Vitex agnus-castus
Encyclopedia
"Chaste tree" redirects here. This may refer to any species of Vitex
Vitex
Vitex is a genus of flowering plants in the family Lamiaceae Martynov, nom. cons. . It has about 250 species. Its type species is Vitex agnus-castus. There is no universal English name, though "chastetree" is common for many species...

.

Vitex agnus-castus, also called Vitex, Chaste Tree, Chasteberry, Abraham's Balm or Monk's Pepper, is a native of the Mediterranean region. It is one of the few temperate-zone species of Vitex
Vitex
Vitex is a genus of flowering plants in the family Lamiaceae Martynov, nom. cons. . It has about 250 species. Its type species is Vitex agnus-castus. There is no universal English name, though "chastetree" is common for many species...

, which is on the whole a genus of tropical and sub-tropical flowering plant
Flowering plant
The flowering plants , also known as Angiospermae or Magnoliophyta, are the most diverse group of land plants. Angiosperms are seed-producing plants like the gymnosperms and can be distinguished from the gymnosperms by a series of synapomorphies...

s. Theophrastus
Theophrastus
Theophrastus , a Greek native of Eresos in Lesbos, was the successor to Aristotle in the Peripatetic school. He came to Athens at a young age, and initially studied in Plato's school. After Plato's death he attached himself to Aristotle. Aristotle bequeathed to Theophrastus his writings, and...

 mentioned the shrub several times, as agnos (άγνος) in Enquiry into Plants. Vitex, its name in Pliny the Elder
Pliny the Elder
Gaius Plinius Secundus , better known as Pliny the Elder, was a Roman author, naturalist, and natural philosopher, as well as naval and army commander of the early Roman Empire, and personal friend of the emperor Vespasian...

, is derived
Etymology
Etymology is the study of the history of words, their origins, and how their form and meaning have changed over time.For languages with a long written history, etymologists make use of texts in these languages and texts about the languages to gather knowledge about how words were used during...

 from the Latin
Latin
Latin is an Italic language originally spoken in Latium and Ancient Rome. It, along with most European languages, is a descendant of the ancient Proto-Indo-European language. Although it is considered a dead language, a number of scholars and members of the Christian clergy speak it fluently, and...

 vieo, meaning to weave or to tie up, a reference to the use of Vitex agnus-castus in basketry. Its macaronic specific name repeats "chaste" in both Greek and Latin.

Confusion with Vitex on the part of early settlers in the West Indies gave to Ricinus communis the name "Castor-oil plant".

Cultivation

Vitex agnus-castus is widely cultivated in warm temperate and subtropical
Subtropics
The subtropics are the geographical and climatical zone of the Earth immediately north and south of the tropical zone, which is bounded by the Tropic of Cancer and the Tropic of Capricorn, at latitudes 23.5°N and 23.5°S...

 regions for its delicate-textured aromatic foliage and lavender flowers in late summer. It grows to a height of 1–5 meters. It requires full sun or partial shade along with well-drained soil. Under ideal conditions it is hardy to USDA Zone 7, on the south shore of Long Island and Nantucket on the East Coast of North America and in the southwest of England.

Uses

Vitex, also a traditional plant in Africa
Africa
Africa is the world's second largest and second most populous continent, after Asia. At about 30.2 million km² including adjacent islands, it covers 6% of the Earth's total surface area and 20.4% of the total land area...

, is a little-known fruit plant that has potential to improve nutrition, boost food security, foster rural development and support sustainable landcare.

Herbal medicine

The leaves and tender stem growth of the upper 10 cm (4 inches), along with the flowers and ripening seeds, are harvested for medicinal purposes. The berries are harvested by gently rubbing the berries loose from the stem. The leaves, flowers, and/or berries may be consumed as a decoction, traditional tincture
Tincture
A tincture is an alcoholic extract or solution of a non-volatile substance . To qualify as a tincture, the alcoholic extract is to have an ethanol percentage of at least 40-60%...

, cider vinegar tincture, syrup, elixir
Elixir
An elixir is a clear, sweet-flavored liquid used for medicinal purposes, to be taken orally and intended to cure one's ills. When used as a pharmaceutical preparation, an elixir contains at least one active ingredient designed to be taken orally....

, or simply eaten straight off the plant as a medicinal food. A popular way of taking Vitex is on awakening as a simple 1:1 fluid extract, which is said to interact with hormonal circadian rhythms most effectively.

The berries are considered a tonic herb for both the male and female reproductive system
Reproductive system
The reproductive system or genital system is a system of organs within an organism which work together for the purpose of reproduction. Many non-living substances such as fluids, hormones, and pheromones are also important accessories to the reproductive system. Unlike most organ systems, the sexes...

s. The leaves are believed to have the same effect but to a lesser degree.

In ancient times it was believed to be an anaphrodisiac
Anaphrodisiac
An anaphrodisiac or antiaphrodisiac is something that quells or blunts the libido. It is the opposite of an aphrodisiac, something that enhances sexual appetite...

