Review Article

Herbal Medicine for Oligomenorrhea and Amenorrhea: A Systematic Review of Ancient and Conventional Medicine

Table 4

Medicinal plants used for treatment of oligomenorrhea and amenorrhea in traditional Persian medicine references.

NumberTraditional nameSuggested scientific name 
(synonym)
FamilyTemperamentPart(s) usedMethods of applicationRepetitive plantsPotent plants

GhafesAgrimonia eupatoria L.
Eupatorium cannabinum
Rosaceae 
Asteraceae
Warm & dryAerialOral, vaginal (Hamool)-

KomaphytusAjuga chamaepitysLamiaceaeWarm & dryAerialOral, vaginal (Hamool)5 P.B & 2 M.B-

KorasAllium ampeloprasum L.
(Allium porrum L.)
Allium ascalonicum L..
Allium roseum L.
Allium scorodoprasum L.
Allium ursinum L.
Allium vineale L.
Amaryllidaceae 
Liliaceae 
Alliaceae
Warm & dryLeaf, bulbOral5 P.B & 3 M.B

BasalAllium cepa L.Amaryllidaceae 
Liliaceae  
Alliaceae
Warm & dryBulbOral, bath5 P.B & 2 M.B-

SooomAllium sativum L.Amaryllidaceae 
Liliaceae
Warm & dryBulbBath5 P.B & 2 M.B-

Abu khalsaAlkanna tinctoria
(Anchusa tinctoria L.)
BoraginaceaeWarm & dryRootOral, vaginal (Hamool), bath-

KarafsApium graveolens
Petroselinum crispum (Mill.)Fuss 
(Apium petroselinum L.)
ApiaceaeWarm & dryFruit, stem, rootOral, vaginal (Hamool)5 P.B & 3 M.B

ZaravandAristolochia fontanesii Boiss. & Reut.
(Aristolochia longa L.) 
Aristolochia bottae Jaub. & Spach.
(Aristolochia maurorum L.)
AristolochiaceaeWarm & dryAerial, rootOral, vaginal (Forzajah)5 P.B & 2 M.B

GhaysoomArtemisia abrotanum
Artemisia montana (Nakai)Pamp.
AsteraceaeWarm & dryFlower, leaf, rootOral, vaginal (Hamool)5 P.B & 2 M.B-

AfsantinArtemisia absinthium
Artemisia maritima L.
Artemisia sieversiana Ehrh. ex Willd.
AsteraceaeWarm & dryAerial, leafOral, vaginal (Forzajah)5 P.B & 4 M.B

BerenjasefArtemisia vulgaris L.
Achillea eriophora DC.
Asteraceae 
Compositae
Warm & dryRoot, aerialOral, bath, topical5 P.B & 2 M.B-

AsaronAsarum europaeumAristolochiaceaeWarm & dryRoot, leafOral5 P.B & 3 M.B

HelyounAsparagus officinalis L.
Asparagus adscendens Roxb.
AsparagaceaeWarm & dryAerial, rhizome, rootVaginal (Hamool & Forzajah)5 P.B & 1 M.B-

KomashirAthamanta macedonica L.ApiaceaeWarm & dryAerialOral, vaginal (Hamool)5 P.B-

KornobBrassica oleracea L.BrassicaceaeWarm & dryLeafOral, vaginal (Hamool & Bakhoor)5 P.B & 4 M.B

GhantoriyounCentaurium erythraeaGentianaceaeWarm & dryAerialVaginal (Forzajah)5 P.B & 2 M.B-

QostCheilocostus speciosus (Costus speciosus)CostaceaeWarm & dryRhizomeOral, vaginal (Forzajah & Bakhoor)5 P.B & 2 M.B-

KhandariliChondrilla juncea L.AsteraceaeDryLeafVaginal (Forzajah)-

HemmesCicer arietinumFabaceaeWarm & drySeedOral5 P.B & 3 M.B-

SalikhehCinnamomum cassia
(Cinnamomum aromaticum)
Cinnamomum iners
Cinnamomum bejolghota Sweet
LauraceaeWarm & dryBarkOral5 P.B & 3 M.B

DarciniCinnamomum verum
(Cinnamomum zeylanicum)
LauraceaeWarm & dryBarkOral, vaginal (Hamool)5 P.B & 4 M.B-

