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Aromatherapy in a Clinical Setting
by Eva Urbaniak, N.D.
What is scientific or medical
aromatherapy?
Simply, it is the
use of essential oils for therapeutic purposes. It is a natural, sophisticated
"bio-chemotherapy" based on the relationship between the chemical
compounds found in essential oils and the therapeutic effects experienced
as a result from their use. It uses a rigorous methodology based on solid
scientific data that has been confirmed both in the laboratory and the
clinical setting. It is a high quality, natural therapy. Prodigiously
efficient, it complements admirably well all other alternative and allopathic
approaches. As long as authentic essential oils are used, and used correctly,
the results are often amazing and impossible to duplicate by any other
means.
What is an essential oil?
An essential oil
is simply a concentrate of the volatile extract from an aromatic plant,
obtained by steam distillation.
Properties of essential oils…
Essential oils have
potent properties, such as anti-bacterial in the phenolics, thymol, eugenol,
and carvacrol, {from Satureja Montana (winter savory)}, anti-infective,
in aldehydes such as cinnamon and citronella, or for mucupurulent infectious
states, the ketones menthone, piperitone, and borneone (camphor) verbenone,
thujone, anti-inflammatory as in Eucalyptus radiata, analgesic, such as
peppermint, and calming, such as lavender, chamomile, ylang-ylang, and
sandalwood, for which aromatherapy is most commonly associated. There
are other oils containing ethers, cineols, monoterpenols, and linalools,
contained in Hyssop, or Hissopus officinalis, but we won't go into depth
with them other than to note they are very effective in viral pathologies
of the lower respiratory tract.
The lists of the specific oils at the end will show more specific properties.
Aromatherapy is effective,
fast, reliable and safe if used correctly. It is a 100% natural therapy
(as long as authentic oils are used). There are few or no side effects
or contraindications. Aromatherapy complements other approaches. It
is a precise, rational methodology. Treatment is adapted to the patient's
individual needs and there is a broad intervention range, with multiple
properties.
Quality control and criteria:
What you smell is not necessarily what you get.
The intimate bond between chemical structure and therapeutic activity
is the foundation of scientific aromatherapy. Only quality criteria will
guarantee the authenticity of the oils, their relative safety, and their
full therapeutic value. The slightest modification of their molecular
profile entails a higher rate of side effects (allergies, dermocausticity,
neurotoxicity, etc.) and lower potency.
Hand Harvesting-wild or organically grown with soluble mineral salts
in the soil is preferred. And different parts of the same plant can
yield very different essences, such as Cinnamomum verum. The root contains
the neurotixic borneone (camphor), the leaf contains eugenol, a powerful
anti-infective agent, and the bark contains cinnamic aldehyde, an aphrodisiac.
Certified Botanical Species: only the genuine botanical species, identified
by two Latin names, the first name denoting the genus, as Cupressus,
and the second, the species, sempervirens, thus, Cupressus sempervirens
or evergreen cypress. Only the healthiest plants of the desired species
must be harvested when the plant is richest in essence. This moment
varies depending on the plant. For example, mint must be harvested before
blooming (before it develops toxic ketones). Time of day is also critical-roses
and lavender must be harvested in the morning, while thyme must be harvested
in the afternoon.
Finished product-mode of extraction and quality control-
The only methods of extraction allowed in aromatherapy are mechanical
expression, limited to citrus peels, and steam distillation. The still
must be stainless steel, distillation must be at low pressure, since
overoxidations occur at high pressure, and the essential oils can become
tainted with carcinogenic tars. Time factors must be observed-for example
3/4ths of the essential oil of thyme is extracted within the first 30
minutes, but the anti-infectious phenols take another 60 to 90 minutes.
Only spring water is used in the distillation process to avoid having
to descale the finished product. Following distillation, the essential
oils must be filtered, then stocked in airtight, inalterable casks and
kept cool. Bottles are opaque blue or brown to protect the oils from
light and oxygen.
