Ar Health Dictionary

Inflammation of a joint... arthritis

The condition of blood vessels that have thickened, hardened, and lost their elasticity-”hardening of the arteries.” Aging and the formation of blood-derived fatty plaques within or directly beneath the inner lining of the arteries are the common causes. Many of the large arteries aid blood transport from the heart by their rebound elasticity, “kicking” it out; smaller ones have muscle coats that need to contract and relax in response to nerves. All this is compromised when there is arteriosclerosis.... arteriosclerosis

Absence of a palpable pulse, and thus of circula tion of blood around the body by the heart contraction. The cause may be asystole or ventricular fibrillation.... cardiac arrest

Arteritis means in?ammation of an artery (see ARTERIES, DISEASES OF).... arteritis

Pain in joint... arthralgia

Cessation of breathing, often caused by envenomation (or poisoning).... respiratory arrest

The external use of essential oils from seeds, resins, herbs, barks and spices for relaxant purposes.

Plant essences give plants their scent and were known to the ancient civilisations of Egypt and Greece as the ‘vital force’ or spirit of the plant. They were used for inhalation, rubbing on the skin or as a healthful addition to baths and foot-baths. The art is complementary to phytotherapy, acupuncture and other systems of alternative medicine.

The aromatherapist uses oils individually or in blends of different oils. The natural concentrated oil is usually diluted by adding a vegetable oil before direct application to the skin. A massage oil usually comprises 6 drops essential oil to 10ml (2 teaspoons) carrier oil – Almond, Peanut or other vegetable oil.

The skin is known to be an integral part of the immune system. T-cells are scattered throughout, primarily in the epidermis or outer layer. It has been demonstrated that oils rubbed on the skin are readily absorbed and borne to distant organs in the body via the bloodstream to soothe, relax and heal. Some oils should not be used during pregnancy or lactation.

An oil may be used as a natural perfume. As a bath oil, 5-6 drops of a favourite oil may be added to bathwater. Oils freshen a room; stimulate or relax as desired when added to water on a warm radiator. Oils are never used on the skin undiluted.

The aromatherapist never uses essential oils internally. Other carrier oils may be used: Sesame seed, Sunflower seed, Apricot kernel and Wheatgerm. Usual methods of applying essential oils: massage, inhalation and baths. When adding oils to baths water should not be too hot which causes oils to evaporate.

Remedies absorbed into the body via the skin avoid metabolism by the liver as when taken by mouth.

When the therapy was used in a geriatric ward in Oxford drug expenditure on laxatives and night sedatives fell. It was reported to have given profoundly deaf patients, many of whom had multiple sensory deficits, tranquillity. The results of a randomised trial in patients on an intensive care unit showed significantly greater psychological improvement (as demonstrated with anxiety and mood rating scales) in those given aromatherapy (1 per cent Lavender and Grapeseed oil) over those massaged with Grapeseed oil only or those prescribed rest alone. (The Lancet 1990 336 (8723) 1120)

The governing body of the therapy in the UK is the Aromatherapy Organisations Council (AOC) which represents the majority of professional practitioners. Enquiries: AOC, 3 Latymer Close, Braybrooke, Market Harborough. Leicester LE16 8LN. Tel/Fax 01858 434242. ... aromatherapy

Arachnodactyly, or MARFAN’S SYNDROME, is a congenital condition characterised by extreme length and slenderness of the ?ngers and toes – and, to a lesser extent, of the limbs and trunk; laxity of the ligaments; and dislocation of the lens of the eye. The antero-posterior diameter of the skull is abnormally long, and the jaw is prominent. There may also be abnormalities of the heart.... arachnodactyly

A class of viruses transmitted by arthropods. Name contracted from “arthropod-borne viruses”.... arbovirus

Areola literally means a small space, and is the term applied to the red or dusky ring around the nipple, or around an in?amed part. Increase in the duskiness of the areola on the breast is an important early sign of pregnancy.... areola

Arrhythmia means any variation from the normal regular rhythm of the heartbeat. The condition is produced by some affection interfering with the mechanism which controls the beating of the heart, and includes the following disorders: sinus arrhythmia, atrial ?brillation, atrial ?utter, heart block, extrasystoles, pulsus alternans, and paroxysmal atrial tachycardia, ventricular tachycardia and ventricular ?brillation. (See HEART, DISEASES OF; ELECTROCARDIOGRAM (ECG).)... arrhythmia

A metalloid with industrial use in glass, wood preservative, herbicide, semiconductor manufacture, and as an alloy additive. It may be a component in alternative or traditional remedies both intentionally and as a contaminant. Common in the environment and in food, especially seafood, arsenic is odourless and tasteless and highly toxic by ingestion, inhalation and skin contact. It binds to sulphydryl groups inhibiting the action of many enzymes (see ENZYME) and also disrupts oxidative phosphorylation by substituting for PHOSPHORUS. Clinical effects of acute poisoning range from severe gastrointestinal effects to renal impairment or failure characterised by OLIGURIA, HAEMATURIA, PROTEINURIA and renal tubular necrosis. SHOCK, COMA and CONVULSIONS are reported, as are JAUNDICE and peripheral NEUROPATHY. Chronic exposures are harder to diagnose as effects are non-speci?c: they include gastrointestinal disturbances, hyperpigmentation and HYPERKERATOSIS of skin, localised OEDEMA, ALOPECIA, neuropathy, PARAESTHESIA, HEPATOMEGALY and jaundice. Management is largely supportive, particularly ensuring adequate renal function. Concentrations of arsenic in urine and blood can be measured and therapy instituted if needed. Several CHELATING AGENTS are e?ective: these include DMPS (2, 3-dimercapto-1-propanesulphonate), penicillamine and dimercaprol; DMPS is now agent of choice.... arsenic

See ANGIOGRAPHY.... arteriography

A small artery (see ARTERIES).... arteriole

An operation for ?xating the bones in a diseased joint in a given position so that the joint cannot be moved. It is usually done if pain and deformity in a diseased joint – caused, for instance, by RHEUMATOID ARTHRITIS – are so bad that they cannot be relieved by drugs, PHYSIOTHERAPY, splinting or ARTHROPLASTY.... arthrodesis

A term applied to any form of joint disease.... arthropathy

The use of metal or plastic components to replace a joint or part of a joint. Arthroplasty was ?rst used in the 1930s to replace diseased hip-joints and has been routinely used since the 1960s, enabling thousands of people, especially the older generation, to resume normal life free from pain and disability. Replacement of other joints – for instance, knees, ?ngers, shoulders and elbows – has now become routine. (See JOINTS, DISEASES OF and diagram.)... arthroplasty

Inspection of the interior of a joint (usually the knee) to diagnose any disorder there. The instrument used is a type of ENDOSCOPE called an ARTHROSCOPE. The knee is often affected by conditions that are not easy to diagnose and are not revealed by X-ray examination. Surgery can be performed using arthroscopy and this reduces the time a patient has to be in hospital.... arthroscopy

See DUCTUS ARTERIOSUS.... patent ductus arteriosus

Infection in a joint which becomes warm, swollen and sore, with restricted movement. The infectious agent may enter the joint as a result of a penetrating wound or via the bloodstream. The condition is treated by ARTHROTOMY or ARTHROSCOPY, joint irrigation and ANTIBIOTICS. Unless treated, the articular CARTILAGE of the joint is destroyed, resulting in a painful, deformed and sometimes immobile joint. (See ARTHRITIS.)... septic arthritis

In?ammation of the TEMPORAL ARTERY. Also known as giant cell arteritis, it often affects other arteries too, mainly in the head. It predominantly affects the elderly. The artery becomes tender with reddening of the overlying skin; headache and blindness may also occur. The diagnosis is con?rmed by temporal artery BIOPSY, and treatment is with steroids (see STEROID).... temporal arteritis

See: ARTERITIS. ... giant cell arteritis

An aseptic (that is, not involving infection) ARTHRITIS secondary to an episode of infection elsewhere in the body. It often occurs in association with ENTERITIS caused by salmonella (see FOOD POISONING) and certain SHIGELLA strains, and in both YERSINEA and CAMPYLOBACTER enteritis. Non-gonococcal urethritis, usually due to CHLAMYDIA, is another cause of reactive arthritis; Reiter’s syndrome is a particularly ?orid form, characterised by mucocutaneous and ocular lesions.

The SYNOVITIS usually starts acutely and is frequently asymmetrical, with the knees and ankles most commonly affected. Often there are in?ammatory lesions of tendon sheaths and entheses (bone and muscle functions) such as plantar fasciitis (see FASCIITIS). The severity and duration of the acute episode are extremely variable. Individuals with the histocompatibility antigen HLA B27 are particularly prone to severe attacks.... reactive arthritis

A chronic in?ammation of the synovial lining (see SYNOVIAL MEMBRANE) of several joints, tendon sheaths or bursae which is not due to SEPSIS or a reaction to URIC ACID crystals. It is distinguished from other patterns of in?ammatory arthritis by the symmetrical involvement of a large number of peripheral joints; by the common blood-?nding of rheumatoid factor antibody; by the presence of bony erosions around joints; and, in a few, by the presence of subcutaneous nodules with necrobiotic (decaying) centres.

Causes There is a major immunogenetic predisposition to rheumatoid arthritis in people carrying the HLA-DR4 antigen (see HLA SYSTEM). Other minor immunogenetic factors have also been implicated. In addition, there is a degree of familial clustering which suggests other unidenti?ed genetic factors. Genetic factors cannot alone explain aetiology, and environmental and chance factors must be important, but these have yet to be identi?ed.

Epidemiology Rheumatoid arthritis more commonly occurs in women from the age of 30 onwards, the sex ratio being approximately 4:1. Typical rheumatoid arthritis may occur in adolescence, but in childhood chronic SYNOVITIS usually takes one of a number of di?erent patterns, classi?ed under juvenile chronic arthritis.

Pathology The primary lesion is an in?ammation of the synovial membrane of joints. The synovial ?uid becomes diluted with in?ammatory exudate: if this persists for months it leads to progressive destruction of articular CARTILAGE and BONE. Cartilage is replaced by in?ammatory tissue known as pannus; a similar tissue invades bone to form erosions. Synovitis also affects tendon sheaths, and may lead to adhesion ?brosis or attrition and rupture of tendons. Subcutaneous and other bursae may be involved. Necrobiotic nodules also occur at sites outside synovium, including the subcutaneous tissues, the lungs, the pericardium and the pleura.

Clinical features Rheumatoid arthritis varies from the very mild to the severely disabling. Many mild cases probably go undiagnosed. At least 50 per cent of patients continue to lead a reasonably normal life; around 25 per cent are signi?cantly disabled in terms of work and leisure activities; and a minority become markedly disabled and are limited in their independence. There is often an early acute phase, followed by substantial remission, but in other patients gradual step-wise deterioration may occur, with progressive involvement of an increasing number of joints.

The diagnosis of rheumatoid arthritis is largely based on clinical symptoms and signs. Approximately 70 per cent of patients have rheumatoid factor ANTIBODIES in the SERUM but, because of the large number of false positives and false negatives, this test has very little value in clinical practice. It may be a useful pointer to a worse prognosis in early cases if the level is high. X-RAYS may help in diagnosing early cases and are particularly helpful when considering surgery or possible complications such as pathological fracture. Patients commonly develop ANAEMIA, which may be partly due to gastrointestinal blood loss from antiin?ammatory drug treatment (see below).

Treatment involves physical, pharmacological, and surgical measures, together with psychological and social support tailored to the individual patient’s needs. Regular activity should be maintained. Resting of certain joints such as the wrist with splints may be helpful at night or to assist prolonged manual activities. Sound footwear is important. Early use of antirheumatic drugs reduces long-term disability. Drug treatment includes simple ANALGESICS, NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDS), and slow-acting drugs including GOLD SALTS (in the form of SODIUM AUROTHIOMALATE), PENICILLAMINE, SULFASALAZINE, METHOTREXATE and AZATHIOPRINE.

The non-steroidal agents are largely e?ective in reducing pain and early-morning sti?ness, and have no e?ect on the chronic in?ammatory process. It is important, especially in the elderly, to explain to patients the adverse effects of NSAIDs, the dosage of which can be cut by prescribing paracetamol at the same time. Combinations of anti-rheumatic drugs seem better than single agents. The slow-acting drugs take approximately three months to act but have a more global e?ect on chronic in?ammation, with a greater reduction in swelling and an associated fall in erythrocyte sedimentation rate (ESR) and rise in the level of HAEMOGLOBIN. Local CORTICOSTEROIDS are useful, given into individual joints. Systemic corticosteroids carry serious problems if continued long term, but may be useful under special circumstances. Much research is currently going on into the use of tumour necrosis factor antagonists such as INFLIXIMAB and etanercept, but their precise role remains uncertain.... rheumatoid arthritis

See under EYE, DISORDERS OF.... arcus senilis

A condition (described originally by Dr Argyll Robertson) in which the pupils contract when the eyes converge on a near object, but fail to contract when a bright light falls on the eye. It is found in several diseases, especially in locomotor ataxia and neurosyphilis, an advanced manifestation of SYPHILIS.... argyll robertson pupil

Argyria, or argyriosis, means the e?ect produced by taking silver salts over a long period, and consists of a deep duskiness of the skin, especially of the exposed parts.... argyria

Chemically, molecules containing one or more benzene rings, but in our usage, plant compounds which, upon contact to the air, form gases which can be smelled: volatile oils. (Examples: menthol, Peppermint oil.)... aromatics

Maranta and Sagittaria species

Description: The arrowroot is an aquatic plant with arrow-shaped leaves and potatolike tubers in the mud.

Habitat and Distribution: Arrowroot is found worldwide in temperate zones and the tropics. It is found in moist to wet habitats.

Edible Parts: The rootstock is a rich source of high quality starch. Boil the rootstock and eat it as a vegetable.... arrowroot

See ARTIFACT.... artefact

Animals characterised by several jointed legs and a hard outer exoskeleton, eg, spiders, ticks, mites and insects (the group that includes mosquitoes).... arthropod

An endoscopic instrument (see ENDOSCOPE) that enables the operator to see inside a joint cavity and, if necessary, take a biopsy or carry out an operation.... arthroscope

Surgical exploration of a joint to examine the contents or to drain PUS in SEPTIC ARTHRITIS.... arthrotomy

Articular means anything connected with a joint: for example, articular rheumatism.... articular

Articulation is a term employed in two senses in medicine, meaning either the enunciation of words and sentences, or the type of contact between the surfaces of joints – these surfaces are called articular surfaces.... articulation

The name applied to two cartilages in the LARYNX.... arytenoid

A geographic area defined and served by a health programme or institution, such as a hospital or community health centre, which is delineated on the basis of such factors as population distribution, natural geographic boundaries, and transportation accessibility. By definition, all residents of the area needing the services of the programme are usually eligible for them, although eligibility may also depend on additional criteria.... catchment area

The blood vessel in the fetus through which blood passes from the pulmonary artery to the aorta, thereby bypassing the lungs, which do not function during intra-uterine life. (See CIRCULATORY SYSTEM OF THE BLOOD.) The ductus normally ceases to function soon after birth and within a few weeks is converted into a ?brous cord. Occasionally this obliteration does not occur: a condition known as patent ductus arteriosus. This is one of the more common congenital defects of the heart, and one which responds particularly well to surgical treatment. Closure of the duct can also be achieved in some cases by the administration of indomethacin. (See HEART, DISEASES OF.)... ductus arteriosus

Weakness in the muscles that support the bony arches of the foot. The result is ?at feet, a condition that can adversely affect a person’s ability to walk and run normally.... fallen arches

(See also HEART.) The right coronary artery arises from the right aortic sinus and passes into the right atrio-ventricular groove to supply the right ventricle, part of the intraventricular septum and the inferior part of the left ventricle. The left coronary artery arises from the left sinus and divides into an anterior descending branch which supplies the septum and the anterior and apical parts of the heart, and the circum?ex branch which passes into the left atrio-ventricular groove and supplies the lateral posterior surfaces of the heart. Small anastomoses exist between the coronary arteries and they have the potential of enlarging if the blood-?ow through a neighbouring coronary artery is compromised. Coronary artery disease is damage to the heart caused by the narrowing or blockage of these arteries. It commonly presents as ANGINA PECTORIS or acute myocardial infarction (see HEART, DISEASES OF).... coronary arteries

This artery arises from the brachial artery at the level of the neck of the radius. It passes down the forearm to the wrist, where it is easily palpated laterally. It then winds around the wrist to the palm of the hand to supply the ?ngers. (See ARTERIES.)... radial artery

A branch of the external carotid artery that is the main vessel supplying blood to the temple and scalp.... temporal artery

One of the fatty acids in the body that are essential for growth.... arachidonic acid

A rare condition that is characterized by chronic inflammation and thickening of the arachnoid mater, which is the middle of the 3 meninges (the membranes that cover the brain and spinal cord).... arachnoiditis

The awakening of a person from unconsciousness or semiconsciousness.

The term is also used to describe any state of heightened awareness, such as that caused by sexual stimulation or fear.

Arousal is regulated by the reticular formation in the brainstem.... arousal

A rare tumour of the ovary that occurs in young women. The tumour is noncancerous but secretes androgen hormones (male sex hormones) that cause virilization (the development of male characteristics). Treatment is by surgical removal of the affected ovary.... arrhenoblastoma

Surgical repair of an artery (see arterial reconstructive surgery).... arterioplasty

A diagnostic technique in which the interior of a damaged joint is X-rayed after injection of a radiopaque solution.

It is being replaced by MRI, ultrasound scanning, and arthroscopy.... arthrography

See contracture.... arthrogryposis

Forced introduction of air into the lungs of someone who has stopped breathing (see respiratory arrest) or whose breathing is inadequate. As an emergency first-aid measure, artificial respiration can be given mouth-to-mouth or mouth-tonose, which can prevent brain damage due to oxygen deprivation; a delay in breathing for more than 6 minutes can cause death. Cardiac compressions may also be necessary if poor respiration has led to cessation of the heartbeat (see cardiopulmonary resuscitation). Artificial respiration can be continued by use of a ventilator (see ventilation).... artificial respiration

One of a number of areas in the outer layer (cortex) of the brain that are concerned with higher levels of mental activity.

Association areas interpret information received from sensory areas and prompt appropriate responses such as voluntary movement.... association area

The artery that runs down the inner side of the upper arm, between the armpit and the elbow.... brachial artery

An area of the cerebral cortex (the outer layer of the brain) that is responsible for speech origination.... broca’s area

A major blood vessel that supplies oxygenated blood to the leg. The femoral artery is formed in the pelvis from the iliac artery (the terminal branch of the aorta). It then runs from the groin, down in front of the thigh, and passes behind the knee to become the popliteal artery, which branches again to supply the lower leg.... femoral artery

Leopard’s Bane. Wolf’s Bane. Arnica Montana L. German: Wolferlei, Arnika. French: Arnica, Aronique. Spanish: Arnica. Italian: Arnica, Polmonaria di Montagna. Dried flowerheads.

Action: external use only.

Uses: Bruises and contusions where skin is unbroken. Severe bruising after surgical operation. Neuralgia, sprains, rheumatic joints, aches and pains after excessive use as in sports and gardening.

Combination, in general use: 1 part Tincture Arnica to 10 parts Witch Hazel water as a lotion. Contra- indications: broken or lacerated skin.

Preparations: Compress: handful flowerheads to 1 pint boiling water. Saturate handtowel or suitable material in mixture and apply.

Tincture. 1 handful (50g) flowerheads to 1 pint 70 per cent alcohol (say Vodka) in wide-necked bottle. Seal tight. Shake daily for 7 days. Filter. Use as a lotion or compress: 1 part tincture to 20 parts water. Weleda Lotion. First aid remedy to prevent bruise developing.

Nelson’s Arnica cream.

Ointment. Good for applying Arnica to parts of the body where tincture or lotion is unsuitable. 2oz flowers and 1oz leaves (shredded or powdered) in 16oz lard. Moisten with half its weight of distilled water. Heat together with the lard for 3-4 hours and strain. For wounds and varicose ulcers.

Wet Dressing. 2 tablespoons flowers to 2 litres boiling water. For muscular pain, stiffness and sprains. Tincture. Alternative dosage: a weak tincture can be used with good effect, acceptable internally: 5 drops tincture to 100ml water – 1 teaspoon hourly or two-hourly according to severity of the case.

Widely used in Homoeopathic Medicine.

First used by Swiss mountaineers who chewed the leaves to help prevent sore and aching limbs.

Note: Although no longer used internally in the UK, 5-10 drop doses of the tincture are still favoured by some European and American physicians for anginal pain and other acute heart conditions; (Hawthorn for chronic).

Pharmacy only sale. ... arnica

Blockage of an artery supplying blood to the retina, most commonly due to thrombosis or embolism, The disorder can result in permanent blindness or loss of part of the field of vision, depending on the artery affected and whether or not the condition can be treated quickly enough.... retinal artery occlusion

The arch of bone, commonly known as the cheek bone, on either side of the skull just below the eye socket. The zygomatic arch is formed of the zygomatic and temporal bones.... zygomatic arch

A blood vessel that carries blood away from the heart. Systemic arteries carry blood pumped from the left ventricle of the heart to all parts of the body except the lungs. The largest systemic artery is the aorta, which emerges from the left ventricle; other major systemic arteries branch off from the aorta. The pulmonary arteries carry blood from the right ventricle to the lungs.

Arteries are tubes with thick, elastic, muscular walls able to withstand the high pressure of blood flow. The structure of arteries helps to even out the peaks and troughs of blood pressure caused by the heartbeat, so that the blood is kept flowing at a relatively constant pressure. (See also arteries, disorders of.)... artery

A form of assisted conception in which semen is introduced artificially into the uterus, instead of by sexual intercourse, with the aim of inducing pregnancy.

There are 2 types of artificial insemination: , artificial insemination with the semen of the woman’s male partner; and , insemination with a donor’s sperm. is usually used for couples who are unable to have intercourse, or if the man has a low sperm count or a low volume of ejaculate. It is also used when semen has been stored from a man prior to treatment (such as chemotherapy) that has made him sterile. is available to couples if the man is infertile or is a carrier of a genetic disease. It may also be used by a woman who wants children but has no male partner.

Insemination is timed to coincide with natural ovulation or may be combined with treatment to stimulate ovulation.... artificial insemination

Any of the main arteries of the neck and head. There are 2 common carotid arteries (left and right), each of which divides into 2 main branches (internal and external).

The left carotid arises from the aorta and runs up the neck on the left side of the trachea (windpipe). The right carotid arises from the subclavian artery (which branches off the aorta) and follows a similar route on the right side of the

neck. Just above the level of the larynx (voice-box), each carotid artery divides to form an external carotid artery and an internal carotid artery. The external arteries have multiple branches that supply most tissues in the face, scalp, mouth, and jaws; the internal arteries enter the skull to supply the brain and eyes. At the base of the brain, branches of the 2 internal carotids and the basilar artery join to form a ring of vessels called the circle of Willis. Narrowing of these vessels may be associated with transient ischaemic attack (TIA); obstruction of them causes a stroke. carpal tunnel syndrome Numbness, tingling, and pain in the thumb, index finger, and middle fingers caused by compression of the median nerve at the wrist. Symptoms may be worse at night. The condition results from pressure on the nerve where it passes into the hand via a gap (the “carpal tunnel’’) under a ligament at the front of the wrist. It is common among keyboard users. It also occurs without obvious cause in middleaged women, and is associated with pregnancy, initial use of oral contraceptives, premenstrual syndrome, rheumatoid arthritis, myxoedema, and acromegaly.

