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Estrogenic effects of herbs

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A client of mine who no longer has breast cancer would like to try an

herbal formula (likely Xiao Yao San) but is concerned about the

estrogenic effects of Dang gui and other herbs. She is now 54, was

diagnosed with estrogen receptor positive breast cancer, stage one,

grade one at the age of 49. It had not spread to the lymph nodes.

She was given a mastectomy, chemotherapy (cytoxin-methyltrexate-

fluorouracil), and radiation. There is no family history of scancer.

 

Can anyone provide some perspective/guidance on the safety of herbal

formulas for a person with this sort of health history?

 

many thanks

 

Alex Knox

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Chinese Medicine , " Ally Knox "

<equiknox wrote:

>

" ...estrogen receptor positive breast cancer, stage one,

> grade one at the age of 49. It had not spread to the lymph nodes.

> She was given a mastectomy, chemotherapy (cytoxin-methyltrexate-

> fluorouracil), and radiation. There is no family history of cancer.

>

> Can anyone provide some perspective/guidance on the safety of herbal

> formulas for a person with this sort of health history? "

>

> many thanks

>

> Alex Knox

 

 

Hi Alex

is this lady now on any medical drugs which 'block' oestrogen?

If she is, this will give you an idea of how judicious you need to be.

 

As I understand it, Licorice root, Angelica, and Soy isolates, are the

biggest concerns, due to their suspected, or poorly understood

oestrogenic activity.

Others would add fennel and aniseed to the list.

Black Cohosh remains controversial, as does Milk Thistle.

 

Some useful links:

The Mayo Clinic; for info on drugs and supplements

http://www.mayoclinic.com/health/dong-quai/NS_patient-Dongquai

 

Memorial Sloan-Kettering Cancer Centre

http://www.mskcc.org/mskcc/html/11570.cfm

This herbs data base is maintained by a pharmacist who is also a TCM

herbalist and acupuncturist.

 

Oncology is my main area of interest... there are plenty of non-herb

things your patient can do, which will achieve good therapeutic

outcomes and enhance quality of life, without the possibility of even

the tiniest inherent risk posed by some herbs.

 

Guided imagery, mindfulness-based meditation, gentle/moderate

exercise, yoga, tai chi, a 'good' diet, a warm and supportive network

of friends and family, a counselor if necessary and a great

acupuncturist - all contribute to long term health and well-being; and

there is an emerging body of evidence for the efficacy of these

approaches.

 

Margi

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