Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

8.01.2012

Aromatic plants – cultivating the scented garden within.


It is legend that, some twenty-five hundred years ago, a ruler of  Babylon (or was it Niniveh?) commissioned a wondrous garden, terraced up from the flat plains between the rivers of the Fertile Crescent. Its levels were built of huge slabs of stone, elaborately carved and supported by high vaulted colonnades. Huge amounts of soil were transported to create hills and fields in this garden many, many feet above street level. Sundry species of trees, shrubs, flowers and herbs were brought in to plant its winding paths. Using giant corkscrew pumps, thousands of gallons of water were moved against gravity on a daily basis to keep the garden lush and green. The ancient historians named it one of the seven wonders of the world, and marveled at this oasis, high above the incessant bustle of the city, smoothed with endless marble and steeped in a deep, seductive fragrance from the constant bloom of aromatic plants. 
 It is also said that it was in fact the queen who, longing for her homeland in the rich, flowering hills of the north, had pleaded with her husband for a retreat that could remind her of her younger days, of her family, and of what brought her joy. Watching her languish in the hot, humid, noisy city at the heart of his kindgom, he met her request in grand style - and her Hanging Gardens have been the stuff of myth ever since. But while some may wonder at the choice of such a garden to appease the restless spirit, it makes perfect sense to me: a retreat of roses and jasmine, lavender and linden is the perfect prescription not only for bringing a quiet respite in the middle of a hectic life, but also for re-inspiring and re-awakening the joy and creativity of childhood. Furthermore, the fact that it was literally floating above the day-to-day activity of the city serves as a fitting metaphor for the scented garden itself: a time apart, uplifted, serene.
Think of the last time you received a bouquet of flowers, or brushed past a patch of mint in a field, or simply stood in the deep part of a forest and smelled, just smelled, the earth, the spruce, the moss. Chances are you experienced a moment where you lost track of your responsibilities, your desires, your plans and just existed in the fragrance. If even for a second, you tapped into a very primeval state of being: it is childlike, flowing, and free. In such a state, it is difficult to be judgemental, anxious, rigid, sad, or angry - and this may be why we so often give gifts of scented flowers when we want to nurture an atmosphere of love, understanding, and joy. 
 This fact may also underlie the nearly universal practice of burning scented plants, resins, and oils to alter the "energy" of a room or space: it clears the mind, sets the stage for creative, spiritual work, and attunes us to the present moment. Cultural rituals have harnessed the power aromatic plants hold over us and have embedded their use into the peak times of our lives: at birth and death; during marriage celebrations; as a cornerstone of purification ceremonies; during the dark, wintry months when the light is low; as part of meditative practice. Perfumery and aromatherapy have long recognized the power scent has on the human spirit - even real estate marketing suggests that a home, when appropriately scented, may put prospective buyers in a relaxed, comfortable mindset. In the ancient world, a thousand years before the Hanging Gardens were built, priests in the old stone temples along the Nile were mixing kyphi, the sweet and spicy incense sacred to the pharaos. 
 But the Egyptian ceremonies didn't only involve smoke and scent. Often, the priests leading the rituals would also ingest a good amount of kyphi, powdered and dissolved in wine, as a sort of primitive herbal extract. Here the truest power of scented herbs is revealed: when they are ingested, their action is magnified and lasts much longer. The smell may awaken us, bring us into the present moment, and help us flow through change more gracefully: but once the aromatic plants enter our bodies, their volatile constituents first relax our bellies, then disslove into our bloodstream and reach all of our internal organs. If there is underactivity in an organ or tissue, fragrant plants can "wake it up" (think of ginger, or peppermint). Conversely, if a tissue is overly tense, aromatic herbs "loosen the knot" (like fennel seeds after a huge meal, or lavender oil during a massage). Net result: a more balanced state of internal tension. Since forever, herbalists have called many of these plants “nervines”, loved the scented brews they yield, and prized them as stress-tamers, tonics for the nerves. 
 More modern research gives us two interesting pieces of information to help understand how this works: first, the chemicals in highly scented plants (specifically, their volatile oils) have the ability to alter the way smooth muscle contracts, depending on its current state of tension. Smooth muscle is found in the lining of all our hollow organs - lungs, gut, bladder, and uterus - as well as in the heart and blood vessels. Plants that affect smooth muscle can thereby affect how we perceive our internal state - and anyone who has experienced a spasming, crampy belly knows what a dramatic impact this can have. It is fascinating to note, however, that the place in the brain tasked with assessing this "internal state" is exactly the same place most affected by the perception of smell itself! The limbic system, a complex of brain structures known for its processing of emotion and its ability to guide "executive function" (our ability to flow through tasks efficiently and productively), is where all of this information is integrated. Aromatic plants thus have a dual effect: their smell immediately awakens and engages the limbic system, and if consumed, their chemistry helps adjust internal tension, removing the distractions that keep us from the present moment. When they are ingested, clinical research always shows the same results: more balanced mood, more restorative sleep, better attention, and an ability to move through challenging tasks more smoothly (and joyfully).
If you are seeking respite from the demands of the modern world and the bustle of the city, the scented garden and incense-filled temple may well be the answer. But fragrant herbs are the way to take your garden with you, to suffumigate your own internal temple. There are so many options available to help with the milder cases of restless or despondent spirit: sedatives for anxiety and insomnia, stimulants for apathy and sluggishness, narcotics to escape, concentrated extracts of botanicals like kava or St. Johnswort, and designer drugs for depression and the mental malaise of today's life. Unlike all of these, aromatic herbs are not strongly mind-altering, are safe and non-habit-forming, and quite easy to grow and use! They are part of a very old toolkit available to humans, and many animals before us, to enter more fully into the flow of life. When led by scent, we follow a path through a garden where intuition and emotion, more than analysis and control, dominate the landscape. 
For now, happy Full Moon, happy First Harvest. Our gardens are in fullest bloom. But since I so often turn to these gifts during the darker months of the year, when night is deep and one can't often see the path to brighter days, I leave you with the words of Margared McKenny, recalling her own garden on a January dawn:
                "The snow still lies upon the ground,
                And yet I feel
                The shadow of the scent of flowers;
                Breathless the firs against the gray -
                So still the air
                That hung upon a bare rose spray
                Are drops of rain
                Left there by midnight showers -
                (.....)
                Black head atilt
                A chickadee
                Whistles the first love-notes of the year."
               

