 Many different types of PMS

 Can use Oenothera biennis (Evening Primrose)

o 500mg bid
 PMS symptoms can vary a lot
 Male chauvinistic
o Short tempered, aggressive, short fuse,
 This type of irritability characteristic of someone who has excess estrogen in her blood
system
 Some women feel vulnerable, and that they want to withdraw. Cry, weep, loose self-
confidence
o Usually associated with elevates progesterone levels
 Some women may have combination of two
o Too much estrogen and progesterone
o Happens b/c LIV not capable of removing hormones in an appropriate
manner
o If hormones not broken down in LIV in timely manner, get residual
progesterone/estrogen
o Can give silybum marianum 10 days before menses, and will completely
remove PMS symptoms
 Can also help reduce menses that occur 1 week before menses
 Take in combo with Dandelion, and some herbs to improve bowel
function
 Will help woman to detoxify during PMS time
 4 subgroups of PMS
o PMS type A
 Anxiety, irritability, nervous tension, mood swings
 Mechanism
• Estrogen predominant
• Low progesterone
o PMS Type D
 Depression, Crying, forgetfulness, confusion, insomnia
 Mechanism
• Low serum estrogen and high progesterone
• Sometimes elevated adrenal androgens (testosterone, and
other androgen. Often associated with excess hair growth)
o PMS Type C
 Craving, increased appetite, headache, fatigue, dizziness or
fainting, palpitations
 Mechanism
• Increased CHO tolerance
• Thought to have something to do with the effect of
prostaglandins on insulin sensitivity
• Particularly PGE Type 1
 • Gammalinonlenic acid
o PMS H
 Hyperhydration (water retention), fluid retention with greater than
3lbs, swollen extremities, with breast tenderness, and abdominal
bloating.
 Aldosterone effect due to malfunctioning of the KI, usually KI
deficiency
 Case 41
o PMS Type C
o Evening Primrose Oil

Male Health
 Two main concerns
o Benign Prostetic hyperplasia
o Erectile dysfunction
 Have very distorted ideas of what health means in terms of emotional, spiritual,
mental, and physical health
 Male attitude in dealing with women, and enormous profits made by pharmaceutical
companies made directed towards women
 Same kind of mythology around male sexuality
 Very difficult problems to solve
 Can hardly ever deal with a prostate problem or erectile dysfunction without having to
deal with deeper issues
 They involve so much more
 Case 42
o Concerned about sexual performance
o BP normal
o Enlarged prostate seems to dampen effect of erection
o Experiences decrease in sexual performance
o Suggested comparison with Case 8
o Age:
 Men as they age have less sexual energy
 Libido is reduced
 Ability to have intercourse, and maintain erection – tire more
quickly
 Decrease in KI essence
 Have to ration their use of that energy, so that when they want to
have intercourse, will have saved up enough energy to do so
o In case 8 – simply getting old
o Image – wants to appear as if he’s still 20 years old
o Used a lot of Yang tonics
 Heart was racing
 In a very dangerous state
o Pausinysalia Yohimbe (Yohimbe)
  Very toxic
 Pg. 1
 Aphrodisiac
 GI disturbances, salivation, hypertension, mydriasis …
 Create hyperstimulated situation
 Often causes depression
 Anxiety and hypertension are common symptoms
 Not enjoying himself anymore, but is stimulated
o Tribulus terrestris (puncture vine)
o Virilia for men
 Tribulus terrestris
 Ginkgo biloba
 Siberian Ginseng (eleutheroccus senticosus), Candian Ginseng
(Panax quinquelofim), garlic (Allium sativum), Cayenne
(Capsicum annuum), Scullcap (Scutellaria laterifolia), and Bee
Pollen
o Schisandra chinensis
 Balancer of sexuality
 Increases circulation to sexual organs
o Panax notoginseng
o Tier 2: understanding that as we age we lose ability to perform.
o Panax quinquefolios is a good yin tonic for this guy, or Chinese herbs
 Case 43
o Developing atherosclerosis
o It’s impeding the flow of blood and the elasticity of the blood vessels
o It’s difficult for him to gain an erection and then sustain it
o Approach is to use a herb that is in the Virilia complex
o Treating the cuases
 Pigium Africana
• Used principally for prostate problems, but it also lowers
cholesterol levels in the prostate
• It helps improve circulation
 Serenoa repens
• His prostate is probably enlarged
 Gingko Biliboa
 Allium sativum
o Had healthy happy sexual life with his wife
 Case 44
o Smilax officinalis
 Person needed to be kept in a very warm room for several weeks
 Needed to have abstained from certain foods and alcohol – very
clean diet
 Most of these cases had very favourable outcomes
  Far better than dying of syphilis!!!!
 Case 45
o PSA regarded as an important test
o Elevated PSA levels
 Biopsy the prostate
• Use 6 to 8 needles
 Vitually every man has potentially cancerous cells in prostate from
age of 25
 Inflammation as a result of the biopsy can increase the chances of
cancer
 The PSA levels are highly unreliable
o A lot of systems of BPH
o Urination problems
 Urgency, frequency, difficulty commencing and completing
urination
 Prostate is pressing on the urethra
 Urethra goes through prostate
o Herbs
 Pygeum africanum
 Serenona repens
 Cucurbita pepo (pumpkin seed)
 Thyme herbs
 Additional (Smilax officinalis)
• Can be used b/c it’s an alterative and tonic
• Not used very much anymore
• Mainly used now for treatment of syphilis
o Can get prostatitis from riding a bicycle
 Driving trucks (springs are hard) – get hemorrhoids
o Can use ‘Prostate Health’
 Has many nutrients in it as well
 Stinging nettle
• Has some specific general benefits
• Great nutrients – has many minerals
• Anti-inflammatory and anti-allergic
 A lot of other minerals and vitamins including zinc
 Successful in men who have severe problems with their prostate –
not cancer but BPH

