ITHMA The Institute of Traditional Herbal Medicine and Aromatherapy AROMATIC MEDICINE Integrated Advanced Essential Oil Therapeutics for Common Clinical Conditions 8-day in-class International Advanced Diploma Course with Mark Webb BSc,MASCC (Australia) hosted jointly by the Heal Center Atlanta and the Institute of Traditional Herbal Medicine and Aromatherapy (ITHMA) London Since its advent as a modern therapeutic intervention - originated a century ago by René-Maurice Gattefossé - aromatherapy has evolved to embrace several overlapping approaches to the remedial use of essential oils. Each approach developed within a specific cultural context and stressed different methods of essential oil application. In France, an emphasis on the oral and rectal use of essential oils established aromatherapy as a form of médecines douces (natural medicine), the practice of which was pioneered by Dr Jean Valnet; while in Britain, the traditional use of volatile extracts by herbalists re-emerged in the form of their predominantly dermal and respiratory use by students of Austrian-born nurse Marguerite Maury, paving the way for holistic aromatherapy. These approaches have interwoven and spread beyond France and Britain to the extent that it is perhaps no longer so relevant to speak of a French School or British School as such not least because different styles of essential oil practice are distinguished today by the various contexts in which they are carried out: in the natural health centre, herbal practice, pharmacy, hospital, hospice, health & beauty clinic, and spa with each setting emphasizing methods of application appropriate for that context. Aromatic Medicine: Integrated Advanced Essential Oil Therapeutics for Common Clinical Conditions offers those working in any of these different contexts the chance to extend and develop their essential oil formulating skills through a course delivered by one of the world s leading experts in aromatic medicine: biochemist, plant biologist and aromatherapy author Mark Webb. Through this groundbreaking Advanced Diploma Course, Mark instructs participants in an integrated 21st century model of clinical aromatherapy a model in which the full range of essential oil dose forms and application methods are presented according to an escalating structure from low dose up to and including higher concentration topical and internal dose forms. Addressing the chemistry and pharmacology of essential oils in terms of their holistic and cosmetic as well as advanced clinical applications, Mark provides participants with the tools to both expand and deepen their professional practice to make it both scientifically more precise and clinically broader and more integrated.
AROMATIC MEDICINE COURSE STRUCTURE, PREREQUISITES AND ASSIGNMENTS Module I (Days 1 & 2): Aromatic Chemistry, Pharmacology and Toxicology pg 2 Module II (Days 3 & 4): Internal and External Dose Forms Galenic Preparations and Cosmoceutical Formulation 3 Module III (Days 5 & 6): Aromatic Toolkit Essential Oils and Expressed Oils, CO2 Extracts, Absolutes and Hydrosols 5 Module IV (Days 7 & 8): Aromatic Medicine for Common Clinical Conditions 7 Course Prerequisite and Assignments 8 About Mark Webb and the Course Organizers 9 MODULE I: AROMATIC CHEMISTRY, PHARMACOLOGY AND TOXICOLOGY An understanding of the chemistry, pharmacology and toxicology of essential oils allows us to work both safely and effectively. In the first two-day module of the course, we learn about the properties and applications of the different functional groups and their therapeutic indications, and how to apply this knowledge to the Aromatic Medicine Prescribing Technique supported by case study examples that include a focus on potential drug interactions. As part of this module, Mark will use a variety of aromatic samples to demonstrate the differences between key constituents. MODULE I COMPONENTS Secondary metabolite chemistry Mevalonic acid pathway Terpene chemistry (isoprene unit) Monoterpenes Sesquiterpenes Monoterpenols Sesquiterpenols Aldehydes Ketones Esters Oxides Lactones Shikimic acid pathway Phenols Ethers Coumarins Isomers and Chirality Pharmacology of essential oils Pharmacokinetics of essential oils Toxicity and safe dosage levels Quality control of aromatics Aromatic prescribing techniques MODULE I OUTCOMES By the end of this module you will be able to: Determine essential oil formulae based upon the aromatic medicine prescribing technique. Explain your prescriptions according to the functional group chemistry of aromatic constituents. Employ and prescribe aromatic formulae with an advanced understanding of their safe dosage levels. Copyright Mark Webb/ ITHMA/ Heal Center Atlanta 2016 2
