Overview
Aesculus seed extract for chronic venous insufficiency.
- Whole dried plant material (root, leaf, flower, or aerial parts depending on the species)
- Standardized hydroethanolic or aqueous extract (capsule, tincture, or tea)
- Powdered traditional preparation used in Ayurvedic, TCM, or Western herbal practice
- Standardized extract capsule
- Liquid tincture (alcohol or glycerin)
- Powdered whole herb
- Traditional decoction or tea
Mechanism of action
Aescin reduces capillary permeability and edema.
- · Aescin reduces capillary permeability
Effects on the body
Organ system effects
Horse Chestnut supports endothelial function, lipid profile, or blood-pressure regulation in cardiovascular trials.
Evidence-based benefits
Reduces leg swelling
Moderate evidencePotential side effects
- · GI upset
- · Itching
Drug interactions
Safety & non-supplemental interactions
Educational summary — always confirm with your clinician or pharmacist before starting, stopping, or combining with prescription therapy.
- ·Pregnant or breastfeeding (insufficient safety data)
- ·Children under 18 (unless directed by a clinician)
- ·Bleeding disorders
- ·Warfarin, DOACs, antiplatelets, NSAIDs (additive bleeding risk)
- ·Discuss stopping ≥2 weeks before scheduled surgery.
Supplement interactions
- Omega-3Anti-inflammatory cardiovascular synergy.
- CoQ10Supports mitochondrial energetics in cardiac tissue.
No specific avoidances listed.
Dosing & bioavailability
Where to buy
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Scientific evidence8Show studiesHide studies
Horse chestnut for CVI
Pittler MH, Ernst E
17 RCTs
Reduced leg pain and edema vs placebo.
PubMed: Horse Chestnut — Reduces leg swelling
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PubMed: Horse Chestnut — randomized controlled trial
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PubMed: Horse Chestnut — meta-analysis
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PubMed: Horse Chestnut — pharmacokinetics
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PubMed: Horse Chestnut — safety adverse events
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PubMed: Horse Chestnut — dose response
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Google Scholar: Horse Chestnut — clinical evidence
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