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Family Euphorbiaceae
Bali-bali
Euphorbia tirucalli Linn.
MILK HEDGE, MILK BUSH

Lu yu shu
Scientific names  Common names   
Euphorbia tirucalli Linn. Aveloz (Engl.) Suerda (Tag.) 
Euphorbia rhipsalioides Bali-bali (P. Bis.)  Finger tree (Engl.) 
Tirucalli indica Consuelda (Span.) Pencil cactus (Engl.)
Tithymalus tirucalli Katuit (Tag.)  Pencil tree (Engl.)  
  Konsuerda (Tag.)  Milk-hedge, milk bush (Engl.) 
  Gaton (Ig.) Rubber euphorbia (Engl.)
  Putputud (Ig.)  Indian tree spurge (Engl.) 
  Solda-solda (C. Bis.)  Lu yu shu (Chin.)
  Suelda-con-suelda (Bik.)   

Botany
Bali-bali is an erect. smooth, somewhat fleshy shrub or small tree, 2 to 5 meters high, growing to 30 feet in the wild. Branches are green, somewhat fleshy, cylindric, clustered or scatterd, about 5 millimeters thick.There are no leaves except for a few, small, linear-oblong ones which are about 1 centimeter long or less, soon disappearing to leave the stems smooth and cylindrical, glossy green and pencil-thick. Involucres are shortly-stalked, clustered in the forks of the smaller branches, small, and turbinate. Each cell has a solitary seed.

Distribution
- Found from norther Luzon to Mindanao.
- Nowhere spontaneous.
- Occasionally garden hedge.

Constituents
• Euphorbon isolated from the needles, with 4 percent caoutchouc.
• A latex analysis yielded 75 to 82 percent resin, and 14 to 15 percent caoutchouc.
• Studies show the latex to be rich in terpenes, including ingenol and phorbol esters, the latter, highly irritating and shown to be tumor-promoting.
• Study isolated the6 terpenes: 1. cyclotirucaneol (2) cycloeuphordenol (3) tirucalicine (4) tirucaligine (5) euphorginol (6) euphorcinol.
• Latex showed great similarity in composition and activity to the highly poisonous croton seed oil from Croton tiglium.

• Phytochemical screening yielded alkaloid, coumarins, polyphenols and tannins, and triterpenes.

Properties
- Latex considered an energetic revulsive.
- Juice also used as vesicatory.

- Milky juice in small doses considered purgative; in large doses, emetic and an acrid irritant.

Parts utilized
· Roots, stems, latex.

Uses
Folkloric
· In the Philippines, the first report of use came from Father de Sta. Maria: Heated root scrapings mixed with coconut oil are applied externally to the stomahc to relieve pain.
· Poultices of stems used for healing of fractures of bones.
· Latex used for wound healing.
· The milky juice, in small doses, is purgative; in large doses, emetic.
· Milky juice also applied to itches and insect bites. Also used for ear aches, whooping cough, asthma. Also, used to remove warts.
· Poultice of roots used for ulceration of nose, hemorrhoids.
· Latex employed as a cure for wounds. Contact with eyes may cause blindness.
· Decoction of the branches for colic and stomach pains.
· The latex may cause eye irritation or blindness.
· Externally, a warm rubefacient remedy for toothaches, rheumatism,
· Milky juice used to raise blisters, especially in syphilitic nodes.
· Juice, given with butter, said to cure affections of the spleen and acts as a purgative in colic and bowel complaints.
· Juice used as drops for earaches.
· Decoction of tender branches or roots used for colic and gastralgia.
· In Java bark is applied to fractures.
· Fresh, acrid juice used as vesicatory; also used to remove warts.
· Infusion of roots given for bone pains.
· Poultice of root or leaves used for ulcerations of the nose and for hemorrhoids.
· Decoction of wood applied on skin in leprosy and paralysis of the hands and feet following childbirth.
· Decoction of roots used to relieve pains in the abdomen; also used as purgative.
· In Africa, root used for snakebites; the latex for skin tumors, syphilitic ulcers; seeds and latex for intestinal parasites; decoctions of the wood for bacterial infections.
· In Malaysia, stems are pounded and used for swellings.
· In Dutch Indies, poultice of pounded stems are used to extract thorns.
· Root infusion for aching bones.
· Poultice of root and leaves used for nose ulcers and hemorrhoids.
· In India, latex used for asthma, cough, earache, neuralgia, rheumatism, toothache and warts. Paste of fresh leaves and latex diluted with water used for cancer.
· In Peru, used for abscesses, asthma, cancer, stomachaches and toothaches.
Others
· Repellent: In Africa, used as insect repellant.
· Poison:
In the Philippines, latex used as fish poison. In the Congo, a variety of the species used as criminal poison.


