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Book Details
Abstract
Use herbal medicines to treat women at any stage of life! Botanical Medicine for Women’s Health, 2nd Edition provides an evidence-based, patient-centered approach to botanical interventions for many different medical conditions. More than 150 natural products are covered, showing their benefits in gynecologic health, fertility and childbearing, and menopausal health. This edition includes new full-color photos of herbal plants along with a discussion of the role of botanicals in healthy aging. Written by Aviva Romm, an experienced herbalist, midwife, and physician, this unique guide is an essential resource for everyday practice of herbal medicine.
Winner of the 2010 American Botanical Council's James A. Duke Excellence in Botanical Literature Award!
- Current, evidence-based information covers more than 150 botanicals for over 35 different conditions.
- Case studies provide realistic scenarios and help you apply the content to the real world.
- Treatment and formula boxes summarize the most important information.
- Color illustrations and photographs of plants enable you to identify herbs visually as well as by substance make-up.
- Logical chapter organization begins with the principles of herbal medicine and then covers women’s health conditions organized chronologically by lifecycle, from teen and reproductive years to midlife and mature years.
- Appendices include practical, at-a-glance information on common botanical names, chemical constituents of medicinal plants, and a summary table of herbs for women's health.
- NEW! Updates reflect the latest research and the most current information.
- NEW Full-color design and detailed, professional color photos of plants make this a unique, essential resource.
- NEW! Coverage of the role of botanicals in healthy aging for women features phytoestrogens, Ayurvedic/Chinese herbs, and discussions of health promotion.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Botanical Medicine for Women’s Health | i | ||
| Copyright Page | ii | ||
| Dedication | iii | ||
| Foreword | iv | ||
| Foreword | vi | ||
| Preface | vii | ||
| THE NEED FOR THIS BOOK | vii | ||
| CONTRIBUTING AUTHORS | viii | ||
| IN CONCLUSION | viii | ||
| Acknowledgments | x | ||
| About the Author | xi | ||
| Table of Contents | xiii | ||
| I Foundations of Botanical Medicine | 1 | ||
| 1 - From Complementary and Alternative Medicine to Functional Medicine: Health Care’s Emerging Evolution | 1 | ||
| FROM ALTERNATIVE TO FUNCTIONAL MEDICINE: WHAT ARE WE TALKING ABOUT? | 1 | ||
| WHERE DO BOTANICAL MEDICINES FIT IN? | 3 | ||
| HOW WIDESPREAD IS CAM USE? | 3 | ||
| WHO USES CAM? | 4 | ||
| WHY ARE PATIENTS TURNING TO CAM? | 4 | ||
| FUNCTIONAL MEDICINE | 8 | ||
| 2 - History of Herbal Medicines for Women | 10 | ||
| WOMEN, HERBS, AND HEALTH REFORM:\rA HISTORICAL SUMMARY | 10 | ||
| WOMEN HEALERS THROUGHOUT HISTORY | 10 | ||
| Women Healers in Ancient Rome | 11 | ||
| Western Europe: The Middle Ages | 12 | ||
| WOMEN’S HEALTH MOVEMENTS | 14 | ||
| The Popular Health Movement | 14 | ||
| The Women’s Medical Movement | 14 | ||
| The Progressive Era | 14 | ||
| The Women’s Health/Self-Help Movement | 15 | ||
| Aphrodisiacs | 16 | ||
| Breast Abscesses/Breast Disease | 17 | ||
| Labor | 17 | ||
| Lactation | 17 | ||
| Menstruation | 18 | ||
| Amenorrhea | 18 | ||
| Dysmenorrhea | 19 | ||
| Excessive Menstrual Bleeding | 19 | ||
| 3 - Fundamental Principles of Herbal Medicine | 24 | ||
| THE EVIDENCE BASE FOR BOTANICAL MEDICINE | 24 | ||
| WHAT IS EVIDENCE-BASED MEDICINE? | 24 | ||
| Scientific Evidence | 25 | ||
| Problems with Conventional Research Methodologies for Botanical Therapies | 26 | ||
| Limits of Research and Research Biases | 27 | ||
| Expert Opinion | 27 | ||
| Historical and Traditional Evidence | 28 | ||
| Ethnobotanical Information | 28 | ||
| GENERAL ACTIONS | 30 | ||
| Adaptogens | 30 | ||
| Alteratives | 30 | ||
| Analgesics | 31 | ||
| Antiemetics/Antinauseants | 32 | ||
| Antiinflammatories | 32 | ||
| Salicylate-Containing | 33 | ||
| Steroid Precursors | 33 | ||
| Essential Oil–Rich | 33 | ||
| Resin-Containing | 33 | ||
| Antimicrobials | 34 | ||
| Antispasmodics/Spasmolytics | 34 | ||
| Astringents | 34 | ||
| Bitters | 35 | ||
| Cardiac Herbs | 37 | ||
| Carminatives | 37 | ||
| Cholagogues | 38 | ||
| Demulcents | 38 | ||
| Diuretics | 38 | ||
| Hepatics | 39 | ||
| Laxatives | 40 | ||
| Nervines | 40 | ||
| Nervine Tonics | 40 | ||
| Nervine Relaxants | 40 | ||
| Anxiolytics | 41 | ||
| Antidepressants | 41 | ||
| GYNECOLOGICAL AND OBSTETRIC ACTIONS | 42 | ||
| Aphrodisiacs | 42 | ||
| Emmenagogues | 42 | ||
| Galactagogues | 42 | ||
| Hormonal Modulators | 43 | ||
| Ovarian Tonics | 43 | ||
| Oxytocic or Partus Preparator | 43 | ||
| Phytoestrogen | 43 | ||
| Uterine Astringents/Antihemorrhagics | 44 | ||
| Uterine Antispasmodics | 44 | ||
| Uterine Circulatory Stimulant | 44 | ||
| Uterine Tonic | 44 | ||
| SELECTION CRITERIA | 45 | ||
| Prescribing for the Individual Patient’s Condition | 45 | ||
