HERBAL AND NUTRITIONAL PROTOCOLS FOR COMMON CONDITIONS

First published November 2003
Second Publication J une 2005
Third Publication J une 2006
Fourth Publication J une 2007
Fifth Publication J une 2009
Sixth Publication August 2010

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©
Phytotherapy Press, 2010

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system
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Published by Phytotherapy Press
PO Box 276 Warwick Queensland 4370 Australia

Herbal and Nutritional Protocols for Common Conditions




Acne Vulgaris .............................................................................................. 4
Adrenal Depletion ........................................................................................ 6
Allergic Rhinitis ........................................................................................... 8
Alzheimer's Disease ..................................................................................... 9
Andropause .............................................................................................. 11
Anaemia ................................................................................................... 13
Angina Pectoris ......................................................................................... 15
Anti-ageing Protocol .................................................................................. 17
Anxiety ..................................................................................................... 19
Asthma .................................................................................................... 21
Autoimmune Protocol ................................................................................ 23
Benign Prostatic Hyperplasia (BPH) ............................................................. 26
Bowel Flora Protocol for Dysbiosis .............................................................. 27
Bronchitis, Acute ....................................................................................... 29
Bronchitis, Chronic .................................................................................... 31
Candidiasis ............................................................................................... 33
Chronic Fatigue Syndrome (CFS) ................................................................ 35
Colic......................................................................................................... 38
Common Cold & Influenza ......................................................................... 40
Constipation ............................................................................................. 42
Depression ............................................................................................... 44
Diabetes Mellitis ........................................................................................ 47
Diverticulitis .............................................................................................. 50
Dysmenorrhoea, Spasmodic ....................................................................... 51
Dyspepsia ................................................................................................. 53
Eczema (& Atopic Dermatitis) ..................................................................... 54
Endometriosis ........................................................................................... 56
Erectile Dysfunction ................................................................................... 58
Eye Health ................................................................................................ 60
Fatigue ..................................................................................................... 62
Fibrocystic Breast Syndrome ...................................................................... 65
Fibromyalgia ............................................................................................. 66
Food Intolerance ....................................................................................... 68
Gastroenteritis .......................................................................................... 70
Graves’ Disease ......................................................................................... 72
Hashimoto’s Thyroiditis .............................................................................. 74
Heavy Metal Detoxification ......................................................................... 76
Hepatitis ................................................................................................... 78
Herpes Infections ...................................................................................... 80
Hypercholesterolaemia .............................................................................. 82
Hypertension ............................................................................................ 84
Infertility, Female ...................................................................................... 86
Insomnia .................................................................................................. 88
Irritable Bowel Syndrome (IBS) .................................................................. 90
Lowered Immunity/Recurrent Infection ....................................................... 93
Menopause ............................................................................................... 96
Metabolic Syndrome .................................................................................. 99
Multiple Sclerosis ..................................................................................... 102
Osteoarthritis .......................................................................................... 104
Pain ....................................................................................................... 106
Peptic Ulcer ............................................................................................ 108
Polycystic Ovarian Syndrome (PCOS) ........................................................ 110
Poor Liver Function ................................................................................. 111
Premenstrual Syndrome (PMS) ................................................................. 113
Prostatitis, Acute or Chronic Bacterial ........................................................ 115
Reactive Hypoglycaemia (Dysglycaemia) ................................................... 116
Reflux, Gastroesophageal ........................................................................ 118
Sinusitis.................................................................................................. 120
Sports Performance ................................................................................. 122
Stress..................................................................................................... 125
Subclinical Hypothyroidism ....................................................................... 128
Urinary Tract Infections (UTIs) & Interstitial Cystitis ................................... 130
Uterine Fibroids ....................................................................................... 132
Varicose Veins & Haemorrhoids ................................................................ 134
Weight Management Protocol ................................................................... 136
Worm, Parasite & Protozoa Infestation ...................................................... 139
Wound Healing ....................................................................................... 140
APPENDIX: Safety Information ................................................................. 142




Herbal and Nutritional Protocols for Common Conditions 4 © Phytotherapy Press

Acne Vulgaris

An inflammatory condition of the sebaceous glands characterised by comedones (small cysts) which
often become inflamed and form papules, pustules, nodules and cysts, usually on the face, chest and
back. The sebaceous glands appear to be unduly sensitive to normal levels of androgens. Increased and
abnormal keratinisation at the exit of the pilosebaceous follicle obstructs the flow of sebum.
Propionibacterium acnes, a normal skin bacteria, colonises the pilosebaceous ducts leading to
inflammatory consequences.

Aims of Treatment

• Reduce the toxin load on the skin by assisting tissue cleansing and enhancing elimination by the use
of depuratives, lymphatics, diuretics and mild laxatives.
• Provide topical relief and treat the causes with astringent, anti-inflammatory, tissue healing,
antibacterial and scar-reducing herbs.
• Enhance immune function systemically to assist the body to fight potential infections.

Primary Protocol
Clivers Complex tablets This combination of herbs primarily provides depurative action,
enhance elimination and are specific for the treatment of skin
disorders. Burdock has a strong traditional history for the
treatment of skin disorders, Oregon Grape and Sarsaparilla are
traditionally used for acne, and Clivers, a depurative and diuretic
is traditionally used for skin eruptions. Yellow Dock as a mild
laxative and cholagogue is traditionally used for skin conditions
associated with liver disturbance, bowel sluggishness and
glandular engorgement. Depuratives may also reduce excess
sebum production.

3 to 4 tablets daily
Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue by increasing blood flow particularly
microcirculation.

1 tablet 3 to 4 times daily
Chaste Tree tablets Chaste Tree is of benefit in both men and women for acne,
possibly due to its hormonal effects. Chaste Tree would also be of
benefit if the acne occurs premenstrually.

1 to 4 tablets daily

Example Formula for Face
Wash
Calendula is also used in traditional medicine topically for acne,
particularly stubborn acne with inflammation. It is a vulnerary,
non-tannin astringent and anti-inflammatory. Echinacea has been
used topically by Native Americans for skin conditions and by
Eclectic physicians to treat skin conditions and to prevent sepsis.
Applied externally Propolis relieves skin conditions caused by
bacterial and fungal infection. It is also anti-inflammatory,
anaesthetic and astringent. Gotu Kola helps prevent scarring.

Make a solution of the following
extracts (equal amounts):
• Echinacea root 1:2
• Calendula 1:2
• Propolis 1:5
• Gotu Kola 1:1

How to use: 2.5 mL of this solution
is diluted in approx 60 mL of warm
boiled water

Echinacea Premium tablets Internal use of Echinacea as a depurative for skin conditions was
also recommended by traditional practitioners. By enhancing
immune function Echinacea root may assist in reducing the
colonisation of bacteria of the skin ducts.

2 tablets daily

Herbal and Nutritional Protocols for Common Conditions 5 © Phytotherapy Press

Additional Treatment (as required)
EFA Essentials capsules EFA deficiencies are associated with acne vulgaris leading to
exacerbations of inflammation and the promotion of
hyperkeratinosis and excessive sebum production.

1 to 2 capsules 3 times daily

Zinc Protect tablets A highly bioavailable source of zinc with synergistic antioxidants.
Zinc supplementation has demonstrated effectiveness in acne
vulgaris possibly through the inhibition of 5-alpha reductase
activity and inhibiting inflammation. Vitamin E and selenium have
demonstrated efficacy in the treatment of acne.

1 tablet daily after breakfast

Poly-C Powder A unique blend of mineral ascorbate with complementary naturally
sourced bioflavonoids with resveratrol and alpha-lipoic acid. Lipoic
acid may aid in the prevention and healing of the scarring caused
by acne.

4 g daily

Everyday B Multi tablets Vitamin A, folic acid, B2 and B6 have demonstrated efficacy in the
treatment of acne.

1 tablet daily after breakfast

Vital Woman In addition to vitamins A, folic acid, B2 and B6 which have
demonstrated efficacy in the treatment of acne, Vital Woman
contains herbs such as Shatavari and Chaste Tree making it the
ideal multi-supplement for the treatment of hormonal acne.

1 tablet daily after breakfast

Anecdotes
• Excellent results were obtained using Clivers Complex tablets for the treatment of acne in a female
patient aged 17 years on the contraceptive pill.
• Practitioners have found Clivers Complex tablets to be a valuable treatment for acne, particularly in
teenagers who are often reluctant to take herbal extracts.
• Chaste Tree tablets work extremely well when combined with a skin formula for the treatment of
acne that is worse premenstrually. It also has the benefit of alleviating other premenstrual
symptoms.
• Echinacea Premium tablets are a valuable adjunct for the treatment of skin disorders. They are
usually combined with a formula that addresses the particular disorder.
• A practitioner reports that all her patients love the taste of Poly-C Powder.
Herbal and Nutritional Protocols for Common Conditions 6 © Phytotherapy Press

Adrenal Depletion

Adrenal depletion is the reduced capacity to cope with stress, usually brought about by the chronic
effects of continued stress.

Aims of Treatment

• Support adrenal gland function with adrenal restorative herbs.
• Decrease the detrimental effects of stress on the adrenal glands with adaptogens.
• Provide immune system support if recurrent infections are a feature.
• Minimise the effects of chronic stress on the nervous system.

Primary Protocol
ThyAdren Support tablets The combination of nutrients and Rehmannia in ThyAdren Support
tablets support and improve adrenal function.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Both Rehmannia and Licorice are excellent adrenal tonics.
1 tablet 2 to 3 times daily


OR Rehmannia 1:2 liquid
extract AND/OR Licorice High
Grade 1:1 liquid extract
Rehmannia and Licorice provide support for adrenal gland
function.
Rehmannia: 4 to 10 mL daily taken
with water
Licorice High Grade: 4 mL daily
taken with water

Rhodiola & Ginseng tablets Rhodiola is an adaptogenic and tonic herb that has been shown to
improve energy, physical and intellectual performance and is
beneficial for depression, insomnia and anxiety. Korean Ginseng is
an adaptogen and tonic indicated for physical or mental
exhaustion and stress.
1 to 2 tablets 2 times daily
OR Withania Complex tablets These tablets deliver the adaptogenic and tonic effects of Withania
and Korean Ginseng along with the adrenal support of Licorice.
Skullcap is a sedative and nervous system tonic.
1 tablet 3 to 4 times daily
In cases of insomnia: 2 tablets after
breakfast and 2 tablets after lunch

OR Siberian Ginseng tablets Siberian Ginseng is also an adaptogen, and will be of more benefit
to the stressed and sleep-deprived patient than Korean Ginseng
which might be somewhat stimulating.
1 tablet 3 to 4 times daily
In cases of insomnia: 2 tablets after
breakfast and 2 tablets after lunch

Additional Treatment (as required)
GlucoBalance tablets Sugar craving may occur in patients with adrenal depletion.
GlucoBalance contains 2 different forms of chromium, necessary
cofactors and 2.0 g of Gymnema to help with blood sugar
regulation.

Only 1 tablet 3 times daily with or
after meals

Rhodiola 2:1 liquid extract The adaptogenic and tonic activities of Rhodiola help provide
additional energy. It can also be included in the Primary Protocol
instead of Withania Complex or Siberian Ginseng tablets.

3 to 4 mL daily
Nevaton
®
tablets Nevaton
®
provides nervine tonic activity, to assist the body if
emotional stress and a depleted nervous system is present. It is
particularly indicated if the patient complains of mental tiredness.

1 tablet 3 to 4 times daily
Herbal and Nutritional Protocols for Common Conditions 7 © Phytotherapy Press

Echinacea Premium tablets High quality Echinacea root preparations provide excellent immune
support, and will be valuable if chronic stress has depleted the
general immune function, leading to recurrent infections.

1 tablet 3 times daily
In the case of an acute infection
use 2 tablets 3 to 4 times daily

Poly-C Powder The adrenal cortex and the adrenal medulla accumulate high
levels of ascorbate (vitamin C). Vitamin C is required both in
catecholamine biosynthesis and in the production of steroids by
the adrenal cortex. Supplementation with vitamin C will also
support the immune system.

4 g daily
Anecdotes
• A busy executive with punishing schedule finds 2 Withania Complex tablets in the morning help to
provide mental clarity and plenty of energy.
• This condition responds well to Withania Complex or Withania & Ginseng tablets (at a dosage of 2
tablets after breakfast and 2 tablets after lunch, with none at night if sleep is a problem).
• Rehmannia and Korean Ginseng liquid extracts reduced feelings of fatigue in a patient with
suspected adrenal depletion.
• After taking ThyAdren Support tablets a patient commented, “ThyAdren Support has been a
lifesaver. I can almost set my time by my energy and know when it is my 3 pm ThyAdren time! It is
also heaven sent in the early mornings when I need a kick start”.
• Adrenal Complex – I LOVE this one! It is made for me as I have Addison’s, but will also be very
useful for loads of my clients with adrenal exhaustion. At a dose of 2 tablets daily I had enough
energy to do everything I wanted and did not get the ‘dragging myself around feeling’.
Herbal and Nutritional Protocols for Common Conditions 8 © Phytotherapy Press

Allergic Rhinitis

Rhinitis is an inflammation of the nasal mucous membrane. Allergic rhinitis is rhinitis caused by any
allergen, usually an inhalant such as pollen. Hay fever is a seasonal form of allergic rhinitis characterised
by sneezing, rhinorrhoea, itching of the eyes, and lacrimation (watery eyes). Exposure to known
allergens (eg animal dander) should be avoided if possible.

Aims of Treatment

• Reduce the allergic and inflammatory response.
• Strengthen the body against reaction to allergen.
• Treat the symptoms with anticatarrhal herbs and herbs that tone the respiratory mucosal.
• Reduce the toxin load on the skin by enhancing elimination with depuratives if allergy is deep seated.

Primary Protocol*
Eyebright Complex tablets Eyebright, Golden Rod and Golden Seal are anticatarrhal, and
strengthen the mucous membranes. Eyebright and Golden Rod
have been traditionally recommended for nasal catarrh, sinusitis
and conjunctivitis. Echinacea root assists the body in enhancing
the nonspecific immune function. Cayenne, as a circulatory
stimulant, assists in the absorption of the other herbs.

1 tablet 4 times daily

Albizia Complex tablets This combination of herbs provides antiallergic and anti-
inflammatory activity.

1 tablet 3 to 4 times daily

Additional Treatment (as required)
Echinacea Premium tablets To provide further support for the body's immune function, and
may help prevent a low grade infection of the upper respiratory
tract from occurring.
1 tablet 2 to 3 times daily


Rehmannia Complex tablets The herbs in this tablet provide anti-inflammatory activity and
immune suppression. Combine with Echinacea Premium tablets to
help further modulate the immune system.

1 tablet 3 times daily


Golden Seal tablets Additional assistance for the mucous membranes if excessive
mucus is present. 1 tablet 2 to 3 times daily

Clivers Complex tablets This combination of herbs primarily provides depurative action, by
enhancing elimination and may be beneficial if the allergy is deep
seated.

1 tablet 3 to 4 times daily

Poly-C Powder A unique blend of mineral ascorbate with complementary naturally
sourced bioflavonoids with resveratrol and alpha-lipoic acid. These
nutrients aid in the reduction of inflammation, help in controlling
histamine release and strengthen connective tissues.

4 g daily


* For seasonal allergic rhinitis, begin the treatment 6 weeks prior to occurrence of pollen and continue
throughout the season.
Anecdotes
• Good results can be obtained with Eyebright Complex tablets in the treatment of hay fever,
especially if patients are able to start taking them before their most allergic time. They should
continue to take 2 to 3 tablets per day through this time.
• Eyebright Complex tablets combine well with Albizia Complex tablets.
• A female patient aged 52 had itchy eyes and a runny nose at certain times of the year (hay fever).
She found 3 to 4 Albizia Complex tablets per day for a few days stopped the symptoms completely.
• Many practitioners find that the immune modulating activity of Echinacea works well in the treatment
of hay fever and other allergic conditions. Particularly when combined with Albizia Complex tablets.
• Herbal practitioners often use Golden Seal tablets in conjunction with specific formulations to treat
conditions of the different mucous membranes throughout the body.
Herbal and Nutritional Protocols for Common Conditions 9 © Phytotherapy Press

Alzheimer's Disease

Alzheimer's disease is a degenerative disease of the brain characterised by the onset of progressive
dementia.

Aims of Treatment

• Protect brain, nerve cells and blood vessels against damage, particularly from oxidation.
• Improve memory and cognitive function.
• Decrease risk factors such as high plasma levels of homocysteine and lowered folate and B-vitamins.
• Alleviate associated symptoms such as anxiety, depression, insomnia and stress.

Primary Protocol
Ginkgo Forte tablets or 2:1
liquid extract
Ginkgo has a clinically-proven benefit for the prevention and
treatment of Alzheimer's disease, and enhances quality of life in
elderly patients. It improves cerebral and peripheral circulation, is
neuroprotective, has favourable effects on brain energy
metabolism and may reduce oxidative damage in brain cells.

Tablets: 1 to 2 tablets 2 times daily
Liquid Extract: 1.5 to 3 mL with
water, 2 times daily
PhytoRegenex tablets PhytoRegenex is an excellent antioxidant/anti-ageing formula. It
contains Ginkgo, St Mary’s Thistle, Korean Ginseng, Pine Bark
extract and Polygonum cuspidatum, which is a major source of
resveratrol. This tablet can be given in conjunction with Ginkgo
Forte tablets or Ginkgo 2:1 liquid extract to improve cognitive
function, cerebrovascular circulation and for additional antioxidant
activity.

1 to 2 tablets 2 times daily
Bacopa Complex tablets Bacopa Complex tablets will assist memory and concentration as
all three herbs in this formula enhance cognition, particularly
where nervous deficit is present.

1 tablet 3 to 4 times daily
Methyl Factors tablets A combination containing folate, vitamins B6 and B12 and Green
Tea is very important for supporting methylation within the body
(to help prevent Alzheimer's disease or help prevent the condition
worsening). High plasma homocysteine and low plasma levels of
folate, vitamins B6 and B12 may be associated with increased risk
of developing Alzheimer's disease. Elevated homocysteine and low
folate is associated with neuropathology, and low folate is strongly
associated with cerebral atrophy.

1 to 2 tablets daily
Everyday B Multi tablets As described above (Methyl Factors tablets) folate, vitamin B6,
vitamin B12 are important in the prevention and treatment of
Alzheimer's disease, and to protect against cerebral atrophy.
Everyday B Multi also provides the other B-vitamins, which are
important for neurotransmitter production and energy, and to
assist the body to cope with stress.

1 to 2 tablets daily

Additional Treatment (as required)
Poly-C Powder Resveratrol and alpha-lipoic acid are potent antioxidants which
may help protect against oxidative damage.

4 g 1 to 2 times daily
Vitanox
®
tablets A four-herb combination providing potent antioxidant activity to
help prevent further deterioration. 1 tablet 2 times daily

Herbal and Nutritional Protocols for Common Conditions 10 © Phytotherapy Press

Paeonia 1:2 liquid extract,
Sage 1:2 liquid extract
A minor traditional use of Paeonia is dementia. Studies have
confirmed that Paeonia and its constituent paeoniflorin are
cognition enhancers. Sage has been traditionally used to improve
memory, and it has improved cognition in Alzheimer's patients.
Paeonia 1:2 50 mL
Sage 1:2 50 mL
100 mL

Dosage – 5 mL 2 times daily

St J ohn's Wort tablets High quality St J ohn's Wort is clinically proven to treat mild to
moderate depressive state.

1 tablet 2 to 3 times daily
Valerian Complex tablets The herbs in Valerian Complex provide sedative activity to
alleviate any associated symptoms of anxiety or insomnia.

1 tablet 3 to 4 times daily
OR NeuroSom tablets Magnolia bark is traditionally used in J apanese medicine (Kampo)
for the treating of anxiety, insomnia and depression. Zizyphus is
used in Chinese medicine for insomnia, anxiety and irritability.
Lemon Balm and Lavender are used in Western herbal medicine
for symptoms associated with anxiety and depression. Magnesium
and vitamin B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


Bilberry tablets Bilberry provides protective activity on microvasculature with
additional antioxidant and anti-inflammatory activity.

1 tablet 3 to 4 times daily
Herbal and Nutritional Protocols for Common Conditions 11 © Phytotherapy Press

Andropause

Andropause is an endocrine condition characterised by a reduction in the production of androgens (male
hormones). Symptoms include sexual dysfunction, depression, fatigue and reduced bone density. A
similar clinical picture occurs for male hypogonadism.

Aims of Treatment

• Provide support for the male endocrine system (prostate and testicles), assist the body in the
production of androgens (especially testosterone) with the use of specifics, adrenal tonics and zinc.
• Enhance vitality with adaptogens.
• Help reduce the systemic effects of low testosterone such as increased risk of vascular damage.

Primary Protocol
Tribulus Forte tablets or 2:1
liquid extract
In men Tribulus increases testosterone and decreases oestradiol
and has significant tonic properties. Clinical trials have shown
Tribulus to improve impotence and libido. Tablets: 2 tablets 2 times daily
Liquid Extract: 5 mL 2 times daily

Rhodiola & Ginseng tablets Rhodiola is an adaptogenic and tonic herb that has been shown
to improve sexual function in men with erectile dysfunction
and/or premature ejaculation. It improves energy, physical and
intellectual performance and is beneficial for depression,
insomnia and anxiety. Korean Ginseng is an adaptogen and
tonic indicated for physical or mental exhaustion and stress. It is
beneficial for impotence and male fertility problems, including an
increase in androgen levels and sperm count.
1 to 2 tablets 2 times daily
ThyAdren Support tablets The combination of nutrients and Rehmannia in ThyAdren
Support tablets support and improve adrenal function.

1 tablet 2 times daily
AND/ OR Adrenal Complex tablets Both Rehmannia and Licorice are excellent adrenal tonics.
1 tablet 2 to 3 times daily


Example Formula Clinically Korean Ginseng has demonstrated benefit in
impotence and male fertility problems, including an increase in
androgen levels and sperm count. Further support for the
endocrine system is provided by Rehmannia as an adrenal tonic.
Decreased testosterone may result in reduced red blood cell
count. Withania improved red blood cell count and haemoglobin
in a clinical trial involving male volunteers aged 50 to 59 years.
Improvement in sexual performance was observed in a majority
of volunteers. Korean Ginseng and Withania as tonics and
adaptogens will also enhance vitality. Saw Palmetto berries have
been recommended by the Eclectic physicians to have
pronounced effects upon all the reproductive organs and
particularly to enlarge such organs (such as the testes) when in
a wasted condition.

Korean Ginseng 1:2 15 mL
Rehmannia 1:2 40 mL
Saw Palmetto 1:2 20 mL
Withania 1:1 25 mL
100 mL

Dosage – 10 mL 2 times daily

Additional Treatment (as required)
Ginkgo Forte tablets
AND/ OR Bilberry tablets
Standardised preparations of Ginkgo and Bilberry provide
vascular and microvascular support by their vasoprotective,
tissue-perfusion enhancing, circulatory stimulant and antioxidant
activities. Ginkgo has clinically-proven ability to improve
peripheral circulation. Ginkgo was found to be effective in
alleviating sexual dysfunction secondary to antidepressant drug
use. Bilberry has improved venous microcirculation and relieved
symptoms for patients with venous insufficiency.

Ginkgo: 1 to 2 tablets 2 times daily
Bilberry: 1 tablet 2 to 4 times daily
Herbal and Nutritional Protocols for Common Conditions 12 © Phytotherapy Press
Zinc Protect tablets Even moderate deficiency of zinc is associated with
hypogonadism in men. Supplementation with zinc may enhance
serum testosterone.

1 tablet after breakfast
ProstaCo capsules Liposterolic extracts of Saw Palmetto and Nettle Root would be
of benefit in supporting prostate function if required.

1 capsule 3 times daily
Herbal and Nutritional Protocols for Common Conditions 13 © Phytotherapy Press

Anaemia

Anaemia is a decrease in haemoglobin in the blood to levels below the normal range. It can be caused by
insufficient dietary intake or poor absorption of iron, reduced red cell production, increased red cell
destruction and blood loss. It is a common occurrence in pregnancy.

Aims of Treatment

• To address any underlying cause of the anaemia.
• Where necessary to increase consumption of iron and aid in its absorption.
• In the short term, to address the symptoms of anaemia (eg fatigue).

Primary Protocol
Fe-Max Iron Tonic
Phytosynergist™ liquid
Fe-Max Iron Tonic is an ideal source of supplementary iron. In
addition to iron this formula also contains a number of herbs that
are reputed for their blood building properties. These include
Withania, Nettles and Codonopsis. It also contains vitamin C and
B-vitamins to help with iron absorption. Because of the pleasant
taste (it is in a fruit and vegetable juice concentrate base) it is
ideal for children and where appropriate, can be combined with
other formulas to improve taste. It can also be used in pregnancy
for the treatment of anaemia. It does not contain alcohol.

5 mL 3 to 4 times daily





OR Fe-Plex tablets Therapeutic doses of ferrous glycinate combined with synergistic
herbs and nutrients known to promote healthy blood. Unlike
Fe-Max Iron Tonic the convenient tablet form does not contain
Licorice therefore does not share contraindications.

1 tablet daily

Additional Treatment (as required)
Withania Complex tablets These tablets can be beneficial in several ways when treating
anaemia. Firstly, decreased digestive capacity is often the result of
stress. Withania Complex tablets will nourish the nervous system
and reduce the adverse effects of stress. Secondly, the tonic effect
of Withania and Korean Ginseng will help to increase energy and
appetite. Thirdly, Withania is a renowned blood building herb.

1 tablet 3 to 4 times daily

DiGest tablets The herbs in this formula help to improve digestive capacity
thereby enhancing iron absorption (poor iron absorption is a cause
of anaemia).
1 tablet 3 times daily given 15 to 30
minutes before meals. It is best to
suck the tablet until a bitter taste is
experienced, then swallow with
some water

OR Gentian 1:2 liquid extract Gentian is probably one of the best herbal medicines to improve
all aspects of digestion. When prescribed as a single herb it can be
taken before meals at a much lower dose than a complete
formula. This increases compliance. If patients find the bitter taste
difficult to tolerate they can be encouraged to make up a ‘lemon,
lime and bitters’ drink to have before meals. Because of the ‘cold’
nature of Gentian either Ginger or Cinnamon can be added in
cases where the patient’s digestive system is considered to also be
‘cold’. Both these additional herbs also have a beneficial effect on
digestion.

10 drops 3 times daily given 30
minutes prior to meals






Herbal and Nutritional Protocols for Common Conditions 14 © Phytotherapy Press

Example Formula for
Menorrhagia
These four herbs have long been used traditionally to reduce
heavy menstrual bleeding. Beth Root is extremely astringent and
many patients find is difficult to take. For this reason it is best not
to include too high a dose of Beth Root in the formula.
Fe-Max Iron Tonic, which would be taken daily for the treatment
of anaemia, could be added to each 5 mL dose of this formula in
order to improve taste, and hence compliance.
Shepherd’s Purse 1:2 25 mL
Tienchi Ginseng 1:2 35 mL
Beth Root 1:2 15 mL
Yarrow 1:2 25 mL
100 mL

Dosage – 5 mL 3 to 4 times daily
during the period. For best results
begin 1 to 2 days before due date
of period

OR FibroFem tablets Uterine fibroids are a frequent cause of heavy menstrual bleeding
and hence anaemia. The combination of herbs in this tablet
provides a number of actions essential for the treatment of
menorrhagia. Yarrow and Shepherd’s Purse have uterine
antihaemorrhagic activity and Paeonia is the female reproductive
tonic used in Traditional Chinese Medicine to treat metrorrhagia.
Paeonia may assist with normalising the oestrogen/progesterone
balance. Thuja is a depurative and astringent.

1 tablet 4 to 5 times daily

Chaste Tree tablets In pre-menopausal women Chaste Tree exerts a progesterogenic
effect via stimulation of the corpus luteum. This will help to
correct a relative oestrogen excess which may be beneficial for the
treatment of uterine fibroids.
2 tablets 2 times daily
Anecdotes
• For patients with mild anaemia Fe-Max Iron Tonic works very well and, due to the fruit and
vegetable juice concentrate base, is very palatable.
• Many practitioners prescribing Fe-Max Iron Tonic find they get good results in patients who are
anaemic or who are borderline anaemic. In those with more severe anaemia, a higher dose of iron
supplementation may be required but Fe-Max Iron Tonic is still used to aid blood building.
• A practitioner who uses Live Blood Microscopy as an analytical tool saw annulocytes indicating iron
deficiency in a female client aged 35. The practitioner recommended Fe-Max Iron Tonic at 10 mL 2
times daily and after 8 weeks saw a marked improvement in the blood and iron levels.
• DiGest tablets are very effective in alleviating symptoms of poor digestion including bloating and
anaemia.
• One practitioner who treats primarily HIV/AIDS says that DiGest is part of the treatment as poor
appetite and impaired digestion is one of the major issues.
• DiGest can be used for the elderly, picky children and patients with chronic diseases as well as for
general poor digestion.
• A practitioner prescribes Methyl Factors with Fe-Plex tablets for chronic iron deficiency (the additional
vitamin B12 and folate assist with iron usage, and patients with low iron status are often low in B12).
The patient remarked she has had no GIT problems (constipation, bloating, nausea) since switching
to the Fe-Plex tablets and since on the regime has felt a return of energy. Tests yet to confirm an
increase in ferritin levels, but symptoms of chronic tiredness resolved.
• A practitioner prescribes Fe-Plex tablets for women who are iron deficient during pregnancy. The
treatment results in raised iron levels and no constipation. It also has a great dose of folic acid.

Herbal and Nutritional Protocols for Common Conditions 15 © Phytotherapy Press

Angina Pectoris

Angina pectoris is due to myocardial ischaemia brought about by diseased coronary arteries or other
reduction in coronary blood flow.

Aims of Treatment

• Improve coronary blood flow.
• Treat co-existing cardiovascular dysfunctions eg hypertension, hyperlipidaemia.
• Provide antiplatelet and antioxidant support.

Primary Protocol
Hawthorn tablets Hawthorn has clinically proven ability to reduce myocardial oxygen
demand as well as providing antioxidant, cardioprotective and
coronary artery vasodilatory activity.
1 tablet 2 to 3 times daily


Vitanox
®
tablets A four-herb combination providing potent antioxidant and
antiplatelet actions. Vitanox
®
combines well with Hawthorn
tablets.
1 tablet 1 to 2 times daily


Additional Treatment (as required)
Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue by increasing blood flow particularly
microcirculation. Grape Seed and Ginkgo are powerful antioxidants
and Ginkgo helps the body make the most of available oxygen.

1 tablet 3 to 4 times daily
PhytoRegenex tablets PhytoRegenex is an excellent antioxidant/anti-ageing formula. It
contains Ginkgo, St Mary’s Thistle, Korean Ginseng, Pine Bark
extract and Polygonum cuspidatum, which is a major source of
resveratrol.

1 to 2 tablets 2 times daily
Valerian Complex tablets Valerian Complex is particularly useful when angina is associated
with stress or anxiety.
1 tablet 2 to 3 times daily

OR NeuroSom tablets Magnolia bark is traditionally used in J apanese medicine (Kampo)
for the treating of anxiety, insomnia and depression. Zizyphus is
used in Chinese medicine for insomnia, anxiety and irritability.
Lemon Balm and Lavender are used in Western herbal medicine
for symptoms associated with anxiety and depression. Magnesium
and vitamin B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


Cramplex tablets Cramp Bark and Wild Yam are specifically indicated for spasm of
hollow organs, and will be of benefit if coronary spasm is present.
Cramp Bark has been used traditionally for angina, palpitations
and hypertension.

4 tablets daily

Mega Mag powder Magnesium is an important nutrient for the regulation of muscular
contractions. Mega Mag contains 3 different forms of magnesium
and the necessary cofactors to maximise efficacy. Magnesium is
also an important nutrient for the nervous system and will be
beneficial where stress or anxiety are a contributing factor to the
angina.

5 g daily
Active Mag-Cal tablets Active Mag-Cal tablets may be able to be used to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder, or it can be given to patients who prefer
tablets rather than powder.

1 tablet 3 times daily


Herbal and Nutritional Protocols for Common Conditions 16 © Phytotherapy Press

EFA Essentials capsules OR
Omega-3 Forte capsules
Fish oils can help to reduce the risk of heart attack and other
cardiovascular problems; reduce deaths from heart attack; lower
serum triglycerides and may reduce blood pressure. Vitamin E
provides antioxidant activity. The combination of oils in this
capsule provide anti-inflammatory activity which may help to
reduce cardiovascular disease.

EFA Essentials: 1 to 2 capsules
3 times daily
Omega-3 Forte: 1 capsule 3 times
daily
Poly-C Powder Vitamin C and bioflavonoids may aid in the treatment of angina,
by toning the endothelium and reducing vasomotor reactivity.

4 g daily

Anecdotes
• Female 83 years of age diagnosed with angina 7 years previously and despite taking 5 different
cardiovascular drugs, complained of breathlessness. She has experienced a vast improvement whilst
taking Hawthorn tablets and Vitanox
®
tablets particularly with the breathlessness.
• A patient was suffering from severe anxiety and stress causing insomnia. She was prescribed Active
Mag-Cal tablets instead of another brand of magnesium she had been using. She had a great
response within 2 weeks.
Herbal and Nutritional Protocols for Common Conditions 17 © Phytotherapy Press

Anti-ageing Protocol

Elimination of heart disease, cancer and strokes would contribute significantly to prolonging life.
Elimination of Alzheimer's disease would provide enhanced quality of life for the elderly population.
Reduced cell death, prolonged survival of irreplaceable cells and maintenance of cognitive function would
also assist in reducing the effects of ageing.

Aims of Treatment

• Reduce the risk of developing diseases that shorten lifespan and reduce quality of life especially
heart disease, stroke, Alzheimer's disease and cancer.
• Promote the long-term survival of irreplaceable cells.

Protocol
PhytoRegenex tablets PhytoRegenex is an excellent anti-ageing formula. It contains
Ginkgo, St Mary’s Thistle, Korean Ginseng, Pine Bark extract and
Polygonum cuspidatum, which is a major source of resveratrol.

1 to 2 tablets 2 times daily
Garlic tablets Garlic reduces cardiovascular risk by exerting mild effects over a
wide range of risk factors. Clinical trials support the use of Garlic
in the treatment and prevention of coronary artery disease,
hypertension and hypercholesterolaemia, the prevention of
atherosclerosis (by inhibiting plaque formation).

1 to 2 tablets daily
Omega-3 Forte capsules Consumption of fish oil may help reduce deaths from heart
disease, reduce heart attack in those who already have
cardiovascular disease, reduce plasma triglycerides, help lower
blood pressure, reduce heart rate (a risk factor for sudden death)
and reduce the risk of irregular heart beat.

1 capsule 3 times daily

Ginkgo Forte tablets A wide range of activities makes Ginkgo a good choice for the
prevention and treatment of Alzheimer's disease: neuroprotection,
antioxidant, protects against ischaemia, benefits brain energy
metabolism, anti-inflammatory, improves quality of life in elderly
people.

1 to 2 tablets 2 times daily
Vitanox
®
tablets This combination provides potent antioxidant activity. Animal
studies indicate that oligomeric procyanidins (such as those in
Grape Seed) are protective for Alzheimer's disease. Dietary intake
of Turmeric has been associated with low incidence of Alzheimer's
Disease. Turmeric has anti-inflammatory and antioxidant activity,
properties useful in an anti-ageing protocol. Consumption of Green
Tea has been associated with protection against various types of
cancer, a lower incidence of coronary artery disease and stroke
and reduced risk of developing hypertension. Green Tea may help
to prolong life by avoidance of premature death caused by cancer.

2 tablets daily

Herbal and Nutritional Protocols for Common Conditions 18 © Phytotherapy Press

Methyl Factors tablets A combination containing folate, vitamins B6 and B12 and Green
Tea is very important for supporting methylation within the body
(eg support cardiovascular health, help prevent cancer and
Alzheimer's disease) and thus promote longevity. High plasma
homocysteine and low plasma levels of folate, vitamins B6 and
B12 may be associated with increased risk of developing
Alzheimer's disease, heart disease and cancer. Elevated
homocysteine and low folate is associated with neuropathology,
and low folate is strongly associated with cerebral atrophy. Folate
and B12 deficiencies can lead to genetic damage and altered gene
function (a precursor to cancer). As described above Green Tea
helps protect against cancer and cardiovascular diseases.

1 to 2 tablets daily
Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue (including collagen) by increasing blood flow
particularly microcirculation.

1 tablet 3 to 4 times daily
Poly-C Powder Resveratrol has been found in animal models to extend lifespan.
Alpha-lipoic acid provides potent antioxidant activity.
4 g 1 to 2 times daily

Korean Ginseng 1:2 liquid
extract
Korean Ginseng has been associated with decreased cancer rates,
and improved survival rates in cancer patients. Animal studies
have indicated Korean Ginseng promotes the longevity of normal
cells.
2 to 3 mL in water, daily

For additional energy add to Korean
Ginseng - Rhodiola 2:1 liquid
extract: 3 to 4 mL daily

Dietary Measures Animal studies indicate blueberries can reverse the mental deficits
associated with ageing and prevent behavioural deficits in
Alzheimer's disease. This is probably due to the antioxidant
anthocyanins. As discussed above Garlic has benefit in reducing
cardiovasular risk. Red wine is protective for Alzheimer's disease
and may help reduce cardiac mortality.

Bilberry tablets may be used instead of blueberries if they are not
available. Dark grape juice or Poly-C Powder which contain
resveratrol (see above) are good substitutes for red wine in those
who do not drink alcohol.

• Blueberries (50 g/day)
• Garlic (uncooked)
• Red wine (150 mL /day)
Herbal and Nutritional Protocols for Common Conditions 19 © Phytotherapy Press

Anxiety

Anxiety is defined as a subjective sense of unease, dread or foreboding, and can indicate a primary
psychiatric condition (such as generalised anxiety disorder, panic disorder, phobic disorders, post-
traumatic stress disorder), or it can be a component of, or reaction to, a primary medical disease.

Aims of Treatment

• Relieve symptoms of anxiety by the use of anxiolytic and sedative herbs.
• Support the nervous system and the adrenal glands.
• Relieve associated symptoms such as cardiac symptoms.

Primary Protocol
Kava tablets Kava has significant anti-anxiety activity.
1 tablet 2 to 4 times daily

OR Mexican Valerian tablets Mexican Valerian is used traditionally in Mexico for its tranquillising
and sedative effects, and may be of benefit in anxiety. Animal
studies indicate the valepotriates (which are present in Mexican
Valerian) have anti-anxiety activity.

1 to 2 tablets 2 times daily


OR NeuroSom tablets Magnolia bark is traditionally used in J apanese medicine (Kampo)
for the treating of anxiety, insomnia and depression. Zizyphus is
used in Chinese medicine for insomnia, anxiety and irritability.
Lemon Balm and Lavender are used in Western herbal medicine
for symptoms associated with anxiety and depression. Magnesium
and vitamin B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


Additional Treatment (as required)
Valerian Complex tablets The herbs in Valerian Complex provide sedative activity to further
alleviate the symptoms of anxiety. This can be used instead of
Kava or in addition to it.

1 tablet 2 to 3 times daily

Nevaton
®
tablets Nevaton
®
provides nervine tonic activity which may assist in
calming and enhancing mood. 1 tablet 3 to 4 times daily


Everyday B Multi tablets B-vitamins provide support for the nervous system, particularly in
times of stress.

1 tablet daily after breakfast
Vital Woman In addition to supplying B vitamins, Vital Woman contains the
herbs Shatavari and Chaste Tree which will be beneficial in cases
where anxiety is worse premenstrually.

1 tablet daily after breakfast

Hawthorn tablets Of benefit if cardiac symptoms are present.
1 tablet 3 times daily

Mega Mag powder Magnesium is essential for optimal functioning of the nervous
system. However magnesium supplementation for stress support
is only effective when the metabolic needs of other minerals
including zinc, chromium, calcium, potassium, selenium and
molybdenum are met. Mega Mag powder contains these nutrients.
It also contains high-dose B-vitamins for additional nervous
system support.

5 g daily
Active Mag-Cal tablets Active Mag-Cal tablets can be used to maintain magnesium levels
once optimal levels have been reached with Mega Mag powder, or
it can be given to patients who prefer tablets rather than powder.

1 tablet 2 to 3 times daily
Herbal and Nutritional Protocols for Common Conditions 20 © Phytotherapy Press
Anecdotes
• A practitioner found Kava tablets to be excellent for the treatment of anxiety, usually prescribing 1
tablet 3 times per day with an additional 2 tablets prior to bedtime if insomnia is an issue.
• A practitioner always uses Kava tablets for the treatment of anxiety, usually at a dosage of 1 to 3
tablets per day. In significant cases Kava is combined with Active Mag-Cal (1 tablet 3 times daily)
and Nevaton (1 tablet 3 times daily).
• Kava is effective in calming the nervous system, particularly those with a history of drug use,
including tobacco.
• A practitioner prescribes Kava half an hour before going to the dentist, for patients with high anxiety
(2 to 3 tablets), along with 5 mL of each of Mexican Valerian and Passionflower liquid extracts (plus
Bach flower remedies).
• A practitioner has on occasion given high-dose Kava to people who have experienced sudden
shocking news such as a death in the family. This takes the peak off the intensity, allows the person
to relax enough to sleep and avoids body tension without sedating or taking away the experience.
Dose is around 2 Kava tablets tds short term reducing to 1 tablet tds after 1 week.
• A patient's panic attacks are few and far between since taking Mexican Valerian. She reports that she
doesn't feel groggy either – just calm.
• A practitioner’s son was prescribed Xanax for anxiety. The practitioner substituted the Xanax tablets
with MediHerb Kava tablets (2 tablets daily). He felt much better and when told of the substitute, the
psychiatrist said he was pleased that the change had been made! The patient’s well-being is
maintained with 1 Kava tablet daily.
• A patient who complained of feeling anxious in the evenings, and teary and emotional all the time
was given NeuroSom at a dose of 3 tablets daily. Within a week these symptoms were completely
gone. She was also given Rhodiola & Ginseng tablets for her low energy and saw a big improvement
within 3 weeks.

Herbal and Nutritional Protocols for Common Conditions 21 © Phytotherapy Press

Asthma

Asthma is a complex condition involving immune system dysfunction and characterised by airway
inflammation and hyper-reactivity.

