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Botanical Medicine for Women's Health E-Book

Botanical Medicine for Women's Health E-Book

Aviva Romm

(2009)

Abstract

A comprehensive resource of medical and herbal interventions related to women's health issues, Botanical Medicine for Women’s Health provides a unique combination of traditional and modern scientific data on herbal medicine. Written by Aviva Romm, MD, an experienced herbalist, physician, and midwife, this guide blends a clinician-sensitive and patient-centered approach to women’s health issues. Coverage of menstrual health, fertility, breast conditions, and more makes this an essential resource for everyday practice.

Winner of the 2010 American Botanical Council's James A. Duke Excellence in Botanical Literature Award!

  • Expert author Dr. Aviva Romm combines her experience as an herbalist, physician, and midwife for a fully integrated approach to medical and botanical interventions.
  • Convenient organization begins with herbal medicine and then covers health conditions organized chronologically by lifecycle help you understand the relationship between herbal medicine and women’s health.
  • Plant profiles include principle uses, clinical indications, and safety information on the 10 most commonly used botanicals for women’s health.
  • Detailed illustrations and professional plant photographs enable you to identify herbs visually as well as by substance make-up.
  • Specialized focus on women’s health and botanical medicine provides the specific information you need for treating women at any stage of life.
  • Content on over 150 botanicals for over 35 different conditions make this a comprehensive resource for current, evidence-based information.
  • Appendices on common botanical names, quick dose reference charts, adverse interactions, and botanical medicine resources offer practical information at a glance.
  • Over 30 expert contributors with a combination of practical experience as clinicians and teachers provide a unique, clinically based perspective on botanical medicine.

