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The use of medicinal clay in folk medicine goes back to prehistoric times. The indigenous peoples around the world still use clay widely, which is related to geophagy. The first recorded use of medicinal clay goes back to ancient Mesopotamia. A wide variety of clays is being used for medicinal purposes - primarily for external applications, such as the clay baths in health spas (mud therapy), but also internally. Among the clays most commonly used for medicinal purposes are kaolin and the smectite clays such as bentonite, montmorillonite, and Fuller's earth.

Contents 1 Questions of nomenclature 2 Animal geophagy 3 Historical use 3.1 Human prehistory 3.2 Use by aboriginal peoples 3.3 Ancient Egypt and Mesopotamia 3.4 Classical times 3.4.1 Lemnian clay 3.4.2 Other clays used in classical times 3.5 Medieval times 3.6 Renaissance period, and up to the present 4 Preparation of clay 5 Medicinal properties of clay in modern research 5.1 Absorptive and adsorptive properties of clays 5.2 Antibacterial properties 5.3 Trace minerals 5.4 External use 5.4.1 Mud baths 5.4.2 Skin infections 5.4.2.1 Buruli ulcer 5.4.3 Use in bandages 5.5 Internal use 5.5.1 Candida 5.5.2 Heavy metal chelation 5.5.3 Irritable bowel syndrome 5.5.4 Aflatoxicosis 5.5.5 Use during pregnancy 5.5.6 Use by the NASA Space Program 6 Common medicinal clays 7 See also 8 Notes 9 References 10 Further reading 11 External links

[edit] Questions of nomenclature

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There are considerable problems with the exact nomenclature of various clays. No clay deposit is exactly the same and, typically, mineral clays are mixed in various proportions.

Overwhelming majority of clay mined commercially is for a wide variety of industrial uses, such as in construction, and oil drilling. Thus, the precise classification and chemical composition of these clays are somewhat secondary to their intended use. For practical purposes, the terms "bentonite clay", "montmorillonite clay", and "Fuller's earth" are basically interchangeable. As readily admitted in literature, the precise definition of these terms is lacking.

On the other hand, the clays that are typically used for medicinal purposes have usually been discovered either based on local folklore, or by simple trial-and-error after investigations by various healing enthusiasts. And so, their discoverers may have been either not too concerned about these clays' precise scientific classification and chemical properties, or perhaps not necessarily adequately equipped to conduct such studies. Their primary, and often only, concern was the efficacy of any particular clay for some specific medical condition or conditions.

"Sodium bentonite" is the most commonly used medicinal clay today, although there is no precise definition of what this term means. In fact, typically, "bentonite" refers to a wide spectrum of clays with a wide array of properties (such as a variety of colours). In alternative medicine, often this is used as more or less a catch-all term for medicinal clays. Another such term is "montmorillonite", which is often interchangeable with "bentonite". Bentonite is included in the United States Pharmacopeia, and the USP-grade bentonite is widely used in various pharmaceutical and cosmetic preparations as a compounding and suspending agent. It is not entirely clear where the source of USP-grade bentonite is located; it may be a mixture of various bentonites.

[edit] Animal geophagy

A relevant subject is how the animals - both in the wild and domesticated - seek out and consume different types of earth in general, and clay in particular (of course clay is pretty well omnipresent in variouis types of soil).

Galen, the famous Greek philosopher and physician, was the first to record the use of clay by sick or injured animals back in the second century AD. This type of geophagy has been documented in "many species of mammals, birds, reptiles, butterflies and isopods, especially among herbivores."^[1]

In particular, in Peru, Amazonian rainforest parrots of some 21 species gather at certain sites on cliff faces where bare soil is exposed, and eat the clayish soil. The soil they seek is highly specific, since they focus on a rather narrow band of exposed soil. What they seek is mostly clay that is less than 0.2 millimetre in particle diameter.^{[citation needed]}

[edit] Historical use

There is a large amount of anthropological and historical literature describing the medicinal use of clay around the world from the earliest times.

[edit] Human prehistory

Some scholars believe that prehistoric ancestors such as Homo erectus and Homo neanderthalensis used ochres to cure wounds as well as paint caves. Ochres are a mixture of clay and iron hydroxides.

"The oldest evidence of geophagy practiced by humans comes from the prehistoric site at Kalambo Falls on the border between Zambia and Tanzania (Root-Bernstein & Root-Bernstein, 2000)." Here, a calcium-rich white clay was found alongside the bones of Homo habilis (the immediate predecessor of Homo sapiens).^[2]

[edit] Use by aboriginal peoples

Clay is used widely by indigenous peoples around the world, and is related to geophagy.^{[citation needed]} In particular, clay is used medicinally by the Gweagal, a clan of Indigenous Australians.

