The intestinal microbiota acts as a true organ and has a profound impact on the health status of every individual. It performs, in fact, essential functions for the body such as digesting the foods to produce nutrients, synthesizing vitamins, metabolizing drugs, and detoxifying potentially harmful substances. It also contributes to intestinal cell renewal, strengthens the immune system, and influences mental health. The microbiota, in fact, produces molecules that regulate mood and stress: serotonin, GABA, dopamine and SCFA (short-chain fatty acids) that dampen inflammation. When microbial balance is disturbed, direct neural and immune signals to the brain change, with effects on mood, stress, and cognitive functions. These variations can therefore reflect on mental well-being.
The composition of the intestinal microbiota varies from person to person depending on various factors, from genetics to lifestyle: “The richness and diversity of the microorganisms present in the organism depend, in fact, on several factors, including the mode of delivery (natural or cesarean), nutrition, physical activity and, subsequently, lifestyle, the presence of potential pathologies and the overall psychophysiological state, including stress. During life, the microbiota also undergoes significant variations during crucial hormonal phases such as puberty, pregnancy, menopause, and aging. It has been observed that maintaining good microbial diversity over time may contribute to slowing aging processes and preserving the general state of health” (8).
When the balance between intestinal microorganisms shifts, a condition known as dysbiosis, numerous pathologies can emerge, including chronic inflammations that promote cellular aging and the onset of a wide range of disorders such as bloating, flatulence, irregular bowel movements (constipation or diarrhea), irritable bowel syndrome, sensitivities or food intolerances, and general digestive difficulty. A promising research area also concerns “the link between the microbiota and chronic neurodegenerative diseases, such as Alzheimer’s, Parkinson’s, multiple sclerosis, ALS and autism spectrum disorders. Until recently, these diseases were not thought to be influenced by the microbial world, but recent evidence is changing this perspective.” (8).
In essence, the health of the entire organism also depends on gut well-being, which in turn is linked to the harmony of its microbial ecosystem. Research is increasingly highlighting the central role of the microbiota in human health: a balanced microbiota favors healthy aging, while dysbiosis accelerates biological processes that lead to frailty, inflammation, and chronic diseases.
A practical path to promote intestinal well-being requires an integrated approach that defines an appropriate therapeutic or preventive strategy. This approach includes balanced nutrition, healthy lifestyle habits, proper stress management, and the guidance of a professional.
To counter cellular and tissue aging, it is essential to preserve a balanced intestinal microbiota through the intake of probiotics and prebiotics. A healthy gut promotes the absorption of key nutrients, reduces inflammation, and supports overall well-being. Beyond taking probiotics, in particular lactobacilli and bifido bacteria, it is important to foster the introduction of prebiotics, substances that “feed” the microbiota, supporting its growth and proper functioning. They are found mainly in foods rich in inulin and fructo-oligosaccharides, such as fruit and vegetables. The fibers provided by a diet rich in fruit, vegetables and whole grains, typical of the Mediterranean diet, nourish the beneficial gut bacteria, which transform them into protective molecules capable of countering disorders linked to dysbiosis.
Phytotherapy and gemmotherapy can offer targeted support to intestinal well-being thanks to the use of medicinal plants known for their ability to support digestion, reduce bloating and abdominal tension, and promote regular motility. Some also contribute to improving the response to stress, a factor that significantly affects digestive tract function. Thanks to these properties, and to their positive action on the intestinal flora, such plants can favor the physiological processes that maintain the enteric ecosystem and help counter the factors that predispose to dysbiosis.
A Help from the Table
A good source of probiotics is represented by fermented foods such as yogurt, kefir, sauerkraut, pickles, tempeh, miso, kimchi, etc. In particular, kefir is a fermented beverage that can be prepared with different types of milk, including plant-based milks (rice, coconut, etc.), using kefir grains (a mix of lactic ferments and yeasts called kefiran). Kefir provides a good amount of B vitamins, calcium, magnesium, phosphorus, and zinc. Similar to yogurt, it has a somewhat tangy flavor. It can be consumed plain or by adding fruit and grains, and as an ingredient for first courses, main courses, and desserts.
