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Chasteberry(Vitex agnus
castus)
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R. Treatment for the premenstrual syndrome with agnus castus fruit
extract: prospective, randomized, placebo controlled study. BMJ
2001;20:134¡V7.
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Herb Information¯óÃÄÃã¨å
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| Name:
Vitex |
| Biological
Name: Vitex
negundo, Vitex agnus castus |
| Other
Names: Five
Leafed Chaste Tree, Chasteberry, Nirgundi, Sambhalu, vitex,
Agnus-castus, chaste tree, monk’s pepper, cloister pepper |
| Parts
Used: Roots,
root, flowers, leaves, bark |
| Active
Compounds:
Chasteberry has
been significantly investigated for its therapeutic effects.
However, preliminary investigations do indeed show the presence of
compounds which are able to adjust the production of female
hormones.
It is thought to
contain a progesterone-like compound The chemical constituents are
the monoterpenes agnuside, eurostoside, and aucubin. Chasteberry
also contains the flavonoids casticin, chryso-splenol and vitexin.
Animal studies have
shown that extracts of Agnus castus can stimulate the release of
Leutenizing Hormone (LH) and inhibit the release of Follicle
Stimulating Hormone (FSH). Another study found that extracts of
Chasteberry can stimulate the release of Leutenizing Hormone (LH)
and inhibit the release of Follicle Stimulating Hormone (FSH).
This hormonal effect has been confirmed in another laboratory
report which suggests that the volatile oil has a
progesterone-like effect.
Thus, Vitex's
benefits stem from its actions upon the pituitary gland specifically
on the production of luteinizing hormone. This increases
progesterone production and helps regulate a woman's cycle. Vitex
also keeps prolactin secretion in check. The ability to decrease
excessive prolactin levels may benefit infertile women
|
| History:
Chasteberry has
been used since ancient times as a female remedy. One of its
properties was to reduce sexual desire, and it is recorded that
Roman wives whose husbands were abroad with the legions spread the
aromatic leaves on their couches for this purpose. It became known
as the chasteberry tree.
During the Middle
Ages, Chasteberry's supposed effect on sexual desire led to it
becoming a food spice at monasteries, where it was called
"Monk's pepper" or "Cloister pepper."
In tradition, it
was also known as an important European remedy for controlling and
regulating the female reproductive system. Long used to regularize
monthly periods and treat amenorrhea and dysmenorrhea, it also
helped ease menopausal problems and aided the birth process.
Hippocrates, Dioscorides, and Theophrastus mention the use of
vitex for a wide variety of conditions, including hemorrhage
following childbirth.Decoctions of the fruit and plant were also used in
sitz baths for diseases of the uterus.
Current Status
During the past forty years, research has focused on the use of
vitex for premenstrual syndrome (PMS) and menstrual difficulties.
The biological activity cannot be attributed to a single chemical
ingredient, though flavonoids are major components.
Between 5 and 30 percent of women
may be affected by PMS. A 1992 survey of
German gynecologists evaluated the effect of a vitex preparation
on 1,542 women diagnosed with PMS. Both physicians and patients
assessed effectiveness, with 90 percent reporting relief of
symptoms after treatment averaging 25.3 days.
In one clinical
drug-monitoring study on the effectiveness and safety of long-term
treatment with a vitex fruit tincture, 1,571 women with menstrual
disorders and PMS were followed for a period of seven days to six
years (average 147.6 days). In 90 percent of patients, the
treatment eliminated or alleviated symptoms of PMS.
German health authorities allow
vitex preparations for disorders of the menstrual cycle, pressure
and swelling in the breasts, and PMS. In Germany, vitex
preparations are frequently used in the safe and effective
treatment of PMS, heavy or too frequent periods, acyclic bleeding,
infertility, suppressed menses, and other conditions. Vitex is an
excellent example of an herbal medicine which serves as a
low-priced tool in European gynecological practice, rather than as
an " alternative" to conventional treatment.
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| Remedies
For:
Leaves-anti-parasitical,
alterative, aromatic, vermifuge, pain reliever.
Root-tonic,
febrifuge, expectorant, diuretic.
Fruit-nervine,
cephalic, emmanagogue.
Dried fruit-vermifuge
Vitex is useful for
the treatment of:
Fibrocystic
Breast Disease¨Å©ÐÅÖºûÅn¸~
Infertility (Female)¤k©Ê¤£¥¥
Menopause§ó¦~´Á
Menorrhagia (Heavy Menstruation)¸g¦å¹L¦h
Menstrual Difficulties (Secondary Amenorrhea)¦æ¸g§xÃø
Premenstrual Syndrome¸g«e¯gÔ¸s
Amenorrhea¤ë¸g¹L¤Ö
Dysmenorrhea¤ë¸g§xÃø¸gµh
Endometriosis¤l®c¤º½¤²§¦ì
A study conducted
in London (double blind study) showed a 60% group reduction or
elimination of PMS symptoms such as anxiety, nervous tension,
insomnia, or mood changes, from subjects who were taking dried
agnus castus capsules.
Employing an
aqueous extract from the fruit, a 1979 study reported good results
on premenstrual water retention. Women were able to sustain a good
level of milk production for breast feeding while taking this
herb. While it took some time for the drug to take effect, the
women were able to continue the use of the drug for months without
harmful side effects.
