Guest guest Posted October 28, 2004 Report Share Posted October 28, 2004 A Vitex Monograph by Ruth Trickey & Michael Thomsen *Smile* Chris (list mom) http://www.alittleolfactory.com ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ http://www.phytotherapies.org/monograph_detail.cfm?id=240 Monograph : Vitex agnus-castus Common name: chaste tree Other names: monk's pepper, wild pepper, hemp tree, vitex, kyskhedstræ, agneau chaste, agni casti fructus, keuschlammfrüchte, gatillier Family: Verbenaceae Parts used: fruit Description Small deciduous tree or large shrub of free spreading habitat. Leaves are dark green above and whitish grey below. Leaves are opposite, palmately compound, composed of radiating toothed leaflets borne on a stalk. Twigs are covered in a fine grey down. In spring the plant bears dark purple scented flowers, 1-2 cm long in whorls on slender racemes. Berries similar to peppercorns are dark purple to reddish black and half-covered by sage green calyces. Berries have an aromatic peppermint-like odour.1 Taste is warm and peculiar.2 Natural habitat is the Mediterranean and central Asia where it is normally found along streams and rivers in dry soil. _____________ 1Weiss, RF, 1988, Herbal Medicine, Beaconsfield Arkana, Beaconsfield, UK. 2Snow, JM, “Vitex agnus-castus L”, The Protocol Journal of Botanical Medicine, Spring, pp 20-23, 1996. Historical use Hippocrates (450BC) suggested Vitex be used to treat injuries, inflammation, splenomegaly and to help the uterus expel the placenta after birth.1 Dioscorides (50AD) recommended Vitex for inflammation of the uterus and promoting menstruation.2 In Persia it was used to treat insanity, madness and epilepsy. Pliny used the berries to promote menstruation, reduce fever and headaches, to stimulate perspiration and to promote lactation in new mothers. He also recommended it to ‘check violent sexual desires’ and to act as an antidote to ‘the penis stimulating effects of the bites of poisonous spiders’.3 The dried fruits have a peppery taste and were used in monasteries as a condiment, supposedly to suppress the libido of the monks (monk's pepper). In Rome, the vestal virgins carried twigs as a symbol of chastity, possibly the origin of the common name chaste tree. Athenian matrons in the sacred rites of Ceres used to string their couches with the leaves.4 The eclectics in the 19th century used a tincture of berries as an emmenagogue and galactogogue as well as for impotence and 'sexual melancholia'5, but whether this was for men, women or both sexes is unclear. _____________ 1Brown, DJ, “Vitex agnus-castus clinical monograph”, Quarterly Review of Natural Medicine, Summer, pp 111-121, 1994. 2Hobbs, C, 1990, Vitex: The Woman’s Herb, Botanica Press, CA, pp 2-7. 3Healy, JF, 1991 (Translation and notes), Pliny the Elder, Natural History: A Selection, Penguin Books, London England, p 236. 4Grieve, M, 1931, A Modern Herbal, Penguin, New York, p 188. 5Felter, HW, Lloyd, JU, 1983 (originally published 1898), King’s American Dispensatory, Eclectic Medical Publications, Oregon, p 2056. Cautions Vitex agnus-castus may interact with hormonal preparations. Most herbalists and writers only recommend the use of Vitex to treat symptoms when women are not on any other hormonal therapy.1 However, some herbalists do prescribe the herb to patients on hormone preparations and report good results. Caution should be exercised in women under 20 years when hypothalamic-pituitary-ovarian axis is easily disrupted. For this reason, it is recommended that treatment with Vitex is commenced in the early part of the follicular phase of the menstrual cycle. Vitex should be used with care when women are undergoing IVF programs. In a small percentage of women Vitex causes headaches that do not respond to dosage changes. In such cases the herb should be discontinued. Some studies included below in 'Clinical Studies' reported that a small proportion of women experienced mild side effects of Agnolyt (a German herbal preparation