Bitter Melon (Momordica charantia)

Botany
Bitter melon grows in tropical areas, including parts of East Africa, Asia, the Caribbean, and South America, where it is used as a food as well as a medicine. The fruit of this plant lives up to its name—it tastes very bitter. Although the seeds, leaves, and vines of bitter melon have all been used, the fruit is the safest and most prevalent part of the plant used medicinally.

Historical or Traditional Use
Being a relatively common food item, bitter melon was traditionally used for an array of conditions by people in tropical regions. Numerous infections, cancer, and diabetes are among the most common conditions it was purported to improve.1 The leaves and fruit have both been used occasionally to make teas and beer or to season soups in the Western world. The berries also produce wax, which can be made into candles.

Active Constituents and Proposed Mechanism of Action
At least three different groups of constituents in bitter melon have been reported to have hypoglycemic (blood sugar lowering) actions of potential benefit in diabetes mellitus. These include a mixture of steroidal saponins known as charantin, insulin-like peptides, and alkaloids. It is still unclear which of these is most effective, or if all three work together. Multiple controlled clinical studies have confirmed the benefit of bitter melon for people with diabetes.2

Two proteins, known as alpha- and beta-momorcharin, inhibit the AIDS virus; however, this research has only been demonstrated in test tubes and not in humans.3

Recommended Dosage
For those with a taste or tolerance for bitter flavor, a small melon can be eaten as food or up to 100 ml of a decoction or 2 oz of fresh juice can be drunk per day.4 Though still bitter, tinctures of bitter melon (5 ml two to three times per day) are also sometimes used.

Contraindications
Ingestion of excessive amounts of bitter melon juice (several times more then the amount recommended above) can cause abdominal pain and diarrhea.5 Small children and anyone with hypoglycemia (low blood sugar) should not take bitter melon, because this herb could theoretically trigger or worsen the problem.

References:

1. Duke JA. CRC Handbook of Medicinal Herbs. Boca Raton, FL: CRC Press, 1985, 315–6.
2. Raman A, Lau C. Anti-diabetic properties and phytochemistry of Momordica charantia L (Curcurbitaceae). Phytomed Res 1996;2:349–62.
3. Zhang QC. Preliminary report on the use of Momordica charantia extract by HIV patients. J Naturopathic Med 1992;3:65–9.
4. Werbach MR, Murray MT. Botanical Influences on Illness. Tarzana, CA: Third Line Press, 1994, 139–41.
5. Brown DJ, Gaby A, Reichert R, Yarrell E. Phytotherapeutic and nutritional approaches to diabetes mellitus. Quart Rev Nat Med 1998;Winter:329–54.

 

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