Aims of Treatment

• Regulate immune function.
• Strengthen airways and reduce hypersensitivity.
• Reduce excessive mucous production and bronchospasm.
• Treat any underlying causative or sustaining factors such as airway inflammation, allergy, respiratory
infections, gastric reflux and sinusitis.

Primary Protocol
PulmaCo tablets PulmaCo is the primary formula for symptoms of asthma.
This formula has expectorant, bronchodilating, anti-
inflammatory and antispasmodic activity. Due to the
presence of Licorice in ResCo
®
, PulmaCo would be
preferable in patients with a tendency to oedema or
hypertension.

1 tablet 3 times daily

ResCo
®
tablets or Phytosynergist™
liquid
ResCo
®
tablets combine herbs and essential oils to provide
antiseptic, expectorant, bronchodilating, antispasmodic,
anti-inflammatory and antitussive activity. The combination
of these actions will be beneficial in treating chronic lower
respiratory tract infection, irritation and catarrh. The
antitussive and antispasmodic activity help to relieve cough
caused by bronchial irritation.

Tablets:
Subacute 2 tablets 2 to 3 times daily
Chronic 1 tablet 3 to 4 times daily
Prophylactic 1 tablet 2 to 3 times daily

Phytosynergist™ Liquid:
Subacute 7.5 mL 2 to 3 times daily
Chronic 5 mL 3 to 4 times daily
Prophylactic 5 mL 3 times daily

Echinacea Premium tablets Echinacea is an immune modulator thereby helping to
correct the immune dysfunction associated with allergic
reactions. At the same time the immune stimulating activity
of this herb will help to prevent respiratory tract infections
that may induce an asthma attack.

Acute 1 tablet 4 to 6 times daily
Chronic 1 tablet 2 to 3 times daily
Prophylactic 1 tablet 2 to 3 times daily


Additional Treatment (as required)
Albizia Complex tablets The combined action of these herbs is anti-allergic and anti-
inflammatory, thus reducing both the allergic response and
the inflammatory consequence of this response. These
tablets can be used for any type of allergic reaction
regardless of the body system that is affected.

Acute 1 tablet 6 times daily
Chronic 1 tablet 3 to 4 times daily
Prophylactic 1 tablet 3 to 4 times daily


Adrenal Complex tablets Both Rehmannia and Licorice have significant anti-
inflammatory activity. Licorice is also expectorant. Both
herbs support adrenal function and may be beneficial in
cases where persistent asthma is causing stress.
1 tablet 2 to 3 times daily


Eyebright Complex tablets This combination of herbs is primarily focused on the
mucous membranes for the upper respiratory tract. It
provides mucous membrane trophorestorative, anticatarrhal,
astringent and favourable immune activity thus preventing
or treating sinusitis.
Acute 1 tablet 4 to 6 times daily
Chronic 1 tablet 3 to 4 times daily
Prophylactic 1 tablet 2 to 3 times daily


Herbal and Nutritional Protocols for Common Conditions 22 © Phytotherapy Press

HiPep tablets This formula is of benefit where gastric reflux may be a
causative factor in the patient’s asthma. It provides
demulcent, anti-inflammatory and mucoprotective activity
which relieves gastric hyperacidity and heals and tones
gastric mucosal membrane.

1 tablet 3 times daily after meals

Poly-C Powder A unique blend of mineral ascorbate with complementary
naturally sourced bioflavonoids with resveratrol and alpha-
lipoic acid. These nutrients aid in the reduction of
inflammation, help in controlling histamine release and
strengthen connective tissues.

Preventive 4 g daily
Acute 4 g 2 times daily

Active Mag-Cal tablets Calcium and magnesium may alleviate the symptoms of
asthma. Magnesium deficiency is associated with asthma.

1 tablet 3 times daily


Anecdotes
• A 37-year-old woman who had been diagnosed with asthma for 16 years received PulmaCo (2
tablets tds) over a 4-week period. In that time, she used less of her standard medications (Ventolin
and Pulmacort) and her symptoms (particularly wheezing) improved dramatically.
• A practitioner has had excellent results using PulmaCo with a number of asthmatic patients. The
most dramatic result was with a 45-year-old female patient who had experienced asthmatic
symptoms such as shortness of breath, wheezing, mucus production and constriction of chest
muscles for 4 years and was officially diagnosed with asthma 4 months prior to the consultation. She
took 2 PulmaCo tablets 3 times a day for 4 weeks and had a substantial improvement with all of her
asthmatic symptoms. She was previously taking Ventolin 2 times a day but is now not using it all.
Her peak flow readings have improved significantly and she reports that she feels like she no longer
has asthma.
• A female patient with late onset asthma developed chronic chest congestion and a cough over
winter. She could not shake it off. She was prescribed 6 ResCo
®
tablets per day for 4 weeks which
cleared up the condition, although she still suffers from asthma.
• ResCo
®
tablets are excellent for lower respiratory tract infections, particularly with excessive mucus
production.
• Echinacea Premium (either liquid or tablets depending on patient preference) work extremely well for
asthmatic patients. It reduces allergies (often combined with Albizia Complex tablets) but also
protects against respiratory infections.

Herbal and Nutritional Protocols for Common Conditions 23 © Phytotherapy Press

Autoimmune Protocol

Many diseases/conditions are classified as autoimmune and in most cases they are inflammatory
conditions with poorly understood aetiology. The most common of these include rheumatoid arthritis,
ankylosing spondylitis, diabetes mellitis type 1 (IDDM), systemic lupus erythematosus (SLE),
scleroderma, inflammatory bowel disease, chronic active hepatitis and the thyroid disorders: Graves’
disease and Hashimoto’s thyroiditis.

Aims of Treatment

Although many of the treatment aims listed below will apply to all cases of autoimmunity, some will vary
according to the perceived causative and sustaining factors in each individual case. For example an
infection may have played a role. This infection could be bacterial, fungal or viral and may have been a
systemic infection or affected specific organs eg the urinary tract or the gut. The herbal treatments will
differ in each of these cases. There may or may not be a leaky gut or reduced liver function. Specific
treatment aims need to be assessed for each individual patient.
• To reduce immune dysfunction.
• To reduce inflammation and the production of autoantibodies.
• To support specific organs affected by the condition.
• To reduce presence of pathogenic micro-organisms, eliminate infestation.
• To treat gut dysbiosis (including reseeding with beneficial bacteria) and repair a leaky gut wall.
• To reduce the effects of xenobiotic toxins by improving liver detoxification pathways.
• Improve proteolytic function.

Protocol *
Rehmannia Complex tablets The herbs in this formula combine anti-inflammatory activity with
the immune suppressing activity of Hemidesmus. As a result there
will be a reduction in the inflammatory process and a reduction in
the number autoantibodies.

1 tablet 3 to 4 times daily


Echinacea Premium tablets Autoimmunity by definition suggests immune dysregulation – the
immune system suddenly perceives self-tissue to be a pathogen.
Echinacea is considered to be a major immune modulating herb.
It is also very useful for the treatment of acute infection that may
occur in patients with autoimmune diseases. In such patients
acute infections have to be treated quickly and effectively in order
to prevent further immune dysregulation and to prevent a possible
flare up of the autoimmune disease. Echinacea also works as an
anti-inflammatory.

1 tablet 3 times daily
In the case of an acute infection
use 2 tablets 3 to 4 times daily



St J ohn’s Wort tablets St J ohn’s Wort provides antiviral activity for viruses that are
classed as ‘enveloped’. These include Herpes viruses, Epstein Barr
virus, Cytomegalovirus, Ross River virus, Hepatitis B and C,
Rubella virus, and many of the viruses that cause the common
cold and influenza. It also has antidepressant and nervine tonic
activity making it an ideal adjunct to other herbal treatments for
autoimmune diseases.

1 tablet 3 to 4 times daily


AND/ OR Thuja 1:5 liquid
extract
Thuja has antiviral activity and has been used traditionally for the
treatment of warts virus (HPV). Clinical trials have demonstrated
that a formula containing Thuja, Baptisia and Echinacea root was
effective in treating and preventing respiratory tract infections and
acute sinusitis. In vitro research demonstrated activity against
herpes simplex virus suggesting that Thuja has the ability to
inhibit both enveloped viruses (see St J ohn’s Wort tablets above)
and naked viruses (HPV). It may be beneficial as part of the
treatment in cases where viral infection is thought to have played
a role in the aetiology of the autoimmune disease or where the
patient suffers from recurrent acute viral infections.

3 mL daily

Herbal and Nutritional Protocols for Common Conditions 24 © Phytotherapy Press
Hemidesmus 1:2 liquid extract Hemidesmus may assist in autoimmune disorders, to help
suppress an overactive immune response.

5 mL per day

Additional Treatment (as required)
Adrenal Complex tablets All autoimmune disease are chronic, inflammatory conditions. Both
Rehmannia and Licorice have significant anti-inflammatory activity.
They both also support adrenal function, an important function in
autoimmunity due to the stressful nature of these autoimmune
conditions. All chronic conditions are stressful to the body even if
the patient does not feel emotionally stressed.
1 tablet 2 to 3 times daily


Vitanox
®
tablets This is a potent antioxidant formulation. Free radicals are a natural
by-product of inflammation and cause further tissue damage.
Therefore, antioxidants play a major role in the treatment of
inflammatory conditions.
1 tablet 1 to 2 times daily



AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean Ginseng,
Pine Bark extract and Polygonum cuspidatum, which is a major
source of resveratrol and is an excellent antioxidant/anti-ageing
formula. In addition St Mary’s Thistle provides hepatoprotective
and trophorestorative activity whilst Korean Ginseng improves
energy, well-being and adaptation to stress.

1 to 2 tablets 2 times daily
Tissue Regenex tablets Autoimmune diseases are inflammatory and result in tissue
damage. The combination of Gotu Kola, Grape Seed, Ginkgo,
vitamin C and zinc provides support for tissue healing and normal
development of connective tissue by increasing blood flow
particularly microcirculation. Grape Seed and Ginkgo also provide
antioxidant activity.

1 tablet 3 to 4 times daily
Golden Seal tablets Golden Seal is used to heal and strengthen the mucous
membranes of the gut and will be beneficial where there is a leaky
gut or dysbiosis. It also has antimicrobial and anti-inflammatory
activity in the gastrointestinal tract.

1 tablet 2 to 3 times daily


EFA Essentials capsules The combination of oils in this capsule provide anti-inflammatory
activity and will be a valuable adjunct for the treatment of
autoimmune diseases, particularly for individuals who have a diet
low in essential fatty acids. Vitamin E is antioxidant.

1 to 2 capsules 3 times daily

DiGest tablets In the case of autoimmune diseases this formula could be used
primarily to improve proteolytic activity and to improve digestion
generally. However, it also offers the hepatoprotective and
trophorestorative activity of St Mary’s Thistle along with the anti-
inflammatory and carminative activity of Chamomile essential oil.
1 tablet 3 times daily given 15 to 30
minutes before meals. It is best to
suck the tablet until a bitter taste is
experienced, then swallow with
some water

Wormwood Complex tablets Wormwood, Black Walnut, Stemona and Clove Bud oil provide
anthelmintic activity and are beneficial where infestation (with
worms or parasites) is thought to be either a contributing factor to
the pathogenesis of the condition or a sustaining factor. The
carminative activity of Clove Bud oil would also have a soothing
effect on the gut wall.

Adults: 4 tablets daily for 10 days
Children: 1 to 2 tablets daily for 10
days
Take a 10-day break and repeat


Boswellia Complex tablets All four herbs (Boswellia, Turmeric, Ginger and Celery Seed) have
anti-inflammatory activity. Turmeric also has antioxidant activity
and enhances liver detoxification pathways, a particularly
beneficial activity in autoimmune diseases.

1 tablet 2 to 4 times daily

Herbal and Nutritional Protocols for Common Conditions 25 © Phytotherapy Press
Zinc Protect tablets Zinc is essential for proper immune function plus selenium and
vitamin E have demonstrated immune enhancing activity. 1 tablet after breakfast

* Refer also to Bowel Flora Protocol.
Anecdotes
• Many practitioners find Boswellia Complex tablets invaluable as part of the treatment of inflammatory
autoimmune diseases such as inflammatory bowel disease and rheumatoid arthritis.
• Many good results can be obtained with Rehmannia Complex tablets when treating inflammatory
disorders, especially autoimmune diseases. It is often combined with Echinacea Premium liquid or
tablets.
• Vitanox
®
tablets work well as part of the treatment and management of chronic inflammatory
diseases.
• Herbal practitioners often use Golden Seal tablets in conjunction with specific formulations to treat
conditions of the different mucous membranes throughout the body. It is particularly good for
healing and strengthening the gut.
• LivCo
®
tablets are an important part of the treatment of autoimmune diseases. Because they aid
detoxification through the liver they reduce the toxic load in the body.
• DiGest tablets are very effective in alleviating symptoms of poor digestion including bloating and
anaemia.
• One practitioner who treats primarily HIV/AIDS says that DiGest is part of the treatment as poor
appetite and impaired digestion is one of the major issues.
• DiGest can be used for the elderly, picky children and patients with chronic diseases as well as for
general poor digestion.
Herbal and Nutritional Protocols for Common Conditions 26 © Phytotherapy Press

Benign Prostatic Hyperplasia (BPH)

The signs and symptoms of BPH reflect the obstruction to the bladder outlet and include, urinary
urgency, nocturia, hesitancy and intermittency with reduced force and calibre of urine.

Aims of Treatment

• Reduce symptoms with the use of specific anti-prostatic herbs.
• Reduce oestrogens and androgens.
• If indicated improve bladder tone, this is especially indicated in older males.
• Alleviate prostatism with antispasmodics.

Primary Protocol
ProstaCo capsules The combination of herbs in this capsule is ideal for the treatment
of BPH. The Saw Palmetto extract is standardised for fatty acids.
Liposterolic extracts of Saw Palmetto have demonstrated clinical
efficacy in the treatment of BPH. Saw Palmetto has demonstrated
an inhibition of 5-alpha-reductase, anti-androgenic effects and
anti-androgen binding activity. Clinical trials have demonstrated
benefits using Nettle root in the treatment of BPH. Crataeva is
bladder toning (some symptoms of BPH can relate to a loss of
bladder tone) and anti-inflammatory whilst pumpkin seed oil is a
rich source of omega-3 fatty acids.

1 capsule 3 times daily
Soy-50 tablets As men age their endocrine environment becomes oestrogen
dominant. Providing phyto-oestrogens can assist in combating the
proliferative effects endogenous oestrogens exert on the prostate.
Epidemiological data suggest the men who consumed higher
levels of phyto-oestrogens experience fewer prostate problems.

1 tablet 1 to 2 times daily

Additional Treatment (as required)
Mexican Valerian tablets Urethral obstruction can also be due to stimulation of nerve fibres
innervating the smooth muscle of the prostatic urethra and
bladder neck. Antispasmodic herbs such as Mexican Valerian can
aid in reducing this stimulation.

1 to 2 tablets 2 times daily


Zinc Protect tablets Adequate zinc levels are essential for prostate gland health, plus
zinc may act as a 5-alpha reductase inhibitor. Heavy metal toxicity
is associated with BPH and selenium has demonstrated an ability
to prevent the influence of cadmium on prostate epithelial growth.

1 tablet after breakfast

Anecdotes
• A 58-year-old male had BPH for five years. He was prescribed Serenoa capsules (liposterolic extract,
1 capsule 3 times daily) and a liquid formula containing Nettle Roots, Willow Herb and Crataeva.
After 8 weeks of treatment he reported a marked improvement in symptoms.
Herbal and Nutritional Protocols for Common Conditions 27 © Phytotherapy Press

Bowel Flora Protocol for Dysbiosis

This protocol assists in achieving healthy gut flora thus correcting intestinal dysbiosis (abnormal and
pathological microbial colonisation of the intestine). This protocol may be useful for the management of a
range of disorders, including the autoimmune conditions Crohn's disease and ulcerative colitis.

Aims of Treatment

These aims are represented below as Weeding, Feeding and Seeding.
• Weeding: reduce the population of abnormal and pathogenic intestinal micro-organisms.
• Feeding and Seeding: enhance the population of beneficial intestinal micro-organisms, by
encouraging growth of the population already existing in the body, and providing a supplemental
population if necessary.

Protocol
Prescribe Weeding and Feeding for 4 to 6 weeks.
Seeding with healthy organisms is an option as shown below.
WEEKEND – Weeding
Bacto-Cand GI capsules The combination of essential oils and herbs in Bacto-Cand GI
capsules provides immune support, antimicrobial, antiparasitic
and antifungal activity. Oregano oil is used in TCM to treat
dysentery. Oregano and Aniseed oils inhibit the growth of Candida
albicans. Andrographis, as well as enhancing immunity, has
antimicrobial activity.

1 to 2 capsules 3 times daily
AND Garlic tablets Garlic is a GI antiseptic which restores normal bowel flora by
inhibiting bacterial growth in the colon. This allows for the healthy
bacteria to preferentially grow during the feeding phase.
Garlic: 4 tablets daily


WEEK DAYS – Feeding
Slippery Elm 400mg capsules Slippery Elm contains mucilage (polysaccharides) which provides
food for beneficial bowel flora. In other words it acts as a selective
prebiotic.
9 to 12 capsules daily with plenty of
water

Vitanox
®
tablets Grape Seed extract and Green Tea are gastrointestinal antiseptics
which help to restore normal bowel flora. The polyphenols and
oligomeric procyanidins from Grape Seed and Green Tea work to
selectively inhibit the regrowth of pathogenic bowel flora.
2 to 3 tablets daily



Dietary Measures Increased intake of water is suggested to assist bowel function in
general. Reducing starch, sugar and alcohol from the diet
diminishes the food source of the pathogenic bacteria. Removing
yeast-containing foods reduces the chance of introducing yeast
into the bowel.

• Drink plenty of water
• Reduce starch, sugar, alcohol
and yeast-containing foods

WEEK DAYS – Seeding
Probiotica capsules Addition of this blend of bacteria will further enhance the
population of beneficial bacteria.
1 capsule 1 to 2 times daily

To be taken at least 2 hours away
from the intake of Vitanox

Herbal and Nutritional Protocols for Common Conditions 28 © Phytotherapy Press

Anecdotes
• A practitioner finds Slippery Elm powder excellent to correct dysbiosis, however many patients do not
like the taste and/or texture making compliance a problem. However, she gets 100% compliance
using the Slippery Elm 400mg capsules.
• A practitioner treated her small dog for digestive inflammation, using ½ Slippery Elm 400mg capsule
and ½ Probiotica capsule sprinkled on its food every night. The dog was also given half a Garlic
tablet and ½ Golden Seal tablet every morning. Symptoms resolved within a week. Treatment lasted
for 3 weeks. Bad breath also improved!
Herbal and Nutritional Protocols for Common Conditions 29 © Phytotherapy Press

Bronchitis, Acute

Acute bronchitis is the inflammation of bronchi, usually caused by a bacterial infection following the
common cold or influenza. Patients with chronic bronchitis may also experience episodes of acute
bronchitis. An unproductive cough may progress, resulting in copious, mucopurulent sputum. Fever may
be present.

Aims of Treatment

• Alleviate bronchial irritation and inflammation.
• Help clear mucus secretions and alleviate cough with expectorant herbs.
• Enhance the body's ability to fight the infection with immune enhancing and diaphoretic herbs.
• Treat the symptoms with anticatarrhal herbs and herbs that tone the respiratory mucosa.

Primary Protocol
Broncafect
®
tablets or
Phytosynergist™ liquid
Broncafect
®
tablets provide soothing, anti-inflammatory and
expectorant activity, to assist in clearing mucus and alleviate
cough. The combination of these actions will be beneficial
for bronchitis, pleurisy and pulmonary congestion.
Tablets: 1 tablet 4 to 6 times daily
Phytosynergist™ Liquid: 5 mL 4 to 5 times
daily

Pelargonium 1:5 liquid extract A number of clinical trials have demonstrated efficacy for
Pelargonium in the treatment of bronchitis.

3 to 6 mL daily
Andrographis Complex tablets This combination of herbs provides immune enhancing
activity. Echinacea root enhances the body's nonspecific
immune function to fight the infection and help prevent its
recurrence. Andrographis has been used clinically for the
treatment of colds, flu and fever. Holy Basil is a revered
plant in India with immune enhancing, expectorant and
adaptogenic activity, and Aboriginal Australians used it
internally for colds and fevers.

Adults: 1 tablet 4 to 6 times daily
Children: 1 tablet 2 to 3 times daily

Additional Treatment (as required)
DiaCo Phytosynergist™ liquid This formulation contains several herbs (Elder Flower,
Yarrow, Lime Flowers) with diaphoretic activity which,
especially during the acute and febrile phase of the
infection, assists the body to fight off the infection.
Echinacea assists the activity of the diaphoretics with
immune enhancing activity. Licorice is soothing to inflamed
mucous membranes and is expectorant thereby assisting
the removal of sputum. Elder Flower also assists with
anticatarrhal, expectorant and anti-inflammatory activity.
Ginger, as a circulatory stimulant boosts the actions of these
herbs and improves their absorption.

5 mL with warm water 3 times daily
Increase dose during febrile phase (5 mL
4 to 6 times daily)




Marshmallow Root glycetract 1:5
liquid extract
Marshmallow root is a reflex demulcent to sooth a dry,
unproductive cough.
4 mL as required

Golden Seal tablets Good quality Golden Seal is anticatarrhal and provides a
restorative action on the mucous membranes of the
respiratory tract. It is particularly indicated in the
mucoprurulent phase.

1 tablet 2 to 3 times daily


Herbal and Nutritional Protocols for Common Conditions 30 © Phytotherapy Press

Garlic tablets Garlic has been used traditionally for bronchitis, catarrhal
conditions and upper respiratory tract infections. Its
antiseptic activity may be of benefit where thick mucus is
present increasing the chance of bacterial colonisation.

2 tablets daily
Example Antitussive Formula These antitussive herbs may help relieve cough at night,
and particularly if tracheitis is present. Bupleurum 1:2 35 mL
Licorice 1:1 25 mL
Wild Cherry 1:2 40 mL
100 mL

Dosage – 10 mL 1 hour before bed

Poly-C Powder A unique blend of mineral ascorbate with complementary
naturally sourced bioflavonoids with resveratrol and alpha-
lipoic acid. These nutrients aid in the reduction of
inflammation. Bioflavonoids and ascorbic acid together
provide assistance for overcoming respiratory infections.

4 g daily

Anecdotes
• A practitioner has several patients who suffer from recurrent acute bronchitis. She usually has these
patients on a maintenance dose of Andrographis Complex tablets (1 tablet 2 to 3 times daily) and
Poly-C Powder ½ teaspoon 2 times daily. At the first sign of an acute episode the dose is increased:
Andrographis Complex tablets to 2 tablets 3 to 4 times daily, Poly-C Powder to 1 teaspoon 2 to 3
times daily and Broncafect
®
tablets are added to the protocol. In cases of fever a diaphoretic formula
is always used.
• For acute wet cough in an adult, a practitioner prescribes Andrographis Complex (2 tablets bd) and
Broncafect Phytosynergist liquid (5 mL qid, which includes the night dose). If coughing is paroxysmal
Sundew (Drosera longifolia) is added to the mix.
Herbal and Nutritional Protocols for Common Conditions 31 © Phytotherapy Press

Bronchitis, Chronic

Chronic bronchitis is defined as a daily cough with production of sputum for 3 months, two years in a
row. Chronic inflammation and swelling of the airways leads to narrowing and obstruction of the airways.

Aims of Treatment

• Alleviate bronchial inflammation and swelling.
• Help clear mucus secretions and alleviate cough with expectorant herbs.
• Enhance the body's ability to fight the infection with immune enhancing and diaphoretic herbs.
• Treat the symptoms with anticatarrhal herbs and herbs that tone the respiratory mucosa.

Primary Protocol
ResCo
®
tablets OR
ResCo Phytosynergist
®
liquid
ResCo
®
provides the following actions: anti-inflammatory,
expectorant, bronchodilating and antimicrobial, making it
ideal for the treatment and management of chronic
bronchitis.
Tablets: 1 tablet 3 times daily
Liquid: 5 mL 3 times daily


Pelargonium 1:5 liquid extract A number of clinical trials have demonstrated efficacy for
Pelargonium in the treatment of bronchitis.

3 to 6 mL daily
Andrographis Complex tablets
OR Echinacea Premium tablets
OR Echinacea Premium 1:2 liquid
This combination of herbs provides immune enhancing
activity. Echinacea root enhances the body's nonspecific
immune function to fight the infection and help prevent its
recurrence. Andrographis has been used clinically for the
treatment of colds, flu and fever. Holy Basil is a revered
plant in India with immune enhancing, expectorant and
adaptogenic activity, and Aboriginal Australians used it
internally for colds and fevers.

Tablets: 1 tablet 1 to 2 times daily,
increase to 2 tablets 3 times daily at the
first signs of acute infection
Liquid: 5 mL 1 to 2 times daily, increase
to 5mL 3 times daily at the first signs of
acute infection

Tissue Regenex tablets All three herbs in this formula aid tissue healing and
strengthening. Ginkgo has significant anti-inflammatory
activity and both Ginkgo and Grape seed extract are
antioxidant.

1 tablet 3 to 4 times daily
Additional Treatment (as required)
DiaCo Phytosynergist™ liquid This formulation contains several herbs (Elder Flower,
Yarrow, Lime Flowers) with diaphoretic activity which,
especially during the acute and febrile phase of the
infection, assists the body to fight off the infection.
Echinacea assists the activity of the diaphoretics with
immune enhancing activity. Licorice is soothing to inflamed
mucous membranes and is expectorant thereby assisting
the removal of sputum. Elder Flower also assists with
anticatarrhal, expectorant and anti-inflammatory activity.
Ginger, as a circulatory stimulant boosts the actions of these
herbs and improves their absorption.

5-10 mL with warm water up to 3 times
daily as needed to manage fever in an
acute infection




Marshmallow Root glycetract 1:5
liquid extract
Marshmallow root is a reflex demulcent to sooth a dry,
unproductive cough.
4 mL as required

Golden Seal tablets Good quality Golden Seal is anticatarrhal and provides a
restorative action on the mucous membranes of the
respiratory tract. It is particularly indicated in the
mucoprurulent phase.

1 tablet 2 to 3 times daily


Herbal and Nutritional Protocols for Common Conditions 32 © Phytotherapy Press

Garlic tablets Garlic has been used traditionally for bronchitis, catarrhal
conditions and upper respiratory tract infections. Its
antiseptic activity may be of benefit where thick mucus is
present increasing the chance of bacterial colonisation.

2 tablets daily
Example Antitussive Formula These antitussive herbs may help relieve cough at night,
and particularly if tracheitis is present. Bupleurum 1:2 35 mL
Licorice 1:1 25 mL
Wild Cherry 1:2 40 mL
100 mL

Dosage – 10 mL 1 hour before bed

Poly-C Powder A unique blend of mineral ascorbate with complementary
naturally sourced bioflavonoids with resveratrol and alpha-
lipoic acid. These nutrients aid in the reduction of
inflammation. Bioflavonoids and ascorbic acid together
provide assistance for overcoming respiratory infections.

4 g daily

Ginkgo Forte tablets OR
Ginkgo 2:1 standardised liquid
extract
In a controlled trial Ginkgo extract improved pulmonary
function in patients with chronic obstructive pulmonary
disease (chronic bronchitis often progresses to COPD).
Tablets: 1 to 2 tablets 2 times daily
Liquid: 1.5 to 3 mL 2 times daily

Anecdotes
Herbal and Nutritional Protocols for Common Conditions 33 © Phytotherapy Press

Candidiasis

An infection caused by a species of Candida, usually C. albicans. Common manifestations include vaginal
thrush, oral thrush and gastrointestinal candidiasis.

Aims of Treatment

• To reduce levels of the infecting organism.
• To boost immunity.
• To reduce symptoms caused by the infection.
• To strengthen the affected tissue.

Primary Protocol
Bacto-Cand GI capsules The combination of essential oils and herbs in Bacto-Cand GI
capsules provides immune support, antimicrobial, antiparasitic
and antifungal activity. Oregano oil is used in TCM to treat
dysentery. Oregano and Aniseed oils inhibit the growth of
Candida albicans. Andrographis, as well as enhancing
immunity, has antimicrobial activity.

1 to 2 capsules 3 times daily
Garlic tablets Ajoene, the sulphur containing compound, may help in
suppressing the growth of Candida. 1 tablet 2 to 3 times daily

Echinacea Premium or
Andrographis Complex tablets
Either of these tablets can be used for further immune
support in severe cases.
1 tablet 3 times daily

Reishi & Shiitake tablets Reishi & Shiitake will be of benefit particularly for chronic
cases where immune depletion is a problem. 1 tablet 2 to 3 times daily

Example Formula for
Gastrointestinal Candidiasis
This formula can be given in conjunction with Bacto-Cand GI
capsules or other immune stimulating herbs. Barberry and
Golden Seal have antimicrobial activity. Golden Seal and
Licorice will help to strengthen mucous membranes while
Chamomile will help to reduce flatulence often associated with
candidiasis. Due to the mucilage content Marshmallow root
glycetract will act as a food source for favourable bacteria and
have a soothing effect on damaged gut mucosa. It will also,
along with Licorice, improve the flavour of this formula.

Barberry 1:2 20 mL
Golden Seal 1:3 20 mL
Marshmallow Root
glycetract 1:5 25 mL
Licorice 1:1 15 mL
Chamomile High Grade 1:2 20 mL
100 mL

Dosage – 5 mL 3 times daily

Additional Treatment (as required)
Probiotica capsules This blend of bacteria may help to return the balance of
healthy intestinal flora after the acute infection is over (and
after the use of the herbs with antibacterial activity such as
Golden Seal and Barberry), particularly if taken in conjunction
with Slippery Elm which helps to enhance the growth and
colonisation of these probiotic bacteria.

1 capsule 1 to 2 times daily



Herbal and Nutritional Protocols for Common Conditions 34 © Phytotherapy Press

Example of Mouthwash Formula
for Oral Thrush
Echinacea acts as a local immune stimulant; Golden Seal is a
mucous membrane trophorestorative and antimicrobial herb;
Calendula has antimicrobial/antifungal properties and will
promote healing of damaged mucosa; Licorice is anti-
inflammatory, and along with the Echinacea glycetract, will
help to improve taste and hence compliance.


Echinacea purpurea
glycetract 1:3 40 mL
Golden Seal 1:3 20 mL
Calendula 1:2 30 mL
Licorice 1:1 10 mL
100 mL

Dosage – 2.5 mL in approximately
50 mL warm water swish around in
mouth and gargle. Use 2 to 3 times
daily

Additional Treatment (as required)
Herbal Throat Spray
Phytosynergist™
If oral candida, the Herbal Throat Spray has antimicrobial
activity along with a local anaesthetic effect. It quickly reduces
symptoms.

4 sprays as needed

Chaste Tree tablets Due to the progesterogenic activity, Chaste Tree may be
beneficial where cases of vaginal thrush are associated with a
relative oestrogen excess.

1 to 2 tablets 2 times daily

Zinc Protect tablets Zinc deficiency may lower the body’s resistance to Candida
infections and Candida infections reduce zinc levels.

1 tablet after breakfast

Anecdotes
• Bacto-Cand GI capsules work well on intestinal Candida.
• Bacto-Cand GI capsules are excellent for the treatment of vaginal thrush and fungal skin infections.
• A practitioner uses Golden Seal in all cases of Candida of the skin and mucosa. Where there are
urinary complaints she adds Cranberry Complex. For recurrent vaginal thrush or vulvovaginitis she
also recommends a pessary where a peeled clove of garlic is place in the middle of a strip of sterile
gauze about 15 cm long. The gauze is wrapped once around the garlic so the garlic is covered and
appears to have a ‘tail’. The pessary is inserted like a tampon and changed at least three times a day
and at night on urination. This is continued for up to 2 weeks. This pessary is highly effective and
gets rid of the itching within hours and the ‘curd’ effect on mucus within a few days. Most people can
dispense with the procedure within the week and have the option of using this method as an SOS at
any time. It is not recommended for cases where the vagina is highly irritated and swollen as the
garlic will sting and irritate. This is used in conjunction with an intestinal treatment as in her
experience, Candida is rarely an isolated external picture.

Herbal and Nutritional Protocols for Common Conditions 35 © Phytotherapy Press

Chronic Fatigue Syndrome (CFS)

Chronic fatigue syndrome appears to involve a complex interaction between emotional, infectious and
environmental stressors. The major symptom is fatigue, which can range from mild to extremely
debilitating.

Aims of Treatment

• To support and nourish the patient so that energy is gradually increased.
• Treat any known underlying/causative factors such as viral infection or emotional trauma.
• Correct any immune dysfunction which is often a feature of chronic fatigue syndrome.

Primary Protocol
Withania & Ginseng tablets The tonic effect of these two herbs will help to revitalise the
patient and the adaptogenic activity will improve stress tolerance.
Withania, because of its gentle sedative activity, is particularly
beneficial at nourishing the patient without over-stimulating. The
combination of Withania and a small amount of Panax ginseng
helps to boost energy without being too stimulating. These herbs
also help to correct immune dysfunction and increase mental
capacity which is often diminished in CFS patients.

1 to 2 tablets 2 to 3 times daily




OR Rhodiola & Ginseng tablets Rhodiola is an adaptogenic and tonic herb that has been shown to
improve energy, physical and intellectual performance and is
beneficial for depression, insomnia and anxiety. It also improves
sexual function in men with erectile dysfunction and/or premature
ejaculation. Korean Ginseng is an adaptogen and tonic indicated
for physical or mental exhaustion and stress. It is also beneficial
for impotence and male fertility problems, including an increase in
androgen levels and sperm count.
1 to 2 tablets 2 times daily
OR Withania Complex tablets The benefits of these tablets are similar to those for Withania &
Ginseng tablets with increased sedative/nervous system tonic
effect of Skullcap and the adrenal tonic effect of Licorice. These
tablets are may be preferable to the Withania & Ginseng tablets
when the patient is feeling very stressed or a little anxious.

1 tablet 3 to 4 times daily


ThyAdren Support tablets Long term stress and/or adrenal depletion is often a part of
chronic fatigue syndrome. The combination of nutrients and
Rehmannia in ThyAdren Support tablets give excellent adrenal
support. They also support thyroid function which may also be a
factor in some cases of chronic fatigue.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Both Rehmannia and Licorice are excellent adrenal tonics and both
have significant anti-inflammatory activity.
1 tablet 2 to 3 times daily


Herbal and Nutritional Protocols for Common Conditions 36 © Phytotherapy Press

Example Formula for Chronic
Fatigue Syndrome
The herbs in this formula have well-documented tonic activity.
They improve energy, mental and physical stamina and generally
increase sense of well-being. Siberian Ginseng also enhances
immunity.
Siberian Ginseng 1:2 30 mL
Rhodiola 2:1 40 mL
Codonopsis 1:2 30 mL
100 mL

Dosage – 7.5 mL 2 times daily

Where appropriate Korean Ginseng
could also be used in the formula
by reducing Rhodiola to 30 mL and
adding 10 mL Korean Ginseng

Nevaton
®
tablets These tablets combine well with adaptogenic/tonic herbs for best
results. They are of most benefit for patients who are suffering
depression and/or anxiety. St J ohn’s Wort has the added benefit
of being antiviral and is therefore useful if a viral cause of chronic
fatigue is suspected. The presence of Schisandra and the general
reduction of stress will help to improve mental functioning.

1 tablet 3 to 4 times daily


Echinacea Premium tablets Echinacea is an effective immune modulating herb which will help
to correct any underlying immune dysfunction, as well as
protecting from new infections.

1 tablet 2 to 3 times daily

Additional Treatment (as required)
Ginkgo Forte tablets Reduced cerebral blood flow is a common finding in patients with
CFS. Ginkgo is well known to increase cerebral blood flow and to
decrease red blood cell fragility. Ginkgo also improves short-term
memory.

1 to 2 tablets 2 times daily

Reishi & Shiitake tablets Reishi and Shiitake are the two most popular mushrooms in China
for their health promoting properties and are beneficial in cases of
post-viral syndromes and debility.

1 tablet 2 to 3 times daily


Cat’s Claw Forte tablets Cat’s Claw Forte tablets are standardised POAs which ensures high
quality. Cat’s Claw is an important immune enhancing herb with
anti-inflammatory and antioxidant activity. It may be beneficial in
CFS patients who have inflammation and/or depleted immunity.

1 tablet 2 to 3 times daily, increase
dose in acute conditions

Mega Mag powder Studies have demonstrated that the red blood cells of CFS patients
may be deficient in magnesium and the supplementation has
resulted in increased energy. Mega Mag also contains high-dose B
complex vitamins which help to nourish the nervous system in
patients with CFS.

5 g daily

Active Mag-Cal tablets Active Mag-Cal tablets may be able to be used to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder, or it can be given to patients who prefer
tablets rather than powder.

1 tablet 3 times daily


Everyday B Multi tablets Studies have demonstrated that CFS patients are often deficient in
folic acid, vitamins B1, B2, B6 and B12.

1 tablet after breakfast

Herbal and Nutritional Protocols for Common Conditions 37 © Phytotherapy Press

Vital Woman In addition to supplying essential B vitamins, Vital Woman
contains the herbs Shatavari and Chaste Tree which may be
beneficial for women suffering from CFS, particularly if symptoms
are worsened by changing hormone levels eg premenstrually and
around menopause. Shatavari is also an excellent tonic herb,
increasing energy in both men and women.

1 tablet daily after breakfast

Anecdotes
• Withania & Ginseng tablets are wonderful at increasing tolerance to stress but are particularly
effective for quickly increasing energy. Generally they are prescribed at 2 tablets after breakfast and
2 tablets after lunch and are often combined with other nervous system herbs.
• Many practitioners find that the combination of adaptogenic effects from Korean Ginseng and
Withania, the adrenal tonic effect of Licorice and the nervine tonic effect of Skullcap (in Withania
Complex tablets) ideal for treating a variety of symptoms associated with stress and fatigue.
• Withania Complex tablets are fabulous for reducing the symptoms of stress and increasing sense of
well-being.
• Nevaton
®
tablets are a wonderful tonic for the nervous system which works well as an alternative to
straight St J ohn’s Wort in cases where there is nervous debility and/or anxiety. Use 4 tablets per day
for marked cases of low mood and debility.
• Many patients are extremely thankful for the existence of Nevaton
®
tablets. They improve mood,
increase energy and promote well-being.
• A practitioner often uses Nevaton
®
tablets in CFS patients who are depressed and where a viral
infection such as Epstein Barr is a likely causative factor (they contain the antiviral herb St J ohn’s
Wort). These tablets are not used alone, but are combined with other nervous system herbs, tonic
herbs and immune herbs.
• One to two Ginkgo Forte tablets each morning increase alertness and concentration throughout the
day.
• Three to four Ginkgo Forte tablets taken before meetings helps to improve performance and focus.
Herbal and Nutritional Protocols for Common Conditions 38 © Phytotherapy Press

Colic

Colic is acute, abdominal pain usually due to smooth muscle contraction, obstruction or twisting.
Contributing factors may include poor digestion and nervous unrest. Infantile colic results from the
inability of an infant to expel gas from the intestine. In breast fed infants it can be the result of different
foods eaten by the mother. It is also very probable that stress and tension in the mother will contribute
to the incidence of colic. If an infant is bottle-fed it may be due to an intolerance to the feeding formula.
Some cases of infantile colic can be difficult to treat and it appears to have to run its course. Usually by
the time the infant is 3 months old they will outgrow the problem. In the case of breast fed infants, if the
problem persists, it may be worth consulting with a lactation consultant.

Aims of Treatment

• Reduce intestinal spasm.
• Improve digestion.
• Support the nervous system.

Protocol
Cramplex tablets This combination of herbs works well for colic in adults providing
anti-inflammatory activity, reduces intestinal spasm, stimulates
circulation and relieves pain. Cramp Bark and Wild Yam are
specifically indicated for spasm of hollow organs such as the
intestine and have been used traditionally for stomach cramps.
3 to 4 tablets daily


DiGest tablets If the adult colic is due to poor digestion bitter herbs (such as
Gentian) can help by stimulating appetite and increasing
digestive secretions. Chamomile settles digestive spasm,
particularly when high levels of essential oil and alpha-bisabolol
are present. Choleretic herbs (Dandelion root, St Mary's Thistle)
improve the production of bile.
1 tablet 3 times daily given 15 to 30
minutes before meals. It is best to
suck the tablet until a bitter taste is
experienced, then swallow with
some water


Example Formula Chamomile provides antispasmodic activity and also has sedative
activity. The carminative, antispasmodic and warming activities of
Fennel is well applied to the treatment of colic, gastrointestinal
spasm, flatulent colic and irritable bowel syndrome. Lemon Balm
provides carminative, antispasmodic and sedative activity.

Chamomile High Grade 1:2 35 mL
Fennel 1:2 35 mL
Lemon Balm 1:2 30 mL
100 mL

Dosage – Adults: 5 mL before each
meal

For breastfed infants the mother can
take 3 to 5 mL of the formula ½
hour before each feed

Dosage – Infants: 5 drops of formula
added to approx 5 mL boiling water
(to evaporate the alcohol) and given
to the baby on a teaspoon when
cool, before feeds

Note: Fennel is a galactagogue. If lactation
becomes excessive reduce the dose or
eliminate it from the formula
Anecdotes
• Cramplex tablets work extremely well for any type of smooth muscle spasm. They are effective in the
treatment of colic when combined with digestive and carminative herbs.
• Cramplex tablets can work quickly and effectively in some patients with food intolerances and
irritable bowel syndrome.
• Cramplex tablets are effective in alleviating symptoms of poor digestion especially bloating.
Herbal and Nutritional Protocols for Common Conditions 39 © Phytotherapy Press
• DiGest tablets are very effective in alleviating symptoms of poor digestion including bloating and
anaemia.
• One practitioner who treats primarily HIV/AIDS says that DiGest is part of the treatment as poor
appetite and impaired digestion is one of the major issues.
• DiGest can be used for the elderly, picky children and patients with chronic diseases as well as for
general poor digestion.
Herbal and Nutritional Protocols for Common Conditions 40 © Phytotherapy Press

Common Cold & I nfluenza

The common cold is a catarrhal disorder of the upper respiratory tract, which may be viral, a mixed
infection, or an allergic reaction. Some of the viruses causing the common cold are non-enveloped.
Influenza is a more serious viral infection involving the respiratory tract which is often caused by
enveloped viruses.

