Metrorrhagia Health Dictionary

A periodic change occurring in (female) human beings and the higher apes, consisting chie?y in a ?ow of blood from the cavity of the womb (UTERUS) and associated with various slight constitutional disturbances. It begins between the ages of 12 and 15, as a rule – although its onset may be delayed until as late as 20, or it may begin as early as ten or 11. Along with its ?rst appearance, the body develops the secondary sex characteristics: for example, enlargement of the BREASTS, and characteristic hair distribution. The duration of each menstrual period varies in di?erent persons from 2– 8 days. It recurs in the great majority of cases with regularity, most commonly at intervals of 28 or 30 days, less often with intervals of 21 or 27 days, and ceasing only during pregnancy and lactation, until the age of 45 or 50 arrives, when it stops altogether – as a rule ceasing early if it has begun early, and vice versa. The ?nal stoppage is known as the MENOPAUSE or the CLIMACTERIC.

Menstruation depends upon a functioning ovary (see OVARIES) and this upon a healthy PITUITARY GLAND. The regular rhythm may depend upon a centre in the HYPOTHALAMUS, which is in close connection with the pituitary. After menstruation, the denuded uterine ENDOMETRIUM is regenerated under the in?uence of the follicular hormone, oestradiol. The epithelium of the endometrium proliferates, and about a fortnight after the beginning of menstruation great development of the endometrial glands takes place under the in?uence of progesterone, the hormone secreted by the CORPUS LUTEUM. These changes are made for the reception of the fertilised OVUM. In the absence of fertilisation the uterine endometrium breaks down in the subsequent menstrual discharge.

Disorders of menstruation In most healthy women, menstruation proceeds regularly for 30 years or more, with the exceptions connected with childbirth. In many women, however, menstruation may be absent, excessive or painful. The term amenorrhoea is applied to the condition of absent menstruation; the terms menorrhagia and metrorrhagia describe excessive menstrual loss – the former if the excess occurs at the regular periods, and the latter if it is irregular. Dysmenorrhoea is the name given to painful menstruation. AMENORRHOEA If menstruation has never occurred, the amenorrhoea is termed primary; if it ceases after having once become established it is known as secondary amenorrhoea. The only value of these terms is that some patients with either chromosomal abnormalities (see CHROMOSOMES) or malformations of the genital tract fall into the primary category. Otherwise, the age of onset of symptoms is more important.

The causes of amenorrhoea are numerous and treatment requires dealing with the primary cause. The commonest cause is pregnancy; psychological stress or eating disorders can cause amenorrhoea, as can poor nutrition or loss of weight by dieting, and any serious underlying disease such as TUBERCULOSIS or MALARIA. The excess secretion of PROLACTIN, whether this is the result of a micro-adenoma of the pituitary gland or whether it is drug induced, will cause amenorrhoea and possibly GALACTORRHOEA as well. Malfunction of the pituitary gland will result in a failure to produce the gonadotrophic hormones (see GONADOTROPHINS) with consequent amenorrhoea. Excessive production of cortisol, as in CUSHING’S SYNDROME, or of androgens (see ANDROGEN) – as in the adreno-genital syndrome or the polycystic ovary syndrome – will result in amenorrhoea. Amenorrhoea occasionally follows use of the oral contraceptive pill and may be associated with both hypothyroidism (see under THYROID GLAND, DISEASES OF) and OBESITY.

