Herbal Sitz Baths

November 22nd, 2010 § 1 comment § permalink

Herbal sitz baths; here is one type of bath that I have seen work time and time again, particularity for genito-urinary purposes. Sitz baths are pretty much exactly like they sound – a bath that you sit in. Sitting in a bath is actually quite different than laying in a bath, however. A sitz bath covers the hips and pelvis, while the legs and torso are not immersed in the bath. This posture ensures that the blood flow of the body is concentrated around the area in the water.

I attempted to make directions with specific quantities of water and herbal infusion, but had to stop because each sitz bath is a little different. That being said, here is a solid starting place:

  • Add 3 ounces of dried herbs to just boiled water in a large pot with a lid. Steep for 20-30 minuets, covered. Like with other herbal baths, straining is optional and is dependent upon personal preferences. Do you like bits of re-hydrated herbs floating among your bath water and possibly sticking to you when you leave the bath, or would that bother you?
  • Pour the herbal infusion into a bin/sitz bath. Add tap water to adjust water temperature. Hot water is generally used, but alternating between hot and cold is also recommended. A cold or room temperature sitz can be quite therapeutic as well, especially if there is a hot, itchy or inflammatory condition.
  • Lower yourself down in the bath carefully, and soak for 20-30 mins. It is a smart idea to try your sitz bath out before adding the water, to make sure it is possible to get in and out easily. Don’t hesitate to ask loved ones for a hand. Fold up a towel to sit in the sitz bath to make it as comfortable as possible.
  • If no infection present, the water may be reheated and used again – or use the bath at room temperature.
  • Use as frequently as needed, once a day during an acute situation, every other day or weekly for health maintenance.

When I started out as a doula, I read about sitz baths for healing the perineum after birth, but I never heard of anyone actually using one. At one of the birthing hospitals in Duluth, I noticed a locked door with a sign on it that said “Sitz Bath”. I inquired with a nurse about the “Sitz Bath” room, she said there was a indeed a special sitz bath tub in there, but she never heard of anyone using it. Here is the sitz bath that eventually came up with, it was the one I used most with doula clients, friends and sold to midwives:

Postpartum Sitz Bath

  • 3 tablespoons comfrey herb (root and leaf mixed)
  • 3 tablespoons yarrow
  • 3 tablespoons uva ursi

I chose comfery because of its soothing, tissue healing properties. I am in the works on writing a post about the constituents of time-honored Symphytum officinale, so more to come on that front. Yarrow (Achillea millefolium), another ‘wound wort’, stops bleeding and is especially effective in healing stitches and tears. Even if there’s no tears, yarrow is still helpful because it moves the blood and disperses bruising and inflammation. Matthew Wood says it can “actually help the arteries suck up blood that has flowed out through a torn vessel into the tissues” (70). Uva ursi (Arctostaphylos uva-ursi) is a creeping, evergreen, berry-bearing member of the Ericaeae family. The leaves are very antiseptic with an affinity for the genito-urinary system. I first became familiar with this plant while researching herbs for bladder infections. Tannin-rich uva ursi helps heal the skin by tightening the tissues and discouraging infections (75, Earthwise Herbal).

There are a variety of herbs that can be used to postpartum your sitz bath. Sea salt is a great addition, as are any astringent, tonifying herbs. If there is a lot of bleeding add a stiptic like Shepard’s purse (Capsella bursa-pastoris), or if there is a over-relaxed state, add astringents and tonics like Lady’s mantle (Alchemilla vulgaris) or cranesbill (Geranium maculatum).

Here is another herbal sitz bath I heard about from Mary Bove, ND from a 2009 lecture on herbs for pelvic congestion. Although I was familiar with and had good success with herbal steams for genitourinary complaints (particularly pelvic congestion and inflammation), for some reason I never thought to do a sitz bath for pelvic congestion. Bove says these herbs are particularly beneficial for labial varicosities.