MODULE II: INTERNAL AND EXTERNAL DOSE FORMS; GALENIC PREPARATIONS AND COSMOCEUTICAL FORMULATION The second module of the course is a comprehensive two-day workshop on internal and external dose forms their formulation, manufacture, and safe and effective application. MODULE II COMPONENTS INTERNAL DOSE FORMS Internal dose forms vary according to the type of aromatic therapy being applied while a nasal inhaler is low-risk dose form, others such as capsules and suppositories involve a higher level of risk and practitioner responsibility. The workshop covers all major internal dose forms, when and where they are indicated in practice, and the methods and procedures for the professional manufacture of these aromatic medicines. Case studies will be used throughout to illustrate the application of these dose forms. Aromatic Therapies - the various aromatic therapies and the routes or absorption relevant to each. Galenic Preparations - what are the medicines named after Galen and how are they formulated? Good Manufacturing Procedure (GMP) - the necessary hygienic environment and tools required for the safe manufacture of the various internal dose forms. Appropriate packaging, labeling, costing and prescribing documentation will also be addressed. Formulation Calculations - complex mathematical concepts made simple for working with different measurement systems such as drops, millilitres (mls) and milligrams (mgs). Capsule Formulation - the various types of capsules, how they differ, when they are appropriate and how they are manufactured. Suppository & Pessary Formulation - the various excipients and their use in safe, simple and accurate manufacturing methods. The appropriate dose loading for each size will also be discussed. Oral Liquids - the application and manufacture of the different types of oral liquid dose forms from syrups to delicious aromatic beverages! Inhalation and Respiratory Dose Forms - from nasal inhalers to deep lung nebulisers, the various dosing forms for both the upper and lower respiratory tract, and when each is appropriate. The available excipients, including surfactants and emulsifiers, will also be surveyed. MODULE II COMPONENTS EXTERNAL DOSE FORMS There are four main reasons to make one s own personal care and cosmetic products: 1. To tailor the product(s) to your own specific requirements, and to control what actually goes into them. 2. To formulate products from the ground up to be 100% therapeutic in nature where every ingredient is there for a specific reason and purpose. These cosmoceutical products can be powerful therapeutic agents, particularly when tailor-made to meet an individual s needs, rather than for the mass market, and according to the lowest cost scenario... where ingredients are incorporated at minimum levels only to make label claims. 3. To prepare products for client treatments at a fraction of the cost of often lower quality commercial products. 4. To gain insight and enjoyment from the formulation and manufacture of products for clients, family and friends. Cosmetic Chemistry Fundamentals - the different classes of ingredients found within each type of cosmetic or personal care product, and how they affect the appearance, texture and skin feel of these types of products. Therapeutic Formulation - how to formulate cosmoceutical products and select ingredients appropriate for the required therapeutic outcome, product look and feel, and client requirements. Emulsions - as 80% of all cosmetics are emulsion-based, we will consider the basic types of emulsions as well as the chemistry behind the development of emulsion science from cold cream to the latest high end polymer-based products. Copyright Mark Webb/ ITHMA/ Heal Center Atlanta 2016 3