Exam
 Overall everyone did about the same as last year
 6 questions that most people got wrong. Fell into two categories
o Constituents
o Herbs that had more than one action
 Tabebuia avellanedae
o Essential oils
o Polysaccharides and glycosides
o Quinone
o Alkaloids
 Panax Notoginseng
o Hemostatic – improves blood circulation
 Berberis family
o All are oxytocin
o Cause uterine contraction
o Therefore contraindicated
Endocrine
 Plants that control blood sugar levels
 And normalize thyroid levels
 Don’t know any that effect parathyroid
 Amazing that we have herbs that specifically target endocrine function
 Number of herbs used in the treatment of DM is huge
o Constituents come from every conceivable one
o Botanical world has so many ways to influence endocrine function in a
positive way
 Many classes of herbs that can help
 Diabetes Mellitus (DM)
o Herbs that are treating the symptoms
o Modifying either the metabolism of sugar or the functioning of insulin
o Sugar diabetes
o 2 kinds
 Diabetes type 1
• Childhood onset diabetes
• Not always childhood, but characterized as autoimmune
dysfunction of base cells of pancreas so that insulin is no
longer produced
• May occur later in life as well
• Total cessation in the production of insulin
 Diabetes Type 2
• Adult onset
• Usual mechanism is exhaustion of pancreatic cells b/c of a
overstimulation from the consumption of sugar or CHO
that break down to sugar
• Happens more in type O blood
o If programmed not to digest complex CHO, and
eats a lot of CHO, becomes addicted – they gain
weight (become obese) and develop insulin
resistance
 o Develop insulin resistance to high sugar levels
o if not able to utilize them – blood sugar levels high,
therefore insulin is high
o hyperinsulinemia – eventually lead to insulin
resistance
 cells no longer respond to the insulin so
blood sugar levels go higher even in the
presence of normal insulin
o Noninsulin dependent diabetes mellitus (NDDM)
o Also seen in children
o True addiction to CHO, which is easily broken if
you can discipline the child
 Can loose in 2 mo
• Kind of diabetes that were cured by Father Kneipp
 Some herbs are hypoglycemic – lower blood sugar levels
 What is it that does damage in DM? Unfortunate sequelae:
• Diabetic neuropathy
o Due to high blood sugar levels
o Need to have a level between 3 to 5
• Get high insulin levels that follow
• Within cells of body, have intracellular organs –
eicosanoids
o Include inflammatory and anti-inflammatory cells
o Hyperglycemic Inflammatory components that
predominate
o Target nervous system
o Get degeneration to limbs, eyes, nerves, brain…
o Eventually die
o Terrible neuropathy associated with it
 Herbs effect
 some work by altering the absorption of simple sugars from the
digestive tract
 some modify the way in which LIV metabolizes sugar, so that it
gets the sugar out of the blood stream and into glycogen very
quickly
 can alter gluconeogenesis
 Hyperglycemic
• Momordica charantia (Bitter Mellon)
• Syzgium cumini (Jambul)
• Fenugreek used with it
• Vaccinium mytrtilus (bilberry)
o Also good in treatment of vascular disorders that
develop
  Circulation
• Ginger
• Capsicum
• Allium Sativum
 Trying to restore blood flow
• Bilberry
• Gingko biloba (vasodilator)
• Hypericum perforatum
o Helpful in retina of eye for macular degeneration
and other neurological symptoms that occur in DM
and for neuritis
 Pterocarpus
• Kino
• Herb from leguinocea (Sp?) Fabaciea
• Regeneration of damaged beta cells in the pancreas
 Burma Cutch
 Jamneena silvestris
• Bitter and resonance compounds
• May protect beta cells
 Thyroid
o Control of thyroid function is many tiered
o Have ant. Pit hormone making hormone
o Responds to circulating levels of T3 and T4 – especially T3
o If T3 falling, pit. Makes more TSH which tells thyroid to make more
thyroxin
o If have goiter
 Thyroid glad begun to swell
 Not enough iodine
 If suspect peron’s not getting enough iodine, useful source is salt
 Can use kelp seaweed
 Iodine
• May think that person is hyperthyroidism (too much T3 in
blood stream)
• Dose of iodine is used to treat thyroid storm – acute attack
of hyperthyroidism
• Dose of iodine given the right way, will start a thyroid
storm
• A lot we don’t understand about how iodine works
• Good products in market that combine kelp
o Hyperthyroidism
 Too much thyroid hormone with accelerated metabolic rate
 Weight loss
 Sense of heat, tremors
  Reversible condition
 Propothyroid
 Make the conversion of T4 to T3 slower (T3 is active)
 Interfere with conversion to T4
 Three herbs important for this, but not on list
• Lemon balm
• Mother wart
• Bugle weed
o All thyroid conditions are immune in nature