The blood pressure is biphasic, being greatest (systolic pressure) at each heartbeat and falling (diastolic pressure) between beats. The average systolic pressure is around 100 mm Hg in children and 120 mm Hg in young adults, generally rising with age as the arteries get thicker and harder. Diastolic pressure in a healthy young adult is about 80 mm Hg, and a rise in diastolic pressure is often a surer indicator of HYPERTENSION than is a rise in systolic pressure; the latter is more sensitive to changes of body position and emotional mood. Hypertension has various causes, the most important of which are kidney disease (see KIDNEYS, DISEASES OF), genetic predisposition and, to some extent, mental stress. Systolic pressure may well be over 200 mm Hg. Abnormal hypertension is often accompanied by arterial disease (see ARTERIES, DISEASES OF) with an increased risk of STROKE, heart attack and heart failure (see HEART, DISEASES OF). Various ANTIHYPERTENSIVE DRUGS are available; these should be carefully evaluated, considering the patient’s full clinical history, before use.
HYPOTENSION may result from super?cial vasodilation (for example, after a bath, in fevers or as a side-e?ect of medication, particularly that prescribed for high blood pressure) and occur in weakening diseases or heart failure. The blood pressure generally falls on standing, leading to temporary postural hypotension – a particular danger in elderly people.... blood pressure
The toxin has two components, one having haemagglutinin activity and the other neurotoxic activity which produces most of the symptoms. It has a lethal dose of as little as 1 mg/kg and is highly selective for cholinergic nerves. Thus the symptoms are those of autonomic parasympathetic blockade (dry mouth, constipation, urinary retention, mydriasis, blurred vision) and progress to blockade of somatic cholinergic transmission (muscle weakness). Death results from respiratory muscle paralysis. Treatment consists of supportive measures and 4 aminopyridine and 3, 4 di-aminopyridine, which may antagonise the e?ect of the toxin.... botulism
Treatment consists of postural drainage of excessive lung secretions, and antibiotics.... bronchiectasis
Habitat: South Africa, from where the leaves are imported.
Features ? Three varieties of Buchu leaves are used therapeutic-ally ? (1) Barosma betulina or Round Buchu are rhomboid-obovate in form with blunt, recurved apex, and are preferred to either (2) Barosma crenulata or oval Buchu. the apex of which leaf is not recurved; or (3) Barosma serratifolia or long Buchu, named from its distinctive, serrate-edged leaf and truncate apex.Part used ? Leaves.Action: Diuretic, diaphoretic, stimulant:
Complaints of the urinary system, especially gravel and inflammation or catarrh of the bladder. Infusion of 1 ounce leaves to 1 pint water three or four times daily in wineglass doses.... buchu– they feed on dead organic matter. As well as infecting and spoiling food, some are pathogenic to humans, causing, for example, ANTHRAX, conjunctivitis (see EYE, DISORDERS OF) and DYSENTERY. They are also the source of some antibiotics (See under MICROBIOLOGY.)... bacillus
Patients found to have bacteriuria on SCREENING may never have consulted a doctor but nearly all have a few symptoms, such as frequency or urgency – so-called ‘covert bacteriuria’.
Men have longer urethras and fewer urinary tract infections (UTIs) than women. Risk factors include diabetes mellitus, pregnancy, impaired voiding and genito-urinary malformations. Over 70 per cent of UTIs are due to E. coli, but of UTIs in hospital patients, only 40 per cent are caused by E. coli.
Treatment Patients should be encouraged to drink plenty of water, with frequent urination. Speci?c antibiotic therapy with trimethoprim or amoxicillin may be needed.... bacteriuria
Habitat: Borders of woods and in hedges, particularly in south of England. Common in gardens.
Features ? Stem one to two feet high, freely branched, square, smoothish. Leaves stalked, opposite, broadly ovate, coarsely serrate, wrinkled, hairy. Numerous small, white or yellowish flowers, in loose bunches from leaf axils. Roots long, slender, creeping. Taste and odour of lemon.Part used ? Herb.Action: Carminative, diaphoretic, tonic.
In influenza and feverish colds, to induce perspiration. Aids digestion. Infusion of 1 ounce to 1 pint boiling water, taken freely.... balmNutritional Profile Energy value (calories per serving): Moderate Protein: Moderate Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: High Sodium: Low Major vitamin contribution: B vitamins, folate Major mineral contribution: Iron, potassium
About the Nutrients in This Food Barley is a high-carbohydrate food, rich in starch and dietary fiber, particu- larly pectins and soluble gums, including beta-glucans, the fiber that makes cooked oatmeal sticky. The proteins in barley are incomplete, limited in the essential amino acid lysine. Barley is a good source of the B vitamin folate. One-half cup cooked barley has 4.5 grams dietary fiber and 12.5 mg folate (3 percent of the R DA for healthy adults).
The Most Nutritious Way to Serve This Food With a calcium-rich food and with a food such as legumes or meat, milk, or eggs that supplies the lysine barley is missing.
Diets That May Restrict or Exclude This Food Gluten-free diet
Buying This Food Look for: Clean, tightly sealed boxes or plastic bags. Stains indicate that something has spilled on the box and may have seeped through to con- taminate the grain inside. * Values are for pearled barley.
Storing This Food Store barley in air- and moisture-proof containers in a cool, dark, dry cabinet. Well protected, it will keep for several months with no loss of nutrients.
Preparing This Food Pick over the barley and discard any damaged or darkened grains.
What Happens When You Cook This Food Starch consists of molecules of the complex carbohydrates amylose and amylopectin packed into a starch granule. When you cook barley in water, its starch granules absorb water mol- ecules, swell, and soften. When the temperature of the liquid reaches approximately 140°F, the amylose and amylopectin molecules inside the granules relax and unfold, breaking some of their internal bonds (bonds between atoms on the same molecule) and forming new bonds between atoms on different molecules. The result is a network that traps and holds water molecules. The starch granules swell and the barley becomes soft and bulky. If you continue to cook the barley, the starch granules will rupture, releasing some of the amylose and amylopectin molecules inside. These molecules will attract and immobilize some of the water molecules in the liquid, which is why a little barley added to a soup or stew will make the soup or stew thicker. The B vitamins in barley are water-soluble. You can save them by serving the barley with the liquid in which it was cooked.
How Other Kinds of Processing Affect This Food Pearling. Pearled barley is barley from which the outer layer has been removed. Milling, the process by which barley is turned into flour, also removes the outer coating (bran) of the grain. Since most of the B vitamins and fiber are concentrated in the bran, both pearled and milled barley are lower in nutrients and fiber than whole barley. Malting. After barley is harvested, the grain may be left to germinate, a natural chemical process during which complex carbohydrates in the grain (starches and beta-glucans) change into sugar. The grain, now called malted barley, is used as the base for several fermented and distilled alcohol beverages, including beer and whiskey.
Medical Uses and/or Benefits To reduce cholesterol levels. The soluble gums and pectins in barley appear to lower the amount of cholesterol circulating in your blood. There are currently two theories to explain how this might work. The first theory is that the pectins form a gel in your stomach that sops up fats and keeps them from being absorbed by your body. The second is that bacteria living in your gut may feed on the beta-glucans in the barley to produce short-chain fatty acids that slow the natural production of cholesterol in your liver. Barley is very rich in beta-glucans; some strains have three times as much as oats. It also has tocotrienol, another chemical that mops up cholesterol.... barley
To arrest excessive bleeding: Yarrow or Nettle tea. After the event; to restore – Alfalfa tea.
To heal the placenta: inserts of powdered Comfrey. ... birth
Habitat: Found growing in damp meadows in many parts of Britain, and is also distributed throughout Northern Europe, as well as Northern and Western Asia.
Features ? The oval leaves, similar in appearance to those of the Dock, are blue-green above, grey and purplish underneath, and spring from the roots. The leaf stalks and blades are six to eight inches long, the slender flower stems carrying fewer and smaller leaves, reaching to a height of from one to two feet. A dense, cylindrical spike of pale-hued flowers blossoms from the top of the stem between June and September.Part used ? The root is the part in most demand, and is reddish-brown in colour.Action: There is no odour, and the taste is astringent, which is the chief therapeutic action of the root—indeed it is, perhaps, the most powerful astringent in the botanic practice.
The decoction of 1 ounce of the crushed root to 1 pint (reduced) of water is used chiefly in hemorrhages and as a gargle and mouth-wash in cases ofsore throat or gums. Combined with Flag-root it has been known to give relief from intermittent fever and ague. The old-time herbalists enthused over the virtues of Bistort root in "burstings, bruises, falls, blows and jaundice."... bistortThe complication is frequently fatal, being associated with HAEMOGLOBINURIA, JAUNDICE, fever, vomiting and severe ANAEMIA. In an extreme case the patient’s urine appears black. Tender enlarged liver and spleen are usually present. The disease is triggered by quinine usage at subtherapeutic dosage in the presence of P. falciparum infection, especially in the non-immune individual. Now that quinine is rarely used for prevention of this infection (it is reserved for treatment), blackwater fever has become very unusual. Treatment is as for severe complicated P. falciparum infection with renal impairment; dialysis and blood transfusion are usually indicated. When inadequately treated, the mortality rate may be over 40 per cent but, with satisfactory intensive therapy, this should be reduced substantially.... blackwater fever
Any blind person, or his or her relatives, can obtain help and advice from the Royal National Institute for the Blind (www.rnib.org.uk).
Night blindness An inability to see in the dark. It can be associated with retinitis pigmentosa or vitamin A de?ciency (see EYE, DISORDERS OF).... blindness
Composition The cellular components are red cells or corpuscles (ERYTHROCYTES), white cells (LEUCOCYTES and lymphocytes – see LYMPHOCYTE), and platelets.
The red cells are biconcave discs with a diameter of 7.5µm. They contain haemoglobin
– an iron-containing porphyrin compound, which takes up oxygen in the lungs and releases it to the tissue.
The white cells are of various types, named according to their appearance. They can leave the circulation to wander through the tissues. They are involved in combating infection, wound healing, and rejection of foreign bodies. Pus consists of the bodies of dead white cells.
Platelets are the smallest cellular components and play an important role in blood clotting (see COAGULATION).
Erythrocytes are produced by the bone marrow in adults and have a life span of about 120 days. White cells are produced by the bone
marrow and lymphoid tissue. Plasma consists of water, ELECTROLYTES and plasma proteins; it comprises 48–58 per cent of blood volume. Plasma proteins are produced mainly by the liver and by certain types of white cells. Blood volume and electrolyte composition are closely regulated by complex mechanisms involving the KIDNEYS, ADRENAL GLANDS and HYPOTHALAMUS.... blood
Structure of bone Bone is composed partly of ?brous tissue, partly of bone matrix comprising phosphate and carbonate of lime, intimately mixed together. The bones of a child are about two-thirds ?brous tissue, whilst those of the aged contain one-third; the toughness of the former and the brittleness of the latter are therefore evident.
The shafts of the limb bones are composed of dense bone, the bone being a hard tube surrounded by a membrane (the periosteum) and enclosing a fatty substance (the BONE MARROW); and of cancellous bone, which forms the short bones and the ends of long bones, in which a ?ne lace-work of bone ?lls up the whole interior, enclosing marrow in its meshes. The marrow of the smaller bones is of great importance. It is red in colour, and in it red blood corpuscles are formed. Even the densest bone is tunnelled by ?ne canals (Haversian canals) in which run small blood vessels, nerves and lymphatics, for the maintenance and repair of the bone. Around these Haversian canals the bone is arranged in circular plates called lamellae, the lamellae being separated from one another by clefts, known as lacunae, in which single bone-cells are contained. Even the lamellae are pierced by ?ne tubes known as canaliculi lodging processes of these cells. Each lamella is composed of very ?ne interlacing ?bres.
GROWTH OF BONES Bones grow in thickness from the ?brous tissue and lime salts laid down by cells in their substance. The long bones grow in length from a plate of cartilage (epiphyseal cartilage) which runs across the bone about 1·5 cm or more from its ends, and which on one surface is also constantly forming bone until the bone ceases to lengthen at about the age of 16 or 18. Epiphyseal injury in children may lead to diminished growth of the limb.
REPAIR OF BONE is e?ected by cells of microscopic size, some called osteoblasts, elaborating the materials brought by the blood and laying down strands of ?brous tissue, between which bone earth is later deposited; while other cells, known as osteoclasts, dissolve and break up dead or damaged bone. When a fracture has occurred, and the broken ends have been brought into contact, these are surrounded by a mass of blood at ?rst; this is partly absorbed and partly organised by these cells, ?rst into ?brous tissue and later into bone. The mass surrounding the fractured ends is called the callus, and for some months it forms a distinct thickening which is gradually smoothed away, leaving the bone as before the fracture. If the ends have not been brought accurately into contact, a permanent thickening results.
VARIETIES OF BONES Apart from the structural varieties, bones fall into four classes: (a) long bones like those of the limbs; (b) short bones composed of cancellous tissue, like those of the wrist and the ankle; (c) ?at bones like those of the skull; (d) irregular bones like those of the face or the vertebrae of the spinal column (backbone).
The skeleton consists of more than 200 bones. It is divided into an axial part, comprising the skull, the vertebral column, the ribs with their cartilages, and the breastbone; and an appendicular portion comprising the four limbs. The hyoid bone in the neck, together with the cartilages protecting the larynx and windpipe, may be described as the visceral skeleton.
AXIAL SKELETON The skull consists of the cranium, which has eight bones, viz. occipital, two parietal, two temporal, one frontal, ethmoid, and sphenoid; and of the face, which has 14 bones, viz. two maxillae or upper jaw-bones, one mandible or lower jaw-bone, two malar or cheek bones, two nasal, two lacrimal, two turbinal, two palate bones, and one vomer bone. (For further details, see SKULL.) The vertebral column consists of seven vertebrae in the cervical or neck region, 12 dorsal vertebrae, ?ve vertebrae in the lumbar or loin region, the sacrum or sacral bone (a mass formed of ?ve vertebrae fused together and forming the back part of the pelvis, which is closed at the sides by the haunch-bones), and ?nally the coccyx (four small vertebrae representing the tail of lower animals). The vertebral column has four curves: the ?rst forwards in the neck, the second backwards in the dorsal region, the third forwards in the loins, and the lowest, involving the sacrum and coccyx, backwards. These are associated with the erect attitude, develop after a child learns to walk, and have the e?ect of diminishing jars and shocks before these reach internal organs. This is aided still further by discs of cartilage placed between each pair of vertebrae. Each vertebra has a solid part, the body in front, and behind this a ring of bone, the series of rings one above another forming a bony canal up which runs the spinal cord to pass through an opening in the skull at the upper end of the canal and there join the brain. (For further details, see SPINAL COLUMN.) The ribs – 12 in number, on each side – are attached behind to the 12 dorsal vertebrae, while in front they end a few inches away from the breastbone, but are continued forwards by cartilages. Of these the upper seven reach the breastbone, these ribs being called true ribs; the next three are joined each to the cartilage above it, while the last two have their ends free and are called ?oating ribs. The breastbone, or sternum, is shaped something like a short sword, about 15 cm (6 inches) long, and rather over 2·5 cm (1 inch) wide.
APPENDICULAR SKELETON The upper limb consists of the shoulder region and three segments – the upper arm, the forearm, and the wrist with the hand, separated from each other by joints. In the shoulder lie the clavicle or collar-bone (which is immediately beneath the skin, and forms a prominent object on the front of the neck), and the scapula or shoulder-blade behind the chest. In the upper arm is a single bone, the humerus. In the forearm are two bones, the radius and ulna; the radius, in the movements of alternately turning the hand palm up and back up (called supination and pronation respectively), rotating around the ulna, which remains ?xed. In the carpus or wrist are eight small bones: the scaphoid, lunate, triquetral, pisiform, trapezium, trapezoid, capitate and hamate. In the hand proper are ?ve bones called metacarpals, upon which are set the four ?ngers, each containing the three bones known as phalanges, and the thumb with two phalanges.
The lower limb consists similarly of the region of the hip-bone and three segments – the thigh, the leg and the foot. The hip-bone is a large ?at bone made up of three – the ilium, the ischium and the pubis – fused together, and forms the side of the pelvis or basin which encloses some of the abdominal organs. The thigh contains the femur, and the leg contains two bones – the tibia and ?bula. In the tarsus are seven bones: the talus (which forms part of the ankle joint); the calcaneus or heel-bone; the navicular; the lateral, intermediate and medial cuneiforms; and the cuboid. These bones are so shaped as to form a distinct arch in the foot both from before back and from side to side. Finally, as in the hand, there are ?ve metatarsals and 14 phalanges, of which the great toe has two, the other toes three each.
Besides these named bones there are others sometimes found in sinews, called sesamoid bones, while the numbers of the regular bones may be increased by extra ribs or diminished by the fusion together of two or more bones.... bone
Habitat: Damp places.
Features ? One or more erect stems, branched at top. Leaves opposite, lanceolate, four to six inches long, united at base, crenate edges, tiny, yellow resin dots beneath. Flowers August to October. Persistently bitter taste.Part used ? Herb.Action: Diaphoretic, febrifuge, tonic, laxative, expectorant.
Influenza and feverish conditions generally, for which purpose it is very successfully used by the American negroes. Also used in catarrhs. The infusion of 1 ounce to 1 pint boiling water may be given in wineglassful doses frequently, hot as a diaphoretic and febrifuge, cold as a tonic.F. H. England, of the College of Medicine and Surgery, Chicago (Physio- Medical) says ? "It is a pure relaxant to the liver. It acts slowly and persistently. Its greatest power is manifested upon the stomach, liver, bowels and uterus."... bonesetThe control centre of the whole nervous system is the brain, which is located in the skull or cranium. As well as controlling the nervous system it is the organ of thought, speech and emotion. The central nervous system controls the body’s essential functions such as breathing, body temperature (see HOMEOSTASIS) and the heartbeat. The body’s various sensations, including sight, hearing, touch, pain, positioning and taste, are communicated to the CNS by nerves distributed throughout the relevant tissues. The information is then sorted and interpreted by specialised areas in the brain. In response these initiate and coordinate the motor output, triggering such ‘voluntary’ activities as movement, speech, eating and swallowing. Other activities – for example, breathing, digestion, heart contractions, maintenance of BLOOD PRESSURE, and ?ltration of waste products from blood passing through the kidneys – are subject to involuntary control via the autonomic system. There is, however, some overlap between voluntary and involuntary controls.... brain
Pleurisy causes short, rapid breathing to avoid the pain of deep inspiration.
Narrowing of the air passages may produce sudden and alarming attacks of di?cult breathing, especially among children – for example, in CROUP, asthma and DIPHTHERIA.
Most cardiac disorders (see HEART, DISEASES OF) cause breathlessness, especially when the person undergoes any special exertion.
Anaemia is a frequent cause.
Obesity is often associated with shortness of breath. Mountain climbing may cause breathlessness
because, as altitude increases, the amount of oxygen in the air falls (see ALTITUDE SICKNESS). (See also LUNGS and RESPIRATION.)... breathlessness
Habitat: Dry, hilly wastes.
Features ? The stem is angular, five-sided, dark green, and branches at an acute angle.Yellow pea-like flowers appear in May and June. The lower leaves are on short stalks and consist of three small obovate leaflets, the upper leaves being stalkless and frequently single.Part used ? Tops.Action: Powerfully diuretic.
Broom tops are often used with Agrimony and Dandelion root for dropsy and liver disorders. For this purpose a decoction of 1 ounce each of Broom tops and Agrimony and 1/2 ounce Dandelion root to 3 pints of water simmered down to 1 quart is taken in wineglassful doses every four or five hours.Coffin recommends us to ? "Take of broom-tops, juniper-berries and dandelion-roots, each half-an-ounce, water, a pint and a half, boil down to a pint, strain, and add half-a-teaspoonsful of cayenne pepper. Dose, half- a-wineglassful four times a day."... broomWord deafness is an associated condition in which, although hearing remains perfect, the patient has lost the power of referring the names heard to the articles they denote. (See also DYSPHASIA.)... word blindness
(See also antibacterial drugs; antibiotic drugs.)... bactericidal
Aetiology. Injury, virus infection, cold, stroke. Recovery usually spontaneous. Herpes Simp. Alternatives. Chamomile, Wood Betony, Bryonia, Black Cohosh, Barberry, Asafoetida, Lobelia, Rosemary, Valerian, Sage. Echinacea has been used with convincing results internally and externally.
Tea. Equal parts. Chamomile, Wood Betony. Sage. 1 heaped teaspoon to each cup boiling water; infuse 15 minutes. 1 cup 3 times daily.
Decoctions. Black Cohosh, Rosemary, Valerian, Echinacea.
Tablets/capsules. Black Cohosh. Ginseng. Echinacea. Valerian.
Powders. Formula. Rosemary 1; Echinacea 2; Valerian 1. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.
Tinctures. Formula. Echinacea 2; Rosemary 1; Black Cohosh 1; Pinch Tincture Capsicum. 1-2 teaspoons 3 times daily.
Evening Primrose oil. 4 × 500mg capsules daily.
Aromatherapy. 10 drops Oil Juniper to eggcup Almond oil; gentle massage affected side of face. Diet. Lacto-vegetarian.
Vitamin E. (400iu daily). ... bell’s palsy
Scrapie. Notifiable disease. Fatal disease in the nervous system of cattle, unknown before 1985. Microscopic holes appear in the brain giving a spongiform appearance, but with little inflammation. Can spread from one animal to another: sheep, goats, deer, mules, mink, hamsters, mice, pigs and monkeys. Cause: not a virus. Animals itch and scrape themselves against trees or posts for relief. May spread from animals to humans, with brain infection after the character of polio.
Symptoms. (Human). Speech impairment, short-term-memory-loss, difficulty in controlling body movements. Zinc deficiency.
Treatment. Hospitalisation.
Suggested treatment for human infection, unproven.
Tinctures. Echinacea 5; Black Cohosh 3; Yarrow 2; Senna leaf 1.2-3 teaspoons in water (or cup hot Yarrow tea) 3-4 times daily. For headache: Gelsemium.
Supplement: Zinc.
To be treated by a general medical practitioner or hospital specialist. ... bovine spongiform encephalopathy
Causes: myocardial infarction, atherosclerosis, coronary thrombosis or other heart disorder.
Symptoms: slow feeble heart beats down to 36 beats per minute with fainting and collapse, breathlessness, Stoke Adams syndrome.
Treatment. Intensive care. Until the doctor comes: 1-5 drops Oil of Camphor in honey on the tongue or taken in a liquid if patient is able to drink. Freely inhale the oil. On recovery: Motherwort tea, freely. OR, Formula of tinctures: Lily of the Valley 2; Cactus 1; Motherwort 2. Mix. Dose – 30-60 drops in water thrice daily. A fitted pace-maker may be necessary.
Spartiol. 20 drops thrice daily. (Klein) ... heart block
The normal hydrogen ion concentration of the PLASMA is a constant pH 7·4, and the lungs and kidneys have a crucial function in maintaining this ?gure. Changes in pH value will cause ACIDOSIS or ALKALOSIS.... acid base balance
Non-speci?c back pain is probably the result of mechanical disorders in the muscles, ligaments and joints of the back: torn muscles, sprained LIGAMENTS, and FIBROSITIS. These disorders are not always easy to diagnose, but mild muscular and ligamentous injuries are usually relieved with symptomatic treatment – warmth, gentle massage, analgesics, etc. Sometimes back pain is caused or worsened by muscle spasms, which may call for the use of antispasmodic drugs. STRESS and DEPRESSION (see MENTAL ILLNESS) can sometimes result in chronic backache and should be considered if no clear physical diagnosis can be made.
If back pain is severe and/or recurrent, possibly radiating around to the abdomen or down the back of a leg (sciatica – see below), or is accompanied by weakness or loss of feeling in the leg(s), it may be caused by a prolapsed intervertebral disc (slipped disc) pressing on a nerve. The patient needs prompt investigation, including MRI. Resting on a ?rm bed or board can relieve the symptoms, but the patient may need a surgical operation to remove the disc and relieve pressure on the affected nerve.
The nucleus pulposus – the soft centre of the intervertebral disc – is at risk of prolapse under the age of 40 through an acquired defect in the ?brous cartilage ring surrounding it. Over 40 this nucleus is ?rmer and ‘slipped disc’ is less likely to occur. Once prolapse has taken place, however, that segment of the back is never quite the same again, as OSTEOARTHRITIS develops in the adjacent facet joints. Sti?ness and pain may develop, sometimes many years later. There may be accompanying pain in the legs: SCIATICA is pain in the line of the sciatic nerve, while its rarer analogue at the front of the leg is cruralgia, following the femoral nerve. Leg pain of this sort may not be true nerve pain but referred from arthritis in the spinal facet joints. Only about 5 per cent of patients with back pain have true sciatica, and spinal surgery is most successful (about 85 per cent) in this group.
When the complaint is of pain alone, surgery is much less successful. Manipulation by physiotherapists, doctors, osteopaths or chiropractors can relieve symptoms; it is important ?rst to make sure that there is not a serious disorder such as a fracture or cancer.
Other local causes of back pain are osteoarthritis of the vertebral joints, ankylosing spondylitis (an in?ammatory condition which can severely deform the spine), cancer (usually secondary cancer deposits spreading from a primary tumour elsewhere), osteomyelitis, osteoporosis, and PAGET’S DISEASE OF BONE. Fractures of the spine – compressed fracture of a vertebra or a break in one of its spinous processes – are painful and potentially dangerous. (See BONE, DISORDERS OF.)
Backache can also be caused by disease elsewhere, such as infection of the kidney or gall-bladder (see LIVER), in?ammation of the PANCREAS, disorders in the UTERUS and PELVIS or osteoarthritis of the HIP. Treatment is e?ected by tackling the underlying cause. Among the many known causes of back pain are:
Mechanical and traumatic causes
Congenital anomalies. Fractures of the spine. Muscular tenderness and ligament strain. Osteoarthritis. Prolapsed intervertebral disc. Spondylosis.
In?ammatory causes
Ankylosing spondylitis. Brucellosis. Osteomyelitis. Paravertebral abscess. Psoriatic arthropathy. Reiter’s syndrome. Spondyloarthropathy. Tuberculosis.
Neoplastic causes
Metastatic disease. Primary benign tumours. Primary malignant tumours.
Metabolic bone disease
Osteomalacia. Osteoporosis. Paget’s disease.
Referred pain
Carcinoma of the pancreas. Ovarian in?ammation and tumours. Pelvic disease. Posterior duodenal ulcer. Prolapse of the womb.
Psychogenic causes
Anxiety. Depression.
People with backache can obtain advice from www.backcare.org.uk... backache
Habitat: Common in North America.
Features ? Short-stalked leaves, opposite, oblong, lanceolate. Fruits ovate, half-inch long, bunched on short spike, two-celled, with roundish, winged, dark-centred seeds. Very bitter taste.Part used ? Leaves.Action: Anthelmintic, detergent, tonic.
Used in constipation, dyspepsia, debility, and children's worms. Sometimes added to alteratives. Infusion of 1 ounce to 1 pint water inwineglassful doses. Powdered herb, 5-10 grains.... balmonyNutritional Profile Energy value (calories per serving): Low Protein: Moderate Fat: None Saturated fat: None Cholesterol: None Carbohydrates: High Fiber: None Sodium: Low Major vitamin contribution: B vitamins Major mineral contribution: Phosphorus
About the Nutrients in This Food Beer and ale are fermented beverages created by yeasts that convert the sugars in malted barley and grain to ethyl alcohol (a.k.a. “alcohol,” “drink- ing alcohol”).* The USDA /Health and Human Services Dietary Guidelines for Americans defines one drink as 12 ounces of beer, five ounces of wine, or 1.25 ounces of distilled spirits. One 12-ounce glass of beer has 140 calo- ries, 86 of them (61 percent) from alcohol. But the beverage—sometimes nicknamed “liquid bread”—is more than empty calories. Like wine, beer retains small amounts of some nutrients present in the food from which it was made. * Because yeasts cannot digest t he starches in grains, t he grains to be used in mak ing beer and ale are allowed to germinate ( “malt” ). When it is t ime to make t he beer or ale, t he malted grain is soaked in water, forming a mash in which t he starches are split into simple sugars t hat can be digested (fermented) by t he yeasts. If undisturbed, t he fermentat ion will cont inue unt il all t he sugars have been digested, but it can be halted at any t ime simply by raising or lowering t he temperature of t he liquid. Beer sold in bott les or cans is pasteurized to k ill t he yeasts and stop t he fermentat ion. Draft beer is not pasteurized and must be refrigerated unt il tapped so t hat it will not cont inue to ferment in t he container. The longer t he shipping t ime, t he more likely it is t hat draft beer will be exposed to temperature variat ions t hat may affect its qualit y—which is why draft beer almost always tastes best when consumed near t he place where it was brewed. The Nutrients in Beer (12-ounce glass)
| Nutrients | Beer | %R DA |
| Calcium | 17 mg | 1.7 |
| Magnesium | 28.51 mg | 7–9* |
| Phosphorus | 41.1 mg | 6 |
| Potassium | 85.7 mg | (na) |
| Zinc | 0.06 mg | 0.5– 0.8* |
| Thiamin | 0.02 mg | 1.6 –1.8* |
| R iboflavin | 0.09 mg | 7– 8* |
| Niacin | 1.55 mg | 10 |
| Vitamin B6 | 0.17 mg | 13 |
| Folate | 20.57 mcg | 5 |
Diets That May Restrict or Exclude This Food Bland diet Gluten-free diet Low-purine (antigout) diet
Buying This Food Look for: A popular brand that sells steadily and will be fresh when you buy it. Avoid: Dusty or warm bottles and cans.
Storing This Food Store beer in a cool place. Beer tastes best when consumed within two months of the day it is made. Since you cannot be certain how long it took to ship the beer to the store or how long it has been sitting on the grocery shelves, buy only as much beer as you plan to use within a week or two. Protect bottled beer and open bottles or cans of beer from direct sunlight, which can change sulfur compounds in beer into isopentyl mercaptan, the smelly chemical that gives stale beer its characteristic unpleasant odor.
When You Are Ready to Serve This Food Serve beer only in absolutely clean glasses or mugs. Even the slightest bit of grease on the side of the glass will kill the foam immediately. Wash beer glasses with detergent, not soap, and let them drain dry rather than drying them with a towel that might carry grease from your hands to the glass. If you like a long-lasting head on your beer, serve the brew in tall, tapering glasses to let the foam spread out and stabilize. For full flavor, serve beer and ales cool but not ice-cold. Very low temperatures immo- bilize the molecules that give beer and ale their flavor and aroma.
What Happens When You Cook This Food When beer is heated (in a stew or as a basting liquid), the alcohol evaporates but the flavor- ing agents remain intact. Alcohol, an acid, reacts with metal ions from an aluminum or iron pot to form dark compounds that discolor the pot or the dish you are cooking in. To prevent this, prepare dishes made with beer in glass or enameled pots.
Medical Uses and/or Benefits Reduced risk of heart attack. Data from the American Cancer Society’s Cancer Prevention Study 1, a 12-year survey of more than 1 million Americans in 25 states, shows that men who take one drink a day have a 21 percent lower risk of heart attack and a 22 percent lower risk of stroke than men who do not drink at all. Women who have up to one drink a day also reduce their risk of heart attack. Numerous later studies have confirmed these findings. Lower risk of stroke. In January 1999, the results of a 677-person study published by researchers at New York Presbyterian Hospital-Columbia University showed that moder- ate alcohol consumption reduces the risk of stroke due to a blood clot in the brain among older people (average age: 70). How the alcohol prevents stroke is still unknown, but it is clear that moderate use of alcohol is a key. Heavy drinkers (those who consume more than seven drinks a day) have a higher risk of stroke. People who once drank heavily, but cut their consumption to moderate levels, can also reduce their risk of stroke. Numerous later studies have confirmed these findings. Lower cholesterol levels. Beverage alcohol decreases the body’s production and storage of low-density lipoproteins (LDLs), the protein and fat particles that carr y cholesterol into your arteries. As a result, people who drink moderately tend to have lower cholesterol levels and higher levels of high density lipoproteins (HDLs), the fat and protein particles that carr y cholesterol out of the body. The USDA /Health and Human Services Dietar y Guidelines for Americans defines moderation as two drinks a day for a man, one drink a day for a woman. Stimulating the appetite. Alcoholic beverages stimulate the production of saliva and the gastric acids that cause the stomach contractions we call hunger pangs. Moderate amounts of alcoholic beverages, which may help stimulate appetite, are often prescribed for geriatric patients, convalescents, and people who do not have ulcers or other chronic gastric problems that might be exacerbated by the alcohol. Dilation of blood vessels. Alcohol dilates the capillaries (the tiny blood vessels just under the skin), and moderate amounts of alcoholic beverages produce a pleasant flush that temporar- ily warms the drinker. But drinking is not an effective way to warm up in cold weather since the warm blood that flows up to the capillaries will cool down on the surface of your skin and make you even colder when it circulates back into the center of your body. Then an alco- hol flush will make you perspire, so that you lose more heat. Excessive amounts of beverage alcohol may depress the mechanism that regulates body temperature.
Adverse Effects Associated with This Food Increased risk of breast cancer. In 2008, scientists at the National Cancer Institute released data from a seven-year survey of more than 100,000 postmenopausal women showing that even moderate drinking (one to two drinks a day) may increase by 32 percent a woman’s risk of developing estrogen-receptor positive (ER+) and progesterone-receptor positive (PR+) breast cancer, tumors whose growth is stimulated by hormones. No such link was found between consuming alcohol and the risk of developing ER-/PR- tumors (not fueled by hor- mones). The finding applies to all types of alcohol: beer, wine, and spirits. Increased risk of oral cancer (cancer of the mouth and throat). Numerous studies confirm the American Cancer Society’s warning that men and women who consume more than two drinks a day are at higher risk of oral cancer than are nondrinkers or people who drink less. Note: The Dietary Guidelines for Americans describes one drink as 12 ounces of beer, five ounces of wine, or 1.5 ounces of distilled spirits. Increased risk of cancer of the colon and rectum. In the mid-1990s, studies at the University of Oklahoma suggested that men who drink more than five beers a day are at increased risk of rectal cancer. Later studies suggested that men and women who are heavy beer or spirits drinkers (but not those who are heavy wine drinkers) have a higher risk of colorectal cancers. Further studies are required to confirm these findings. Fetal alcohol syndrome. Fetal alcohol syndrome is a specific pattern of birth defects—low birth weight, heart defects, facial malformations, and mental retardation—first recognized in a study of babies born to alcoholic women who consumed more than six drinks a day while pregnant. Subsequent research has found a consistent pattern of milder defects in babies born to women who consume three to four drinks a day or five drinks on any one occasion while pregnant. To date, there is no evidence of a consistent pattern of birth defects in babies born to women who consume less than one drink a day while pregnant, but two studies at Columbia University have suggested that as few as two drinks a week while preg- nant may raise a woman’s risk of miscarriage. (“One drink” means 12 ounces of beer, five ounces of wine, or 1.25 ounces of distilled spirits.) Alcoholism. Alcoholism is an addiction disease, the inability to control one’s alcohol consumption. It is a potentially life-threatening condition, with a higher risk of death by accident, suicide, malnutrition, or acute alcohol poisoning, a toxic reaction that kills by para- lyzing body organs, including the heart. Malnutrition. While moderate alcohol consumption stimulates appetite, alcohol abuse depresses it. In addition, an alcoholic may drink instead of eating. When an alcoholic does eat, excess alcohol in his/her body prevents absorption of nutrients and reduces the ability to synthesize new tissue. Hangover. Alcohol is absorbed from the stomach and small intestine and carried by the bloodstream to the liver, where it is oxidized to acetaldehyde by alcohol dehydrogenase (ADH), the enzyme our bodies use to metabolize the alcohol we produce when we digest carbohydrates. The acetaldehyde is converted to acetyl coenzyme A and either eliminated from the body or used in the synthesis of cholesterol, fatty acids, and body tissues. Although individuals vary widely in their capacity to metabolize alcohol, on average, normal healthy adults can metabolize the alcohol in one quart of beer in approximately five to six hours. If they drink more than that, they will have more alcohol than the body’s natural supply of ADH can handle. The unmetabolized alcohol will pile up in the bloodstream, interfering with the liver’s metabolic functions. Since alcohol decreases the reabsorption of water from the kidneys and may inhibit the secretion of an antidiuretic hormone, they will begin to urinate copiously, losing magnesium, calcium, and zinc but retaining more irritating uric acid. The level of lactic acid in the body will increase, making them feel tired and out of sorts; their acid-base balance will be out of kilter; the blood vessels in their heads will swell and throb; and their stomachs, with linings irritated by the alcohol, will ache. The ultimate result is a “hangover” whose symptoms will disappear only when enough time has passed to allow their bodies to marshal the ADH needed to metabolize the extra alcohol in their blood. Changes in body temperature. Alcohol dilates capillaries, tiny blood vessels just under the skin, producing a “flush” that temporarily warms the drinker. But drinking is not an effective way to stay warm in cold weather. Warm blood flowing up from the body core to the surface capillaries is quickly chilled, making you even colder when it circulates back into your organs. In addition, an alcohol flush triggers perspiration, further cooling your skin. Finally, very large amounts of alcohol may actually depress the mechanism that regulates body temperature. Impotence. Excessive drinking decreases libido (sexual desire) and interferes with the ability to achieve or sustain an erection. “Beer belly.” Data from a 1995, 12,000 person study at the University of North Carolina in Chapel Hill show that people who consume at least six beers a week have more rounded abdomens than people who do not drink beer. The question left to be answered is which came first: the tummy or the drinking.
Food/Drug Interactions Acetaminophen (Tylenol, etc.). The FDA recommends that people who regularly have three or more drinks a day consult a doctor before using acetaminophen. The alcohol/acetamino- phen combination may cause liver failure. Disulfiram (Antabuse). Taken with alcohol, disulfiram causes flushing, nausea, low blood pressure, faintness, respiratory problems, and confusion. The severity of the reaction gener- ally depends on how much alcohol you drink, how much disulfiram is in your body, and how long ago you took it. Disulfiram is used to help recovering alcoholics avoid alcohol. (If taken with alcohol, metronidazole [Flagyl], procarbazine [Matulane], quinacrine [Atabrine], chlorpropamide (Diabinase), and some species of mushrooms may produce a mild disulfi- ramlike reaction.) Anticoagulants. Alcohol slows the body’s metabolism of anticoagulants (blood thinners) such as warfarin (Coumadin), intensif ying the effect of the drugs and increasing the risk of side effects such as spontaneous nosebleeds. Antidepressants. Alcohol may increase the sedative effects of antidepressants. Drinking alcohol while you are taking a monoamine oxidase (M AO) inhibitor is especially hazard- ous. M AO inhibitors inactivate naturally occurring enzymes in your body that metabolize tyramine, a substance found in many fermented or aged foods. Tyramine constricts blood vessels and increases blood pressure. If you eat a food containing tyramine while you are taking an M AO inhibitor, you cannot effectively eliminate the tyramine from your body. The result may be a hypertensive crisis. Ordinarily, fermentation of beer and ale does not produce tyramine, but some patients have reported tyramine reactions after drinking some imported beers. Beer and ale are usually prohibited to those using M AO inhibitors. Aspirin, ibuprofen, ketoprofen, naproxen, and nonsteroidal anti-inflammatory drugs. Like alcohol, these analgesics irritate the lining of the stomach and may cause gastric bleeding. Combining the two intensifies the effect. Insulin and oral hypoglycemics. Alcohol lowers blood sugar and interferes with the metabo- lism of oral antidiabetics; the combination may cause severe hypoglycemia. Sedatives and other central nervous system depressants (tranquilizers, sleeping pills, antidepres- sants, sinus and cold remedies, analgesics, and medication for motion sickness). Alcohol inten- sifies sedation and, depending on the dose, may cause drowsiness, respiratory depression, coma, or death.... beer
Treatment Oral steroids, if started early, increase the rate of recovery, which occurs in over 90 per cent of patients, usually starting after two or three weeks and complete within three months. Permanent loss of function with facial contractures occurs in about 5 per cent of patients. Recurrence of Bell’s palsy is unusual.... bell’s palsy
There are few signi?cant di?erences between the various antimuscarinic drugs available, but some patients may tolerate one drug better than another or ?nd that they need to adjust their drug regimen in relation to food.... benzhexol
Benzodiazepines act at a speci?c centralnervous-system receptor or by potentiating the action of inhibitory neuro-transmitters. They have advantages over other sedatives by having some selectivity for anxiety rather than general sedation. They are safer in overdose. Unfortunately they may cause aggression, amnesia, excessive sedation, or confusion in the elderly. Those with long half-lives or with metabolites having long half-lives may produce a hangover e?ect, and DEPENDENCE on these is now well recognised, so they should not be prescribed for more than a few weeks. Commonly used benzodiazepines include nitrazepam, ?unitrazepam (a controlled drug), loprazolam, temazepam (a controlled drug) and chlormethiazole, normally con?ned to the elderly. All benzodiazepines should be used sparingly because of the risk of dependence.... benzodiazepines
Habitat: Indigenous to North America.
Features ? Root is nearly three-quarters of an inch thick, light brown, transversely- wrinkled bark, easily parting from white, woody centre ; groups of stone cells in outer bark. Whole plant gives a gelatinous, milky juice when wounded.Part used ? Root.Action: Cathartic, diuretic, detergent, emetic, tonic.
2-5 grains thrice daily as a general tonic, useful in dyspepsia. 5-15 grain doses in cardiac dropsy. Has been recommended in the treatment of Bright's disease. Large doses cause vomiting. Tendency to gripe can be eliminated by adding Peppermint, Calamus or other carminative.... bitter rootHabitat: Dry woods, throughout Central and Southern States of North America. Features ? A tree-like shrub, ten to twenty feet high. Fruit shiny black, sweet and
edible. Young bark glossy purplish-brown, with scattered warts. Old bark greyish-brown, inner surface white. Fracture short. Root bark cinnamon colour. Taste bitter,astringent.Part used ? Root bark (preferred); also bark of stem and branches.Action: Uterine tonic, nervine, anti-spasmodic.
