) on gastric motility, resting tone of isolated gastric antrum and on gastric emptying in vivo in a model of cancer chemotherapy (cisplatin)-induced gastric abnormalities. Results showed AME (1) exerted a direct spasmogenic effect on gastric antrum; (2) choline is the chemical ingredient responsible for the effect; and (3) the prokinetic effect of AME observed in vivo provides pharmacologic basis underlying its traditional use in the treatment of dyspepsia. (48)
Effect on Episiotomy Wound Healing / Clinical Trial: A double-blind clinical trial evaluated the efficacy of Achillea millefolium and Hypericum perforatum ointments on episiotomy wound healing in primiparous women. Healing parameters were: redness, ecchymosis, edema, discharge, and wound dehiscence on the 7th, 10th, and 14th days after delivery. Results showed A. millefolium and H. perforatum ointments reduced perineal pain level, redness, edema and ecchymosis of episiotomy wound. (50)
Beneficial Effect as Add-On Therapy in Multiple Sclerosis / Clinical Trial: A triple-blind randomized placebo-controlled parallel group trial evaluated the efficacy of A. millefolium aqueous extract on 75 MS patients. Two doses were used: 250 mg/day and 500 mg/day for one year. Primary outcome was annualized relapse rate.  Number and volume of lesions were obtained from MRI scans. Study included comprehensive neurological and cognitive testing. One year administration of A. millefolium (both doses) decreased the annual relapse rate in MS patients. Mean volume change of lesions significantly decrease in the 500 mg group. Add-on therapy increased the time to first relapse and the MSFC-Z score, decreased EDSS score and improved performance in word-pair learning, PASAT and WCST. Results showed significantly reduced relapse rate and prevention of progression in MS associated with alleviation of inflammation. Study suggests beneficial effects of A. millefolium aqueous extract as an add-on therapy in MS patients. (51)
Relief of Primary Dysmenorrhea / Clinical Trial: Primary dysmenorrhea occurs in about 50% of postmenarche women, which is characterized by intense abdominal pain in the inferior quadrants and inner thigh. Study evaluated the effect of A. millefolium on relief of primary dysmenorrhea. Subjects were university female students receiving either placebo or A. millefolium teabag form for 3 days in 2 menstrual cycles. The mean change in pain score in the A. millefolium group was significantly greater than the placebo group at 1 month (p=0.001) and 2 months (p<0.0001) after treatment. Study suggests A. millefolium is effective in minimizing pain severity in primary dysmenorrhea. (52)
Anti-COVID Potential  / Yarrow Tea: The flowers and leaves are the core part used for preparing herbal medicinal teas. Study evaluated the druggability, metabolites, and potential interaction of the title tea with genes associated with COVID19-induced pathogenesis. Of 1022 gene hits, 30 are mutually shared. Network pharmacology and microarray gene expression found the connection of PTGS2 in relieving the virus-induced inflammation. Yarrow constituents Luteolin may inhibit or down-regulate the Cyclooxygenase II (PTGS2), a plausible mechanism underlying Yarrow's anti-inflammatory action. Yarrow-treated SARS-nCoV-2 cell exhibits disintegration of the virus membrane. Study provides scientific basis for further elucidation of the mechanism underlying A. millefolium's antiviral and anti-inflammatory properties. (53)
Amelioration of Metabolic Stress Associated with Obesity Potential  / Yarrow Tea: Study evaluated the potential role of Yarrow SFE (CO2 supercritical fluid extract) in metabolic stress induced after a high-fat diet in mice. Results showed improved fasting glucose levels in plasma, enhanced insulin sensitivity, and diminished hypercholesterolemia in the HFD + Yarrow group. Mechanistically, Yarrow SFE protects liver from steatosis after the HFD challenge by augmenting the adipose tissue buffering capacity of circulating plasma glucose. (54)
Antitumoral / Pancreatic Cancer: Lipids and lipid-derived molecules have been shown to activate growth regulatory pathways and promote malignancy in pancreatic cancer. A previous study described the antitumoral properties of yarrow SFE in pancreatic cancer. Study investigated the underlying mechanisms by which yarrow SFE induces cytotoxicity in pancreatic cancer cells. Yarrow SFE down-regulate SREBF1 and downstreams molecular targets of this transcription factor, such as fatty acid synthase (FASN) and stearoyl-CoA desaturase (SCD). In vivo, Yarrow SFE diminished tumor growth in a xenograft mouse model of pancreatic cancer. Study data suggests Yarrow SFE has potential as a complementary adjuvant or nutritional supplement in pancreatic cancer therapy. (55)
Effect on Cisplatin-Induced Ocular Toxicity: Cisplatin is a widely used and highly effective anti-cancer agent; one of its limiting side effects is ocular toxicity. Study evaluated the biochemical, molecular, histopathological effects of A. millefolium on cisplatin-induced oxidative and inflammatory ocular damage in rats. Results showed A. millefolium upregulated ocular antioxidant enzymes and downregulated inflammation. SOD activity and total antioxidant capacity increased while total oxidant status and MDA levels decreased significantly at the high dose group. High-dose A. millefolium treatment reduced IL-1ß concentrations, whereas IL-10 levels increased significantly. A. millefolium restored ocular histopathological structure and significantly suppressed apoptosis by reducing expression of caspase-3. (56)
Safety for Cosmetic Use: Study reviewed relevant animal and human data to determine the safety of cosmetics containing linalool, thujone, quercetin, hydroxyquinone, or α-peroxyachifolid. Formulators should be aware of components that may be hazardous to consumers. The review panel concluded that A. millefolium extract, flower extract, and flower/leaf/stem extract are safe in present nonsensitizing cosmetic formulations (57)
Diuretic Effects / Involvement of Bradykinin and Prostaglandins: Study evaluated the diuretic activity of A. millefolium extracts and semi-purified fractions and mechanisms involved in male Wistar rats. Similar to HCTZ, both hydroethanolic extracts and dichloromethane subfractions increased urinary volume and the excretion of Na+ and K+. Results showed the extracts are able to effectively increase diuresis when orally administered in rats. The diuretic effect depends on both activation of bradykinin B2 receptors and the activity of cyclooxygenases. (58)
Possible Contact Dermatitis: Community herbal monographs allow the use of Yarrow herb and flower for treatment of superficial wounds, with aqueous infusion applied in the form of impregnated dressing. There is a possibility that individuals with contact sensitivity to other members of the Compositae family can react to topically applied yarrow infusion. Literature dating back to 1899 documents many cases of positive patch test reactions to yarrow extracts. (59)