The condition often disappears without treatment.

Persistent symptoms may be treated with a corticosteroid drug injected under the ligament, or the ligament may be cut to relieve pressure on the nerve.... carotid artery

Narrowing of the coronary arteries, which supply blood to the heart, leading to damage or malfunction of the heart. The most common heart disorders due to coronary artery disease are angina pectoris and myocardial infarction (heart attack). The usual cause of narrowing of the arteries is atherosclerosis, in which fatty plaques develop on the artery linings. The vessel can become totally blocked if a blood clot forms or lodges in the narrowed area. Atherosclerosis has many interrelated causes including smoking, a high-fat diet, lack of exercise, being overweight, and raised blood cholesterol levels. Other factors include a genetic predisposition and diseases such as diabetes mellitus and hypertension.

The first symptom of coronary artery disease is frequently the chest pain of angina. Treatment is with drugs such as glyceryl trinitrate and other nitrate drugs, beta-blockers, calcium channel blockers, potassium channel activators, and vasodilator drugs. If drug treatment fails to relieve the symptoms, or there is extensive narrowing of the coronary

arteries, blood flow may be improved by balloon angioplasty or coronary artery bypass surgery.... coronary artery disease

Willd. var. indica Benth.

Synonym: A. nilotica (Linn.) Delile subsp. indica (Benth.) Brenan.

Family: Mimosaceae.

Habitat: Throughout the drier parts of India.

English: Babul, Black Babul, Indian Gum arabic tree.

Ayurvedic: Babbuula, Babbuuri, Baavari, Aabhaa, Shuulikaa, Shitaka, Kinkiraata, Yugmakantaka, Sukshmapatra, Pitapushpaka.

Unani: Aqaaqia, Babuul, Kikar, Mughilaan, Samur.

Siddha/Tamil: Karu-velamaram, Karuvelei. Velampisin (gum).

Action: Stembark—astringent, spasmolytic, hypoglycaemic. Gum—demulcent (soothing agent for inflammatory conditions of the respiratory, digestive and urinary tracts). Pods—used in urogenital disorders. Seeds—hypoglycaemic in normal rats; no such effect in diabetic rats. Seed oil—antifungal. Flowers, pods and gum resin—used in diarrhoea and dysentery.

Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India indicates the use of stembark in acute diarrhoea and helminthiasis.

Tannin contents of the bark varies considerably (12-20%). Several poly- phenolic compounds have been reported in the bark, also in the pods. The whole pod contains 12-19% tannins and 18-27% after the removal of seeds.

The seeds of A. benthamii, A. nilotica ssp. subulata, probably same as ssp. indica, are considered hypoglycaemic. Some seed components stimulate insulin secretion by beta cells.

The gum contains galactose; l-ara- binose, l-rhamnose and aldobiouronic acids, also arabinobioses.

The flowers contain flavonoids— kaempferol-3-glucoside, iso-quercitrin and leucocyanidin.

Dosage: Stembark—20-30 g for decoction. (API Vol. I.)... acacia arabica

Formerly known as adult respiratory distress syndrome. A form of acute respiratory failure in which a variety of di?erent disorders give rise to lung injury by what is thought to be a common pathway. The condition has a high mortality rate (about 70 per cent); it is a complex clinical problem in which a disproportionate immunological response plays a major role. (See IMMUNITY.)

The exact trigger is unknown, but it is thought that, whatever the stimulus, chemical mediators produced by cells of the immune system or elsewhere in the body spread and sustain an in?ammatory reaction. Cascade mechanisms with multiple interactions are provoked. CYTOTOXIC substances (which damage or kill cells) such as oxygen-free radicals and PROTEASE damage the alveolar capillary membranes (see ALVEOLUS). Once this happens, protein-rich ?uid leaks into the alveoli and interstitial spaces. SURFACTANT is also lost. This impairs the exchange of oxygen and carbon dioxide in the lungs and gives rise to the clinical and pathological picture of acute respiratory failure.

The typical patient with ARDS has rapidly worsening hypoxaemia (lack of oxygen in the blood), often requiring mechanical ventilation. There are all the signs of respiratory failure (see TACHYPNOEA; TACHYCARDIA; CYANOSIS), although the chest may be clear apart from a few crackles. Radiographs show bilateral, patchy, peripheral shadowing. Blood gases will show a low PaO2 (concentration of oxygen in arterial blood) and usually a high PaCO2 (concentration of carbon dioxide in arterial blood). The lungs are ‘sti?’ – they are less e?ective because of the loss of surfactant and the PULMONARY OEDEMA.

Causes The causes of ARDS may be broadly divided into the following:... acute respiratory distress syndrome (ards)

Alopecia areata is a common form of reversible hair loss which may be patchy, total on the scalp, eyebrows or eyelashes, or universal on the body. The onset is sudden at any age and the affected scalp-skin looks normal. The hair follicles remain intact but ‘switched o?’ and usually hair growth recovers spontaneously. No consistently e?ective treatment is available but injections of CORTICOSTEROIDS, given with a spray gun into the scalp, may be useful. The regrown hair may be white at ?rst but pigmentation recovers later.... alopecia areata

Roxb.

Family: Zingiberaceae.

Habitat: North Bengal and Assam.

English: Bengal Cardamom, Cardamom.

Ayurvedic: Sthula-elaa (var.)

Siddha/Tamil: Perelam.

Folk: Morang-elaaichi.

Action: Similar to that of A. subula- tum.

The seeds yield on essential oil (1.01.2%) containing cineole as the principal constituent.

Chinese practitioners avoid the use of cardamom in conditions marked by symptoms of excessive heat.... amomum aromaticum

(Latin) An answered prayer; beautiful altar

Arabel, Arabela, Arabelle, Arabele, Arabell... arabella

Spirituality, Purify Negativity and Evil... arabic gum

(Spanish) From the altar of heaven Aricela, Arcilla, Aracelia, Arcelia, Aracely, Araseli, Arasely, Arceli, Aracelli, Aracele, Aracelea... araceli

(Greek) In mythology, a young woman who was changed into a spider by Athena

Arachnie, Arachni, Arachny, Arachney, Arackne, Aracknie, Arackni, Arackny, Arackney, Arachnee, Aracknee, Arakne, Araknie, Arakni, Arakny, Arakney, Araknee, Arachnea, Araknea, Arachneah, Arakneah... arachne

One of the membranes covering the brain and spinal cord (see BRAIN). Arachnoiditis is the name applied to in?ammation of this membrane.... arachnoid membrane

Linn.

Family: Primulaceae.

Habitat: Northwestern Himalayas from Kashmir eastwards to Nepal, hills of West Bengal; Central and southern India.

English: Bird's Eye, Bird's Tongue, Blue Pimpernel, Scarlet Pimpernel.

Unani: Anaaghaalis.

Folk: Jonkmaari (Maharashtra), Dhabbar (Punjab), Jighanaa, Jenghani.

Action: Plant—anti-inflammatory, astringent, deobstructant, an- tifungal, nematocidal; toxic to leeches.

The plant yields anagalligenone B. The presence of quaternary alkaloids, gluco-fructoside and tannin have been reported. The root yields glycosidic saponins, including cyclamin. An acetyl saponin, isolated from the plant, was found to possess marked taenici- dal activity but had no effect on round- worms.

A methanolic extract of the aerial parts showed activity against herpes simplex I, adenovirus type II and polio type II. Triterepene saponins have oestrogenic activity.... anagallis arvensis

Linn. var. himalaica (C. B. Clarke) Krishna and Badhwar

Family: Umbelliferae; Apiaceae.

Habitat: Native to Syria; now grown in Kashmir at 1,000-3,900 m.

Ayurvedic: Chandaa, Chandaam- shuka, Kathachoraa.

Action: Expectorant, carminative, digestant, cholagogue, antispas- modic, diaphoretic, diuretic, anti-inflammatory, smooth muscle relaxant, antifungal, antibacterial.

Key application: In flatulence and peptic discomforts. The root is a component in numerous gastrointestinal, cholagogue and biliary remedies in Germany. (Angelica root is an approved herb, whereas the seed and above-ground parts have been included among unapproved herbs by German Commission E.)

Chinese angelica root, Dong Quai, is equated with Angelica sinensis. It is prescribed internally for menstrual irregularity, lack of menstruation and painful menstruation.

The roots from Kashmir yield furo- coumarins, phenol compounds and flavonoids.

Xanthotoxol exhibited antihista- mintic and antinicotinic activities on guinea-pig ileum. The dry extract has been shown to have anti-inflammatory activity

The root is reported to inhibit bacterial and fungal growth.

Furocoumarins, especially psoralen and 8-methoxypsoralen, are used in the photochemotherapy of psoriasis and vitiligo. The biological activity is due to covalent linkage formed with DNA by irradiation with long- wavelength UV light.

Most of the coumarins have shown significant calcium antagonistic activity in vitro.

Angelicin, a resin, is stimulating to the lungs and skin. contraindicated in bleeding disorders, peptic ulcers and pregnancy. (Sharon M. Herr.)

Dosage: Root—1-3 g powder. (CCRAS.)... angelica archangelica

Linn.

Family: Papilionaceae; Fabaceae

Habitat: Native to Brazil, but widely grown for its pods in southern India, Maharashtra and Gujarat.

English: Groundnut, Peanut, Monkeynut.

Ayurvedic: Mandapi, Tailamudga, Bhuumimudga.

Unani: Moongphali.

Siddha/Tamil: Nelakadalai, Verkadalai.

Action: Kernels—contain protease inhibitors. Peanut skin— haemostatic.

There is a haemostatic principle in the peanut flour, which is said to improve the condition of haemophiliacs. The protease inhibitor acts on the fib- rinolytic system, primarily as an an- tiplasmin. It is reported to form complexes not only with the enzymes, but also with the corresponding zymogens.

The peanut (red) skin contains bio- flavonoids, which possess vitamin- P activity; tannins; a lipoxidase and a protease inhibitor. Capric acid, obtained from the (red) skin, showed antifungal activity against Aspergillus niger.... arachis hypogaea

(Greek) In mythology, the goddess of witches; the daughter of Diana and Lucifer

Aradiah, Aradea, Aradeah... aradia

(Seem.) Clarke.

Synonym: A. pseudo-ginseng Wall. ssp. himalaicus Hara.

Family: Araliaceae.

Habitat: Nepal, Sikkim and Bhutan, Khasi Hills.

Folk: Taapamaari (Maharashtra).

Action: Stimulant, aphrodisiac, antipyretic, dyspeptic, expectorant.... aralia binnatifida

(Spanish) Refers to the Virgin Mary Aramah, Aramma, Arammah... arama

(Hebrew) One who is lofty and exalted Aramintah, Aramynta, Araminte ... araminta

(Hungarian) The golden child... aranka

(Welsh) A large silver wheel; in mythology, the mother of a sea creature and a blob Arianrhod, Arianrod... aranrhod

(Basque) Resembling a thornbush... arantxa

(German) One who is tenacious Ararindah, Ararynda, Araryndah... ararinda

(Hebrew) From the strong and protected hill

Arashell, Arashelle, Arashele, Arashela, Arashella... arashel

(Hebrew) Resembling a willow; of an arid land

Aravah, Aravva, Aravvah... arava

(Armenian) From the river of inspiration

Araxi, Araxy, Araxey, Araxee, Araxea, Araxeah, Araxye... araxie

A heterogenous group of around 500 viruses, which are transmitted to humans by ARTHROPODS. Grouped in four families, they include the viruses of DENGUE and YELLOW FEVER which are transmitted by mosquitoes.... arboviruses

Exorcism, Protection ... arbutus

(Greek / Spanish) Feminine form of Arkadios; woman from Arcadia / one who is adventurous Arcadiah, Arkadia, Arcadya, Arkadya, Arckadia, Arckadya... arcadia

(Greek) Angel of high rank Arcangel, Archangela, Archangelia, Archangelica... arcangela

Salix arctica

Description: The arctic willow is a shrub that never exceeds more than 60 centimeters in height and grows in clumps that form dense mats on the tundra.

Habitat and Distribution: The arctic willow is common on tundras in North America. Europe, and Asia. You can also find it in some mountainous areas in temperate regions.

Edible Parts: You can collect the succulent, tender young shoots of the arctic willow in early spring. Strip off the outer bark of the new shoots and eat the inner portion raw. You can also peel and eat raw the young underground shoots of any of the various kinds of arctic willow. Young willow leaves are one of the richest sources of vitamin C, containing 7 to 10 times more than an orange.... arctic willow

Linn.

Family: Compositae; Asteraceae.

Habitat: Native to northern Europe; now found in western Himalayas, Kashmir and Simla.

English: Common or Great Burdock.

Folk: Phaggarmuul (Kashmir).

Action: Hypoglycaemic (plant extract caused reduction of blood sugar with an increase in carbohydrate tolerance). Roots—inhibitory of tumour growth, cardiac stimulant, diuretic, spasmolytic. Leaves and seeds—anticutaneous (used in psoriasis, seborrhoic eczema).

Key application: As dermatolog- ical agent. (The British Herbal Pharmacopoeia.)

Important constituents of Burdock roots are fatty acids, organic acids, phenolic acids, lignans, sesquiterpenes, tannin, inulin and mucilage.

Extracts of the fruit are reported to have hypoglycaemic activity in rats. Arctigenin (lignan) is a weak inhibitor of experimental tumour growth. The antimicrobial properties are due to polyacetylenes (of the root). The root exhibits antibiotic activity against Staphylococcus, and is used for fungal and bacterial infections. A flavonoid, arctiin, shows smooth muscle relaxant properties.... arctium lappa

Spreng.

Family: Ericaceae.

Habitat: Native to North America, Europe and Asia.

English: Bearberry.

Unani: Inbud-dub, Angur-e-khiras, Reechh Daakh.

Action: Astringent, dirutic; used for urinary tract infections, dysuria, cystitis, urethritis, pyelitis.

The leaves gave 0.8-1% of a flavanol glucoside, isoquercitin, arbutin and methyl arbutin. Total arbutin content varies from 7.5 to 10.7%; tannins 15 to 20%. Arbutin hydrolyses to hydro- quinone, a urinary antiseptic.

Arbutin is antimicrobial, but the crude extract of uva-ursi is more effective than isolated arbutin. In rats, uva- ursi showed anti-inflammatory activity against experimentally induced inflammation. (Natural Medicines comprehensive Database, 2007.)... arctostaphylos uva-ursi

(English) One who is warm and friendly

Ardi, Ardie, Ardy, Ardey, Ardee, Ardine, Ardea, Ardeah, Ardye... arda

(Irish) Woman of high honor Ardalla, Ardalle, Ardalia, Ardalah, Ardallah, Ardaliah... ardala

(Gaelic) From the stronghold on the hill

Ardarah, Ardarra, Ardaria, Ardarrah, Ardariah... ardara

(Greek) A fiery woman Ardeah

... ardea

(Latin) Feminine form of Ardos; industrious and eager Ardelle, Ardella, Ardele, Ardelia, Ardelis, Ardela, Ardell... ardel

(Latin / English) One who is passionate and enthusiastic / from the valley of the eagles

Ardin, Ardeen, Ardena, Ardene, Ardan, Ardean, Ardine, Ardun, Ardyn, Ardyne, Ardana, Ardeana, Ardenia, Ardeene... arden

(Hebrew) From the field of flowers Ardyth, Ardythe, Ardath, Ardice, Ardise, Ardisa, Ardyce, Ardyse, Ardyssa, Ardathe, Ardathia, Aridatha... ardith

(Celtic / Hindi) One who is noble / the goddess of bad luck and misfortune Ardrah... ardra

(Arabic) One who is smart and witty Areeba, Aribah, Ariba, Arybah, Aryba, Arieba, Ariebah, Areaba, Areabah, Areiba, Areibah... areebah

(Hebrew) A messenger from heaven; an angel

Arela, Arelah, Arellah, Arelle, Areli, Arelie, Arely... arella

A group of viruses, so-called because under the electron microscope they have a sand-sprinkled (Latin, arenosus) appearance. Among the diseases in humans for which they are responsible are LASSA FEVER in West Africa, Argentinian haemorrhagic fever (mortality rate 3–15 per cent), a similar disease in Bolivia (mortality rate 18 per cent), and lymphocytic choriomeningitis, in which deaths are uncommon.... arenaviruses

Linn.

Family: Palmae; Arecaceae.

Habitat: Native to Malaysia; now grown along the coasts of Karnataka, Kerala, Tamil Nadu, West Bengal, Assam and Maharashtra.

English: Arecanut, Betel Nut.

Ayurvedic: Puuga, Puugi, Kramuka, Ghontaa, Guwaak, Ghorant.

Unani: Fufal, Chhaalia, Supaari.

Siddha/Tamil: Kottai Paakku, Kamugu.

Action: Taeniacide (confined to veterinary medicine), astringent, stimulant.

Along with other therapeutic application, The Ayurvedic Pharmacopoeia of India indicates the use of dried ripe seed in leucorrhoea and vaginal laxity.

Arecanut contains several alkaloids belonging to pyridine group, the most important being arecoline (0.1-0.5%). Arecaidine, guvacine and isoguvacine are also present. Arecoline is an- thelmintic (in animals, not in humans). Arecaidine has no parasympa- thomimetic effects, but only stimulating properties; sedative in higher doses. Isoguvacine produces hypotension.

Contraindicated in asthma due to bronchoconstrictive effects of the alkaloid arecoline (human case reports). (Francis Brinker.)

Arecanut tannins (8.0-18.0%) are predominantly catechol tannins which closely resemble Mimosa bark tannins. Powdered nuts are prescribed in diarrhoea and urinary disorders. In combination with other astringent and styptic herbs, arecanut is used as a major constituent in confections of Indian medicine for gynaecological disorders.

Aqueous extract of the nut exhibits direct vasoconstriction and adrenaline potentiation in rats. Antimicrobial activity is due to polyphenolic fraction. Tannins potentiated the action of acetylcholine in ileum and uterus of rat and noradrenaline on seminal vesicle at low concentration.

Due to increased incidence of oral cancer associated with betel chewing, the use of arecanut as a masticatory is being discouraged.

Seeds are toxic at 8-10 g, fluid extract at 3.7 ml; and arecoline hydrobromide at 4.3-6.5 mg. (Francis Brinker.)

Dosage: Dried ripe fruit—1-2 g powder. (API Vol. I.)... areca catechu

(Greek) In mythology, the queen of the Phaeacians... arete

(Greek) One who is virtuous; excellent Areta, Aretta, Arette, Areata, Areatha, Areathia, Areeta, Areetha, Arethea, Arethia, Aretina, Arita, Aritha, Arytha, Arythya, Aret... aretha

(Greek) In mythology, a wood nymph... arethusa

A family of ticks – the soft ticks or tampans. Vectors of Endemic relapsing fever.... argassid

(Greek) In mythology, the wife of Polynices Argeia... argea

(Welsh) One who provides refuge Argell, Argelle, Argele, Argella, Argela... argel

Linn.

Family: Papaveraceae.

Habitat: Native to America; naturalized throughout India.

English: Prickly Poppy, Mexican Poppy.

Ayurvedic: Katuparni, Svarnkshiri, Kaanchan-kshiri, Pitadugdhaa. Hemaahvaa, Himaavati, Hemavati. (Not to be equated with Brah- madandi—Tricholepis glaberrima.)

Unani: Satyaanaashi.

Siddha/Tamil: Piramathandu, Kudiyotti.

Action: Seed—responsible for epidemic dropsy. Causes diarrhoea and induces toxicity. Oil, leaf juice and root—used externally for indolent ulcers and skin diseases.

The herb contains isoquinoline alkaloids. The fresh latex contains protein- dissolving constituents and is used externally to treat warts, tumours and cancer. Latex contains alkaloid berberine (0.74%), protopine (0.36%) and free amino acids. Sanguinarine is the toxic factor in seeds.... argemone mexicana

(Latin) Resembling silver Argentia, Argentina, Argene, Arjean... argenta

(Welsh) A distinguished lady... argiwyddes

(Welsh) A prophetic sign Argoell, Argoele, Argoelle, Argoela, Argoella... argoel

(Welsh) One who makes an impression Argraffe, Argrafe... argraff

(English) A beautiful melody Ariah... aria

(Greek) Holy and chaste; in mythology, the woman who helped Theseus escape from the labyrinth Ariadna, Aryadnah, Ariette, Aryadna, Ariadnah... ariadne

(Welsh / Greek) Resembling silver / one who is holy Ariane, Arian, Arianna, Arianne, Aerian, Aerion, Arianie, Arieon, Aeriana, Ahriana, Ariena, Arianell, Arriana... ariana

Sweet.

Synonym: A. nervosa (Burm. f.) Boj.

Family: Convolvulaceae.

Habitat: Found all over India, ascending to 300 m.

English: Elephant Creeper.

Ayurvedic: Vriddhadaaruka, Vriddhadaaru, Vriddhadaaraka, Bastaantri, Sthavira, Sthaviradaaru, Atarunadaaru, Samudrashosha. (Seeds of Salvia plebeia R. Br. are also known as Samudrashosha.)

Unani: Samunder sokh.

Siddha/Tamil: Ambgar, Samuddira- pacchai

Folk: Bidhaaraa.

Action: Root—aphrodisiac (considered as a rejuvenator), nervine (used in diseases of nervous system, sexual disorders), diuretic (used in strangury), antirheumatic. Seeds—hypotensive, spasmolytic. Leaves—used externally in skin diseases (ringworm, eczema, boils, swellings); rubefacient, topically stimulant.

The seeds contain hallucinogenic ergoline alkaloids, the main ones being ergine and isoergine. EtOH (50%) extract of seeds exhibits hypotensive activity. (Seeds of all species of Argyreia contain ergoline alkaloids and are hypotensive.) Leaves of Argyreia sp. contain sitosterol and are antiphlogistic.

In Indian medicine, A. speciosa is not used as a single drug for sexual disorders in men, but as a supporting drug for exerting its antiphlogistic, spasmolytic and hypotensive actions on the central nervous system. The drug, in itself, did not show anabolic- cum-androgen-like or spermogenetic activity experimentally.

Ipomoea petaloidea Chois and Ipo- moea biloba Forskofthe Convolvulacae family are also used as Vriddhadaaru.

In Western herbal medicine, Hawaiian Baby Woodrose is equated with Argyreia nervosa (synonym Argyreia speciosa; grows in Florida, California and Hawaii). The seed is used for pain relief and as a hallucinogen.

The seeds contain hallucinogens including ergonovine, isoergine (isoly- sergic acid amide) and ergine (lysergic acid amide). Four to eight seeds are equivalent to 10-100 mcg of LSD, a potent serotonin-1A (5-HT1A) agonist. The effects last 6-8 h. (Natural Medicines Comprehensive Database, 2007.)

Dosage: Root—3-5 g powder.