The worldwide essential oil market is monopolized by the cosmetic
and perfume industries, whose only imperative is making money. This
is why essential oils destined for those industries are not acceptable
for therapeutic purposes. Most essential oils sold as 100% pure and
natural are really cut, diluted and altered with vegetable or mineral
oils, turpentine, alcohol, and even gasoline! These serious alterations
can render an essential oil allergenic, toxic, or even carcinogenic.
They can also be cut with closely related essential oils. For example,
true lavender is often cut with cheaper lavandin. Some rare essential
oils such as rose or melissa are usually only found on the market reconstituted.
So in order to have quality control of the finished product, that
control must be consistent throughout the entire process. Physical controls
such as color, smell, and sometimes taste are compared to an aroma-library
made up of certified essential oils. Density, alcohol-solubility, fusion,
boiling and freezing points, and refraction index are also tested. Chemical
controls made by gaseous chromatography of the samples to be analyzed
serve as an absolute reference point to guarantee authenticity of the
essential oils.
Three grades of essential oils-
a) Standard Industrial Grade:
These essential oils come from uncertified plants, cultivated industrially,
harvested without care to the proper time of day, distilled quickly
and incompletely at high temperatures and high pressure, often rectified,
thinned, altered and stripped of some of their molecules. They are to
be avoided at all costs for therapeutic purposes, and should be restricted
to the cosmetic and perfume industries.
b) 100% Pure and Natural:
Already more rare than the preceding category, these essential oils
are of average quality. They do not always come from certified plant
species (since several species can be confused with one another), picked
wild or organically grown. Harvesting is not always done at the optimal
time. Distillation is incomplete, taking place over a short period at
high temperatures and high pressure. They are also rectified and altered
like the preceding category but are not diluted. Their use for therapeutic
purposes is possible, but not recommended.
c) Authentic: These oils
are 100% pure, natural and complete, and meet all the criteria previously
mentioned. Therapeutically, they are the most active. They are rare,
and thus more expensive, but their quality and effectiveness fully justifies
their higher price. They are the only oils that should be used for therapeutic
purposes.
Routes of Interface/Safety
Measures
1. Cutaneous:
a) Simple anointment
consists of applying a variable quantity of an essential oil or a complex
of essential oils, either pure or diluted on a pre-determined area for
a specific purpose. Areas most commonly used are the chest; anterior,
posterior and lateral for effects on the respiratory system (eucalyptus);
spine, for effects on the nervous system (various Citrus and Lavendula
vera); abdomen for internal organs, liver, stomach, gallbladder, pancreas,
to activate digestive functions (Rosmarinus officinalis); solar plexus,
corticoadrenal area, neck area for infections of the throat, and the
temples, forehead and earlobes, for migraines and headaches in general.
b) Aromatic perfusion
is useful in emergency situations and consists of getting the maximum
number of molecules into the body in a minimum of time. The venous
system of the antecubital fossa and/or inner wrist is used to allow
for rapid penetration into the bloodstream. Three to five drops of
essential oil, single or complex, are deposited on the inside of the
elbow using the opposite wrist, five or six rotary movements are made
on the aromatized zone, and repeated for the other arm. In about 10
seconds, the whole is totally absorbed. Effects are immediate and
extraordinary especially for respiratory infections and congestion.
This treatment can be repeated every five minutes for 1,2, or 3, hours,
then phased out gradually, depending on the rate of improvement.
c) Living embalming uses
every centimeter of skin (except sensitive areas face, genitalia,
axillae) to allow for maximum penetration. This technique is very
effective for viral or microbial epidemics, or for detoxification
and revitalization. A source of heat is used after whole body application,
such as a warm blanket, or hot water bottle, or even a hot air gun
to allow for optimal warming and thus, greater vasodilation.
2. Respiratory interface
is used for treatment of the pulmonary interface itself: rhinitis, sinusitis,
pharyngitis, tracheitis, bronchitis, pneumonia, complications of emphysema,
etc. Another interesting aspect of aerosoltherapy is the induction of
deep relaxation states. Labdanum has shown a real capacity for inducing
a "disconnected" psychic state, which is useful in dealing with drug
withdrawal.
