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Big Elephant Herb for Maternal Health…

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This featured herb for maternal care punctures tires, yet makes the urinary channels feel like silk!

Tribulus terrestris is one of the most important herbs in Ayurvedic medicine. This “noxious weed” in the US is called Goat’s Beard or Puncture Vine.  Ayurveda calls it Gokshura.  It offers the  practitioner many uses in maternal healthcare, and though found all over the southwest US, it is seems little known in western herbalism. Perhaps because this hard, multi-sided sharp thorny seed (actually a fruit) easily punctures shoes and bike tires?gokshura triptik

I was looking through my notes recently for perinatal and infant health content.  So much to digest and use, so many little known abundantly growing herbs!  T. terrestris rightfully makes many south-westerners give up their off-road bicycle habit, but when ground it makes the urinary system – and more – very happy.

For pregnancy and postpartum food and medicines, the gokharu (gokshura fruit) was one of the staple herbs in village use. It can be given within the first 10 days after childbirth with guduchi for abnormal postpartum discharge in addition to its applications with the common issues of swellings, burning urine, and rejuvenation. It is an aphrodisiac (rasayana i.e. rejuvenative tonic), helps in conception, preventing miscarriage, certain vaginal disorders, impotency, and shows some effects similar to ashwagandha with animal research. Many other applications below are noted for your interest.

A favorite support best known for kidney function among Ayurvedic students, as herbalists, we often study its gentle effectiveness.

For just this herb, we received many pages of information. Here’s a few tidbits (OK, more than a few):

  1. Certain types of lactation problems respond very well to a preparation of gokshura with guggulu (gokshuradi guggalu), to remove poor water element management from waste products in the lymph/lactation ducts.
  2. Gokshura was used in a nutritious sweet for both men and women for rejuvenation. (The sweet component is important to it’s effectiveness for rejuvenative purposes).
  3. The saponin fraction from Gokshura was demonstrated to exhibit a hypoglycemic effect in alloxan-diabetic rats, with a commensurate reduction in serum triglycerides and cholesterol, and a rise in serum super oxide dismutase (Li et al 2002). Vitiation in triglicerides = tired pancreas.
  4. The poor people in India used to make a vegetable dish out of Gokshura leaves (though its use is being forgotten).
  5. The powder from its fruits used to be mixed with other flours to make traditional Indian bread – at least one teaspoon and up to 25% in small batch helps to reduce urinary problems in elders maybe 7-10%. I now add the powder into a flat bread/chapatti, after learning this is standard preventive fare among many village elders. I’m 64 – perhaps one of your village elders.
  6. An infusion is used to relieve painful micturation, to increase the flow of urine and as a vehicle for diuretic medicines. Used also in incontinence of urine.
  7. It can reduce allopathic dosages needed in certain cases. You will have to ask those questions of the doctor directly, he gave one example in the lecture and we asked about many other things!
  8. With black sesame seeds, helps reduce bad energies- circle the person with mix in a bowl, and throw into fire. (Or burn leaves of flax, or keep a bowl of the flax seeds nearby the fragile – helpful for babies, new mamas, the hospitalized, and others. Our unit on Flax brought many new applications for that plant also!)
  9. With Aam Vata (reheumatoid arthritis) – a decoction with ginger and gokshura is used.
  10. With ascites and piles.  The association of water element managements in the body is related to the reproductive system and emotions around the 2nd chakra, some lactation issues, pancreatic function and a cascade of concerns.
  11. It may help with cough and asthma, alone or mixed with honey as soothing expectorant.
  12. It has analgesic effect;  may help with pain from neural debility.
  13. In Paralysis, the preparation called gokshuradi guggulu is particularly good.
  14. Helps dissolve urinary stones an cystitis. Fresh leaves dipped in water can be drank for medicine, as it creates slipperiness to help release. This remedy is also being forgotten in Ayurvedic practice.

Properties of Gokshura

  • Guna (qualities): Guru (heavy), Snigdha (slimy)
  • Rasa (taste): Madhur (sweet)
  • Virya (energy): Sheeta (cooling)
  • Vipak (post digestive effect): Madhur (sweet)
  • Very good rasayan

Effects on body channels

  • Dosha: Tridoshshamak (cleanses all 3 doshas)
  • Dhatus (tissues affected): Shukra, Mamsa, Meda, Rakta (reproductive, muscle, fat, and blood)
  • Mala: Mutra (waste system affected: urinary)
  • Organs: Urinary system, Cardiac system, Reproductive system, Nervous System
  • Dosage: Fruit powder – 2.5 to 5 gm, Decoction – 60 to 100 ml
  • Contraindication:  Should not be given if patient is suffering from dehydration.

Topics for each herb in the Nighantu class include – an herb’s names and citations throughout the ancient texts; when it began to be used; traditional village dietary and medicinal recipes; which Ayurvedic text says what about it, pharmacokinetics; all useful parts of the plant; effect on metabolism in Ayurvedic and allopathic terms with therapeutic uses and recipes; chemical constituents, uses for each of the shrotamsi (channels) and body systems; herb drug interactions; research on it; growing conditions; varietals; and any contraindications.

As with all information provided, please understand this is partial information. Proper use of herbals per the individual case and condition as well as proper combining, timing, and delivery media are all part of herbal training, and very important. This is not meant to replace the advice of a qualified physician nor prerequisite studies in Ayurvedic medicine.

