Everything You Need to Know About

Horsetail (Equisetum arvense)

Botanical family: Equisetaceae
Parts used: Aerial parts
Horsetail (Equisetum arvense)

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Overview & Health Benefits

Horsetail (Equisetum arvense), a descendant of ancient, towering prehistoric plants, retains a remarkable presence in modern herbal medicine. Its unique, jointed stems, rich in silica and other minerals, lend it a gritty texture traditionally used for scouring and polishing (Grieve, 1971). But its true value lies in its therapeutic potential: traditionally employed as a diuretic, urinary tonic, astringent, remineraliser, and vulnerary (Wood, 1997), horsetail is now being investigated for its broader applications in bone health, skin conditions, and even as a supportive therapy for inflammatory diseases (Carneiro et al., 2014; Carneiro et al., 2019; Labun et al., 2013).

Key Benefits:

  • Urinary tract support
  • Gentle diuretic action
  • Connective tissue support
  • Bone mineral support
  • Skin and hair strength
  • Wound healing support

Urinary System Support: Horsetail's long-standing reputation as a diuretic is supported by both traditional use and scientific studies. It's traditionally employed for urinary tract infections, cystitis, urethritis, urinary stones, prostate and bladder concerns (Grieve, 1971; McIntyre, 2019), and some research suggests it may be as effective as certain pharmaceutical diuretics without disrupting electrolyte balance (Carneiro et al., 2014). Its astringent actions further contribute to its use in conditions like incontinence, prolapse and bedwetting in children (McIntyre, 2019). A review by Carneiro et al. (2019) highlighted promising clinical trials supporting horsetail's use in urinary health.

Bone and Joint Health: The high soluble silica content of horsetail (which is readily absorbed) is considered crucial for muscle and bone health (Labun et al., 2013). Studies indicate it might promote bone mineralization and potentially mitigate the risk of osteoporosis (Kotwal & Badole, 2016), while traditional use suggests possible benefits for arthritis and joint health. It may support the regeneration of cartilage and other connective tissue and increase strength and elasticity (McIntyre, 2019).

Skin and Hair Health: Horsetail's topical application for skin and hair draws upon its astringent, vulnerary, and mineral-rich nature. According to McIntyre (2019), horsetail is strengthening for teeth and brittle nails, for hair and to increase skin elasticity. Traditional uses encompass wound healing, wrinkle reduction, acne treatment, and hair growth promotion.

Anti-inflammatory Effects: Some research suggests horsetail may have anti-inflammatory activity, potentially benefiting conditions like rheumatoid arthritis (Gründemann et al., 2014; Jiang et al., 2014).

Wound Healing: Horsetail's historical use as a vulnerary indicates its potential to promote wound healing (Grieve, 1971). Its astringent and antimicrobial properties could be helpful in treating minor wounds, cuts and skin irritations (McIntrye, 2019). A clinical trial even found horsetail ointment effective in promoting wound healing and pain relief after episiotomy (Asgharikhatooni et al., 2015).

Other Potential Benefits: Ongoing research explores horsetail's broader therapeutic potential, including its antimicrobial activity against various pathogens (Ferrazano et al., 2013; Radulović et al., 2006), potential antioxidant and hepatoprotective effects, and possible antidiabetic properties (Carneiro et al., 2019).

Safety Profile

While generally regarded as safe, horsetail does have some cautions and contraindications. Its high silica content can irritate the digestive tract, so it's generally recommended to use extracts like tinctures or decoctions rather than consuming the plant directly (Wood, 1997). Horsetail also contains thiaminase, an enzyme that can deplete vitamin B1 (thiamine) with prolonged use (Eaton, 1989; McIntyre, 2019). While this is more commonly observed in livestock consuming large quantities, it's advisable to choose preparations using high heat, which neutralizes thiaminase, or consider supplementing with B vitamins. Individuals with heart conditions, high blood pressure, or oedema from impaired heart or kidney function should avoid horsetail or use it only under the strict supervision of a qualified healthcare professional. As with any herbal remedy, consulting a qualified medical herbalist or healthcare provider is crucial before using horsetail, especially for those with pre-existing conditions or taking other medications.

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References

Asgharikhatooni, A., Bani, S., Hasanpoor, S., Alizade, S. M., & Javadzadeh, Y. (2015). The effect of Equisetum arvense (horse tail) ointment on wound healing and pain intensity after episiotomy: A randomized placebo-controlled trial. Iranian Red Crescent Medical Journal, 17(3), e25637. https://pmc.ncbi.nlm.nih.gov/articles/PMC4441770/

Carneiro, D. M., Freire, R. C. M., Honório, T. C., Zoghaib, I. S. M., Cardoso, F. F. A., Tresvenzol, L. M. F., ... & da Cunha, T. N. (2014). Randomized, double-blind clinical trial to assess the acute diuretic effect of Equisetum arvense (field horsetail) in healthy volunteers. Evidence-Based Complementary and Alternative Medicine, 2014, 1-8. https://doi.org/10.1155/2014/760683 

Carneiro, D. M., Jardim, T. V., Araújo, Y. C. L., Arantes, A. C., de Sousa, A. C., Barroso, W. K. S., ... & Jardim, P. C. B. V. (2019). Equisetum arvense: New evidences supports medical use in daily clinic. Pharmacognosy Reviews, 13(26), 50–58. https://doi.org/10.5530/phrev.2019.2.4 

Ferrazzano, G. F., Roberto, L., Catania, M. R., Chiaviello, A., De Natale, A., Roscetto, E., ... & Palumbo, G. (2013). Screening and scoring of antimicrobial and biological activities of Italian vulnerary plants against major oral pathogenic bacteria. Evidence-Based Complementary and Alternative Medicine, 2013. https://pmc.ncbi.nlm.nih.gov/articles/PMC3835209/ 

Grieve, M. (1971). A modern herbal. Dover Publications.

Gründemann, C., Lengen, K., Sauer, B., Garcia-Käufer, M., Zehl, M., & Huber, R. (2014). Equisetum arvense (common horsetail) modulates the function of inflammatory immunocompetent cells. BMC Complementary and Alternative Medicine, 14(1), 1-10. https://doi.org/10.1186/1472-6882-14-283 

Jiang, X., Qu, Q., Li, M., Miao, S., Li, X., & Cai, W. (2014). Horsetail mixture on rheumatoid arthritis and its regulation on TNF-α and IL-10. Pakistan Journal of Pharmaceutical Sciences, 27(6 Suppl), 2019–2023. https://pubmed.ncbi.nlm.nih.gov/25410066/ 

Kotwal, S., & Badole, S. L. (2016). Anabolic therapy with Equisetum arvense along with bone mineralising nutrients in ovariectomized rat model of osteoporosis. Indian Journal of Pharmacology, 48(3), 312. https://pmc.ncbi.nlm.nih.gov/articles/PMC4900006/ 

Labun, P., Grulova, D., Salamon, I., & Šeršeň, F. (2013). Calculating the silicon in horsetail (Equisetum arvense L.) during the vegetation season. Food and Nutrition Sciences, 4(5), 510–514. https://doi.org/10.4236/fns.2013.45065 

McIntyre, A. (2019). The complete herbal tutor. Aeon.

Radulović, N., Stojanović, G., & Palić, R. (2006). Composition and antimicrobial activity of Equisetum arvense L. essential oil. Phytotherapy Research, 20(1), 85–88. https://doi.org/10.1002/ptr.1815 

Wood, M. (1997). The book of herbal wisdom: Using plants as medicines. North Atlantic Books.