Essential oils are plant-derived substances used in many aspects of health 
and wellness. These oils have long been popular among the holistically geared 
population; however, essential oils are now being incorporated more frequently 
into medical practices and health regimes that would otherwise include only 
traditional interventions. In an effort to bridge these two philosophies, it is 
important to understand the history of essential oils and how they differ from 
conventional medicines as you consider incorporating them into your personal and 
professional life.
					
					A Brief History of Essential Oils
					Essential oils have been used for health and medicinal 
					purposes for thousands of years and across many ancient 
					cultures, many of which were disconnected in geography and 
					time. Nevertheless, numerous ancient essential oil users 
					found that these natural remedies provide medicinal 
					benefits. The use and effectiveness of essential oils are 
					well-documented in ancient texts, archeology, and other 
					literature across many regions around the world including 
					Egypt (3000 B.C), China (2700 B.C), India (3000-2000 B.C.), 
					Greece (400 B.C.), Rome (1st Century A.D.), Persia (1000 
					A.D.), Europe (Middle Ages), and France (1800’s – Present). 
					All of these sources describe the medicinal effects of 
					thousands of different plant extracts on countless people 
					over time.
					
					While a wealth of information exists from ancient sources, 
					it was only recently translated and formalized into the 
					modern era by scientists, doctors, and chemists in France in 
					the 19th and 20th centuries. Pioneers include René-Maurice 
					Gattefossé, Jean Valnet, Paul Belaiche, Jean-Claude Lapraz, 
					Daniel Pénoël, and Pierre Franchomme, all whom 
					re-invigorated the ancient use of essential oils and plant 
					extracts, and re-framed their use into what is known today 
					as "aromatherapy." The European Pharmacopoeia (Ph. Eur.) 
					references the prescription of essential oils for certain 
					medical conditions as a standard medical practice, and this 
					is practiced routinely in German and France, with increasing 
					prevalence in the U.K. Today, a PubMed search on “essential 
					oils” will yield thousands of peer-reviewed studies 
					supporting their benefits on health and wellness. In fact, 
					it is plausible that there is more testing and documented 
					results on uses of essential oils than traditional 
					westernized medicines. 
					
					
					What are Essential Oils and how are They Used?
					
					Essential oils are largely plant-based extracts. The 
					International Organization for Standardization defines an 
					essential oil as a product obtained from natural raw 
					material. Common sources of essential oils include trees, 
					shrubs, flowers and grasses. Essential oils are complex, 
					volatile mixtures of certain secondary plant metabolites 
					whose extracts are either actually used in, or used to 
					inspire, modern drug compounds. 
					
					
					Essential oils do not travel throughout the vasculature of 
					the plant and are not involved in primary metabolism focused 
					on building plant tissue, producing energy and reproduction. 
					Essential oils exist in secretary structures that are 
					external to the plant, similar to sweat glands, and are 
					there to help with repelling herbivores and parasites; 
					killing bacteria, viruses, and other pests; attraction of 
					animals and insect pollinators; UV protection; plant wound 
					healing; and temperature regulation.
					
					Essential oils are comprised of hundreds of structurally 
					diverse molecules that work together synergistically in our 
					cells. The research of biochemists and molecular biologists 
					has uncovered a microcosm of the interactions that take 
					place between essential oil constituents and the 
					biomolecules that comprise our cells, as well as the 
					interactions that take place between the constituents and 
					bacteria, fungi, and viruses. The mechanism of action has 
					been identified at the molecular level for certain 
					constituents, and there is a great deal yet to discover. 
					There is substantial research that connects the way 
					essential oils work at the molecular level to the positive 
					health effects observed at the physiological level.
					
					The western medicine process dating back to the early 1800’s 
					generally began by isolating and identifying singular 
					plant-derived compounds and expanding with other 
					ingredients. Indeed, morphine, codeine, atropine, ephedrine, 
					quinine, aspirin, theobromine, and many others were all 
					derived from natural plant sources. Continuing on to the 
					1900’s through today, this practice continues. Aspirin, for 
					example, was created by scientists studying the nature of 
					the bark of the willow tree. The active constituent in 
					aspirin, salicylic acid, was derived from methyl salicylate, 
					the natural phytochemical in the essential oil of willow 
					bark. Because essential oils cannot be patented, many 
					pharmaceutical drugs are created by copying the natural 
					phytochemicals found in essential oils. While drug companies 
					will add various other synthetics to modern products, the 
					chemical diversity of naturally occurring molecules is 
					impossible to reproduce artificially in a lab. Scripps 
					Research Institute in Florida perhaps said it best when they 
					noted that:
					