Aims of Treatment

• Enhance the body's ability to fight the infection with immune enhancing and diaphoretic herbs.
• Reduce congestion of the mucous membranes with anticatarrhal herbs and herbs that tone the
respiratory mucosa.
• Reduce the viral infection by the use of antiviral herbs.

Primary Protocol
Andrographis Complex tablets This combination of herbs provides immune enhancing activity.
Echinacea root enhances the body's nonspecific immune function
to fight the infection and help prevent its recurrence.
Andrographis has been used clinically for the treatment of colds,
flu and fever. Holy Basil is a revered plant in India with immune
enhancing, expectorant and adaptogenic activity, and Aboriginal
Australians used it internally for colds and fevers.

Adults: 1 tablet 2 to 3 times daily
Children: 1 tablet 1 to 2 times daily
Increase dose for acute conditions
(4 to 6 tablets daily for adults)


DiaCo Phytosynergist™ liquid This formulation contains several herbs (Elder Flower, Yarrow,
Lime Flowers) with diaphoretic activity which, especially during the
acute and febrile phase of the infection, assists the body to fight
off the infection. Echinacea assists the activity of the diaphoretics
with immune enhancing activity. Licorice is soothing to inflamed
mucous membranes and is expectorant thereby assisting the
removal of sputum. Elder Flower also assists with anticatarrhal,
expectorant and anti-inflammatory activity. Ginger, as a circulatory
stimulant boosts the actions of these herbs and improves their
absorption.

5 mL with warm water 3 times daily
Increase dose during febrile phase
(5 mL 4 to 6 times daily)



Pelargonium 1:5 liquid extract Clinical trials have demonstrated that Pelargonium root is
beneficial for the treatment of respiratory conditions. One trial
demonstrated that Pelargonium caused a significant reduction in
the severity of symptoms and shortened duration of common cold.
3 to 6 mL daily



Additional Treatment (as required)
Eyebright Complex tablets This combination of herbs provides anticatarrhal activity and
strengthens the mucous membranes of the respiratory tract. It
may be of benefit if there is excessive nasal discharge.

1 tablet 4 times daily
St J ohn's Wort tablets The active constituent in St J ohn's Wort, hypericin has antiviral
activity towards enveloped viruses. This activity may be beneficial
if a severe influenza infection is present.

1 tablet 3 times daily
Echinacea Premium tablets To provide further support for the body's immune function, and
may help prevent infection from recurring. 1 tablet 2 to 3 times daily

Garlic tablets Garlic is a time-honoured treatment for a wide range of infections
including influenza. Studies have confirmed that garlic is an
effective preventative and treatment for respiratory tract
infections.

1 tablet 2 to 3 times daily

Herbal and Nutritional Protocols for Common Conditions 41 © Phytotherapy Press

Herbal Throat Spray
Phytosynergist™
Often the first symptom of a cold or flu infection is a sore throat.
This spray is ideal for attacking the infecting organism and
relieving symptoms.

4 sprays as needed
Poly-C Powder Vitamin C has demonstrated the ability to prevent and reduce the
symptoms of influenza.

4 g 2 to 3 times daily

Zinc Protect tablets Zinc is an essential nutrient for efficient immune functioning.
1 to 2 tablets daily
(a dose of 2 tablets daily should be
taken in the acute phase only and
should not exceed 5 days)

Anecdotes
• A practitioner routinely uses Andrographis Complex tablets for the treatment of acute infections,
most commonly, respiratory tract infections. Her patients rave about their effectiveness in stopping
the infection in its tracks. if it is caught early enough. They are prescribed at a dosage of 2 tablets 3
times daily for acute. These tablets are also used prophylactically at a dose of 1 tablet 2 to 3 times
daily.
• Herbal Throat Spray has been invaluable for the treatment of sore throat.
• A practitioner uses Andrographis Complex (up to 10 tablets per day for 1 week), Garlic (1 tablet tds),
and Poly-C Powder (1 teaspoon morning and night) for acute respiratory conditions. This protocol
reduces the severity of the cold and patients start to recover more quickly.
• A practitioner reports that all her patients love the taste of Poly-C Powder.
• A practitioner gives most of her patients Andrographis Complex for their first aid kits as an SOS. At
the first sign of flu or viral symptoms they take 2 to 3 Andrographis Complex, followed by a further
dose 2 to 3 hours later moving to 2 tablets qid for a day and then 2 tablets tds. Back up with Poly-C
Powder.
• A dose of Andrographis Complex (3 tablets) taken immediately upon signs of muscle ache and pain
associated with flu will get rid of these symptoms.
• Any illness that is characterised by sudden onset, lung involvement and heat needs Andrographis
Complex.

Herbal and Nutritional Protocols for Common Conditions 42 © Phytotherapy Press

Constipation

Evacuation of the bowels with difficulty or at long intervals. Often defined as a frequency of defecation of
less than three times per week, but even with normal frequency of defecation there may be excessive
straining, hard stools, lower abdominal fullness and a sense of incomplete evacuation.

Aims of Treatment

• Assist in the evacuation of the bowel.
• Improve stool bulk.
• Improve gastrointestinal motility.
• Improve liver function.

Primary Protocol
Cascara Complex tablets This combination of herbs provides a gentle laxative effect without
causing griping or colic. Anthraquinone glycosides are present in
Cascara and Yellow Dock which provide a stimulating laxative
effect. Dill and Chamomile are spasmolytic and carminative which
ease any griping or colic that may occur with the constipation or
may be caused by the stimulating laxative herbs. Dandelion root
and Yellow Dock also stimulate the secretion of bile which is a
natural laxative.

1 tablet 3 to 4 times daily, for a
period of up to 6 weeks. A further
treatment period may be instigated
after a 2-week break


Livton
®
Complex tablets This combination of herbs improves liver function and through the
promotion of bile flow provides a natural laxative effect.

3 to 4 tablets daily


Slippery Elm 400mg capsules,
Slippery Elm powder or
Psyllium husk
These dried herbs increase stool bulk which together with
adequate water intake assists normal stool formation (softens
stools) and assists normal bowel function. Increasing stool bulk
with soluble fibre encourages normal contraction of the bowel.

Capsules: 2 to 3 capsules 2 to 3
times daily with plenty of water
Powder: 1 heaped teaspoon mixed
in half a cup of water, 3 times daily

Additional Treatment (as required)
DiGest tablets As with Livton
®
Complex tablets the herbs in this tablet improve
bile production by the liver, thus improving bowel function.
However DiGest tablets also contain Gentian which improves the
production of hydrochloric acid in the stomach. It also contains
Chen Pi which is a major digestive herb in Traditional Chinese
Herbal Medicine.
1 tablet 2 to 3 times daily 15 to 30
minutes before meals. It is best to
suck the tablet until a bitter taste is
experienced, then swallow with
some water

Probiotica capsules This blend of bacteria relieves constipation and other
gastrointestinal symptoms in healthy volunteers given antibiotic
treatment.

1 capsule 1 to 2 times daily
Cramplex tablets Eases gastrointestinal spasm, if present.
3 to 4 tablets daily

Everyday B Multi tablets Vitamin B5 stimulates peristalsis and constipation can be caused
by B5 deficiency.

1 tablet daily after breakfast

Poly-C Powder Vitamin C in large doses has a laxative effect and can be of use in
more moderate doses to treat constipation.

4 g daily

Herbal and Nutritional Protocols for Common Conditions 43 © Phytotherapy Press

Anecdotes
• Many patients are a little wary of taking laxative herbs because of past experience of severe griping
pain, however it would be uncommon for any pain or discomfort to occur with Cascara Complex
tablets due to the inclusion of Chamomile and Dill.
• Patients find Cascara Complex tablets to be a gentle laxative when used properly: Start dose at 2
tablets before bed and work up to find effective dose. Not for long-term continuous use.
• Along with an increase in water intake, a patient with severe chronic constipation was given 1
Cascara Complex tablet each morning for 1 month. During this time she became regular and now
rarely needs medication to help with bowel function.
• Livton
®
Complex tablets can alleviate mild constipation and can be used along with Cascara Complex
tablets in more severe cases where there is obvious liver involvement.
• Two Probiotica tablets at night help to relieve chronic constipation, especially in instances of lazy
bowel (caused by overusage of laxatives) and irritable bowel syndrome.
• DiGest tablets are very effective in alleviating symptoms of poor digestion including bloating and
anaemia.
• One practitioner who treats primarily HIV/AIDS says that DiGest is part of the treatment as poor
appetite and impaired digestion is one of the major issues.
• DiGest can be used for the elderly, picky children and patients with chronic diseases as well as for
general poor digestion.
• Correcting bowel flora with the addition of Probiotica is important in cases of constipation. In some
cases simply adding Probiotica to a digestive treatment corrected the problem.

Herbal and Nutritional Protocols for Common Conditions 44 © Phytotherapy Press

Depression

Depression is an emotional state in which there are exaggerated feelings of sadness, despair,
melancholy, dejection, worthlessness, emptiness, and hopelessness. In some cases there will be a known
stimuli for depression, in others no external reason can be identified. Depression varies from mild to
extremely severe. It is often accompanied by mental and physical fatigue.

Aims of Treatment

• Treat the depression.
• Nourish and strengthen the nervous system.
• Increase the individual’s ability to cope with stress.
• Support adrenal function in cases of long term stress.
• Treat the effects of depression on each individual eg fatigue, lack of motivation, lowered libido,
impotence, lowered immunity.

Primary Protocol
Nevaton
®
tablets St J ohn’s Wort has well proven antidepressant activity in mild
to moderate depression. Schisandra, Damiana and Skullcap
help to tonify the nervous system. Schisandra also increases
cognition. Memory and concentration are often reduced in
depressed individuals. Damiana may be of benefit where
depression is causing loss of libido or impotence. St J ohn’s
Wort, due to the antiviral activity, will help protect against
viral infections. For example, in susceptible individuals herpes
outbreaks are common when they are stressed and/or
depressed.

1 tablet 3 to 4 times daily


AND/ OR St J ohn’s Wort tablets These tablets could be given in conjunction with Nevaton
®

tablets to provide added antidepressant activity, or they can
be given with other tablet or liquid formulations designed to
give nervous system support. Also see antiviral comments
above.

1 tablet 2 to 3 times daily


Withania Complex tablets These tablets are particularly beneficial in cases where long-
term stress has contributed to the depression. (Combine with
either Nevaton
®
tablets or St J ohn’s Wort tablets). Korean
Ginseng and Withania are adaptogenic, thus increasing ability
to cope with stress. They also have tonic activity which will
increase energy, sense of well-being and motivation. Licorice
is an adrenal tonic and Skullcap acts to nourish the nervous
system. Korean Ginseng and Withania improve immunity.

1 tablet 3 to 4 times daily




ThyAdren Support tablets ThyAdren Support tablets will be beneficial where long-term
stress and/or adrenal depletion is associated with depression.
The combination of nutrients and Rehmannia in ThyAdren
Support tablets offer excellent adrenal and thyroid support.
Reduced thyroid function can also be a factor in depression.

1 tablet 2 times daily
AND/ OR Adrenal Complex tablets Both Rehmannia and Licorice are excellent adrenal tonics thus
improving adrenal function and reducing adverse effects of
stress.
1 tablet 2 to 3 times daily


Kava tablets Anxiety often occurs in patients suffering with depression.
Kava has significant anti-anxiety activity. They are also very
effective for treating insomnia, in which case they can be
taken before bed.

1 tablet 2 to 3 times daily for the
treatment of anxiety
1 to 2 tablets before bed for the
treatment of insomnia

Herbal and Nutritional Protocols for Common Conditions 45 © Phytotherapy Press

AND/ OR Valerian Complex tablets These tablets can be taken throughout the day to alleviate
stress and can be taken at night for the treatment of
insomnia.

1 tablet 2 to 4 times daily for symptoms
of stress
1 to 2 tablets before bed for the
treatment of insomnia

OR NeuroSom tablets Magnolia bark is traditionally used in J apanese medicine
(Kampo) for the treating of depression, anxiety and insomnia.
Zizyphus is used in Chinese medicine for insomnia, anxiety
and irritability. Lemon Balm and Lavender are used in Western
herbal medicine for symptoms associated with anxiety and
depression. Magnesium and vitamin B6 are essential for a
healthy nervous system.

2 tablets 1 to 2 times daily


Additional Treatment (as required)
Bacopa Complex tablets Bacopa Complex tablets will be of benefit where reduced
memory and concentration are having an impact on the
patient’s life or work situation. All three herbs in this formula
enhance cognition, while Bacopa and Schisandra are also
nervous system tonics. Siberian Ginseng has adaptogenic and
tonic effects. These tablets combine with herbs specific for
depression eg Nevaton
®
tablets or St J ohn’s Wort tablets.

1 tablet 3 to 4 times daily

Everyday B Multi tablets Ideal to reduce the adverse effects of stress and to enable the
patient to cope better with stress.

1 tablet daily after breakfast

Vital Woman In addition to vitamins and minerals that reduce the adverse
effects of stress, Vital Woman contains Shatavari and Chaste
Tree which may be beneficial in cases where depression is
worse premenstrually or around the time of menopause.
1 tablet daily after breakfast

Mega Mag powder Magnesium is essential for optimal functioning of the nervous
system and magnesium deficiency is associated with
depressive symptoms. However magnesium supplementation
for stress support is only effective when the metabolic needs
of other minerals including zinc, chromium, calcium,
potassium, selenium and molybdenum are met. Mega Mag
powder contains these nutrients. It also contains high-dose B
complex vitamins for additional nervous system support.

5 g daily
Active Mag-Cal tablets Active Mag-Cal tablets can be used to maintain magnesium
levels once optimal levels have been reached with Mega Mag
powder, or it can be given to patients who prefer tablets
rather than powder.

1 tablet 2 to 3 times daily


Anecdotes
• Many patients are extremely thankful for the Nevaton
®
tablets. They improve mood, increase energy
and promote well-being.
• Nevaton
®
tablets are a wonderful tonic for the nervous system and work well as an alternative to
straight St J ohn’s Wort in cases where there is nervous debility and/or anxiety. Use 4 tablets per day
for marked cases of low mood and debility.
• Withania Complex tablets are fabulous for reducing symptoms of stress and increasing sense of well-
being.
• Some practitioners find that using Bacopa Complex tablets in conjunction with herbs such as St
J ohn’s Wort and Withania give excellent results in the treatment of depression.
• Kava is one of the most powerful hypnotic herbs we have available to us. Two to three tablets taken
before bed help to improve sleep latency and sleep maintenance.
Herbal and Nutritional Protocols for Common Conditions 46 © Phytotherapy Press

• A practitioner had been giving blood on a regular basis for a number of years. Each time she
suffered from lethargy, weakness etc and it took her 7 days to recover despite taking a multi-B
supplement. She changed to Everyday B Multi tablets and it only took her 2 to 3 days to recover. She
was very pleased and continues to use Everyday B Multi tablets for herself and for her patients.
• A practitioner changed all clients taking a leading practitioner-only B complex to Everyday B Multi
tablets. Some clients report no longer experiencing occasional headaches associated with the other
leading B complex tablets. Many have commented on a better all round lift in well-being.
• A patient who complained of feeling teary and emotional all the time, and anxious in the evenings,
was given NeuroSom tablets at a dose of 3 tablets daily. Within a week these symptoms were
completely gone. She was also given Rhodiola & Ginseng tablets for her low energy and saw a big
improvement within 3 weeks.

Herbal and Nutritional Protocols for Common Conditions 47 © Phytotherapy Press

Diabetes Mellitis

Diabetes mellitus is the most common endocrine disease. It is a condition of high blood sugar which is
managed either by insulin (insulin dependant or Type 1 diabetes (IDDM)) or by diet and/or
hypoglycaemic drugs (non-insulin dependant or Type 2 diabetes (NIDDM)).
• In IDDM, which is an autoimmune disease, there is progressive destruction of the pancreatic β cells
that produce insulin. Usually by the time of diagnosis there is little or no β cell function. Therefore
the majority of treatments will focus on blood sugar control and on reducing the long-term
complications that affect eyes, kidneys, nerves and blood vessels. However, in some cases,
particularly in early diagnosis, it may be possible to regenerate some of the β cells.
• In the treatment of NIDDM herbal treatment should be aimed at enhancing sugar metabolism,
reducing blood sugar levels and reducing long-term complications. In this condition, usually
associated with abdominal obesity, there can be β cell defects resulting in inadequate secretion of
insulin, and insulin resistance.

Aims of Treatment

• To rejuvenate and aid the functioning of pancreatic β cells.
• To reduce insulin resistance.
• To lower blood sugar levels.
• To aid in the prevention and treatment of long-term complications.

Primary Protocol
Gymnema tablets Gymnema has much to offer in the treatment of diabetes including
the ability to regenerate β cells and hence improve insulin
secretion. Several clinical trials demonstrate the effectiveness of
Gymnema in both IDDM and NIDDM. Outcomes included a
reduction in blood sugar levels; reduction of insulin or
hypoglycaemic medications; and a reduction in glycosylated
haemoglobin and glycosylated plasma protein levels. Serum
cholesterol, triglycerides and free fatty acids were also reduced.
This last point is significant in the management/prevention of the
cardiovascular complications of diabetes. Gymnema also appears
to increase the activity of enzymes, which facilitate the use of
glucose by insulin-dependent pathways.

1 tablet 1 to 2 times daily
Long-term use (6 to 12 months)
may be necessary for best results

Gymnema 1:1 liquid extract Liquid Gymnema will provide all the benefits described above.
However, it may also play a role in weight reduction. This has
significance in obese patients who develop or who are at risk of
developing NIDDM. Studies have found that appetite can be
suppressed for up to 90 minutes after taking Gymnema liquid. The
mechanism is unclear but seems to be associated with the
numbing of the sweet taste buds, hence the need to take it in
liquid form for this purpose.

5 mL 1 to 2 times daily

OR GlucoBalance tablets GlucoBalance contains 2 different forms of chromium, necessary
cofactors and 2.0 g of Gymnema to help with blood sugar
regulation.

Only 1 tablet 2 to 3 times daily with
meals

Bilberry tablets Bilberry has vasoprotective, antioxidant and anti-inflammatory
activity and has a particular affinity for the eyes. It has been
shown to improve diabetic retinopathy.

1 tablet 2 to 4 times daily

Herbal and Nutritional Protocols for Common Conditions 48 © Phytotherapy Press

Vitanox
®
tablets Vitanox
®
has a role to play in reducing the long-term complications
of diabetes. It has potent antioxidant activity and will reduce the
damage of free radicals associated with inflammation. Grape Seed
improves vascular health and may help to prevent diabetic related
retinopathy and arterial disease. Turmeric is anti-inflammatory, as
well as lowering serum cholesterol and lipids. Both Turmeric and
Rosemary increase clearance of toxins via the liver.

1 tablet 2 to 3 times daily

AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean Ginseng,
Pine Bark extract and Polygonum cuspidatum, which is a major
source of resveratrol and is an excellent antioxidant/anti-ageing
formula. In addition St Mary’s Thistle provides hepatoprotective
and trophorestorative activity whilst Korean Ginseng improves
energy, well-being and adaptation to stress.

1 to 2 tablets 2 times daily
Ginkgo Forte tablets Ginkgo may play a protective role on small blood vessels thus
reducing the severity of retinopathy, neuropathy and nephropathy.
It will also help to prevent cardiovascular disease. Ginkgo may also
improve beta-cell function.
1 to 2 tablets 2 times daily


Additional Treatment (as required)
Licorice High Grade 1:1 liquid
extract, Baical Skullcap 1:2
liquid extract
Both these herbs have shown significant aldose reductase
inhibition in in vivo studies. Aldose reductase plays a role in the
accumulation of sugars such as sorbitol and dulcitol in some
tissues such as the lens, liver, kidney and Schwann cells in nervous
tissue. This is associated with some diabetic complications.
Baical Skullcap 1:2 70 mL
Licorice High Grade 1:1 30 mL
100 mL

Dosage – 5 to 7.5 mL 2 times daily

Example Formula This formula, particularly when used in combination with other
relevant herbs, will reduce blood sugar levels (where necessary)
and help to protect against the long-term complications. Apart
from lowering blood sugar, Fenugreek is also
hypocholesterolaemic. Goat’s Rue has hypoglycaemic activity and
may act in part by having a regenerative effect on pancreatic β
cells.

Fenugreek 1:2 20 mL
Goat’s Rue 1:2 20 mL
Baical Skullcap 1:2 30 mL
Licorice High Grade 1:1 15 mL
Ginkgo 2:1 15 mL
100 mL

Dosage – 5 mL 3 times daily

Korean Ginseng 1:2 liquid
extract
In newly diagnosed patients with NIDDM, a double-blind placebo-
controlled study (1995) found that Ginseng (presumably Korean
Ginseng) elevated mood, improved psychophysical performance,
reduced fasting blood glucose, improved glycosylated haemoglobin
and serum PIIINP. Body weight was reduced and physical activity
was increased.

2 to 5 mL daily
Adrenal Complex tablets Diabetes mellitis chronic, inflammatory conditions. Both
Rehmannia and Licorice have significant anti-inflammatory activity.
They both also support adrenal function, an important function in
diabetes due to the stressful nature the condition.
1 tablet 2 to 3 times daily


* Refer also to Autoimmune Protocol.
Anecdotes
• A diabetic patient aged 62 yrs (no treatment other than diet) began to experience poor blood sugar
control. He did not want to go on drugs so he was given 2 Gymnema tablets per day. After a few
months his blood sugar readings were back to normal.
• A patient with juvenile onset diabetes took a Gymnema tablet at night and noticed that her blood
sugar was stable and sweet craving reduced. She was thrilled.
Herbal and Nutritional Protocols for Common Conditions 49 © Phytotherapy Press

• In a young woman with diabetes, her morning glucose reading improved by several points after
simply taking Gymnema 1 mL tds.
• In two separate incidences patients with diabetic retinopathy were waiting to have laser treatment.
They were each prescribed 4 Bilberry tablets per day for about 2 months. As a result neither of them
required laser treatment.
• At 26 weeks' gestation a patient with high readings on her glucose tolerance tests was placed on the
following regime: a strictly low GI diet, light exercise, and GlucoBalance (1 tablet with breakfast and
1 tablet with dinner). Blood sugar readings started to fall by the time she saw her specialist 2 weeks
later, who said they would postpone treatment if readings continued to fall to adequate levels. To
the amazement of her specialist and doctors, her blood sugar levels stabilised over the next several
weeks and she didn't require any further medical intervention. She went on to give birth to a very
healthy baby girl!

Herbal and Nutritional Protocols for Common Conditions 50 © Phytotherapy Press

Diverticulitis

Inflammation of a diverticulum or diverticula. Diverticula of the colon are herniations or sac-like
protrusions of the mucous membrane through the muscular wall, which may have formed due to
increased pressure within the colon. Retention of undigested food particles and bacteria in the
diverticulum make it susceptible to invasion by colonic bacteria. Note that acute diverticulitis requires
emergency medical attention.

Aims of Treatment

• Soothe the bowel wall, relieve bowel inflammation and cramping if present.
• Improve integrity of the gut wall.
• Encourage normal bowel habit, alleviate constipation or constipation with alternating diarrhoea.
• Enhance immune function.

Primary Protocol
Slippery Elm 400mg capsules,
Slippery Elm powder or
Psyllium husk
The demulcent activity of these herbs will be soothing to the
bowel wall. They provide soluble fibre which is beneficial in both
constipation and diarrhoea. Increasing stool bulk with soluble fibre
encourages normal contraction of the bowel. Capsules: 2 to 3 capsules 2 to 3
times daily with plenty of water
Powder: 1 heaped teaspoon mixed
in half a cup of water, 3 times daily

Echinacea Premium tablets To support and enhance nonspecific immune function.

1 tablet 2 to 3 times daily

Golden Seal tablets Golden Seal restores the integrity of the mucous membranes of
the digestive tract. Golden Seal and its isoquinoline alkaloid
constituent, berberine are also antimicrobial.
1 tablet 2 to 3 times daily


Bacto-Cand GI capsules The combination of essential oils and herbs in Bacto-Cand GI
capsules provides immune support, antimicrobial and antifungal
activity.

1 to 2 capsules 3 times daily
Additional Treatment (as required)
Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue by increasing blood flow particularly
microcirculation.

1 tablet 3 to 4 times daily
Cramplex tablets Wild Yam and Cramp Bark have been traditionally prescribed for
the treatment of intestinal pain and spasm, including diverticulitis.
Corydalis provides analgesic activity.

3 to 4 tablets daily
Cascara Complex tablets If constipation is present which is not quickly alleviated by the use
of Slippery Elm or Psyllium husk, Cascara Complex can be
prescribed to provide relief of constipation and encourage return
to normal bowel habit. Refer to the Constipation Protocol for
further explanation.

1 tablet 3 to 4 times daily, for a
period of up to 6 weeks. A further
treatment period may be instigated
after a 2-week break

Garlic tablets Garlic is a gastrointestinal antiseptic which restores normal bowel
flora by inhibiting bacterial growth in the colon.

2 tablets daily

Anecdotes
• A patient is able to manage their diverticulitis (except when under stress) using Slippery Elm powder
and Golden Seal liquid extract alone.
Herbal and Nutritional Protocols for Common Conditions 51 © Phytotherapy Press

Dysmenorrhoea, Spasmodic

Dysmenorrhoea is painful or difficult menstruation. It is associated with a number of factors including the
production of inflammatory prostaglandins, vasoconstriction in small arteries, ischaemia, relative excess
of progesterone and high cervical tone. Dysmenorrhoea may be associated with other disorders such as
endometriosis and pelvic infection.

Aims of Treatment

• Normalise the activity of the uterine muscle.
• Regulate hormone levels.
• Relieve pain.

Primary Protocol
Cramplex tablets This combination of herbs provides anti-inflammatory activity,
reduces uterine spasm, stimulates circulation, assists hormone
balance (mild oestrogenic activity) and relieves pain.
3 to 4 tablets 2 times daily, taken 2
to 3 days before the period is due
to start and for several days into
the period

Mega Mag powder Magnesium is an important nutrient for the regulation of muscular
contractions. Mega Mag contains 3 different forms of magnesium
and the necessary cofactors to maximise efficacy. Magnesium
supplementation can reduce the severity and incidence of
dysmenorrhoea.

5 g daily

Active Mag-Cal tablets Active Mag-Cal tablets may be able to be used to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder, or it can be given to patients who prefer
tablets rather than powder.

1 tablet 3 times daily


Additional Treatment (as required)
Dong Quai tablets Additional support if the above treatment is not providing enough
relief. Dong Quai is a uterine tonic, is anti-inflammatory and is a
blood building herb. It has been used traditionally for
dysmenorrhoea and more recently for endometriosis.

1 tablet 2 to 3 times daily,
throughout cycle

LivCo
®
tablets Aids the liver in processing hormones.
2 to 3 tablets daily, throughout
cycle

P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification, thus improving clearance of
excessive oestrogen.

4 g 1 to 2 times daily
Ginkgo Forte tablets Ginkgo improves blood circulation which is of benefit in
dysmenorrhoea when vasoconstriction in small arteries and
ischaemia occurs.
1 to 2 tablets 2 times daily, starting
2 to 3 days before the period is due
to start and for several days into
the period

Saligesic tablets Special extracts of Willow Bark have demonstrated significant
analgesic activity, especially for back pain. Additional relief may be
obtained for back pain of dysmenorrhoea with Willow Bark.
4 tablets daily, taken 2 to 3 days
before the period is due to start
and for several days into the period

Herbal and Nutritional Protocols for Common Conditions 52 © Phytotherapy Press

ONLY for Premenstrual Symptoms experienced with Dysmenorrhoea
Chaste Tree tablets Treatment of premenstrual syndrome ONLY if it is present in this
condition. Refer to Premenstrual Syndrome Protocol for
explanation.

1 to 2 tablets daily

Note: Dysmenorrhoea symptoms may be
exacerbated if PMS is not present

Anecdotes
• A patient with regular but slow to start periods, clotting, dysmenorrhoea and PMS had tried several
formulas with little success. Finally prescribed Dong Quai tablets (1 tablet 3 times per day) and
Chaste Tree tablets (2 tablets per day), her next period started “on time” with a good flow
immediately. Her PMS and dysmenorrhoea were also reduced. Subsequent periods have continued in
this manner.
• A naturopath who normally gets severe pain associated with periods as well as nausea, migraines
and general debility, took a double dose of Cramplex tablets at start of period and by afternoon had
total relief of all symptoms.
• A practitioner had been suffering from period pain for years. At the onset of her period she took
2 Active Mag-Cal tablets 2 times a day and did not have any period pain, it was brilliant.
• A female patient with severe dysmenorrhoea requiring treatment with ibuprofen above the maximum
dose for 3 to 4 days each month, was prescribed Cramplex (2 tablets qid 1 to 2 days prior to and
first 1 to 2 days of menstruation, along with Saligesic (1 tablet qid for same period). The patient
reported a significant improvement and no longer takes any pharmaceutical painkillers.
• A practitioner regularly prescribes Cramplex for dysmenorrhoea 1 to 2 days prior to menstrual onset
(up to 8 tablets daily) and during menses if required, and Active Mag-Cal (2 tablets tds 2 days prior
to and during menses). Active Mag-Cal (2 tablets bd) is prescribed for the rest of the month. Strong
pharmaceutical painkillers are often not required. In many cases, the Cramplex dose can be reduced
and sometimes ceased after about 3 months. A common comment is "I cannot believe it. I had no
warning signs my period was due and no pain at all."
Herbal and Nutritional Protocols for Common Conditions 53 © Phytotherapy Press

Dyspepsia

Dyspepsia is the medical term for indigestion, that is digestion which is imperfect, disturbed or failed.

Aims of Treatment

• Stimulate appetite.
• Improve functioning of organs of the upper gastrointestinal tract (stomach, liver, gallbladder).
• Improve saliva, gastric acid and bile output.

Primary Protocol
DiGest tablets Gentian is a bitter herb which stimulates appetite and increases
digestive secretions. Chamomile settles digestive spasm,
particularly when high levels of essential oil and alpha-bisabolol
are present. Choleretic herbs (Dandelion root, St Mary's Thistle)
improve the production of bile. Overall DiGest enhances the body's
own digestive function.
1 tablet 3 times daily given 15 to 30
minutes before meals. It is best to
suck the tablet until a bitter taste is
experienced, then swallow with
some water

HiPep tablets These tablets help to reduce excessive stomach acid and have
anti-inflammatory activity. They will be beneficial in cases of high
stomach acidity/reflux.

1 tablet 3 times daily after meals

Livton
®
Complex tablets Provides additional liver support. This combination contains herbs
with choleretic and cholagogue properties and are specifically
indicated for dyspepsia and associated symptoms (such as
flatulence) and liver and gallbladder disorders.

Adults: 1 tablet 3 to 4 times daily
Children: 1 tablet 1 to 2 times daily


Additional Treatment (as required)
Golden Seal tablets Golden Seal is an excellent herb for restoring the integrity of the
mucous membranes of the digestive tract. Especially used
traditionally where atonic dyspepsia with liver involvement occurs,
and used as a tonic during convalescence when digestive function
is often reduced.

Adults: 1 tablet 2 to 3 times daily
Children: 1 tablet 1 to 2 times daily


Withania Complex tablets This gentle and effective tonic may be of benefit in debilitated or
convalescing patients or in children failing to thrive. These
patients often have poor digestive function and low appetite.

Adults: 1 tablet 3 to 4 times daily
Children: 1 tablet 2 to 3 times daily

Anecdotes
• DiGest tablets can work quickly and effectively in some patients with food intolerances and irritable
bowel syndrome.
• DiGest tablets are effective in alleviating symptoms of poor digestion especially bloating.
• Livton
®
Complex tablets are very effective in patients with sluggish liver function, particularly in those
with a history of alcohol or drug use.
• A practitioner uses Livton
®
Complex tablets in patients with poor digestion, particularly when it is due
to poor bile production. Often these tablets are enough to fix the problem.
• Herbal practitioners often use Golden Seal tablets in conjunction with specific formulations to treat
conditions of the different mucous membranes throughout the body.
• DiGest tablets are very effective in alleviating symptoms of poor digestion including bloating and
anaemia.
• One practitioner who treats primarily HIV/AIDS says that DiGest is part of the treatment as poor
appetite and impaired digestion is one of the major issues.
• DiGest can be used for the elderly, picky children and patients with chronic diseases as well as for
general poor digestion.

Herbal and Nutritional Protocols for Common Conditions 54 © Phytotherapy Press

Eczema (& Atopic Dermatitis)

Eczema is a pruritic inflammatory skin reaction which occurs as a reaction to an endogenous or
exogenous agent. Atopic dermatitis is an inflammatory skin disorder that is linked to atopy (genetic
predisposition to form excessive IgE antibodies to antigens). The terms eczema and dermatitis are now
used synonymously.

Aims of Treatment

• Enhance immune function systemically and topically to assist the body to correct inappropriate
T-helper-cell activity and to fight potential skin infections.
• Assist tissue cleansing, correct metabolic dysfunction and enhance elimination by the use of
depuratives.
• Improve the disordered gastric function that may occur in some eczema patients.
• Provide topical relief with astringent, anti-inflammatory, tissue healing, and immune modulating
herbs.

Primary Protocol
Clivers Complex tablets This combination of herbs primarily provides depurative
action, which may assist in correcting the underlying
metabolic imbalances. This combination of herbs is specific for
the treatment of skin disorders. This treatment may be
required long term.

3 to 4 tablets daily


Albizia Complex tablets This combination of herbs provides antiallergic and anti-
inflammatory activity. 1 tablet 3 to 4 times daily

Andrographis Complex tablets These herbs will balance and boost the immune response, and
particularly for atopic dermatitis, may help T-helper-cell
activity shift from Th-2 to Th-1. Immune enhancing herbs may
also help control and prevent recurrence of Staphylococcus
aureus infection.

1 tablet 3 times daily



Additional Treatment (as required)
Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C
and zinc provides support for tissue healing and normal
development of connective tissue by increasing blood flow
particularly microcirculation.

1 tablet 3 to 4 times daily
DiGest tablets This combination of herbs improves digestion, which may be
disordered in skin conditions. Low stomach acid has been
linked to eczema in early studies.
1 tablet 3 times daily given 15 to 30
minutes before meals. It is best to suck
tablet until bitter taste is experienced,
then swallow with water

Evening Primrose Oil capsules Evening Primrose Oil is beneficial particularly in non-
inflammatory atopic dermatitis, possibly by modulating the
immune mechanism that involves interferon-gamma.

1 capsule 3 times daily

Hemidesmus 1:2 liquid extract Hemidesmus may assist in cases of severe eczema, to help
suppress an overactive immune response.

5 mL per day

Eczema Relief Cream The antiseptic and anti-inflammatory activity of Calendula and
Myrrh may provide relief of symptoms, and help control skin
microflora imbalance and infection with Staphylococcus
aureus. Myrrh may also improve the cutaneous immune
response.

Apply cream as required


Herbal and Nutritional Protocols for Common Conditions 55 © Phytotherapy Press

Zinc Protect tablets A highly bioavailable source of zinc with synergistic
antioxidants. Zinc plays a beneficial role in maintaining the
integrity of the skin and aiding wound healing (such as in the
later stages of tissue repair and regeneration). The ability of
zinc to support immune function may indirectly support skin
health and the healing process.

1 tablet daily after breakfast

Nettle Leaf 1:2 liquid extract Nettle Leaf has been traditionally used for the treatment of
eczema, particularly where there is nervous system
involvement, in chronic cases and in children.

2.5 mL 2 times daily
Anecdotes
• DiGest tablets can work quickly and effectively in some patients with food intolerances and irritable
bowel syndrome.
• DiGest tablets are effective in alleviating symptoms of poor digestion especially bloating.

Herbal and Nutritional Protocols for Common Conditions 56 © Phytotherapy Press

Endometriosis

Endometriosis is a condition where endometrial tissue from the uterus is found in other parts of the
body, most notably in the pelvic cavity. It is often found on the ovaries, the fallopian tubes, the ureters,
the bladder and the bowel. It can cause a variety of different symptoms including a congestive,
dragging, dull discomfort in the pelvis. Lower back pain is also common. Pain can occur at anytime
throughout the cycle. Pain with the period may be a cramping type pain. The causes of endometriosis
are not clear however a number of different ideas have been put forward. It is likely that the condition
results from a multitude of factors, which include a relative oestrogen excess, prostaglandin imbalance
and immune dysfunction.

Aims of Treatment

• To correct perceived underlying causes.
• To alleviate pain associated with the condition.
• To reduce inflammation at the site/s of endometriosis.
• To support the nervous system where necessary.

Primary Protocol
EndoFem tablets Dong Quai is an important herb when treating endometriosis, as it
is a good uterine tonic and helps to regulate menstruation.
Although some authors state that Dong Quai has oestrogenic
activity, research suggests that this is not the case. Ladies Mantle
(astringent) and Paeonia are very good reproductive tonics and
may help to reduce any relative oestrogen excess. Calendula is an
effective lymphatic and vulnerary herb.

1 to 2 tablets 2 times daily

Chaste Tree tablets Chaste Tree is one of the most indicated herbs for the treatment
of endometriosis. It can correct a relative oestrogen (to
progesterone) excess.

3 to 4 tablets daily

Rehmannia Complex tablets There appears to be a higher than normal occurrence of
autoantibodies (including antinuclear antibodies and
antiphospholipid antibodies) in women with endometriosis. The
immune suppressant activity of Hemidesmus will help to reduce
the production of autoantibodies. Rehmannia, Bupleurum and
Feverfew are excellent anti-inflammatory herbs. Bupleurum also
provides additional liver support.

1 tablet 3 times daily


LivCo
®
tablets The herbs in this formula enhance liver detoxification pathways
thus improving clearance of excessive oestrogen.

1 tablet 3 times daily
P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification, thus improving clearance of
excessive oestrogen.

4 g 1 to 2 times daily
Additional Treatment (as required)
Cramplex tablets This combination of herbs works well for spasmodic
dysmenorrhoea. It combines the antispasmodic effect of Cramp
Bark and Wild Yam with the analgesic activity of Corydalis. Ginger
improves circulation, is warming and anti-inflammatory as well as
inhibiting the synthesis of less favourable prostaglandins.
Raspberry Leaf is astringent, therefore may help to reduce
excessive bleeding. It is also an excellent female reproductive
tonic.

3 to 4 tablets 2 times daily
For best results begin taking
Cramplex tablets 1 to 2 days before
menstruation is due to begin

Herbal and Nutritional Protocols for Common Conditions 57 © Phytotherapy Press

Echinacea Premium tablets Echinacea may be very beneficial in the treatment and prevention
of the recurrence of endometriosis because of its well-
documented ability to stimulate the activity of macrophages. In
early stages of endometriosis macrophage activity increases. Their
role is to remove endometrial cells that have been shed into the
pelvic cavity and to suppress the growth of endometrial implants.
After some time macrophage activity declines, which may be
associated with the growth of endometriosis.
The common misconception that Echinacea should not be used
long-term is not supported by traditional use, clinical trials or the
clinical experience of many practising herbalists.

1 tablet 2 to 3 times daily








EFA Essentials capsules In endometriosis there appears to be a disturbance in the balance
of prostaglandins in favour of the inflammatory type.
Supplementation with GLA (from EPO) and EPA/DHA (from fish
oil) may reduce these inflammatory mediators and increase the
anti-inflammatory prostaglandins.

1 capsule 3 times daily

Mega Mag powder Magnesium is an important nutrient for the regulation of muscular
contractions. Mega Mag contains 3 different forms of magnesium
and the necessary cofactors to maximise efficacy. Magnesium
supplementation can reduce the severity and incidence of
dysmenorrhoea.

5 g daily

Active Mag-Cal tablets Active Mag-Cal tablets may be able to be used to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder, or it can be given to patients who prefer
tablets to powder.

1 tablet 3 times daily


Nevaton
®
tablets The herbs in with formula will nourish and support the nervous
system. It is particularly beneficial in cases of mild to moderate
depression. St J ohn’s Wort also has anti-inflammatory and
vulnerary activity thus reducing tissue damage and encouraging
healing.

1 tablet 3 to 4 times daily


Anecdotes
• A female patient aged 33 had erratic periods. After 3 months of 2 Chaste Tree tablets on rising her
cycle was more stable.
• A female patient aged 31 experienced cramping period pains. She was given 2 Dong Quai tablets
throughout her cycle and after 2 cycles her period pains were much less.
• Dong Quai tablets are often used as a general reproductive tonic in conjunction with other herbal
treatment prescribed for specific symptoms.
• Many practitioners find Cramplex tablets invaluable for the treatment of dysmenorrhoea.
• Many patients are extremely thankful for the Nevaton
®
tablets. They improve mood, increase energy
and promote well-being.
• Nevaton
®
tablets are a wonderful tonic for the nervous system and work well in cases of nervous
debility and/or anxiety. Use 4 tablets per day for marked cases of low mood and debility.
• A 36-year-old woman presented with spotting between days 15 to 28 of cycle with a prior confirmed
diagnosis of endometriosis. She has heavy menstrual bleeding with large clot on days 1 to 2 of her
period. She was tired of dealing with the messy premenstrual spotting but did not want to take the
oral contraceptive, as suggested by her doctor. A very simple protocol of Chaste Tree (2 tablets each
morning) and EndoFem (4 tablets daily) was commenced. Within 2 cycles, the spotting has
completely resolved and she noticed remarkably fewer blood clots with her menstrual blood. The
bleeding days reduced from 7 days to 5 days within 2 months of treatment.

Herbal and Nutritional Protocols for Common Conditions 58 © Phytotherapy Press

Erectile Dysfunction

Impotence is the failure to achieve and maintain an erection and/or a failure to ejaculate. The aetiology
involves either or all of the following: a decrease in testosterone, vascular damage, nervous debility,
devitilisation and stress.

Aims of Treatment

• Improve male hormone levels.
• Improve circulation.
• Support and nourish the nervous system.
• Revitalise male energy by supporting adrenals.
• Support the stress response.

Primary Protocol
Tribulus Forte tablets or 2:1
liquid extract
In men Tribulus increases testosterone and decreases oestradiol
and has significant tonic properties. Clinical trials have shown
Tribulus to improve impotence and libido in men (including those
with chronic prostatitis of less than 5 years duration).
Tablets: 1 tablet 3 to 4 times daily
Liquid Extract: 5 mL 2 times daily

Ginkgo Forte tablets Ginkgo has clinically-proven ability to improve peripheral
circulation. Ginkgo was found to be effective in alleviating sexual
dysfunction secondary to antidepressant drug use.

