"Natural Healing with Herbs for a Healthier You"

CHANCA PIEDRA
by Melody Elaine Thomas
Chanca Piedra is the Spanish name for Phyllanthus niruri, which translates
to Stone Breaker or Shatter Stone . The herb was named for its
effective use by the indigenous peoples of the Amazon in eliminating
gallstones and kidney stones. It has long been used in folk medicine to
treat kidney and urinary bladder disturbances, intestinal infections,
diabetes, and hepatitis B. This plant is distributed in all the tropical regions
of the planet. There are no studies accounting for its geographic origin
with accuracy. Some people say that it is native from India because Linneo
(1770-1778) probably reported a first specimen from that country in 1737,
but others say that it comes from the Philippines and it was then introduced
to the New World.
Chanca Piedra grows wildly in America, from Texas to Northern
Argentina. It also grows wild in Peru and very abundantly in tropical
zones. In some of the published research, especially in earlier studies
which started in the 1960s, scientists make little or no distinction between
P. niruri, P. urinaria, and P. amarus because of the very similar
phytochemical make up and appearance of these plants.
Phyllanthus has a long history in herbal medicine systems in every tropical
country. In ayurvedic medicine it has been used for over 2,000 years with
a wide number of traditional uses including internal use for jaundice,
gonorrhea, frequent menstruation, and diabetes and topical use as a
poultice for skin ulcers, sores, swelling, itchiness and dysentery. In addition to kidney stones, the plant has been
used in the Amazon for numerous other conditions by the indigenous peoples, which include colic, diabetes,
malaria, dysentery, fever, flu, tumors, jaundice, vaginitis, gonorrhea and dyspepsia. Based on its long
documented history of use in the tropical regions, the plant is generally employed to reduce pain, to expel
intestinal gas, to stimulate and promote digestion, to expel worms, and as a mild laxative. For the most part,
related species have been used for similar conditions worldwide.
Chanca Piedra is still used widely in herbal medicine in South America, it is the most popular remedy for
gallstones and kidney stones throughout the Peruvian herbal medicine, and it is also used for hepatitis, urinary
infections and as a diuretic. In Brazilian herbal medicine, where it has been used for thousands of years, it is
called Quebra Pedra and is an excellent remedy to remove uric acid from the urine and to eliminate stones. It is
used in Brazil for hydropsy, urinary and bladder infections and blood ailments, painful joints, cystitis, prostate
disorders, kidney disorders, diabetes and as an antispasmodic and muscle relaxant specific to the urinary tract
system. Chanca Piedra, indigenous to India, where it is called Pitirishi, is a common household remedy for
asthma, bronchitis and to cure cough, thirst, anemia, jaundice and tuberculosis. Also indigenous to the
Bahamas, where it is called hurricane weed or gale-wind grass. It is used in local herbal medicine for poor
appetite, constipation, typhoid fever, flu and colds.
The interest in the plants has increased considerably. Substantial progress on their chemical and
pharmacological properties, as well as a few clinical studies of some Phyllanthus species have been made. In a
review of the Phyllanthus research the authors state, Studies sited in this paper with the extracts and purified
compounds from these plants support most of their reported uses in folk medicine as an antiviral, in the
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treatment of genitourinary disorders, and as antinociceptive agentsSeveral compounds including alkaloids,

flavonoids, lignans, phenols, and terpenes were isolated from these plants and some of them interact with most
key enzymes. Together this data strongly supports the view that the plants belonging to the genus Phyllanthus
have potential beneficial therapeutic actions in the management of hepatitis B, nefrolitiase, and in painful
disorders.

LOCATION OF CHANCA PIEDRA

CHANCA PIEDRA
by Melody Elaine Thomas
The plants belonging to the genus Phyllanthus are a part of the Euphorbiaceae family, which are widely
distributed throughout most tropical and subtropical countries. It is a very large genus of approximately 550 to
750 species, which is subdivided into 10 to 11 sub genera, including Isocladus, Kirganelia, Cicca, Emblica,
Conani, Gomphidium, Phyllanthodendron, Xylophylla, Botryanthus, Ericocus, and Phyllanthus. It is believed
that about 200 species of plants of this genus are distributed widely in the Americas, mainly in the Caribbean
and in Brazil.
Chanca Piedra is a small erect annual herb growing up to 60 centimeters in
height and blooms with many yellow flowers. It usually grows in the shade
and is indigenous to the rainforest in the Amazon, tropical areas including the
Bahamas, southern India, China, the Philippines, Cuba, Nigeria, Guam, Brazil
and is found in the dried tropical climates of even Florida and Texas.
The generic name Phyllanthus means, leaf flower because the flower, as well
as the fruit, seem to become one with the leaf. In fact, even though it appears
to be so, it is not a compound leaf, but has little thin and symmetric branches
that make the leaf look like a plumose leaf. Each little leaf of that branch
carries in the angle a flower and the fruit. The specific name nururi may come from a Hindu term, and was
adopted by Linneo. Dr. Duke uses the name Seed On The Leaf for P. niruri, reflecting its appearance.
This is a plant that grows well in moist and shady places, and it spreads quickly by the invasive capacity of its
large root, consuming with greed the nutrients within the ground, in such a way that it could damage the
surrounding plants. Chanca Piedra can be found in all the worlds tropical places: through the roads, valleys,
on the riverbanks and near lakes. The parts may be characterized as follows:
Stems: Erect, 30-60 cm tall and 1 to 2.5mm wide, a few horizontal branches, from 5 to 10 cm long and almost
filiform.
Leaves: Whole, hairless and pale on the underside, elliptic shaped, short petiole, obtuse 7 to 12mm apex,
disposed alternately one over the other on each side of the stem, so that they resemble the folioles of a
compound leaf.
Flowers: Chanca Piedra has small, single, monoic flowers that grow in the angle of each leaf, with whitish or
yellowish sepals and a green longitudinal stripe. Male flowers (left two in photograph) are very small, they
have three sessile stamens, they are less abundant and we can find them near the base of the branch. (Three
female flowers are shown on the right in the photograph.)
Fruits: They are eschizocarpic, capsules, globular and fattened, with 2 to 3 millimeters diameter, each one
carrying two, three corned and verrucose seeds.
Root: It is large and somewhat branched.

