Leaf stem - raw or cooked[2, 7, 105, 183]. The stem is superior in flavour to the common rhubarb and quite tender[2]. An acid flavour, it is sometimes used as a cooked fruit substitute[K].

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Chinese rhubarb, called Da Huang in China, has a long and proven history of herbal usage, its main effect being a positive and balancing effect upon the whole digestive system. It is one of the most widely used herbs in Chinese medicine[238]. It has a safe and gentle action, safe even for children to use[254]. The plant is also part of a North American formula called essiac which is a popular treatment for cancer. Its effectiveness has never been reliably proven or disproven since controlled studies have not been carried out. The other herbs included in the formula are Arctium lappa, Ulmus rubra and Rumex acetosella[254]. The root is anticholesterolemic, antiseptic, antispasmodic, antitumor, aperient, astringent, cholagogue, demulcent, diuretic, laxative, purgative, stomachic and tonic[4, 7, 9, 21, 91, 171, 176, 238]. The roots contain anthraquinones, which have a purgative effect, and also tannins and bitters, which have an opposite astringent effect[244]. When taken in small doses, it acts as an astringent tonic to the digestive system, whilst larger doses act as a mild laxative[232, 244]. The root is taken internally in the treatment of chronic constipation, diarrhoea, liver and gall bladder complaints, haemorrhoids, menstrual problems and skin eruptions due to an accumulation of toxins[238]. This remedy is not prescribed for pregnant or lactating women, nor for patients with intestinal obstruction[238]. Externally, the root is used in the treatment of burns[238]. The roots are harvested in October from plants that are at least six years old, they are then dried for later use[4]. A homeopathic remedy is prepared from the dried root[232]. This is used especially in the treatment of diarrhoea in teething children[232]. The German Commission E Monographs, a therapeutic guide to herbal medicine, approve Rheum palmatum for constipation (see [302] for critics of commission E).

An insect spray is made from the leaves[20]. This spray is also said to help prevent clubroot of brassicas[20]. The cultivar 'Atrosanguineum' can be used as a ground cover plant in a sunny position[188]. Other forms can also be used, they are best planted about 1.8 metres apart each way[208].

Special Uses