1 to 2 tablets 2 times daily

Rhodiola & Ginseng tablets Rhodiola is an adaptogenic and tonic herb that has been shown to
improve sexual function in men with erectile dysfunction and/or
premature ejaculation. It improves energy, physical and intellectual
performance and is beneficial for depression, insomnia and
anxiety. Korean Ginseng is an adaptogen and tonic indicated for
physical or mental exhaustion and stress. It is beneficial for
impotence and male fertility problems, including an increase in
androgen levels and sperm count.
1 to 2 tablets 2 times daily

Additional Treatment (as required)
Withania & Ginseng tablets Korean Ginseng has been shown to increase testosterone, to be
beneficial in the treatment of impotence (including in elderly men)
and to increase libido. Withania has been shown to increase sexual
performance in men (aged 50–59 years).

1 tablet 3 to 4 times daily

OR Withania Complex tablets The herbs in this formula assist in re-establishing vitality and can
beneficially modify the stress response, thus aiding in the relief of
anxiety. The benefits of Korean Ginseng and Withania are outlined
above. These tablets may be given in preference to Withania &
Ginseng tablets in cases where increased nervous system support
is needed.

1 to 2 tablets 2 to 3 times daily


Herbal and Nutritional Protocols for Common Conditions 59 © Phytotherapy Press
Example Formula The formula combines several male tonics (Saw Palmetto and
Damiana) with general nervous system tonics (Damiana and St
J ohn’s Wort), providing extra herbal support for a devitalised male.
This formula combines well with Tribulus Forte tablets and/or
Withania Complex tablets or Withania & Ginseng tablets.
Saw Palmetto 1:2 30 mL
Damiana 1:2 40 mL
St J ohn’s Wort 1:2 30 mL
100 mL

Dosage – 5 mL 3 times daily

Zinc Protect tablets Deficiencies in zinc status are associated with impotence and the
vitamin E will enhance circulation.

1 tablet daily

Poly-C Powder This synergistic powder will aid in the tonification of the peripheral
circulation.

4 g daily

Everyday B Multi tablets Impotence is a sign of vitamin B12 deficiency.
1 tablet after breakfast

Anecdotes
• A combination of Ginkgo and Korean Ginseng, along with other relevant herbs depending on the
individual, is very effective in treating impotence in males.

Herbal and Nutritional Protocols for Common Conditions 60 © Phytotherapy Press

Eye Health

Many conditions affecting the eyes may be improved with the use of herbal medicine. These conditions
include eye strain/tiredness, eye infections and irritations, eye dryness, reduced vision at night and in
dim light, sensitivity to bright light, retinopathy, simple glaucoma, myopia and macular degeneration.

Aims of Treatment

• Improve health of conjunctiva to relieve eye strain/tiredness, irritation and dryness.
• In the case of infection, reduce microbial levels locally and boost immunity.
• Improve blood flow to the retina and strengthen capillaries.
• Increase dark adaptation and reduce light sensitivity.
• Improve visual perception in conditions such as myopia, simple glaucoma, pigmentary retinitis,
trachoma (stages I and II) and macular degeneration.

Protocol
Eyebright 1:2 liquid extract Eyebright improves health of the conjunctiva (the mucous
membrane lining the inner surfaces of the eyelids and the anterior
part of the sclera). It is beneficial in the treatment of tired,
irritated eyes, eye strain and eye infections.

2.5 to 5 mL daily

Example Eyewash Formula This eyewash can be used for any of the eye conditions
mentioned above. Eyebright improves the health of the
conjunctiva when given both systemically and locally. Due to the
berberine content Barberry has antimicrobial activity. Calendula
and Eyebright also have antimicrobial activity.
This combination of herbs will relieve tired, strained, irritated eyes
as well as being effective for the treatment of eye infections.
A Barberry eyewash may also be beneficial in the treatment of
trachoma (stages I and II). Berberine eye drops have been used
successfully in this condition.
Eyebright 1:2 20 mL
Barberry 1:2 25 mL
Calendula 1:2 (low alcohol) 15 mL
60 mL

How to use – Fill an eye bath with
boiling water and add 5 drops of
herbal mixture. (This will cause the
alcohol to evaporate). Allow to cool
and bathe eyes. In the case of
infection make a separate eyewash
for each eye. Use 2 to 3 times daily
depending on severity of the
problem. Eyewash should be made
fresh just before each use

Eyebright Complex tablets Although this formula is specifically for the treatment of upper
respiratory catarrhal conditions, it can also be used in the
treatment of recurrent eye infections. Eyebright and Golden Seal
will improve health of the conjunctiva. Echinacea will improve
immune function. Eyebright Complex can be combined with
Echinacea Premium tablets or Andrographis Complex tablets if
extra immune support is needed.

1 tablet 3 times daily

Bilberry tablets Bilberry has vasoprotective, antioxidant and anti-inflammatory
activity and has a particular affinity for the eyes. It has been
shown to improve diabetic and hypertensive retinopathy; improve
darkness adaptation and day vision in patients with myopia;
enlarge visual range in patients with pigmentary retinitis; improve
retinal sensitivity in patients with hemeralopia (defective vision in
bright light); and improve visual perception in patients with simple
glaucoma.

1 tablet 3 times daily

Herbal and Nutritional Protocols for Common Conditions 61 © Phytotherapy Press

Ginkgo Forte tablets Ginkgo has been shown to improve visual acuity, colour vision and
field of vision in patients where the blood supply to the retina was
deficient. In a small double-blind, placebo-controlled Ginkgo
improved visual acuity in patients with macular degeneration.

1 to 2 tablets 2 times daily

Ginkgo 2:1 liquid extract
Eyebath for allergic
conjunctivitis
A controlled trial demonstrated that topical application of
standardised Ginkgo extract relieved signs and symptoms of
seasonal allergic conjunctivitis.
2 to 3 drops in 5 mL sterile saline
solution in an eye cup


Zinc Protect tablets Zinc, vitamin C and other antioxidants may help maintain healthy
vision. 1 tablet daily with breakfast

Everyday B Multi tablets Vitamin B2 is useful in treating and preventing eye fatigue.
1 tablet daily after breakfast

Anecdotes
• Patients using an eyewash of consisting Eyebright, Calendula, and herbs like Barberry obtain quick
relief from tired, ‘scratchy’ eyes.

Herbal and Nutritional Protocols for Common Conditions 62 © Phytotherapy Press

Fatigue

Fatigue can result from a number of different causes including insomnia, chronic infection, chronic
illness, chronic pain or depression.

Aims of Treatment

• Increase energy, motivation and sense of well-being.
• Treat underlying causes.

Primary Protocol
Withania & Ginseng tablets Both herbs in this formula have adaptogenic and tonic activity.
They are very beneficial for increasing energy quickly whilst
having a beneficial effect on the adrenal glands as well as
increasing mental alertness. The combination of the sedative
action of Withania with the stimulant activity of Korean Ginseng
reduces the likelihood of either excessive sedation or over-
stimulation taking place. Withania and Ginseng also enhance
immune function.

1 to 2 tablets 2 to 3 times daily




Rhodiola & Ginseng tablets Rhodiola is an adaptogenic and tonic herb that has been shown to
improve energy, physical and intellectual performance and is
beneficial for depression, insomnia and anxiety. It also improves
sexual function in men with erectile dysfunction and/or premature
ejaculation. Korean Ginseng is an adaptogen and tonic indicated
for physical or mental exhaustion and stress. It is also beneficial
for impotence and male fertility problems, including an increase in
androgen levels and sperm count.
1 to 2 tablets 2 times daily




OR Withania Complex tablets These tablets have the benefits described above for Withania &
Ginseng tablets but they also have added adrenal support
(Licorice) and nervous system tonic activity (Skullcap).
1 tablet 3 to 4 times daily

ThyAdren tablets Long term stress and/or adrenal depletion is often associated with
fatigue. The combination of nutrients and Rehmannia in ThyAdren
Support tablets give excellent adrenal support. They also support
thyroid function which may also be a factor in some cases of
fatigue.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Rehmannia and Licorice are both adrenal tonic herbs and can
effectively treat and/or prevent adrenal depletion. They also have
significant anti-inflammatory activity. Inflammation and pain are
often a cause of fatigue.
1 tablet 2 to 3 times daily


Additional Treatment (as required)
Reishi & Shiitake tablets Reishi and Shiitake are the two most popular mushrooms in China
for their health promoting properties and are beneficial in cases of
fatigue (including post-viral syndromes) and debility.

1 tablet 2 to 3 times daily

Astragalus Complex tablets This formula is particularly beneficial when immune depletion is
also present. All three herbs stimulate immune function. Siberian
Ginseng and Astragalus have adaptogenic and tonic activity.
1 tablet 3 to 4 times daily


PhytoRegenex tablets PhytoRegenex is an excellent anti-ageing and antioxidant formula.
It contains Ginkgo, St Mary’s Thistle, Korean Ginseng, Pine Bark
extract and Polygonum cuspidatum, which is a major source of
resveratrol. The combination of herbs will help to improve energy,
oxygenation of tissues and general health, particularly in ageing
individuals.

1 to 2 tablets 2 times daily
Herbal and Nutritional Protocols for Common Conditions 63 © Phytotherapy Press

Example Formula The herbs in this formula have well-documented tonic activity.
They improve energy, mental and physical stamina and generally
increase sense of well-being. Siberian Ginseng also enhances
immunity.
Siberian Ginseng 1:2 30 mL
Rhodiola 2:1 40 mL
Codonopsis 1:2 30 mL
100 mL

Dosage – 7.5 mL 2 times daily

Where appropriate Korean Ginseng
could also be used in the formula
by reducing Rhodiola to 30 mL and
adding 10 mL Korean Ginseng

Everyday B Multi tablets Everyday B Multi tablets may improve overall nutritional status
and improve energy production. The nutrients in Everyday B Multi
also help to ensure a healthy nervous system, thus relieving
symptoms of stress and anxiety, and improving sleep which will
lead to improved energy.

1 tablet daily after breakfast

Vital Woman In addition to essential vitamins and minerals Vital Woman
contains Shatavari and Chaste Tree making it the ideal
multivitamin/mineral supplement for women with low energy,
particularly when fatigue is worse premenstrually or is associated
with the onset of menopause.

1 tablet daily after breakfast

Mega Mag powder The combination of nutrients in Mega Mag powder, particularly
B complex vitamins, chromium, Alpha lipoic acid and creatine will
be of benefit for the fatigued patient.

5 g daily

Nevaton
®
tablets These tablets will be extremely beneficial where depression is a
feature of the fatigue. St J ohn’s Wort has proven antidepressant
activity in mild to moderate depression and is a valued nervous
system tonic. They combine well with adaptogenic/tonic herbs for
the treatment of fatigue. St J ohn’s Wort has the added benefit of
being antiviral and is therefore useful in patients who suffer
frequent viral infections or if a viral infection preceded the onset
of fatigue.

1 tablet 2 to 3 times daily


Valerian Complex tablets Valerian Complex tablets will be of most benefit in cases where
insomnia is contributing to the fatigue. Valerian, Zizyphus and
Passionflower have hypnotic activity as well as nourishing the
nervous system.

2 tablets 1 to 2 times before bed

OR NeuroSom tablets NeuroSom will be beneficial in cases where insomnia, anxiety or
depression are contributing to the fatigue. Magnolia bark is
traditionally used in J apanese medicine (Kampo) for the treating
of anxiety, insomnia and depression. Zizyphus is used in Chinese
medicine for insomnia, anxiety and irritability. Lemon Balm and
Lavender are used in Western herbal medicine for symptoms
associated with anxiety and depression. Magnesium and vitamin
B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


Saligesic tablets Beneficial where chronic pain is contributing to feelings of fatigue.
Saligesic tablets combine well with Boswellia Complex tablets
where inflammation is involved in the pain.
1 to 2 tablets 2 times daily


Herbal and Nutritional Protocols for Common Conditions 64 © Phytotherapy Press
Fe-Plex tablets Fatigue is often due to iron deficiency.
1 tablet 2 times daily

Anecdotes
• Withania & Ginseng tablets are wonderful at increasing tolerance to stress but are particularly
effective for quickly increasing energy. Generally they are prescribed at 2 tablets after breakfast and
2 tablets after lunch and are often combined with other nervous system herbs.
• Many practitioners find that the combination of adaptogenic effects from Korean Ginseng and
Withania, the adrenal tonic effect of Licorice and the nervine tonic effect of Skullcap (in Withania
Complex tablets) ideal for treating a variety of symptoms associated with stress and fatigue.
• Withania & Ginseng tablets are fabulous for reducing the symptoms of stress and increasing sense of
well-being.
• Many patients are extremely thankful for the existence of St J ohn’s Wort tablets. They improve
mood, increase energy and promote well-being.
• Patients find Valerian Complex tablets to be particularly for reducing insomnia and improving quality
of sleep.
• Saligesic tablets give temporary relief of musculoskeletal pain (especially osteoarthritis, rheumatoid
arthritis).
• A practitioner used a formula containing Korean Ginseng, Siberian Ginseng, Schisandra and Fe-Max
Iron Tonic (50 mL of each): 5 mL 3 times daily, for the treatment of a teacher with stress and
fatigue. Within a short time the teacher was feeling much better and had increased energy. She has
referred colleagues to the practitioner and the formula has been dubbed ‘Teachers’ Friend’
• After taking ThyAdren Support tablets a patient commented, “ThyAdren Support has been a
lifesaver. I can almost set my time by my energy and know when it is my 3 pm ThyAdren time! It is
also heaven sent in the early mornings when I need a kick start”.
• A patient was given Rhodiola & Ginseng tablets for her low energy and saw a big improvement
within 3 weeks. She also complained of feeling anxious in the evenings, and teary and emotional all
the time and was given NeuroSom tablets at a dose of 3 tablets daily. Within a week these emotional
symptoms were completely gone.
• Adrenal Complex – I LOVE this one! It is made for me as I have Addison’s, but will also be very
useful for loads of my clients with adrenal exhaustion. At a dose of 2 tablets daily I had enough
energy to do everything I wanted and did not get the ‘dragging myself around feeling’.

Herbal and Nutritional Protocols for Common Conditions 65 © Phytotherapy Press

Fibrocystic Breast Syndrome

Fibrocystic changes are the most common cause of breast lumps in women ages 30 to 50 and at least
60% of the women in their reproductive years will experience "lumpy" breasts. Although this condition is
sometimes referred to as fibrocystic breast disease it is actually not a disease. It is a condition that
occurs as a result of the way breast tissue responds to the normal hormonal fluctuations throughout the
menstrual cycle. Although it is not a cancerous condition, any noticeable changes in breast tissue should
be investigated medically.

Aims of Treatment

• To reduce breast lumps and thickening of tissue using herbs that are specific for benign growths
along with lymphatic herbs.
• To correct a possible oestrogen to progesterone imbalance.
• To treat the nervous system where applicable.

Primary Protocol
Chaste Tree tablets In premenopausal women Chaste Tree will help to correct an
abnormal oestrogen to progesterone ratio. 1 to 2 tablets daily

Example Formula Calendula and Poke Root are excellent lymphatic herbs and have
been used traditionally for breast disorders. Thuja and Echinacea
are indicated for benign growths. In addition Echinacea also has
significant lymphatic activity. Paeonia may play a role in correcting
an imbalance of oestrogen to progesterone.
Calendula 1:2 20 mL
Poke Root 1:5 5 mL
Thuja 1:5 10 mL
Echinacea Premium 1:2 25 mL
Paeonia 1:2 40 mL
100 mL

Dosage – 5 mL 3 times daily

Additional Treatment (as required)
P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification, thus improving clearance of
excessive oestrogen.

4 g 1 to 2 times daily
LivCo
®
tablets The herbs in this formula enhance phase I and phase II liver
detoxification pathways. This will aid the clearance of excessive
hormones.

1 tablet 3 times daily

Nevaton
®
tablets Nevaton
®
tablets provide antidepressant and nervous system tonic
activity which will help to alleviate stress and/or depression
associated with this condition. Schisandra, as well as having a
beneficial effect on the nervous system, also enhances liver
detoxification pathways.

1 tablet 3 to 4 times daily


Anecdotes
• Good results can be obtained in fibrocystic breast syndrome with a lymphatic formula combined with
Chaste Tree.
• Many patients are extremely thankful for the existence of Nevaton
®
tablets. They improve mood,
increase energy and promote well-being.

Herbal and Nutritional Protocols for Common Conditions 66 © Phytotherapy Press

Fibromyalgia

Fibromyalgia can be defined as widespread musculoskeletal pain that persists for at least 3 months with
no evidence of inflammation or muscle abnormalities. There is often clinical overlap between fibromyalgia
and chronic fatigue syndrome.

Aims of Treatment

The treatment is similar to that for chronic fatigue syndrome with the following aspects emphasised:
• The poor responsiveness of the adrenal glands suggests there may be some adrenal exhaustion
present, which requires adaptogens and adrenal tonics.
• Immune-modulation is required due to the possibility of immune dysregulation stemming from a
previous (and possibly viral) infection.
• Improve sleep quality (and circadian rhythm), cerebral circulation and central nervous system
function including the level of neurotransmitters such as serotonin.
• Treat musculoskeletal symptoms and low thyroid function if required.

Primary Protocol
Rehmannia Complex tablets The herbs in this tablet provide immune modification, suitable for
use in conditions caused by immune dysregulation. Rehmannia,
with adrenal tonic activity, assists the body to recover its adrenal
reserves. They can also provide anti-inflammatory effects which
help the aches and pains.

1 tablet 3 times daily



ThyAdren Support tablets The combination of nutrients and Rehmannia in these tablets
offers significant adrenal support, which is an important part of
the treatment of patients with fibromyalgia. These tablets also
support thyroid function.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Both Rehmannia and Licorice are excellent adrenal tonics and anti-
inflammatories.
1 tablet 2 to 3 times daily


Siberian Ginseng tablets The adaptogenic activity of Siberian Ginseng also helps the
adrenal glands and the body's response to stress. 1 tablet 3 times daily

St J ohn’s Wort tablets St J ohn’s Wort provides antiviral activity, support for the nervous
system and may assist in helping the body to achieve a healthy
balance of neurotransmitters. A clinical trial has shown that
St J ohn's Wort may help release growth hormone (which may be
lowered in fibromyalgia). Mood and vitality may also be boosted.

1 tablet 3 times daily


Mega Mag powder Supplementation with magnesium may assist the muscle
weakness in fibromyalgia. Reduced body stores of magnesium,
and even deficiency of magnesium in muscle cells have been
implicated in fibromyalgia. Supplementation of calcium and
magnesium to some patients was found to reduce the number of
tender points.

5 g daily

Active Mag-Cal tablets Active Mag-Cal tablets may be able to be used to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder, or can be given to patients who prefer tablets
rather than powder.

1 tablet 3 times daily


Additional Treatment (as required)
Valerian Complex tablets This combination of herbs provides sedative activity specific for
the treatment of sleep-onset insomnia. 3 tablets taken one hour before bed

Herbal and Nutritional Protocols for Common Conditions 67 © Phytotherapy Press

OR NeuroSom tablets NeuroSom may be beneficial where insomnia is a symptom or
where there is anxiety or depression. Magnolia bark is traditionally
used in J apanese medicine (Kampo) for the treating of anxiety,
insomnia and depression. Zizyphus is used in Chinese medicine for
insomnia, anxiety and irritability. Lemon Balm and Lavender are
used in Western herbal medicine for symptoms associated with
anxiety and depression. Magnesium and vitamin B6 are essential
for a healthy nervous system.

2 tablets 1 to 2 times daily


OR Chaste Tree tablets Chaste Tree may be of benefit in the treatment of sleep
maintenance insomnia by improving nocturnal melatonin release,
and particularly insomnia associated with fibromyalgia which has a
pattern suggestive of disturbed circadian rhythm. In fibromyalgia,
there may also be raised prolactin levels, which Chaste Tree may
help correct.
5 tablets daily divided into 3 doses
throughout the day, finishing at
approximately 8 pm
Saligesic tablets Standardised extracts of Willow Bark have demonstrated
significant analgesic activity which may relieve painful muscles and
joints
3 to 4 tablets daily


OR Boswellia Complex tablets The four herbs in this formula, Boswellia, Turmeric, Celery Seed
and Ginger, have proven anti-inflammatory activity which may
relieve painful muscles and joints.
3 to 4 tablets daily


Echinacea Premium tablets or
liquid
To support and enhance immune function.
Tablets: 1 tablet 2 times daily
Liquid Extract: 5 mL with water
daily

ThyroCo tablets This combination of herbs enhances thyroid function if thyroid
function is compromised, which is often the case in fibromyalgia.

1 to 2 tablets 3 times daily

Ginkgo Forte tablets or 2:1
liquid extract
Ginkgo has clinically-proven ability to improve cerebral and
peripheral circulation.
Tablets: 1 to 2 tablets 2 times daily
Liquid Extract: 1.5 to 3 mL with
water, 2 times daily

Anecdotes
• A practitioner started using a combination of Rehmannia Complex and Saligesic tablets with a
fibromyalgia patient suffering with acute inflammation of large joints and soft tissue, pain and
oedema. The patient described the pain as "being beaten with a wooden stick all over the body".
The symptoms would recur with immune system dysfunction brought on by severe stress. A dose of
2 tablets bd of both Rehmannia Complex and Saligesic was prescribed for 3 months. After 1 month
the patient reported a significant improvement and after 3 months she is completely pain free and no
longer taking either tablet.

Herbal and Nutritional Protocols for Common Conditions 68 © Phytotherapy Press

Food I ntolerance

Food intolerance is a sensitivity to constituents in the diet, which may result from undigested protein
intruding into the body and a consequent immune challenge.

Aims of Treatment

• Stimulate digestive function to increase the breakdown and hence reduce the antigenicity of food
proteins, particularly with bitters, aromatics, choleretic and cholagogue herbs.
• Support the immune system and the liver (particularly hepatic screening and detoxification) in
dealing with the circulating antigenic material.
• Improve the body's capacity to handle allergy with antiallergic herbs.
• Relieve underlying gastrointestinal inflammation and spasm.

Primary Protocol
DiGest tablets This combination includes bitter, aromatics and choleretic herbs to
stimulate digestive secretions. Chamomile essential oil is anti-
inflammatory and together with Chen Pi reduces gastrointestinal
spasm. In addition to its trophorestorative and hepatoprotective
activities St Mary's Thistle was once regarded as a bitter. Bitters
increase all aspects of upper digestive function including the
release of pancreatic enzymes.

1 tablet 3 times daily given 30
minutes before meals. It is best to
suck the tablet until a bitter taste is
experienced, then swallow with
some water

Livton
®
Complex tablets This combination of herbs contains herbs with choleretic,
cholagogue and hepatoprotective activity which will improve upper
digestive function, liver function and promote bile flow. St Mary's
Thistle will assist in hepatic screening and detoxification.
1 tablet 3 times daily taken before
meals


Additional Treatment (as required)
Everyday Balance Protein
Powder
The protein and glutamine in Everyday Balance will assist in gut
repair and healing.
2 heaped tablespoons (25 grams)
into 240 mL of water, non-fat milk
or appropriate alternative, 1 to 2
times daily

Tissue Regenex tablets Tissue Regenex tablets will help to repair gut tissue damage
caused by inflammation. The combination of Gotu Kola, Grape
Seed, Ginkgo, vitamin C and zinc provides support for tissue
healing and normal development of connective tissue by
increasing blood flow particularly microcirculation.

1 tablet 3 to 4 times daily
Silymarin tablets For patients with a history of liver damage high potency St Mary’s
Thistle provides clinically-proven hepatoprotective and
hepatotrophorestorative activity to aid in the restoration of liver
function. St Mary's Thistle will assist in hepatic screening by the
Kupffer cells (thus removing antigenic material and assisting
immune function).

3 tablets daily

P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification.

4 g 1 to 2 times daily
LivCo
®
tablets For patients with suspected chemical sensitivity, this combination
of herbs enhances the detoxifying capacity of the liver
(enhancement of hepatic phase I/II detoxification).
3 to 4 tablets daily


Herbal and Nutritional Protocols for Common Conditions 69 © Phytotherapy Press
Golden Seal tablets If leaky gut or intestinal dysbiosis is suspected patients may
benefit from the trophorestorative effect that Golden Seal has on
the gastrointestinal mucosa. Refer also to Bowel Flora Protocol.
Golden Seal will also be of benefit if diarrhoea is present.

1 tablet 2 to 3 times daily

Albizia Complex tablets This combination of antiallergic herbs will be of benefit for patients
with classical food allergy or those with a strong history of atopy.

3 tablets daily


Echinacea Premium tablets or
Andrographis Complex tablets
Echinacea root, Andrographis and Holy Basil have proven immune
enhancing activity which will be of benefit to those patients with
poor immune function. Echinacea is also a depurative, which may
assist tissue detoxification.
2 to 3 tablets times daily


Bacto-Cand GI capsules The combination of essential oils and herbs in Bacto-Cand GI
capsules provides immune support, antimicrobial and antifungal
activity.

1 to 2 capsules 3 times daily
* Refer also to Bowel Flora Protocol.
Anecdotes
• A 12-year-old child with periodic wheat and milk intolerance “build up” resulting in mucus and
respiratory congestion and vomiting of mucus. Treatment included reducing allergen intake (but in
this case allergens were not entirely removed), Albizia Complex (1 tablet tds or 2 bd) and
Andrographis Complex (2 tablets bd) during the acute phase. This treatment had an almost instant
effect on inflammatory pain and congestion. Long term treatment: Echinacea Premium (1 tablet bd),
Golden Seal (1 tablet bd) and Probiotica (1 capsule in the morning).
Herbal and Nutritional Protocols for Common Conditions 70 © Phytotherapy Press

Gastroenteritis

Gastroenteritis can be due to many causes, infective and non-infective (eg chemical toxins, lactose
intolerance) and is often caused by accidental ingestion of food and drink contaminated with pathogenic
bacteria.

Aims of Treatment

• Reduce the microbial infection in the intestine and reduce inflammation.
• Restore the integrity of the GIT mucous membranes.
• Provide astringent, anti-inflammatory and mucilaginous herbs to assist recovery of the bowel wall.
• Enhance immune function.

Primary Protocol
Golden Seal tablets The isoquinoline alkaloid constituent of Golden Seal, berberine is
antimicrobial and has been used clinically for the treatment of
infectious diarrhoea. Golden Seal restores the integrity of the
mucous membranes of the digestive tract.
1 tablet 2 to 3 times daily


Example Formula Barberry provides berberine which is antimicrobial. Calendula is a
non-tannin astringent with vulnerary and anti-inflammatory
activity. Propolis is antimicrobial, astringent, anti-inflammatory and
has been used clinically for the treatment of infection and
inflammation of the GIT. Licorice and Marshmallow help to sooth
and heal the gut mucosal. The mucilage in Marshmallow can
reduce the severity of diarrhoea and also acts as a food source for
favourable gut bacteria.

Barberry 1:2 30 mL
Calendula 1:2 (90% alcohol) 20 mL
Propolis 1:5 15 mL
Licorice 1:1 15 mL
Marshmallow Root 1:5 20 mL
100 mL

Dosage – 5 mL 3 times daily

Andrographis Complex tablets All 3 herbs in this formula have immune modulating activity
therefore will increase the immune response and help recovery
from gastrointestinal infection. Andrographis has been used
traditionally in a number of cultures for enteric infections and a
number of Chinese studies support this use. Holy Basil has been
used in Ayurveda for the treatment of diarrhoea, dysentery and
gastric disorders in children.

1 tablet 2 to 3 times daily





Bacto-Cand GI capsules The combination of essential oils and herbs in Bacto-Cand GI
capsules provides immune support, antimicrobial and antifungal
activity.
1 to 2 capsules 3 times daily
Slippery Elm 400mg capsules or
Slippery Elm powder
Slippery Elm can be chosen as a source of mucilage when no liquid
formula is being given or when the inclusion of other herbs in the
formula is necessary.

Capsules: 2 to 3 capsules 2 to 3
times daily with plenty of water
Powder: 1 to 2 teaspoons mixed in
half a cup of water 2 times daily

Additional Treatment (as required)
Probiotica capsules This blend of bacteria may help to return the balance of healthy
intestinal flora after the acute infection is over (and after the use
of the herbs with antibacterial activity such as Golden Seal and
Barberry), particularly if taken in conjunction with Slippery Elm
which helps to enhance the growth and colonisation of these
probiotic bacteria. Treatment with a suitable probiotic blend will
also be of benefit for patients who have received antibiotic
treatment.

1 capsule 1 to 2 times daily

Herbal and Nutritional Protocols for Common Conditions 71 © Phytotherapy Press

Tissue Regenex tablets Tissue Regenex tablets can be given after the infection to help to
repair damage to the gut. The combination of Gotu Kola, Grape
Seed, Ginkgo, vitamin C and zinc provides support for tissue
healing and normal development of connective tissue by
increasing blood flow particularly microcirculation.

1 tablet 3 to 4 times daily
Anecdotes
• Herbal practitioners often use Golden Seal tablets in conjunction with specific formulations to treat
conditions of the different mucous membranes throughout the body.

Herbal and Nutritional Protocols for Common Conditions 72 © Phytotherapy Press

Graves’ Disease

Graves' disease is a chronic inflammatory autoimmune disease of the thyroid resulting in excessive
production of thyroxine and hyperthyroidism.

Aims of Treatment

• To reduce thyroxine output from the thyroid gland.
• To reduce the production of thyroid antibodies by regulating immune function.
• To reduce the inflammatory process and the increased free radicals that result from inflammation.
• Treat symptoms such as palpitations and restlessness.

Primary Protocol
Bugleweed 1:2 liquid extract Bugleweed is a specific for hyperthyroidism. It attaches to the TSH
receptor in the thyroid, thereby reducing receptor binding of TSH
receptor stimulating antibodies, This in turn reduces the output of
thyroxine. Bugleweed is also thought to reduce the conversion of
T4

to T3.

2 to 5 mL daily



Rehmannia Complex tablets The herbs in this formula combine anti-inflammatory activity with
the immune suppressing activity of Hemidesmus. As a result there
will be a reduction in the inflammatory process and a reduction in
the number of TSH receptor antibodies, resulting in reduced levels
of thyroxine.

1 tablet 3 times daily


Echinacea Premium tablets Echinacea exerts an immune modulating effect.
1 tablet 3 times daily


Example Formula The rationale for Bugleweed is explained above. Lemon Balm
appears to reduce the conversion of T4 to T3

and also has mild
sedative activity. Motherwort reduces palpitations and is a specific
for palpitations associated with hyperthyroidism. Hemidesmus will
reduce the production of TSH receptor stimulating antibodies.
Bugleweed 1:2 30 mL
Lemon Balm 1:2 20 mL
Motherwort 1:2 15 mL
Hemidesmus 1:2 35 mL
100 mL

Dosage – 5 mL 3 times daily

Additional Treatment (as required)
NeuroSom tablets NeuroSom may be beneficial for alleviating many of the symptoms
of hyperthyroidism eg anxiety and insomnia. Magnolia bark is
traditionally used in J apanese medicine (Kampo) for the treating
of anxiety, insomnia and depression. Zizyphus is used in Chinese
medicine for insomnia, anxiety and irritability. Lemon Balm and
Lavender are used in Western herbal medicine for symptoms
associated with anxiety and depression. Magnesium and vitamin
B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


Vitanox
®
tablets The antioxidant activity provided by this tablet will reduce the
tissue damage caused by free radicals. In addition to the anti-
inflammatory activity of Turmeric, both Turmeric and Rosemary
increase clearance of toxins in the liver. In autoimmune diseases,
immune complexes are cleared via detoxification pathways in the
liver.

1 tablet 2 to 3 times daily

Herbal and Nutritional Protocols for Common Conditions 73 © Phytotherapy Press

AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean Ginseng,
Pine Bark extract and Polygonum cuspidatum, which is a major
source of resveratrol and is an excellent antioxidant/anti-ageing
formula. In addition St Mary’s Thistle provides hepatoprotective
and trophorestorative activity whilst Korean Ginseng improves
energy, well-being and adaptation to stress.

1 to 2 tablets 2 times daily
Adrenal Complex tablets All autoimmune diseases are chronic, inflammatory conditions.
Both Rehmannia and Licorice have significant anti-inflammatory
activity. They both also support adrenal function, an important
function in autoimmunity due to the stressful nature of these
autoimmune conditions. All chronic conditions are stressful to the
body even if the patient does not feel emotionally stressed.
1 tablet 2 to 3 times daily


Zinc Protect tablets Antioxidants particularly those with selenium have proved to be
beneficial in Grave’s disease patients.

1 tablet daily

Anecdotes
• Graves’ disease patients can be successfully treated with a combination of immune suppression (eg
Hemidesmus), immune modulation (eg Echinacea) and Bugleweed, along with other herbs relevant
to the patient’s specific symptoms.
Herbal and Nutritional Protocols for Common Conditions 74 © Phytotherapy Press

Hashimoto’s Thyroiditis

Hashimoto’s thyroiditis is an inflammatory autoimmune disease in which cells within the thyroid are
gradually destroyed by autoantibodies. This reduces the capacity for thyroxine production and causes
hypothyroidism.

Aims of Treatment

• To reduce the production of thyroid antibodies by regulating immune function.
• To reduce the inflammatory process and the increased free radicals that result from inflammation.
• Treat symptoms such as fatigue and weight gain.

Primary Protocol
Rehmannia Complex tablets The herbs in this formula provide anti-inflammatory activity with
the immune suppressing activity of Hemidesmus. As a result there
will be a reduction in the inflammatory process and a reduction in
the number of thyroid antibodies, resulting in reduced thyroid
damage.
1 tablet 3 times daily




Echinacea Premium tablets Echinacea exerts an immune modulating effect.
1 tablet 3 times daily


ThyroCo tablets Bladderwrack is used traditionally for the treatment of
hypothyroidism. It provides iodine which is essential for the
synthesis of thyroxine. Both Withania and Bacopa have been
shown to increase thyroxine levels. Withania has also been shown
to have an antiperoxidative (antioxidant) effect.

1 to 2 tablet 3 times daily


ThyAdren Support tablets ThyAdren Support contains a combination of nutrients and
Rehmannia to support and improve thyroid and adrenal function.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Adrenal support is an important part of treating thyroid conditions.
Both Rehmannia and Licorice are excellent adrenal tonics. They
also have significant anti-inflammatory activity and may help to
reduce the inflammation associated with this condition.
1 tablet 2 to 3 times daily


Additional Treatment (as required)
St J ohn's Wort tablets St J ohn’s Wort provides antiviral activity for viruses that are
classed as ‘enveloped’, including Herpes viruses, Epstein Barr
virus, Cytomegalovirus, Ross River virus, Hepatitis B and C,
Rubella virus, and many of the viruses that cause the common
cold and influenza. It also has antidepressant and nervine tonic
activity making it an ideal adjunct to other herbal treatments for
autoimmune diseases.

3 to 4 tablets daily
Vitanox
®
tablets The antioxidant activity provided by this tablet will reduce the
tissue damage caused by free radicals. In addition to the anti-
inflammatory activity of Turmeric, both Turmeric and Rosemary
increase clearance of toxins via the liver. In autoimmune diseases,
immune complexes are cleared by detoxification pathways in the
liver.

1 tablet 2 to 3 times daily


AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean Ginseng,
Pine Bark extract and Polygonum cuspidatum, which is a major
source of resveratrol and is an excellent antioxidant/anti-ageing
formula. In addition St Mary’s Thistle provides hepatoprotective
and trophorestorative activity whilst Korean Ginseng improves
energy, well-being and adaptation to stress.

1 to 2 tablets 2 times daily
Herbal and Nutritional Protocols for Common Conditions 75 © Phytotherapy Press
Reishi & Shiitake tablets Reishi and Shiitake are among the most popular mushrooms in
China for their health promoting qualities. They are beneficial as
tonics in autoimmune disease.

1 tablet 2 to 3 times daily
Tissue Regenex tablets Hashimoto’s is an inflammatory condition resulting in damage to
thyroid tissue. The combination of Gotu Kola, Grape Seed, Ginkgo,
vitamin C and zinc provides support for tissue healing and normal
development of connective tissue by increasing blood flow
particularly microcirculation. Grape Seed and Ginkgo also provide
antioxidant activity. Gotu Kola will help to prevent the
development of fibrosis in the thyroid gland.

1 tablet 3 to 4 times daily
Everyday B Multi tablets Everyday B Multi tablets provides essential nutrients to maximize
thyroid function including zinc and selenium.

1 tablet daily after breakfast

Vital Woman Vital Woman provides essential nutrients to maximize thyroid
function including zinc and selenium. The presence of Shatavari
and Chaste Tree in the formula make it ideal for women,
particularly those experiencing premenstrual symptoms and for
mid-aged women (Hashimoto’s is most frequently diagnosed in
this group). Polygonum cuspidatum, containing resveratrol,
provides antioxidant support.

1 tablet daily after breakfast

Zinc Protect tablets Selenium is an essential component of the iodothyronine
selenodeiodinases that catalyse the extrathyroidal production of
T3. Selenium deficiency may influence the generation of free
radicals, the conversion of thyroxine T4 to T3 and the
autoimmune process.

1 tablet daily

Bacopa Complex tablets Bacopa has been shown to increase thyroxine levels. The
combination of herbs in this tablet improve mental activity (often
deficient in hypothyroidism) and enhance liver detoxification
pathways.

1 tablet 3 to 4 times daily


Anecdotes
• Many practitioners routinely use a combination of Hemidesmus and Echinacea as part of the herbal
treatment for Hashimoto’s thyroiditis.
• Good results have been achieved using Bacopa and Withania as part of the herbal treatment of
patients with hypothyroidism.
• One practitioner reports, “I am very excited about the new ThyAdren Support tablets and have
started giving them to many of my hypothyroid patients who are already taking ThyroCo and a
number of other supplements. ThyAdren Support tablets contain all the nutritional factors necessary
for thyroid and adrenal health which means the total number of supplements can be reduced
significantly, which my patients are very happy about.”

Herbal and Nutritional Protocols for Common Conditions 76 © Phytotherapy Press

Heavy Metal Detoxification

Heavy metal exposure, even at low exposure levels, may cause subtle endocrine, neurological and
immunological dysfunctions.

Aims of Treatment

• Minimise heavy metal exposure via the inhibition of absorption from the gastrointestinal tract.
• Assist the body's general excretion mechanisms and encourage excretion of heavy metals.
• Support for the liver with antioxidants, and immune system with immune enhancing herbs.

Primary Protocol
ChelaCleanse tablets Garlic and the flavanolignans of St Mary's Thistle are capable of
binding to heavy metals. Garlic also mobilises heavy metals from
tissues, thus encouraging excretion. This helps in reducing the
absorption of heavy metals in the gastrointestinal tract. Cysteine
and alpha-lipoic acid further support the liver and reduce
absorption of heavy metals.

1 tablet 2 to 4 times daily with
meals


Echinacea Premium tablets To support and enhance immune function if required.
1 tablet 2 to 3 times daily

Mega Mag powder Magnesium, calcium and zinc may reduce absorption of cadmium
and enhance excretion of lead.
5 g daily

Poly-C Powder Vitamin C reduces the absorption of some heavy metals including
cadmium. Alpha-lipoic acid plays an important role in detoxifying
heavy metals. It may facilitate the removal of heavy metals from
the cell, or at the very least, reduce the cellular damage
associated with heavy metals. It is also a powerful antioxidant.

4 g 1 to 2 times daily
Zinc Protect tablets Zinc reduces the absorption of heavy metals including cadmium,
lead and arsenic.
1 tablet daily
Hawthorn tablets OR Hawthorn
Leaves 1:2 liquid extract
Hawthorn alone and in combination with Garlic and St Mary’s
Thistle significantly reduces the absorption of lead and mercury.
Tablets: 1 tablet 3 times daily
Liquid Extract: 3 to 5 mL daily

Methyl Factors tablets These tablets contain two components that will aid heavy metal
detoxification. Green Tea reduces the absorption of mercury and
choline reduces the absorption of arsenic.

1 tablet daily
P2-Detox powder P2-Detox powder enhances detoxification pathways in the liver
and provides antioxidant activity. Cysteine and methionine
antagonise the absorption of arsenic and mercury. Arsenic
absorption is also reduced by choline.

4 g 1 to 2 times daily

LivCo
®
tablets Whilst P2-Detox powder provides nutritional components to
enhance liver detoxification pathways, LivCo
®
tablets contain herbs
that enhance these pathways. These herbs also have other
benefits in patients with heavy metal toxicities. For example,
St Mary’s Thistle also reduces absorption of heavy metals.
Schisandra and Rosemary improve cognition, which can be
adversely affected by some heavy metals.

1 tablet 3 times daily
Herbal and Nutritional Protocols for Common Conditions 77 © Phytotherapy Press

Meadowsweet 1:2 liquid
extract
Meadowsweet reduces the absorption of lead and mercury.
5 mL daily
Slippery Elm 400mg capsules,
Slippery Elm powder or
Psyllium Husks
Slippery Elm and Psyllium may help to reduce absorption of heavy
metals from the gastrointestinal tract.
Capsules: 2 to 3 capsules 2 to 3
times daily with plenty of water
Powder: 1 heaped teaspoon mixed
in half a cup of water, 3 times daily

Herbal and Nutritional Protocols for Common Conditions 78 © Phytotherapy Press

Hepatitis

Hepatitis is an inflammatory condition of the liver caused mostly by infectious agents. Currently there are
five main types caused by viruses, known as Hepatitis A, B, C, D and E. Non-infective hepatitis can be
caused by toxic damage eg some drugs, alcohol, chemicals.

Aims of Treatment

• Provide diaphoretic therapy for the acute infectious phase.
• Support the immune system with herbal antivirals and immune modulators.
• Support the liver with herbal hepatoprotectives and hepatotrophorestoratives.
• Address dietary considerations eg avoidance of alcohol, fatty foods, artificial food additives and
unnecessary drugs.

Primary Protocol
DiaCo Phytosynergist™ liquid The formula provides synergistic diaphoretic herbs to support the
body’s immune response during acute infections. It also provides
the immune enhancing properties of Echinacea.