CHEMICAL CONSTITUENTS OF CHANCA PIEDRA

CHANCA PIEDRA
by Melody Elaine Thomas
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A great variety of species of plants belonging to the genus Phyllanthus have been phytochemically and
pharmacologically investigated and many molecules have been isolated and identified. In this context, different
classes of organic compounds of medicinal interest have been reported, including alkaloids, flavonoids,
lactones, steroids, terpenoids, lignans, tannins, and so forth (see Table 1). However, it should be noted that
lignans, triterpenes, alkaloids, and tannins are the most abundant compounds so far determined in this genus.
Among all studied species, P. niruri, P. urinaria, P. emblica, P. fexuosus, P. amarus, and P. sellowianus have
received more phytochemical attention. Although most of these compounds are chemically known, their
complete pharmacological properties remain, in general, undetermined.
Many of the active constituents are attributed to biologically active lignans, glycosides, flavonoids, alkaloids,
ellagitannins, and phenylpropanoids found in the leaf, stem, and root of the plant. The main plant chemicals in
Chanca Piedra include:
Lignanes: phyllanthine, hypophyllanthine, phyltetralin, lintetralin, niranthin, nirtetralin, nirphylline, nirurin,
niruriside.
Terpenes: Cymene, limonene, lupeol and lupeol acetate.
Flavonoids: Quercetin, Quercitrin, Isoquercitrin, astragalin, rutin, physetinglucoside.
Lipids: Ricinoleic acid, dotriancontanoic acid, linoleic acid, linolenic acid.
Benzenoids: Methylsalicilate ethyl gallate, methyl gallate.
Alkaloids: Norsecurinine, 4-metoxy-Norsecurinine, entnorsecurinina, nirurine, phyllantin, phyllochrysine.
Steroids: Beta-sitosterol.
Alcanes: Triacontanal, Triacontanol.
Others: Vitamin C, tanines, saponins.
Selected compounds with known pharmacological activities, which have been isolated from Phyllanthus
species, are listed in Table 1.

MEDICINAL QUALITIES OF CHANCA PIEDRA

CHANCA PIEDRA
by Melody Elaine Thomas
It is little wonder that Chanca Piedra is used for so many purposes in herbal medicine systems: in clinical
research over the years, the plant has demonstrated liver protective, antilithic (expelling stones), pain-relieving,
hypotensive, antispasmodic, antiviral, antibacterial, diuretic, antimutagenic, and hypoglycemic activities. Since
the 1960s there has been a growing body of scientific studies published on Chanca Piedra, to date over 300
studies have been carried out. Indian and Brazilian research groups were the first to conduct these studies since
the plant was indigenous to their areas, with a long history of use by their inhabitants. The Brazilian researchers
have summarized their research stating, Pre-clinical and clinical studied carried out with the extracts and
purified compounds from these plants support most of their reported uses in folk medicine for the treatment of a
wide variety of pathological conditions.
Kidney, Gall Stones & Cholesterol
Research done in Brazil at the Federal University of Santa Catarina in 1984 on Chanca Piedra revealed an
alkaloid (phyllanthoside) in the leaves and stem with strong antispasmodic activity. It served as a relaxing agent
for smooth muscles and they concluded that its spasmolytic action probably accounted for the efficacy of
Chanca Piedra in expelling stones.
TABLE 1. Chemical Constituents and Pharmacological Activities in Phyllanthus species.
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Species
P. urinaria,
P. niruri,
P. amarus
P. urinaria
P. urinaria,
P. niruri
P. urinaria

Compound
Rutin

Pharmacological Activity
Anti-inflammatory and
analgesic

B-amyrin
Ellagic acid

Analgesic, antilipoxignease
Aldose reductase inhibitor

Geraniin

P. urinaria,
P. niruri

Quercetin,
Dibencylbutirolactone

P. niruri

Niruside

P. niruri

Repandusinic acid A,
Phillanthin, Hypophillantin,
hirtetralin, triacontanal
B-sitosterol, gallic acid, ethyl
ester, & stigmasterol
-sitosterol
Alkaloid phyllanthoside

ACE inhibitor, antiallergic,

diuretic hypertensive and
analgesic
Mitocondrial ATPace
inhibitor, phosphodiesterase
inhibitor, mutagenic effect in
bacterial, cycloocigenase
inhibitor, analgesic,
phosphorilase and tyrosine
kinase inhibitor,
phopholipase A2 inhibitor
HIV-1 Reverse transcriptase
inhibitor
HIV-1 reverse transcriptase
inhibitor, antihepatoxic,
endothelin antagonists
Analgesic and antiinflammatory