LadanCistus ladanifer L.
Cistus creticus L.
Cistus incanus L.
Tropaeolum majus L.
Cistaceae 
Tropaeolaceae
Warm & dryFlower, leaf, seed, whole plantvaginal (Forzajah & Bakhoor)5 P.B-

HanzalCitrullus colocynthis
(Cucumis colocynthis L.)
CucurbitaceaeWarm & dryFruitVaginal (Forzajah & Bakhoor)5 P.B & 3 M.B

OtrojCitrus medica L.RutaceaeCompoundFruitOral-

MoghlCommiphora mukul (Hook. ex Stocks) Engl.BurseraceaeWarm & dryGumOral, vaginal (Bakhoor)5 P.B & 1 M.B

MorrCommiphora myrrha (Nees) Engl.
(Commiphora molmol)
BurseraceaeWarm & dryVaginalOral, vaginal (Hamool)5 P.B & 1 M.B-

Phaghlaminus/ArtanisaCyclamen purpurascens Mill.
(Cyclamen europaeum)
PrimulaceaeWarm & dryRhizome, rootOral, vaginal (Hamool)5 P.B & 2 M.B

EzkherCymbopogon citratus
Cymbopogon jwarancusa (Jones) Schult.
Cymbopogon nardus (L.) Rendle
PoaceaeWarm & dryFlowerOral, topical5 P.B & 3 M.B-

SoedCyperus longus L.
Cyperus rotundus L.
CyperaceaeWarm & dryRootOral-

DooghouDaucus carota L.ApiaceaeWarm & dryRootOral, vaginal (Hamool)5 P.B & 2 M.B

OshaghDorema ammoniacumApiaceaeWarm & dryResinOral, vaginal (Hamool)-

LoofDracunculus vulgaris Schott 
(Arum dracunculus L.) 
Arum italicum
Arum maculatum
AraceaeWarm & dryRootOral, vaginal (Hamool), nasal-

Ghesa-al hemarEcballium elaterium L.
(Momordica elaterium)
CucurbitaceaeWarm & dryFruit, seedOral, vaginal (Forzajah)5 P.B & 1 M.B-

KheiryErysimum × cheiri L.
(Cheiranthus cheiri L.)
BrassicaceaeWarm & dryflowerOral, vaginal (Hamool), bath

FarfiyounEuphorbia helioscopia L.
Euphorbia resinifera
EuphorbiaceaeWarm & dryFlowering plant, rootOral, vaginal (Hamool)-

RazyanajFoeniculum vulgare MillApiaceaeWarm & drySeed, rootOral5 P.B & 2 M.B

BarzadFerula gummosaApiaceaeWarm & dryResinvaginal (Hamool & Bakhoor)5 P.B & 1 M.B

SakbinajFerula persica Willd.ApiaceaeWarm & dryResinOral, vaginal (Forzajah & Bakhoor)5 P.B & 5 M.B

TinFicus carica L.MoraceaeWarm & moistFruitvaginal (Hamool)5 P.B-

JentianaGentiana luteaGentianaceaeWarm & dryRootOral5 P.B & 2 M.B-

KondoshGypsophila struthium Loefl
Schoenocaulon officinale (Schltdl. & Cham.) A.Gray 
Veratrum album L.
Caryophyllaceae 
Melanthiaceae
Warm & dryRootOral, vaginal (Hamool)-

AshaghehHedera helix L.AraliaceaeWarm & dryLeafVaginal (Forzajah)5 P.B-

Kharbagh siyahHelleborus nigerRanunculaceaeWarm & dryRhizome, rootVaginal (Forzajah)5 P.B & 3 M.B

HofarighoonHypericum perforatum L
Hypericum barbatum Jacq
Hypericum coris L.
HypericaceaeWarm & dryBud, flower, aerialOral, vaginal (Hamool)5 P.B & 1 M.B

RasanInula helenium
Calamintha incana Boiss.
Asteraceae 
Lamiaceae
Warm & dryRhizomeOral, vaginal (Bakhoor)5 P.B & 4 M.B-

IrsaIris Germanica
(Iris × florentina L.)
Iris ensata Thunb.
IridaceaeWarm & dryRhizome, rootOral, vaginal (Forzajah)5 P.B & 1 M.B-