[edit] Ancient Egypt and Mesopotamia

The first recorded use of medicinal clay is on Mesopotamian clay tablets around 2500 B.C. Also, ancient Egyptians used clay.^[3]

In Egypt, Cleopatra used clays to preserve her complexion. But the Pharaohs’ physicians used the material as anti-inflammatory agents and antiseptics. It was also an ingredient used for making mummies.^[4]

[edit] Classical times

[edit] Lemnian clay

This was a clay used in Classical Antiquity. It was mined on the island of Lemnos. Its use continued until the 19th century, as it was still listed in an important pharmacopoeia in 1848^[2] (the deposits may have been exhausted by then).

As Pliny reports about the Lemnian Earth:^[5]

"...if rubbed under the eyes, it moderates pain and watering from the same, and prevents the flow from the lachrymal ducts. In cases of haemorrhage it should be administered with vinegar. It is used against complaints of the spleen and kidneys, copious menstruation, also against poisons, and wounds caused by serpents."

Lemnian clay was shaped into tablets, or little cakes, and then distinctive seals were stamped into them, giving rise to its name terra sigillata - Latin for 'sealed earth'. Dioscorides also commented upon the use of terra sigillata.^[6]

Another physician famous in antiquity, Galen, recorded numerous cases of the internal and external uses of this clay in his treatise on clay therapy.

"Galen... used as one of his means for curing injuries, festering wounds, and inflammations terra sigillata, a medicinal red clay compressed into round cakes and stamped with the image of the goddess Diana. This clay, which came from the island of Lemnos, was known throughout the classical world."^[7]

Clay was prescribed by the Roman obstetrician, gynecologist, and pediatrician Soranus of Ephesus, who practiced medicine around 100-140 AD.^{[citation needed]}

[edit] Other clays used in classical times

The other types of clay that were famous in antiquity were as follows.

• Terra chia, Terra cymolia (Cimolean earth): these were both white earths and considered of great value.

• Samian earth: Pliny in c. 50 AD (Nat. Hist.) details two distinct varieties, colyrium - an eye salve, and aster, which was used as a soap as well as in medicines.

• Terra sigillata strigoniensis (Strigian earth, derived from Silesia) - this clay, yellow in colour, appears to have been famous later in medieval times.

All the above seem to have been bentonitic clays.

• The earth which did not stain the hands was known as rubrica.

[edit] Medieval times

In medieval Persia, Avicenna (980-1037 CE), the 'Prince of Doctors', wrote about clay therapy in his numerous treatises.

Ibn al-Baitar (1197-1248), an Arabic scholar born at Malaga, Spain, and author of a famous work on pharmacology, discusses eight kinds of medicinal earth.^[8] The eight kinds are:

1. the terra sigillata,
2. Egyptian earth,
3. Samian earth,
4. earth of Chios,
5. Cimolean earth or pure clay (cimolite), soft earth, called al-hurr, green in color like verdigris, is smoked together with almond bark to serve as food when it will turn red and assume a good flavor; it is but rarely eaten without being smoked - also called 'Argentiera',
6. earth of vines called ampelitis (Pliny XXXV, 56) or pharmakitis from Seleucia in Syria,
7. Armenian earth, salutary in cases of bubonic plague, being administered both externally and internally,
8. earth of Nishapur.^[9]

[edit] Renaissance period, and up to the present

A French naturalist Pierre Belon (1517‑1564) was interested in investigating the mystery of the Lemnian clay. In 1543, he visited Constantinople where, after making enquiries, he encountered 18 types of different products marketed as Lemnian Earth (he was concerned about possible counterfeits). He then made a special journey to Lemnos, where he continued his investigation, and tried to find the source of the clay. He discovered that it was extracted only once a year (on the 6th of August) under the supervision of Christian monks and Turkish officials.

Modern investigation has shown that this was a clay similar to the modern 'bentonite'.

