Another senna, Senna italica ssp. italica (= Cassia obovata), often called "neutral henna", is used as a hair treatment with effects similar to henna but without the red color. The active component is an anthraquinone derivative called chrysophanic acid, which is also found in higher concentrations in rhubarb root. It adds a slight yellow color.
Some species of Senna are notable for being host to caterpillars of certain Lepidoptera species, for example:
Senna is currently used in medicine as a laxative.
Sennas have for millennia played a major role in herbalism and folk medicine. Alexandrian Senna (S. alexandrina) was and still is a significant item of trans-national trade e.g. by the Ababdeh people and grown commercially, traditionally along the middle Nile but more generally in many regions around the northwestern Indian Ocean.
Sennas act as purgatives and are similar to aloe and rhubarb in having as active ingredients anthraquinone derivatives and their glucosides. The latter are called sennosides or senna glycosides. Senna acts on the lower bowel, and is especially useful in alleviating constipation. It increases the peristaltic movements of the colon. The plants are most often prepared as an infusion. Senna glycosides are listed as ATC code A06AB06 on their own and A06AB56 in combined preparations.
The long-standing use of (mainly) Alexandrian Senna is reflected by its presence in many herbal remedies and tonics. These include for example Black draught, Catholicon, Daffy's Elixir, Diasenna (literally meaning "composed of senna") and Swedish bitters. On the other hand, it was contained in more dangerous "medications" such as the highly toxic antihelminthicLumbricide and - because their purgative effects are a readily-observed "proof" that some concoction "works" - many generally useless and often poisonous "patent medicine".
Today, because of the presence of ample anthraquinones, sennas are still used as the primary ingredient in certain commercial stimulantlaxatives. Senna is also the primary ingredient found in most "dieter's teas". The combination of acting as a stimulant which reduces a dieter's appetite, and the laxative properties that cause food to move through their system before as many calories can be absorbed is a combination that can lead to rapid and even dangerous weight loss.
The stimulant action of sennosides should be taken into account for those who suffer from any conditions where stimulants are contraindicated, such as past heart disease, high blood pressure, anxiety attacks, etc. A (generally invisible and harmless) side effect of taking Senna medication regularly is Melanosis coli, a brown discoloration of the colon wall.
^ Hébert et al. (2004) refer to "Cassia emarginata", which today is either of Chamaecrista pilosa, Rambling Senna (S. bicapsularis) or Senna candolleana. The last does not occur in their study area; given the general importance of Senna species and the lack of records for Chamaecrista species as foodplants in the study area, S. bicapsularis seems to be the plant in question. See also Brower (2006).
References
Brower, Andrew V.Z. (2006): Problems with DNA barcodes for species delimitation: 'ten species' of Astraptes fulgerator reassessed (Lepidoptera: Hesperiidae). Systematics and Biodiversity4(2): 127–132. doi:10.1017/S147720000500191XPDF fulltext