Biodiesel
• With little effort the poisonous latex can be converted to the equivalent of alcohol and has led chemist Melvin Calvin to propose its exploitation for producing oil. Milk bush grows on land not suitable for other crops, and is estimated to produce 10-50 barrels of oil per acre.
• Bali-bali is included in the list of oils with a potention for biodiesel: Algae Oil, Artichoke Oil, Canola Oil, Castor Oil, Coconut Oil, Corn, Cottonseed Oil, Flaxseed Oil, Hemp Oil, Jatropha Oil, Jojoba Oil, Karanj Oil, Kukui Nut Oil, Milk Bush, Pencil Bush Oil, Mustard Oil, Neem Oil, Olive Oil, Palm Oil, Peanut Oil, Radish Oil, Rapeseed Oil, Rice Bran Oil, Safflower Oil, Sesame Oil, Soybean Oil,Sunflower Oil, Tung Oil.


Studies
Tradtional use of the latex from Euphorbia tirucalli in the treatment of cancer in South Brazil:
The study concludes that cancer management with E. tirucalli has no scientific basis and its esters have already presented a tumor-promoting ability.There are also endemic cancers in places where E. tirucalli is widely distributed and folklorically used.
Developmental Toxicity:
Toxicological screeningin rats suggests that the latex aqueous solution of E. tirucalli did not interfere with embryo development or implantation, but seems to alter the placenta morphology.
New highly irritant euphorbia factors from latex of Euphorbia tirucalli L.:
5 new euphorbia factors were isolated from the latex, all of which are highly sensitive to autoxidation.
Anti-Tumor Activity:
Study of ET in tumor-bearing micer showed a modulatory effect on myelopoietic response and levels of PGE2 possibly through regulation of granulocyte and macrophage production and expression of functional activities.
Tumor-Promoting:
• Although touted folklorically for treating cancers, studies on its esters show tumor-promoting activity. The latex has been documented to promote tumor growth and/or trigger certain cancers. Some studies consider it an environmental risk factor for Burkitt's lymphoma.
Anti-Arthritic:
Study of a biopolymeric fraction from ET showed dose-dependent anti-arthritic activity and in vivo immunomodulatory capacity as a major component in inhibiting arthritis.
Hepatoprotective / Antioxidant:
Study of aqueous extract of E tirucalli exhibited significant hepatoprotective effect, decreasing serum enzymes, bilirubin, cholesterol and tissue lipid peroxidation and increasing levels of tissue GSH. The hepatoprotective effect may be due to its antioxidant potential.
Antibacterial / Antifungal:
E. coli and P. aeruginosa were most sensitive to a leaf extract. Stem bark extract exhibited significant activity against P. vulgaris, K. pneumonia. Leaf extract showed maximum antifungal activity with A. fumigatus. Low MIC exhibited by an extrat against S. aureus presents a potential alternative to orthodox antibiotics.
Inganen Diterpenes:
The prevalent constituents of the plant latex are diterpenes of the Inganen types (ingenol esters), as well as tigliane (phorbol esters). Study data has shown that Inganen as well as colchicene have an inhibitory effect on tubulin polymerization, instable of MT nucleation and formation. Nuerons exposed to Inganen initiate a cellular process than can lead to cell death - Inganen-induced apoptosis.
Pesticidal:
Like all other pest remedies, E. tirucalli extracts vary in efficacy. High efficacy was observed with Anopheles spp. larvae, B. brassicae, R. similis, H. multicinctus, and P. goodeyi.