containing Vitex) treatment such as nausea, gastric disturbance or headaches. These seem to occur in low numbers of patients and resolve with cessation of treatment. Vitex can be used in pregnancy however some authors2 cite the herb as an emmenagogue. Vitex agnus castus does not possess oxytocic or abortifacient effects and the use of the word emmenagogue is misleading since some authors use the term to define all plants that alter the menstrual cycle. For example Farnsworth refers to an emmenagogue as follows “ … we considered all plants mentioned to alter the menstrual cycle, unless specifically stated to be abortifacients, ecbolics, or oxytocics; to be emmenagogues.”3 Some authors1 also recommend against using Vitex agnus castus during lactation because of a lack of toxicity data. However, it is considered an official galactagogue according to German monographs4 and Weiss reports that it can be given over weeks or months to maintain good levels of milk production without having fear of harmful side effects.5 Eclectic medical practitioners also used a tincture of the fresh fruit as a galactogogue.6 Vitex can be beneficial for menopausal symptoms such as mood changes, insomnia, migraines, menorrhagia and polymenorrhoea during the peri-menopause. However Vitex is usually stopped once menstruation has ceased and is not indicated for the classical oestrogen deficiency symptoms of menopause. _____________ 1Newall, C, Anderson, L, Phillipson, JD, 1996, Herbal Medicines: A Guide for Health-Care Professionals, Pharmaceutical Press, London, p 19. 2Brinker, F, 1997, Herb Contraindications and Drug Interactions, Eclectic Institute Inc, Oregon, p 109. 3Farnsworth, NR, Bingel, A, Cordell, GA, et al, “Potential value of plants as sources of new antiinfertility agents (I)”, J Pharm Sci, 64(4), pp 535-598, 1975. 4Monograph, 1992, “Agnis casti fructus”, Bundesanzeiger, No. 90, reported in Leung, AY, Foster, S, 1996, Encyclopedia of Common Natural Ingredients used in Food, Drugs and Cosmetics, 2nd Edition, John Wiley and Sons, Inc, New York, p 151. 5Weiss, RF, 1988, Herbal Medicine, Beaconsfield Arkana, Beaconsfield, UK. 6Amann, W, “[Amenorrhea. Favourable effect of Agnus castus (Agnolyt) on amenorrhea]”, Z Allg Med, 58(4): pp 228-31, 1982. Toxicology Not known - longer-term administration is necessary in some cases and there are reports of women taking Vitex agnus-castus for up to sixteen years without ill effect.1 _____________ 1Dittmar, FW, et al, in Snow, JM, “Vitex agnus-castus L. (Verbenaceae)”, Protocol J Bot Med, Spring, pp 20-3, 1996. DoseDryHerb 3 to 6 g per day. DoseExtract 5 to 20 mL per week (1:2). Often given 2 to 3 mL on rising, starting on day one of cycle. Indications acne, amenorrhoea, amenorrhoea, secondary, benign breast disease, cystic hyperplasia, depression, post natal, dysmenorrhoea, endometriosis, fibroids, follicular cyst, hormonal dysfunction, infertility, lactation, poor, latent hyperprolactinaemia, luteal phase complaints, menopause, depression, menopause, menorrhagia, menopause, symptoms, menorrhagia, menstrual irregularity, miscarriage, threatened, oedema, premenstrual, oligomenorrhoea, ovarian cyst, ovulation, eratic, ovulation, painful, polymenorrhoea, premenstrual syndrome, uterine bleeding, dysfunctional Qualities cooling potential, dry, neutral, warming potential Actions anaphrodesiac (male), carminative, dopaminergic, galactagogue, hypothalamic-pituitary-ovarian (HPO) regulator, ovulation stimulant, progesterogenic Constituents Prolactin secretion from the anterior pituitary is under the dual control of a yet unknown hypothalamic factor which stimulates prolactin release and the catecholamine dopamine which acts as a prolactin inhibitor. Several intrinsic factors, such as sleep, and extrinsic, such as stress, stimulate prolactin release. The prolactin-releasing cells of the pituitary, the lactoropes, respond to the D2 subtype of the dopamine-receptor which is coupled to the adenylate cyclase unit. Activation of the D2 receptor by