Herbal Remedies
In phytotherapy are recommended medicinal plants traditionally used to treat gastrointestinal disturbances: chamomile, lemon balm, fennel, anise, dill, cumin are valued for their ability to reduce bloating, spasms, and promote digestion; ginger is used to support intestinal motility; turmeric contributes to digestive processes and to the well-being of the intestinal mucosa; psyllium, flaxseeds and mallow, rich in mucilages, help promote intestinal regularity.
Moreover, anxiety and stress can play an important role in establishing dysbiosis with increased intestinal gas formation. In this case, medicinal plants with a rebalancing action on the autonomic nervous system and with a mildly sedative action (melissa, passionflower, valerian, etc.) can be helpful.
– MATRICARIA RECUTITA L. (camomile, common chamomile)
Beyond its noted anti-inflammatory properties, chamomile has long been known for its antispasmodic properties that help relax the gastrointestinal musculature. Thanks to these characteristics, it is particularly suitable for aiding digestive processes, addressing dyspeptic disturbances, bloating, and soothing painful manifestations such as colic and headaches. Its preparations are also indicated when the bacterial flora is altered, a situation in which they help foster the restoration of microbiota, for example after antibiotic therapy. Chamomile acts through the synergy of its active constituents, especially flavonoids like apigenin and sesquiterpenes such as bisabolol and chamazulenes, which reduce inflammation and oxidative damage, factors that favor dysbiosis. These molecules contribute to reestablishing a more balanced intestinal environment, conducive to the recovery of the microbiota. The plant exerts a sedative effect on the central nervous system by modulating GABA receptors. This action dampens the stress response, a condition that significantly affects the appearance and worsening of digestive disorders. The WHO recognizes its use to alleviate nervous agitation states and the ensuing insomnia. In this way M. recutita intervenes on the gut-brain axis and improves its overall efficiency. It also has undeniable antibacterial, wound-healing, and ulcer-protective properties.
Warnings: use is not recommended for individuals with known hypersensitivity to Asteraceae (Compositae), the botanical family to which the plant belongs. Excessive use can cause insomnia and nausea.
Dosage: Infusion: 1 tablespoon of dried drug (about 3 g) per cup of boiling water (150 ml); cover and strain after 5-10 minutes. Take 1-3 cups per day between meals; Tincture: 30 drops, diluted in water, 1-3 times daily.
– FOENICULUM VULGARE MILL. (fennel, fruits)
Ripe fruits (misleadingly called seeds) with stimulating-aromatic, antiseptic and anti-inflammatory properties promote digestion and help improve tone and function of the gastro-intestinal tract, resulting in increased intestinal movements (peristalsis) and easier expulsion of excess gas. In addition to improved gastroenteric motility (antispasmodic action), there is also increased salivary, gastric, and biliary secretion. Preparations based on fennel can thus be a valid aid for alleviating symptoms caused by dysbiosis.
Warnings: do not use for long periods. Fennel is mildly allergenic (cross-allergy with other Apiaceae).
Posology – Infusion: 1 teaspoon of crushed fruits in hot water (150-200 ml); let infuse, covered, for 5-10 minutes, strain and drink one cup after meals; Dry extract, 1 capsule after meals; Tincture, 30 drops diluted in water, 1-3 times per day.
– CURCUMA LONGA L. (turmeric, rhizome)
In clinical practice the pulverized rhizome is used for functional disorders of digestive processes attributed to a hepatic origin, including stomach pain, nausea, loss of appetite, abdominal bloating, etc. Recent reports describe its use in intestinal disorders linked to dysbiosis, such as irritable bowel syndrome and inflammatory bowel diseases. Turmeric helps to correct dysbiosis by acting on multiple levels: it rebalances the bacterial flora, reduces inflammation, and supports the production of protective metabolites that strengthen the intestinal barrier. A 2024 review (12) found that curcumin tends to accumulate, after oral intake, in the gastrointestinal tract, suggesting a possible direct effect on the microbial ecosystem. The microbiota transforms it into metabolites that promote the growth of beneficial species (Bifidobacterium, Lactobacillus), limit pro-inflammatory ones, and increase the synthesis of short-chain fatty acids, particularly butyrate, essential for the health of the intestinal mucosa. Its biological activities, especially anti-inflammatory and antioxidant, act through several mechanisms, including the inhibition of NF‑κB with a consequent reduction in the release of various pro-inflammatory factors; alongside this, it neutralizes free radicals and reduces ROS production, thus helping to decrease oxidative stress and exert antioxidant effects” (12). Researchers regard turmeric as a promising support in inflammatory bowel diseases.