Patients should be reassured that amenorrhoea can often be successfully treated and does not necessarily affect their ability to have normal sexual relations and to conceive. When weight loss is the cause of amenorrhoea, restoration of body weight alone can result in spontaneous menstruation (see also EATING DISORDERS – Anorexia nervosa). Patients with raised concentration of serum gonadotrophin hormones have primary ovarian failure, and this is not amenable to treatment. Cyclical oestrogen/progestogen therapy will usually establish withdrawal bleeding. If the amenorrhoea is due to mild pituitary failure, menstruation may return after treatment with clomiphene, a nonsteroidal agent which competes for oestrogen receptors in the hypothalamus. The patients who are most likely to respond to clomiphene are those who have some evidence of endogenous oestrogen and gonadotrophin production. IRREGULAR MENSTRUATION This is a change from the normal monthly cycle of menstruation, the duration of bleeding or the amount of blood lost (see menorrhagia, below). Such changes may be the result of an upset in the balance of oestrogen and progesterone hormones which between them control the cycle. Cycles may be irregular after the MENARCHE and before the menopause. Unsuspected pregnancy may manifest itself as an ‘irregularity’, as can an early miscarriage (see ABORTION). Disorders of the uterus, ovaries or organs in the pelvic cavity can also cause irregular menstruation. Women with the condition should seek medical advice. MENORRHAGIA Abnormal bleeding from the uterus during menstruation. A woman loses on average about 60 ml of blood during her period; in menorrhagia this can rise to 100 ml. Some women have this problem occasionally, some quite frequently and others never. One cause is an imbalance of progesterone and oestrogen hormones which between them control menstruation: the result is an abnormal increase in the lining (endometrium) of the uterus, which increases the amount of ‘bleeding’ tissue. Other causes include ?broids, polyps, pelvic infection or an intrauterine contraceptive device (IUD – see under CONTRACEPTION). Sometimes no physical reason for menorrhagia can be identi?ed.

Treatment of the disorder will depend on how severe the loss of blood is (some women will become anaemic – see ANAEMIA – and require iron-replacement therapy); the woman’s age; the cause of heavy bleeding; and whether or not she wants children. An increase in menstrual bleeding may occur in the months before the menopause, in which case time may produce a cure. Medical or surgical treatments are available. Non-steroidal anti-in?ammatory drugs may help, as may tranexamic acid, which prevents the breakdown of blood clots in the circulation (FIBRINOLYSIS): this drug can be helpful if an IUD is causing bleeding. Hormones such as dydrogesterone (by mouth) may cure the condition, as may an IUD that releases small quantities of a PROGESTOGEN into the lining of the womb.

Traditionally, surgical intervention was either dilatation and curettage of the womb lining (D & C) or removal of the whole uterus (HYSTERECTOMY). Most surgery is now done using minimally invasive techniques. These do not require the abdomen to be cut open, as an ENDOSCOPE is passed via the vagina into the uterus. Using DIATHERMY or a laser, the surgeon then removes the whole lining of the womb. DYSMENORRHOEA This varies from discomfort to serious pain, and sometimes includes vomiting and general malaise. Anaemia is sometimes a cause of painful menstruation as well as of stoppage of this function.

In?ammation of the uterus, ovaries or FALLOPIAN TUBES is a common cause of dysmenorrhoea which comes on for the ?rst time late in life, especially when the trouble follows the birth of a child. In this case the pain exists more or less at all times, but is aggravated at the periods. Treatment with analgesics and remedying the underlying cause is called for.

Many cases of dysmenorrhoea appear with the beginning of menstrual life, and accompany every period. It has been estimated that 5–10 per cent of girls in their late teens or early 20s are severely incapacitated by dysmenorrhoea for several hours each month. Various causes have been suggested for the pain, one being an excessive production of PROSTAGLANDINS. There may be a psychological factor in some sufferers and, whether this is the result of inadequate sex instruction, fear, family, school or work problems, it is important to o?er advice and support, which in itself may resolve the dysmenorrhoea. Symptomatic relief is of value.... menstruation

(Linn.) Gaertn.

Synonym: Eugenia acutangula L.

Family: Lecythidaceae; Barringtoni- aceae.

Habitat: Sub-Himalayan tracts from the Ganges eastwards to Assam and Madhya Pradesh.

English: Indian Oak. (Oak is equated with Quercus robur L.)

Ayurvedic: Nichula, Hijjala, Ijjala, Vidula, Ambuj. (Central Council for Research in Ayurveda & Siddha has wrongly equated Hijjala, Nichula and Vidula with Argyreia nervosa, Elephant Creeper.)