either dopamine, or compounds molecularly related to dopamine, reduces the synthesis of cAMP resulting in a inhibition of prolactin secretion. Prolactin has numerous target tissues in the body, including the mammary gland and the corpus luteum. While a hyposecretion of prolactin appears to be without pathophysiological consequences, an excessive release of prolactin causes fertility disorders such as corpus luteum insufficiency. Premenstrual symptoms including mastalgia may be associated with the so-called latent hypersecretion of prolactin, ie in response to a stimulus, the lactoropes release excessive amounts of prolactin. Consequently the mammary gland tissue is sub-chronically stimulated causing mastalgia. Although dopamine inhibits the hyper-release of prolactin, it is very rapidly inactivated. Ergot alkaloids were the first isolated naturally occurring dopamine agonists, however, the side-effects are too great. Synthetic derivatives, e.g. bromocriptine, exert a more specific dopaminergic activity and are used clinically. Determination of binding to the D2 receptor offers the unique possibility to prove the biological action of Vitex and to ensure the quality of the preparations by biological standardization. When Vitex extracts on the German market were tested, only 2 out of 9 liquid extracts showed significant dopaminergic activity. There was a 100-fold difference in the dopaminergic activity between the extract tested. Although all of these extract were supposedly manufactured to the standard of the German pharmacopoeia, it is clear that not all extraction methods produces equally active preparations. Ref: Jarry H, Metten M, Wuttke W Comparison of the dopaminergic potency of various commercially available Agnus castus preparations: The Need for biolgical standardization Phytomedicine 2000 Suppl. 2, 7: 10 Active constituents in Chaste berry Fractionization of a Vitex extract has found two different types of dopaminergic compounds: hydrophilic, thermolabile but also lipophilic, and more thermostable, dopamine agonists. The latter types were identified as bi-cyclic diterpenes with the molecular structures of labdadienes and clerodadienes. Ref: Jarry H, Spengler B, Wuttke W Phytotherapy in gynecology: Pharmacological Rationale for the use fo dopaminergic principles Phytomedicine 2000 Suppl. 2, 7: 10 Swiss researchers measured the level of various diterpenes (diterpenoids) in the dry fruit as follows: * 0.04-0.30% rotundifuran * 0.016-0.167% vitexilactone * 0.02-0.10% labdadiene Ref: Hoberg E, Meier B, Sticher O Quantitative high performance liquid chromatographic analysis of diterpenoids in agni-casti fructus Planta Med 2000 66(4): 352-355 Key active constituents (fruit): * Diterpenes: labdadienes, vitexilactone and rotundifuran * Essential oil (0.5%, containing monoterpenoids including alpha-pinene, 1,8 cineole; and sesquiterpenoids including beta-caryophyllene, beta-farnesene, gamma-cadinene, alpha-phellandrene, sabinene, 4-terpineol)1,2,3 * Flavonoids (including casticin, vitexin, isovitexin, penduletin, chrysophanol D, hydroxykaempferol4) * Iridoid glycosides (0.3% including agnuside (0.6%),aucubin (0.3%)5 * Casticin and agnuside serve as a quality control markers in the manufacturing of standardised extracts. __________ 1. Snow, JM, “Vitex agnus-castus L.”, The Protocol Journal of Botanical Medicine, Spring, pp.20-23, 1996. 2. Kuttrak, D, “The composition of the essential oil of Vitex agnus-castus”, Planta Medica, 1:A681 Supplement, 1992. 3. Zwaving, JH, Bos, R, “Composition of the essential fruit oil of Vitex agnus-castus”, Planta Med, 62, p. 83, 1996. 4. Wollenweber, E, Mann, K, “Flavonols from fruits of Vitex agnus castus”, Planta Medica, 48, pp 126-7, 1983. 