Botanical Medicine for Women's Health PDF
Preview Botanical Medicine for Women's Health
11830WestlineIndustrialDrive. St.Louis,Missouri63146 BOTANICALMEDICINEFORWOMEN’SHEALTH ISBN:978-0-443-07277-2 Copyright!2010byChurchillLivingstone,animprintofElsevierInc. Allrightsreserved.Nopartofthispublicationmaybereproducedortransmittedinanyform orbyanymeans,electronicormechanical,includingphotocopying,recording,oranyinforma- tionstorageandretrievalsystem,withoutpermissioninwritingfromthepublisher.Permissions maybesoughtdirectlyfromElsevier’sRightsDepartment:phone:(+1)2152393804(US)or(+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: [email protected]. You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/ permissions. Notice Knowledgeandbestpracticeinthisfieldareconstantlychanging.Asnewresearchand experiencebroadenourknowledge,changesinpractice,treatment,anddrugtherapymay becomenecessaryorappropriate.Readersareadvisedtocheckthemostcurrent informationprovided(i)onproceduresfeaturedor(ii)bythemanufacturerofeach producttobeadministered,toverifytherecommendeddoseorformula,themethod anddurationofadministration,andcontraindications.Itistheresponsibilityofthe practitioner,relyingonhisorherownexperienceandknowledgeofthepatient,to makediagnoses,todeterminedosagesandthebesttreatmentforeachindividual patient,andtotakeallappropriatesafetyprecautions.Tothefullestextentofthelaw, neitherthePublishernortheAuthorassumesanyliabilityforanyinjuryand/or damagetopersonsorpropertyarisingoutoforrelatedtoanyuseofthematerial containedinthisbook. ThePublisher LibraryofCongressCataloging-in-PublicationData Romm,AvivaJill. Botanicalmedicineforwomen’shealth/AvivaRomm;forewordsbyMaryL.Hardy, SimonMills. p.;cm. Includesbibliographicalreferencesandindex. ISBN978-0-443-07277-2(hardcover:alk.paper) 1. Women–Diseases–Alternative treatment.2. Herbs–Therapeuticuse. I.Title. [DNLM:1. GenitalDiseases,Female–drugtherapy.2. Phytotherapy. 3. Pregnancy.4. Women’sHealth. WP140R766b2010] RC48.6.R662010 615’.321082–dc22 2009008683 VicePresidentandPublisher:LindaDuncan SeniorAcquisitionsEditor:KellieWhite AssociateDevelopmentalEditor:KellyMilford PublishingServicesManager:JulieEddy ProjectManager:MarquitaParker Designer:CharlieSeibel PrintedintheUnitedStates Lastdigitistheprintnumber: 9 8 7 6 5 4 3 2 1 C ONTRIBUTORS Kathy Abascal, BS, JD, Herbalist RH (AHG) Paula Gardiner, MD, MPH Vashon, Washington AssistantProfessor, Department of Family Medicine Boston University Medical Center Lise Alschuler, ND, FABNO Boston, Massachusetts Naturopathic Oncologist President, American Association of Naturopathic Wendy D Grube, MSN, CRNP, RH Physicians Advanced SeniorLecturer Naturopathic Specialists,LLC University of Pennsylvania Schoolof Nursing Scottsdale, Arizona Philadelphia, Pennsylvania Bhaswati Bhattacharya, MD, MPH, MA Christopher Hobbs, LAc, AHG CAM Advisory Council Chair Ph.D. Candidate(UC Berkeley) New York, NewYork Co-founder, American HerbalistsGuild Davis, California Mary Bove, ND, RH, Dip Phytotherapy Naturopathic FamilyMedicine practitioner David Hoffmann, BSc (Hons), FNIMH, AHG Brattleboro Naturopathic Clinic California Schoolof Herbal Studies Brattleboro, Vermont Forestville, California Isla M. Burgess, Dip Herb Med Sheila Humphrey, BSc, RN, IBCLC M.N.Z.A.M.H, DirectorInternational Collegeof Herbal LaLecheLeague Leader Medicine www.HerbCollege.com OB-GYNNurse Masters inHolistic Science (Student) MarineonSt. Croix,Minnesota Schumacher College/University of Plymouth, Angela J. Hywood, ND Devon, England Founderand CEO Bevin Clare, MS, RH (AHG), CNS TonicAustralia Clinical DivisionChair, Herbal Medicine Department Sydney, Australia,and Boston, Massachusetts TaiSophia Institute Laurel Lee, CNM, MSN, NP Laurel, Maryland Founder Mitch Coven, BS, Herbalist LaurelLee Holistic Women’sHealthcare President, CEO Portland, Oregon Vitality Works,Inc. Roberta Anne Lee, MD Albuquerque, New Mexico ViceChair, Department of IntegrativeMedicine Robin Dipasquale, ND BethIsraelMedical Center Chair, Botanical Medicine Department Boston, Massachusetts Bastyr University Clara A. Lennox, MD Kenmore, Washington Herbalist, Holisticand Family Medicine Practitioner Margi Flint, BS, Herbalist Melrose, Massachusetts Adjunct Professor, Tufts University Schoolof Medicine Elizabeth Mazanec, MEd, CPM