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Mindful Beauty Blog 
Discover your beautiful mind...

Menopause - Part 1 - Chinese Medicine - Dong Quai - Dong Who?

17/5/2021

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So here is Part 1 of the menopause series where I will be giving natural health tips from the halls of Complementary Medicine. This blog is all to do with Chinese Medicine and their amazing herb for menopause - Dong Quai.

​This is known in Chinese Medicine as the female Ginseng. And for good reason too. 

Over 50% of people use CAM (Complimentary or Alternative Medicine) and most of them do not discuss this with their doctor. There is no point as medical students in Ireland have absolutely no training in herbal medicine or naturopathic medicine. So they have nothing informed to say when asked about herbal medicines, homeopathy, tissue salts, Chinese Medicines etc; This is why I am writing these blogs. To give evidence based information about complimentary medicine.

I see CAM as preventative medicine. 

​About 13% of Australian women use CAM therapies for managing hot flushes, and the three most commonly used CAM therapies they use are phytoestrogens (plant-based female hormones), evening primrose oil and ginseng. But first let us have a recap on what menopause is. 
​
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What is Menopause & Perimenopause?

Menopause is the point at which a woman stops ovulating and menstruation stops, oestrogen disappears causing lots of side effects, indicating the end of fertility. However many years before the menopause, levels of oestrogen production slow down and this is called the perimenopause. This can start fifteen years before the menopause and is called the ‘circadian’.

Apart from being a sex or reproductive hormone, oestrogen acts on many organs and systems in the body. Cells in the vagina, bladder, breasts, skin, bones, arteries, heart, liver, and brain all contain oestrogen receptors and require this hormone to stimulate these receptors for normal cell function. Oestrogen is required to keep the skin healthy and contributes in the bone formation process. 

​There will be more information in coming weeks when I will explain how to include phytoestrogens in your diet.
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HRT - Hormone Replacement Therapy 

After the scares in the media about the risks associated with HRT (Hormone Replacement Therapy) over 20 years ago which have been published in the past, there is a strong case for using alternative medicine to balance the body, especially when you get to supply your body with plant hormones rather than ones derived from horse’s urine. Research in the past has highlighted the side effects of taking HRT to include breast cancer and heart disease but we know today your risk is quite low if you take transdermal patches, in particular, of HRT. 

Many women experience few if any symptoms during this time but others may suffer from some or all of the following; anxiety, hot flushes, dry skin, fatigue, feelings of bloating, headaches, heart palpitations, insomnia, irritability, decreased interest in sex, loss of concentration, vaginal dryness and weight gain.​

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Twenty five per cent of women go through the change without as much as a night sweat. So not all menopause experience has the commonly known symptoms so it is possible to just sail through if you are in that lucky quarter. Or if you are Japanese woman. 

When the menstruation stops altogether most of the acute problems a woman will face are over and a new balance between hormones is established. This is the stage when she may be vulnerable to potentially serious health problems such as cardiovascular disease, osteoporosis and vaginal atrophy.
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Many GPs have recommended hormone replacement therapy HRT to control severe symptoms caused by oestrogen deficiency in menopausal and post- menopausal women. Basically a molecularly similar oestrogen is taken by the woman but this oestrogen is synthetic and only close to the natural oestrogens produced in the body. ​
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Chinese Medicine & Dong quai

In Chinese Medicine, menopause is looked at as a period in which the energy of the kidney is declining. For the Chinese Medicine doctor the kidney has a corresponding emotion, tissue, sensory organ and element. These are respectively, fear, bone, ear and water. The adrenal glands on the top of the kidney are now responsible for producing the hormones that the ovaries used to produce.
 
Chinese herbal medicine is one of the best ways of treating the menopause as the approach is holistic and this appeals to the condition as it is very much a mind body spirit imbalance. The herbal formulas that the Chinese doctor will give will replace the oestrogens that you are now not producing with plant oestrogens. One of the formulas in Chinese Medicine acclaimed for its beneficial effects for the menopause is called four things soup.

Dong qui Angelica sinensis has long been used to treat menopause in Chinese Medicine and for the women of China. Thousands of years in fact. Western herbalists view it as a uterine tonic. The Chinese Drs have used it also to treat amenorrhea. The herb has also been shown to inhibit the growth of cancer cells. 

Evidence Based Dong Quai 

Over 70 compounds have been isolated and identified from Danggui. The main chemical constituents of Angelica roots include ferulic acid, Z-ligustilide, butylidenephthalide and various polysaccharides. Among these compounds, ferulic acid exhibits many bioactivities especially anti-inflammatory and immunostimulatory effects; Z-ligustilide exerts anti-inflammatory, anti-cancer, neuroprotective and anti-hepatotoxic effects; n-butylidenephthalide exerts anti-inflammatory, anti-cancer and anti-cardiovascular effects.1
 
The herb is known by millions of women for benefits as stabilising mood swings, reducing hot flushes and decreasing insomnia. Even though many Chinese Medicine practitioners recommend taking this herb as part of a blend, most take it on its own. 

If you are on anticoagulant medication like warfarin you cannot take it as the herb interferes with the action. Also not to be used during pregnancy as it has oestrogen like effects and could cause a miscarriage. 

This is what the American Herbal Pharmacopeia has to say,' Dang gui is especially important because it fills a therapeutic niche not readily addressed in Western conventional or herbal medicine. It has been used successfully for several hundred years, and can broaden therapeutic options for women beyond hormone replacement therapies and hysterectomies. Hopefully, increased use of dang gui and its appropriate formulas will help to reduce at least a portion of the 600,000+ hysterectomies performed annually in the USA."

Dong quai is probably available from most health food stores and some pharmacies who value herbal medicine. 

1. Chao, WW., Lin, BF. Bioactivities of major constituents isolated from Angelica sinensis (Danggui). Chin Med 6, 29 (2011). https://doi.org/10.1186/1749-8546-6-29

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    Author

    Bestselling author Ralph Quinlan Forde BSc (Hons) MA is the writer and editor of the Mindful Beauty blog. His first book The Book of Tibetan Medicine went into 11 languages. His second Nutriwine has
    also been well received. He is the founder of Learning to Exhale which has now trained
    over 3,500 people and in ten hospitals Mindfulness Meditation to rave reviews. He is also a Member of the Society of Cosmetic Scientists.

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