5. Gorler K, Oehlke D, Soicke H Planta Med 1985, 50: 530-531 Author: Ruth Trickey & Michael Thomsen Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 28, 2004 Report Share Posted October 28, 2004 Thought this was an interesting statement -- so much for reducing hot flashes during memopause " However Vitex is usually stopped once menstruation has ceased and is not indicated for the classical oestrogen deficiency symptoms of menopause " Rita Christine Ziegler <chrisziggy wrote: A Vitex Monograph by Ruth Trickey & Michael Thomsen *Smile* Chris (list mom) http://www.alittleolfactory.com ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ http://www.phytotherapies.org/monograph_detail.cfm?id=240 Monograph : Vitex agnus-castus Common name: chaste tree Other names: monk's pepper, wild pepper, hemp tree, vitex, kyskhedstræ, agneau chaste, agni casti fructus, keuschlammfrüchte, gatillier Family: Verbenaceae Parts used: fruit Description Small deciduous tree or large shrub of free spreading habitat. Leaves are dark green above and whitish grey below. Leaves are opposite, palmately compound, composed of radiating toothed leaflets borne on a stalk. Twigs are covered in a fine grey down. In spring the plant bears dark purple scented flowers, 1-2 cm long in whorls on slender racemes. Berries similar to peppercorns are dark purple to reddish black and half-covered by sage green calyces. Berries have an aromatic peppermint-like odour.1 Taste is warm and peculiar.2 Natural habitat is the Mediterranean and central Asia where it is normally found along streams and rivers in dry soil. _____________ 1Weiss, RF, 1988, Herbal Medicine, Beaconsfield Arkana, Beaconsfield, UK. 2Snow, JM, “Vitex agnus-castus L”, The Protocol Journal of Botanical Medicine, Spring, pp 20-23, 1996. Historical use Hippocrates (450BC) suggested Vitex be used to treat injuries, inflammation, splenomegaly and to help the uterus expel the placenta after birth.1 Dioscorides (50AD) recommended Vitex for inflammation of the uterus and promoting menstruation.2 In Persia it was used to treat insanity, madness and epilepsy. Pliny used the berries to promote menstruation, reduce fever and headaches, to stimulate perspiration and to promote lactation in new mothers. He also recommended it to ‘check violent sexual desires’ and to act as an antidote to ‘the penis stimulating effects of the bites of poisonous spiders’.3 The dried fruits have a peppery taste and were used in monasteries as a condiment, supposedly to suppress the libido of the monks (monk's pepper). In Rome, the vestal virgins carried twigs as a symbol of chastity, possibly the origin of the common name chaste tree. Athenian matrons in the sacred rites of Ceres used to string their couches with the leaves.4 The eclectics in the 19th century used a tincture of berries as an emmenagogue and galactogogue as well as for impotence and 'sexual melancholia'5, but whether this was for men, women or both sexes is unclear. _____________ 1Brown, DJ, “Vitex agnus-castus clinical monograph”, Quarterly Review of Natural Medicine, Summer, pp 111-121, 1994. 2Hobbs, C, 1990, Vitex: The Woman’s Herb, Botanica Press, CA, pp 2-7. 3Healy, JF, 1991 (Translation and notes), Pliny the Elder, Natural History: A Selection, Penguin Books, London England, p 236. 4Grieve, M, 1931, A Modern Herbal, Penguin, New York, p 188. 5Felter, HW, Lloyd, JU, 1983 (originally published 1898), King’s American Dispensatory, Eclectic Medical Publications, Oregon, p 2056. Cautions Vitex agnus-castus may interact with hormonal preparations. Most herbalists and writers only recommend the use of Vitex to treat symptoms when women are not on any other hormonal therapy.1 However, some herbalists do prescribe the herb to patients on hormone preparations and report good results. Caution should be exercised in women under 20 years when hypothalamic-pituitary-ovarian axis is easily disrupted. For this reason, it is recommended that treatment with Vitex is commenced in the early part of the follicular phase of the menstrual cycle. Vitex should be used with care when women are undergoing IVF programs. In a small percentage of women Vitex causes headaches that do not respond to dosage changes. In such cases the herb should be discontinued. Some studies included below in 