AbhalJuniperus sabina L.CupressaceaeWarm & dryberry cones, pseudo fruitOral, vaginal (Hamool & Bakhoor)-

HorfLepidium sativumBrassicaceaeWarm & dryAerialOral5 P.B & 3 M.B-

Kashem/Anjedan roomiLevisticum officinale
(Ligusticum levisticum)
Seseli tortuosum
ApiaceaeWarm & dryFruit, root, aerialOral5 P.B & 3 M.B

Soosan sefidLilium candidiumLiliaceaeHot & mildBulbOral, vaginal (Hamool)5 P.B & 1 M.B

Maye-sayelehLiquidambar orientalis Mill.AltingiaceaeWarm & drySapOral, vaginal (Hamool & Forzajah & Bakhoor)5 P.B & 1 M.B-

FarasiyounMarrubium vulgareLamiaceaeWarm & dryAerial, whole herbOral, bath, topicl5 P.B & 1 M.B-

BaboonajMatricaria chamomilla L.
(Matricaria recutita)
Anthemis nobilis L.
Tripleurospermum disciforme (C.A.Mey.)Sch.Bip.
AsteraceaeWarm & dryflowerOral, bath5 P.B & 4 M.B-

SisanbarMentha aquatica L.
Mentha piperita L.
LamiaceaeWarm & dryAerialOral, bath5 P.B & 2 M.B-

FoodenjMentha pulegium L.
Mentha longifola L.
Mentha aquatica L.
Mentha × piperita L.
LamiaceaeWarm & dryAerial, leafOral, vaginal (Hamool)5 P.B & 5 M.B

ShonizNigella sativa L.RanunculaceaeWarm & drySeedOral5 P.B & 3 M.B

JawshirOpopanax chironium
Prangos ferulacea (L.) Lindl.
ApiaceaeWarm & dryGumOral, vaginal (Hamool)5 P.B & 5 M.B

FawaniaPaeonia lactiflora PallPaeoniaceaeWarmSeed, rootOral5 P.B & 2 M.B

HarmalPenagum harmala
(Harmala peganum)
NitrariaceaeWarm & drySeedOral, topical

FatrasaliyounPetroselinum crispum
(Carum Petroselinum, Petroselinum sativum)
ApiaceaeWarm & dryFruit, aerialOral5 P.B & 3 M.B

LoobiaPhaseolus vulgarisLeguminosaeWarm & moistSeedOral, bath5 P.B & 4 M.B

AnisonPimpinella anisumUmbelliferaeWarm & dryFruitOral, vaginal (Hamool & Bakhoor)5 P.B & 2 M.B-

SenobarPinus sp.PinaceaeWarm & dryResinVaginal (Bakhoor)-

FelfelPiper nigrum L.PiperaceaeWarm & dryFruitOral, vaginal (Hamool)5 P.B & 2 M.B-

GharasiaPrunus cerasus L.
(Cerasus vulgaris)
Prunus avium L.
(Cerasus avium)
RosaceaeCold & dryFruit, peduncleOral-

Loos al morPrunus dulcis
(Amygdalus communis var. amara)
RosaceaeWarm & dryLeaf, flower, fruitVaginal (Hamool & Forzajah)5 P.B & 3 M.B-

FowwehRubia tinctorumRubiaceaeWarm & dryRootVaginal (Hamool)5 P.B & 3 M.B

HommazRumex acetosa L.
Rumex conglomeratus Murray
(Rumex acutus Sm.)
PolygonaceaeCold & dryLeaf, aerialOral-

SodabRuta graveolens L.RutaceaeWarm & dryAerialVaginal (Hamool & Forzajah)

SatroniyounSaponaria officinalisCaryophyllaceaeWarm & dryRootOral, vaginal (Hamool)-

OshnanSeidlitzia rosmarinus
Salicornia sp.
AmaranthaceaeWarm & dryLeaf, stem, ashOral5 P.B & 3 M.B-

SemsemSesamum indicum L.
(Sesamum orientale L.)
PedaliaceaeWarm & moistSeedOral5 P.B & 1 M.B

Ghora-tol-aynSium latifolium LApiaceaeWarm & dryRootOral5 P.B-

AstarakStyrax officinaleStyracaceaeWarm & dryResinOral, vaginal (Forzajah & Bakhoor)5 P.B & 1 M.B-