Unani: Samandarphal. (Saman- darphal is also equated with Rhus parviflora Roxb. in National Formulary of Unani Medicine.)

Siddha/Tamil: Kadappai, Samudra- phullarni.

Action: Leaf juice—given in diarrhoea. Fruit—bitter, acrid, anthelmintic, haemolytic, vulnerary; prescribed in gingivitis as an expectorant. Powdered seeds— emetic and expectorant. Bark— astringent, used in diarrhoea and blennorrhoea. Febrifuge. Wood— haemostatic (in metrorrhagia).

Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India indicated the use of the fruit in goitre; also in psychological disorders.

The bark contains tannins (16%), also ellagic acid.

The fruits contain triterpenoid sa- pogenins. Saponins possess haemolyt- ic properties.

A related sp. B. racemosa (L.) Roxb., found in Assam, eastern and western coasts of India and the Andaman Islands, is also equated with Samu- draphala and Hijjala.

European Oak (Quercus robur) contains 15-20% tannins, consisting of phlobatannin, ellagitannins and gallic acid. The bark is used as astringent, antiseptic and haemostatic.

Dosage: Fruit—1-3 g (API Vol. III.)... barringtonia acutangula

(Linn.) Moench.

Family: Cruciferae; Brassicaceae.

Habitat: Throughout India as a weed in cultivated areas and waste places, particularly in the temperate regions up to an altitude of 4,200 m.

English: Shepherd's Purse, St. James's Wort.

Folk: Mumiri.

Action: The herb or its juice extracts are employed to check menorrhagia and haemorrhages from renal and genitourinary tract. Also used in diarrhoea and dysentery and as a diuretic.

Key application: In symptom-based treatment of mild menorrhagia and metrorrhagia. (German Commission E.) The British Herbal Pharmacopoeia reported antihaem- orrhagic action.

Aerial parts contain flavonoids, polypeptides, choline, acetylcholine, histamine and tyramine.

The extract of dried or green plant causes strong contraction of the small intestines and uterus of guinea pigs. A quarternary ammonium salt has been isolated from the herb which is reported to be responsible for its pharmacological activity.

Young leaves contain vitamin A (5,000 IU/100 g) and ascorbic acid (91 mg/100 g); among other constituents are hesperidin and rutin, which reduced permeability of blood vessel walls in white mice. A neoplasm inhibitory substance has been identified as fumaric acid. An inhibitory effect of the extracts of the herb on Ehrlich solid tumour in mice was found to be due to the fumaric acid.

Major constituent of the essential oil is camphor.... capsella bursa-pastoris

Pers.

Family: Gramineae; Poaceae.

Habitat: Throughout India up to 3,000 m.

English: Bermuda Grass, Bahama Grass, Couch Grass.

Ayurvedic: Duurvaa, Bhaargavi, Shatvalli, Shatparvaa, Tiktaparvaa, Shatviryaa, Sahastravirya, Shitaa, Anantaa, Golomi.

Unani: Duub.

Siddha/Tamil: Arugampallu.

Action: The grass is a reputed as a remedy in epitaxis, haematuria, inflammed tumours, whitlows fleshy excrescences, cuts, wounds, bleeding piles, cystitis, nephritis and in scabies and other skin diseases. It is credited with astringent, diuretic, antidiarrhoeal, anticatarrhal, styptic and antiseptic properties. The Ayurvedic Pharmacopoeia ofIn- dia recommended the dried fibrous root in menorrhagia, metrorrhagia and burning micturation.

Phenolic phytotoxins—ferulic, sy- ringic, p-coumaric, vanillic, p-hydro- xybenzoic and O-hydroxyphenyl acetic acids, are reported from the plant. The leaves contain tricin, flavone C- glycosides and a flavonoid sulphate.

Dosage: Whole plant—10-20 ml juice (API Vol. IV.); root—5-10 ml juice (API Vol. III.)... cynodon dactylon

D. Don.

Family: Caprifoliaceae.