3. Other means of introduction:
Uro-genital, for local action only, for vulvitis, salpingitis, in females,
and in males, for prostatic infections especially the Chlamydiae type,
intra-urethral injections using a special canule. A mix of 2% essential
oils of Thymus vulgaris thujanoliferum+ Eucalyptus polybractea cryptonifera+
Melaleuca alternifolia in equal parts is injected intravesically. Auricular
administration, although usually contraindicated, can be used with the
oil diluted according to the aggressivity of the essential oil. For
very painful otitis, some oils can be used pure, like true lavender,
and eucalyptus radiata, but only one drop per ear. Ocular administration
should be approached with caution also, and only as eye baths, with
aromatic hydrosols like Hypericum perforatum, Myrtus communis cineolifera
or Chamaemelum nobile. In some cases, oily solutions (with non-aggressive
essential oils) can be used around the eye area.
Excipients: Oily solution: 1-50% E.O. in first cold pressed virgin vegetable
oil, Honey: 3 drops E.O. to 1 T honey, 2-3 times a day, alcohol solutes,
5%E.O. in 94% alcohol (30 drops 3 times daily before meals) Capsules:
kaolin, sorbitol and silicilic acid, between 25 to 125mg of E.O. per
capsule, Oleo-aromatic capsules, 50mg of E.O. in fatty vegetable oil
reduces digestive intolerance, Suppositories and gynecological ovules,
made with a special oily blend with kaolin, 50mg for infant suppositories,
75-125mg for children's suppositories, and 150-300mg for adults used
2-3 times per day.
4. Safety Measures-
- Be wary of so-called natural
"essences" Choose products whose quality is irreproachable and controlled.Essential
oils obtained from the distillation of wild or healthy cultivated
plants have virtues far superior to those of plants grown with chemical
substances.
- Essential oils rich in
phenolic compounds (clove, oregano, savory, thyme, or cinnamon are
very aggressive, they must never be used pure except in very localized
external use (like a pimple or a wart) and must be sufficiently diluted
in an appropriate excipient like oil to prevent burning.
- Essential oils, without
exception, must never be applied pure on sensitive areas (genital
and anal areas, eyes and ears) without competent advice.
- Ketonic essential oils
(hyssop, garden sage, thuya, lavender, rosemary-camphor type) must
only be used externally, and internally only on the advice of an aromatherapist.
The uncontrolled use of ketonic essential oils is dangerous, as ketones
can cause convulsions, epilepsy attacks and abortions.
- In cases of known allergic
terrain, use the greatest caution (especially skin and respiratory
allergies).
- In case of eye contact,
immediately pour vegetable oil in the eye to dilute the essential
oil. In case of accidental ingestion of essential oils, take 3-4 tablespoons
vegetable oil to reduce irritation of the digestive membranes.
- During pregnancy, essential
oils are to be used carefully, especially ketonic essential oils.
For children, essential oils must be diluted (more diluted for younger
children). Ketonic oils are best avoided.
- No E.O internally for
children under 3.
- Avoid exposure to sun
during the day following the use of photosensitizing essential oils
(citrus peels, bergamot, hypericum perforatum)
- Essential oil of peppermint
(Mentha piperita) must not be applied to a large surface of skin (chilling
action). It must not be used on babies because of risk of pharyngeal
spasm.
Six Basic Essential Oils (First
Aid Kit)
Common Names added here -
Palmarosa or Cymbopogon
martinii
Main constituents: Monoterpenols
80-95%
Properties: Tonic, neurotonic, major antibacterial, anti-viral, antifungal.
Indications: uretritis, cystitis, vaginitis, salpingitis, bacterial
and viral enteritis, infectious diseases, skin infections, eczema, devitalized,
aging skin, eases childbirth.
Usage: On the skin: a few drops several times a day on the affected
area, neck (pharyngitis), sinuses (sinusitis), around ear (otitis),
on eczematous skin, lower back and abdomen (enteritis and cystitis),
uterotonic action, after childbirth: massage lower back with 4 drops
palmarosa and 4 drops hazelnut oil.
Interface:Cutaneous, oral and aerial.