Table of Contents

Section Title Page Action Price
FRONT COVER Cover
BOTANICAL MEDICINE for WOMEN’S HEALTH iii
COPYRIGHT PAGE iii
DEDICATION iv
CONTRIBUTORS vi
FOREWORD vi
FOREWORD viii
PREFACE xi
THE NEED FOR THIS BOOK xi
THE STRUCTURE OF BOTANICAL MEDICINE FOR WOMEN’S HEALTH xi
CONTRIBUTING AUTHORS xii
IN CONCLUSION xii
PREFACE REFERENCES xii
ACKNOWLEDGMENTS xiii
ABOUT THE AUTHOR xv
CONTENTS xvii
PART I - Foundations of Botanical Medicine 1
CHAPTER 1 - Botanical Medicines, CAM, and Integrative Medicine: Definitions and Use Prevalence 1
WHAT IS COMPLEMENTARY AND ALTERNATIVE MEDICINE? 1
WHERE DO BOTANICAL MEDICINES FIT INTO CAM? 1
HOW WIDESPREAD IS CAM USE? 2
WHO USES COMPLEMENTARY AND ALTERNATIVE MEDICINE? 2
WHY ARE PATIENTS TURNING TO CAM? 2
HOW OFTEN DO WOMEN SEEK CAM THERAPIES AND WHY? 4
WHAT PATIENTS DON’T TELL THEIR DOCTORS 5
CAM EDUCATION FOR HEALTH PROFESSIONALS 5
TOWARD AN INTEGRATED FUTURE OF HEALTH CARE 6
CHAPTER 2 - History of Herbal Medicines for Women 8
WOMEN, HERBS, AND HEALTH REFORM: A HISTORICAL SUMMARY 8
ANCIENT TO MODERN HERBAL PRESCRIBING 13
CHAPTER 3 - Fundamental Principles of Herbal Medicine 24
THE EVIDENCE BASE FOR BOTANICAL MEDICINE 24
CONSTITUENTS OF MEDICINAL PLANTS 30
THE ACTIONS OF HERBS 35
SELECTION CRITERIA, FORMULATION, AND PRESCRIBING 53
BOTANICAL PREPARATION FORMS 59
SPECIAL PREPARATIONS 70
BOTANICAL MEDICINE DOSING 72
CHAPTER 4 - Guidelines for Herbal Medicine Use 75
BOTANICAL MEDICINE SAFETY: GUIDELINES FOR PRACTITIONERS 75
INTEGRATING BOTANICAL MEDICINES INTO CLINICAL PRACTICE: ETHICAL CONSIDERATIONS AND GUIDELINES 92
SELECTING AND IDENTIFYING QUALITY HERBAL PRODUCTS 94
PART II - General Gynecologic and Menstrual Health Concerns 97
CHAPTER 5 - Menstrual Wellness and Menstrual Problems 97
MENSTRUAL HEALTH AND THE NORMAL MENSTRUAL CYCLE 97
PUBERTY, MENARCHE, AND ADOLESCENCE 105
ACNE VULGARIS 113
AMENORRHEA 122
DYSMENORRHEA 130
DYSFUNCTIONAL UTERINE BLEEDING 139
PREMENSTRUAL SYMPTOMS, PREMENSTRUAL SYNDROME (PMS), AND PREMENSTRUAL DYSPHORIC DISORDER (PMDD) 149
PREMENSTRUAL HEADACHE AND MIGRAINE 164
POLYCYSTIC OVARY SYNDROME 175
CHAPTER 6 - Endocrine Disorders and Adrenal Support 186
THYROID DISORDERS: HYPOTHYROIDISM AND HYPERTHYROIDISM 186
STRESS, ADAPTATION, THE HYPOTHALAMIC-PITUITARY-ADRENAL-AXIS (HPA) AND WOMEN’S HEALTH 197
CHAPTER 7 - Conditions of the Reproductive Organs 211
UTERINE FIBROIDS 211
DIAGNOSIS 212
FIBROCYSTIC BREASTS AND BREAST PAIN 219
ENDOMETRIOSIS 225
CERVICAL DYSPLASIA: BOTANICAL AND NATUROPATHIC APPROACHES 235
CHRONIC PELVIC PAIN 242
SYMPTOMS 243
SUMMARY 253
CHAPTER 8 - Vaginal Infections and Sexually Transmitted Diseases 256
VULVOVAGINITIS AND COMMON VAGINAL INFECTIONS 256
GENITAL WARTS (CONDYLOMA AND HPV) 267
HERPES 271
HIV INFECTION AND BOTANICAL THERAPIES 283
SUMMARY 289
CHAPTER 9 - Urinary Complaints 290
URINARY TRACT INFECTION 290
INTERSTITIAL CYSTITIS 298
CHAPTER 10 - Breast Cancer 306
THE BREASTS AND THE BREAST EXAM 306
PART III - Fertility and the Childbearing Cycle 321
CHAPTER 11 - Pregnancy and Botanical Medicine Use and Safety 321
PREVALENCE OF HERB USE DURING PREGNANCY 321
WHY ARE HERBS BEING USED DURING PREGNANCY? 322
LACK OF TRAINING IN OBSTETRIC BOTANICAL MEDICINE USE 322
HERBS MOST COMMONLY USED DURING PREGNANCY 323
SAFETY, EVIDENCE, AND POTENTIAL ADVERSE EFFECTS OF BOTANICAL USE DURING PREGNANCY 323