P. urinaria

Antispasmodic activity

Gallstones and kidney stones are a major health problem in the United States. In fact, 20,000,000 in the U.S.
suffer from gallstones and medical doctors treat 600,000 each year for this condition. With the introduction of
Chanca Piedra, health care practitioners have acquired a powerful plant ally in helping their patients to maintain
optimal kidney, gall bladder, liver, and bladder health. Kidney stones are formed when urine becomes too
concentrated-usually due to chronic dehydration, infection, various kidney disorders, deficiencies in
magnesium, and excess purines or oxalates in the diet.
Kidney stones form when certain substances, calcium oxalate, calcium phosphate, magnesium ammonium
phosphate, uric acid or cystine-become so concentrated in the urine that they precipitate out as hard, solid
lumps. The main symptom of kidney stones is pain in the left or right lower back or pelvic area that becomes
excruciating as the stone attempts to leave the kidney through narrow tubes called ureters.
The first notable area of study of Chanca Piedra for kidney stones was conducted in 1990, at the Paulista School
of Medicine in Sao Paulo, Brazil. This study was conducted using humans and rats with kidney stones. They
were given a simple tea of Chanca Piedra for 1-3 months and it was reported that the tea promoted the
elimination of stones. They also reported a significant increase in urine output as well as sodium and creatine
excretion.
In a 1999 study, researchers confirmed that Chanca Piedra has a potent and effective inhibitory effect on the
formation of calcium-oxalate crystals and decreases the size of existing stones. Not only that, but also this
effect was found even at very high levels of calcium oxalate, which indicates that it might be a useful
preventative aid for people with a history of kidney stones.
In a 2002 in vivo study, researchers seeded the bladders of rats with calcium oxalate crystals and treated them
for 42 days with a water extract of Chanca Piedra. Their results indicated that Chanca Piedra strongly inhibited
the growth and number of stones formed over the control group. Several of the animals even passed the stones
that did form. More recently (in 2003), scientists studied the inhibition of calcium oxalate crystal formation in
urine samples to which sodium oxalate had been added. These researchers again confirmed in vitro that Chanca
Piedra could help prevent the formation of kidney stones stating, that it may interfere with the early stages
of stone formation and may represent an alternative form of treatment and/or prevention of urolithiasis.
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Chanca Piedra is also used in herbal medicine for gallstones and one study indicates that Chanca Piedra has an
effect on gallbladder processes. Gallstones form when cholesterol and bile pigments become so concentrated
that they form lumps inside the gallbladder. These lumps may be as small as a pinhead or as large as a golf ball.
Gallstones that remain in the gallbladder rarely cause symptoms. But you can expect major problems if a stone
blocks either the cystic duct (the tube that leads from the gallbladder to the bile duct) or the bile duct (the tube
running from the liver and gallbladder into the intestine). In a 2002 study, Indian researchers reported that
Chanca Piedra increased bile acid secretion in the gallbladder and significantly lowered blood cholesterol levels
in rats. The beneficial effects of lowering cholesterol and triglyceride levels was also confirmed by another in
vivo (rat) study in 1985.
Dr. Wolfram Wiemann of Nuremburg, Germany has used Chanca Piedra in his medical practice in Germany.
He reported 94% of all the cases he encountered among his patients of gallstones and kidney stones were
completely eliminated within one or two weeks. Another Amazon physician interviewed by Nicole Maxwell,
about the use of Chanca Piedra for his patients said that the plant worked 100% of the time without any side
effects. While not characterized as a side effect, it is noted that for several hours during the actual process of
elimination of the stones, some patients experienced stomach cramps.
In France, Chanca Piedra has been used for some time to treat gall and kidney stones. It is part of a
pharmaceutical product called Pilosuryl, which is sold as a diuretic.
Antinociceptive Effects
Brazilian researchers have also discovered powerful, long-lasting pain-blocking activity in the roots, stems and
leaves of several different species of Phyllanthus, including P. niruri. In a book called Cats Claw: Healing
Vine of Peru, Kenneth Jones, in a section of the book devoted to Chanca Piedra, states:
In the test system used, the extract of Phyllanthus urinaria showed about four times more
potent activity than indomethacin and three times the strength of morphine against the second
phase of pain which models the stage of inflammatory pain. The pain model used in these
tests (formalin-induced persistent pain) appears to provide a state similar to that of post-operative
pain in peoplethe pain blockers in Phyllanthus have been identified by the Brazilians as gallic
acid, ethyl ester and the steroidal compounds as beta-sitosterol and stigmasterol.
Calixto, et al. have pointed out that different kinds of compounds isolated from plants belonging to the genus
Phyllanthus, eg., flavonoids such as quercetin and rutin, tannins, such as geraniin and furosin, benzenoids, such
as ethyl gallate and methyl gallate, and the phytosterols, exhibited antinocieptive effects in mice. With so many
different pain-relieving active compounds present in these plants, the Brazilian researchers have indicated the
possibility of the existence of synergistic effects between some molecules present in the extracts, and suggest
future investigations of such effects.
Diuretic, Hypotensive, and Hypoglycemic
The diuretic, hypotensive and hypoglycemic effects of Phyllanthus niruri were documented in a 1995 human
study. Indian researchers gave human subjects with high blood pressure Chanca Piedra leaf powder in capsules
and reported a significant reduction in systolic blood pressure, a significant increase in urine volume and
sodium excretion. Chanca Piedras diuretic effect in humans was recorded as far back as 1929 and, in India a
tablet of Chanca Piedra is sold as a diuretic there. This significant diuretic effect, and a significant reduction in
systolic blood pressure in non-diabetic hypertensive individuals were attributed to a specific phytochemical in
Chanca Piedra called geraniin in a 1988 study. In the above 1995 study, researchers also reported that blood
sugar levels were reduced significantly in human subjects studied, with blood glucose in diabetic patients taking
Chanca Piedra for 10 days.
Two other studies with rabbits and rats document the hypoglycemic effect of Chanca Piedra in diabetic animals.
In dealing with diabetic neuropathy and macular degeneration, a study documented Chanca Piedra with aldose
reductase inhibition (ARI) properties. Aldose reductases are substances that act on nerve endings exposed to
high blood sugar concentration, resulting in neuropathy and macular degeneration. Substances that inhibit these
substances can prevent some of the chemical imbalances that occur and thus protect the nerve. This ARI effect
of Chanca Piedra was attributed, in part, to a plant chemical called ellagic acid. This well-studied plant