Availability
- Wild-crafted.
- Yarrow capsules, herbal teas, flower essence, extracts in the cybermarket.

Updated July 2024 / Jan 2019 / June 2017 / Dec 2015

                                                 PHOTOS / ILLUSTRATIONS
Photos © Godofredo Stuart / StuartXchange
IMAGE SOURCE: Yarrow (Achillea millefolium) / Calibas / 4.09.06 / CC BY-SA 4.0 International  / Click on image or link to go to source page / Wikipedia
OTHER IMAGE SOURCE: Achilea millefolium inflorescence /SAplants / CC BY-SA 4.0 / Click on image or link to go to source page / Wikipedia
OTHER IMAGE SOURCE: Yarrow (Achillea millefolium) / Petar Milosevic / CC BY-SA 4.0 International  / Click on image or link to go to source page / Wikipedia
OTHER IMAGE SOURCE: Achillea millefolium var. occidentalis / Western Yarrow Seeds / Steve Hurst @ USDA-NRCS PLANTS Database / USDA  / Public Domain / Wikipedia

Additional Sources and Suggested Readings
(1)
Safety and antiulcer efficacy studies of Achillea millefolium L. after chronic treatment in Wistar rats / Ana Maria Cavalcanti et al / Journal of Ethnopharmacology, Volume 107, Issue 2, 19 September 2006, Pages 277-284/ doi:10.1016/j.jep.2006.03.011
(2)
VARIABILITY OF CHAMAZULENE WITHIN ACHILLEA MILLEFOLIUM / A Belanger and L Dextreaze / ISHS Acta Horticulturae 330: WOCMAP I - Medicinal and Aromatic Plants Conference: part 4 of 4
(3)
Comparison of Thymus vulgaris (Thyme), Achillea millefolium (Yarrow) and propolis hydroalcoholic extracts versus systemic glucantime in the treatment of cutaneous leishmaniasis in balb/c mice / M A Niforoushzadeh et al / J Vector Borne Dis 45, December 2008, pp. 301–306
(4)
Choleretic effects of yarrow (Achillea millefolium s.l.) in the isolated perfused rat liver / Benedek, B et al / Phytomedicine: International Journal of Phytotherapy & Phytopharmacology | November 1, 2006 |
(5)
YARROW HEALTH BENEFITS AND SIDE EFFECTS / Zhion

