Cascara Sagrada is a deciduous shrub found in forested woodlands along the Pacific Coast of North America in the foothills from Southern California to British Columbia; mostly west of the Cascades. Characterized by predominantly veined leaves and small, cup shaped, green and yellow flowers. Cascara Sagrada is a well known laxative and has been used for hundreds of years by Native Americans and mainstream physicians alike. Cascara Sagrada promotes bowel actions, moves stagnation, clears heat, cleanses the liver and gallbladder and promotes bile flow. Cascara Sagrada is the most widely used laxative in the world and was added to the United States' pharmacopoeia in 1890. In addition to its use as a laxative, Cascara Sagrada is used to treat anal fissures, arthritis, cirrhosis, colitis, dyspepsia, flatulence, gallstones, gout, hemorrhoids and indigestion.