chemical has been documented with many other beneficial effects in over 300 clinical studies. It is also
considered an immune system stimulator.
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Hepatitis
Of particular note, break-stone gained worldwide attention in the late 1980s due to the plants antiviral activity
against Hepatitis B. Preliminary clinical trials with P. niruri on children with infective hepatitis using an Indian
drug containing Phyllanthus amarus as the main ingredient showed promising results, which fueled the
subsequent in vitro and in vivo studies. The in vitro inactivation of Hepatitis B by break-stone was reported in
India in 1982. A study that followed indicated that in vivo, break-stone eliminated hepatitis B in mammals
within 3-6 weeks. Several subsequent studies in the late 1980s and early 1990s failed to produce any effect
against hepatitis, but other research conducted form 1990 to 1995 has indicated that Chanca Piedra does
demonstrate antiviral activity against Hepatitis B.
Phyllanthus niruri / amarus is considered, based on accumulated research, as the most effective natural, nontoxic remedy for the Hepatitis B virus, a pathogen now carried by more than 350 million people in the world.
Statistics on HBV are staggering: one out of every 250 Americans is an HBV carrier! The Center for Disease
Control (CDC) estimates that 73,000 new U.S. cases of HBV infection per year are added to the current
estimate of 1.25 million carriers in the U.S. In the U.S., the CDC also reports that 3,000-4,000 annual deaths
from cirrhosis and 1,000 deaths from liver cancer are HBV-related. Hepatitis B is not only disabling in its acute
phase, but it can remain in the body and contribute decades later to the development of liver cancer. Liver
cancer to date is reported to be 100% fatal.
Many people who contract HBV become chronic (and, often, asymptomatic) carriers of the disease while still
being contagious to others. HBV is reported to be 100 times more infectious than HIV, and, like HIV, is
transmitted through blood transfusions, needles, sexual contact, and in utero (from mother to child in the
womb).
In 1988, Dr. Baruch Blumberg reported that Chanca Piedra could clear up the chronic carrier state of Hepatitis
B. This was big news for Herbalists as Dr. Blumberg was the winner of the 1963 Nobel Prize for discovering
the HBV antigen. This led to the discovery that HBV was the primary cause of liver cancer and initiated the
development of HBV vaccines. Most of Blumbergs early research on Chanca Piedra was carried out in India in
collaboration with an Indian research group. Blumberg was employed with the Fox Chase Cancer Center in
Philadelphia, and it was with this group and the Indian research group that filed two patents on the plants
ability to treat HBV and its antiviral properties in 1985 and1988. The fist patent was specific to HBV; the
second stated that the plants antiviral properties were achieved in part through a strong inhibition of reverse
trancriptase, necessary for many types of viruses to grow. This made it possible to treat such retroviruses as
HIV, sarcoma and leukemia viruses. Their first human study reported that a water extract of Phyllantus amarus
and niruri cleared the HBV surface antigen from 22 of 37 chronic HBV patients in only 30 days and continued
to test negative for nine months. This same group had published several earlier in vitro studies as well as
animal studies. They chose to use woodchucks in the animal tests because woodchucks respond to chronic
HBV infection in much the same manner as do humans. All reported similar and effective anti-HBV effects.
After these studies, at the Fox Chase Cancer Center, they asked the question: Could an herbal medicine help?
Since it was at this research center where a massive search of the worlds herbal literature was initiated for
plants used against jaundice (acute hepatitis) and other liver diseases and Phyllanthus turned up as one of the
most promising. The hope for Phyllanthus is to provide an abundantly available nontoxic alternative not only to
treat the disease, but ideally to render carriers Sero-negative for the virus so they wont pass it on to others.
Combined with vaccines, Phyllanthus, or perhaps other herbs combined, might make a significant contribution
to the eradication of viral hepatitis.
Research in Japan and India in the 1980s has demonstrated the liver-healing properties of Chanca Piedra. The
primary compounds responsible are phyllanthin, hypophyllanthin and triacontanal. Glycosides found in Chanca
Piedra demonstrated aldose reductase (AR) inhibitory activity in studies conducted by a Japanese research
group in 1988 and 1989.
HIV
The most recent research on break-stone reveals that its antiviral activity extends to human immunodeficiency
virus (HIV). A Japanese research group discovered Phyllanthus niruris HIV-1 reverse transcriptase inhibition
properties in 1992 with a simple water extract of the plant. Scientists from Bristol-Myers Squibbs
Pharmaceutical Research Institute isolated at least one of the constituents in the plant responsible for this
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activitya novel compound that they named niruside and described in a 1996 study. A German research
organization published their first study on Chanca Piedra and its application with HIV therapy (reporting a 7075% inhibition of virus) in 2003.
Arthritis
Preliminary studies in chronic arthritis indicate a clear anti-inflammatory activity, anti-tumoral effects in mice
have been detected and there are some evidences that relate this property to one of its phytochemicals:
dibencylbutirolactone.
\
Anticancer
In several animal studies (as well as within cell cultures), extracts of Chanca Piedra have stopped or inhibited
cells (including liver cells) from mutating in the presence of chemical substances known to create cellular
mutations and DNA strand breaks (which can lead to the creation of cancerous cells). It may well be that
Chanca Piedras documented ability to stop cells from mutating plays an important factor in this reported
anticancerous activity. Again, one of these studies indicated that Chanca Piedra inhibited several enzyme
processes peculiar to cancer cells replication and growth-rather than a direct toxic effect of killing the cancer
cell (sarcoma, carcinoma, and lymphoma cells were studied). This cellular-protective quality was evidenced in
other research, which indicated that Chanca Piedra protected against chemically induced bone marrow damage
in mice, as well as against radiation-induced damage in mice.
Future Studies
Researchers have suggested that another promising area for future study would be the use of Chanca Piedra in
treatment of Lymes Disease. Since syphilis is caused by a spirochete and Chanca Piedra has traditionally been
used for this illness, it would be a good study for the epidemic of Lymes Disease, which we are experiencing
the northeastern United States, since Lymes is also caused by a spirochete. Some herbalists have used Chanca
Piedra traditionally for gonorrhea and syphilis.
Chanca Piedra is a perfect example of a highly beneficial medicinal plant, which is deserving of much more
research. Unfortunately, because of its complicated myriad of chemical constituents, there isnt enough grant
monies available. Major funding would have to be had for a pharmaceutical or research company to isolate a
single, patentable chemical to justify the high cost of research.