, hence the name chaste tree. Pliny, in his Historia Naturalis
Historia Naturalis
Historia Naturalis may refer to:*Natural History , a natural history encyclopedia by Pliny the Elder*Historia naturalis palmarum, a botanical book by Carl Friedrich Philipp von Martius published between 1823 and 1850...

, reports the use of stems and leaves of this plant by women as bedding "to cool the heat of lust" during the time of the Thesmophoria
Thesmophoria
Thesmophoria was a festival held in Greek cities, in honor of the goddesses Demeter and her daughter Persephone. The name derives from thesmoi, or laws by which men must work the land. The Thesmophoria were the most widespread festivals and the main expression of the cult of Demeter, aside from the...

, when Athenian women left their husband's beds to remain ritually chaste. At the end of the thirteenth century John Trevisa
John Trevisa
John Trevisa , was a Cornish writer and translator.Trevisa was born at Trevessa in the parish of St Enoder in mid-Cornwall, and was a native Cornish speaker...

 reports of it "the herbe agnus-castus is always grene, and the flowre therof is namly callyd Agnus Castus, for wyth smel and vse it maketh men chaste as a lombe". Chaucer, in "The Flower and the Leaf," refers to it as an attribute of the chaste Diana
Diana (mythology)
In Roman mythology, Diana was the goddess of the hunt and moon and birthing, being associated with wild animals and woodland, and having the power to talk to and control animals. She was equated with the Greek goddess Artemis, though she had an independent origin in Italy...

, and in the 16th century the English herbalist William Turner reports the same anaphrodisiac properties of the seed, both fried and not fried. More recently, this plant has been called monk's pepper in the thought that it was used as anti-libido medicine by monks to aid their attempts to remain chaste. There are disputed accounts regarding its actual action on libido, with some claims that it is anaphrodisiac and others that it is aphrodisiac
Aphrodisiac
An aphrodisiac is a substance that increases sexual desire. The name comes from Aphrodite, the Greek goddess of sexuality and love. Throughout history, many foods, drinks, and behaviors have had a reputation for making sex more attainable and/or pleasurable...

. Because of the complex mechanism of action it can be probably both, depending on concentration of the extract and physiologic variables (see below).

Medical use

Clinical studies have demonstrated effectivness of standardised and controlled medications produced from extract of the plant in the management of premenstrual stress syndrome (PMS)
Premenstrual stress syndrome
Premenstrual syndrome is a collection of physical and emotional symptoms related to a woman's menstrual cycle...

, and cyclical breast pain (mastalgia
Mastalgia
Mastodynia, mastalgia or mammalgia are names for a medical symptom that means breast pain .Pain can range from minor discomfort to severely incapacitating pain...

). The medication is recommended in Germany.

Mechanism of action

The mechanism of action is not exactly understood but it is assumed that it has dopamine
Dopamine
Dopamine is a catecholamine neurotransmitter present in a wide variety of animals, including both vertebrates and invertebrates. In the brain, this substituted phenethylamine functions as a neurotransmitter, activating the five known types of dopamine receptors—D1, D2, D3, D4, and D5—and their...

rgic effects resulting in changes of prolactin
Prolactin
Prolactin also known as luteotropic hormone is a protein that in humans is encoded by the PRL gene.Prolactin is a peptide hormone discovered by Henry Friesen...

 secretion. At low doses, such as might have been used in previous centuries for suppression of sexual desire, it inhibits activation of dopamine 2 receptor by competitive binding, causing a slight increase in release of prolactin. In higher concentrations, as in modern extracts, the binding activity is sufficient to reduce the release of prolactin. A study has found that treatment of 20 healthy men with higher doses of Vitex agnus-castus was associated with a slight reduction of prolactin
Prolactin
Prolactin also known as luteotropic hormone is a protein that in humans is encoded by the PRL gene.Prolactin is a peptide hormone discovered by Henry Friesen...

 levels, whereas lower doses caused a slight increase as compared to doses of placebo. A decrease of prolactin will influence levels of Follicle-stimulating hormone
Follicle-stimulating hormone
Follicle-stimulating hormone is a hormone found in humans and other animals. It is synthesized and secreted by gonadotrophs of the anterior pituitary gland. FSH regulates the development, growth, pubertal maturation, and reproductive processes of the body. FSH and Luteinizing hormone act...

 (FSH) and estrogen
Estrogen
Estrogens , oestrogens , or œstrogens, are a group of compounds named for their importance in the estrous cycle of humans and other animals. They are the primary female sex hormones. Natural estrogens are steroid hormones, while some synthetic ones are non-steroidal...

 in women; and testosterone
Testosterone
Testosterone is a steroid hormone from the androgen group and is found in mammals, reptiles, birds, and other vertebrates. In mammals, testosterone is primarily secreted in the testes of males and the ovaries of females, although small amounts are also secreted by the adrenal glands...

 in men.
Dopaminergic compounds(diterpenes with prolactin-suppressive effects that were almost identical in their prolactin
Prolactin
Prolactin also known as luteotropic hormone is a protein that in humans is encoded by the PRL gene.Prolactin is a peptide hormone discovered by Henry Friesen...