Contraindications: none known
Lemon Eucalyptus or
Eucalyptus citriodora
Main constituents: Terpenic aldehydes 40-80%, citronenellal 40-80%.
Properties: Anti-inflammatory, antirheumatic, analgesic.
Indications: Inflammatory arthritis, rheumatoid polyarthritis, epicondylitis,
tendonitis, tennis elbow, rheumatism, skin irritations, insect bites
(curative and preventive).
Usage: On the skin, 5 drops 5 times a day on articular or cutaneous
inflamed areas.
Interface: Cutaneous, oral, and aerial.
Contraindications: None known at physiologic dosage.
Black Peppermint Eucalyptus or Eucalyptus radiata
Main constituents: Oxides 72%, 1.8 cineole 62-72%, Monoterpenols 20%,
(-)-a-terpinol 14%
Properties: Anti-catarrhal, expectorant, antibacterial, antiviral.
Indications: Rhinitis, rhinopharyngitis, flu, otitis, sinusitis, bronchitis,
cough.
Usage: On the skin, 3-5 drops, 4 times daily on chest and back (for
respiratory and viral infections). Ideal for inhalations 5-6 drops in
a bowl of boiling water; breathe in vapors.
(This pure essential oil is so mild, it can also be directly applied
under the nostrils and inhaled or placed on a tissue and held up to
the nose and inhaled. It can also be placed directly into the ear canal
without dilution for congestive ear infections.)
Interface: Cutaneous, oral, and aerial.
Contraindications: None known at physiological dosage.
Lavandin or Lavandula Hybrida or Burnatii (clone super)
Main constituents: Esters: linaloyl acetate 45%, Monoterpenols: linaloil
30%
Properties: Powerful sedative, antispasmodic, anti-inflammatory, healing,
anticoagulant, heart tonic, regulates sebaceous secretions.
Indications: Nervousness, insomnia, sleep disorders, anxiety, depression,
migraines, dermatoses, wounds, bedsores, cramps and muscle contractures.
Usage: Skin care: 5 drops 5 times daily on the skin
Anxiety and insomnia: 2 drops under the tongue (diluted) and 3 drops
on the solar plexus, along the spine and soles of the feet, and by using
a diffuser.
Interface: Cutaneous, oral, and aerial.
Contraindications: None known
Peppermint or Mentha X Piperita
Main constituents: Monoterpenols: Menthol 38-48%, Monoterpenones (ketones)
menthone 20-30%
Properties: Anesthetic, analgesic, tonic and stimulant, digestive tonic,
cardiotonic, hepatotonic, and uterotonic.
Indications: Nausea, vomiting, indigestion, motion sickness, liver problems
and insufficiency, migraines, headaches, herpes zoster, neuralgia, sciatica,
all traumatic and inflammatory pain, heavcy legs, venous congestion,
varicosities.
Usage: Externally, 2-3 drops, 3 times daily, on painful areas, on herpes
zoster (shingles), for headaches, on forehead, temples and over brows.
For digestive or hepatic problems, 1-2 drops internally, mixed with
a little honey, oil, maple syrup or water.
Interface: Cutaneous, oral, and aerial.
Contraindications: Infants and breastfeeding or pregnant women should
avoid all use.
Ajowan or Trachyspermum ammi
Main constituents: Phenols: thymol 40-48%, carvacrol 5%, Monoterpenes:
y-terpenine 20-35%, paracymene 20-25%
Properties: general tonic, carminative, anti-nausea, anti-bacterial,
anti-viral, antiseptic, anti-parasitic.
Indications: urinary, skin, respiratory, digestive, or gynecological
infections, bronchitis, rhinitis, infectious colitis, infectious diarrhea,
fatigue, flatulence, digestive atonia, dyspepsia, indigestion, cholera.
Usage: This oil is slightly dermocaustic. Apply 20-50% oil in a diluted
vegetable oil base.
Interface: Cutaneous (always diluted in vegetable oil), oral (always
diluted in vegetable oil).
Contraindications: Slightly dermocaustic. Always dilute! Do not use
on infants.
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