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Folic Acid

Other common name(s): Bach remedies, Bach flower remedies

Scientific/medical name(s): none

Description

Flower remedies are prepared by picking certain plants or flowers in full bloom and leaving them in water for 2 to 4 hours in the sun. Alternately, the plants may be picked and boiled for half an hour. The liquid is then preserved with brandy and further diluted so that very small amounts of the original plant solution remain in the final formula. Thirty-eight different flowers are used to make the original 39 remedies.

Overview

Available scientific evidence does not support claims that flower remedies are effective in treating cancer or any other disease. Many people report that flower remedies are helpful for stabilizing emotions. However, available scientific studies have shown no health benefits when compared to placebo treatments.

How is it promoted for use?

Proponents claim that flower remedies ease stress and reduce negative emotions, which in turn stimulates the body's healing processes to help fight illness. Proponents believe that physical illness is caused by underlying emotional problems or disorders. They do not claim that flower remedies cure diseases, only that they help the body's natural defenses so that the body can heal itself. Supporters suggest that flower remedies can help improve sleep, reduce stress, calm fears, ease childbirth, reduce anxiety, and lessen skeletal and muscular pain.

There are 7 categories of emotional problems that supporters believe can be affected by flower remedies. These include fear, uncertainty, general disinterest, loneliness, over-sensitivity to influences and ideas, despondency or despair, and over-concern for the welfare of others. Flower remedies are said to be safe for everyone, even family pets.

What does it involve?

Usually, 2 to 4 drops of flower essence preparation are placed directly under the tongue several times a day. A few drops can also be put into a glass of water or juice and sipped 3 to 4 times a day. Very small or even undetectable amounts of the flower extract remain in the final remedy formula. The patient or practitioner chooses the flower essences based on the patient's emotional condition.

The original 39 remedies consisted of 38 individual flower essences and a solution called "rescue remedy," which is a combination of 5 flower essences. Rescue remedy can be used to deal with emotional trauma or emergency situations. This remedy comes in a spray bottle so it can be sprayed into the mouth and in a cream that can be used on the wrists, neck, or ankles.

What is the history behind it?

In the 1930s, an English homeopathic physician named Edward Bach developed the theory that the successful treatment of negative emotions would heal illness. His ideas in this area were shared by others who believed in the connection between mind and body and that emotional health influenced physical health. Bach believed flowers were one key to strengthening the mind-body link and that flower essences could soothe emotions.

Since Bach's time, more flowers have been added to the original 38, reportedly following the same general principles he outlined.

What is the evidence?

Despite numerous personal reports claiming flower remedies improve health, available scientific evidence does not support claims that the treatment results in any measurable positive results beyond that of placebo treatment. Some specific studies have tested for the effect of flower remedies on attention deficit disorder and anxiety. A 2005 study in Israel tested the remedies to see whether they helped attention deficit disorder in children. It found that there was no difference between the effects of the remedies compared with placebo. In Germany, a group of researchers compared the flower remedies to a placebo to see whether the remedies helped test anxiety. While there was no difference between the placebo and flower essence groups, both groups reported a significant decrease in test anxiety. It appears that both the sham treatment and the flower essences produced a placebo effect.

Are there any possible problems or complications?

This product is sold as a dietary supplement in the United States. Unlike companies that produce drugs (which must provide the FDA with results of detailed testing showing their product is safe and effective before the drug is approved for sale), the companies that make supplements do not have to show evidence of safety or health benefits to the FDA before selling their products. Supplement products without any reliable scientific evidence of health benefits may still be sold as long as the companies selling them do not claim the supplements can prevent, treat, or cure any specific disease. Some such products may not contain the amount of the herb or substance that is written on the label, and some may include other substances (contaminants). Though the FDA has written new rules to improve the quality of manufacturing processes for dietary supplements and the accurate listing of supplement ingredients, these rules do not take full effect until 2010. And, the new rules do not address the safety of supplement ingredients or their effects on health when proper manufacturing techniques are used.

Most such supplements have not been tested to find out if they interact with medicines, foods, or other herbs and supplements. Even though some reports of interactions and harmful effects may be published, full studies of interactions and effects are not often available. Because of these limitations, any information on ill effects and interactions below should be considered incomplete.

There are no known harmful effects reported with the ingestion of flower remedies. People taking medications such as metronidazole (Flagyl) or disulfiram (Antabuse) may have nausea and vomiting if they use the brandy- or alcohol-based form of the remedies. Those who wish to avoid alcohol entirely should not use them. Allergies to the plants might produce reactions if enough of the flower extract is present in the remedy, although no reports of this were found in the medical literature to date. Relying on this type of treatment alone and avoiding or delaying conventional medical care for cancer may have serious health consequences.

Additional Resources

More information from your American Cancer Society

The following information on complementary and alternative therapies may also be helpful to you. These materials may be found on our Web site (www.cancer.org) or ordered from our toll-free number (1-800-ACS-2345).

References

Bach flower remedies. Aetna InteliHealth Web site. http://www.intelihealth.com/IH/ihtIH?d=dmtContent&c=358740. Accessed June 4, 2008.

Barrett S. Questionable "self-help" products. Quackwatch Web site. http://www.quackwatch.org/01QuackeryRelatedTopics/mentprod.html. Updated August 18, 2004. Accessed June 4, 2008.

Ernst E. "Flower remedies": a systematic review of the clinical evidence. Wien Klin Wochenschr. 2002;114:963-966.

Kaptchuk TJ. The placebo effect in alternative medicine: can the performance of a healing ritual have clinical significance? Ann Intern Med. 2002;136:817-825.

Pintov S, Hochman M, Livne A, Heyman E, Lahat E. Bach flower remedies used for attention deficit hyperactivity disorder in children--a prospective double blind controlled study. Eur J Paediatr Neurol. 2005;9:395-398. Epub 2005 Oct 27.

Walach H, Rilling C, Engelke U. Efficacy of Bach-flower remedies in test anxiety: a double-blind, placebo-controlled, randomized trial with partial crossover. J Anxiety Disord. 2001;15:359-366.

Note: This information may not cover all possible claims, uses, actions, precautions, side effects or interactions. It is not intended as medical advice, and should not be relied upon as a substitute for consultation with your doctor, who is familiar with your medical situation.

Last Medical Review: 11/01/2008
Last Revised: 11/01/2008

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