(CCRAS.)... argyreia speciosa

(Welsh) Resembling silver; one who is holy or fair Arianwyn, Arianwenn, Arianwenne, Arianwynn, Arianwynne, Arianwin, Arianwinn, Arianwinne... arianwen

(Greek) In mythology, a niece of Aegeus rumored to be a black witch... aricia

(Hebrew) A lioness of God Arielle, Ariele, Ariell, Arriel, Ahriel, Airial, Arieal, Ariela, Ariella, Aryela, Aryella, Arial, Areille, Ariellel, Ari... ariel

(Latin) Resembling a ram; the first sign of the zodiac; a constellation... aries

(Italian) A short but beautiful melody

Arieta, Ariete, Ariet, Ariett, Aryet, Aryeta, Aryetta, Aryette, Ariette... arietta

(Teutonic) A maiden of the hearth Arilde, Arildha, Arildhe... arilda

(English) Form of Erin, meaning “woman from Ireland” Aryn... arin

(Danish) Feminine form of Aris; one who is superior... arisje

(Greek) Feminine form of Aris; one who is superior Arisa, Aris, Aryssa, Arysa, Arys... arissa

(Latin) A harvester of corn Aristana, Aristen

... arista

Lam.

Synonym: A. bracteata Retz.

Family: Aristolochiaceae.

Habitat: Uttar Pradesh, Bengal, Madhya Pradesh and western peninsular India.

English: Bracteated Birthwort.

Ayurvedic: Kitamaari, Dhumrapa- traa, Naakuli.

Unani: Kiraamaar.

Siddha/Tamil: Aadutheendaappaalai, Kattusuragam.

Action: Oxytocic, abortifacient, emmenagogue.

Leaves and fruit contain ceryl alcohol, aristolochic acid and beta-sitos- terol. Aristolochic acid is insecticidal, poisonous, nephrotoxic. Leaf juice— vermifuge. Seeds—strong purgative. Products containing aristolochic acid are banned in the U.S., Canada, Great Britain, European countries and Japan.

The seed compounds, aristolochic acid and magnoflorine, induce contractions in the isolated uterus of pregnant rat and stimulate the isolated ileum of guinea pig. They also activate the muscarinic and serotoner- gic receptors in a variety of organs. Magnoflorine decreases arterial blood pressure in rabbits, and induces hypothermia in mice.

See also A. longa.... aristolochia bracteolata

See “mean”.... arithmetic mean

(Native American) From the little spring; from the state of Arizona... arizona

(Native American) Of the downriver people; from the state of Arkansas... arkansas

(Welsh) From the temple Arlays, Arlaes, Arlaise, Arlayse, Arlaese... arlais

(English) From the meadow of the hare

Arlee, Arlie, Arli, Arly, Arley, Arlea, Arleah, Arlye... arleigh

(Irish) An oath; a pledge Arleen, Arline, Arlena, Arlein, Arlen, Arleyne, Arlette, Arleta, Arlyne, Arlana, Arlenna, Arleene, Airleas, Arlane, Arleana, Arlet, Arletta, Arlina, Arlinda, Arly, Arlyn... arlene

Linn.

Family: Aristolochiaceae.

Habitat: Throughout the country, mainly in the plains and lower hilly regions.

English: The Indian Birthwort.

Ayurvedic: Ishvari, Gandhnaakuli, Naagadamani, Arkamuula.

Unani: Zaraavand-Hindi.

Siddha/Tamil: Adagam.

Folk: Isarmuula, Isrola.

Action: Oxytocic, abortifacient, emmenagogue.

Aristolochia sp. contain aristolochic acids and aristolactams.... aristolochia indica

Linn.

Family: Aristolochiaceae. English: European Birthwort. Unani: Zaraawand Taweel.

Action: Oxytocic, abortifacient, emmenagogue.

Aristolochic acid and its Me es- ter—strongly abortifacient, showed damage to liver and kidney. Roots— anti-oestrogenic. A cytotoxic lignan, savinin, has been isolated from the roots.

Aristolochic acid also has an effect against adenosarcoma and HeLa cells in culture; however, it is suspected to be carcinogenic.

Aristolochia extracts show a pronounced enhancement of phagocytosis by leucocytes, granulocytes and peritoneal macrophages, due to the presence of aristolochic acids.

Tardolyt-coated tablets, which contain 0.3 mg of aristolochic acid, increase phagocytosis in healthy men.

Aristolochic acid also exhibits reduction of some of the toxic effects of prednisolone, chloramphenicol and tetracycline in experiments in vitro, and a reduction in the rate of recurrent herpes lesions in vivo.... aristolochia longa

(Irish) From the high fortress Arlissa, Arlise, Arlyss, Arlyssa, Arlyse, Arlys, Arlis... arliss

(Spanish) Feminine form of Armando; battlemaiden... armanda

(Persian) One who is desired; a goal Armanee, Armanii, Armahni, Arman, Armanie, Armany, Armaney, Armanea, Armaneah... armani

(French) A princess; born to royalty Armell, Armele, Armel, Armella, Armela... armelle

(Armenian) A woman from Armenia... armenouhie

(Welsh) One who foretells the future... armes

(Latin) An armed battiemaiden Armid, Armidee, Armidea, Armydea, Armydee, Armydya, Armidia, Armydia, Armida, Armilda, Armilde... armide

(Latin) A decorative bracelet Armillah, Armila, Armilah, Armylla, Armyllah, Armyla, Armylah... armilla

(Latin / German) Born into the nobility / a battlemaiden Arminee, Arminey, Armini, Arminie, Armyn, Armyne, Armina, Arminel... armine

(Hebrew) A chestnut color of brown

Armonit, Armonah... armona

Gilib.

Synonym: A. rusticana Gaertn et al.

Family: Cruciferae; Brassicaceae.

Habitat: Native to Europe; grown in gardens in northern India and in hill stations of southern India.

English: Horseradish.

Action: Circulatory stimulant, diaphoretic, diuretic, antibiotic. Used for both urinary and respiratory tract infections. Root—liver, spleen and pancreatic stimulant; an alternative to Cayenne pepper; urinary antiseptic; diuretic; used in the treatment of gout, increases excretion of uric acid; also for proteinura and vaginal discharges. An infusion is used for hepatitis.

Key application: In catarrhs of the respiratory tract and as a supportive therapy for infections of the urinary tract; externally for catarrhs of the respiratory tract and hyperaemic treatment of minor muscle aches. (German Commission E.) It is contraindicated in stomach and intestinal ulcers and kidney disorders; not to be administered to children under 4 years.

The root contains glucosinolates, mainly sinigrin, which releases allyl isothiocyanate on contact with the enzyme myrosin during crushing. The oil exhibits broad-spectrum antibiotic activity due to allyl isothiocyanates and allied compounds; used internally as stimulant, sudorific and diuretic. Antibiotic activity is stronger against Gram-positive bacteria than against Gram-negative bacteria. The oil also exhibits cytotoxic activity.

The root produces an inhibitory effect on the growth of Gram-negative bacteria of the typhoid-paratyphoid- entertitis group.

Kaempferol, a component of Horseradish, inhibits thyroid peroxidase, which is involved in the biosynthe sis of thyroid hormone. (Sharon M. Herr.)... armoracia lapathifolia

(German) One who is an eagle ruler Arnolda, Arnaldia, Arnaldea, Arnoldia, Arnoldea... arnalda

(American) Feminine form of Arnold; the eagle rules Arnel, Arnela, Arnessa, Arnisha, Arnell, Arnella... arnelle

(English) A little eagle Arnett, Arnetta, Arnete, Arneta, Arnet... arnette

(American) As strong as an eagle Arniah, Arnea, Arnya, Arneah, Arnyah... arnia

(Hebrew) An enlightened one Arninah, Arnyna, Arnynah, Aarnina, Arnine, Arnona... arnina

(Hebrew) From the river... arnon

(Wall. ex G. Don) Johnston.

Synonym: Macrotomia benthamii A. DC.

Family: Boraginaceae.

Habitat: The alpine Himalayas from Kashmir to Kumaon, at altitude of 3,000-3,900 m, and in Nepal.

Folk: Kashmiri Gaozabaan, Kashmiri Kahzabaan.

Action: Stimulant, cardiac tonic, expectorant, diuretic (syrup and jam, used in diseases of the mouth and throat, also in the treatment of fevers and debility.) The roots possess antiseptic and antibiotic properties.... arnebia benthamii

Arnica tea is a healing beverage, with a long history in treating a large array of ailments. It is used only externally, because of its toxicity. Arnica Tea description Arnica is a woodland plant from the same family as the sunflower. It normally grows in Central Europe and in the western United States, at high altitudes. It is known as mountain tobacco or smoke herb, because Native American Indians used to smoke this herb. Arnica tea has been used since the 16^th century to calm digestive disorders, reduce fever and for topical treatment when dealing with skin disorders. At present, Arnica tea is recommended to be used only externally, because of its potential toxicity. Its flowers are dried and used to prepare ointments, creams and gels to treat bruises and sprains. Arnica Tea brewing To prepare Arnica tea:

• Infuse 1 teaspoon of dried (or powdered) flower into ½ cup of hot water.
• Allow the mix to steep for about 10 minutes.

 Arnica tea should not be ingested or drunk. Its usage is only external. Arnica Tea benefits Arnica Tea is recognized for its anti-inflammatory and wound-healing properties. This tea has been successfully used to treat:

• muscle pains
• contusions
• sore feet
• leg ulcers in diabetics
• sprains and bruises
• hair loss
• acne
• scars, eczemas and itching caused by poison ivy

Arnica Tea side effects It has been proved that Arnica tea applied on open wounds or broken skin can increase the blood pressure. Arnica tea should be avoided in case of pregnancy. Also, people with sensitive skin are recommended not to use it. Long periods of Arnica tea usage can lead to eczema, edemas, rash, swelling and dermatitis. Arnica tea is a healing beverage which can heal skin problems and also, lessen pain. It is recommended to people looking for a medicinal remedy for their health issues.... arnica tea: a skin aid

(Maori) One who loves and is loved... aroha

A group of drugs that stop the action of the ENZYME, aromatase. This enzyme converts androgens (see ANDROGEN) to OESTROGENS. If this conversion is inhibited, the concentrations of oestrogens in the body are reduced – so these drugs operate against tumours, such as breast cancer, that depend on oestrogen for their growth. Aromatase inhibitors include anastrazole and formestane, and they are usually prescribed as second-line treatment after TAMOXIFEN, the prime drug treatment for breast cancer.... aromatase inhibitors

(Maori) One who is colorful and vivacious

Aronah, Aronnah, Aronna... arona

(Maori) One who is greatly desired... aronui

(Basque) Refers to the Virgin Mary... arrate

An abnormal or irregular rhythm, usually in reference to the heart.... arrhythmias

(Basque) Sprinkled with dew from heaven; resembling a rose Arrose... arrosa

(Russian) Feminine form of Arsenios; womanly Arsenie, Arseny, Arsene, Arcene, Arceni, Arcenee, Arsenee, Arsenia, Arsenya, Arsenea, Arcenea, Arseneah, Arceneah... arseni

(Welsh) One who is tormented Artaithe, Artayth, Artaythe, Artaeth, Artaethe... artaith

Also called Arteether and more soluble forms called Artesunate. An antimalarial drug derived from artemisinin. Artemisinin is produced from the Chinese herbal drug Qinghaosu. It is used for rapid clearance of susceptible peripheral parasites, especially in the treatment of severe malaria, due to Plasmodium falciparum.... artemether

(Greek) Virgin huntress; in mythology, goddess of the hunt and the moon Artemisa, Artemise, Artemys, Artema, Artemisia, Artemysia, Artemysya, Artemia, Artemus... artemis

(Linn. f.) Bhandari.

Synonym: A. odoratissimus R. Br.

Family: Annonaceae.

Habitat: Southern India, largely grown in gardens.

Ayurvedic: Panasagandhi, (Harit) Champaka.

Siddha/Tamil: Manoranjidam.

Folk: Haraa champaa (north), Kathari champaa; Hirvaa champaa (Maharashtra).

Action: Cardiac stimulant, uterine stimulant, muscle relaxant.

The extract of the pericarp showed a positive ionotropic and chronotropic effect on all types of experimental animals. The cardiac stimulant and uterine stimulant activity is attributed to the glycosides, whereas the relaxant action on plain muscles and hypotensive effect, which could be partly choliner- gic and partly resulting from vasodila- tory action, are probably due to the presence of the volatile oil.

The leaves are found to contain an antifertility principle. The root contains an antimalarial agent.... artabotrys hexapetalus

Linn.

Synonym: Absinthium vulgare Gaertn.

A. officinale Lam.

Family: Compositae; Asteraceae.

Habitat: Kashmir at altitudes of 1500-2100 m.

English: Wormwood, Maderwood.

Unani: Afsanteen, Vilaayati Afsan- teen.

Siddha/Tamil: Machipatri.

Folk: Mastiyaaraa (Punjab), Titween (Kashmir).

Action: Choleretic (bile and gastric juice stimulant), anthelmintic, stomachic, carminative, antispasmodic, anti-inflammatory, emme- nagogue, mild antidepressant; used in chronic fevers.

Key application: In loss of appetite, dyspepsia, biliary dyskinesia. (German Commission E.) In anorexia, for example, after illness, and dyspeptic complaints. (ESCOP.) It is contraindicated in gastric and duodenal ulcers. Excessive doses may cause vomiting, severe diarrhoea, retention of urine or dazed feeling and central nervous system disturbances. (ESCOP.)

The herb contains a volatile oil of variable composition, with alpha- and beta-thujone as the major component, up to about 35%; sesquiterpene lactones (artabasin, absinthin, anab- sinthin); azulenes; flavonoids; phenolic acids; lignans.

Thujone is a toxic constituent which shows hallucinogenic and addictive activity found in Indian hemp. It stimulates the brain; safe in small doses, toxic in excess. The azulenes are anti- inflammatory. The sesquiterpene lac- tones exhibit an antitumour effect and are insecticidal and anthelmintic.

Essential oil from leaves—antibacterial, antifungal. The oil is toxic at 10 ml.... artemisia absinthium

Blood that leaves the heart. When it leaves the right ventricle, it is venous blood; and when it leaves the left ventricle, through the aorta, it is fresh, hot, oxygenated red stuff. After it has passed out to the capillaries and started to return, it is venous blood.... arterial

An abnormal communication between an artery and a vein. It is usually the result of an injury, such as a stab or a gunshot wound, which involves both a neighbouring artery and vein.... arterio-venous aneurysm

(Hindi) One who is prosperous; wealthy Arthah, Arthi, Arthea... artha

Linn.

Family: Compositae; Asteraceae.

Habitat: The western Himalayas from Kashmir to Kumaon.

English: Wormseed, Santonica.

Ayurvedic: Chauhaara, Kirmaani Yavaani, Chuhaari Ajawaayin; not related to Ajawaayin.

Unani: Dirmanah, Kirmaalaa, Afsanteen-ul-bahar. (Dirmanah Turki is equated with A. stechmani- ana Besser.)

Folk: Kirmaani Ajawaayin, Kirmaani-owaa, Kirmaani-ajmo.

Action: Deobstructant, stomachic, anthelmintic (effective against roundworms), antifungal.

A decoction of the fresh plant is given in cases of intermittent and remittent fever.

A. maritima var. thomsoniana C. B. Clarke is a santonin-yielding var.; A. maritima var. fragrans (Willd.) Ledeb. is a non-santonin var.

Immature flowerheads and leaves contain santonin. Roots, stems and twigs are devoid of santonin. Santonin, a sesquiterpene lactone, is used for the treatment of ascaris and oxyuris infections. Large doses (0.3 g is adults and 0.06 in children) are toxic.

Beta-santonin is less anthelmintic in action than santonin; pseudosantonin is devoid of anthelmintic property.

Studies is albino mice revealed that santonin had no androgenic, estro- genic, antiestrogenic, progestational and antiprogestational effects.

Santonin is toxic at 60 mg in children; 200 mg in adults. (Francis Brinker.)

Dosage: Whole plant—3-6 g powder. (CCRAS.)... artemisia maritima

Wall. ex DC.

Family: Compositae, Asteraceae.

Habitat: Western Himalayas at 2,100-3,000 m.

Ayurvedic: Gangaa Tulasi.

Folk: Kundiyaa, Chamariyaa.

Action: Leaf—haemostatic. Essential oil—antibacterial, antifungal (in 1:1000 dilution).

The major components ofthe essential oil from leaves and flowering tops are alpha-terpinene, thujyl alcohol, ter- penyl acetate, nerol, phellandrene, ci- neol, neral, thujyl acetate, beta-thujone and artemisol.

Related sp., known as Gangaa Tu- lasi, are Artemisia lacrorum Ledeb. and A. parviflora Wight.... artemisia vestita

Linn. var. nilagirica Clarke.

Synonym: A. nilagirica (Clarke) Pamp.

Family: Compositae; Asteraceae.

Habitat: The hilly regions of India, also in Mount Abu in Rajasthan, in western Ghats, and from Konkan southward to Kerala.

English: Indian Wormwood, Fleabane, Dungwort, Mugwort, Wild Wormwood.

Ayurvedic: Damanaka, Pushpachaa- mara, Gandhotkata. (Related sp.: A. siversiana Ehrh. ex Willd.)

Unani: Afsanteen-e-Hindi. (National Formularly of Unani Medicine clubbed it with Baranjaasif.)

Siddha/Tamil: Maasipattiri.

Folk: Daunaa, Damanaa.

Action: Leaf—emmenagogue, menstrual regulator, nervine, stomachic (in anorexia and dyspepsia), an- thelmintic, choleretic, diaphoretic.

An infusion of flower tops is administered in nervous and spasmodic affections. The herb is also used as an antilithic. Oil from leaves— antibacterial, antifungal in 1:1000 dilution.

Key application: As emmenagogue. (The British Herbal Pharmacopoeia.)

The plant yields about 0.34% of an essential oil. Plants at lower altitude had more percentage of cineol, thu- jone, thujyl and citral, whereas from higher altitude terpenes are in higher percentage. The highest amount of cineol was reported to be 30%.

The plant is also used as an inferior substitute for cinchona in fevers.... artemisia vulgaris

Arteries are vessels which convey oxygenated blood away from the heart to the tissues of the body, limbs and internal organs. In the case of most arteries the blood has been puri?ed by passing through the lungs, and is consequently bright red in colour; but in the pulmonary arteries, which convey the blood to the lungs, it is deoxygenated, dark, and like the blood in veins.

The arterial system begins at the left ventricle of the heart with the AORTA, which gives o? branches that subdivide into smaller and smaller vessels. The ?nal divisions, called arterioles, are microscopic and end in a network of capillaries which perforate the tissues like the pores of a sponge and bathe them in blood that is collected and brought back to the heart by veins. (See CIRCULATORY SYSTEM OF THE BLOOD.)

The chief arteries after the aorta and its branches are:

(1) the common carotid, running up each side of the neck and dividing into the internal carotid to the brain, and external carotid to the neck and face;

(2) the subclavian to each arm, continued by the axillary in the armpit, and the brachial along the inner side of the arm, dividing at the elbow into the radial and the ulnar,

which unite across the palm of the hand in arches that give branches to the ?ngers;

(3) the two common iliacs, in which the aorta ends, each of which divides into the internal iliac to the organs in the pelvis, and the external iliac to the lower limb, continued by the femoral in the thigh, and the popliteal behind the knee, dividing into the anterior and posterior tibial arteries to the front and back of the leg. The latter passes behind the inner ankle to the sole of the foot, where it forms arches similar to those in the hand, and supplies the foot and toes by plantar branches.

Structure The arteries are highly elastic, dilating at each heartbeat as blood is driven into them, and forcing it on by their resiliency (see PULSE). Every artery has three coats: (a) the outer or adventitia, consisting of ordinary strong ?brous tissue; (b) the middle or media, consisting of muscular ?bres supported by elastic ?bres, which in some of the larger arteries form distinct membranes; and (c) the inner or intima, consisting of a layer of yellow elastic tissue on whose inner surface rests a layer of smooth plate-like endothelial cells, over which ?ows the blood. In the larger arteries the muscle of the middle coat is largely replaced by elastic ?bres, which render the artery still more expansile and elastic. When an artery is cut across, the muscular coat instantly shrinks, drawing the cut end within the ?brous sheath that surrounds the artery, and bunching it up, so that a very small hole is left to be closed by blood-clot. (See HAEMORRHAGE.)... arteries

ARTERIES are the blood vessels that convey blood away from the heart to the tissues. The commonest cause of arterial disease is a degenerative condition known as atherosclerosis. Less commonly, in?ammation of the arteries occurs; this in?ammation is known as arteritis and occurs in a variety of conditions.

Atherosclerosis is due to the deposition of CHOLESTEROL into the walls of arteries. The process starts in childhood with the development of fatty streaks lining the arteries. In adulthood these progress, scarring and calcifying to form irregular narrowings within the arteries and eventually leading to blockage of the vessel. The consequence of the narrowing or blockage depends on which vessels are involved

– diseased cerebral vessels cause strokes; coronary vessels cause angina and heart attacks; renal vessels cause renal failure; and peripheral arteries cause limb ischaemia (localised bloodlessness).

Risk factors predisposing individuals to atherosclerosis include age, male gender, raised plasma cholesterol concentration, high blood pressure, smoking, a family history of atherosclerosis, diabetes and obesity.

Arteritis occurs in a variety of conditions that produce in?ammation in the arteries. Examples include syphilis – now rare in Britain

– which produces in?ammation of the aorta with subsequent dilatation (aneurysm formation) and risk of rupture; giant cell arteritis (temporal arteritis), a condition usually affecting the elderly, which involves the cranial arteries and leads to headache, tenderness over the temporal arteries and the risk of sudden blindness; Takayasu’s syndrome, predominantly affecting young females, which involves the aortic arch and its major branches, leading to the absence of pulse in affected vessels; and polyarteritis nodosa, a condition causing multiple small nodules to form on the smaller arteries. General symptoms such as fever, malaise, weakness, anorexia and weight loss are accompanied by local manifestations of ischaemia (bloodlessness) in di?erent parts of the body.... arteries, diseases of

Arthropods are segmented invertebrates with jointed legs. They include a wide range of organisms, such as scorpions, mites, ticks, spiders and centipedes (see also ARBOVIRUSES).... arthropods

(English) Feminine form of Arthur; as strong as a she-bear Arthurina, Arthuretta, Arthuryne, Arthes, Arthene... arthurine

Artichoke leaf tea is one of oldest natural remedies valued by Egyptians. Nowadays, it is largely used to treat ailments like constipation, indigestion or liver disorders, but not only. Artichoke leaf tea description Artichoke is a perennial thistle plant originating from the Mediterranean areas of Southern Europe and North Africa. It has arching leaves which are deeply lobed. Artichoke usually blossoms from the end of spring up to the middle of summer. It is said to be one of the world’s oldest vegetables. People normally intake the fleshy portion of the artichoke leaves, its green base and its core. Artichoke leaf tea is the beverage resulting from brewing the leaves of the abovementioned plant. It is a caffeine-free substitute for those who want to avoid consuming coffee. Artichoke Leaf Tea brewing To prepare Artichoke leaf tea, consumers need a teapot, a strainer and a heatproof cup or mug:

• Heat water in a teapot to about 208 degrees F (or bring the water to a boil)
• Remove from heat for a minute or two
• Pour water into your cup or mug
• Immerse the tea bag (in case of loose-leaf tea, use a tea strainer)
• Let it steep for four to five minutes (If you steep the tea longer, the flavor will be stronger, but the tea might taste bitter)
• Remove the tea from the mug and serve it
• Add milk and/or sugar to taste

Artichoke Leaf Tea benefits Studies have shown that Artichoke leaf tea is successfully used to:

• lower bad cholesterol levels
• lower the risks of cardiovascular diseases
• promote good digestion by helping relieve constipation, heartburn, diarrhea and bloating
• support the functions of the liver fighting against cirrhosis and other ailments of the liver
• help lower blood sugar levels
• help lower the risks for diabetes
• help in the treatment of problems affecting the kidney
• strengthen the immune system
• eliminate toxins
• clean the skin

Artichoke Leaf Tea side effects Artichoke leaf tea is not recommended for patients with gallstones. Pregnant and nursing women, as well as small children, should not intake it until further research is conducted. Artichoke leaf tea is a beverage with no caffeine content, used to help in treating a large array of diseases. Except its healthy properties, it can be a good alternative for an afternoon or evening tea.... artichoke leaf tea

Nutritional Profile Energy value (calories per serving): Low Protein: Moderate Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: Low Sodium: Moderate to high Major vitamin contribution: Vitamin C Major mineral contribution: Potassium

About the Nutrients in This Food Globe artichokes are prickly plants with partly edible leaves enclosing a tasty “heart.” Their most important nutrients are vitamin C and iron. One medium boiled artichoke has 10.3 g dietary fiber, 8.9 mg vita- min C (12 percent of the R DA for a woman, 10 percent of the R DA for a man), and 0.7 mg iron (4 percent of the R DA for a woman, 9 percent of the R DA for a man). One-half cup artichoke hearts has 7.2 g dietary fiber, 6.2 mg vitamin C (8 percent of the R DA for a woman, 7 percent of the R DA for a man), and 0.5 mg iron (3 percent of the R DA for a woman, 6 percent of the R DA for a man). Raw globe artichokes contain an enzyme that interferes with protein digestion; cooking inactivates the enzyme.

