Day 1 Tea: a lower jiao warming, blood and Ki Qi nourishing and ever-so-slightly Blood moving herbal tea. I made it originally to ease menstrual cramps, starting with Yarrow as my chief herb. I have had this blend around for a while, but am sharing it with a customer for the first time and really, like really, enjoying making a new batch. I am using a mix of purchased rosebuds and rose petals I have harvested from Portland.
Milky oats have been added to support the Kidneys (capital ‘K’ means a Chinese medicine concept and function), because I originally made this for someone with dysmennorhea with underlying Kidney Qi Xu (Deficiency), and I find Milky Oats to support the adrenals quite nicely. Grains are also mineral-rich, which can help reduce crampy pain and spasms. Sometimes during day 1 or longer, digestion can be messed up. Loose stools, upset stomach, crampy intestines along with the uterus. It is not fun. Milky Oats can help soothe the digestive tract, too.
Let’s see…what other glorious herbs are in here?
Rose Hips, Raspberry leaf, Cinnamon and Ginger, Hawthorne berries, Peony, and the blood-regulating Yarrow. It’s sweet, floral, tart, a little spicy and warm. Yum!
a purple garden variety of black cohosh
Dysmenorrhea is basically period pain. Doctors will often diagnose period pain as “primary dysmenorrhea”, which means the pain cannot be contributed to any other cause or disease. The typical method for dealing with period pain within the medical model is prescribing hormonal birth control. Much less infrequently pain medications are prescribed; over-the-counter pain-relievers are typically suggested.
Dysmenorrhea is not just a case of “grin and bear it”. It can seriously effect a woman’s ability to function in her daily life. While I am a big fan of resting, nourishing, and turning inwards during the moon time, I acknowledge that there are many woman who’s life is not set up to take such personal time (or rather our society is not set up to take such personal time). And besides, pain is pain, and for most everything besides menstruating and childbirth, we see pain as a sign that something is wrong with the body. Most women I know with dysmenorrhea can’t help but wonder if something is wrong with their body when their uterus is cramped.
Pain and symptoms vary from woman to woman, so it is important to treat the individual, not the condition.
Furthermore, pain and symptoms vary from month to month, as harmony within the menstrual cycle is reached through a process of changes and adjustments. Therefore, herbal formulas should be updated accordingly. At the same time, keep in mind that when working with the endocrine system treatment should be for at least 3 months but often as long as a year or more. Each month the ovaries alternate hormone production, so to ensure an herbal treatment (or conventional, for that matter) is effective let the left, then right, then back to left ovaries do their thing (thus the 3 month recommendation). I also think a quarter of a year is a fair time frame to let your body, mind and spirit go through their natural cycles a number of time, establish rhythms, process emotions, and adjust to physical surroundings and seasons.
It may be tempting to stop taking herbs after a month or so when you a) notice an improvement and b) don’t see any improvement. At this time, especially if you are in the “b” category, keep on! Figure out your dosages and preparations and stick with them. Tinctures? Teas? How often? When I was fist getting into herbs I would stop treatments when I felt they were not working, “so why bother?”, I thought. While it was true they weren’t making horrible cramps disappear, there were many other benefits to be had. Some signs of improvement may be a more regular cycle, less PMS, pre-bleeding spotting, blood clots, nausea, teeth-shattering (yes, some women find they shiver and their teeth-shatter..sounds like a cold condition to me!), more energy and vitality, and simply better able to cope with their cycle no matter how tumultuous it may be.
When creating a formula for dysmenorrhea, you may wish to include: (from Ruth Tricky in Woman, Hormones and the Menstrual Cycle)
- A uterine tonic, as they normalize the uterine tissue
- Antispasmodics, relaxing, pain-relieving, prostaglandin-inhibiting herbs based on symptoms
- Emmenagogues may be used with late or slow starting periods
- Most always use warming herbs
- Don’t forget to balance emotional and mental tension with nervines, and treat any other body system that may be out of balance and aggravates dysmenorrhea
Regulates and normalizes the uterine tissue. Add when there is a heavy, dragging type of pain, pain towards the end of the cycle, some types of pain during sex (of a congested, heavy nature). They often provides nutrition, minerals and can be astringents so the do actually tone (by precipitating excess proteins in cell walls).
Examples: Raspberry leaf, nettle, shepherd’s purse, lady’s mantle, ect…
Improves the action of antispasmodic herbs when the period if aggravated by cold, relived by heat, lower abdomen feels relatively cool to the touch, relived by movement of the hips.
Examples: Ginger, cinnamon can be added to other herbal formulas, or taken alone, but drink them warm. Many Chinese patent formulas include cinnamon to warm the interior and promote a healthy circulation of blood.
Ginger tea – grate or chop 1 inch of ginger into a saucepan. Add about 2 1/3 cups of water. Bring to a boil, reduce to low simmer, cover. Simmer for 20 minuets. Turn off heat and let cool slightly before straining and drinking. You may add honey to taste and sip while emerged in a hot bath; doesn’t that sound divine?
Hormone regulating herbs
The goal here is to regulate the hormones, which reduceds pain by indirect action on prostaglandins.
Examples: Vitex angus-castus (chastetree berries) is very useful for congestive dysmenorrhea, and pain with PMS. A picky herb about dosing…when I get the correct does I will let you know. Everyone seems to have different suggestions.
