The CSA blend is one of the staple tinctures in my practice for people using herbal plans. Montana Farmacy combines Cryptolepis sanguinolenta, Sida acuta, and Alchornea cordifolia in a traditional 1:5 ratio. That trio comes straight out of the Buhner herbal tradition, and I have used these herbs together for years.

Each herb brings something different. Cryptolepis is the best researched of the three, with a long history of traditional use in West Africa. Sida acuta is a Buhner staple for immune support, and Alchornea cordifolia rounds out the blend. The 1:5 ratio matters to me. It is the traditional strength Buhner recommended, and Montana Farmacy makes these tinctures in small batches, which I trust more than mass production.

How do I use it? I start low, one ml three times a day, and work up to the suggested five ml three times a day over a week or two. Starting low limits the flare reactions I see when someone jumps straight to a full dose. Some people mix the dose into a little water for the taste.

I use it as ongoing daily support for months at a stretch, reviewed at regular visits. The traditional use of these herbs is steady and sustained, not a short course product.

Safety. The label says avoid during pregnancy. The alcohol base is a consideration for some people. Anyone on prescription medicines reviews it with their physician first. Herbal does not mean risk free, and these are plants with real biological activity.