Balms & Ointments - when is a balm or ointment a better choice as a delivery vehicle compared to other external dose forms? Discover just how simple (or complex) these products can be and the best and quickest methods for manufacture. Spritzers - a liquid-based sprayable solution is often the most appropriate delivery method to address sunburn, for example, an after sun cooling and hydrating mist is ideal. We will look at the types of surfactants and emulsifiers suitable for spritzers, the uses for spritzer-based products, and sample formulae. Gels and Serums - another important class of cosmetic ingredients are hydrocolloids substances which act as thickening or gelling agents and viscosity modifiers. We will look at a variety of naturally-derived and manmade hydrocolloids, and assess when each is appropriate across a variety of applications and uses. Preservation - microbial contamination and product stability are key points to address within formulation, and we will consider the options available. MODULE II OUTCOMES By the end of this module you will be able to: Apply with confidence the methods and calculations required to accurately formulate internal dose forms. Utilize in clinical practice the various internal dose forms and the excipients used for each methodology. Classify the various types of chemical components found within cosmetic and personal care products. Apply with confidence the therapeutic formulation technique to the production of external dose forms. Select the appropriate internal or external dose form for the type of clincial condition each is best suited. Copyright Mark Webb/ ITHMA/ Heal Center Atlanta 2016 4
MODULE III: AROMATIC TOOLKIT ESSENTIAL OILS AND EXPRESSED OILS, CO2 EXTRACTS, ABSOLUTES AND HYDROSOLS The third two-day module of the course provides a thorough survey of the aromatic materia medica used in both holistic aromatherapy and aromatic medicine. The Aromatic Toolkit covers all the most clinically useful essential oils and expressed oils, CO2 extracts, absolutes and hydrosols for the practice of Aromatic Medicine. In-depth discussion of each essential oils or aromatic will include chemical family grouping, therapeutic uses, appropriate dose forms and body interfaces, toxicity and contraindications. This workshop will provide participants with a uniquely expert view of the extracts used across all aromatic therapies. Building on the concepts laid down in Modules I and II of the course, Mark will discuss the aromatic materia medica according to their main chemical groups to highlight their similar therapeutic uses as well as their differences. A deeper understanding of the nuances of each aromatic allows for easy substitution when prescribing and formulating; eg. the appropriate use of sweet fennel instead of aniseed or star anise essential oil. This level of detail, applied in conjunction with clinically appropriate dose forms and application methods, will allow the advanced essential oil practitioner to refine their formulations according to the client s precise condition. MODULE III COMPONENTS Overview of the different types of aromatics available - what makes them so different? The Aromatic Toolkit deconstructed - the must have, great to have, nice to have, and speciality categories. The major chemical groups of essential oils and aromatics; their similarities and differences across species. We will also examine how geography, climate and growing conditions affect the chemistry of essential oils; eg. the various chemotypes of thyme found in Provence; and the differences between geranium essential oils orginating from China, Egypt and Reunion. Important chemical constituents in essential oils and aromatics; where to source them for specific clinical uses. Therapeutic formulating versus traditional perfumery blending. Matching aromatics to specific dose forms and application methods; eg. tea tree essential oil for topical applications and sweet marjoram in oral applications. MODULE III OUTCOMES By the end of this module you will be able to: Make expert use of the Aromatic Toolkit appropriate to each of the Aromatic Therapies with a particular focus on Aromatic Medicine. Apply in practice the pharmacological differences between aromatics with similar major constituent chemistry. Employ those essential oils and aromatics most effective via different dose forms and application methods. Copyright Mark Webb/ ITHMA/ Heal Center Atlanta 2016 5