Herbs for Mood – Depression and many related conditions

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Herbs for Postnatal Moods – We use several really good ones.  Front line – I often call on Tulsi with Gotu Kola or another Brahmi tea – serotonin enhancing in Nature’s user friendly bio-balancing way that can be tandemed for month or more before beginning to SLOWLY reduce other herbs, according to some experienced Ayurvedics.  Transitioning off over at least 6 months, according to Dr. Ann Blake Tracy, if on mood meds for over a year.  She does not however have Ayurveda’s toolbox, so I believe there can be more help up front while still proceeding so very cautiously.   (Good results for a few days do not mean all is well – the medicines have stored in high quantity in brain tissues and begin to download in chunks into blood).  So this is just a beginning discussion of a number of mood supportive herbs.

These 2-3 herbs are also gentle at a time we need to be gentle!  They are key manas (Mind) rasayana (rejuvenative tonic) herbs.  Yes, they are safe in pregnancy and postpartum.  Especially for Mamas, I combine them a bit of digestive (ginger, pippali, or even cardamom), with shatavari (wild asparagus root) to potentiate the manas effects (connecting to body/hormones, and enhancing to lactation anyone?) and/or ashwagandha (more root chakra and Vata grounding/pacifying, also helps lactation).  There is controversy about use of ashwagandha in pregnancy, some are big on it, others totally avoid, I take a more middle perspective, in smaller amounts and well combined.  We can discuss that again another post.

Although there are many distinct diagnoses for mood issues after, or before childbirth, in Ayurveda we see a common thread during the postpartum time of high Vata, which may also push another dosha out of it’s right place and function.  We can consider support with herbal foods – a gentle benign tea – and leave the legally appropriate scope of practice in hands of licensed practitioner.

Tulsi-Gotu Kola Tea is on sale – just received the message today – with this wonderful company, Organic India .  I so honor this company – they sustainably employ thousands of families now in India in organic herb production.  They have loose leaf tulsi and brahmi (gotu kola or bacopa both work similarly and are called “Brahmi”).

I learned this from Ayurvedic practitioner of many years, Sarasvati Buhrman – she gives 4-5 drops nasya (nose drops/nasal administration of herbs) per nostril of brahmi decocted into ghee for Vata depression, varying it for Pitta and Kapha, along with 4-5 cups daily of the above tea as front line support while the rest of needed “homework” is being put into place.  I’ve worked with an older woman her family sent me East to support for a week, in severe suicidal condition under Dr Bhurman’s advice, and watched it really help, but please note that nasya is contraindicated in Pregnancy.

And severe cases MUST be under her doctor’s umbrella of support and referral.  Particularly with pitta cases involving violent impulses or thoughts which are highest risk.  There may be risk to baby or mother’s life.  They often have many issues and sources of advice, which can throw them off from prioritizing use of your support, even dietary and massage gets de-prioritized.  So this is offered as beginning discussion on long term project for education and care research perhaps.  We would want to look at the individual’s other issues in postpartum time and prioritize for it all to create their unique herbal formulation, under client’s and Doctor’s OK.  Research projects would start with much simpler parameters of course, and less potent results for many.

How does all this fit in context of a postpartum care practice?  

The following perspectives and the best possible care are especially important!  Mood support is greatly aided with the following knowledge and skills which may be much less difficult to implement than herbal formulation.   A mother’s special abhyanga (massage) given 3 days in a row absolute minimum, or 5-6 days (not spread out, in a row) as a wiser minimum for more serious cases, so helps ground the herbal effects and not just pop back out of benefits to this process.  It is a deeply significant component of postpartum care and of mood supports,  actually advised for all mamas, not just mood challenged, for 42 days daily.

Also deeply important are the rather unique even to Ayurvedic students and many western trained Ayruvedic practitioners, dietary recommendations after childbirth.  You can learn more in my basic webinars on Ayurvedic Maternal and Newborn Care.  Also useful is the e-cookbook and e-handbook for your clients, Touching Heaven, Tonic Postpartum Care/Cooking with Ayurveda.    The advanced 5 hour webinar on Safe Postpartum Herbs is also available, and will be most valuable to those with some knowledge of Ayurvedic herbology.  Those wanting to get started with potent supports right away can begin studying client and practitioner use of aromatherapy.   A 2 hour Essential Oils (More than) Basics class is also now recorded and getting really good reviews – as I must say I expected – even from experienced aromatherapists.

The early post-pregnancy time has been called “The Black Hole in Health Care” by Dr. Jeanne Watson Driscoll PhD,APRN,BC.  It is a big Y in the road, and effects easily last for decades – “42 Days for 42 Years” according to “Mother of Ayurveda” in the west, Dr. Sarita Shrestha.

I must make clear disclaimers to this post – it cannot be intended to replace the advice of your medical doctor or primary practitioner.  Information here is presented for educational purposes and  you must complete your own homework and work within your appropriate scope of practice.  For serious concerns, you may wish to also look at the reports by Dr. Ann Blake Tracy on a well researched website maintained for many years, Drugawareness.org.  She still offers phone consultations if you feel you are having adverse reactions to mood meds.  For some of the heavy social/medical industry implications – The Citizens Commission on Human Rights (CCHR) is a nonprofit mental health watchdog, responsible for helping to enact more than 150 laws protecting individuals from abusive or coercive practices.  This is not a first focus recommendation for mothers, please; there is a serious political and social conscience and service they provide for those so inclined to work in that arena.

In your service,

Ysha Bhu