-suppressive properties than dopamine itself
) present in Vitex agnus castus seem likely to be the clinically important compounds which improve premenstrual mastodynia and possibly also psycho-somatic symptoms of PMS.

Chemical analysis

Flavonoids, alkaloid
Alkaloid
Alkaloids are a group of naturally occurring chemical compounds that contain mostly basic nitrogen atoms. This group also includes some related compounds with neutral and even weakly acidic properties. Also some synthetic compounds of similar structure are attributed to alkaloids...

s, diterpenoids, Vitexin
Vitexin
Vitexin is an apigenin flavone glucoside, a chemical coupound found in the passion flower, Vitex agnus-castus and in the Phyllostachys nigra bamboo leaves...

, Casticin and steroid
Steroid
A steroid is a type of organic compound that contains a characteristic arrangement of four cycloalkane rings that are joined to each other. Examples of steroids include the dietary fat cholesterol, the sex hormones estradiol and testosterone, and the anti-inflammatory drug dexamethasone.The core...

al hormone precursors have been isolated from the chemical analysis of Vitex agnus-castus. It is believed that some of these compounds work on the pituitary gland
Pituitary gland
In vertebrate anatomy the pituitary gland, or hypophysis, is an endocrine gland about the size of a pea and weighing 0.5 g , in humans. It is a protrusion off the bottom of the hypothalamus at the base of the brain, and rests in a small, bony cavity covered by a dural fold...

 which would explain its effects on hormonal
Hormone
A hormone is a chemical released by a cell or a gland in one part of the body that sends out messages that affect cells in other parts of the organism. Only a small amount of hormone is required to alter cell metabolism. In essence, it is a chemical messenger that transports a signal from one...

 levels. A study has shown that extracts of the fruit of VAC can bind to opiate receptors; this could explain why intake of VAC reduces PMS discomforts.

Current uses

Vitex agnus-castus is used to alleviate symptoms of various gynecological problems. All evidence is limited to standardised controlled extracts such as used in Germany, different extracts or herbal mixes may have significantly different properties and safety issues.

Good evidence and safety exists for this uses:
  • PMS
    Premenstrual stress syndrome
    Premenstrual syndrome is a collection of physical and emotional symptoms related to a woman's menstrual cycle...

  • Cyclical mastalgia
    Mastalgia
    Mastodynia, mastalgia or mammalgia are names for a medical symptom that means breast pain .Pain can range from minor discomfort to severely incapacitating pain...

  • Mild hyperprolactinemia
  • Luteal phase defect
    Luteal phase
    The luteal phase is the latter phase of the menstrual cycle or the estrous cycle . It begins with the formation of the corpus luteum and ends in either pregnancy or luteolysis...



No specific clinical studies but use partially supported by clinical evidence on symptoms and mechanism of action:
  • Polycystic Ovarian Syndrome (PCOS), improvement of symptoms
  • Uterine fibroids
    Uterine fibroids
    A uterine fibroid is a benign tumor that originates from the smooth muscle layer and the accompanying connective tissue of the uterus.Fibroids are the most common benign tumors in...

    , control of bleeding symptoms


Emerging uses:
  • Menopause
    Menopause
    Menopause is a term used to describe the permanent cessation of the primary functions of the human ovaries: the ripening and release of ova and the release of hormones that cause both the creation of the uterine lining and the subsequent shedding of the uterine lining...

    , mechanism of action completely unclear.

Prostate
Prostate
The prostate is a compound tubuloalveolar exocrine gland of the male reproductive system in most mammals....

 disorders Rarely used, but given its mode of action theoretically interesting,

Contraindications

It is recommended that Vitex agnus-castus be avoided during pregnancy due to the possibility of complications.

Other uses

Historical uses, uses outside the scope of medicine.
  • Galactagogue
    Galactagogue
    A galactagogue is a substance that promotes lactation in humans and other animals. It may be synthetic, plant-derived, or endogenous.-Herbal:The most commonly cited galactagogues are herbal...

    , historical usage in very low concentrations and not advisable today. However one recent study did find "Oral administration of 70 mg/kg/day of Vitex agnus - castus extract in lactation stages, significantly increased serum prolactin, compared with the control group of rats."

  • Potential use as an insect repellent
    Insect repellent
    An insect repellent is a substance applied to skin, clothing, or other surfaces which discourages insects from landing or climbing on that surface. There are also insect repellent products available based on sound production, particularly ultrasound...

  • Used in supplements for male bodybuilders as a secondary component because of its effects on testosterone levels.
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