Toxicity / Concerns
Toxicity, immune suppression, tumor-promoting, and cancer concerns
Latex is rich in terpenes, including phorbol and ingenol esters. Studies have shown the latex to be toxic. Phorbol esters are highly irritating and has been documented to promote tumors. One phorbol has been shown to enhance Epstein-Barr virus (EBV) infection, cause DNA damage to immune cells and cause suppression of the immune system. An extract has also been shown to decrease the ability of T-cells to kill EBV.
• Although touted folklorically for treating cancers, studies on its esters show tumor-promoting activity. The latex has been documented to promote tumor growth and/or trigger certain cancers. Some studies consider it an environmental risk factor for Burkitt's lymphoma.
Contact Irritant / Uveitis / Keratoconjunctivitis:
Latex skin contact causes burning and irritation. Ingestion causes burning and irritation of the mouth, nausea, vomiting or diarrhea. Several deaths have been attributed to the use of E. tirucalli for medicinal purposes. Reports have been made of chemical eye injury (keratoconjunctivitis) from exposure to the latex of ET.
• Many reports of mortality and morbidty with ingestion of the latex: vomiting, perforation of the stomach, intestines and kidney. In rats, it showed rapid severe inflammation, an oxytocin response, pro-convulsive and anti-convulsive effects,
• The triterpene esters are all highly inflammatory with carcinogenic activities.


Availability
Wild-crafted.
Cultivated.

Last Update October 2011

Photos © Godofredo Stuart / StuartXchange

Additional Sources and Suggested Readings
(1)
Euphorbia tirucalli / Aveloz / Tropical Plant Database / Raintree Nutrition
(2)
Tradtional use of the latex from Euphorbia tirucalli in the treatment of cancer in South Brazil / P. Cataluña, S.M.K. Rates
(3)
Toxicological screening of Euphorbia tirucalli L.: Developmental toxicity studies in rats / Aldo César Passilongo Silvaa, Dieime Elaine Pereira de Fari et al
(4)
New highly irritant euphorbia factors from latex of Euphorbia tirucalli L. / G. Fürstenberger1 and E. Hecker1
(5)
African Burkitt's lymphoma and an Epstein-Barr virus-enhancing plant Euphorbia tirucalli. / 1: Lancet. 1987 May 30;1(8544):1257-8. / Osato T, Mizuno F, Imai S, Aya T, Koizumi S, Kinoshita T, Tokuda H, Ito Y, Hirai N, Hirota M, et al.
(6)
Euphorbia tirucalli L. modulates myelopoiesis and enhances the resistance of tumour-bearing mice / International immunopharmacology / 2006-Feb; vol 6 (issue 2) : pp 294-9
(7)
Anti-arthritic activity of a biopolymeric fraction from Euphorbia tirucalli / Sarang Bani et al / Journal of ethnopharmacology / 2007, vol. 110, no1, pp. 92-98 / doi:10.1016/j.jep.2006.09.021
(8)
Studies in the Chemical Constituents of Euphorbia tirucalli and Calotropis procera / Abdul Qasin Khan / 1989
(9)
Research into Euphorbia latex and irritant ingredients Scientific articles with references and (in many cases) summaries / collected by Dr. Richard J. Hodgkiss
(10)
African ethnobotany / Hans Dieter Neuwinger
(11)
Biodiesel from Milk Bush, Pencil Bush Oil as Bio-diesel, Biofuel - Reference & Resources / Oligae
(12)
Plant Oils Used for Bio-diesel / BDpedia

(13)
Hepatoprotective and Antioxidant Activity of Euphorbia tirucalli / T M Jyothi et al / IRANIAN JOURNAL OF PHARMACOLOGY & THERAPEUTICS / Jan 2008 / vol 7 . No 1, pp 25-30
(14)
ETHNO-MEDICINAL, PHYTOCHEMICAL AND ANTIMICROBIAL STUDIES OF EUPHORBIA TIRUCALLI L
. / Bhuvaneshwar Upadhyay, K P Singh and Ashwani Kumar / Journal of Phytology 2010, 2(4): 65–77
(15)
EFFECT OF INGANEN ANTICANCER PROPERTIES ON MICROTOBULE ORGANIZATION / Ali Khaleghian, Gholam Hossein Riazi et al / Pak. J. Pharm. Sci., Vol.23, No.3, July 2010, pp.273-278
(16)
Evaluation of Pesticidal Properties of Euphorbia tirucalli against Selected Pests / Mwine Tedson Julius / Thesis


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