Botany for Infertility or Sexual Dysfunctions Flashcards

1
Q

What conditions are a female hormone deficiency

A

Amenorrhea, PMDD

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2
Q

Black Cohosh (Actaea racemosa)

Think 🤔 black either ease into the end periods or into the beginning of life

A

Primary Actions: Emmenagogue, anti-inflammatory, endocrine modulator, parturient, mild alterative

Constituents: Triterpene glycosides, isoflavones, volatile oils, sterols

Indications: PCOS, dysmenorrhea, fibroids, PMS, arthritic conditions, menopausal relief, vertigo, tinnitus, headaches and migraines

Cautions/Contraindications: Considered safe, but not recommended during pregnancy except to stimulate labor. Extra Information: Though used broadly in many female conditions, black cohosh is thought of as a specific during menopause to help ease the transition and treat hot flashes. Though overshadowed by its actions as a female endocrine modulator, black cohosh is also useful in cases of inflammation, particularly those related to deficient circulation.

Part Used: Root

Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)

Daily Therapeutic Dose Infusion or Decoction: 6–15 g root
Pairs Well With: Vitex agnus-castus for balancing female hormone patterns. Caulophyllum thalictroides in labor-stimulating formulas.
Closest Substitute: Dioscorea villosa

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3
Q

Cinnamomum zeylanicum (Cinnamon)

A

Primary Actions: Diaphoretic, astringent, antimicrobial, antispasmodic, carminative, endocrine modulator (diabetes)

Constituents: Cinnamyl acetaldehyde and ester (only bark), phellandrene (only leaf)

Indications: Uterine hemorrhage, diarrhea, nausea, vomiting, URTI

Cautions/Contraindications: Considered safe as spice used in food in doses less than 5 g. Generally CI in pregnancy and lactation

Extra Information: An excellent warming carminative, but can be too spicy for some individuals. In TCM, warms the individual, increases flow through the meridians, removes obstructions to the flow of Qi, and reinforces yang. A related (and sweeter tasting) species Cinnamomum cassia has recently been associated with some hepatotoxicity in large amounts, so C. zeylanicum is generally favored for medicinal use.

Part Used: Bark, occ leaf
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)

Daily Therapeutic Dose Infusion or Decoction: 5–20 g dried bark or powder

Pairs Well With: Arctium lappa for warming weak digestion – loose stools. Ginkgo biloba in circulatory formulas.

Closest Substitute: Zingiber officinalis

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4
Q

Dioscorea villosa (Wild yam)

A

Primary Actions: Anti-inflammatory, antispasmodic, antirheumatic, possible female endocrine modulator

Constituents: Steroidal saponins based on diosgenin

Indications: Arthritic conditions, GI inflammation, vertigo, uterine cramping
Cautions/Contraindications: Considered safe. Safety rating during pregnancy and lactation not established.

Extra Information: Wild yam is often considered as a “female” herb because of progesterone precursor compounds that can be used to synthesize progesterone in vitro. However, in-vivo research suggests that these plant-based progesterones are not converted into active hormone in humans. Although it may yet show some use as a female endocrine modulator, wild yam is primarily used as an antispasmodic and as an anti-inflammatory for arthritic conditions.

Part Used: Root

Daily Therapeutic Dose Tincture: 6–18 mL (1:5 in 40%)

Daily Therapeutic Dose Infusion or Decoction: 4–8 g dried root

Pairs Well With: Curcuma longa in anti-inflammatory formulas, especially for joints

Closest Substitute: Actaea racemosa

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5
Q

Mitchella repens (Partridge berry)

A

Primary Actions: Female endocrine modulator, parturient (the act of bringing forth a baby), emmenagogue, astringent Constituents: Alkaloids, saponins, tannins
Indications: Stimulate and support labor, regulate menses, stimulate menses, PMS, recurrent miscarriages, post-delivery convalescence
Cautions/Contraindications: No reported toxicity, and has been used safely in pregnancy in Native American traditions. However, many of the constituents are not well researched, and Mitchella has not been confirmed safe for pregnancy or lactation.
Extra Information: An excellent herb in almost every condition of female hormone regulation. Like Vitex, often considered amphoteric in action.
Part Used: Aerial parts
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 4–8 g dried herb
Pairs Well With: Caulophyllum thalictroides and Actaea racemosa as parturients for active labor support. Paeonia alba, Vitex agnus-castus, Schisandra sinensis and Angelica sinensis for menstrual regulation in patterns of relative excess in deficient constitutions.
Closest Substitute: Paeonia alba

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6
Q

Paeonia lactiflora (Peony)

A

Dr. Chris Pickrell above

Primary Actions: Female endocrine modulator, alterative, antispasmodic, mild adaptogen, mild anti-inflammatory, emmenagogue, nootropic

Constituents: Glycosides (paeoniflorin), alkaloids, tannins, saponins, mucilage
Indications: Any condition of female hormone dysregulation, fertility challenges, acne
Cautions/Contraindications: Considered safe. Possible interaction with anticoagulants. Safety rating during pregnancy and lactation not established.
Extra Information: Primarily a TCM herb (bai shao) used to cool the liver and support smooth flow. Useful in dysmenorrhea and other female hormone patterns of both deficiency (builds blood) and excess (dispels stagnation, clears heat). Shaoyao is the generic TCM name for peony and often includes red peony as well, which is the same species of Paeonia lactiflora, but red peony includes the outer root bark and white peony does not. As a female endocrine modulator, bai shao, or white peeled peony root, is preferred.
Part Used: Root
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 6–15 g dried root
Pairs Well With: Glycyrrhiza glabra as a classic TCM formula (Shaoyao Gancao tang) for dysmenorrhea and PCOS
Closest Substitute: Vitex agnus-castus, Mitchella repens