The Most Nutritious Way to Serve This Food Cooked.

Diets That May Restrict or Exclude This Food * * *

Buying This Food Look for: Compact vegetables, heavy for their size. The leaves should be tightly closed, but the color changes with the season—bright green in the spring, olive green or bronze in the winter if they have been exposed to frost. Avoid: Artichokes with yellowed leaves, which indicate the artichoke is aging (the chloro- phyll in its leaves has faded so the yellow carotenes underneath show through).

Storing This Food Do refrigerate fresh globe artichokes in plastic bags. Do refrigerate cooked globe artichokes in a covered container if you plan to hold them longer than a day or two.

Preparing This Food Cut off the stem. Trim the tough outer leaves. Then plunge the artichoke, upside down, into a bowl of cold water to flush out debris. To remove the core, put the artichoke upside down on a cutting board and cut out the center. Slicing into the base of the artichoke rips cell walls and releases polyphenoloxidase, an enzyme that converts phenols in the vegetable to brown compounds that darken the “heart” of the globe. To slow the reaction, paint the cut surface with a solution of lemon juice or vinegar and water.

What Happens When You Cook This Food Chlorophyll, the green plant pigment, is sensitive to acids. When you heat a globe artichoke, the chlorophyll in its green leaves reacts with acids in the artichoke or in the cooking water, forming brown pheophytin. The pheophytin, plus yellow carotenes in the leaves, can turn a cooked artichoke’s leaves bronze. To prevent this reaction, cook the artichoke very quickly so there is no time for the chlorophyll to react with the acid, or cook it in lots of water to dilute the acids, or cook it with the lid off the pot so that the volatile acids can float off into the air.

How Other Kinds of Processing Affect This Food Canning. Globe artichoke hearts packed in brine are higher in sodium than fresh arti- chokes. Artichoke hearts packed in oil are much higher in fat. Freezing. Frozen artichoke hearts are comparable in nutritional value to fresh ones.

Medical Uses and/or Benefits Anti-inflammatory action. In 2006, a report in the Journal of the Pharmaceutical Society of Japan suggested that cynarin might be beneficial in lowering blood levels of cholesterol and that cynaropicrin, a form of cynarin found in artichoke leaves, might act as an anti-inflamma- tory agent, protecting the skin from sun damage, improving liver function, and reducing the effects of stress-related gastritis. Reduced levels of cholesterol. In 2008, researchers at the University of Reading (United King- dom) published a report in the journal Phytomedicine detailing the results of a 150-person study suggesting that an over-the-counter herbal supplement containing extract of globe arti- choke leaf lowers cholesterol in healthy people with moderately raised cholesterol readings. In the study, 75 volunteers were given 1,280 mg of the herbal supplement each day for 12 weeks; a control group got a placebo (a look-alike pill without the herbal supplement). At the end of the trial, those who took the artichoke leaf extract experienced an average 4.2 percent decrease in cholesterol levels, a result the researchers deemed “modest but significant.”

Adverse Effects Associated with This Food Contact dermatitis. Globe artichokes contain essential oils that may cause contact dermati- tis in sensitive people. Alterations in the sense of taste. Globe artichokes contain cynarin, a sweet tasting chemical that dissolves in water (including the saliva in your mouth) to sweeten the flavor of anything you eat next.

Food/Drug Interactions False-positive test for occult blood in the stool. The guaiac slide test for hidden blood in feces relies on alphaguaiaconic acid, a chemical that turns blue in the presence of blood. Arti- chokes contain peroxidase, a natural chemical that also turns alphaguaiaconic acid blue and may produce a positive test in people who do not have blood in the stool.... artichoke, globe

The design and study of computer systems that have properties resembling human intelligence, such as natural language, problem-solving, and analysis of novel situations.... artificial intelligence (ai)

See ARTHROPLASTY.... artificial joints

See DIALYSIS.... artificial kidney

See PROSTHESIS.... artificial limbs and other parts

See APPENDIX 1: BASIC FIRST AID.... artificial respiration

When we breathe in, the outward movement of the chest increases the volume of the lungs and the pressure in them falls below that of the outside world. Therefore, air is drawn in automatically. When we breathe out, some air exits because of the normal elastic recoil of the lungs, but we also force air out by using the muscles of the chest and the DIAPHRAGM. Replicating this arti?cially involves using a device to produce intermittent positive or negative pressure ventilation as described below.... artificial ventilation of the lungs

(Sunchoke)

Nutritional Profile Energy value (calories per serving): Low Protein: Moderate Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: High Sodium: Moderate Major vitamin contribution: Folate, vitamin C Major mineral contribution: Potassium

About the Nutrients in This Food Jerusalem artichokes are the edible roots of a plant related to the American sunflower. They store carbohydrates as inulin, a complex carbohydrate (starch) made of units of fruit sugar (fructose). Right after the Jerusalem artichoke is dug up, it tastes bland and starchy. After it has been stored for a while, the starches turn to sugars, so the artichoke tastes sweet. Jerusalem artichokes are high in fiber with the B vitamin folate, vitamin C, and iron. One-half cup raw sliced Jerusalem artichoke has one gram dietary fiber, 10 mcg folate (2.5 percent of the adult R DA), 3 mcg vitamin C (4 percent of the R DA for a woman, 3 percent of the R DA for a man), and 2.5 mg iron (14 percent of the R DA for a woman, 32 percent of the R DA for a man).

The Most Nutritious Way to Serve This Food Sliced and served raw in salads or cooked as a vegetable side dish.

Diets That May Restrict or Exclude This Food Low-sodium diet

Buying This Food Look for: Firm clean roots with no soft or bruised patches.

Storing This Food Refrigerate Jerusalem artichokes in plastic bags, covered containers or the vegetable crisper to protect their moisture and keep them fresh.

Preparing This Food When you slice a Jerusalem artichoke, you tear cell walls, releasing polyphenoloxidase, an enzyme that converts phenols to brown compounds that darken the flesh. You can slow the reaction (but not stop it completely) by painting the cut surface with a solution of lemon juice or vinegar and water.

What Happens When You Cook This Food In cooking, the starch granules in the Jerusalem artichoke absorb water, swell, and eventu- ally rupture, softening the root and releasing the nutrients inside.

Adverse Effects Associated with This Food Some people are unable to properly digest inulin, the carbohydrate in the Jerusalem arti- choke. For them, eating this tuber raw may cause painful gas. Cooking breaks down inulin and improves digestibility.... artichoke, jerusalem

A foreign body found in living tissue viewed under a microscope. It is usually caused by faulty preparation of a specimen, with the result that disease or abnormality seems to be present.

Arti?cial Insemination

In this method of fertilisation, SEMEN is collected either by the husband (AIH) or by a donor (AID) through masturbation and introduced into the cervix (neck of the womb) by means of an instrument around the time of OVULATION.

AIH is thought to be particularly useful for men with retrograde ejaculation or erectile IMPOTENCE. AID may be considered when the partner’s sperm count is either very low or zero.

Insemination can be made with fresh or frozen semen. Donors should be tested for sexually transmitted diseases and their identity remain unknown to the infertile couple. The pregnancy rate over six months is 50–60 per cent. Arti?cial insemination is usually done at specially sta?ed centres with facilities to store semen and provide the individuals involved with appropriate counselling. Success rates are up to 70 per cent with fresh semen (used over a six-month period) and over 50 per cent with frozen semen.... artifact (artefact)

(Irish / English / Icelandic) Lofty hill; noble / rock / follower of Thor Artisa, Artise, Artys, Artysa, Artyse, Artiss, Arti, Artina, Artine, Artice... artis

Linn. f.

Synonym: A. heterophyllus Lam.

Family: Moraceae.

Habitat: Cultivated throughout the hotter parts of India.

English: Jackfruit, Jack tree.

Ayurvedic: Panasa, Kantakiphala, Ativrihatphala, Aamaashayaphala.

Siddha/Tamil: Murasabalam.

Folk: Katahal, Phanasa.

Action: Latex—bacteriolytic, promotes healing of abscesses. Juice of the plant—applied to glandular swellings and abscesses for promoting suppuration. Root— used for diarrhoea, asthma, skin diseases. Unripe fruit—acrid, astringent. Ripe fruit—cooling, laxative, difficult to digest. Seeds— diuretic. Lactin extraction showed potent and selective stimulation of distinct human T and B cells.

The seed extract stimulates the heart and causes a fall in arterial blood pressure of experimental animals pretreat- edwithphysostigmine. The seeds show equal inhibitory activity against trypsin and chymotrypsin. (The activity is destroyed when the seeds are boiled or baked.)

The leaves and stems show presence of sapogenins, and exhibit estrogenic activity.

An aqueous extract of mature leaves exhibited hypoglycaemic activity in experimental animals. Leaves contain cycloartenone, cycloartenol and beta-sitosterol. Heartwood contains flavonoids, artocarpesin and norarto- carpetin and their structures.

Dosage: Fruit—50-100 ml decoction. (CCRAS.)... artocarpus integrifolia

(French) Woman of the Netherlands... artois

(Arabic) A woman who loves her husband Aruba, Arubah... arub

(Indian) One who is not restrained; the name of a star Arundhatie, Arundhaty, Arundhatey, Arundhatee, Arundhatea, Arundhateah... arundhati

(African) A girl born during the time of a wedding

Arusie, Arusy, Arusey, Arusee, Arusea, Aruseah, Arusye... arusi

(Latin) From the sea; one who is fertile Arvah, Arvia, Arvya... arva

(English) Feminine form of Arvid; from the eagle tree

Arvidah, Arvidia, Arvada, Arvinda, Arvyda, Arvydah... arvida

(Arabic) A female mountain goat... arwa

Buch.-Ham.

Synonym: A. lakoocha Roxb.

Family: Moraceae.

Habitat: Cultivated in Uttar Pradesh, Bengal, Khasi Hills and western Ghats.

English: Monkey Jack.

Ayurvedic: Lakuch, Kshudra Panas, Granthiphala, Pitanaasha.

Siddha/Tamil: Ilangu, Irapala, Ottipilu (Tamil).

Folk: Badhar.

Action: Bark—when applied externally, draws out purulent matter; heals boils, cracked skin and pimples. Seeds—purgative, haemagglutinating. Stems— vermifuge.

The stembark contains oxyresvera- trol, used for tapeworm.

A lectin, artocarpin, isolated from seeds, precipitates several galactoman- nans. It agglutinates rat lymphocytes and mouse ascites cells.

Dosage: Fruit—5-10 ml juice. (CCRAS.)... artocarpus lacucha

Linn.

Family: Gramineae; Poaceae.

Habitat: Native to Mediterranean region; found in Kashmir, Assam and the Nilgiris, also grown in hedges.

English: Great Reed, Spanish- Bamboo-Reed, Giant-Bamboo- Reed.

Ayurvedic: Nala, Potgala, Shuunya- madhya, Dhamana.

Siddha/Tamil: Korukkai.

Action: Rhizome—sudorific, emollient, diuretic, antilactant, antidropsical; uterine stimulant (stimulates menstrual discharge), hypotensive.

The rhizome yields indole-3-alkyl- amine bases, including bufotenidine and dehydro-bufontenine. The leaves yield sterols and triterpenoids.

Bufotenidine possesses antiacetyl- choline properties, histamine release activity and is a uterine stimulant. Alkaloids from the flowers produced cu- rarimetic effect of the non-polarizing type.

Dosage: Root—50-100 ml decoction. (CCRAS.) 4.5%) with methyl eugenol (an important constituent of A. europaeum), and also aristolochic acid. (Aristolochic acid is carcinogenic and nephrotoxic.) Asarum sp. are not used as a substitute for ginger.... arundo donax

(Welsh) A prophetic sign... arwydd

(Indian) One who is noble and honored Aryah, Aryana, Aryanna, Aryia... arya

(Hebrew) Cedar panels Ariza, Arzice, Arzit... arza

(African) One who is prosperous Arzikie, Arzik.ee, Arzyki, Arzykie, Arzikea, Arzykea, Arziky, Arzikey, Arzyky, Arzykey... arziki

DC.

Sub sp. ? B. asiatica Roxb. ex DC.

Substi. ? B. lycium Royle & other species.

Family: Berberidaceae.

Habitat: Northwestern Himalayas, Nilgiris, Kulu and Kumaon.

English: Indian Barberry.

Ayurvedic: Daaruharidraa, Daaru, Daarvi, Daarunishaa, Daarura- jani, Vrahitaphala, Valliphala, Sthirphala. Pushpaphala, Somakaa, Parjanyaa, Parjani, Kantkateri, Taarthya, Pachampachaa. Kaaliyaka is now equated with Pita Chandana (Coscinium fenestratum (Gaertn.) Colebr., Menispermaceae). Extract—Rasaanjana.

Unani: Daarhald. Rasaut (extract). Zarishk (fruit).

Siddha/Tamil: Marmanjal.

Action: Rasaut, Rasasranjana (extract)—bitter, cholagogue, antidiarrhoeal, stomachic, laxative, diaphoretic, antipyretic, antiseptic. Used externally in opthalmia,conjunctivitis, ulcers, sores, swollen gums. Root bark— anti-inflammatory, hypoglycaemic hypotensive, antiamoebic, anticoagulant, antibacterial. Bark— used in liver complaints, diarrhoea, dysentery, cholera, gastric disorders, enlargement of spleen and for regulating metabolism. Berries— antiscorbutic, laxative.

Berberine hydrochloride and sulphate help in the diagnosis of latent malaria by releasing the parasites into the blood stream.

Alkaloid berberine possesses antibacterial and anti-inflammatory activities. It is used as an intestinal antiseptic and bitter stomachic. It also exhibits antineoplastic properties. (Its synthetic derivative dihydroberberine is used in brain tumour.)

Berberine has been found to inhibit the activity of enzymes trypsin (32%) and chymotrypsin (60%) in in-vitro studies.

B. asiatica Roxb.ex Dc. is found in the Himalaya at 900-3,000 m, Assam and Bihar.

See B. vulgaris.

Dosage: Extract—1-3 g (CCRAS.); dried stem—5-10 ml decoction. (API Vol. II.)... berberis aristata

When coronary arteries, narrowed by disease, cannot supply the heart muscle with su?cient blood, the cardiac circulation may be improved by grafting a section of vein from the leg to bypass the obstruction. Around 10,000 people in the United Kingdom have this operation annually and the results are usually good. It is a major procedure that lasts several hours and requires the heart to be stopped temporarily, with blood circulation and oxygenation taken over by a HEART-LUNG MACHINE.... coronary artery vein bypass grafting (cavbg)

(Linn. f.) F. N. Williams.

Synonym: B. hispada (L.) K. Sch. Spermacoce hispida Linn.

Family: Rubiaceae.

Habitat: Throughout India, as a weed in cultivated and sallow lands and pastures.

English: Shaggy Button Weed.

Ayurvedic: Madana-ghanti.

Siddha/Tamil: Nathaichoori.

Folk: Ghanti-chi-bhaaji (Maharashtra), Gatbhanjan, Satgathiyaa.

Action: Herb—used in the treatment of headache. Root—prescribed as a mouthwash in toothache. Leaf— juice is given as an astringent in haemorrhoids. Seeds—used as demulcent in diarrhoea and dysentery.

The weed contains beta-sitosterol, ursolic acid and D-mannitol. It is rich in calcium and phosphorus. Isorham- netin, a flavonoid, is reported in the seeds.... borreria articularis

Abnormal rhythm of the heartbeat. Most commonly seen after someone has had a myocardial infarction, but also present in some normal individuals – especially if they have taken a lot of co?ee or other stimulant – and in those with a congenital abnormality of the heart-muscle conducting system. The cause is interference in the generation or transmission of electrical impulses through the heart’s conducting system. Occasional isolated irregular beats (ectopic beats) do not necessarily mean that conduction is faulty. Arrhythmias can be classi?ed as tachycardias (more than 100 beats a minute) or bradycardias (slower than 60 beats a minute). Heartbeats may be regular or irregular. (See HEART, DISEASES OF.)... cardiac arrhythmia

Roxb.

Family: Barringtoniaceae.

Habitat: Sub-Himalayan tract, from Jammu eastwards to West Bengal, Madhya Pradesh and Tamil Nadu.

English: Kumbi, Slow-Match tree.

Ayurvedic: Katabhi, Kumbhi- ka, Kumbhi, Kumbi, Kaitrya, Kumudikaa.

Siddha/Tamil: Kumbi, Ayma.

Action: Bark—demulcent (in coughs and colds), antipyretic and antipruritic (in eruptive fevers), anthelmintic, antidiarrhoeal. An infusion of flowers is given after child birth.

Seeds contain triterpenoid sapo- genols, sterols; leaves contain a tri- terpene ester, beta-amyrin, hexaco- sanol, taraxerol, beta-sitosterol, quer- cetin and taraxeryl acetate.

Careya herbacea Roxb., a related species, is known as Kumbhaadu-lataa in Bengal.

Dosage: Bark—50-100 ml decoction. (CCRAS.)... careya arborea

Linn.

Family: Amaranthaceae.

Habitat: A common weed, occurring throughout India.

English: Wild Cock's Comb.

Ayurvedic: Shitivaaraka, Vitunna.

Siddha/Tamil: Pannaikeerai.

Folk: Shveta-murga, Sarvari, Sarvali, Surali.

Action: Flowers—used in menor- rhagia, blood-dysentery. Seeds— antidiarrhoeal, also used in stomatitis. Whole plant—antibacterial, antiscorbutic and cooling.

Tender leaves are rich in potassium and in B1 and B6. An alcoholic extract of the leaves and its flavonoids showed antibacterial activity, which was comparable to ampicillin and streptomycin.

The seeds contain 11.6-17% of protein and 6.4-10.9% of a fatty oil. The seeds and roots yield triterpenoid sapo- nins. An alcoholic extract of the seeds possess significant diuretic activity.... celosia argentea

Baker.

Family: Liliaceae.

Habitat: The Himalaya from Nepal to Bhutan, Assam and Bihar.

Ayurvedic: Shveta-Musali. (Considered different from Asparagus adscendens Roxb.)

Unani: Musali Safed, Biskandri.

Siddha/Tamil: Vallaimusali.

Folk: Nising, Tibbati Ginseng.

Action: Tuber—nervine and general tonic. The plant is used as a substitute for onion. Fried powder of the root is chewed in aphthae of mouth and throat. A decoction of the root with turmeric is given in rheumatism.

The roots contain a bibenzyl xylo- side, the steroidal sapogenins, besides stigmasterol and its glucoside, nona- cosane and tetracosanoic, and triacon- tanoic acids.

The root extract exhibited good adaptogenic properties. The fruits yield a polysaccharide, galactoglucan.... chlorophytum arundinaceum

A well defined geographical area, for example a tropical rain forest, characterised by certain assemblages of plants and animals (including insects).... ecological area

Linn.

Family: Papilionaceae; Fabaceae.

Habitat: Cultivated in most parts of India.

English: Bengal Gram, Chick pea.

Ayurvedic: Chanaka, Chanakaa, Harimantha, Vajimantha, Jivan, Sakal-priya.

Unani: Nakhud.

Siddha/Tamil: Kadalai, Mookkuk- kadalai.

Action: Antibilious, hypoc- holesteremic, antihyperlipidemic, antistress. Acid exudate from the plant—used in indigestion, diarrhoea, dysentery. Seed coat extract—diuretic, antifungal (externally). Dry leaf—refrigerant.

Supplementation of gram in wheat based diet helps in lysine absorption which is otherwise a limiting amino acid in cereal based diets. Germination improves mineral bioavailability. In germinated gram flour, there is significant increase in nutritional quality of protein and very significant increase in ascorbic acid.

The seeds contain pangamic acid, the stemina building, antistress and antihyperlipidemic principle of gram. Gram is given as preventive diet to atherosclerosis patients because of its rich phosphorus content.

Isoflavones, biochanin A and for- monetin exhibited hypolipidermic activity in rats. Total flavonoids reduced serum and liver cholesterol in rats.

Seeds reduced postprandial plasma glucose in human.... cicer arietinum

Linn.

Synonym: Armoracia rusticana Gilib.

Family: Cruciferae, Brassicaceae.

Habitat: Eastern Europe; cultivated in Britain and the USA. Grown to a small extent in North India and hill stations of South India.

English: Horseradish.

Action: Root—used for catarrhs of the respiratory tract. Antimicrobial and hyperemic.

The root contains glucosinolates, mainly sinigrin, which releases allyl- isothiocyanate on contact with the enzyme myrosin during crushing and 2-phenylethylglucosinolate. Crushed horseradish has an inhibitory effect on the growth of micro-organisms.

Fresh root contains vitamin C on an average 302 mg% of ascorbic acid.

A related species, C. cochlearioides (Roth) Sant & Mahesh, synonym C. flava Buch.-Ham. ex Roxb. (upper

Cocos nucifera Linn. 163 and lower Gangetic valleys), is used for fevers.... cochlearia armoracia

Linn.

Family: Rubiaceae.

Habitat: Grown in Tamil Nadu, Karnataka and Kerala.

English: Arabian coffee.

Unani: Kahvaa.

Siddha/Tamil: Kaapi, Bannu.

Action: Diuretic, antinarcotic, psychotropic agent, direct heart stimulant (raises blood pressure). Neutralizes therapeutic effects of many herbs; potentiates the action of aspirin and paracetamol; depletes the body of B-vitamins. Charcoal of the outer seed parts—astringent, absorbent.

Key application: Powdered coffee charcoal—in nonspecific, acute diarrhoea; local therapy of mild inflammation of oral and pharyngeal mucosa (average daily dose 9 g). (German Commission E.)