(6)
Antimotility Effect of Hydroalcoholic Extract of Yarrow (Achillea millefolium) on the Guinea-Pig Ileum / Medhi Babaei et al / Pak. J. Biol. Sci., 10: 3673-3677. / DOI: 10.3923/pjbs.2007.3673.3677
(7)
Secondary Metabolites in Essential Oil of Achillea millefolium (L.) Growing Wild in East Part of Kosova / Arben Haziri, Nevzat Aliaga et al / American Journal of Biochemistry and Biotechnology 6 (1): 32-34, 2010
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Aqueous extract of Achillea millefolium L. (Asteraceae) inflorescences suppresses lipopolysaccharide-induced inflammatory responses in RAW 264.7 murine macrophages / David Burke, Zbigniew Cichacz and Sasha Daskalova / Journal of Medicinal Plants Research Vol. 4(3), pp. 225-234, 4 February, 2010
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In vitro Assessment of Antimicrobial Efficacy of Alcoholic Extract of Achillea Millefolium in Comparison with Penicillin Derivatives / Hossien Tajik, Farnood Shokouhi et al / J. Anim. Vet. Adv., 7: 508-511. / DOI: 10.3923/javaa.2008.508.511
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In vitro Anti-epimastigote Activity of some Iranian Medicinal Plants / Soodabeh Saeidnia, Ahmad Reza Gohari et al / Iranian Journal of Pharmaceutical Research (2005) 2: 101-103

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Antinociceptive peripheral effect of Achillea millefolium L. and Artemisia vulgaris L.: both plants known popularly by brand names of analgesic drugs / Julia Movilla Pires, Fulvio Mendes et al / Phytotherapy Research, Volume 23 Issue 2, Pages 212 - 219 / Publ OnLine 10 Oct 2008
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Sorting Achilea names / Maintained by: Michel H. Porcher, / MULTILINGUAL MULTISCRIPT PLANT NAME DATABASE
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Achillea millefolium / Wikipedia
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Comparison of Thymus vulgaris (Thyme), Achillea millefolium (Yarrow) and propolis hydroalcoholic extracts versus systemic glucantime in the treatment of cutaneous leishmaniasis in balb/c mice / M.A. Nilforoushzadeha, L. Shirani-Bidabadia, A. Zolfaghari-Baghbaderania, S. Saberia, A.H. Siadata & M. Mahmoudi / J Vector Borne Dis 45, December 2008, pp. 301–306
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Yarrow / Universitry of Maryland Medical Center

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Antimutagenic Effect of Medicinal Plants Achillea millefolium and Bauhinia forficata In Vivo / Elisângela Düsman, Igor Vivian de Almeida, Ana Carolina Coelho, Thiago José Balbi, Lilian Tatiani Düsman Tonin, and Veronica Elisa Pimenta Vicentini / Evidence-Based Complementary and Alternative Medicine, Volume 2013 (2013) / http://dx.doi.org/10.1155/2013/893050