| The Herbal Medicine System | 45 | ||
| The Herbs and Their Actions | 46 | ||
| Availability of Herbs | 46 | ||
| Financial Considerations | 46 | ||
| Environmental Sustainability | 47 | ||
| Adherence and Obstacles to Commitment | 47 | ||
| FORMULATING | 48 | ||
| Establishing Therapeutic Goals and Priorities | 48 | ||
| The Structure of an Herbal Formula | 48 | ||
| Steps to Developing a Formula | 49 | ||
| Selecting the Herbs | 49 | ||
| Selecting Herb Strength When Using Tinctures | 50 | ||
| Putting It All Together | 50 | ||
| The Prescribing Schedule | 51 | ||
| PRESCRIPTION WRITING | 51 | ||
| PREPARATION FORMS | 52 | ||
| Powdered Herbs, Capsules, Tablets, and Pills | 52 | ||
| Liquid Extracts | 52 | ||
| Aqueous Extracts (Teas, Infusions, and Decoctions) | 54 | ||
| Syrups | 55 | ||
| Hydroethanolic Extracts (Tinctures and Fluid Extracts) | 55 | ||
| Glycerin Extracts (Glycerites) | 57 | ||
| Standardized Extracts | 57 | ||
| Concentrated Powdered Extracts (Granules) | 58 | ||
| Fluid Acetracts | 58 | ||
| Essential Oils | 59 | ||
| Supercritical Carbon Dioxide Extracts | 59 | ||
| Freeze-Dried Botanicals | 59 | ||
| Injectable Botanicals | 59 | ||
| Topical Applications | 60 | ||
| Creams | 60 | ||
| Salves and Ointments | 60 | ||
| Suppositories and Pessaries | 61 | ||
| Poultices and Compresses | 62 | ||
| Powder | 62 | ||
| 4 - Guidelines for Herbal Medicine Use | 64 | ||
| BOTANICAL MEDICINE SAFETY: GUIDELINES FOR PRACTITIONERS | 64 | ||
| Allergic and Idiosyncratic Reactions | 67 | ||
| Adverse Reactions Caused by Overdose | 67 | ||
| Reactions Caused by Specific Herbs and Toxic Compounds in Plants Discussed in This Textbook | 67 | ||
| Kava Kava (Piper methysticum) | 67 | ||
| Toxic Plants Not Typically Used | 68 | ||
| Pyrrolizidine Alkaloids | 68 | ||
| Aristolochic Acids | 68 | ||
| Ayurvedic Herbs and Heavy Metal Contamination | 70 | ||
| HERB–DRUG INTERACTIONS | 70 | ||
| Reports of Interactions | 73 | ||
| Categories of Herb–Drug (and Purported) Interactions | 73 | ||
| Anticoagulants | 73 | ||
| Anesthetics, Anticonvulsants, Barbiturates, Benzodiazepines, Opioids, and Sedatives | 74 | ||
| Cardiovascular Medications | 74 | ||
| Drugs Metabolized via the Cytochrome P450 System | 74 | ||
| Hypoglycemic Agents | 76 | ||
| Immune Suppressants and Immune-Enhancing Therapies | 77 | ||
| Diuretics | 77 | ||
| Tannins and Iron Availability | 77 | ||
| TIMING OF HERB USE | 78 | ||
| Use of Herbs Before Surgery | 78 | ||
| Use of Herbs in Pregnancy and Lactation | 78 | ||
| GUIDELINES FOR PRACTITIONERS | 79 | ||
| Emergency Room Personnel | 79 | ||
| Oncologists | 80 | ||
| CONCLUSION | 81 | ||
| ADDRESSING ETHICAL CONSIDERATIONS | 81 | ||
| GUIDELINES | 82 | ||
| Proper Identification | 83 | ||
| Harvest Times and Collection Practices | 84 | ||
| Plant Part | 84 | ||
| Purity | 84 | ||
| Strength | 84 | ||
| Composition | 84 | ||
| Limits on Contaminants | 84 | ||
| Labeling | 84 | ||
| ETHICAL CONSIDERATIONS | 85 | ||
| Sustainability | 85 | ||
| Efficacy | 85 | ||
| Helping Patients to Select Quality Products | 85 | ||
| II Every Woman’s Health | 87 | ||
| 5 - Endocrine Disorders and Adrenal Support | 87 | ||
| HYPOTHYROIDISM AND HYPERTHYROIDISM | 87 | ||
| HYPOTHYROIDISM | 87 | ||
| Pathophysiology | 87 | ||
| Primary Hypothyroidism | 88 | ||
| Subclinical Hypothyroidism | 88 | ||
| Secondary Hypothyroidism | 89 | ||
| Signs and Symptoms | 89 | ||
| Diagnosis | 89 | ||
| Conventional Treatment | 90 | ||
| Botanical Treatment | 90 | ||
| Adaptogens | 91 | ||
| Bladderwrack | 91 | ||
| Coleus | 91 | ||
| Guggul | 91 | ||
| Nutritional Considerations | 91 | ||
| Exercise | 92 | ||
| CASE HISTORY: HYPOTHYROIDISM | 92 | ||
| HYPERTHYROIDISM | 93 | ||
| Pathophysiology | 93 | ||
| Signs and Symptoms | 93 | ||
| Diagnosis | 94 | ||
| Conventional Treatment | 94 | ||
| Botanical Treatment | 94 | ||
| Bugleweed | 95 | ||
| Club Moss, Gromwell | 95 | ||
| Lemon Balm | 96 | ||
| Motherwort | 96 | ||
| Nutritional Considerations | 96 | ||
| Additional Therapies | 97 | ||
| CASE HISTORY: HYPERTHYROIDISM | 97 | ||
| EUSTRESS AND DISTRESS | 99 | ||
| DIFFERENTIAL DIAGNOSIS | 99 | ||
| Ashwagandha | 101 | ||
| Eleuthero | 102 | ||
| Ginseng (Panax ginseng; Panax quinquefolius) | 103 | ||
| Licorice | 106 | ||
| Rhaponticum carthamoides | 106 | ||
| Rhodiola rosea | 107 | ||
| Schisandra | 107 | ||
| ADDITIONAL THERAPIES | 108 | ||
| Dehydroepiandrosterone | 108 | ||
| Lifestyle and Reducing the Effects of Stress | 109 | ||
| PATHOPHYSIOLOGY | 110 | ||
| Estrogen Dominance | 111 | ||
| Insulin Resistance | 111 | ||
| Stress | 111 | ||
| SIGNS AND SYMPTOMS OF PCOS | 111 | ||
| Menstrual Irregularity | 111 | ||
| Hyperandrogenism | 111 | ||
| Obesity | 112 | ||
| Lipoprotein Profile | 112 | ||
| DIAGNOSIS | 112 | ||
| DIFFERENTIAL DIAGNOSIS | 112 | ||
| CONVENTIONAL TREATMENT APPROACHES | 112 | ||
| Irregular Menses | 113 | ||
| Hirsutism | 114 | ||
| Infertility | 114 | ||
| Oral Hypoglycemic Agents: Metformin | 114 | ||
| Surgical Treatment | 114 | ||
| Weight Management | 114 | ||
| BOTANICAL TREATMENT OF PCOS | 114 | ||
