Example Formulas for Dysmenorrhea

April 18th, 2009 § 0 comments § permalink

    One thing I love about herbalism is that every herbalist has different herbs, practices and tactics that they favor. There is so many varieties and examples to learn from!  Some seem to be more into tonics, others use simples (single herbs) in almost homeopathic dosages, but most all have specific remedies for symptoms while reiterating the need to support the body systems over the long term.

    No matter how you look at it, suggested herbal formulas from trusted herbalists are a good place to start. They can also be used as guidelines when formulating for the individual. After going over a few examples from a few different herbalists, the beginning herbalist gains knowledge through researching the materia medica and action categories mentioned.

    Let’s look at a few formulas to get some ideas, starting with some from Rosemary Gladstar. She reiterates that you should stick to an herbal program at least four months. Here is a “Hormonal Regulator Tea” from Herbal Healing for Woman, p 117. Decoct, and drink 3-4 cups for 3 weeks out of the month. As you can see, it is not simply herbs for the reproductive system. It offers much support for the liver, which has to process all the hormones circulating in the body, and supports the digestive system, inflammation, and enriches the blood.

    • 1 part wild yam
    • 1 part ginger
    • 2 parts dandelion root (raw)
    • 2 parts burdock root (raw)
    • 2 parts licorice
    • 2 parts sassafras
    • 1 part yellow dock
    • 1/4 vitex

    It is also important to include sufficient calcium, as a low amount has been linked to cramping, as blood levels of calcium drop off 10 days before menstruation. Again, there are more than just calcium-rich herbs in here! There are nervines, blood and uterine tonics and emmenagogues.  “High Calcium Tea” (p 118):

    • 2 parts oatstraw
    • 1 part horsetail
    • 2 parts comfrey
    • 2 parts nettle
    • 4 parts peppermint
    • 2 parts pennyroyal
    • 4 parts raspberry leaf

    For acute cramping, she recommends the following “Cramp-T”

    • 1 part cramp bark or black haw
    • 1 part pennyroyal
    • 1 part valerian
    • 1/2 part ginger

    A tincture of valerian, about 1/2 teaspoon every twenty minuets until the pain decreases. Another handy remedy to have around is pennyroyal essential oil, to rub a few diluted drops on the abdomen during cramping. Please be cautions with pennyroyal essential oil and never take it internally, because it is extremely toxic internally.

    Now let’s take a look at David Winston’s recommendations. In my last entry, I asked, “…I don’t know if all anodyne work on the same parts of the body…”. Well, Winston has cleared that up for me. Here is “Aspirea Compound” (32)

    • willow bark
    • meadowsweet herb
    • St. John’s wortSt. Johns Wort
    • Jamaica dogwood
    • indian pipe

    It has anti-inflammatory herbs (willow, meadowsweet, St. John’s wort), Jamaica dogwood which is analgesic and antispasmodic which Winston says is “especially for dysmenorrhea…”, and indian pipe which “…creates a feeling of separation from the pain” (32). I have tried this formula for other types of pain with great success (tooth ache, back spasm), but have yet to use it for cramps. It is very relaxing.

    “Full Moon – Woman’s Antispasmodic Compound”

    • PA-Free Petasites root
    • Black haw
    • wild yam
    • Jamaica dogwood
    • cyperus root
    • Roman chamomile flowers

    Winston’s notes: for mild to severe dysmenorrhea and some of the accompanying symptoms, take acutely, not daily. Here we see lots of antispasmodics at work.

    “J. Kloss Anti-spasmodic Compound” (p4 6)

    • black cohosh
    • myrrh
    • skullcap
    • skunk cabbage
    • lobelia
    • cayenne

    This is an example of a classic formula that works well as is, or can be adapted to suit individual needs. I have seen and used a couple variations of this formula (Dr. Christopher has one), one with blue vervain, blue cohosh instead of myrrh and skunk cabbage for treating epilepsy in a dog (2 drops a day for 3 months) and a severe tension headache (1/4 teaspoon every hour), both times it worked great. In the later, I sipped miso soup to quell the nausea that came with the lobelia and vervain.

    Here is one more set of examples from David Hoffmann’s Medical Herbalism from page 387 -8.

