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Cardiovascular · also Skin

Easy bruising (after workup)

Unexplained bruising is anticoagulants, antiplatelets, topical steroids, senile purpura, hematologic disease, and sometimes non-accidental injury — not a deficiency of gotu kola. Horse chestnut and gotu kola have CVI/capillary files that people borrow for 'fragile vessels' after the workup is bland. Raw horse-chestnut seed is toxic. Ginkgo and high-dose garlic extract cause bruising; stop those before adding more plants.

Primary plants

  1. Gotu kola (Centella asiatica)
    1
    Gotu kolaHuman data

    Centella asiatica

    Centella triterpene extracts have human CVI/wound-adjacent data. Rare DILI. Not ITP treatment.

    Typical. Standardized triterpene extract as labeled if the leftover is CVI-type skin — after the heme workup.

    Safety. Rare hepatotoxicity. Apiaceae. Identity: not Bacopa sold as brahmi.

  2. Horse chestnut (Aesculus hippocastanum)
    2
    Horse chestnutHuman data

    Aesculus hippocastanum

    Aescin CVI file. Raw seed is toxic. Borrowed here only for venous-type skin after DVT is excluded.

    Typical. Delayed-release seed extract as labeled (escin products).

    Safety. Raw seed toxic. GI. Nephrotoxicity reports with poor products.

Supportive plants2
  • Bilberry (Vaccinium myrtillus)
    BilberryStrong traditional
    Vaccinium myrtillus

    Anthocyanin microvascular folklore. Night-vision marketing outruns the file. Fruit is food-like.

    Typical. Culinary fruit; extracts are a different object.

    Safety. High-dose extract: theoretical antiplatelet.

  • Witch hazel (Hamamelis virginiana)
    Witch hazelStrong traditional
    Hamamelis virginiana

    Topical astringent for local discoloration comfort. Not a coagulation drug.

    Typical. Distillate on intact skin.

    Safety. Sting.

Clinical notes

  • Ginkgo, high-dose garlic, high-dose ginger extract, and SJW-plus-warfarin are how plants cause this page.

When this is not enough

  • Mucosal bleeding, petechial rash, suspected abuse, dropping hemoglobin, new anticoagulation without a level/INR plan

Rooted is a private clinical reference for licensed practitioners. It is educational, not a treatment protocol, and not a substitute for the chart, the exam, or pharmacy review. Plant medicines interact with drugs and can harm liver, kidney, heart, pregnancy, and children.

All cardiovascular diagnoses