'Clinical Studies' reported that a small proportion of women experienced mild side effects of Agnolyt (a German herbal preparation containing Vitex) treatment such as nausea, gastric disturbance or headaches. These seem to occur in low numbers of patients and resolve with cessation of treatment. Vitex can be used in pregnancy however some authors2 cite the herb as an emmenagogue. Vitex agnus castus does not possess oxytocic or abortifacient effects and the use of the word emmenagogue is misleading since some authors use the term to define all plants that alter the menstrual cycle. For example Farnsworth refers to an emmenagogue as follows “ … we considered all plants mentioned to alter the menstrual cycle, unless specifically stated to be abortifacients, ecbolics, or oxytocics; to be emmenagogues.”3 Some authors1 also recommend against using Vitex agnus castus during lactation because of a lack of toxicity data. However, it is considered an official galactagogue according to German monographs4 and Weiss reports that it can be given over weeks or months to maintain good levels of milk production without having fear of harmful side effects.5 Eclectic medical practitioners also used a tincture of the fresh fruit as a galactogogue.6 Vitex can be beneficial for menopausal symptoms such as mood changes, insomnia, migraines, menorrhagia and polymenorrhoea during the peri-menopause. However Vitex is usually stopped once menstruation has ceased and is not indicated for the classical oestrogen deficiency symptoms of menopause. _____________ 1Newall, C, Anderson, L, Phillipson, JD, 1996, Herbal Medicines: A Guide for Health-Care Professionals, Pharmaceutical Press, London, p 19. 2Brinker, F, 1997, Herb Contraindications and Drug Interactions, Eclectic Institute Inc, Oregon, p 109. 3Farnsworth, NR, Bingel, A, Cordell, GA, et al, “Potential value of plants as sources of new antiinfertility agents (I)”, J Pharm Sci, 64(4), pp 535-598, 1975. 4Monograph, 1992, “Agnis casti fructus”, Bundesanzeiger, No. 90, reported in Leung, AY, Foster, S, 1996, Encyclopedia of Common Natural Ingredients used in Food, Drugs and Cosmetics, 2nd Edition, John Wiley and Sons, Inc, New York, p 151. 5Weiss, RF, 1988, Herbal Medicine, Beaconsfield Arkana, Beaconsfield, UK. 6Amann, W, “[Amenorrhea. Favourable effect of Agnus castus (Agnolyt) on amenorrhea]”, Z Allg Med, 58(4): pp 228-31, 1982. Toxicology Not known - longer-term administration is necessary in some cases and there are reports of women taking Vitex agnus-castus for up to sixteen years without ill effect.1 _____________ 1Dittmar, FW, et al, in Snow, JM, “Vitex agnus-castus L. (Verbenaceae)”, Protocol J Bot Med, Spring, pp 20-3, 1996. DoseDryHerb 3 to 6 g per day. DoseExtract 5 to 20 mL per week (1:2). Often given 2 to 3 mL on rising, starting on day one of cycle. Indications acne, amenorrhoea, amenorrhoea, secondary, benign breast disease, cystic hyperplasia, depression, post natal, dysmenorrhoea, endometriosis, fibroids, follicular cyst, hormonal dysfunction, infertility, lactation, poor, latent hyperprolactinaemia, luteal phase complaints, menopause, depression, menopause, menorrhagia, menopause, symptoms, menorrhagia, menstrual irregularity, miscarriage, threatened, oedema, premenstrual, oligomenorrhoea, ovarian cyst, ovulation, eratic, ovulation, painful, polymenorrhoea, premenstrual syndrome, uterine bleeding, dysfunctional Qualities cooling potential, dry, neutral, warming potential Actions anaphrodesiac (male), carminative, dopaminergic, galactagogue, hypothalamic-pituitary-ovarian (HPO) regulator, ovulation stimulant, progesterogenic Constituents Prolactin secretion from the anterior pituitary is under the dual control of a yet unknown hypothalamic factor which stimulates prolactin release and the catecholamine dopamine which acts as a prolactin inhibitor. Several intrinsic factors, such as sleep, and extrinsic, such as stress, stimulate prolactin release. The prolactin-releasing cells of the pituitary, the lactoropes, respond