| Discussion of Botanicals | 114 | ||
| Adaptogens and Polycystic Ovary Syndrome | 114 | ||
| Blue Vervain | 115 | ||
| Chaste Berry | 115 | ||
| Gymnema | 115 | ||
| Peony (White) | 116 | ||
| Sarei-to | 116 | ||
| Tribulus | 116 | ||
| Black Cohosh | 116 | ||
| Cinnamon | 117 | ||
| NUTRITIONAL CONSIDERATIONS | 118 | ||
| Supplements | 118 | ||
| ADDITIONAL THERAPIES | 118 | ||
| Stress Management | 118 | ||
| Exercise | 118 | ||
| 6 - Sleep, Mood, and Sexual Function | 119 | ||
| INSOMNIA | 119 | ||
| DIAGNOSIS | 119 | ||
| CONVENTIONAL TREATMENT APPROACHES | 119 | ||
| Nonpharmacologic Treatment Strategies | 120 | ||
| California Poppy | 121 | ||
| Hops | 121 | ||
| Chamomile | 122 | ||
| Kava Kava | 122 | ||
| Lemon Balm | 122 | ||
| Lavender | 123 | ||
| Motherwort | 123 | ||
| Magnolia | 123 | ||
| Passionflower | 123 | ||
| Skullcap | 123 | ||
| Valerian | 124 | ||
| Ziziphus | 125 | ||
| NUTRITIONAL CONSIDERATIONS | 126 | ||
| DIAGNOSIS | 126 | ||
| CONVENTIONAL TREATMENT APPROACHES | 127 | ||
| Antidepressant Drugs | 127 | ||
| Albizzia | 128 | ||
| Ashwagandha | 129 | ||
| Bacopa | 129 | ||
| Black Cohosh | 129 | ||
| Crocus | 130 | ||
| Dong Quai | 130 | ||
| Eleuthero | 130 | ||
| Ginkgo | 130 | ||
| Gotu Kola | 131 | ||
| Holy Basil | 131 | ||
| Lavender | 131 | ||
| Motherwort | 132 | ||
| Peony | 132 | ||
| Rhodiola | 132 | ||
| Rosemary | 132 | ||
| Shatavari | 132 | ||
| St. John’s Wort | 133 | ||
| Research and Studies | 133 | ||
| Interactions | 135 | ||
| Prevalence of Use | 135 | ||
| Turmeric | 135 | ||
| NUTRITIONAL CONSIDERATIONS | 135 | ||
| Magnesium | 136 | ||
| S-adenosylmethionine | 136 | ||
| Omega-3 Fatty Acids | 136 | ||
| ADDITIONAL THERAPIES | 136 | ||
| Exercise | 136 | ||
| Relaxation and Stress Management | 136 | ||
| Light Therapy | 137 | ||
| Counseling | 137 | ||
| DIAGNOSIS | 138 | ||
| CONVENTIONAL TREATMENT APPROACHES | 138 | ||
| Black Cohosh | 138 | ||
| Chamomile | 139 | ||
| Kava Kava | 140 | ||
| Lavender | 140 | ||
| Lemon Balm | 141 | ||
| Passionflower | 141 | ||
| Skullcap | 141 | ||
| Valerian | 141 | ||
| ADDITIONAL THERAPIES | 141 | ||
| Mind–Body Medicine | 141 | ||
| Relaxation Techniques | 142 | ||
| FEMALE SEXUAL RESPONSE | 143 | ||
| The Physiology of Women’s Sexual Response | 143 | ||
| Phases of the Sexual Response | 143 | ||
| DIAGNOSIS | 144 | ||
| CONVENTIONAL TREATMENT APPROACHES | 144 | ||
| Proprietary Products | 144 | ||
| Decreased Libido | 145 | ||
| Damiana | 145 | ||
| Maca | 145 | ||
| Tribulus | 145 | ||
| Ginkgo | 145 | ||
| Additional Treatments | 145 | ||
| Vaginal Dryness | 145 | ||
| Depression and Sexual Dysfunction | 146 | ||
| Painful Intercourse | 146 | ||
| Orgasmic Dysfunction | 146 | ||
| Sexual Anxiety | 146 | ||
| Female Sexual Tonics | 146 | ||
| ADDITIONAL THERAPIES | 146 | ||
| 7 - Bone Health | 147 | ||
| OSTEOPOROSIS | 147 | ||
| RISK FACTORS | 147 | ||
| DIAGNOSIS | 148 | ||
| CONVENTIONAL TREATMENT | 149 | ||
| NONPHARMACOLOGIC APPROACHES | 149 | ||
| Nutrition | 149 | ||
| Calcium | 149 | ||
| Vitamin D | 149 | ||
| Vitamin K | 150 | ||
| Vitamin C | 150 | ||
| Fluoride | 150 | ||
| Magnesium | 150 | ||
| Vitamin A | 150 | ||
| Protein | 150 | ||
| Isoflavones | 150 | ||
| Ipriflavone | 150 | ||
| Exercise | 151 | ||
| Smoking Cessation | 151 | ||
| Alcohol Reduction | 151 | ||
| Pharmacologic Therapies | 151 | ||
| Bisphosphonates | 151 | ||
| Calcitonin | 152 | ||
| Calcitriol | 152 | ||
| Hormone Replacement Therapy | 152 | ||
| Selective Estrogen Receptor Modulators | 152 | ||
| Phytoestrogens: Soy, Red Clover, and Alfalfa | 152 | ||
| flax | 152 | ||
| Black Cohosh | 153 | ||
| Nettles | 154 | ||
| Milky Oats | 154 | ||
| Horsetail | 154 | ||
| Dandelion | 154 | ||
| Ginseng | 154 | ||
| Ginkgo | 154 | ||
| Green Tea | 155 | ||
| SUMMARY | 155 | ||
| 8 - Cardiovascular Health | 156 | ||
| PREVENTION OF CARDIOVASCULAR DISEASE | 156 | ||
| Symptoms | 157 | ||
| Diagnosis | 157 | ||
| Medications | 157 | ||
| Hormonal Replacement Therapy | 157 | ||
| Statins | 158 | ||
| Hypoglycemics | 159 | ||
| Antiplatelet Drugs | 159 | ||
| β-Blockers | 159 | ||
| Angiotensin-Converting Enzyme Inhibitors | 159 | ||
| Niacin | 159 | ||
| Procedural Interventions | 159 | ||
| Black Cohosh | 160 | ||
| Coleus | 160 | ||
| Cramp Bark | 161 | ||
| Dong Quai | 161 | ||
| Fenugreek | 161 | ||
| Garlic | 161 | ||
| Ginseng | 162 | ||
| Globe Artichoke | 162 | ||
| Guggul | 162 | ||
| Hawthorn | 162 | ||
| Hibiscus | 163 | ||
| Lily of the Valley | 163 | ||
| Motherwort | 163 | ||
| Red Clover | 163 | ||
| Salvia (Danshen) | 163 | ||
| NUTRITIONAL CONSIDERATIONS | 164 | ||
| Magnesium and Potassium | 165 | ||
| Arginine | 165 | ||
| Calcium | 165 | ||
| Coenzyme Q10 | 165 | ||
| Folic Acid and Vitamins B12 and B6 | 166 | ||
| Omega-3 Fatty Acids | 166 | ||
| Vitamin D | 166 | ||
| Grape Skin Products and Red Wine | 166 | ||
| ADDITIONAL THERAPIES | 166 | ||
| Smoking Cessation | 166 | ||
| Exercise | 166 | ||
| Mind–Body | 166 | ||
| Sleep | 166 | ||
| CASE HISTORY | 166 | ||
| CASE HISTORY—CONT’D | 167 | ||