Uterine weaknesses, leucorrhaea, dysmenorrhea. Prevention of miscarriage—given four or five weeks before. Infusion of 1 ounce to 1 pint of boiling water—table-spoonful doses.... black hawIn blood transfusion, the person giving and the person receiving the blood must belong to the same blood group, or a dangerous reaction will take place from the agglutination that occurs when blood of a di?erent group is present. One exception is that group O Rhesus-negative blood can be used in an emergency for anybody.
| Agglutinogens | Agglutinins | Frequency | |
| in the | in the | in Great | |
| Group | erythrocytes | plasma | Britain |
| AB | A and B | None | 2 per cent |
| A | A | Anti-B | 46 per cent |
| B | B | Anti-A | 8 per cent |
| O | Neither | Anti-A and | 44 per cent |
| A nor B | Anti-B | ||
Rhesus factor In addition to the A and B agglutinogens (or antigens), there is another one known as the Rhesus (or Rh) factor – so named because there is a similar antigen in the red blood corpuscles of the Rhesus monkey. About 84 per cent of the population have this Rh factor in their blood and are therefore known as ‘Rh-positive’. The remaining 16 per cent who do not possess the factor are known as ‘Rh-negative’.
The practical importance of the Rh factor is that, unlike the A and B agglutinogens, there are no naturally occurring Rh antibodies. However, such antibodies may develop in a Rh-negative person if the Rh antigen is introduced into his or her circulation. This can occur (a) if a Rh-negative person is given a transfusion of Rh-positive blood, and (b) if a Rh-negative mother married to a Rh-positive husband becomes pregnant and the fetus is Rh-positive. If the latter happens, the mother develops Rh antibodies which can pass into the fetal circulation, where they react with the baby’s Rh antigen and cause HAEMOLYTIC DISEASE of the fetus and newborn. This means that, untreated, the child may be stillborn or become jaundiced shortly after birth.
As about one in six expectant mothers is Rh-negative, a blood-group examination is now considered an essential part of the antenatal examination of a pregnant woman. All such Rh-negative expectant mothers are now given a ‘Rhesus card’ showing that they belong to the rhesus-negative blood group. This card should always be carried with them. Rh-positive blood should never be transfused to a Rh-negative girl or woman.... blood groups
Habitat: Marshy places in Central America.
Features ? Rhizome cylindrical, compressed towards larger end, where is cup-shaped stem scar. Breaks with sharp fracture, showing dark purple internally. Taste, acrid and pungent.Part used ? Root.Action: Alterative, diuretic, cathartic.
Skin affections; stimulates liver and other glands. Dose of the powdered root, 20 grains as a cathartic.... blue flagBluebelle, Blubell, Blubelle, Bluebella, Blubella... bluebell
Habitat: Widely distributed throughout North America.
Features ? Root reddish-brown, wrinkled lengthwise, about half-inch thick. Fracture short. Section whitish, with many small, red resin cells which sometimes suffuse the whole. Heavy odour, bitter and harsh to the taste.Part used ? Root.Action: Stimulant, tonic, expectorant.
Pulmonary complaints and bronchitis. Should be administered in whooping-cough and croup until emesis occurs. The powdered root is used as a snuff in nasal catarrh, and externally in ringworm and other skin eruptions. The American Thomsonians use it in the treatment of adenoids. Dose, 10 to 20 grains of the powdered root.... blood rootBone fractures These occur when there is a break in the continuity of the bone. This happens either as a result of violence or because the bone is unhealthy and unable to withstand normal stresses.
SIMPLE FRACTURES Fractures where the skin remains intact or merely grazed. COMPOUND FRACTURES have at least one wound which is in communication with the fracture, meaning that bacteria can enter the fracture site and cause infection. A compound fracture is also more serious than a simple fracture because there is greater potential for blood loss. Compound fractures usually need hospital admission, antibiotics and careful reduction of the fracture. Debridement (cleaning and excising dead tissue) in a sterile theatre may also be necessary.
The type of fracture depends on the force which has caused it. Direct violence occurs when an object hits the bone, often causing a transverse break – which means the break runs horizontally across the bone. Indirect violence occurs when a twisting injury to the ankle, for example, breaks the calf-bone (the tibia) higher up. The break may be more oblique. A fall on the outstretched hand may cause a break at the wrist, in the humerus or at the collar-bone depending on the force of impact and age of the person. FATIGUE FRACTURES These occur after the bone has been under recurrent stress. A typical example is the march fracture of the second toe, from which army recruits suffer after long marches. PATHOLOGICAL FRACTURES These occur in bone which is already diseased – for example, by osteoporosis (see below) in post-menopausal women. Such fractures are typically crush fractures of the vertebrae, fractures of the neck of the femur, and COLLES’ FRACTURE (of the wrist). Pathological fractures also occur in bone which has secondary-tumour deposits. GREENSTICK FRACTURES These occur in young children whose bones are soft and bend, rather than break, in response to stress. The bone tends to buckle on the side opposite to the force. Greenstick fractures heal quickly but still need any deformity corrected and plaster of Paris to maintain the correction. COMPLICATED FRACTURES These involve damage to important soft tissue such as nerves, blood vessels or internal organs. In these cases the soft-tissue damage needs as much attention as the fracture site. COMMINUTED FRACTURES A fracture with more than two fragments. It usually means that the injury was more violent and that there is more risk of damage to vessels and nerves. These fractures are unstable and take longer to unite. Rehabilitation tends to be protracted. DEPRESSED FRACTURES Most commonly found in skull fractures. A fragment of bone is forced inwards so that it lies lower than the level of the bone surrounding it. It may damage the brain beneath it.
HAIR-LINE FRACTURES These occur when the bone is broken but the force has not been severe enough to cause visible displacement. These fractures may be easily missed. Symptoms and signs The fracture site is usually painful, swollen and deformed. There is asymmetry of contour between limbs. The limb is held uselessly. If the fracture is in the upper
limb, the arm is usually supported by the patient; if it is in the lower limb then the patient is not able to bear weight on it. The limb may appear short because of muscle spasm.
Examination may reveal crepitus – a bony grating – at the fracture site. The diagnosis is con?rmed by radiography.
Treatment Healing of fractures (union) begins with the bruise around the fracture being resorbed and new bone-producing cells and blood vessels migrating into the area. Within a couple of days they form a bridge of primitive bone across the fracture. This is called callus.
The callus is replaced by woven bone which gradually matures as the new bone remodels itself. Treatment of fractures is designed to ensure that this process occurs with minimal residual deformity to the bone involved.
Treatment is initially to relieve pain and may involve temporary splinting of the fracture site. Reducing the fracture means restoring the bones to their normal position; this is particularly important at the site of joints where any small displacement may limit movement considerably.
with plaster of Paris. If closed traction does not work, then open reduction of the fracture may
be needed. This may involve ?xing the fracture with internal-?xation methods, using metal plates, wires or screws to hold the fracture site in a rigid position with the two ends closely opposed. This allows early mobilisation after fractures and speeds return to normal use.
External ?xators are usually metal devices applied to the outside of the limb to support the fracture site. They are useful in compound fractures where internal ?xators are at risk of becoming infected.
Consolidation of a fracture means that repair is complete. The time taken for this depends on the age of the patient, the bone and the type of fracture. A wrist fracture may take six weeks, a femoral fracture three to six months in an adult.
Complications of fractures are fairly common. In non-union, the fracture does not unite
– usually because there has been too much mobility around the fracture site. Treatment may involve internal ?xation (see above). Malunion means that the bone has healed with a persistent deformity and the adjacent joint may then develop early osteoarthritis.
Myositis ossi?cans may occur at the elbow after a fracture. A big mass of calci?ed material develops around the fracture site which restricts elbow movements. Late surgical removal (after 6–12 months) is recommended.
Fractured neck of FEMUR typically affects elderly women after a trivial injury. The bone is usually osteoporotic. The leg appears short and is rotated outwards. Usually the patient is unable to put any weight on the affected leg and is in extreme pain. The fractures are classi?ed according to where they occur:
subcapital where the neck joins the head of the femur.
intertrochanteric through the trochanter.
subtrochanteric transversely through the upper end of the femur (rare). Most of these fractures of the neck of femur
need ?xing by metal plates or hip replacements, as immobility in this age group has a mortality of nearly 100 per cent. Fractures of the femur shaft are usually the result of severe trauma such as a road accident. Treatment may be conservative or operative.
In fractures of the SPINAL COLUMN, mere damage to the bone – as in the case of the so-called compression fracture, in which there is no damage to the spinal cord – is not necessarily serious. If, however, the spinal cord is damaged, as in the so-called fracture dislocation, the accident may be a very serious one, the usual result being paralysis of the parts of the body below the level of the injury. Therefore the higher up the spine is fractured, the more serious the consequences. The injured person should not be moved until skilled assistance is at hand; or, if he or she must be removed, this should be done on a rigid shutter or door, not on a canvas stretcher or rug, and there should be no lifting which necessitates bending of the back. In such an injury an operation designed to remove a displaced piece of bone and free the spinal cord from pressure is often necessary and successful in relieving the paralysis. DISLOCATIONS or SUBLUXATION of the spine are not uncommon in certain sports, particularly rugby. Anyone who has had such an injury in the cervical spine (i.e. in the neck) should be strongly advised not to return to any form of body-contact or vehicular sport.
Simple ?ssured fractures and depressed fractures of the skull often follow blows or falls on the head, and may not be serious, though there is always a risk of damage which is potentially serious to the brain at the same time.
Compound fractures may result in infection within the skull, and if the skull is extensively broken and depressed, surgery is usually required to check any intercranial bleeding or to relieve pressure on the brain.
The lower jaw is often fractured by a blow on the face. There is generally bleeding from the mouth, the gum being torn. Also there are pain and grating sensations on chewing, and unevenness in the line of the teeth. The treatment is simple, the line of teeth in the upper jaw forming a splint against which the lower jaw is bound, with the mouth closed.
Congenital diseases These are rare but may produce certain types of dwar?sm or a susceptibility to fractures (osteogenesis imperfecta).
Infection of bone (osteomyelitis) may occur after an open fracture, or in newborn babies with SEPTICAEMIA. Once established it is very di?cult to eradicate. The bacteria appear capable of lying dormant in the bone and are not easily destroyed with antibiotics so that prolonged treatment is required, as might be surgical drainage, exploration or removal of dead bone. The infection may become chronic or recur.
Osteomalacia (rickets) is the loss of mineralisation of the bone rather than simple loss of bone mass. It is caused by vitamin D de?ciency and is probably the most important bone disease in the developing world. In sunlight the skin can synthesise vitamin D (see APPENDIX 5: VITAMINS), but normally rickets is caused by a poor diet, or by a failure to absorb food normally (malabsorbtion). In rare cases vitamin D cannot be converted to its active state due to the congenital lack of the speci?c enzymes and the rickets will fail to respond to treatment with vitamin D. Malfunction of the parathyroid gland or of the kidneys can disturb the dynamic equilibrium of calcium and phosphate in the body and severely deplete the bone of its stores of both calcium and phosphate.
Osteoporosis A metabolic bone disease resulting from low bone mass (osteopenia) due to excessive bone resorption. Su?erers are prone to bone fractures from relatively minor trauma. With bone densitometry it is now possible to determine individuals’ risk of osteoporosis and monitor their response to treatment.
By the age of 90 one in two women and one in six men are likely to sustain an osteoporosis-related fracture. The incidence of fractures is increasing more than would be expected from the ageing of the population, which may re?ect changing patterns of exercise or diet.
Osteoporosis may be classi?ed as primary or secondary. Primary consists of type 1 osteoporosis, due to accelerated trabecular bone loss, probably as a result of OESTROGENS de?ciency. This typically leads to crush fractures of vertebral bodies and fractures of the distal forearm in women in their 60s and 70s. Type 2 osteoporosis, by contrast, results from the slower age-related cortical and travecular bone loss that occurs in both sexes. It typically leads to fractures of the proximal femur in elderly people.
Secondary osteoporosis accounts for about 20 per cent of cases in women and 40 per cent of cases in men. Subgroups include endocrine (thyrotoxicosis – see under THYROID GLAND, DISEASES OF, primary HYPERPARATHYROIDISM, CUSHING’S SYNDROME and HYPOGONADISM); gastrointestinal (malabsorption syndrome, e.g. COELIAC DISEASE, or liver disease, e.g. primary biliary CIRRHOSIS); rheumatological (RHEUMATOID ARTHRITIS or ANKYLOSING SPONDYLITIS); malignancy (multiple MYELOMA or metastatic CARCINOMA); and drugs (CORTICOSTEROIDS, HEPARIN). Additional risk factors for osteoporosis include smoking, high alcohol intake, physical inactivity, thin body-type and heredity.
Individuals at risk of osteopenia, or with an osteoporosis-related fracture, need investigation with spinal radiography and bone densitometry. A small fall in bone density results in a large increase in the risk of fracture, which has important implications for preventing and treating osteoporosis.
Treatment Antiresorptive drugs: hormone replacement therapy – also valuable in treating menopausal symptoms; treatment for at least ?ve years is necessary, and prolonged use may increase risk of breast cancer. Cyclical oral administration of disodium etidronate – one of the bisphosphonate group of drugs – with calcium carbonate is also used (poor absorption means the etidronate must be taken on an empty stomach). Calcitonin – currently available as a subcutaneous injection; a nasal preparation with better tolerance is being developed. Calcium (1,000 mg daily) seems useful in older patients, although probably ine?ective in perimenopausal women, and it is a safe preparation. Vitamin D and calcium – recent evidence suggests value for elderly patients. Anabolic steroids, though androgenic side-effects (masculinisation) make these unacceptable for most women.
With established osteoporosis, the aim of treatment is to relieve pain (with analgesics and physical measures, e.g. lumbar support) and reduce the risk of further fractures: improvement of bone mass, the prevention of falls, and general physiotherapy, encouraging a healthier lifestyle with more daily exercise.
Further information is available from the National Osteoporosis Society.
Paget’s disease (see also separate entry) is a common disease of bone in the elderly, caused by overactivity of the osteoclasts (cells concerned with removal of old bone, before new bone is laid down by osteoblasts). The bone affected thickens and bows and may become painful. Treatment with calcitonin and bisphosphonates may slow down the osteoclasts, and so hinder the course of the disease, but there is no cure.
If bone loses its blood supply (avascular necrosis) it eventually fractures or collapses. If the blood supply does not return, bone’s normal capacity for healing is severely impaired.
For the following diseases see separate articles: RICKETS; ACROMEGALY; OSTEOMALACIA; OSTEOGENESIS IMPERFECTA.
Tumours of bone These can be benign (non-cancerous) or malignant (cancerous). Primary bone tumours are rare, but secondaries from carcinoma of the breast, prostate and kidneys are relatively common. They may form cavities in a bone, weakening it until it breaks under normal load (a pathological fracture). The bone eroded away by the tumour may also cause problems by causing high levels of calcium in the plasma.
EWING’S TUMOUR is a malignant growth affecting long bones, particularly the tibia (calfbone). The presenting symptoms are a throbbing pain in the limb and a high temperature. Treatment is combined surgery, radiotherapy and chemotherapy.
MYELOMA is a generalised malignant disease of blood cells which produces tumours in bones which have red bone marrow, such as the skull and trunk bones. These tumours can cause pathological fractures.
OSTEOID OSTEOMA is a harmless small growth which can occur in any bone. Its pain is typically removed by aspirin.
OSTEOSARCOMA is a malignant tumour of bone with a peak incidence between the ages of ten and 20. It typically involves the knees, causing a warm tender swelling. Removal of the growth with bone conservation techniques can often replace amputation as the de?nitive treatment. Chemotherapy can improve long-term survival.... bone, disorders of
Disorders that can be helped or even cured include certain types of LEUKAEMIA and many inherited disorders of the immune system (see IMMUNITY).... bone marrow transplant
In severe injuries, there may be damage to both the upper and the lower nerve roots of the brachial plexus, producing complete paralysis of the arm.
Paralysis may be temporary if the stretching was not severe enough to tear nerve fibres.
Nerve roots that have been torn can be repaired by nerve grafting, a microsurgery procedure.
If a nerve root has become separated from the spinal cord, surgical repair will not be successful.
Apart from injuries, the brachial plexus may be compressed by the presence of a cervical rib (extra rib).... brachial plexus
The brainstem is composed of 3 main parts: the midbrain, pons, and medulla. The midbrain contains the nuclei (nervecell centres) of the 3rd and 4th cranial nerves. It also contains cell groups involved in smooth coordination of limb movements. The pons contains nerve fibres that connect with the cerebellum. It also houses the nuclei for the 5th–8th cranial nerves. The medulla contains the nuclei of the 9th–12th cranial nerves. It also contains the “vital centres” (groups of nerve cells that regulate the heartbeat, breathing, blood pressure, and digestion (information on which is relayed via the 10th cranial nerve (see vagus nerve). Nerve-cell groups in the brainstem, known collectively as the reticular formation, alert the higher brain centres to sensory stimuli that may require a conscious response. Our sleep/wake cycle is controlled by the reticular formation.
The brainstem is susceptible to the same disorders that afflict the rest of the central nervous system (see brain, disorders of). Damage to the medulla’s vital centres is rapidly fatal; damage to the reticular formation may cause coma. Damage to specific cranial nerve nuclei can sometimes lead to specific effects. For example, damage to the 7th cranial nerve (the facial nerve) leads to facial palsy. Degeneration of the substantia nigra in the midbrain is thought to be a cause of Parkinson’s disease.... brainstem
Symptoms include muscle weakness, loss of vision, or other sensory disturbances, speech difficulties, and epileptic seizures. Increased pressure within the skull can cause headache, visual disturbances, vomiting, and impaired mental functioning. Hydrocephalus may occur.
When possible, primary tumours are removed by surgery after opening the skull (see craniotomy).
In cases where a tumour cannot be completely removed, as much as possible of it will be cut away to relieve pressure.
For primary and secondary tumours, radiotherapy or anticancer drugs may also be given.
Corticosteroid drugs are often prescribed temporarily to reduce the size of a tumour and associated brain swelling.... brain tumour
Breasts, or mammary glands, occur only in mammals and provide milk for feeding the young. These paired organs are usually fully developed only in adult females, but are present in rudimentary form in juveniles and males. In women, the two breasts over-lie the second to sixth ribs on the front of the chest. On the surface of each breast is a central pink disc called the areola, which surrounds the nipple. Inside, the breast consists of fat, supporting tissue and glandular tissue, which is the part that produces milk following childbirth. Each breast consists of 12–20 compartments arranged radially around the nipple: each compartment opens on to the tip of the nipple via its own duct through which the milk ?ows. The breast enlargement that occurs in pregnancy is due to development of the glandular part in preparation for lactation. In women beyond childbearing age, the glandular part of the breasts reduces (called involution) and the breasts become less ?rm and contain relatively more fat.
... breastsHabitat: Hedges and thickets.
Features ? Stem rough, hairy, freely branched, climbs several feet by numerous curling tendrils. Leaves vine-like, five- or seven-lobed, coarse and rough. Flowers (May to September), white, green-veined, in axillar panicles. Berries scarlet when ripe. Branched root one to two feet long, white internally and externally. Not to be confused with American Mandrake (q.v.).Part used ? Root.Action: Cathartic, hydragogue.
Cough, influenza, bronchitis. Cardiac disorders resulting from rheumatism and gout. Is also used in malarial and zymotic diseases. Dose of the fluid extract, 1/2 to 1 drachm. Large doses to be avoided.... bryonyHabitat: Throughout India.
English: Bryony.Ayurvedic: Lingini, Shivalingi, Chitraphalaa.Siddha/Tamil: Iyaveli, Iyaviraali.Folk: Lingadonda (Telugu).Action: Seeds—anti-inflammatory, spasmolytic. Used for vaginal dysfunctions, as a fertility promoting drug. Powdered seeds, also roots, are given to help conception in women. Plant is also used in venereal diseases.... bryophyllum pinnatum
Habitat: Shady and damp places in the northern regions of U.S.A.
Features ? Stem smooth, square, up to eighteen inches high. Leaves opposite, short- stalked, elliptic-lanceolate, serrate above, entire lower down. Small white flowers, in axillary clusters. Bitter taste"Part used ? Herb.Action: Sedative, astringent.
Coughs, pulmonary hemorrhage. Dose, frequent wineglasses of the 1 ounce to 1 pint infusion. England says, "Lycopus and Capsicum is the remedy for hemorrhage from the lungs."... bugleweedHabitat: Ditches, by waterways, and in wet places generally; also cultivated in gardens.
Features ? Erect, smooth, angular, brown-spotted stem, two to three feet high. Leaves opposite, stalked, smooth, serrate, usually in three or five segments. Flowers (July to September) in terminal heads, small, tawny. Numerous seeds, four-cornered, reflexed prickles. Root tapering, many-fibred.Part used ? Whole plant.Action: Astringent, diuretic, diaphoretic.
Dropsy, gout and bleeding of the urinary and respiratory organs, as well as uterine hemorrhage. 1 ounce to 1 pint infusion, in wineglass doses, three or four times daily. Ginger is usually added to this herb. Hool recommends 2 ounces Burr Marigold to 1 of crushed Ginger in 3 pints of water simmered down to 1 quart, given in the above quantity five times daily, or oftener if necessary.... burr marigoldVerapamil, the longest-available, is used to treat angina and hypertension. It is the only calcium-channel blocker e?ective against cardiac ARRHYTHMIA and it is the drug of choice in terminating supraventricular tachycardia. It may precipitate heart failure, and cause HYPOTENSION at high doses. Nifedipine and diltiazem act more on the vessels and less on the myocardium than verapamil; they have no antiarrhythmic activity. They are used in the prophylaxis and treatment of angina, and in hypertension. Nicardipine and similar drugs act mainly on the vessels, but are valuable in the treatment of hypertension and angina. Important di?erences exist between di?erent calcium-channel blockers so their use must be carefully assessed. They should not be stopped suddenty, as this may precipitate angina. (See also HEART, DISEASES OF.)... calcium-channel blockers
Habitat: The dried rhizome and roots are imported from the U.S.A., to which country and Canada the plant is indigenous.
Features ? Thick, hard and knotty, the root is bitter and acrid in taste, and gives off a rather nauseating smell.Part used ? Rhizome and roots.Action: Astringent, diuretic, emmenagogue and alterative.
The decoction of 1 ounce to 1 pint (reduced from 1 1/2 pints) of water, is administered in wineglassful doses. Its chief importance lies in the treatment of rheumatism, and the root figures frequently in herbal prescriptions for this complaint. In small doses it is useful in children's diarrhoea, and is reputed to be a remedy for St. Vitus' Dance (chorea), although its efficacy here is dubious.Cimicifuga should be taken with care, as overdoses produce nausea and vomiting.... cohosh, blackHabitat: Cultivated in shrubberies, etc., for decorative purposes.
Features ? Very thin bark, greyish-brown outside with corky growths (lenticels), slight longitudinal crackings, laminate, light brown internally. Fracture forms flat splinters.Part used ? Bark.Action: Antispasmodic, nervine.
As the name indicates, in cramp and other involuntary spasmodic muscular contractions. The decoction of 1 ounce to 1 pint of water (simmered from 1 1/2 pints) is administered in 1-2 tablespoon doses.... cramp barkHabitat: Native to China and Japan; cultivated in Indian gardens as an ornamental.
English: Maidenhair tree called Living Fossils (in India), Kew tree.Action: Antagonizes bronchospasm, used as a circulatory stimulant, peripheral vasodilator.
Key application: Standardized dry extract—for symptomatic treatment of disturbed performance in organic brain syndrome within the regimen ofa therapeutic concept in cases of dementia syndromes— memory deficits, disturbance in concentration, depressive emotional conditions, dizziness, tinnitus and headache. (German Commission E, ESCOP, WHO.) As vasoactive and platelet aggregation inhibitor.(The British Herbal Pharmacopoeia.) (For pharmocological studies in humans and clinical studies, see ESCOP.)The majority of pharmacological studies and clinical trials have been conduced using a standardized extract which contains 24% flavonoid glyco- sides (Ginko flavone glycosides) and 6% terpenoids (ginkgolides and bilob- alide).The extract increases tolerance to hypoxia and exhibits anti-ischaemic effect. It simultaneously improves the fluidity of blood, decreases platelet adhesion, decreases platelet and erythro- cyte aggregation and reduces plasma and blood viscosity. The extract protects erythrocytes from haemolysis. The extract also decreases the permeability of capillaries and protects the cell membrane by trapping deleterious free radicals.The extract also increased cerebral blood flow in about 70% patients evaluated (patients between 30-50 year age had 20% increase from the base line, compared with 70% in those 50- to 70- year-olds).A reversal of sexual dysfunction with concurrent use of ginkgo with antidepressant drugs has been reported. (Am J Psychiatry, 2000 157(5), 836837.)The National Centre for Complementary and Alternative Medicine, USA, is conducting a 5-year study of 3000 people aged 75 and older to determine if ginkgo, 240 mg daily, prevents dementia or Alzheimer's disease.... ginkgo bilobaHabitat: Hedgerows, waste ground.
Features ? Stem stiff, erect, freely branched, up to four feet high. Leaves greyish-green, upper ovate, lower cordate, in pairs, each pair pointing in opposite direction to next pair, crenate, hairy, stalked. Flowers (July and August) purplish, labiate, in rings just above leaves. Disagreeable odour.Part used ? Herb.Action: Stimulant, expectorant, diaphoretic, antispasmodic.
Coughs, colds and bronchial complaints generally. Hool prefers this herb to the white Horehound (Marrubium vulgare), and makes wide claims on its behalf. He recommends it in the treatment of consumption, various menstrual troubles, and parturition—in the last-named instance combined with Motherwort. "In chronic coughs, accompanied by spitting of blood," he tells us, "it will be found most excellent, either of itself or combined with other reliable remedies such as Lobelia, Marshmallow, Hyssop, etc."... horehound, blackCommon features of IBS include:
abdominal distension.
altered bowel habit.
colicky lower abdominal pain, eased by defaecation.
mucous discharge from rectum.
feelings of incomplete defaecation.
Investigations usually produce normal results. Positive diagnosis in people under 40 is usually straightforward. In older patients, however, barium ENEMA, X-rays and COLONOSCOPY should be done to exclude colorectal cancer.
Reassurance is the initial and often e?ective treatment. If this fails, treatment should be directed at the major symptoms. Several months of the antidepressant amitriptyline (see ANTIDEPRESSANT DRUGS) may bene?t patients with intractable symptoms, given at a dose lower than that used to treat depression. The majority of patients follow a relapsing/remitting course, with episodes provoked by stressful events in their daily lives. (See also INTESTINE, DISEASES OF.)... irritable bowel syndrome (ibs)
The bladder lies in the anterior half of the PELVIS, bordered in front by the pubis bone and laterally by the side wall of the pelvis. Superiorly the bladder is covered by the peritoneal lining of the abdomen. The bottom or base of the bladder lies against the PROSTATE GLAND in the male and the UTERUS and VAGINA in the female.... urinary bladder
– is conjugated or unconjugated. If conjugated, this indicates that HAEMOLYSIS is causing the jaundice; if unconjugated, disease of the LIVER or BILE DUCT is the likely diagnosis.... van den bergh test
Bad breath is often indicative of toxaemia or defective elimination via liver, kidneys and skin which should be the focus of treatment. Palliatives such as Papaya fruit (or tablets), Peppermint or Chlorophyll may not reach the heart of the trouble which could demand deeper-acting agents.
Liver disorders (Blue Flag root); hyperacidity (Meadowsweet); excessive smoking and alcohol (Wormwood); bad teeth and septic tonsils (Poke root); diverticulitis (Fenugreek seeds); gastro-intestinal catarrh (Senna, Agrimony, Avens); smell of acetone as of diabetes (Goat’s Rue); constipation (Senna, Psyllium seed).
May be necessary for serious ear, nose and throat problems to be resolved by surgery. For blockage of respiratory channels, Olbas oil, Tea Tree oil or Garlic drops relieve congestion. Many cases have chronic gingivitis and arise from dental problems improved by 1 part Tea Tree oil to 20 parts water used as a spray. Alfalfa sprouts have a sweetening effect upon the breath. Chew Parsley or Peppermint. Alternatives. Teas. Dill seeds, Fennel seeds, Sage, Nettles, Mint, Liquorice root, Alfalfa, Wormwood. Dandelion (coffee). Parsley.
Tablets/capsules. Blue Flag root, Goldenseal, Echinacea. Wild Yam. Chlorophyll. Calamus.
Powders. Mix, parts: Blue Flag root 1; Myrrh half; Liquorice half. Dose: 250mg (one 00 capsule or one- sixth teaspoon) thrice daily before meals.
Gargle. 5 drops Tincture Myrrh to glass water, frequently.
Diet. Lacto-vegetarian. Lemon juice.
Supplements. Vitamins A, B-complex, B6, Niacin, C (500mg). ... bad breath
The basal ganglia play a vital part in producing smooth, continuous muscular actions and in stopping and starting movement.
Any disease or degeneration affecting the basal ganglia and their connections may lead to the appearance of involuntary movements, trembling, and weakness, as occur in Parkinson’s disease.... basal ganglia
BEHÇET’S... behaviourism
Prevention is best. Wipe over possible areas with whisky or Vodka following with Oil of St John’s Wort. Bed patients are encouraged to spend at least 2 or 3 hours out of bed daily. Many kinds of bed-care aids exist: inflatable rings, water beds and padded protection. Vitamin C deficiency exists in most cases. Treatment. Herbal antibiotics: Wild Indigo, Myrrh, Milk Thistle, Goldenseal, Echinacea, Marigold. Supportives: Comfrey, Sarsaparilla, Vitamin E.
Tablets/capsules. Goldenseal, Echinacea, Sarsaparilla.
Powders. Parts: Echinacea 2; Goldenseal 1; Liquorice 1. Dose: 750mg (three 00 capsules or half a teaspoon) thrice daily.
Tinctures. Wild Indigo 1; Echinacea 2; Goldenseal quarter. 1-2 teaspoons in water 3 times daily. Practitioner. Tincture Echinacea BHP (1983) 20ml; Tincture Goldenseal BPC (1949) 5ml; Tincture Marigold BPC (1934) 10ml. Low alcohol vodka to 100ml. Sig: 5ml (3i) tds aq. cal. AC. (Anonymous) Topical. Early stages: Comfrey poultice or ointment. Marshmallow and Slippery Elm ointment; Oil St John’s Wort, Rue tea. Fresh pulp of Aloe Vera. Later stages: Sunlight soap plaster. Official medicine at the turn of the century used Lassar’s paste or zinc and castor oil ointment which are still effective. Distilled extract of Witch Hazel. For threatened gangrene, skin breakdown with formation of slough: (1) Zinc and Castor oil ointment (or cream) plus a little powdered Myrrh. (2) Cold poultice of Comfrey powder. ... bedsores
(See also aneurysm.)... berry aneurysm
As a result, bile is unable to drain from the liver (see cholestasis).
Unless the atresia can be treated, secondary biliary cirrhosis will develop and may prove fatal.
Symptoms include deepening jaundice, usually beginning a week after birth, and the passing of dark urine and pale faeces.
Treatment is by surgery to bypass the ducts.
If this fails, or if the jaundice recurs, a liver transplant is the only possible treatment.... biliary atresia
Bowel and kidney function should be investigated, as body odour is not normally offensive when these organs are healthy. Zinc is a powerful deodorant – zinc and castor oil cream being a traditional combination of pharmacy. Key herbal agent is Thuja, but it is sometimes advisable to add to this an agent for liver and kidneys.
Alternatives. Teas: Sage, Pennyroyal, Thyme, Betony. Decoctions: Sarsaparilla, Wild Yam.
Tablets/capsules. Seaweed and Sarsaparilla. Wild Yam, Thuja.
Formula: equal parts: Dandelion Root, Clivers, Thuja. Dosage – Powders: One-third teaspoon. Liquid Extracts: 30-60 drops. Tinctures: 1-2 teaspoons in water, thrice daily.
Topical. Dilute oil of Sage, or Sage tea, to under-arms, hands, feet.
Diet. Lacto-vegetarian. Safflower oil.
Vitamins. B-complex.
Minerals. Zinc. Dolomite. ... body odour
The last 2 are types of haemangioma (malformation of blood vessels).
Strawberry marks often increase in size in the first year, but most disappear after the age of 9 years.
Port-wine stains seldom fade, but laser treatment performed in adulthood can make some of them fade.... birthmark
The area is not sensitive to light because it has no light receptors (nerve endings responsive to light).
The blind spot can also be used to describe the part of the visual field in which objects cannot be detected.... blind spot
Symptoms: short dry cough, catarrh, wheezing, sensation of soreness in chest; temperature may be raised. Most cases run to a favourable conclusion but care is necessary with young children and the elderly. Repeated attacks may lead to a chronic condition.
Alternatives. Teas – Angelica, Holy Thistle, Elecampane leaves, Fenugreek seeds (decoction), Hyssop, Iceland Moss, Mouse Ear, Mullein, Nasturtium, Plantain, Wild Violet, Thyme, White Horehound, Wild Cherry bark (decoction), Lobelia, Liquorice, Boneset. With fever, add Elderflowers.
Tea. Formula. Equal parts: Wild Cherry bark, Mullein, Thyme. Mix. 1 heaped teaspoon to cup water simmered 5 minutes in closed vessel. 1 cup 2-3 times daily. A pinch of Cayenne assists action.
Irish Moss (Carragheen) – 1 teaspoon to cup water gently simmered 20 minutes. It gels into a viscous mass. Cannot be strained. Add honey and eat with a spoon, as desired.
Tablets/capsules. Iceland Moss. Lobelia. Garlic. Slippery Elm.
Prescription No 1. Morning and evening and when necessary. Thyme 2; Lungwort 2; Lobelia 1. OR Prescription No 2. Morning and evening and when necessary. Iceland Moss 2; Wild Cherry bark 1; Thyme 2.
Doses:– Powders: one-third teaspoon (500mg) or two 00 capsules. Liquid Extracts: 30-60 drops. Tinctures: 1-2 teaspoons.
Practitioner. Alternatives:–
(1) Tincture Ipecacuanha BP (1973). Dose, 0.25-1ml.
(2) Tincture Grindelia BPC (1949). Dose, 0.6-1.2ml.
(3) Tincture Belladonna BP (1980). Dose, 0.5-2ml.
Black Forest Tea (traditional). Equal parts: White Horehound, Elderflowers and Vervain. One teaspoon to each cup boiling water; infuse 5-15 minutes; drink freely.
Topical. Chest rub: Olbas oil, Camphorated oil. Aromatherapy oils:– Angelica, Elecampane, Mullein, Cajeput, Lemon, Eucalyptus, Lavender, Mint, Onion, Pine, Thyme.
Aromatherapy inhalants: Oils of Pine, Peppermint and Hyssop. 5 drops of each to bowl of hot water.
Inhale: head covered with a towel to trap steam.
Diet: Low salt, low fat, high fibre. Halibut liver oil. Wholefoods. Avoid all dairy products. Supplements. Vitamins A, C, D, E. ... bronchitis, acute
be replaced by unrelated new ones.
(See also psychotherapy.)... blocking
A steady herbal regime is required including agents which may coax sluggish liver or kidneys into action (Dandelion, Barberry). Sheer physical exhaustion may require Ginseng. For purulent sputum – Boneset, Elecampane, Pleurisy root. To increase resistance – Echinacea. Where due to tuberculosis – Iceland Moss. For blood-streaked mucus – Blood root. For fever – Elderflowers, Yarrow. To conserve cardiac energies – Hawthorn, Motherwort. A profuse sweat affords relief – Elderflowers.
Alternatives. Capsicum, Ephedra, Fenugreek, Garlic, Grindelia, Holy Thistle, Iceland Moss, Lobelia, Mullein, Pleurisy Root, Wild Cherry.
Tea. Formula. Iceland Moss 2; Mullein 1; Wild Cherry bark 1. 1 heaped teaspoon to each cup water gently simmered 10 minutes. Dose: 1 cup 2-3 times daily.
Powders. Pleurisy root 2; Echinacea 1; Holy Thistle 1. Pinch Ginger. Mix. Dose: 500mg (two 00 capsules or one-third teaspoon) 2-3 times daily.
Tinctures. Formula. Iceland Moss 2; Lobelia 2; Grindelia quarter; Capsicum quarter. Dose: 1-2 teaspoons two or more times daily.
Practitioner. Liquid Extract Ephedra BHP (1983), dose 1-3ml. Or: Tincture Ephedra BHP (1983), dose 6-8ml.
Topical. Same as for acute bronchitis.
Note: In a test at Trafford General Hospital, Manchester, blowing-up balloons proved of benefit to those with chronic bronchitis. Fourteen patients were asked to inflate balloons and 14 refrained from doing so. After 8 weeks, the balloon-blowers showed considerable improvement in walking and a sense of well- being. Breathlessness was reduced. Condition of the others was either unchanged or worse. ... bronchitis, chronic
Symptoms. Intermittent claudication. Affected parts of the leg are much paler than others, the condition regressing to ulceration and possible gangrene. Inflammation of nerves, veins and arteries may lead to clot formation (thrombosis).
Treatment. Stop smoking. Vasodilator herbs.
Alternatives. Cayenne (minute doses), Bayberry, Lime flowers, Lobelia, Prickly Ash, Wahoo bark, Mistletoe, Skullcap, Cactus.
BHP (1983) recommends: Angelica root, Hawthorn berry, Wild Yam.
Decoction. Formula. Equal parts: Hawthorn, Mistletoe, Valerian. 2 teaspoons to two cups water gently simmered 10 minutes. Dose half-1 cup thrice daily, and when necessary.
Tablets/capsules. Alternatives. Prickly Ash 100mg. Hawthorn 200mg. Wild Yam 200mg. Dosage as on bottles.
Powders. Formula. Equal parts: Hawthorn, Wild Yam, Prickly Ash. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.
Tinctures. Formula. Equal parts: Bayberry, Hawthorn, Prickly Ash. Dose: 1-2 teaspoons thrice daily. Practitioner. Tincture Gelsemium BPC (1973). 0.3ml (5 drops) when necessary for relief of pain.
Diet. Low fat, low salt, high fibre.
Supplements. Daily. Vitamin E 1000-1500iu. Vitamin B-complex. Magnesium, Calcium.
Exercise. Physiotherapy exercise. From the sitting position raise legs to horizontal; rest for a few minutes. Lie down and raise legs to 45 degrees; rest for a few minutes. Reverse movements resting each time to equalise the circulation. (Brenda Cooke FNIMH) ... buerger’s disease
This is usually due to a structural defect of the heart or the major arteries leaving the heart.
Such defects may need to be corrected surgically (see heart disease, congenital).... blue baby
Action. Expectorant for chronic bronchitis, asthma and other respiratory disorders.
Use. An inhalant. One 5ml teaspoon of the balsam to 500ml boiling water; patient inhales the vapour with a towel over the head.
Still used as an alternative to pressurised devices that may evoke a diminished response by over-use. Children may develop an unhealthy dependence upon a nebuliser resulting in bronchitis, the area of aerosol mists being an area of controversy. Friar’s balsam may still be used with effect.
Formula: macerate Benzoin 10 per cent, prepared Storax 7.5 per cent, Tolu balsam 2.5 per cent and Aloes 2 per cent with alcohol 90 per cent. ... friar’s balsam
The child usually becomes red or even blue in the face after a few seconds, and may faint.
Breathing quickly resumes as a natural reflex, ending the attack.
Attacks cause no damage and are usually outgrown.... breath-holding attacks
Alternatives. External.
Tinctures: Arnica, Acid tincture of Lobelia, Echinacea, Marigold, Myrrh, St John’s Wort.
Fresh plants. Crush and apply: Comfrey, Garlic, Houseleek, Marigold, Onion, Plantain. St John’s Wort: specific – horsefly.
Witch Hazel Lotion.
Cider Vinegar: wasp bites.
Bee and ant bites: in absence of any of the above: bicarbonate of soda.
Aromatherapy. Any one oil – Eucalyptus, Clove, Lavender.
For shock: with faintness and pallor: few grains Cayenne pepper in honey or cup of tea. Supplements. Vitamin A and B-complex. ... insect bites
Bronchioles branch from larger airways (bronchi) and subdivide into progressively smaller tubes before reaching the alveoli (see alveolus, pulmonary), where gases are exchanged.... bronchiole
provoke an asthma attack. The effect can be reversed by a bronchodilator drug.... bronchoconstrictor
Brown fat is located between and around the scapulae (shoulderblades) on the back.
It is a source of energy and helps infants to maintain a constant body temperature.... brown fat
Barotrauma can be avoided by vigorous swallowing or by forcibly breathing out with the mouth closed and the nose pinched (the Valsalva manoeuvre). This action equalizes the internal and external pressures in the middle ear and sinuses. If the eustachian tubes are blocked, as commonly occurs with a cold, use of a nasal spray containing a decongestant drug is recommended shortly before the descent of the aircraft. Infants should be breast- or bottle-fed during descent to encourage swallowing. (See also aviation medicine.)... barotrauma
pressure inside the eyeball due to congenital glaucoma.
Treatment of the condition usually involves surgery to reduce the pressure, otherwise the child’s sight is progressively damaged.... buphthalmos
The bladder walls consist of muscle and an inner lining.
Two ureters carry urine to the bladder from the kidneys.
At the lowest point of the bladder is the opening into the urethra, which is known as the bladder neck.
This is normally kept tightly closed by a ring of muscle (the urethral sphincter).
The function of the bladder is to collect and store urine until it can be expelled.
Defective bladder function, leading to problems such as incontinence and urinary retention, can have a variety of causes.
(See also bladder, disorders of; enuresis).... bladder
When a blood vessel is damaged, it constricts immediately to reduce blood flow to the area. The damage sets off a series of chemical reactions that lead to the formation of a clot to seal the injury. First, platelets around the injury site are activated, becoming sticky and adhering to the blood-vessel wall. Then, the activated platelets release chemicals, which, in turn, activate blood clotting factors. These factors, together with vitamin K, act on fibrinogen and convert it to fibrin. Strands of fibrin form a meshwork, which traps red blood cells to form a clot.
There are several anticlotting mechanisms to prevent the formation of unwanted clots. These include prostacyclin (a prostaglandin), which prevents platelet aggregation, and plasmin, which breaks down fibrin (see fibrinolysis). Blood flow washes away active coagulation factors; and the liver deactivates excess coagulation factors.
Defects in blood clotting may result in bleeding disorders.
Excessive clotting (thrombosis) may be due to an inherited increase or defect in a coagulation factor (see factor V), the use of oral contraceptives, a decrease in the level of enzymes that inhibit coagulation, or sluggish blood flow through a particular area.
Treatment is usually with anticoagulant drugs such as heparin or warfarin.... blood clotting
The size and shape and general appearance of the breasts may vary during the menstrual cycle, during pregnancy and lactation, and after the menopause.
During pregnancy, oestrogen and progesterone, secreted by the ovary and placenta, cause the milkproducing glands to develop and become active and the nipple to become larger.
Just before and after
childbirth, the glands in the breast produce a watery fluid known as colostrum.
This fluid is replaced by milk a few days later.
