Contents

13.1 Introduction 550

13.1.1 Aromatherapy Practice in the United Kingdom and the United States 550

13.2 Definitions of Aromatherapy 550

13.3 Introduction to Aromatherapy Concepts 551

13.3.1 Aromatherapy, Aromatology, and Aromachology 551

13.3.2 Scientifically Accepted Benefits of Essential Oils versus the

Lack of Evidence for Aromatherapy 551

13.4 Historical Background to Aromatherapy 553

13.4.1 Scented Plants used as Incense in Ancient Egypt 554

13.5 Perfume and Cosmetics: Precursors of Cosmetological Aromatherapy 554

13.5.1 Three Methods of Producing Perfumed Oils by the Egyptians 555

13.6 Medicinal Uses: Precursors of Aromatology or "Clinical" Aromatherapy 555

13.6.1 Middle Ages: Use of Aromatics and Quacks 556

13.7 Modern Perfumery 557

13.8 Aromatherapy Practice 557

13.8.1 Methods of Application of Aromatherapy Treatment 558

13.9 Massage using Essential Oils 559

13.9.1 Massage Techniques 559

13.10 Aromatherapy: Blending of Essential Oils 561

13.10.1 Fixed Oils 561

13.11 Internal Usage of Essential Oils by Aromatherapists 561

13.12 Use of Pure or Synthetic Components 562

13.13 Therapeutic Claims for the Application of Essential Oils 562

13.13.1 False Claims Challenged in Court 563

13.14 Physiological and Psychological Responses to Essential Oils and Psychophysiology 563

13.15 Placebo Effect of Aromatherapy 564

13.16 Safety Issue in Aromatherapy 565

13.17 Toxicity in Humans 566

13.17.1 Increase in Allergic Contact Dermatitis in Recent Years 566

13.17.2 Photosensitizers 567

13.17.3 Commonest Allergenic Essential Oils and Components 567

13.17.4 Toxicity in Young Children: A Special Case 568

13.17.5 Selected Toxicities of Common Essential Oils and Their Components 568

13.18 Clinical Studies of Aromatherapy 569

13.19 Recent Clinical Studies 570

13.19.1 Aromatherapy in Dementia 570

13.20 Past Clinical Studies

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