Campagna P.Farmaci vegetali. Minerva medica ediz. TO 2008
Campagna P. Uso degli oli essenziali in alcune patologie di origine batterico-micotica in medicina generale: alternativa terapeutica o integrazione. Atti del XVI Congresso Nazionale Boario Terme. Giugno 2010
Campagna P. Aromaterapia. XX Congresso Nazionale di Fitoterapia Giugno 2012. Siena
L’uso degli oli essenziali in medicina e in particolare nell’ambulatorio del medico di famiglia trova oggi un razionale impiego in tante situazioni cliniche e in particolare nelle astenie fisiche e psichiche, in affezioni delle vie respiratorie batteriche e virali (da quelle delle alte vie fino alle forme bronco-polmonari, con attività antimicrobica, antiflogistica, antiossidante, espettorante-balsamica e antispasmodica), nelle malattie dell’apparato gastro-intestinale (dalla dispepsia al colon irritabile fino alle infezioni intestinali), nelle patologie batteriche urinarie, nel trattamento dei parassiti intestinali, in altre malattie infettive microbiche e/o micotiche, nelle reumoartropatie. L’aromaterapia trova poi spunto anche in malattie di ambito specialistico, in ginecologia (vaginosi e vaginiti), in neuropsichiatria (somatizzazioni, crisi d’ansia, insonnia), in chirurgia e in dermatologia per patologie quali ferite, ulcere, dermatiti infette e dermatosi, pediculosi, scabbia e in odontostomatologia.
Mondello F, Di Vito M, Campagna P, Scafuri A, Fedele G, Strategies for the control of skin infections by drug resistant bacteria with natural products. Ordinary Project ISS 2013. Medical collaborator unit 3 Preparation of protocol for patients inclusion and collection of data, pharmaceutical formulations for essential oils.
USE OF ESSENTIAL OILS IN CERTAIN PATHOLOGIES OF MYCOTIC-BACTERIAL ORIGIN IN GENERAL MEDICINE
President S.I.R.O.E. (Italian Society for Research on Essential Oils)
In medicine the use of essential oils, and in particular in the family’s doctor surgery, now finds a rational use in a lot of clinical situations, especially in curing the bacterial and viral infiammations of the respiratory tract (from the upper airways to the bronchopulmonary forms, with activity modifications of secretions, anti-inflammatory action, antiseptic-balsamic and antispasmodic action), in the gastrointestinal system (from the banal low digestion to the irritable bowel and intestinal infections), in bacterial urinary disorders, in the treatments of parasites, in other microbial and / or fungal infective deseases, in rheumatic diseases. The aromatherapy finds also inspiration in diseases of specialized fields: in the gynecological (vaginosis and vaginitis), in neuropsychiatry (somatization, anxiety crisis, insomnia), in dermatology for conditions such as infected dermatitis and dermatoses and in odontostomatology.
The use of these precious essential oils can also be proposed as an integration for the customary therapeutic, according to criteria of pharmacological synergy, but always with great experience in the field. The mechanism of action (bactericidal and sometimes bacteriostatic) of the essential oils is similar of the antibiotics (Conner and Beuchat, 1984; De Billerbeck et al., 2001), but they actalso through different means because they affect the ecological environment (Langenheim, 1994), without deteriorating the intestinal bacterial flora. Furthermore, some essential oils have a local action on the gastric mucosa, urinary epithelium and genital mucosa (Baspeyras, 1995) or they can be used as topical remedies for the decolonisation of MRSA. (Methicillin-resistant Staphylococcus aureus) (Caelli et al., 2000). A recent research of the Department of Biomedical Sciences, Section of Experimental Microbiology and Clinic of the University of Sassari on the essential oil of the Myrtus communis, for example, has registered a good bacteriostatic action against 27 strains of microorganisms among which 3 gram-positive, 6 gram-negative and 18 candid, in addition to a interesting activity on Helicobacter pylori. (Deriu A, Branca G, et al., 2007).
I often recommend the pure tiped essential oils (in chemotype), dissolved in propolis, to my patients with phlogosis ORL and of the oral cavity (gingivobuccal also aphthous stomatitis, thrush, candidiasis) or viral forms (very frequent) than in bacterial, not rarely in association with the antibiotics synthesis, even in mixed forms of a certain commitment. I prefer the propolis for its immunostimulant action, as well as antibacterial, balmy, antifungal and anti-inflammatory.
In bacterial infections with fungal overlays, the pure essential oils, often typed, Melaleuca alternifolia, Thymus vulgaris, Corydothymus capitatus, Origanum vulgare, Cinnamomun zeylanicum find the right location therapeutics, topically applied and / or procedure including yourself, as an alternative to common synthetic medicines used in the doctor's prescriptions.
Very interesting is the action of the essential oil of the Tea tree oil against fungus; it involves several strains of these parasites, for example Trichophytum, Microsporum and Candida, and it manifests both for a systemic use, either following a local application.
In cases of irritable bowel valuable is the EO of Peppermint, even next to replacement of trimebutina and in urinary infections interesting and very effective is the association of Vaccinium macrocarpon, probiotics and some OE tropism in genito-urinary tract, even in cases of relapsing cysto-urethritis from Escherichia coli.
This applies also in the frequent forms of vaginosis where a natural therapy with phytocomplexes and essential oils is often sufficient for the clinical control of the pathology.
Then in the treatment of certain cutaneous affections, often supported by Gram-positive bacteria, specific essential oils chemotype phenol-alcohol can be rationally proposed along with others to eudermic, healing and antiphlogistic action.
What has been described represents only a part of the niche of intervention through aromatherapy for the doctor, as other areas could be proposed with a favorable outcomes; as long as you take into account parameters such as aromatogramma and the MIC (and MCB) during the first microbiological approach, in addition to eventual general and cutaneous hypersensitivity of the patient towards an essential oil, without neglecting their low therapeutic index and their potential hepatic toxicity, renal and neurological, especially when rich in ketones, aldehydes, esters.
Recent issues also involve them in pharmacological interactions with other drugs, in relation to hepatic metabolism (cytochrome P450).
The rational and scientific use of essential oils, especially for internal use, therefore requires clinical rigor, good judgment and methodology, exclusively within the union of the expert-pharmacist doctor and who, among other things, is in first person the responsible filter of the good purchase (organic origin, purity, typing) and good preservation.