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While herbalists have used various mint species for thousands of years, the familiar garden perennial peppermint is a relative newcomer. That's because peppermint is a hybrid of spearmint and water mint first cultivated in England around the beginning of the eighteenth century. The plant is now grown throughout Europe and North America, with the Northwest part of the U.S. being a major supplier for the world market. The bulk of the crop is steam-distilled into the pale yellow essential oil, which is widely used as a flavoring agent in foods, candies, chewing gum, and toothpastes. An estimated one percent of the essential oil is used medicinally, as is a small percentage of the leaf crop for teas and other herbal preparations.

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Traditional uses
Over the past three centuries herbalists have begun to use peppermint   in many of the same ways that herbalists in ancient Egypt and China used other types of mints. That is, as a digestive remedy to treat heartburn, diarrhea, flatulence, and intestinal cramps. Peppermint leaf tea has become a popular treatment for nausea and vomiting due to morning sickness. The tea has also become a traditional remedy to relieve the discomforts of menstruation, to alleviate respiratory infections, and to promote liver and gallbladder function.
 
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Modern uses
Peppermint is now widely recognized as an effective remedy to regulate digestion. It has a calming effect on the smooth muscle of the digestive tract and can promote the flow of bile from the gallbladder into the small intestine, thus aiding the digestion of fats. Peppermint may help to relieve symptoms of nasal congestion. The essential oil can be diffused into the air and inhaled for its mildly stimulating effect on the nervous system and overall circulation. Modern aromatherapists say that peppermint oil clears the mind, helps to increase alertness, and can improve the performance of stressful visual tasks. Herbal companies add peppermint compounds to topical creams that can help relieve the pain and itching of hemorrhoids, insect bites, athlete's foot, and other skin ailments. Peppermint is a component of rubs used to relieve minor aches in muscles, nerves, and joints. Some people use the oil as an insect repellent and toothache remedy. Peppermint preparations can also help to prevent or treat:

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Recent findings
A 1995 double-blind, placebo-controlled study determined that essential oil of peppermint rubbed into the forehead may be an effective tension-headache treatment capable of relaxing muscles and relieving pain.

A number of recent studies have found that enteric-coated peppermint oil formulations can reduce the symptoms of irritable bowel syndrome, including abdominal pain and distension, stomach rumbling, and flatulence. A 1998 meta-analysis study identified five double-blind, randomized, controlled trials that collectively indicate that peppermint oil could be effective at relieving the symptoms of irritable bowel syndrome, although the researchers noted that further studies were needed.

A British study found that peppermint oil is a potentially useful therapy for preventing the nausea that often occurs after a surgical operation.

 
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Do scientists know how it works?
The main therapeutic components of the plant are various flavonoids and the essential oil. Approximately fifty percent of the essential oil is menthol, a medicinally active alcohol. Applied to the skin, menthol dilates blood vessels and thus has a cooling effect. (Menthol has a similar cooling effect when it is taken into the mouth with air.) Studies have found that menthol has anti-microbial and anti-inflammatory actions.
 
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Types of products
Peppermint is available as a tea, the dried leaf, an essential oil, and an herbal oil. It is also sold in liquid extracts and softgels. Some products combine it with ginger. Peppermint is widely used:
bulletas a flavoring agent in toothpastes, soaps, gums, and sweets
bulletin formulas and combination products for stomach and nausea, gas, headache, and digestion
bulletin colon tea and dieter's tea

For more information on the features and benefits of the various dosage forms of herbal products (dried herb, extracts, teas, etc.), click here.

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Safety
Peppermint tea is generally safe and nontoxic, although it may cause intestinal discomfort in people who have gallstones. Infants and small children should not be given high doses. The essential oil is much more potent and needs to be used with caution. It may irritate the skin if it is applied undiluted or in high doses. Avoid putting the essential oil over more than a small patch of skin at a time because of menthol's pronounced cooling effect. The essential oil could cause an asthma-like attack if applied to the nasal area of infants or small children. Essential oils are not generally taken internally except with the supervision of an experienced therapist. Capsules containing tiny amounts of peppermint oil are often enteric-coated to prevent a burning sensation or other types of digestive discomfort.
 
