Formulae For Chronic Pelvic Pain Treatment

The following is a small selection of possible formulae to illustrate formulation strategies for chronic pelvic pain treatment. These various formulae can be used concurrently, or elements from several may be combined to create a unique formula for individual patients. Other herbs discussed above may be substituted if they are more specifically indicated to a particular patient’s presenting picture. Further, chronic pelvic pain treatment, as discussed, almost invariably requires readers to refer to other relevant sections of this site for treatment options, for example, dysmenorrhea or interstitial cystitis.

Formulae for Chronic Pelvic Pain

General Tincture for CPP: Uterine

Tonic / Antispasmodic

Blue cohosh(Caulophyllum thalictroides)20 mL
Cramp bark(Viburnum opulus)20 mL
Peony(Paeonia lactiflora)20 mL
Motherwort(Leonurus cardiaca)15 mL
Horse chestnut(Aesculus hippocastanum)15 mL
Yarrow(Achillea millefolium)10 mL

Total: 100 mL

Dose: 5 mL twice daily This formula is an example of one that combines a variety of actions into a general formula that can be used long-term and daily for the treatment of chronic pelvic pain for women with spasmodic pain and pelvic congestion. It can be combined with a more analgesic formula for moderate to strong pain.

Formulae for Chronic Pelvic Pain (cont’d)

Pelvic Analgesic and Antispasmodic Tincture: Moderate to Strong Pain

Cramp bark(Viburnum opulus)40 mL
Wild yam(Dioscorea villosa)20 mL
Jamaican dogwood(Piscidea piscipula)15 mL
Corydalis(Corydalis ambigua)15 mL
Yarrow(Achillea millefolium)10 mL

Total: 100 mL

Dose: 2.5 mL taken as needed, up to 6 doses per day. DO NOT EXCEED THIS DOSE.

Immune Support and Stress Reduction Tincture

Ashwagandha(Withania somnifera)30 mL
Milky oats(Avena sativa)20 mL
Blue vervain(Verbena officinalis)20 mL
Licorice(Glycyrrhiza glabra)15 mL
Lemon balm(Melissa officinalis)15 mL

Total: 100 mL

Dose: 5 mL twice daily for 3 to 6 months This formula exemplifies the use of both adaptogens and gentle nervines to create a formula for everyday use to improve nervous irritability, reduce anxiety, and improve well-being. The formula is also anti-inflammatory. See Plant Profile: Licorice for precautions on regular intake of this herb.

Insomnia / Sleep Disturbance Formula

See Insomnia.

External Treatments for Chronic Pelvic Pain

Ginger-Yarrow Sitz Bath


Fresh ginger root: 4-in. section, grated 1 oz dried yarrow blossoms


Bring 2 quarts of water to a boil in a large pot and remove from heat source. Add the above ingredients and cover tightly. Allow to steep for 20 to 30 minutes. Fill bathtub to patients waist height with water that is as hot as patient can comfortably tolerate. Strain the liquid into the tub, discarding the spent herbal matter. Soak. Repeat regularly as needed.

Medicated Analgesic Massage Ointment

To 2 ounces of a pre-made unmedicated ointment base (see Elan Botanicals in Resources) add: 15 mL tincture of Viburnum opulus 10 ml tincture of Capsicum 5 mL tincture of Lobelia inflata Mix thoroughly (product may occasionally require mixing prior to use). Apply to lower back, pelvis, and backs of thighs as needed. Avoid contact with mucous membranes and eyes, because contact will cause burning.