Adjunct Professor, MassachusettsCollege of Pharmacy Faculty, North ShoreCommunity College Founder/Director &Clinical Herbalist Heaven&Earth Midwifery &Healing Arts Center Founder, Earthsong Herbals Leominster, Massachusetts Marblehead, Massachusetts Amanda McQuade Crawford, BA, MNIMH Lisa Ganora, BS AssociateDirector, International Collegeof Herbal Adjunct Faculty Southwest Collegeof Naturopathic Medicine Medicine FoundingMember, AmericanHerbalists Guild Louisville, Colorado Founder,National Collegeof Phytotherapy LosAngeles, California vi CONTRIBUTORS vii Linda Ryan, RH (AHG), ND (Aus) David Winston, RH (AHG) BHlthSc (ComplMed) Founder/Director, David Winston’sCenter for Herbal Director,Natural PathwaysConsulting Studies LakeOrion, Michigan President, Herbalist &Alchemist, Inc. Broadway, NewJersey Jillian E. Stansbury, BS, CMA, ND Ownerand Medical Director,Battle GroundHealing Eric Yarnell, ND Arts Assistant Professor, Department of Botanical Medicine, Chair, BotanicalMedicine Department Bastyr University Board of Directors, NaturalDoctors International Chief MedicalOfficer, Northwest Naturopathic Urology Portland, Oregon, and BattleGround, Washington President, Botanical Medicine Academy Chief FinancialOfficer, Healing MountainPublishing, Ruth Trickey, ND, Dip Ac, FNHAA Inc. Herbalist, NaturalTherapist Vice President,Heron Botanicals, Inc. Director,Melbourne Holistic Health Group Seattle, Washington Adjunct Senior Lecturer,Department of Natural and ComplementaryMedicine Suzanna M. Zick, ND, MPH Southern Cross University,Lismore, NSW Assistant ResearchProfessor, Department of Family Melbourne, Australia Medicine Co-founder, Complementary and Alternative Medicine Roy Upton, RH (AHG) Research Center Executive Director,American Herbal Pharmacopoeia(cid:2) University of Michigan VicePresident, American HerbalistsGuild AnnArbor, Michigan Soquel, California Susun S. Weed, Herbalist Founder, WiseWoman Center Editor-in-chief, Ash TreePublishing Woodstock, NewYork F OREWORD Botanical Medicine for Women’s Health is being published migratefromtheircountries oforigintomoreindustria- at an interesting time and speaks simultaneously to a lized areas, they often bring their traditional practices numberofconvergingconstituencies.Itisatimeofgrow- with them. In modern industrial countries, at least 20% ing stress on both the medical system and the patient. to30%ofpeopleregularlyuseherbalmedicines.Forcer- Medical care is in crisis with large numbers of under- tainconditions,suchasHIV,cancer,orotherchronicdis- insured or uninsured patients needing care. Costs are eases, the numbers have reportedly been much higher. rising from the practice of increasingly technical medi- Under-insured patients often substitute herbs or dietary cine while patients complain of thedecreasing time and supplements for drugs because of poor access to care or attentiontheyarereceivingfromtheirmedicalproviders. costof therapy. Further, the burden of chronic disease is growing in an Thesestatisticsandexamplesreflectthetrendofincor- aging population. In one response to these stressors, porating traditional healing systems into modern life, patient interest is forcing inclusion of alternative medi- moving from self-treatment of self-limiting illness to cines and philosophies into mainstream practice. thecareofchronicandmoreseriousmedicalconditions. However, in the case of herbal medicine, incorporation Despitethefactthattheseusersarealsoactiveconsumers into conventional medicine would represent the return of conventional medical services, they often do not dis- to(pardonthepun)thedeepestrootsofourownmedical close their use of herbal medications to their medical tradition. practitioners. This withholding arises from a number of The lineageof herbalmedicineislong,distinguished, causes. Often cited by patients is the belief that most and of great importance to Western medical tradition. physicianswillreactnegativelytotheuseofnaturalpro- Herbal medicine has been a significant component of a ducts, or worse, that physicians are not knowledgeable widearrayofhealingsystemsbeginningearlywiththose about thenaturalproducts patientsare interestedin. ofEgypt,Mesopotamia,Greece,andIslamwhilecontinu- Ironically, despite the fact that herbalists have been ing through the development