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Achillea millefolium L. s.l. herb extract: Antioxidant activity and effect on the rat heart mitochondrial functions / Sonata Trumbeckaite, Raimondas Benetis, Deividas Burdulis, Valdimaras Janulis, Adolfas Toleikis, Pranas Viškelis, Valdas Jakštas, Lina Raudone / Food Chemistry (Impact Factor: 3.33). 04/2011; 127:1540 - 1548. / DOI:10.1016/j.foodchem.2011.02.014
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An invivo Survey on Effect of Essential Oil of Achillea millefolium on Wound Healing in Chicken (Geometrical Study) /
Amir Dehghani Samani, Samin Madreseh Ghahfarokhi, Azam Dehghani Samani / Journal of Natural Remedies, Vol 14, Issue 1, January 2014
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The Melanogenesis Alteration Effects of Achillea millefolium L. Essential Oil and Linalyl Acetate: Involvement of Oxidative Stress and the JNK and ERK Signaling Pathways in Melanoma Cells / Hsin-Yi Peng, Chih-Chien Lin, Hsun-Yen Wang, Ying Shih mail, Su-Tze Chou / PLoS ONE 9(4): e95186. / doi:10.1371/journal.pone.0095186
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Toxicity of Essential Oils Isolated from Achillea millefolium L., Artemisia dracunculus L. and Heracleum persicum Desf. Against Adults of Plodia interpunctella (Hübner) (Lepidoptera: Pyralidae) in Islamic Republic of Iran
/ Asgar Ebadollahi, Shabnam Ashouri /
ECOLOGIA BALKANICA, 2011, Vol 3, Issue 2, Pp 41-48
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Experimental Study of Achillea Millefolium L. Extract on Hepatic Injury and Chronic Hepatic Fibrosis
/ HONG Zhen-feng, CHEN Yan-hua, ZHOU Jian-heng, LI Tian-jiao / Carcinogenesis, Teratogenesis & Mutagenesis, 2007, 19(1): 16-018.
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Beneficial effects of Achillea millefolium aqueos extract against cyclophosphamide-induced reproductive toxicity / Ali Shalizar Jalali, Shapour Hasanzadeh, Hassan Malekinejad / J Exp Integr Med. 2013; 3(2): 113-119 / doi: 10.5455/jeim.110313.or.061
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Analgesic Effect of Aqueous Extract of Achillea Millefolium
L. on Rat's Formalin Test / Mahdi Noureddini, Vahid-reza Rasta / Pharmacologyonline 3: 659-664 (2008)
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Reversal effect of Achillea millefolium extract on ileum contractions / Mehrnoosh Sedighi, Hamid Nasri, Mahmoud Rafieian-kopaei*, Seifollah Mortazaei / J Herbmed Pharmacol. 2013; 2(1): 5–8.
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The effect of hydroethanol extract of Achillea millefolium on β-adrenoceptors of guinea pig tracheal smooth muscle / H Koushyar, MM Koushyar, G Byrami, A Feizpour, Z Golamnezhad, MH Boskabady / Indian Journal of Pharmaceutical Sciences, 2013, Vol 75, Issue 4, pp 400-405