According to WHO, coffee drinking is not responsible for breast cancer and may protect against cancer of colon and rectum. Caffeic and chlorogenic acids in coffee act as anticarcinogens.

Bronchial asthma is less frequent among coffee drinkers due to caffeine and theophylline.

The aroma components include several furfuryl methyl mercaptan derivatives. Coffee extracts yielded organic acids. Atractyloside, several sterols and acids, as well as alkaloids, have been reported. Caffeine is the major alkaloid of coffee. One cup of coffee contains approx. 60-120 mg caffeine; other active constituents include chlorogenic acid, caffeol and diterpenes.

Chlorogenic acid in coffee might inhibit glucose-6-phosphatase, which might lower hepatic glucose production caffeine seems to stimulate pancreatic beta cells to secrete insulin. (Natural Medicines Comprehensive Database, 2007.)... coffea arabica

Linn.

Family: Malvaceae.

Habitat: Cultivated all over India as a fibre plant.... gossypium arboreum

A geographic area designated on the basis of such factors as geography, political boundaries, population and health resources, for the effective planning and development of health services.... health service area

(Burm. f) Moore.

Family: Adiantaceae.

Habitat: Plains and mountains of South India up to 1,200., and in West Bengal, Bihar and Orissa.

English: Mule Fern.

Folk: Raamabaanam (Andhra Pradesh), Chakuliya (Bengal).

Action: Fonds—antibacterial, used in burns and as febrifuge.

Heracleum candicans Wall. ex DC.... hemionites arifolia

A narrowed or blocked coronary artery (see ARTERIES) can compromise the blood supply to the heart muscle (see HEART, DISEASES OF). A supportive tube or stent passed into each affected artery can restore the blood supply. The stent has a HEPARIN coating to stop blood clots from forming. Since it was ?rst performed in 1987, intracoronary stents have cut the reblockage rate from one in three patients who have had coronary ANGIOPLASTY to fewer than one in ten in cases where a stent was used with angioplasty.... intracoronary artery stenting

See DIALYSIS.... kidney, artificial

See PROSTHESIS.... limbs, artificial

Linn.

Family: Convolvulaceae.

Habitat: Throughout India, up to 3,000 m in the Himalayas.

English: Deer's Foot.

Ayurvedic: Bhadrabalaa, Hiranpadi.

Unani: Lablaab.

Folk: Hirankhuri, Haranpagaa.

Action: Plant—cooling, anticonvul- sant. Root—cathartic.

Plant extract—hypotensive in cats; raises coronary rate. Alkaloids—hy- potensive, without vasodilation. EtOH extract—anticonvulsant in rats. Aqueous extract—exhibited muscarinic and micotinic activity.

The dried rhizome contains 4.9% resin. The cathartic action of the resinous substance is about one third of that of jalap (Ipomoea purga Hayne) resin.

All parts of the plant contain beta- Me-esculetin; aerial parts n-alkanes, n-alkanols, alpha-amyrin and sterols; roots gave cuscohygrine.... convolvulus arvensis

Salisb.

Family: Zingiberaceae.

Habitat: Cultivated chiefly in West Bengal and Kerala.

English: Wild turmeric, Yellow Zedoary.

Ayurvedic: Karpuraa, Aranya-rajani kanda, Van Haridraa.

Unani: Daarchob.

Siddha/Tamil: Kastoori Manjal.

Action: Uses similar to those of C. longa. Essential oil from rhizomes— antimicrobial, antifungal and anthelmintic. The tubers are applied externally to bruises and sprains, to skin eruptions and infections. A decoction is administered in biliary gastritis.

Fresh rhizomes contain a number of sesquiterpenes including curdione and cerumol. Curcumol and curdione showed inhibitory activity on sarcoma 180 in mice.

The rhizomes yield 6.1% of an essential oil with d-camphene 0.8, d- camphor 2.5, sesquiterpenes 65.5, ses- quiterpene alcohols 22.0, acids 0.7%. The essential oil shows high amounts of ar-curcumene (18.6%), beta-cur- cumene (25.5%) and xanthorrhizol (25.7%).

The oil, on intraperitoneal administration, partly reversed toxipathic hepatitis in mice induced by CCl4.

Dosage: Rhizome—1-3 g powder. (CCRAS.)... curcuma aromatica

Miers.

Synonym: C. peltata Hook. F & Thoms.

Family: Menispermaceae.

Habitat: Throughout South and East India and in the Andaman and Nicobar Islands.

Ayurvedic: Raaj-Paathaa (bigger var. of Paathaa, Cissampelos pareira Linn.).

Siddha/Tamil: Para.

Action: Roots—used in smallpox, bone fractures, malarial fever, jaundice, stomachache.

The root yielded tetrandrine as the major alkaloid. Tetrandrine (0.1 g/day) was found effective in the treatment of chloroquine resistant malaria.

Tetrandrine possesses cytotoxic and immunomodulatory properties and is indicated in the treatment of chronic inflammatory diseases. It shows an- tihypertensive, cardiac depressant and vasodilator effect. It also exhibits antiallergic activity.... cyclea arnotii

A measure of central tendency. The sum of all the values in a set of measurements divided by the number of values in the set.... mean, arithmetric

Gaudich.

Synonym: Pogonia flabelliformis Lindl.

Family: Orchidaceae.

Habitat: Tropical Himalayas from Garhwal eastwards at altitudes of 1,200-1,500 m and in Bihar, Konkan, North Kanara and Travancore.

Ayurvedic: Padmachaarini, Shankhaaluka. (Sthala Kamala is a doubtful synonym.)

Action: Astringent, diuretic (used in dysuria).

A decoction of leaves is given after parturition.... nervilia aragoana

Lindl.

Ayurvedic: Jivanti (substitute). (Dendrobium macraei Lindl. is also used as a substitute for Jivanti. Jivanti is equated with Leptadenia reticulata W. & A.)

Action: Age-sustaining tonic, restorative.... pholidota articulata

D. Don.

Family: Rosaceae.

Habitat: Temperate Himalaya from Himachal Pradesh to Sikkim and the hills of Assam at 1,200-4,350 m.

Ayurvedic: Bajradanti (Kumaon and Garhwal). Potentilla fulgens HK. is also equated with Bajradanti.

Action: Rootstock—antidiar- rhoeal; used in tooth powders for strengthening gum and teeth.... potentilla arbuscula

Linn. Family: Cyperaceae.

Habitat: Native to Turkey; found in warm regions from Bengal to Sri Lanka in standing water of ponds and canals. Ayurvedic: Kronchaadana.

Action: Carminative, antiemetic (useful in vomiting of pregnancy), sedative (in dyspeptic disorders). The root contains a sesquiterpene ketone, articulone, which is identical to cyperone. Volatile oil contains sesquiterpene hydrocarbons and sesquiterpene alcohols, including cy- perenone.Cypress is a totally different herb. See Cupressus sempervirens.... cyperus articulatus

Get a taste of South America by drinking pau d’arco tea. It has a pleasant, earthy taste, astringent and just a bit bitter. Find out more about its health benefits and side effects! About Pau D’Arco Tea Pau D’Arco tea uses the inner bark of the Pink Ipê tree, also known as Pink Lapacho. The tree can be found in many South American countries. The Pink Lapacho is a large tree which can grow up to 30m tall. Usually, the trunk represents a third of that height, while the rest is used by the tree’s branches. The bark is dark brown, tough and hard to peel, and its branches spring up with opposite and petiolate leaves, and large, tubular-shaped pink flowers which bloom between July and September. How to make Pau D’Arco Tea To enjoy some pau d’arco tea, add 3 tablespoons to a pot containing 1 liter of water and bring it to boiling point. Once it reaches boiling point, lower the heat to medium-low and leave it like this for about 20 minutes. Once that’s done, strain the tea and pour it into cups. Pau d’arco tea can be served both hot and cold. If you want to, you can sweeten it with honey, stevia or fruit juice. Pau D’Arco Tea Benefits The inner bark of the Pink Lapacho tea has important active constituents, such as lapachol, lapachone and isolapachone, as well as various flavonoids and tannins. They are transferred to the pau d’arco tea; this way, the beverage helps us stay healthy. Pau d’arco tea plays an important role in the help against cancer. Cancer patients who have consumed this tea have shown progress, from alleviation of chemotherapy symptoms to complete remission of the cancerous tumors. Pau d’arco tea is also useful in the treatment of other diseases, such as diabetes, fibromyalgia, and lupus. Drinking pau d’arco tea can help if you’ve got a cold or the flu. It is also useful as a remedy for smoker’s cough, and acts as an expectorant, stimulating coughing in order to get rid of mucus. It was also discovered that pau d’arco tea increases the production of red blood cells. Although researches are still being made in this area, it is recommended in the treatment for leukemia, anemia and other blood disorders. Pau d’arco tea is also useful in fighting fungi. It is used to treat yeast infection and candida, due to its antifungal nature. It can help in the treatment for stomach ulcers, tuberculosis, pneumonia, and dysentery. It also protects you against tropical diseases (malaria, schistosomiasis). Pau D’Arco Tea Side Effects Pau d’arco tea may act like a blood thinner. Don’t drink this tea at least two weeks before a surgery, otherwise it might increase the risk of bleeding both during and after the surgery, and can decrease the blood clotting speed. You also shouldn’t drink pau d’arco tea if you’ve got a bleeding disorder (hemophilia) or if you’re taking anticoagulants. If you’re taking any medication, talk to your doctor first before drinking pau d’arco tea. It may interfere with various medications, for example aspirin, enoxaparin, warfarin, and dalteparin. It is also recommended that you not drink pau d’arco tea if you’re pregnant or breastfeeding. During pregnancy, it can lead to child defects or even death of the baby. It can also affect the baby during breastfeeding. Be careful with the amount of pau d’arco tea you drink a day. The maximum amount of tea you can drink a day is 1 liter. If you drink more, it might lead to nausea, vomiting or bleeding (in which case you should consult a doctor). Other symptoms include headaches, dizziness and diarrhea. Pau d’arco tea has lots of important health benefits, but it also has a few side effects which you should remember. If you make sure it’s safe to drink this tea, you can enjoy it with no worries!... drink pau d’arco tea from south america

Linn.

Family: Cyperaceae.

Habitat: Grown in aquatic gardens.

Ayurvedic: Laghu Kasheruka.

Folk: Chichodaa.

Action: Tubers—prescribed in diarrhoea and vomiting.

See S. kysoor.... scirpus articulatus

Linn.

Family: Equisetaceae.

Habitat: The Himalayas at high altitudes.

English: Field Horsetail.

Ayurvedic: Ashwa-puchha (non- classical).

Action: Haemostatic, haemopoietic, astringent, diuretic. Used for genitourinary affections (urethritis, enuresis, cystitis, prostatitis), internally as an antihaemorrhagic and externally as a styptic.

The ashes of the plant are beneficial in acidity of the stomach and dyspepsia.

Key application: Internally in irrigation therapy for post-traumatic and static inflammation, and for bacterial infections and inflammation of the lower urinary tract and renal gravel.

The British Herbal Compendium reported weak diuretic, haemostyptic, vulnerary and mild leukocytosis causing actions.

The haemostatic substance has been shown to act orally, it has no effect on blood pressure and is not a vasoconstrictor.

The herb contains 10-20% minerals, of which over 66% are silicic acids and silicates; alkaloids, including nicotine, palustrine and palustrinine; flavonoids, such as iso-quercitrin and equicertin; sterols, including cholesterol, isofucosterol, campesterol; a sa- ponin equisitonin, dimethyl-sulphone, thiaminase and aconitic acid. Diuretic action of the herb is attributed to its flavonoid and saponin constituents, Silicic acid strengthens connective tissue and helps in healing bones.... equisetum arvense

Miq.

Family: Moraceae.

Habitat: Cultivated in Rajsthan, Madhya Pradesh, Bihar and Western Peninsula.

Ayurvedic: Nandi Vriksha, Prarohi, Gajapaadapa, Paarasa Pipala.

Siddha/Tamil: Kagoti.

Action: Leaves—a moderate sterilizer, given to women after menses. Leaves and bark—used in skin diseases.

Dosage: Bark—50-100 ml decoction. (CCRAS.)... ficus arnottiana

Roxb.

Synonym: Premna arborea Roth.

Family: Verbenaceae.

Habitat: Throughout India, up to 1,700 m on the hills and in Andaman Island; also grown in gardens.

English: Candahar tree, White Teak.

Ayurvedic: Gambhaari, Kaash- mari, Kaashmarya, Sarvatobhadraa, Bhadra, Mahaabhadraa, Sadaab- hadraa, Madhuparnikaa, Sriparni, Pitarohini, Hiraa, Bhadraparni, Trishati.

Siddha/Tamil: Kattanam, Kumizham

Action: Leaf—demulcent, bechic. Used for removing foetid dis charges from ulcers. Root— stomachic, laxative, antibilious, demulcent, galactagogue. Bark— anticephalalgic. Root and bark— febrifuge.

The Ayurvedic Pharmacopoeia ofIn- dia recommends the use of the bark and stem in inflammatory diseases and oedema; the fruit in dysuria and haem- orrhagic diseases.

The heartwood contains lignans, ar- borone, 7-oxodihydrogmelinol, pau- lownin acetate and epieudesmin; me- trans-p-methoxycinnamate and trans- p-hydroxycinnamic acid.

Alcoholic extract of stem bark showed anti-inflammatory activity comparable to phenylbutazone.

Dosage: Root, root bark—20-30 g for decoction. (API Vol. I.)

The leaves show antibiotic activity against E. coli and Staphylococcus aureus.... gmelina arborea

A mechanical device in the chest that enhances or takes over the pumping action of the HEART, thus maintaining the necessary level of circulation of blood through the lungs and other body structures. An arti?cial heart was ?rst used in humans in 1985 and the three types in use are: an intra-aortic balloon pump, driven by compressed air, which in?ates a balloon in the AORTA with every heartbeat, increasing the volume of circulating blood; an electrical device that assists the left VENTRICLE by pumping blood into the abdominal aorta; and a mechanical arti?cial heart that replaces a diseased heart that has been removed. As yet there is no arti?cial heart suitable for long-term use. Existing devices are intended to tide over a patient who is extremely ill until a live heart can be transplanted from a donor. The results from arti?cial hearts have been disappointing because of complications and also because the patients have usually been already dangerously ill.... heart, artificial

(Roxb.) Ridley.

Synonym: Anthistiria gigantea Hack. subspecies arundinacea Hack.

Family: Gramineae; Poaceae.

Habitat: The Himalayas and plains of India.

English: Ulla Grass. Karad grass is equated with T. quadrivalvis (L.) Kuntze.

Folk: Sarkharaa, Kapoor Ghass.

Action: Febrifuge.... themeda arundinacea

A part of a country that is part of a metropolitan statistical area.... urban area

Arachis hypogaea L. Peanuts, Monkey nuts, Groundnuts. Part used: nuts; oil expressed from the nuts.

Constituents. Fixed oil; Vitamins B1, B2, B3, E, bioflavonoids, tannins.

Action. Emollient.

Uses: Internal. Reported improvement in case of haemophilia. Promotes production of oestrogen. External. Massage oil, creams, lotions.

Preparations: Flour: for use by haemophiliacs. Peanut oil for cooking purposes. ... arachis

Betel nut. Areca catechu L. German: Areka palme. French: Noisette d’inde. Italian: Palma arec. Chinese: Ping-lang. Part used: seed. Chewing nut of the Far East.

Action: taenicide, astringent, stimulant. In absence of other remedies may be used for tape-worm. Use confined to veterinary medicine. Hardens soft gums. Treatment: for helminthiasis in dogs. To expel tape worms.

Preparations: Areca powder: dose, 1-4g. Liquid Extract; dose, 1-4ml. Thrice daily. ... areca nut

Hochst.

Family: Fabaceae.

Habitat: Cultivated in Assam, Bihar and in parts of Uttar Pradesh.

English: Natal Indigo, Java Indigo, Bengal Indigo.

Ayurvedic: Nili (related species).

Action: See I. tinctoria.

Aqueous extract of the plant exhibits antihyperglycaemic activity in rats due to insulinotropic property.

The indigotin content of the plant (0.8-1.0%) is higher than that of other species of Indigofera. The leaves contain up to 4% of a flavonol glycoside which on hydrolysis yields rhamnose and kaempferol.

Indigofera articulata auct. non-Gouan.

Synonym: I. caerulea Roxb.

Family: Fabaceae.

Habitat: Bihar and Western and Peninsular India.

English: Egyptian Indigo, Arabian Indigo, Wild Indigo, Surat Indigo.

Ayurvedic: Nili (related species).

Siddha/Tamil: Aaramuri, Irup- pumuri, Kattavuri.

Folk: Surmai Nila.

Action: Root, leaf—bitter tonic. Seed—anthelmintic.... indigofera arrecta

Roxb.

Synonym: J. roxburghianum Wall.

Habitat: Sub-Himalayan tract, Bengal, Central and South India.

English: Tree Jasmine.

Ayurvedic: Nava-mallikaa.

Siddha/Tamil: Nagamalli.

Folk: Chameli (var.), Maalati (var.).

Action: Leaves—astringent and stomachic. Juice of the leaves, with pepper, garlic and other stimulants, is used as an emetic in obstruction of the bronchial tubes due to viscid phlegm.... jasminum arborescens

Previously called juvenile rheumatoid arthritis and juvenile chronic arthritis, this is a set of related conditions of unknown cause affecting children. Characteristically, the synovial membrane of a joint or joints becomes in?amed and swollen for at leat six weeks (and often very much longer – even years). About 1 in 10,000 children develop it each year, many of whom have certain HLA genetic markers, thought to be important in determining who gets the illness. In?ammatory CYTOKINES play a big part.

Clinical features There are various types. The oligoarthritic type involves 1–4 joints (usually knee or ankle) which become hot, swollen and painful. One complication is an in?ammation of the eyes – UVEITIS. The condition often ‘burns out’, but may reappear at any time, even years later.

The polyarthritic type is more like RHEUMATOID ARTHRITIS in adults, and the child may have persistent symptoms leading to major joint deformity and crippling.

The systemic type, previously called Still’s disease, presents with a high fever and rash, enlarged liver, spleen and lymph nodes, and arthritis – although the latter may be mild. In some children the illness becomes recurrent; in others it dies down only to return as polyarthritis.

Complications These include uveitis, which can lead to loss of vision; a failure to thrive; osteoporosis (see under BONE, DISORDERS OF); joint deformity; and psychosocial diffculties.

Treatment This includes ANTIPYRETICS and ANALGESICS, including NON-STEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDS), intra-articular steroid injections, anti-tumour necrosis factor drugs and steroids.

Physiotherapy is vital, and children may need to wear splints or other orthotic devices to alleviate deformity and pain. Orthopaedic operative procedures may be necessary.... juvenile idiopathic arthritis (jia)

(Lam.) Druce.

Synonym: L. gratissima Blume.

Family: Scrophulariaceae.

Habitat: South Bihar, Orissa, Assam, Western parts of South India, up to 600 m, also in back waters.

Folk: Aamragandha Karpuur (non-classical); Karpuur (Bengal); Ambuli (Maharashtra); Manganari (Kerala). Kuttra.

Action: Plant—galactagogue, aperient, antiseptic. Juice given in fever and to nursing mothers when milk is sour. Oil—antiseptic.

The plant gave an essential oil (0.1%), containing d-limolene and d-perillal- dehyde as principal constituents. The essential oil showed significant antimicrobial activity against Bacillus subtilis, Candida albicans, Aspergillus niger and Rhizopus oryzae.

The plant, made into a liniment with coconut oil, is used in elephantiasis.

L. conferia Benth., known as Munga- nari in Kerala, contains flavonoids showing anti-inflammatory activity, quercetin showed significant activity only at a dose of 150 mg/kg, while wogonin, nevadensin and quercetin- pentamethyl ether at 75 mg/kg. The essential oil from the plant exhibited antifungal activity against ringworm fungi.... limnophila aromatica

Stinking arrach. Chenopodium olidum S. Wats. Herb. Action. Relaxing nervine, emmenagogue, antispasmodic.

Uses: Delayed menses. Nervous excitement from menstrual disorders. Preparations: Thrice daily.

Tea: 1 teaspoon to each cup boiling water; infuse 15 minutes. Dose: Half a cup. Liquid Extracts: 30-60 drops in water. ... arrach

Inflammatory disease of a joint or joints may follow invasion of organism in infective hepatitis for which primary treatment would be directed to the liver.

See: INFECTIVE HEPATITIS.

Treatment. To include liver agents: Barberry, Fringe Tree, Balmony or Milk Thistle. ... arthritis – of infective hepatitis

A chronic infection of the joints associated with the disease. Treatment of the primary condition is necessary. Two historic remedies are Sarsaparilla (Smilax) and Gotu Kola (Hydrocotyle asiatica). See: HANSEN’S DISEASE.

Treatment by general medical practitioner or infectious diseases specialist. ... arthritis – of leprosy

Hook. f. & Thoms.

Synonym: M. oblongifolia (Forsk.) A. Rich.

Family: Capparidaceae.

Habitat: Punjab, Sind, Gujarat, Central and Southern India.

Ayurvedic: Morata, Piluparni, Madhusravaa.

Siddha/Tamil: Bhumichakkarai.

Folk: Murhari.

Action: Root—used for bleeding piles, as alterative in fevers; as a tonic in muscular debility.

(The root resembles liquorice root in appearance and taste.)... maerua arenaria

Linn.

Family: Marantaceae.

Habitat: Native to tropical America; cultivated throughout the country for its edible starch.

English: Arrowroot.

Siddha: Koovaikizhangu, Kookaineer.

Action: Nutritive, demulcent (especially for infants and convalescence). Used as a dietary aid in acute diarrhoea and gastroenteritis. Used as a substitute for Bamboo-manna.

The rhizome contains about 25-27% neutral starch.... maranta arundinacea

Linn. var. piperascens Holmes.

Family: Labiatae; Lamiaceae.

Habitat: Cultivated in Jammu and Kashmir.

English: Japanese Mint.

Unani: Naanaa.

Action: Carminative, chola- gogue, expectorant, antibacterial, antifungal.

Key application: Mint oil— internally for flatulence, functional gastrointestinal and gallbladder disorders; catarrhs of the upper respiratory tract. Externally, for myalgia and neuralgia. (German Commission E.)

Major components of the essential oil are menthol (up to 95%) and men- thone. Others are alpha-and beta- pinene, alpha-thujene, l-limonene, beta-phellandrene, furfural, methyl- cyclohexanone and camphene. The essential oil possesses both antibacterial and antifungal properties.

The leaves show anti-implantation effect. Seeds showed abortifacient activity (29%) in albino rats with marked malformations in neonates where pregnancy was not terminated.... mentha arvensis

Linn.

Family: Oleaceae; Nyctanthaceae.

Habitat: Outer Himalaya, Assam, West Bengal; cultivated in many parts of India.

English: Tree of Sorrow, Night Jasmine, Coral Jasmine.

Ayurvedic: Paarijaata, Shephaali, Shephaalikaa, Mandaara.

Unani: Harasingaar.

Siddha: Pavazha mattigai.

Action: Leaves—bitter tonic, chola- gogue, febrifuge, anti-inflammatory, antispasmodic, hypotensive, respiratory stimulant. Used for fevers, rheumatism, obstinate sciatica.