Warnings: in case of gallbladder stones and liver disease, the drug should be used only under medical supervision.
Posology: Powder: 1.5-3 g (½-1 teaspoon) per day of dried rhizome powder. The powder should be taken during or right after meals as fats enhance absorption; Dry extract: 1 capsule, to be taken with water, with main meals.
– ZINGIBER OFFICINALE ROSCOE (ginger, rhizome)
In medical use, the rhizome is employed for its well-known stimulating-aromatic activities, capable of improving digestive function, and for antiemetic properties effective in nausea and vomiting of various origins. The plant also shows anti-hepatotoxic effects and increases intestinal tone, with corresponding improvements in digestive function and peristalsis. The gingerols and shogaols, present in the phytocomplex, modulate main inflammatory pathways and help reduce chronic inflammatory processes of the gastrointestinal tract, while phenolic compounds exert antimicrobial action capable of inhibiting pathogenic species and fostering an environment more favorable to the growth of beneficial bacteria. Taken together, these properties support microbiota balance and help improve its composition and function.
Posology – Infusion: infusion of about 5 g fresh grated ginger (= 0.5-1 g dried ginger) in 150-250 ml water for 10-15 minutes; Powder: 500 mg powder per capsule, 1 capsule 1-3 times daily, 30 minutes before meals; Tincture: 30 drops, diluted in water, 1-3 times daily.
Gocce composte
Matricaria recutita* TM 1 bottle
Foeniculum vulgare TM 1 bottle
*or: Melissa officinalis
From each bottle, pour 20 drops in half a glass of water; take after the main meals.
Rimedi gemmoterapici
Vaccinium vitis idaea (red lingonberry, young shoots) gemmotherapy is considered the go-to remedy for colon disorders, thanks to its antispasmodic and motility-regulating properties. It also has mild antiseptic effects and is used as an adjunct in chronic constipation, colic and post-antibiotic diarrhea.
Juglans regia MG 1DH (walnut, buds) is a gemmotherapy remedy attributed with antimicrobial, anti-inflammatory and hepatodrenant properties. It is useful for dysbiosis-related bloating, flatulence, and postprandial distension; in these cases it can be combined with Vaccinium vitis idaea MG 1DH. It is also indicated in the presence of gastrointestinal-origin halitosis.
Juniperus communis MG 1DH (juniper, young shoots) gemmotherapy with marked hepatorenal draining action, useful to promote the elimination of metabolic wastes and support liver and kidney function. It can help reduce the side effects of pharmacological therapies thanks to improved hepatic support. It also shows intestinal organotropism and is indicated in cases of bloating, especially in association with Vaccinium vitis idaea MG 1DH.
Rosmarinus officinalis MG 1DH (rosemary, young shoots) considered an excellent liver draining agent, useful as a coadjuvant to improve hepatic and intestinal function. There are also reported properties that stimulate the adrenal cortex and a valid anti-senescence action: the gemmotherapy shows tonic and brain-activating effects (improvement of mnemonic processes). It is advised not to take it at night and to use caution in case of hypertension.
Tilia tomentosa MG 1DH (linden, buds) with anxiolytic and neurovegetative-balancing action, promotes relaxation and digestive well-being. In rare cases, a paradoxical effect may be observed: the gemmotherapy can induce an excitatory response instead of the expected calming effect (1). It is therefore good practice to start therapy at the minimum dose (10-20 drops) and increase gradually if needed.
Dosage for the gemmotherapies listed: 30-50 drops, diluted in water and sipped slowly, 15 minutes before the main meals, for multiple cycles of 20 days per month.
Meteorismo da disbiosi intestinale
Vaccinium vitis idaea MG 1DH, 30-50 drops, diluted in water, on waking
Juglans regia MG 1DH, 30-50 drops, diluted in water, the evening before going to sleep
Cycles of 20 days per month for 2-3 months. In the presence of anxiety: Tilia tomentosa MG 1DH, 20 drops, diluted in water, mid-morning and/or mid-afternoon.
Article drawn from the October 2026 issue of Integrative Medicine
References
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