5 mL with water 3 to 4 times daily
Andrographis Complex tablets The herbs in this formula provide support for the immune system
during acute infections plus Andrographis has hepatoprotective
properties.
1 tablet 2 to 3 times daily, increase
dose in acute conditions

St J ohn’s Wort tablets St J ohn’s Wort provides antiviral support for the chronic level of
infection as well as support for the nervous system. It is
particularly beneficial for hepatitis B and C (hepatitis D only occurs
in individuals infected with hepatitis B) because these are
enveloped (protein coated) viruses. Hepatitis A and E are non-
enveloped.

1 tablet 2 to 3 times daily

Silymarin tablets High potency St Mary’s Thistle provides clinically-proven
hepatoprotective and hepatotrophorestorative activity to aid in the
restoration of liver function.

1 tablet 2 to 3 times daily

Additional Treatment (as required)
Zinc Protect tablets Selenium aids in the reduction of lipid peroxidation in chronic
hepatitis. Vitamin E levels are often low in patients with hepatitis. 1 tablet daily

Poly-C Powder Oxidative stress is a feature of hepatitis and vitamin C and
flavonoids may aid in the reduction of oxidative stress. 4 g daily

Adrenal Complex tablets Both Rehmannia and Licorice have significant anti-inflammatory
activity and may reduce the inflammation associated with
hepatitis. Licorice may also have hepatoprotective activity. Some
hepatitis infections eg chronic hepatitis C cause long-term stress
which can have a detrimental effect on the adrenals. Supporting
the adrenals with Rehmannia and Licorice is an important part of
the treatment of such conditions.
1 tablet 2 to 3 times daily


Recovery Phase
Livton
®
Complex tablets After the acute phase of hepatitis and when liver health/repair has
been improved with Silymarin tablets, Livton
®
Complex tablets can
be given in cases where the digestive function (bile production) of
the liver needs to be improved and supported.

1 tablet 3 times daily

LivCo
®
tablets After the acute phase of hepatitis and when liver health/repair has
been improved with Silymarin tablets, LivCo
®
tablets can be given
in cases where liver detoxification pathways need to be improved.
In addition, St Mary’s Thistle will continue to repair and improve
liver function.

1 tablet 3 times daily
Herbal and Nutritional Protocols for Common Conditions 79 © Phytotherapy Press
P2-Detox powder P2-Detox powder can be used in conjunction with LivCo
®
tablets
to improve liver detoxification pathways. Whilst LivCo
®
tablets
contain herbs to enhance liver detoxification, P2-Detox powder
provides nutritional factors including Broccoli sprouts, important
amino acids as well as Turmeric. Glutamine and the inorganic
sulfur from potassium sulfate act as conjugating substances in
phase II detoxification, thus improving clearance of excessive
xenobiotics.

4 g 1 to 2 times daily

Anecdotes
• Andrographis Complex tablets are the ideal choice for immune stimulation in patients with viral
hepatitis. They not only boost immune function but Andrographis is also hepatoprotective thus
reducing damage to the liver.
• Silymarin should be prescribed to any patient with liver problems, irrespective of the problem. It is
great for patients with hepatitis as it helps to repair the liver without being too stimulating on liver
function. It also protects the liver from damage.
• After getting hepatitis C from a blood transfusion a patient began taking Silymarin (4 tablets daily).
He felt better within weeks and continues to improve each day.

Herbal and Nutritional Protocols for Common Conditions 80 © Phytotherapy Press

Herpes I nfections

Infection with human herpes virus 1 and human herpes virus 2 (herpes simplex viruses) causes non-
genital infection (eg oral and facial – cold sores) and genital herpes infection. Herpes virus 3 (varicella-
zoster virus) causes chickenpox and shingles. Post-herpetic neuralgia may occur following shingles
infection. The herpes viruses are enveloped.

Aims of Treatment

• Reduce the viral infection by the use of antiviral and immune enhancing herbs.
• Support the nervous system and relieve post-herpetic neuralgia.
• Provide topical relief and healing of skin lesions.
• Provide support for debilitated patients to prevent re-infection.

Primary Protocol
St J ohn's Wort tablets St J ohn's Wort is antiviral, with activity against enveloped viruses
such as those of the herpes genus. The antiviral activity relies
upon the presence of hypericin, and to a lesser extent
pseudohypericin, in the herb or its preparations. St J ohn's Wort
also provides support for the nervous system (both as a sedative
and as a nervous system tonic). It is traditionally indicated for the
treatment of neuralgia which is of benefit in shingles, especially if
post-herpetic neuralgia is present.

1 tablet 3 times daily
For acute outbreaks the dose can
be doubled


Echinacea Premium tablets Echinacea root assists the body in fighting the infection and
enhances the nonspecific immune function to prevent the infection
recurring.
1 tablet 2 to 3 times daily
For acute outbreaks the dose can
be doubled

Cream Lemon Balm has antiviral activity and clinical trials using topical
application of Lemon Balm have shown benefit for the treatment
of cold sores.

Take 100 mL of Lemon Balm 1:2
liquid extract reduce over low heat
(about 1 hour) to 15 to 20 mL mix
thoroughly while warm into 100 g
of good quality Vitamin E cream
Apply several times daily

Calendula 1:2 liquid extract Calendula is a vulnerary, non-tannin astringent and anti-
inflammatory and assists in the healing of the inflammatory skin
lesions.
Apply liquid extract directly to skin
lesions

Additional Treatment (as required)
Withania Complex tablets This gentle and effective tonic may be of benefit in debilitated or
convalescing patients who are prone to reinfection. Adults: 1 tablet 3 to 4 times daily
Children: 1 tablet 2 to 3 times daily

Zinc Protect tablets Zinc is an essential nutrient for efficient immune functioning.
1 to 2 tablets daily
(a dose of 2 tablets daily should be
taken in the acute phase only and
should not exceed 5 days)

Everyday B Multi tablets Everyday B Multi tablets is an ideal multivitamin/mineral
supplement to improve and maintain overall health including the
immune system. It contains lysine which is beneficial for the
treatment and prevention of herpes infection.

1 tablet daily with breakfast

Herbal and Nutritional Protocols for Common Conditions 81 © Phytotherapy Press

Vital Woman Vital Woman contains Chaste Tree and Shatavari, making it an
ideal multivitamin/mineral supplement for women who experience
herpes outbreaks premenstrually.
1 tablet daily after breakfast

Anecdotes
• Practitioners find that St J ohn’s Wort tablets work well in the management of herpes. They are
usually combined with Echinacea Premium tablets or Andrographis Complex tablets, particularly
during acute attacks.
• Many patients who suffer recurrent herpes attacks can manage the condition with St J ohn’s Wort
tablet taken as needed. They are usually combined with Andrographis Complex tablets during acute
attacks.
• When prescribing Withania Complex tablets practitioners find the combination of the adaptogenic
and immune enhancing effects of Korean Ginseng and Withania, the adrenal tonic effect of Licorice
and the nervine tonic effect of Skullcap ideal for treating a variety of symptoms associated with
depleted immunity, particularly when associated with stress.

Herbal and Nutritional Protocols for Common Conditions 82 © Phytotherapy Press

Hypercholesterolaemia

Hypercholesterolaemia is a major risk factor for heart attacks and stroke, reducing cholesterol is
foremost in the treatment and prevention of arteriosclerosis.

Aims of Treatment

• Reduce cholesterol.
• Support antioxidant system.
• Support cardiovascular function.

Primary Protocol
CholestaHealth powder The constituents in CholestaHealth have been found either
in clinical studies or traditional use to promote healthy blood
lipid levels. This may be achieved partly by reducing
absorption of cholesterol from the GIT and by inhibiting bile
acid reabsorption.

5 g 2 times daily with main meals
Garlic tablets Clinical trials support the use of Garlic in the treatment and
prevention of coronary artery disease and
hypercholesterolaemia.

1 to 2 tablets daily

Globe Artichoke 1:2 liquid extract Clinical trials as early as the 1930s have established the
value of Globe Artichoke extracts in lowering serum
cholesterol. It also has hepatoprotective and
hepatotrophorestorative activity, thus generally improving
liver health and function. (The liver plays a role in regulating
serum cholesterol levels).

1 to 2 mL 3 times daily

Coleus Forte tablets HDL cholesterol was increased in participants taking Coleus
in a clinical trial.

1 tablet 2 to 3 times daily
Livton
®
Complex tablets St Mary’s Thistle supports and improves liver function thus
enabling the liver to regulate cholesterol levels more
efficiently. See above for information on Globe Artichoke.

1 tablet 3 to 4 times daily
Additional Treatment (as required)
Vitanox
®
tablets A blend of herbs to provide strong antioxidant activity for
the maintenance of cardiovascular health. Turmeric has the
added benefit of being hypocholesterolaemic.

1 to 2 tablets daily

Hawthorn tablets Hawthorn has strong traditional use as a tonic for the heart.
Clinical trials demonstrate its effectiveness in treating
patients with heart disease. It has cardioprotective,
hypotensive, antioxidant and collagen stabilising activity.

1 tablet 3 times daily

Silymarin tablets High potency St Mary’s Thistle improves liver health thereby
helping to optimise its role in regulating serum cholesterol
levels.

1 tablet 2 times daily

Omega-3 Forte capsules Fish oil can reduce serum triglycerides and reduce heart
attack and other problems related to heart and blood vessel
disease.

1 capsule 2 to 3 times daily

Herbal and Nutritional Protocols for Common Conditions 83 © Phytotherapy Press

Example Formula Globe Artichoke, Turmeric and Tienchi Ginseng have
hypocholesterolaemic activity, while Hawthorn acts as a
general tonic for the cardiovascular system. Globe Artichoke
improves liver function. Turmeric and Hawthorn have
antioxidant activity.

Globe Artichoke 1:2 20 mL
Turmeric 1:1 30 mL
Tienchi Ginseng 1:2 30 mL
Hawthorn 1:2 (leaves or berries) 20 mL
100 mL

Dosage – 5 mL 3 times daily

Poly-C Powder Vitamin C doses of between 500 and 1,000 mg per day have
been shown to reduce total cholesterol.

4 g daily

Anecdotes
• A female patient aged 63 had a high blood cholesterol reading (7.0). After 2 Garlic tablets per day
for 2 months it was reduced by 18%.
• These Garlic tablets are used by many practitioners as part of the treatment for
hypercholesterolaemia.
• Some practitioners use Hawthorn as a matter of course for any patient presenting with conditions of
the cardiovascular system.

Herbal and Nutritional Protocols for Common Conditions 84 © Phytotherapy Press

Hypertension

Hypertension is a major risk factor for heart attacks and strokes. Since heart attacks and strokes are
responsible for approximately 42% of deaths in Australia, it is important to keep the blood pressure
within the normal range.

Aims of Treatment

• Lower hypertension by using specific herbal remedies.
• Provide specific vasodilators.
• Treat lifestyle factors eg stress, diet.

Primary Protocol
Hawthorn tablets Hawthorn not only reduces blood pressure but also assists in the
restoration of the peripheral circulation whilst providing a trophic
effect on the heart muscle.
1 tablet 2 to 3 times daily


Garlic tablets Garlic has clinically confirmed ability to lower blood pressure as
well as reducing cardiovascular risk factors such as
hyperlipidaemia.

1 tablet 1 to 2 times daily

Coleus Forte tablets Coleus has hypotensive activity. It also aids in the reduction of
serum cholesterol.

1 tablet 2 to 3 times daily
Additional Treatment (as required)
Dandelion Leaves 1:1 liquid
extract
Dandelion leaf has diuretic activity and high levels of potassium
and can be useful in the treatment of hypertension.
2 to 4 mL 3 times daily

Valerian Complex tablets Valerian Complex tablets may be valuable as part of the treatment
for hypertension when the condition is related to stress. All three
herbs are sedative and hypnotic and Zizyphus is also hypotensive.
1 tablet 3 times daily to relieve
general stress
2 to 3 tablets before bed for the
treatment of insomnia
OR NeuroSom tablets NeuroSom will be beneficial in cases where hypertension is related
to stress. Magnolia bark is traditionally used in J apanese medicine
(Kampo) for the treating of anxiety, insomnia and depression.
Zizyphus is used in Chinese medicine for insomnia, anxiety and
irritability. Zizyphus is also hypotensive. Lemon Balm and
Lavender are used in Western herbal medicine for symptoms
associated with anxiety and depression. Magnesium and vitamin
B6 are essential for a healthy nervous system. Magnesium is an
important nutrient for cardiovascular health.

2 tablets 1 to 2 times daily


EFA Essentials capsules Fish oil can help to reduce blood pressure slightly. The anti-
inflammatory effect of the fish oil and EPO coupled with the
antioxidant effect of vitamin E can help to reduce damage to
blood vessel walls thus reducing the risk of plaque formation.

1 to 2 capsules 3 times daily

Herbal and Nutritional Protocols for Common Conditions 85 © Phytotherapy Press
Zinc Protect tablets Selenium levels in hypertensive and CHD patients is lower than
controls.

1 tablet daily
Mega Mag powder Magnesium is an important nutrient for the regulation of smooth
muscle contraction thus reducing vasospasm. This powder
contains 3 different forms of magnesium and the necessary
cofactors to maximise efficacy. It also contains selenium. The
combination of magnesium and B complex vitamins in Mega Mag
will be beneficial where stress or anxiety are a contributing factor
to the hypertension.

5 g daily


Active Mag-Cal tablets Active Mag-Cal tablets may be able to be used to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder, or it can be given to patients who prefer
tablets rather than powder.

1 tablet 3 times daily


Anecdote
• Female, 46 years of age, has been taking beta-blockers for the past 6 years for hypertension. Her
hypertension is now successfully managed with Hawthorn tablets, Garlic tablets and Valerian
Complex tablets.
Herbal and Nutritional Protocols for Common Conditions 86 © Phytotherapy Press

Infertility, Female

The causes of female infertility are many and varied. They include endometriosis, polycystic ovarian
syndrome (PCOS), infections such as Chlamydia, pelvic inflammatory disease and thyroid dysfunction.
However, in many cases there is no known cause for the lack of conception.

Aims of Treatment

• Treat any known underlying causes of infertility.
• Correct any hormonal imbalance.
• Strengthen and tonify the female reproductive tract.
• Treat the nervous system where appropriate.
• Improve general health and vitality where necessary.

Primary Protocol
Tribulus Forte tablets or 2:1
liquid extract
A study involving infertile women demonstrated that Tribulus
normalised ovulation in 67% of participants. Pregnancy was
achieved in 6% of participants. Tribulus was administered on days
5 to 14 of the menstrual cycle for 2 to 3 months. The dose used in
this study was equivalent to 3 to 6 Tribulus Forte tablets per day.
When the same dose of Tribulus was administered every day of
the menstrual cycle for 2 to 3 months the same beneficial effects
on ovulation were not achieved.

Tablets: 1 tablet 2 to 3 times daily
Liquid Extract: 5 mL 2 times daily

Taken from day 5 to day 14 of the
menstrual cycle

Chaste Tree tablets Chaste Tree may correct a relative progesterone deficiency. It also
lowers prolactin levels in latent hyperprolactinaemia, a common
cause of infertility. Prolactin can also be high in PCOS. Chaste Tree
will also alleviate premenstrual symptoms, which are often
indicative of a relative progesterone deficiency.

1 to 2 tablets daily for PMS and
latent hyperprolactinaemia
2 tablets 2 times daily for uterine
fibroids, endometriosis, constant
hyperlactinaemia

Vital Woman Vital Woman contains two major herbs for female reproductive
health – Chaste Tree and Shatavari along with Polygonum
cuspidatum (containing resveratrol) which provides significant
antioxidant activity. These herbs in combination with the
combination of vitamins and minerals in this formula make it an
ideal supplement for the treatment of female infertility.

1 tablet daily after breakfast

Additional Treatment (as required)
Withania Complex tablets These tablets are beneficial for nourishing the adrenals and
nervous system. Stress is a well-known contributing factor in
unexplained infertility.
1 tablet 3 to 4 times daily


ThyAdren Support tablets ThyAdren Support tablets will be very beneficial in cases where
the patient is stressed or where adrenal fatigue and/or sluggish
thyroid function are contributing factors.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Adrenal support is essential where there is long-term stress.
Rehmannia and Licorice are excellent adrenal tonics. Both herbs
also have significant anti-inflammatory activity and will help to
reduce inflammation that can be associated with conditions
causing infertility.
1 tablet 2 to 3 times daily


Herbal and Nutritional Protocols for Common Conditions 87 © Phytotherapy Press

Example Female Reproductive
Tonic Formula
Both Paeonia (Chinese Traditional Medicine) and Shatavari
(Ayurvedic medicine) are renowned as excellent female
reproductive tonics. Cinnamon is a warming herb that increases
circulation. Licorice will tonify the adrenals and is also a good
partner for Paeonia. In much of the research on Paeonia it has
been combined with licorice.
Paeonia 1:2 30 mL
Shatavari 1:2 35 mL
Cinnamon 1:2 15 mL
Licorice High Grade 1:1 20 mL
100 mL

Dosage – 5 mL 3 to 4 times daily

Boswellia Complex tablets The herbs in this formula provide potent anti-inflammatory
activity. These tablets can be used where inflammation is thought
to be a contributing factor to the infertility. In addition to the anti-
inflammatory activity, Turmeric is antioxidant and Ginger is a
warming circulatory stimulant.

1 tablet 2 to 3 times daily


Vitanox
®
tablets This is a potent antioxidant formulation. Free radicals are a natural
by-product of inflammation and cause further tissue damage.
These tablets may play a role in improving fertility by reducing
damage to reproductive organs and tissues.

1 tablet 1 to 2 times daily


Echinacea Premium tablets Echinacea enhances immunity and can be used where infection is
thought to play a role in the infertility.
1 tablet 2 to 3 times daily for
maintenance or for chronic infection
2 tablets 3 times daily for acute
infections

LivCo
®
tablets This formula assists liver detoxification pathways and may be of
benefit where toxins are a contributing factor to the infertility. All
three herbs have antioxidant activity and Rosemary also increases
circulation.
1 tablet 3 times daily



P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification. P2-Detox will be of benefit
where toxins or poor hormone metabolism is contributing to
infertility.

4 g 1 to 2 times daily
GlucoBalance tablets OR
Gymnema tablets
GlucoBalance and Gymnema tablets can help in cases where
hyperinsulinaemia is present eg PCOS.
Only 1 tablet 2 to 3 times daily with
meals

Poly-C Powder Vitamin C supplementation has demonstrated the ability to correct
luteal phase defects by enhancing progesterone.

4 g daily

Anecdotes
• Tribulus Forte tablets are regularly used with great success to treat women with polycystic ovarian
syndrome, a condition often associated with infertility.
• A female patient aged 33 had erratic periods. After 3 months of 2 Chaste Tree tablets on rising her
cycle was more stable.
• Withania Complex tablets are fabulous for reducing the symptoms of stress and increasing sense of
well-being.
• Vitanox
®
tablets work well as part of the treatment for chronic inflammatory disorders.
• Many women report a marked improvement of their skin after being prescribed Vitanox
®
. They say
their skin has a sheen to it, looks more vital.
Herbal and Nutritional Protocols for Common Conditions 88 © Phytotherapy Press

I nsomnia

Disturbed or inadequate sleep and may be characterised by difficulty falling asleep, frequent or sustained
awakenings, early morning awakenings or persistent sleepiness despite sleep of adequate duration.
Chronic insomnia is associated with increased plasma levels of ACTH and cortisol.

Aims of Treatment

• Improve the ability to fall and remain asleep.
• Decrease the overall level of arousal.
• Support the nervous system and the body's stress response; decrease ACTH and cortisol levels.
• Treat any associated conditions: anxiety, depression, pain.

Primary Protocol
Valerian Complex tablets This combination of herbs provides sedative, hypnotic, analgesic
and antispasmodic activity. Valerian has been used traditionally for
insomnia, anxiety and stress, Passionflower for insomnia, and the
Chinese Pharmacopoeia recommends Zizyphus for insomnia.
Zizyphus is an anti-hydrotic and very beneficial for hot flushes
during the night. Clinical trials investigating the use of Valerian
and Passionflower indicate benefit for the treatment of insomnia
and anxiety. No negative effect on alertness the morning after
intake was observed.

2 to 4 tablets, taken 1 hour before
bedtime. Dosage may be repeated
during the night.
For chronic insomnia, take 2 to 3
tablets throughout the day and 2
tablets 1 hour before bedtime

OR Mexican Valerian tablets Mexican Valerian is used traditionally in Mexico for its tranquillising
and sedative effects. A clinical trial has indicated benefit,
particularly in decreasing waking episodes. It contains a different
spectrum of phytochemicals than Valerian and may be of benefit
for patients that do not respond to Valerian Complex.

1 to 2 tablets, 2 times daily

OR Kava tablets Kava is one of the most powerful hypnotic/anti-anxiety herbs we
have available to us and can be combined with a daytime nervous
system formula (tablet or liquid) which reduces the overall effects
of stress.

1 to 3 tablets before bed

OR NeuroSom tablets Magnolia bark is traditionally used in J apanese medicine (Kampo)
for the treating of insomnia, anxiety and depression. Zizyphus is
used in Chinese medicine for insomnia, anxiety and irritability.
Lemon Balm and Lavender are used in Western herbal medicine
for the treatment of insomnia and to relieve the symptoms
associated with anxiety and depression. Magnesium and vitamin
B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


Additional Treatment (as required)
Californian Poppy 1:2 extract Californian Poppy is a mild sedative, used traditionally for the
treatment of insomnia and anxiety. It is an opioid analgesic, useful
for relief of systemic pain associated with insomnia.

5 mL daily
AND/ OR Saligesic tablets Special extracts of Willow Bark have demonstrated significant
analgesic activity. Use if pain is a contributing factor to the
insomnia.

2 to 4 tablets daily

Withania & Ginseng tablets Withania and Korean Ginseng are adaptogenic and tonic activity.
They support the body's response to stress and may decrease
cortisol levels. Both herbs have been used traditionally for the
treatment of insomnia.

3 to 4 tablets daily

Herbal and Nutritional Protocols for Common Conditions 89 © Phytotherapy Press

Nevaton
®
tablets St J ohn's Wort, Damiana, Skullcap and Schisandra provide
primarily nervine, general tonic, mild sedative and mild
antidepressant activity. This combination of herbs provides
premium support of the nervous system. These herbs have been
used traditionally for the treatment of insomnia and depression.
Skullcap is also indicated for strain from physical or mental
overwork.

3 to 4 tablets daily

ThyAdren Support tablets ThyAdren Support tablets will be beneficial in cases where chronic
stress and/or adrenal depletion or reduced thyroid function are
contributing to the insomnia.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Both Rehmannia and Licorice are excellent adrenal tonics and will
help to reduce and/or treat the consequences of stress such as
adrenal depletion. 1 tablet 2 to 3 times daily


Everyday B Multi tablets Everyday B Multi tablets provides essential nutrients to ensure a
healthy nervous system, thus relieving symptoms of stress and
anxiety and reducing their detrimental effects on sleep.

1 tablet daily after breakfast

Vital Woman In addition to essential vitamins and minerals that ensure a
healthy nervous system, Vital Woman contains Shatavari and
Chaste Tree making it the ideal multivitamin/mineral supplement
for women when insomnia is worse premenstrually or associated
with the onset of menopause.

1 tablet daily after breakfast

Active Mag-Cal tablets These nutrients, particularly magnesium, are important for a
healthy nervous system, particularly in times of increased or
prolonged stress.

1 tablet 3 times daily


Anecdote
• A female patient aged 37 has a high pressured career and travels extensively overseas takes
Nevaton
®
tablets 3 per day and finds they dramatically reduce her stress levels and Valerian
Complex 2 tablets one hour before bed help her to have a deep sleep despite the many different
hotels.
• A practitioner changed all clients taking the leading practitioner only B complex to Everyday B Multi
tablets. Some clients report no longer experiencing occasional headaches associated with the other
product. Many have commented on a better all round lift in well-being.
• A client was suffering from severe anxiety and stress causing insomnia. She was prescribed Active
Mag-Cal tablets instead of another brand of magnesium she was taking. She had a great response
within 2 weeks.
• A practitioner has had really good results for insomnia, by prescribing Kava (2 tablets at night) as an
alternative to Valerian Complex.
• A patient with very long-term sleeping problems was given NeuroSom. Within a short time she
noticed an improvement in her sleep. The practitioner has prescribed a multitude of different
products over the years.
Herbal and Nutritional Protocols for Common Conditions 90 © Phytotherapy Press

I rritable Bowel Syndrome (I BS)

Irritable bowel syndrome (IBS) is not characterised by a single symptom pattern. Patients can present in
one of three ways: abdominal pain and constipation; abdominal pain and diarrhoea or abdominal pain
with alternating constipation and diarrhoea. Irritable bowel syndrome may be the result of infections with
bacteria, protozoa and helminths.

Aims of Treatment

• Reduce spasm and pain with antispasmodics, demulcency, analgesics and anti-inflammatories.
• Support the nervous system.
• Alleviate constipation or diarrhoea, balance bowel flora.

Primary Protocol: IBS*
Cramplex tablets This five-herb formula combines the following actions, analgesic,
antispasmodic, circulatory stimulant and anti-inflammatory. Each
of the component herbs has a traditional indication for abdominal
spasm and pain.

3 to 4 tablets daily
Kava tablets Kava is an effective spasmolytic herb and as such will help to
reduce cramping. It is also very effective for treating the
anxiety/nervousness that often occurs in patients with IBS.

1 tablet 2 to 3 times daily

OR Valerian Complex tablets IBS patients may benefit from the antispasmoic activity of Valerian
and Passionflower. Valerian, Zizyphus and Passionflower also
nourish the nervous system.

1 tablet 3 times daily


OR NeuroSom tablets Magnolia bark is traditionally used in J apanese medicine (Kampo)
for the treating of anxiety, insomnia and depression. Zizyphus is
used in Chinese medicine for insomnia, anxiety and irritability.
Lemon Balm and Lavender are used in Western herbal medicine
for symptoms associated with anxiety and depression. Magnesium
and vitamin B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


Chamomile High Grade 1:2
liquid extract
Chamomile High Grade liquid extract is high in alpha-bisabolol, a
constituent of the essential oil. Chamomile is anti-inflammatory
and antispasmodic – alpha-bisabolol is at least partially
responsible for these activities.

4 mL daily
Additional Treatment (as required)
Nevaton
®
tablets Nervous system stress can produce IBS symptoms. Nevaton
®

provides nervine tonic and relaxant effects, thereby reducing the
negative impact that stress exerts on the GIT.

1 tablet 2 to 3 times daily

Everyday B Multi tablets For additional nervous system support and to help alleviate
possible nutritional deficiencies due to poor digestion. 1 tablet daily after breakfast

Vital Woman In addition to improving nutritional status and improving nervous
functioning, the addition of Shatavari and Chaste Tree to Vital
Woman makes it the ideal multivitamin/mineral for women who
experience a worsening of symptoms premenstrually.

1 tablet daily after breakfast

Herbal and Nutritional Protocols for Common Conditions 91 © Phytotherapy Press

Mega Mag powder Magnesium is an important nutrient for the regulation of muscular
contractions. Mega Mag contains 3 different forms of magnesium
and the necessary cofactors to maximise efficacy. Magnesium is
also an important nutrient for the nervous system and will be
beneficial where stress or anxiety are a contributing factor to the
IBS. The high-dose of B-vitamins in Mega Mag will further support
the nervous system.

5 g daily

Active Mag-Cal tablets Active Mag-Cal tablets may be able to be used to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder, or it can be given to patients who prefer
tablets rather than powder.
1 tablet 3 times daily


Slippery Elm 400mg capsules or
Slippery Elm powder
By providing mucilage Slippery Elm provides relief for both
diarrhoea and constipation. Antispasmodic activity is provided by
soothing the irritated bowel with cooling mucilage.

Capsules: 2 to 3 capsules 1 to 2
times daily with plenty of water
Powder: 1 to 2 teaspoons 2 times
mixed in half a cup of water, daily

DiGest tablets The five herbs in this formula strengthen and tone the upper
digestive system by stimulating digestive secretions, improving the
breakdown and assimilation of food and settling spasm and
reducing flatulence.
1 tablet 3 times daily given 30
minutes before meals. It is best to
suck the tablet until a bitter taste is
experienced, then swallow with
some water

Bacto-Cand GI capsules The combination of essential oils and herbs in Bacto-Cand GI
capsules provides immune support, antimicrobial and antifungal
activity.

1 to 2 capsules 3 times daily
* Refer also to Bowel Flora Protocol.
Primary Protocol: IBS as a result of Intestinal Parasitosis or Gastroenteritis
Wormwood Complex tablets Wormwood, Black Walnut, Stemona and Clove Bud oil provide
anthelmintic activity and are beneficial for the treatment of worm
infestation and acute intestinal amoebiasis. The carminative
activity of Clove Bud oil would also have a soothing effect on the
gut wall.

Adults: 4 tablets daily for 10 days
Children: 1 to 2 tablets daily for 10
days
Then break for 10 days and repeat
the dosage for another 10 days

Golden Seal tablets The isoquinoline alkaloid constituent of Golden Seal, berberine is
antimicrobial and has been used clinically for the treatment of
infectious diarrhoea. Golden Seal restores the integrity of the
mucous membranes of the digestive tract.

1 tablet 2 to 3 times daily

Echinacea Premium tablets To provide support for the body's immune function and to help
recovery from gastrointestinal infection and infestation. 1 tablet 2 to 3 times daily

Anecdote
• A female patient aged 37 with a demanding career has IBS symptoms when particularly stressed.
She takes 3 Nevaton
®
tablets when she feels run down and stressed and they relieve the IBS
symptoms.
• Good results obtained for IBS, by using Slippery Elm 400mg capsules where patients would not take
the powder regularly. A dose of just 1 capsule morning and night relieved constipation and
cramping.
• Two Probiotica capsules at night help to relieve chronic constipation, especially in instances of lazy
bowel (caused by overusage of laxatives) and irritable bowel syndrome.
Herbal and Nutritional Protocols for Common Conditions 92 © Phytotherapy Press

• A practitioner prescribes Kava tablets and/or Active Mag-Cal tablets routinely to IBS patients along
with other digestive and nervous system support.
• In the case of IBS in a highly stressed female in mid twenties with almost constant pain, the
following was prescribed: Kava tablets (2 bd), Slippery Elm 400mg capsules (1 bd) DiGest tablets
(1 tds), Probiotica capsules (1 every morning). Symptoms improved considerably however she was
prone to relapse. After adding a course of Wormwood Complex tablets the symptoms did not return.
Herbal and Nutritional Protocols for Common Conditions 93 © Phytotherapy Press

Lowered Immunity/ Recurrent Infection

Lowered immunity, hence increased susceptibility to infection, can be caused by many different factors
including, poor diet; prolonged stress; lack of sufficient sleep/rest; inadequate recovery from a previous
illness or infection, particularly glandular fever and Ross River fever; many drugs including
hydrocortisone, methotrexate and chemotherapeutic drugs.

Aims of Treatment

• To increase immune function and treat any existing infections.
• To use herbs that have a building and nourishing effect following infections to ensure optimal
recovery.
• To treat any underlying causes of reduced immunity.

Primary Protocol
Echinacea Premium tablets The immune enhancing activity of Echinacea has been demonstrated
in many clinical trials. It can be used to treat acute infections, in
chronic immune deficiency and as a prophylaxis. Is of benefit as a
preventive, immune insurance.

1 tablet 2 to 4 times daily,
increase dose in acute conditions

AND/ OR Andrographis
Complex tablets
The herbs in this formula, Andrographis, Echinacea, Holy Basil
(Tulsi), enhance immune function during acute infections. They can
also be used to treat chronic immune problems and as a
preventative. Andrographis has hepatoprotective properties, adding
to the beneficial effects of these tablets for patients with liver
involvement. Andrographis Complex tablets may be chosen in
preference to Echinacea Premium tablets when treating an acute
viral infection. Clinical experience seems to indicate that, although
Echinacea is effective at treating infections in the very early stages,
it is often not sufficient to treat viral infections that have taken hold.

1 tablet 2 to 3 times a day,
increase dose in acute conditions

OR Astragalus Complex
tablets
All three herbs in this formula improve immunity, particularly when
chronic immune support is required. However, there is the added
benefit that Astragalus and Siberian Ginseng are also tonic and
adaptogenic. These tablets are ideal for patients who are recovering
from an illness or infection, or they can be used to prevent infection
in susceptible individuals. Due to the adaptogenic activity of
Astragalus and Siberian Ginseng, they are ideal where stress is one
of the causes of reduced immunity. Immune enhancing and tonic
herbs are routinely prescribed for patients undergoing conventional
cancer treatments such as chemotherapy and radiation therapy.

1 tablet 3 to 4 times daily





Cat’s Claw Forte tablets Cat’s Claw Forte tablets are standardised POAs which ensures high
quality. Cat’s Claw is an important immune enhancing herb and is
particularly beneficial in anti-inflammatory conditions due to its anti-
inflammatory and antioxidant activity. It can also be used as an
adjunct to chemotherapy in cancer patients to improve immunity.

1 tablet 2 to 3 times daily,
increase dose in acute conditions

Additional Treatment (as required)
St J ohn’s Wort tablets St J ohn’s Wort provides effective antiviral activity for viruses that are
classed as ‘enveloped’. These include Herpes viruses, Epstein Barr
virus, Cytomegalovirus, Ross River virus, Hepatitis B and C, Rubella
virus, and many of the viruses that cause the common cold and
influenza. It also has antidepressant and nervine tonic activity
making it an ideal adjunct to the treatment of lowered immunity
where stress or depression are playing a role.

1 tablet 2 to 3 times daily



Herbal and Nutritional Protocols for Common Conditions 94 © Phytotherapy Press

Withania & Ginseng tablets Withania and Korean Ginseng exert immune enhancing, adaptogenic
and tonic activity. These tablets are particularly beneficial for
patients who are devitalised. The tonic effect of these two herbs will
help to revitalise the patient and the adaptogenic activity will
improve stress tolerance. The combination of Withania and a small
amount of Korean Ginseng helps to boost energy without being too
stimulating.

1 to 2 tablets 2 to 3 times daily


OR Withania Complex tablets The benefits of these tablets are similar to those for Withania &
Ginseng tablets but offer increased sedative and nervous system
tonic effect (Skullcap) and the adrenal tonic effect of Licorice. These
tablets may be preferable to the Withania & Ginseng tablets when
the patient is feeling very stressed or a little anxious.

1 tablet 3 to 4 times daily

ThyAdren Support tablets ThyAdren Support tablets will be beneficial in cases where chronic
stress and/or adrenal depletion or reduced thyroid function are
contributing to reduced immunity.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Both Rehmannia and Licorice are excellent adrenal tonics and will be
beneficial whether there is hypo- or hyperfunctioning of the adrenal
glands. This in turn will reduce the risk of immune dysfunction
caused by stress hormones such as cortisol.
1 tablet 2 to 3 times daily


Probiotica capsules This blend of bacteria may help enhance the immune response,
perhaps by modulating the response of the gut-associated lymphoid
tissue.

1 capsule 1 to 2 times daily

Everyday B Multi tablets Everyday B Multi tablets can help to improve immunity by providing
nutritional support essential for healthy immune function. It will also
relieve the symptoms of stress and anxiety. These symptoms will
have a detrimental effect on the immune system. It combines well
with the immune enhancing herbs.

1 tablet in the morning

Vital Woman In addition to the benefits stated for Everyday B Multi (above), Vital
Woman contains Shatavari and Chaste Tree which make it the ideal
multivitamin/mineral for women who experience reduced immune
function premenstrually or around the time of menopause. Vital
Woman also contains Polygonum cuspidatum supplying 10 mg of
resveratrol per tablet. Resveratrol is a major antioxidant and anti-
ageing compound.
1 tablet daily after breakfast

Poly-C Powder Vitamin C is essential for healthy immune function. The combination
of vitamin C, bioflavonoids, resveratrol and alpha-lipoic acid reduces
inflammation and provides antioxidant activity.

4 g 2 to 3 times daily


DiGest tablets DiGest provides the immune enhancing activity of Echinacea and is
particularly beneficial where poor digestion and/or appetite is
causing reduced nutritional status, hence lowered immunity. The
bitter herbs in this formula, when taken prior to eating, increase the
secretion of hydrochloric acid, digestive enzymes and bile. The
presence of St Mary’s Thistle aids in the repair and protection of
liver tissue.

1 tablet 3 times daily taken 15 to
30 minutes prior to meals. It is
best to suck the tablet until a
bitter taste is experienced, then
swallow with some water

Zinc Protect tablets Zinc is essential for proper immune function plus selenium and
vitamin E have demonstrated immune enhancing activity. 1 tablet daily
Herbal and Nutritional Protocols for Common Conditions 95 © Phytotherapy Press

Anecdotes
• Echinacea works best as a preventative. Take 5 mL or 2 tablets of Echinacea Premium with water
once or 2 times when a cold threatens and do this for a few days. It will usually abort the infection.
Alternatively take it regularly everyday to prevent infections.
• For many practitioners, Echinacea Premium is one of their most used herbal products and has been
prescribed successfully for hundreds of patients to prevent infections.
• Andrographis Complex tablets are commonly used to prevent infection but they show their full
potential in the treatment of acute viral infections. They work quickly to resolve the infection,
particularly when taken at the first signs. In this case they can be taken at a dosage of 2 tablets 2 to
3 times per day.
• Astragalus Complex tablets work extremely well in fatigued, debilitated patients with depleted
immunity.
• Many practitioners use Astragalus Complex tablets to reduce the unwanted side effects of
chemotherapy and radiation therapy.
• St J ohn’s Wort tablets are used to manage recurrent viral infections eg herpes that are associated
with stress.
• Withania Complex tablets are prescribed routinely to patients who are stressed, over-worked and
susceptible to infections.
• DiGest tablets are very effective in reducing symptoms of poor digestion, particularly bloating and
poor appetite.
• A practitioner had been giving blood on a regular basis for a number of years. Each time she
suffered from lethargy, weakness etc and it took her 7 days to recover despite taking a multi-B
supplement. She changed to Everyday B Multi tablets and it only took her 2 to 3 days to recover. She
was very pleased and continues to use Everyday B Multi tablets for herself and for her patients.
Herbal and Nutritional Protocols for Common Conditions 96 © Phytotherapy Press

Menopause

Menopause is the normal physiological cessation of menstruation, characterised by a decrease in
oestrogen secretion.

Aims of Treatment

• Assist the body to adjust to new hormone environment.
• Assist the emotional transition.
• Alleviate the symptoms of oestrogen withdrawal.
• Support adrenal function as the adrenal cortex continues to produce oestrogen precursors during
menopause.

Primary Protocol
Wild Yam Complex tablets Wild Yam, Shatavari and Korean Ginseng provide gentle
oestrogenic activity to alleviate the menopausal reduction in
oestrogen. Sage is specific for the hot flushes experienced in
menopause and St J ohn's Wort provides support for the nervous
system and is well known traditionally for the treatment of
menopausal depression.

1 tablet 3 to 6 times daily


ThyAdren Support tablets Adrenal support is fundamental in the treatment of menopausal
symptoms or when preparing women for menopause. The
combination of nutrients and Rehmannia in ThyAdren Support
tablets support and improve adrenal and thyroid function.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Both Rehmannia and Licorice are excellent adrenal tonics and will
help to improve the endogenous production of hormones in the
peri-menopause and post-menopause times. 1 tablet 2 to 3 times daily


Vital Woman Due to the presence of Chaste Tree, Shatavari and Polygonum
cuspidatum, containing resveratrol, Vital Woman is the ideal
multivitamin/mineral supplement for woman approaching
menopause and beyond.

1 tablet daily after breakfast

Additional Treatment (as required)
St J ohn's Wort tablets Additional support for the nervous system, particularly if
depression predominates. St J ohn's wort is traditionally indicated
for emotional upset within menopause.
1 tablet 2 to 3 times daily


Rhodiola & Ginseng tablets Rhodiola is an adaptogenic and tonic herb that has been shown to
improve energy, mental and physical performance and is
beneficial for depression, insomnia and anxiety. Korean Ginseng
has similar activity to Rhodiola and has been shown to improve
psychological test scores in postmenopausal women with fatigue,
insomnia and depression. It also improved general well-being in
postmenopausal women.
1 to 2 tablets 2 times daily


Chaste Tree tablets Chaste Tree is beneficial for symptoms similar to those
experienced in premenstrual syndrome. These symptoms often
occur in perimenopause (just prior to menopause) and may or
may not be premenstrual. The influence that Chaste Tree has on
pituitary function may explain its ability to relieve menopausal
symptoms.

1 to 2 tablets daily

Sage 1:2 liquid extract Sage provides additional treatment for hot flushes.
4 mL daily taken with water

Herbal and Nutritional Protocols for Common Conditions 97 © Phytotherapy Press
Tribulus Forte tablets or 2:1
liquid extract
Tribulus is indirectly and mildly oestrogenic in females and
provides further relief of menopausal symptoms.
Tablets: 2 tablets daily
Liquid Extract: 4 mL 2 times daily

Rehmannia 1:2 liquid extract Rehmannia provides support for the adrenals (in continuing to
produce oestrogen precursors) and is also beneficial if excessive
stress is occurring. Rehmannia extract can be used in conjunction
with ThyAdren when additional adrenal support is required.
Rehmannia is also very beneficial for the treatment of hot flushes
and night sweats, in which case it combines well with Zizyphus 1:2
extract (see below).

5 mL 1 to 2 times daily with water
Combines well with Zizyphus 1:2
(equal quantities). It can be put
into 1.5 L of drinking water and
taken throughout the day


Zizyphus 1:2 liquid extract Zizyphus is excellent for reducing spontaneous sweats, including
night sweats, and for reducing the incidence of hot flushes. Its
actions include antidrotic, cooling, mild sedative, mild
adaptogenic, hypnotic and hypotensive. This combination of
actions make it the ideal herb for the treatment of menopausal
symptoms.
5 mL 1 to 2 times daily taken with
water
Combines well with Rehmannia 1:2
(equal quantities). It can be put
into 1.5 L of drinking water and
taken throughout the day

Valerian Complex tablets These tablets will be very beneficial for treating insomnia in
menopausal women. All three herbs are hypnotic and Zizyphus
can also reduce the incidence of night sweats and hot flushes.