Dr. Paul Saunders below

Part— root without the bark; flower petals;
Constituents— organic acids– gallic acid; methyl gallate; monoterpene glycosides– paeoniflorin, albiflorin; paeonol; flavonoids; tannins;
Actions— PMS; menorrhagia; menopausal sx; anti-inflammatory; antipyretic; mast cell degranulation; inhibit platelet coagulation;
Other— antioxidant; antispasmodic; antiaging;
TCM— emotional stabilizer; poor mental focus; nourish Liver Blood; calm Yang; strengthen bones; night sweats; cooling;

Posology— 600 mg TID; ¼ tsp per cup TID;
Pregnancy and Lactation— no data; TCM– not typically used in pregnancy or lactation;

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7
Q

Schisandra sinensis (Schizandra)

A

Primary Actions: Adaptogen, astringent, hepatoprotective, alterative, expectorant, nervine, parturient
Constituents: Lignans, phytosterols, volatile oils, vitamins C and E
Indications: Convalescence or conditions of weakened vitality, skin conditions of deficiency, diarrhea (especially “daybreak diarrhea”), loose stool, nocturnal emissions, hepatitis
Cautions/Contraindications: Mild uterine stimulant, but broadly considered safe. Preg B, Lact CC.
Extra Information: An excellent tonic, particularly for the feminine aspect. In TCM, contains “all five flavors.” Also enters all 12 meridians. Useful as a hepatoprotective in ongoing toxic exposure or hepatitis. TCM classes Schisandra under herbs that stabilize and bind, making it useful in cases where there is uncontrolled fluid such as watery mucus production, diarrhea, and loose stool.
Part Used: Berry
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 35%)
Daily Therapeutic Dose Infusion or Decoction: 3–6 g dried berry
Pairs Well With: Paeonia alba in female hormone patterns in need of tonification and rooting, where there are unprocessed emotions of sadness and poorly defined boundaries. Ephedra sinica in chronic deficient cough with thin, clear mucus. Silybum marianum and Bupleurum sinensis in hepatoprotective formulas for ongoing toxic exposure or hepatitis.
Closest Substitute: None, possibly Hibiscus sabdariffa.

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8
Q

Vitex agnus-castus (Chasteberry)

A

Primary Actions: Female endocrine modulator, androgen normalizer, alterative, galactagogue
Constituents: Diterpenes, iridoid glycosides, flavonoids, volatile oils
Indications: Irregular menses of both excess and deficiency: PCOS, fibroids, PMS, endometriosis, secondary amenorrhea, possibly menopause; depression
Cautions/Contraindications: May interact with dopamine receptor antagonists. May have effect of lowering libido. Not recommended for concurrent use with hormonal contraceptives as it may alter contraceptive efficacy. Preg B, Lact C. Extra Information: A true endocrine modulator, Vitex is thought to act on the pituitary via progesterone- mediated pathways. Although research continues and is not conclusive, Vitex may be thought to act as an amphoteric to both progesterone and prolactin.
Part Used: Berry
Daily Therapeutic Dose Tincture: 7–10 mL (1:5 in 50%)
Daily Therapeutic Dose Infusion or Decoction: 4–6 g dried fruit
Pairs Well With: Schisandra sinensis and Paeonia alba in female hormone balancing formulas
Closest Substitute: Paeonia lateriflora

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9
Q

Angelica archangelica (Archangelica)

A

Primary Actions: Warming carminative, anti-inflammatory, astringent, antimicrobial, expectorant, mild female endocrine modulator, alterative
Constituents: Volatile oils, furanocoumarins, sterols
Indications: Impaired absorption, gas/bloating, cough, deficient menses, UTI Cautions/Contraindications: Theoretical interaction with coumarin-based anticoagulants. Safety rating during pregnancy and lactation not established.
Extra Information: One of the few warming bitters, especially useful for upper GI discomfort such as bloating and poor appetite. Also used in female deficiency patterns related to impaired absorption.
Part Used: Root
Daily Therapeutic Dose Tincture: 6–15 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 2–5 g dried root Pairs Well With: Arctium lappa for deficient digestion Closest Substitute: Angelica sinensis, Cinnamomum zeylanicum

	above Dr. Chris Pickrell
	=============
	Dr. Paul Saunders 
	
	Angelica sinensis;  Apiaceae Part--- root Constituents--- coumarins;  volatile oil;  phytosterols; phthalides, flavonoids;  organic acids;   Actions--- uterine tonic;  antispasmodic;  menstrual regulator;   TCM--- blood tonic;  warming;  harmonizes blood and disperses cold;  tonic to internal organs, sexual organs;  hot  flushes; Other--- dysmenorrhea;  metrorrhagia;  irregular menstruation;  amenorrhea;

Caution– water extract stimulation growth of MCF-7 cells;
Posology— decoction 3-15 g TID; ⌀ 20-60 gtt TID; root can be steamed and taken as blood purifier;
Pregnancy and Lactation— no data in Occident; in TCM for post-partum and pregnancy to revive blood circulation;

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10
Q

Angelica sinensis (Dong quai)