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Achillea millefolium / Synonyms /
KEW: Plants of the World Online
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Yarrow Interactions / WebM
D
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Yarrow / The Sacred Earth / Ethnobotany & Ecotravel
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Effect of Herbal Medicine Achillea Millefolium on Plasma Nitrite and Nitrate Levels in Patients With Chronic Kidney Diseas: A Preliminary Study / Sepideh Vahid, Simin Dashti-Khavidaki, Farrokhlegha Ahmadi, Mohsen Amini, Mohammad Hosein Salehi Surmaghi /
IJKD 2012;6:350-4
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Yarrow (Achillea millefolium L.) extract impairs the fibrogenic effect of bleomycin in rat lung
/ A. A. Hemmati, A. Arzi, A. Adinehvand, N. E. Mostofi, A. R. Mozaffari and A. Jalali* / Journal of Medicinal Plants Research Vol. 5(10), pp. 1843-1849, 18 May, 2011
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An Unexpected Anticholinergic E ect due to Yarrow (Achillea millefolium) / Civan Perçemine (Achillea Millefolium) / Bağlı Beklenmeyen Antikolinerjik Etki Nurettin Özgür Doğan, Yunsur Çevik, Gül Pamukçu Günaydın / JAEMCR, 2013; 4:pp 89-91 / doi: 10.5505/jaemcr.2013.55477
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In Vitro Antioxidant and Antifungal Properties of Achillea millefolium L. / IRINA FIERASCU, CAMELIA UNGUREANU, SORIN MARIUS AVRAMESCU, RADU CLAUDIU FIERASCU*, ALINA ORTAN, LILIANA CRISTINA SOARE, ALINA PAUNESCU / Romanian Biotechnological Letters Vol. 20, No. 4, 2015
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Evaluating the Efficacy of Achillea millefolium and Thymus vulgaris Extracts Against Newcastle Disease Virus in Ovo / Seyedeh Elham Rezatofighi, * Akram Seydabadi; and Seyyed Mansour Seyyed Nejad / Jundishapur Journal of Microbiology. 2014 February; 7(2): e9016 , DOI: 10.5812/jjm.9016
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The effect of hydro-alcoholic extract of Achillea millefolium on appetite hormone in rats / Mohsen Nematy, Mohsen Mazidi, Atefeh Jafari, Sara Baghban, Hasan Rakhshandeh, Abdolreza Norouzy, Habibollah Esmaily, Leila Etemad, Michael Patterson, and Amir Hooshang Mohammadpour / Avicenna J Phytomed., Jan-Feb 2017; 7(1): pp 10–15.
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Effect of Achillea millefolium Distillate on Recovery Time in Patients with Gastroenteritis / Masoumeh Abdi, Mohsen Adib-Hajbaghery,* and Mohammad Reza Sharif / Nurs Midwifery Stud. 2016 December; 5(4):e37268. / doi: 10.17795/nmsjournal37268
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Antioxidant and Cytotoxic Effect of Aqueous and Hydroalcoholic Extracts of the Achillea Millefolium L. on MCF-7 Breast Cancer Cell Line
/ Batoul Amini Navaie, Saeid Kavoosian, Sadegh Fattahi, Karimollah Hajian-Tilaki, Mohsen Asouri, Roya Bishekolaie, Haleh Akhavan-Niaki / IBBJ, Summer 2015, Vol 1, No 3
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Blood Pressure Lowering, Cardiovascular Inhibitory and Bronchodilatory Actions of Achillea millefolium / Arif-ullah Khan and Anwarul Hasan Gilani / Phytother. Res., 2011; 25: pp 577–583 / DOI: 10.1002/ptr.3303
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Editorial: Yarrow as a New Weapon against Hypertension / Ali Shalizar Jalali and Parisa Rahimzadeh / Insights in Blood Pressure, 2016; 2(1)
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The effect of hydro-ethanolic extract of Achillea millefolium on muscarinic receptors of guinea pig tracheal smooth muscle / Azadeh Feizpour, Mohammad Hossein Boskabady, Goltai Byrami, Zahra Golamnezhad, Mohammad Naser Shafei / Indian Journal of Pharmacology, 2013; 45(1): pp 13-17 / DOI: 10.4103/0253-7613.106428
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WOUND HEALING ACTIVITY ON THE LEAVES OF ACHILLEA MILLEFOLIUM L. BY EXCISION, INCISION, AND DEAD SPACE MODEL ON ADULT WISTAR ALBINO RATS / S. Nirmala, T. Karthiyayini / IRJP (International Research Journal of Pharmacy), 2011; 2(3): pp 240-245
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Yarrow: Herbal Medicine: Expanded Commission E / American Botanical Council
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Effects of Achillea millefolium Aqueous Extract on Electrophysiological Properties of Rat Barrel Cortex Neurons / Elham Salari, Ali Shamsizadeh, Seyed Mohammad Noorbakhsh, Fatemeh Ayoobi, Vahid Sheibani, and Sharbanoo Oryan / Jundishapur Journal of Natural Pharmaceutical Products: e37758 / DOI: 10.17795/jjnpp-37758
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Effect of Achillea millefolium extract in wound healing of rabbit / A. A. Hemmati, A. Arzi, M. Amin / JOURNAL OF NATURAL REMEDIES, 2002; 2(2): pp 164-167
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Traditional Medicinal Plants of Azerbaijan Province of Iran / Elnaz Latifian, Şahane Funda Arslanoğlu / Agricultural Sciences, 2018; 9: pp 157-170 / https://doi.org/10.4236/as.2018.91012
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Antibacterial activity of traditional medicinal plants used by Haudenosaunee peoples of New York State / Frank M Frey, Ryan Meyers / BMC Complementary and Alternative Medicine, 2010; 10:64 / http://www.biomedcentral.com/1472-6882/10/64
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Brinjasif (Achillea millefolium Linn): An efficacious unani medicine
