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Cascara sagrada is used as a laxative. The 1, 8-dihydroxy-anthracenes in cascara sagrada act on the nerves in the intestinal tract, numbing the nerves that hold back stool and stimulating the nerves that propel stool downward. If you experience cramping, you've used too much. An interesting side note: American folk lore tells us that good luck in legal matters can be brought about if one wears a mojo bag filled with cascara sagrada and chews on a root of galangal, spitting the juice on the court room floor. Common logic however, would dictate that spitting on a court room floor is probably not very wise.

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Dose - The usual dose ranges from 20 mg to 70 mg daily of the anthraquinones. Products containing cascara sagrada should not be used for more than eight or ten days.

Special Precautions - Fresh bark can cause nausea and vomiting. The bark should be stored for at least a year or undergo heat processing to eliminate this problem. Pregnant women and nursing mothers should avoid cascara sagrada. People with intestinal blockage, undiagnosed stomach pain, or symptoms that might indicate appendicitis must avoid laxatives such as cascara sagrada. People with diarrhea, inflammatory bowel disease, or intestinal ulcers must not use cascara sagrada. Children younger than twelve with constipation should not be treated with cascara sagrada.