A

Primary Actions: Female endocrine modulator, adaptogen, carminative
Constituents: Volatile oils, phenolics, sterols
Indications: Secondary amenorrhea, weakness, debility, irregular menses, some patterns of menopause, convalescence
Cautions/Contraindications: None reported. Preg C, Lact C.
Extra Information: Chinese name translates as “State of Return,” signifying its action as a building and supportive tonic. Slightly sweet, dong quai is considered the primary herb for building blood and regulating menses of deficiency.
Part Used: Root
Daily Therapeutic Dose Tincture: 2–5 mL (1:5 in 45%)
Daily Therapeutic Dose Infusion or Decoction: 4.5–15 g root
Pairs Well With: Astragalus membranaceus and Ganoderma lucidum for nourishing blood
Closest Substitute: Lepidium meyenii

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11
Q

Arctium lappa (Burdock)

A

Primary Actions: Alterative, hepatic, mild laxative, nutritive
Constituents: Lignans, carbohydrates, inulin
Indications: Hepatic congestion, sluggish bowels, eczema and other skin conditions, IBS, type II diabetes, nausea
Cautions/Contraindications: Considered safe, even nutritious. Preg B, Lact C.
Extra Information: Burdock is abundant throughout most of North America and the root acts as an excellent alterative, often in combo with other primary alteratives. Burdock’s sweet flavor makes it a useful partner to ginger in addressing nausea.
Part Used: Root
Daily Therapeutic Dose Tincture: 9–18 mL (1:5 in 25%)
Daily Therapeutic Dose Infusion or Decoction: 2–12 g root
Pairs Well With: Zingiber officinalis for nausea of deficient stomach
Closest Substitute: Taraxacum officinalis

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12
Q

Eleutherococcus senticosus (Eleuthero)

A

Primary Actions: Adaptogen
Constituents: Eleutherosides A–E: Saponins (eleutheroside A), propanoid glycosides (eleutheroside B, syringin), lignanas (eleutheroside E, syringaresinol)
Indications: Stress, exhaustion, insomnia, mild depression
Cautions/Contraindications: Considered safe; may potentiate cardiac medications. Preg B, Lact C. Extra Information: Eleuthero is an archetypal adaptogen. Increases resistance to oxygen deprivation of the heart. Useful in improving performance and stamina.
Part Used: Root
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 9–30 g dried root
Pairs Well With: Rehmannia glutinosa and Schisandra sinensis as convalescent adaptogen. Rhodiola rosea and Panax ginseng in short-term formulas for improving physical performance.
Closest Substitute: Withania somnifera

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13
Q

Glycyrrhiza glabra (Licorice root)

A

Primary Actions: Adaptogen, particularly to the adrenals; anti-inflammatory, demulcent, antiviral, hypertensive
Constituents: Triterpene saponins (glycyrrhizin), glycyrrhetinic acid, chalcones
Indications: Ongoing stress, hypotension, asthma, eczema, chronic or acute bronchitis, emphysema, URTI, post-viral cough, stomach ulcers (mostly DGL)
Cautions/Contraindications: CI in hypertension. Preg A, Lact C.

	Extra Information: Licorice acts primarily as an aldosterone-like endocrine modulator. Thought of as specific to cases of deficiency presenting with dizziness and hypotension. Excellent in URTI as an antiviral and demulcent. Excellent for lingering post-viral cough. In TCM, one of two herbs that enter all 12 meridians. Glycyrrhiza uralensis (Gan Cao) mostly used in TCM, properties considered interchangeable. **Part Used:** Root **Daily Therapeutic Dose Tincture:** 3–9 mL (1:5 in 40%) **Daily Therapeutic Dose Infusion or Decoction:** 2–9 g dried root **Pairs Well With:** Rosmarinus officinalis for coughs, especially viral coughs. Bupleurum sinensis in anti-inflammatory combos where clearance by the liver is suboptimal. Hypericum perforatum and Melissa officinalis (as infused oil) for the topical treatment of herpes infections. **Closest Substitute:** None
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14
Q

Panax ginseng (Korean red ginseng)

A

Primary Actions: Stimulating adaptogen, immune stimulant, libido stimulant, cardiotonic
Constituents: Triterpene glycosides (ginsenosides), steroidal saponins
Indications: Debility and convalescence (low dose), depression, end-of-life care Cautions/Contraindications: Non-toxic, but can be overstimulating to some individuals, particularly where yin has been weakened through excessive use of stimulants. CI in hypertension and other heat conditions. Preg A, Lact C.
Extra Information: An excellent herb, often underused out of fear of its stimulating properties or overused because of its stimulating properties. A truly fortifying and whole-system adaptogen when used appropriately (by matching dose to condition and vitality), especially in combo with other herbs.
Traditionally used in TCM (Ren shen) to mobilize the essence of an elder near death so that the family would have time to gather for farewells.
Part Used: Root. Red ginseng is the steamed root, while white ginseng is the unprepared root of the same species. The steamed red root is preferred.
Daily Therapeutic Dose Tincture: 2–10 mL (1:5 in 40%)

Daily Therapeutic Dose Infusion or Decoction: 3–10 g dried root
Pairs Well With: Astragalus membranaceus and Rehmannia glutinosa for convalescence after blood loss. Ganoderma lucidum for depression. Centella asiatica for mental clarity and focus. Closest Substitute: Rhodiola rosea

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15
Q

Polygonum multiflorum (He shou wu)