Habitat: The Himalayas from Kashmir to Bhutan at altitudes of 1,200-3,300 m.

Folk: Richh, Richhabi, Khimor (Punjab), Gwiaa, Ghinwaa, Guyaa, Ghenu (Kumaon).

Action: Bark—used in menorrhagia and metrorrhagia.... viburnum cotinifolium

Linn.

Family: Moraceae.

Habitat: Sub-Himalayan tracts, West Bengal, Central and South India; planted throughout India as an avenue tree.

English: Peepal, Bot-tree.

Ayurvedic: Ashvattha, Bodhidru, Bodhivrkisha, Sebya, Chalapa- tra, Gajabhaksha, Kshiradruma, Peeppal.

Unani: Peepal.

Siddha/Tamil: Arasu, Ashvatham.

Action: Bark—astringent, antiseptic, alterative, laxative, haemostatic, vaginal disinfectant (used in diabetes, diarrhoea, leucorrhoea, menorrhagia, nervous disorders; also in skin diseases.) Applied externally on unhealthy ulcers and wounds. Leaves and twigs— laxative.

The bark contains beta-sitosteryl-D- glucoside. Vitamin K, n-octacosanol, methyl oleanolate, lanosterol, stigmas- terol, lupen-3-one are reported from the stem bark.

A hypoglycaemic response is reported for beta-sitosterol-D-glucoside obtained from the bark.

Aerial roots are given to women, also used in prescriptions, for inducing conception. The dried fruits are used as a uterine tonic.

The fruits contain 4.9% protein having the essential amino acids, isoleu- cine and phenylalanine. The chloroform extract of fruits exhibited anti- tumour and antibacterial activities in bioassays.

Various plant parts are included in formulations used for menorrha- gia, metrorrhagia, blood dysentery, bleeding piles, haematuria and haemorrhages.

Dosage: Bark, fruit—50-100 ml decoction. (CCRAS.)... ficus religiosa

Mill.

Synonym: Solanum lycopersicum Linn.

Family: Solanaceae.

Habitat: Cultivated in many parts of India.

English: Tomato, Love Apple.

Unani: Tamaatar.

Action: Mild aperient, blood purifier, cholagogue, digestive. Used in homoeopathy for treating rheumatic conditions, colds, chills, digestive disorders, diabetes, obesity, leucorrhoea, metrorrhagia.

Tomato is a powerful deobstruent. It promotes flow of bile; mildly laxative, especially when taken raw. Tomato stimulates torpid liver and kidneys and helps to wash away toxins. Tomato is recommended for diabetics. It is a major dietary source of carotenoid lycopene.

Tomato juice inhibits carcinogenic N-nitrosocompound formation chiefly in the stomach. Most of the inhibition of formation of N-nitrosomorpholine by phenolic fraction of tomato juice was due to chlorogenic acids. The ascorbate fraction of the juice also contains compounds that inhibit ni- trosation.

Consumption of tomato juice can significantly increase serum lycopene levels. (Decreased serum lycopene concentrations are associated with an increase risk of prostate cancer.) (Natural Medicines Comprehensive Database, 2007.)

The alcoholic extract of tomato possesses CNS depressant and analgesic properties.... lycopersicon esculentum

Linn.

Synonym: M. nagassarium (Burm. f.) Kosterm.

Family: Guttiferae; Clusiaceae.

Habitat: Eastern Himalayas, Assam, West Bengal, Western Ghats, Travancore and the Andaman Islands.

English: Iron-wood, Mesu.

Ayurvedic: Naagakeshara, Naa- gapushpa, Chaampeya, Naaga, Naagakinjalika, Ahipushpa. (In Ayurvedic Formulary of India Part I, revised edn 2003, Keshara and Kesara are equated with Mesua ferrea, while Kumkuma is equated with Crocus sativus.)

Unani: Naarmushk.