Ayurvedic
Applications:
Hair, eyes, colic,
swelling, worms, nausea, ulcers, ear disorders, malaria,
hemorrhoids, spleen, uterus, removes obstructions, hemicrania.
External:
leaves-inflammatory joint swellings in acute rheumatism and of the
testes from suppressed gonorrhea or gonorrheal epididymitis and
orchitits; sprained limbs, contusions, bites (used as heated
leaves or as a poultice).
Pillows stuffed
with leaves are slept on to remove catarrh and headache. They are
also smoked for relief.
Crushed leaves or
poultice is applied to temples for headaches. As a plaster on the
spleen, it removes swelling; as a juice discharges worms from
ulcers.
A juice oil is
applied to sinuses and neck gland sores (scrofula), or for washing
the head for glandular tubercular neck swellings. Oil is also good
for syphilis, venereal diseases, and other syphilitic skin
disorders. A leaf decoction with pippali is used for catarrhal
fever with heaviness of head and dull hearing. A warm bath in a
leaf decoction removes pains after child birth.
For rheumatism it
is taken as a juice, with the juice of tulsi and bhringaraj (eclipta
alba), mixed with crushed ajwan seeds. An optional treatment is to
bathe in a nirgundi leaf decoction.
A tincture of
root-bark of this herb is good for irritable bladder and also for
rheumatism.
Powdered root-good
for hemorrhoids and as a demulcent for dysentery.
Root-dyspepsia,
colic, rheumatism, worms, boils, skin disorders.
Flowers-diarrhea,
cholera, fever, liver disorders, cardiac tonic.
Seeds-cooling for
skin disorders; flowers and stalk powder-for blood discharge from
stomach and bowels.
|
| Description:
This Ayurvedic herb
is found in parts of India (Bengal, Southern India, Himalayas) and
in Burma. It also grows in the Mediterranean countries and Central
Asia. The dried fruit, which has a pepper-like aroma and flavor,
is used in western herbalism.
|
| Dosage:
Fruit
powder-sugar/water or honey paste, decoction; powder, tincture,
decoction, poultice
Many people take 40
drops (in a glass of water) of the concentrated liquid herbal
extract in the morning.
Vitex is also
available in powdered form in tablets and capsules, again to be
taken in the morning.
With its emphasis
on long-term balancing of a woman's hormonal system, vitex is not
a fast-acting herb. For premenstrual syndrome or frequent or heavy
periods, vitex can be used continuously for four to six months.
Women with amenorrhea and infertility can remain on vitex for
twelve to eighteen months, unless pregnancy occurs during
treatment.
|
| Safety:
Side effects of
using vitex are rare. Minor gastrointestinal upset and a mild skin
rash with itching have been reported in less than 2% of the women
monitored while taking vitex. Vitex is not recommended for use
during pregnancy.
Use caution when
taking any herb. Ayurvedic herbs are often taken in combination
with others to neutralize the toxicity one herb with the opposing
effect of other. Do not take except under the supervision of a
qualified professional.
|
References:
1.
Blumenthal M, Busse WR, Goldberg A, et al. (eds). The Complete
Commission E Monographs: Therapeutic Guide to Herbal Medicines.
Boston, MA: Integrative Medicine Communications, 1998, 108.
2.
Sliutz G, Speiser P, Schultz AM, et al. Agnus castus extracts inhibit
prolactin secretion of rat pituitary cells. Horm Metab Res
1993;25:253¡V5.
3.
Böhnert KJ. The use of Vitex agnus castus for
hyperprolactinemia. Quart Rev Nat Med 1997;Spring:19¡V21.
4.
Schellenberg R. Treatment for the premenstrual syndrome with agnus
castus fruit extract: prospective, randomized, placebo controlled study.
BMJ 2001;20:134¡V7.
5.
Lauritzen C, Reuter HD, Repges R, et al. Treatment of premenstrual
tension syndrome with Vitex agnus-castus. Controlled,
double-blind study versus pyridoxine. Phytomed 1997;4:183¡V9.
6.
Dittmar FW, Böhnert KJ, Peeters M, et al. Premenstrual syndrome:
Treatment with a phytopharmaceutical. Therapiwoche Gynäkol
1992;5:60¡V8.
7.
Loch EG, Selle H, Boblitz N. Treatment of premenstrual syndrome with a
phytopharmaceutical formulation containing Vitex agnus castus. J
Women Health Gender-Based Med 2000;9:315¡V20.
8.
Halaska M, Beles P, Gorkow C, Sieder C. Treatment of cyclical mastalgia
with a solution containing Vitex agnus extract: results of a
placebo-controlled double-blind study. The Breast
1999;8:175¡V81.
9.
Bone K. Vitex agnus-castus: Scientific studies and clinical
applications. Eur J Herbal Med 1994;1:12¡V5.
10.
Milewicz A, Gejdel E, Sworen H, et al. Vitex agnus castus
extract for the treatment of menstrual irregularities due to latent
hyperprolactinemia. Arzneim Forsch 1993;43:752¡V6 [in German].
11.
Amann W. Improvement of acne vulgaris following therapy with Agnus
castus (Agnolyt). Ther Ggw 1967;106:124¡V6 [in German].
12.
Blumenthal M, Busse WR, Goldberg A, et al. (eds). The Complete
Commission E Monographs: Therapeutic Guide to Herbal Medicines.
Boston, MA: Integrative Medicine Communications, 1998, 108.
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