MODULE III: AROMATIC TOOLKIT LIST OF ESSENTIAL OILS AND EXPRESSED OILS, CO2 EXTRACTS, ABSOLUTES AND HYDROSOLS STUDIED Orange, Sweet (1x) Orange, Sweet (10x) Grapefruit Mandarin Lime Lemon Bergamot Bergamot FC Free Fir needle, Canadian Fir needle, Siberian Pine, Scots Juniper berry Cypress Frankincense (Boswellia frereana) Frankincense (Boswellia sacra) Frankincense (Boswellia papyifera) Kunzea, Australian Fragonia TM Geranium, Reunion Geranium, Chinese Geranium, Egyptian Rose Otto Palmarosa Cornmint Peppermint Rosalina Rosewood Ho leaf (linalool CT) Coriander seed Basil (linalool CT) Lavender, Spike Neroli Hyssop (linalool CT) Tea Tree (terpinen-4-ol CT) Marjoram, Sweet) Black Pepper Black Pepper CO 2 (select) German Chamomile Ylang Ylang (complete) Carrot Seed Niaouli (nerolidol/linalool CT) Cedarwood, Atlas Cedarwood, Himalayan Cedarwood, Texan Cedarwood, Virginian Patchouli Old Patchouli (approx. 15-20 years) Vetiver Old Vetiver (approx. 15-20 years) Sandalwood, East Indian Sandalwood, New Caledonian Sandalwood, Western Australian Sandalwood, WA (high grade) Lemon Myrtle Lemongrass Lemon Verbena May Chang Honey Myrtle Lemon-scented Ironbark Melissa Lemon Tea Tree Citronella Lemon-scented Gum Cinnamon bark Cassia bark Cassia leaf Spearmint Caraway Eucalyptus, Peppermint Rosemary (camphor CT) Rosemary (verbenone CT) Orange Leaf (syn. Petitgrain) Clary Sage, French Clary Sage, Russian Lavender, Australian Lavender, Bulgarian Lavender, French Lavandin - Abrialis Lavandin - Grosso Lavandin - Super Roman Chamomile Immortelle (syn. Everlasting) Cardamom Cajuput Niaouli (cineole CT) Ho Leaf (cineole CT) Rosemary (cineole CT) Eucalyptus polybractea CT cineole Eucalyptus globulus CT cineole Eucalyptus radiata CT cineole Eucalyptus smithii CT cineole German Chamomile CO 2 (complete) Fennel, Bitter Thyme (thymol CT) Thyme (linalool CT) Thyme (geraniol CT) Thyme (thujanol CT) Origanum vulgare CT carvacrol Origanum onites CT carvacrol Clove bud Cinnamon leaf Bay, West Indian Myrtle, Aniseed Anise, Star Anise Fennel, Bitter Ginger Ginger CO 2 (select) Ginger CO 2 (complete) Ginger oleoresin Calendula CO 2 (complete) Spikenard Mastic Greenland Moss Yarrow Vitex Copyright Mark Webb/ ITHMA/ Heal Center Atlanta 2016 6
MODULE IV: AROMATIC MEDICINE FOR COMMON CLINICAL CONDITIONS The fourth and final two-day module of the course focuses on the conditions and diseases most effectively treated using Aromatic Medicine. Progressing through the different systems of the body as well as selected special topics, we will consider the aromatics, application methods and dose forms indicated for the treatment of common clinical conditions for various different client groups from infants to the elderly. Consolidating and applying the full range of clinical skills and knowledge gained gained from Modules I, II and III, Mark will outline the expert application of the Aromatic Prescribing Technique across of range of body systems and their associated disorders. Participants will use both case studies and classroom exercises to hone their prescribing skills, and common problems encountered in practice will be addressed. MODULE IV COMPONENTS Aromatic Prescribing Technique review. Dose Forms review. Dosing Strategy and appropriate methods of application for acute and chronic conditions. Dosing modifications according to body weight and age. Efficacy - body systems and diseases that Aromatic Medicine treats well; not so well; not at all. The aromatic treatment of common conditions and diseases of the main body systems: Integumentary System Respiratory System Digestive System Genito-urinary System Musculoskeletal System Nervous System Endocrine System Cardiovascular System Lymphatic System Immune System MODULE IV OUTCOMES By the end of this module you will be able to: Apply with confidence the Aromatic Prescribing Technique across a range of body systems, ages and conditions. Accurately prescribe and dispense a single dose form or combination therapy according to the clinical situation. Adjust the treatment plan according to the client s ongoing progress. Understand philosophy of integrated Aromatic therapies. Copyright Mark Webb/ ITHMA/ Heal Center Atlanta 2016 7
COURSE PREREQUISITE AND ADVANCED DIPLOMA ASSIGNMENTS COURSE PREREQUISITE Applicants are expected to have a previous foundation qualification in aromatherapy, a branch of botanical medicine, naturopathic medicine, or similar. Please contact the Course Organizers if you require further clarification. ADVANCED DIPLOMA ASSIGNMENTS In order to the qualify for the Advanced Diploma in Aromatic Medicine, participants will be expected to complete some written work following each 4-day session: Following Modules I & II, Aromatic Chemistry and Pharmacology; Internal and External Dose Forms, to complete: A written report, with references, on an essential oil or aromatic extract (drawn from a hat during the class session) covering its chemistry, toxicology and therapeutic uses via internal and external dose forms. 