Siddha/Tamil: Sirunagappo, Nagakesaram. Sirunagappo also consists of the tender fruits of Cinamonum wighti Meissn. Malabar Naagakeshar consists of the fruits of Dillenia pentagyna Roxb.

Action: Flower bud—antidysenteric. Flowers—astringent, haemostatic, anti-inflammatory, stomachic. Used in cough, bleeding piles, metrorrhagia. Essential oil from stamens—antibacterial, antifungal.

The Ayurvedic Pharmacopoeia of India recommends the use of dry stamens in gout, haemorrhagic disorders and diseases of the urinary bladder.

The heartwood gave xanthones— euxanthone, mesuaxanthones A and B, which exhibit anti-inflammatory, CNS depressant and antimicrobial activities.

Theseedoil gave4-phenylcoumarin analogues—mesuol, mammeigin, me- suagin, mammeisin and mesuone. Phenol-containing fraction of seed oil is antiasthmatic and antianaphylaxis.

Stamens gave alpha- and beta-amy- rin, beta-sitosterol, biflavonoids, me- suaferrones A and B, and mesuanic acid. Stamens constitute the drug Naa- gakeshar of Indian medicine, used as an astringent, haemostatic, particularly in uterine bleeding and renal diseases.

Ethanolic extract of the plant showed diuretic and hypotensive activity.

Dosage: Dried stamens—1-3 g powder. (API, Vol. II.)... mesua ferrea

Cinnamomum zeylanicum

FAMILY: Lauraceae

SYNONYMS: C. verum, Laurus cinnamomum, Ceylon cinnamon, Seychelles cinnamon, Madagascar cinnamon, true cinnamon, cinnamon leaf (oil), cinnamon bark (oil).

GENERAL DESCRIPTION: A tropical evergreen tree up to 15 metres high, with strong branches and thick scabrous bark with young shoots speckled greeny-orange. It has shiny green, leathery leaves, small white flowers and oval bluish-white berries. The leaves have a spicy smell when bruised.

DISTRIBUTION: Native to Sri Lanka, Madagascar, the Comoro Islands, South India, Burma and Indochina. It is also cultivated in India, Jamaica and Africa – each region tending to have its own particular species.

OTHER SPECIES: Madagascar cinnamon is considered superior to the various other types of cinnamon such as the Saigon cinnamon (C. loureirii) and the Batavia Cinnamon (C. burmanii). See also Botanical Classification section.

HERBAL/FOLK TRADITION: The inner bark of the new shoots from the cinnamon tree are gathered every two years and sold in the form of sticks for use as a domestic spice. It has been used for thousands of years in the east for a wide range of complaints including colds, ’flu, digestive and menstrual problems, rheumatism, kidney troubles and as a general stimulant. Current in the British Herbal Pharmacopoeia as a specific for flatulent colic and dyspepsia with nausea.

ACTIONS: Anthelmintic, antidiarrhoeal, antidote (to poison), antimicrobial, antiseptic, antispasmodic, antiputrescent, aphrodisiac, astringent, carminative, digestive, emmenagogue, haemostatic, orexigenic, parasiticide, refrigerant, spasmolytic, stimulant (circulatory, cardiac, respiratory), stomachic, vermifuge.

EXTRACTION: Essential oil by water or steam distillation from the 1. leaves and twigs, and 2. dried inner bark.

CHARACTERISTICS: 1. A yellow to brownish liquid with a warm-spicy, somewhat harsh odour. 2. A pale to dark yellow liquid with a sweet, warm-spicy, dry, tenacious odour. It blends well with olibanum, ylang ylang, orange, mandarin, benzoin, Peru balsam and in oriental type mixtures.

PRINCIPAL CONSTITUENTS: 1. Leaf – eugenol (80-96 per cent), eugenol acetate, cinnamaldehyde (3 per cent), benzyl benzoate, linalol, safrol among others. 2. Bark - cinnamaldehyde (40-50 per cent), eugenol (4-10 per cent), benzaldehyde, cuminaldehyde, pinene, cineol, phellandrene, furfurol, cymene, linalol, among others.