of medical practice in advising patients on the use of phytomedicines for mil- Medieval and modern Europe. Traditional medical prac- lenniaandpatientsareincreasingtheiruseofherbalpro- tices from Asia and Indiaas well as Aboriginal traditions ducts, herbal practitioners in North America have not oneverycontinenthavealsousedextensiveherbalphar- generally been incorporated into conventional medical macopeias. Many of our modern pharmaceutical drugs practice. These practitioners and their practices have owe their origins to herbal medicine with more than been largely invisible to the conventional system for a one hundred of the most commonly used drugs derived variety of reasons. Patients may self-prescribe from an directly orindirectly fromplants. exploding array of natural health products without the Itisparticularlyappropriatethatthisbookfocuseson benefit of consultation with an herbalist. In traditional theherbaltreatmentofwomen’sconditions.Historically, medical systems, other components may be more recog- women, when given theopportunity totrain inmedical nized than the herbal therapy. For example, for professions or to operate as lay practitioners, often Traditional Chinese Medicine as practiced in the West, focused their care on women and their children—either acupuncture is better known and more broadly used by choice or necessity. Often, the transmission of this than Chinese herbal medicine. Most importantly, in the tradition was suppressed or marginalized and women UnitedStates,thepracticeofherbalmedicineisvariable, had to use the products of the natural world around eclectic, and without standardization or licensure. them rather than the often more toxic products favored Whetherornotthedevelopmentofstandardherbalprac- bytheirconventionalcounterparts.Thus,women’smed- ticewouldrepresentadesirableoutcome,itisafactthat icine, overseen by female goddesses like Isis or practiced muchofthepublicandmostconventionalmedicalprac- byfemalepractitionerssuchasHildegardof Bingen,was titioners are largely uninformed about what constitutes largelybasedonherbaltherapies.Infact,rarelywerethe appropriate training for herbalists and what their appro- contributions of these female herbalists recognized by priatescope of practice should be. conventional medical history. So, for example, the ‘‘dis- Thus, the clash of cultures and lack of understanding covery’’offoxgloveasatreatmentforcardiacconditions inherentinthecrisisofourcurrentmedicalsystemoffer isattributedtoSirWilliamWitheringandhissource,the our greatest opportunity. We will need our traditional old lady of Shropshire, is largely forgotten. Thus, I am knowledge to care for our aging population. Our tradi- particularly satisfied that this important herbal textbook tional practitioners will have the opportunity to isgivingseriousandscholarlyconsiderationtothistradi- become more closely integrated into the conventional tional practice. medical model, and thus reach a broader array of But herbal medicine is not a dead or esoteric art. The patients. Better communication between paradigms and WorldHealthOrganizationestimatesthat80%ofpeople practitioners is crucial if we are going to meet the needs in developing countries depend on herbal medicine and ofourpatientsandaddressthegrowing problemsinour traditionalpractitionersfortheirprimarycare.Aspeople medical system. This book, and hopefully others like it, viii FOREWORD ix willaidthisprocessbycontributingtoourmutualunder- Itismyhopethatinthecrisisofmodernmedicine,we standing.Thecarefulexplicationofthepracticeoftradi- all take the opportunity this book offers to learn from tional herbal medicine will be valuable to conventional other systems and perhaps reclaim some of the values practitionersattemptingtofilltheirknowledgegapsand that have always been at the heart of the practice of the advise their patients appropriately. On the other hand, art of medicine. the inclusion of information from the Western conven- MaryLHardy,MD tional paradigm, especially involving physiology or con- Simms/Mann-UCLACenterforIntegrativeOncology ventional treatment, will help orient the traditional UniversityofCalifornia LosAngeles,California practitioner tomore conventional medical concerns. June2008
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