| III Gynecologic Health | 168 | ||
| 9 - Menstrual Wellness and Menstrual Problems | 168 | ||
| MENSTRUAL HEALTH AND THE NORMAL MENSTRUAL CYCLE | 168 | ||
| WHAT IS NORMAL MENSTRUATION? | 169 | ||
| Diet/Nutrition | 170 | ||
| Weight | 171 | ||
| Exercise | 171 | ||
| Stress | 171 | ||
| Attitudes and Beliefs About Menstruation | 172 | ||
| Environmental/Work Exposures | 172 | ||
| Pheromones and Menstrual Synchrony | 172 | ||
| Ethnicity | 172 | ||
| PROMOTING HEALTHY MENSTRUATION | 172 | ||
| Diet, Nutrition, and Body Weight | 173 | ||
| Exercise | 173 | ||
| Stress | 173 | ||
| Attitudes and Beliefs About Menstruation | 174 | ||
| Environmental Exposures | 174 | ||
| Menstruation and Lunar Cycles | 175 | ||
| SUMMARY | 175 | ||
| COMMON PROBLEMS OF PUBERTY AND MENSTRUATION IN ADOLESCENT FEMALES AND THEIR BOTANICAL TREATMENTS | 179 | ||
| Mood Changes | 179 | ||
| The Botanical Practitioner’s Perspective | 179 | ||
| Discussion of Botanical Protocol | 179 | ||
| Additional Therapies | 180 | ||
| Dysmenorrhea in Adolescent Girls | 181 | ||
| Conventional Treatment Approaches | 181 | ||
| The Botanical Practitioner’s Perspective | 181 | ||
| Botanical Protocol | 181 | ||
| Additional Therapies | 181 | ||
| Menorrhagia in Adolescent Girls | 182 | ||
| Conventional Treatment Approaches | 183 | ||
| The Botanical Practitioner’s Perspective | 183 | ||
| Botanical Protocol | 183 | ||
| Additional Therapies | 183 | ||
| Amenorrhea in Adolescent Girls | 183 | ||
| Acne | 183 | ||
| PATHOPHYSIOLOGY | 183 | ||
| SIGNS AND SYMPTOMS OF ACNE | 184 | ||
| DIAGNOSIS | 184 | ||
| CONVENTIONAL TREATMENT | 184 | ||
| Oral Contraceptives | 184 | ||
| Oral Antibiotics and Retinoid Preparations | 184 | ||
| Topical Treatments | 184 | ||
| Botanical Treatment of Acne | 184 | ||
| Philosophic View | 184 | ||
| Discussion of Botanicals | 185 | ||
| Differential Topical Treatment: Dry versus Oily Skin | 189 | ||
| Facial Steams | 189 | ||
| Botanical Formulae for Acne | 189 | ||
| Nutritional Considerations | 189 | ||
| Additional Therapies | 191 | ||
| Hygiene | 191 | ||
| Stress Reduction and Counseling | 191 | ||
| PATHOPHYSIOLOGY | 191 | ||
| SIGNS AND SYMPTOMS OF AMENORRHEA | 191 | ||
| DIAGNOSIS | 191 | ||
| Differential Diagnosis | 192 | ||
| CONVENTIONAL TREATMENT APPROACHES | 192 | ||
| Primary Amenorrhea | 192 | ||
| Secondary Amenorrhea | 192 | ||
| BOTANICAL TREATMENT OF AMENORRHEA | 192 | ||
| Discussion of Botanicals | 194 | ||
| Blue Cohosh | 194 | ||
| Chaste Berry | 195 | ||
| Cotton Root Bark | 195 | ||
| Dong Quai | 195 | ||
| Ginger | 196 | ||
| Motherwort | 196 | ||
| Mugwort and Artemisia Spp | 196 | ||
| Schisandra | 196 | ||
| White Peony | 197 | ||
| Additional Therapies | 198 | ||
| PATHOPHYSIOLOGY | 199 | ||
| SIGNS AND SYMPTOMS | 199 | ||
| DIAGNOSIS | 199 | ||
| Differential Diagnosis | 199 | ||
| CONVENTIONAL TREATMENT | 200 | ||
| Prostaglandin Synthetase Inhibitors | 200 | ||
| Oral Contraceptives | 200 | ||
| Nonsteroidal Antiinflammatory Drugs | 200 | ||
| Discussion of Botanicals | 201 | ||
| Black Cohosh | 201 | ||
| Blue Cohosh | 201 | ||
| Chamomile | 201 | ||
| Chaste Berry | 202 | ||
| Corydalis | 202 | ||
| Cramp Bark/Black Haw | 202 | ||
| Dong Quai | 202 | ||
| Fennel | 203 | ||
| Fenugreek | 203 | ||
| Ginger | 203 | ||
| Jamaican Dogwood | 204 | ||
| Licorice | 204 | ||
| Motherwort | 204 | ||
| Pulsatilla | 204 | ||
| Valerian | 205 | ||
| White Peony | 205 | ||
| Wild Yam | 205 | ||
| Yarrow | 205 | ||
| Other Herbs | 205 | ||
| Bromelain | 205 | ||
| NUTRITIONAL CONSIDERATIONS | 206 | ||
| Magnesium | 206 | ||
| Calcium | 207 | ||
| Vitamin D | 208 | ||
| Vitamin E | 208 | ||
| ADDITIONAL THERAPIES | 208 | ||
| Aromatherapy | 208 | ||
| Stress Management and Visualization | 208 | ||
| Yoga, Exercise, and Massage Therapy | 208 | ||
| PATHOPHYSIOLOGY | 210 | ||
| DIAGNOSIS | 211 | ||
| DIFFERENTIAL DIAGNOSIS | 212 | ||
| CONVENTIONAL TREATMENT APPROACHES | 213 | ||
| Hormonal Treatments | 213 | ||
| Diuretics | 214 | ||
| Antidepressants | 214 | ||
| Dietary Supplements | 214 | ||
| Surgery | 214 | ||
| BOTANICAL TREATMENT OF PMS AND PMDD | 214 | ||
| Hormonal Modulation | 215 | ||
| Mood Changes | 215 | ||
| Improve the Stress Response | 216 | ||
| Premenstrual Pain | 216 | ||
| Sugar Cravings | 216 | ||
| Premenstrual Syndrome with Fluid Retention | 216 | ||
| Premenstrual Dysphoric Disorder | 217 | ||
| DISCUSSION OF BOTANICALS | 217 | ||
| Hormonal Modulation | 217 | ||
| Black Cohosh | 217 | ||
| Chaste Berry | 217 | ||
| Adaptogens | 218 | ||
| Anxiolytics, Nervines, and Antidepressants | 219 | ||
| Chamomile | 219 | ||
| Kava kava | 219 | ||
| Lavender | 219 | ||
| Motherwort | 219 | ||
| St. John’s Wort | 219 | ||
| Antiinflammatory Herbs | 220 | ||
| Evening Primrose Oil | 220 | ||
| Ginkgo | 220 | ||
| Bitters and Hepatic Tonics | 220 | ||
| NUTRITIONAL CONSIDERATIONS | 221 | ||
| Reduction in Coffee and Sugar | 222 | ||
| Calcium | 222 | ||
| Vitamin B6 | 222 | ||
| Magnesium | 222 | ||
| Tryptophan | 222 | ||
| Essential Fatty Acids | 222 | ||
| Reduction in Saturated Fat Consumption | 223 | ||