The leaves and seeds contain iri- doid glycosides; other constituents reported from the leaves are mannitol, beta-amyrin, beta-sitosterol, hentria- contane, benzoic acid, astragalin, nico- tiflorin, oleanolic acid, nyctanthic acid, friedelin and lupeol. The seeds contain a polysaccharide glucomannan.

All parts of the plant are used for allergic disorders. Alcoholic extract of the plant was found to inhibit passive cutaneous anaphylaxis (PCA) in experimental animals. The inhibition was comparable to standard drugs used for allergy and bronchial asthma.

Ethanolic extract of the leaves, flowers and seeds demonstrated strong stimulation of antigen specific and non-specific immunity in mice.

The 50% ethanolic extracts of the leaves, flowers, seeds and roots were found effective in treating caecal amoe- biasis caused by Entamoeba histolytica in rats. But the extracts did not exhibit direct amoebicidal activity in vitro against trophozoites of the parasite.

The iridoid glucosides showed an- tileishmanial activity both in vivo and in vitro.

Dosage: Leaf—10-20 ml juice. (CCRAS.)

Seeds—used in diabetes, also in cutaneous diseases. Filaments— astringent and cooling; prescribed for bleeding piles and menorrhagia. Plant—toxic on the nervous system.

The flowers contain flavonoids including quercetin, kaempferol, api- genin. Cardiac glucoside, nymphalin, showed sedative action in small doses.

The petroleum ether extract of the plant of Nymphaea species, given at a dose of 300 mg/kg i.p. prevented necrosis of the liver tissue and promoted, to some extent, liver regeneration in CCl4-induced toxicity.

Dosage: Dried flowers—3-6 g (API, Vol. III); seed—3-6 g. powder (CCRAS.).... nyctanthes arbor-tristis

While treatment would be directed towards the primary condition, Poke root should be included in any prescription.

Formula. Echinacea 1; Goldenseal half; Poke root quarter. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Thrice daily, in water.

Poke root tablets/capsules. As recommended. ... arthritis – from attack of mumps

Consulting Medical Herbalist. President: National Institute of Medical

Herbalists. Author: The Herbal Pocket Prescriber. (Eardley) ... barker, arthur fnimh

See: ARTHRITIS, OSTEO. ... osteo-arthritis

The use of digital imaging systems to replace conventional X-ray pictures and other imaging techniques. Though expensive to operate, digital imaging and storage systems o?er promising possibilities for transmission of clinical images within and between hospitals and community health-care units, providing fast access and remote working that will bene?t patients and health-care sta? alike. When security and con?dentiality are assured, images could be transferred via the Internet and teleradiology. In future, hospitals might be able to eliminate the costly physical transfer and storage of X-ray ?lms. The integration of PACS with hospital information systems in the NHS will (hopefully) facilitate the introduction of electronic radiology.... picture archiving and communications system (pacs)

Linn.

Family: Rosaceae.

Habitat: North-western Himalayas, particularly in the valleys of Kashmir, Chenab and Kullu, and in Simla hills at altitudes of 3,000 m.

English: Apricot.

Ayurvedic: Peetaalu, Aaluka, Urumaana.

Unani: Khuubaani, Mashmash.

Action: Powdered kernels— antitussive, antiasthmatic.

The dried apricot contains, 3,4- dihydroxybenzoic, chlorogenic and vanillic acids, quercetin, quercitrin, rutin, hyperoside and kaempferol. Apricot leaves contain quercetin, cy- nadin, kaempferol, caffeic acid and p-coumaric acid.... prunus armeniaca

Linn.

Family: Ranunculaceae.

Habitat: The Western Himalayas from Kashmir to Kumaon.

English: Corn Buttercup.

Folk: Chambul (Punjab). Gager- kanda (Kashmir).

Action: Used in intermittent fevers, asthma and gout.

The active principle of the herb is protoanemonin (0.54%) and its glyco- sidic precursor, ranunculin. The herb yields hydrocyanic acid in very small amounts.

The leaves contain the antifungal lactone protoanemonin which inhibited growth of Epidermophyton floccosum and the yeast Rhodotorula glutinis.... ranunculus arvensis

Sm.

Synonym: R. puniceum Roxb.

Family: Ericaceae.

Habitat: The temperate Himalayas from Kashmir to Bhutan, the Nilgiris, Khasi Hills and Travancore.

English: Tree-Rhododendron, Rose-Tree.

Folk: Burans (Kumaon), Kurbak, Pullaas.

Action: Leaf—anticephalalgic (applied to the forehead). Leaf and stem-bark—spasmolytic. Flowers— used in diarrhoea and dysentery.

The green leaves contain a gluco- side, ericolin. The extracts of leaves, stems and bark cause hypotension in cats and inhibit intestinal movements in rabbits. The acetone and chloroform extracts and a resinous fraction from the alcoholic extract of leaves depress respiration. The petroleum ether extract decreases the rate of heartbeat and contraction in isolated heart of frog.

An alcoholic (50%) extract of the flowers lowered blood pressure in dogs and albino rats.

Cyanidin-3-galactoside and cyani- din-3-arbinoside are present in the pigments of flowers. The leaves of var. nilgiricum and var. cinnamonum contain ursolic acid, friedelin, epifrie- delanol, quercetin. A triterpenoid, campanulin, has been isolated from the leaves of var. nilagaricum.... rhododendron arboreum

Peanut oil, mostly used in enemas, to soften faeces and make bowel movements easier.

It may also be applied to the scalp, followed by shampooing, in the treatment of cradle cap.... arachis oil

The middle of the 3 layers of membrane (meninges) that cover the brain.... arachnoid mater

An operation to repair arteries that are narrowed, blocked, or weakened. Arterial reconstructive surgery is most often performed to repair arteries that have been narrowed by atherosclerosis. It is also used to repair aneurysms and arteries damaged as a result of injury. (See also angioplasty, balloon; coronary artery bypass; endarterectomy.)... arterial reconstructive surgery

Any disorder of an artery (see arteries, disorders of).... arteriopathy

An abnormal communication directly between an artery and a vein. An arteriovenous fistula may be present at birth or result from injury. A fistula can also be created surgically for easy access to the bloodstream in dialysis.... arteriovenous fistula

The common name for the machine used in dialysis.... artificial kidney

See amniotomy.... artificial rupture of membrane

Miller.

Family: Liliaceae; Smilacaceae.

Habitat: Native to tropical America and the West Indies.

English: Sarsaparilla.

Unani: Ushbaa Maghrabi (Ushbaa Desi is equated with Decalepis hamiltonii.)

Action: Alterative, anti- inflammatory, antipruritic, blood purifier, antiseptic. (It was first introduced in 1563 as a drug for syphilis.)

In Western herbal, Sarsaparilla is equated with Smilax aristolochiaefo- lia (American, Mexican, Vera Cruz or Grey Sarsaparilla); S. medica, S. regelii (Jamaican, Honduras or Brown Sarsaparilla); S.febrifuga (Ecuadorian or Guayaquil Sarsaparilla). Hemides- mus indicus is equated with Indian Sarsaparilla.

Key application: Preparations of sarsaparilla root are used for skin diseases, psoriasis and its sequel, rheumatic complaints, kidney diseases, and as a diaphoretic and diuretic. (The claimed efficacy has not been established clinically.) Included among unapproved herbs by German Commission E.

The roots and rhizomes of sarsaparil- la contain saponins based on aglycones sarsapogenin and smilagenin, the major one being parillin (sarsaponin), with smilasaponin (smilacin) and sar- saparilloside; beta-sitosterol, stigmas- terol and their glucosides. Chief components of saponins (0.5-3%) are sar- saparilloside, along with parillin as a breakdown product. Parillin shows antibiotic activity.

Sarsaparilla root sterols are not anabolic steroids, nor are they converted in vivo to anabolic steroids. Testosterone, till now, has not been detected in any plant including sarsaparilla. Hemidesmus indicus contains none of the saponins or principal constituents found in sarsaparilla. (Natural Medicines Comprehensive Database, 2007.)... smilax aristolochiaefolia

Linn.

Family: Compositae; Asteraceae.

Habitat: Waste places and fields throughout India, up to an altitude of 2,400 m.

English: Corn Sow Thistle.

Ayurvedic: Sahadevi (bigger var.). (Vernonia cinerea is equated with Sahadevi.)

Action: Plant—sedative, hypnotic, anodyne, expectorant, diuretic. Used for nervous debility. Seeds— used for asthma, bronchitis, cough, pertussis, fever; decoction in insomnia. Leaves—applied to swellings. Root—used for diseases of the respiratory tract.

The plant contains amino acids, lipids, polymeric hydrocarbons, polyphenols, protein; alpha- and beta- amyrins, lupeol, pseudotaraxasterol, taraxasterol. The latex contains manni- tol, alpha-and beta-lactucerols. Aerial parts and fruits contain ceryl alcohol, choline, palmitic, tartaric and stearic acids.... sonchus arvensis

(Linn.) Merr. & Perry.

Synonym: Eugenia aromatica Kuntze.

Eugenia caryophyllata Thunb. Caryophyllus aromaticus Linn.

Family: Myrtaceae.

Habitat: Cultivated in Tamil Nadu and Kerala.

English: Clove.

Ayurvedic: Lavanga, Devakusum, Devapushpa, Shrisangya, Shripra- suunaka.

Unani: Qaranful, Laung.

Siddha/Tamil: Kiraambu, Lavangam.

Action: Carminative, antiinflammatory, antibacterial. Flower buds—antiemetic, stimulant, carminative. Used in dyspepsia, gastric irritation. Oil—employed as a local analgesic for hypersensitive dent- lines and carious cavaties; internally as a carminative and antispasmodic.

Key application: In inflammatory changes of oral and pharyngeal mucosa; in dentistry; for topical anesthesia. (German Commission E.)

Eugenin, triterpene acids, crategolic acid and steroid glucosides afford anti- inflammatory and antiseptic proper ties to the buds. Eugenol, a major component of the oil, is antibacterial. Acetone extract of clove, eugenol and acetyleugenol possess cholagogue activity. The eugenol and acetyleugenol components of the clove oil inhibit arachidonate-, adrenalin- and collagen- induced platelet aggregation.

Clove terpenes show significant activity as inducers of detoxifying enzyme, glutathione-S-transferase (GST) in mouse liver and intestine and bring about carcinogen detoxification.

Whole cloves might have chemopro- tective activity against liver and bone marrow toxicity. (The Review of Natural Products by Facts and Comparisons, 1999.)

Dosage: Dried flower-bud—0.5-2.0 g powder. (API, Vol. I.)... syzygium aromaticum

Synthetic substitutes for sugar that are used by people on slimming diets and by the food industry.

Saccharin and aspartame are often recommended in calorie-controlled diets but are of questionable value because the appetite compensates for the lack of calories from sugar, and other foods are eaten to maintain the calorie intake.

Sorbitol is an artificial sweetener that is useful for diabetics, but it can cause diarrhoea and bloating when consumed in large quantities.... artificial sweeteners

Either of the 2 main arteries that supply the tissues of the heart with oxygen-rich blood. These are

known as the left and right main coronary arteries and arise directly from the aorta. The term coronary artery is also applied to any of the arteries that branch off from the main coronary arteries, such as the left circumflex artery and the left anterior descending artery. Blockage of a coronary artery as a result of atherosclerosis can lead to myocardial infarction.

(See also coronary artery disease.)... coronary artery

There are over 50 million people suffering from arthritis in the world. Many of them drink tea on a regular basis not knowing that there are some teas which could ease their problems while the rest of them are still reluctant to herbal remedies. Rheumatoid Arthritis consists of localized joint pains and abnormal members growth. Even if there are many empirical remedies described by the folklore, traditional medicine would recommend an expensive and painful surgery, while alternative medicine fans still think that there’s no reason to put your liver to hard work. How a Tea for Rheumatoid Arthritis Works A Tea for Rheumatoid Arthritis’ main purpose is to trigger a positive reaction from your body while making it produce enough active agents to reduce inflammations and restore your initial health. In order to work properly, you need to make sure you pick a tea with enough nutrients, volatile oils, tannins, acids and minerals (sodium, iron, magnesium and manganese). Efficient Tea for Rheumatoid Arthritis Rheumatoid Arthritis is a very common disease, unfortunately. There are many people around the globe who would rather self medicate than ask for a medical consult. However, before starting any kind of herbal treatment, it’s best to be well informed of all the risks. Better than that, schedule an appointment with your doctor in order to find out which disease you’re suffering from. If you don’t know which teas could have a positive effect on your condition, here’s a list for guidance: - Green Tea – contains all the ingredients necessary to sustain life, so it’s useful for a wide range of health problems, from infertility to upset stomach, nausea, anemia and asthenia. However, you must avoid it at all costs if you’re experiencing menopausal or menstrual symptoms (it may cause internal bleedings and uterine contractions). - Chamomile Tea – is probably the most popular Tea for Rheumatoid Arthritis thanks to its active compounds which have the ability to lower your cholesterol and improve your coronary system action. This panacea has a pleasant taste and a lovely smell and it’s one hundred percent safe, so you can take as much as you want. - Peppermint Tea – has anti inflammatory and antiseptic properties thanks to an active ingredient called menthol. This decoction is also good for a number of other disorders, such as digestive tract ailments, menstrual and menopausal pains, sore throats and kidney problems. Peppermint Tea has a lovely smell and a pleasant taste and it’s also very safe. Plus, if you’ve decided you want to give up coffee, this Tea for Rheumatoid Arthritis could be a great replacer. Tea for Rheumatoid Arthritis Side Effects When taken properly, these teas are one hundred percent safe. However, exceeding the number of cups recommended per day may lead to nausea, vomiting, uterine contractions and skin rash. If you’ve been taking one of these teas for a while and you’re experiencing some unusual reactions, talk to a doctor as soon as possible. Don’t take a Tea for Rheumatoid Arthritis if you’re pregnant, breastfeeding, on blood thinners or anticoagulants. If you have your doctor’s approval and there’s nothing that could interfere with your treatment, choose a tea that fits best your problems and enjoy its wonderful effects!... tea for rheumatoid arthritis

(Roxb.) W. & A.

Family: Combretaceae.

Habitat: Throughout the greater part of India, also grown as an avenue tree.

English: Arjun Terminalia.

Ayurvedic: Arjuna, Dhananjaya, Kaakubha, Kakubha, Aartagala, Indravriksha, Paartha, Virataru, Viravriksha.

Unani: Arjun

Siddha: Marudam.

Action: Bark—used as a cardiopro- tective and cardiotonic in angina and poor coronary circulation; as a diuretic in cirrhosis of liver and for symptomatic relief in hypertension; externally in skin diseases, herpes and leukoderma. Powdered bark is prescribed with milk in fractures and contusions with excessive ec- chymosis, also in urinary discharges and strangury. Fruit—deobstruent.

The Ayurvedic Pharmacopoeia ofIn- dia recommends the powder of the stembark in emaciation, chest diseases, cardiac disorders, lipid imbalances and polyuria.

The bark extract contains acids (ar- junolic acid, terminic acid), glyco- sides (arjunetin, arjunosides I-IV), and strong antioxidants—flavones, tannins, oligomeric proanthocyani- dins.

The bark extract (500 mg every 8 h) given to (58 male) patients with stable angina with provocable ischemia on treadmill exercise, led to improvement in clinical and treadmill exercise parameters as compared to placebo therapy.

These benefits were similar to those observed with isosorbide mononitrate (40 mg/day). (Indian Heart J. 2002, 54(4), 441.)

Arjunolic acid exhibited significant cardiac protection in isoproterenol- induced myocardial necrosis in rats.

T (Mol Cell Biochem, 2001, 224 (1-2), 135-42.) A study demonstrated that the alcoholic extract of Terminalia arjuna bark augmented endogenous antioxi- dant compounds of the rat heart and prevented from isoproterenol-induced myocardial ischemic reperfusion injury. (Life Sci. 2003, 73 (21), 27272739.) Cardiac lipid peroxidation in male Wistar rats was reduced by 38.8% ± 2.6% at a dose of 90 mg/kg, in a study based on aqueous freeze-dried extract ofthebark. (PhytotherRes. 2001,15(6), 510-23.)

Oral administration of bark powder (400 mg/kg body weight) for 10 days produced significant increase in circulating histamine, a little increase in 5-HT, catecholamines and HDL cholesterol, and decrease in total lipid, triglycerides and total cholesterol in normal rats.

Casuarinin, a hydrolyzable tannin, isolated from the bark, exhibited antiherpes virus activity by inhibiting viral attachment and penetration. 50% ethanolic extract of the bark exhibited significant increase in the tensile of the incision wounds.

Dosage: Stembark—3-6 g powder. (API, Vol. II.)... terminalia arjuna

A major heart operation to bypass narrowed or blocked coronary arteries using additional blood vessels (such as a mammary artery) to improve blood flow to the heart muscle. This operation is used when symptoms of coronary artery disease have not been relieved by drugs or balloon angioplasty.

Before surgery, sites of blockage in the arteries are identified using angiography. In some cases, minimally invasive surgery can be used, avoiding the need to stop the heart and use a heart–lung machine during the operation. The long term outlook after a bypass is good, but the grafted vessels may also eventually become blocked by atherosclerosis.... coronary artery bypass

Lavender tea has been known for many years as being very beneficial for the nervous system. The lavender plant grows mainly in North and East Africa, the Mediterranean, Southern Europe, India and Arabia and it is also cultivated in United States and Japan. It grows best on dry land, exposed to sunlight. Lavender has been known for many years as being a scented herb, its fragrance providing relaxation, calming the body and the mind. The constituents of lavender tea are flavonoids, tannins, courmarines and essential oils. How To Make Lavender Tea There are not many steps to follow in brewing lavender tea. Simply take a handful of dried lavender blossoms and infuse them in a pot of boiling water. Let it steep for about 7-10 minutes and after that, pour the tea into your cup using a strainer to catch the lavender blossoms. Lavender Tea Benefits

• Helps calm nervousness and anxiety.
• Provides you a good night sleep since it can ease insomnia.
• Helps treating stomach ache, flatulence and colic.
• Alleviates migraine headaches.
• During fever, lavender tea induces sweating and reduces the body temperature.
• Lavender tea can be applied on wounds, cuts in order to heal them.

Lavender Tea Side Effects Lavender tea can react with other herbs, supplements and medication, so make sure you consult your doctor before drinking lavender tea. To some people, this tea can cause allergic reactions, nausea or headaches. Pregnant and breastfeeding women should also avoid drinking lavender tea. In conclusion, lavender tea is a wonderful relaxing tea that can be drank on evenings or just before bed for a rested good night sleep. Enjoy its benefits and make sure you won’t experience its side effects!... the aromatic lavender tea

Linn.

Family: Crucifereae; Brassicaceae.

Habitat: The temperate and sub-alpine Himalayas.

English: Pennycress, Fanweed.

Folk: Drekaa (Laddakh).

Action: Astringent, diuretic, blood- purifier. Seeds—stimulant. Plant— a good source of vitamin C (70469 mg/100 g). Ripe seeds are poisonous (pouring boiling water over the seeds before use prevents poisoning).

Leaves as well as seeds contain a glu- coside, sinigrin.... thlaspi arvense

The procedure, usually carried out in an operating theatre or intensive-care unit, in which a device called a VENTILATOR takes over a person’s breathing. This is done for someone who is unable to breathe normally. Damage to the respiratory centre of the brain as a result of head injury, disease of the brain, or an overdose of sedative or narcotic drugs may affect the respiratory centre. Chest injuries, disease of the lungs, nerve or muscle disorders or surgery of the chest or abdomen can also affect breathing and require the use of a ventilator to maintain normal breathing. Arti?cial ventilation can also be carried out as an emergency by mouth-to-mouth resuscitation. (See also ANAESTHESIA; ARTIFICIAL VENTILATION OF THE LUNGS.)... ventilation, artificial

Burm.

Family: Viscaceae, Loranthaceae.

Habitat: Most parts of India; a superparasite in Western India on Loranthus sp. which itself is parasitic on Eugenia sp.

Ayurvedic: Bandaak (related species); Jivantikaa, Kaamavriksha, Nilavalli. (The Wealth of India.)

Folk: Panapuuduu (Maharashtra), Bodobaando (Gujarat).

Action: Plant—febrifuge, aphrodisiac. Paste is applied to bone fractures.

The plant gave oleanolic acid, ceryl oleanolate and meso-inositol.... viscum articulatum

DC.

Synonym: Z. alatum Roxb. Z. var. planispinum Sieb. & Zucc.

Family: Rutaceae.

Habitat: Jammu & Kashmir and Garhwal.

English: Toothache tree, Indian Prickly Ash.

Ayurvedic: Tumburu (fruit). Tejabala, Tejaswani, Tejohva, Tejovati (stem bark).

Unani: Faaghir, Kabaab-e- Khandaan.

Siddha: Tejyovathi.

Folk: Nepaali Dhaniyaa.

Action: Stem bark—used in cough, dyspnoea, hiccup, stomatitis, rheumatism. (The Ayurvedic Pharmacopoeia of India.) Stems and thorns—hypoglycaemic. Bark— used for cleaning teeth, also for treating diarrhoea. Fruits, seeds, bark—carminative, antispasmodic, anthelmintic. Fruits and seeds— used as a tonic in fever, dyspepsia and skin diseases. Essential oil of the fruit—antibacterial, antifungal and deodorant. Used in tooth powders.

The essential oil from dried fruits contains linalool (64.1%), linalyl acetate, citral, geraniol methyl cinna- mate, limonene and sabinene.

Dried bark and branches contain lignans—sesamin, fargesin, eudesmin; a lactone pulviatide; dictamine, 8- hydroxydictamine and gamma-faga- rine; magnoflorine and xanthoplanine. The root contains magnoflorine, xan- thoplanine, skimmianine, dictamine and gamma-fagarine. Seeds contain flavonoids tambulin and tambulol.

Dosage: Stem bark—10-20g for decoction; fruit—3-4 g. (API, Vol. II; Vol. IV.)... zanthoxylum armatum

A prosthesis to replace an eye that has been removed.

It is worn for cosmetic reasons.

Some movement of the artificial eye may be achieved by attaching the muscles that normally move the eye to the remaining conjunctival membrane (see conjunctiva) or to a plastic implant in the eye socket.... eye, artificial

Each passing year sees encapsulated herbal powders gaining in popularity. Arkopharm Laboratories, leaders in the field, are located at Nice on the French Riviera, and offer a wide range of powders in capsules (Arkocaps) under the authority of a highly qualified team of pharmacists, chemists and doctors.

After the usual stringent tests of raw material on receipt from the suppliers, plants are pulverised and sieved until granulometry is down to 300 micrograms. This size particle ensures a good digestive assimilation without damaging the plant cells. Such material is then subjected to another series of quality control tests for proper potency, purity and cleanliness. This is followed by a further examination for bacteriological cleanliness before shipment. Arkopharma: Head Office: BP 28 06511 Carros (Nice) France. Marketed in the UK by Arkopharma (UK) Ltd. ... arkopharma

The popular term for atherosclerosis.... hardening of the arteries

See juvenile chronic arthritis.... juvenile arthritis

A surgically created valve or other device used to treat or prevent urinary or faecal incontinence.... sphincter, artificial

See artificial sweeteners.... sweeteners, artificial

Preparations to supplement tear production in disorders that cause dry eye, such as keratoconjunctivitis sicca, and to relieve irritation.... tears, artificial

A form of arthritis running concurrently with a bowel disorder arising from intestinal irritation. Acute Crohn’s disease or colitis may be related. Joint stiffness and inflammation subside on disappearance of the bowel condition.