USING HERBS DURING PREGNANCY 324
CONTRAINDICATED HERBS FOR PREGNANCY AND LACTATION 324
A WORD ABOUT PARTUS PREPARATORS 327
CONTRAINDICATED HERB LISTS AND BOTANICAL SAFETY CLASSIFICATIONS 327
FORMS OF ADMINISTRATION APPROPRIATE DURING PREGNANCY 331
SUMMARY 333
CHAPTER 12 - Fertility Challenges 334
FEMALE FACTORS AFFECTING FERTILITY 334
MALE FACTORS AFFECTING FERTILITY 334
DIAGNOSIS 335
CONVENTIONAL TREATMENT APPROACHES 337
THE BOTANICAL PRACTITIONER’S PERSPECTIVE 338
DISCUSSION OF BOTANICAL PROTOCOL 338
NUTRITIONAL CONSIDERATIONS 342
ADDITIONAL THERAPIES 343
CHAPTER 13 - Pregnancy: First Trimester 347
PREGNANCY CARE AND PRENATAL WELLNESS 347
THE ROLE OF HERBS IN THE PREVENTION AND TREATMENT OF MISCARRIAGE 348
NAUSEA AND VOMITING OF PREGNANCY AND HYPEREMESIS GRAVIDARUM 353
CHAPTER 14 - Pregnancy: Second Trimester 362
HEARTBURN (GASTROESOPHAGEAL REFLUX) IN PREGNANCY 362
IRON DEFICIENCY ANEMIA 364
PRETERM LABOR AND UTERINE IRRITABILITY 368
CHAPTER 15 - Pregnancy: Third Trimester 370
CONSTIPATION DURING PREGNANCY 370
HYPERTENSION IN PREGNANCY 373
GROUP B STREP (GBS) INFECTION IN PREGNANCY 378
PRURITIC URTICARIAL PAPULES AND PLAQUES OF PREGNANCY (PUPPP) 383
VARICOSITIES IN PREGNANCY 387
INSOMNIA IN PREGNANCY 390
BREECH PRESENTATION AND VERSION 394
CHAPTER 16 - Labor and Birth 398
FACILITATING LABOR: INDUCTION, AUGMENTATION, AND DYSFUNCTIONAL LABOR 398
PAIN IN LABOR 410
CHAPTER 17 - The Postpartum 416
POSTPARTUM CARE OF THE MOTHER 416
POSTPARTUM DEPRESSION 418
CHAPTER 18 - Breastfeeding and Botanical Medicine 433
BREASTFEEDING AND HERBS: A COMPREHENSIVE REVIEW OF SAFETY CONSIDERATIONS AND BREASTFEEDING CONCERNS FOR THE MOTHER-INFANT DYAD 433
COMMON LACTATION CONCERNS: ENGORGEMENT, CRACKED NIPPLES, MASTITIS, AND INSUFFICIENT BREAST MILK 446
PART IV - The Menopausal Years 455
CHAPTER 19 - Menopausal Health 455
PERIMENOPAUSE AND MENOPAUSE: AN OVERVIEW 455
REFRAMING MENOPAUSE: THE WISE WOMAN PERSPECTIVE 457
HORMONE REPLACEMENT THERAPY: RISKS, BENEFITS, ALTERNATIVES 461
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HOT FLASHES AND NIGHT SWEATS 468
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DEPRESSION 474
ANXIETY IN MENOPAUSE 485
INSOMNIA 489
PREVENTION OF CARDIOVASCULAR DISEASE IN POSTMENOPAUSAL WOMEN 495
OSTEOPOROSIS, BONE HEALTH, AND MENOPAUSE 505
VAGINAL DRYNESS AND ATROPHY 512
LOW LIBIDO AND SEXUAL DYSFUNCTION IN THE PERIMENOPAUSAL WOMAN 516
PART V - Plant Profiles 521
TEXTBOOKS AND MONOGRAPHS 522
WEBSITES/DATABASES 522
BLACK COHOSH 523
MAJOR CHEMICAL CONSTITUENTS 523
PRINCIPAL USES 523
TRADITIONAL AND HISTORICAL USES 523
CLINICAL INDICATIONS 523
IN VITRO, ANIMAL, AND CLINICAL DATA 524
MECHANISMS OF ACTION 524
RATINGS 525
PREPARATIONS USED CLINICALLY 525
DOSAGE 525
SAFETY INFORMATION: HERB-DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 525
USE AND SAFETY IN PREGNANCY AND LACTATION 526
BlUE COHOSH 528
MAJOR CHEMICAL CONSTITUENTS 528
PRINCIPAL USES 528
TRADITIONAL AND HISTORICAL USES 528
CLINICAL INDICATIONS 528
IN VITRO, ANIMAL, AND CLINICAL DATA 528
MECHANISMS OF ACTION 529
RATINGS 529
PREPARATIONS USED CLINICALLY 529
DOSAGE 529
USE IN PREGNANCY AND LACTATION 529
SAFETY INFORMATION: HERB DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 530
References 530
CHASTE TREE 531
MAJOR CHEMICAL CONSTITUENTS 531
PRINCIPAL USES 531
TRADITIONAL AND HISTORICAL USES 531