CONTRA-INDICATIONS OF CHANCA PIEDRA

CHANCA PIEDRA
by Melody Elaine Thomas
There has been no toxicity reported in any of the clinical studies, nor have there been any side effects reported,
except for an occasional case of cramps during the expulsion of stones from the use of the whole plant either as
a tea or in crude (whole plant) extracts in capsules. If cramping occurs, dosage can be cut in half.
Although scientific studies have indicated Chanca Piedra is safe for pregnant women to take, documented ethnic
uses in Brazil indicate its use as an abortive by rural populace (effect seen at higher doses), presumably due to
the smooth muscle relaxant properties. Therefore, if taken during pregnancy, it is recommended that doses of
Chanca Piedra be kept low, especially during the first trimester. As with any supplements used while pregnant
or nursing, consult your health care practitioner.
Chanca Piedra has been documented in human and animal studies with diuretic effects. Chronic and acute use
of this plant may be contraindicated in various other medical conditions where diuretics are not advised.
Chronic long-term use of any diuretic can cause electrolyte and mineral imbalances; however, human studies
with Chanca Piedra (for up to three months of chronic use) have not reported any side effects. Consult your
doctor if you choose to use this plant chronically for longer than three months concerning possible side effects
of long-term diuretic use.

KNOWN HERBAL FORMULAS OF CHANCA PIEDRA

Page 7 of 13

CHANCA PIEDRA
by Melody Elaine Thomas
A Tribal Tea, consisting of Jatoba, Una de gato, Tahari, Chanca Piedra (Chanca Piedra), Stevia, and
Chuchuhuasi, is used by the Shipibo Medicine men to bring health and balance to the people who drink this tea
daily. Contributions due to Chanca Piedra likely include: enhancing the immune system, fighting urinary track
problems, antiviral properties, lowering blood sugar levels to normal levels and high levels of antioxidants.
A Fiber Formula consists of Psylium husk, Una de Gato, Hibiscus Flower, Artichoke Leaf, Licorice root,
Quebra Pedra (Chanca Piedra), Fennugreek seed, Segao Palm, Flax seed, Camu Camu, Boldo, Jatoba, Slippery
elm, Papaya, Oat bran, and Sandre de Drago. This cleansing formula, which stimulates the release and removal
of toxins, employs Chanca Piedra to help cleanse the kidneys, gallbladder and urinary track.
A Whole Body Tonic, consisting of Una de gato Pau darco, Suma, Tayuya, Fucus, Artichoke, Boldo, Star anise,
Bitter orange, Pedra hume caa, Alfalfa, Horsetail, Marapuama, Catuaba, Carqueja, Quebra pedra (Chanca
Piedra), Jerubeba, Yerba Mate, Cornsilk, Passion flower, Lemon Balm, Mulungu, Espinhiera santa, Lemon
grass, Peppermint, Pata de vaca, Sarsaparilla, Jotoba, Chamomille, Stevia, Chuchuhuase, and Sangre de Grado,
is used to support the whole body, especially the nervous system. Properties mentioned that Chanca Piedra
likely contributes to include: antioxidant properties, improved immune function, blood sugar level balance, and
detoxification of gallbladder.
An Environmental Detoxifying Combination, consisting of Jurubeba, Boldo, Artichoke, Quebra pedra (Chanca
Piedra), Una de gato, and Alfalfa, is used to stimulate the body to release environmental toxins, helping to
cleanse the liver, gallbladder and support of the spleen and kidneys. Mentioned contributions likely due to
Chanca Piedra include: lower cholesterol, stabilized blood sugar levels, helps heal urinary track infections,
prevents and aids in recovery from hangovers, stimulates immune system and acts as a diuretic.
An herbal formula, made from mentally revitalizing herbs, from the Metagenics Company called Mentalin is
used as a brain tonic. The 16 herbs used (which include Chanca Piedra) have been found to influence central
nervous system function, possess antioxidant properties, and promote positive mood, memory and intellect and
to help relieve anxiety, in addition to inhibition of lipid peroxidation, nourishing of nervous system tissue and
improving digestion to promote healthy mental function. Chanca Piedra is known to possess antioxidant
properties and interact with nervous function.
An Ayurvedic formulation, D-400 or Diabecon, which contains 32 herbs, including Phyllanthus amarus, has
been proven to have hypoglycaemic activity in at least 26 studies scientific studies.
Another Ayurvedic formula, marketed in the USA, Uri-Flush, is advertised for the following: Supports Healthy
Kidney Function, Helps Promote Healthy Urinary Tract, Supports Clear and Clean Urinary Tract, Revitalizes
and Optimizes Many Body Functions. Uri-Flush contains 13 ingredients, including Chanca Piedra (Bhui
Amla). The function of these herbs in Ayuvedic text is natural support to kidney, bladder and urinary tract
includingdisintegrates stones in bladder and kidneys, promotes diuresis, facilitates the gravel to pass out with
the flow of urine, relaxes the muscles of the urinary tract and relieves associated pains Although additional
effects are listed (12 other herbs are present), these items are demonstrated medicinal effects of Chanca Piedra.
The herb sold singularly in the form of a tincture, extract, capsule and bulk. I did run across a recipe used for
weight loss: Chanca Piedra and Cats Claw, are two herbs, when alternated on a weekly basis over a period of
several months that can be helpful with weight loss.