Milk production and its release is stimulated by the hormone prolactin.... breast
The first sign of breast cancer may be a painless lump. Other symptoms may include a dark discharge from the nipple, retraction (indentation) of the nipple, and an area of dimpled, creased skin over the lump. In 90 per cent of the cases, only 1 breast is affected. The cancer may be suspected after discovering a lump during breast self-examination or mammography. If a lump is detected, cells will be collected from it by needle aspiration or surgical biopsy. If the lump is cancerous, the treatment given depends on the woman’s age, the size of the tumour, whether or not there are signs of spread to the lymph nodes, and the sensitivity of the tumour cells to hormones, as assessed in the laboratory. A small tumour, with no evidence of having spread outside the breast, is removed surgically. Lymph nodes in the armpit are also commonly removed at the same time. Surgery may be combined with radiotherapy and/or anticancer drugs.
Secondary tumours in other parts of the body are treated with anticancer drugs and hormones. Regular check-ups are required to detect recurrence or the development of a new cancer in the other breast. If the cancer recurs, it can be controlled, in some cases, for years by drugs and/or radiotherapy.... breast cancer
It is especially useful in the diagnosis of Crohn’s disease, coeliac disease, lymphoma, and other causes of malabsorption.
The biopsy is taken using an endoscope passed down the throat into the small intestine, via the stomach.... jejunal biopsy
’S
Buerger’s disease A rare disorder, also called thromboangiitis obliterans, in which the arteries, nerves, and veins in the legs, and sometimes those in the arms, become severely inflamed. Blood supply to the toes and fingers becomes cut off, eventually causing gangrene. The disease is most common in men under the age of 45 who smoke heavily. bulimia An illness that is characterized by bouts of overeating usually followed by self-induced vomiting or excessive laxative use. Most sufferers are girls or women between the ages of 15 and 30. In some cases, the symptoms coexist with those of anorexia nervosa. Repeated vomiting can lead to dehydration and loss of potassium, causing weakness and cramps, and tooth damage due to the gastric acid in vomit. Treatment includes supervision and regulation of eating habits, and sometimes, antidepressant drugs and/or psychotherapy. bulk-forming agent A substance that makes stools less liquid by absorbing water: a type of antidiarrhoeal drug. bulla A large air- or fluid-filled bubble, usually in the lungs or skin. Lung bullae in young adults are usually congenital. In later life, lung bullae develop in patients with emphysema. Skin bullae are large, fluid-filled blisters with a variety of causes, including the bullous disease pemphigus.... budesonide
The experience, which is thought to be due to disturbance of brain function, is reported by some patients following a general anaesthetic or a medical emergency.... out-of-body experience
rectal examination Examination of the anus and rectum, performed as part of a general physical examination, to assess symptoms of pain or changes in bowel habits, and to check for the presence of tumours of the rectum or prostate gland. rectal prolapse Protrusion outsid.
nent in elderly people. If the prolapse is large, leakage of faeces may occur.
Treatment is with a fibre-rich diet.
Surgery may also be performed.... rectal bleeding
It often causes belching and abdominal discomfort.
Long-term use may cause swollen ankles, muscle cramps, tiredness, and nausea.... sodium bicarbonate
spinal anaesthesia Injection of an anaesthetic into the cerebrospinal fluid in the spinal canal to block pain sensations before they reach the central nervous system. It is used mainly during surgery on the lower abdomen and legs.
(See also epidural anaesthesia.)... spina bifida
Habitat: The temperate and subtropical Himalayas from Kishtwar to Sikkim at 1,200-3,200 m, Khasi hills.
Ayurvedic: Shveta Apaamaarga. (Rakta Apaamaarga is equated with Achyranthes rubra-fusca Hook. f. and A. verschaffeltii Lam., synonym Iresine herbstii Hook. f.)Siddha/Tamil: Naayurivi.Action: Astringent, diuretic, spasmolytic. Plant is given in whooping cough, roots in hemicrania.
A water-soluble oligosaccharide, composed of six glucose units and three mannose units, has been isolated from the roots. It enhanced immune response and prolonged survival time of mice bearing Ehrlich carcinoma.The roots contain free oleanolic acid (0.096%) and its saponins (1.93%). An alcoholic extract of the root showed presence of amino acids, steroids, tri- terpenoids, alkaloids and coumarins. The seeds afforded achyranthin.Extract of the plant—antimicrobial.... achyranthes bidentataHabitat: The sub-Himalayan tract, plains of Punjab and the upper Gangetic plain.
Ayurvedic: Neelkanthi.Folk: Ratapaati (Kumaon), Khur- banti (Punjab).Action: Astringent, febrifugal (given in intermittent fever), stimulant, aperient, diuretic. Used for the treatment of gout and rheumatism; also for amenorrhoea. Juice of the leaves—blood purifier. The powder is used for burns and boils. The leaves are used in fever as a substitute for cinchona.
An aqueous extract of the leaves showed diuretic activity. An alkaloidal fraction showed stimulant action on the perfused frog heart. The plant exhibited anticancer activity.... ajuga bracteosaHabitat: The plains and foothills, up to an altitude of 2,100 m.
Ayurvedic: Ankola (related sp.).Folk: Akhani.Action: Bark and roots—sedative, anthelmintic.
A triterpenoid was responsible for the sedative effect on motor activity of rat brain.Chloroform extract of the drug, which was devoid of anabasine, exhibited prominent sedative effect in rat. It significantly decreased concentration of norepinephrine in cortex, of dopamine and serotonin (5-HT) in brain stem, but increased concentration of 5-HT in cortex.... alangium begoniaefoliumHabitat: Cultivated throughout India, wild on coasts of Maharashtra, Gujarat and South India.
English: Curacao Aloe, Barbados Aloe, Indian Aloe, Jaffarabad Aloe.Ayurvedic: Kanyaasaara, Eleyaka (dried juice of the leaves). Kumaari, Kumaarikaa, Kanyaa, Grihkanyaa, Ghritkumaarika (plant).Unani: Gheekwaar, Sibr.Siddha/Tamil: Sotru Kattraazhai, Kumaari. Moosaambaram (dried juice).Folk: Elwaa, Musabbar (dried juice of leaves).Action: Purgative (causes griping), emmenagogue. Gel—topically emollient, anti-inflammatory, antimicrobial (used for wound healing, sunburn).
Key application: In occasional constipation; contraindicated in intestinal obstruction and acutely inflamed intestinal diseases, ulcerative colitis, appendicitis. (German Commission E, ESCOP, WHO.)The Ayurvedic Pharmacopoeia of India recommends the use of dried juice of leaves in dysmenorrhoea and diseases of the liver.Aloe vera improved the hypoglycaemic effect of glyburide (gliben- clamide) when one tablespoonful aloe juice was given orally in the morning and at bedtime to 36 diabetic patients for 42 days. The juice (same dose) showed antihyperglycaemic activity (independently). (Francis Brinker.)Anthraquinone glycosides, known as aloin, in small doses act as a tonic to the digestive system, and at higher doses become a strong purgative, as well as increase colonic secretions and peristaltic contractions. Resin fraction is also as important as aloin in cathartic action. In A. barbadensis the highest percentage of aloin is 21.8%.Aloe produces pelvic congestion and is used for uterine disorders, generally with Fe and carminatives. The pulp is used in menstrual suppressions.A molecule in the Aloe vera gel, ace- mannan, stimulates macrophages and releases immune system potentiators; enhances function of T cells and interferon production. Animal studies have shown promising results in sarcoma.The carboxypeptidase and salicylate components of Aloe gel can inhibit bradykinin, a pain-producing agent; C-glycosyl chromone appears to reduce topical inflammation. Aloe gel also slows or inhibits the synthesis of thromboxane, which may accelerate the healing of burns. (Natural Medicines Comprehensive Database, 2007.)Dosage: Leaf pulp juice—10-20 ml. (CCRAS.) Dried leaf pulp juice— 125-500 mg powder. (API Vol. I.)... aloe barbadensisHabitat: Throughout India.
English: Trailing Amaranth, Wild Blite.Ayurvedic: Maarisha.Siddha/Tamil: Aarumathathandu, Kiraitandu.Folk: Marasaa.Action: Cooling, stomachic, emollient. Used in biliousness, haemorrhagic diathesis.... amaranthus blitum
Habitat: Nepal, Sikkim and Bhutan, Khasi Hills.
Folk: Taapamaari (Maharashtra).Action: Stimulant, aphrodisiac, antipyretic, dyspeptic, expectorant.... aralia binnatifida
Habitat: Marshy areas throughout India, as a weed.
English: Blistering Ammannia.Ayurvedic: Agnipatri.Folk: Daadmaari. (Also known as Paashaanabheda.)Action: Stomachic, laxative, antirheumatic, febrifuge. Leaves— used externally for ringworm, herpic eruptions and other skin diseases; rubefacient.
Leaves contain lawsone. Plant extract—antibacterial. Extracts of stem, leaf and inflorescence are more effective as compared with the seed and root extract.... ammannia bacciferaHabitat: 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 bracteolataHabitat: 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
Habitat: Native to Malaysia; cultivated throughout the country.
English: Bilimbi, Tree Sorrel.Ayurvedic: Karmaranga (var.).Unani: Belambu (a variety of Kamrakh).Siddha/Tamil: Pilimbi, Pulichakkai.Action: A syrup made from the fruits is used in febrile excitement, haemorrhages and internal haemorrhoids; also in diarrhoea, bilious colic and hepatitis. The fruit is used for scurvy. An infusion of flowers is given for cough.... averrhoa bilimbi
Absent CORNEAL REFLEX
Absent VESTIBULO-OCULAR REFLEX
No cranial motor response to somatic (physical) stimulation
Absent gag and cough re?exes
No respiratory e?ort in response to APNOEA despite adequate concentrations of CARBON DIOXIDE in the arterial blood.... b nosed. the test for brain-stem death are:
Babett, Babete, Babet, Babbet, Babbett, Babbette, Babbete, Babita, Babitta, Babbitta, Babs... babette
Babi, Babie, Babey, Babe, Bebe, Babea, Babeah... baby
Habitat: Throughout the plains of India in damp marshy areas.
English: Thyme-leaved Gratiola.Ayurvedic: Braahmi, Aindri, Nir- braahmi, Kapotavankaa, Bhaarati, Darduradalaa, Matsyaakshaka, Shaaluraparni, Mandukaparni (also equated with Centella asiatica Linn., synonym Hydrocotyle asiatica Linn. Umbelliferae, Apiaceae).Unani: Brahmi.Siddha/Tamil: Piramivazhukkai, Neerbrami.Folk: Jalaneem, Safed-Chammi.Action: Adaptogenic, astringent, diuretic, sedative, potent nervine tonic, anti-anxiety agent (improves mental functions, used in insanity, epilepsy), antispasmodic (used in bronchitis, asthma and diarrhoea).
Key application: In psychic disorders and as a brain tonic. (The Ayurvedic Pharmacopoeia of India; Indian Herbal Pharmacopoeia.)B. monnieri has been shown to cause prolonged elevated level of cerebral glutamic acid and a transient increase in GABA level. It is assumed that endogenous increase in brain glutamine maybe helpful in the process oflearn- ing.The herb contains the alkaloids brahmine, herpestine, and a mixture of three bases. Brahmine is highly toxic; in therapeutic doses it resembles strychnine. The herb also contains the saponins, monnierin, hersaponin, bacosides A and B. Bacosides A and B possess haemolytic activity. Her- saponin is reported to possess car- diotonic and sedative properties. It was found, as in case of reserpene, to deplete nor-adrenaline and 5-HT content of the rat brain.An alcoholic extract of the plant in a dose of 50 mg/kg produced tranquil- izing effect on albino rats and dogs, but the action was weaker than that produced by chlorpromazine.Dosage: Whole plant—1-3 g powder. (API Vol. II.)... bacopa monnieriSee www.cancerbacup.org.uk... bacup
Badiah, Badi’a, Badiya, Badea, Badya, Badeah... badia
Bahirah, Baheera, Bahyra, Bahiera, Baheira, Bahiya, Bahiyah, Baheerah, Bahyrah, Baheirah, Bahierah, Baheara, Bahearah... bahira
Habitat: Drier parts of India, particularly in Rajasthan, Gujarat, Madhya Pradesh and Deccan.
English: Desert Date.Ayurvedic: Ingudi, Angaar Vrksha, Taapasadrum, Taapasa vrksha, Dirghkantaka.Unani: Hingan, Hanguul.Siddha/Tamil: Nanjunda.Folk: Hingol, Hingota, Hingothaa.Action: Seed—expectorant, bechic. Oil—antibacterial, antifungal. Fruit—used in whooping cough; also in leucoderma and other skin diseases. Bark—spasmolytic.
The plant is reported to be a potential source of diosgenin (used in oral contraceptives). The fruit pulp contains steroidal saponins. The dios- genin content of the fruit varies from 0.3 to 3.8%. Aqueous extract of fruits showed spermicidal activity without local vaginal irritation in human up to 4%; sperms became sluggish on contact with the plant extract and then became immobile within 30 s; the effect was concentration-related.Protracted administration of the fruit pulp extract produced hypergly- caemia-induced testicular dysfunction in dogs. An aqueous extract of meso- carp exhibited antidiabetic activity in streptozotocin-induced diabetes in mice.The seed contains balanitins, which exhibit cytostatic activity.Dosage: Leaf, seed, bark, fruit— 50-100 ml decoction. (CCRAS.)... balanites aegyptiacaHabitat: The Himalayas from Kashmir to Sikkim and Darjeeling at altitudes of 1,800-3,400 m
Ayurvedic: Chavya (tentative synonym).Action: Astringent. Used in piles, also in rheumatism.
A related species, B.polyandra Griff., found in Nagaland, Manipur, West Bengal, Bihar, Orissa and Andhra Pradesh at 2,000 m, gave a phenolic gly- coside, coniferin. The plant is used as an antiasthmatic.... balanophora involucrataBalhart, Baldhard, Balhard, Ballard, Balard, Balarde... baldhart
Balighah, Baleegha, Balygha, Baliegha, Baleagha, Baleigha... baligha
Habitat: The Himalayas, Assam, Khasi Hills, Bengal, Madhya Pradesh, Bihar and Peninsular India, ascending to 1,800 m.
Ayurvedic: Danti, Nikumbha, Udumbarparni, Erandphalaa, Shighraa, Pratyak-shreni, Vishaalya. Baliospermum calycinum Muell- Arg. is considered as Naagadanti.Siddha/Tamil: Neeradimuthu, Danti.Folk: Jangli Jamaalgotaa.Action: Seed—purgative. Leaves— purgative (also used in dropsy), antiasthmatic (decoction is given in asthma). Latex—used for body ache and pain of joints. Root and seed oil—cathartic, antidropsical.
Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India indicated the use of dried root in jaundice, abdominal lump and splenomegaly.The presence of steroids, terpenoids and flavonoids is reported in the leaves. The root contains phorbol derivatives. EtOH extract of roots showed in vivo activity in P-388 lymphocytic leukaemia.Dosage: Root—103 g powder. (API Vol. III.)... baliospermum montanumHabitat: Rajasthan, Madhya Pradesh, Assam, Andhra Pradesh, Karnataka.
English: Indian Bdellium, Gum Guggul.Ayurvedic: Guggul, Devadhoop, Kaushika, Pur, Mahishaaksha, Palankash, Kumbha, Uluukhala.Unani: Muqallal yahood, Muql, Bu-e-JahudaanSiddha/Tamil: Erumaikan Kungiliyam.Action: Oleo-gum-resin—used for reducing obesity and in rheumatoid arthritis, osteoarthritis, sciatica.
Key application: In the treatment of hyperlipidemia, hypercholestero- laemia and obesity. (WHO.)Guggulipid is hypocholesteremic. Guggul resin contains steroids—gug- glsterones Z and E, guggulsterols IV, diterpenoids; volatile oil, including other constituents, contains a terpene hydrocarbon cembrene A. E- and Z- guggulsterones are characteristic constituents, which distinguish C. mukul from other Commiphore sp.Guggul resin increases catechola- mine biosynthesis and activity in cholesterol-fed rabbits, inhibits platelet aggregation, exhibits anti-inflammatory activity and appears to activate the thyroid gland in rats and chicken. Z- guggulsterone may increase uptake of iodine by thyroid gland and increase oxygen uptake in liver and bicep tissues. (Planta Med 1984,1, 78-80.)The gum is also used in hemiplegia and atherosclerotic disorders; as a gargle in pyrrhoea aveolaris, chronic tonsilitis and pharyngitis. Fumes are recommended in hay fever, chronic bronchitis and nasal catarrh.Oleo-gum resin of Balsamodendron caudatum is also equated with Guggul in Siddha medicine.Dosage: Oleo-gum-resin—2-4 g (API Vol. I.) 500 mg to 1 g (CCRAS.)... balsamodendron mukulBambyna, Bambinna, Bambie, Bambi, Bambey, Bambee, Bamhi, Bambea, Bambeah... bambina
Nutritional Profile Energy value (calories per serving): Moderate Protein: Low Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: Moderate Sodium: Low Major vitamin contribution: B vitamins, vitamin C Major mineral contribution: Potassium, magnesium
About the Nutrients in This Food A banana begins life with more starch than sugar, but as the fruit ripens its starches turn to sugar, which is why ripe bananas taste so much better than unripe ones.* The color of a banana’s skin is a fair guide to its starch/ sugar ratio. When the skin is yellow-green, 40 percent of its carbohydrates are starch; when the skin is fully yellow and the banana is ripe, only 8 per- cent of the carbohydrates are still starch. The rest (91 percent) have broken down into sugars—glucose, fructose, sucrose, the most plentiful sugar in the fruit. Its high sugar content makes the banana, in its self-contained packet, a handy energy source. Bananas are a high-fiber food with insoluble cellulose and lignin in the tiny seeds and soluble pectins in the flesh. They are also a good source of vitamin C and potassium. One small (six-inch) banana or a half-cup of sliced banana has 2.6 g dietary fiber and 8.8 mg vitamin C (12 percent of the R DA for a woman, 10 percent of the R DA for a man), plus 363 mg potassium.
The Most Nutritious Way to Serve This Food Fresh and ripe. Green bananas contain antinutrients, proteins that inhibit the actions of amylase, an enzyme that makes it possible for us to digest * They are also more healt hful. Green bananas contain proteins t hat inhibit amy- lase, an enzyme t hat makes it possible for us to digest complex carbohydrates. starch and other complex carbohydrates. Raw bananas are richer in potassium than cooked bananas; heating depletes potassium.
Buying This Food Look for: Bananas that will be good when you plan to eat them. Bananas with brown specks on the skin are ripe enough to eat immediately. Bananas with creamy yellow skin will be ready in a day or two. Bananas with mostly yellow skin and a touch of green at either end can be ripened at home and used in two or three days. Avoid: Overripe bananas whose skin has turned brown or split open. A grayish yellow skin means that the fruit has been damaged by cold storage. Bananas with soft spots under the skin may be rotten.
Storing This Food Store bananas that aren’t fully ripe at room temperature for a day or two. Like avocados, bananas are picked green, shipped hard to protect them from damage en route and then sprayed with ethylene gas to ripen them quickly. Untreated bananas release ethylene natu- rally to ripen the fruit and turn its starches to sugar, but natural ripening takes time. Artificial ripening happens so quickly that there is no time for the starches to turn into sugar. The bananas look ripe but they may taste bland and starchy. A few days at room temperature will give the starches a chance to change into sugars. Store ripe bananas in the refrigerator. The cold air will slow (but not stop) the natural enzyme action that ripens and eventually rots the fruit if you leave it at room temperature. Cold storage will darken the banana’s skin, since the chill damages cells in the peel and releases polyphenoloxidase, an enzyme that converts phenols in the banana peel to dark brown compounds, but the fruit inside will remain pale and tasty for several days.
Preparing This Food Do not slice or peel bananas until you are ready to use them. When you cut into the fruit, you tear its cell walls, releasing polyphenoloxidase, an enzyme that hastens the oxidation of phenols in the banana, producing brown pigments that darken the fruit. (Chilling a banana produces the same reaction because the cold damages cells in the banana peel.) You can slow the browning (but not stop it completely) by dipping raw sliced or peeled bananas into a solution of lemon juice or vinegar and water or by mixing the slices with citrus fruits in a fruit salad. Overripe, discolored bananas can be used in baking, where the color doesn’t matter and their intense sweetness is an asset.
What Happens When You Cook This Food When bananas are broiled or fried, they are cooked so quickly that there is very little change in color or texture. Even so, they will probably taste sweeter and have a more intense aroma than uncooked bananas. Heat liberates the volatile molecules that make the fruit taste and smell good.
How Other Kinds of Processing Affect This Food Drying. Drying removes water and concentrates the nutrients and calories in bananas. Bananas may be treated with compounds such as sulfur dioxide to inhibit polyphenoloxi- dase and keep the bananas from browning as they dry. People who are sensitive to sulfites may suffer severe allergic reactions, including anaphylactic shock, if they eat these treated bananas. Freezing. Fresh bananas freeze well but will brown if you try to thaw them at room tem- perature. To protect the creamy color, thaw frozen bananas in the refrigerator and use as quickly as possible.
Medical Uses and/or Benefits Lower risk of stroke. Various nutrition studies have attested to the power of adequate potassium to keep blood pressure within safe levels. For example, in the 1990s, data from the long-running Harvard School of Public Health/Health Professionals Follow-Up Study of male doctors showed that a diet rich in high-potassium foods such as bananas, oranges, and plantain may reduce the risk of stroke. In the study, the men who ate the higher number of potassium-rich foods (an average of nine servings a day) had a risk of stroke 38 percent lower than that of men who consumed fewer than four servings a day. In 2008, a similar survey at the Queen’s Medical Center (Honolulu) showed a similar protective effect among men and women using diuretic drugs (medicines that increase urination and thus the loss of potassium). Improved mood. Bananas and plantains are both rich in serotonin, dopamine, and other natural mood-elevating neurotransmitters—natural chemicals that facilitate the transmis- sion of impulses along nerve cells. Potassium benefits. Because potassium is excreted in urine, potassium-rich foods are often recommended for people taking diuretics. In addition, a diet rich in potassium (from food) is associated with a lower risk of stroke. A 1998 Harvard School of Public Health analysis of data from the long-running Health Professionals Study shows 38 percent fewer strokes among men who ate nine servings of high potassium foods a day vs. those who ate less than four servings. Among men with high blood pressure, taking a daily 1,000 mg potas- sium supplement—about the amount of potassium in one banana—reduced the incidence of stroke by 60 percent.
Adverse Effects Associated with This Food Digestive Problems. Unripe bananas contain proteins that inhibit the actions of amylase, an enzyme required to digest starch and other complex carbohydrates. Sulfite allergies. See How other kinds of processing affect this food. Latex-fruit syndrome. Latex is a milky fluid obtained from the rubber tree and used to make medical and surgical products such as condoms and protective latex gloves, as well as rub- ber bands, balloons, and toys; elastic used in clothing; pacifiers and baby bottle-nipples; chewing gum; and various adhesives. Some of the proteins in latex are allergenic, known to cause reactions ranging from mild to potentially life-threatening. Some of the proteins found naturally in latex also occur naturally in foods from plants such as avocados, bananas, chestnuts, kiwi fruit, tomatoes, and food and diet sodas sweetened with aspartame. Persons sensitive to these foods are likely to be sensitive to latex as well. NOTE : The National Insti- tute of Health Sciences, in Japan, also lists the following foods as suspect: Almonds, apples, apricots, bamboo shoots, bell peppers, buckwheat, cantaloupe, carrots, celery, cherries, chestnuts, coconut, figs, grapefruit, lettuce, loquat, mangoes, mushrooms, mustard, nectar- ines, oranges, passion fruit, papaya, peaches, peanuts, peppermint, pineapples, potatoes, soybeans, strawberries, walnuts, and watermelon.
Food/Drug Interactions Monoamine oxidase (MAO) inhibitors. Monoamine oxidase inhibitors are drugs used to treat depression. They inactivate naturally occurring enzymes in your body that metabolize tyra- mine, a substance found in many fermented or aged foods. Tyramine constricts blood vessels and increases blood pressure. If you eat a food containing tyramine while you are taking an M AO inhibitor, you cannot effectively eliminate the tyramine from your body. The result may be a hypertensive crisis. There have been some reports in the past of such reactions in people who have eaten rotten bananas or bananas stewed with the peel. False-positive test for tumors. Carcinoid tumors—which may arise from tissues of the endo- crine system, the intestines, or the lungs—secrete serotonin, a natural chemical that makes blood vessels expand or contract. Because serotonin is excreted in urine, these tumors are diagnosed by measuring the levels of serotonin by-products in the urine. Bananas contain large amounts of serotonin; eating them in the three days before a test for an endocrine tumor might produce a false-positive result, suggesting that you have the tumor when in fact you don’t. (Other foods high in serotonin are avocados, eggplant, pineapple, plums, tomatoes, and walnuts.)... bananas
For more detailed information about bandaging, the reader is referred to First Aid Manual, the authorised manual of the St John’s Ambulance Association, St Andrew’s Ambulance Association and British Red Cross Society.... bandages
Bandanah, Bandanna, Bandannah... bandana
Bandel, Bandelle, Bandell, Bandela, Bandella... bandele
Habitat: Arabia, Somaliland.
Ayurvedic: Bola, Hiraabola, Surasa, Barbara, Gandharasa.Unani: Murmakki, Bol.Siddha/Tamil: Vellaibolam.Action: Oleo-gum-resin—em- menagogue (used for irregular menstruation and painful periods), anti-inflammatory (on pharyngitis and gingivitis), antiseptic, bacteriostatic, antiviral, astringent, stimulant, expectorant, stomachic, carminative (in dyspepsia), a leuco- cytogenic agent (increases number of white cells in the blood). Used externally for treating acne, boils and pressure sores, internally as a blood purifier.
Key application: In topical treatment of mild inflammations of the oral and pharyngeal mucosa. (German Commission E.) As a gargle or mouth rinse for the treatment of aphthous ulcers, tonsillitis, common cold and gingivitis. (The British Herbal Pharmacopoeia, ESCOP.)The gum (30-60%) contains acidic polysaccharides, volatile oil (2-10%) including other constituents, heer- abolene, eugenol, furanosequiterpenes and monoterpenes.Myrrh is taken as a powder or a tincture, rather than as an infusion; used generally externally or as a gargle.Aqueous suspension of the gum resin decreased ethanol-induced and indomethacin-induced ulcer in rats. (JEthnopharmacol, 1997, Jan 55(2), 141150.)Dosage: Gum-resin—3-5 g (CCRAS.)... balsamodendron myrrhaHabitat: Found in countries on both sides of Red Sea.
English: Balsam tree, Balsam of Mecca, Balsam of Gilead.Unani: Balsaan, Roghan-e-Balsaan (oil), Hab-e-Balsaan (fruit). Ood-e- Balsaan (wood).Action: Used in diseases of the urinary tract. Balsams are diuretic and stimulate mucous tissues in small doses (nauseatic and purgative in large doses).
In Unani medicine, the fruit is used as an expectorant and emmenagogue, also for neurological affections. The wood is also used as an ingredient in compounds for epilepsy and other nervine disorders. The oil is used externally for its anti-inflammatory and revitalizing properties.... balsamodendron opobalsamumHabitat: Wild throughout India, especially in the hill forests of Western and Southern India.
English: Spiny or Thorny Bamboo.Ayurvedic: Vansha, Venu, Kichaka, Trinadhwaj, Shatparvaa, Yavphala. Vanshalochana, Vansharochanaa, Shubhaa, tugaa, Tugaakshiri, Tvak- kshiri (Bamboo-manna). Starch of Curcuma angustifolia Roxb., Zingiberaceae, was recommended a substitute for Vanshalochana (Ayurvedic Formularly of India, Part I, First edn).Unani: Qasab, Tabaashir (Bamboo- manna).Siddha/Tamil: Moongil; Moongilup- pu, (Bambo-manna.)Action: Leaf bud and young shoots—used in dysmenorrhoea; externally in ulcerations. Leaf—em- menagogue, antileprotic, febrifuge, bechic; used in haemoptysis. Stem and leaf—blood purifier (used in leucoderma and inflammatory conditions). Root—poisonous. Burnt root is applied to ringworm, bleeding gums, painful joints. Bark—used for eruptions. Leaf and Bamboo-manna—emmena- gogue. Bamboo-manna—pectoral, expectorant, carminative, cooling, aphrodisiac, tonic (used in debilitating diseases, urinary infections, chest diseases, cough, asthma).
The plant gave cyanogenic glu- coside—taxiphyllin. Bamboo-manna contains silicious crystalline substances.The starch obtained from Maranta arundinacea Linn., Marantaceae, is also used as Bamboo-manna (known as Koovai Kizhangu, Kookaineer and Araroottu Kizangu in Siddha medicine).Dosage: Manna—1-3 g (CCRAS.)... bambusa bambosBarbra, Barbarella, Barbarita, Baibin, Baibre, Bairbre, Barbary, Barb, Barbi, Barbie, Barby, Barbey, Bobbie, Barbro, Barabal, Barabell, Basha, Basham, Baubie, Bobbi, Bobby, Bora, Borbala, Borhala, Borka, Boriska, Borsca, Borska, Borsala, Brosca, Broska... barbara
Barikah, Baryka, Barikka, Barykka, Baricka, Barycka, Baricca, Barycca... barika
Habitat: Subalpine and temperate Himalayas, at altitudes of 1,8003,750 m.
English: Bitter Cress, Hedge Mustard, Yellow Rocket, Winter Cress.Folk: Cress.Action: Diuretic, anthelmintic, stomachic, antiscorbutic, (leaves are rich in vitamin C 130 mg/100 g). Pulverised herb is used as an agent for stimulating spermatogenesis.
The roots contain sinigrin; seeds contain a glucoside, glucobarbarin, and myrosin.The protein and phosphorus contents of the plant decrease with the maturity, whereas the calcium contents increase (tender stems are eaten as a salad). The leaves and buds are a rich source of provitamin A (beta- carotene).... barbarea vulgarisHabitat: Woods and hedges, also gardens.
Features ? Shrub or bush, three to eight feet high. Leaves obovate, bristly serratures. Flowers bright yellow clusters, raceme, pendulous. Berries red, oblong. Stem bark thin, yellowish-grey externally, inner surface orange yellow, separating in layers. Root dark brown, short fracture. Very bitter taste.Part used ? Bark, rootbark.Action: Tonic, antiseptic, purgative.
Jaundice and other liver derangements. General debility. Regulates digestion, corrects constipation. 1/4 teaspoonful of powdered bark, three or four times daily.... barberryHabitat: Peninsular India from Maharashtra southwards up to an altitude of 1,200 m. An ornamental hedge plant in gardens.
Ayurvedic: Sahachara (purple, blue, rose or white-flowered var.)Folk: Jhinti.Action: Roots and leaves are used in cough, bronchitis, inflammations (applied to swellings).... barleria buxifolia
Barrane, Baran, Barane, Barrayne, Barayne, Baranne, Barann, Barrann... barran
Habitat: Subtropical Himalaya, Sikkim, Khasi Hills, Central and Southern India at 1,350 m.
Ayurvedic: Sahachara, Shveta- Rakta-pushpa Saireyaka (white- and red-flowered var.).Siddha/Tamil: Ottamulli.Folk: Katsaraiyaa. Raktajhinti.Action: Extract of the plant— sasmogenic and hypoglycaemic. Root extract—given in anaemia. The leaves are chewed in toothache. Roots and leaves are applied to swellings. An infusion is given in cough.
The roots contain anthraquinones; flowers gave apigenin, naringenin, quercetin and malvindin.... barleria cristataHabitat: Throughout the hotter parts of India. Also, commonly grown as a hedge plant in gardens.
English: Common Yellow Nail Dye Plant.Ayurvedic: Sahachara, Baana, Kurantaka, Kuranta, Koranda, Korandaka, Shairiya, Pita-saireyaka(yellow-flowered var.). Also equated with Vajradanti.Unani: Piyaabaansaa.Siddha/Tamil: Chemmulli.Folk: Piyaabaasaa, Jhinti, Kat- saraiyaa.Action: Leaf—juicegiveninstomach disorders, urinary affections; mixed with honey and given to children with fever and catarrh; leaf juice is applied to lacerated soles of feet in the rainy season, mixed with coconut oil for pimples. Leaves and flowering tops—diuretic. Bark—diaphoretic and expectorant. Roots—paste is applied over boils and glandular swellings. Plant (Vajradanti)—antidontalgic, used for bleeding gums in Indian medicine. Ash, obtained from the whole plant, mixed with honey, is given in bronchial asthma.
The Ayurvedic Pharmacopoeia of India recommends oil extract of the plant for arresting greying of hair.The leaves and flowering tops are diuretic, rich in potassium salts. Leaves and stems showed presence of iridoid glucosides, barlerin and acetylbarlerin. Flowers gave the flavonoid glycoside, scutellarein-7-neohesperidoside. The presence of beta-sitosterol is reported in the plant.In the south, Nila Sahachara is equated with Ecbolium linneanun Kurz. (known as Nilaambari), and Shveta Sa- hachara with Justica betonica Linn.Ecbolium linneanun plant is used for gout and dysuria; the root is prescribed for jaundice.Dosage: Whole plant—50-100 g for decoction. (API Vol. III.)... barleria prionitisHabitat: The Himalayas from Uttar Pradesh to West Bengal, up to an altitude of 1,200 m.
Ayurvedic: Sahachara (blue- flowered var.).Siddha/Tamil: Nili.Folk: Koilekhaa.Action: Mild antiseptic, expectorant (given in spasmodic cough); also used as an antianaemic.
The plant gave beta-and gamma- sitosterol.... barleria strigosaBarett, Barrette, Barette, Barrete, Barete, Barretta, Baretta, Barreta, Bareta... barrett
Habitat: Sub-Himalayan tracts from the Ganges eastwards to Assam and Madhya Pradesh.
English: Indian Oak. (Oak is equated with Quercus robur L.)Ayurvedic: Nichula, Hijjala, Ijjala, Vidula, Ambuj. (Central Council for Research in Ayurveda & Siddha has wrongly equated Hijjala, Nichula and Vidula with Argyreia nervosa, Elephant Creeper.)Unani: Samandarphal. (Saman- darphal is also equated with Rhus parviflora Roxb. in National Formulary of Unani Medicine.)Siddha/Tamil: Kadappai, Samudra- phullarni.Action: Leaf juice—given in diarrhoea. Fruit—bitter, acrid, anthelmintic, haemolytic, vulnerary; prescribed in gingivitis as an expectorant. Powdered seeds— emetic and expectorant. Bark— astringent, used in diarrhoea and blennorrhoea. Febrifuge. Wood— haemostatic (in metrorrhagia).
Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India indicated the use of the fruit in goitre; also in psychological disorders.The bark contains tannins (16%), also ellagic acid.The fruits contain triterpenoid sa- pogenins. Saponins possess haemolyt- ic properties.A related sp. B. racemosa (L.) Roxb., found in Assam, eastern and western coasts of India and the Andaman Islands, is also equated with Samu- draphala and Hijjala.European Oak (Quercus robur) contains 15-20% tannins, consisting of phlobatannin, ellagitannins and gallic acid. The bark is used as astringent, antiseptic and haemostatic.Dosage: Fruit—1-3 g (API Vol. III.)... barringtonia acutangulaHabitat: Grown as a pot herb in almost every part of India, except hills.
English: Indian Spinach.Ayurvedic: Upodikaa, Potaki, Maalvaa, Amritvallari.Siddha/Tamil: Vaslakkirai.Folk: Poi.Action: Demulcent, diuretic, laxative (a good substitute for spinach and purslane). Used as a cooling medicine in digestive disorders. Leaf juice is used in balanitis and catarrhal affections. Externally applied in urticaria, burns, scalds. Root—decoction is given to stop bilious vomiting and in intestinal complaints. Used as poultice to reduce local swellings; sap is used in acne.
Used for checking malnutrition in children.The essential amino acids are argi- nine, leucine, isoleucine, lysine, threonine and tryptophan. The plant contains several vitamins and minerals, is rich in calcium and iron compounds and contains a low percentage of soluble oxalates. The leaves also contain carotenoids, organic acids and water- soluble polysaccharides, bioflavonoids and vitamin K.Dosage: Whole plant—10-20 ml juice. (CCRAS.)... basella albaHabitat: South India; common in the monsoon forests of Western Ghats.
English: Mowra Butter tree, South Indian Mahua.Siddha/Tamil: Illupei, Elupa, Naatu, Iluppei, Iruppei.Action: Flowers—laxative, bechic (used in coughs, colds and bronchitis), stimulant and nervine tonic. Seed oil—galactogenic, anticephalalgic, laxative in cases of habitual constipation and piles; used externally in rheumatism and skin affections. Bark, seed oil and gum—antirheumatic.
The herb contains 17% tannins and is used for bleeding and spongy gums, tonsillitis, ulcers, rheumatism and diabetes mellitus. Roots are applied to ulcers.Seed kernel gave protobassic acid (a sapogenol) and two major saponins— Mi-saponins A and B. Mi-saponins (bisdesmosides of protobassic acid) exhibit anti-inflammatory activity in rheumatism.The carollas are a rich source of sugars and contain an appreciable amount of vitamins and calcium (total sugars 72.9%, calcium 140 mg/100 g). Sugars are identified as sucrose, maltose, glucose, fructose, arabinose and rham- nose. Flowers are largely used in the preparation of distilled liquors. They constitute the most important raw material for fermentative production of alcohol.... bassia longifoliaBatulle, Batoole, Batool, Batula, Batulah, Betul, Betool, Betulle, Betula, Betoole... batul
Nutritional Profile Energy value (calories per serving): Moderate Protein: High Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: Very high Sodium: Low Major vitamin contribution: Vitamin B6, folate Major mineral contribution: Iron, magnesium, zinc
About the Nutrients in This Food Beans are seeds, high in complex carbohydrates including starch and dietary fiber. They have indigestible sugars (stachyose and raffinose), plus insoluble cellulose and lignin in the seed covering and soluble gums and pectins in the bean. The proteins in beans are limited in the essential amino acids methionine and cystine.* All beans are a good source of the B vitamin folate, and iron. One-half cup canned kidney beans has 7.5 g dietary fiber, 65 mcg folate (15 percent of the R DA), and 1.6 mg iron (11 percent of the R DA for a woman, 20 percent of the R DA for a man). Raw beans contain antinutrient chemicals that inactivate enzymes required to digest proteins and carbohydrates. They also contain factors that inactivate vitamin A and also hemagglutinins, substances that make red blood cells clump together. Cooking beans disarms the enzyme inhibi- tors and the anti-vitamin A factors, but not the hemagglutinins. However, the amount of hemagglutinins in the beans is so small that it has no mea- surable effect in your body. * Soybeans are t he only beans t hat contain proteins considered “complete” because t hey contain sufficient amounts of all t he essent ial amino acids. The Folate Content of ½ Cup Cooked Dried Beans
| Bean | Folate (mcg) |
| Black beans | 129 |
| Chickpeas | 191 |
| Kidney beans canned | 65 |
| Navy beans | 128 |
| Pinto beans | 147 |
The Most Nutritious Way to Serve This Food Cooked, to destroy antinutrients. With grains. The proteins in grains are deficient in the essential amino acids lysine and isoleucine but contain sufficient tryptophan, methionine, and cystine; the proteins in beans are exactly the opposite. Together, these foods provide “complete” proteins. With an iron-rich food (meat) or with a vitamin C-rich food (tomatoes). Both enhance your body’s ability to use the iron in the beans. The meat makes your stomach more acid (acid favors iron absorption); the vitamin C may convert the ferric iron in beans into ferrous iron, which is more easily absorbed by the body.
Diets That May Restrict or Exclude This Food Low-calcium diet Low-fiber diet Low-purine (antigout) diet
Buying This Food Look for: Smooth-skinned, uniformly sized, evenly colored beans that are free of stones and debris. The good news about beans sold in plastic bags is that the transparent material gives you a chance to see the beans inside; the bad news is that pyridoxine and pyridoxal, the natural forms of vitamin B6, are very sensitive to light. Avoid: Beans sold in bulk. Some B vitamins, such as vitamin B6 (pyridoxine and pyridoxal), are very sensitive to light. In addition, open bins allow insects into the beans, indicated by tiny holes showing where the bug has burrowed into or through the bean. If you choose to buy in bulk, be sure to check for smooth skinned, uniformly sized, evenly colored beans free of holes, stones, and other debris.
Storing This Food Store beans in air- and moistureproof containers in a cool, dark cabinet where they are pro- tected from heat, light, and insects.
Preparing This Food Wash dried beans and pick them over carefully, discarding damaged or withered beans and any that float. (Only withered beans are light enough to float in water.) Cover the beans with water, bring them to a boil, and then set them aside to soak. When you are ready to use the beans, discard the water in which beans have been soaked. Some of the indigestible sugars in the beans that cause intestinal gas when you eat the beans will leach out into the water, making the beans less “gassy.”
What Happens When You Cook This Food When beans are cooked in liquid, their cells absorb water, swell, and eventually rupture, releasing the pectins and gums and nutrients inside. In addition, cooking destroys antinutri- ents in beans, making them more nutritious and safe to eat.
How Other Kinds of Processing Affect This Food Canning. The heat of canning destroys some of the B vitamins in the beans. Vitamin B is water-soluble. You can recover all the lost B vitamins simply by using the liquid in the can, but the liquid also contains the indigestible sugars that cause intestinal gas when you eat beans. Preprocessing. Preprocessed dried beans have already been soaked. They take less time to cook but are lower in B vitamins.