Ogh’hovanTanacetum parthenium 
Anthemis arvensis L.
Anthemis cotula L.
CompositaeWarm & dryAerialOral, vaginal (Forzajah)5 P.B

Khas barriTaraxacum campylodes G.E.Haglund 
(Taraxacum officinale)
AsteraceaeCold & moistAerial, leaf, rhizome, root, whole herbOral5 P.B-

KamadariusTeucrium chamaedrysLamiaceaeWarm & dryAerialOral5 P.B & 2 M.B

Jo’dahTeucrium polium L.LamiaceaeWarm & dryWhole herbOral5 P.B

HashaThymus vulgaris
Thymus capitatus
LamiaceaeWarm & dryAerial, leafOral5 P.B & 4 M.B

HolbehTrigonella foenum-graecumFabaceaeWarm & drySeedOral, bath, topical5 P.B & 3 M.B-

HandaghughiTrifolium pretense
Trigonella coerulea (Desr.) Ser.
LeguminosaeWarm & dryFlowerOral5 P.B & 2 M.B-

AnjorehUrtica dioicaUrticaceaeWarm & dryFlowering plant, rootOral, vaginal (Hamool & Fetelah)5 P.B

PhowValeriana dioscoridis Sm.CaprifoliaceaeWarm & dryAerial, rhizomeOral, bath5 P.B-

Kharbagh sefidVeratrum album L.MelanthiaceaeWarm & dryRoot, rhizomeVaginal (Forzajah)5 P.B & 3 M.B-

AslaghVitex agnus-castus L.LamiaceaeWarm & dryFruit, leafOral, vaginal (Hamool & Bakhoor)5 P.B & 2 M.B

MoVitis vinifera L.
(Vitis sylvestris C.C.Gmel)
VitaceaeWarm & dryLeafOral, bath5 P.B-

MeshketaramashieZiziphora clinopodioides Lam.
Origanum dictamnus
Mentha aquatic L.
LamiaceaeWarm & dryLeafOral, vaginal (Bakhoor)5 P.B & 4 M.B

References were regarding scientific names [2025]. According to TPM basics, four provital elements as fire, air, water, and soil are the main components of all objects in the world. Every element has particular quality: fire is hot and dry, air is hot and wet, water is cold and wet, and soil is cold and dry. Difference and variety of objects are based on the different amount of these elements in their structures. After action and reaction of four main elements, one or two qualities will be overcoming. Temperament is actually specific quality of an object based on dominant element(s) in its structure and creates different characteristics in objects. All things in the world, including humans, plants, and even diseases have temperaments [10, 26]. Repetitious plants: repeated at least in 5 pharmaceutical textbooks of traditional Persian medicine: Al-Hawi al- kabir, Al- Qanun fit-tib, Al- Jame lemofradat al- aghziyeh va al- adviyeh, Tuhfat al-mu’minin, and Makhzanal al- adviyeh. Experienced, specific, unique plants: medicinal plants which were special or potent or experienced in menstrual induction according to traditional Persian medicine scientists’ concept (mentioned in Al-Havi al- kabir, Al- Qanun fit-tib, Al- Jame lemofradat al- aghziyeh va al- adviyeh, Tuhfat al-mu’minin, Makhzanal al- adviyeh, and Al-Tasrif). Hamool or vaginal or rectal cotton-load: a tissue of cotton or wool loading with natural drugs was inserted in the vagina or rectum [27]. Forzajah or vaginal pessary: a wet cotton or wool tissue feeding with dry or wet compound natural medications placed inside vagina [27]. Fateelah or vaginal or rectal wick: a strip or thread of fibrous or spongy material feeding with special medications inserted into the penis fossa, rectum, or vagina [27]. Bakhoor or vaginal or rectal fumigation: the smoke of burning natural drugs [27]; P.B: pharmaceutical textbooks of traditional Persian medicine (as Al-Hawi al- kabir, Al- Qanun fit-tib, Al- Jame lemofradat al- aghziyeh va al- adviyeh, Tuhfat al-mu’minin, and Makhzanal al- adviyeh); M.B: medical textbooks of traditional Persian medicine (Al-Hawi al- kabir, Al- Qanun fit-tib, Al-Tasrif, Zakhireh Kharazmshahi, Al-asbāb wa-al-alāmāt, and Exir Azam).