/ Atiya Sayed and Humaira Bano / International Journal of Herbal Medicine, 2018; 6(3)
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Effect of Herbal Medicine Achillea Millefolium on Plasma Nitrite and Nitrate Levels in Patients With Chronic Kidney Disease: A Preliminary Study / S epideh Vahid, Simin Dashti-Khavidaki. Farrokhlegha Ahmadi, Mohsen Amini, Mohammad Hosein Salehi Surmaghi / Iranian Journal of Kidney Diseases, Sept 2012; 6(5)
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Prokinetic effect of a standardized yarrow (Achillea millefolium) extract and its constituent choline: studies in the mouse and human stomach / F Borrelli, B Romano, I Fasolino, O Tagliatatela-Scafati, A A Izzo et al / Neurogastroenterology & Motility, 2012; 24(2): pp 164-e90 / DOI: 10.1111/j.1365-2982.2011.01827.x
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Herb and Flowers of Achillea millefolium subsp. millefolium L.: Structure and Histochemistry of Secretory Tissues and Phytochemistry of Essential Oils / Agata Konarska, Elzbieta Weryszko-Chmielewska, Aneta Sulborska-Roztcka et al / Molecules, 2023; 28(23): 7791 / DOI: 10.3390/molecules28237791
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The effect of Achillea millefolium and Hypericum perforatum ointments on episiotomy wound healing in primiparous women / Maruam Hajhashemi, Zinat Ghanbari, Minoo Movahedi, Mahmoud Rafieian, Atefeh Keivani, Fedyeh Haghollahi / The Journal of Maternal-Fetal & Neonatal Medicine,  2018; 31(1): pp 63-69 /
DOI: 10.1080/14767058.2016.1275549
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Achillea millefolium is beneficial as an add-on therapy in patients with multiple sclerosis: A randomized placebo-controlled clinical trial / Fatemah Ayoobi, Amir Moghadam-Ahmadi, Ali Shamsizadeh et al / Phytomedicine, 2019; Volume 52: pp 89-97 / DOI: 10.1016/j.phymed.2018.06.017
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Effect of Achillea Millefolium on Relief of Primary Dysmenorrhea: A Double-Blind Randomized Clinical Trial / Ensiyeh Jenabi MSc, Bita Fereidoony MSc / Journal of Pediatric and Adolescent Gynecology, 2015; 28(5): pp402-404 / DOI: 10.1016/j.jpag.2014.12.008
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Investigation on anti-Corona viral potential of Yarrow tea / Komal Tilwani, Abhishek Patel, Hirak Parikh, Dr Janki Thakker, Gayatri Dave /  Journal of Biomolecular Structure and Dynamics, 2023; 41(11): pp 5217-5229 / DOI: 10.1080/07391102.2022.2082532
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Yarrow Supercritical Extract Ameliorates the Metabolic Stress in a Model of Obesity Induced by High-Fat Diet / Lamia Mouhid, Marta Gomez de Cedron, Ana Ramirez de Molina et al / Nutrients, 2020; 12(1): 72 / DOI: 10.3390/nu12010072
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Yarrow supercritical extract exerts antitumoral properties by targeting lipid metabolism in pancreatic cancer / Lamia Mouhid, Marta Gomez de Cedron, Ana Ramirez Molina et al / PLOS ONE, 2019; 14(3): e0214294  / DOI: 10.1371/journal.pone.0214294
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Effects of Achillea millefolium on cisplatin induced ocular toxicity: an experimental study / Ufuk Okkay, Irmak Ferah Okkay, Ismail Cagri Aydin, Arzy Gezer et al / Cutaneous and Ocular Toxicology, 2021; 40(3): pp 214-220 /  DOI: 10.1080/15569527.2021.1919137
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Safety Assessment of Achillea millefolium as Used in Cosmetics / Lilian C Becker, Wilma F Bergfeld, F Alan Andersen et al / American College of Toxicology, 35(S3) / DOI: 10.1177/1091581816677717
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Involvement of bradykinin and prostaglandins in the diuretic effects of Achillea millefolium L. (Asteraceae) / Priscila de Souza, Sandra Crestani, Rita de Cassia Vilhena da silva, Arquimedes Gasparotto Junior et al /  Journal of Ethnopharmacology, 2013;p 149(1): pp 157-161 / DOI: 10.1016/j.jep.2013.06.015
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Contact dermatitis as an adverse reaction to some topically used European herbal medicinal products – part 1: Achillea millefolium–Curcuma longa / Gioacchino Calapai, Marco Miroddi, Paola L Minciullo et al / Contact Dermatitis, 2014; 71(1): pp 1-12 / DOI: 10.1111/cod.12222
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Suggested reading: Medicinal Uses of Yarrow: An Herb Studied for Wound Care, Inflammation, and Menstrual Pain / Megan Nunn Pharm D / verywellHEALTH

DOI: It is not uncommon for links on studies/sources to change. Copying and pasting the information on the search window or using the DOI (if available) will often redirect to the new link page. (Citing and Using a (DOI) Digital Object Identifier)

                                                            List of Understudied Philippine Medicinal Plants
                                          New plant names needed
The compilation now numbers over 1,500 medicinal plants. While I believe there are hundreds more that can be added to the collection, they are becoming more difficult to find. If you have a plant to suggest for inclusion, native or introduced, please email the info: scientific name (most helpful), local plant name (if known), any known folkloric medicinal use, and, if possible, a photo. Your help will be greatly appreciated.

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