SAFETY DATA: 1. The leaf oil is relatively nontoxic, though possibly irritant due to cinnamaldehyde. Its major component, eugenol, causes irritation to the mucous membranes: use in moderation. 2. The bark oil is a dermal toxin, irritant and sensitizer; also irritant to the mucous membranes. ‘Should never be used on the skin (one of the most hazardous oils).’.

AROMATHERAPY/HOME: USE Cinnamon bark oil – none. Cinnamon leaf oil:

Skin care: Lice, scabies, tooth and gum care, warts, wasp stings.

Circulation Muscles And Joints: Poor circulation, rheumatism.

Digestive System: Anorexia, colitis, diarrhoea, dyspepsia, intestinal infection, sluggish digestion, spasm.

Genito-Urinary System: Childbirth (stimulates contractions), frigidity, leucorrhoea, metrorrhagia, scanty periods.

Immune System: Chills, colds, ’flu, infectious diseases.

Nervous System: Debility, nervous exhaustion and stress-related conditions.

OTHER USES: Both bark and leaf oils are used for their fragrance and therapeutic actions in toothpastes, nasal sprays, mouthwashes, cough syrups and dental preparations. The leaf oil is used in soaps, cosmetics, toiletries and perfumes. Both are used extensively in food flavouring, especially in alcoholic and soft drinks, including Coca-Cola.... cinnamon

Boswellia carteri

FAMILY: Burseraceae

SYNONYMS: Olibanum, gum thus.

GENERAL DESCRIPTION: A handsome small tree or shrub with abundant pinnate leaves and white or pale pink flowers. It yields a natural oleo gum resin which is collected by making incisions into the bark: at first, a milky-white liquid appears which then solidifies into tear-shaped amber to orange-brown lumps between the size of a pea and walnut.

DISTRIBUTION: Native to the Red Sea region; grows wild throughout north east Africa. The gum is mainly produced in Somalia, Ethiopia, China and south Arabia, then distilled in Europe and, to a lesser extent, India.

OTHER SPECIES: Other Boswellia species also yield olibanum gum, such as the Indian variety B. serrata. Constituents vary according to type and locality. See also Botanical Classification section.

HERBAL/FOLK TRADITION: Used since antiquity as an incense in India, China and in the west by the Catholic Church. In ancient Egypt it was used in rejuvenating face masks, cosmetics and perfumes. It has been used medicinally in the east and west for a wide range of conditions including syphilis, rheumatism, respiratory and urinary tract infections, skin diseases, as well as digestive and nervous complaints.

ACTIONS: Anti-inflammatory, antiseptic, astringent, carminative, cicatrisant, cytophylactic, digestive, diuretic, emmenagogue, expectorant, sedative, tonic, uterine, vulnerary.

EXTRACTION: Essential oil by steam distillation from selected oleo gum resin (approx. 3–10 per cent oil to 60–70 per cent resin). An absolute is also produced, for use mainly as a fixative.

CHARACTERISTICS: A pale yellow or greenish mobile liquid with a fresh, terpeney top note and a warm, rich, sweet-balsamic undertone. It blends well with sandalwood, pine, vetiver, geranium, lavender, mimosa, neroli, orange, bergamot, camphor, basil, pepper, cinnamon and other spices. It modifies the sweetness of citrus blends in an intriguing way.

PRINCIPAL CONSTITUENTS: Mainly monoterpene hydrocarbons, notably pinene, dipentene, limonene, thujene, phellandrene, cymene, myrcene, terpinene; also octyl acetate, octanol, incensole, among others.

SAFETY DATA: Non-toxic, non-irritant, non-sensitizing.

AROMATHERAPY/HOME: USE

Skin Care: Blemishes, dry and mature complexions, scars, wounds, wrinkles.

Respiratory System: Asthma, bronchitis, catarrh, coughs, laryngitis.

