Case Studies

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Case Study

Aromatherapy and the Menopause

When undertaking the treatment of menopause for a client who does not wish to go on hormone replacement therapy (HRT), I have found that with the appropriate dietary advice and aromatherapy treatment, she can go through the menopausal years without severe discomfort.

There are probably as many diverse definitions of essential oils (also known as ethereal oils) as there are aromatherapy practitioners and teachers. My favorite definition is that essential oils are volatile, aromatic, usually distilled, plant essences with medicinal and therapeutic effects on all living beings. They can, if used in a therapeutic manner, work not only on human beings, but also on animals, and in some cases help other plants to protect themselves from microbes and fungi. The main functions of essential oils within the plant are to favor pollination, protect the plant from bacterial aggression and attract friendly insects. Depending on the plant, the site of oil production may be mainly in either the leaves, the petals, the rind, the bark or the root.

The menopause is the time when the ovaries cease to produce oestrogens and progesterone, and there is a need to replace their effects with adequate nutrition for health and well-being.

Progesterone has the following effects on the female body: increases libido, helps prevent cancer of the uterus, protects against fibrocystic breast disease, maintains the endometrium, ensures the normal functioning of breast tissue to prevent breast cancer, stimulates the osteoblasts, helps with the storage of calcium in the bone necessary for building new bone, strengthens skin elasticity. Progesterone is a natural diuretic; it encourages the burning of fat and use of stored energy. It is known to have a normalising effect on the blood clotting process, looks after the foetus, and is involved in the prevention of stress through hormonal pathways.

We currently do not know of any essential oils with plant progesterones or with progesterone-like actions. However, progesterone is present in wild yams and is part of the realm of phytotherapy.

Oestrogen has the following effects on the human body: Decreases libido, increases the risks of uterine cancers, encourages the growth of the endometrium, slows down the reabsorption of old bone, encourages salt and water retention in the body, thins skin, increases blood clotting, encourages fat stores in certain parts of the body, its excess produces depression and headaches. Oestrogens are steroids. They encourage the development of the ovum and of the fertilised egg.

There are oestrogen-like molecules described as constituents of various essential oils, amongst them sage (Salvia officinalis), clary sage (Salvia sclarea), fennel (Foeniculum vulgare var. dulce).

How can aromatherapy help during the menopause? It is known that smells can initiate physical and psychological reactions by stimulating the release of neurotransmitters in the brain. This accounts for the findings that people who surround themselves with enjoyable fragrances have enhanced self-esteem. When correctly selected and blended, essential oils It can enhance a woman's emotional equilibrium. Similarly, they can alleviate the frequent mood swings and emotional reactions are often associated with the menopause, such as restlessness, tension, listlessnness, fearfulness, anxiety and loss of self-esteem by inducing relaxation, calmness and equilibrium.

Some examples of essential oil formulations that I have used successfully for patients with premenopausal and menopausal symptoms include essential oils of:

4 drops of roman chamomile (anthemis nobilis)

4 drops of spike lavender (lavandula latifolia)

4 drops of true lavender (lavandula angustifolia)

2 drops of clary sage (salvia sclarea)

This blend may be used either in the bath, at a proportions of 5 drops diluted in a teaspoon of almond oil for a full fath, or as a 3 percent dilation in sweet almond oil, Rosa mosqueta oil or jojoba oil for a massage oil. The effect of this formulation is to improve circulation and increase diuresis, hence diminishing irritability, memory and concentration lapses, and other common symptoms due to lack of oestrogens and progesterone that have a direct relationshp with the onset of the menopause.

A very pleasant and relaxing blend for those days when hot flashes make you feel awful is:

3 drops of bergamot (citrus bergamia)

2 drops of myrrh (commiphora myrrha)

2 drops of ylang ylang (canaga odorata forma genuna)

4 drops of sweet fennel (foeniculum vulgaris var. dulce)

4 drops of geranium (pelargonium odorantisimum)

Prepare a massage oil with this blend of essential oils in a 3 percent dilution formulation in 30 ml Rosa rubiginosa and 20 ml of jojoba.