Medical Uses and/or Benefits Lower risk of some birth defects. As many as two of every 1,000 babies born in the United States each year may have cleft palate or a neural tube (spinal cord) defect due to their moth- ers’ not having gotten adequate amounts of folate during pregnancy. The current R DA for folate is 180 mcg for a woman and 200 mcg for a man, but the FDA now recommends 400 mcg for a woman who is or may become pregnant. Taking a folate supplement before becoming pregnant and continuing through the first two months of pregnancy reduces the risk of cleft palate; taking folate through the entire pregnancy reduces the risk of neural tube defects. Lower risk of heart attack. In the spring of 1998, an analysis of data from the records for more than 80,000 women enrolled in the long-run ning Nurses Health Study at Har vard School of Public Health/ Brigham and Woman’s Hospital in Boston demonstrated that a diet providing more than 400 mcg folate and 3 mg vitamin B6 a day from either food or supple- ments, more than t wice the current R DA for each, may reduce a woman’s risk of heart attack by almost 50 percent. A lthough men were not included in the analysis, the results are assumed to apply to them as well. NOT E : Beans are high in B6 as well as folate. Fruit, green leaf y vegetables, whole grains, meat, fish, poultr y, and shellfish are good sources of vitamin B6. To reduce the levels of serum cholesterol. The gums and pectins in dried beans and peas appear to lower blood levels of cholesterol. Currently there are two theories to explain how this may happen. The first theory is that the pectins in the beans form a gel in your stomach that sops up fats and keeps them from being absorbed by your body. The second is that bacteria in the gut feed on the bean fiber, producing short-chain fatty acids that inhibit the production of cholesterol in your liver. As a source of carbohydrates for people with diabetes. Beans are digested very slowly, produc- ing only a gradual rise in blood-sugar levels. As a result, the body needs less insulin to control blood sugar after eating beans than after eating some other high-carbohydrate foods (such as bread or potato). In studies at the University of Kentucky, a bean, whole-grain, vegetable, and fruit-rich diet developed at the University of Toronto enabled patients with type 1 dia- betes (who do not produce any insulin themselves) to cut their daily insulin intake by 38 percent. Patients with type 2 diabetes (who can produce some insulin) were able to reduce their insulin injections by 98 percent. This diet is in line with the nutritional guidelines of the American Diabetes Association, but people with diabetes should always consult with their doctors and/or dietitians before altering their diet. As a diet aid. Although beans are high in calories, they are also high in bulk (fiber); even a small serving can make you feel full. And, because they are insulin-sparing, they delay the rise in insulin levels that makes us feel hungry again soon after eating. Research at the University of Toronto suggests the insulin-sparing effect may last for several hours after you eat the beans, perhaps until after the next meal.
Adverse Effects Associated with This Food Intestinal gas. All legumes (beans and peas) contain raffinose and stachyose, complex sug- ars that human beings cannot digest. The sugars sit in the gut and are fermented by intestinal bacteria which then produce gas that distends the intestines and makes us uncomfortable. You can lessen this effect by covering the beans with water, bringing them to a boil for three to five minutes, and then setting them aside to soak for four to six hours so that the indigestible sugars leach out in the soaking water, which can be discarded. Alternatively, you may soak the beans for four hours in nine cups of water for every cup of beans, discard the soaking water, and add new water as your recipe directs. Then cook the beans; drain them before serving. Production of uric acid. Purines are the natural metabolic by-products of protein metabo- lism in the body. They eventually break down into uric acid, sharp cr ystals that may concentrate in joints, a condition known as gout. If uric acid cr ystals collect in the urine, the result may be kidney stones. Eating dried beans, which are rich in proteins, may raise the concentration of purines in your body. Although controlling the amount of purines in the diet does not significantly affect the course of gout (which is treated with allopurinol, a drug that prevents the formation of uric acid cr ystals), limiting these foods is still part of many gout regimens.
Food/Drug Interactions Monoamine oxidase (MAO) inhibitors. Monoamine oxidase inhibitors are drugs used to treat depression. They inactivate naturally occurring enzymes in your body that metabolize tyramine, a substance found in many fermented or aged foods. Tyramine constricts blood vessels and increases blood pressure. If you eat a food containing tyramine while you are taking an M AO inhibitor, you cannot effectively eliminate the tyramine from your body. The result may be a hypertensive crisis. Some nutrition guides list dried beans as a food to avoid while using M AO inhibitors.... beans
Habitat: Central India.
English: Dwarf White Bauhinia.Ayurvedic: Kaanchnaara, Kovidaara (white-flowered var.)Unani: Kachnaal.Siddha/Tamil: Vellaimandarai.Action: Bark and leaves—a decoction is given in biliousness, stone in bladder, venereal diseases, leprosy and asthma. Root—boiled with oil is applied to burns.... bauhinia acuminata
Habitat: South India, Assam and Bengal.
English: Malabar Mountain Ebony.Ayurvedic: Ashmantaka var., Kaanchanaara var. (in the South).Siddha/Tamil: Malaiyatti.Folk: Aapataa (Maharashtra), Amli, Amlosaa.Action: Antidysenteric.
The plant contains flavonoid gly- cosides—quercitroside, iso-quercitro- side, rutoside, taxifoline rhamnoside, kaempferol glycosides and quercetol glycoside.... bauhinia malabaricaHabitat: The Himalayas, and distributed in Northern India, Assam, Khasi Hills. Also cultivated in gardens.
English: Camel's Foot tree, Pink Bauhinia, Butterfly tree, Geramium tree, Orchid tree.Ayurvedic: Kovidaara, Rakta Kaanchanaara.Unani/Siddha: Sivappu mandaarai.Siddha: Mandarai.Folk: Koilaara, Khairwaal, Kaliaar, Rakta Kanchan.Action: Bark—astringent, antidiar- rhoeal. Flower buds and flowers, fried in purified butter, are given to patients suffering from dysentery. Extract of stems are used internally and externally for fractured bones. Plant is used in goitre. It exhibited antithyroid-like activity in experimental animals.
The flowers contain astragalin, iso- quercitrin and quercetin, also antho- cyanins. Seeds contain chalcone gly- cosides.... bauhinia purpureaHabitat: Sub-Himalayan tracts from Ravi eastwards, ascending to 1,000 m. in the Uttar Pradesh, West Bengal and Central and South India.
Ayurvedic: Ashmantaka, Kanchini.Unani: Kachnaar.Folk: Aapataa (Maharashtra), Kachnaala.Action: Bark—highly astringent, anti-inflammatory (used in glandular inflammations, skin diseases, ulcers), cholagogue. Leaves—anthelmintic; with onion for diarrhoea. Flowers—used in haemorrhages, piles; also in cough. Seed—antibacterial.
Octacosane, beta-amyrin and beta- sitosterol have been isolated from the bark. EtOH (50%) extract of seeds exhibited anticancer activity.... bauhinia racemosaHabitat: Northwestern Himalayas up to 1500 m, also in Orissa, Madhya Pradesh and Andhra Pradesh.
Siddha: Nirpa (Telugu).Folk: Semalaa, Kathmahuli. Gum— ThaurAction: Gum—emmenagogue, diuretic. (Gum resembles Gum arabic; used as an external application for sores). Protein isolated from seeds—hypoglycaemic, hypoc- holesterolaemic in young, normal as well as alloxan-induced diabetic albino rats.
The bark contains quercetin-3-O- beta-D-glucoside and rutin.... bauhinia retusaHabitat: Southern India, Assam and Bihar.
English: Yellow Bauhinia, St. Thomas tree, Bell Bauhinia.Ayurvedic: Pita Kovidaara (yellow- flowered var.), Pita Kanchana.Siddha/Tamil: Kokkumandarai, Tiruvaatti, Kanjani.Folk: Kachnaar.Action: Antidysenteric. Fruit— diuretic. Bark—astringent. Root bark—vermifuge. A decoction of the root bark is prescribed for liver diseases. Seed—used for wound healing.
Seeds yield a fatty oil called ebony oil, a water soluble mucilage and saponins. Flowers gave isoquercitrin (6%), rutin (4.6%) and quercetin (small amounts).... bauhinia tomentosaHabitat: Punjab, Western Peninsula and Assam. Also cultivated in gardens.
English: Mountain Ebony, Buddhist Bauhinia.Ayurvedic: Kaanchanaara, Kaan- chanaaraka, Kanchanak, Kaan- chana, Gandhaari, Sonapushpaka, Ashmantaka.Siddha/Tamil: Sivappumanchori.Action: Buds—a decoction is given in piles (also used against tumours), haematuria, menorrhagia. Dried buds are used in diarrhoea, dysentery, worm infestation, piles and tumours. Root— carminative, used in dyspepsia and flatulence (a decoction is reported to prevent obesity). Bark—astringent, anthelmintic; used externally in scrofula and skin diseases. Seeds—possess human blood agglutinating activity. Leaf— antifungal.
Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India indicated the use of the stem bark in lymphadenitis and goitre. (Ka- anchnaar Guggulu is prescribed for glandular swellings and goitre.)Water-soluble portion of alcoholic extract of the plant showed preventive effect against goitre in rats.Flowers gave flavonoids, kaempfe- rol-3-galactoside and kaempferol-3- rhamnoglucoside. The stem bark yields hentriacontane, octacosanol and stigmasterol. Stem contains beta-sitos- terol, lupeol and a flavanone glyco- side.Dosage: Stem bark—20-30 g for decoction. (API Vol. I.)... bauhinia variegataHabitat: Near the sea in pastures and on stony soils.
Features ? The bark has a white, peeling epidermis covering a hard, reddish-brown layer beneath. It is slightly fibrous on the inner surface, and the fracture is granular. The taste is pungent, astringent and bitter, the odour faintly aromatic.Part used ? The bark is the only part of the Bayberry shrub now used as a medicine.Action: A powerful stimulant, astringent and tonic to the alimentary tract.
Bayberry bark is one of the most widely used agents in the herbal practice. It figures in many of the compound powders and is the base of the celebrated composition powder, a prescription of which will be found in the "Herbal Formulae" section of this volume. In cases of coldness of the extremities, chills and influenza, an infusion of 1 ounce of the powdered bark to 1 pint of water is taken warm. This assists circulation and promotes perspiration, especially when combined with Cayenne as inthe formula referred to above.As an antiseptic the powder is added to poultices for application to ulcers, sores and wounds. It also makes an excellent snuff for nasal catarrh, and an ingredient in tooth powders, for which a prescription is given in the section previously mentioned.The virtues of Bayberry bark were recognized and used beneficially by the herbalists of many generations ago. Indeed, their enthusiasm for this, as for certain other remedies also extremely efficacious within proper limits, led them to ascribe properties to the bark which it does not possess. Many affections of the uterine system, fistula, and even cancer were said to yield to its influence.Even in these cases, however, Bayberry bark certainly did less harm than many of the methods employed by the more orthodox practitioners of that time !... bayberryThe result is that patients who need inpatient care cannot always be admitted. The term ‘bedblockers’ is derogatory and should not be used.... bed-blocking
Nutritional Profile Energy value (calories per serving): Low Protein: High Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: Moderate Sodium: Low Major vitamin contribution: B vitamins, folate, vitamin C Major mineral contribution: Iron, potassium
About the Nutrients in This Food Because beans use stored starches and sugars to produce green shoots called sprouts, sprouted beans have less carbohydrate than the beans from which they grow. But bean sprouts are a good source of dietary fiber, including insoluble cellulose and lignin in leaf parts and soluble pectins and gums in the bean. The sprouts are also high in the B vitamin folate and vitamin C. One-half cup raw mung bean sprouts has 1.2 mg dietary fiber, 31.5 mcg folate (8 percent of the R DA), and 7 mg vitamin C (9 percent of the R DA for a woman, 7 percent of the R DA for a man). Raw beans contain anti-nutrient chemicals that inhibit the enzymes we use to digest proteins and starches; hemagglutinins (substances that make red blood cells clump together); and “factors” that may inactivate vita- min A. These chemicals are usually destroyed when the beans are heated. with the bean must be cooked before serving. Sprouted beans served
The Most Nutritious Way to Serve This Food Cooked (see Adverse effects associated with this food ).
Diets That May Restrict or Exclude This Food Low-fiber, low-residue diet
Buying This Food Look for: Fresh, crisp sprouts. The tips should be moist and tender. (The shorter the sprout, the more tender it will be.) It is sometimes difficult to judge bean sprouts packed in plastic bags, but you can see through to tell if the tip of the sprout looks fresh. Sprouts sold from water-filled bowls should be refrigerated, protected from dirt and debris, and served with a spoon or tongs, not scooped up by hands. Avoid: Mushy sprouts (they may be decayed) and soft ones (they have lost moisture and vitamin C).
Storing This Food Refrigerate sprouts in a plastic bag to keep them moist and crisp. If you bought them in a plastic bag, take them out and repack them in bags large enough that they do not crush each other. To get the most vitamin C, use the sprouts within a few days.
Preparing This Food R inse the sprouts thoroughly under cold running water to get rid of dirt and sand. Discard any soft or browned sprouts, then cut off the roots and cook the sprouts. Do not tear or cut the sprouts until you are ready to use them. When you slice into the sprouts, you tear cells, releasing enzymes that begin to destroy vitamin C.
What Happens When You Cook This Food Cooking destroys some of the heat-sensitive vitamin C in sprouts. To save it, steam the sprouts quickly, stir-fry them, or add them uncooked just before you serve the dish.
How Other Kinds of Processing Affect This Food Canning. Vitamin C is heat-sensitive, and heating the sprouts during the canning process reduces their vitamin C content.
Medical Uses and/or Benefits Lower risk of some birth defects. As many as t wo of ever y 1,000 babies born in the United States each year may have cleft palate or a neural tube (spinal cord) defect due to their mothers’ not having gotten adequate amounts of folate during pregnancy. The R DA for folate is 400 mcg for healthy adult men and women, 600 mcg for pregnant women, and 500 mcg for women who are nursing. Taking folate supplements before becoming pregnant and continuing through the first t wo months of pregnancy reduces the risk of cleft palate; taking folate through the entire pregnancy reduces the risk of neural tube defects. Lower risk of heart attack. In the spring of 1998, an analysis of data from the records for more than 80,000 women enrolled in the long-running Nurses’ Health Study at Harvard School of Public Health/Brigham and Woman’s Hospital, in Boston, demonstrated that a diet provid- ing more than 400 mcg folate and 3 mg vitamin B6 daily, from either food or supplements, more than twice the current R DA for each, may reduce a woman’s risk of heart attack by almost 50 percent. Although men were not included in the analysis, the results are assumed to apply to them as well. However, data from a meta-analysis published in the Journal of the American Medical Association in December 2006 called this theory into question. Researchers at Tulane University examined the results of 12 controlled studies in which 16,958 patients with preexisting cardiovascular disease were given either folic acid supplements or placebos (“look-alike” pills with no folic acid) for at least six months. The scientists, who found no reduction in the risk of further heart disease or overall death rates among those taking folic acid, concluded that further studies will be required to verif y whether taking folic acid supplements reduces the risk of cardiovascular disease.
Adverse Effects Associated with This Food Food poisoning: Reacting to an outbreak of Salmonella and E. coli O157:H7 food poisoning associated with eating raw alfalfa sprouts, the Food and Drug Administration issued a warn- ing in 1998 and again in summer 1999, cautioning those at high risk of food-borne illness not to eat any raw sprouts. The high-risk group includes children, older adults, and people with a weakened immune system (for example, those who are HIV-positive or undergoing cancer chemotherapy). Tests conducted by the U.S. Department of Agriculture in 1999 sug- gest that irradiating raw sprouts and bathing them in an antiseptic solution at the processing plant may eliminate disease organisms and prolong the vegetable’s shelf life; this remains to be proven.... bean sprouts
Nutritional Profile Energy value (calories per serving): Moderate Protein: High Fat: Moderate Saturated fat: High Cholesterol: Moderate Carbohydrates: None Fiber: None Sodium: Low Major vitamin contribution: B vitamins Major mineral contribution: Iron, phosphorus, zinc
About the Nutrients in This Food Like fish, pork, poultry, milk, and eggs, beef has high-quality proteins, with sufficient amounts of all the essential amino acids. Beef fat is slightly more highly saturated than pork fat, but less saturated than lamb fat. All have about the same amount of cholesterol per serving. Beef is an excellent source of B vitamins, including niacin, vitamin B6, and vitamin B12, which is found only in animal foods. Lean beef pro- vides heme iron, the organic iron that is about five times more useful to the body than nonheme iron, the inorganic form of iron found in plant foods. Beef is also an excellent source of zinc. One four-ounce serving of lean broiled sirloin steak has nine grams fat (3.5 g saturated fat), 101 mg cholesterol, 34 g protein, and 3.81 mg iron (21 percent of the R DA for a woman, 46 percent of the R DA for a man). One four-ounce serving of lean roast beef has 16 g fat (6.6 g saturated fat), 92 mg cholesterol, and 2.96 mg iron (16 percent of the R DA for a woman, 37 percent of the R DA for a man).
The Most Nutritious Way to Serve This Food With a food rich in vitamin C. Ascorbic acid increases the absorption of iron from meat. * These values apply to lean cooked beef.
Diets That May Restrict or Exclude This Food Controlled-fat, low-cholesterol diet Low-protein diet (for some forms of kidney disease)
Buying This Food Look for: Fresh, red beef. The fat should be white, not yellow. Choose lean cuts of beef with as little internal marbling (streaks of fat) as possible. The leanest cuts are flank steak and round steak; rib steaks, brisket, and chuck have the most fat. USDA grading, which is determined by the maturity of the animal and marbling in meat, is also a guide to fat content. U.S. prime has more marbling than U.S. choice, which has more marbling than U.S. good. All are equally nutritious; the difference is how tender they are, which depends on how much fat is present. Choose the cut of meat that is right for your recipe. Generally, the cuts from the cen- ter of the animal’s back—the rib, the T-Bone, the porterhouse steaks—are the most tender. They can be cooked by dry heat—broiling, roasting, pan-frying. Cuts from around the legs, the underbelly, and the neck—the shank, the brisket, the round—contain muscles used for movement. They must be tenderized by stewing or boiling, the long, moist cooking methods that break down the connective tissue that makes meat tough.
Storing This Food Refrigerate raw beef immediately, carefully wrapped to prevent its drippings from contami- nating other foods. Refrigeration prolongs the freshness of beef by slowing the natural multi- plication of bacteria on the meat surface. Unchecked, these bacteria will convert proteins and other substances on the surface of the meat to a slimy film and change meat’s sulfur-contain- ing amino acids methionine and cystine into smelly chemicals called mercaptans. When the mercaptans combine with myoglobin, they produce the greenish pigment that gives spoiled meat its characteristic unpleasant appearance. Fresh ground beef, with many surfaces where bacteria can live, should be used within 24 to 48 hours. Other cuts of beef may stay fresh in the refrigerator for three to five days.
Preparing This Food Trim the beef carefully. By judiciously cutting away all visible fat you can significantly reduce the amount of fat and cholesterol in each serving. When you are done, clean all utensils thoroughly with soap and hot water. Wash your cutting board, wood or plastic, with hot water, soap, and a bleach-and-water solution. For ultimate safety in preventing the transfer of microorganisms from the raw meat to other foods, keep one cutting board exclusively for raw meats, fish, and poultry, and a second one for everything else. Finally, don’t forget to wash your hands.
What Happens When You Cook This Food Cooking changes the appearance and flavor of beef, alters nutritional value, makes it safer, and extends its shelf life. Browning meat after you cook it does not “seal in the juices,” but it does change the fla- vor by caramelizing sugars on the surface. Because beef’s only sugars are the small amounts of glycogen in the muscles, we add sugars in marinades or basting liquids that may also con- tain acids (vinegar, lemon juice, wine) to break down muscle fibers and tenderize the meat. (Browning has one minor nutritional drawback. It breaks amino acids on the surface of the meat into smaller compounds that are no longer useful proteins.) When beef is cooked, it loses water and shrinks. Its pigments, which combine with oxygen, are denatured (broken into fragments) by the heat and turn brown, the natural color of well-done meat. At the same time, the fats in the beef are oxidized. Oxidized fats, whether formed in cooking or when the cooked meat is stored in the refrigerator, give cooked meat a character- istic warmed-over flavor. Cooking and storing meat under a blanket of antioxidants—catsup or a gravy made of tomatoes, peppers, and other vitamin C-rich vegetables—reduces the oxidation of fats and the intensity of warmed-over flavor. Meat reheated in a microwave oven also has less warmed-over flavor. An obvious nutritional benefit of cooking is the fact that heat lowers the fat content of beef by liquif ying the fat so it can run off the meat. One concrete example of how well this works comes from a comparison of the fat content in regular and extra-lean ground beef. According to research at the University of Missouri in 1985, both kinds of beef lose mass when cooked, but the lean beef loses water and the regular beef loses fat and cholesterol. Thus, while regular raw ground beef has about three times as much fat (by weight) as raw ground extra-lean beef, their fat varies by only 5 percent after broiling. To reduce the amount of fat in ground beef, heat the beef in a pan until it browns. Then put the beef in a colander, and pour one cup of warm water over the beef. Repeat with a second cup of warm water to rinse away fat melted by heating the beef. Use the ground beef in sauce and other dishes that do not require it to hold together. Finally, cooking makes beef safer by killing Salmonella and other organisms in the meat. As a result, cooking also serves as a natural preservative. According to the USDA, large pieces of fresh beef can be refrigerated for two or three days, then cooked and held safely for another day or two because the heat of cooking has reduced the number of bacteria on the surface of the meat and temporarily interrupted the natural cycle of deterioration.
How Other Kinds of Processing Affect This Food Aging. Hanging fresh meat exposed to the air, in a refrigerated room, reduces the moisture content and shrinks the meat slightly. As the meat ages enzymes break down muscle pro- teins, “tenderizing” the beef. Canning. Canned beef does not develop a warmed-over flavor because the high tempera- tures in canning food and the long cooking process alter proteins in the meat so that they act as antioxidants. Once the can is open, however, the meat should be protected from oxygen that will change the flavor of the beef. Curing. Salt-curing preserves meat through osmosis, the physical reaction in which liquids flow across a membrane, such as the wall of a cell, from a less dense to a more dense solution. The salt or sugar used in curing dissolves in the liquid on the surface of the meat to make a solution that is more dense than the liquid inside the cells of the meat. Water flows out of the meat and out of the cells of any microorganisms living on the meat, killing the microor- ganisms and protecting the meat from bacterial damage. Salt-cured meat is much higher in sodium than fresh meat. Freezing. When you freeze beef, the water inside its cells freezes into sharp ice crystals that can puncture cell membranes. When the beef thaws, moisture (and some of the B vitamins) will leak out through these torn cell walls. The loss of moisture is irreversible, but some of the vitamins can be saved by using the drippings when the meat is cooked. Freezing may also cause freezer burn—dry spots left when moisture evaporates from the surface of the meat. Waxed freezer paper is designed specifically to hold the moisture in meat; plastic wrap and aluminum foil are less effective. NOTE : Commercially prepared beef, which is frozen very quickly at very low temperatures, is less likely to show changes in texture. Irradiation. Irradiation makes meat safer by exposing it to gamma rays, the kind of high- energy ionizing radiation that kills living cells, including bacteria. Irradiation does not change the way meat looks, feels or tastes, or make the food radioactive, but it does alter the structure of some naturally occurring chemicals in beef, breaking molecules apart to form new com- pounds called radiolytic products (R P). About 90 percent of R Ps are also found in nonirradiated foods. The rest, called unique radiolytic products (UR P), are found only in irradiated foods. There is currently no evidence to suggest that UR Ps are harmful; irradiation is an approved technique in more than 37 countries around the world, including the United States. Smoking. Hanging cured or salted meat over an open fire slowly dries the meat, kills micro- organisms on its surface, and gives the meat a rich, “smoky” flavor that varies with the wood used in the fire. Meats smoked over an open fire are exposed to carcinogenic chemicals in the smoke, including a-benzopyrene. Meats treated with “artificial smoke flavoring” are not, since the flavoring is commercially treated to remove tar and a-benzopyrene.
Medical Uses and/or Benefits Treating and/or preventing iron deficiency. Without meat in the diet, it is virtually impossible for an adult woman to meet her iron requirement without supplements. One cooked 3.5- ounce hamburger provides about 2.9 mg iron, 16 percent of the R DA for an adult woman of childbearing age. Possible anti-diabetes activity. CLA may also prevent type 2 diabetes, also called adult-onset diabetes, a non-insulin-dependent form of the disease. At Purdue University, rats bred to develop diabetes spontaneously between eight and 10 weeks of age stayed healthy when given CLA supplements.
Adverse Effects Associated with This Food Increased risk of heart disease. Like other foods from animals, beef contains cholesterol and saturated fats that increase the amount of cholesterol circulating in your blood, raising your risk of heart disease. To reduce the risk of heart disease, the National Cholesterol Education Project recommends following the Step I and Step II diets. The Step I diet provides no more than 30 percent of total daily calories from fat, no more than 10 percent of total daily calories from saturated fat, and no more than 300 mg of cholesterol per day. It is designed for healthy people whose cholesterol is in the range of 200 –239 mg/dL. The Step II diet provides 25– 35 percent of total calories from fat, less than 7 percent of total calories from saturated fat, up to 10 percent of total calories from polyunsaturated fat, up to 20 percent of total calories from monounsaturated fat, and less than 300 mg cho- lesterol per day. This stricter regimen is designed for people who have one or more of the following conditions: • Existing cardiovascular disease • High levels of low-density lipoproteins (LDLs, or “bad” cholesterol) or low levels of high-density lipoproteins (HDLs, or “good” cholesterol) • Obesity • Type 1 diabetes (insulin-dependent diabetes, or diabetes mellitus) • Metabolic syndrome, a.k.a. insulin resistance syndrome, a cluster of risk fac- tors that includes type 2 diabetes (non-insulin-dependent diabetes) Increased risk of some cancers. According the American Institute for Cancer Research, a diet high in red meat (beef, lamb, pork) increases the risk of developing colorectal cancer by 15 percent for every 1.5 ounces over 18 ounces consumed per week. In 2007, the National Can- cer Institute released data from a survey of 500,000 people, ages 50 to 71, who participated in an eight-year A AR P diet and health study identif ying a higher risk of developing cancer of the esophagus, liver, lung, and pancreas among people eating large amounts of red meats and processed meats. Food-borne illness. Improperly cooked meat contaminated with E. coli O157:H7 has been linked to a number of fatalities in several parts of the United States. In addition, meats con- taminated with other bacteria, viruses, or parasites pose special problems for people with a weakened immune system: the very young, the very old, cancer chemotherapy patients, and people with HIV. Cooking meat to an internal temperature of 140°F should destroy Salmo- nella and Campylobacter jejuni; 165°F, the E. coli organism; and 212°F, Listeria monocytogenes. Antibiotic sensitivity. Cattle in the United States are routinely given antibiotics to protect them from infection. By law, the antibiotic treatment must stop three days to several weeks before the animal is slaughtered. Theoretically, the beef should then be free of antibiotic residues, but some people who are sensitive to penicillin or tetracycline may have an allergic reaction to the meat, although this is rare. Antibiotic-resistant Salmonella and toxoplasmosis. Cattle treated with antibiotics may pro- duce meat contaminated with antibiotic-resistant strains of Salmonella, and all raw beef may harbor ordinary Salmonella as well as T. gondii, the parasite that causes toxoplasmosis. Toxoplasmosis is particularly hazardous for pregnant women. It can be passed on to the fetus and may trigger a series of birth defects including blindness and mental retardation. Both Salmonella and the T. gondii can be eliminated by cooking meat thoroughly and washing all utensils, cutting boards, and counters as well as your hands with hot soapy water before touching any other food. Decline in kidney function. Proteins are nitrogen compounds. When metabolized, they yield ammonia, which is excreted through the kidneys. In laborator y animals, a sustained high-protein diet increases the flow of blood through the kidneys, accelerating the natural age-related decline in kidney function. Some experts suggest that this may also occur in human beings.
Food/Drug Interactions Tetracycline antibiotics (demeclocycline [Declomycin], doxycycline [ Vibtamycin], methacycline [Rondomycin], minocycline [Minocin], oxytetracycline [Terramycin], tetracycline [Achromycin V, Panmycin, Sumycin]). Because meat contains iron, which binds tetracyclines into com- pounds the body cannot absorb, it is best to avoid meat for two hours before and after taking one of these antibiotics. Monoamine oxidase (MAO) inhibitors. Meat “tenderized” with papaya or a papain powder can interact with the class of antidepressant drugs known as monoamine oxidase inhibi- tors. Papain meat tenderizers work by breaking up the long chains of protein molecules. One by-product of this process is tyramine, a substance that constructs blood vessels and raises blood pressure. M AO inhibitors inactivate naturally occurring enzymes in your body that metabolize tyramine. If you eat a food such as papain-tenderized meat, which is high in tyramine, while you are taking a M AO inhibitor, you cannot effectively eliminate the tyramine from your body. The result may be a hypertensive crisis. Theophylline. Charcoal-broiled beef appears to reduce the effectiveness of theophylline because the aromatic chemicals produced by burning fat speed up the metabolism of the- ophylline in the liver.... beef
Habitat: Tropical and sub-tropical regions, especially in America. Found in Sikkim, Arunachal Pradesh, Assam, Meghalaya, Nagaland and Manipur, ascending to an altitude to 2,100 m.
English: Beefsteak Geraniums, Elephant's Ear.Folk: Hooirjo (West Bengal), Teisu (Nagaland).Action: A decoction of the root is given for liver diseases and fever. The extract from succulent stalks is used for venereal diseases in folk medicine. Fresh shoots are chewed for tooth troubles. Aqueous extracts of the leaves and flowers of Begonia sp. are active against Gram-positive and Gram-negative bacteria.
Hooirjo and Teisu are also equated with B. palmata D. Don var. gamblei Hara, found in northeastern regions of India.... begonia laciniataHabitat: Introduced from China; cultivated all over India, up to an altitude of 1,800 m.
Folk: Surajkaanti (Assam), Dasbaha, Dasbichandi (Bengal).Action: Rhizomes—expectorant, deobstruent, resolvent, used in tonsillitis, chest and liver complaints (antiviral against pneumonia).
Presence of alkaloids is reported from the plant, glucoside, belamcan- din from the roots. The leaves and flowers contain a glycoflavone. The seeds tested positive for leucoantho- cyanins.... belamcanda chinensisBeliciah, Beliciya, Belicya, Beleecia, Belycia, Belishia, Belisha, Belyshia, Beliecia, Belieciah, Beleicia, Beleiciah, Beleacia, Beleaciah... belicia
Belindah, Belynda, Balinda, Balynda, Belienda, Beliendah, Balyndah, Belyndah, Beleinda, Beleindah... belinda
Belisamah, Belisamma, Belysama, Belisma, Belysma, Belesama... belisama
Belle, Bela, Bell, Belita, Bellissa, Belva, Belladonna, Belia, Bellanca, Bellance, Bellini... bella
Bellonah, Belona, Bellonna, Belonna, Bellonia, Belonia... bellona
Deficiency. Sun sensitivity; exposure inducing itching, burning and swelling of the skin. Kidney, bladder, and gut infections. Severe earache in young children. Strokes, heart attacks.
It is claimed that those who eat a diet rich in beta-carotene are less likely to develop certain types of cancer.
Smokers usually have low levels of beta-carotene in the blood. Statistics suggest that people who eat a lot of beta-carotene foods are less likely to develop lung, mouth or stomach cancer. In existing cases a slow-down of the disease is possible.
Daily dose. Up to 300mg. Excess may manifest as yellow discoloration of the skin, giving appearance of sun-tan.
Sources. Mature ripe carrots of good colour. A Finland study suggests that four small carrots contain sufficient beta-carotene to satisfy the recommended daily amount of Vitamin A. Orange and dark green fruits and vegetables. Broccoli, Brussels sprouts, spinach, pumpkin, apricots, peaches, oranges, tomatoes. Harvard Medical School study. Among 333 subjects with a history of heart disease, those who received beta-carotene supplements of 50 milligrams every other day suffered half as many heart attacks as those taking placebos. (Dr Charles Hennekens, Harvard Medical School) ... beta-carotene
Uses: Used in American Indian medicine for excessive bleeding from the womb, and for easy childbirth. Bleeding from lungs, kidneys, bladder and uterine fibroids. Flooding of the menopause. Candida, leucorrhoea (decoction used as a vaginal douche).
To strengthen female constitution.
Preparations: Thrice daily.
Decoction. Half-2 grams to each cupful water simmered gently 10 minutes. Dose: half-1 cup. Liquid extract. 10-30 drops in water.
Tincture. BHP (1983) 1:5 in 40 per cent alcohol.
Dose: 1-4ml in water.
Powdered root. Half-2 grams in capsules.
Poultice: for bleeding ulcers: equal parts Beth root and Slippery Elm bark powder. Snuff: for nosebleed.
Douche (per vagina). 1oz to 2 pints water (decoction). Allow to cool; inject warm. ... beth root
Action: Affinity for liver and nervous system. General tonic (emphasis on circulation of the brain). Bitter. Stomachic, Sedative (mild).
Uses: Headache, nervous debility, lack of energy, loss of memory, weak digestion, sciatica, chronic rheumatism, sinus congestion, temporal arteritis (temporary relief), dizziness, hiatus hernia, low back pain (to reduce). Myalgic encephalomyelitis (ME). Nightmare.
Combinations. With Valerian for anxiety states. With equal parts Agrimony and Raspberry leaves as a substitute for domestic tea. With Vervain to enhance its relaxing properties.
Caution. Avoid over-dosing in pregnancy.
Preparations: Tea: 1-2 teaspoons to cup boiling water; infuse 5-10 minutes. 1 cup freely. Liquid Extract: 1 teaspoon in water.
Tincture BHP (1983) 1 in 5 in 45 per cent alcohol. Dose 30-90 drops (2-6ml). ... betony
Action. Anti-inflammatory, anti-diarrhoeal, antemetic, astringent, diuretic, refrigerant, strengthens blood vessels, vein tonic. Inhibits growth of certain bacteria. Contains Vitamins A, C, P. Gather before fruit ripens.
Uses: Dropsy, gravel, violent irritable bowel, diverticulosis, nausea or vomiting, sore throat (gargle), leucorrhoea (douche), scurvy, Vitamin C deficiency. Popular in Russian Folk Medicine for gastro- enteritis and to reduce insulin intake in diabetes. Cleansing wash for old ulcers (decoction). Pharyngitis (gargle). Leukoplakia of the mouth, vagina and urethra – improvement reported. Crohn’s disease. Bacillus Coli infections. By stimulating production of visual purple improves vision, especially night vision. Varicose veins. Piles. Cystitis.
Preparations: Thrice daily.
Decoction: 1oz to 1 pint water, remove vessel when boiling point is reached. Wineglass freely.
Liquid Extract, dose: 2-8ml.
Home tincture. Handful bilberries to 1 pint Vodka. Cork or cap. Shake daily for 1 week. Filter. Wineglass freely.
Formula. Combines well with Meadowsweet and Horsetail (equal parts).
Powder, capsules: 280mg. 2 capsules thrice daily between meals. (Arkocaps)
Diet. Cooked fresh berries are a popular dessert. Equal parts leaves of Wild Strawberry, Thyme and Bilberry substitute for domestic tea.
Fresh berries. Chew 1-3 teaspoons daily. ... bilberry
Alternatives. To stimulate flow, Boldo, Horsetail, Dandelion, Blue Flag root, Milk Thistle, Bogbean, Burdock. Teas, capsules, tablets, Liquid extracts, or Tinctures.
A. Vogel recommends: Barberry, Centuary, St John’s Wort, Sarsaparilla.
Combination tea. Equal parts: Peppermint leaves, Milk Thistle, Dandelion root. 1 teaspoon to each cup boiling water; infuse 15 minutes, 1 cup thrice daily for limited period (1 month).
Bile in the urine. (Bilviria)
Arthur Barker: Liquid Extract Black root 1oz (30ml). Liquid Extract Cornsilk 1oz (30ml). Essential Peppermint 30 drops (2ml). Water to 8oz (240ml). 2 teaspoons in water 3 times daily before meals.
Diet. Dandelion coffee. Artichokes.
See: CHOLAGOGUES. CHOLERETICS. ... bile secretion deficiency
Alternatives:– Tea. Mixture. Equal parts, Black Horehound and Wood Betony. 1-2 teaspoons to each cup boiling water infused 5-15 minutes. Drink freely.
Decoction. Mixture. Parts: Fringe Tree bark 2; Parsley root 1; Dandelion root 1. One teaspoon to each cup water gently simmered 20 minutes. Half a cup 3 times daily before meals.
Tablets/capsules. Devil’s Claw, Milk Thistle, Blue Flag, Wild Yam.
Powders. Formula. Equal parts: Milk Thistle and Peppermint. Dose: 750mg (three 00 capsules or half a teaspoon) thrice daily.
Tinctures. Formula. Equal parts: Wahoo and Barberry. 30-60 drops every 2 hours in water.
Barberry bark. One teaspoon shredded Barberry bark to each cup cold water allowed to infuse overnight. Half-1 cup twice daily.
Arthur Barker. Liquid Extract Black root 30ml; Liquid Extract Meadowsweet 30ml; Liquid Extract Agrimony 15ml; Emulsion Peppermint water (1 in 60) 2ml (optional). Water to 240ml (8oz). Dose: 2 teaspoons in water 3 times daily.
Prevention. Weekly dose Epsom’s salts.
Milk Thistle. Acquires a reputation for the complaint.
Diet. Low fat, Dandelion coffee, artichokes. Reject alcohol and strong caffeine drinks.
See also: ACIDOSIS. LIVER. ... bilousness
Candida utilis is a highly active wild yeast able to synthesise its own vitamins. More than 90 selected plant species from 14 countries are used in Biostrath preparations. The Company has pioneered an important advance in the preparation of herbal medicines. Results have in some instances led to completely new discoveries. ... biostrath a. g.
Live yeast Saccharomyces cerevisiae is cultivated on the herbs: Angelica, Balm, Basil, Caraway, Chamomile, Cinnamon, Elder, Fennel, Horseradish, Hyssop, Lavender, Liquorice, Parsley, Peppermint, Sage and Thyme. ... biostrath elixir
Action: Astringent. Bitter. Anti-inflammatory. Cholagogue. Diuretic. Contains salicylates which have an aspirin-like effect. Young leaves increase the flow of urine. Popular in Scandinavia.
Uses: Rheumatism and gout (dried leaf tea). Sore mouth (gargle). Kidney and bladder complaints. Sluggish kidney function. ‘Heart’ oedema. Cellulitis due to retention of metabolic wastes.
Preparations: Tea: 1 teaspoon dried leaves to each cup boiling water; infuse 15 minutes. Strain. Wineglass thrice daily.
Methyl salicylate, a rheumatism remedy, obtained by distillation of the twigs. (A. Vogel) Birch tar oil. (Ointment) External use only (UK). ... birch, european
Action: cholagogue, digestive, hepatic.
Uses: Indigestion. To increase bile production in liver disorders and to increase intestinal peristalsis. Dyskinesias. Gall bladder disorders. Constipation. Dyspepsia.
Preparations: Powder. 230mg capsules; 3 capsules midday and evening 15 minutes before meals. (Arkocaps)
Freshly pressed Juice: half-1 cup daily. If too pungent mix with a little Slippery Elm powder. ... black radish
Nutritional Profile Energy value (calories per serving): Low Protein: Moderate Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: Moderate Sodium: Moderate Major vitamin contribution: Vitamin C Major mineral contribution: Potassium
About the Nutrients in This Food Beets are roots, high-carbohydrate foods that provide sugars, starch, and small amounts of dietary fiber, insoluble cellulose in the skin, and soluble pectins in the flesh. Beets are also a good source of the B vitamin folate. One-half cup cooked fresh beets has one gram of dietar y fiber and 68 mcg folate (17 percent of the R DA).
The Most Nutritious Way to Serve This Food Cooked, to dissolve the stiff cell walls and make the nutrients inside available.
Diets That May Restrict or Exclude This Food Anti-kidney-stone diet Low-sodium diet
Buying This Food Look for: Smooth round globes with fresh, crisp green leaves on top. Avoid: Beets with soft spots or blemishes that suggest decay underneath.
Storing This Food Protect the nutrients in beets by storing the vegetables in a cool place, such as the vegetable crisper in your refrigerator. When stored, the beet root converts its starch into sugars; the longer it is stored, the sweeter it becomes. Remove the green tops from beets before storing and store the beet greens like other leaf y vegetables, in plastic bags in the refrigerator to keep them from drying out and losing vitamins (also see gr eens). Use both beets and beet greens within a week.
Preparing This Food Scrub the globes with a vegetable brush under cold running water. You can cook them whole or slice them. Peel before (or after) cooking.
What Happens When You Cook This Food Betacyamin and betaxanthin, the red betalain pigments in beets, are water-soluble. (That’s why borscht is a scarlet soup.) Betacyanins and betaxanthins turn more intensely red when you add acids; think of scarlet sweet-and-sour beets in lemon juice or vinegar with sugar. They turn slightly blue in a basic (alkaline) solution such as baking soda and water. Like carrots, beets have such stiff cell walls that it is hard for the human digestive tract to extract the nutrients inside. Cooking will not soften the cellulose in the beet’s cell walls, but it will dissolve enough hemicellulose so that digestive juices are able to penetrate. Cook- ing also activates flavor molecules in beets, making them taste better.
How Other Kinds of Processing Affect This Food Canning. Beets lose neither their color nor their texture in canning.
Medical Uses and/or Benefits Lower risk of some birth defects. As many as two of every 1,000 babies born in the United States each year may have cleft palate or a neural tube (spinal cord) defect due to their moth- ers’ not having gotten adequate amounts of folate during pregnancy. The R DA for folate is 400 mcg for healthy adult men and women, 600 mcg for pregnant women, and 500 mcg for women who are nursing. Taking folate supplements before becoming pregnant and continu- ing through the first two months of pregnancy reduces the risk of cleft palate; taking folate through the entire pregnancy reduces the risk of neural tube defects. Possible lower risk of heart attack. In the spring of 1998, an analysis of data from the records of more than 80,000 women enrolled in the long-running Nurses’ Health Study at Harvard School of Public Health/Brigham and Women’s Hospital, in Boston, demonstrated that a diet providing more than 400 mcg folate and 3 mg vitamin B6 daily, either from food or supple- ments, might reduce a woman’s risk of heart attack by almost 50 percent. Although men were not included in the study, the results were assumed to apply to them as well. However, data from a meta-analysis published in the Journal of the American Medical Association in December 2006 called this theory into question. Researchers at Tulane Univer- sity examined the results of 12 controlled studies in which 16,958 patients with preexisting cardiovascular diseases were given either folic acid supplements or placebos (“look-alike” pills with no folic acid) for at least six months. The scientists, who found no reduction in the risk of further heart disease or overall death rates among those taking folic acid, concluded that further studies will be required to verif y whether taking folic acid supplements reduces the risk of cardiovascular disease.
Adverse Effects Associated with This Food Pigmented urine and feces. The ability to metabolize betacyanins and be taxanthins is a genetic trait. People with two recessive genes for this trait cannot break down these red pig- ments, which will be excreted, bright red, in urine. Eating beets can also turn feces red, but it will not cause a false-positive result in a test for occult blood in the stool. Nitrosamine formation. Beets, celery, eggplant, lettuce, radishes, spinach, and collard and turnip greens contain nitrates that convert naturally into nitrites in your stomach—where some of the nitrites combine with amines to form nitrosamines, some of which are known carcinogens. This natural chemical reaction presents no known problems for a healthy adult. However, when these vegetables are cooked and left standing for a while at room tempera- ture, microorganisms that convert nitrates to nitrites begin to multiply, and the amount of nitrites in the food rises. The resulting higher-nitrite foods may be dangerous for infants (see spinach).... beets
Berangarie, Berangary, Berangarey, Berangarri, Berangaree, Berangaria, Berangariya, Berengari, Berengaria... berangari
Bernadina, Bernadette, Bernadetta, Berdina, Berdine, Berdyne, Berdyna, Beranger, Bernadea, Bernarda, Bernetta, Bernette, Bernita, Bernelle, Berna, Berneen, Bernardina, Bernardine, Berne, Bern... bernadine
Beryll, Berylle, Beril, Berill, Berille... beryl
Habitat: Cultivated largely in Uttar Pradesh, Punjab, Rajasthan and Bihar.