CLINICAL INDICATIONS 531
MECHANISMS OF ACTION 531
IN VITRO, ANIMAL, AND CLINICAL DATA 531
RATINGS 532
PREPARATIONS USED CLINICALLY 532
DOSAGE 532
SAFETY INFORMATION: HERB DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 532
USE IN PREGNANCY AND LACTATION 532
DONG QUAI 534
MAJOR CHEMICAL CONSTITUENTS 534
PRINCIPAL GYNECOLOGIC AND OBSTETRIC USES 534
TRADITIONAL AND HISTORICAL USES 534
CLINICAL INDICATIONS 534
IN VITRO, ANIMAL, AND CLINICAL DATA 534
MECHANISMS OF ACTION 535
RATINGS 535
PREPARATIONS USED CLINICALLY 535
DOSAGE 535
SAFETY INFORMATION: HERB DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 535
USE IN PREGNANCY AND LACTATION 535
GINGER 536
MAJOR CHEMICAL CONSTITUENTS 536
PRINCIPAL USES 536
TRADITIONAL AND HISTORICAL USES 536
CLINICAL INDICATIONS 536
IN VITRO, ANIMAL, AND CLINICAL DATA 536
MECHANISMS OF ACTION 536
RATINGS 537
PREPARATIONS USED CLINICALLY 537
DOSAGE 537
SAFETY INFORMATION: HERB DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 537
USE IN PREGNANCY AND LACTATION 538
KAVA KAVA 539
MAJOR CHEMICAL CONSTITUENTS 539
PRINCIPAL GYNECOLOGIC AND OBSTETRIC USES 539
ADDITIONAL USES 539
TRADITIONAL AND HISTORICAL USES 539
CLINICAL INDICATIONS 540
IN VITRO, ANIMAL, AND CLINICAL DATA 540
MECHANISMS OF ACTION 540
RATINGS 540
PREPARATIONS USED CLINICALLY 540
DOSAGE 540
SAFETY INFORMATION: HERB DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 541
USE IN PREGNANCY AND LACTATION 541
RED CLOVER 542
MAJOR CHEMICAL CONSTITUENTS 542
PRINCIPAL USES 542
TRADITIONAL AND HISTORICAL USES 542
CLINICAL INDICATIONS 542
IN VITRO, ANIMAL, AND CLINICAL DATA 542
MECHANISMS OF ACTION 542
RATINGS 542
PREPARATIONS USED CLINICALLY 542
DOSAGE 542
SAFETY INFORMATION: HERB DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 542
USE IN PREGNANCY AND LACTATION 543
ST. JOHN’S WORT 544
MAJOR CHEMICAL CONSTITUENTS 544
PRINCIPAL USES 544
TRADITIONAL AND HISTORICAL USES 544
CLINICAL INDICATIONS 544
MECHANISMS OF ACTION 544
RATINGS 545
PREPARATIONS USED CLINICALLY 545
DOSAGE 545
SAFETY INFORMATION: HERB DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 545
WARNING 546
USE IN PREGNANCY AND LACTATION 546
UVA URSI 547
MAJOR CHEMICAL CONSTITUENTS 547
PRINCIPAL USES 547
TRADITIONAL AND HISTORICAL USES 547
IN VITRO, ANIMAL, AND CLINICAL DATA 547
MECHANISMS OF ACTION 547
RATINGS 547
PREPARATIONS USED CLINICALLY 548
DOSAGE 548
USE IN PREGNANCY AND LACTATION 548
SAFETY INFORMATION: SIDE EFFECTS, CONTRAINDICATIONS, TOXICITY, AND HERB-DRUG INTERACTIONS 548
WILD YAM 550
MAJOR CHEMICAL CONSTITUENTS 550
PRINCIPAL USES 550
TRADITIONAL AND HISTORICAL USES 550
CLINICAL INDICATIONS 550
IN VITRO, ANIMAL, AND CLINICAL DATA 550
MECHANISMS OF ACTION 551
RATINGS 551
PREPARATIONS USED CLINICALLY 551
DOSAGE 551
SAFETY INFORMATION: HERB-DRUG INTERACTIONS, TOXICITY, AND CONTRAINDICATIONS 551
USE IN PREGNANCY AND LACTATION 552
SUMMARY 552
PLANT PROFILES: SUMMARY TABLE OF HERBS FOR WOMEN’S HEALTH 553
KEY 553
APPENDIX I - Common and Botanical Medicine Names Quick Reference Dose Chart 612
References 615
REFERENCE 616
CHAPTER 1 616
CHAPTER 2 616
CHAPTER 3 617
CHAPTER 4 617
CHAPTER 5 618
CHAPTER 6 626
CHAPTER 7 629
CHAPTER 8 633
CHAPTER 9 636
CHAPTER 10 638
CHAPTER 11 639
CHAPTER 12 640
CHAPTER 13 640
CHAPTER 14 643
CHAPTER 15 644
CHAPTER 16 647
CHAPTER 17 648
CHAPTER 18 650
CHAPTER 19 652
Plant Profiles 664
Index 665