					“Natural products remain the best sources of drugs and drug 
					leads, and this remains true today …. Natural products 
					possess enormous structural and chemical diversity that is 
					unsurpassed by any synthetic libraries. About 40% of the 
					chemical scaffolds found in natural products are absent in 
					today’s medicinal chemistry repertoire. Natural products 
					represent the richest source of novel molecular scaffolds 
					and chemistry." 
					
					
					With this understanding of what oils are and how they are 
					distinct of forms of western medicine, let's explore a few 
					examples of how oil use is different than other forms of 
					treatment used today. By way of an example, let's assume 
					that someone is feeling pain due to increased inflammation 
					in the body, which is due to some other root cause. Blocking 
					a key enzyme that deals with the pain response is how pain 
					medication works. This does nothing to fix the root cause of 
					the inflammation. An essential oil is comprised of tens to 
					hundreds of different molecules that work together 
					synergistically. The total effect of these individual 
					molecules interacting with the network has a much higher 
					probability of restoring complete equilibrium and balance to 
					the system than any single compound. Interactions at many 
					different cellular targets from different directions is more 
					likely to restore homeostasis or order to the system. 
					Westernized medicine, however, is built around using one 
					compound to control this entire network to restore balance. 
					In the Western paradigm, it’s more likely that the one 
					compound will shift the network to a new equilibrium that 
					does not match the natural order in the cell, rather than 
					restore it to the correct balance. This altered state that 
					sets the interaction network into a new state of 
					disequilibrium is how many unintended side-effects arise. 
					Side effects are simply unavoidable when you attempt to 
					control such a complex network at one location. The use of 
					essential oils can help to provide many similar health 
					benefits without the aforementioned side-effects. 
					
					
					How and Why Might you Implement Essential Oils into 
					Your Personal and Professional Life? 
					There are many reasons to incorporate essential oils into 
					daily life. Removing artificial scents and toxic ingredients 
					from the home environment creates instrumental shifts in 
					wellness. Essential oils have such an incredible number of 
					uses that they have found themselves in many different 
					household products, including cleaners, lotions, makeup, 
					hygienic products, baby products, nutritional supplements, 
					etc. Repeated exposure to harmful chemicals in conventional 
					products leads to potentially dangerous toxic levels of 
					these substances in our bodies through a process called 
					bioaccumulation. Bioaccumulation occurs when an organism 
					absorbs a substance at a rate faster than that at which the 
					substance is lost by catabolism and excretion. Simply state, 
					our livers and kidneys were not meant to process the large 
					amount of toxins we are exposed to on a daily basis.
					
					As physical therapists, consider the frequency of hand 
					hygiene, including washing and applying sanitizer, or use 
					treatment creams. Skin is our largest organ and much of what 
					we put onto our skin is absorbed directly into our blood 
					stream. In 2005, the Environmental Working Group published a 
					combination of two studies that found toxic chemicals in the 
					umbilical cord blood of newborn babies born in the U.S. in 
					the fall of 2004. They screened for more than 400 chemicals, 
					and an astounding 287 toxins were detected within the 
					umbilical cord blood of these newborns. Of these 287 
					chemicals, 217 were neurotoxins, and 208 are known to damage 
					growth development or cause birth defects. Repetitive 
					exposure of cleansers and creams to our skin should be 
					minimized considering the skin provides access to the 
					bloodstream.
					 
					Professionally, the well-being of both patients and 
					therapists alike should be considered when taking steps to 
					ensure health and wellness. The continual exposure of toxic 
					products is not going to go unnoticed by our bodies 
					indefinitely. Physical therapists should be aware that there 
					are alternatives to conventional treatments. Patients will 
					appreciate being offered a chemical free treatment option, 
					or as an alternative option when conventional treatment is 
					unsuccessful.
					