English: Ash Gourd, White Gourd, Wax Gourd, White Pumpkin.Ayurvedic: Kuushmaanda, Kuush- maandaka, Kuushmaandanaadi.Unani: Pethaa, Mahdabaa, Kaddu- e-Roomi.Siddha/Tamil: Ven-poosani, Saambalpushani.Action: Leaves—cooling, juice rubbed on bruises. Fruit decoction—laxative, diuretic, nutritious, styptic (given for internal haemorrhages and diseases of the respiratory tract.) Juice of fruit— used for treating epilepsy, insanity and other nervous diseases. The ash of fruit rind—applied on painful swellings. Seeds—anthelmintic.
The fruits contain lupeol, beta-sitos- terol, their acetates and several amino acids. The fruit juice produces tran- quilizing activity and mild CNS depressant effect in mice.The roots of mature plant contain a pentacyclic triterpene, which exhibits antiallergic activity against both homologous passive cutaneous ana- phylaxis and delayed hypersensitivity in mice. The fruit beverage contains pyrazine compounds.Isomultiflorenol acetate, a penta- cyclic triterpene, has been isolated as the major constituent of wax coating of fruits.Dosage: Dried pieces of the fruit— 5-10 g (API Vol. IV.) Fruit juice— 10-20 m (CCRAS.)... benincasa hispidaBethebara, Bethabarra, Bethebarra, Bethbara, Bethbarra... bethabara
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 aristataHabitat: The Himalayas from Kashmir to Nepal, at altitudes of 1,500-2,400 m.
Ayurvedic: Daaruharidraa (var.).Folk: Totaro, Kintodaa (Garhwal).Action: Same as that of Berberis aristata.
The root and stem bark contain alkaloids (5 and 4.2% respectively, calculated as berberine.)The alcoholic extract of the roots was found to be better antimicrobial agent than the aqueous extract. The alkaloid palmitine hydroxide possesses an- tispermatogenic properties. See B. aristata and B. vulgaris. Berberis ulicina Hook, known as Khicharmaa in Tibet, is also equated with Daaruharidraa.... berberis chitriaHabitat: Distributed in Northwestern Himalayas.
English: Common Barberry, True Barberry.Ayurvedic: Daruharidraa (var.).Folk: Chatrod, Kashmal.Action: Root and bark—used for ailments of gastrointestinal tract, liver, gallbladder, kidney and urinary tract, respiratory tract, also as a febrifuge and blood purifier.
Key application: Listed by German Commission E among unapproved herbs.An extract with 80% berberine and additional alkaloids stimulated the bile secretion of rats by 72%. (PDR.) As cholagogue. (The British Herbal Pharmacopoeia.)The main alkaloid is berberine (well tolerated up to 0.5 g). Berries are safe.Bererine in small doses stimulates the respiratory system; poisonings have been observed from overdoses. Poisonings from the total herb have not been reported. (German Commission E.)Berberine is bactericidal, amoebici- dal and trypanocidal. Berberine is an- tidiarrhoeal, asitentersinto the cytosol or binds to the cell membrane and inhibits the catalytic unit of andenylate cyclase. It is active in vitro and in animals against cholera.Berberine stimulates bile secretion and shows sedative, hypotensive, anti- convulsant and uterine stimulant activity in animals. Alkaloid bermarine is also strongly antibacterial. It has been shown to increase white blood cell and platelet counts in animals with iatro- genic leukocytopaenia.Berberine, berbamine and jatror- rhizine are hypotensive and sedative.Many of the alkaloids are antineo- plastic.The alkaloid berbamine (50 mg three times daily for 1-4 weeks) helped reverse leukopaenia induced by benzene, cancer chemotherapy or radiotherapy in a clinical study. (Francis Brinker.)Berberine, when combined with pyrimethamine, was more effective than combinations with other antibiotics in treating chloroquine-resistant malaria. (Sharon M. Herr.)... berberis vulgarisBeula, Beulla, Bulah, Bula, Beullah... beulah
Habitat: Temperate Himalaya from Kashmir to Bhutan, between altitudes of 900 and 3,000 m.
Ayurvedic: Paashaanabheda, Ashmaribhedikaa, Ashmaribhit, Ashmghna, Shilaabhit, Shilaabheda. (These synonyms are also equated with Aerva lanata Juss.)Siddha/Tamil: Padanbethi.Action: Leaf and root—antiscorbutic, astringent, spasmolytic, antidiarrhoeal. Used in dysuria, spleen enlargement, pulmonary affections as a cough remedy, menorrhagia, urinary tract infections. Alcoholic extract of roots— antilithic. Acetone extract of root- bark—cardiotoxic, CNS depressant and anti-inflammatory; in mild doses diuretic but antidiuretic in higher doses. Anti-inflammatory activity decreases with increasing dosage.
Due to its depressant action on the central nervous system, the drug is used against vertigo, dizziness and headache in moderate or low dosage.Key application: In lithiasis, dysuria, polyuria. (The Ayurvedic Pharmacopoeia of India; Indian Herbal Pharmacopoeia.)The rhizome contains an active principle bergenin (0.6%), gallic acid, glucose (5.6%), tannins (14.2-016.3%), mucilage and wax; a C-glycoside and beta-sitosterol.Bergenin prevented stress-induced erosions in rats and lowered gastric outputs.(Paashaanabheda indicates that the plant grows between rocks appearing to break them; it does not necessarily mean that it possesses lithotriptic property.)Dosage: Rhizome—20-30 g for decoction. (API Vol. I)... bergenia ligulataHabitat: Native to Mediterranean region; cultivated in North India, Maharashtra and South India.
English: Beet Root, Garden Beet, Chard.Ayurvedic: Palanki.Folk: Chukandar.Action: Leaf—used in burns and bruises, also for diseases of spleen and liver. Tuber and seed— expectorant. Leaf and seed— diuretic. Leaf, tuber and seed— anti-inflammatory. Seed oil— analgesic.
Beet roots are eaten raw as salad or cooked. The leaves are nutritionally superior to roots and are a good source of vitamins and minerals.The plant contains alkaloids ofwhich betaine is a mild diuretic and emme- nagogue.In research, using rats, chard increased regeneration of beta cells in pancreas. Maximum reduction of blood glucose was after 42 days of administration. (J Ethnopharmacol, 2000, 73: 251-259.)Beets are used orally as a supportive therapy in the treatment of liver diseases and fatty liver (possibly due to betaine). Ingestion of large quantities might worsen kidney disease. (Natural Medicines Comprehensive Database, 2007.)... beta vulgarisBeyoncay, Beyonsay, Beyonsai, Beyonsae, Beyonci, Beyoncie, Beyoncee, Beyoncea, Beyonceah... beyonce
Bharatie, Bharaty, Bharatey, Bharatee, Bharatea, Bharateah, Barati, Baratie, Baraty, Baratey, Baratee, Baratea, Barateah... bharati
They work by blocking the stimulation of beta adrenergic receptors by the neurotransmitters adrenaline and noradrenaline, which are produced at the nerve endings of that part of the SYMPATHETIC NERVOUS SYSTEM – the autonomous (involuntary) network
– which facilitates the body’s reaction to anxiety, stress and exercise – the ‘fear and ?ight’ response.
Beta1 blockers reduce the frequency and force of the heartbeat; beta2 blockers prevent vasodilation (increase in the diameter of blood vessels), thus in?uencing the patient’s blood pressure. Beta1 blockers also affect blood pressure, but the mechanism of their action is unclear. They can reduce to normal an abnormally fast heart rate so the power of the heart can be concomitantly controlled: this reduces the oxygen requirements of the heart with an advantageous knock-on e?ect on the respiratory system. These are valuable therapeutic effects in patients with ANGINA or who have had a myocardial infarction (heart attack – see HEART, DISEASES OF), or who suffer from HYPERTENSION. Beta2 blockers reduce tremors in muscles elsewhere in the body which are a feature of anxiety or the result of thyrotoxicosis (an overactive thyroid gland – see under THYROID GLAND, DISEASES OF). Noncardioselective blockers also reduce the abnormal pressure caused by the increase in the ?uid in the eyeball that characterises GLAUCOMA.
Many beta-blocking drugs are now available; minor therapeutic di?erences between them may in?uence the choice of a drug for a particular patient. Among the common drugs are:
| Primarily cardioselective | Non-cardioselective |
| Acebutolol | Labetalol |
| Atenolol | Nadolol |
| Betaxolol | Oxprenolol |
| Celiprolol | Propanolol |
| Metoprolol | Timolol |
These powerful drugs have various side-effects and should be prescribed and monitored with care. In particular, people who suffer from asthma, bronchitis or other respiratory problems may develop breathing diffculties. Long-term treatment with beta blockers should not be suddenly stopped, as this may precipitate a severe recurrence of the patient’s symptoms – including, possibly, a sharp rise in blood pressure. Gradual withdrawal of medication should mitigate untoward effects.... beta-adrenoceptor-blocking drugs
Habitat: The temperate and subtropical Himalayas, Khasi Hills and Manipur.
English: Indian Birch, Naga Birch.Ayurvedic: Bhojapatra (var.).Action: Used in supportive therapy of rheumatic ailments.
Methyl salicylate (92.8%) has been reported from the essential oil of the bark (of the plant growing in northeastern region of India).... betula alnoidesBhumi, Bhoomi, Bhu, Bhudevi... bhumidevi
Bianka, Byanca, Blanca, Blanche, Biana, Bianna, Biankeh, Byanka, Blanch, Blanka
... bianca
Habitat: Temperate Himalaya from Kashmir to Bhutan.
English: Himalayan Silver Birch, Indian Paper tree.Ayurvedic: Bhuurja, Bahulvalkala, Bahuputa, Lekhyapatraka, Charmi, Chitrapatra, Bhutahaa.Folk: Bhojapatra.Siddha/Tamil: Boorjapattram (leaves).Action: Resin—laxative. Leaves— diuretic; used in the form of infusion in gout, rheumatism, dropsy, and as a solvent of stones in the kidneys; used in skin affections, especially eczema. Bark—used in convulsions. Oil—astringent, antiseptic.
Key application: (B. pendula) In irrigation therapy for bacterial and inflammatory diseases of the urinary tract and for kidney gravel; supportive therapy for rheumatic ailment. (German Commission E, ESCOP.)European Silver Birch is equated with Betula alba L., synonym B. pendula Roth. Astringent, diuretic, anti- inflammatory, bitter, cholagogue; contains salicylates. Used for kidney and bladder complaints, sluggish kidney functions, rheumatism and gout. Methyl salicylate is obtained by distillation of the twigs. In an Indian sp., B. acuminata, methyl salicylate (92.8%) has been reported in the essential oil of the bark. B. utilis is also a close relative of B. pendula.Dosage: Bark—3-5 g powder; decoction—50-100 ml (CCRAS.)... betula utilisHabitat: Throughout India in gardens, waste places and tea plantations.
Folk: Phutium (Gujarat), Kuri (Garhwal).Action: Plant—cytotoxic. Leaf— applied to ulcers and swollen glands.
The plant contains a number of poly- acetylenes which are toxic to bacteria, fungi and human fibroblast cells. Phenylheptatriyne is the major constituent of the leaves and stems.B. pilosa Linn. var. minor (Blume) Sherff, synonym B. pilosa Linn. var. bi- pinnata Hook. f. in part, gave phytos- terin-B, which like insulin, showed hy- poglycaemic activity both in normal and diabetic rats. B. pilosa auct. non Linn., synonym B. chinensis Willd., is used for leprosy, fistulae, pustules, tumours.... bidens pilosaHabitat: Throughout tropical India.
Ayurvedic: Lajjaalu (var.) Vipareet Lajjaalu (non-classical), Alam- bushaa (Hindi commentators have equated it with Gorakh Mun- di, Sphaeranthus indicus Linn., Asteraceae.)Folk: Lajoni, Jhalai, Lakajana.Action: Plant—used in insomnia, convulsions, cramps, chest-complaints, inflammations, tumours, chronic skin diseases. Ash—in stomachache. Leaves— diuretic, astringent, antiseptic. Paste is applied to burns, contusions and wounds. Decoction is given in strangury, asthma and phthisis. Roots—decoction is given in lithia- sis. Mature leaves are recommended in diabetes; contain an insulin-like principle.
A saline extract of leaves showed hy- poglycaemic activity in rabbits.... biophytum sensitivumScientists have engineered appropriate genes from other organisms into BACTERIA, or sometimes plants, to accelerate this natural evolutionary process. For e?ective ‘digestion of waste’, a micro-organism must quickly and completely digest organic waste without producing unpleasant smells or noxious gases, be non-pathogenic and be able to reproduce in hostile conditions. For example, American researchers have discovered an anaerobic bacterium that neutralises dangerous chlorinated chemical compounds such as trichlorethane, which can pollute soil, into a harmless molecule called ethens. But the bacteria do not thrive in soil. So the dechlorinating genes in this bacterium are transferred to bacteria that are acclimatised to living in toxic areas and can more e?ciently carry out the required detoxi?cation. Other research has been aimed at detoxifying the byproducts of DDT, a troublesome and resistant pollutant. Bioremediation should prove to be an environmentally friendly and cost-e?ective alternative to waste incineration or chemically based processes for washing contaminated soils.... bioremediation
Bisah, Bissa, Bissah, Bysa, Bysah, Byssa, Byssah... bisa
Many snakes are non-venomous (e.g. pythons, garter snakes, king snakes, boa constrictors) but may still in?ict painful bites and cause local swelling. Most venomous snakes belong to the viper and cobra families and are common in Asia, Africa, Australia and South America. Victims of bites may experience various effects including swelling, PARALYSIS of the bitten area, blood-clotting defects, PALPITATION, respiratory di?culty, CONVULSIONS and other neurotoxic and cardiac effects. Victims should be treated as for SHOCK – that is, kept at rest, kept warm, and given oxygen if required but nothing by mouth. The bite site should be immobilised but a TOURNIQUET must not be used. All victims require prompt transfer to a medical facility. When appropriate and available, antivenoms should be administered as soon as possible.
Similar management is appropriate for bites and stings by spiders, scorpions, sea-snakes, venomous ?sh and other marine animals and insects.
Bites and stings in the UK The adder (Vipera berus) is the only venomous snake native to Britain; it is a timid animal that bites only when provoked. Fatal cases are rare, with only 14 deaths recorded in the UK since 1876, the last of these in 1975. Adder bites may result in marked swelling, weakness, collapse, shock, and in severe cases HYPOTENSION, non-speci?c changes in the electrocardiogram and peripheral leucocytosis. Victims of adder bites should be transferred to hospital even if asymptomatic, with the affected limb being immobilised and the bite site left alone. Local incisions, suction, tourniquets, ice packs or permanganate must not be used. Hospital management may include use of a speci?c antivenom, Zagreb®.
The weever ?sh is found in the coastal waters of the British Isles, Europe, the eastern Atlantic, and the Mediterranean Sea. It possesses venomous spines in its dorsal ?n. Stings and envenomation commonly occur when an individual treads on the ?sh. The victim may experience a localised but increasing pain over two hours. As the venom is heat-labile, immersion of the affected area in water at approximately 40 °C or as hot as can be tolerated for 30 minutes should ease the pain. Cold applications will worsen the discomfort. Simple ANALGESICS and ANTIHISTAMINE DRUGS may be given.
Bees, wasps and hornets are insects of the order Hymenoptera and the females possess stinging apparatus at the end of the abdomen. Stings may cause local pain and swelling but rarely cause severe toxicity. Anaphylactic (see ANAPHYLAXIS) reactions can occur in sensitive individuals; these may be fatal. Deaths caused by upper-airway blockage as a result of stings in the mouth or neck regions are reported. In victims of stings, the stinger should be removed as quickly as possible by ?icking, scraping or pulling. The site should be cleaned. Antihistamines and cold applications may bring relief. For anaphylactic reactions ADRENALINE, by intramuscular injection, may be required.... bites and stings
Habitat: Native to Central America, often cultivated in Madhya Pradesh and South India.
English: Annatto.Ayurvedic: Sinduri, Sinduriyaa.Siddha/Tamil: Jabara, Manjitti.Action: Plant—astringent, antibil- ious, antiemetic, blood purifier. Leaves—infusion is given in jaundice, also in dysentery. Externally, scar-preventive. Root bark— febrifuge, antiperiodic. Seed pulp— haemostatic, antidysenteric, diuretic, laxative. Fruit—antidysenteric.
An antimicrobial constituent, mas- linic acid, alongwith gallic acid and pyrogallol, has been isolated from the leaves. Alcoholic extract of the leaves completely inhibited Micrococcus pyo- genes, but was inactive against E. coli. The aqueous extract, however, showed partial inhibition against E. coli. The aqueous extract also showed potent inhibitory activity towards lens aldose re- ductase, which plays an important role in the management of diabetic complications. The activity is attributed to a flavonoid, isoscutelarein.Bixin, the main constituent of seed coat, shows cytostatic effect on the growth of human lymphoma cells. Bixin also has a hyperglycaemic effect and may disturb blood glucose control.... bixa orellanaBlayne, Blane, Blain, Blayn, Blaen, Blaene... blaine
Blayse, Blaze, Blaize, Blas, Blasa, Blase, Blasia, Blaese, Blaeze, Blayze... blaise
Blancheflor, Blancheflour, Blancheflora... blanchefleur
Nutritional Profile Energy value (calories per serving): Low Protein: Low Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: Moderate Sodium: Low Major vitamin contribution: Vitamin A, vitamin C Major mineral contribution: Calcium
About the Nutrients in This Food Blackberries have no starch but do contain sugars and dietary fiber, pri- marily pectin, which dissolves as the fruit matures. Unripe blackberries contain more pectin than ripe ones. One-half cup fresh blackberries has 3.8 g dietary fiber, 15 mg vitamin C (20 percent of the R DA for a woman, 17 percent of the R DA for a man), and 18 mcg folate (5 percent of the R DA).
The Most Nutritious Way to Serve This Food Fresh or lightly cooked.
Buying This Food Look for: Plump, firm dark berries with no hulls. A firm, well-rounded berry is still moist and fresh; older berries lose moisture, which is why their skin wrinkles. Avoid: Baskets of berries with juice stains or liquid leaking out of the berries. The stains and leaks are signs that there are crushed—and possibly moldy—berries inside.
Storing This Food Cover berries and refrigerate them. Then use them in a day or two. Do not wash berries before storing. The moisture collects in spaces on the surface of the berries that may mold in the refrigerator. Also, handling the berries may damage their cells, releasing enzymes that can destroy vitamins.
Preparing This Food R inse the berries under cool running water, then drain them and pick them over carefully to remove all stems and leaves.
What Happens When You Cook This Food Cooking destroys some of the vitamin C in fresh blackberries and lets water-soluble B vitamins leach out. Cooked berries are likely to be mushy because the heat and water dis- solve their pectin and the skin of the berry collapses. Cooking may also change the color of blackberries, which contain soluble red anthocyanin pigments that stain cooking water and turn blue in basic (alkaline) solutions. Adding lemon juice to a blackberry pie stabilizes these pigments; it is a practical way to keep the berries a deep, dark reddish blue.
How Other Kinds of Processing Affect This Food Canning. The intense heat used in canning fruits reduces the vitamin C content of black- berries. Berries packed in juice have more nutrients, ounce for ounce, than berries packed in either water or syrup.
Medical Uses and/or Benefits Anticancer activity. Blackberries are rich in anthocyanins, bright-red plant pigments that act as antioxidants—natural chemicals that prevent free radicals (molecular fragments) from joining to form carcinogenic (cancer-causing) compounds. Some varieties of blackberries also contain ellagic acid, another anticarcinogen with antiviral and antibacterial properties.
Adverse Effects Associated with This Food Allergic reaction. Hives and angioedema (swelling of the face, lips, and eyes) are common allergic responses to berries, virtually all of which have been known to trigger allergic reactions. According to the Merck Manual, berries are one of the 12 foods most likely to trigger classic food allergy symptoms. The others are chocolate, corn, eggs, fish, legumes (peas, lima beans, peanuts, soybeans), milk, nuts, peaches, pork, shellfish, and wheat (see w h eat cer ea ls).... blackberries
Habitat: Madhya Pradesh, Maharashtra, Karnataka.
Ayurvedic: Used as a substitute for Raasnaa in Madhya Pradesh.Action: Anti-inflammatory (used internally and externally for rheumatic affections).... blepharispermum subsessile
Gall-bladder This is situated under the liver in the upper part of the abdomen, and its function is to store the BILE, which it discharges into the intestine by the BILE DUCT. For further details, see LIVER.
Urinary bladder This is situated in the pelvis, in front of the last part of the bowel. In the full state, the bladder rises up into the abdomen and holds about 570 ml (a pint) of urine. Two ?ne tubes, called the ureters, lead into the bladder, one from each kidney; and the urethra, a tube as wide as a lead pencil when distended, leads from it to the exterior – a distance of 4 cm (1••• inches) in the female and 20 cm (8 inches) in the male. The exit from the bladder to the urethra is kept closed by a muscular ring which is relaxed every time urine is passed.... bladders
Habitat: Punjab and western Rajasthan.
English: Acanthus.Ayurvedic: Utangana, Kaamavridhi, Chatushpatri, Ucchataa (equated with Scirpus or Cyperus sp. during the classical period; with Shveta Gunjaa, Abrus sp. during the medieval period.)Unani: Utangan.Folk: Karadu (Maharashtra).Action: Roots—diuretic. Used for urinary discharges and dys- menorrhoea. Seeds—deobstruent, resolvent, diuretic (used in strangury and sexual debility). Powdered plant is applied locally on infections of the genitals and on burns.
Key application: Seed in dysuria and impotency. (The Ayurvedic Pharmacopoeia of India.)A benzoxazine glucoside, blephar- in, has been isolated from seeds, and a saponin, which on hydrolysis gave lupeol.Dosage: Dried seed—3-6 g powder. (API Vol. IV.)... blepharis edulisHabitat: Punjab, Haryana, Rajasthan and Gujarat.
Ayurvedic: Ushtrakaandi, Utangan (var.).Folk: Utangana (Sindh). Asad.Action: Seeds, boiled in milk, are taken as an invigorating tonic.
Blepharis molluginifolia Pers., used for urinary discharges, is also equated with Utangana.... blepharis linariaefoliaBlodwenne, Blodwyn, Blodwynne, Blodwin, Blodwinne, Blodwenn, Blodwynn, Blodwinn... blodwen
Habitat: Around ledges and roadsides.
Features ? Several erect, hairy stems, two to three feet high. Leaf and flower stalks also hairy. Roundish leaf has five to seven lobes, middle one longest. Numerous flowers (June-September), large reddish-purple, clustered four or five together on axillary stalk.Part used ? Flowers, herb.Action: Demulcent, mucilaginous, pectoral.
1 ounce to 1 pint infusion makes a popular cough and cold remedy.... blue mallowHabitat: Subtropical Himalayas, Nepal, Sikkim, Assam and Khasi Hills at 700-1,350 m.
English: Ngai Camphor.Ayurvedic: Kukundara, Gangaapa- tri.Unani: Kakarondaa.Action: Tranquilizer (used in excitement and insomnia), expectorant, sudorific. Given in intestinal diseases, colic, diarrhoea. Essential oil from leaves—hypotensive.
The plant is a source of Ngai or Blumea Camphor. Camphor occurs in all parts of the plant, but is generally extracted from leaves. Ngai Camphor oil consists almost entirely of l-borneol. It is redistilled to obtain the refined camphor for use in medicine.The dried leaves contain sesquiter- pene lactones. These lactones exhibit antitumour activity against Yoshida sacoma cells in tissue culture.The plant exhibits moderate antibacterial activity against E. coli.... blumea balsamiferaNutritional Profile Energy value (calories per serving): Low Protein: Low Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: Moderate Sodium: Low Major vitamin contribution: Vitamin C Major mineral contribution: Calcium
About the Nutrients in This Food Blueberries have some protein and a little fat. They have no starch but do contain sugars and dietary fiber—primarily pectin, which dissolves as the fruit matures—and lignin in the seeds. (The difference between blueber- ries and huckleberries is the size of their seeds; blueberries have smaller ones than huckleberries.) One-half cup fresh blueberries has 1.5 g dietary fiber and 9.5 mg. vitamin C (13 percent of the R DA for a woman, 11 percent of the R DA for a man).
The Most Nutritious Way to Serve This Food Fresh, raw, or lightly cooked.
Buying This Food Look for: Plump, firm dark-blue berries. The whitish color on the ber- ries is a natural protective coating. Avoid: Baskets of berries with juice stains or liquid leaking out of the berries. The stains and leaks are signs that there are crushed (and possibly moldy) berries inside.
Storing This Food Cover berries and refrigerate them. Then use them in a day or two. Do not wash berries before storing. The moisture increases the chance that they will mold in the refrigerator. Also, handling the berries can damage them, tearing cells and releas- ing enzymes that will destroy vitamins. Do not store blueberries in metal containers. The anthocyanin pigments in the berries can combine with metal ions to form dark, unattractive pigment/metal compounds that stain the containers and the berries.
Preparing This Food R inse the berries under cool running water, then drain them and pick them over carefully to remove all stems, leaves, and hard (immature) or soft (over-ripe) berries.
What Happens When You Cook This Food Cooking destroys some of the vitamin C in fresh blueberries and lets water-soluble B vitamins leach out. Cooked berries are likely to be mushy because heat dissolves the pectin inside. Blueberries may also change color when cooked. The berries are colored with blue anthocyanin pigments. Ordinarily, anthocyanin-pigmented fruits and vegetables turn red- dish in acids (lemon juice, vinegar) and deeper blue in bases (baking soda). But blueberries also contain yellow pigments (anthoxanthins). In a basic (alkaline) environments, as in a batter with too much baking soda, the yellow and blue pigments will combine, turning the blueberries greenish blue. Adding lemon juice to a blueberry pie stabilizes these pigments; it is a practical way to keep the berries a deep, dark reddish blue.
How Other Kinds of Processing Affect This Food Canning and freezing. The intense heat used in canning the fruit or in blanching it before freezing reduces the vitamin C content of blueberries by half.
Medical Uses and/or Benefits Anticancer activity. According to the U.S. Department of Agriculture, wild blueberries rank first among all fruits in antioxidant content; cultivated blueberries (the ones sold in most food markets) rank second. Antioxidants are natural chemicals that inactivate free radicals, molecule fragments that can link together to form cancer-causing compounds. Several ani- mal studies attest to the ability of blueberries to inhibit the growth of specific cancers. For example, in 2005, scientists at the University of Georgia reported in the journal Food Research International that blueberry extracts inhibited the growth of liver cancer cells in laboratory settings. The following year, researchers at Rutgers University (in New Jersey) delivered data to the national meeting of the American Chemical Society from a study in which laboratory rats fed a diet supplemented with pterostilbene, another compound extracted from blueber- ries, had 57 percent fewer precancerous lesions in the colon than rats whose diet did not contain the supplement. The findings, however, have not been confirmed in humans. Enhanced memory function. In 2008, British researchers at the schools of Food Biosciences and Psychology at the University of Reading and the Institute of Biomedical and Clinical Sciences at the Peninsula Medical School (England) reported that adding blueberries to one’s normal diet appears to improve both long-term and short-term memory, perhaps because anthocyanins and flavonoids (water-soluble pigments in the berries) activate signals in the hippocampus, a part of the brain that controls learning and memory. If confirmed, the data would support the role played by diet in maintaining memory and brain function. Urinary antiseptic. A 1991 study at the Weizmann Institute of Science (Israel) suggests that blueberries, like cr anber r ies, contain a compound that inhibits the ability of Escherichia coli, a bacteria commonly linked to urinary infections, to stick to the wall of the bladder. If it cannot cling to cell walls, the bacteria will not cause an infection. This discovery lends some support to folk medicine, but how the berries work, how well they work, or in what “dos- ages” remains to be proven.
Adverse Effects Associated with This Food Allergic reaction. Hives and angiodemea (swelling of the face, lips, and eyes) are common allergic responses to berries, virtually all of which have been reported to trigger these reac- tions. According to the Merck Manual, berries are one of the 12 foods most likely to trigger classic food allergy symptoms. The others are chocolate, corn, eggs, fish, legumes (peas, lima beans, peanuts, soybeans), milk, nuts, peaches, pork, shellfish, and wheat (see wheat cer ea ls).... blueberries
Blumah, Blumma, Blummah, Blooma, Bloomah... bluma
Habitat: Sub-tropical Himalayas, Nepal, Sikkim, Assam and Khasia hills.
English: Ngai Camphor.Ayurvedic: Kukundara (var.).Action: Juice of fresh leaves— insecticidal, mosquito repellant. The plant yields an essential oil which yields camphor.
Aerial part contains sesquiterpene lactones, tagitinin A, tirolundin ethyl ether and iso-alantolactone derivatives.... blumea densifloraHabitat: Uttar Pradesh, Maharashtra, Karnataka, Tamil Nadu, Kerala.
Ayurvedic: Kukundara (var.).Unani: Kakarondaa.Folk: Nirmudi (Maharashtra).Action: Juice of the herb— carminative. A warm infusion of leaves is given as a sudorific, while a cold infusion is considered diuretic and emmenagogue. The oil possesses significant antibacterial and antifungal properties. The oil also shows insecticidal activity.
The essential oil contains 95% ketones, the chief constituent of which are d-carvotanacetone and l-tetrahydro- carvone and an alcohol.The plant contains a flavonol, cri- anthin (isolated from the flowers). It is identical to artemetin, isolated from Artemisia absinthium.... blumea erianthaHabitat: Tropical Himalayas, and throughout the plains of Assam and Penninsular India.
Ayurvedic: Kukundara (var.).Unani: Kakarondaa.Action: Plant—diuretic. Essential oil—CNS depressant.
The steam non-volatile fraction of plant extract contained a mixture of n-alkanes.Blumea lacera.Family: Compositae; Asteraceae.Habitat: Throughout the plains of India, ascending to 700 m.
Ayurvedic: Kukundara, Kukuradru, Taamrachuuda.Unani: Kakarondaa.Siddha/Tamil: Narakkarandai, Kaatu Mullangi.Folk: Kakranda.Action: Plant—antipyretic. Leaf— astringent, febrifuge, diuretic, deobstruent, anthelmintic (particularly in case of thread worm). Root—anticholerin. Essential oil— antibacterial, antifungal.
The leaves on steam distillation yield 0.5% essential oil from which camphor is isolated.The oil contains cineol 66, d-fen- chone 10 and citral about 6%. The plant gave a diester of coniferyl alcohol, acetylenic compounds, a thiophene derivative; aerial parts gave campes- terol, hentriacontane, hentriacontanol, alpha-amyrin and its acetate, lupeol and its acetate and beta-sitosterol.The alcoholic extract of the plant showed marked anti-inflammatory activity in carrageenin and bradykinin- induced inflammation in rats.Dosage: Root—5-10 g paste. (CCRAS.)... blumea fastulosaHabitat: Throughout India as a weed.
English: Horse-purslane, Hogweed.Ayurvedic: Rakta-punarnavaa, Punarnavaa, Katthilla, Shophaghni, Shothaghni. Varshaabhu (also equated with Trianthema portu- lacastrum Linn., which exhibits anti-inflammatory, antipyretic and analgesic activity).Unani: Itsit, Bishkhaparaa.Siddha/Tamil: Mookkirattai.Folk: Gadaha-purnaa.Action: Diuretic, anti-inflammatory, antiarthritic, spasmolytic, antibacterial (used for inflammatory renal diseases, nephrotic syndrome, in cases of ascites resulting from early cirrhosis of liver and chronic peritonitis, dropsy associated with chronic Bright's diseases, for serum uric acid levels). Root—anticon- vulsant, analgesic, expectorant, CNS depressant, laxative, diuretic, abortifacient.
Key application: As diuretic, hepatoprotective. (Indian Herbal Pharmacopoeia.)B. repanda, synonym B. chinensis Linn., roots exhibited antihepatotox- ic activity against carbon tetrachloride galactosamine-and paracetamol- induced intoxication in rats. Powdered root gave encouraging results in spermatorrhoea and leucorrhoea.The chloroform and methanolic extracts of the roots and aerial parts of B. diffusa also exhibited antihepatotox- ic activity against carbon tetrachloride- induced intoxication in rats.Punarnavaa is official in IP as a diuretic. The diuretic action of the drug is attributed to the presence of xanthone, beta-ecdysone. Flavonoid, arbinofura- noside, present in the drug, was found to lower serum uric acid in experimental animals, as also in humans.Punarnavaa has been reported to increase serum protein level and reduce urinary protein extraction in clinical trials in patients suffering with nephrotic syndrome. The activity is attributed to the presence of rotenoids in various parts of the plant.An antifibrinolytic agent, punar- navoside, has been found to stop IUCD-induced bleeding in monkeys. The drug contains quinolizidine alkaloids.Dosage: Whole plant—20-30 g for decoction (API Vol. I); root—1-3 g powder; 10-20 ml fresh juice. (API Vol. III.)... boerhavia diffusaHabitat: Throughout plains of India.
Ayurvedic: Shveta Punarnavaa, Vrshchiva, Vrshchiraka. (Vrishchira is also equated with Trianthema sp.) B. erecta, synonym B. punarnava Saha and Krishnamurthy, is also equated with the white-flowered species of Boerhavia.Action: See B. diffusa.... boerhavia verticillata
Recurrent boils are usually due to a reservoir of staphylococcal bacteria (see STAPHYLOCOCCUS) in a nostril or elsewhere, so an intranasal antibiotic cream may be prescribed. Underlying DIABETES MELLITUS should always be excluded.... boils (furunculosis)
Bonny, Bonni, Bonita, Bonnibel, Bonnibelle, Bonnibele, Bonnibell, Bonney, Bonnee, Bonnea, Bonneah... bonnie
Habitat: The Mediteranean region, Europe and Asia.
English: Borage, Cow's Tongue Plant.Unani: Gaozabaan (Onosma bracteatum Wall. has also been equated with Gaozabaan).Action: Fresh herb (compounded with water)—refreshing, restorative and nervine tonic. Leaves and flowers—diuretic, febrifuge, expectorant, demulcent, emollient; promote the activity of kidneys; alleviate pulmonary affections.
The drug strengthens adrenal glands and is given for stress, mental exhau- sion and depression; provides support to stomach and intestines in cases of infection and toxicity. Used as a tonic to counteract the lingering effects of steroid therapy. Seeds relieve irritable bowel syndrome and regulate menstruation.The leaves contain lycopsamine and supindine viridiflorate as the predominant unsaturated pyrrolizidine alkaloids. Due to low concentration of these alkaloids Borage is not toxic.The drug contains potassium and calcium, combined with mineral acids. The fresh juice affords 30%, the dried herb 3% of nitrate of potash. The stems and leaves supply much saline mucilage. These saline qualities are mainly responsible for the wholesome invigorating properties of Borage.Borage imparts pleasant flavour and cooling effect to beverages. In India, squashes and syrups, sold during summer, contain Borage extract.Borage contains ascorbic acid (38 mg/100 g). Flowers contain cholin, glucose, fructose, amino acids, tannin (about 3%). Seeds contain protein (20.9%) and an oil (38.3%). The seed oil is one of the important sources of gamma-linoleic acid and linoleic acid. Borage oil, combined with Evening Primrose oil, is used in hypercholes- terolaemia.Borage seed oil is used for rheumatoid arthritis, atopic eczema, infantile seborrhoeic dermatitis, neurodermati- tis, also for PMS and for preventing heart disease and stroke. Only UPA (unsaturated pyrrolizidine alkaloids) free oil is given internally.Listed by German Commission E among unapproved herbs.It has been suggested that borage not be used with drugs known to lower the seizure threshold such as tricyclic an- tidepressants and phenothiazines due to GLA content (only borage seed oil contains significant amounts of GLA). (Francis Brinker.)... borago officinalissurrounding tissues. Radionuclide scanning detects areas throughout the skeleton in which there is high bone-cell activity. This type of scanning and on the presence of cells foreign to the marrow.
It is useful in the diagnosis of many blood disorders, including leukaemia and anaemia.
It can also show whether bone marrow has been invaded by lymphoma or cells from other tumours.... bone marrow biopsy
Brain abscesses may occur after a head injury, but most cases result from the spread of infection from elsewhere in the body, such as the middle ear or sinuses.
Another cause is an infection following a penetrating brain injury.
Multiple brain abscesses may occur as a result of blood-borne infection, most commonly in patients with a heart-valve infection (see endocarditis).
Symptoms include headache, drowsiness, vomiting, visual disturbances, fever, seizures, and symptoms, such as speech disturbances, that are due to local pressure.
Treatment is with antibiotic drugs and surgery.
A craniotomy may be needed to open and drain the abscess.
Untreated, brain abscesses can cause permanent damage or can be fatal.
Despite treatment, scarring can cause epilepsy in some cases.... brain abscess
Localized brain damage may occur as a result of a head injury, stroke, brain tumour, or brain abscess. At birth, a raised blood level of bilirubin (in haemolytic disease of the newborn) causes local damage to the basal ganglia deep within the brain. This leads to a condition called kernicterus. Brain damage that occurs before, during, or after birth may result in cerebral palsy.
Damage to the brain may result in disabilities such as learning difficulties or disturbances of movement or speech.
Nerve cells and tracts in the brain and spinal cord cannot repair themselves once they have been damaged, but some return of function may be possible.... brain damage
Reduced oxygen supply may occur at birth, causing cerebral palsy. Later in life, cerebral hypoxia can result from choking or from arrest of breathing and heartbeat. From middle age onwards, cerebrovascular disease is the most important cause of brain disorder. If an artery within the brain becomes blocked or ruptures, leading to haemorrhage, the result is a stroke. The brain may also be damaged by a blow to the head see head injury).
Infection within the brain (encephalitis) may be due to viral infection. Infection of the membranes surrounding the brain (meningitis) is generally due to bacterial infection. Creutzfeldt–Jakob disease is a rare, fatal brain disease associated with an infective agent called a prion which, in some cases, has been linked with (bovine spongiform encephalopathy), a disease in cattle.
Multiple sclerosis is a progressive disease of the brain and spinal cord. Degenerative brain diseases include Alzheimer’s disease and Parkinson’s disease. Emotional or behavioural disorders are generally described as psychiatric illnesses; but the distinction between neurological and psychiatric disorders is now much less clear.... brain, disorders of
scanning gives images of the brain substance; it gives clear pictures of the ventricles (fluid-filled cavities) and can reveal tumours, blood clots, strokes, aneurysms, and abscesses. is especially helpful in showing tumours of the posterior fossa (back of the skull). and scanning are specialized forms of radionuclide scanning that use small amounts of radioactive material to give information about brain function as well as structure. They enable
blood flow and metabolic activity in the brain to be measured.
Ultrasound scanning is used only in premature or very young babies since ultrasound waves cannot penetrate the bones of a mature skull.... brain imaging
They may be felt in late pregnancy and are sometimes mistaken for labour pains.... braxton hicks’ contractions
(See also vaginal bleeding.)... breakthrough bleeding
Habitat: Coastal areas of Bengal, Bihar and Western and Eastern Peninsula.
English: Palmyra Palm, Brab tree.Ayurvedic: Taala, Taada, Trinraj, Mahonnata, Lekhyapatra. Siddha/Tamil: Panai, Panaimaram.Action: Fresh sap—diuretic, cooling, antiphlegmatic, laxative, anti- inflammatory. Slightly fermented juice is given in diabetes. Palm- jaggery—used as an energy food for convalscents. Ash of dry spadix—antacid, antibilious (used in heartburn). Young root, terminal buds, leaf-stalks—used in gastritis and hiccups.
The sap is given as a tonic to asthmatic and anaemic patients. Jaggery is given for anaemia, for diseases characterized by a marked loss of potassium. Palm candy is used in coughs and pulmonary affections and as a laxative for children.The Ayurvedic Pharmacopoeia ofIn- dia recommends dried male inflorescence in dysuria.Jaggery solution may be used in hypertension and oedema due to heart and liver diseases, also as a food for typhoid patients.The sap is an excellent source of biologically available riboflavin.Aqueous MeOH extract of young shoots contains heat-stable toxin; edible part of young shoot, neurotoxic to rats, but not hepatotoxic.Dosage: Dried male inflorescence— 1-3 g (API Vol. III.)... borassus flabelliferHabitat: 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 articularisHabitat: The drier parts of Peninsular India.
English: Indian Frankincense, Indian Olibanum.Ayurvedic: Shallaki, Susravaa, Gajabhakshyaa, Salai. Gum— Kunduru.Unani: Kundur (gum).Siddha/Tamil: Parangisambirani, Kungli.Folk: Salai Guggul.Action: Gum-resin—antiseptic, anti-inflammatory, antiatheroscle- rotic, emmenagogue, analgesic, sedative, hypotensive. Also used in obesity, diarrhoea, dysentery, piles, urinary disorders, scrofulous affections. Oil—used topically in chronic ulcers, ringworm.
Nonphenolic fraction of gum-resin exhibited marked sedative and analgesic effect in rats. It produced a marked and long-lasting hypotension in anaesthetized dogs.Many derivatives of 3-keto-methyl- beta-boswellic ester, isolated from the gum-resin., have been prepared; a py- razoline derivative exhibited maximum anti-inflammatory activity. (Gum-resin is used in osteoarthri- tis, juvenile rheumatoid arthritis, soft tissue fibrositis and spondylitis, also for cough, bronchitis, asthma, mouth sores.)Essential oil from gum-resin—anti- fungal.Gum-resin contains triterpenes of oleanane, ursane and euphane series. Stem and fruit—hypoglycaemic.Dosage: Gum-resin—1-3 g (API Vol. IV.)... boswellia serrata13.