DOSAGES & APPLICATIONS OF CHANCA PIEDRA

CHANCA PIEDRA
by Melody Elaine Thomas
Traditional Standard Dosage: Whole herb
Infusion: 1 cup 2-3 times daily for disease: One teaspoon of dried herb is steeped at least 15 minutes in
boiling water
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1-3 times weekly for prevention

Tincture: 2-4ml 2-3 times daily: Dried herb is covered with 50% ethanol (i.e., Vodka) and shaken twice daily
for 14 days, before straining herb. Storage is in dark bottles. Alternately, a glycerite extract can be made by
covering dry herb with distilled water, simmering on low heat about two hours, straining the herb, then reducing
the volume over low heat to about , then adding vegetable glycerin ( of the final extract volume) to give
33% glycerol.
Capsules/Tablets: 2-3 grams twice daily
I found that 3-4 doses were necessary for the analgesic effect at times, when I was in pain. However, my 11year-old daughter and 13-year-old son only required 1 dose for the same effect. My conclusion is that it should
be a weight-based dosage instead of a standard dosage.

CHANCA PIEDRA - PERSONAL EXPERIENCE

CHANCA PIEDRA
by Melody Elaine Thomas
Appearance and Taste of Herbal Preparations
A pound of Chanca Piedra arrived from Surinam, South America to my door.
Being that the whole herb is used, it appeared like many dried plants: green,
slight brownish, leaves, sticks and berries in a cut mixture, very similar to
the photograph shown at the right.
The infusion created a brown liquid with a slight bitter taste, which had an
earthy aroma. Both an alcohol tincture and a vegetable glycerin extract were
prepared with good results.
Tooth Extraction Pain Relief
My eleven-year-old daughter had two incisors removed. When the anesthesia began to wear off, she began
crying in pain. She was given a dose (1 teaspoon) of Chanca Piedra tincture and within five minutes the pain
subsided.
Back Pain Relief
After an automobile accident in October 2004, I started a lengthy healing process for whiplash; I had a twisted
spine at the 5th and 6th cervical vertebrae, which left me with nerve damage. Along with the use of the B&B
tincture, Bone, Flesh & Cartilage Ointment and Cayenne Ointment, I began the use of Chanca Piedra for its
anti-inflammatory and analgesic effect. I began experimenting with the dosages to achieve the desired effect.
I began with an infusion of the herb and it seemed to take four cups of this as a tea before any analgesic effect
was noted (this taken hourly). Next, an alcohol tincture was prepared, which I took (1 Tablespoon of tincture) 3
times daily. This seemed a more potent way of taking the herb. It is interesting to note that one evening I
awoke after about two hours of sleep with a very good overall feeling, a kind of mild intoxication.
Lastly, an extract was made with vegetable glycerin, and this seems to be the most palatable way to ingest the
herb.
Pectus Carinatum
I write this next part as a whole case study, with the use of Chanca Piedra as just one of a myriad of
supplements in the treatment. I feel like this is appropriate for my thesis, as this sums up all The School of
Natural Healing has taught me.
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My son, Jordan is a 13-year-old male with Pectus Carinatum. In Jordan, this was an abnormal growth of
cartilage in his breastbone and surrounding area, about the size of a fist, protruding out from his chest. If it is
not treated, it can have negative effects on the cardio and pulmonary functions, later in life. His doctor referred
him to a specialist at the nearest University Hospital, a surgeon, who advised us to have the excess cartilage
removed in a procedure called the Ravitch Repair Procedure. This is a major surgical procedure, which would
be followed by up to a week recovery time in the hospital, with a 6 month total full recovery time. My training
as an herbalist did not expose me as to the use of an herbal treatment that would dissolve such a growth. So, we
decided to go ahead with the surgery.
Major surgery causes serious stress to the body. The bodys immune system is weakened and gastrointestinal
function is changed after major surgery, leaving the body vulnerable to infection and in a state of nutritional
insufficiency. Steps can be taken using natural approaches to strengthen the body before and after surgery, to
enhance defenses, prevent complications, and to speed recovery.
The following outline is what we began two weeks prior to surgery to reduce the risk of complications and to
decrease recovery time following the surgical procedure:
1) He does not smoke or drink and he did not use any recreational drugs, so the required stopping tobacco and
alcohol use one week prior to surgery, is not applicable.
2) For overall recovery, it is best if you do not suffer from any condition that compromises your immune status
at the time of surgery (i.e., suffering from a cold or flu) so we began with an Echinacea tea once a day,
increasing to 3 cups a day.
3) It is beneficial to start taking a supplement, which contains the following nutrients two weeks prior to
surgery: Vitamins A & C, Selenium, Iron, Vitamin B12, Folate. Optimally the supplement should also contain
arginine (found in wheat germ, oatmeal, seeds, buckwheat, and nuts), as this will increase nitric oxide, which
has shown to be beneficial for wound healing. We have found that Vital-erbs are a whole food source of
vitamins and minerals, which are easily assimilated. We began Vital-erbs at 2 capsules three times a day,
gradually increasing to 5 capsules three times a day. We also supplemented with 4 tablets of Alfalfa daily with
meals.
4) Omega-3 fatty acids have anti-inflammatory properties, and animal studies suggest that supplementation
with omega-3 fatty acids may improve recovery and prevent infection after surgery. A controlled human trial
found that intravenous nutritional formulas containing omega-3 fatty acids given post-operatively lowered the
production of inflammatory chemicals compared with standard nutritional formulas. We supplemented with
Wheat Germ Oil (1140 mg softgel), 3 times a day, and with cold-pressed Flax seed oil, 1 tablespoon two times
daily. Surgery patients receiving essential fatty acids showed in a study that they had the same risk of death, but
that they had fewer infections and shorter hospital stays. It is important to note that the following herbs and
substances increase bleeding time, so should be stopped three days prior to surgery: Co-enzyme Q10, Omega-3
fatty acids, Vitamin E, Ginkgo, Meadowsweet, Garlic, Coleus, Turmeric, Motherwort, Danshen, Ginger, Red
Clover, Horse chestnut, Fennel, Feverfew and Guarana.
5) We ensured that he was well hydrated: drinking at least two liters of pure water daily.
6) With surgical procedures the protein requirement generally increases by 20-50%. A decrease in lean muscle
mass has a negative impact on your overall regenerative ability. However, substantially increasing consumption
of dietary protein (meats, dairy products, etc.) to ensure optimal levels of circulating amino acids may prove to
be unhealthy because excessive dietary protein places stress on the liver and kidneys, which process the waste
products of protein metabolism. In addition, protein-rich foods often are rich in fats, which may cause
unwanted weight gain and an unfavorable cholesterol profile. We chose to use Bernard Jensens Whey powder
and soy to increase his protein.