Genito-Urinary System: Cystitis, dysmenorrhoea, leucorrhoea, metrorrhagia.

Immune System: Colds, ’flu.

Nervous System: Anxiety, nervous tension and stress-related conditions – ‘Frankincense has, among its physical properties, the ability to slow down and deepen the breath … which is very conducive to prayer and meditation.’.

OTHER USES: The gum and oil are used as fixatives and fragrance components in soaps, cosmetics and perfumes, especially oriental, spice and men’s fragrances. Employed in some pharmaceuticals such as liniments and throat pastilles. Extensively used in the manufacture of incense. The oil is used in minute amounts in some foods (such as meat products), alcoholic and soft drinks.... frankincense

Pelargonium graveolens

FAMILY: Geraniaceae

SYNONYMS: Rose geranium, pelargonium.

GENERAL DESCRIPTION: A perennial hairy shrub up to 1 metre high with pointed leaves, serrated at the edges and small pink flowers. The whole plant is aromatic.

DISTRIBUTION: Native to South Africa; widely cultivated in Russia, Egypt, Congo, Japan, Central America and Europe (Spain, Italy and France). With regard to essential oil production, there are three main regions: Reunion (Bourbon), Egypt and Russia (also China).

OTHER SPECIES: There are over 700 varieties of cultivated geranium and pelargonium, many of which are grown for ornamental purposes. There are several oil-producing species such as P. odorantissimum and P. radens, but P. graveolens is the main one commercially cultivated for its oil. Geranium Bourbon (P. Roseum) has a superior fragrance to other species, having a rich rosy-fruity scent due to the higher levels of linalook and iso-methone content. See also Botanical Classification section.

HERBAL/FOLK TRADITION: The British plant herb robert (Geranium robertianum) and the American cranesbill (G. maculatum) are the most widely used types in herbal medicine today, having been used since antiquity. They have many properties in common with the rose geranium, being used for conditions such as dysentery, haemorrhoids, inflammations, metrorrhagia and menorrhagia (excessive blood loss during menstruation). The root and herb of cranesbill is specifically indicated in the British Herbal Pharmacopoeia for diarrhoea and peptic ulcer.

ACTIONS: Antidepressant, antihaemorrhagic, anti-inflammatory, antiseptic, astringent, cicatrisant, deodorant, diuretic, fungicidal, haemostatic, stimulant (adrenal cortex), styptic, tonic, vermifuge, vulnerary.

EXTRACTION: Essential oil by steam distillation from the leaves, stalks and flowers. An absolute and concrete are also produced in Morocco.

CHARACTERISTICS: The Bourbon oil is a greenish-olive liquid with a green, rosy-sweet, minty scent. The Bourbon oil is generally preferred in perfumery work; it blends well with lavender, patchouli, clove, rose, sandalwood, jasmine, juniper, neroli, bergamot and other citrus oils.

PRINCIPAL CONSTITUENTS: Citronellol, geraniol, linalol, isomenthone, menthane, phellandrene, sabinene, limonene, among others. Constituents vary according to type and source.

SAFETY DATA: Non-toxic, non-irritant, generally non-sensitizing; possible contact dermatitis in hypersensitive individuals, especially with the Bourbon type.

AROMATHERAPY/HOME: USE

Skin Care: Acne, bruises, broken capillaries, burns, congested skin, cuts, dermatitis, eczema, haemorrhoids, lice, oily complexion, mature skin, mosquito repellent, ringworm, ulcers, wounds.

Circulation Muscles And Joints: Cellulitis, engorgement of breasts, oedema, poor circulation.

Respiratory System: Sore throat, tonsillitis.

Genito-Urinary And Endocrine Systems: Adrenocortical glands and menopausal problems, PMT.

Nervous System: Nervous tension, neuralgia and stress-related conditions.

OTHER USES: Used as a fragrance component in all kinds of cosmetic products: soaps, creams, perfumes, etc. Extensively employed as a flavouring agent in most major food categories, alcoholic and soft drinks.... geranium