Which herb has hepatic, laxative, and alterative actions and is used for liver conditions and constipation?

• A. Inula helenium
• B. Lavandula angustifolia
• C. Juniperus communis
• D. Leptandra virginica

Answer: (D)

Leptandra virginica, commonly called Culver’s root, best fits this profile. It is well known for hepatic stimulation, a strong laxative effect, and alterative properties. The hepatic action helps support liver function and bile flow, which is why it’s used for liver conditions. Its laxative quality provides relief of constipation, often in cases where liver stagnation accompanies digestive sluggishness. Historically, its alterative action was described as gradually improving tissue state and metabolic cleansing, which aligns with using it for chronic liver-related issues paired with constipation. The other herbs here don’t combine all three actions: Inula helenium is mainly a digestive demulcent and respiratory remedy; lavender is valued as a nervine and carminative with little hepatic or laxative activity; juniper is a diuretic/digestive aid rather than a liver-focused alterative with laxative effects.