The following is strengthening and comforting massage oils and diffuser blend for those days when you feel very stressed and unable to cope with the day’s events:

4 drops of essential oil of black spruce (picea mariana)

4 drops of atlas cedarwood (cedrus atlantica)

5 drops of ylang ylang (canaan odorata forma genuine)

3 drops of sandalwood (santalum album)

Add this to 4 ml hazelnut oil to which you previously added 10 ml Rosa rubiginosa.

All of the above formulations should be used in an alternating weekly pattern for up to seven days each. These should be alternated with the client’s personalised blend, which should be used by them at home in between treatments.

The management of the menopause should also include dietary supplements, such as wild yam, fresh fennel, fresh celery and fresh spinach leaves in a large salad to which pumpkin seeds and sesame seed have been added.

The Aromatic Thymes, Spring, 1997.

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Case Study

Treating Fibromyalgia

Fibromyalgia (FM) is according to some sources of information the most common of all rheumatic conditions despite the fact that it has been recognized and diagnosed as an ailment for only the past 10 years. It manifests as a multitude of symptoms that cause much distress and pain to the sufferers. So far, allopathic medicine is only able to relieve the discomforts and pains with analgesic and antidepressant drugs to ease daily life.

My work with fibromyalgia began more than 4 years ago at a request from the local Fibromyalgia Group of the Rheumatic Association. Initially, the aim was to find some way to ease the pain and to help with the sleeping problems experienced by those who suffer from FM. The first stage in programme was to create a self-help blend of essential oils. For this, case histories were taken from 20 FM sufferers. Information on their past and current state of health and medications was collected and then a blend of essential and base oils was formulated the (subsequently called Fibromix) and the group then tested its efficacy.

Half the group served as controls and the other half used the blend. Next, the control group used the blend and the original test group served as the control. Two of the subjects did not complete their part of the test, but sufficient positive information was gained to encourage making another shorter, simpler trial. In this second trial, seven FM sufferers took part in a 3-week test. Each of them recorded on a numerical scale their level of pain for I week without using the blend and then continued the same style of recording whilst using the oil blend for 2 weeks. The result showed lowered pain experience in all but one of the test subjects.

Following this success, aromatherapists here in Finland began to treat FM sufferers with aromatherapy massage. This article reports on these treatments (case studies) and shows efficacy of aromatherapy as a possible treatment for FM.

The treatment offered by allopathic medicine to those with FM aims to improve the quality of life by reducing pain and improving sleep. Combining the available information on FM and its treatments with my knowledge and experience of essential oils, the aim was to give the same relief as allopathic medicine offers by using essential oils and aromatherapy massage. The results of the treatments were very positive.

Three recent research works made here in Finland (Mikkelsson, 1998; Hyyppa et al., 1998; Rahinantti, 1998) as well as other older reference sources on FM provide background information about the currently known facts on the FM symptoms and their possible causes.

The International Journal of Aromatherapy, Vol. 11, No. 1, 2001

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Aromatherapy Case Study
The Phoenix Gazette, Tuesday, December 24, 1996

British Doctors fear 'superbug' can elude, thrive on antibiotics . . . .
Associated Press London

London doctors fear they may have encountered a new "superbug" - a bacterium that not only resists antibiotics but thrives on them.

The bacterium infected two post-operative patients at St. George's Hospital, and when treated with antibiotics quickly adopted them as a vital part of its metabolism, the patients' doctors wrote in a letter published Friday, in the Lancet medical journal.

"Have we at last witnessed the emergence of a true superbug?" the doctors asked.

The bacterium - enterococcus faecium - caused fevers in the two patients, both men in their 60s who underwent surgery in the hospital this year.

Doctors administered the antibiotic vancomycin, the standard treatment. But within days, the men began resisting the antibiotic, and then the bacterium began to thrive.