[edit] Preparation of clay

Clay gathered from its original source deposit is refined and processed in various ways by manufacturers. This can include heating or baking the clay, since the raw clay tends to contain a variety of micro-organisms^[10]

Too much processing, likewise, may reduce the clay's therapeutic potential. In particular, Mascolo et al. studied 'pharmaceutical grade clay' versus 'the natural and the commercial herbalist clay', and found an appreciable depletion of trace elements in the pharmaceutical grade clay.^[11] On the other hand, certain clays are typically heated or cooked before use.^[12]

Medicinal clay is typically available in health food stores as a dry powder, or in jars in its liquid hydrated state - which is convenient for internal use. For external use, the clay may be added to the bath, or prepared in wet packs or poultices for application to specific parts of the body. Often, warm packs are prepared; the heat opens up the pores of the skin, and helps the interaction of the clay with the body.^[13]

In the European health spas, the clay is prepared for use in a multitude of ways - depending on the traditions of a particular spa; typically it is mixed with peat and matured in special pools for a few months or even up to two years.

"The majority of spas ... use artificial ponds where the natural ("virgin") clay is mixed with mineral, thermo-mineral, or sea water that issues in the vicinity of the spas or inside the spa buildings."^[14]

[edit] Medicinal properties of clay in modern research

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[edit] Absorptive and adsorptive properties of clays

[edit] Antibacterial properties

Iron-rich smectite and illite clay (Montmorillonite/Bentonite type of clay) is effective in killing bacteria in vitro.^[15] Authors report that the clay mineral,

"...exhibits bactericidal activity against E. coli, ESBL [Extended-Spectrum Beta-Lactamases] E. coli, S. enterica serovar Typhimurium, P. aeruginosa, and M. marinum, and significantly reduces growth of S. aureus, PRSA, MRSA, and nonpathogenic M. smegmatis approximately 1,000-fold compared to cultures grown without added mineral products."^[16]

Another study of more than 20 different clay samples from around the world, including the bentonite-type clays, achieved promising results against MRSA superbug infections and disease.^[17]

Falkinham et al studied the antibiotic and antimicrobial activity of red clays from the Kingdom of Jordan (Jordan's Red Soil). The authors conclude that the antibiotic activity of Jordan's red clays is likely due to the proliferation of antibiotic-producing bacteria, that is induced by the clay.^[18]

[edit] Trace minerals

Clays contain massive amounts of trace minerals, necessary for good health. (For example, it is common to see as many as 75 different trace minerals in Montmorillonite clays.)^[19] This may explain many of the healing properties of clay. Specific trace minerals that various clays possess vary very widely. Also, the amount of any particular trace mineral in any specific clay varies a lot among clays from different locations. For example, the amount of iron in various bentonite clays can vary from well below 1%, and up to 10%.

[edit] External use

[edit] Mud baths

This is perhaps the most common use of clay. Just about all health spas around the world use clay on a daily basis, and report many health benefits for bathers. See mud baths.

[edit] Skin infections

Many types of skin infections have been healed by the application of medicinal clay. Clay is used in many over the counter medicines for this purpose.

[edit] Buruli ulcer

This flesh-eating bacterial disease is found primarily in central and western Africa.

The World Health Organization (WHO) has described Buruli ulcer as "an emerging public health threat". The disease is caused by the bacterium Mycobacterium ulcerans - which is related to the micro-organisms that also cause leprosy and tuberculosis. This bacterium produces a powerful toxin that causes necrotic lesions, and destroys the fatty tissues under the skin.

The toxin produced by the bacteria suppresses the immune system, so patients feel no pain, and there is no response from the body to the infection. The disease is quite similar to leprosy. The commonly accepted treatments include antibiotics and surgical intervention. Nevertheless, antibiotics have not been very effective, and currently play little part in the treatment of this disease. Surgical excision can be effective if undertaken early, yet it leaves scars, and can be dangerous. Advanced disease may require prolonged treatment with extensive skin grafting. Thus, such treatment is expensive, and may be difficult to obtain in third world conditions.

[edit] Use in bandages

In April 2008, the Naval Medical Research Center announced the successful use of a Kaolinite-derived aluminosilicate nanoparticles infusion in traditional gauze known commercially as "QuikClot Combat Gauze".^[20]

[edit] Internal use

According to one theory,

"In the stomach, the negative electrical charges of tiny clay particles attract positively charged toxins from stomach fluids. This clumping prevents very small particles, such as toxic molecules, from passing through the walls of the intestines and entering the bloodstream."^[21]

The author notes further that, together with the clay, the toxins are then eliminated harmlessly out of the body through the kidneys or bowel.