1 to 2 tablets before bed

OR NeuroSom tablets NeuroSom will be help to alleviate anxiety, depression and
insomnia often associated with menopause. Magnolia bark is
traditionally used in J apanese medicine (Kampo) for the treating
of anxiety, insomnia and depression. Zizyphus is used in Chinese
medicine for insomnia, anxiety and irritability. Lemon Balm and
Lavender are used in Western herbal medicine for symptoms
associated with anxiety and depression. Magnesium and vitamin
B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


Active Mag-Cal tablets Magnesium may help to alleviate emotional symptoms, aid sleep
and reduce muscle pains that often occur with menopause. 1 tablet 3 times daily
Poly-C Powder A study using vitamin C and hesperidin found they reduced the
incidence of hot flushes in menopausal women. Vitamin C may
also increase the bioavailablity of oestrogens.

4 g daily

Treatment for Weaning off Pharmaceutical HRT
STEP 1: Weeks 1-6
Maintain the full dose HRT and at the same time begin:
• Wild Yam Complex (4 to 6 tablets daily)
• Suitable adrenal support tablet or liquid formula eg
• Withania Complex or Withania & Ginseng (3 to 4 tablets daily)
• One or several of:
− Rehmannia 1:2 (5 mL per day)
− Licorice High Grade 1:1 (2 to 4 mL per day)
− Rhodiola 2:1 (3 to 5 mL per day)
− Siberian Ginseng 1:2 (5 mL per day)
− Withania 1:1 (5 mL per day)
− Korean Ginseng 1:2 (2 mL per day)
STEP 2: Weeks 6-12
Reduce dose of HRT to half at same time continue with the treatment described in Step 1.
STEP 3: Weeks 13-18
Reduce dose of HRT to one quarter at same time continuing with the treatment described in Step 1.
Herbal and Nutritional Protocols for Common Conditions 98 © Phytotherapy Press
STEP 4: From Week 19 onwards
Discontinue HRT and maintain the treatment described in Step 1.
STEP 5
If asymptomatic, reduce herbs to maintenance dose of Wild Yam Complex (2 to 3 tablets per day) plus
suitable adrenal support tablet or liquid formula.
Anecdotes
• Wild Yam Complex tablets work very well for relieving the symptoms of menopause particularly hot
flushes but also emotional symptoms such as mood swings and depression.
• Perimenopausal patients respond very well to Wild Yam Complex tablets and Tribulus Forte tablets.
• A 49-year-old petite woman experiencing perimenopausal problems such as sleeplessness, flushing,
irritability. She took Wild Yam Complex 1 tablet bd. Her periods, which had been absent for 6
months, returned and all other symptoms disappeared. Her period eventually decreased in flow and
frequency and disappeared. If she stopped taking the tablet, flushing and irritability returned. After 8
months all symptoms were still absent and she was able to stop the treatment without any return of
symptoms.
• If there is a tendency for heat, excess moisture loss (hot flushes), dry mucous membranes (vaginal
and skin dryness) which are worse after sunset and decreased libido then I use the Wild Yam
Complex especially with the Shatavari in it.
• In a patient with menopausal symptoms, a combination of NeuroSom (1 tablet 3 times daily) and
Wild Yam Complex (2 tablets twice daily) relieved hot flushes and improved sleep in just 5 days!
Herbal and Nutritional Protocols for Common Conditions 99 © Phytotherapy Press

Metabolic Syndrome

Metabolic syndrome is a complex condition which includes insulin resistance and hyperinsulinaemia and
is usually, but not always, associated with obesity. Patients with metabolic syndrome are at increased
risk of developing diabetes, cardiovascular disease, peripheral vascular disease, hypertension and serum
lipid and cholesterol abnormalities. There are strong links between metabolic syndrome and polycystic
ovarian syndrome (PCOS), non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatorrhoic
hepatitis (NASH) and depression. Insulin resistance appears to increase the risk of some cancers
including colorectal cancer and oestrogen dependent cancers such as breast cancer.

Aims of Treatment

• Increase the body’s ability to metabolise sugar/carbohydrates more efficiently.
• Reduce sugar cravings and improve insulin sensitivity.
• Support adrenal and thyroid function.
• Weight reduction in overweight or obese patients.
• Improve energy to allow daily exercise.
• Reduce risk of chronic diseases as listed above.

Primary Protocol
GlucoBalance tablets, Gymnema
tablets OR Gymnema 1:1 liquid
extract
Gymnema is a valuable herb for the treatment of insulin
resistance. It reduces sugar cravings and may disrupt the
absorption of sugar. Gymnema also has a trophorestorative
effect on the insulin producing cells of the pancreas, the beta-
cells.
In the GlucoBalance tablets, Gymnema is combined with
chromium and other key nutrients to maximise blood sugar
regulation.

GlucoBalance: only 1 tablet 2 to 3 times
daily with meals
Gymnema: 1 tablet daily or 1 to 1.5 mL
daily

ThyAdren Support tablets Adrenal exhaustion/depletion is associated with blood sugar
dysregulation, therefore it is important to support adrenal
function. Rehmannia and the nutritional components of
ThyAdren Support tablets support and improve function of the
adrenals and thyroid.

1 tablet 2 times daily
AND/ OR Adrenal Complex tablets Rehmannia and Licorice are excellent adrenal tonics thus
regulating levels of stress hormones, particularly cortisone.
Cortisone is associated with central body obesity. Both herbs
also have significant anti-inflammatory activity and Licorice
has been shown to decrease body fat.
1 tablet 2 to 3 times daily


Coleus Forte tablets Several clinical trials have demonstrated that Coleus aids
weight loss, in particular fat loss. The Coleus extracts used in
the clinical trials contained between 20 and 50 mg of forskolin
per daily dose. The recommended dose of Coleus Forte tablets
is 1 tablet 2 to 3 times daily, providing 37.4 mg to 56.1 mg of
forskolin per day. Coleus stimulates thyroid function, further
aiding weight loss. Coleus also supports the cardiovascular
system by reducing hypertension and serum cholesterol.

1 tablet 2 to 3 times daily
Licorice High Grade 1:1 liquid
extract AND/ OR Rehmannia 1:2
liquid extract
Both Licorice and Rehmannia support adrenal function and
help to protect the adrenal cortex from the adverse effects of
long-term stress.
Licorice: 3 to 4 mL daily
Rehmannia: 5 mL 1 to 2 times daily

Herbal and Nutritional Protocols for Common Conditions 100 © Phytotherapy Press

Mega Mag powder Magnesium is an important nutrient for the regulation of blood
sugar. Along with a high dose of magnesium, Mega Mag
powder also contains chromium and B complex vitamins
making it an ideal supplement to assist with dysglycaemia.
Adequate magnesium also reduces the risk of complication of
metabolic syndrome such as cardiovascular disease,
hypertension and type II diabetes.

5 g daily
Everyday Balance Protein Powder The combination of protein and low glycaemic index
carbohydrates in Everyday Balance reduces swings in blood
sugar levels and encourages sustained energy resulting in
reduced sugar and carbohydrate cravings.
2 heaped tablespoons (25 grams) into
240 mL of water, non-fat milk or
appropriate alternative, 1 to 2 times
daily

Additional Treatment (as required)
Liver Support
Livton
®
Complex tablets This combination of herbs contains herbs with choleretic,
cholagogue and hepatoprotective activity which will improve
liver function and promote bile flow.
These tablets are ideal for the patient with poor fat
digestion/absorption or an intolerance to fatty foods. They will
also relieve constipation due to increased bile
production/secretion.

1 tablet 3 times daily
Silymarin tablets St Mary’s Thistle is a powerful trophorestorative and liver
protective herb. Research has demonstrated its effectiveness
for the treatment of fatty liver.

1 tablet 2 to 3 times daily
LivCo
®
tablets A unique herbal formula to enhance the detoxifying capacity
of the liver, particularly phase II detoxification. It also
provides hepatoprotective and antioxidant activity.
These tablets are ideal when fatty liver and/or generally poor
liver function is impeding liver detoxification pathways.

3 to 4 tablets daily

P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection.
Glutamine and the inorganic sulfur from potassium sulfate act
as conjugating substances in phase II detoxification.

4 g 1 to 2 times daily
Cardiovascular Support
Ginkgo Forte tablets OR
Ginkgo 2:1 standardised liquid
extract
Ginkgo is the prime herb for the treatment and prevention of
peripheral vascular disease. It also provides antioxidant and
anti-inflammatory activity.
Tablets: 1 to 2 tablets 2 times daily
Liquid Extract: 1.5 to 3 mL 2 times daily

Hawthorn tablets OR
Hawthorn Leaves 1:2 liquid extract
Hawthorn is THE heart tonic. It has clinically proven
cardioprotective, hypotensive and antioxidant activity.
Tablets: 1 tablet 3 times daily
Liquid Extract: 3 to 5 mL daily

Vitanox
®
tablets A four-herb combination providing potent antioxidant and
antiplatelet actions. Vitanox
®
combines well with Hawthorn
tablets.

1 tablet 1 to 2 times daily

Herbal and Nutritional Protocols for Common Conditions 101 © Phytotherapy Press

AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean
Ginseng, Pine Bark extract and Polygonum cuspidatum, which
is a major source of resveratrol and is an excellent
antioxidant/anti-ageing formula. In addition St Mary’s Thistle
provides hepatoprotective and trophorestorative activity whilst
Korean Ginseng improves energy, well-being and adaptation
to stress. Korean Ginseng has also been shown to decrease
insulin levels.

1 to 2 tablets 2 times daily
EFA Essentials capsules OR
Omega-3 Forte capsules
Fish oils such as those in Omega-3 Forte can help to reduce
the risk of heart attack and other cardiovascular problems;
lower serum triglycerides and may reduce blood pressure. The
combination of oils in EFA Essentials provide anti-inflammatory
activity which may help to reduce cardiovascular disease.
Vitamin E provides antioxidant activity.

EFA Essentials: 1 to 2 capsules
3 times daily
Omega-3 Forte: 1 capsule 3 times daily
Garlic tablets Garlic has clinically confirmed ability to lower blood pressure
as well as reducing cardiovascular risk factors such as
hyperlipidaemia.

1 tablet 1 to 2 times daily

CholestaHealth powder The constituents in CholestaHealth have been found either in
clinical studies or traditional use to promote healthy blood lipid
levels. This may be achieved partly by reducing absorption of
cholesterol from the GIT and by inhibiting bile acid
reabsorption.

5 g 2 times daily with main meals
Poly-C Powder Poly-C Powder is a potent antioxidant formulation. Vitamin C
doses of between 500 and 1,000 mg per day have been
shown to reduce total cholesterol.

4 g daily

Anecdotes
• A 41-year-old woman with morbid obesity and insulin resistance lost 6.3 kg after taking Coleus Forte
tablets for 3 weeks (1 tablet 3 times daily) without following a special diet or making any real effort
to diet.
• A 60-year-old woman weighing 115 kg with insulin resistance lost 1.4 kg, 5 cm off her waistline and
a definite change in body shape after taking Coleus Forte tablets. She did this without any conscious
dieting and she reported a decrease in appetite and was very comfortable with small portions
without focusing on dieting.
Herbal and Nutritional Protocols for Common Conditions 102 © Phytotherapy Press

Multiple Sclerosis

Multiple sclerosis is an autoimmune disorder characterised by destruction of myelin in the white matter of
the central nervous system.

Aims of Treatment

Refer also to the Autoimmune Protocol for additional information.
• Provide immune support to address the immune dysregulation initiated by pathogenic organisms and
exacerbated by recurring infections.
• Help eliminate viral infection.
• Reduce inflammation to quieten the pathological progression which can occur in autoimmune
disorders.
• Reduce oxidation, particularly in the brain.
• Address associated conditions such as chronic sinusitis.
• Support the stress response with adrenal tonics, adaptogens and general tonics.

Primary Protocol
Echinacea Premium tablets or
liquid
Echinacea is considered to be a major immune modulating herb.
It is also very useful for the treatment of acute infection that may
occur in patients with autoimmune diseases. In such patients
acute infections have to be treated quickly and effectively in order
to prevent further immune dysregulation and to prevent a possible
flare up of the autoimmune disease.

Tablets: 2 tablets daily
Liquid Extract: 5 mL with water
daily
Increase dose to prevent infections

St J ohn's Wort tablets St J ohn’s Wort provides antiviral activity for viruses that are
classed as enveloped, including some that have been implicated in
multiple sclerosis such as Epstein Barr virus, retroviruses and
Herpes viruses. St J ohn's Wort also has antidepressant and
nervine tonic activity.

1 tablet 3 to 4 times daily


Rehmannia Complex tablets The herbs in this formula combine anti-inflammatory activity with
the immune suppressing activity of Hemidesmus. As a result there
will be a reduction in the inflammatory process and improvement
in the immune dysregulation.
1 tablet 3 to 4 times daily



Additional Treatment (as required)
Eyebright Complex tablets This combination is particularly indicated for chronic sinusitis,
which has been implicated in multiple sclerosis.

1 tablet 3 to 4 times daily


Ginkgo Forte tablets or 2:1
liquid extract
High quality Ginkgo extract improves cerebral and peripheral
circulation, is neuroprotective, has favourable effects on brain
energy metabolism and may reduce oxidative damage in brain
cells. In healthy adults it has been demonstrated to enhance
cognitive function including memory.

Tablets: 1 to 2 tablets 2 times daily
Liquid Extract: 1.5 to 3 mL with
water, 2 times daily

Vitanox
®
tablets A four-herb combination providing potent antioxidant activity to
help protect against oxidation and to reduce associated
inflammation which also causes tissue damage.
1 tablet 2 times daily


AND/ OR PhytoRegenex tablets PhytoRegenex is an excellent antioxidant formula. It contains
Ginkgo, St Mary’s Thistle, Korean Ginseng, Pine Bark extract and
Polygonum cuspidatum, which is a major source of resveratrol.

1 to 2 tablets 2 times daily
Herbal and Nutritional Protocols for Common Conditions 103 © Phytotherapy Press

Tissue Regenex tablets Multiple sclerosis is an inflammatory condition resulting in damage
to the myelin sheath. The combination of Gotu Kola, Grape Seed,
Ginkgo, vitamin C and zinc provides support for tissue healing and
normal development of connective tissue by increasing blood flow
particularly microcirculation. Grape Seed and Ginkgo also provide
antioxidant activity.

1 tablet 3 to 4 times daily
Withania Complex tablets These tablets deliver the adaptogenic and tonic effects of Withania
and Korean Ginseng along with the adrenal support and anti-
inflammatory activity of Licorice. Skullcap is a sedative and
nervous system tonic. Multiple sclerosis symptoms have been
found to worsen when stress (unrelated to their condition) occurs.
1 tablet 3 to 4 times daily




ThyAdren Support tablets By their very nature chronic conditions such as multiple sclerosis
cause chronic stress. In order to combat the effects of stress
adrenal support is needed. The combination of nutrients and
Rehmannia in ThyAdren Support tablets offer significant adrenal
support.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Rehmannia and Licorice are excellent adrenal tonics and will help
to reduce the effects of stress on the adrenals. Both herbs also
have significant anti-inflammatory activity. 1 tablet 2 to 3 times daily


Everyday B Multi tablets Vitamin B12 deficiency has been linked to multiple sclerosis.
1 tablet daily after breakfast

Omega-3 Forte capsules Fish oil has anti-inflammatory activity.
3 to 4 capsules daily
Dietary & Other Measures Consumption of dairy and a gluten sensitivity may be linked to
multiple sclerosis prevalence. Similar to other autoimmune
disorders, bowel flora dysbiosis may contribute to the immune
dysregulation.
• Low antigenic diet: dairy-free
and preferably gluten-free, rich
in fish
• Bowel Flora Protocol as
appropriate, particularly if
patient does not progress well

Herbal and Nutritional Protocols for Common Conditions 104 © Phytotherapy Press

Osteoarthritis

Osteoarthritis (OA) is a degenerative joint disease and is one of the oldest and most common types of
arthritis. It is characterised by the breakdown of the joint's cartilage, which causes bones to rub against
each other, causing pain, loss of movement and the formation of bony spurs. It usually occurs in middle-
aged and older people and symptoms can range from very mild to very severe. The most commonly
affected areas are the hands and weight-bearing joints such as knees, hips, feet and the back.

Aims of Treatment

• To reduce joint pain.
• To reduce inflammation and increase circulation to the joints.
• To relieve pain of entrapped nerves where applicable.
• To reduce the effects of stress and nourish the nervous system where necessary.

Primary Protocol
Saligesic tablets The high potency Willow Bark extract in Saligesic tablets has
been demonstrated in European clinical trials to significantly
relieve pain, particularly in musculoskeletal disorders such as
osteoarthritis.

Acute 2 tablets 2 to 4 times daily
Chronic 1 tablet 1 to 2 times daily

Boswellia Complex tablets These tablets reduce inflammation. The four herbs in this
formula (Boswellia, Turmeric, Celery Seed and Ginger) have
proven anti-inflammatory activity. Turmeric is antioxidant and
Ginger is a circulatory stimulant aiding the transport of active
constituents to target organs. Celery Seed has a strong
traditional use for the treatment of arthritic conditions.

Acute 1 tablet 4 to 6 times daily
Chronic 1 tablet 3 to 4 times daily
Prophylactic 1 tablet 2 times daily

Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C
and zinc provides support for tissue healing and normal
development of connective tissue by increasing blood flow
particularly microcirculation. Grape Seed and Ginkgo also
provide antioxidant activity.

1 tablet 3 to 4 times daily
Additional Treatment (as required)
Adrenal Complex tablets Both Rehmannia and Licorice have significant anti-
inflammatory activity and may help to reduce the
inflammation associated with this condition. Chronic conditions
such as osteoarthritis can be very stressful to the body
therefore adrenal support is an important part of the
treatment. Rehmannia and Licorice are adrenal tonic herbs
and help to support the adrenals during times of stress.

1 tablet 2 to 3 times daily


Cat’s Claw Forte tablets Cat’s Claw Forte tablets are standardised POAs which ensures
high quality. Cat’s Claw has significant anti-inflammatory and
antioxidant activity.

1 tablet 2 to 3 times daily

St J ohn’s Wort tablets St J ohn’s Wort may be beneficial where there is pain resulting
from nerve entrapment. It is a traditional treatment for
inflamed nerves. St J ohn’s Wort also has anti-inflammatory
activity, nourishes the nervous system and acts as an
antidepressant where required.

1 tablet 2 to 3 times daily


Herbal and Nutritional Protocols for Common Conditions 105 © Phytotherapy Press

Withania Complex tablets These tablets deliver the adaptogenic and tonic effects of
Withania and Korean Ginseng along with the adrenal support
and anti-inflammatory activity of Licorice. Skullcap is a
sedative and nervous system tonic. Many chronic conditions,
especially those involving pain, take a toll on the nervous
system. Withania Complex tablets are well indicated is such
circumstances.

1 tablet 3 to 4 times daily


EFA Essentials capsules Although mixed effects have been shown omega-3 fatty acids
may reduce the symptoms of osteoporosis. 1 to 2 capsules 3 times daily

J oint Defence tablets Glucosamine, chondroitin and Boswellia relieve inflammation
while glucosamine and chondroitin help with cartilage repair
and reduce inflammation. This tablet contains the cofactors
necessary for cartilage repair.

1 tablet 3 times daily

Poly-C Powder Vitamin C may protect against cartilage erosion and may
promote the synthesis of glycosaminoglycans thus working in
synergy with J oint Defence.

4 g daily

Example Formula Celery Seed aids the excretion of acidic metabolites and has
anti-inflammatory activity. The anti-arthritic activity of Devil’s
Claw has been demonstrated in several clinical trials. It is also
beneficial for the treatment of digestive disorders. Ginger and
Turmeric have anti-inflammatory activity. Turmeric also has
antioxidant activity whilst Ginger is an excellent circulatory
stimulant.

Celery Seed 1:2 20 mL
Devil’s Claw 1:2 40 mL
Ginger 1:2 10 mL
Turmeric 1:1 30 mL
100 mL

Dosage – 5 mL 3 times daily

Anecdotes
• A 55-year-old woman who has severe arthritis and is taking a number of drugs including
methotrexate and steroids found that Saligesic tablets reduce her pain. If she stops the Saligesic
tablets for over 1 month the pain seems to increase again.
• Practitioners report that it would be quite rare for a patient not to see a significant improvement in
joint pain within 1 to 2 weeks of commencing Boswellia Complex tablets.
• For the treatment of osteoarthritis many practitioners use Celery Seed extract in a herbal formula
containing other relevant herbs. Saligesic tablets or Boswellia Complex tablets may also be given.
This approach usually gives excellent results within 2 weeks.
• A practitioner's uncle had been taking another company’s glucosamine/chondroitin product for 3
months for chronic back pain. He was changed to J oint Defence and his comments were “Thank
God, I finally have some relief!” He noticed a significant difference in 2 days with J oint Defence.
• A practitioner had her father on another brand of glucosamine/chondroitin. She changed him to J oint
Defence. His results were so improved he has refused to go back to the old prescription.
• After trying a number of glucosamine supplements with no success a 76-year-old man with
osteoarthritis was recommended J oint Defence. The client's pain began improving within 2 weeks of
starting the product which gave him incentive to continue its use. Four months on and his pain had
improved dramatically.
• A 24-year-old man was recovering from a knee injury after a motorcycle accident, He had been told
by his doctor that he would have pain for the rest of his life. He was prescribed J oint Defence, 1
tablet tds and after 2 weeks he was amazed by the improvement and fells the knee is finally ‘sorting
itself out’.
• A male aged 46 suffering from knee and shoulder pain was taking Boswellia Complex tablets fairly
regularly. He had given up on taking glucosamine (an OTC product) because it seemed to have no
effect. He was prescribed J oint Defence and within 2 days had relief from the pain and tension.
• An acupuncturist/massage therapist injured his back and had difficulty moving. He took 2 J oint
Defence tablets 3 times daily for 3 days and had significant improvement and was able to continue
working.
Herbal and Nutritional Protocols for Common Conditions 106 © Phytotherapy Press

Pain

Pain is an unpleasant sensation localised to a part of the body. Severe pain is accompanied by anxiety
and the urge to stop it. Pain, therefore, is both sensation and emotion.

Aims of Treatment

• To reduce the physical experience of pain.
• To nourish the nervous system and treat related symptoms eg depression, anxiety, sleep
disturbance.
• To treat the underlying cause of the pain eg inflammation.

Primary Protocol
Saligesic tablets The high potency Willow Bark extract in Saligesic tablets has
been demonstrated in European clinical trials to significantly
relieve pain, particularly in musculoskeletal disorders such as
osteoarthritis.

Acute 2 tablets 2 to 4 times daily
Chronic 1 tablet 1 to 2 times daily

Boswellia Complex tablets These tablets reduce inflammation. The four herbs in this
formula, Boswellia, Turmeric, Celery Seed and Ginger have
proven anti-inflammatory activity. Turmeric is antioxidant and
Ginger is a circulatory stimulant aiding the transport of active
constituents to target organs. Celery Seed has a strong
traditional use for the treatment of arthritic conditions.

Acute 1 tablet 4 to 6 times daily
Chronic 1 tablet 3 to 4 times daily
Prophylactic 1 tablet 2 times daily


Cramplex tablets The herbs in Cramplex tablets are particularly beneficial for
the treatment of dysmenorrhoea, however they will be
effective in relieving pain due to any smooth muscle spasm.
The major actions provided by this formula are antispasmodic
and anti-inflammatory. Corydalis is a major herb used for pain
relief in TCM.

3 to 4 tablets 2 times daily
For best results begin tablets 2 days
before due date of period and continue
for the first 1 to 2 days of the period
OR Californian Poppy 1:2 liquid
extract
Californian Poppy has analgesic, sedative and anxiolytic
activity. It is a member of the Poppy family and has an opiate
analgesic activity, which is very effective for relief of intense
and systemic pain.

4 to 6 mL daily
Mega Mag powder Mega Mag powder will be particularly beneficial where pain is
caused by spasm in smooth or skeletal muscle. Magnesium is
also beneficial for the nervous system which is often depleted
in patients with chronic pain.

5 g daily

Active Mag-Cal tablets Active Mag-Cal tablets can be used in mild cases or to
maintain magnesium levels once optimal levels have been
reached with Mega Mag powder. Active Mag-Cal tablets can
be given to patients who prefer tablets rather than powder.

1 tablet 3 times daily
Additional Treatment (as required)
Nevaton
®
tablets This formula provides nervous system support and
antidepressant activity, thus reducing the detrimental effects
of chronic pain on the nervous system. St J ohn’s Wort is used
traditionally for nerve pain eg neuritis, pain caused by
shingles.

1 tablet 3 to 4 times daily


Herbal and Nutritional Protocols for Common Conditions 107 © Phytotherapy Press

Valerian Complex tablets Valerian Complex tablets are particularly beneficial when pain
or associated anxiety is causing sleep disturbance. All three
herbs have hypnotic activity. There has been much research
on Valerian to demonstrate its efficacy for improving sleep.

1 to 2 tablets 1 to 2 times during the
evening and before bed

OR NeuroSom tablets NeuroSom will be beneficial in cases where pain is causing
depression, anxiety or insomnia. Magnolia bark is traditionally
used in J apanese medicine (Kampo) for the treating of
anxiety, insomnia and depression. Zizyphus is used in Chinese
medicine for insomnia, anxiety and irritability. Lemon Balm
and Lavender are used in Western herbal medicine for
symptoms associated with anxiety and depression. Magnesium
and vitamin B6 are essential for a healthy nervous system.

2 tablets 1 to 2 times daily


OR Kava tablets Kava is an effective spasmolytic herb and as such will help to
reduce muscle cramping. Kava also has significant anti-anxiety
activity.

1 tablet 2 to 4 times daily

ThyAdren Support tablets Chronic pain causes chronic stress which in turn leads to
adrenal depletion. The combination of nutrients and
Rehmannia in ThyAdren Support tablets offers significant
adrenal support.

1 tablet 2 times daily
AND/ OR Adrenal Complex tablets Rehmannia and Licorice are excellent adrenal tonics. Both
herbs also have significant anti-inflammatory activity thus
reducing inflammation which is often the cause of painful
conditions.
1 tablet 2 to 3 times daily


Poly-C Powder Vitamin C may aid in the alleviation of pain by the inhibition of
prostaglandins.

4 g daily

Anecdotes
• Patients with rheumatoid arthritis have found Saligesic tablets to be extremely beneficial for relieving
pain. They are often combined with Boswellia Complex tablets.
• Practitioners report that is would be quite rare for a patient not to see a significant improvement in
joint pain within 1 to 2 weeks of commencing Boswellia Complex tablets.
• A male patient in his early 30s presented suffering from cramping in the calf muscles, upon exercise,
particularly fast-paced walking. He was prescribed Active Mag-Cal (2 tablets bd) and Everyday B Multi
(2 tablets bd). The patient noted a significant improvement after one week. After one month, the
cramping was completely gone and the patient has been able to resume his fitness regime, without
cramps returning.
• Many practitioners have seen excellent results for Cramplex tablets in the treatment of
dysmenorrhoea.
• Patients find Valerian Complex a particularly good formula to reduce insomnia and improve quality of
sleep.
• In treating acute back injury in a bricklayer who had incorrectly lifted a heavy fireplace, a practitioner
prescribed Saligesic (2 tablets tds) and Boswellia Complex (2 tablets tds) for 1 week, then halved the
dose for the following week. The patient reported substantial relief within 48 hours. The treating
physiotherapist commented that he had not seen such a quick improvement before.
• A practitioner had broken a tooth on the weekend and couldn't get into to see the dentist until
Monday. The clove oil in Herbal Throat Spray was the only thing that relieved the pain. She now
swears by it for any dental work – taking it before (mainly to try and numb the area first as she has
issues with needles) and after treatment.
• A chiropractor routinely gives Kava tablets and Active Mag-Cal tablets where the patient is stressed
and can't sleep because of the pain and tends to have ongoing muscular spasm that interferes with
the outcome of the treatment. Short-term high-dose Kava breaks the cycle of 'pain syndrome', relaxes
the smooth muscle and the nervous system and gives the practitioner a window to effect treatment.
Active Mag-Cal tablets are given long term for muscloskeletal strength and relaxation.

Herbal and Nutritional Protocols for Common Conditions 108 © Phytotherapy Press

Peptic Ulcer

A peptic ulcer is a mucosal lesion in the oesophagus, stomach, duodenum or jejunum and occurs when
the mucosal defences are unable to protect the epithelium from the corrosive effects of acid and pepsin.
The bacterium Helicobacter pylori may also be implicated.

Aims of Treatment

• Support and enhance mucosal defences.
• Reduce inflammation and promote tissue healing.
• Enhance digestion and gastrointestinal motility.
• Support immune function and the body's response to stress.

Primary Protocol
HiPep tablets This combination of herbs provides primarily demulcent (Licorice),
anti-inflammatory (Licorice, Meadowsweet, Chamomile) and
mucoprotective activity (Licorice). Licorice also improves
pancreatic bicarbonate secretion which assists in providing a
barrier to gastric acid. Meadowsweet is traditionally indicated for
gastric ulceration and may also have a mild antacid effect.

1 to 2 tablets 3 times daily before
meals.


Slippery Elm 400mg capsules or
Slippery Elm powder
Slippery Elm contains mucilage which has a physical soothing
action on the irritated mucosa. The soothed mucosa is then more
likely to heal and have greater resistance to future injury.

Capsules: 2 to 3 capsules 2 to 3
times daily with plenty of water
before meals
Powder: 1 heaped teaspoon mixed
in half a cup of water, before each
meal

Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue by increasing blood flow particularly
microcirculation. Grape Seed and Ginkgo also provide antioxidant
activity.

1 tablet 3 to 4 times daily
Vitanox
®
tablets Provides antioxidant support for long-term or chronic conditions
where tissue damage may proceed to cellular change.

1 tablet 1 to 2 times daily

AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean Ginseng,
Pine Bark extract and Polygonum cuspidatum, which is a major
source of resveratrol and is an excellent antioxidant/anti-ageing
formula. In addition St Mary’s Thistle provides hepatoprotective
and trophorestorative activity whilst Korean Ginseng improves
energy, well-being and adaptation to stress. This formula is
particularly good for the ageing individual.

1 to 2 tablets 2 times daily
Additional Treatment (as required)
Golden Seal tablets Golden Seal is an effective herb for restoring the integrity of the
mucous membranes of the digestive tract. Golden Seal is also
antimicrobial which is of benefit if H. pylori is present.

1 tablet 2 to 3 times daily

Echinacea Premium tablets To support and enhance immune function, particularly if H. pylori
is present.

1 tablet 2 to 3 times daily

Herbal and Nutritional Protocols for Common Conditions 109 © Phytotherapy Press

Adrenal Complex tablets Licorice is an excellent herb for healing the gastric mucousa and
both Licorice and Rehmannia have significant anti-inflammatory
activity. Peptic ulcers are often associated with stress and long-
term stress has detrimental effects on the adrenal glands,
therefore adrenal support is an important part of treatment.
Rehmannia and Licorice are potent adrenal tonics.
1 tablet 2 to 3 times daily


Nevaton
®
tablets This combination of herbs helps relieve nervous tension, stress
and mild anxiety which may exacerbate the ulcer. 1 tablet 3 to 4 times daily

Everyday B Multi tablets For additional nervous system support to help handle stress more
effectively. 1 tablet daily after breakfast

Vital Woman For additional nervous system support to help handle stress more
effectively. Vital Woman may be used instead of Everyday B Multi,
particularly in cases where the herbs Chaste Tree and Shatavari
are indicated for co-existing hormonal problems including
menopausal symptoms. Resveratrol found in Polygonum
cuspidatum is a major antioxidant and anti-ageing compound.
1 tablet daily after breakfast

Zinc Protect tablets Zinc is important for the protection and healing of the tissues in
the gastrointestinal tract.

1 tablet daily

Poly-C Powder A unique blend of mineral ascorbate and naturally sourced
bioflavonoids with resveratrol and alpha-lipoic acid. These
nutrients aid in the reduction of inflammation and strengthen
connective tissues.

2 g 2 to 3 times daily
Anecdotes
• Practitioners have found HiPep tablets to be an excellent formula for treating patients with a range of
gastrointestinal complaints including reflux, gastritis, peptic ulceration and other inflammatory
diseases of the gastrointestinal tract.
• Herbal practitioners often use Golden Seal tablets in conjunction with specific formulations to treat
conditions of the different mucous membranes throughout the body.
• Nevaton
®
tablets are a wonderful tonic for the nervous system. Use 4 tablets per day for marked
cases of low mood and debility.
• Many patients are extremely thankful for the existence of Nevaton
®
tablets. They improve mood,
increase energy and promote well-being.
• Echinacea Premium, either tablets or liquid, is excellent as part of the treatment of gastrointestinal
complaints associated with Helicobacter pylori. It has system and local immune stimulating activity.
• Vitanox
®
tablets work well as part of the treatment and management of chronic inflammatory
diseases.

Herbal and Nutritional Protocols for Common Conditions 110 © Phytotherapy Press

Polycystic Ovarian Sydrome (PCOS)

Polycystic ovarian syndrome (PCOS) is the most prevalent endocinopathy in premenopausal women. It is
a complex metabolic disease process involving one or more of the following organs/systems – pancreas,
hypothalamic-pituitary-ovarian axis, adrenals and thyroid. Symptoms include hirsutism, amenorrhoea,
bleeding irregularities, hyperinsulinaemia, obesity, infertility, hair loss and acne.

Aims of Treatment

• Re-establish ovulation and menstruation.
• Reduce excessive androgen levels.
• Correct hyperinsulinaemia and sugar metabolism.
• Normalise weight.

Protocol
PolyFem tablets Clinical trials have demonstrated that a combination of Licorice
and Paeonia reduces elevated testosterone levels in women with
PCOS. Black Cohosh has a suppressive effect on LH hormone,
which is often elevated in women with PCOS. Due to its direct
effect on glandular structures, Thuja may provide therapeutic
benefit to the ovarian tissue in PCOS.

1 tablet 3 to 4 times daily



Chaste Tree tablets Chaste tree will be of benefit in cases of PCOS where there is
elevated prolactin. 1 to 2 tablets 2 times daily

GlucoBalance tablets The combination of Gymnema, chromium and nutritional cofactors
in this tablet will help to normalise sugar metabolism and reduce
hyperinsulinaemia. These factors will help with weight reduction.
Only 1 tablet 2 to 3 times daily


Tribulus Forte tablets or 2:1
liquid extract
The use of Tribulus on days 5 to 14 of the menstrual cycle has
been found to normalise ovulation in a large percentage of
women. Tablets: 1 tablet 2 to 3 times daily
Liquid Extract: 5 mL 2 times daily

Taken on days 5 to 14 of the
menstrual cycle or to ovulation
(indicated by temperature rise)

Anecdotes
• A practitioner has had excellent results using formulas containing Licorice, Paeonia and Black Cohosh
for the treatment of PCOS.
Herbal and Nutritional Protocols for Common Conditions 111 © Phytotherapy Press

Poor Liver Function

Symptoms of poor liver function include sluggish digestion (dyspepsia), fat intolerance, nausea, chronic
constipation and chemical, food or drug intolerances. A poorly-functioning liver may also contribute to a
number of disorders such as psoriasis, autoimmune disease, irritable bowel syndrome, allergies and
cancer.

Aims of Treatment

• Improve the liver's capacity to withstand toxic insult and help alleviate previous toxic damage with
hepatoprotective and hepatic trophorestorative herbs.
• Boost bile production, the digestive role of the liver and boost detoxification via the bile with
choleretic herbs.
• Improve hepatic phase I/II detoxification with specifics and antioxidants.

Primary Protocol
Improve Digestive Liver Function
Livton
®
Complex tablets This combination of herbs contains herbs with choleretic,
cholagogue and hepatoprotective activity which will improve liver
function and promote bile flow.

3 to 4 tablets daily


Improve Liver Detoxification Processes
P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification.

4 g 1 to 2 times daily
LivCo
®
tablets This combination of herbs enhances the detoxifying capacity of
the liver (enhancement of hepatic phase I/II detoxification). It
also provides hepatoprotective and antioxidant activity.

3 to 4 tablets daily

Additional Treatment (as required)
Silymarin tablets For patients with a history of liver damage high potency St Mary’s
Thistle provides clinically-proven hepatoprotective and
hepatotrophorestorative activity to aid in the restoration of liver
function. It also provides antioxidant activity in the liver.

2 to 3 tablets daily

Vitanox
®
tablets This herbal formulation provides potent antioxidant activity and
strengthens the therapeutic effect on liver detoxification.

2 tablets daily
AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean Ginseng,
Pine Bark extract and Polygonum cuspidatum, which is a major
source of resveratrol and is an excellent antioxidant/anti-ageing
formula. In addition St Mary’s Thistle provides hepatoprotective
and trophorestorative activity whilst Korean Ginseng improves
energy, well-being and adaptation to stress.

1 to 2 tablets 2 times daily
Everyday Balance Protein
Powder
May be of benefit for patients with insufficient dietary protein or
poor absorption of protein. The glutamine and the sulfur
containing amino acids, particularly cystine in Everyday Balance
support liver detoxification, particularly phase II.
2 heaped tablespoons (25 grams)
into 240 mL of water, non-fat milk
or appropriate alternative, 1 to 2
times daily

Herbal and Nutritional Protocols for Common Conditions 112 © Phytotherapy Press

Anecdotes
• A practitioner who treats many patients with reduced liver function uses Silymarin tablets to improve
overall health of the liver, Livton
®
Complex to improve the digestive capacity of the liver (often
combined with DiGest tablets) and LivCo
®
tablets when there is a need to improve liver detoxification
pathways in the liver. In some cases a combination of two of these tablets is prescribed when the
liver is deficient in a number of different areas.
• A practitioner always uses Silymarin tablets in patients with liver damage and they are usually
combined with Vitanox
®
tablets and in some cases Poly-C Powder. Once the liver has been
strengthened LivCo
®
tablets may be introduced (for detoxification) or Livton
®
Complex tablets (for
increased bile production).
• Silymarin is useful 1 week prior to surgery and 2 weeks post surgery to protect and support the liver.
Herbal and Nutritional Protocols for Common Conditions 113 © Phytotherapy Press

Premenstrual Syndrome (PMS)

Premenstrual syndrome (PMS) can manifest as a variety of emotional and physical symptoms which
occur in the luteal phase of the menstrual cycle, usually 5 to 7 days before the period.

Aims of Treatment

• Correct underlying hormonal imbalance.
• Correct essential fatty acid (EFA) deficiency/prostaglandin imbalance.
• Treat the symptoms.

Primary Protocol
Chaste Tree tablets Chaste Tree may be beneficial via a couple of different
mechanisms. Firstly, it increases the production of luteal phase
progesterone. (Many of the symptoms of PMS are thought to be
the result of a relative deficiency of progesterone, when compared
to oestrogen, in the luteal phase). Secondly, Chaste Tree appears
to exert a dopaminergic activity. Dopamine enhances sense of
well-being.

1 to 2 tablets daily

Vital Woman tablets Vital Woman contains 250 mg Chaste Tree and Shatavari, a
female reproductive tonic and general tonic. In many cases of
PMS 250 to 500 mg Chaste Tree daily is sufficient. In these cases
Vital Woman can be substituted for Chaste Tree tablets and
Everyday B Multi tablets. Vital Woman contains many vitamins and
minerals essential for nervous system support and to improve
general nutritional status.
1 to 2 tablets times daily with
breakfast

Nevaton
®
tablets To alleviate emotional disturbances such as depression, anxiety.
1 tablet 3 times daily

OR Withania Complex tablets To alleviate emotional disturbances, particularly when associated
with long term stress and adrenal exhaustion or where there is
low energy.
1 tablet 3 times daily


OR NeuroSom tablets NeuroSom will be beneficial for the treatment of nervous system
symptoms. Magnolia bark is traditionally used in J apanese
medicine (Kampo) for the treating of anxiety, insomnia and
depression. Zizyphus is used in Chinese medicine for insomnia,
anxiety and irritability. Lemon Balm and Lavender are used in
Western herbal medicine for symptoms associated with anxiety
and depression. Magnesium and vitamin B6 are essential for a
healthy nervous system.

2 tablets 1 to 2 times daily


Additional Treatment (as required)
P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification. P2-Detox will be of benefit
where poor hormone metabolism is contributing to PMS.

4 g 1 to 2 times daily
LivCo
®
tablets This combination of herbs enhances liver clearance of excessive
oestrogen, thus helping to correct oestrogen: progesterone
balance.

1 tablet 3 times daily

Herbal and Nutritional Protocols for Common Conditions 114 © Phytotherapy Press
Poly-C Powder Vitamin C supplementation has demonstrated the ability to correct
luteal phase defects by enhancing progesterone.

4 g 2 to 3 times daily

Dandelion Leaves 1:1 liquid
extract
To reduce oedema often associated to PMS.
5 to 10 mL 2 times daily (morning
and lunch) during the premenstrual
time

Mega Mag powder Magnesium is essential for optimal functioning of the nervous
system. However magnesium supplementation for stress support is
only effective when the metabolic needs of other minerals
including zinc, chromium, calcium, potassium, selenium and
molybdenum are met. Mega Mag powder contains these nutrients.
It also contains high-dose B complex vitamins for additional
nervous system support. Magnesium will also help alleviate
premenstrual cramping.

5 g daily


Active Mag-Cal tablets Active Mag-Cal tablets can be used in mild cases or to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder. Active Mag-Cal tablets can be given to patients
who prefer tablets to powder.

1 tablet 3 times daily
Anecdotes
• A female patient aged 33 had erratic periods. After 3 months of 2 Chaste Tree tablets daily her cycle
was more stable.
• A female patient aged 36 experienced PMS for about 1 week before her period including mastalgia
and mood changes. One Chaste Tree tablet daily saw her PMS much reduced (in intensity and
duration). Due to the cyclical nature of this condition, it may take 1 to 2 months to have an effect.
• Withania Complex tablets are fabulous for reducing the symptoms of stress and increasing sense of
well-being.
• Practitioners find that the combination of adaptogenic effects from Korean Ginseng and Withania, the
adrenal tonic effect of Licorice and the nervine tonic effect of Skullcap is ideal for treating a variety of
symptoms associated with stress and fatigue.
• A practitioner had been giving blood on a regular basis for a number of years. Each time she
suffered from lethargy, weakness etc and it took her 7 days to recover despite taking a multi-B
supplement. She changed to Everyday B Multi tablets and it only took her 2 to 3 days to recover. She
was very pleased and continues to use Everyday B Multi tablets for herself and for her patients.
• I LOVE Vital Woman! I have had PMS month after month starting at ovulation. After taking Vital
Woman for 2 weeks my PMS was drastically reduced by 60 to 70%! This practitioner commented
that she will definitely be using Vital Woman in her clinic – it has the benefits of a multivitamin along
with the herbs, all at a fantastic price.
• A practitioner switched from another brand Women’s Multi to MediHerb MH Enhance Vital Woman for
the treatment of PMS. There were absolutely no premenstrual symptoms with the next period.
Herbal and Nutritional Protocols for Common Conditions 115 © Phytotherapy Press

Prostatitis, Acute or Chronic Bacterial

Inflammation of the prostate caused by bacterial infection.

