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Remedies for Menopausal Symptoms
The Menopause Self Help Book by Susan M. Lark,
M.D.,
The Wild Rose Scientific Herbal by Terry Willard, Ph.D.,
Menopausal Years The Wise Woman Way by Susun S. Weed
are drawn heavily upon for this segment.
HOT FLASHES AND NIGHT SWEATS
Hot flashes are among the most uncomfortable symptoms that menopausal women complain
about, reports Dr. Susan Lark. She goes on to say, "The most common medical treatment
for this problem is estrogen replacement therapy" which may be effective in stopping
the flashes, but is not curative.
Although the cause of the hot flash is unclear, hormonal changes involving elevation of
the hormones FSH and LH during and after menopause are thought to be responsible. In an
effort to elevate decreasing estrogen levels these pituitary hormones can be 1,300 percent
greater during the menopausal years than before.
Hot flashes are regarded by the medical profession as deficiency of estrogen and can be
triggered by a variety of stimulants such as:
Spicy food (cayenne, ginger, pepper)
Acidic foods (pickles, citrus, tomatoes)
Hot drinks
Caffeine (coffee, black tea, cola, chocolate)
Alcoholic drinks, including wine and beer
White sugar
Hydrogenated or saturated fats (meat, margarine)
Stress
Hot weather
Hot tubs and saunas
Tobacco or marijuana
Intense exercise, especially lovemaking
Anger, especially if you cant express it
During a hot flash, flushes of heat sweep the body (and often the face), reddening the
skin and promoting free perspiration. The reddening may be blotchy or even and the
perspiration slight or copious. A hot flash may last from a few seconds to four or five
minutes, occasionally fifteen minutes, and rarely more than an hour.31
If you begin to experience hot flashes, dizziness, heart palpitations, emotional
uproar, sleep disturbances, night sweats, depression and/or headaches you may slip from
feeling "in control" to the sense that things are beyond your control. The idea
of controlling these unwelcome symptoms with drugs becomes very attractive, as we are
conditioned to believe that menopausal changes are in some way considered an illness. It
is possible to influence these changes more effectively with herbal alternatives that
carry with them few, if any, side effects when considered carefully.
A hot flash at night is called a night sweat, which may be accompanied by feelings of
anxiety or terror. A solution may be to keep a glass of water and a bottle of motherwort
beside you at night, and take 10-15 drops and a swallow of water if a night sweat awakens
you. Not everyone experiences hot flashes, and only some of those who do also experience
night sweats. Many women, however, experience both.
Exercise directly decreases hot flashes by decreasing the amount of circulating LH and
FSH, by nourishing and tonifying the hypothalamus, and by raising endorphin levels (which
plummet with hot flashing). As little as 20 minutes three times a week may reduce flashes
significantly. Other natural measures that address underlying reasons for hot flashes
include diet, nutritional supplementation and plant-based medicines.
HOT FLASHES: HERBAL AIDS
Herbal remedies for women with hot flashes include:
- plants that cool the system, such as chickweed, elder and violet;
- plants that nourish or increase oxygen utilization in the liver, such as dong quai,
dandelion, Ho Shou Wu (polygonum multiflorum) and yellow dock; and
- plants rich in phytosterols, such as black cohosh.
Herbs and supplements found helpful by Dr. Susan Lark in her medical practice include
dong quai, black cohosh, blue cohosh, unicorn root, fennel, sarsaparilla, red clover, wild
yam root, yam, bioflavonoids and vitamin E. Dr. Michael Murray finds the four most useful
herbs for treatment of hot flashes to be dong quai, licorice root, chasteberry (vitex) and
black cohosh.
Hot flashes deplete vitamin B, vitamin C, magnesium and potassium. Frequent use of red
clover or oatstraw infusions will help replace these needed nutrients,31 or
these nutrients can also be found in food, or taken as supplements.
Dong quai is an emmenagogue that has been found
very helpful for menopausal problems such as regulation of hot flashes, and it is reported
to help relieve mental and emotional upset.35
Dong quai has been shown to both contract and relax uterine muscles in anaesthetized
dogs, cats and rabbits. The contractive (excitatory) ingredient is felt to be a water and
alcohol soluble, non-volatile oil component, whereas the relaxing (inhibitory) component
is considered to be a volatile oil with high boiling point. This, not an estrogenic
effect, is felt to be the mechanism underlying the effectiveness of dong quai in
dysmenorrhea.
The effectiveness of dong quai in treating hot flashes may be due to stabilization of
blood vessels. However, if you feel hot much of the time dong quai may
not be your ally.