| Increasing Dietary Fiber | 223 | ||
| ADDITIONAL THERAPIES | 223 | ||
| Lifestyle | 223 | ||
| Exercise | 223 | ||
| Yoga | 223 | ||
| Massage Therapy | 223 | ||
| Progressive Relaxation and Guided Imagery | 223 | ||
| Psychosocial | 224 | ||
| Cognitive Therapies | 224 | ||
| Psychotherapy/Counseling | 224 | ||
| PATHOPHYSIOLOGY | 225 | ||
| SYMPTOMS OF MIGRAINE | 225 | ||
| DIAGNOSIS | 225 | ||
| DIFFERENTIAL DIAGNOSIS | 225 | ||
| CONVENTIONAL TREATMENT APPROACHES | 226 | ||
| Prevention | 226 | ||
| Nonpharmacologic Treatment | 226 | ||
| Pharmacologic Treatment | 226 | ||
| DISCUSSION OF BOTANICALS | 227 | ||
| Hormone Modulators | 227 | ||
| Chaste berry | 227 | ||
| Antiinflammatories | 227 | ||
| Butterbur | 227 | ||
| Feverfew | 229 | ||
| Antiemetics | 229 | ||
| Ginger | 229 | ||
| Peppermint | 230 | ||
| Analgesics | 230 | ||
| Corydalis | 230 | ||
| Cramp Bark/Black Haw | 230 | ||
| Jamaican Dogwood | 230 | ||
| Kava Kava | 230 | ||
| Peppermint | 231 | ||
| Pulsatilla | 231 | ||
| Willow | 231 | ||
| Nervines/Antispasmodics | 232 | ||
| Black Cohosh | 232 | ||
| Lavender | 232 | ||
| Sedatives | 232 | ||
| Adaptogens | 232 | ||
| Antidepressants/Anxiolytics | 233 | ||
| External Treatments for Headache and Migraine | 233 | ||
| Peppermint and Lavender Oil Compresses | 233 | ||
| Warm Ginger Compresses | 233 | ||
| Tiger Balm Herbal Salve | 233 | ||
| NUTRITIONAL CONSIDERATIONS | 233 | ||
| Magnesium | 233 | ||
| Coenzyme Q10 | 233 | ||
| Vitamin D and Calcium | 235 | ||
| Essential Fatty Acids | 235 | ||
| ADDITIONAL THERAPIES | 235 | ||
| Exercise | 235 | ||
| Body Work | 235 | ||
| Spinal Manipulation and Massage Therapy | 235 | ||
| Behavioral Modification | 235 | ||
| 10 - Dysfunctional Uterine Bleeding | 236 | ||
| PATHOPHYSIOLOGY | 236 | ||
| Ovulatory Dysfunctional Uterine Bleeding | 237 | ||
| Anovulatory Dysfunctional Uterine Bleeding | 237 | ||
| SUMMARY OF ETIOLOGIES AS ASSOCIATED WITH LIFE STAGES | 237 | ||
| Adolescence | 237 | ||
| Reproductive Age | 237 | ||
| Polycystic Ovarian Syndrome | 238 | ||
| Perimenopausal Years | 238 | ||
| Postmenopausal Years | 238 | ||
| DIAGNOSIS | 238 | ||
| DIFFERENTIAL DIAGNOSIS | 238 | ||
| CONVENTIONAL TREATMENT APPROACHES | 238 | ||
| DISCUSSION OF BOTANICALS | 239 | ||
| Botanicals for Hormonal Regulation | 240 | ||
| Chaste Berry | 240 | ||
| White Peony | 241 | ||
| Uterine Hemostatics | 241 | ||
| Erigeron | 241 | ||
| Shepherd’s Purse | 241 | ||
| Tienchi Ginseng | 241 | ||
| Witch Hazel | 241 | ||
| Yarrow | 241 | ||
| Other Uterine Hemostatics | 242 | ||
| Vitamin K | 242 | ||
| Essential Fatty Acids | 244 | ||
| Vitamins C, A, and E | 244 | ||
| Iron | 244 | ||
| Additional Therapies | 244 | ||
| 11 - Breasts, Uterus, and Pelvis | 245 | ||
| UTERINE FIBROIDS | 245 | ||
| PATHOPHYSIOLOGY | 245 | ||
| SYMPTOMS | 246 | ||
| DIAGNOSIS | 246 | ||
| CONVENTIONAL TREATMENT | 246 | ||
| BOTANICAL TREATMENT | 247 | ||
| Traditional Chinese Medicine Treatment | 247 | ||
| Cinnamon and Peony | 247 | ||
| Hormonal Modulators | 249 | ||
| Chaste Berry | 249 | ||
| Black Cohosh | 249 | ||
| Hormone Excretion and Biotransformation | 250 | ||
| Uterine Tonics, Astringents, and Hemostatics | 250 | ||
| Antioxidants | 250 | ||
| Green tea | 250 | ||
| Relieving Uterine Stasis: Circulatory Stimulants | 251 | ||
| CASE HISTORY: UTERINE FIBROIDS | 251 | ||
| NUTRITIONAL CONSIDERATIONS | 251 | ||
| Obesity/Weight Management | 251 | ||
| Xenoestrogens/Endocrine Disruptors | 251 | ||
| Estrogen Biotransformation and Diet | 251 | ||
| Dietary Fiber | 252 | ||
| Dietary Antioxidants | 252 | ||
| ADDITIONAL THERAPIES | 252 | ||
| PATHOPHYSIOLOGY | 253 | ||
| DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS | 253 | ||
| CONVENTIONAL TREATMENT | 253 | ||
| BOTANICAL TREATMENT | 254 | ||
| Chaste Berry | 254 | ||
| Dong Quai and Blue Cohosh | 255 | ||
| Flax Seed and Evening Primrose Oil | 255 | ||
| Red Clover | 256 | ||
| Topical Applications | 256 | ||
| Castor Oil | 256 | ||
| Poke Root | 256 | ||
| NUTRITIONAL CONSIDERATIONS | 257 | ||
| Elimination of Coffee, Tea, and Other Caffeinated Products | 257 | ||
| Vitamin E and B6 Supplementation | 257 | ||
| ADDITIONAL THERAPIES | 258 | ||
| Exercise | 258 | ||
| Supportive Clothing | 258 | ||
| Stress Reduction | 258 | ||
| SYMPTOMS | 259 | ||
| DIAGNOSIS | 260 | ||
| CONVENTIONAL TREATMENT APPROACHES | 260 | ||
| BOTANICAL TREATMENT | 261 | ||
| DISCUSSION OF BOTANICALS | 261 | ||
| Immunomodulation | 263 | ||
| Antiinflammatories and Antioxidants | 263 | ||
| Devil’s Claw | 264 | ||
| Dong Quai | 264 | ||
| Echinacea | 264 | ||
| Feverfew | 264 | ||
| Ginger | 264 | ||
| Gotu Kola | 264 | ||
| Green Tea | 265 | ||
| Licorice, Calendula, and St. John’s Wort | 265 | ||
| Peony and Rehmannia | 265 | ||
| Sour Cherries and Raspberry Fruit | 265 | ||
| Hormonal Modulation | 265 | ||
| Black Cohosh | 266 | ||
| Blue Vervain | 266 | ||
| Chaste Berry | 266 | ||
| Cotton Root | 266 | ||
| Pine Bark Extract | 267 | ||
| St. John’s Wort | 267 | ||
| Hepatics, Aperients, and Cholagogues | 267 | ||