Malnutrition, either before or after surgery, has a negative effect on recovery from surgery. Being malnourished
prior to surgery was associated with increased post-operative inflammation in one recent preliminary study.
Reviews of nutritional research on all types of surgery patients have concluded that undernourished patients will
have better results if they receive supplemental nutrition before and after surgery, and that supplemental
nutrition is more helpful when given orally rather than directly into the bloodstream (intravenously).
Jordans diet was a modification of Dr. Christophers Mucusless diet, requiring no sugar (other than raw honey
and maple syrup), dairy, white flour/white flour products, processed foods, or preservatives/artificial colors and
minimal animal protein (salmon was allowed). He was on a diet rich in fresh vegetables, fruits, whole grains,
legumes, nuts and seeds. We began the day with a smoothie, which consisted of 1 cup of apple juice, frozen
banana, frozen berry (strawberry, raspberry, blueberry or blackberry), flaxseed oil and whey powder. If more
was needed for breakfast, he had a whole grain cereal (low heated, sprouted, rolled oatmeal or wheat berries)
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with rice milk. For lunch he had a salad. Snacks consisted of raw fruits or vegetables and fresh juiced organic
carrots. Dinner: 5 days a week were vegetarian, 2 days a week fish, like salmon, was served. He consumed at
least 2 liters of pure water daily and could have herbal, or green teas. And as mentioned above, we
supplemented with Vital-erbs, Wheat germ oil, Flaxseed oil, Alfalfa tablets and Echinacea.
We employed the juicing of organic carrots pre- and post-surgery as Vitamin A plays an important role in wound
healing, and one animal study suggests that vitamin A deficiency might contribute to poor recovery after
surgery. It is also beneficial following surgery, to get the bowels active again. Juicing passes the digestive tract,
entering the body at the cellular level, awaking a sluggish bowel while nourishing the body. We also began
while in the hospital a green drink referred to as the superfood juice which was sold in a store near the
University hospital. This juice contains: apple juice, peaches, mangoes, strawberries, bananas, spirulina, Soy
lecithin, open cell chlorella, royal jelly, wheat grass, barley grass, wheat sprouts, Jerusalem artichoke, lemon
bioflavonoids and Nova Scotia dulse.
Prior to surgery we gave Jordan 500ml of Ginger tincture as nausea and vomiting can be experienced postoperatively as a result of the anesthesia. Ginger (Zingiber officianale) has anti-nausea properties and has been
examined for its ability to prevent post-operative nausea and vomiting in several controlled trials. In two of
these controlled trials, ginger was found more effective than placebo and equal to an anti-nausea medication.
Not only did it prevent any nausea or vomiting following Jordans surgery, but it also kept him free of the
common side effects of morphine, nausea and vomiting.
We followed surgery with a liquid diet of fresh organic carrot juice, superfood juice and water, beginning the
next day with a vegan diet without sugar (honey and maple syrup were used) or white flour/white flour
products, and continuing with the juice therapy.
Since the surgical procedure performed is known for the high level of pain associated with it, we employed the
use of reflexology in pain and relaxation management. Reflexology is a wonderfully simple form of natural,
complimentary, and holistic healing. It is the use of special techniques to break up and remove blockages in the
body through the more than 7,000 nerve endings on the soles of the feet, which stimulate the brain to send
impulses to the correlating organ, and restore proper circulation of blood to any given area. The day following
surgery he had only utilized his morphine press 4 times and his pain level fluctuated between 2 and 5 going up
to a 9 during physical therapy while getting in and out of bed. Following surgery of the chest area it is common
to have breathing difficulties with the threat of the lungs collapsing and pneumonia setting in. Although
instructed on how to cough and encouraged to do so, it was avoided and a rattle could be heard in his chest.
During reflexology, I found on both pads of his feet where the lung medians lie, small knots. As I began
working these areas, his lungs were stimulated and Jordan coughed up a brownish, green ball of phlegm. This
was repeated later in the day with the same results. Reflexology was utilized for stimulating the bladder and the
bowels with success. He continued with his breathing exercises and Physical Therapy exercises, also with good
results.
Jordan was released from the hospital three days after surgery. The medical staff commented that they had
never seen such an early release after this procedure. Not only were they amazed at his quick recovery, because
of this; they were interested in everything we were doing, from diet, reflexology, supplementation, as well as
the use of herbs. They asked us if we would be interested in instructing some of their staff in the protocol we
were using.
The first day home from the hospital Jordan was taken off all medications and stool softeners. Prune juice
along with an Herbal formula for the lower bowel resulted in his eliminating in the afternoon. He began taking 1
teaspoon of a vegetable glycerin extract of Chanca Piedra every three hours, Vital-erbs (6 capsules 3 times
daily), Wheat Germ Oil, Echinacea, and Stop-Ache in the evening when he began running a low grade fever.
Low-grade fevers began in the hospital following surgery and kept on until the second day home from the
hospital. Pro-biotics (2 capsules daily) were given to offset the antibiotics given in the hospital.
An herbal poultice was applied over the entire chest area and changed once in the morning and again at night.
The poultice is Dr. Christophers burn paste, which consists of equal parts Wheat Germ oil, Comfrey leaves, and
raw honey. This was covered by sterile gauze.
The diet was kept much the same as described above. His pain levels decreased and by the third day home, we
extended the Chanca Piedra to every six hours.
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The fourth day home a relative, who is a registered nurse, looked at the incision and was amazed at the quick
recovery of the surgical incision. She was pleasantly surprised at how small and tight the incision site was
without redness or irritation. The following day the steri strips fell off and a clean incision with little swelling
remained.
At two weeks following surgery, pain levels were a continued 0 with edema slight, so we ceased the
administration of Chanca Piedra at that time, but have continued with the diet and supplements. The Echinacea
was also discontinued after two weeks. We have decreased the Vital-erbs to three capsules 3 times a day.
Though tender to pressing, there is little edema and the incision has fully closed. We changed from using the
burn paste poultice, to applying the Bone, Flesh & Cartilage Ointment twice daily. He continues to improve;
his diaphragm exercises have given him a life long advantage of knowing how to breathe properly, and his
physical therapy exercises of raising both arms overhead to allay scar tissue is a very easy maneuver.
Figure 4. Jordans scars at four days (above) and four weeks (below) after surgery.