Paeonia lactiflora (peony), Cimicifugia racemosa (black cohosh) are both antispasmodics and have the potential to competitively inhibit the activity of estrogen.Verbena officinalis (blue vervain) is a sedative, traditionally used for menstrual disorders with a hormonal origin. Schisandra berries.
Blue vervain flowers close up
These are relaxing herbs, used for both physical and mental/emotional tension or anxiety accompanying pain.They potentate antispasmodic and pain-killing herbs, as some are antispasmodics themselves.
Examples: Valerian, peony, corydalis, vervain, chamomile, agrimony, hops, lemon balm, lavender…
These have analgesic effects. Much weaker than conventional analgesics, so they must be prescribed with other herbs that actually attempt to correct the imbalance. I don’t think anodynes work on all systems and complaints, except for corydalis.
Examples: Wild lettuce, pulsatilla, corydalis, valerian, feverfew (463)…
Don’t over look the liver
Congestive period pain with heavy, dull, dragging pain has historically been treated with liver herbs and bitters, as well as those who are “irritable, hot-headed, constipated, headaches, heavy fiery-red flow”. Liver herbs most likely work through an indirect effect on hormone imbalance by improving the liver’s ability to excrete estrogen from the bowel and through the liver and bile.
Examples: Barberry and other bererine-containing herbs are useful, as are many other ‘liver’ herbs like dandelion root, burdock, Oregon grape, yellow dock. Yellow dock and dandelion in particular (especially when combined with blackstrap molasses) can encourage the body to use iron stores more efficiently, thus relieving fatigue following blood loss.
Tricky, Ruth. Woman, Hormones, and the Menstrual Cycle.
Do you see the motherwort in this picture? Hint: its vertical. Mmmm…Motherwort! I have been craving the bitter herb for a steady week running – and as a tea! Who in their right mind drinks motherwort infusion? Someone who needs it, or who likes the bitter zing. Have you ever eaten a motherwort flower? Try it, I dare you. I have been drinking motherwort infusion to calm my critical and exacting PMS self to a down to a low roar; its working quite well. It is also nourishing, stockpiling nutrients that will soon be shed; for this purpose I add a bit of nettle or oat straw. At this time in my cycle I tend to see things very clearly, which can either enrich my life with wise insight or keep me up at night ruminating. Motherwort, along with hops, eases my mind.
In the middle of winter, I dream of a sunny day and a garden full of motherwort. There is something very awakening and attracting about the upright member of the mint family. A friend once became very aquatinted with a particular motherwort plant and described her as juicy. I have yet to have a garden full of motherwort, as my seeds never seem to germinate. This year I am trying really hard to get my seeds sprouted…so wish me luck.
Motherwort promotes menstruation, reduces nervous tension and cramps, and is regulating to stress and anxiety caused heart problems, racing and/or irregular heartbeat (tachycardia). Culpepper says about motherwort, “Venus owns this herb and it is under Leo. There is no better herb to drive melancholy vapors from the heart, to strengthen it and make the mind cheerful, blithe and merry”. Yes, motherwort is warming in taste and even color with the sweet downy pink with white whorls of flowers, soothing to the heart and demanding emotions, and a wonderful ally for women of all ages and at all times of their cycles. The way it stands in the garden, attracting bees like mad, reminds me of an seemingly innocent attention-seeking amorous Leo. Well, not that innocent, if you have ever been tangled amongst their sharp seed pods at the end of the season!
It is called Ectes Herzgespann in German, which in an excruciatingly literal translation is “common heart team”; luckily a German woman described it to me as meaning “it pulls the heart forward, as one would lead a team of yoked oxen”. What a wonderful way to visualize this herb’s actions. Like many herbs, motherwort contains a myriad of chemical compounds that give rise to its unique uses. From its taste we know that it works on the digestion; Tierra says it is specifically a carminative. The tannins make it astringent to the uterus, and according to Wikipedia, “the herb contains the alkaloid leonurine, which is a mild vasodilator and has a relaxing effect on the smooth muscles. For this reason, it has long been used as a cardiac tonic, nervine, and as an emmenagogue.”
As an emmenagogue, I view it as enriching the blood and circulating it, rather than starting delayed menstruation, as the latter has never worked for me. It still has an important pre-menstrual use of allying stress, anger and rage, worrying that keeps you up at night, and anxious palpitations. Stress and anxiety keeping your period away? Try motherwort. Motherwort may be helpful include during the last few weeks of pregnancy to promote uterine tone. Ruth Trickey states in Women, Hormones and the Menstrual Cycle that motherwort “is one of the many herbs which posses the apparently contradictory actions of relieving spasm and stimulating uterine activity–an effect which seems to be brought about by a reduction in the irritability (spasticity) of the uterine muscle. This allows contractions to be followed by an adequate rest period when blood can circulate through the muscle again”(470). Of course, motherwort is useful for peri-menopausal women, adressing palpitations, night sweats and worrying keeping you up at night, Trickey combines hops, motherwort and black cohosh for this reason with “excellent results”.
Tierra, Micheal. Planetary Herbology.
Culpepper’s Complete Herbal. http://www.bibliomania.com/2/1/66/113/frameset.html
Trickey, Ruth. Women, Hormones and the Menstrual Cycle.
Gladstar, Rosemary. Rosemary Gladstar’s Family Herbal.