| Uterotonics and Emmenagogues | 267 | ||
| NUTRITIONAL CONSIDERATIONS | 268 | ||
| Fatty Acid Supplements | 268 | ||
| Melatonin | 268 | ||
| N-acetylcysteine | 268 | ||
| ADDITIONAL THERAPIES | 268 | ||
| Lifestyle Management | 268 | ||
| Exercise | 268 | ||
| SYMPTOMS | 269 | ||
| DIAGNOSIS | 269 | ||
| DIFFERENTIAL DIAGNOSIS | 269 | ||
| CONVENTIONAL TREATMENT APPROACHES | 269 | ||
| BOTANICAL TREATMENT | 270 | ||
| Analgesia | 271 | ||
| Black Cohosh | 271 | ||
| California Poppy | 272 | ||
| Corydalis | 273 | ||
| Cramp Bark and Black Haw | 273 | ||
| Jamaican Dogwood | 273 | ||
| Kava Kava | 273 | ||
| Pulsatilla | 273 | ||
| Black Cohosh, Cramp Bark, and Black Haw | 274 | ||
| Dong Quai and Peony | 274 | ||
| Marijuana | 274 | ||
| Motherwort | 275 | ||
| Wild Yam and Ginger | 275 | ||
| Yarrow | 275 | ||
| Antidepressants and Anxiolytics | 275 | ||
| Adaptogens | 275 | ||
| Antiinflammatories | 275 | ||
| Dong Quai | 275 | ||
| Evening Primrose Oil | 276 | ||
| Feverfew | 276 | ||
| Ginger | 276 | ||
| Licorice | 276 | ||
| Peony and Rehmannia | 276 | ||
| Uterine Tonics: Venotonics | 276 | ||
| FORMULAE FOR CPP TREATMENT | 277 | ||
| DIETARY CONSIDERATIONS | 277 | ||
| ADDITIONAL THERAPIES | 277 | ||
| Muscle Relaxation and Reeducation, Biofeedback, and Electrical Stimulation | 277 | ||
| Uterine Displacement–Mayan Uterine Massage | 278 | ||
| DIAGNOSIS | 279 | ||
| CONVENTIONAL TREATMENT APPROACHES | 279 | ||
| BOTANICAL AND NATUROPATHIC TREATMENT | 279 | ||
| An Herbalist’s Approach to Cervical Dysplasia | 280 | ||
| Botanical Treatment Program for Cervical Dysplasia | 280 | ||
| Internal Formula for Immune Support: Antiviral, Antiinflammatory, and Adaptogenic Effects | 280 | ||
| Suppository for Cervical Dysplasia/HPV Infection | 280 | ||
| Discussion of Botanicals | 281 | ||
| Blood Root | 281 | ||
| Broccoli Sprouts, Diindolylmethane, and Indole-3-Carbinole | 281 | ||
| Bromelain | 282 | ||
| Calendula | 282 | ||
| Green Tea | 282 | ||
| Goldenseal | 282 | ||
| Licorice | 283 | ||
| Lomatium | 283 | ||
| Marshmallow | 283 | ||
| Myrrh | 283 | ||
| Oregano and Thyme | 283 | ||
| Reishi | 284 | ||
| Thuja | 285 | ||
| Turmeric | 285 | ||
| SUMMARY | 285 | ||
| 12 - Vaginal and Sexually Transmitted Infections | 287 | ||
| VULVOVAGINITIS AND COMMON VAGINAL INFECTIONS | 287 | ||
| BACTERIAL VAGINOSIS | 287 | ||
| Symptoms | 288 | ||
| Diagnosis | 288 | ||
| Risks for Developing Bacterial Vaginosis | 288 | ||
| Risks Associated with Bacterial Vaginosis | 289 | ||
| Conventional Treatment of Bacterial Vaginosis | 289 | ||
| VULVOVAGINAL CANDIDIASIS | 289 | ||
| Symptoms | 289 | ||
| IV Fertility and the Childbearing Cycle | 351 | ||
| 15 - Pregnancy and Botanical Medicine Use and Safety | 351 | ||
| PREVALENCE OF HERB USE DURING PREGNANCY | 351 | ||
| USING HERBS DURING PREGNANCY | 354 | ||
| Abortifacients and Emmenagogues | 354 | ||
| Essential Oils and Volatile Oils | 355 | ||
| Teratogens and Mutagens | 355 | ||
| Alkaloids | 356 | ||
| Laxatives | 356 | ||
| Phytoestrogens | 356 | ||
| Nervous System Stimulants/Depressants | 356 | ||
| A WORD ABOUT PARTUS PREPARATORS | 356 | ||
| Internal Forms of Herbal Medicines | 361 | ||
| External Forms of Herbal Medicines | 361 | ||
| SUMMARY | 362 | ||
| 16 - Fertility Challenges | 363 | ||
| FEMALE FACTORS AFFECTING FERTILITY | 363 | ||
| MALE FACTORS AFFECTING FERTILITY | 363 | ||
| DIAGNOSIS | 363 | ||
| Evaluation of Male Factors | 363 | ||
| Evaluation of Female Factors | 364 | ||
| Mutual Fertility Testing | 364 | ||
| Basal Body Temperature Monitoring | 365 | ||
| Interpretation of the Basal Body Temperature | 365 | ||
| Monitoring Cervical Mucus Changes | 365 | ||
| The Texture and Shape of the Cervix | 365 | ||
| CONVENTIONAL TREATMENT APPROACHES | 365 | ||
| Ovulatory Factors | 366 | ||
| Ovarian Stimulation Therapy | 366 | ||
| Pelvic Factors | 366 | ||
| Cervical Factors | 367 | ||
| Unexplained Infertility | 367 | ||
| DISCUSSION OF BOTANICAL PROTOCOL | 368 | ||
| Black Cohosh | 368 | ||
| Chaste Berry | 368 | ||
| Dong Quai | 369 | ||
| False Unicorn | 369 | ||
| Goldenseal | 369 | ||
| Saw Palmetto | 369 | ||
| Shatavari | 369 | ||
| Tribulus | 369 | ||
| White Peony | 370 | ||
| Wild Yam | 370 | ||
| Immune Support | 371 | ||
| NUTRITIONAL CONSIDERATIONS | 371 | ||
| Antioxidants | 371 | ||
| Omega-3/Polyunsaturated Fatty Acids | 372 | ||
| Vitamin D | 372 | ||
| ADDITIONAL THERAPIES | 372 | ||
| Stress Management and the Mind–Body Approach | 372 | ||
| Acupuncture and Traditional Chinese Medicine | 374 | ||
| 17 - Pregnancy: First Trimester | 376 | ||
| PREGNANCY CARE AND PRENATAL WELLNESS | 376 | ||
| HERBS AS PART OF PREGNANCY WELLNESS | 376 | ||
| CAUSES OF MISCARRIAGE | 377 | ||
| SIGNS AND SYMPTOMS OF MISCARRIAGE | 377 | ||
| DIAGNOSIS | 378 | ||
| DIFFERENTIAL DIAGNOSIS | 378 | ||
| CATEGORIES OF MISCARRIAGE | 378 | ||
| Threatened Abortion | 378 | ||
| Inevitable Abortion | 378 | ||
| Incomplete Abortion | 379 | ||
| Complete Abortion | 379 | ||
| Missed Abortion | 379 | ||
| Habitual (or Recurrent) Abortion | 379 | ||
| CONVENTIONAL TREATMENT APPROACHES | 379 | ||
