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Native Americans used tea made from elderberry flowers to treat respiratory infections. They also used the leaves and flowers in poultices applied to wounds, and the bark, suitably aged, as a laxative. The berries are frequently made into beverages, pies, and preserves, but they have also been used to treat arthritis.
Elderberry-flower tea is made by steeping 3 to 5 g of dried flowers in 1 cup of boiling water for 10 to 15 minutes. A typical dosage is 1 cup 3 times daily. Standardized extracts should be taken according to the directions on the product's label.