    • black haw
    • skullcap
    • black cohosh

    This is a basic formula that covers the many of the action categories mentioned in the last entry. All are antispasmodic, al are nervine, and black cohosh is  uterine tonic. The dosage is 5mL of tincture as needed, so when pain is approaching and in full swing. If a woman has secondary dysmenorrhea caused by pelvic lesions (from endometriosis or pelvic inflammatory disease) the dosage is 5 mL of the following tincture taken three times a day, rather than just symptomatically:

    • cramp bark
    • wild yam
    • black cohosh

    Again, all herbs are antispasmodic, cramp bark and black cohosh are nervines with black cohosh being the uterine tonic.

    Weeds? What weeds?

    February 8th, 2008 § 2 comments § permalink

    Burdock and tansy in town.

    One of my favorite things to do as a child was to scrounge for Blackberries. Even though I lived in smack dab in the middle of town, it was easy enough to find the thimble-sized deep purple berries in the patches of woods scattered around the river town. Once I wrote in my diary in the summer after 4th grade, “Today I had Blackberries for lunch and Honeysuckle [Columbine] for desert”. Ah, the sweet life of a 10 year old…

    Blackberries are still my favorite berry, though I am also partial to Blueberries. While I was reading over my notes from my internship in Vermont this fall, I came across a tidbit about Blackberry. It was from a wonderfully informative Saturday class taught by Micki called “Using Plants to Heal the Earth.”

    “Blackberries keep people back! Brambles are seen in area of development; warrior plants that protect the impeded ecosystem from more mindless invasion. They are pioneers, creating fungal soil as woody plants do, making the soil hospitable to forests if they ever grow back.”

    A good friends noted that Portland, OR is full of extremely thorny Blackberries, making it impossible to navigate through the woody areas. Now I know why they are there. I love it that more and more I am seeing plants as keepers of the earth. Each has a purpose or few. They can tell us about the ecosystem and the soil. We can stop fighting them in our gardens and lawns and start thanking them for their hard work.

    There are few plants that I don’t welcome into my backyard garden now, especially since my beds are very new. One exception: I am not too crazy about brassicas in my garden, they grow too well and crowd out other plants. The plants that naturally grow in my beds that were sod for decades prior help me in two ways. First they tell me about the quality of my soil. Second, the “weeds” work to make the soil more hospitable. I wonder what the mustard says about my soil…any ideas?

    The Dandelions, Burdocks and Mulleins break up the compacted soil, calling in nutrients from deep down with their taproots. I have heard that Daikon radishes also can do the same trick as Burdock, both send roots down around 15 feet. If I feel the Dandelions are getting out of hand, I cut off their flower heads before they can spread. I am so excited to have a second-year Mullein to watch over my garden this summer and provide food (their seeds) for the birds in the fall. Quack Grass metabolizes Calcium that may be in my soil by tied up (chemically unavailable). Upon Micki’s suggestion, to aid in getting rid of the rhizomeous grass, I have mulched with Comfrey (a great source of Calcium) gathered from the neighborhood patch.

    In my back yard, Ground Ivy (or as Minnesotans say, “Creeping Charlie”) has proliferated into a stunning carpet of purple when it flowers. Ground Ivy is wonderful at absorbing lead and other heavy metals in our body and in our yards; funny how the more my neighbor sprays chemical pesticides in his lawn the more Ground Ivy grows in my lawn! At the end of the season, I pull it out and put it in the trash; I suspect it is full of toxic chemicals and can’t muster up the nerve to compost it.

    Some of the volunteers in my garden beds are great edibles: crunchy Purslane and Lambs Quarters, one of my favorite steamed greens. Chickweed grows under the shade of the red maple in the front yard, and Forget-me-nots line the cracks in the pavement. Even Plantains growing in the cracks are trying to their job of breaking up soil. I don’t use a lot of the plants in my yard for eating and medicine because of they grow too close to the driveway (or in the driveway), I value them because I feel that part of their life is creating a healthier environment. I have realized my role as a gardener is to facilitate.

    Bitters-for Hot Conditions

    December 12th, 2007 § 4 comments § permalink

    Goldenseal at Sage Mt.

    I’ve always been a fan of bitters; my taste-buds appreciate the wake-up call, my belly the appetite stimulation. I have taken them from time to time, and felt they were effective. Until this morning, I never gave them my undying support much thought…until I read in Simon Mills’ The Essential Book of Herbal Medicine that bitters may not be indicated in cold conditions or people. I am a cold person (just listen to my screaming boyfriend when I crawl into bed at night and lay my icy paws on his back), and here I have been using bitters the whole while! After some investigation, I have found that aromatic digestives (sometimes simply referred to as aromatics) are indicated for cold people and conditions like myself. Aromatics will be discussed in the next post.

