| What is it?
In herbal medicine we use the dried, peeled roots of Kava, a shrub that is native to the Pacific Islands and is still grown prolifically today in places such as Fiji and Tonga. In its raw form the aroma of Kava is mild and the taste is initially slight and sweet but it carries a lingering and intense after-taste which gets steadily stronger until at some point you can feel your mouth go quite numb.
How has it been used?
Kava is native to the Pacific Islands and since early times it has been highly valued in the life of the people, playing an important part in ceremonies, festivals and as a sign of good will. In olden days women were forbidden to drink Kava but young virgins would masticate (chew) the root to prepare the beverage for the men's ceremonial purposes.
Kava is still extensively used in the Pacific islands as both a ritual and social experience and it can fairly be described as a mind-altering herb when taken in sufficient quantities. The general affect being a sedative one, but mild enough to be felt as pleasant by most.
Thomas Bartram says “Kava is a powerful soporific for chronic insomnia, ensuring dreamless sleep with no known ill effects on rising”.
Rudolph Weiss writes 'consumption of Kava induces a feeling of relaxation and calmness, although a simultaneous increase in mental activity also occurs'.
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Science on Kava
~ In double-blind, placebo-controlled studies Kava extracts demonstrated benefits to patients with anxiety that were comparable in strength to the powerful tranquilisers drugs oxazepam and bromazeapam but with much less side effects (Lindenberg D, Pitule-Schodel H. Fortschr Med 1990; 108(2):49-50, 53-54)
~ A meta-analysis of 7 randomised, double-blind, placebo-controlled trails found that Kava extract significantly reduced anxiety. The conclusion was that 'the effectiveness and tolerability of standardised Kava extracts recommend it as an alternative to tricyclic antidepressants and benozodiazepiens for treating anxiety' (Volz HP, Kessler M: Pharmacopsychiatry 30:1-5, 1997)
~ Two surveillance studies involving over 3000 patients found that Kava extracts improved nervousness, restlessness, anger, sleep disturbances, menopausal complaints, muscle tension and sexual disturbances (Hoffmann R, Winter U, 5th Phytotherapy Congress, Bonn,Nov 3-5, 1993)
~ In a placebo-controlled study Kava extract was found to improve a number of aspects of the sleep cycle and was found to measure favourably against the commonly prescribed sleeping drugs in the benzodiazepine and barbiturate class (Woelk H, Kapuola O, Lehrl S et al. Z Allg Med 1993' 69(10):271-277)
~ Kava showed some particularly interesting properties when it was tested in a study that measured mental performance in alertness tests. A single dose of Kava actually improved performance compared with placebo and the 10mgs of the drug diazepam (which predictably reduced performance as it is a simple sedative). The Kava extract had a positive effect on the allocation of attention and processing capacity compared with a reduced response to the drug arm of the trial (Munte TF, Heinze HJ, Matzke M et al. Neuropsychobiol 1993; 27(1):46-53)
~ In another placebo controlled study no negative effects on safety-relevant perfomance were caused by taking Kava and in fact it was found to reduce the adverse effect of alcohol on mental performance! No significant adverse changes were found in the volunteer’s performance capacity in terms of operating machines and driving (Foo H, Lemon J: Drug Alcohol rev 16:147-155, 1997)
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Safety of Kava
The great benefit to insomnia and anxiety to users along with the many positive clinical studies as given in a few examples above saw Kava become increasingly widely used in many parts of the world in the latter part of the last century until it became extremely popular into the 1990s and into the beginning of the 21st century.
Then, as demand began to outstrip supply, some essential corners of care were cut and parts of the Kava plant that should not have been put up for sale were flooded into the market. This occurrence (along with the fact of human nature that there will always be people who think that if something is good for you then it follows that 10 times the amount will be 10 times better) led to several people developing serious liver disorders with the result that, now, in many parts of the world, it is illegal to source or supply Kava.
New Zealand is an exception to that, largely because of the vigorous and well-researched lobbying of a group of New Zealand herbalists (especially Phil Rasmussen) to prevent it being scheduled out of reach. Anyone who would like to read a lot more detail on the subject of Kava safety and the science behind it can read the document as a PDF here.
My personal comment here is that yes, of course, absolutely Kava can be a dangerous plant if used unwisely and excessively. You could say the same thing about a great many other herbs too, in fact you could say the same thing about just about anything. People have died from drinking too much water.
Excessive consumption of Kava will certainly lead to harm and if people want to find a way to intoxicate or otherwise harm themselves then they will find a way which no amount of legislation will ever protect against.