11.14.2011

Joyful herbs for the darker days

All of us feel the loss of daylight to a certain extent. For some, it may be occasional sluggishness, less motivation to get outside and exercise, or less of a desire to spend time with friends and family. Others may feel even deeper withdrawal, or experience less control over anxiety and the sometimes overwhelming responsibilities of daily life. To a certain extent, the culture has tried to address this by consistently packing in times of remembrance, celebration, and family during the darkest months of the year – but by the time it’s all over (or even during the often stressful holidays), there are still many months of darker days left and it is usually at this time that folks express the desire for more fun, more joy, more light.
Aside from creating internal tension by working the same schedule regardless of season every single week of the year, darkness literally affects our mood, in a pattern that has been fairly well characterized and is known as seasonal affective disorder, or SAD. This pattern can carry a significant depression along with it, though most often it is a period of withdrawal, sadness, and perhaps increased anxiety whose chief feature is that it occurs as the daylight wanes.
So what can be done? Naturally, being outside is extremely important. Feeling sunlight directly on the skin, for even 30 minutes a day, can have substantial benefits! Some choose to install and operate full-spectrum lighting in their homes. As an extension of this, folks also supplement with between 1,000 and 4,000 IUs of vitamin D daily. This important nutrient is essential for those who suffer from a seasonal sadness pattern. But there are some specific medicinal plants that can reinforce these sun-seeking impulses, while at the same time buffering the symptoms of sluggishness, sadness, anxiety and withdrawal. All of this put together helps us not only feel better during the winter months, but also perform better at work, play, and family gatherings.
 


Pulling out of the “hole”: stronger botanicals for SAD
 
St. Johnswort (Hypericum perforatum) has a well-deserved reputation as a good herb for mild to moderate depression, and clinical research has confirmed its effectiveness for this condition. SAD, usually a moderate case, responds extremely well to this plant, which not coincidentally has a long history of solar mythology tied to it. Though also useful for anxious conditions, it is better suited to the depressive side of the winter blues, where it warms, enlivens, and improves circulation.
Consider between ½ tsp and 1 tsp (3-5ml) of a good, fresh tincture prepared from the whole buds and flowering tops. This extract can be taken up to 5 times a day – though it should never be consumed alongside conventional medication without checking with an herbalist first.

Mimosa (Albizia julibrissin) is perhaps a bit less well-known, but is a stellar and powerful plant for supporting darker, sadder moods characterized by apathy and withdrawal. It comes from the flower and bark of a medium-sized tree, and has an astringent and somewhat acrid flavor. The tincture is usually taken at a dose of 30 drops all the way up to 1 tsp (1-5ml) twice a day.

Rhodiola (R. rosea) is an anti-stress, energy-enhancing tonic. As such, it lessens the pressures our psyches may feel when we are also sluggish or anxious from the changes in daylight. And of all the “stronger” herbs, it has the greatest affinity for the overwhelmed and frazzled type, where it also serves the purpose of enhancing and evening out energy throughout the day. ½ tsp once, or sometimes twice, a day usually suffices to add spark back into a tired life – and sometimes enough spark to start back in to an exercise program, a snowshoe adventure, or that wintertime project you were putting off…

Aromatic plants: a daily habit to keep us happy, focused, and “in the flow”

            Plants with strong smells, rich in volatile essential oils, have been used throughout history as ways to facilitate ceremony, mark momentous (large or small) events, reduce the effects of stress on the human system, and spark creative focus. They accomplish this by quite literally balancing the level of internal tension we experience: tension in our internal organs, along our nerves, in our skeletal muscle. Though probably best to consume them daily, they make a more frequent appearance in my life from about mid-September to mid-March – the darker half of the year. All of the plants below can be combined together, are very safe to use alone or in concert with conventional medication, and are perhaps somewhat interchangeable. Find a few that you like, and try to start consuming them regularly before mood becomes an issue: it’s always easier to prevent a downslide than it is to climb back out of a dark hole.