    Mills (226) states that bitters are indicated for hot conditions, such as liver conditions like jaundice and food/drug toxicity, gall-bladder disease, poor digestion, food intolerances, “chronic inflammatory diseases of the skin, joints, vascular system and bowel, migrainous headaches and fevers”, and blood-sugar regulation.

    Bitters work quickly through stimulation of the taste buds that seconds later trigger gastrin secretion, which is why they are effective as in cooling hot conditions (430). Since bitters stimulate bile, and bile your body’s natural laxative, some bitters are gently stimulating laxatives. Here is Mills’ description of the bitter action (321):

    “Comprised chemically of the most diverse array of molecular structures, the bitter principles have in common the ability to stimulate the bitter receptors inside the mouth, and thus evoke the taste of bitterness. Unlike other taste effects that of bitter stimulation seems to involve no electrical event on the surface of the cells: the conclusion is that each bitter molecule acts on cell membrane receptors to produce intercellular biochemical change. The immediate result is a rise in the concentration of calcium within the cell: this is likely to initiate the signal to the gustatory nerve.”

    For the chemistry geeks out there, a group of terpenoids include most of the bitters. They are iridoids (gentian, dandelion, wild lettuce, valerian), sesquiterpenes (Artemisias, blessed thistle, gingko), diterpene (white horehound, Curcubitacea), and some alkaloids (coffee, goldenseal, quinine) (321-2).

    Just a few bitters:

    Dandelion (Taraxacum officinale) is a digestive and hepatic (liver) tonic. The leaves are nature’s perfect diuretic as it contains a large amount of potassium and well suited for edema but will not strain the heart, and the root is a mild laxative and detoxifier (434).

    Gentian (Gentaina lutea) is an important bitter as it stimulates digestion and has an anti-inflammatory action. It is used “as a foundation for any prescription seeking to use the cooling, drying, and digestive stimulant effects” that may be present in inflammatory conditions (435).

    Wormwood (Artemisia absinthium) is a bitter with a warm temperament. When I first purchased wormwood and brewed a cup on an chilly Minnesota spring day, I took two extremely bitter sips and felt a welcomed long-lasting warmth spread through my body and last the rest of the day. It is so bitter as well as astringent that its acrid constituents actually raises the temperature. As it name implies, it is useful for purging parasites, but let’s focus on wormwood as a bitter. Used for gastrointestinal infections, inadequate stomach acid, colic, and spasmodic dsymenarrhea, wormwood has been quite effective (438).

    Goldenseal (Hydrastis canadensis) is one of the most healing and astringent remedies to the gut wall and other irritated mucosal linings, and is a bitter digestive stimulant and cholagogue (liver stimulant) (440). “Dyspepsia with hepatic symptoms [is seen as] the main indication for using goldenseal”, as it is a strong bitter (441).

    Anyone who has tried a tripled-hopped beer can attest to hops’ (Humulus luplus) bitterness…and also to its relaxing qualities. Hops has a relaxing effect on the nervous system similar to chamomile, as well as tension-related indigestion (it’s tannins lend their astringency quite nicely here) and headaches (Hoffmann, New Holistic Herbal 206). Hops can be useful in upper-digestive infections, irritable bowl syndrome, Crohn’s or diverticulitis, nervous coughs, palpitations, nervous dyspepsia or “whenever there are signs of visceral tension in the body” (460), so long as it is indicated. Would one use hops with watery loose, stools? I would say not.

    A gentle and sometimes forgotten bitter is cold chamomile (Matricaria recutita) tea. Another visceral relaxant with bitter properties. Chamomile is great for children–indeed some of it’s best uses are for anxiety, teething pain, colic, and sleeplessness. Chamomile beautifully and subtly combines its calming and bitter qualities; it both calms the gut wall (useful for nervous digestion) and stimulates digestion, bile flow and pancreatic action (454-5).

    Rue (Ruta graveolens) combines anti-spasmodic and bitter properties like chamomile, but not so sweetly. Don’t get me wrong, rue is a very nice plant, it is just very bitter in the cup. Hoffmann suggests using it for relaxing smooth muscles “especially in the digestive system where it will ease griping and bowl tension” (229). It is known to bring on suppressed menstruation. I have no experience of using is as a woman herb…have any of you used it as such?

    That is just the beginning to bitter herbs. Try them where indicated, enjoy the peace in the belly that may follow.

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