| Black Haw, Cramp Bark, and Wild Yam | 381 | ||
| Chaste Tree | 381 | ||
| DIAGNOSIS | 383 | ||
| Nutrition: Food and Fluids | 384 | ||
| Trigger Avoidance | 384 | ||
| Protein and Carbohydrates | 384 | ||
| Fluids | 384 | ||
| Nutritive Enemas | 384 | ||
| Intravenous Fluid and Nutrient Replacement | 385 | ||
| Nutrient Supplements | 385 | ||
| Acupuncture/Acupressure | 385 | ||
| Aromatherapy | 386 | ||
| Hypnosis and Psychotherapy | 386 | ||
| Ginger | 386 | ||
| Peppermint | 387 | ||
| Black Horehound | 388 | ||
| Wild Yam | 388 | ||
| Dandelion Root | 389 | ||
| Cannabis | 389 | ||
| 18 - Pregnancy: Second Trimester | 391 | ||
| HEARTBURN (GASTROESOPHAGEAL REFLUX) IN PREGNANCY | 391 | ||
| DIAGNOSIS | 391 | ||
| CONVENTIONAL TREATMENT APPROACHES | 391 | ||
| BOTANICAL TREATMENT | 392 | ||
| Discussion of Botanicals | 392 | ||
| Almonds | 392 | ||
| Marshmallow Root | 392 | ||
| Slippery Elm | 393 | ||
| SYMPTOMS | 393 | ||
| DIAGNOSIS | 393 | ||
| DIFFERENTIAL DIAGNOSIS | 394 | ||
| CONVENTIONAL TREATMENT | 394 | ||
| Diet | 394 | ||
| Iron Supplements | 394 | ||
| BOTANICAL TREATMENT | 394 | ||
| Floradix Iron + Herbs | 395 | ||
| Nettles | 395 | ||
| Yellow Dock and Dandelion Root Iron Tonic | 395 | ||
| Alfalfa | 395 | ||
| CASE HISTORY | 396 | ||
| SIGNS AND SYMPTOMS | 396 | ||
| MEDICAL TREATMENT | 397 | ||
| BOTANICAL TREATMENT | 397 | ||
| 19 - Pregnancy: Third Trimester | 398 | ||
| CONSTIPATION DURING PREGNANCY | 398 | ||
| DIAGNOSIS | 398 | ||
| Fiber Supplementation: Bulk-Forming Laxatives | 398 | ||
| Osmotic Laxatives | 399 | ||
| Stimulant Laxatives | 399 | ||
| BOTANICAL TREATMENT FOR CONSTIPATION | 399 | ||
| Discussion of Botanicals for Constipation During Pregnancy | 399 | ||
| Prunes (Dried Plum) | 399 | ||
| Psyllium Seed and Husk | 400 | ||
| Senna Leaf and Pod | 400 | ||
| Yellow Dock Root | 400 | ||
| Licorice Root | 401 | ||
| CASE HISTORY | 401 | ||
| Preeclampsia | 402 | ||
| Diuretics | 403 | ||
| Salt Restriction | 403 | ||
| Antihypertensive Medication | 403 | ||
| Aspirin | 403 | ||
| Calcium | 403 | ||
| Vitamins C and E | 403 | ||
| Chronic Hypertension | 403 | ||
| Gestational (Transient) Hypertension | 404 | ||
| Cramp Bark and Black Haw | 404 | ||
| Garlic | 404 | ||
| Hawthorn | 405 | ||
| Reishi | 405 | ||
| ADDITIONAL THERAPIES | 406 | ||
| Nutritional Considerations | 406 | ||
| Exercise and Stress Management | 406 | ||
| DIAGNOSIS | 407 | ||
| CONVENTIONAL TREATMENT APPROACHES | 407 | ||
| BOTANICAL TREATMENT OF GROUP B STREPTOCOCCUS | 408 | ||
| Choosing to Use Botanical Therapies for Reducing Group B Streptococcus Infection During Pregnancy | 408 | ||
| Botanical Protocol for Group B Streptococcus | 409 | ||
| Discussion of Botanical Protocol for Group B Streptococcus | 410 | ||
| Immunomodulators | 410 | ||
| Topical Antimicrobial Treatment | 411 | ||
| NUTRITIONAL CONSIDERATIONS | 411 | ||
| Probiotics | 411 | ||
| ADDITIONAL THERAPIES | 411 | ||
| CASE HISTORY | 411 | ||
| DIAGNOSIS | 412 | ||
| DIFFERENTIAL DIAGNOSIS | 412 | ||
| BOTANICAL TREATMENT OF PUPPP | 412 | ||
| Topical Applications | 413 | ||
| Baking Soda Paste | 413 | ||
| Chamomile | 413 | ||
| Chinese Skullcap | 414 | ||
| Gotu Kola | 414 | ||
| Oatmeal Baths | 414 | ||
| St. John’s Wort | 414 | ||
| Witch Hazel, Aloe Vera | 415 | ||
| Internal Use | 415 | ||
| California Poppy, Passionflower | 415 | ||
| Dandelion Root, Yellow Dock | 415 | ||
| Licorice | 415 | ||
| Milky Oats | 415 | ||
| Nettle Leaf | 415 | ||
| NUTRITIONAL CONSIDERATIONS | 416 | ||
| Essential Fatty Acids | 416 | ||
| Arnica | 416 | ||
| Bilberry | 417 | ||
| Horse Chestnut | 417 | ||
| Nettle Leaf | 418 | ||
| Pine Bark Extract | 418 | ||
| Witch Hazel, Black Tea, White Oak, Yarrow | 418 | ||
| Food Sources of Rutin | 419 | ||
| Chamomile | 421 | ||
| Cramp Bark/Black Haw | 421 | ||
| Lavender | 421 | ||
| Lemon Balm | 422 | ||
| ADDITIONAL THERAPIES | 422 | ||
| Nutritional Considerations | 422 | ||
| CASE HISTORY | 422 | ||
| REASONS FOR BREECH PRESENTATION | 423 | ||
| BOTANICAL TREATMENT OPTIONS FOR TURNING A BREECH PRESENTATION | 424 | ||
| Moxibustion for Breech Presentation | 424 | ||
| ADDITIONAL TECHNIQUES | 425 | ||
| Postural Management of Breech Presentation | 425 | ||
| Hypnosis | 425 | ||
| Other | 426 | ||
| 20 - Labor and Birth | 427 | ||
| FACILITATING LABOR: INDUCTION, AUGMENTATION, AND DYSFUNCTIONAL LABOR | 427 | ||
| MEDICAL APPROACHES TO LABOR INDUCTION AND AUGMENTATION | 427 | ||
| Oxytocin Induction | 428 | ||
| Stripping the Membranes | 428 | ||
| Artificial Rupture of Membranes | 428 | ||
| Prostaglandins | 428 | ||
| Mechanical Stimulation Methods | 429 | ||
| Castor Oil | 431 | ||
| Blue Cohosh | 431 | ||
| Cotton Root | 433 | ||
| Red Raspberry | 433 | ||
| Evening Primrose Oil | 434 | ||
| Black Cohosh | 434 | ||
| Motherwort | 434 | ||
| Cramp Bark/Black Haw | 435 | ||
| ADDITIONAL METHODS OF FACILITATING LABOR | 435 | ||
| Nipple Stimulation | 435 | ||
| Sexual Intercourse | 435 | ||
| Acupuncture | 435 | ||
| Homeopathy | 436 | ||
| Walking and Positional Changes | 436 | ||
