Cardiovascular · also Skin
Easy bruising (after workup)
4 plants
Ask Assistant about thisUnexplained 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
1Gotu kolaHuman dataCentella 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.
2Horse chestnutHuman dataAesculus 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
BilberryStrong traditionalVaccinium myrtillusAnthocyanin 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 hazelStrong traditionalHamamelis virginianaTopical 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.