References
Göbel, H., et al., "Essential plant oils and headache mechanisms," Phytomedicine (1995), 2(2):93-102
Liu, J.H., et al., "Enteric-coated peppermint-oil capsules in the treatment of irritable bowel syndrome: a prospective, randomized trial," J Gastroenterol (1997), 32(6):765-68
Pittler, M.H., and E. Ernst, "Peppermint oil for irritable bowel syndrome: a critical review and metaanalysis," Am J Gastroenterol (1998), 93(7):1131-35
Tate, S., "Peppermint oil: a treatment for postoperative nausea," J Adv Nurs (1997), 26(3):543-49

Abstracts

Title: Peppermint oil for irritable bowel syndrome: a critical review and meta-analysis
Author: Pittler MH; Ernst E
Address: Department of Complementary Medicine, Postgraduate Medical School, University of Exeter, United Kingdom
Source: Am J Gastroenterol, 93(7):1131-5 1998 Jul
Abstract:

OBJECTIVE: Peppermint oil is the major constituent of several over-the-counter remedies for symptoms of irritable bowel syndrome (IBS). As the etiology of IBS is not known and treatment is symptomatic, there is a ready market for such products. However, evidence to support their use is sparse. The aim of this study was to review the clinical trials of extracts of peppermint (Mentha X piperita L.) as a symptomatic treatment for IBS.
METHODS: Computerized literature searches were performed to identify all randomized controlled trials of peppermint oil for IBS. Databases included Medline, Embase, Biosis, CISCOM, and the Cochrane Library. There were no restrictions on the language of publication. Data were extracted in a standardized, predefined fashion, independently by both authors. Five double blind, randomized, controlled trials were entered into a metaanalysis.
RESULTS: Eight randomized, controlled trials were located. Collectively they indicate that peppermint oil could be efficacious for symptom relief in IBS. A metaanalysis of five placebo-controlled, double blind trials seems to support this notion. In view of the methodological flaws associated with most studies, no definitive judgment about efficacy can be given.
CONCLUSION: The role of peppermint oil in the symptomatic treatment of IBS has so far not been established beyond reasonable doubt. Well designed and carefully executed studies are needed to clarify the issue.


Language: Eng
Unique Identifier: 98336088
MESH Headings: Colonic Diseases, Functional *DT; Double-Blind Method; Gastrointestinal Agents AE/*TU; Human; Oils, Volatile AE/*TU; Placebos; Plant Oils AE/*TU; Plants, Medicinal*; Randomized Controlled Trials
Publication Type: JOURNAL ARTICLE; META-ANALYSIS
ISSN: 0002-9270
Country of Publication: UNITED STATES

Title: Peppermint oil: a treatment for postoperative nausea
Author: Tate S
Address: Liverpool (John Moores) University, England
Source: J Adv Nurs, 26(3):543-9 1997 Sep
Abstract: This paper describes a research study to investigate the efficacy of peppermint oil as a treatment for postoperative nausea. It uses a three-condition experimental design using statistical analysis to compare groups. The Kruskal-Wallis test was used to establish significance and the Mann-Whitney test to differentiate significance between the groups. The control, placebo and experimental groups of gynaecological patients were compared, using variables known to affect postoperative nausea. They were found to be homogeneous for the purposes of the study. A statistically significant differences was demonstrated on the day of operation, using the Kruskal-Wallis test, P = 0.0487. Using the Mann-Whitney test the difference was shown to be between the placebo and experimental group (U = 3; P = 0.02). The experimental group also required less traditional antiemetics and received more opioid analgesia postoperatively. The total cost of the treatment was 48 pence per person.
Language: Eng
Unique Identifier: 98020852
MESH Headings: Administration, Inhalation; Adult; Antiemetics EC/*TU; Drug Costs; Human; Middle Age; Nausea *DT; Parasympatholytics EC/*TU; Plant Oils EC/PD/*TU; Postoperative Complications *DT; Statistics, Nonparametric
Publication Type: CLINICAL TRIAL; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
ISSN: 0309-2402
Country of Publication: ENGLAND

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