| LABOR STIMULATION PROTOCOL | 437 | ||
| PSYCHOLOGICAL PREPARATION FOR LABOR | 440 | ||
| CONTINUOUS LABOR SUPPORT | 440 | ||
| VARIOUS POSITIONS | 441 | ||
| MASSAGE | 441 | ||
| HYDROTHERAPY | 442 | ||
| AROMATHERAPY | 443 | ||
| HERBS FOR PAIN RELIEF | 443 | ||
| STERILE WATER INJECTIONS | 443 | ||
| BIOFEEDBACK | 444 | ||
| ACUPUNCTURE | 444 | ||
| HYPNOSIS | 445 | ||
| YOGA | 445 | ||
| 21 - The Postpartum | 446 | ||
| POSTPARTUM CARE OF THE MOTHER | 446 | ||
| WHAT IS THE POSTPARTUM? | 446 | ||
| THE USE OF HERBS FOR POSTPARTUM CARE | 447 | ||
| COMMON POSTPARTUM COMPLAINTS | 448 | ||
| After Pains | 448 | ||
| ETIOLOGY AND RISK FACTORS FOR PPD | 448 | ||
| PREVENTION OF POSTPARTUM DEPRESSION | 451 | ||
| CONVENTIONAL TREATMENT APPROACHES | 451 | ||
| Adaptogens | 452 | ||
| FORMULAE FOR POSTPARTUM DEPRESSION | 456 | ||
| NUTRITIONAL CONSIDERATIONS | 456 | ||
| Essential Fatty Acids | 456 | ||
| Massage for Mom and Baby | 457 | ||
| Aromatherapy | 458 | ||
| CASE HISTORY: POSTPARTUM DEPRESSION | 458 | ||
| PREVENTION OF PERINEAL TEARS | 460 | ||
| Prenatal Perineal Massage | 461 | ||
| Lavender | 463 | ||
| 22 - Breastfeeding and Botanical Medicine | 464 | ||
| BREASTFEEDING AND HERBS: A COMPREHENSIVE REVIEW OF SAFETY CONSIDERATIONS AND BREASTFEEDING CONCERNS FOR THE MOTHER–INFANT DYAD | 464 | ||
| HERBS AND BREASTFEEDING | 464 | ||
| RISKS | 467 | ||
| Risks of Medications | 467 | ||
| Herb Risk to the Child | 469 | ||
| The Pregnancy and Lactation Confusion | 469 | ||
| Maternal Plant Use and Risks to the Infant | 470 | ||
| External Use of Herbs on the Breast and Nipple | 472 | ||
| Risks to the Mother | 472 | ||
| Risks and Benefits of Lactation-Modulating Herbs | 473 | ||
| Risks to Lactation | 473 | ||
| Herbs That Influence Prolactin | 474 | ||
| A Note About Alcohol and Tinctures | 475 | ||
| Weight Loss and the Infamous Ephedra Dilemma | 476 | ||
| SORE, CRACKED NIPPLES | 476 | ||
| General Prevention and Treatment | 477 | ||
| Medical Treatment | 477 | ||
| Herbal Treatment | 477 | ||
| Discussion of Botanicals | 477 | ||
| Calendula | 477 | ||
| Chamomile | 478 | ||
| Comfrey | 478 | ||
| Goldenseal | 478 | ||
| Green Tea | 478 | ||
| Myrrh | 478 | ||
| St. John’s Wort | 478 | ||
| Tea Tree | 478 | ||
| BREAST ENGORGEMENT | 479 | ||
| General Prevention and Treatment | 479 | ||
| Medical Treatment | 479 | ||
| V The Empowered Years: Menopausal Health | 485 | ||
| 23 - Menopausal Health | 485 | ||
| PERIMENOPAUSE AND MENOPAUSE: AN OVERVIEW | 485 | ||
| WHAT IS MENOPAUSE? | 485 | ||
| SYMPTOMS OF PERI/MENOPAUSE FOR WHICH WOMEN COMMONLY SEEK HERBAL CARE | 486 | ||
| HERBAL STRATEGIES: AN OVERVIEW | 487 | ||
| Hot Flashes and Night Sweats | 487 | ||
| Memory Problems | 487 | ||
| Insomnia | 487 | ||
| Heart Palpitations | 487 | ||
| Depression and Anxiety | 487 | ||
| Vaginal Dryness | 488 | ||
| Heavy Bleeding | 488 | ||
| SUMMARY | 488 | ||
| THE MEDICALIZATION OF MENOPAUSE | 489 | ||
| MENOPAUSE SUPPORT GROUPS | 490 | ||
| Nourishing Herbal Infusions | 490 | ||
| Supporting the Adrenals | 491 | ||
| Phytoestrogens and Menopause | 491 | ||
| A FEW WORDS ON EXERCISE | 491 | ||
| SUMMARY | 491 | ||
| CONVENTIONAL TREATMENT APPROACHES | 493 | ||
| Osteoporosis | 493 | ||
| Colorectal Cancer | 493 | ||
| Cardiac Disease | 493 | ||
| Thromboembolic Disease | 494 | ||
| Endometrial Cancer | 494 | ||
| Breast Cancer | 494 | ||
| Mood and Cognitive Changes | 494 | ||
| NATURAL HORMONES | 495 | ||
| PROGESTERONE | 495 | ||
| Red Clover | 496 | ||
| Dong Quai | 497 | ||
| Black Cohosh | 497 | ||
| Evening Primrose Oil | 498 | ||
| Panax Ginseng | 498 | ||
| Soy | 498 | ||
| ADDITIONAL THERAPIES | 499 | ||
| CASE HISTORY | 499 | ||
| Appendices | 500 | ||
| I - Common and Botanical Medicine Names Quick Reference Dose Chart | 500 | ||
| II - Chemical Constituents of Medicinal Plants | 504 | ||
| SYNERGY AND VARIABILITY | 504 | ||
| CONSTITUENT CLASSIFICATION | 505 | ||
| A Word About Glycosides | 505 | ||
| Herbal Constituent Categories | 505 | ||
| SOLUBILITY | 510 | ||
| III - Summary Table of Herbs for Women’s Health | 511 | ||
| Bibliography | 554 | ||
| CHAPTER 1 | 554 | ||
| CHAPTER 2 | 555 | ||
| CHAPTER 3 | 555 | ||
| FURTHER READING | 556 | ||
| CHAPTER 4 | 556 | ||
| CHAPTER 5 | 558 | ||
| CHAPTER 6 | 563 | ||
| CHAPTER 7 | 574 | ||
| CHAPTER 8 | 576 | ||
| CHAPTER 9 | 577 | ||
| CHAPTER 10 | 585 | ||
| CHAPTER 11 | 586 | ||
| CHAPTER 12 | 592 | ||
| CHAPTER 13 | 596 | ||
| CHAPTER 14 | 599 | ||
| CHAPTER 15 | 600 | ||
| CHAPTER 16 | 601 | ||
| CHAPTER 17 | 602 | ||
| CHAPTER 18 | 605 | ||
| CHAPTER 19 | 606 | ||
| CHAPTER 20 | 610 | ||
| CHAPTER 21 | 613 | ||
| CHAPTER 22 | 615 | ||
| CHAPTER 23 | 618 | ||
| Index | 623 | ||
| A | 623 | ||
| B | 625 | ||
| C | 628 | ||
| D | 631 | ||
| E | 632 | ||
| F | 634 | ||
| G | 635 | ||
| H | 636 | ||
| I | 639 | ||
| J | 641 | ||
| K | 641 | ||
| L | 641 | ||
| M | 642 | ||
| N | 644 | ||
| O | 645 | ||
| P | 646 | ||
| Q | 650 | ||
| R | 650 | ||
| S | 651 | ||
| T | 652 | ||
| U | 653 | ||
| V | 654 | ||
| W | 655 | ||
| X | 656 | ||
| Y | 656 | ||
| Z | 656 |