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TABLE OF CONTENTS | REFERENCES | GLOSSARY
Evening Primrose Oil (EPO)
General Description
Evening primrose (Oenothera biennis, also known as willow herb, fever plant, or tree primrose) is native to North America east of the Rockies to the Atlantic coast. A biennial plant that grows wild in dry meadows and along roadsides, evening primrose has an erect, hairy stem that bears alternate, hairy leaves, which grow from 3 to 6 inches long and taper to a point. The plant flowers from June to October, bearing yellow, lemon-scented blossoms, 1 to 2 1/2 inches across, which open at dusk. The fruit of the plant is an oblong, hairy capsule, which contains small, reddish-brown seeds. Although the Native Americans and early European settlers used the whole plant for a variety of health applications, modern use has centered on the oil pressed from the seeds (EPO). This oil is primarily composed of linoleic acid, and omega-6 essential fatty acid found in most vegetable oils, but it also contains a significant amount of gamma linolenic acid (GLA), an omega-6 oil found in only a few plant seeds. Borage oil and black currant seed oil are also rich sources of GLA.

Health applications

Primary functions
Although EPO is about 72% linoleic acid, its 9% GLA portion is considered the primary active ingredient. The body converts GLA into prostaglandin E1 (PGE1), a hormone-like substance that helps regulate allergic reactions, inflammation, blood pressure, heart function, and the production of hormones. Linoleic acid can be converted into GLA (and subsequently PGE1) in the body, but many dietary factors and health conditions can interfere with this process. For this reason, GLA is considered the more reliable PGE1 precursor.

Diabetes
Diabetes has been associated with impaired conversion of linoleic acid into GLA,1,2 which may interfere with prostaglandin production and lead to defective nerve function.3 Studies have shown that supplementation with EPO may reverse the altered fatty acid and prostaglandin metabolism in diabetic patients 4 and may play a useful role in the prevention and treatment of diabetic nerve disfunction.5,6 Some studies indicate that EPO may be helpful in other disorders associated with prostaglandin imbalances, such as rheumatoid arthritis7,8 and Raynaud's phenomenon.9

Premenstrual syndrome
EPO supplements are commonly used by women seeking natural ways to alleviate the symptoms of PMS. A number of studies indicate EPO can improve many PMS symptoms such as depression, irritability, fluid retention, and breast pain.10-13 Although EPO's method of action in PMS is unclear, some scientists attribute its effects to increased PGE1 production, which may attenuate the action of some hormones such as prolactin.11

Skin disorders
Omega-6 fatty acid deficiencies have been associated with inflammatory skin conditions in both animals and humans. Studies on subjects with eczema showed elevated levels of linoleic acid and reduced levels of GLA, suggesting impaired conversion of linoleic acid to GLA.14 A number of studies indicate EPO supplements can improve symptoms in many eczema sufferers.14-18

Dosage/toxicity
Studies on EPO have used doses ranging from 2 to 4 grams per day, and it appears to be well tolerated at this dosage range. For PMS, the most commonly recommended dosage is 2 grams per day for 2 weeks preceding menstruation. Because other nutrients including magnesium, zinc, niacin, vitamin B-6, and vitamin C are needed along with EPO for the body to produce PGE1,11 some experts recommend taking EPO with a multivitamin that supplies these nutrients. EPO has no known toxicity.


Eyebright, as its name suggests, has traditionally been used as an eye tonic. Although it is unknown when this use started, eyebright was well established as an eye medicine by the 14th century. more…

 

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