A

Primary Actions: Adaptogen, mild laxative
Constituents: Carbohydrates, tannins, anthraquinones
Indications: Convalescence, postpartum, fertility challenges, insufficient libido, premature greying or weakness
Cautions/Contraindications: He shou wu has been consumed in high doses by many thousands of individuals over its long history of use and is broadly considered safe. In some individuals there is an inability to metabolize he shou wu (likely linked to a SNP of CYP450 isozyme), and there are case reports of hepatotoxicity. Due to the anthraquinone content (although low in the prepared root), other common side effects include GI discomfort and loose stools. TCM: Cautioned with SP Qi dampness. Safety rating during pregnancy and lactation not established.
Extra Information: Long and lyrical history of use in TCM as an herb to nourish Essence (Jing). Excellent in cases of weakened vitality, as he shou wu is neither too stimulating nor too grounding.
Part Used: Root: Common he shou wu (zhi he shou wu) comes in the form of processed root, which has been steamed or stewed for several hours in black bean decoction and then redried. Unprepared he shou wu (sheng he shou wu), not commonly used, is simply the dried root. If not stated, assume he shou wu is the processed form.
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 9–30 g dried prepared root
Pairs Well With: Angelica sinensis and Rehmannia glutinosa for debility and convalesence, especially following childbirth (TCM: building blood, restoring Essence). Smilax officinalis as male tonic for heartiness and improved sexual performance.
Closest Substitute: Lepidium meyenii

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16
Q

Rehmannia glutinosa (Rehmannia)

A

Primary Actions: Nutritive, adaptogen
Constituents: Starches, iridoids, organic acids, sterols

Indications: Convalescence and patterns of deficiency, anxiety, insomnia, palpitations, secondary amenorrhea
Cautions/Contraindications: Considered safe, can be eaten in small amounts as food. Quite dense and rich, Rehmannia is cautioned in those with weak digestion. Safety rating during pregnancy and lactation not established
Extra Information: A fundamental convalescence herb, Rehmannia is best used when there is deficiency but no stagnation. Rehmannia is prepared by cooking the root in rice wine until soft, then drying it in the sun. The result is a sweet and tasty preparation used in TCM to nourish the blood and augment the essence.
Part Used: Prepared root
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 9–30 g prepared root
Pairs Well With: Angelica sinensis for deficient female hormone patterns. Urtica dioica leaf and Avena sativa as nutritive restoratives.
Closest Substitute: Polygonum multiflorum

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17
Q

Rhodiola rosea (Rhodiola)

A

Primary Actions: Adaptogen, vascular tonic
Constituents: Polyphenols (rosavin, salidroside), proanthrocyanidins, quercitin
Indications: Fatigue from overwork, lowered libido, ongoing physical or mental stress, altitude sickness, ischemic heart disease
Cautions/Contraindications: Though not considered toxic, like Panax ginseng, rhodiola may be too stimulating for individuals showing signs of restlessness, insomnia, dizziness, or anxiety. Safety rating during pregnancy and lactation not established.
Extra Information: A potent adaptogen. Works best when used in three-week cycles. Used acutely during or preceding times of known physical or mental stress.
Part Used: Root
Daily Therapeutic Dose Tincture: 6–15 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 4–12 g dried herb or powder
Pairs Well With: Centella asiatica and Bacopa monnierii for cognitive enhancement.
Eleutherococcus senticosus as fortifying adaptogen.
Closest Substitute: Smilax officinalis Rumex crispus (Yellow dock)

18
Q

Smilax officinalis (Sarsaparilla)

A

Primary Actions: Adaptogen, alterative, anti-inflammatory
Constituents: Saponins based on the aglycone sarsapogenin, sterols, volatile oils
Indications: Eczema, psoriasis, BPH, waning libido, RA, gout
Cautions/Contraindications: Considered safe. Safety rating during pregnancy and lactation not established.
Extra Information: Excellent tonic, useful in cases of fatigue following intense physical activity, especially when associated with joint pain. One of the original roots in root beer.
Part Used: Root and rhizomes
Daily Therapeutic Dose Tincture: 3–12 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 6–12 g dried root

Pairs Well With: Polygonum multiflorum and Urtica dioica root as a male tonic. Vanilla extract, soda water, and a tsp of honey as a pleasant fortifying beverage.
Closest Substitute: Hemidesmus indicus, Rhodiola rosea

19
Q

Turnera diffusa (Damiana)

A

Primary Actions: Libido tonic, nervine, mild euphoric
Constituents: Sterols, volatile oils, potentially cannabinoid-like molecules, arbutin, tannins, apigenin
Indications: Diminishing libido, restless anxiety
Cautions/Contraindications: Considered safe. Safety rating during pregnancy and lactation not established.
Extra Information: Formerly known as Damiana aphrodisiaca, traditionally used as libido tonic for both men and women, especially when tension is impairing arousal. Makes a generally pleasant infusion. Continues to be used as a traditional liqueur in parts of Mexico.
Part Used: Leaf
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 4–8 g dried herb
Pairs Well With: Cinnamomum zeylanicum in uplifting libido formulas. Vanilla planifolia and
Valeriana officinalis in relaxing libido formulas.
Closest Substitute: Vanilla planifolia

20
Q

Viburnum prunifolium (Black haw)

A

Primary Actions: Antispasmodic, nervine, hypotensive, vascular tonic Constituents: Flavonoids, iridoid glycosides, coumarins, triterpenes Indications: Cramping of the uterus, threatened miscarriage, uterine congestion
Cautions/Contraindications: Cautioned in individuals with a history of kidney stones. Preg B, Lact C. Extra Information: Used similarly to Viburnum opulus, and often used together in combo. Black haw is used less acutely than cramp bark and possesses greater properties as a nervine. It may also be used in formulas for hypertension. Useful herb in female excess conditions, though may also be used in deficiency.
Part Used: Bark, stems.
Daily Therapeutic Dose Tincture: 12–20 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 3–6 g dried bark
Pairs Well With: Actaea racemosa and Mitchella repens in female endocrine balancing formulas.
Closest Substitute: Mitchella repens