Used responsibly Kava is an extraordinary ally with two of the hardest experiences to deal with in this life (loss of sleep and anxiety). It is a travesty that it should have been made illegal instead of taking simple steps to educate people as to its safe use and to ensure responsibility on the part of the suppliers of the herb to the market.
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I have used a very great deal of Kava for the people for whom it is well matched and I have found it to be simply superb at reducing tension and improving sleep.
I see that Kava's relaxing effects especially go to the neck and shoulders. You can see people's shoulder tension and neck stiffness visibly loosen when they have had a dose of Kava. I've noticed that people who carry of lot of tension in their shoulders often get a stress headache on a regular basis and that Kava can be fantastic to break that particularly uncomfortable cycle!
I have also observed that the regular use of small amounts of Kava helps people to unwind their habitual tension overall and that it helps people learn how to be more relaxed. This is such a wonderful aid from Nature that I don't know how to overstate how grateful I am to its help in such cases. Put frankly, this can be a life-changing herb so long as it is used patiently and wisely.
I mentioned just above about using Kava for the people for whom it is well matched and I wanted to say a little more about what I mean by that for anyone who is reading this who is studying herbal medicine and wants to understand how to use this great plant ally to help others. Like most herbs, Kava works much better for some than others but unlike many herbs it is a hard one to assess on oneself though still very amenable to showing its hand with another... It has been a frequent practice of mine when thinking about this herb to give my patient a few drops of Kava and then to closely observe their reactions to it at the same time as gently holding their pulse before, during, and after the dose. . If Kava is the right herb for that person then, whilst of course they might not like the taste, the effects of the herb are palpable, even profound. The body somwehow knows what is good for it and even though a few drops are much less than a therapeutic dose it will show you that it wants this remedy by noticeably relaxing and it is even common to see, after a bit of wincing at the taste, a genuine smile come into a person from within. If it is not the right herb then they don't relax, nor smile for that matter! Don't worry, there are many other great herbs to choose from if Kava is not the one for them.
Kava works best when you don’t bludgeon it into the body with all the eventual side effects of excess but rather use small and sustainable doses. I like to start at around 1 or 2 mls per dose for most people and see if that is enough to effect an obvious change in the physical tension of the body and I might typically give two or three such doses in a day.
We can certainly increase this to higher levels if needed and I have given people as much as 10 mls or more to take at night when needed but I have found that, as with so many other herbs, more is not necessarily better. The best long term dose of Kava is the lowest one that can be clearly felt -- . taking more may certainly have some mind-altering effects that can be pleasant and even desirable but I would suggest that this is something to enjoy occasionally, if at all. The regular, daily use of Kava as a treatment for excess anxiety or poor sleep is much better achieved at a lower dose. This way the body does not develop tolerance or toxicity but rather welcomes the gentle calming effect of the herb and gradually finds a way to function with less tension (and more happiness!)
Kava combines perfectly with Cramp bark for excess physical tension and Valerian for anxiety and sleeplessness.
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Much of the information here about the traditional uses of Kava is consistent with the model of thinking whereby one may treat problem A with plant B. There is value in this approach, especially in how it helps us pass on useful knowledge to one another, but it falls short in one vital area; and that is that people are not all cut from the same cloth! Something that works brilliantly for one person may do less for another -- why is this?
The reason is that people vary in their constitutions as to whether they are more hot or cool and at the same time more dry or damp; more info about this here.
There is an old wisdom in treating the person first and the condition second and in this light Kava can particularly offer its benefits when a relaxing action is needed in the 'cycle of healing' - something that is discussed here and shown in a chart here.
Excerpt from Felter & Lloyd's Kings Dispensatory from 1898
The root of Piper methysticum has a pleasant, somewhat lilac odor, and a slightly pungent, bitter and astringent taste, which augments the salivary discharge.
It has marked general and local anaesthetic properties. It has been employed as a pleasant remedy in bronchitis, rheumatism, gout and gonorrhoea and has also been recommended as a powerful sudorific.
The action of the root varies, according to the amount taken; in small doses, it is tonic and calming; while in large doses it produces an intoxication, which, unlike that from alcohol, is of a reserved, drowsy character.
The natives who use its infusion as an intoxicating beverage for a considerable length of time, are said to become affected with a dry, scaly, cracked, and ulcerated skin, and vision becomes more or less obscured.
Please understand that I cannot personally advise you, including on products or dosage, without seeing you in my clinic but ideas
on how you might find a good herbalist in your area are here.
This living 'book' is my labour of love so, wherever you are, I wish you peace & good health!
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