  • Lady’s mantle
  • White or red oak bark (Quercus spp.)
  • Bayberry root (Myrica spp.)
  • Witch hazel (Hamamelis virginiana)

For a while, I thought of sitz baths as a modality of delivering herbal medicine useful specifically to postpartum women. While postpartum sitz baths are indeed incredibly useful in that way, it is not the only application of sitz baths. There are so many genito-urinary complaints that sitz baths can be useful for, but what about the other areas of the body that are immersed in a sitz bath? Could digestive problems be comforted with sitz baths; what about the lower vertebrae and pelvic bones? Oh the possibilities…

Lady’s Mantle – Alchemilla vulgaris

March 28th, 2010 § 0 comments § permalink

One of the first plants in my garden to awaken in the spring (and one of my favorites in general) is Lady’s mantle. Its round, accordion folded leaves start to perk up and green in the warming sun, though they are still tightly curled up on themselves. Each summer Lady’s mantle grows bigger and bigger, usually until it sprawls out into the yard or path. It’s minuscule lacy greenish-yellow flowers may seem like nothing special at first, especially compared to showier garden flowers, but upon closer examination they are quite delicate and stunning, like little shimmering five-petaled peridots.

Lady’s mantle is in the rose family, and contains no less allure or folk lore then the other well-known Rosaceaes like rose, hawthorn, or blackberry. The rose family seems to embody a wildness along with their beauty. They charm our senses with their fruits, flowers and scent so we invite them into our gardens. But anyone who grows roses or keeps raspberries know that they are anything but tame; they require strict boundaries or they will take over! Speaking of, here is a little something about the brambles in an ecosystem I wrote a while back.

Lady’s mantle is ‘Lady’s’ rather than ‘ladies’ to denote that it is the virgin Mary’s mantle (another word for rain jacket or cloak). Of course, before Christianity took over the Western world, Lady’s mantle was associated with local goddesses, like Freya in Germanic tribes (Wood) as well as Tatiana, the queen of the faeries. “It collects the morning dew and wears it like fine jewels. Its flowers are small, greenish, and lacy like the green hair of the fairy queen, Tatiana” (Gladstar, 245). These associations are logical, as this herb has many uses for women.

The botanical name, Alchemilla, or “little alchemist” speaks of the uses of Lady’s mantle which have the ability to transform. Matthew Woods writes an account of this in The Book of Herbal Wisdom. The alchemists found interest in the fact that the morning dew gathers like a translucent pearl in the center of the fan-like leaves, well into almost mid-day, when other plants are all dried off.

The first recorded instances of Lady’s mantle classified it as a supreme wound wort. Wood relays that it was called Greater Sanicle, trumping another wound wort called Sanicle, and since Lady’s mantle was an even better for first aid then the original it was bumped up to greater status. Though not nescessarily used for wounds in this day in age, Lady’s mantle is still used to “…restore the integrity of torn, ruptured, or separated tissues, as seen in hernias or perforated membranes” (Wood, 119). In that case it is not too surprising to hear that it was said to restore virginity in folk herbalism. Women of the Alps used packed Lady’s mantle leaves around the abdomen and breasts to tone the body after birth and nursing. William Salmon wrote about this in 1710.”Inwardly also taken, and outwardly applied to Woman’s Breasts, which are great and over-much flag, it causes them to grow less and hard.”

Lady’s mantle theraputic actions include:

  • astringent
  • diuretic
  • anti-inflammatory
  • emmenagogue
  • vulnerary (David Hoffmann, 525)

Like other members of the Rosaceae family, it contains a fair amount of tannins, along with trace amounts of salicylic acid. It has been used for all sorts of woman’s health issues; excess menstruation and pre- and post-menstrual spotting, prolapse or feelings of heaviness, hemorrhage, irregular cycles and vaginal irritations.

In general it is “…astringent, toning, and strengthening the abdominal tissues and structures” (W00d, 115). Lady’s mantle and shepherd’s purse blend well together for prolapse and hernia. This is a handy combination for hernias during pregnancy, or to arrest hemorrhage after birth. Its astringency also lends it to be used as a mouthwash for mouth sores or gargle for laryngitis (Hoffmann, 525).

Referances:

Gladstar, Rosemary. Herbal Healing for Women.

Hoffmann, David. Medical Herbalism.

Wood, Matthew. The Book of Herbal Wisdom.

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