At his 5 week checkup, the surgeon had found that Jordan was doing so well, that he shortened the recovery
time from 6 months, down to 3 months, at which time full (contact) sports activities may be resumed.
RESOURCES
Chanca Piedra, in the indicated forms, can be purchased from the following websites:

CFS Nutrition, www.cfsn.com/chanca.html. 125 grams bulk

Naturavit, www.natravitlife.com/chanca.htm. Capsules.
Tropilab Inc., www.tropilab.com/shatterst.html. Bulk.
Kingston Natural World, www.wisdomstore.com/wisdomstore/productview.asp?product_sku=6375.
Capsules.
Amazon, www.amazonmedicines.com. Extract.
Willner Chemists, www.willner.com/productsaspx. Jarrow formulas Capsules
Hellovita; http://www.hellovita.com/product_summary.asp/ Capsules.
Peru Herbals, http://www.peruherbals.com/3030/order.htm. Tablets
Jarrow, http://www.thevitaminin.com/jarrowphylanthus.html. Capsules
http://www.globalvitamins.ca/product catalogue.htm. Capsules
http://www.gotsupplements.com/gs%5CJR-064.htm. Jarrow Capsules.
www.gotsupplements.com/quickorder64.htm Jarrow Capsules
Raintree Healthwww.raintree-health.co.uk/cgi-bin/getpage.PI?/plants/chanca.html., Extract, bulk.
www.boticaperu.com/chancain.htm. Capsules
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