Chaste berry (Vitex) has been found to
affect pituitary function and has many uses, particularly in regulating hot flashes and
dizziness. Beneficial effects in menopause may be due to its role in altering LH and FSH
secretion.19 Vitex lowers estrogen levels and increases progesterone levels,
thus keeping bones and vaginal walls strong. Daily use enhances progesterone and
luteotropic hormone but inhibits others such as FSH and prolactin. It also increases
production of the brain chemical dopamine. It contains flavonoids, glycosides and
micronutrients, but lacks phytosterols, making it a slow-acting tonic. Results become
evident after 2-3 months of use, and permanent improvement requires a 1-year commitment.4
Black cohosh was widely used by the American
Indians and later by American colonists for relief of menstrual cramps and menopause.
Recent scientific investigation has upheld the effectiveness of black cohosh as a
treatment for dysmenorrhea and menopause. Clinical studies have shown extracts of black
cohosh to relieve not only hot flashes but also depression and vaginal atrophy. In
addition to these vascular effects, black cohosh reduces LH levels; thus the plant has a
significant estrogenic effect. The use of 10-15 drops once or twice a day
for several months significantly reduces LH but not FSH. Black cohosh has also been found
to aid digestion by increasing digestive juices; use 3- 5 drops with meals.31
Motherwort has been found to lessen the severity,
frequency and duration of hot flashes, ease stressed nerves, relieve anxiety, and relieve
insomnia. For best results with hot flashes, use this herb frequently for 3 months. A
common dosage for hot flashes is 15-25 drops of tincture, 1-6 times a day. Do not use if
you are experiencing menstrual flooding as motherwort can aggravate this.31
Licorice root contains a saponin-like glycoside,
glycyrrhizin (glycrrhizic acid) and has historically been used for a
variety of female disorders and also as an expectorant and antitussive in treatment of
respiratory tract infections and asthma. It is believed to reduce estrogen while
increasing progesterone and is used for this reason by Dr. Michael Murray in his clinical
practice. Licorice has a steroid component that can change to the estrogen precursors
estradiol and estrone, and it can therefore provide mild estrogenic properties.
Glycyrrhizin has a regulatory action over estrogen metabolism, i.e. when estrogen levels
are too high it inhibits estrogen action, and when estrogen is too low, glycyrrhizin
potentiates it. This is a useful factor for many female hormonal problems, including PMS.
Licorice is considered a powerful drug that is useful in treating a number of
conditions, such as peptic ulcers, malaria, abdominal pain, insomnia and infection. This
herbs uses have been substantiated by modern research, and it is generally
considered very safe in moderate doses. German health authorities consider
maximum doses of up to 100 mg of glycyrrhizin (the major active component of licorice) a
day acceptable and safe. However, it should not be taken for more than 4-6 weeks without
medical advice.
| CAUTION: *Regular use of licorice can cause high
blood pressure and edema (water retention). Women predisposed to these conditions should
drink no more than one cup (250 ml) per day or chew on a licorice stick only as needed. In
large doses it can cause sodium retention and potassium depletion and is not recommended
for those with heart or blood pressure problems. Certain individuals need to be
particularly careful: pregnant and nursing women, those with high blood pressure,
glaucoma, diabetes, kidney or liver disease; or those taking hormonal therapy (licorice
may interfere with it). Anyone taking digitalis (sensitivity to it may be increased if
your system suffers from potassium loss) or who has had a stroke or heart disease should
only do so under the directions of a doctor. Persons with eating disorders who may already
be predisposed to hypokalemia for other reasons may be at heightened risk for
pseudoaldosteronism. Some sources recommend that anyone who has a cardiovascular-related
disorder not consume licorice at all. |
Essential oils basil or thyme may ease hot flashes
when inhaled or used in a bath or foot rub or mixed with massage oil. For a portable hot
flash remedy, place a few drops of an essential oil or cologne on a tissue, or cotton ball
and place in plastic wrap. It may provide instant relief when you open and inhale any time
a flash strikes.
HOT FLASHES:HOMEOPATHIC REMEDIES
Susun Weed writes that Judyth Reichenberg-Ullman, a naturopathic physician, finds
homeopathic remedies effective 80 percent of the time in relieving menopausal symptoms.
One of her favorite remedies for hot flashes is Lachesis. She describes these remedies
below:
Lachesis: If your flashes emanates from the top of your head, are worse just
before sleep and immediately upon wakening and are accompanied by sweating, headaches, or
easily irritated skin
Sepia: if your flashes make you feel weak, nauseated, exhausted, and depressed
Pulsatilla: if you flash less outdoors, but your flashes are often followed by
intense chills and emotional uproar
Valeriana: if your face flushes strongly during the flash, and you have intense
sweating and sleeplessness
Ferrum metallicum: if your flashes are sudden; your general health is good but
ordinary activities bring exhaustion
Sulfuricum acidum: if your flashes include profuse sweating and trembling, are
worse in evenings or with exercise
Sanguinaria: if your cheeks are red and burning, feet and hands hot
Belladonna: if the flash centers on your face, which burns and turns bright red;
you are restless, agitated and have palpitations
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