10 case study questions that utilize the Aromatic Medicine Prescribing Technique to formulate appropriate internal and external dose forms for specific conditions. Following Modules III & IV, Aromatic Toolkit; Aromatic Medicine for Common Clinical Conditions, to complete: 10 case study questions that utilize the Aromatic Medicine Prescribing Technique to formulate appropriate dose forms at three different treatment protocol levels for specific conditions, explaining formulation choices and potential drug interaction observations. 20 hours of clinical application involving the preparation of client clinical records detailing the conditions, treatment plans and outcomes, and appropriate internal and external dose forms for specific conditions. Copyright Mark Webb/ ITHMA/ Heal Center Atlanta 2016 8
Mark Webb BSc,MASCC Mark Webb holds a BSc Degree in Biochemistry and Plant Physiology and Biology from Macquarie University, Sydney, graduating in 1984, as well as Diplomas in Aromatherapy and Remedial Massage. He also holds a Certificate in Workplace Training and Assessment and has undertaken extensive further studies in herbal and aromatic medicine. He is an associate member of the International Aromatherapy and Aromatic Medicine Association (IAAMA), and a member of the Australian Society of Cosmetic Chemists (ASCC). Mark is author of the acclaimed reference book, Bush Sense: Australian Essential Oils and Aromatic Compounds. It is the first book to catalogue and explain the therapeutic benefits of the aromatic treasures of the Great Southern Land. Written by a practitioner for practitioners, Bush Sense answers all the questions asked when encountering Australian essential oils and aromatic compounds for the first time. Mark also contributed a chapter on aromatherapy within An Introduction to Complementary Medicine the first university-level, evidence-based textbook on complementary medicine, published in 2003. Following publication of Bush Sense in 2000, Mark lectured for the next six years at the Australasian College of Natural Therapies (ACNT), Sydney as well as the Technical and Further Education Institute of New South Wales. He has also lectured at the Health Arts College, Melbourne in Aromatic Medicine and Aromatherapy. In 2007 Mark relocated to Brisbane to take up a consulting role within the biotechnology industry, specialising in the research, development, formulation, quality management and manufacturing of aromatic products. The corporate clients of his company Aromamedix Pty Ltd come from the food, beverage, essential oils and personal care industries. Mark provides training and continuing education to those working within various branches of complementary medicine, particularly clinical aromatherapists, medical herbalists and naturopaths. He has presented lectures at conferences both nationally and internationally, and has provided numerous articles for industry journals. Mark is currently working on his new book, Aromatic Cuisine Food as Medicine, which combines two of his greatest passions: aromatics and food. With over a decade of teaching experience, Mark combines his formidable knowledge with a direct, warm and humorous teaching style. His ability to simplify this complex subject area has helped hundreds of professionals develop a deeper understanding of, and more versatile approach to, the therapeutic use of essential oils. Course Organizers Mark Webb's course in Aromatic Medicine: Integrated Advanced Essential Oil Therapeutics for Common Clinical Conditions is jointly hosted by the Institute of Traditional Herbal Medicine and Aromatherapy (ITHMA), London and the Heal Center, Atlanta, and the Advanced Diploma on its successful completion is a jointly-issued international qualification. ITHMA was established in 1987, and under Principal Gabriel Mojay has since trained hundreds of individuals in Clinical Aromatherapy, providing, in addition, continuing professional development (CPD) courses which from 1998 have included Advanced Clinical Aromatherapy with world-class instructor Rhiannon Lewis. The Heal Center was established by Roz Zollinger in 1992 to bring together a dedicated group of holistic practitioners in a environment conducive to promoting physical, emotional, and spiritual health. The Heal Center has also distinguished itself as a leading US training center for Aromatherapy, Reflexology and a range of natural therapies. Copyright Mark Webb/ ITHMA/ Heal Center Atlanta 2016 9