21
Q

Withania somnifera (Ashwagandha)

A

Primary Actions: Adaptogen, hypotensive, immune modulator, anti-inflammatory, nootropic
Constituents: Steroidal lactones (withanolides), alkaloids
Indications: Fatigue, nervous exhaustion, chronic inflammatory disease, anemia, lowered libido, convalescence, hypothyroid presentations
Cautions/Contraindications: Considered safe. Preg B, Lact C.
Extra Information: An excellent non-stimulating adaptogen useful in promoting performance and recovery without the symptoms of overstimulation. Sometimes thought of specifically as being useful as an adaptogen for the thyroid.
Part Used: Root
Daily Therapeutic Dose Tincture: 6–12 mL (1:5 in 40%)
Daily Therapeutic Dose Infusion or Decoction: 6–10 g dried herb or powder
Pairs Well With: Schisandra sinensis and Zingiber officinalis as non-stimulating tonic for weakened vitality (Qi) with excess fluids, especially of the digestive system. Rumex crispus, Centella asiatica, and Ganoderma spp. for physical endurance and improving red and white blood cell counts.

Closest Substitute: Eleutherococcus senticosus

22
Q

Zingiber officinalis (Ginger)

A

Primary Actions: Warming diaphoretic, carminative, antiemetic, anti-inflammatory
Constituents: Volatile oils
Indications: Nausea of any cause, food retention, bloating after meals, poor circulation, OA Cautions/Contraindications: Considered safe. Safety rating during pregnancy and lactation not established.
Extra Information: Useful in any condition where warming is beneficial. Often the candied (or honey) form further assists nausea.
Part Used: Root
Daily Therapeutic Dose Tincture: 1–6 mL (1:5 in 40%), though there is considerable variability based on strength of tincture and starting source material
Daily Therapeutic Dose Infusion or Decoction: 1–8 g fresh root, dried root, or powder
Pairs Well With: Arctium lappa, honey, and a hot water bottle on the abdomen in cases of food retention and nausea from insufficient warmth in the stomach.
Closest Substitute: Cinnamomum zeylanicum (Cinnamomum cassia is actually a closer substitute and more effective for acute nausea, but current research suggests it may have some hepatotoxicity).

23
Q

Asparagus racemosa: Asparagceae

A

Part— root
Constituents— protein; steroidal saponins; carbohydrates; oil;
Endangered in its natural habitat; Sri Lanka, India, Himalayas;
Actions— antiaging; enhance longevity; immune modulating; improved mental function; support female reproductive system;
Other— mental vigor; dyspepsia; neuropathy; hepatoprotective; threatened miscarriage; galactagogue;
Ayurveda—Shatavari; female tonic; Withania male tonic;

Posology— 500- 2400 mg QD; with milk and honey BID for PMS;
Pregnancy and Lactation— no Western data; traditional tea during pregnancy and lactation;
Asparagus officinalis

24
Q

Chamaelirium luteum; Melanthiaceae

A

Nomenclature— formerly Liliaceae;
Endangered— NY, CT, IN, MA;
Part— root;
Constituents— glycosides– diosgenin, chamaelirin; steroidal saponins; Ca oxalate;
Actions— uterine tonic; ovary tonic; menstrual regulator;
Other— amenorrhea; dysmenorrhea; leucorrhea; endometriosis; genital/reproductive organ infections; threatened miscarriage; irritable and despondent from their menstrual issues;

USA Formulary— uterine tonic; diuretic;
First Nations— wounds; ulcers; female tonic;
Posology— decoction1-2 g dried per cup TID; ⌀ 20-60 gtt TID; threatened miscarriage ~1/2 tsp q half hour;
Toxicity— over dose may induce nausea, vomiting;
Pregnancy and Lactation— no modern data; historically used in both

25
Q

Which of the following actions is attributed to Angelica sinensis (Dong Quai)?
A. Antispasmodic
B. Galactagogue
C. Cholagogue
D. Aphrodisiac

A

Correct Answer: A. Antispasmodic

Explanation:
A: Correct. Angelica sinensis is noted for its antispasmodic effects, particularly related to the uterus, helping manage menstrual cramps and dysmenorrhea.
B: Incorrect. While some herbs like Asparagus racemosa have galactagogue properties, Angelica sinensis does not.
C: Incorrect. Angelica sinensis is not recognized for aiding bile flow (cholagogue action).
D: Incorrect. While Tribulus terrestris and others may have aphrodisiac effects, this is not attributed to Angelica sinensis.

26
Q

Which herb is traditionally used as a galactagogue and supports female reproductive health?
A. Asparagus racemosa (Shatavari)
B. Hydrastis canadensis (Goldenseal)
C. Chamaelirium luteum (False Unicorn Root)
D. Trifolium pratense (Red Clover)

A

Correct Answer: A. Asparagus racemosa (Shatavari)

Explanation:

A: Correct. Asparagus racemosa (Shatavari) is a galactagogue, traditionally used in Ayurveda to support female reproductive health and lactation.
B: Incorrect. Hydrastis canadensis (Goldenseal) is primarily a mucous membrane tonic, not a galactagogue.
C: Incorrect. Chamaelirium luteum (False Unicorn Root) is a uterine tonic but does not specifically promote lactation.
D: Incorrect. Trifolium pratense (Red Clover) has menopausal and antioxidant benefits but is not a galactagogue.