The ?rst type of damage occurs as an acute episode in which one or more severe blows leads to loss of consciousness and occasionally to death. Death in the acute phase is usually due to intracranial haemorrhage and this carries a mortality of 45 per cent even with the sophisticated surgical techniques currently available. The second type of damage develops over a much longer period and is cumulative, leading to the atrophy of the cerebral cortex and brain stem. The repair processes of the brain are very limited and even after mild concussion it may suffer a small amount of permanent structural damage. Brain-scanning techniques now enable brain damage to be detected during life, and brain damage of the type previously associated with the punch-drunk syndrome is now being detected before obvious clinical signs have developed. Evidence of cerebral atrophy has been found in relatively young boxers including amateurs and those whose careers have been considered successful. The tragedy is that brain damage can only be detected after it has occurred. Many doctors are opposed to boxing, even with the present, more stringent medical precautions taken by those responsible for running the sport. Since the Royal College’s survey in 1969, the British Medical Association and other UK medical organisations have declared their opposition to boxing on medical grounds, as have medical organisations in several other countries.
In 1998, the Dutch Health Council recommended that professional boxing should be banned unless the rules are tightened. It claimed that chronic brain damage is seen in 40–80 per cent of boxers and that one in eight amateur bouts end with a concussed participant.
There is currently no legal basis on which to ban boxing in the UK, although it has been suggested that an injured boxer might one day sue a promoter. One correspondent to the British Medical Journal in 1998 suggested that since medical cover is a legal requirement at boxing promotions, the profession should consider if its members should withdraw participation.... boxing injuries
Severe head injuries cause unconsciousness for hours or many days, followed by loss of memory before and after that period of unconsciousness. The skull may be fractured; there may be ?ts in the ?rst week; and there may develop a blood clot in the brain (intracerebral haematoma) or within the membranes covering the brain (extradural and subdural haematomata). These clots compress the brain, and the pressure inside the skull – intracranial pressure – rises with urgent, life-threatening consequences. They are identi?ed by neurologists and neurosurgeons, con?rmed by brain scans (see COMPUTED TOMOGRAPHY; MRI), and require urgent surgical removal. Recovery may be complete, or in very severe cases can be marred by physical disabilities, EPILEPSY, and by changes in intelligence, rational judgement and behaviour. Symptoms generally improve in the ?rst two years.
A minority of those with minor head injuries have complaints and disabilities which seem disproportionate to the injury sustained. Referred to as the post-traumatic syndrome, this is not a diagnostic entity. The complaints are headaches, forgetfulness, irritability, slowness, poor concentration, fatigue, dizziness (usually not vertigo), intolerance of alcohol, light and noise, loss of interests and initiative, DEPRESSION, anxiety, and impaired LIBIDO. Reassurance and return to light work help these symptoms to disappear, in most cases within three months. Psychological illness and unresolved compensation-claims feature in many with implacable complaints.
People who have had brain injuries, and their relatives, can obtain help and advice from Headwat and from www.neuro.pmr.vcu.edu and www.biausa.org... brain injuries
All reversible pharmacological, metabolic, endocrine and physiological causes must be excluded, and there should be no doubt that irreversible brain damage has occurred. Two senior doctors carry out diagnostic tests to con?rm that brain-stem re?exes are absent. These tests must be repeated after a suitable interval before death can be declared. Imaging techniques are not required for death to be diag-... brain-stem death
Habitat: Native of Europe and West Asia. Cultivated in North India as a crop.
English: White Mustard.Ayurvedic: Siddhaartha, Shveta Sarshapa, Sarshapa-Gaura.Unani: Khardal Safed.Siddha/Tamil: Venkadugu.Folk: Safed Raai.Action: Stimulant to gastric mucosa, increases pancreatic secretions; emetic (used in narcotic poisoning), diaphoretic, rubefacient. (As a counter-irritant it increases flow of blood to a specific area.) Used externally as a poultice in bronchitis, pleurisy, intercostal neuralgia, chilbains.
Seeds contain glucosinolates. Sinalbin in B. alba and sinigrin in B. juneja oil are toxic constituents. The oil with toxic constituents should be avoided in gastrointestinal ulcers and kidney disorders. When moistened, sinigrin in the seeds is degraded to allyl isothiocyanate, a potent irritant volatile oil. (Francis Brinker.)Glucosinolates are goitrogenic. Excessive consumption of Brassica sp. vegetables may alter absorption of thyroid hormone in G2 tract. (Sharon M. Herr.)... brassica albaNutritional Profile Energy value (calories per serving): Moderate Protein: Moderate Fat: Low to moderate Saturated fat: Low to high Cholesterol: Low to high Carbohydrates: High Fiber: Moderate to high Sodium: Moderate to high Major vitamin contribution: B vitamins Major mineral contribution: Calcium, iron, potassium
About the Nutrients in This Food All commercially made yeast breads are approximately equal in nutri- tional value. Enriched white bread contains virtually the same amounts of proteins, fats, and carbohydrates as whole wheat bread, although it may contain only half the dietary fiber (see flour). Bread is a high-carbohydrate food with lots of starch. The exact amount of fiber, fat, and cholesterol in the loaf varies with the recipe. Bread’s proteins, from grain, are low in the essential amino acid lysine. The most important carbohydrate in bread is starch; all breads contain some sugar. Depending on the recipe, the fats may be highly saturated (butter or hydrogenated vegetable fats) or primarily unsaturated (vegetable fat). All bread is a good source of B vitamins (thiamin, riboflavin, niacin), and in 1998, the Food and Drug Administration ordered food manufactur- ers to add folates—which protect against birth defects of the spinal cord and against heart disease—to flour, rice, and other grain products. One year later, data from the Framingham Heart Study, which has followed heart health among residents of a Boston suburb for nearly half a cen- tury, showed a dramatic increase in blood levels of folic acid. Before the fortification of foods, 22 percent of the study participants had a folic acid deficiency; after, the number fell to 2 percent. Bread is a moderately good source of calcium, magnesium, and phos- phorus. (Breads made with milk contain more calcium than breads made without milk.) Although bread is made from grains and grains contain phytic acid, a natural antinutrient that binds calcium ions into insoluble, indigestible compounds, the phytic acid is inactivated by enzyme action during leavening. Bread does not bind calcium. All commercially made breads are moderately high in sodium; some contain more sugar than others. Grains are not usually considered a good source of iodine, but commer- cially made breads often pick up iodine from the iodophors and iodates used to clean the plants and machines in which they are made. Homemade breads share the basic nutritional characteristics of commercially made breads, but you can vary the recipe to suit your own taste, lowering the salt, sugar, or fat and raising the fiber content, as you prefer.
The Most Nutritious Way to Serve This Food As sandwiches, with cheese, milk, eggs, meat, fish, or poultry. These foods supply the essen- tial amino acid lysine to “complete” the proteins in grains. With beans or peas. The proteins in grains are deficient in the essential amino acids lysine and isoleucine and rich in the essential amino acids tryptophan, methionine, and cystine. The proteins in legumes (beans and peas) are exactly the opposite.
Diets That May Restrict or Exclude This Food Gluten-free diet (excludes breads made with wheat, oats, rye, buckwheat and barley flour) Lactose-free diet Low-fiber diet (excludes coarse whole-grain breads) Low-sodium diet
Buying This Food Look for: Fresh bread. Check the date on closed packages of commercial bread.
Storing This Food Store bread at room temperature, in a tightly closed plastic bag (the best protection) or in a breadbox. How long bread stays fresh depends to a great extent on how much fat it contains. Bread made with some butter or other fat will keep for about three days at room tempera- ture. Bread made without fat (Italian bread, French bread) will dry out in just a few hours; for longer storage, wrap it in foil, put it inside a plastic bag, and freeze it. When you are ready to serve the French or Italian bread, you can remove it from the plastic bag and put the foil- wrapped loaf directly into the oven. Throw away moldy bread. The molds that grow on bread may produce carcinogenic toxins. Do not store fresh bread in the refrigerator; bread stales most quickly at temperatures just above freezing. The one exception: In warm, humid weather, refrigerating bread slows the growth of molds.
When You Are Ready to Serve This Food Use a serrated knife to cut bread easily.
What Happens When You Cook This Food Toasting is a chemical process that caramelizes sugars and amino acids (proteins) on the surface of the bread, turning the bread a golden brown. This chemical reaction, known both as the browning reaction and the Maillard reaction (after the French chemist who first identified it), alters the structure of the surface sugars, starches, and amino acids. The sugars become indigestible food fiber; the amino acids break into smaller fragments that are no longer nutritionally useful. Thus toast has more fiber and less protein than plain bread. How- ever, the role of heat-generated fibers in the human diet is poorly understood. Some experts consider them inert and harmless; others believe they may be hazardous.
How Other Kinds of Processing Affect This Food Freezing. Frozen bread releases moisture that collects inside the paper, foil, or plastic bag in which it is wrapped. If you unwrap the bread before defrosting it, the moisture will be lost and the bread will be dry. Always defrost bread in its wrappings so that it can reabsorb the moisture that keeps it tasting fresh. Drying. Since molds require moisture, the less moisture a food contains, the less likely it is support mold growth. That is why bread crumbs and Melba toast, which are relatively mois- ture-free, keep better than fresh bread. Both can be ground fine and used as a toasty-flavored thickener in place of flour or cornstarch.
Medical Uses and/or Benefits A lower risk of some kinds of cancer. In 1998, scientists at Wayne State University in Detroit conducted a meta-analysis of data from more than 30 well-designed animal studies mea- suring the anti-cancer effects of wheat bran, the part of grain with highest amount of the insoluble dietary fibers cellulose and lignin. They found a 32 percent reduction in the risk of colon cancer among animals fed wheat bran; now they plan to conduct a similar meta- analysis of human studies. Breads made with whole grain wheat are a good source of wheat bran. NOTE : The amount of fiber per serving listed on a food package label shows the total amount of fiber (insoluble and soluble). Early in 1999, however, new data from the long-running Nurses Health Study at Brigham Women’s Hospital/Harvard University School of Public Health showed that women who ate a high-fiber diet had a risk of colon cancer similar to that of women who ate a low fiber diet. Because this study contradicts literally hundreds of others conducted over the past 30 years, researchers are awaiting confirming evidence before changing dietary recommendations. Calming effect. Mood is affected by naturally occurring chemicals called neurotransmitters that facilitate transmission of impulses between brain cells. The amino acid tryptophan amino acid is the most important constituent of serotonin, a “calming” neurotransmitter. Foods such as bread, which are high in complex carbohydrates, help move tryptophan into your brain, increasing the availability of serotonin.
Adverse Effects Associated with This Food Allergic reactions and/or gastric distress. Bread contains several ingredients that may trigger allergic reactions, aggravate digestive problems, or upset a specific diet, among them gluten (prohibited on gluten-free diets); milk (prohibited on a lactose- and galactose-free diet or for people who are sensitive to milk proteins); sugar (prohibited on a sucrose-free diet); salt (controlled on a sodium-restricted diet); and fats (restricted or prohibited on a controlled-fat, low-cholesterol diet).... bread
Tumours All masses cause varying combinations of headache and vomiting – symptoms of raised pressure within the inexpansible bony box formed by the skull; general or localised epileptic ?ts; weakness of limbs or disordered speech; and varied mental changes. Tumours may be primary, arising in the brain, or secondary deposits from tumours arising in the lung, breast or other organs. Some brain tumours are benign and curable by surgery: examples include meningiomas and pituitary tumours. The symptoms depend on the size and situation of the mass. Abscesses or blood clots (see HAEMATOMA) on the surface or within the brain may resemble tumours; some are removable. Gliomas ( see GLIOMA) are primary malignant tumours arising in the glial tissue (see GLIA) which despite surgery, chemotherapy and radiotherapy usually have a bad prognosis, though some astrocytomas and oligodendronogliomas are of low-grade malignancy. A promising line of research in the US (in the animal-testing stage in 2000) suggests that the ability of stem cells from normal brain tissue to ‘home in’ on gliomal cells can be turned to advantage. The stem cells were chemically manipulated to carry a poisonous compound (5-?uorouracil) to the gliomal cells and kill them, without damaging normal cells. Around 80 per cent of the cancerous cells in the experiments were destroyed in this way.
Clinical examination and brain scanning (CT, or COMPUTED TOMOGRAPHY; magnetic resonance imaging (MRI) and functional MRI) are safe, accurate methods of demonstrating the tumour, its size, position and treatability.
Strokes When a blood vessel, usually an artery, is blocked by a clot, thrombus or embolism, the local area of the brain fed by that artery is damaged (see STROKE). The resulting infarct (softening) causes a stroke. The cells die and a patch of brain tissue shrinks. The obstruction in the blood vessel may be in a small artery in the brain, or in a larger artery in the neck. Aspirin and other anti-clotting drugs reduce recurrent attacks, and a small number of people bene?t if a narrowed neck artery is cleaned out by an operation – endarterectomy. Similar symptoms develop abruptly if a blood vessel bursts, causing a cerebral haemorrhage. The symptoms of a stroke are sudden weakness or paralysis of the arm and leg of the opposite side to the damaged area of brain (HEMIPARESIS), and sometimes loss of half of the ?eld of vision to one side (HEMIANOPIA). The speech area is in the left side of the brain controlling language in right-handed people. In 60 per cent of lefthanders the speech area is on the left side, and in 40 per cent on the right side. If the speech area is damaged, diffculties both in understanding words, and in saying them, develops (see DYSPHASIA).
Degenerations (atrophy) For reasons often unknown, various groups of nerve cells degenerate prematurely. The illness resulting is determined by which groups of nerve cells are affected. If those in the deep basal ganglia are affected, a movement disorder occurs, such as Parkinson’s disease, hereditary Huntington’s chorea, or, in children with birth defects of the brain, athetosis and dystonias. Modern drugs, such as DOPAMINE drugs in PARKINSONISM, and other treatments can improve the symptoms and reduce the disabilities of some of these diseases.
Drugs and injury Alcohol in excess, the abuse of many sedative drugs and arti?cial brain stimulants – such as cocaine, LSD and heroin (see DEPENDENCE) – can damage the brain; the effects can be reversible in early cases. Severe head injury can cause localised or di?use brain damage (see HEAD INJURY).
Cerebral palsy Damage to the brain in children can occur in the uterus during pregnancy, or can result from rare hereditary and genetic diseases, or can occur during labour and delivery. Severe neurological illness in the early months of life can also cause this condition in which sti? spastic limbs, movement disorders and speech defects are common. Some of these children are learning-disabled.
Dementias In older people a di?use loss of cells, mainly at the front of the brain, causes ALZHEIMER’S DISEASE – the main feature being loss of memory, attention and reasoned judgement (dementia). This affects about 5 per cent of the over-80s, but is not simply due to ageing processes. Most patients require routine tests and brain scanning to indicate other, treatable causes of dementia.
Response to current treatments is poor, but promising lines of treatment are under development. Like Parkinsonism, Alzheimer’s disease progresses slowly over many years. It is uncommon for these diseases to run in families. Multiple strokes can cause dementia, as can some organic disorders such as cirrhosis of the liver.
Infections in the brain are uncommon. Viruses such as measles, mumps, herpes, human immunode?ciency virus and enteroviruses may cause ENCEPHALITIS – a di?use in?ammation (see also AIDS/HIV).
Bacteria or viruses may infect the membrane covering the brain, causing MENINGITIS. Viral meningitis is normally a mild, self-limiting infection lasting only a few days; however, bacterial meningitis – caused by meningococcal groups B and C, pneumococcus, and (now rarely) haemophilus – is a life-threatening condition. Antibiotics have allowed a cure or good control of symptoms in most cases of meningitis, but early diagnosis is essential. Severe headaches, fever, vomiting and increasing sleepiness are the principal symptoms which demand urgent advice from the doctor, and usually admission to hospital. Group B meningococcus is the commonest of the bacterial infections, but Group C causes more deaths. A vaccine against the latter has been developed and has reduced the incidence of cases by 75 per cent.
If infection spreads from an unusually serious sinusitis or from a chronically infected middle ear, or from a penetrating injury of the skull, an abscess may slowly develop. Brain abscesses cause insidious drowsiness, headaches, and at a late stage, weakness of the limbs or loss of speech; a high temperature is seldom present. Early diagnosis, con?rmed by brain scanning, is followed by antibiotics and surgery in hospital, but the outcome is good in only half of affected patients.
Cerebral oedema Swelling of the brain can occur after injury, due to engorgement of blood vessels or an increase in the volume of the extravascular brain tissue due to abnormal uptake of water by the damaged grey (neurons) matter and white (nerve ?bres) matter. This latter phenomenon is called cerebral oedema and can seriously affect the functioning of the brain. It is a particularly dangerous complication following injury because sometimes an unconscious person whose brain is damaged may seem to be recovering after a few hours, only to have a major relapse. This may be the result of a slow haemorrhage from damaged blood vessels raising intracranial pressure, or because of oedema of the brain tissue in the area surrounding the injury. Such a development is potentially lethal and requires urgent specialist treatment to alleviate the rising intracranial pressure: osmotic agents (see OSMOSIS) such as mannitol or frusemide are given intravenously to remove the excess water from the brain and to lower intracranial pressure, buying time for de?nitive investigation of the cranial damage.... brain, diseases of
Habitat: Cultivated as an oil-yielding crop.
English: Field Mustard, Turnip Rape.Ayurvedic: Sarshapa, Siddhaartha.Unani: Sarson.Siddha/Tamil: Kadugu.Action: Stimulant, diuretic, emetic, rubefacient, counter-irritant. Used externally for bronchitis and rheumatic pains (increases flow of blood to a specific area). Powdered seeds are used as a tea for colds, influenza and fever.
The seeds contain glycosinolates (the derivatives are responsible for tox- icity). The concentration of the major glucosinolate, gluco-napin, varies from 0.64 to 1.8% in the oil-free meal of Indian brassicas. The glucosinolates in rapeseed meal split upon enzymatic hydrolysis to produce glucose, potassium, hydrogen sulphate and a sulphur- containing compound which undergoes intramolecular rearrangement to give rise to the antinutritional factors, isothiocyanates or thiocyanates.The volatile oil of mustard is given internally in colic; in overdoses it is highly poisonous and produces gastro- enteric inflammations. It is employed externally as a liniment for rheumatic pains.Adulteration of mustard oil with argemone oil (Argemone mexicana is frequently found growing in brassica fields), by accident or by design, has led to the widespread epidemics of dropsy and glaucoma due to an alkaloid sanguinarine.Black mustard contains sinigrin, which on hydrolysis by enzyme my- rosin, produces allyisothiocynate; the white mustard contains sinalbin, which produces p-hydroxybenzyl isothiocy- nate. Mucilage contains sinapine.Dosage: Seed—500 mg to 1 g paste. (API Vol. III.)... brassica campestrisHabitat: Cultivated in Punjab, West Bengal, Uttar Pradesh and Gujarat.
English: Chinese Mustard, Brown Mustard.Ayurvedic: Raajikaa, Aasuri Raai, Tikshnagandhaa.Siddha/Tamil: Kadugu.Folk: RaaiAction: Raai is a substitute for Mustard. Antidysenteric, stomachic, diaphoretic, anthelmintic. Increases pancreatic secretions. A decoction of seeds is given in indigestion, cough. Used externally as a counter-irritant in several complaints of nervous systems.... brassica juncea
Habitat: Cultivated in Punjab, Bengal and Bihar.
English: Mustard, Indian Rape.Ayurvedic: Krishna-Sarshapa, Raajakshavaka, Kattaka, Katus- neha, Tantubha, Siddhaartha, Siddhaarthaka, Siddhaartha-sita, Rakshogna. (White variety of Sarshapa is also equated with Siddhaartha. Asita and Rakta seed varieties are reddish; Gaur and Siddhaartha are whitish.)Unani: Kaali Sarson.Action: Emollient, diuretic, anticatarrhal.
The oil gave brassino steroid—brasi- nolide. Seeds gave a antithyroid compound, 5-vinyl-2-oxazolidinethone; thioglucosides and thioglucosinolates. The seed oil is said to dissolves gallstone.... brassica napusHabitat: Cultivated in Punjab, Uttar Pradesh and Tamil Nadu.
English: Black Mustard.Ayurvedic: Banarasi Raai, Raajika (var.).Unani: Khardal Siyah. Siddha/Tamil: Kadugu. Folk: Raai.Action: Seeds are used for treating coryza with thin excoriating discharge with lacrimation, sneezing and hacking cough, nostril blockage and dry and hot feeling of pharyngitis.
The seeds contain glucosinolate sin- igrin, which produces allyl isothio- cyanate when mixed with warm water. Allyl isothiocynate acts as a counterir- ritant when diluted (1:50).Brayera anthelmintica Kunth.Synonym: Hagenia abyssinica (Bruce) J. F. Gmelin.Family: Rosaceae.Habitat: Indigenous to north-east Africa. Imported into Mumbai.
English: Cusso, Brayera.Folk: Kusso.Action: Anthelmintic. Administered in the form of an infusion for the expulsion of tapeworm (ineffective against hookworm, roundworm, whipworm). Irritant to mucous membrane; produces nausea, vomiting and colic in large doses.... brassica nigra
It is important for a paediatrician to determine that such events are not epileptic (see EPILEPSY). Generally they require no treatment other than reassurance, as recovery is spontaneous and rapid – although a small number of severely affected children have been helped by a PACEMAKER. Parents should avoid dramatising the attacks.... breath-holding
Breezey, Breezi, Breezie, Breezee, Breezea, Breezeah... breezy
Habitat: The tropical Himalayas and Deccan peninsula.
Ayurvedic: Bahuprajaa, Kaamboji (doubtful synonym).Folk: Kaali Kamboi (Gujarat).Action: Used as a galactagogue (as a supporting drug in herbal compound formulations). Spasmogenic.... breynia retusa
Benign disease is much more common than cancer, particularly in young women, and includes acute in?ammation of the breast (mastitis); abscess formation; and benign breast lumps, which may be ?broadenosis – di?use lumpiness also called chronic mastitis or ?brocystic disease – in which one or more ?uid-?lled sacs (cysts) develop.
Women who are breast feeding are particularly prone to mastitis, as infection may enter the breast via the nipple. The process may be arrested before a breast abscess forms by prompt treatment with antibiotics. Non-bacterial in?ammation may result from mammary duct ectasia (dilatation), in which abnormal or
blocked ducts may over?ow. Initial treatments should be with antibiotics, but if an abscess does form it should be surgically drained.
Duct ectasia, with or without local mastitis, is the usual benign cause of various nipple complaints, with common symptoms being nipple retraction, discharge and skin change.
Breast lumps form the chief potential danger and may be either solid or cystic. Simple examination may fail to distinguish the two types, but aspiration of a benign cyst usually results in its disappearance. If the ?uid is bloodstained, or if a lump still remains, malignancy is possible, and all solid lumps need histological (tissue examination) or cytological (cell examination) assessment. As well as having their medical and family history taken, any women with a breast lump should undergo triple assessment: a combination of clinical examination, imaging
– mammography for the over-35s and ultrasonagraphy for the under-35s – and ?ne-needle aspiration. The medical history should include details of any previous lumps, family history (up to 10 per cent of breast cancer in western countries is due to genetic disposition), pain, nipple discharge, change in size related to menstrual cycle and parous state, and any drugs being taken by the patient. Breasts should be inspected with the arms up and down, noting position, size, consistency, mobility, ?xity, and local lymphadenopathy (glandular swelling). Nipples should be examined for the presence of inversion or discharge. Skin involvement (peau d’orange) should be noted, and, in particular, how long changes have been present. Fine-needle aspiration and cytological examination of the ?uid are essential with ULTRASOUND, MAMMOGRAPHY and possible BIOPSY being considered, depending on the patient’s age and the extent of clinical suspicion that cancer may be present.
The commonest solid benign lump is a ?broadenoma, particularly in women of childbearing age, and is a painless, mobile lump. If small, it is usually safe to leave it alone, provided that the patient is warned to seek medical advice if its size or character changes or if the lump becomes painful. Fibroadenosis (di?use lumpiness often in the upper, outer quadrant) is a common (benign) lump. Others include periductal mastitis, fat NECROSIS, GALACTOCELE, ABSCESS, and non-breast-tissue lumps – for example, a LIPOMA (fatty tissue) or SEBACEOUS CYST. A woman with breast discharge should have a mammograph, ductograph, or total duct excision until the cause of any underlying duct ectasia is known. Appropriate treatment should then be given.
Malignant disease most commonly – but not exclusively – occurs in post-menopausal women, classically presenting as a slowly growing, painless, ?rm lump. A bloodstained nipple discharge or eczematous skin change may also be suggestive of cancer.
The most commonly used classi?cation of invasive cancers has split them into two types, ductal and lobular, but this is no longer suitable. There are also weaknesses in the tumour node metastases (TNM) system and the International Union Against Cancer (UICC) classi?cation.
The TNM system – which classi?es the lump by size, ?xity and presence of affected axillary glands and wider metastatic spread – is best combined with a pathological classi?cation, when assessing the seriousness of a possibly cancerous lump. Risk factors for cancer include nulliparity (see NULLIPARA), ?rst pregnancy over the age of 30 years, early MENARCHE, late MENOPAUSE and positive family history. The danger should be considered in women who are not breast feeding or with previous breast cancer, and must be carefully excluded if the woman is taking any contraceptive steroids or is on hormone-replacement therapy (see under MENOPAUSE).
Screening programmes involving mammography are well established, the aim being to detect more tumours at an early and curable stage. Pick-up rate is ?ve per 1,000 healthy women over 50 years. Yearly two-view mammograms could reduce mortality by 40 per cent but may cause alarm because there are ten false positive mammograms for each true positive result. In premenopausal women, breasts are denser, making mammograms harder to interpret, and screening appears not to save lives. About a quarter of women with a palpable breast lump turn out to have cancer.
Treatment This remains controversial, and all options should be carefully discussed with the patient and, where appropriate, with her partner. Locally contained disease may be treated by local excision of the lump, but sampling of the glands of the armpit of the same side should be performed to check for additional spread of the disease, and hence the need for CHEMOTHERAPY or RADIOTHERAPY. Depending on the extent of spread, simple mastectomy or modi?ed radical mastectomy (which removes the lymph nodes draining the breast) may be required. Follow-up chemotherapy, for example, with TAMOXIFEN (an oestrogen antagonist), much improves survival (it saves 12 lives over 100 women treated), though it may occasionally cause endometrial carcinoma. Analysis in the mid-1990s of large-scale international studies of breast-cancer treatments showed wide variations in their e?ectiveness. As a result the NHS has encouraged hospitals to set up breast-treatment teams containing all the relevant health professional experts and to use those treatments shown to be most e?ective.
As well as the physical treatments provided, women with suspected or proven breast cancer should be o?ered psychological support because up to 30 per cent of affected women develop an anxiety state or depressive illness within a year of diagnosis. Problems over body image and sexual diffculties occur in and around one-quarter of patients. Breast conservation and reconstructive surgery can improve the physical effects of mastectomy, and women should be advised on the prostheses and specially designed brassieres that are available. Specialist nurses and self-help groups are invaluable in supporting affected women and their partners with the problems caused by breast cancer and its treatment. Breast Cancer Care, British Association of Cancer United Patients (BACUP), Cancerlink, and Cancer Relief Macmillan Fund are among voluntary organisations providing support.... breasts, diseases of
Habitat: The sub-Himalayan tract from Kashmir eastwards to Assam, and in Bihar, Orissa and Andhra Pradesh.
Ayurvedic: Ekaviraa.Siddha/Tamil: Venge-maram.Folk: Gondni, Asaanaa (Maharashtra).Action: Bark and Root—astringent, anthelmintic. Used in the treatment of bone fracture.
The root contains 5.7% tannins.The leaves contain beta-sitosterol, its beta-D-glucoside and a triterpe- noid. Fructose, glucose and sucrose were identified as the components of the glycoside.... bridelia montanaHabitat: Throughout India up to an altitude of 1,000 m, except in very dry regions.
Ayurvedic: Mahaaviraa, Asana (Asana is equated with Pterocarpus marsupium Roxb., the Indian Kino tree.)Siddha/Tamil: Mulluvengai.Folk: Gondani, Gondui, Khaajaa.Action: Bark—astringent, used in the form of a liniment in rheumatism. Paste of the stem bark is applied to wounds.
The bark contains 16-40% tannin. Presence of a triterpene ketone in the bark is reported. The bark exhibited hypotensive properties in pharmacological trials. The extract of the bark significantly increased the mean survival time of mice infected intracere- brally with vaccinia virus. Ripe fruit pulp contains beta-sitosterol and gallic and ellagic acids.... bridelia retusaBridgett, Bridgette, Briget, Brigette, Bridgit, Bridgitte, Birgit, Birgitte, Birgitta, Berget, Bergitte, Bergit, Berit, Biddy, Bridie, Bride, Brid, Brigetta, Bridgetta, Brighid, Bidelia, Bidina, Breeda, Brigid, Brigida, Brigidia, Brigit, Brigitta, Brigitte, Brietta, Briette, Brigantia, Bryga, Brygida, Brygid... bridget
British National Formulary (BNF)
A pocket-book for those concerned with the prescribing, dispensing and administration of medicines in Britain. It is produced jointly by the Royal Pharmaceutical Society and the British Medical Association, is revised twice yearly and is distributed to NHS doctors by the Health Departments. The BNF is also available in electronic form.... british medical association (bma)
Britany, Brittanie, Brittaney, Brittani, Brittanee, Britney, Britnee, Britny, Britni, Britnie, Brittania, Brittnee, Brittni, Brittnie, Brittney, Brittny, Brettany, Brettani, Brettanie, Brettaney, Brettanee, Britaine, Britaina, Britani, Britania, Brittanya... brittany
Nutritional Profile Energy value (calories per serving): Low Protein: High Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: Moderate Fiber: Very high Sodium: Low Major vitamin contribution: Vitamin A, folate, vitamin C Major mineral contribution: Calcium
About the Nutrients in This Food Broccoli is very high-fiber food, an excellent source of vitamin A, the B vitamin folate, and vitamin C. It also has some vitamin E and vitamin K, the blood-clotting vitamin manufactured primarily by bacteria living in our intestinal tract. One cooked, fresh broccoli spear has five grams of dietary fiber, 2,500 IU vitamin A (108 percent of the R DA for a woman, 85 percent of the R DA for a man), 90 mcg folate (23 percent of the R DA), and 130 mg vitamin C (178 percent of the R DA for a woman, 149 percent of the R DA for a man).
The Most Nutritious Way to Serve This Food Raw. Studies at the USDA Agricultural Research Center in Beltsville, Maryland, show that raw broccoli has up to 40 percent more vitamin C than broccoli that has been cooked or frozen.
Diets That May Restrict or Exclude This Food Antiflatulence diet Low-fiber diet
Buying This Food Look for: Broccoli with tightly closed buds. The stalk, leaves, and florets should be fresh, firm, and brightly colored. Broccoli is usually green; some varieties are tinged with purple. Avoid: Broccoli with woody stalk or florets that are open or turning yellow. When the green chlorophyll pigments fade enough to let the yellow carotenoids underneath show through, the buds are about to bloom and the broccoli is past its prime.
Storing This Food Pack broccoli in a plastic bag and store it in the refrigerator or in the vegetable crisper to protect its vitamin C. At 32°F, fresh broccoli can hold onto its vitamin C for as long as two weeks. Keep broccoli out of the light; like heat, light destroys vitamin C.
Preparing This Food First, rinse the broccoli under cool running water to wash off any dirt and debris clinging to the florets. Then put the broccoli, florets down, into a pan of salt water (1 tsp. salt to 1 qt. water) and soak for 15 to 30 minutes to drive out insects hiding in the florets. Then cut off the leaves and trim away woody section of stalks. For fast cooking, divide the broccoli up into small florets and cut the stalk into thin slices.
What Happens When You Cook This Food The broccoli stem contains a lot of cellulose and will stay firm for a long time even through the most vigorous cooking, but the cell walls of the florets are not so strongly fortified and will soften, eventually turning to mush if you cook the broccoli long enough. Like other cruciferous vegetables, broccoli contains mustard oils (isothiocyanates), natural chemicals that break down into a variety of smelly sulfur compounds (including hydrogen sulfide and ammonia) when the broccoli is heated. The reaction is more intense in aluminum pots. The longer you cook broccoli, the more smelly compounds there will be, although broccoli will never be as odorous as cabbage or cauliflower. Keeping a lid on the pot will stop the smelly molecules from floating off into the air but will also accelerate the chemical reaction that turns green broccoli olive-drab. Chlorophyll, the pigment that makes green vegetables green, is sensitive to acids. When you heat broccoli, the chlorophyll in its florets and stalk reacts chemically with acids in the broccoli or in the cooking water to form pheophytin, which is brown. The pheophytin turns cooked broccoli olive-drab or (since broccoli contains some yellow carotenes) bronze. To keep broccoli green, you must reduce the interaction between the chlorophyll and the acids. One way to do this is to cook the broccoli in a large quantity of water, so the acids will be diluted, but this increases the loss of vitamin C.* Another alternative is to leave the lid off the pot so that the hydrogen atoms can float off into the air, but this allows the smelly sulfur compounds to escape, too. The best way is probably to steam the broccoli quickly with very little water, so it holds onto its vitamin C and cooks before there is time for reac- tion between chlorophyll and hydrogen atoms to occur.
How Other Kinds of Processing Affect This Food Freezing. Frozen broccoli usually contains less vitamin C than fresh broccoli. The vitamin is lost when the broccoli is blanched to inactivate catalase and peroxidase, enzymes that would otherwise continue to ripen the broccoli in the freezer. On the other hand, according to researchers at Cornell University, blanching broccoli in a microwave oven—two cups of broccoli in three tablespoons of water for three minutes at 600 –700 watts—nearly doubles the amount of vitamin C retained. In experiments at Cornell, frozen broccoli blanched in a microwave kept 90 percent of its vitamin C, compared to 56 percent for broccoli blanched in a pot of boiling water on top of a stove.
Medical Uses and/or Benefits Protection against some cancers. Naturally occurring chemicals (indoles, isothiocyanates, glucosinolates, dithiolethiones, and phenols) in Brussels sprouts, broccoli, cabbage, cauli- flower, and other cruciferous vegetables appear to reduce the risk of some forms of cancer, perhaps by preventing the formation of carcinogens in your body or by blocking cancer- causing substances from reaching or reacting with sensitive body tissues or by inhibiting the transformation of healthy cells to malignant ones. All cruciferous vegetables contain sulforaphane, a member of a family of chemicals known as isothiocyanates. In experiments with laboratory rats, sulforaphane appears to increase the body’s production of phase-2 enzymes, naturally occurring substances that inacti- vate and help eliminate carcinogens. At the Johns Hopkins University in Baltimore, Maryland, 69 percent of the rats injected with a chemical known to cause mammary cancer developed tumors vs. only 26 percent of the rats given the carcinogenic chemical plus sulforaphane. To get a protective amount of sulforaphane from broccoli you would have to eat about two pounds a week. But in 1997, Johns Hopkins researchers discovered that broccoli seeds and three-day-old broccoli sprouts contain a compound converted to sulforaphane when the seed and sprout cells are crushed. Five grams of three-day-old sprouts contain as much sulphoraphane as 150 grams of mature broccoli. * Broccoli will lose large amounts of vitamin C if you cook it in water t hat is cold when you start. As it boils, water releases ox ygen t hat would ot her wise dest roy vitamin C, so you can cut t he vitamin loss dramat ically simply by lett ing t he water boil for 60 seconds before adding t he broccoli. Vision protection. In 2004, the Johns Hopkins researchers updated their findings on sulfora- phane to suggest that it may also protect cells in the eyes from damage due to ultraviolet light, thus reducing the risk of macular degeneration, the most common cause of age-related vision loss. Lower risk of some birth defects. Up to two or every 1,000 babies born in the United States each year may have cleft palate or a neural tube (spinal cord) defect due to their mothers’ not having gotten adequate amounts of folate during pregnancy. The current R DA for folate is 180 mcg for a woman, 200 mcg for a man, but the FDA now recommends 400 mcg for a woman who is or may become pregnant. Taking a folate supplement before becoming pregnant and continuing through the first two months of pregnancy reduces the risk of cleft palate; taking folate through the entire pregnancy reduces the risk of neural tube defects. Broccoli is a good source of folate. One raw broccoli spear has 107 mcg folate, more than 50 percent of the R DA for an adult. Possible lower risk of heart attack. In the spring of 1998, an analysis of data from the records for more than 80,000 women enrolled in the long-running Nurses’ Health Study at Harvard School of Public Health/Brigham and Women’s Hospital, in Boston, demonstrated that a diet providing more than 400 mcg folate and 3 mg vitamin B6 daily, either from food or supple- ments, might reduce a woman’s risk of heart attack by almost 50 percent. Although men were not included in the study, the results were assumed to apply to them as well. However, data from a meta-analysis published in the Journal of the American Medical Association in December 2006 called this theory into question. Researchers at Tulane Univer- sity examined the results of 12 controlled studies in which 16,958 patients with preexisting cardiovascular disease were given either folic acid supplements or placebos (“look-alike” pills with no folic acid) for at least six months. The scientists, who found no reduction in the risk of further heart disease or overall death rates among those taking folic acid, concluded that further studies will be required to ascertain whether taking folic acid supplements reduces the risk of cardiovascular disease. Possible inhibition of the herpes virus. Indoles, another group of chemicals in broccoli, may inhibit the growth of some herpes viruses. In 2003, at the 43rd annual Interscience Confer- ence on Antimicrobial Agents and Chemotherapy, in Chicago, researchers from Stockholm’s Huddinge University Hospital, the University of Virginia, and Northeastern Ohio University reported that indole-3-carbinol (I3C) in broccoli stops cells, including those of the herpes sim- plex virus, from reproducing. In tests on monkey and human cells, I3C was nearly 100 percent effective in blocking reproduction of the HSV-1 (oral and genital herpes) and HSV-2 (genital herpes), including one strain known to be resistant to the antiviral drug acyclovir (Zovirax).
Adverse Effects Associated with This Food Enlarged thyroid gland. Cruciferous vegetables, including broccoli, contain goitrin, thio- cyanate, and isothiocyanate, chemical compounds that inhibit the formation of thyroid hormones and cause the thyroid to enlarge in an attempt to produce more. These chemicals, known collectively as goitrogens, are not hazardous for healthy people who eat moderate amounts of cruciferous vegetables, but they may pose problems for people who have thyroid problems or are taking thyroid medication. 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. Broccoli contains peroxidase, a natural chemical that also turns alphaguaiaconic acid blue and may produce a positive test in people who do not actually have blood in the stool.
Food/Drug Interactions Anticoagulants Broccoli is rich in vitamin K, the blood-clotting vitamin produced natu- rally by bacteria in the intestines. Consuming large quantities of this food may reduce the effectiveness of anticoagulants (blood thinners) such as warfarin (Coumadin). One cup of drained, boiled broccoli contains 220 mcg vitamin K, nearly four times the R DA for a healthy adult.... broccoli
Brooklin, Brooklynn, Brooklynne... brooklyn
Action: Taraamiraa (Jirjeer)— used in Unani medicine as a spermatic tonic (powder of seeds is administered with a half-fried egg), also as a blood purifier, diuretic, emmenagogue and deobstruent. Leaf juice—used as a lotion for blotches, spots and blemishes.
Nasturtium officinale (Brassicaceae): Antiscorbutic and stimulant. A rich source of vitamins A and E, also of ascorbic acid. Seeds contain glucon- casturtin. Used for metabolic disorders, anaemia, strangury, kidney and bladder disorders and catarrh of the respiratory tract.Eruca sativa Mill.: Cultivated in North India; known as Taraamiraa, Siddhaartha, Bhutaghna. Seeds are used like mustard. Seeds—antibacterial. Crude juice of the plant inhibited E. coli, S. typhi and B. subtlis. Seeds contain (4-Me-thio)-Bu-glucosinolate (glucoerucin) as K and tetra-Me-N salts. A composition is used in induration of liver.... brucea sativaHabitat: Native to Mexico; grown in Indian gardens.
English: Angel's Trumpet.Action: Leaf and flower—used to treat asthma; to induce hallucinations. Can cause severe toxicity.
All parts of the plant contain tropane alkaloids (concentration highest in the foliage and seeds), particularly atropine, hyoscyamine and hyoscine (scopolamine.)... brugmansia suaveolensBrunhilde, Brunhilda, Brunnehild, Brunnehilde, Brunnehilda, Brynhild, Brynhilde, Brynhilda... brunhild
Nutritional Profile Energy value (calories per serving): Low Protein: High Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: High Sodium: Low Major vitamin contribution: Vitamin A, folate, vitamin C Major mineral contribution: Potassium, iron
About the Nutrients in This Food Brussels sprouts are high in dietary fiber, especially insoluble cellulose and lignan in the leaf ribs. They are also a good source of vitamin A and vitamin C. One-half cup cooked fresh brussels sprouts has three grams of dietary fiber, 1,110 IU vitamin A (48 percent of the R DA for a woman, 37 percent of the R DA for a man), 47 mcg folate (16 percent of the R DA), and 48 mg vitamin C (64 percent of the R DA for a woman, 53 percent of the R DA for a man). Brussels sprouts also contain an antinutrient, a natural chemical that splits the thiamin (vitamin B1) molecule so that it is no longer nutritionally useful. This thiamin inhibitor is inactivated by cooking.
The Most Nutritious Way to Serve This Food Fresh, lightly steamed to preserve the vitamin C and inactivate the antinutrient.
Diets That May Restrict or Exclude This Food Antiflatulence diet Low-fiber diet
Buying This Food Look for: Firm, compact heads with bright, dark-green leaves, sold loose so that you can choose the sprouts one at a time. Brussels sprouts are available all year round. Avoid: Puff y, soft sprouts with yellow or wilted leaves. The yellow carotenes in the leaves show through only when the leaves age and their green chlorophyll pigments fade. Wilting leaves and puff y, soft heads are also signs of aging. Avoid sprouts with tiny holes in the leaves through which insects have burrowed.
Storing This Food Store the brussels sprouts in the refrigerator. While they are most nutritious if used soon after harvesting, sprouts will keep their vitamins (including their heat-sensitive vitamin C) for several weeks in the refrigerator. Store the sprouts in a plastic bag or covered bowl to protect them from moisture loss.
Preparing This Food First, drop the sprouts into salted ice water to flush out any small bugs hiding inside. Next, trim them. Remove yellow leaves and leaves with dark spots or tiny holes, but keep as many of the darker, vitamin A–rich outer leaves as possible. Then, cut an X into the stem end of the sprouts to allow heat and water in so that the sprouts cook faster.