Antibiotics inhibit the construction of cell walls in the targeted bacterium. Those bacterial that become resistant to antibiotics successfully synthesized "bypass enzymes" to build the cell walls.

In this case the bacterium apparently relied on the antibiotic to synthesize the enzymes. The doctors switched to another antibiotic, and the patients recovered.

"Resistence to antibiotics is a growing problem all over the world," said Ian Eltringham of the hospital's department of medical microbiology. "But here we have a bug that has taken the ultimate evolutionary step by actually becoming dependent on an antibiotic."

Enter Essential Oils

Essential oils are the healing life-force of plants. They contain virtually all of the plants healing nutrients, oxygenating molecules, amino acid precursors, coenzyme A factors, trace minerals, enzymes, vitamins, hormones and more. That is why a growing number of health professionals consider essential oils to be medicine. . . . A medicine no know pathogen can survive.

Dr. Jean Valent, a well known French medical researcher points out that the essential oil from thyme literally destroys the anthrax bacillus, the glanders bacillus, staphylococcus, the diphtheria bacillus, meningococcus, and Kock's bacillus, which is the bacterial responsible for tuberculous lesions.

Dr. Valnet adds that the works of Morel and Rochaix have demonstrated the vapors of lemon oil alone will neutralize the typus bacillus and staphylococcus in only five minutes and the diphtheria bacillus in just twenty minutes.

Moreover, infectious pathogens have yet to find a way to become resistant to essential oils, as they do with antibiotics. Dr. Valent states, "Infectious microbes do not appear to become accustomed to the essential oils as they do to the many forms of treatment using antibiotics. This is very important. Antibiotics are certainly powerful weapons, but they can be dangerous and are easily and often misused. Indeed, quite apart from the abusive use of antibiotics, the dramatic increase recently in the resistance of pathogenic microorganisms to all types of antibiotics, sometimes even the latest ones, is well know. "(However, we are finding that the effects of the same oils remain almost unchanged...."

Recent testing in the U.S. has shown the essential oil of clove, oregano and thyme to be even more powerful than penicillin, the medical community's mainline defense for fighting these "strange" diseases. The results of this study will be soon published in a well known medical journal.

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Case Study
Aromatherapy Quarterly, Winter 1997 Article by Alan Baker, a clinical aromatologist.

Ms. A. had a long history of migraine. She was referred to me after having tried most of the preparations available in herbal shops, as well as allopathic medication. It has been decided to try aromatic medicine.

I started by finding out as much of her medical history as possible in order to define the type of migraine she was experiencing. It has been diagnosed as a non-digestive, vascular migraine.

We started with a look at her diet in order to identify and eliminate those foods which may have been contributing to or aggravating her migraines. With a new dietary regime in place, the next step was to decide on the best essential oil formula for Ms. A.

We started with a 1% dilution of rosemary [officinalis, ct. Cineole] with 2% ginger and 1% sweet marjoram. This blend was applied to the neck and shoulders in a massage cream base. The methods of use and application sequence were taught to Ms. A's partner, and a further appointment was made for one month's time.

After a month, she appeared in the clinic and said that there had been very little improvement. I decided to change the formula slightly and also to increase the applications to three massage applications per week, plus an additional application on or about the time of an attack. I gave Ms. A. a chart to fill in which monitored the frequency of her migraines and plotted any progress graphically. Such charts can be an invaluable way of demonstrating improvements; so often the patient only remembers the bad days and does not register the good ones. Again, appointment was given for a month's time.

Ms. A. had been consistent in filling in her chart. She said she had noticed a few good days but nothing too wonderful. At this meeting, I decided to keep to the current oil formula and allow another month to see if there would be any difference in the chart. One month on, Ms. A. appeared again and her chart was much improved. She said the chart had been a great value in enabling her to observe the slight improvements which she had previously been unable to see.

Six months later, the frequency of migraine attacks has been reduced to one per 14 days. This is acknowledged as a great improvement. Part of the ongoing treatment will be to monitor the essential oil formula and adjust it when necessary to changing needs of Ms. A.