27
Q

Which herb is at risk of extinction and primarily used as a uterine tonic?

A. Actaea racemosa (Black Cohosh)
B. Chamaelirium luteum (False Unicorn Root)
C. Serenoa repens (Saw Palmetto)
D. Dioscorea villosa (Wild Yam)

A

Correct Answer: B. Chamaelirium luteum (False Unicorn Root)
Explanation:

A: Incorrect. Actaea racemosa (Black Cohosh) is used for menopausal symptoms and is not specifically noted as endangered.
B: Correct. Chamaelirium luteum (False Unicorn Root) is endangered and highly valued for its uterine tonic properties.
C: Incorrect. Serenoa repens (Saw Palmetto) is used for benign prostatic hyperplasia, not uterine health.
D: Incorrect. While Dioscorea villosa (Wild Yam) is used for antispasmodic and anti-inflammatory purposes, it is not specifically at risk or primarily a uterine tonic.

28
Q

Which herb contains steroidal saponins and is commonly used to treat dysmenorrhea and menstrual irregularities?

A. Glycyrrhiza glabra (Licorice Root)
B. Vitex agnus-castus (Chaste Tree Berry)
C. Aletris farinosa (True Unicorn Root)
D. Dioscorea villosa (Wild Yam)

A

Correct Answer: D. Dioscorea villosa
D: Correct. Dioscorea villosa (Wild Yam) contains steroidal saponins, which contribute to its effectiveness in alleviating dysmenorrhea and regulating menstrual cycles by modulating inflammation and relaxing smooth muscle tissue.

A: Incorrect. Glycyrrhiza glabra (Licorice Root) is known for its adaptogenic and anti-inflammatory effects, particularly on adrenal health, but it is not primarily used for dysmenorrhea or menstrual irregularities.
B: Incorrect. Vitex agnus-castus (Chaste Tree Berry) regulates hormones by modulating prolactin levels, making it helpful for PMS and some irregularities but does not contain steroidal saponins.
C: Incorrect. Aletris farinosa (True Unicorn Root) is a uterine tonic but is less effective in directly treating dysmenorrhea.

29
Q

Which of the following statements about Hydrastis canadensis (Goldenseal) is FALSE?

A. It is a spasmolytic herb.
B. It can be used for long-term treatment of metabolic syndrome.
C. It contains isoquinoline alkaloids like berberine.
D. It is known as the “King of mucous membrane tonics.”

A

Correct Answer: B. It can be used for long-term treatment of metabolic syndrome.Short-term use (2-4 weeks) is recommended for most applications, such as managing infections, mucous membrane conditions, or acute inflammation.

B: False. While Hydrastis canadensis (Goldenseal) can support short-term metabolic syndrome treatment, it is not recommended for long-term use due to its potential toxicity and alkaloid content.

Explanation:
A: True. Hydrastis canadensis (Goldenseal) has spasmolytic properties due to berberine and hydrastine.
C: True. Isoquinoline alkaloids like berberine contribute to its medicinal effects.
D: True. It is indeed referred to as the “King of mucous membrane tonics.”

30
Q

For Glycyrrhiza glabra (Licorice Root):
Which of the following is a contraindication for Glycyrrhiza glabra (Licorice Root)?

A. Hypertension
B. Menopause
C. Dyspepsia
D. Asthma

A

A. Hypertension (Correct): Glycyrrhizin in licorice can cause sodium retention and potassium loss, leading to elevated blood pressure.
B. Menopause: Incorrect, as licorice may help alleviate menopausal symptoms by mimicking estrogenic activity.
C. Dyspepsia: Incorrect, since licorice is commonly used to soothe gastrointestinal discomfort.
D. Asthma: Incorrect, as its anti-inflammatory and demulcent properties can benefit asthma management.

31
Q

For Vitex agnus-castus (Chaste Tree Berry):
What is the main mechanism of action for Vitex agnus-castus (Chaste Tree Berry) in treating premenstrual syndrome (PMS)?

A. Reducing prolactin levels
B. Increasing estrogen production
C. Stimulating bile secretion
D. Enhancing mucous membrane health

A

A. Reducing prolactin levels (Correct): Vitex works by modulating pituitary function, particularly reducing elevated prolactin levels, which helps alleviate PMS symptoms.
B. Increasing estrogen production: Incorrect, as it does not directly increase estrogen but helps balance hormones overall.
C. Stimulating bile secretion: Incorrect because Vitex does not have a choleretic effect.
D. Enhancing mucous membrane health: Incorrect, as it is not primarily used for mucosal support.

32
Q

For Actaea racemosa (Black Cohosh):
Which condition is most commonly treated with Actaea racemosa (Black Cohosh)?

A. Benign prostatic hyperplasia
B. Menopausal symptoms
C. Lactation issues
D. Insomnia

A

B. Menopausal symptoms (Correct): Actaea racemosa is well-known for its use in managing menopausal symptoms such as hot flashes and mood swings.

A. Benign prostatic hyperplasia: Incorrect, as this condition is more effectively treated with Serenoa repens.
C. Lactation issues: Incorrect, as it is not used for promoting lactation.
D. Insomnia: Incorrect, although it may have mild sedative effects, it is not a primary treatment for sleep disorders.

33
Q

For Serenoa repens (Saw Palmetto):
What is the primary indication for Serenoa repens (Saw Palmetto) in men’s health?