There are many over the counter remedies for internal use that contain clay. The examples are the tablets such as Kaopectate (Upjohn), Rheaban (Leeming Div., Pfizer), and Diar-Aid (Thompson Medical Co.). The labels on all of these showed the active ingredient to be Attapulgite, each tablet containing 600 (or 750 mg) of this component along with inert materials or adjuvants.^[22]

Numerous medicines also use Kaolinite clay, which has long been a traditional remedy to soothe an upset stomach. Also, Kaolin is or has been used as the active substance in liquid anti-diarrhea medicines such as Kaomagma. Such medicines were changed away from aluminium substances due to a scare over Alzheimer's disease, but have since changed back to compounds containing aluminium as they are most effective.^{[citation needed]}

[edit] Candida

Clays have proven to be effective against the Candida albicans infections. This is a type of a fungus (or yeast), which is a causal agent of opportunistic oral and genital infections. This type of infection, known as Candidiasis, also may enter the bloodstream, and become a systemic Candida infection.

In 1971, the influence of bentonite clay on the growth of Candida lipolytica has been studied by Maignan and Pareilleux. A clearly unfavorable effect of bentonite on Candida lipolytica growth was observed ^[23]

Later on, the same authors have concluded that,

"The respiration of Candida lipolytica on n-tetradecane is decreased in the presence of bentonite."^[24]

According to a 2009 study by Ghiaci et al. published in Applied Clay Science, bentonite clay acts very strongly against Candida:

"The modified bentonite with monolayer surfactant (BMS), was the best support, for immobilization."^[25]

[edit] Heavy metal chelation

Chelation therapy is the use of chelating agents to detoxify poisonous metal agents such as mercury, arsenic, and lead by converting them to a chemically inert form that can be excreted without further interaction with the body, to treat cases of severe heavy metal poisoning. It is also used as a dangerous,^[26] scientifically unsupported treatment for heart disease and autism.^[27][28]

Clay has proven to be a very effective chelating agent.^{[citation needed]}

Oyanedel-Craver and Smith have studied sorption of four heavy metals (Pb, Cd, Zn and Hg) to 3 kinds of bentonite clay. The overall conclusion of the study was that the organoclays studied have considerable capacity for heavy metal sorption.^[29]

[edit] Irritable bowel syndrome

"[B]eidellitic montmorillonite is efficient for C-IBS patients (suffering from constipation-predominant irritable bowel syndrome)..."^[30]

[edit] Aflatoxicosis

Aflatoxins are naturally occurring mycotoxins that are produced by many species of Aspergillus, a fungus. Aflatoxins are toxic and among the most carcinogenic substances known. They cause Aflatoxicosis, which can afflict both animals and humans.

Bentonite clay has proven to show a very strong protective effect against Aflatoxicosis.

"The addition of bentonite or HSCAS [hydrated sodium calcium aluminosilicate] to the AF-contaminated diet diminished most of the deleterious effects of the aflatoxin. Pathological examinations of liver and kidney proved that both bentonite and HSCAS were hepatonephroprotective agents against aflatoxicosis."^[31]

Also,

"The addition of sodium bentonite was significantly effective in ameliorating the negative effect of aflatoxicosis on the percentage and mean of phagocytosis."^[32]

[edit] Use during pregnancy

Pregnant women in many indigenous and traditional cultures very commonly consume clay, especially to reduce nausea. Since clays contain a very large amount of trace minerals of all sorts, this most likely contributes to the development of a healthy foetus.

Scientific analyses of clays selected by pregnant women in Nigeria show that eating as little as 500 mg (about the equivalent of two Tylenol capsules) per day can satisfy nearly 80 percent of a pregnant woman's calcium needs.^[33]

[edit] Use by the NASA Space Program

The effects of weightlessness on human body were studied by NASA back in the 1960s. Experiments demonstrated that weightlessness leads to a rapid bone depletion, so various remedies were sought to counter that. A number of pharmaceutical companies were asked to develop calcium supplements, but apparently none of them were as effective as clay. The special clay that was used in this case was Terramin, a reddish clay found in California. Dr. Benjamin Ershoff of the California Polytechnic Institute demonstrated that the consumption of clay counters the effects of weightlessness. He reported that "the calcium in clay ...is absorbed more efficiently ... [clay] contains some factor or factors other than calcium which promotes improved calcium utilization and/or bone formation." He added, "Little or no benefit was noted when calcium alone was added to the diet."^[33]