What Happens When You Cook This Food Brussels sprouts contain mustard oils (isothiocyanates), natural chemicals that break down into a variety of smelly sulfur compounds (including hydrogen sulfide and ammonia) when the sprouts are heated, a reaction that is intensified in aluminum pots. The longer you cook the sprouts, the more smelly compounds there will be. Adding a slice of bread to the cook- ing water may lessen the odor; keeping a lid on the pot will stop the smelly molecules from floating off into the air. But keeping the pot covered will also increase the chemical reaction that turns cooked brussels sprouts drab. Chlorophyll, the pigment that makes green vegetables green, is sensi- tive to acids. When you heat brussels sprouts, the chlorophyll in their green leaves reacts chemically with acids in the sprouts or in the cooking water to form pheophytin, which is brown. The pheophytin turns cooked brussels sprouts olive or, since they also contain yel- low carotenes, bronze. To keep cooked brussels sprouts green, you have to reduce the interaction between chlorophyll and acids. One way to do this is to cook the sprouts in a lot of water, so the acids will be diluted, but this increases the loss of vitamin C.* Another alternative is to leave the lid off the pot so that the hydrogen atoms can float off into the air, but this allows the smelly sulfur compounds to escape, too. The best solution is to steam the sprouts quickly in very little water, so they retain their vitamin C and cook before there is time for reaction between chlorophyll and hydrogen atoms to occur.
How Other Kinds of Processing Affect This Food Freezing. Frozen brussels sprouts contain virtually the same amounts of vitamins as fresh boiled sprouts.
Medical Uses and/or Benefits Protection against cancer. Naturally occurring chemicals (indoles, isothiocyanates, gluco- sinolates, dithiolethiones, and phenols) in brussels sprouts, broccoli, cabbage, cauliflower and other cruciferous vegetables appear to reduce the risk of some cancers, perhaps by pre- venting the formation of carcinogens in your body or by blocking cancer-causing substances from reaching or reacting with sensitive body tissues or by inhibiting the transformation of healthy cells to malignant ones. All cruciferous vegetables contain sulforaphane, a member of a family of chemicals known as isothiocyanates. In experiments with laboratory rats, sulforaphane appears to increase the body’s production of phase-2 enzymes, naturally occurring substances that inac- tivate and help eliminate carcinogens. At Johns Hopkins University in Baltimore, Maryland, 69 percent of the rats injected with a chemical known to cause mammary cancer developed tumors vs. only 26 percent of the rats given the carcinogenic chemical plus sulforaphane. In 1997, the Johns Hopkins researchers discovered that broccoli seeds and three- day-old broccoli sprouts contain a compound converted to sulforaphane when the seed and sprout cells are crushed. Five grams of three-day-old broccoli sprouts contain as much sulforaphane as 150 grams of mature broccoli. The sulforaphane levels in other cruciferous vegetables have not yet been calculated. Lower risk of some birth defects. Up to two or every 1,000 babies born in the United States each year may have cleft palate or a neural tube (spinal cord) defect due to their mothers’ not having gotten adequate amounts of folate during pregnancy. NOTE : The current R DA for folate is 180 mcg for a woman and 200 mcg for a man, but the FDA now recommends * Brussels sprouts will lose as much as 25 percent of their vitamin C if you cook them in water that is cold when you start. As it boils, water releases oxygen that would otherwise destroy vitamin C. You can cut the vitamin loss dramatically simply by letting the water boil for 60 seconds before adding the sprouts. 400 mcg for a woman who is or may become pregnant. Taking a folate supplement before becoming pregnant and continuing through the first two months of pregnancy reduces the risk of cleft palate; taking folate through the entire pregnancy reduces the risk of neural tube defects. Possible lower risk of heart attack. In the spring of 1998, an analysis of data from the records for more than 80,000 women enrolled in the long-running Nurses’ Health Study at Harvard School of Public Health/Brigham and Women’s Hospital, in Boston, demonstrated that a diet providing more than 400 mcg folate and 3 mg vitamin B6 daily, either from food or supple- ments, might reduce a woman’s risk of heart attack by almost 50 percent. Although men were not included in the study, the results were assumed to apply to them as well. However, data from a meta-analysis published in the Journal of the American Medical Association in December 2006 called this theory into question. Researchers at Tulane Univer- sity examined the results of 12 controlled studies in which 16,958 patients with preexisting cardiovascular disease were given either folic acid supplements or placebos (“look-alike” pills with no folic acid) for at least six months. The scientists, who found no reduction in the risk of further heart disease or overall death rates among those taking folic acid, concluded that further studies will be required to verif y whether taking folic acid supplements reduces the risk of cardiovascular disease. Vision protection. In 2004, the Johns Hopkins researchers updated their findings on sulfora- phane to suggest that it may also protect cells in the eyes from damage due to ultraviolet light, thus reducing the risk of macular degeneration, the most common cause of age-related vision loss.
Adverse Effects Associated with This Food Enlarged thyroid gland (goiter). Cruciferous vegetables, including brussels sprouts, contain goitrin, thiocyanate, and isothiocyanate. These chemicals, known collectively as goitrogens, inhibit the formation of thyroid hormones and cause the thyroid to enlarge in an attempt to produce more. Goitrogens are not hazardous for healthy people who eat moderate amounts of cruciferous vegetables, but they may pose problems for people who have a thyroid condi- tion or are taking thyroid medication. Intestinal gas. Bacteria that live naturally in the gut degrade the indigestible carbohydrates (food fiber) in brussels sprouts and produce gas that some people find distressing.
Food/Drug Interactions Anticoagulants Brussels sprouts are rich in vitamin K, the blood-clotting vitamin produced naturally by bacteria in the intestines. Consuming large quantities of this food may reduce the effectiveness of anticoagulants (blood thinners) such as warfarin (Coumadin). One cup of drained, boiled brussels sprouts contains 219 mcg vitamin K, nearly three times the R DA for a healthy adult.... brussels sprouts
Habitat: The Himalayas from Kashmir to Bhutan at altitudes of 1,400-4,000 m, in Khasi Hills and hills of South India.
English: Self-heal.Unani: Substitute for Ustukhudduus. (Lavandula stoechas Linn.)Folk: Dhaaru.Action: Wound healing, expectorant, antiseptic, astringent, haemostatic, antispasmodic. Leaf- used in piles; and as a cooling herb for fevers.
The herb contains vitamins A, B, C and K; flavonoids; rutin. Flower spikes are liver-restorative, hypotensive, an- tioxidant.Lupeol, stigmasterol and beta-sitos- terol are obtained from the unsapo- nifiable fraction from the leaves, the saponifiable fraction gave lauric,... brunella vulgarisHabitat: Dry deciduous forests in peninsular India.
English: Buchanan's Mango, Cuddapah Almond.Ayurvedic: Priyaal (var.).Unani: Habb-us-Simanaa.Siddha/Tamil: Mudaima, Saaraap- paruppu.Action: Kernel of seeds are considered best among Buchanania sp. Uses similar to those of B. lanzan.
An ethanolic extract (50%) of the aerial part showed CNS-depressant activity in mice.... buchanania axillarisHabitat: Drier parts of India.
English: Almondette tree, Cheron- jee, Buchanan's Mango.Ayurvedic: Priyaala, Piyaala, Kharskandha, Bahulvalkala, Taa- paseshtha, Sannakadru Dhanush- pat, Chaar.Unani/Tamil ? Saaraapparuppu.Siddha: Mudaima, Morala (Tamil).Action: Kernel—laxative, febrifuge. An ointment made out of the kernels is used to cure itch of the skin and to remove blemishes from the face. Oil from kernels— substitute for almond oil. Applied to glandular swellings of the neck. The oil is a promising source of palmitic and oleic acids.
Kernel lipids (65.6%), comprised mainly of neutral lipids (90.4%), consist mostly of triacylglycerol (82.2%), free fatty acids (7.8%) and small amount of diacylglycerols, monoacylglycerols and sterols.The kernels are used in Indian medicine as a brain tonic. The leaves are valued as a cardiotonic.The leaves contain 2.64% tannins (0.35% gallo-tannins). The presence of triterpenoids, saponins, flavonoids and reducing sugars are also reported. Powdered or crushed leaves are applied to wounds.The bark contains 13.40% tannins. The presence of alkaloids, saponins and reducing sugars is also reported.Gum (stem exudate) is antidiar- rhoeal. Used internally in rheumatism.Dosage: Stem bark—5-10 g (API Vol. IV.)... buchanania lanzanHabitat: Low-lying, marshy lands.
Features ? Stem and stalk soft and pithy. Thin, brittle, dark green leaves with long stalks and three obovate leaflets, about two inches long by one inch broad, entire edges. Very bitter taste.Part used ? Herb.Action: Tonic, deobstruent.
Of special use as a bitter tonic; with suitable alteratives, etc., in rheumatism and skin diseases. Frequent wineglass doses of the 1 ounce to1 pint infusion. Coffin recommends for dyspepsia.... buckbeanHabitat: Rubbish heaps and waste land, particularly in chalky districts.
Features ? Many stems grow from root to a height of two feet, prickly and hairy. Root leaves stalked, stem leaves sessile, both narrow and tapering. Flowers, five-petalled, bright red, rapidly changing to deep blue, irregularly tubular, funnel-shaped, stamens reaching beyond mouth of flower, clustered on short curved spikes growing from side of stem.Part used ? Herb.Action: Demulcent, expectorant, diaphoretic.
Two to four tablespoonful doses of the 1 ounce to 1 pint infusion are given for the reduction of feverish colds and in inflammatory conditions of the respiratory tract.... buglossBunni, Bunnie, Bunney, Bunnee, Bunnea, Bunneah... bunny
Habitat: The Himalayas from Kashmir to Bhutan and the Khasi Hills, at 1,000-4,000 m.
English: Hare's Ear.Folk: Shingu (Himachal Pradesh), Sipil (Punjab), Thaanyo (Garhwal).Action: Roots—anti-inflammatory, haemolytic, antipyretic. Used in inflammations, muscle stiffness, neurosis, pain and pyrexia. Roots resolve inflammations of costal margin and diaphragm.
Key application: Extracts have been used for the treatment of chronic hepatitis, nephrotic syndrome and auto-immune diseases (WHO.).Therapeutic properties are attributed to saikoside or saikosaponins (yield from roots 2.06-3.02%), a complex mixture of triterpenic saponins. Saponin content varies with age. Saikos- aponins are analgesic, antipyretic as well as antitussive; anti-inflammatory on oral administration. In Japan and China, roots have been used traditionally in auto-immune diseases. Saikos- aponins form an ingredient of anti- tumour pharmaceuticals. A water- soluble crude polysaccharide fraction, prepared from the root, was reported to prevent HCl/ethanol-induced ulcero- genesis in mice significantly. Saiko- saponin-d, at a concentration of more than 5 ^m, inactivated measles virus and herpes simplex virus at room temperature.Several sterols, possessing metabolic activities and plasma cholesterol- lowering activity, have also been isolated from the root.... bupleurum flacutumBurnet, Burnette, Burnetta, Burneta, Burnete... burnett
Severe and extensive burns are most frequently produced by the clothes – for example, of a child – catching ?re. This applies especially to cotton garments, which blaze up quickly. It should be remembered that such a ?ame can immediately be extinguished by making the individual lie on the ?oor so that the ?ames are uppermost, and wrapping him or her in a rug, mat or blanket. As prevention is always better than cure, particular care should always be exercised with electric ?res and kettles or pots of boiling water in houses where there are young children or old people. Children’s clothes, and especially night-clothes, should be made of non-in?ammable material: pyjamas are also much safer than nightdresses.
Severe scalds are usually produced by escape of steam in boiler explosions. Cigarettes are a common cause of ?res and therefore of burns; people who have fallen asleep in bed or in a chair while smoking may set ?re to the bed or chair. Discarded, unextinguished cigarettes are another cause.
Degrees of burns Burns are referred to as either super?cial (or partial-thickness) burns, when there is su?cient skin tissue left to ensure regrowth of skin over the burned site; and deep (or full-thickness) burns, when the skin is totally destroyed and grafting will be necessary.
Symptoms Whilst many domestic burns are minor and insigni?cant, more severe burns and scalds can prove to be very dangerous to life. The main danger is due to SHOCK, which arises as a result of loss of ?uid from the circulating blood at the site of a serious burn. This loss of ?uid leads to a fall in the volume of the circulating blood. As the maintenance of an adequate blood volume is essential to life, the body attempts to compensate for this loss by withdrawing ?uid from the uninjured areas of the body into the circulation. If carried too far, however, this in turn begins to affect the viability of the body cells. As a sequel, essential body cells, such as those of the liver and kidneys, begin to suffer, and the liver and kidneys cease to function properly. This will show itself by the development of JAUNDICE and the appearance of albumin in the urine (see PROTEINURIA). In addition, the circulation begins to fail with a resultant lack of oxygen (see ANOXIA) in the tissues, and the victim becomes cyanosed (see CYANOSIS), restless and collapsed: in some cases, death ensues. In addition, there is a strong risk of infection occurring. This is the case with severe burns in particular, which leave a large raw surface exposed and very vulnerable to any micro-organisms. The combination of shock and infection can all too often be life-threatening unless expert treatment is immediately available.
The immediate outcome of a burn is largely determined by its extent. This is of more signi?cance than the depth of the burn. To assess the extent of a burn in relation to the surface of the body, what is known as the Rule of Nine has been evolved. The head and each arm cover 9 per cent of the body surface, whilst the front of the body, the back of the body, and each leg each cover 18 per cent, with the perineum (or crutch) accounting for the remaining 1 per cent. The greater the extent of the burn, the more seriously ill will the victim become from loss of ?uid from his or her circulation, and therefore the more prompt should be his or her removal to hospital for expert treatment. The depth of the burn, unless this is very great, is mainly of import when the question arises as to how much surgical treatment, including skin grafting, will be required.
Treatment This depends upon the severity of the burn. In the case of quite minor burns or scalds, all that may be necessary if they are seen immediately is to hold the part under cold running water until the pain is relieved. Cooling is one of the most e?ective ways of relieving the pain of a burn. If the burn involves the distal part of a limb – for example, the hand and forearm – one of the most e?ective ways of relieving pain is to immerse the burned part in lukewarm water and add cold water until the pain disappears. As the water warms and pain returns, more cold water is added. After some three to four hours, pain will not reappear on warming, and the burn may be dressed in the usual way. Thereafter a simple dressing (e.g. a piece of sterile gauze covered by cotton-wool, and on top of this a bandage or adhesive dressing) should be applied. The part should be kept at rest and the dressing kept quite dry until healing takes place. Blisters should be pierced with a sterile needle, but the skin should not be cut away. No ointment or oil should be applied, and an antiseptic is not usually necessary.
In slightly more severe burns or scalds, it is probably advisable to use some antiseptic dressing. These are the cases which should be taken to a doctor – whether a general practitioner, a factory doctor, or to a hospital Accident & Emergency department. There is still no general consensus of expert opinion as to the best ‘antiseptic’ to use. Among those recommended are CHLORHEXIDINE, and antibiotics such as BACITRACIN, NEOMYCIN and polymixin. An alternative is to use a Tulle Gras dressing which has been impregnated with a suitable antibiotic.
In the case of severe burns and scalds, the only sound rule is immediate removal to hospital. Unless there is any need for immediate resuscitation, such as arti?cial respiration, or attention to other injuries there may be, such as fractures or haemorrhage, nothing should be done on the spot to the patient except to make sure that s/he is as comfortable as possible and to keep them warm, and to cover the burn with a sterile (or clean) cloth such as a sheet, pillowcases, or towels wrung out in cold water. If pain is severe, morphine should be given – usually intravenously. Once the victim is in hospital, the primary decision is as to the extent of the burn, and whether or not a transfusion is necessary. If the burn is more than 9 per cent of the body surface in extent, a transfusion is called for. The precise treatment of the burn varies, but the essential is to prevent infection if this has not already occurred, or, if it has, to bring it under control as quickly as possible. The treatment of severe burns has made great advances, with quick transport to specialised burns units, modern resuscitative measures, the use of skin grafting and other arti?cial covering techniques and active rehabilitation programmes, o?ering victims a good chance of returning to normal life.
CHEMICAL BURNS Phenol or lysol can be washed o? promptly before they do much damage. Acid or alkali burns should be neutralised by washing them repeatedly with sodium bicarbonate or 1 per cent acetic acid, respectively. Alternatively, the following bu?er solution may be used for either acid or alkali burns: monobasic potassium phosphate (70 grams), dibasic sodium phosphate (70 grams) in 850 millilitres of water. (See also PHOSPHORUS BURNS.)... burns and scalds
Habitat: Throughout India, up to 1,200 m except in very arid regions.
English: Flame of the Forest, Butea Gum, Bengal Kino.Ayurvedic: Paalasha, Kimshuka, Raktapushpaka, Kshaarshreshtha, Brahmavriksha, Samidvar.Unani: Dhaak, Samagh Dhaak, Kamarkas.Siddha/Tamil: Palasam, Purasus.Folk: Tesu.Action: Bark—astringent, styptic (prescribed in bleeding piles, ulcers, haemorrhages, menstrual disorders), anthelmintic. Flowers— astringent, diuretic, emmenagogue (also given for leucorrhoea). A decoction of flowers is given in diarrhoea and haematuria, also to puerperal women. Seeds—clinical use of seeds as an anthelmintic drug is not considered safe in humans.
Leaves—antibacterial. Stem bark— antifungal.An aqueous extract of flowers has shown hepatoprotective activity against CCl4-induced liver injury in albino rats.Extracts of flowers have exhibited significant anti-oestrogenic activity in mice. The seed suspension, on oral administration to albino rats (175 and 350 mg/kg body weight), showed 38.46 and 68.75% cases, respectively, where pregnancy was not interrupted but foetus was malformed.Alcoholic extract of the whole plant produced persistent vasodepression in cats.The plant contains flavonoids and glucosides—butin, butrin, isobutrin and palastrin. Flowers contain butrin, coreopsin, monospermoside and their derivatives and sulphurein; also chal- cones.Dosage: Stem bark—5-10 g powder (API Vol. II); flower—3-6 g powder; seed—3 g powder; gum—0.5-1.5 g (API Vol. IV.)... butea monospermaButhayna, Buthainah, Buthaina, Buthana, Buthanah... buthaynah
Habitat: Low-lying meadows and damp waysides.
Features ? Stem thick, nearly one foot high. Leaves, appearing after the flowers, very large, cordate, downy underneath. Pink flowers on short stalks bloom in early spring in thick spikes. Rhizome quarter-inch thick, furrowed longitudinally, purplish- brown, pithy.Part used ? Rhizome.Action: Stimulant, diuretic.
Now little used except locally. Was formerly valued in feverish colds and urinary complaints.... butter-burHabitat: Central and Southern India.
Ayurvedic: Lataa-Palaash (orange or orange scarlet-flowered var.).Action: Seeds—sedative and anthelmintic; decoction emollient and used topically for piles. Seed oil—anthelmintic and hypotensive. Seeds exhibit haemagglutinating activity against human ABO red cells. Roots—hypotensive. Watery sap from stems is used for drinking purposes. Bark is used in tonics and elixirs.
White-flowered var. is equated with Butea parviflora Roxb.... butea superbaNutritional Profile Energy value (calories per serving): High Protein: Low Fat: High Saturated fat: High Cholesterol: High Carbohydrates: Low Fiber: None Sodium: Low (unsalted butter) High (salted butter) Major vitamin contribution: Vitamin A, vitamin D Major mineral contribution: None
About the Nutrients in This Food Butterfat is 62 percent saturated fatty acids, 35 percent monounsaturated fatty acids, and 4 percent polyunsaturated fatty acids. One tablespoon of butter has 11 g of fat, 7.1 g of saturated fat, and 31 mg cholesterol, and 1,070 IU vitamin A (46 percent of the R DA for a woman, 36 percent of the R DA for a man). The vitamin A is derived from carotenoids in plants eaten by the milk-cow.
Diets That May Restrict or Exclude This Food Low-cholesterol, controlled-fat diet Sodium-restricted diet (salted butter)
Buying This Food Look for: Fresh butter. Check the date on the package.
Storing This Food Store butter in the refrigerator, tightly wrapped to protect it from air and prevent it from picking up the odors of other food. Even refrigerated butter will eventually turn rancid as its fat molecules combine with oxygen to produce hydroperoxides that, in turn, break down into chemicals with an unpleasant flavor and aroma. This reaction is slowed (but not stopped) by cold. Because salt retards the combination of fats with oxygen, salted butter stays fresh longer than plain butter. (Lard, which is pork fat, must also be refrigerated. Lard has a higher proportion of unsaturated fats than the butter. Since unsaturated fats combine with oxygen more easily than saturated fats, lard becomes rancid more quickly than butter.)
Preparing This Food To measure a half-cup of butter. Pour four ounces of water into an eight-ounce measuring cup, then add butter until the water rises to the eight-ounce mark. Scoop out the butter, use as directed in recipe.
What Happens When You Cook This Food Fats are very useful in cooking. They keep foods from sticking to the pot or pan; add fla- vor; and, as they warm, transfer heat from the pan to the food. In doughs and batters, fats separate the flour’s starch granules from each other. The more closely the fat mixes with the starch, the smoother the bread or cake will be. Heat speeds the oxidation and decomposition of fats. When fats are heated, they can catch fire spontaneously without boiling first at what is called the smoke point. Butter will burn at 250°F.
How Other Kinds of Processing Affect This Food Freezing. Freezing slows the oxidation of fats more effectively than plain refrigeration; frozen butter keeps for up to nine months. Whipping. When butter is whipped, air is forced in among the fat molecules to produce a foam. As a result, the whipped butter has fewer calories per serving, though not per ounce.
Adverse Effects Associated with This Food Increased risk of heart disease. Like other foods from animals, butter contains cholesterol and saturated fats. Eating butter increases the amount of cholesterol circulating in your blood and raise your risk of heart disease. To reduce the risk of heart disease, USDA /Health and Human Services Dietary Guidelines for Americans recommends limiting the amount of cholesterol in your diet to no more than 300 mg a day. The guidelines also recommend limit- ing the amount of fat you consume to no more than 30 percent of your total calories, while holding your consumption of saturated fats to no more than 10 percent of your total calories (the calories from saturated fats are counted as part of the total calories from fat). Increased risk of acid reflux. Consuming excessive amounts of fats and fatty foods loosens the lower esophageal sphincter (LES), a muscular valve between the esophagus and the stomach. When food is swallowed, the valve opens to let food into the stomach, then closes tightly to keep acidic stomach contents from refluxing (flowing backwards) into the esopha- gus. If the LES does not close efficiently, the stomach contents reflux to cause heartburn, a burning sensation. Repeated reflux is a risk factor for esophageal cancer.... butter
Habitat: Throughout India, up to an altitude of 1,300 m, and in the Andamans.
Folk: Karalli, Kierpa. Varanga (Malyalam).Action: Leaves—used in the treatment of sapraemia. Bark—used for treating oral ulcers, stomatitis, inflammation of the throat.
The leaves contain alkaloids (0.2% dry basis), the major being (+)-hygro- line.... carallia brachiataHabitat: The Western and Central Himalayas and Punjab.
English: Himalayan Boxwood tree.Folk: Chikri, Shamshaad. Paapari (Garhwal).Action: Wood—diaphoretic. Bark— febrifuge. Leaves—purgative, diaphoretic; used in rheumatism. Poisonous. Not a safe drug for "purifying blood". Symptoms of poisoning are severe—abdominal pain, vomiting, convulsions and death.
The mixture of alkaloids is referred to as buxine. Buxenine-G is cytotoxic.There is preliminary evidence that a specific Boxwood leaf extract (SVP 30) might delay disease progression in HIV-infected patients. The extract is available through internet sources or AIDS Buyers' Clubs. (Natural Medicines Comprehensive Database, 2007.)... buxus wallichianaHabitat: Throughout the hotter parts of India. Common in West Bengal and South India. Often grown as hedge plant.
English: Fever Nut, Bonduc Nut, Nikkar Nut.Ayurvedic: Puutikaranja, Lataa- karanja, Kantaki Karanja, Karanjin, Kuberaakshi (seed).Unani: Karanjwaa.Siddha/Tamil: Kazharchikkaai.Action: Seed—antiperiodic, antirheumatic. Roasted and used as an antidiabetic preparation. Leaf, bark and seed—febrifuge. Leaf and bark—emmenagogue, anthelmintic. Root—diuretic, anticalculous.
The seeds contain an alkaloid cae- salpinine; bitter principles such as bon- ducin; saponins; fixed oil.The seed powder, dissolved in water, showed hypoglycaemic activity in alloxanized hyperglycaemic rabbits. Aqueous extract of the seeds produced similar effects in rats. The powder forms a household remedy for treatment of diabetes in Nicobar Islands. In Kangra, Himachal Pradesh, roots are used in intermittent fevers and diabetes.In homoeopathy, the plant is considered an excellent remedy for chronic fever.(Three plant species—Pongamia pinnata Pierre, Holoptelea integrifo- lia (Roxb.) Planch. and Caesalpinia bonduc (L.) Roxb. are being used as varieties of Karanja (because flowers impart colour to water). P. pinnata is a tree and is equated with Karanja, Naktamaala and Udakirya; H. integri- folia, also a tree, with Chirabilva, Puti- ka (bad smell) and Prakiryaa; and C. bonduc, a shrub, with Kantaki Karanja or Lataa Karanja.)Dosage: Seed kernel—1-3 g powder. (CCRAS.)... caesalpinia bonducHabitat: Indigenous to Iran. Imported into India.
English: White Rhapontic.Unani: Behman Safed, Behman- abyaz.Action: Root—nervine and anabolic tonic, strengthens central nervous system; also used in jaundice and affections of the kidney.
The roots contain taraxasterol, its acetate and myristate.... centaurea behenHabitat: Throughout India as a weed in cultivated areas and waste places, particularly in the temperate regions up to an altitude of 4,200 m.
English: Shepherd's Purse, St. James's Wort.Folk: Mumiri.Action: The herb or its juice extracts are employed to check menorrhagia and haemorrhages from renal and genitourinary tract. Also used in diarrhoea and dysentery and as a diuretic.
Key application: In symptom-based treatment of mild menorrhagia and metrorrhagia. (German Commission E.) The British Herbal Pharmacopoeia reported antihaem- orrhagic action.Aerial parts contain flavonoids, polypeptides, choline, acetylcholine, histamine and tyramine.The extract of dried or green plant causes strong contraction of the small intestines and uterus of guinea pigs. A quarternary ammonium salt has been isolated from the herb which is reported to be responsible for its pharmacological activity.Young leaves contain vitamin A (5,000 IU/100 g) and ascorbic acid (91 mg/100 g); among other constituents are hesperidin and rutin, which reduced permeability of blood vessel walls in white mice. A neoplasm inhibitory substance has been identified as fumaric acid. An inhibitory effect of the extracts of the herb on Ehrlich solid tumour in mice was found to be due to the fumaric acid.Major constituent of the essential oil is camphor.... capsella bursa-pastorisHabitat: Cultivated in the hills and plains of North India and in the hills of South India.
English: Black Caraway.Ayurvedic: Krishna jiraka, Kaash- mira jirak.Unani: Jiraa Siyaah, Kamoon- armani.Siddha/Tamil: Shemai-shiragam, Pilappu-shiragam.Action: See C. carvi.... carum bulbocastanum
Habitat: Punjab and South India.
Folk: Khappar-kaddu, Bhuu-tumbi, Paataal-tumbi. Gilothi. Galot (Punjab). Gilodya.Action: Tuberous root—used for diarrhoea and dysentery.
The fresh tubers are eaten after removing the bitterness by boiling. The bitter principle is an alkaloid, ceropegine. The tuber contains 42.52% starch and possesses refrigerant property.The aqueous extract of edible Cero- pegia sp. contains steriods, polyphenols, sugars and potassium. It potentiated pentobarbitone hypnosis and exhibited analgesic and diuretic activities. It also antagonized histamine-induced asphyxia in guinea pigs.C. candelabrum L. var. biflora (L.) M. Y. Ansari, synonym C. biflora L., C. tuberosa Roxb., C. intermedia auct. non-Wt., are also equated with Bhuu- tumbi, Paataal-tumbi.... ceropegia bulbosaHabitat: The Himalaya, from Kashmir to Sikkim.
English: Feather Geramium, Jerusalem-Oak.Folk: Jangaddi (Tibbet). Sahanik, Vaastuuka (Ladakh).Action: Stimulant, diuretic, carminative, antispasmodic, emme- nagogue, pectoral. Used in asthma, catarrh; diseases of the stomach and liver. Seeds are considered toxic.
The herb contains flavonoids (including chrysoeriol and quercetin), also several sesquiterpenoids. Betaine is found in all parts of the plant.Fresh herb yields an essential oil; Indian oil is reported to be devoid of as- caridole, the anthelmintic principle.... chenopodium botrysIn one part of the body there is a further complication. The veins coming from the bowels, charged with food material and other products, split up, and their blood undergoes a second capillary circulation through the liver. Here it is relieved of some food material and puri?ed, and then passes into the inferior vena cava, and so to the right atrium. This is known as the portal circulation.
The circle is maintained always in one direction by four valves, situated one at the outlet from each cavity of the heart.
The blood in the arteries going to the body generally is bright red, that in the veins dull red in colour, owing to the former being charged with oxygen and the latter with carbon dioxide (see RESPIRATION). For the same reason the blood in the pulmonary artery is dark, that in the pulmonary veins is bright. There is no direct communication between the right and left sides of the heart, the blood passing from the right ventricle to the left atrium through the lungs.
In the embryo, before birth, the course of circulation is somewhat di?erent, owing to the fact that no nourishment comes from the bowels nor air into the lungs. Accordingly, two large arteries pass out of the navel, and convey blood to be changed by contact with maternal blood (see PLACENTA), while a large vein brings this blood back again. There are also communications between the right and left atria, and between pulmonary artery and aorta. The latter is known as the ductus arteriosus. At birth all these extra vessels and connections close and rapidly shrivel up.... circulatory system of the blood
Habitat: Northwestern Rajasthan, Punjab plains and Delhi.
Unani: Panwaar.Folk: Madhio (Rajasthan).Action: Anti-inflammatory, antirheumatic, antidermatosis (used in scabies, also in leucoderma).
The plant contains trinortriterpe- noids and cabralealactone, besides ur- solic acid.... cleome brachycarpaResearch has shown that cognitive therapy is very e?ective in depression and that it can also help in anxiety, OBSESSIVE COMPULSIVE DISORDER, and EATING DISORDERS such as anorexia and bulimia nervosa. This therapy is also proving useful in helping people cope with HALLUCINATIONS and other symptoms of SCHIZOPHRENIA.... cognitive behaviour therapy
Habitat: The sub-tropical Himalayas of Kumaon and Nepal; cultivated in Andhra Pradesh.
Ayurvedic: Gandira (Achyranthes aquatica Br. is also equated with Gandira). (Doubtful synonym.)Folk: Garmar (Gujarat), Gurmal.Action: Root and leaf—spasmolytic, antithrombotic, anti-inflammatory, lipolytic.
In experimental amoebiasis of rats, the root powder and ethanolic extract showed amoebicidal activity against Entamoeba histolytica.An alcoholic extract of the roots and essential oil from it, were found to inhibit passive cutaneous anaphylaxis in the mouse and rat.The plant produces the labdane diterpenoid, forskolin in its tuberous roots.Forskolin was discovered during a screening of medicinal plants by Central Drug Research Institute, Luc- know, India, in 1974. (Planta Medica, 1985, 51, 473-477.) The screening revealed the presence of a hypoten- sive and spasmolytic principle, named coleonol (later the name was changed to forskolin). The basic mechanism of forskolin is the activation of an enzyme, adenylate cyclase, which increases the amount of cyclic adeno- sine monophosphate (cAMP) in cells. Raised intracellular cAMP level exhibits following physiological effects : inhibition of platelet activation and degranulation; inhibition of mast cell degranualation and histamine release; relaxation of the arteries and other smooth muscles; increased insulin secretion; increased thyroid function; increased lipolysis.Forskolin, in clinical studies, reduced intraocular pressure when it was applied to the eyes for treating glaucoma. It has been shown to be a direct cerebral vasodilator. It has also been studied as a possible bron- chodilator (in the treatment of asthma) and has been shown to effectively reverse methacholine-induced broncho constriction in extrinsic asthmatics.Standardized Coleus extracts containing forskolin (18% in 50 mg) find application in weight-loss programmes. (Michael T. Murray.)Studies on forskolin and some 50 derivatives of the compound indicate that the natural product is more active than the analogs prepared from it.The wild var. is known as Kaffir Potato.... coleus barbatusHabitat: Throughout India in moist places.
Ayurvedic: Kanchata, Karnamorata, Karnasphota.Siddha/Tamil: Kanavazhai, Kanana- gakarai.Folk: Kenaa (vegetable) (Maharashtra).Action: Emollient, demulcent, laxative, diuretic, antileprotic.
The rhizomes are starchy and mucilaginous.The plant contains n-octacosanol, n- triacontanol, n-dotriacontanol. stig- masterol, beta-sitosterol and campes- terol.... commelina benghalensisCorns and bunions are caused by badly ?tting shoes, hence the importance of children and adults wearing properly ?tted footwear. Corns can be pared after softening in warm water, or painted with salicylic acid collodion or other proprietary preparations. Bad corns may need treatment by a chiropodist (see CHIROPODY). Bunions may require surgical treatment. Regular foot care is important in patients with DIABETES MELLITUS.... corns and bunions
Habitat: Throughout India.
English: Indian Sarsaparilla (black var.).Ayurvedic: Krishna Saarivaa, Jambupatraa Saarivaa, Karantaa, Shyamalataa, Shyaama, Gopi, Gopavadhu, Kaalghatika.Siddha/Tamil: Maattan-kodi, Paal-Kodi, Kattupala.Folk: Karantaa, Anantamuula (Varanasi).Action: Blood-purifier, alterative. Used for rickets in children. In combination with Euphorbia microphylla, the herb is used as a galactagogue. A decoction of the stem is used as a supporting drug in paralysis; of the root bark in rheumatism.
The major constituent of the root extract is germanicol docosanoate. The roots contains cryptanoside C. The leaves gave cryptanoside A and B and a cardenolide, cryptosin.Dosage: Root—5-10 g (API Vol. IV.); infusion—50-100 ml. (CCRAS.)... cryptolepis buchananiToxins. In conditions such as chronic glomerulonephritis (see KIDNEYS, DISEASES OF) and URAEMIA there is a severe anaemia due to the e?ect of the disease upon blood formation.
Drugs. Certain drugs, such as aspirin and the non-steroidal anti-in?ammatory drugs, may cause occult gastrointestinal bleeding.... defective blood formation
Habitat: Native to China; distributed in West Himalayas.
English: Musk Larkspur.Ayurvedic: Sprikkaa. (Melilotus officinalis, known as Aspurka or Naakhunaa, is also equated with Sprikkaa.) Used as a substitute for Tagara (valerian).Action: Himalayan species act as cardiac and respiratory depressant. All the species of Delphinium are poisonous; find use in indigenous medicine for destroying maggots in wounds, particularly in sheep. The flowers are considered acrid, bitter and astringent; seeds are cathartic, anthelmintic, emetic and insecticidal.... delphinium brunonianum
Habitat: Throughout the plains of India in dry and hot areas and in sandy deserts.
English: Sacrificial Grass (smaller var.)Ayurvedic: Kusha, Suuchyagra, Yagyabhuushana, Kshurapatra.Siddha/Tamil: Tharubai.Action: Root—cooling, diuretic, galactagogue, astringent. Used for urinary calculi, and other diseases of the bladder. Clums—used in menorrhagia, dysentery, diarrhoea and in skin diseases. The Ayurvedic Pharmacopoeia of India recommended the use of the rootstock in dysuria, vaginal discharges and erysipelas.
Dosage: Rootstock—50-100 g for decoction. (API Vol. III.)... desmostachya bipinnataHabitat: Throughout tropical India, at 1,500-2,100 m.
English: Patoto Yam, Bulb-bearing Yam, Air Potato, Dog Yam.Ayurvedic: Vaaraahi, Vaaraahikan- da, Grshti, Banaaalu, Suraalu, Raktaalu. Substitute for Vriddhi.Unani: Baraahikand.Siddha/Tamil: Kodi-kilangu, Pannu-kilangu.Action: Dried and pounded tubers are used as an application for swellings, boils and ulcers; roasted tubers are used in dysentery, piles, venereal sores. Leaf—febrifuge.
The raw tubers are bitter due to the presence of furanoid norditerpenes (they lose their bitterness on roasting and are then eaten). The wild tubers contain nearly 83% starch and possess hunger-suppressing property. They contain certain poisonous alkaloids.The rhizomes afforded D-sorbitol, furanoid norditerpenes—diosbulbins A-D, 2,4,6,7-tetrahydroxy-9,10-dihy- drophenanthrene and 2,4,5,6,-tetra- hydroxyphenanthrene, diosgenin, lucein, neoxanthine, violaxanthin, zeax- anthin, auroxanthin and cyrptoxan- thin.... dioscorea bulbiferaHabitat: A pulse crop, particularly in Madras, Mysore, Mumbai and Hyderabad.
English: Horsegram.Ayurvedic: Kulattha, Kulittha, Khalva, Vardhipatraka.Unani: Kulthi.Siddha/Tamil: Kollu, Kaanam.Action: Plant—used in measles, smallpox, adenitis, burns, sores. Seeds—astringent, antipyretic, diuretic. Decoction or soup is used in affections of the liver and spleen, intestinal colic, in leucorrhoea and menstrual dissorders, urinary discharges. A valuable protein supplement.
The Ayurvedic Pharmacopoeia of India recommends the decoction of dry seeds in calculus and amenorrhoea.The seeds contain crude protein 20.8, pentosan 10.8 and water-soluble gum 2.8%. The presence of antinu- tritional components such as haemag- glutinin and a protease inhibitor has been reported. The inhibitor activity decreased during germination.The mean protein value of the seeds is 25.47% which is more or less equivalent to soybean, winged bean and gram. Nutritionally, the horsegram seeds are richer in lysine content when compared to Cajanus cajan (Arhar) pulse and gram pulse.Presence of vitamin A in the green pods makes them a valuable diet for children; green leaves may be used in vitamin C deficiency syndrome, due to the presence of ascorbic acid and calcium. The seeds contain several common phytosterols.Strepogenin—several times higher than in casein.A decoction of seeds (soaked or boiled in water) is prescribed as diuretic and antilithiatic and has been clinically established.Diuretic activity of a dipeptide (py- roglutamylglutamine) has been found to be 2-3 times that of acetazolamide in albino rats.Globulin fraction of the seeds showed hypolipidaemic effects in rats.A lectin-like glycoprotein from stems and leaves possesses carbohydrate- binding activity.Dosage: Seed—6 g powder; decoction 50-100 ml. (CCRAS.)... dolichos biflorusHabitat: Assam, Sikkim, Bengal and the Western Ghats.
Siddha/Tamil: Agunivagil, Cembil. Folk: Lassuni (West Bengal).Action: Fruit—anti-inflammatory, diuretic, CNS depressant.
The bark from mature trees contain 15% tannin and that from young trees 10%. EtOH (50%) extract of fruit—anti- inflammatory, diuretic and CNS depressant.The fruit contains a tetranortriter- penoid, dysobinin, a potential CNS depressant and inflammation inhibitor.The stem bark contains an alkaloid, rohitukine, which exhibited anti-inflammatory and immunomodulatory property.... dysoxylum binectariferumHabitat: Common in dry scrub forests of the Deccan Peninsula.
Siddha/Tamil: Kuruvingi, Kattuvet- tilai.Folk: Pala.Action: Root—alterative in cachexia and syphilis; an antidote to vegetable poisoning. Dried leaves—pectic and stomachic.
The plant contains microphyllone. EtOH (50%) extract of aerial parts showed low anti-inflammatory and cardiovascular activities.... ehretia buxifoliaHabitat: Throughout greater parts of India, in waste lands, hedges and rocky ravines.
Siddha/Tamil: Velimungil.Folk: Had-paata (Bihar), Prameha- harati, Mokandar. (Madhya Pradesh).Action: Plant—used in diarrhoea; externally for swellings and boils.... justicia betonica
Habitat: Bihar, Chota Nagpur, Orissa, Madhya Pradesh, Rajasthan, Maharashtra, Decan and Konkan southwards to Kerala.
Ayurvedic: Shankhapushpi (Gujarat).Action: Used as a substitute for Convolvulus pluricaulas Choisy.... lavandula bipinnata
Habitat: Many parts of North India. English: Baib grass, Sabai grass. Ayurvedic: Balvaja. Folk: Bhaabar.
Action: Diuretic. Used for treating lithiasis.
EtOH (50%) extract of the plant is sasmogenic.... eulaliopsis binataHabitat: Upper Gangetic plains and tropical Himalaya, also in South India.
Ayurvedic: Ava-chiraayataa (bigger var. of chiraayataa).Folk: Titakhana, Uudakiraayita (Maharashtra).Action: Stomachic,febrifuge, antifungal, bitter tonic.
The leaves gave apigenin, luteolin, vanillic, p-hydroxybenzoic, protocate- chuic and p-coumaric acids.A related species. Exacum pedun- culatum L., found throughout India, ascending up to 1,000 m, is also used as a substitute for Swertia chirayita and Gentiana lutea. Pounded plant is applied externally in rheumatism and gout. It also gave luteolin, diosmetin and phenolic acids.... exacum bicolorHabitat: Sub-Himalayan tract and Peninsular India. Planted along roadsides, and in gardens.
English: Banyan tree.Ayurvedic: Vata, Nyagrodha, Bahupaada, Dhruv.Unani: Bargad, Darakht-e-Reesh.Siddha/Tamil: Aalamaram.Action: Infusion of bark—used in diabetes, dysentery, and in seminal weakness, leucorrhoea, menorrhagia, nervous disorders, erysipelas, burning sensation. Milky juice and seeds—applied topically to sores, ulcers, cracked soles of the feet, rheumatic inflammations. Buds—a decoction in milk is given in haemorrhages. Aerial roots— antiemetic, topically applied to pimples. Leaves—a paste is applied externally to abscesses and wounds for promoting suppuration.
Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India recommends the aerial root in lipid disorders.Phytosterolin, isolated from the roots, given orally to fasting rabbits at a dose of 25 mg/kg, produced maximum fall in blood sugar level equivalent to 81% of the tolbutamide standard after 4 h. The root bark showed antidiabetic activity in pituitary diabetes and alloxan-induced diabetes.The alcoholic extract of the stem bark also exhibited antidiabetic activity on alloxan-induced diabetes in albino rats, and brought down the level of serum cholesterol and blood urea. This activity is attributed to a glucoside, bengalenoside and the flavonoid glycosides, leucocyanidin and leucopelargonidin. Bengalenoside is half as potent as tolbutamide. The leucopelargonidin glycoside is practically nontoxic and may be useful in controlling diabetes with hyperlipi- demia. The leucocyanidin, when combined with a low dose of insulin, not only equalled in response the effects brought about by a double dose of insulin, but also excelled in amelioration of serum cholesterol and triglycerides.(Additional references: Indian J Physiol Pharmacol, 1975, 19(4), 218220; J Ethnopharmacol, 1989, 26(1), 155; Indian J Physiol Pharmacol, 1994, 38(3), 220-222.)... ficus benghalensis[catlist id=11 numberposts=100 pagination=yes instance=2 orderby=title order=asc]
... medical dictionaryHabitat: The Eastern Himalaya, Assam, Bihar, Andhra Pradesh, kerala and the Andaman Islands.
