Vitex agnus-castus

Botanical Overview

Vitex agnus-castus, commonly known as chasteberry, chaste tree, or monk’s pepper, is a member of the Lamiaceae family. Native to the Mediterranean and southwestern Asia, the plant’s dried fruit is primarily used medicinally.

Energetics

The energetics of Vitex agnus-castus are generally neutral in temperature and moisture, with bitter and pungent tastes. It has a relaxing tonicity effect but no broadly assigned directionality or qi/blood/fluid classification documented.

Primary Actions

  • Hormonal regulator
  • Galactagogue
  • Anti-inflammatory
  • Spasmolytic

Indications

Western

  • Premenstrual syndrome (PMS)
  • Mastalgia
  • Menstrual irregularities
  • Menopause symptoms
  • Infertility related to luteal phase defect

Syndromes

  • Hyperprolactinemia
  • Premenstrual dysphoric disorder
  • Dysmenorrhea

TCM

Not classically used or indicated.

Ayurveda

Not classically used or indicated.

Unani

Not classically used or indicated.

Constituents & Mechanisms

Vitex agnus-castus contains iridoid glycosides, flavonoids, volatile oils, diterpenoids, alkanes, and casticin, contributing to its effects on dopaminergic activity and hormone regulation.

Dosage & Preparations

  • Extract standardized to 0.5% agnuside, 20–40 mg daily
  • Tincture 1:5 40% ethanol, 2–4 mL daily
  • Dried fruit infusion 1–4 g, 1–3 times daily

Safety & Contraindications

Vitex is generally well tolerated but should be used with caution during pregnancy and breastfeeding due to insufficient safety data. It is contraindicated in hormone-sensitive cancers and requires monitoring if combined with dopaminergic or hormonal medications. Mild gastrointestinal upset has been occasionally reported.

Astrological Correspondences

Planetary rulers: Saturn and Jupiter. Elemental rulers: Air and Earth.

Selected References

  • Assessment report on Vitex agnus-castus L., fructus – European Medicines Agency (2010)
  • Vitex agnus-castus – Plants For A Future
  • Herbs at a glance: Vitex – NIH NCCIH (2022)
  • Planetary Herbal – Michael Tierra (1993)