Aims of Treatment

• Improve immune function and provide antibacterial activity to assist the body in overcoming infection
of the male urinary tract and prostate caused by E. coli, Klebsiella, Enterobacter or Pseudomonas.
• Assist the body in fever management.
• Provide relief of inflammation and obstructive urinary symptoms.

Protocol
Andrographis Complex tablets OR
Echinacea Premium tablets
This combination of herbs provides immune enhancing
activity.
1 tablet 2 to 3 times daily, increase
dose in acute conditions

Cranberry Complex tablets Cranberry, Buchu and Bearberry (Uva Ursi) have significant
antiseptic activity in the urinary tract. Crataeva is anti-
inflammatory, but most importantly it increases bladder tone
and thus improves bladder emptying. Residual urine in the
bladder due to poor bladder emptying is associated with
recurrent urinary tract infections.

Acute 3 to 8 tablets daily
Chronic 3 to 4 tablets daily


DiaCo Phytosynergist™ liquid This formulation contains herbs with diaphoretic activity
which, especially during the acute and febrile phase of the
infection, assists the body to fight off the infection. This
combination is suitable for acute bacterial prostatitis (as fever
is usually present) and for chronic bacterial prostatitis only if
fever is present.

5 mL with warm water 3 to 4 times
daily


Herbal and Nutritional Protocols for Common Conditions 116 © Phytotherapy Press

Reactive Hypoglycaemia (Dysglycaemia)

Medicine defines 'true' reactive hypoglycaemia as a manifestation of the dumping syndrome, for
example, in those who have had previous gastric surgery or who have a gastrointestinal motility disorder.
However, health care professionals have commonly observed patients with symptoms related to low
blood sugar occurring in the mid to late mornings and afternoons which is relieved by eating.

Aims of Treatment

• Decrease sensitivity to a drop in blood sugar caused by caffeine intake, stress, poor cerebral blood
flow.
• Support adrenal gland function.
• Improve the body's metabolism of simple sugars and response to insulin.
• Support the role of the liver in regulating blood sugar.

Protocol
Licorice High Grade 1:1 liquid
extract
Licorice is an adrenal restorative and supports the adrenal
cortex during prolonged stress.
3 to 4 mL daily

OR Rehmannia 1:2 liquid extract Supports adrenal gland function and stress response in
patients with high blood pressure, for whom Licorice would be
unsuitable.

4 mL 2 times daily

ThyAdren Support tablets Supports adrenal and thyroid function, reducing the adverse
effects of stress, increasing energy and well-being, which in
turn reduces sugars cravings and enables the patient to more
easily make dietary changes.

1 tablet 2 times daily
AND/ OR Adrenal Complex tablets The adrenal glands play a role in blood sugar regulation,
particularly during times of stress. Rehmannia and Licorice are
excellent adrenal tonics and can be used to support adrenal
function at any stage of the stress response.
1 tablet 2 to 3 times daily


Gymnema 1:1 liquid extract,
Gymnema tablets OR GlucoBalance
tablets
Low doses of Gymnema can help control reactive
hypoglycaemia and sugar craving. GlucoBalance helps with
blood sugar regulation, as it contains 2 different forms of
chromium and necessary cofactors in addition to Gymnema.

Gymnema: 1 to 1.5 mL daily or 1 tablet
per day
GlucoBalance: 1 tablet 2 times daily
with meals

OR Gentian 1:2 liquid extract Bitter herbs such as Gentian may also help control reactive
hypoglycaemia. 5 drops 6 times daily taken 30 minutes
prior to meals

Ginkgo Forte tablets or 2:1 liquid
extract
Patients with reactive hypoglycaemia may experience
dizziness and poor concentration. Ginkgo improves cerebral
circulation and has favourable effects on brain energy
metabolism.
Tablets: 1 to 2 tablets 2 times daily
Liquid Extract: 1.5 to 3 mL 2 times daily

Everyday Balance Protein Powder The combination of protein and low glycaemic index
carbohydrates in Everyday Balance reduces swings in blood
sugar levels and encourages sustained energy resulting in
reduced sugar and carbohydrate cravings.
2 heaped tablespoons (25 grams) into
240 mL of water, non-fat milk or
appropriate alternative, 1 to 2 times
daily

Herbal and Nutritional Protocols for Common Conditions 117 © Phytotherapy Press

Mega Mag powder Magnesium is an important nutrient for the regulation of blood
sugar. Mega Mag powder also contains chromium and B
complex vitamins making it an ideal supplement to assist with
dysglycaemia.

5 g daily

Active Mag-Cal tablets Active Mag-Cal tablets can be used in mild cases or for
maintenance once optimal magnesium levels have been
reached, or for patients who prefer a tablet rather than
powder.

1 tablet 3 times daily
Dietary Measures Refined carbohydrates can overstimulate insulin release.
Caffeine may reduce cerebral blood flow and increases the
symptoms of mild hypoglycaemia in those with poorly
controlled glucose levels. Soluble fibre and protein reduce the
insulin response. Protein also stimulates gluconeogenesis
which results in a consistent output of glucose from the liver.
• Eliminate refined carbohydrates
(including soft drinks and alcohol in
the fasting state)
• Eliminate caffeine
• Frequent and small meals (including
mid morning and afternoon)
• Meals high in fibre
• Addition of substantial protein at
each meal

Additional Treatment (as required)
Withania Complex tablets To support adrenal gland function and counteract the effects
of long-term stress. 1 tablet 3 times daily

Anecdotes
• A practitioner has seen fantastic results with GlucoBalance tablets in patients with reactive
hypoglycaemia. They report a decrease in sugar cravings and more constant energy levels. These
tablets are often combined with adrenal tonic herbs such as Rehmannia or Licorice and herbs for
adaptogenic support eg Withania, Codonopsis, Rhodiola, Siberian Ginseng, Korean Ginseng. The
adaptogenic herbs most suitable to the individual case are chosen. Withania Complex tablets are
used where tablets are preferred by the patient.
Herbal and Nutritional Protocols for Common Conditions 118 © Phytotherapy Press

Reflux, Gastroesophageal

Gastroesophageal reflux is reflux of gastric juice and/or duodenal contents (bile acids, pancreatic juice)
into the lower end of the oesophagus, commonly due to incompetence of the lower oesophageal
sphincter. Hiatus hernia may be a contributing factor, but combined with reflux may increase tissue
damage.

Aims of Treatment

• Improve lower oesophageal sphincter function and protect the oesophagus from exposure to
stomach contents and acid
• Ensure adequate digestion and gastrointestinal motility
• Ease inflammation and encourage tissue healing
• Support the body's response to stress

Primary Protocol
HiPep tablets This combination of herbs provides primarily demulcent (Licorice),
anti-inflammatory (Licorice, Meadowsweet, Chamomile) and
mucoprotective activity (Licorice). Licorice also improves
pancreatic bicarbonate secretion which assists in providing a
barrier to gastric acid. Meadowsweet is traditionally indicated for
gastric ulceration and may also have a mild antacid effect.

1 to 2 tablets 3 times daily after
meals


Slippery Elm 400mg capsules or
Slippery Elm powder
To provide a buffer, reducing contact of stomach contents with
the oesophagus. Slippery Elm also generally assists
gastrointestinal motility through normal bowel function (by
increasing stool bulk).
Capsules: 2 to 3 capsules 2 to 3
times daily with plenty of water
after meals
Powder: 1 heaped teaspoon mixed
in half a cup of water, after meals*
and before bed

Ensure adequate water intake in diet

*Intake may need to be delayed if hiatus
hernia is present as an excessive stomach
volume will increase the possibility of reflux

Additional Treatment (as required)
Withania & Ginseng tablets To assist the body to cope with the effects of stress which may
exacerbate the reflux. 1 tablet 3 to 4 times daily

DiGest tablets This combination includes bitter herbs which may help tone the
oesophageal sphincter and increase digestive secretions
promoting good digestion and gastric emptying.
1 tablet 3 times daily given 30
minutes before meals. It is best to
suck the tablet until a bitter taste is
experienced, then swallow with
some water

Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue by increasing blood flow particularly
microcirculation. Grape Seed and Ginkgo also provide antioxidant
activity. (See below for further information on Gotu Kola)

1 tablet 3 to 4 times daily
Gotu Kola 1:1 liquid extract To assist the healing of tissue damage to the stomach or
oesophagus. The pentacyclic triterpene ester saponins in Gotu
Kola have demonstrated wound healing activity. Administration of
the liquid extract would be appropriate after treatment with Tissue
Regenex tablets has improved the condition (alcohol or the herb
may exacerbate in the acute).

5 mL with water daily

Herbal and Nutritional Protocols for Common Conditions 119 © Phytotherapy Press

Vitanox
®
tablets Provides antioxidant support for long-term or chronic conditions
where tissue damage, especially of the oesophagus, may proceed
to cellular change.
1 tablet 1 to 2 times daily


AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean Ginseng,
Pine Bark extract and Polygonum cuspidatum, which is a major
source of resveratrol and is an excellent antioxidant/anti-ageing
formula. In addition St Mary’s Thistle provides hepatoprotective
and trophorestorative activity whilst Korean Ginseng improves
energy, well-being and adaptation to stress. This formula is
particularly good for the ageing individual.

1 to 2 tablets 2 times daily
Zinc Protect tablets Zinc is important for the protection and healing of the tissues in
the gastrointestinal tract.

1 tablet daily

Anecdotes
• A practitioner takes HiPep tablets for gastritis/reflux when needed and finds they work well within a
few days.
• A practitioner uses HiPep tablets and Slippery Elm 400mg capsules as a matter of course and rarely
has to treat further. She may add Active Mag-Cal tablets if indicated (for example, if the person is a
"magnesium type" and has a tendency to stress, muscle tension and stricture, the relaxing and
feeding effect of magnesium speeds up the response).
Herbal and Nutritional Protocols for Common Conditions 120 © Phytotherapy Press

Sinusitis

Sinusitis is an inflammatory process of the mucous membranes of the paranasal sinuses. Acute sinusitis
may be caused by a bacterial infection and viral infection of the upper respiratory tract is the most
common precursor. Allergic rhinitis is another common cause of ostial obstruction. The development of
chronic sinusitis is a multifactorial process primarily related to allergen exposure, genetic predisposition
and persistent infections.

Aims of Treatment

• Relieve nasal congestion and improve immune function to help prevent a bacterial infection taking
hold.
• Reduce microbial populations.
• Promote fever, relieve allergy and cough if present.
• Assist elimination via the lymph for chronic sinusitis.

Primary Protocol: Sinusitis
Eyebright Complex tablets Eyebright, Golden Rod and Golden Seal are anticatarrhal, and
strengthen the mucous membranes. Eyebright and Golden Rod
have been traditionally recommended for nasal catarrh, sinusitis
and conjunctivitis. Echinacea root assists the body in enhancing
the nonspecific immune function. Cayenne, as a circulatory
stimulant, assists in the absorption of the other herbs.

1 tablet 4 times daily


Pelargonium 1:5 liquid extract Clinical trials have shown that Pelargonium is effective in the
treatment of both acute and chronic sinusitis. 3 to 6 mL daily
Andrographis Complex tablets This combination of herbs provides immune enhancing activity.
Echinacea root enhances the body's nonspecific immune function
to fight the infection and help prevent its recurrence.
Andrographis has been used clinically for the treatment of colds,
flu and fever. Holy Basil is a revered plant in India with immune
enhancing and adaptogenic activity.
Adults: 1 tablet 2 to 3 times daily
Increase dose for acute conditions
(4 to 6 per day).
Children: 1 tablet 1 to 2 times daily


Additional Treatment (as required)
Golden Seal tablets Additional assistance for the mucous membranes if excessive
mucus is present. In addition to its antimicrobial activity, Golden
Seal is a mucous membrane tonic.

1 tablet 2 times daily

Garlic tablets Garlic is beneficial for catarrhal conditions and upper respiratory
tract infections. It may be of benefit where thick mucus is present
which may increase the chance of bacterial colonisation.
2 tablets daily

Poly-C Powder Patients with upper respiratory tract infection can expect a shorter
duration of symptoms by taking vitamin C (2 g dose).

4 g 2 to 3 times daily
Zinc Protect tablets Zinc is essential for optimal immune function and for the
protection and repair of mucous membranes.

1 tablet daily

Additional Treatment for Acute Sinusitis
DiaCo Phytosynergist™ liquid This formulation contains several herbs (Elder Flower, Yarrow,
Lime Flowers) with diaphoretic activity which, especially during the
acute and febrile phase of the infection, assists the body to fight
off the infection. Echinacea assists the activity of the diaphoretics
with immune enhancing activity. Licorice is soothing to inflamed
mucous membranes. Elder Flower also assists with anticatarrhal
and anti-inflammatory activity. Ginger, as a circulatory stimulant
boosts the actions of these herbs and improves their absorption.

5 mL with warm water 3 times
daily. Increase dose during febrile
phase (5 mL 4 to 6 times daily)


Herbal and Nutritional Protocols for Common Conditions 121 © Phytotherapy Press
# Dose of all treatments should be higher and given more frequently for acute sinusitis. Refer also to
the Allergic Rhinitis Protocol if allergy is present.

Additional Treatment for Chronic Sinusitis
Poke Root 1:5 liquid extract Poke Root is a strong lymphatic which may assist in draining the
congestion from the nasal passages by promoting elimination via
the lymph. It is also anti-inflammatory for respiratory conditions.
0.5 mL daily with water
Do not exceed this dose

Anecdotes
• Many practitioners frequently use Eyebright Complex tablets for patients with sinusitis, hay fever or
excessive mucus with very good results.
• A high-dose of Andrographis Complex tablets (2 tablets 2 to 3 times per day) at the first signs of a
sinus infection will usually stop it developing. The dose should then be gradually reduced and a
maintenance dose of 1 tablet 1 to 2 times a day should be continued.
• Herbal practitioners often use Golden Seal tablets in conjunction with specific formulations to treat
conditions of the different mucous membranes throughout the body.
• A combination of Andrographis Complex tablets and Garlic tablets work well for the treatment and
prevention of sinusitis. Garlic is particularly beneficial where there is thick mucus that is difficult to
move.
• Good results can be obtained using DiaCo in the acute phase of a respiratory infection when
accompanied by a fever.
Herbal and Nutritional Protocols for Common Conditions 122 © Phytotherapy Press

Sports Performance

Data suggests that an athlete's immune system is suppressed following endurance exercise. During this
period of decreased host protection, viruses and bacteria may gain a foothold, which increases the risk of
infection. Overtraining syndrome (OTS) is where the athlete is training excessively and yet performance
deteriorates.

Aims of Treatment

• Prevent infection.
• Increase stamina and performance.
• Prevent overtraining syndrome.

Primary Protocol
Tribulus Forte tablets or 2:1
liquid extract
Studies have demonstrated that Tribulus can increase endurance
and resistance to stress. Endurance exercise can decrease
testosterone (in both sexes). Tribulus has demonstrated the ability
to maintain testosterone levels in men.

Tablets: 1 tablet 1 to 3 times daily
Liquid Extract: 5 mL 2 times daily

Everyday Balance Protein
Powder
The combination of amino acids in Everyday Balance helps to build
and maintain lean muscle mass, support the immune system and
in combination with low glycaemic index carbohydrates improves
energy.
2 heaped tablespoons (25 grams)
into 240 mL of water, non-fat milk
or appropriate alternative, 1 to 2
times daily

ThyAdren tablets High level athletes often experience adrenal depletion as a result
of over training. Adrenal depletion can occur in any individual who
exercises beyond their capabilities. The combination of nutrients
and Rehmannia in ThyAdren Support tablets give excellent adrenal
support and will help to improve overall energy.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Rehmannia and Licorice are both adrenal tonic herbs and can
effectively treat and/or prevent adrenal depletion. They also have
significant anti-inflammatory activity. Inflammation and pain are
often associated with extensive exercise.
1 tablet 2 to 3 times daily


Example Formula These herbs have been shown in clinical trials to increase physical
performance and stamina.

Rhodiola 2:1 40 mL
Siberian Ginseng 1:2 40 mL
Korean Ginseng 1:2 20 mL
100 mL

Dosage – 7.5 mL 2 times daily

Additional Treatment (as required)
Vitanox
®
tablets Research suggests that OTS can relate to muscle and joint trauma
which through immune mechanisms can lead to systemic
inflammation. By supporting the body with herbal antioxidants and
anti-inflammatories OTS can be both treated and prevented.
1 tablet 1 to 2 times daily



AND/ OR PhytoRegenex tablets PhytoRegenex contains Ginkgo, St Mary’s Thistle, Korean Ginseng,
Pine Bark extract and Polygonum cuspidatum, which is a major
source of resveratrol and is an excellent antioxidant/anti-ageing
formula. In addition St Mary’s Thistle provides hepatoprotective
and trophorestorative activity whilst Korean Ginseng improves
energy, well-being and adaptation to stress. This formula is
particularly good for the ageing individual.

1 to 2 tablets 2 times daily
Herbal and Nutritional Protocols for Common Conditions 123 © Phytotherapy Press
Astragalus Complex tablets For athletes with recurrent infections this is an ideal combination
of adaptogenic and tonic herbs to increase vitality. Increased
vitality leads to fewer infections and increased stamina.
1 tablet 3 to 4 times daily


AND/ OR Withania Complex
tablets
This complex is ideal additional therapy to help to increase vitality,
stamina and performance.
1 tablet 3 to 6 times daily

Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue by increasing blood flow particularly
microcirculation. Grape Seed and Ginkgo also provide antioxidant
activity.
In athletes Tissue Regenex tablets will help to support immunity,
help prevent microtrauma and tissue damage, enhance circulation
thereby improving nutrient and oxygen delivery to muscles and
the removal of waste products from muscles.

1 tablet 3 to 4 times daily
Mega Mag powder The high-dose magnesium in Mega Mag powder will help to
prevent muscle soreness after exercise. Mega Mag powder also
contains other electrolytes such as potassium and calcium along
with creatine and L-carnitine, making it an ideal supplement for
serious sports people and athletes.

5 g daily

Zinc Protect tablets In athletes, zinc deficiency can lead to anorexia, significant loss in
bodyweight, latent fatigue with decreased endurance and a risk of
osteoporosis. An excessive intake of carbohydrates and low intake
of proteins and fat may lead to suboptimal zinc intake in 90% of
athletes. Zinc supplementation had a positive effect on
haematological parameters in athletes. In female athletes,
particularly those with menstrual dysfunction, adequate intake of
bone-building nutrients are especially important. These include
zinc, iron, calcium and B-vitamins.

1 tablet daily


OR Schisandra 1:2 liquid
extract
In addition to its traditional use in traditional Chinese medicine
(TCM) as a tonic and sedative, Schisandra has been studied and
utilised as a ‘harmony remedy’ in Russia, as such it may improve
mental and physical performance. Administration of Schisandra
improved performance and endurance in race and show-jump
horses.

4 mL 2 times daily

Herbal and Nutritional Protocols for Common Conditions 124 © Phytotherapy Press
Everyday B Multi tablets Adequate intake of B-vitamins is important to ensure adequate
energy production and the building and repair of muscle tissue.
In female athletes, particularly those with menstrual dysfunction,
adequate intake of bone-building nutrients are especially
important. These include B-vitamins, zinc, iron and calcium.
Everyday B Multi tablets contains all these nutrients. Where
necessary additional zinc and/or iron can be provided by
prescribing Zinc Protect tablets and Fe-Max Iron Tonic or Fe-Plex
tablets.

1 tablet daily




Vital Woman tablets In addition to the benefits of the combination of vitamins and
minerals (see below), Vital Woman contains Chaste Tree which
will be beneficial in women who experience a drop in energy, or
other symptoms premenstrual, and Shatavari, which in addition to
being an important female reproductive tonic, is also a general
tonic and adaptogen. Polygonum cuspidatum, containing
resverator, is also in Vital Woman. Resveratrol is an important
antioxidant and anti-ageing substance.
Adequate intake of B-vitamins is important to ensure adequate
energy production and the building and repair of muscle tissue.
In female athletes, particularly those with menstrual dysfunction,
adequate intake of bone-building nutrients are especially
important. These include B-vitamins, zinc, iron and calcium.
Everyday B Multi tablets contains all these nutrients. Where
necessary additional zinc and/or iron can be provided by
prescribing Zinc Protect tablets and Fe-Max Iron Tonic or Fe-Plex
tablets.

1 tablet daily




Fe-Plex tablets Iron deficiency is a common problem in athletes, particularly
runners. However, recreational athletes (36% of females and 6%
of males tested) also suffer iron deficiency without anaemia.
In female athletes, particularly those with menstrual dysfunction,
adequate intake of bone-building nutrients are especially
important. These include B-vitamins, zinc, iron and calcium.
Everyday B Multi tablets contain all these nutrients.
Fe-Max Iron Tonic can be used if preferred.

1 tablet 2 times daily

Anecdotes
• An intensely training, elite, surf coach reports that he can’t do without Astragalus Complex and
Tribulus Forte tablets, if he runs out, he soon experiences reduced vitality, energy and performance.
• Champion triathlete, who previous to treatment was extremely prone to respiratory tract infections,
is now largely free of infection due to Astragalus Complex and Broncafect tablets.

Herbal and Nutritional Protocols for Common Conditions 125 © Phytotherapy Press

Stress

The effects of stress, particularly long-term stress, can manifest as a variety of physical and emotional
symptoms including headaches, muscle tension, gastrointestinal symptoms, anxiety, depression and
insomnia.

Aims of Treatment

• To enhance the body’s capacity to tolerate stress.
• To nourish the nervous system.
• To treat the manifestations of stress in each individual.

Protocol
Withania Complex tablets The combination of herbs in this tablet provide adaptogenic
activity, thus increasing tolerance to stress and nervous system
support.
1 tablet 3 to 4 times daily

Nevaton
®
tablets The combination of herbs in this tablet is particularly beneficial
where there is mild to moderate depression. St J ohn’s Wort exerts
a well proven antidepressant effect, as well as nourishing the
nervous system. Schisandra, Damiana and Skullcap have sedative
and nourishing effects on the nervous system. Schisandra also
enhances mental activity, which is often reduced in times of
stress.

1 tablet 3 times daily


Astragalus Complex tablets These tablets are particularly beneficial when stress has a
detrimental effect on the immune system. All three herbs in this
tablet are immune stimulating. Astragalus and Siberian Ginseng
also provide adaptogenic and tonic activity, thus reducing the
adverse effects of stress.

1 tablet 3 to 4 times daily


Withania & Ginseng tablets These tablets are beneficial if a quick boost in energy is required.
They also provide adaptogenic and tonic effects.

1 tablet 3 times daily

Rhodiola & Ginseng tablets Rhodiola is an adaptogenic and tonic herb that has been shown to
improve energy, physical and intellectual performance and is
beneficial for depression, insomnia and anxiety. Korean Ginseng is
an adaptogen and tonic indicated for physical or mental
exhaustion and stress.
1 to 2 tablets 2 times daily
ThyAdren Support tablets Long-term stress causes adrenal depletion therefore supporting
the adrenal glands is an important part of treatment of the
stressed patient. The combination of nutrients and Rehmannia in
these tablets support adrenal function and reduce the adverse
effects of long-term stress.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Both Rehmannia and Licorice are excellent adrenal tonics and will
help to support adrenal function during any stage of the stress
response. 1 tablet 2 to 3 times daily


St J ohn’s Wort tablets St J ohn’s Wort is specific for depression. These tablets would
ideally be combined with other herbs that nourish the nervous
system and reduce the adverse effects of stress. The antiviral
activity of St J ohn’s Wort will also be beneficial for patients who
experience recurrent viral infections (eg herpes) during times of
stress.

1 tablet 2 to 3 times daily

Herbal and Nutritional Protocols for Common Conditions 126 © Phytotherapy Press

Valerian Complex tablets Valerian Complex tablets are particularly useful when stress is
causing sleep disturbance. All three herbs have hypnotic activity.
There has been much research on Valerian to demonstrate its
efficacy for improving sleep.

1 to 2 tablets 1 to 2 times during
the evening and before bed

OR NeuroSom tablets NeuroSom will help to alleviate many symptoms of stress,
particularly anxiety, depression and insomnia. Magnolia bark is
traditionally used in J apanese medicine (Kampo) for the treating
of anxiety, insomnia and depression. Zizyphus is used in Chinese
medicine for insomnia, anxiety and irritability. Lemon Balm and
Lavender are used in Western herbal medicine for symptoms
associated with anxiety and depression. Magnesium and vitamin
B6 are essential for a healthy nervous system.
2 tablets 1 to 2 times daily


Everyday B Multi tablets For additional nervous system support.
1 tablet daily after breakfast

Vital Woman tablets Vital Woman contains a combination of vitamins and minerals that
are essential for good nervous system functioning. In addition,
this tablet contains Chaste Tree which will be beneficial for woman
who experience a worsening of stress symptoms premenstrually.
Shatavari is an important female reproductive tonic as well as
being a general tonic and adaptogen. For many women Vital
Woman may be a viable alternative to Everyday B Multi tablets.
1 tablet daily




Mega Mag powder Magnesium is essential for optimal functioning of the nervous
system. However magnesium supplementation for stress support
is only effective when the metabolic needs of other minerals
including zinc, chromium, calcium, potassium, selenium and
molybdenum are met. Mega Mag powder contains these nutrients.
It also contains high-dose B-vitamins for additional nervous
system support.

5 g daily


Active Mag-Cal tablets Active Mag-Cal tablets can be used in mild cases or to maintain
magnesium levels once optimal levels have been reached with
Mega Mag powder. Active Mag-Cal tablets can be given to patients
who prefer tablets to powder.

1 tablet 3 times daily
Poly-C Powder Prolonged stress depletes the adrenal of vitamin C therefore
supplementation may be advisable.

4 g 2 to 3 times daily
Anecdotes
• Practitioners find the combination of the adaptogenic effects of Korean Ginseng and Withania, the
adrenal tonic effect of Licorice and the nervine tonic effect of Skullcap (in Withania Complex tablets)
ideal for treating a variety of symptoms associated with stress and fatigue.
• Nevaton
®
tablets are fabulous for reducing the symptoms of stress and increasing the sense of well-
being.
• Nevaton
®
tablets are a wonderful tonic for the nervous system and are a good alternative to straight
St J ohn’s Wort in cases where there is nervous debility and/or anxiety. Use 4 tablets per day for
marked cases of low mood and debility.
• Many patients are extremely thankful for the existence of Nevaton
®
tablets. They improve mood,
increase energy and promote well-being.
• Nevaton
®
tablets are often given to patients with insomnia to keep them relaxed during the day. A
dosage of 1 tablet 3 times during the day works well in combination with Valerian Complex tablets
given at night, half an hour before bed.
• Astragalus Complex tablets are often prescribed by practitioners to reduce the adverse effects of
stress experienced by patients working long hours in demanding jobs.
• Withania & Ginseng tablets are wonderful at increasing tolerance to stress but are particularly
effective for quickly increasing energy. Generally they are prescribed 2 tablets after breakfast and 2
tablets after lunch and are often combined with other nervous system herbs.
Herbal and Nutritional Protocols for Common Conditions 127 © Phytotherapy Press

• The antiviral effect of St J ohn’s Wort works well in herpes (in combination with Echinacea). Herpes
attacks often occur during times of stress and the favourable effects of St J ohn’s Wort on the
nervous system also contribute to its efficacy.
• Many stressed patients who suffer recurrent herpes attacks can manage the condition with St J ohn’s
Wort tablets taken as needed. They are usually combined with Andrographis Complex tablets during
acute attacks.
• Patients find Valerian Complex tablets are particularly good for reducing insomnia and improving
sleep quality.
• Valerian Complex has been used to treat refugees who are survivors of torture in their own
countries. Patients with severe insomnia, anxiety, panic attacks, restlessness and muscle tension
have benefited from Valerian Complex at doses of 2 to 4 tablets per day.
• A practitioner had been giving blood on a regular basis for a number of years. Each time she
suffered from lethargy, weakness etc and it took her 7 days to recover despite taking a multi-B
supplement. She changed to Everyday B Multi tablets and it only took her 2 to 3 days to recover. She
was very pleased and continues to use Everyday B Multi tablets for herself and for her patients.
• A practitioner used a formula containing Korean Ginseng, Siberian Ginseng, Schisandra and Fe-Max
Iron Tonic (50 mL of each): 5 mL 3 times daily, for the treatment of a teacher with stress and
fatigue. Within a short time the teacher was feeling much better emotionally and had increased
energy. She has referred colleagues to the practitioner and the formula has been dubbed ‘Teachers’
Friend’
• A practitioner’s son was prescribed Xanax for anxiety. The practitioner substituted the Xanax tablets
with MediHerb Kava tablets (2 tablets daily). He felt much better and when told of the substitute, the
psychiatrist said he was pleased that the change had been made! The patient’s well-being is
maintained with 1 Kava tablet daily.
Herbal and Nutritional Protocols for Common Conditions 128 © Phytotherapy Press

Subclinical Hypothyroidism

Subclinical hypothyroidism is diagnosed when the patient has elevated thyroid stimulating hormone
(TSH) and normal free T4 and normal free T3 levels. It is most commonly caused by Hashimoto’s
Thyroiditis which is an autoimmune disease, and will usually progress to become full-blown
hypothyroidism if left untreated. Other, less common, causes of subclinical hypothyroidism include
multinodular goiter but in some patients the cause is not identified.

Aims of Treatment

• To improve thyroid function.
• Treat symptoms such as fatigue and weight gain.
• Treat underlying causes such as Hashimoto’s Thyroiditis or nodules.

Primary Protocol*
ThyroCo tablets Bladderwrack is used traditionally for the treatment of
hypothyroidism. It provides iodine which is essential for the
synthesis of thyroxine. Both Withania and Bacopa have been
shown to increase thyroxine levels. Withania has also been shown
to have an antiperoxidative (antioxidant) effect.

1 to 2 tablet 3 times daily


ThyAdren Support tablets ThyAdren Support contains a combination of nutrients and
Rehmannia to support and improve thyroid and adrenal function.

1 tablet 2 times daily
AND/ OR Adrenal Complex
tablets
Adrenal support is important in any thyroid conditions. Rehmannia
and Licorice are excellent adrenal tonics. Both herbs also have
significant anti-inflammatory activity which may help to reduce
any underlying thyroid inflammation.
1 tablet 2 to 3 times daily


Coleus Forte tablets Coleus improves thyroid function and several clinical trials have
demonstrated that Coleus aids weight loss.

1 tablet 3 times daily
Thuja 1:2 liquid extract Thuja has been used traditionally to treat any type of abnormal
growths and can be used in cases where thyroid nodules are
contributing to the condition.

2 mL to 3 mL daily
Withania & Ginseng tablets OR
Siberian Ginseng tablets OR
Rhodiola & Ginseng tablets
These herbs all have adaptogenic and tonic activity. They will
increase energy and reduce the effects of stress. The Withania in
the Withania & Ginseng tablets will give additional thyroid support.

2 tablets 2 times daily

Example Formula to Improve
Energy
The herbs in this formula have well-documented tonic activity.
They improve energy, mental and physical stamina and generally
increase sense of well-being.
Siberian Ginseng 1:2 30 mL
Rhodiola 2:1 40 mL
Withania 1:1 30 mL
100 mL

Dosage – 7.5 mL 2 times daily

* Refer also to Hashimoto’s Thyroiditis Protocol.
* Refer also to Weight Management Protocol.
Anecdotes
• A 35-year-old woman who was having trouble losing weight was checked for thyroid function. Blood
tests revealed she had mild subclinical hypothyroidism and was given ThyroCo tablets at a dose of 2
tablets 3 times daily. Within one week her weight started to shift and she continued to lose weight at
an average of 1 to 1.5 kg per week.
Herbal and Nutritional Protocols for Common Conditions 129 © Phytotherapy Press

• A practitioner reports, “Many of my peri- and postmenopausal patients have sluggish thyroid
function. I find that a combination of ThyroCo tablets (2 tablets 3 times daily) and Withania &
Ginseng tablets (2 tablets twice daily) work well to improve thyroid function and energy. In many
cases I also use Wild Yam Complex tablets to manage menopausal symptoms.”
• Another practitioner reports, “I am very excited about the new ThyAdren Support tablets and have
started giving them to many of my hypothyroid patients who are already taking ThyroCo and a
number of other supplements. Because ThyAdren Support contains all the nutritional factors
necessary for thyroid and adrenal health the total number of supplements can be reduced
significantly, which my patients are very happy about.”

Herbal and Nutritional Protocols for Common Conditions 130 © Phytotherapy Press

Urinary Tract Infections (UTIs) & Interstitial Cystitis

Urinary tract infections (UTIs) can be caused by a number of different organisms, the most common of
which is Escherichia coli. Symptoms include urinary urgency, frequency and burning on urination. Fever
is sometimes a feature. The majority of infections begin in the urethra and ascend to the bladder
(cystitis). Because of the risk of infection reaching the kidneys it is vital that herbal treatment yields quick
results, particularly in acute infection. IF SIGNIFICANT RESULTS ARE NOT OBTAINED WITHIN 12 TO 24
HOURS OR IF THE CONDITIONS WORSEN OR IF KIDNEY PAIN IS PRESENT MEDICAL TREATMENT
SHOULD BE SOUGHT.

Interstitial cystitis is a chronic inflammatory condition of the bladder. There is often a long history of
frequency, urinary discomfort and urgency in the absence of proven infection. Pain is usually suprapubic,
although urethritis, loin pain and dyspareunia (painful intercourse) are also common.

Aims of Treatment

• To improve immunity and treat infection.
• To provide a soothing effect on urinary tissue.
• To strengthen urinary tract tissue.
• To improve bladder tone and bladder emptying.
• To reduce inflammation.

Primary Protocol
Cranberry Complex tablets Cranberry, Buchu and Bearberry (Uva Ursi) have significant
antiseptic activity in the urinary tract. Crataeva is anti-
inflammatory, but most importantly it increases bladder tone
and thus improves bladder emptying. Residual urine in the
bladder due to poor bladder emptying is associated with
recurrent urinary tract infections.

These tablets will be beneficial for both urinary tract infections
and interstitial cystitis. Urinary tract antimicrobials have an
important role to play as part of the treatment of interstitial
cystitis where infection may have played a role in the
pathogenesis of the condition or where urinary tract infections
occur alongside the interstitial cystitis.

Acute 2 tablets 3 to 4 times daily
Subacute 1 tablet 3 to 4 times daily
Prophylactic 1 tablet 2 times daily





Echinacea Premium tablets OR
Andrographis Complex tablets
Boosting immunity is a fundamental part of treating any type
of infection. Echinacea root, Andrographis and Holy Basil have
proven immune enhancing activity. Immune enhancement
should be considered as part of the treatment for interstitial
cystitis when infection co-exists or is thought to have played a
role in its pathogenesis.

Echinacea Premium:
Acute 2 tablets 3 to 4 times daily
Subacute 1 tablet 3 to 4 times daily

Andrographis Complex:
Acute 2 tablets 2 to 3 times daily
Subacute 1 tablet 3 to 4 times daily


Herbal and Nutritional Protocols for Common Conditions 131 © Phytotherapy Press

Additional Treatment (as required)
Bacto-Cand GI capsules The herbs in this formula enhance immune function, exert an
antimicrobial activity and are particularly beneficial if the
urinary tract infection is caused by Candida albicans.

Acute 2 capsules 3 times daily
Subacute 1 capsule 3 times daily


Poly-C Powder The ascorbic acid in this vitamin C powder is buffered by 4
different mineral ascorbates making it less acidic and very
suitable for the treatment of UTIs by enhancing immunity.

4 g 2 to 3 times daily
Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C
and zinc provides support for tissue healing and normal
development of connective tissue by increasing blood flow
particularly microcirculation. Grape Seed and Ginkgo also
provide antioxidant activity.

1 tablet 3 to 4 times daily
Example Formula Buchu and Bearberry are specific antimicrobial herbs for the
urinary tract. Corn Silk is an excellent urinary demulcent.
Licorice has a reputation for strengthening urinary tract tissue
as well as having a demulcent effect. Crataeva strengthens
and tones the bladder to improve bladder emptying.
Combine this formula with the appropriate herbal tablet to
enhance immunity.

This formula or similar will be beneficial for both urinary tract
infections and interstitial cystitis. It provides anti-inflammatory
activity and strengthens urinary tract tissue (Licorice and
Crataeva), improves bladder tone (Crataeva), and provides
demulcent and antimicrobial activity.

Buchu 1:2 20 mL
Bearberry 1:2 20 mL
Corn Silk 1:1 20 mL
Licorice High Grade 1:1 15 mL
Crataeva 1:2 25 mL
100 mL

Dosage – 5 mL 3 to 5 times daily for
acute and 5 mL 2 to 3 times daily for
subacute

Anecdotes
• If aggravating factors such as fluid intake and hygiene are addressed patients with chronic, recurrent
urinary tract infections can usually remain symptom free taking 1 Cranberry Complex tablet 2 to 3
times a day.
• An elderly patient had recurring urinary tract infections. She had an infection basically every month
for 6 months and had taken copious amounts of antibiotics. She was going overseas in 6 weeks and
wanted to be rid of the problem before this. She was given Cranberry Complex tablets. Two weeks
later she came back very impressed – the discomfort had gone. She remained on the tablets for
about 3 months. She has now been symptom free for about 1 year.
• Crataeva is the best herb around for any kind of bladder problem.
• A practitioner reports that all her patients love the taste of Poly-C Powder.

Herbal and Nutritional Protocols for Common Conditions 132 © Phytotherapy Press

Uterine Fibroids

Uterine fibroids are oestrogen dependant benign tumours in the uterus. Symptoms include heavy
menstrual bleeding, blood clots with the menstrual bleed, dragging pain in lower abdomen with
menstruation or premenstrually.

Aims of Treatment

• To dampen down the effects of a relative oestrogen excess.
• To enhance liver clearance of oestrogen.
• To improve the general health of the female reproductive system.
• To treat symptoms such as heavy menstrual bleeding, dysmenorrhoea and clotting.
• To treat or prevent iron deficiency anaemia that may occur as a result of heavy menstrual bleeding.

Primary Protocol
FibroFem tablets The combination of herbs in this tablet provides a number of
actions essential for the treatment of fibroids and the resultant
symptoms. Thuja has been used traditionally for its direct effect
on abnormal growths. Yarrow and Shepherd’s Purse have uterine
antihaemorrhagic activity and Paeonia is the female reproductive
tonic used in Traditional Chinese Medicine to treat metrorrhagia
and fibroids. Paeonia may assist with normalising the
oestrogen/progesterone balance.

1 tablet 4 to 5 times daily





Chaste Tree tablets In pre-menopausal women Chaste Tree exerts a progesterogenic
effect via stimulation of the corpus luteum. This will help to
correct a relative oestrogen excess.
2 tablets 2 times daily
Vitanox
®
tablets Grape seed extract, due to the OPC content, will help to reduce
capillary fragility and hence reduce bleeding tendency. Turmeric is
a dual inhibitor of the arachidonic acid cascade and as such will
help to regulate prostaglandin synthesis.

1 tablet 1 to 2 times daily

Additional Treatment (as required)
EFA Essentials capsules There appears to be a prostaglandin imbalance associated with
fibroids. The fish oil and evening primrose oil in these capsules will
help to regulate prostaglandins.

1 capsule 3 times daily


LivCo
®
tablets The herbs in this formula enhance liver detoxification pathways
thus improving clearance of oestrogen.

1 tablet 3 times daily


P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification, thus improving clearance of
excessive oestrogen.

4 g 1 to 2 times daily
Vital Woman Vital Woman contains 250 mg Chaste Tree and Shatavari, a
female reproductive tonic and general tonic. Vital Woman contains
many vitamins and minerals essential for nervous system support
and to improve general nutritional status. These tablets combine
well with Chaste Tree tablets.

Herbal and Nutritional Protocols for Common Conditions 133 © Phytotherapy Press

Cramplex tablets This combination of herbs works well for spasmodic
dysmenorrhoea. It combines the antispasmodic effect of Cramp
Bark and Wild Yam with the analgesic activity of Corydalis. Ginger
improves circulation, is warming and anti-inflammatory. Raspberry
Leaf is astringent, therefore may help to reduce excessive
bleeding. It is also an excellent female reproductive tonic.

3 to 4 tablets 2 times daily
For best results begin taking
Cramplex tablets 1 to 2 days before
menstruation is due to begin

Example Formula Paeonia, Cinnamon and Hoelen form the major part of a
formulation used in a clinical trial consisting of 110 women with
uterine fibroids. Clinical symptoms of heavy bleeding and
dysmenorrhoea were improved in more than 90% of the cases
with shrinking of uterine fibroids in roughly 60% of the cases.
Calendula and Thuja may help to reduce the size of the fibroid.
Calendula 1:2 15 mL
Thuja 1:5 15 mL
Paeonia 1:2 30 mL
Cinnamon 1:2 10 mL
Hoelen 1:2 30 mL
100 mL

Dosage – 5 mL 3 times daily

Additional Treatment for Menorrhagia
Example Formula for
Menorrhagia
Both these herbs are astringent and have a strong reputation for
their capacity to reduce excessive menstrual bleeding. This
formula could be started 1 to 2 days prior to bleeding and
continued until the end of the period. It is an ideal adjunct to
FibroFem, which should be taken throughout the cycle.
Shepherd’s Purse 1:2 50 mL
Tienchi Ginseng 1:2 50 mL
100 mL

Dosage – 5 mL 3 to 5 times daily
starting 1 day before period is due
to begin and take throughout
period as needed

Fe-Max Iron Tonic
Phytosynergist™ liquid
This formula contains iron and a combination of blood building
herbs along with relevant B-vitamins and vitamin C. It can be used
to prevent iron deficiency anaemia in women with heavy
menstrual bleeding. It can also be used to treat mild cases,
however in severe cases of anaemia it may need to be combined
with a higher dose iron supplement.