A. Prostate enlargement
B. Erectile dysfunction
C. Infertility
D. Hypertension

A

A. Prostate enlargement (Correct): Serenoa repens is widely used for benign prostatic hyperplasia (BPH), improving urinary symptoms by reducing prostate inflammation.
B. Erectile dysfunction: Incorrect, as Serenoa primarily targets prostate health rather than erectile function.
C. Infertility: Incorrect, as it is not directly indicated for treating infertility.
D. Hypertension: Incorrect, as Serenoa has no notable effect on blood pressure.

34
Q

For Aletris farinosa (True Unicorn Root):
What is the primary action of Aletris farinosa (True Unicorn Root)?

A. Uterine tonic
B. Spasmolytic
C. Galactagogue
D. Adaptogen

A

A. Uterine tonic (Correct): Known for its action in supporting uterine health, especially in conditions involving uterine weakness or prolapse.
B. Spasmolytic: Incorrect because Aletris farinosa does not primarily reduce spasms, unlike herbs like Dioscorea villosa.
C. Galactagogue: Incorrect, as Aletris farinosa is not typically used to promote milk production.
D. Adaptogen: Incorrect because Aletris farinosa does not modulate stress responses like Withania somnifera or Rhodiola rosea.

35
Q

Which herb is specifically indicated for Parkinson’s disease due to its L-Dopa content?
A) Lepidium meyenii (Maca)
B) Mucuna pruriens (Velvet bean)
C) Withania somnifera (Ashwagandha)
D) Serenoa repens (Saw palmetto)

A

Answer: B) Mucuna pruriens (Velvet bean)
Correct: Mucuna pruriens contains L-Dopa, making it specifically indicated for Parkinson’s disease.
Incorrect Options:
Lepidium meyenii: Primarily supports endocrine modulation and physical stamina.
Withania somnifera: A general adaptogen and nootropic but not specific for Parkinson’s.
Serenoa repens: Primarily indicated for BPH.

36
Q

Which herb is cautioned in individuals with BPH or prostate cancer due to its testosterone-modulating effects?
A) Tribulus terrestris (Tribulus)
B) Panax ginseng (Korean red ginseng)
C) Eurycoma longifolia (Tongkat ali)
D) Nigella sativa (Black seed)

A

Answer: C) Eurycoma longifolia (Tongkat ali)
Correct: Eurycoma longifolia modulates testosterone and is cautioned in BPH or prostate cancer.

Eurycoma longifolia (Tongkat ali) is particularly effective as a testosterone modulator, making it suitable for conditions requiring support for male infertility, sexual performance, or low testosterone. It is also noted that its potential influence on testosterone necessitates caution in cases of benign prostatic hyperplasia (BPH) or prostate cancer.

Why the Other Options Are Incorrect:
A) Tribulus terrestris: While it is an endocrine modulator, research suggests it is less potent in boosting testosterone compared to Tongkat ali.

B) Panax ginseng: Known for its adaptogenic and stimulating effects, Panax ginseng is not specifically linked to significant testosterone elevation.

D) Nigella sativa: This herb has adaptogenic, anti-diabetic, and mild antihypertensive properties but lacks notable androgenic (testosterone-enhancing) effects.

37
Q

Which of the following herbs is known for its adaptogenic properties but is non-stimulating, making it suitable for promoting recovery without overstimulation?
A) Withania somnifera (Ashwagandha)
B) Panax ginseng (Korean red ginseng)
C) Rhodiola rosea (Rhodiola)
D) Lepidium meyenii (Maca)

A

Answer: A) Withania somnifera (Ashwagandha)
Correct: Ashwagandha is adaptogenic but non-stimulating, ideal for recovery without overstimulation.

Incorrect Options:
Panax ginseng: A stimulating adaptogen.
Rhodiola rosea: Can be overstimulating for some.
Lepidium meyenii: Adaptogen but less effective for promoting non-stimulating recovery.

Correct Answer: A) Withania somnifera (Ashwagandha)
Ashwagandha is a non-stimulating adaptogen, making it ideal for promoting recovery and improving performance without causing symptoms of overstimulation such as restlessness, anxiety, or insomnia. It is particularly useful for individuals experiencing fatigue, nervous exhaustion, or chronic inflammation. Its gentle yet effective action supports recovery in a balanced manner, making it an excellent choice for those who need to rebuild vitality without increasing stress on the body.

Key Attributes of Ashwagandha:

Adaptogenic: Enhances resilience to physical and mental stress.
Non-Stimulating: Provides energy and recovery support without triggering hyperactivity or anxiety.
Ideal for Recovery: Addresses nervous exhaustion, chronic fatigue, and convalescence after illness or stress.

Why the Other Options Are Incorrect:
B) Panax ginseng (Korean red ginseng):
A stimulating adaptogen that can boost energy and performance but may be too intense for individuals with underlying yin deficiency or conditions involving overstimulation, such as insomnia or anxiety.
While effective for convalescence and energy restoration, it is not as gentle as Ashwagandha, making it less suitable for those requiring non-stimulating recovery.

C) Rhodiola rosea:
A potent adaptogen but can overstimulate some individuals, leading to symptoms like restlessness, dizziness, or insomnia. Is generally less stimulating than Panax ginseng. Best used in short-term cycles for acute stress or fatigue rather than as a long-term recovery aid.

D) Lepidium meyenii (Maca):
Adaptogenic and nutrient-rich, providing broad support for physical and sexual performance.
Less effective for non-stimulating recovery, as its primary mechanism is thought to be nutritional rather than specifically adaptogenic in the Ashwagandha sense. Maca is more commonly used as a general tonic or for enhancing libido.