We have now decided to decrease the frequency of massage to one application per week and have found that the improvement in Ms. A. has been maintained. The massage formula is at the same dilution but I have replaced the ginger with Eucalyptus smythii.

I am sure that the massage itself has had as beneficial an effect as the essential oil treatment.

The good news is that Ms. A.'s quality of life has greatly improved. She is still receiving allopathic treatment and I am working closely with the consultant in this field - a truly complimentary approach.

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Case Study
Aromatherapy Quarterly, Winter 1997 Article by Alan Baker, a clinical aromatologist.

Mrs. C. is a 34 year old and just married. She has no children but is hoping to start a family in the near future.

For the last 9 months she has had a continuing problem of bowel disturbances. These have been investigated by the normal orthodox methods within the hospital and she has been giving a diagnosis of irritable bowel syndrome (IBS).

Mrs. C. had been giving some digestive relaxants and she had a session with the hospital dietician; she came to me to see if there was anything that could be offered in conjunction with conventional medicine.

I was pleased to look at the case as it so typified the kind we get at our clinic. The most noticeable feature was that Mrs. C. was extremely stressed; that was blamed on her working environment. Also she was not sleeping or eating at regular times. She did admit to following the dietary guidelines given - but only at the times that suited her working environment!

Full body aromatherapy massage treatment for relaxation was given, using oils at 1% dilution. The blend consisted of: geranium bourbon, ylang ylang and ginger.

I also suggested she try a specific, very gentle abdominal massage routine using peppermint, again in a 1% dilution, together with coriander seed at 0.5%. She received this treatment once a week.

Mrs. C. also agreed to a consultation for taking specially selected Bach Flower Remedies to counter her stress. We looked at ways she could develop a more relaxed approach to her work, and incorporated easy relaxation routines into her day, such a as self-massaging appropriate shiatsu points. This combined strategy worked well, It brought a relatively swift turnaround, lowering Mrs. C.'s levels of stress and alleviating the major IBS symptoms within 3 weeks.

Mrs.T. is a 63 year old lady with arthritic knees and hip joints. She was on so many allopathic drugs that her family doctor did not want to introduce yet more medication into her regime. So she was referred to our clinic by the GP to try a complementary approach.

We gave Mrs. T. a skin sensitivity test for essential oils and offered her a nutrition treatment plan which included removing from her diet those elements that were aggravating her arthritis.

The oils were selected primarily for their anti-inflammatory properties an were blended in dilution in a calendula cream carrier. They were: peppermint 1%, white birch 1%, yarrow 2% and green pepper 0.5%. She applied this cream mornings and evenings to the affected joints, and reported alleviation of symptoms within 10 days of her combined dietary/essential oils routine.

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Case Study
Aromatherapy Quarterly, Summer 1997 Article by Alan Baker, a clinical aromatologist.

Ms. S. is a 20 years old and has had recurrent cystitis. Conventional methods of treatment to remove the bacteria have so far failed, so the clinic decided to try a complementary approach. Ms. S. was in obvious pain and anxiety. The frequency of urination was high and she had developed an irritation in the vaginal mucosa. One of the first steps was to assess the effects of her diet on the condition. We decided to alter or delete certain foods. The main priority was to boost her immune system. So her diet had to consist mostly of nutrient-rich, very fresh, unprocessed foods: steamed vegetables, salads, with celery and parsley, natural whole grains, beans and pulses and a major reduction of meats which stresses the kidneys.

We ensured she was drinking sufficient fluid 1.5-2 litres water per day, plus herb teas like sage, rosehip and golden rod infusion. We also instructed her to use a bottle washing programmed [Shreeve] and to swab the genital area with the infused waters from Calendula officinalis [1 heaped teaspoon of flowers to a cup full of boiling water. Infuse and allow to cool, the strain. Apply after each visit to the toilet.] In addition, to the area around the bladder Ms. S. was to apply formula consisting of 1 drop Thymus satureiodies, 1 drop ginger, 1 drop manuka in 60 mls of calendula cream once per day for 10 days [dermal application]. A heat pad was placed over the application for ten minutes, at heat setting number 2. She also took a course of acidophilus tablets, one tablet threes times a day. We use the Bach flower remedies on almost all our clients a d so we did in Ms. S.'s case. I recommend them wholeheartedly as the results so far have been very good.