					This narrative is not meant to suggest that western medicine 
					should be abandoned. Conventional medicine is necessary in 
					critical situations and saves many lives. Essential oils 
					offer an alternative for certain applications, including for 
					long term healing. As many practitioners have seen, 
					conventional medicine all too often falls into symptom 
					management, especially when it comes to chronic illnesses 
					such as cancer, arthritis, diabetes, or cardiovascular 
					disease. Essential oils are an alternative option and part 
					of a movement to remove the toxic chemicals often found in 
					consumer products and side-effects or shortcomings of 
					conventional treatments. Essential oils provide a great 
					option or supplement to a number of health and treatment 
					options.
					
					Quality of pure essential oils is another important aspect 
					to understand, and while it’s mostly beyond the scope of 
					this discussion, it’s important to note that 98% of 
					essential oils are synthetic and adulterated with fillers 
					and/or toxic chemicals. These oils not only have little to 
					no therapeutic value, they can be toxic and dangerous to 
					use. This leaves 2% of essential oils on the market that are 
					authentic, meaning the plant ingredients are properly grown 
					and properly distilled. It is crucial to do proper research 
					and know from where your essential oils come. 
					In summary, essential oils are a natural, safe, and 
					cost-effective therapy for a number of health concerns, and 
					at the very least can be used as an adjunct to existing 
					practices. Essential oils have been studied extensively and 
					have been shown to demonstrate numerous benefits such as 
					balancing hormones, boost immunity and fight infections, 
					support digestion, boost energy levels, improve brain 
					function, reduce emotional stress and anxiety, alleviate 
					aches and pains, boost skin and hair health, reduce 
					toxicity, relieve headaches and migraines, and promote 
					restful sleep. Essential oils are also extremely versatile 
					making a single oil be useful for dozens of different 
					purposes. Here are some examples of some of the most 
					commonly used essential oils.
					
					Lavender essential oil is the most used essential oil in the 
					world today, but the benefits of lavender were actually 
					discovered over 2,500 years ago. Because of its powerful 
					antioxidant, antimicrobial, sedative, calming and 
					anti-depressive properties, lavender essential oil has been 
					used both cosmetically and therapeutically for centuries. 
					Lavender essential has been shown to reduce anxiety and 
					emotional stress, protect against diabetes symptoms, improve 
					brain function, help to heal burns and wounds, improve 
					sleep, restore skin complexion and reduce acne, slow aging 
					with powerful antioxidants, relieve pain and alleviate 
					headaches.
					
					Lemon essential oil has been used to treat a wide spectrum 
					of health conditions for at least 1,000 years. Citrus plants 
					are the main sources of benefit-rich essential oils because 
					of their many uses in food and medicine. Lemon oil is one of 
					the most popular citrus essential oils because of its 
					versatility and powerful antioxidant properties. The health 
					benefits of lemon essential oil have been well established 
					scientifically. Lemon is best known for its ability to 
					cleanse toxins from the body and it’s widely used to 
					stimulate lymphatic drainage, rejuvenate energy, purify 
					skin, and fight bacteria and fungi. Lemon essential oil also 
					relieves nausea, improves digestion, nourishes skin, may 
					promote weight loss, helps purify the body, boost oral 
					health, relieves cough, stimulates lymphatic drainage, works 
					as an antimicrobial agent, and may work as an anti-tumor 
					agent. 
					
					
					Peppermint oil is one of the most versatile essential oils 
					out there. It can be used aromatically, topically and 
					internally to address a number of health concerns, from 
					muscles aches and seasonal allergy symptoms, to low energy 
					and digestive complaints. It’s also commonly used to boost 
					energy levels and improve both skin and hair health. 
					According to a review conducted by the USDA Human Nutrition 
					Research Center on Aging at Tufts University, peppermint has 
					significant antimicrobial and antiviral activities. It also 
					works as a strong antioxidant, displays anti-tumor actions 
					in lab studies, shows anti-allergenic potential and 
					pain-killing effects, helps to relax the gastrointestinal 
					tract and may be chemopreventive. Peppermint oil relieves 
					muscle and joint pain, provides respiratory benefits and 
					seasonal allergy relief, increases energy and improves 
					exercise performance, alleviates headaches, improves IBS 
					symptoms, freshens breath and supports oral health, promotes 
					hair growth, relieves itchiness and repels bugs naturally.
					
					Modern scientific studies and current trends lean towards a 
					more holistic approach to wellness. As practitioners, it is 
					in our best interest to learn how these natural substances 
					can offer effective treatment options to support our 
					physical, emotional and spiritual wellbeing simultaneously.