Chronic bowel conditions are frequently responsible for heavy drainage of vitamins and minerals via excessive stool. Calcium may be pillaged from the bones to make up blood calcium levels which, if prolonged, may lead to rigid spine.

Treatment. Treatment of arthritis would be secondary, the primary object being to normalise the bowel. Alternatives:–

Teas or decoctions. Comfrey leaves, Calamus, Chamomile, Avens, Agrimony, Marshmallow root, Meadowsweet, Slippery Elm bark, Wild Yam.

Tea. Formula. Equal parts: Agrimony, Balm, Chamomile. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes; 1 cup freely.

Fenugreek seeds. Decoction. 1 cup freely.

Tablets/capsules. Calamus, Fenugreek, Goldenseal, Wild Yam.

Formula. Fenugreek 2; Wild Yam 1; Goldenseal quarter; Ginger quarter. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons.

Bamboo powder. Two 320mg capsules thrice daily. (Dr Max Rombi)

Biostrath Willow Formula.

Diet. Slippery Elm food. Vitamin B12. Low fat. Cider vinegar.

Supportive: high enemas. Natural lifestyle. Outlook good. ... arthritis – bowel related

A group of rheumatoid conditions of unknown causation with onset before 16 years. Girls more than boys. Still’s disease being the form presenting with enlargement of spleen and lymph nodes, high temperature with macular rash comes and goes. Children usually ‘grow out of it’ although stiffness may continue. Deformities possible. Tardy bone growth of the mandibles giving the face a birdlike look. May progress to rheumatoid arthritis (girls) or ankylosing spondylitis (boys). So strong is psychosomatic evidence that sociologists believe it to be a sequel to broken families, divorce or bereavement. Few patients appear to come from a balanced environment or happy home.

Treatment. BHP (1983) recommends: Meadowsweet, Balm of Gilead, Poke root, Bogbean, Hart’s Tongue fern, Mountain Grape.

Teas: Singly or in combination (equal parts): Chamomile, Bogbean, Nettles, Yarrow. 1-2 teaspoons to each cup boiling water; infuse 5-10 minutes. 1 cup thrice daily before meals.

Tablets/capsules. Blue Flag root, Dandelion root, Poke root, Prickly Ash bark.

Formula. White Poplar bark 2; Black Cohosh half; Poke root quarter; Valerian quarter; Liquorice quarter. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon) (children 5-12 years: 250mg – one 00 capsule or one-sixth teaspoon). Liquid extracts: 1 teaspoon: (children 5-12: 3-10 drops). Tinctures: 2 teaspoons: (children 5-12: 5-20 drops).

Evening Primrose oil. Immune enhancer.

Topical. Hot poultice: Slippery Elm, Mullein or Lobelia.

Diet: Lacto vegetarian. Kelp. Comfrey tea. Molasses. Low fat.

General. Adequate rest, good nursing, gentle manipulation but no massage to inflamed joints. Natural lifestyle. Parental emotional support.

Oily fish. See entry. ... arthritis, juvenile, chronic

A form of arthritis arising from infection by gonorrhoea may simulate rheumatoid arthritis, affecting the joint fluid. A history of genito-urinary discharge may confirm. Alternative formulae. Powders. Echinacea 2; Kava Kava 2; Prickly Ash 1; Cayenne quarter. Mix. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.

Tinctures. Balm of Gilead 1; Kava Kava 1; Black Cohosh half; Juniper quarter. Mix. Dose: 30-60 drops, thrice daily.

Topical. Tea Tree oil (if too strong may be diluted many times. Analgesic cream.

Treatment by or in liaison with a general medical practitioner or infectious disease specialist. ... arthritis, gonococcal

 Pyogenic. Bacterial infection may invade the body via mouth, nose or other mucous membranes. By the bloodstream it can be borne to almost any body tissues; joints of the shoulders, knees and hips. Immediate attention is necessary to avoid tissue destruction. Two virulent types are tuberculosis and gonorrhoea.

Infective arthritis may be associated with German Measles against which conventional antibiotics may be of little value. Infective organisms include: streptococcus, E. coli, staphylococcus, or others. May follow surgical operation, steroid therapy, rheumatoid arthritis or diabetes.

Symptoms. Joint hot, feverish, enlarged and painful.

Differential diagnosis: distinguish from gout and synovitis. Herbal treatment must needs be persevered with for 3 to 6 months, even longer. Good nursing is necessary. Natural life-style. Bedrest.

Treatment. For all microbial infections include Echinacea. (Hyde)

Teas. Nettles. Red Clover. Yarrow. 2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup 3-4 times daily.

Tablets/capsules. Devil’s Claw, Alfalfa, Echinacea, Horsetail.

Alternative formulae:– Powders. Echinacea 2; Burdock 1; Devil’s Claw 1; Guaiacum quarter. Mix. Dose: 750mg (three 00 capsules or half a teaspoon). Thrice daily.

Liquid Extracts. Echinacea 2; Juniper half; Black Cohosh half; Guaiacum quarter. Mix. Dose: 30-60 drops. Thrice daily.

Tinctures. Dandelion 2; Echinacea 2; Poke root half; Peppermint quarter. mix. Dose: 1-2 teaspoons. Thrice daily.

Above powders, liquid extracts and tinctures – effects are enhanced when each dose is taken in half-1 cup Fennel tea; otherwise, to be taken in water.

Topical. Analgesic cream. Comfrey poultice, Comfrey ointment. Tea Tree oil, Castor oil packs.

Diet. High Vitamin C foods. Dandelion coffee. ... arthritis, infective

An area of the cerebral cortex in the brain that is involved in the interpretation of spoken and written language.... wernicke’s area

adj. describing a group of drugs used to correct irregularities in the heartbeat (see arrhythmia). They include *adenosine, *amiodarone, *verapamil, *disopyramide, *flecainide, and *lidocaine.... anti-arrhythmic

that part of the aorta that extends from the ascending aorta, upward over the heart and then backward and down as far as the fourth thoracic vertebra. *Stretch receptors in its outer wall monitor blood pressure and form part of the system maintaining this at a constant level.... aortic arch

A form of arthritis associated with systemic lupus erythematosis in young girls. An auto-immune disease which may involve the heart, kidney, CNS or other systems.

Symptoms: Joint pains with feverishness, loss of weight, anaemia and red raised patches of skin on nose and face (butterfly rash). Swelling of the joints resembles rheumatoid arthritis. Chest and kidney disease possible. Personality changes with depression followed by mania and possible convulsions.

Treatment. Standard orthodox treatments: aspirin, steroids. Alternatives: Echinacea (rash), Valerian (mental confusion), Lobelia (chest pains), Parsley Piert (kidney function).

Tablets/capsules. Echinacea. Poke root. Dandelion. Valerian. Wild Yam. Prickly Ash bark.

Powders. Echinacea 2; Dandelion 1; Wild Yam half; Poke root quarter; Devil’s Claw half; Fennel half. Mix. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily. In water or cup of Fenugreek tea. Tinctures. Dandelion 4; Valerian 1; Prickly Ash half; Poke root half; Peppermint quarter. Mix. Dose: 1 teaspoon thrice daily, in water or cup Fenugreek tea.

Tincture. Queen’s Delight BHP (1983) 1:5 in 45 per cent alcohol. Dose 1-4ml (15-60 drops).

Topical. Plantain Salvo. Castor oil. Oil Cajeput or Sassafras. Comfrey or Chickweed cream.

Diet. Young girls may require diet for anaemia.

Supplementation. Daily. Vitamins A, B6, B12, C, D. Dolomite (1500mg). Calcium Pantothenate (500mg). Iron: Men (10mg), women (18mg). ... arthritis, lupus

Joint stiffness of the menopause due to diminished output of progesterone and oestrogen. Not really a separate disease but one form in which rheumatoid arthritis may present.

Alternatives. Agnus Castus, Alfalfa, Black Cohosh, Blue Cohosh, Cramp bark, Hawthorn, Hops, Liquorice, Sage, Sarsaparilla, Wild Yam, Yarrow.

Tea. Formula. Equal parts: Alfalfa, Hops, Sage. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes; 1 cup freely.

Chinese medicine: Sage tea.

Formula. Agnus castus 2; Black Cohosh 1; Valerian half; Juniper quarter. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons, in water, or cup of Nettle tea.

Nettle tea. Favourable results reported.

Evening Primrose oil.

Diet. Oily fish. Low fat, Low salt. High fibre.

Supplements. Vitamins A, B6, B-complex, C, E. Calcium, Magnesium, Zinc. ... arthritis – menopausal

Osteo-arthritis. Erosion of cartilage of a joint with pain and stiffness. “Wear and tear” arthritis of the over 50s, affecting hands, knees, spine or hips. Biochemical changes in the cartilage stimulate overgrowth of bone cells (hyperplasia) which is an effort by the body to correct the disturbance.

Common in the elderly and menopausal women. Calcium salts may be laid down in a joint believed to be due to errors of diet. Small crystals of calcium hydroxyapatite have been observed to form in cartilage and synovial fluid. (Research group: St Bartholomew’s Hospital, London)

The aged sometimes suffer from diminished supply of hydrochloric acid in the stomach, and which is necessary for normal calcium metabolism. An effective substitute is 2 teaspoons cider vinegar in a glass of water sipped before or during meals.

Alte rnative s. Black Cohosh and Meadowsweet (natural sources of salicylic acid), Asafoetida (inflammation of connective tissue), Hawthorn (efficient circulation of the blood), Poke root, Bladderwrack, Guaiacum, Devil’s Claw, Bogbean, White Poplar bark, Yucca leaves.

Tea. Celery seeds. 1 teaspoon to each cup boiling water. Infuse 15 minutes. Half-1 cup, 2-3 times daily, before meals. Comfrey tea.

Alternative formulae:– Powders. White Willow 2; Devil’s Claw 1; Black Cohosh half; Guaiacum quarter. Mix. Dose: 500mg (two 00 capsules or one-third teaspoon). Thrice daily in water or Nettle tea. Liquid extracts. White Willow 2; Devil’s Claw 1; Bogbean 1; Fennel 1; Tincture Capsicum quarter. Mix. 1 teaspoon thrice daily in water or Nettle tea.

Tinctures. Bogbean 2; Meadowsweet 2; Black Cohosh 1; Guaiacum quarter; Peppermint quarter. Mix. Dose: 2 teaspoons thrice daily.

Tablets/capsules: Devil’s Claw, Wild Yam, Ligvites.

Cod liver oil. Chief of the iodised oils. Can reach and nourish cartilage by the process of osmosis. Its constituents filter into cartilage, imparting increased elasticity which prevents degeneration. Known to soften-up fibrous tissue. 2 teaspoons once daily. Also helps correct uric acid metabolism.

Topical. Physiotherapy. Osteopathy. Jojoba oil packs. Capsicum Cream. Hot and cold compresses twice daily – followed by a cold compress at night, leaving on when in bed. Hot Epsom salt bath twice weekly. Diet. Oily fish: see entry. Low fat. Low salt. High fibre. Avoid lemons and other citrus fruits. Lemon juice may remove some calculi from the body but later begins to remove calcium from the bones. Supplementation. Pantothenic acid 10mg; Vitamin A 7500iu; Vitamin B6 25mg; Vitamin E 400iu; Zinc 25mg.

General. Warm dry climate often relieves. Surgery may be necessary. Herbs Pleurisy root, Comfrey root and Bryonia, sustain the constitution and promote tissue healing after joint replacements with ceramic substitute after the famous Charnley operation. The condition is disabling but it is possible to manage successfully, maintaining normal activities with minimum difficulty. ... arthritis – osteo

n. poisoning from the bite of a spider. Toxins from the less venomous species of spider cause only local pain, redness, and swelling. Toxins from more venomous species, such as the black widow (Lactrodectus mactans), cause muscular pains, convulsions, nausea, and paralysis.... arachnidism

(arachnoid mater) n. the middle of the three membranes covering the brain and spinal cord (see meninges), which has a fine, almost cobweb-like, texture. Between it and the pia mater within lies the subarachnoid space, containing cerebrospinal fluid and large blood vessels; the membrane itself has no blood supply.... arachnoid

one of the thin-walled projections outwards of the arachnoid membrane into the blood-filled sinuses of the dura, acting as a one-way valve for the flow of cerebrospinal fluid from the subarachnoid space into the bloodstream. Large villi, known as arachnoid granulations (or Pacchionian bodies), are found in the region of the superior sagittal sinus. They may be so distended as to cause pitting of the adjacent bone.... arachnoid villus

A form of joint erosion possible in patients with psoriasis; fingers and toes being most susceptible. Nails may be pitted with deep ridging. Bony structures are at risk where in close contact with septic psoriasis.

Alternatives:– Teas. Gotu Kola, Red clover flowers, Chickweed. Singly or in combination. 1 heaped teaspoon to each cup boiling water: infuse 5-10 minutes. 1 cup thrice daily.

Decoction. Fine cut: Burdock 2; Horsetail 1; Echinacea 1; Thuja quarter. Mix. 1oz to 1 pint water gently simmered 15 minutes. Wineglassful (or half a cup) thrice daily, before meals.

Tablets/capsules. Echinacea, Poke root, Prickly Ash bark.

Powders. Formula. Sarsaparilla 1; Echinacea 1; Boneset half; Thuja quarter. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.

Liquid extracts. Formula. Equal parts: Echinacea, Devil’s Claw, Gotu Kola. Dose: 30-60 drops thrice daily before meals.

Tinctures. Formula. Burdock 2; Echinacea 1; Boneset 1; Sarsaparilla 1; Thuja quarter. Fennel quarter. Mix. Dose: 1-2 teaspoons thrice daily.

Cod Liver oil.

Topical. Comfrey poultice, Chickweed cream, Oils of Mullein, Jojoba or Evening Primrose.

Diet. Oily fish (or fish oils). Low salt, low fat.

Supplements. Vitamins A, B-complex, C, D, E, Magnesium, Sulphur, Zinc. ... arthritis – psoriatic

A systemic inflammatory disease of several joints together where erosive changes occur symmetrically, and which may arise from inflammation and thickening of the synovial membrane. Cartilage becomes eroded and fibrous or even bony fusion leads to permanent fixation of a joint, or joints. Polyarthritis. An auto-immune disease.

Symptoms. Morning stiffness and pain wearing off later. Easy fatigue and decline in health. Nodules on surface of bones (elbows, wrists, fingers). Joint fluids (synovia) appear to be the object of attack for which abundant Vitamin C is preventative. Anaemia and muscle wasting call attention to inadequate nutrition, possibly from faulty food habits for which liver and intestine herbs are indicated.

Treatment. Varies in accord with individual needs. May have to be changed many times before progress is made. Whatever treatment is prescribed, agents should have a beneficial effect upon the stomach and intestines to ensure proper absorption of active ingredients. (Meadowsweet)

It is a widely held opinion that the first cause of this condition is a bacterial pathogen. An anti- inflammatory herb should be included in each combination of agents at the onset of the disease. See: ANTI-INFLAMMATORY HERBS. Guaiacum (Lignum vitae) and Turmeric (Curcuma longa) have a powerful anti-inflammatory action and have no adverse effects upon bone marrow cells or suppress the body’s immune system. Breast feeding cuts RA death rate.

Of therapeutic value according to the case. Agrimony, Angelica root, Balmony, Black Cohosh (particularly in presence of low back pain and sciatica), Bogbean, Boldo, Burdock, Celery, Cramp bark, Devil’s Claw, Echinacea (to cleanse and stimulate lymphatic system), Ginseng (Korean), Ginseng (Siberian), Liquorice, Meadowsweet, Poke root, Prickly Ash bark, White Poplar bark, White Willow bark, Wild Yam.

Tea. Formula. Equal parts. Alfalfa, Bogbean, Nettles. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes, 1 cup thrice daily.

Decoction. Prickly Ash bark 1; Cramp bark 1; White Willow bark 2. Mix. 1oz to 1 pint water gently simmered 20 minutes. Dose: Half-1 cup thrice daily.

Tablets/capsules. Black Cohosh, Celery, Cramp bark, Devil’s Claw, Feverfew, Poke root, Prickly Ash, Wild Yam, Ligvites.

Alternative formulae:– Powders. White Willow bark 2; Devil’s Claw 1; Black Cohosh half; Ginger quarter. Mix. Dose: 750mg (three 00 capsules or half a teaspoon) thrice daily.

Liquid extracts. White Willow bark 2; Wild Yam half; Liquorice half; Guaiacum quarter. Mix. Dose: 1-2 teaspoons thrice daily.

Tinctures. Cramp bark 1; Bogbean 1; Prickly Ash half; Meadowsweet 1; Fennel half. Mix. Dose: 1-3 teaspoons thrice daily.

Ligvites. (Gerard House)

Cod Liver oil. Contains organic iodine, an important factor in softening-up fibrous tissue, to assist metabolism of uric-acid, help formation of haemoglobin, dilate blood vessels; all related to arthritics. The oil, taken internally, can reach and nourish cartilage by the process of osmosis; its constituents filter into cartilage and impart increased elasticity.

Topical. Evening Primrose oil, Wintergreen lotion, Comfrey poultice. Hydrotherapy: hot fomentations of Hops, Chamomile or Ragwort. Cold water packs: crushed ice or packet of frozen peas in a damp towel applied daily for 10 minutes for stiffness and pain. See: MASSAGE OIL.

Aromatherapy. Massage oils, any one: Cajeput, Juniper, Pine or Rosemary. 6 drops to 2 teaspoons Almond oil.

Supportives: under-water massage, brush baths, sweat packs, Rosemary baths, exposure of joints to sunlight.

Diet. Low salt, low fat, oily fish, Mate tea, Dandelion coffee. On exacerbation of the disease cut out all dairy products.

Supplements. Daily. Evening Primrose capsules: four 500mg; Vitamin C (1-3g); Bromelain 250mg between meals; Zinc 25mg.

General. Residence in a warm climate. Yoga. Disability and deformity may be avoided by a conscientious approach to the subject. ... arthritis – rheumatoid

n. (in anatomy) a treelike structure. Arbor vitae is the treelike outline of white matter seen in sections of the cerebellum; it also refers to the treelike appearance of the inner folds of the cervix (neck) of the uterus.... arbor

(arche-, archi-, archo-) combining form denoting first; primitive; ancestral. Example: archinephron (first-formed embryonic kidney).... arch

n. a cavity that forms in the very early embryo as the result of gastrulation (see gastrula). In humans it forms a tubular cavity, the archenteric canal, which connects the amniotic cavity with the yolk sac. —archenteric adj.... archenteron

n. (in Jungian psychology) an inherited idea or mode of thought supposed to be present in the *unconscious mind and to derive from the experience of the whole human race (the collective unconscious), not from the life experience of the individual. Anima is the feminine component of a male’s personality; animus is the masculine component of a female’s personality.... archetype

n. the *hippocampal formation of the cerebrum. The term is seldom used.... archipallium

A chronic bone and joint condition due to bovine from of tuberculosis believed to be caused by drinking TB milk and cream. Mostly in children, beginning in fluids surrounding a joint before invading bone tissue. Instead of normal flesh colour a joint has a white appearance. Condition maybe secondary to disease of the lungs or glands. Pain worse at night.

Elecampane (Inula) has a direct effect on TB bacilli, controlling night sweats and localising the disease. Agents yielding salicylates (mild analgesics) Meadowsweet, White Willow, etc are of value. Echinacea increases phagocytic power of the leucocytes and may normalise percentage count of neutraphiles. To meet individual needs, it will be necessary to vary treatment many times during the course of the disease.

Alternatives. Echinacea, Elecampane, Balm of Gilead buds (Hyde), Gotu Kola, Comfrey root, Iceland Moss. Rupturewort promotes elasticity of lung tissue.

Decoction. Equal parts: Iceland Moss, Comfrey root, Elecampane root, Liquorice. Mix. 1oz to 1 pint water gently simmered 20 minutes in a covered vessel. Dose: Half a cup thrice daily.

Alternative formulae:– Powders. White Willow 2; Comfrey 1; Echinacea 1; Ginger quarter. Mix. Dose: 750mg (three 00 capsules or half a teaspoon) thrice daily.

Tinctures. White Willow 2; Echinacea 1; Blue Cohosh half; White Poplar half; Tincture Capsicum quarter. Mix. 1 teaspoon thrice daily before meals.

Tincture Krameria (Rhatany root), Dose: 30-60 drops in water thrice daily.

Fenugreek seed tea.

Comfrey. Potential benefit of Comfrey root outweighs risk.

Topical. Compresses: Mullein leaves, Lobelia, Comfrey root or Fenugreek. Evening Primrose oil. No massage to affected joints.

Diet. Low carbohydrate. Oily fish.

Supplements. Vitamins A, B6, B12, D, Niacin, Calcium, Iron, Phosphorus.

General. Tuberculosis is a notifiable disease for which specific medical treatment is available. Failure to comply may expose a practitioner to a charge of negligence. ... arthritis – tuberculous

Globe artichoke. Cynara scolymus L. French: Artichaut. German: Echte Artischocke. Italian: Artichiocco. Leaves and blossom.

Active constituent: cynarin.

Action: cholagogue, flow of bile increase up to 60 per cent, hypo diuretic, liver restorative. Assists digestion of fats. Choleretic, hypolipaemic. Tonic. Anti-hyperlipidaemic.

Uses: Liver and gall bladder disorders. Liver damage, jaundice, nausea. Artichokes are the diabetic’s potato. Hyperlipaemia – to reduce level of fats in the blood. Hypercholesterolaemia. To stimulate metabolism. Fluid retention. Detoxification. Aid to cell metabolism.

Preparations: Tea. 1-2 teaspoons leaves or root to each cup boiling water. Infuse 15 minutes. Half-1 cup freely.

Powder: 250mg capsules. 3 capsules, morning and evening, before meals. (Arkocaps) Bio-strath artichoke formula. Artichokes eaten as a vegetable. ... artichoke

An abnormality of the rhythm or rate of the heartbeat. Arrhythmias, which are caused by a disturbance in the electrical impulses in the heart, can be divided into 2 main groups: tachycardias, in which the rate is faster than normal, and bradycardias, in which the rate is slower.

In sinus tachycardia, the rate is raised, the rhythm is regular, and the beat originates in the sinoatrial node (see pacemaker). Supraventricular tachycardia is faster and the rhythm is regular. It may be caused by an abnormal electrical pathway that allows an impulse to

circulate continuously in the heart and take over from the sinoatrial node. Rapid, irregular beats that originate in the ventricles are called ventricular tachycardia. In atrial flutter, the atria (see atrium) beat regularly and very rapidly, but not every impulse reaches the ventricles, which beat at a slower rate. Uncoordinated, fast beating of the atria is called atrial fibrillation and produces totally irregular ventricular beats. Ventricular fibrillation is a form of cardiac arrest in which the ventricles twitch very rapidly in a disorganized manner.