[edit] Common medicinal clays

• Bentonite: Bentonite-type clay has been used to treat infections, indigestion, and other medical problems by both applying wet clay topically to the skin as a poultice, and by ingesting it. Bentonite has been prescribed as a bulk laxative, and it is also used as a base for many dermatologic formulas.^[34] Dermatologically, it is used as part of a treatment for pruritis.^[35] Also, Bentonite can be used as a therapeutic face pack for the treatment of acne/oily skin. Clearasil, an acne cream, uses bentonite as an agent to absorb excess sebum, clearing pores.
• Montmorillonite: Main constituent of bentonite.
• Attapulgite or palygorskite:It is a very absorbent clay, somewhat similar to bentonite. When used in medicine, it physically binds to acids and toxic substances in the stomach and digestive tract. For this reason, it has been used in several anti-diarrheal medications.
• Kaolin: This type of clay is not as absorbent as most clays used medicinally (it has a low shrink-swell capacity). Also, it has a low cation exchange capacity. This clay is also known as 'white cosmetic clay'. Clay, in the form of kaolin, is still a common ingredient in western medicines such as Rolaids and Maalox, as well as in cosmetics.
• Fuller's Earth: This is a clay used industrially, but it is also used in medicine, such as against paraquat poisoning.^{[citation needed]}
• French Green Clay: There are many kinds of French Green Clay. They are typically described as 'montmorillonite' clays. Two well known traditional brands are 'Argiletz', and 'Agricur'.^{[citation needed]}
• Pascalite (a trade name of bentonite): It was first identified by a miner named John Pascal. Apparently, this clay is very rich in silica.^{[citation needed]}
• Terramin (a trade name of bentonite): A reddish clay from California, used by Native Americans.^{[citation needed]}
• Rhassoul clay
• The Peruvian Fango mud. It is used in cosmetics.^{[citation needed]}
• Jordan clay
• Redmond Clay - A whitish clay from Utah.

[edit] See also

• Diatomaceous earth
• Peloid
• Zeolite

[edit] Notes

[edit] References

• Johns T, Duquette M, "Detoxification and mineral supplementation as functions of geophagy." Am J Clin Nutr. 1991 Feb;53(2):448-56
• Ray E. Ferrell, Jr., MEDICINAL CLAY AND SPIRITUAL HEALING. Clays and Clay Minerals; December 2008; v. 56; no. 6; p. 751-760; DOI: 10.1346/CCMN.2008.0560613
• Lynda B. Williams, Shelley E. Haydel, Ray E. Ferrell, Jr., "Bentonite, Bandaids, and Borborygmi". Elements; April 2009; v. 5; no. 2; p. 99-104; DOI: 10.2113/gselements.5.2.99

[edit] Further reading

This section may contain material not appropriate for an encyclopedia. Please discuss this issue on the talk page. (June 2009)

• Michel Abehsera, The healing clay : the centuries-old health & beauty elixir rediscovered. Brooklyn, N.Y. : Swan House, 1979. ISBN 0918282101 OCLC 12094673 (German and Spanish editions are also available.)
• Dr. Frederic Damrau, M.D., "The Bentonite Cure -- Cleanse Yourself Internally with Liquid Clay". Medical Annals of the District of Columbia, 1961
• Raymond Dextreit, "Our Earth, Our Cure"
• Raymond Dextreit, "Earth cures: A Handbook of Natural Medicine for Today"
• Dr. Cindy Engel, Wild Health: Lessons In Natural Wellness From The Animal Kingdom. Houghton Mifflin Harcourt, 2003. ISBN 0618340688
• Cano Graham, "The Clay Disciples"
• Wendell Hoffman, "Energy to Heal"
• Knishinsky, Ran. "The clay cure – natural healing from the earth". Healing Arts Press. 1998.
• Laufer, Berthold (1930). "Geophagy" (available online). Chicago: Field Museum Press. http://www.archive.org/stream/geophagy182lauf/geophagy182lauf_djvu.txt. 
• PerryA, "Living Clay, Nature’s Own Miracle Cure"
• Price, Dr. Weston A. DDS. "Nutrition and physical degeneration. Keats Publishing". 1939. (266-267).
• W. Rudolph Reinbacher, "Healing earths: the third leg of medicine : a history of minerals in medicine with rare illustrations from 300 to 1000 years ago." Published by W. Rudolph Reinbacher, 2002
• Robert and Michele Root-Bernstein, "Honey, Mud, Maggots and Other Medical Marvels." Houghton Mifflin, 1997.

[edit] External links

• "The Original Georgia Grown Gourmet White Dirt" Kaolin-type clay from Georgia, USA.
• "Parrots That Eat Dirt"- by Jack Myers
• French muck: Is this the new penicillin? - by Paul Rodgers (accessed 3 Nov 09)
• ABC News, Experts claim habit of eating dirt may be beneficial for some, October 04, 2005 (accessed 17 Dec 09)