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Horse Chestnut Seeds and Varicose Veins: An Herbal Alternative Chronic venous insufficiency , or CVI, is the medical term for a condition that eventually causes varicose veins and other circulation problems. The condition affects patients far beyond the cosmetic issues associated with the condition. An estimated eighty million American women currently have symptoms relating to the disorder. England and Wales report over 50,000 venous surgeries annually, and statistics from other Western European countries indicate that one in four individuals will eventually have to deal with the debilitating effects of this illness. With the increasing costs of traditional therapies such as surgery and medication, the medical community has a strong interest in finding alternative means of providing relief and improving the quality of life of those afflicted with its effects. Research through the 1990s has confirmed the beneficial effects of horse chestnut in treating CVI symptoms. Alternative medical practitioners have used the herb in treating inflammatory conditions such as fevers, rheumatism and skin ulcers. Compression is a form of treatment that has been known to help provide relief for varicose veins in the legs. The patients wears elastic stocking that apply external pressure, helping to keep blood from pooling in the veins. Generally, patients are reluctant to use this type of therapy. While horse chestnut seed extract (HCSE) and compression have been shown to have nearly the same success rate when compared to placebo, the two methodologies had not been compared against each other until a recent study by Ottillinger and Greeske. Ottilinger and Greeske examined the findings in two clinical studies that compared the effectiveness of the herbal compound to both compression therapy and a placebo. The first trial involved 240 patients who had been diagnosed with stage one CVI. The study took place over a twelve-week period and reported that both the herbal preparation and compression showed similar results when compared to the placebo. The second study used a group of 355 individuals identified as having later stages of the condition. Results showed that compression had a significantly higher improvement rate over both the placebo and the herb. However, the use of HCSE rated highest of the three options on improving quality of life for sufferers and the most effective treatment, compression, ranked lowest. A prime factor in the development of CVI is the increase in blood flow that results from the opening of venular gaps. Horse chestnut seed extract appears to reverse this process, particularly in the earlier stages of the illness. These studies indicate that utilizing horse chestnut extract may be overall the most effective treatment option for those who have to face the disease. The researchers suggest that using this alternative approach in conjunction with compression in the later stages of the condition may also reduce some of the symptoms. Clearly, clinical trials will be needed to expand on the findings of these studies. While no treatment can reverse the destruction of vein structures in the condition's late stages, early intervention through non-invasive alternative therapies may well slow the development of varicose veins and improve the long term quality of life for those afflicted. Resources Anderson, L. (2002). Varicose veins: Newest cardiovascular risk. [electronic version]. Journal of Longevity, 89. Retrieved October 24, 2002, from www.journaloflongevity.com/JOLWeb/Archives/89/veins.html. Bradbury, A., Evans, C., Allan, P., Lee, A., Ruckley, C. V., & Fowkes, R. (1999, February 6). What are the symptoms of varicose veins? Edinburgh vein study cross section population survey. [electronic version]. British Medical Journal, 318(7180), 353-356. Grieve, M. (1981). Horse chestnut. [electronic version]. A Modern Herbal. Retrieved October 24, 2002, from www.botanical.com/botanical/mgmh/c/chehor58.html. Ottillinger, B., Greeske, K. (2001) Rational therapy of chronic venous insufficiency: Chances and limits of the therapeutic use of horse-chestnut seed extract. BMC Cardiovascular Disorders, 1(5), 1471-1465, retrieved October 24, 2002, from www.biomedcentral.com/1471-2261/1/5.

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