5 mL 3 to 4 times daily


OR Fe-Plex tablets Therapeutic doses of ferrous glycinate combined with synergistic
herbs and nutrients known to promote healthy blood. Unlike
Fe-Max Iron Tonic the convenient tablet form does not contain
licorice therefore does not share contraindications.

1 tablet 1 to 2 times daily

Anecdotes
• For patients with mild anaemia Fe-Max Iron Tonic works very well and, due to the fruit and
vegetable juice concentrate base, is very palatable.
• Practitioners get good results in patients who are anaemic or who are borderline anaemic. In those
with more severe anaemia, a higher dose of iron supplementation may be required but Fe-Max Iron
Tonic is also given to aid blood building.
• A patient had a huge fibroid which was causing all sorts of problems. She was prescribed FibroFem
tablets and within a few months it had shrunk dramatically. The patient couldn’t believe her eyes
when she saw the ultrasound.



Herbal and Nutritional Protocols for Common Conditions 134 © Phytotherapy Press

Varicose Veins & Haemorrhoids

Varicose veins are dilated, torturous superficial veins, whilst haemorrhoids are varicosities of the
haemorroidal plexus veins, both share similar aetiologies and therefore treatment protocols are similar,
although haemorrhoids often benefit from liver treatment.

Aims of Treatment

• Give herbs to strengthen and tone the vasculature.
• Provide antioxidant, anti-oedema and anti-inflammatory herbs.
• In the case of haemorrhoids relieve liver congestion if indicated.
• Provide topical treatment if indicated.

Primary Protocol
Horsechestnut Complex tablets The herbs in this formula help in maintaining the vasculature and
capillaries and protect against damage due to poor circulation. 1 tablet 2 to 3 times daily with food

Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue by increasing blood flow particularly
microcirculation. Grape Seed and Ginkgo also provide antioxidant
activity.

1 tablet 3 to 4 times daily
Additional Treatment (as required)
Livton
®
Complex tablets Indicated for haemorrhoids if the patient display symptoms of liver
congestion. The combination of herbs in this formula improves
digestion and relieves liver congestion. Liver congestion can create
back pressure in the portal circulation which can contribute to the
aetiology of haemorrhoids.

1 tablet 3 to 4 times daily

Hawthorn tablets Hawthorn is a good tonic for the cardiovascular system and will
help to improve venous tone. It also has antioxidant activity.
1 tablet 2 to 3 times daily

Poly-C Powder This is a unique blend of mineral ascorbate and naturally sourced
bioflavonoids with resveratrol and alpha-lipoic acid. These
nutrients aid in the reduction of inflammation and strengthen
connective tissues.

4 g 2 to 3 times daily
Zinc Protect tablets Zinc is an important nutrient for the growth, development and
maintenance of epithelial cells including those lining blood vessel
walls.

1 tablet daily

Cream This cream is useful for both varicose veins and external
haemorrhoids, but is contraindicated in cases of bleeding
haemorrhoids.



Apply 2 to 3 times daily

Vitamin E Cream 40 g
Witch Hazel 1:2 7 mL
Horsechestnut 1:2 7 mL

Blend together and place in a sterile
jar with a suitable label
Anecdotes
• Practitioners find that Horsechestnut Complex tablets work tremendously well for the treatment of
varicose veins and haemorrhoids.
• A 62-year-old man presented, almost unable to walk, with severe swelling of a varicose vein. Within
2 weeks of starting Horsechestnut Complex tablets the swelling had reduced significantly. Continued
use over 4 months has seen a marked reduction in his varicose veins generally.
Herbal and Nutritional Protocols for Common Conditions 135 © Phytotherapy Press

• A female who has suffered haemorrhoids intermittently for over 20 years takes 3 Horsechestnut
Complex tablets daily when required. Within 24 hours pain is substantially reduced and inflammation
relieved. She takes them for 4 to 5 days at a time.
• Horsechestnut Complex taken 1 tablet per 3 hours on flight – relieves swelling and leg fatigue on
long hour flights.
• A practitioner reports that all her patients love the taste of Poly-C Powder.
• Middle aged woman with “aching veins” who had no relief from trying many different types of
natural therapies to the problem responded remarkably well and almost immediately to 2 times the
recommended daily dose of Poly-C Powder. Symptoms disappeared for the first time in years.
• A practitioner had long-term vascular issues such as varicose eczema, oedema and vasculitis. She
takes Horsechestnut Complex tablets as a long-term preventative and has found that they
consistently work in the reduction and prevention of these conditions.

Herbal and Nutritional Protocols for Common Conditions 136 © Phytotherapy Press

Weight Management Protocol

Obesity is a major problem in many industrialised countries. It is a significant risk factor for the
development of many chronic conditions including diabetes and heart disease. Increased weight gain is
usually associated with detrimental dietary and lifestyle habits and these habits need to be addressed
when treating such patients. However, endocrine disorders such as hypothyroidism (this may be
marginal and not diagnosed medically) or Metabolic Syndrome are often present in these patients.

Aims of Treatment

• Give dietary and lifestyle recommendations to encourage fat burning.
• Give herbs and nutrients proven to aid weight loss.
• Give herbs and nutrients to address underlying causes.
• Give herbs and nutrients to improve energy and well-being.

Primary Protocol
Coleus Forte tablets Several clinical trials have demonstrated that Coleus aids weight
loss, more specifically fat loss. The Coleus extracts used in the
clinical trials contained between 20 and 50 mg forskolin per day,
depending on the trial. The recommended dose of 1 Coleus Forte
tablet 2 to 3 times daily will give 37.4 mg to 56.1 mg per day of
forskolin.
Coleus also stimulates thyroid function, further aiding weight loss.

1 tablet 2 to 3 times daily
Everyday Balance Protein
Powder
Everyday Balance Protein Powder contains high quality protein to
assist with fat burning and the building of lean body mass. It also
contains over 3,000 mg of glutamine per serve. 2 heaped tablespoons (25 grams)
into 240 mL of water, non-fat milk
or suitable alternative, 1 to 2 times
daily

GlucoBalance tablets The combination of Gymnema, chromium and other key nutrients
in GlucoBalance tablets aids carbohydrate metabolism thus
reducing sugar cravings and hypoglycaemic symptoms. Correcting
carbohydrate metabolism is important to enhance weight loss.
GlucoBalance combines well with Mega Mag powder which
supplies high-dose magnesium along with chromium, both of
which are essential for regulation of blood glucose levels.

1 tablet 3 times daily with food

Omega-3 Forte capsules Omega-3 Forte contains high quality, pre-emulsified fish oil at a
high-dose. The pre-emulsification of fish oil ensures easy digestion
and absorption (even in patients who have had their gall bladder
removed), and eliminates the “fishy burps” that often occur with
other fish oil supplements.
The use of Omega-3 Forte capsules ensures adequate levels of
good quality fatty acids thus improving skin tone and general
health.

1 capsule 2 to 3 times daily
Additional Treatment in Cases of Reduced Nutritional Status
Everyday B Multi tablets Many people are deficient in essential nutrients due to poor diet or
poor quality foods. This is particularly the case with those wanting
to lose weight. Everyday B Multi improves nutritional status thus
increasing energy and reducing cravings. The selenium, iodine and
zinc support thyroid function, which will improve weight loss.

1 tablet daily
Herbal and Nutritional Protocols for Common Conditions 137 © Phytotherapy Press
Vital Woman tablets For many women Vital Woman will be a viable alternative to
Everyday B Multi tablets. The inclusion of Chaste Tree in Vital
Woman may assist weight loss in cases where food cravings and
increased food intake occurs premenstrually. Vital Woman also
contains Shatavari which is an important female reproductive tonic
and general tonic and adaptogen. The combination of vitamins
and minerals will help to improve energy and weight loss as well
as reduce cravings and improve nutritional status generally.

1 to 2 tablets daily




Additional Treatment in Cases of Reduced GIT/ Liver Function
Cascara Complex tablets The combination of herbs in this tablet improves bowel function.
The addition of the carmative herbs, Dill and Chamomile, ensure
that abdominal discomfort often associated with laxative use does
not occur.

2 tablets at night
1 tablet 3 to 4 times daily in severe
cases
AND/ OR Adrenal Complex
tablets
Adrenal support is essential as part of a weight loss program. The
adrenals help to regulate blood sugar levels, particularly in times
of stress. The stress hormone cortisol, secreted by the adrenals,
increases central body obesity. Licorice and Rehmannia are
excellent adrenal tonic herbs. Also, oral dosing with Licorice has
been shown to reduce body fat in a clinical trial.
1 tablet 2 to 3 times daily


Digest tablets The combination of herbs in DiGest tablets improves all aspects of
digestion ensuring optimal absorption of nutrients and alleviating
symptoms of sluggish digestion such as bloating, colic and
flatulence.
1 tablet 3 times daily prior to meals
(20 minutes is ideal), suck tablets
until bitterness is tasted and then
swallow

Livton
®
Complex tablets Livton
®
Complex tablets enhance the production of bile by the
liver and the flow of bile from the gall bladder, thus improving fat
digestion and absorption. This increased flow of bile, which is a
natural laxative, alleviates mild cases of constipation.

1 tablet 3 times daily
LivCo
®
tablets The combination of herbs in LivCo
®
tablets enhances phase I and
phase II detoxification pathways in the liver. This ensures the
rapid elimination of toxins released during weight loss. LivCo
combines well with the nutrients in P2-Detox powder to optimise
liver detoxification capabilities.

1 tablet 3 times daily
P2-Detox powder The phytonutrients in Broccoli sprouts and Turmeric help to
support phase II liver detoxification and, along with the sulfur-
containing amino acids provide antioxidant protection. Glutamine
and the inorganic sulfur from potassium sulfate act as conjugating
substances in phase II detoxification, thus ensuring the rapid
elimination of toxins released during weight loss. P2-Detox powder
combines well with the herbs in LivCo
®
tablets.

4 g 1 to 2 times daily
Slippery Elm 400mg capsules Slippery Elm acts as a bulking laxative to alleviate constipation. It
also acts as a food for beneficial bowel bacteria, thus improving
the overall health of the GIT. When taken before meals it swells in
the stomach and can act as an appetite suppressant.

2 to 3 vege capsules 2 to 3 times
daily
Probiotica capsules Probiotica is a pre- and probiotic formula which helps to maintain
a healthy balance of micro-organisms in the GIT.

1 capsule 1 to 2 times daily
Additional Treatment in Cases of Reduced Thyroid Function
ThyroCo tablets The combination of herbs in ThyroCo tablets enhances thyroid
function, increasing metabolism and enhancing weight loss.
ThyroCo tablets combine well with ThyAdren Support tablets to
optimise thyroid function.

2 tablets 3 times daily or
3 tablets 2 times daily
Herbal and Nutritional Protocols for Common Conditions 138 © Phytotherapy Press
ThyAdren Support tablets The combination of nutrients and Rehmannia in these tablets
support and improve thyroid function. They also support the
adrenals. ThyAdren Support tablets combine well with ThyroCo
tablets to optimise thyroid function.

1 tablet 2 times daily

Additional Treatment in Cases of Adrenal and/ or Nervous System Depletion
Withania Complex tablets These tablets deliver the adaptogenic and tonic effects of Withania
and Korean Ginseng along with the adrenal support of Licorice.
Skullcap is a sedative and nervous system tonic. They will help to
increase energy, well-being and motivation.

1 tablet 3 to 4 times daily
Nevaton
®
tablets Nevaton
®
tablets support the nervous system. They will be
particularly beneficial for weight loss patients who have a degree
of depression or low mood and who ‘comfort’ eat.

1 tablet 3 to 4 times daily
Additional Treatment in Cases of Muscle Soreness
Mega Mag powder Muscle soreness is a common occurrence in people either
beginning or increasing exercise. The combination of high-dose
magnesium (315 mg/serve), glutamine and other nutrients in
Mega Mag powder will alleviate this problem.
Magnesium is important for normal regulation of blood glucose
levels. The high-dose of magnesium combined with 100 mcg of
chromium make Mega Mag an ideal adjunct to a weight loss
program.

5 g daily

Active Mag-Cal tablets Active Mag-Cal tablets, containing 90.7 mg magnesium, can be
used in mild cases of muscle soreness or for maintenance once
optimal magnesium levels have been reached. They can also be
prescribed for patients who prefer tablets rather than powder.

1 tablet 3 times daily
Anecdotes
• A 41-year-old woman with morbid obesity and insulin resistance lost 6.3 kg after taking Coleus Forte
tablets for 3 weeks (1 tablet 3 times daily) without following a special diet or making any real effort
to diet.
• A middle aged female patient lost 3% body fat after taking Coleus Forte tablets for 4 weeks. She had
never before, even with exercise, had such a large drop in body fat percentage.
• A 60-year-old woman weighing 115 kg with insulin resistance lost 1.4 kg, 5 cm off her waistline and
a definite change in body shape after taking Coleus Forte tablets. She did this without any conscious
dieting and she reported a decrease in appetite and was very comfortable with small portions
without focusing on dieting.
• A 35-year-old woman who was having trouble losing weight was checked for thyroid function. Blood
tests revealed she had mild subclinical hypothyroidism and was given ThyroCo tablets at a dose of 2
tablets 3 times daily. Within one week her weight started to shift and she continued to lose weight at
an average of 1 to 1.5 kg per week.

Herbal and Nutritional Protocols for Common Conditions 139 © Phytotherapy Press

Worm, Parasite & Protozoa I nfestation

Infection with worms, parasites and protozoa occur in many parts of the world. Symptoms, depending on
the type of infestation and the severity, will often be absent. However diarrhoea, epigastric pain and
weight loss may occur. The major symptom associated with threadworm infestations is anal pruritis.

Aims of Treatment

• Kill and/or expel worms, parasites, protozoa and their eggs with the use of anthelmintic and laxative
herbs.
• Enhance immune function.

Primary Protocol
Wormwood Complex tablets Wormwood, Black Walnut, Stemona and Clove Bud oil provide
anthelmintic activity and are beneficial for the treatment of worm
infestation. The carminative activity of Clove Bud oil would also
have a soothing effect on the gut wall.

Adults: 4 tablets daily for 10 days
Children: 1 to 2 tablets daily for 10
days
Then break for 10 days and repeat
the dosage for another 10 days

Andrographis Complex tablets This combination of herbs provides immune enhancing activity.
Echinacea root and Andrographis enhance nonspecific immune
function, which may be lowered whilst overcoming the worm
infestation. Holy Basil is a revered plant in India with anthelmintic,
immune enhancing and adaptogenic activity. Holy Basil essential
oil and its constituents have demonstrated anthelmintic activity in
vitro.

Adults: 1 tablet 2 to 3 times daily
Children: 1 tablet 1 to 2 times daily




Additional Treatment (as required)
Garlic tablets Provides further anthelmintic activity and should be taken
concomitantly with Wormwood Complex. Adults: 3 tablets daily
Children: 1 tablet daily

Vitanox
®
tablets This combination contains herbs shown to have anthelmintic
activity in an in vitro anthelmintic assay. The activity of these
herbs works best when taken with Wormwood Complex tablets.
Adults: 2 tablets daily on the same
days as the Wormwood Complex
tablets but at different times

Example Formula for Severe
Parasite or Protozoal
Infestation
This formula, or similar, could be used in conjunction with
Wormwood Complex tablets. Qing Hao has potent antiparasitic
activity. Berberine, the active constituent of Barberry, has been
demonstrated to exhibit significant antiparasitic activity. Licorice
has a soothing and healing effect. An in vitro study suggests that
flavanolignans, similar to those in St Mary's Thistle may have a
synergistic antimicrobial effect when combined with berberine-
containing herbs. The mild laxative effect (due to increased bile)
of Barberry will help to eliminate organisms from the body.

Qing Hao 1:2 40 mL
Barberry 1:2 25 mL
Licorice 1:1 15 mL
St Mary's Thistle 1:1 20 mL
100 mL

Dosage – 5 mL 3 times daily

Anecdotes
• A practitioner has noticed that Wormwood Complex tablets take effect almost immediately, especially
for children prone to worms. Even a 3-day dose can get rid of the symptoms, though the
recommended 10-day treatment is best followed. They are also taste friendly and quite easy for
children to swallow.
• Many patients suffering from IBS find relief of all or majority of symptoms after 2 x 10-day treatment
programs of Wormwood Complex.
Herbal and Nutritional Protocols for Common Conditions 140 © Phytotherapy Press

Wound Healing

There are three basic processes involved in wound healing: regeneration of damaged tissue (such as
skin), regeneration of damaged connective tissue (the building block of the body, providing the structural
matrix for the functional tissues), the replacement by fibrous tissue of dead cells which cannot
regenerate.

Aims of Treatment

• Clean up debris by immune cells, infection can slow this down.
• Establishment of new blood vessels.
• Regeneration of the connective tissue elements and epithelial cells.

Primary Protocol
Tissue Regenex tablets The combination of Gotu Kola, Grape Seed, Ginkgo, vitamin C and
zinc provides support for tissue healing and normal development
of connective tissue by increasing blood flow particularly
microcirculation.

1 tablet 3 to 4 times daily
Echinacea Premium tablets or
liquid
Echinacea root will not only enhance the activity of the phagocytic
cells, but will also help to prevent any complicating infection.
Tablets: 2 to 3 tablets daily
Liquid Extract: 5 to 8 mL with water
daily

Gotu Kola 1:1 liquid extract Gotu Kola stimulates both the activity of both the fibroblasts (or
osteoblasts) and epithelial cells to ensure efficient regeneration
and repair.

5 mL 1 or 2 times daily
Ginkgo Forte tablets or 2:1
liquid extract
Ginkgo will ensure that the wounded area receives adequate
oxygen and blood supply, and will also help maintain the integrity
of the newly-formed blood vessels. Tablets: 1 to 2 tablets 2 times daily
Liquid Extract: 1.5 to 3 mL 2 times
daily

OR Example Formula As outlined above Echinacea, Gotu Kola and Ginkgo assisting
immune cells to clean up wound debris, help prevent a
complicating infection, help establish new blood vessels and help
in the regeneration of epithelial cells and the elements of
connective tissue.
Echinacea Premium 1:2 35 mL
Gotu Kola 1:1 40 mL
Ginkgo 2:1 25 mL
100 mL

Dosage – 5 mL three times daily

Additional Treatment (as required)
Vitanox
®
tablets OR Bilberry
tablets
Grape Seed extract provides additional support for microvascular
development and also has antioxidant and connective tissue
stabilising activities. Bilberry also provides additional support for
microvascular development and is especially indicated for eye
injuries, detached retina and following eye surgery.

Vitanox: 2 tablets daily
Bilberry: 4 tablets daily
Zinc Protect tablets Zinc plays a beneficial role in maintaining the integrity of the skin
and aiding wound healing (such as in the later stages of tissue
repair and regeneration). The ability of zinc to support immune
function may indirectly support skin health and the healing
process.

1 tablet daily after breakfast

Herbal and Nutritional Protocols for Common Conditions 141 © Phytotherapy Press

Poly-C Powder Ascorbic acid acts as a cofactor for the synthesis of collagen from
its amino acid precursors and is therefore essential for the
integrity of skin.

4 g daily
Calendula 1:2 liquid extract,
Gotu Kola 1:1 liquid extract
These vulnerary herbs applied topically will assist healing of skin
lesions (eg by the regeneration of epithelial cells) and may assist
healing in of accessible damage to mucous membranes.

Apply topically
Everyday Balance Protein
Powder
Protein is essential for healing. Everyday Balance Protein Powder
may assist wound healing in individuals who have a diet deficient
in protein or in those who have difficulty digesting protein. 2 heaped tablespoons (25 grams)
into 240 mL of water, non-fat milk
or appropriate alternative, 1 to 2
times daily

Herbal and Nutritional Protocols for Common Conditions 142 © Phytotherapy Press

APPENDIX: Safety Information

TABLETS, CAPSULES & PHYTOSYNERGIST LIQUIDS

This safety information is only a guide to possible contraindications and cautions, for full detailed
information refer to Mills S, Bone K (ed). The Essential Guide to Herbal Safety. Elsevier Churchill
Livingstone, St Louis, 2005.

Product Contraindications and Cautions
Active Mag-Cal tablets Contraindicated in hyperparathyroidism, chronic kidney disease and calcium
kidney stones. Patients taking digoxin should have calcium blood levels
monitored closely. Separate doses by at least 2 hours in those taking
tetracycline or quinolone antibiotics, biphosphonates or thyroid hormone.
Adrenal Complex tablets Contraindicated in oedema and hypertension due to Licorice. Long-term use
of Licorice may reduce potassium. Avoid long-term use in patients taking
antihypertensive medications, digoxin and potassium depleting diuretics.
Place patients on a high potassium diet.
Albizia Complex tablets Contraindicated in those with a known hypersensitivity to Feverfew,
parthenolide or other members of the Compositae family.
Andrographis Complex
tablets
Contraindicated in pregnancy and in patients taking immunosuppressant
medication.
Astragalus Complex
tablets
Discontinue during acute infection and contraindicated in patients taking
immunosuppressant medication.
Bacopa Complex tablets Discontinue during an acute infection. Schisandra is contraindicated in
pregnancy, except at birth.
Bilberry tablets Very high-doses (more than 6 tablets daily) should be used cautiously in
patients with haemorrhagic disorders and in those taking warfarin or
antiplatelet drugs.
Boswellia Complex tablets Daily doses of dried Ginger in excess of 4 g and high-doses of Turmeric
should be prescribed with caution in patients who are taking blood-thinning
drugs or who have increased risk of haemorrhage. Ginger should be used
cautiously in patients taking antacids or phenprocoumon. Celery Seed may
reduce serum levels of thyroxine in hypothyroid patients taking oral
thyroxine.
Broncafect
®
tablets or
Phytosynergist™ liquid
Contraindicated in hypertension and oedema. Contraindicated in patients
taking immunosuppressant medication. Caution in patients taking cortisol,
prednisolone, antacids or phenprocoumon. Daily doses of dried Ginger in
excess of 4 g should be prescribed with caution in patients who are already
taking blood-thinning drugs such as warfarin or aspirin or who have
increased risk of haemorrhage.
Cat’s Claw Forte tablets Contraindicated in pregnancy and in patients taking immune suppressant
medications.
Cascara Complex tablets Contraindicated when abdominal pain, nausea, vomiting or diarrhoea are
present, and in cases of known allergy to Chamomile. Caution in pregnancy,
lactation and in cases of known sensitivity to plants of the Compositae
family. Not for prolonged use. Increase potassium in the diet.
Chaste Tree tablets Chaste Tree may interact antagonistically with dopamine receptor
antagonists. Best not taken in conjunction with progesterone drugs,
contraceptive pill or hormone replacement therapy. Use cautiously in
pregnancy and only in the early stages for treatment of insufficient corpus
luteal function.
ChelaCleanse tablets In anaemia and cases where iron supplementation is required, do not take
simultaneously with meals or iron supplements. Contraindicated in patients
taking metronidazole.
CholestaHealth powder Caution is advised in patients taking antiplatelet drugs. Take at least 2 hours
away from other medication. Contraindicated in pregnancy, lactation,
intestinal obstruction, closure of the gallbladder, individuals homozygous for
sitosterolaemia and in those with known allergy to Psyllium.
Herbal and Nutritional Protocols for Common Conditions 143 © Phytotherapy Press
Clivers Complex tablets Caution in pregnancy.
Coleus Forte tablets Contraindicated in hypotension. Use cautiously in patients taking prescribed
medication, particularly hypotensive and antiplatelet drugs. Caution in
patients with peptic ulceration and reflux.
Cramplex tablets Discontinue if pregnancy occurs. Caution is advised in gallstones and those
taking antacids or phenprocoumon. If very high-doses (more than 10 tablets
daily) are prescribed caution is advised in those taking blood-thinning drugs
and those who have risk of haemorrhage.
Cranberry Complex
tablets
Contraindicated in pregnancy and lactation. Consume at least 2 hours away
from ingestion of mineral supplements.
DiaCo Phytosynergist™
liquid
Contraindicated in hypertension, oedema and in patients taking
immunosuppressant medication. Caution during pregnancy, in those taking
cortisol, prednisolone or antacids. Not to be taken over extended periods of
time.
DiGest tablets Caution is advised for gastric inflammation, ulceration or hyperacidity.
Dong Quai tablets Discontinue if pregnancy occurs. Do not use in severe menorrhagia. Caution
is advised in those taking warfarin.
Echinacea Premium
tablets
Contraindicated in patients taking immunosuppressant medication.
EFA Essentials capsules Caution is advised in patients with a tendency to oesophageal reflux, those
with poor digestion and compromised gallbladder function and those with
seafood allergy. Avoid concomitant use with phenothiazines. High-doses can
cause mild headache and nausea.
EndoFem tablets Discontinue if pregnancy occurs. Caution in severe menorrhagia. May
potentiate the activity of warfarin.
Evening Primrose Oil
capsules
High-doses can cause mild headache and nausea. Long-term use may
potentiate the risk of arachidonate buildup in the treatment of rheumatoid
arthritis. Avoid concomitant use with phenothiazines.
Everyday B Multi tablets Do not exceed a daily dose of 100 mcg of selenium (4 tablets). Not suitable
for children under the age of 15 years.
Everyday Balance Protein
Powder
High protein diets increase the body’s need for water, drink at least 2 litres
of water daily.
Eyebright Complex
tablets
Caution is advised in the first trimester of pregnancy, and in those taking
theophylline and ACE inhibitors. Contraindicated in those taking
immunosuppressant medication.
Fe-Max Iron Tonic
Phytosynergist™ liquid
Contraindicated in hypertension, oedema and haemochromatosis. Caution is
advised in patients taking cortisol and prednisolone.
Fe-Plex tablets If taking levodopa, levothyroxine, methyldopa, penicilamine, quinolones,
tetracyclines, bisphosphonates or cholestyramine, separate doses by at least
2 hours. Contraindicated in haemochromotosis and those taking allopurinol.
FibroFem tablets Contraindicated in pregnancy and lactation.
Garlic tablets Caution in those taking HIV protease inhibitors and antiplatelet drugs.
Contraindicated in patients taking warfarin for doses > 5 g fresh garlic daily.
Discontinue 10 days before surgery. Contains glucose.
Ginkgo Forte tablets Contraindicated with patients taking warfarin and use with caution with
those on aspirin and haloperidol.
GlucoBalance tablets To minimise the chance of flushing due to nicotinic acid prescribe only one
tablet at any one time, preferably with food. Do not exceed a daily dose of
100 mcg of selenium (12 tablets). Not suitable for children under the age of
15 years.
Golden Seal tablets Contraindicated in pregnancy and lactation.
Gymnema tablets Caution is advised where the patient is taking insulin or oral hypoglycaemic
drugs.
Hawthorn tablets May potentiate the action of hypotensive medication. Consume at least 2
hours away from ingestion of mineral supplements.
Herbal Throat Spray
Phytosynergist™ liquid
Contraindicated in those with allergy to the Compositae family, Clove or
eugenol. Not suitable for children under 2 years of age.
Herbal and Nutritional Protocols for Common Conditions 144 © Phytotherapy Press

HiPep tablets Contraindicated in patients with hypersensitivity to salicylates.
Contraindicated in cases of known allergy to Chamomile. Caution in cases of
known sensitivity to plants of the Compositae family.
Horsechestnut Complex
tablets
Contraindicated in patients taking warfarin and use with caution with those
on aspirin and haloperidol. May cause gastric upset in some patients.
J oint Defence tablets Caution in pregnancy and in those allergic to seafood. Do not exceed a daily
dose of 100 mcg of selenium (12 tablets). Not suitable for children under the
age of 15 years.
Kava tablets Contraindicated in pregnancy, lactation and children under 12 years of age.
Not for prolonged use. In rare cases Kava has been linked to liver damage.
LivCo
®
tablets In anaemia and cases where iron supplementation is required, do not take
simultaneously with meals or iron supplements. Schisandra is
contraindicated during pregnancy, except at birth.
Livton
®
Complex tablets Caution during pregnancy. Contraindicated in closure of the gallbladder and
in patients taking metronidazole. In anaemia and cases where iron
supplementation is required, do not take simultaneously with meals or iron
supplements.
Mega Mag powder Pregnant women, nursing mothers and those with renal or hepatic failure
should seek profession advice before taking amino acids and creatine
supplements. Take 2 hours away from drugs such as tetracycline or
quinolone antibiotics, biphosphonates or thyroid hormone.
Methyl Factors tablets In anaemia and cases where iron supplementation is required, do not take
simultaneously with meals or iron supplements.
Mexican Valerian tablets Caution: very rarely causes overstimulation. Patients taking CNS depressants
should be monitored for potential interaction.
Nevaton
®
tablets Contraindicated in known photosensitivity to St J ohn's Wort and pregnancy
(except at birth). High-doses contraindicated with the following: warfarin,
digoxin, cyclosporin, HIV protease inhibitor, HIV non-nucleoside
transcriptase inhibitor, phenprocoumon, cancer chemotherapeutic drugs and
calcium channel antagonists. Caution is advised in patients taking sildenafil
or amitriptyline. For high-doses caution is advised in patients taking
anticonvulsants, combined oral contraceptives, theophylline, SSRIs (selective
serotonin reuptake inhibitors), antihistamines, benzodiazepines and
simvastatin and excessive exposure to sunlight and UV radiation should be
avoided. May cause hyperaesthesia in some sensitive individuals especially
when combined with a high exposure to sunlight. Consume at least 2 hours
away from ingestion of mineral supplements.
Omega-3 Forte capsules Caution in those taking warfarin, and in those with seafood allergy.
P2-Detox powder Caution is advised during lactation and in patients with low thyroid function.
PhytoRegenex tablets Due to St Mary’s Thistle take away from iron supplements and iron
containing foods in individuals who tend to iron deficiency. Caution with
patients taking warfarin and use with caution with those on aspirin and
haloperidol due to presence of Ginkgo.
Poly-C Powder Large doses may cause gastrointestinal complaints such as nausea or
diarrhoea in sensitive individuals. Individuals with pre-existing kidney stone
disease or a history of renal insufficiency should exercise caution in the use
of higher than RDI amounts of vitamin C.
PolyFem tablets Contraindicated in pregnancy, lactation, hypertension and oedema. Caution
is advised in patients taking cortisol or prednisolone.
Probiotica capsules Caution: trace amounts of dairy protein may be present.
ProstaCo capsules None known.
PulmaCo tablets Contraindicated in pregnancy and with patients taking warfarin. Caution with
those taking aspirin and haloperidol.
Rehmannia Complex
tablets
Contraindicated in individuals with a known hypersensitivity to Feverfew,
parthenolide or other members of the Compositae family. Doses during
pregnancy should be kept to a maximum of 300 mg daily of Feverfew (dried
herb).
Reishi & Shiitake tablets Contraindicated in those with known allergy to Shiitake.
Herbal and Nutritional Protocols for Common Conditions 145 © Phytotherapy Press
ResCo
®
tablets or
Phytosynergist™ liquid
Contraindicated in hypertension and oedema. Caution in patients taking
cortisol, prednisolone or antacids.
Rhodiola & Ginseng
tablets
Discontinue during an acute infection or fever. Contraindicated in patients
taking phenelzine. Caution is advised in patients with high blood pressure
and those taking central nervous system stimulants, insulin or oral
hypoglycaemic drugs, nifedipine and warfarin.
Saligesic tablets Contraindicated in allergy or sensitivity to salicylates, glucose-6-phosphate
dehydrogenase-deficient patients and during lactation. Caution is advised in
patients taking warfarin.
Siberian Ginseng tablets Contraindicated during acute infections.
Silymarin tablets In anaemia and cases where iron supplementation is required, do not take
simultaneously with meals or iron supplements. Contraindicated in patients
taking metronidazole.
Slippery Elm 400mg
capsules
Contraindicated in intestinal obstruction. Ensure adequate water intake in
diet. Consume at least 2 hours away from ingestion of medication.
Soy-50 tablets Contraindicated in known allergy to soy protein.
St J ohn’s Wort tablets Contraindicated in known photosensitivity to St J ohn's Wort. High-doses
contraindicated with the following: warfarin, digoxin, cyclosporin, HIV
protease inhibitor, HIV non-nucleoside transcriptase inhibitor,
phenprocoumon, cancer chemotherapeutic drugs and calcium channel
antagonists. Caution is advised in patients taking sildenafil or amitriptyline.
For high-doses caution is advised in patients taking anticonvulsants,
combined oral contraceptives, theophylline, SSRIs (selective serotonin
reuptake inhibitors), antihistamines, benzodiazepines and simvastatin and
excessive exposure to sunlight and UV radiation should be avoided. May
cause hyperaesthesia in some sensitive individuals especially when
combined with a high exposure to sunlight. Consume at least 2 hours away
from ingestion of mineral supplements.
ThyroCo tablets Contraindicated in pregnancy, lactation, hyperthyroidism and related cardiac
problems. May interact with thyroid replacement therapy (thyroxine) and
hyperthyroid medication.
ThyAdren Support tablets Take at least 2 hours away from drugs such as tetracycline or quinolone
antibiotics, biphosphonates or thyroid hormone.
Tissue Regenex tablets Contraindicated in patients taking warfarin unless under close supervision.
Caution in patients taking metformin (at doses greater than 1 g/day),
aspirin, haloperidol, nifedipine or glipizide. Take 2 hours away from drugs
such as tetracycline or quinolone antibiotics, biphosphonates or thyroid
hormone and mineral supplements.
Tribulus Forte tablets Caution in pregnancy and in those with pre-existing cholestasis.
Valerian Complex tablets Caution: may produce stimulation in some patients. Monitor patients taking
CNS depressants for potential interaction.
Vital Woman tablets A daily adult dose of 150 mcg selenium should not be exceeded. Contains
vitamin K which may affect some medications. Chaste Tree may aggravate
pure spasmodic dysmenorrhoea not associated with PMS. Due to vitamin A
content, do not exceed recommended dosage if pregnant or considering
becoming pregnant.
Vitanox
®
tablets If very high-doses (more than 7 tablets daily) are prescribed caution is
advised for patients with haemorrhagic disorders or those taking warfarin or
antiplatelet drugs. Consume at least 2 hours away from ingestion of mineral
supplements (including iron supplements). In cases of anaemia do not take
simultaneously with meals.
Herbal and Nutritional Protocols for Common Conditions 146 © Phytotherapy Press

Wild Yam Complex
tablets
Contraindicated in known photosensitivity to St J ohn's Wort, pregnancy,
oestrogen-dependent tumours such as breast cancer and in patients taking
phenelzine. High-doses contraindicated with the following: warfarin, digoxin,
cyclosporin, HIV protease inhibitor, HIV non-nucleoside transcriptase
inhibitor, phenprocoumon, cancer chemotherapeutic drugs and calcium
channel antagonists. Caution is advised in pre-existing cholestasis, and in
patients taking amitriptyline. For high-doses caution is advised in patients
taking anticonvulsants, combined oral contraceptives, theophylline, selective
serotonin reuptake inhibitors, antihistamines, benzodiazepines and
simvastatin and excessive exposure to sunlight and UV radiation should be
avoided. May cause hyperaesthesia in some sensitive individuals especially
when combined with a high exposure to sunlight. Consume at least 2 hours
away from ingestion of mineral supplements.
Withania & Ginseng
tablets
Contraindicated in high blood pressure, acute infections and those taking
phenelzine. Caution in those taking sildenafil and warfarin.
Withania Complex tablets Contraindicated in hypertension, oedema, acute infections and those taking
phenelzine. Caution in those taking sildenafil and warfarin.
Wormwood Complex
tablets
Contraindicated in pregnancy, lactation, children under 2 years of age, those
with known sensitivity to Wormwood or other Compositae.
Zinc Protect tablets Do not exceed a daily dose of 100 mcg of selenium (3 tablets). Not suitable
for children under the age of 15 years. Separate doses by at least 2 hours in
those taking tetracycline or quinolone antibiotics, biphosphonates or thyroid
hormone.


LIQUID EXTRACTS

This safety information is provided in the context of the extracts and formulas presented in the above
protocols at the specified dosages. For full detailed information refer to:
• Mills S, Bone K (ed). The Essential Guide to Herbal Safety. Elsevier Churchill Livingstone, St Louis,
2005.
• Bone K. Clinical Guide to Blending Liquid Herbs. Herbal Formulations for the Individual Patient.
Churchill Livingstone, USA, 2003.
• MediHerb Herb-Drug Interactions Chart.

Product Contraindications and Cautions
Barberry 1:2 Contraindicated in pregnancy and lactation.
Bearberry 1:2 Contraindicated in pregnancy and lactation. Consume at least 2 hours away
from ingestion of mineral supplements.
Bugleweed 1:2 Contraindicated in pregnancy and lactation.
Calendula 1:2 Contraindicated in those with known allergy to Calendula. Use with caution
in those with allergy to other members of the Compositae family.
Celery Seed 1:2 Contraindicated in patients with kidney disorders, in particular inflammation
of the kidneys. Monitor patients taking thyroxine for potential interaction.
Chamomile High Grade
1:2
Contraindicated in known allergy to Chamomile. Caution in those with known
sensitivity to members of the Compositae family. In anaemia and cases
where iron supplementation is required, do not take simultaneously with
meals or iron supplements.
Cinnamon 1:2 Contraindicated in those with known allergy to Cinnamon or Peruvian
balsam.
Dandelion Leaves 1:1 Contraindicated in known allergy.
Devil's Claw 1:2 Caution is advised in peptic ulceration and hyperacidity. Monitor patients
taking warfarin for potential interaction.
Echinacea Premium 1:2 Contraindicated in patients taking immunosuppressant medication.
Fennel 1:2 Contraindicated in those with allergy to the Umbelliferae family.
Fenugreek 1:2 Caution is advised where the patient is taking insulin or oral hypoglycaemic
drugs.
Gentian 1:2 Caution is advised for gastric inflammation, ulceration or hyperacidity.
Herbal and Nutritional Protocols for Common Conditions 147 © Phytotherapy Press
Ginger 1:2 Monitor patients taking antacids or phenprocoumon for potential
interactions.
Ginkgo Biloba 2:1 Contraindicated with patients taking warfarin and use with caution with
those on aspirin and haloperidol.
Globe Artichoke 1:2 Contraindicated in closure of the gallbladder. Caution in patients with
gallstones.
Golden Seal 1:3 Contraindicated in pregnancy and lactation.
Goat's Rue 1:2 Caution is advised where the patient is taking insulin or oral hypoglycaemic
drugs.
Gotu Kola 1:1 Use with caution in those with allergy to Gotu Kola.
Gymnema 1:1 Caution is advised where the patient is taking insulin or oral hypoglycaemic
drugs.
Herbal and Nutritional Protocols for Common Conditions 148 © Phytotherapy Press

Hawthorn 1:2 May potentiate the action of hypotensive medication. Consume at least 2
hours away from ingestion of mineral supplements.
Korean Ginseng 1:2 Contraindicated in high blood pressure, acute infections and those taking
phenelzine. Caution in those taking sildenafil and warfarin.
Lemon Balm 1:2 Consume at least 2 hours away from ingestion of mineral supplements.
Licorice 1:1,
Licorice High Grade 1:1
Licorice is contraindicated in oedema and hypertension. Caution in patients
taking cortisol or prednisolone.
Marshmallow Root 1:5,
Marshmallow Root
glycetract 1:5
Consume at least 2 hours away from ingestion of medication.
Motherwort 1:2 Contraindicated in pregnancy and lactation.
Poke Root 1:5 Contraindicated in pregnancy and lactation.
Propolis 1:5 Contraindicated in those with known allergy to Propolis. Use with caution in
those who have a history of allergies, especially skin rashes.
Qing Hao 1:2 Contraindicated in pregnancy, lactation, children under 2 years of age, those
with known sensitivity to Wormwood or other members of the Compositae
family.
Rhodiola 2:1 Caution is advised in depressed patients with hysteric and phobic symptoms
(eg bipolar disorder).
Sage 1:2 Contraindicated in pregnancy. Consume at least 2 hours away from
ingestion of mineral supplements.
Schisandra 1:2 Caution: may accelerate the clearance of prescribed medications from the
body.
Shatavari 1:2 Caution in patients with upper digestive irritations and those with pre-
existing cholestasis.
Siberian Ginseng 1:2 Contraindicated in acute infections.
St J ohn's Wort 1:2 Contraindicated in known photosensitivity to St J ohn's Wort. High-doses
contraindicated with the following: warfarin, digoxin, cyclosporin, HIV
protease inhibitor, HIV non-nucleoside transcriptase inhibitor,
phenprocoumon, cancer chemotherapeutic drugs and calcium channel
antagonists. Caution is advised in patients taking sildenafil or amitriptyline.
For high-doses caution is advised in patients taking anticonvulsants,
combined oral contraceptives, theophylline, SSRIs (selective serotonin
reuptake inhibitors), antihistamines, benzodiazepines and simvastatin and
excessive exposure to sunlight and UV radiation should be avoided. May
cause hyperaesthesia in some sensitive individuals especially when
combined with a high exposure to sunlight. Consume at least 2 hours away
from ingestion of mineral supplements.
St Mary's Thistle 1:1 In anaemia and cases where iron supplementation is required, do not take
simultaneously with meals or iron supplements. Contraindicated in patients
taking metronidazole.
Thuja 1:5 Contraindicated in pregnancy and lactation.
Tienchi Ginseng 1:2 Contraindicated in pregnancy.
Tribulus 2:1 Caution in pregnancy and in those with pre-existing cholestasis.
Turmeric 1:1 Contraindicated in closure of the gallbladder. Caution in patients with
gallstones. Monitor patients taking warfarin or antiplatelet drugs for potential
interactions.
Yarrow 1:2 Contraindicated in known allergy to Yarrow. Caution in those with known
sensitivity to members of the Compositae family.


Herbal and Nutritional Protocols for Common Conditions 149 © Phytotherapy Press

DRIED HERBS, CREAMS

This safety information is only a guide to possible contraindications and cautions, for full detailed
information refer to Mills S, Bone K (ed). The Essential Guide to Herbal Safety. Elsevier Churchill
Livingstone, St Louis, 2005.

Product Contraindications and Cautions
Eczema Relief Cream Contraindicated in those with known allergy to Calendula or Myrrh. Use with
caution in those with allergy to other members of the Compositae family.
Psyllium husk Contraindicated in intestinal obstruction. Ensure adequate water intake in
diet. Consume at least 2 hours away from ingestion of medication.
Slippery Elm powder Contraindicated in intestinal obstruction. Ensure adequate water intake in
diet.

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