to the D2 subtype of the dopamine-receptor which is coupled to the adenylate cyclase unit. Activation of the D2 receptor by either dopamine, or compounds molecularly related to dopamine, reduces the synthesis of cAMP resulting in a inhibition of prolactin secretion. Prolactin has numerous target tissues in the body, including the mammary gland and the corpus luteum. While a hyposecretion of prolactin appears to be without pathophysiological consequences, an excessive release of prolactin causes fertility disorders such as corpus luteum insufficiency. Premenstrual symptoms including mastalgia may be associated with the so-called latent hypersecretion of prolactin, ie in response to a stimulus, the lactoropes release excessive amounts of prolactin. Consequently the mammary gland tissue is sub-chronically stimulated causing mastalgia. Although dopamine inhibits the hyper-release of prolactin, it is very rapidly inactivated. Ergot alkaloids were the first isolated naturally occurring dopamine agonists, however, the side-effects are too great. Synthetic derivatives, e.g. bromocriptine, exert a more specific dopaminergic activity and are used clinically. Determination of binding to the D2 receptor offers the unique possibility to prove the biological action of Vitex and to ensure the quality of the preparations by biological standardization. When Vitex extracts on the German market were tested, only 2 out of 9 liquid extracts showed significant dopaminergic activity. There was a 100-fold difference in the dopaminergic activity between the extract tested. Although all of these extract were supposedly manufactured to the standard of the German pharmacopoeia, it is clear that not all extraction methods produces equally active preparations. Ref: Jarry H, Metten M, Wuttke W Comparison of the dopaminergic potency of various commercially available Agnus castus preparations: The Need for biolgical standardization Phytomedicine 2000 Suppl. 2, 7: 10 Active constituents in Chaste berry Fractionization of a Vitex extract has found two different types of dopaminergic compounds: hydrophilic, thermolabile but also lipophilic, and more thermostable, dopamine agonists. The latter types were identified as bi-cyclic diterpenes with the molecular structures of labdadienes and clerodadienes. Ref: Jarry H, Spengler B, Wuttke W Phytotherapy in gynecology: Pharmacological Rationale for the use fo dopaminergic principles Phytomedicine 2000 Suppl. 2, 7: 10 Swiss researchers measured the level of various diterpenes (diterpenoids) in the dry fruit as follows: * 0.04-0.30% rotundifuran * 0.016-0.167% vitexilactone * 0.02-0.10% labdadiene Ref: Hoberg E, Meier B, Sticher O Quantitative high performance liquid chromatographic analysis of diterpenoids in agni-casti fructus Planta Med 2000 66(4): 352-355 Key active constituents (fruit): * Diterpenes: labdadienes, vitexilactone and rotundifuran * Essential oil (0.5%, containing monoterpenoids including alpha-pinene, 1,8 cineole; and sesquiterpenoids including beta-caryophyllene, beta-farnesene, gamma-cadinene, alpha-phellandrene, sabinene, 4-terpineol)1,2,3 * Flavonoids (including casticin, vitexin, isovitexin, penduletin, chrysophanol D, hydroxykaempferol4) * Iridoid glycosides (0.3% including agnuside (0.6%),aucubin (0.3%)5 * Casticin and agnuside serve as a quality control markers in the manufacturing of standardised extracts. __________ 1. Snow, JM, “Vitex agnus-castus L.”, The Protocol Journal of Botanical Medicine, Spring, pp.20-23, 1996. 2. Kuttrak, D, “The composition of the essential oil of Vitex agnus-castus”, Planta Medica, 1:A681 Supplement, 1992. 3. Zwaving, JH, Bos, R, “Composition of the essential fruit oil of Vitex agnus-castus”, Planta Med, 62, p. 83, 1996. 4. Wollenweber, E, Mann, K, “Flavonols from fruits of Vitex agnus castus”, Planta Medica, 48, pp 126-7, 1983. 5. Gorler K, Oehlke D, Soicke H Planta Med 1985, 50: 530-531 Author: Ruth Trickey & Michael Thomsen Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.