Sinus bradycardia is a slow, regular beat. In heart block, the conduction of electrical impulses through the heart muscle is partially or completely blocked, leading to a slow, irregular heartbeat. Periods of bradycardia may alternate with periods of tachycardia due to a fault in impulse generation (see sick sinus syndrome).

A common cause of arrhythmia is coronary artery disease, particularly after myocardial infarction. Some tachycardias are due to a congenital defect in the heart’s conducting system. Caffeine can cause tachycardia in some people. Amitriptyline and some other antidepressant drugs can cause serious arrhythmias if they are taken in high doses.

An arrhythmia may be felt as palpitations, but in some cases arrhythmias can cause fainting, dizziness, chest pain, and breathlessness, which may be the 1st symptoms.

Arrhythmias are diagnosed by an ECG. If they are intermittent, a continuous recording may need to be made using an ambulatory ECG.

Treatments for arrhythmias include antiarrhythmic drugs, which prevent or slow tachycardias.

With an arrhythmia that has developed suddenly, it may be possible to restore normal heart rhythm by using electric shock to the heart (see defibrillation).

Abnormal conduction pathways in the heart can be treated using radio frequency ablation during cardiac catheterization (see catheterization, cardiac).

In some cases, a pacemaker can be fitted to restore normal heartbeat by overriding the heart’s abnormal rhythm.... arrhythmia, cardiac

a curved incision made in the periphery of the cornea. It is usually performed in the region of greatest curvature of the cornea in order to flatten it and hence reduce *astigmatism.... arcuate keratotomy

an anomaly or anatomical variation in which there is a slight indentation of the endometrium at the top of the uterus. Unlike a septate uterus, in which the indentation extends into a septum that divides the interior of the uterus, and a *bicornuate uterus, it does not normally affect reproductive function. See also uterus didelphys.... arcuate uterus

n. an arch; for example the arcus aortae (*aortic arch) or an arcus senilis or arcus juvenilis (see corneal arcus).... arcus

see adult respiratory distress syndrome.... ards

Disorders of the arteries may take the form of abnormal narrowing (which reduces blood flow and may cause tissue damage), complete obstruction (which may cause tissue death), or abnormal widening and thinning of an artery wall (which may cause rupture of the blood vessel).

Atherosclerosis, in which fat deposits build up on artery walls, is the most common arterial disease.

It can involve arteries throughout the body, including the brain (see cerebrovascular disease), heart (see coronary artery disease), and legs (see peripheral vascular disease).

Atherosclerosis is the main type of arteriosclerosis, a group of disorders that cause thickening and loss of elasticity of artery walls.

Hypertension is another common cause of thickening and narrowing of arteries, and it increases the risk of a stroke or kidney failure.

Arteritis is inflammation of artery walls that causes narrowing and sometimes blockage.

Aneurysm is ballooning of an artery wall caused by the pressure of blood flowing through a weakened area.

Thrombosis occurs when a blood clot forms in a blood vessel, causing obstruction of the blood flow.

Blockage of an artery by a fragment of blood clot or other material travelling in the circulation is called an embolism.

Raynaud’s disease is a disorder involving intermittent spasm of small arteries in the hands and feet, usually due to cold.... arteries, disorders of

loose *connective tissue consisting of a meshwork of collagen, elastic tissue, and reticular fibres interspersed with numerous connective tissue cells. It binds the skin to underlying muscles and forms a link between organs while allowing a high degree of relative movement.... areolar tissue

n. see tick.... argasidae

cells that stain readily with silver salts. Such cells occur, for example, in the crypts of Lieberkühn in the intestine.... argentaffin cells

n. an *amino acid that plays an important role in the formation of *urea by the liver.... arginine

a type of *laser that utilizes argon gas to produce a beam of intense light, used especially in eye surgery to treat disease of the retina (e.g. diabetic retinopathy) or glaucoma (as in argon laser *trabeculoplasty). See also photocoagulation.... argon laser

an endoscopic procedure used predominantly to control bleeding in the gastrointestinal tract. secondary to angiodysplasia and bleeding following polypectomy. Occasionally it is used in the debulking of tumours not amenable to surgery. An intermittent stream of argon gas is delivered through a catheter in the endoscope and ionized by a monopolar electrical current producing a controlled release of thermal energy. This causes coagulation in the adjacent tissues.... argon plasma coagulation

The administration of nutrients other than by mouth, usually by way of a tube passed through the nose into the stomach or small intestine. If long-term artificial feeding is anticipated, a tube is inserted directly into the stomach or upper small intestine using endoscopic surgery. If the gastrointestinal tract is not functioning, nutrients must be introduced into the bloodstream. This type of feeding is known as parenteral nutrition.

Tube feeding may be necessary for people who have gastrointestinal disorders (for example, conditions resulting in malabsorption) or disorders affecting the nervous system or kidneys. Premature babies often require tube feeding if their sucking reflexes are undeveloped, as do critically ill patients due to their increased nutritional requirements. Intravenous feeding is usually given when large areas of the small intestine have been damaged by disease or have been surgically removed.... feeding, artificial

An implantable mechanical device that takes over the action of the heart or assists the heart in maintaining the circulation. There are 3 main types of artificial heart.

An intra-aortic balloon pump, comprising a balloon in the aorta that inflates with each heartbeat, increases the volume of blood entering the circulation. A left ventricular assist device takes blood from the left ventricle and pumps it electrically into the abdominal aorta. There are also mechanical hearts, which are powered from outside the body, usually by compressed air.

Problems with artificial hearts include the formation of blood clots within the device, and infection.

They are therefore used as a temporary measure until a heart transplant can be performed.... heart, artificial

A rare form of arthritis affecting children. Juvenile chronic arthritis occurs more often in girls, and usually develops between 2 and 4 years of age or around puberty. There are 3 main types. Still’s disease (systemic onset juvenile arthritis) starts with fever, rash, enlarged lymph nodes, abdominal pain, and weight loss. These symptoms last for a period of several weeks. Joint pain, swelling, and stiffness may develop after several months. Polyarticular juvenile arthritis causes pain, swelling, and stiffness in many joints. Pauciarticular juvenile arthritis affects 4 joints or fewer.

Possible complications include short stature, anaemia, pleurisy, pericarditis, and enlargement of the liver and spleen. Uveitis may develop, which, if untreated, may damage vision. Rarely, amyloidosis may occur or kidney failure may develop. Diagnosis is based on the symptoms, together with the results of X-rays and blood tests, and is only made if the condition lasts for longer than 3 months.

Treatment may include antirheumatic drugs, corticosteroid drugs, nonsteroidal anti-inflammatory drugs, or aspirin. Splints may be worn to rest inflamed joints and to reduce the risk of deformities. Physiotherapy reduces the risk of muscle wasting and deformities.

The arthritis usually clears up after several years. However, in some children, the condition remains active into adult life.

– kala-azar A form of leishmaniasis that is spread by insects. Kala-azar occurs in parts of Africa, India, the Mediterranean, and South America.... juvenile chronic arthritis

n. the group of symptoms caused by deficiency of riboflavin (*vitamin B2). These symptoms include inflammation of the tongue and lips and sores in the corners of the mouth.... ariboflavinosis

n. see aromatase inhibitor.... arimidex

n. see antipsychotic.... aripiprazole

n. a genus of plants containing aristolochic acid, a nephrotoxin associated with progressive renal failure and a tendency to urothelial tumours. Species are associated with *Balkan nephropathy (A. clematis) and *Chinese herb nephropathy (A. fangchi).... aristolochia

age-related *macular degeneration.... armd

a congenital disorder in which there is distortion of the base of the skull with protrusion of the lower brainstem and parts of the cerebellum through the opening for the spinal cord at the base of the skull (see banana and lemon signs). It is associated commonly with *neural tube defects, *hydrocephalus, and a *syringomyelia. [J. Arnold (1835–1915) and H. Chiari (1851–1916), German pathologists]... arnold–chiari malformation

n. see aromatase inhibitor.... aromasin

any one of a class of drugs used in the treatment of early and advanced oestrogen-dependent breast cancer in postmenopausal women. These drugs act by inhibiting the action of aromatase, an enzyme that promotes the conversion of testosterone to oestradiol. They therefore reduce oestrogen levels, which can be helpful in the control of oestrogen-dependent tumours. Aromatase inhibitors include anastrazole, exemestane, and letrozole. Side-effects include symptoms of oestrogen deficiency (e.g. hot flushes), nausea and vomiting, and headache.... aromatase inhibitor

n. the active ingredient of qinghaosu, a Chinese herbal medicine prepared from a species of wormwood (Artemisia annua) and long used for treating malaria. Derivatives of artemisinin (including artesunate and artemether) have been developed for the treatment of malignant (falciparum) malaria; they act by killing the asexual stages of the parasite (see Plasmodium) and are used in combination with other antimalarial drugs. In the UK, for example, artemether is available in combination with lumefantrine.... artemisinin

(arteri-, arterio-) combining form denoting an artery. Examples: arteriopathy (disease of); arteriorrhaphy (suture of); arteriovenous (relating to arteries and veins).... arter

a narrow *catheter inserted into an artery for the purposes of continuous monitoring or blood gas analysis. It is used for short periods during phases of acute or critical illness and should be clearly labelled to prevent inadvertent use as a medication conduit. The femoral, axillary, or posterior tibial arteries can be used as insertion sites.... arterial line

a localized area of damage and breakdown of the skin due to inadequate arterial blood supply (*ischaemia). Usually it is seen on the feet of patients with severe atheromatous narrowings of the arteries supplying the legs.... arterial ulcer

n. surgical excision of an artery or part of an artery. This may be performed as a diagnostic procedure (for example, to take an arterial biopsy in the diagnosis of arteritis) or during reconstruction of a blocked artery when the blocked segment is replaced by a synthetic graft.... arteriectomy

n. the enlargement of pre-existing collateral channels to form collateral arteries in order to bypass an occluded primary artery (see collateral circulation). This is an active process involving remodelling of the vessel wall mediated by cellular and chemical signals.... arteriogenesis

n. inflammation of the arterioles (the smallest arteries), which may complicate severe hypertension. This produces necrotizing arteriolitis, which may result in kidney failure. A similar condition may affect the lung in pulmonary hypertension.... arteriolitis

n. see nephrosclerosis.... arteriolosclerosis

(arterial portography) n. an invasive imaging technique used to visualize the *portal vein. A diagnostic catheter is advanced to the superior mesenteric artery or splenic artery from the common femoral artery or radial artery. X-ray contrast is injected and images are taken as this passes through the artery and returns via the veins, to opacify the portal vein. The images obtained will show the portal vein on fluoroscopy. When it is combined with CT scanning (CT arterioportography), exquisite details of the portal vein and the liver will be obtained. As the liver is mainly supplied by the portal vein, this technique enhances the contrast of the normal liver and shows any abnormal areas very clearly. Tumours not seen on conventional CT scans are readily visible.... arterioportography

n. an incision into, or a needle puncture of, the wall of an artery. This is most often performed as a diagnostic procedure in the course of *arteriography or cardiac *catheterization. It may also be required to remove an embolus (see embolectomy).... arteriotomy

a thick-walled blood vessel that connects an arteriole directly with a venule, thus bypassing the capillaries. Arteriovenous anastomoses are commonly found in the skin of the lips, nose, ears, hands and feet; their muscular walls can constrict to reduce blood flow or dilate to allow blood through to these areas.... arteriovenous anastomosis

a direct communication between an artery and vein, without an intervening capillary bed. It can occur as a congenital abnormality or it may be acquired following injury or surgery. It may affect the limbs, lungs, or viscera and may be single or multiple. If the connection is large, the short-circuiting of blood may produce heart failure. Large isolated arteriovenous aneurysms may be closed surgically.... arteriovenous aneurysm

see angioma.... arteriovenous malformation

(arthro-) combining form denoting a joint. Examples: arthrology (science of); arthrosclerosis (stiffening or hardening of).... arthr

n. surgical excision of a joint. It is usually performed on a painful joint that has ceased to function, as may result from intractable infection, or after a failed joint replacement. See also arthroplasty.... arthrectomy

n. aspiration (removal) of fluid from a joint through a puncture needle into a syringe.... arthrocentesis

(gliding joint) a form of *diarthrosis (freely movable joint) in which the bony surfaces slide over each other without angular or rotational movement. Examples are the joints of the carpus and tarsus.... arthrodic joint

n. see arthralgia.... arthrodynia

n. a procedure to enable a temporary opening to be made into a joint cavity.... arthrostomy

n. an amide-type local *anaesthetic used in dentistry. With a lower pKa of 7.8 (more rapid onset) and high lipid solubility (depth of anaesthesia), it is of significant benefit when infection is present. It also has the ability to penetrate bone. Although a causal relationship has not been proven, articaine has been associated with a higher risk of nerve damage when used as a block technique.... articaine

n. (in dentistry) an apparatus for relating the upper and lower models of a patient’s dentition in a fixed position, usually with maximum tooth contact. Some articulators can reproduce jaw movements. They are used in the construction of crowns, bridges, and dentures.... articulator

(artefact) n. 1. (in radiography) an appearance on an image that is not a true representation of the patient’s body part. The cause may be a problem with the radiographic technique or something more straightforward. For example, a movement artifact is blurring of the image due to movement of the patient or organ during the exposure. All imaging techniques, including CT and MRI, are susceptible to a range of artifacts. See also partial volume artifact. 2. (in microscopy) a structure seen in a tissue under a microscope that is not present in the living tissue. Artifacts, which are produced by faulty *fixation or staining of the tissue, may give a false impression that disease or abnormality is present in the tissue when it is not.... artifact

see ventricular assist device.... artificial heart

the use of enteral feeding tubes or cannulas to administer nutrients and fluids directly into the gastrointestinal tract or bloodstream when the oral route cannot be used owing to disability or disease. When other intensive treatments are judged *futile, artificial nutrition and hydration are considered *extraordinary means of prolonging life in patients who have no prospect of recovery. It is permissible to withdraw such treatment when it is no longer in the patient’s interests and when the primary intention is not to kill the patient, although death is foreseen (see doctrine of double effect). In cases of patients in a *persistent vegetative state in England and Wales, the matter must be referred to the courts following the case of Tony Bland. Where food and water are withdrawn it is still considered important to moisten the patient’s lips and to keep him or her comfortable until death.... artificial nutrition and hydration

(ARM) see amniotomy.... artificial rupture of membranes

an apparatus designed to replace or support a *sphincter that is either absent or ineffective. See also neosphincter.... artificial sphincter

either of the two pyramid-shaped cartilages that lie at the back of the *larynx next to the upper edges of the cricoid cartilage.... arytenoid cartilage

n. surgical excision of the arytenoid cartilage of the larynx in the treatment of paralysis of the vocal folds.... arytenoidectomy

an artery in the base of the brain, formed by the union of the two vertebral arteries. It extends from the lower to the upper border of the pons Varolii and then divides to form the two posterior cerebral arteries.... basilar artery

see innominate artery.... brachiocephalic artery

see pharyngeal arch.... branchial arch

the numbered areas (1–47) into which a map of the *cerebral cortex may conveniently be divided for descriptive purposes, based upon the arrangement of neurons seen in stained sections under the microscope. On the map area 4, for example, corresponds to primary motor cortex, while the primary visual cortex comes into area 17. [K. Brodmann (1868–1918), German neurologist]... brodmann areas

a form of education in resuscitation skills using a *resuscitation mannikin wired up to a heart rhythm simulator that can mimic all common cardiac arrest situations. Candidates may be expected to perform basic life support as well as advanced life support and display skills in airway maintenance and team leadership. This form of teaching and assessment is widely used in advanced life support courses.... cardiac arrest simulation

a designated team of doctors in a hospital who attend *cardiac arrests as they occur and administer protocol-driven treatment according to the latest guidelines. See also medical emergency team.... cardiac-arrest team

(carotid stenosis) narrowing of the carotid artery, which reduces the supply of blood to the brain and is a cause of strokes. It is treated by surgical excision or bypass of the narrowed segment (see also endarterectomy) or by inserting a *stent into the carotid artery.... carotid artery stenosis

the front upper portion of the right ventricle adjoining the pulmonary arteries.... conus arteriosus

a white or greyish line in the periphery of the cornea, concentric with but separated from the edge by a clear zone. It begins above and below but may become a continuous ring. It consists of an infiltration of fatty material and is common in the elderly (arcus senilis). When it occurs in younger people (arcus juvenilis) it may indicate *hyperlipidaemia. It does not affect vision.... corneal arcus

(CABG) *coronary revascularization in which a segment of a coronary artery narrowed by atheroma is bypassed by an *autologous section of healthy saphenous vein or internal mammary artery at *thoracotomy. The improved blood flow resulting from one or more such grafts relieves *angina pectoris and reduces the risk of *myocardial infarction. Recently developed techniques of *minimally invasive surgery have enabled the operation to be performed without the need for thoracotomy.... coronary artery bypass graft

mechanical obstruction of labour in which the fetal head is unable to rotate from occipitotransverse to occipitoanterior position (see occiput).... deep transverse arrest

the terminal branch of an artery, which does not communicate with other branches. The tissue it supplies is therefore probably completely dependent on it for its blood supply.... end artery

an inflammatory arthritis associated with gastrointestinal disease, such as *inflammatory bowel disease.... enteropathic arthritis

adj. not involving a joint. The term is commonly used to specify a fracture pattern or the position of a bone tumour. It is also used to describe nonarticular or systemic manifestations of severe rheumatoid arthritis; for example, inflammation of the eyes, lungs, and heart, skin nodules and vasculitis, and nerve damage (neuropathy). See also intra-articular; periarticular.... extra-articular

a fetal artery lying in the *hyaloid canal of the eye and supplying the lens.... hyaloid artery

the arteries that supply most of the blood to the lower limbs and pelvic region. The right and left common iliac arteries form the terminal branches of the abdominal aorta. Each branches into the external iliac artery and the smaller internal iliac artery.... iliac arteries

Latin: at the moment of death.... in articulo mortis

(brachiocephalic artery) a short artery originating as the first large branch of the *aortic arch, passing upwards to the right, and ending at the lower neck near the right sternoclavicular joint. Here it divides into the right common carotid and the right subclavian arteries.... innominate artery

adj. within a joint. The term is commonly used to specify a fracture pattern, the location of a soft-tissue injury, or the route of injection of a drug. See also extra-articular; periarticular.... intra-articular

(JIA, Still’s disease) any one of a group of conditions characterized by inflammation of the joints lasting longer than 6 weeks and occurring before the age of 16. The causes are unknown but immunological and infective mechanisms are suspected. JIA can affect either four or fewer joints (pauciarticular JIA) or more than four (polyarticular JIA). There are two recognized types of pauciarticular JIA: type 1, which generally affects girls below the age of four; and type 2 (juvenile-onset spondylarthropathy), which generally affects boys over the age of nine. There are also two types of polyarticular JIA, depending on the presence or absence of a particular antibody in the blood. There is a great range of severity of these diseases. Treatment consists of pain management and prevention of subsequent deformity or limitation of movement (e.g. contractures). Long-term joint damage is prevented by use of medications similar to those used in rheumatoid arthritis.... juvenile idiopathic arthritis

the anterior region of the nasal septum (see nose). It has a rich capillary supply, called *Kiesselbach’s plexus, and is a common site from which nosebleeds arise. See epistaxis. [J. L. Little (1836–85), US surgeon]... little’s area

see vertebra.... neural arch

(Charcot’s joint) a condition leading to progressive destruction and deformity of weight-bearing joints, resulting from damage to the sensory nerves that supply them. Causes include diabetes mellitus (see diabetic neuropathy), *tabes dorsalis, *syringomyelia, leprosy, congenital insensitivity to pain, and other neurological problems. Patients develop an unstable painless swollen joint; treatment is focused on limitation of activity and bracing.... neuropathic arthritis

an apparent decrease in the visibility of a structure in a *cross-sectional imaging technique, such as CT or MRI, when either the thickness of the object is much less than that of the slice being used to make the image, or the object is only partially imaged within the slice. See artifact.... partial volume artifact

the recognized period, either just before or just after a full *cardiac arrest, when the patient’s condition is very unstable and care must be taken to prevent progression or regression into a full cardiac arrest.... peri-arrest period

(branchial arch, visceral arch) any of the paired segmented ridges of tissue in each side of the throat of the early embryo that correspond to the gill arches of fish. Each arch contains a cartilage, a cranial nerve, and a blood vessel. Between each arch there is a *pharyngeal pouch.... pharyngeal arch

see PACS.... picture archiving and communication system

the arch in the sole of the foot formed by anastomosing branches of the plantar arteries.... plantar arch

(PASI) a semiobjective severity score for psoriasis, including measurement of surface area affected and the degree of erythema, induration, and scale. It is commonly used in clinical trials and to ration expensive treatments for psoriasis. Severe disease equates to scores over 10 and it is often interpreted with the *dermatology life quality index (DLQI) score.... psoriasis area severity index

arthritis associated with *psoriasis. It occurs in 5% of patients with psoriasis and may be painful and disabling. It often affects small joints, such as the terminal joints of the fingers and toes, the spine (*spondylitis), and sacroiliac joints (*sacroiliitis), or large joints, such as the knee.... psoriatic arthritis

the artery that conveys blood from the heart to the lungs for oxygenation: the only artery in the body containing deoxygenated blood. It leaves the right ventricle and passes upwards for 5 cm before dividing into two, one branch going to each lung. Within the lungs each pulmonary artery divides into many fine branches, which end in capillaries in the alveolar walls. See also pulmonary circulation.... pulmonary artery

see septic arthritis.... pyogenic arthritis

either of two large arteries arising from the abdominal aorta and supplying the kidneys. Each renal artery divides into an anterior and a posterior branch before entering the kidney.... renal artery

an arthritis in which rheumatoid factor or anticitrullinated protein antibodies (ACPA) are not present in the serum. See also spondyloarthropathy.... sero-negative arthritis

a normal variation in the heart rate, which accelerates slightly on inspiration and slows on expiration. It is common in young fit individuals.... sinus arrhythmia

the claim that a relatively innocuous or small first step will result in seriously harmful or otherwise undesirable consequences that will be difficult, if not impossible, to prevent. When or whether such slippery slopes exist is much argued over in medical ethics, especially in debates about *euthanasia. See also consequentialism.... slippery slope argument

either of two arteries that originate from the abdominal aorta and travel downwards to supply the testes.... spermatic artery

(SPA) a surgical procedure to identify and occlude the sphenopalatine artery in the nose using endoscopic surgery. It is used in the treatment of severe epistaxis (nosebleed).... sphenopalatine artery ligation

either of two arteries supplying blood to the neck and arms. The right subclavian artery branches from the innominate artery; the left subclavian arises directly from the aortic arch.... subclavian artery

the main arterial trunk arising from the fetal heart. It develops into the aorta and pulmonary artery.... truncus arteriosus

a branch of the brachial artery arising at the elbow and running deep within the muscles of the medial side of the forearm. It passes into the palm of the hand, where it unites with the arch of the radial artery and gives off branches to the hand and fingers.... ulnar artery

a method of embolizing the uterine artery under radiodiagnostic control (see embolization). It has been successful in controlling postpartum haemorrhage and can also be used in treating fibroids, correcting arterial or venous malformations of the genital tract, and terminating abdominal and cervical pregnancies.... uterine artery embolization

see pharyngeal arch.... visceral arch

the husk or membrane covering the seed of a plant.... aril

a substance with a strong aroma or smell.... aromatic