Since embarking on this course of treatments, and in a relatively short time, the severity of Mrs. S.'s cystitis has come under control and her general health has dramatically improved.

A 60 year old lady, Mrs. K., came to us with severe rheumatoid arthritis. She was having great difficulty walking with inflamed knee joints and lower back.

We started by assessing her diet and introduced some basic changes to redress the acid/alkaline balance of the body, eliminating those foods that were aggravating and contributing to the inflammation. We increased her liquid intake to one and a half litres a day. We also devised a formula to be applied locally to her knees and lower back. This was administered by Mrs. K. at the clinic once a week. She had a heat pad put over these areas, on a low setting, so as to increase the absorption of the cream (do be careful with heat and rheumatoid arthritis; in some cases this is not appropriate to the condition).

The cream prescription was: 1 drop Thymus vulgaris, 1 drop coriander seed, 1 drop green pepper (milder and less irritating than black pepper) in 100 mls base cream consisting of 50% comfrey (Symphytum officinale) cream and 50% calendula cream. A choice of Bach flower remedies was also used. This treatment was aimed at enhancing Mrs. K.'s quality of life rather than curing her condition. Her movement has improved greatly and her dependency on pain killers has been reduced form six aspirins to one or two a day.

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Scentimental Vignettes
Aromatherapy Quarterly, Winter 1997.

By the 1200s, the warlike lifestyle of the Middle Ages had mellowed and in castle and cottage garden alike, there grew plans for pleasure as well as those meant to battle against illness. During the Crusades, through contact with the pleasure-living courts of the East, and interest in fragrance for its own sake was reawakened in Europe. By the time Philip II of France came to power late in the 12th century, perfumers were being granted charters and when Charles the Wise took over, acres of flowers were grown to produce fragrant materials. Perfumes distilled from alcohol appeared in the 1300s. With the increase in culture in Europe in the 13th and 14th centuries, the uses of perfume multiplied, and by the 17th century almost everything was scented, from gloves to ink.

Diane de Poitiers, mistress of Francis I in the 1500s and later of Henry II, was a patroness of perfume; Henry III had his linens scented with sachets of violet-scented orris-root powder, dried leaves of fragrant red roses, sandalwood, benjamin, storax, calamus root, cloves, ambergris, coriander and lavender. Cardinal Richelieu perfumed his rooms by blowing with a bellows a scented powder of roses, cypress root, marjoram, cloves, benjamin, storax. Potpourris & Other Fragrant Delights by Jacqueline Heriteau. Penguin Books Ltd.

Masters of aromatics, the Egyptians had many uses for cedarwood: in mummification, as incense, and to protect papyruses from the assaults of insects. Cleopatra's cedarwood ship, on which she received Antony, had perfumed sails; incense burners ringed her throne, and she herself was scented from head to toe. I return to her now because she was the quintessential devotee of perfume. She anointed her hands with kyphi, which contained oil of roses, crocus, and violets; she scented her feet with aegyptium, a lotion of almond oil, honey, cinnamon, orange blossoms, and henna. The walls were an aviary of roses secured by nets, and her regally perfumed presence arrived before her, like a kind of calling card in the scent drenched wind. As Shakespeare imagines the scene:
"From the barge/A strange invisible perfume hits the sense/Of the adjacent wharfs."
Romans became famous for their spa-like grandeur, but they actually borrowed the bath from the sybaritic Egyptians. In the ancient world, royal architecture itself was often aromatic. Builders of mosques used to mix rosewater and musk into mortar; the noon sun would heat it and bring out the perfumes. A Natural History of the Senses by Diane Ackerman, Chapmans.

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