38
Q

What herb pairs well with Serenoa repens in formulas for BPH?
A) Panax ginseng (Korean red ginseng)
B) Tribulus terrestris (Tribulus)
C) Nigella sativa (Black seed)
D) Withania somnifera (Ashwagandha)

A

Answer: B) Tribulus terrestris (Tribulus)

Tribulus terrestris is an endocrine modulator that supports testosterone balance and has specific benefits in managing benign prostatic hyperplasia (BPH).
It works by influencing a healthy testosterone-to-dihydrotestosterone (DHT) ratio, which is critical in reducing symptoms associated with BPH.
Tribulus is often paired with Serenoa repens (Saw palmetto) in formulas targeting BPH. Serenoa works by inhibiting 5-alpha-reductase, reducing DHT levels, while Tribulus enhances hormonal balance, complementing Serenoa’s effects.

Why the other options are incorrect:
A) Panax ginseng (Korean red ginseng):
While Panax ginseng is a powerful stimulating adaptogen, it is not specific to BPH.
Its primary actions include boosting energy, immunity, and libido, but it does not address hormonal imbalances or DHT regulation.

C) Nigella sativa (Black seed):
Nigella is a mild adaptogen with antihypertensive and antidiabetic properties but has no significant hormonal or anti-androgenic effects.
Its mild adaptogenic properties are not sufficient to address BPH symptoms directly.

D) Withania somnifera (Ashwagandha):
Ashwagandha is an adaptogen and endocrine modulator, but its effects are better suited for managing fatigue, endocrine recovery, and improving resilience.
While it supports overall hormonal health, it does not specifically target testosterone or DHT balance required for BPH management.
Key Points on Tribulus in BPH:
Tribulus is effective because it modulates testosterone levels, supporting a healthy balance that minimizes DHT’s impact on the prostate.
Pairing with Serenoa repens provides a comprehensive approach by reducing DHT (Serenoa) and balancing testosterone (Tribulus), offering synergistic benefits for prostate health.
This makes Tribulus terrestris a more targeted herb for BPH than the alternatives listed.

39
Q

Which herb is traditionally used in Southeast Asia as a male sexual stimulant and is indicated for male infertility?
A) Nigella sativa (Black seed)
B) Eurycoma longifolia (Tongkat ali)
C) Mucuna pruriens (Velvet bean)
D) Tribulus terrestris (Tribulus)

A

Answer: B) Eurycoma longifolia (Tongkat ali)
Correct: Traditional Southeast Asian use as a male sexual stimulant, indicated for infertility.

Incorrect Options:
Nigella sativa: Used for male infertility but consumed as food.
Mucuna pruriens: Less historical use for sexual stimulation.
Tribulus terrestris: Associated with libido and endocrine support, but not traditional in Southeast Asia

40
Q

Which herb’s traditional use includes mobilizing the essence of an elder near death in TCM?
A) Panax ginseng (Korean red ginseng)
B) Withania somnifera (Ashwagandha)
C) Lepidium meyenii (Maca)
D) Serenoa repens (Saw palmetto)

A

Answer: A) Panax ginseng (Korean red ginseng)
Correct: TCM tradition uses ginseng to mobilize essence for end-of-life care.
Incorrect Options:
Withania somnifera: Adaptogen, not part of this TCM tradition.
Lepidium meyenii: Primarily a food-based adaptogen.
Serenoa repens: Specific for BPH.

41
Q

Which herb is considered a mild antimicrobial, mild adaptogen, and possibly beneficial for male infertility but is generally consumed as food rather than as a tincture?
A) Nigella sativa (Black seed)
B) Rhodiola rosea (Rhodiola)
C) Lepidium meyenii (Maca)
D) Serenoa repens (Saw palmetto)

A

Correct Answer: A) Nigella sativa (Black Seed)
Nigella sativa, also known as black seed or black cumin, is a mild adaptogen with diverse health benefits.
Adaptogenic properties: While not as potent as other adaptogens like Rhodiola or Panax ginseng, it supports overall resilience, particularly in cases of mild stress or hormonal imbalance.
Male fertility: Nigella sativa has been traditionally used and scientifically studied for its role in improving male fertility.
It has antioxidant properties that protect sperm from oxidative stress.
It enhances sperm count, motility, and overall semen quality.
Food use: Nigella is unique among the options because it is commonly consumed as food or a food supplement, often in the form of oil or seeds sprinkled on dishes. This makes it accessible and well-tolerated.

Incorrect Options
B) Rhodiola rosea
Specific for stress and mental stamina: Rhodiola is a stimulating adaptogen that enhances mental clarity, focus, and endurance under stress.
While Rhodiola has systemic benefits, including some support for physical stamina, it is not particularly known for promoting male fertility or being consumed as food.
Its adaptogenic effects are more tailored to cognitive and stress-related performance rather than fertility.

C) Lepidium meyenii (Maca)
Food-based adaptogen: Like Nigella, Lepidium meyenii is often consumed as food, particularly in powder or root form, making it another “nutritional adaptogen.”
Physical stamina: Maca is more specific for boosting physical endurance, energy, and libido, with less direct evidence supporting its role in improving male fertility compared to Nigella sativa.
While Maca supports endocrine balance, its adaptogenic profile differs slightly from Nigella, making it better suited for physical performance enhancement rather than generalized fertility support.

D) Serenoa repens (Saw Palmetto)
Not consumed as food: Serenoa repens is a medicinal plant known primarily for its role in supporting prostate health and managing benign prostatic hyperplasia (BPH).
It is not consumed as a food or nutritional supplement but rather as a herbal extract.
Serenoa has no significant adaptogenic or fertility-promoting effects, making it the least appropriate option in this context.