Holy Basil (Ocimum sanctum, aka Tulsi) reduces inflammation in the body, buffers the effects of stress, calms anxiety and gladdens the heart – all while tasting delicious as a simple cup of tea! Various teabags prepared with Tulsi are available today, and almost all are delicious, safe, and effective when used habitually (2-3 cups of tea a day). The tincture too can help, when at least ½ tsp is taken twice a day, perhaps alongside other herbs.

Frankincense (Boswellia species) is a resin from an east African / Arabian tree. It is traditionally burned as incense, but its internal use is also storied and has been receiving a lot of attention over the last decade.  It seems very useful at controlling inflammation, especially in nervous system and cardiovascular tissue, but has important mood-balancing effects as well. It is a rich and sensuous ally for the darker days. Typically ¼ tsp to ½ tsp of the “tears” (amber-like resin chunks) are eaten daily.

Lemon Balm (Melissa officinalis) has a delightful scent that is enlivening and makes for a happy heart. It brews a delicious tea, and its aromatic constituents are antidepressant and very, very useful in anxiety. Clinical research shows that consuming a strong cup of Lemon Balm tea (2TBS of leaf per cup) or its extract (1tsp per dose) lessens anxiety and uplifts the frazzled, overwhelmed person for up to six hours! That said, I usually recommend at least 3 cups or doses a day.

Rose (various Rosa species, the stronger scented the better) holds a sad heart and nourishes it. In clinic, its specific use centers around trauma, physical or emotional, and the withdrawal and closed-heartedness that can result. But it is also quite applicable in any context where sadness is overwhelming the ability to enjoy and engage life. Typically not used alone, Rose makes an amazing addition to tea blends and extract formulas for sadness and apathy. Use about 1tsp of petals per cup of tea, or 30-60 drops of tincture. If you can find a “rose elixir” (Avena Botanicals makes an amazing one), 5-50 drops can be used as needed to mend a broken heart.

Pine (Pinus species, often P. alba or white pine), along with spruce and fir, is an evergreen that has always been associated with the darker winter months. It’s for reasons that are more than celebratory that its fronds are brought indoors to decorate the home when the light is waning: the smell is uplifting, antidepressant, and energizing. It is also a great source of vitamin C and very good for the lungs. I’ve only ever used a tea of the fresh needles, regardless of species: about 1TBS of chopped needles steeped in a cup of hot water, taken 2-3 times a day.

Finally, Oats (Avena sativa) is the most nourishing of the bunch. It may be needed for folks who have experienced a SAD pattern for years, or who are perhaps getting worse and worse with every dark season’s passing. It also makes a good tonic for those used to burning the candle at both ends – all in all, not the strongest and immediately relieving anxiety and depression, but the secret ingredient for building resistance to stress and weathering the lack of sunlight with greater grace. Typically a tea is made with 2TBS of unripe, dried oat seedheads per cup of hot water – and 3-4 cups are consumed every day.


There is extensive research correlating the use of highly scented plants (think lavender, for example, or peppermint) to less tension, stress, anxiety and sadness. People have consumed these plants in a range of ways: as teas and extracts, but also as aromatherapy essential oil blends, in room diffusers, as incense, or in bath sachets. Other plants, such as white sage, pine, and citrus fruits, are brought into the home for decoration (and their noticeable medicinal effects). One way or another, it does us all a lot of good to share our space and lives with these sweet-smelling herbs: and it may be that the rise in patterns such as SAD in our culture parallels the loss of these allies in our environment. Many of the scented candles used for the holidays are artificially aromatic nowadays, their medicinal effects unclear (and perhaps even detrimental, as they might lead to hypersensitivity symptoms). So consider real plants, wreaths of evergreen fronds, and true potpourri and mulling spices as part of your seasonal rituals: there are good reasons for these customs, and a happy heart may be the most important!


7.02.2009

Integrative mental health - an herbalist's ideas

Just a quick note for those interested in the outline for some general approaches / suggestions for the herbalist seeking to provide support in the management of mental health issues. This document includes suggestions on assessment process, goal-setting, general tonification approaches, and specific herbs for mental health symptom profiles.
My feeling is that disease labels are not helpful in approaching this aspect of health. Rather, I like to focus on symptoms - highs, lows, fluctuations - and the constitution in which they are presenting. Herbal suggestions are presented from this point of view.