English: Java Fig.Siddha: Malai Ichi, Pon Ichi, Putrajuvi (Tamil).Folk: Pimpri (Maharashtra).Action: Diuretic. Leaves— decoction, mixed with oil, is applied to ulcers.
The fruits gave bergapten. The latex, in addition to bergapten, gave alpha- amyrin and imperatorin.... ficus benjaminaGall-stones affect 22 per cent of women and 11 per cent of men. The incidence increases with age, but only about 30 per cent of those with gall-stones undergo treatment as the majority of cases are asymptomatic. There are three types of stone: cholesterol, pigment and mixed, depending upon their composition; stones are usually mixed and may contain calcium deposits. The cause of most cases is not clear but sometimes gall-stones will form around a ‘foreign body’ within the bile ducts or gall-bladder, such as suture material. BILIARY COLIC Muscle ?bres in the biliary system contract around a stone in the cystic duct or common bile duct in an attempt to expel it. This causes pain in the right upper quarter of the abdomen, with nausea and occasionally vomiting. JAUNDICE Gall-stones small enough to enter the common bile duct may block the ?ow of bile and cause jaundice. ACUTE CHOLECYSTITIS Blockage of the cystic duct may lead to this. The gall-bladder wall becomes in?amed, resulting in pain in the right upper quarter of the abdomen, fever, and an increase in the white-blood-cell count. There is characteristically tenderness over the tip of the right ninth rib on deep inhalation (Murphy’s sign). Infection of the gall-bladder may accompany the acute in?ammation and occasionally an EMPYEMA of the gall-bladder may result. CHRONIC CHOLECYSTITIS A more insidious form of gall-bladder in?ammation, producing non-speci?c symptoms of abdominal pain, nausea and ?atulence which may be worse after a fatty meal.
Diagnosis Stones are usually diagnosed on the basis of the patient’s reported symptoms, although asymptomatic gall-stones are often an incidental ?nding when investigating another complaint. Con?rmatory investigations include abdominal RADIOGRAPHY – although many gall-stones are not calci?ed and thus do not show up on these images; ULTRASOUND scanning; oral CHOLECYSTOGRAPHY – which entails a patient’s swallowing a substance opaque to X-rays which is concentrated in the gall-bladder; and endoscopic retrograde cholangiopancreatography (ERCP) – a technique in which an ENDOSCOPE is passed into the duodenum and a contrast medium injected into the biliary duct.
Treatment Biliary colic is treated with bed rest and injection of morphine-like analgesics. Once the pain has subsided, the patient may then be referred for further treatment as outlined below. Acute cholecystitis is treated by surgical removal of the gall-bladder. There are two techniques available for this procedure: ?rstly, conventional cholecystectomy, in which the abdomen is opened and the gall-bladder cut out; and, secondly, laparoscopic cholecystectomy, in which ?breoptic instruments called endoscopes (see FIBREOPTIC ENDOSCOPY) are introduced into the abdominal cavity via several small incisions (see MINIMALLY INVASIVE SURGERY (MIS)). Laparoscopic surgery has the advantage of reducing the patient’s recovery time. Gall-stones may be removed during ERCP; they can sometimes be dissolved using ultrasound waves (lithotripsy) or tablet therapy (dissolution chemotherapy). Pigment stones, calci?ed stones or stones larger than 15 mm in diameter are not suitable for this treatment, which is also less likely to succeed in the overweight patient. Drug treatment is prolonged but stones can disappear completely after two years. Stones may re-form on stopping therapy. The drugs used are derivatives of bile salts, particularly chenodeoxycholic acid; side-effects include diarrhoea and liver damage.... gall-bladder, diseases of
Habitat: Plains of Northern and Western India and Deccan Peninsula.
Ayurvedic: Parpata (substitute). (Fumaria parvifolora Linn., Hedyotis corymbosa (L.) Lam synonym Oldenlandia corymbosa Linn., Mollugo cerviana (L.) Ser., Justicia procumbens Linn., Polycarpea corymbosa Lam are also used as Parpata for fevers.)Siddha: Parapalanamu.Action: Used as emmenagogue.
The essential oil from the plant is antimicrobial, that from flowers an- thelmintic.... glossocardia bosvalliaHabitat: Dry forests of Deccan Peninsula, Central India and parts of Uttar Pradesh and Bihar.
Ayurvedic: Anjana.Siddha/Tamil: Katudugu, Kodapalai.Action: Balsam—used for sexually transmitted diseases. The balsam is similar to Copaiba balsam (Copaifera langsdorffii Desf., Leguminosae) of Brasil and is used in leucorrhoea, chronic cystitis, gonorrhoea, combined with cubebs and sandal. The resin (not the oleo-resin) is used as diuretic.
The essential oil of H. binata is not a substitute for Copaiba oil.The methanolic extract of the heart- wood yields beta-sitosterol, (+)-taxifo- lin, eriodictyol, (+)-catechin, (+)-epi- catechin and (+)-mopanol. The phenolic compounds are said to impart antibacterial and antifungal property to the herb.The bark has a good absorption capacity for mercury from water.... hardwickia binataII. Optic, to the eye (sight).
III. Oculomotor
Trochlear, to eye-muscles.
Abducent
VI. Trigeminal, to skin of face.
VII. Facial, to muscles of face.
VIII. Vestibulocochlear, to ear (hearing and balancing).
IX. Glossopharyngeal, to tongue (taste).
X. Vagus, to heart, larynx, lungs, and stomach.
XI. Spinal accessory, to muscles in neck.
XII. Hypoglossal, to muscles of tongue.... nerves twelve nerves come off the brain:
Habitat: Throughout the warmer parts of Maharashtra, Konkan, Karnataka and other parts of India.
Ayurvedic: Atimukta, Atimuktaka, Maadhavi, Vaasanti, Pundrika, Mandaka, Vimukta, Kaamu- ka.Siddha/Tamil: Madhavi, Vasanda- gala-malligai.Action: Kernel of seeds is prescribed for reducing abdominal girth (obesity). Leaves—used in chronic rheumatism, asthma and skin diseases. Bark—used in bronchial asthma.
The stem and its bark contain friede- lin, epi-friedelinol, octacosanol, alpha- amyrin, beta-sitosterol and its beta-D- glucoside. The root bark gave a nitrogenous glucoside, hiptagin, identical with endecaphyllin and a glucosyl xanthone, mangiferin.Dosage: Fruit, seed, root—powder 3-5 g; paste 5-10 g. (CCRAS.)... hiptage benghalensisHabitat: Distributed in tropical Africa and Asia; found throughout the plains of India.
Folk: Dhaulaa-findauri (Rajasthan).Action: Used as a substitute for Paashaanabheda (Aerva lanata Juss. ex Schult., Amaranthaceae) for its diuretic and lithotriptic properties.... nothosaerva brachiata
Habitat: Cultivated in plains throughout India.
English: Garden Balsam. (Balsam Apple is not related to Impatiens. It is the fruit of Momordica balsamina.)Ayurvedic: Tarini (provisional synonym).Unani: Gul-menhdi.Siddha/Tamil: Kasittumbai.Action: Cathartic, diuretic, antirheumatic. Flowers—used in burns and scalds.
The plant is reported to contain cyanochroic constituents, antibacterial substances and an alkaloid. The seeds contain the triterpenoid hosenkol A, the first baccharance triterpenoid from natural source. The seeds also contain a protein-associated amyloid, galac- toxyloglucan and beta-sitosterol.In China, the aerial parts are used for the treatment of articular rheumatism. In Korea, the plant is used for treating tuberculosis. In Brunei, a decoction of the root is given in irregular menstruation. In Japan, the juice, obtained from the white petals, is applied topically to treat several types of dermatitis, including urticaria.The flowers contain flavonols, flavo- noid pigments, phenolic compounds and quinones.An ethanolic extract (35%) of flowers shows significant anti-anaphylactic activity in mice.The methanolic extract of the whole plant exhibited strong antibacterial activity against Bacillus subtilis and Salmonella typhimurium; antibacterial and antifungal activity has been attributed to a naphthoquinone derivative.... impatiens balsaminaHabitat: Native to tropical America; cultivated throughout India for edible tubers.
English: Sweet potato.Ayurvedic: Mukhaaluka, Rataalu, Raktaalu, Raktapindaka, Raktakan- da.Siddha/Tamil: Sakkareivelleikulan- gu.Unani: Shakarkand, Rataalu.Action: Root—used in strangury, urinary discharges, burning sensation, thirst. Whole plant—used in low fever and skin diseases.
Cooked tubers contain reducing sugars 6.45, sucrose 2.23, maltose 864, dextrins 0.51 and polysaccharides 14-13%. Cooking increases the sweetness as a result of the hydrolysis of starch to maltose and dextrins through the action of beta-amylase.Sweet potatoes are rich in starch content. During the storage a part of starch content is converted into reducing sugars and subsequently into sucrose. In a sample stored for 5 months, the starch content was reduced from 19.1% to 14.1% while the percentage of reducing sugars (as dextrose) and sucrose increased from 0.9 to 1.7 and 1.9 to 6.1% respectively.Indian types with white flesh contain little or no carotene, while American types with pink flesh contain as high as 5.4-7.2 mg/100 g of carotene. Vitamins present in the tubers are : thiamine 0.09-0.14, riboflavin 0.05-0.10 and vitamin C 16-22 mg/100 g.The hot aqueous extract of leaves exhibits significant inhibitory activity of rat lens aldose reductase (AR). Ellagic and 3,5-dicaffoylquinic acids have been isolated as potent inhibitors.The leaves also contain polysaccha- rides which increase the platelet count in experimental animals due to enhanced production ofthrombopoietin.From the stem and root, hexadecyl, octadecyl and eicosyl p-coumarates have been isolated.The tubers show significant lectin activity and exhibit haemagglutinating activity in trypsinized rabbit erythro- cytes.... ipomoea batatasHabitat: Throughout India.
English: Moon Flower.Ayurvedic: Chandrakaanti, Gul- chaandani, Dudhiaa Kalami.Siddha/Tamil: Naganamukkori.Folk: Chaandani, Dudhiaa Kalami.Action: Root bark—purgative. Leaves—used in filariasis.
The plant contains pentasaccharide glucoside of ethyl-ll-hydroxy hexade- canoate. The seeds contain alkaloids, ipomine, isoipomine, methoxyipo- mine, dimethoxyipomine, ipalkidini- um, ipalbidine and ipalbine.... ipomoea bona-noxMenstruation. The regular monthly loss of blood which women sustain as a result of menstruation always puts a strain on the blood-forming organs. If this loss is excessive, then over a period of time it may lead to quite severe anaemia.
Childbirth. A considerable amount of blood is always lost at childbirth; if this is severe, or if the woman was anaemic during pregnancy, a severe degree of anaemia may develop.
Bleeding from the gastrointestinal tract. The best example here is anaemia due to ‘bleeding piles’ (see HAEMORRHOIDS). Such bleeding, even though slight, is a common cause of anaemia in both men and women if maintained over a long period of time. The haemorrhage may be more acute and occur from a DUODENAL ULCER or gastric ulcer (see STOMACH, DISEASES OF), when it is known as haematemesis.
Certain blood diseases, such as PURPURA and HAEMOPHILIA, which are characterised by bleeding.... loss of blood
Habitat: Punjab, Rajasthan, Gujarat and Maharashtra.
Unani: Chirchataa, Chirchitaa, Chirchitta.Folk: Kheechar Chirchataa.Action: Immunostimulatory, antiproliferatory, antiageing; antioxidant.
The leaves and flowers contain free quercetin (1.28 and 1.58 mg/g dry weight, respectively), and bound kaem- pferol. Total alkaloid percentage is nearly the same in shoots (1.26%) and fruits (1.24%) but lower in cal- li (0.83%) and roots (0.67%). Fruits had highest atropine content (0.95%) and shoots the highest hyoscyamine content (0.33%).Flavonoids are active against E. coli, Staphylococcus aureus and Candida albicans (quercetin does not show activity against Candida albicans).The polysaccharide extract from fruits showed antiageing, immunos- timulatory and antiproliferatory activities. The polysaccharide acts as an an- tioxidant and prevented CCl4-induced increases in lipid peroxidases in liver. It can also protect against genetic damage from mutagenic and genotoxic compounds. This activity leads to its potential use in preventing the adverse effects of chemotherapeutic agents.The fruit contain beta-carotene (8 mg/100 g dry weight), also free amino acids (1.0-2.6%); major amino acid is proline.The dried fruit and root bark reduce cholesterol level by preventing its absorption in gastrointestinal tract. A constituent of the root bark, kuko- amine exhibits cholesterol lowering, antihypertensive and hypoglycaemic effects. Hepatoprotective activity is attributed to a cerebroside constituent found in the fruit. (Natural Medicines Comprehensive Database, 2007.)The fruit and root bark is contraindi- cated in bleeding disorders and hypoglycemia. (Sharon M. Herr.)... lycium barbarumHabitat: Punjab, Gujarat, Dehra Dun and Andhra Pradesh.
English: Balsam Apple.Ayurvedic: Jangali Karelaa.Folk: Mokhaa. Chhochhidan (Gujarat).Action: Fruit—applied to burns, haemorrhoids and chapped hands. Internally, cathartic, hypoglycaemic.
The plant contains a ribosome inactivating protein, momordin II. Metha- nolic extract of the aerial parts contains phenylpropanoid esters, verbas- coside, calceolarioside and rosmarinic acid. The esters exhibited antihyper- tensive, analgesic and antibacterial activities.... momordica balsaminaIn recent years, however, the position has been altered by the introduction of the so-called fertility drugs, such as CLOMIPHENE, and human menopausal gonadotrophin which, through the medium of the PITUITARY GLAND, stimulate the production of ova (see OVUM). Their wide use in the treatment of INFERTILITY has resulted in an increase in the number of multiple births, a recognised hazard of giving too large a dose.
Twins may be binovular or uniovular. Binovular, or fraternal, twins are the result of the mother’s releasing two ova within a few days of each other and both being fertilised by separate spermatozoa (see SPERMATOZOON). They both develop separately in the mother’s womb and are no more alike than is usual with members of the same family. They are three times as common as uniovular, or identical, twins, who are developed from a single ovum fertilised by a single spermatozoon, but which has split early in development. This is why they are usually so remarkably alike in looks and mental characteristics. Unlike binovular twins, who may be of the same or di?erent sex, they are always of the same sex.
So far as fraternal, or binovular, twins are concerned, multiple pregnancy may be an inherited tendency; it certainly occurs more often in certain families, but this may be partly due to chance. A woman who has already given birth to twins is ten times more likely to have another multiple pregnancy than one who has not previously had twins. The statistical chance of a third pair of twins is 1:512,000. Identical twins do not run in families.
The relative proportion of twins of each type varies in di?erent races. Identical twins have much the same frequency all over the world: around 3 per 1,000 maternities. Fraternal twins are rare in Mongolian races: less than 3 per 1,000 maternities. In Caucasians they occur two or three times as often as identical twins: between 7 (Spain and Portugal) and 10 (Czech and Slovak Republics and Greece) per 1,000 maternities. They are more common in Afro-Caribbeans, reaching 30 per 1,000 maternities in certain West African populations.
Rarely, uniovular twins may not develop as separate individuals, being physically joined in some way. They are called conjoined or (traditionally) Siamese twins. Depending on the extent of common structures shared by the infants – this ranges from a common umbilical cord to twins with conjoined heads or a common liver – the infants may be successfully separated by surgery. (See CONJOINED TWINS.)
Parents of twins, triplets, etc. can obtain advice and help from the Twins and Multiple Births Association (TAMBA).... multiple births
Habitat: Garhwal, Tibet.
Folk: Dimok (Tibet), Ratanjot (Garhwal).Action: Topically antiseptic.
National Formulary of Unani Medicine has equated Onosma echioides Linn. (Boraginaceae) with Ratanjot. Geranium wallichianum D. Don. (Geraniaceae); Clausena pentaphylla DC. (Rutaceae); and Anemone obtusilo- ba D. Don. (Ranunculaceae) are also known as Ratanjot.Ratanjot should be equated with the root of Alkanna tinctoria (Boraginaceae), known as Dyer's or Spanish Bugloss.... mycrotomia benthamiHabitat: Cultivated throughout India, particularly in Uttar Pradesh on commercial scale, for rose water.
Ayurvedic: Taruni, Desi Gulaab, Baaraamaasi, Cheenia-Gulaab. (Flowers—usually purple.)Siddha: Rojapoo (Tamil).Action: Fruit—applied to wounds, injuries, sprains, foul ulcers.... rosa bourboniana
Habitat: Sea coast from Bengal to Gujarat.
Folk: Kohlu (Andhra Pradesh).Action: Ash—used in mange and itch.
Air-dried plant contains 8.97% ash; a high percentage of sodium and chloride ions (sodium 5.68, chloride 10.02%). The plant is a source of alkaline earth (called Sajji), used for extracting sodium carbonate.... salicornia brachiataHabitat: Indigenous To Venezuela, Columbia And Peru;. Grown In Lal Bagh Botanic Garden (Bangalore) And Kallar (Nilgiris).
English: Tolu Balsam Tree.Action: Balsam—Antiseptic, Stimulant And Expectorant. Used As An Ingredient In Cough Mixtures, Also Used As An Inhalant In Cases Of Obstinate Catarrh.
Key Application ? Externally For Poorly Healing Wounds, For Burns, Decubitus Ulcers, Frost Bite, Ulcus Cruris, Bruises Caused By Prostheses, Haemorrhoids; As Antibacterial, Antiseptic And Antiparasitic (Especially For Scabies). (German Commission E.)Balsam Contains Cinnamic Acid, Benzoic Acid And Their Esters.Myroxylon Pereirae Kolotzsch (Lal Bagh Botanic Garden, Bangalore), Is The Source Of Peru Balsam. Used Externally In The Form Of An Ointment Or Tincture, As A Parasiticide In Scabies, Ringworm And Pediculosis And For Bed Sores And Chilblains. It Enters Into Suppositories Used In Hemorrhoids.... myroxylon balsamum(2) Non-depolarising neuromuscular blocking agents: these drugs occupy the receptor and prevent acetylcholine from becoming attached to it. However, in su?ciently high concentrations, acetylcholine will compete with the drug and dislodge it from the receptor; the e?ect of these drugs is reversed by giving an anticholinesterase, which allows the amount of acetylcholine at the neuromuscular junction to build up. These drugs have varying durations of action, but all are slower in onset and of longer duration than the depolarisers.... neuromuscular blockade
Habitat: Lower hills of Punjab; cultivated throughout India.
English: Sweet Basil, Basil Herb.Ayurvedic: Barbari, Tuvari, Tungi, Kharpushpa, Ajgandhikaa, Baabui Tulasi.Unani: Faranjmishk. (also equated with Dracocephalum moldavica Linn. by National Formulary of Unani Medicine.), Raihan (also equated with O. sanctum). (used as a substitute for Phanijjaka.)Siddha/Tamil: Tiruneetruppachhilai.Folk: Bana-Tulasi. Sabzaa (Maharashtra).Action: Flower—stimulant, carminative, antispasmodic, diuretic, demulcent. Seed—antidysenteric. Juice of the plant—antibacterial. Essential oil—antibacterial, antifungal, insecticidal.
(Because of high estragole content of the essential oil, the herb should not be taken during pregnancy, nursing or over extended periods of time.) (German Commission E.) Included among unapproved herbs by German Commission E.The herb contains an essential oil; major constituents are linalool (up to 55%) methyl ether (estragole) up to 70% and eugenol; caffeic acid derivatives; flavonoids. Thymol and xan- thomicrol were isolated from the leaves. Aesculetin, p-coumaric acid, eriodic- tyol, its 7-glucoside and vicenin-2 from leaves have been isolated.The essential oil at concentration of 0.15% completely inhibited mycelial growth of twenty two species of fungi, including mycotoxin-producing strains of Aspergillus flavus and A. par- asiticus. Leaves act as an insect repellent externally; bring relief to insect bites and stings.In homoeopathy, the fresh mature leaves are used to treat haematuria, inflammation and congestion of kidney.Dosage: Whole plant—50-100 ml decoction; seed—1-3 g powder. (CCRAS.)... ocimum basilicumHabitat: Kashmir and Kumaon.
English: Borage.Ayurvedic: Gojihvaa, Kharpatraa, Darvipatraa, Vrishjihvaa.Unani: Gaozabaan (related species).Siddha/Tamil: Ununjil.Action: Cooling, astringent, diuretic, cardiac tonic. Used for cold, cough, bronchial affections; insomnia, depression, mental exhaustion; constipation, misperistalsis, jaundice; dysuria, urethral discharges; fevers.
The name Gaozaban is applied to six different plants, belonging to five genera. According to The Wealth ofIn- dia, Gaozaban is derived not from this plant but from Anchusa strigosa Labill, which occurs in Iran. Kashmiri Gaoz- aban is derived from Macrotomia ben- thamii. Coccinia glauca is also used as Gojihvaa.Borage has been equated with Bora- go officinalis Linn. (Boraginacea.).Dosage: Dried leaves and stems, flowers—3-6 g powder.... onosma bracteatum(e.g. etidronate). Those with the disease can obtain help and advice from the National Association for the Relief of Paget’s Disease.... paget’s disease of bone
Habitat: Andamans.
English: White Chuglam, Silvergrey Wood.Action: Bark—cardiac stimulant. It contains tannins and is used as an adulterant to cutch.... terminalia bialata
Habitat: Marshy places, as a weed.
English: Bladder wort.Folk: Jhangi (smallar var.)Action: Diuretic (used against urinary disorders), anti-inflammatory and antispasmodic (used against cough). Used topically for mucous membrane inflammations, burns and wounds.
U. stellaris is equated with bigger var. of Jhangi.... utricularia bifidaHabitat: Distributed throughout India.
Ayurvedic: Nadikaantaa, Praachibalaa, Sulomshaa, Kaakatik- ta, Kaakajanghaa. (Aatarilaal is a wrong synonym. It is equated with Anthriscus cerefolium Hoffm., used in Unani medicine.)Siddha/Tamil: Chebisa.Action: Plant—febrifuge. The essential oil shows tuberculostatic activity in vitro. It inhibits the growth of various strains of Mycobaterium tuberculosis.
Ayurvedic Pharmacopoeia of India recommends the dried root in insomnia and for fear-psychosis in children.Dosage: Root—1-5 g powder. (API, Vol III.)... peristrophe bicalyculataHabitat: Cultivated in warmer and damper parts of India; Assam, West Bengal, Bihar, Uttar Pradesh, Karnataka, Kerala.
English: Betel pepper.Ayurvedic: Taambula, Naagvallari, Naagini, Taambulvalli, Saptashiraa, Bhujangalataa.Unani: Paan, Tambool.Siddha/Tamil: Vetrilai Nagavalli, Kammaaruvetritai.Action: Leaf—stimulant, carminative, astringent, antiseptic. Essential oil from leaves—antispasmodic, antiseptic. Used in respiratory catarrhs. Fruit—bechic.
The leaves afforded beta- and gam- ma-sitosterol, hentriacontane, pen- tatriacontane, n-triacontanol, stearic acid and chavicol. The essential oil from leaves contained carvacrol, euge- nol, chavicol, allyl catechol, cineole, estragol, caryophyllene, cardinene, p- cymene and eugenol methyl ether.Administration of the leaf extract resulted in decreased tumour burden and tumour incidence and a delay in the onset of mammary tumour in Wistar rats.The alcoholic extract of the leaf stalk is reported to show antispermatogenic and antiandrogenic effect in male albino rats.The essential oil exhibited hypoten- sive, cardiac as well as respiratory depressant and cardiotonic properties.The leaf showed antifungal and antibacterial activity. The antiseptic activity is attributed to chavicol.Dosage: Leaf—10-15 ml juice. (API, Vol. III.)... piper betleHabitat: Throughout greater part of India.
Folk: Ishwar-jataa. Jui-lataa (Bihar, Bengal). Phaangalaa (Maharashtra).Action: Root—used in haemorrhage, especially in uterine haemorrhage. Leaf—styptic; used for cleaning wounds. Essential oil—antifungal. Acetone extract— insecticidal, insect repellent.
Pogostemonpubescens Benth., synonym P. parviflorus Benth. is also known as Phaangalaa in Maharashtra. Aerial part exhibits antifungal and leaf antibacterial activity.Sesquiterpene lactone, caryophyl- len-9-beta-10-olide, has been isolated from the whole plant.Pogostemon purpurascens Dalz. (Manipur and South-western India) also possesses properties similar to P. benghalensis. The acetone extract exhibited larvicidal activity against the larvae of malaria vector, Anopheles stephensi. It also showed activity against yellow fever mosquito.... pogostemon benghalensisHabitat: The temperate Himalayas from Kashmir to Sikkim at altitudes of 1,800-3,000 m.
Unani: Banafashaa (related species).Action: Leaves—laxative, emollient. Flowers—antiseptic, pectoral, diaphoretic. Root—emetic.
The herb is used as a substitute for Banafashaa obtained from V. odorata.The leaves are used for treating skin eruptions and the flowers for skin irritation.... viola bifloraHabitat: The Himalayas from Kashmir to Sikkim and the hills of Assam.
English: Snake Weed, Bistort, Dragon Wort.Unani: Anjabaar.Action: Anti-inflammatory, haemostatic, astringent, demulcent, anticatarrhal, antidiarrhoeal. Used for internal haemorrhages, irritable bowel, diverticulosis, urinary and uterine affections. Used as a mouth wash and gargle for ulcerated mouth and bleeding gums.
The herb contains ferulic, sinapic, vanillic, syringic, melilotic, p-couma- ric, p-hydroxybenzoic, gentisic, sali- cyclic and ellagic acids, about 15-20% tannins mainly catechins.When administered before the induction of adjuvant arthritis, the aqueous-ethanolic extract of the herb inhibited both the maximal oedema response and the total oedema response in rat.... polygonum bistortaFamily: Ericaceae.
Habitat: The Himalayas from Kumaon to Bhutan, extending to Assam.
English: Giantblood Rhododendron.Folk: Chimal (Nepal), Kurbak, Guraans.Action: Respiratory depressant, emetic, toxic.
The leaves and flowers gave an- dromedotoxin which resembles tertiary amine veratrum alkaloids, particularly protoveratrine, in pharmacological action. Intravenous administration of andromedotoxin to dogs resulted in 20-40% reduction in blood pressure. It also closely resembles protoveratrine in its stimulating effect on the barostatic-pressor-reflex- mechanism, respiratory effects and emetic action. It produces reflex va- sodepressor responses in intact animals; in debuffered dogs, it produced vasopressor responses. It also produced, both direct and indirect, positive ionotropic effects, the latter being more pronounced.The leaves contain ursolic acid, alpha-amyrin, epi-friedelinol, cam- panulin and hyperoside. Chloroform extract of the leaves and shoots showed a depressant action. The honey from flowers is poisonous; contains an- dromedotoxin.... rhododendron barbatumTo help restore the acid-alkaline balance, any one of the following teas may assist: Iceland Moss, Bladderwrack (fucus), Kelp, Irish Moss, Slippery Elm, Calamus, Meadowsweet, or Dandelion (which may be taken as Dandelion coffee). ... acid-alkaline balance
Habitat: North India, along the banks of rivers nad water-courses.
English: Weeping Willow.Siddha/Tamil: Aatru Paalai.Folk: Giur (Kashmir). Bed.Action: Leaves and bark— astringent, antipyretic. Used in intermittent and remittent fevers. Bark—anthelmintic. Biological activity of aerial part—antiviral, CNS active, hypothermic.
The leaves are reported to contain delphinidin and cyanidin, fragilin, salicin, salicortin, salidroside, tremu- loidin, triandrin and vimalin. Salicin content in the stems and leaves is reported to be 3 to 4%. The bark yields phenolics—triandrin, salicin, gallocat- echol, catechol.... salix babylonicaHabitat: Dry places in West Bengal, Bihar and Peninsular India.
English: Moon Plant, Soma Plant.Ayurvedic: Somavalli, Somalataa, Somakshiri, Saumyaa, Dwijpriyaa. (Not to be confused with Soma of the Vedas.) (Substitute: Ephedra gerardiana.)Siddha/Tamil: Somamum, Kodi- Kalli.Action: Dried stems—emetic. Plant—insecticidal.
The plant contains malic acid, suc- cinic acid, reducing sugar, surcosa, traces of tannin, an alkaloid, a phytos- terol, alpha-and beta-amyrins, lupeol and lupeol acetate and beta-sitosterol. The milky exudate from the stem contains 4.1% of caoutchouc. Coagulum contains: caoutchouc 16, resins 68.1 and insolubles 15.9%.Related species, Sarcostemma bru- nonianum W. & A. (South India), known as Perumaattaan kodi in Tamil Nadu; S. intermedium Decne (Peninsular India), and S. stocksii Hk. f. (Peninsular India), are also said to have similar uses as those of S. acidum.Sarcostemma secamone (L.) Bennet, synonym S. esculentum (L. f.) Holm. (throughout the plains in semi marshy places) is known as Dughdhikaa or Duudhilataa in Northern India and Usippalai in Tamil Nadu. Whole plant is depurative, galactagogue and antiseptic (used as a gargle in sore throat and stomatitis; fresh root is prescribed in jaundice. A pregnane triglycoside, esculentin and cardenolide tetraglyco- sides have been isolated from the root.Dosage: Milky exudate from stem— 1-3 drops. (CCRAS.)... sarcostemma brevistigmaHabitat: Western Himalayas and plains, southwards to Peninsular India.
English: Prickly Sesban, Dhaincha.Ayurvedic: Jayanti (var.), Itkata (var.).Siddha/Tamil: Mudchembai.Action: Seeds—used externally in ringworm and skin diseases. Plant—used for treating wounds.
The leaf, stem and fruit gave positive test for alkaloids. A mixture of saponins, reported to be present in the seeds, yields on hydrolysis oleanolic acid and neutral sapogenin. Colloidal substances similar to those of marine algae, locust bean gum, guar gum and gum tragacanth are reported in the seeds.... sesbania bispinosaMuch more serious is spina bi?da cystica, in which the spinal-wall defect is accompanied by a protrusion of the spinal cord. This may take two forms: a meningocele, in which the MENINGES, containing CEREBROSPINAL FLUID, protrude through the defect; and a meningomyelocele, in which the protrusion contains spinal cord and nerves.
Meningocele is less common and has a good prognosis. HYDROCEPHALUS and neurological problems affecting the legs are rare, although the bladder may be affected. Treatment consists of surgery which may be in the ?rst few days of life or much later depending upon the precise situation; long-term follow-up is necessary to pick up any neurological problems that may develop during subsequent growth of the spine.
Meningomyelocele is much more serious and more common, accounting for 90 per cent of all cases. Usually affecting the lumbo-sacral region, the range of severity may vary considerably and, while early surgery with careful attention in a minor case may achieve good mobility, normal bladder function and intellect, a more extensive protrusion may cause complete ANAESTHESIA of the skin, with increased risk of trauma; extensive paralysis of the trunk and limbs, with severe deformities; and paralysis and insensitivity of the bladder and bowel. Involuntary movements may be present, and hydrocephalus occurs in 80 per cent of cases. The decision to operate can only be made after a full examination of the infant to determine the extent of the defect and any co-existent congenital abnormalities. The child’s potential can then be estimated, and appropriate treatment discussed with the parents. Carefully selected patients should receive long-term treatment in a special centre, where full attention can be paid to all their various problems.
There is growing evidence of the value of vitamin supplements before and during pregnancy in reducing the incidence of spina bi?da. Parents of affected infants may obtain help, advice, and encouragement from the Association for Spina Bi?da and Hydrocephalus which has branches throughout the country, or the Scottish Spina Bi?da Association.... spina bifida
Action: febrifuge, anti-periodic. Used by Australian aborigines for all kinds of fevers. Contains indole alkaloids.
Other uses: high blood pressure, mild analgesic, intermittent fevers.
Preparations: Thrice daily.
Tea: 1oz to 1 pint water simmered gently 5 minutes: one wineglassful. Liquid Extract: 5-30 drops. Powdered bark: 1-3g. Tincture. 15-60 drops. ... alstonia bark
Action: Aromatic, bitter, anti-periodic.
Uses: South American traditional: diarrhoea, dysentery, intermittent fevers, dropsy.
Preparations: Thrice daily. Powdered bark 0.3 to 1g. Liquid extract: 5-30 drops. Tincture: 10-60 drops. ... angostura bark
Balmony, Barberry, Betony, Bitter root, Black root, Centuary, Chamomile, Dandelion, Fringe Tree, Fumitory, Goldenseal, Holy Thistle, Hops, Mountain Grape, Mugwort, Pomegranate bark, Vervain, Wahoo, Wild Yam, Wormwood. ... anti-bilious
Habitat: Native to South-East Asia and East Indies.
English: True Gum Benzoin, Sumatra Benzoin or Gum Benjamin.Unani: Lobaan.Siddha/Tamil: Saambiraani.Action: Gum—antiseptic, astringent, anti-inflammatory, expectorant (used for cough and respiratory tract catarrh). Used as genitourinary antiseptic, as a mouthwash in stomatitis, topically on wound and ulcers, as an inhalation in colds, coughs and bronchitis. Lipophilic fraction stimulates phagocytosis.
The gum contains mainly cinnamic, benzoic and sumaresinolic acid esters, benzaldehyde and vanillin.... styrax benzoinHerbalists. Author: The Herbal Pocket Prescriber. (Eardley) ... barker, arthur fnimh
Symptoms: Soreness and discomfort between legs, with swelling sometimes as big as a pigeon’s egg. Abscesses form when drainage is impeded.
Treatment. Surgery: a permanent opening created to facilitate drainage or, in case of a cyst, its extirpation. Responses have been observed in external use of highly diluted oil of Eucalyptus. Alternatives: internal or external use of Walnut leaves. Topical use of fresh Plantain juice. Cider vinegar. ... bartholin’s cyst
Action: Stimulant alterative, spleen tonic. Lymphatic. Anti-malarial. Analgesic (mild). Laxative.
Uses: Swollen glands. Liver congestion. Splenetic enlargement. Mastitis, to reduce benign swelling. Preparations. Thrice daily.
Decoction: 1 teaspoon shredded root to large cup water simmered gently 5 minutes. Dose: One-third of a cup.
Liquid Extract: 30-60 drops.
Externally as a hair tonic. ... bearsfoot, american
Habitat: Temperate Himalayas, Khasi Hills and Manipur.
English: European Yew. Himalayan Yew is equated with Taxus wal- lichiana Zucc., synonym T. baccata Linn. subspecies wallichiana (Zucc.) Pilgoe, T. baccata Hook. f.Ayurvedic: Thunera, Sthauneya, Sthauneyaka, Shukapushpa, Dhaatri-patra, Vikarna. (Not a substitute for Taalisapatra.)Unani: Zarnab.Siddha/Tamil: Taaleespatri Bhedam.Folk: Birmi, Thuno.Action: Herb—CNS depressant; reduces motor activity; analgesic, anticonvulsant. Leaf used in nervousness, epilepsy, hysteria, asthma, chronic bronchitis. Leaf and fruit—antispasmodic, sedative, emmenagogue.
Berry—used in chronic bronchitis. Taxol—antimitotic; also being tried for the treatment of severe drug-resistant human malaria. (Chem Abstr, 1994, 21, 124674 j.) (The taxol content in Himalayan Yew varied with season and location from 0.045-0.130%.)The needles contain diterpene esters of taxane-type (mixture is known as taxine 0.6-2.0%). Taxine consists of 11 compounds of which only tax- ine A and B have been characterized. Taxol, the diterpene amide, is found active against ovarian cancer in humans. (clinical results showed 24-30% response). The ester alkaloids in higher doses are cardiotoxic.Dried needles contain biflavonoids, including sotetsuflavone, sequoifla- vone, sciadopitysin, ginkgetin, kayafla- vone, amentoflavone, beta-sitosterol, heptacosanol and surcose.The needles gave several phenolics. Betuloside (rhododendron) exhibited hepatoprotective activity against hepa- totoxins in rats.The seeds are poisonous and contain taxine.The aqueous extract of leaves showed a depressant effect on the central nervous system in rats.The Ayurvedic Pharmacopoeia ofIn- dia attributed antirheumatic, anticatar- rhal, insecticidal and wound-healing properties to the dried needles of Himalayan Yew and indicated the use of the drug in powder form (1-3 g) in disorders due to vitiated blood, tumours, dermatosis and helminthiasis.Dosage: Leaf—1-3 g powder. (API, Vol. III.) Leaf, bark—3-5 g powder. (CCRAS.)... taxus baccataAction. Alterative, diuretic.
Uses: Kidney stone, gravel, gout.
Preparation. Tea: 1-2 teaspoons to each cup boiling water; infuse 15 minutes. Dose, 1 cup freely. ... bedstraw, ladies
Alternatives. Teas. Plantain leaves, Nasturtium leaves, Marigold flowers (Calendula), Thyme. Tablets/capsules. Garlic, Goldenseal, Iceland Moss.
Tinctures. Formula. Echinacea 2; Goldenseal 1. Mix. 30-60 drops in water thrice daily. Practitioner. Ephedra.
Topical. Decongestants. Olbas oil. Oils of Aromatherapy: Eucalyptus, Garlic, Thyme. Supplementation. Vitamins A, C.
Bedtime: 2-3 Garlic capsules. ... blocked-up nose
Habitat: Throughout deciduous forests of India.
English: Belleric Myrobalan, Bastard Myrobalan.Ayurvedic: Bibhitaka, Vibhitaka, Bibhitaki, Bibhita, Baibhita, Aksha, Akshaka, Kaamaghna, Kalidru Kali, Karshaphala.Unani: Balelaa, Baheraa.Siddha/Tamil: Thaanrikkaai, Thandri.Action: Fruit—purgative when half ripe, astringent when ripe; antipyretic; used in prescriptions for diarrhoea, dyspepsia, biliousness; cough, bronchitis and upper respiratory tract infections, tropical pulmonary eosinophilia and allergic eruptions.
The Ayurvedic Pharmacopoeia ofIn- dia recommends the drug in powder form in emesis and worm infestation, in addition to other therapeutic applications.The fruits contain beta-sitosterol, gallic and ellagic acids, ethyl gallate, galloyl glucose, chebulagic acid and a cardiac glycoside, bellaricanin.The fruits produce hepato-protec- tive effect in CCl4-induced liver injury in mice. Alcoholic extract of the fruit exerted a negative chrono-and inotrop- ic and hypotensive effect of varying magnitude in a dose dependent fashion on isolated rat and frog atria and rabbit heart.The fruit contains all components of Chebulic myrobalan (T. chebula) except corilagin and chebulic acid.The fleshy fruit pulp contains 21.4% tannin, both condensed and hydrolys- able types.The flower showed spermicidal activity.Dosage: Fruit—3-6 g powder. (API, Vol. I.)... terminalia belliricaAction. Aromatic diuretic, laxative, demulcent, diaphoretic, astringent, expectorant, stimulant, digestive. Mild pain killer.
Uses: Urinary disorders, rheumatism.
Preparations: Topical. Ointments for ulcers. ... boswellia serrata, roxb
Alternatives:– External treatment. Lotion – few drops Tincture Arnica in eggcup of water. Aloe Vera or Comfrey cream. Marshmallow and Slippery Elm ointment. ... breast, guitar nipple
Tea. Rosemary. 1 teaspoon to each cup boiling water; infuse 15 minutes; dose – half-1 cup thrice daily. Tea. Sage. 2 teaspoons to each cup boiling water; infuse 15 minutes; dose – half-1 cup thrice daily. Old hospital remedy: Epsom’s salts. ... breasts, milk excessive
Internal:– Nettles, Agnus Castus, Poke root, Pipsissewa leaves. Teas, powders or tinctures thrice daily. External:– Engorgement from breast-feeding – massage with Calendula cream or Almond oil. ... breasts, over large
Peruvian bark. Liquid Extract, BPC (1954), 0.3-1ml in water, thrice daily.
Diet. Adequate protein is essential for a healthy-looking bust. Fenugreek seed tea. Favourable results reported. ... breasts, underdeveloped
Epithelial tissues, including the cells covering the skin, those lining the alimentary canal, those forming the secretions of internal organs. (See EPITHELIUM.)
Connective tissues, including ?brous tissue, fat, bone, cartilage. (See under these headings.)
Muscular tissues (see MUSCLE).
Nervous tissues (see NERVE).
Wandering corpuscles of the BLOOD and LYMPH. Many of the organs are formed of a single
one of these tissues, or of one with a very slight admixture of another, such as cartilage, or white ?brous tissue. Other parts of the body that are widely distributed are very simple in structure and consist of two or more simple tissues in varying proportion. Such are blood vessels (see ARTERIES; VEINS), lymphatic vessels (see LYMPHATICS), lymphatic glands (see GLAND), SEROUS MEMBRANES, synovial membranes (see JOINTS), mucous membranes (see MUCOUS MEMBRANE), secreting glands (see GLAND; SALIVARY GLANDS; THYROID GLAND) and SKIN.
The structure of the more complex organs of the body is dealt with under the heading of each organ.... tissues of the body
Habitat: Throughout India.
English: Water Chestnut.Ayurvedic: Shrngaataka, Shrngaata, Shrngamuula, Trikota, Jalapha- la, Trikonaphala, Paaniyaphala, Jalkanda, Trikona, Trika.Unani: Singhaaraa.Siddha: SingaraAction: The Ayurvedic Pharmacopoeia of India recommends the use of dried kernels in bleeding disorders, threatened abortion, dysuria, polyuria and oedema.
Flour of dried kernels is used in preparations for breaking fast in India. The flour is rich in proteins and minerals. The flour, prepared from dried kernels, ofred and white varieties contain: phosphorus 45, 48; sulphur 122.81, 130.16; calcium 60, 20; magnesium 200, 160; sodium 100, 80; and potassium 1800, 1760 mg/100 g; iron 145.16, 129.02 and manganese 18.93, 11.36 ppm, respectively. The starch, isolated from flour, consists of 15% amylose and 85% amylopectin.Dosage: Dried seed—5-10 g powder. (API, Vol. IV.)... trapa bispinosaHabitat: Throughout India, in moist places.
Ayurvedic: Indravaaruni (red var.), Vishaalaa, Mahaakaala, Mahendra-vaaruni.Folk: Mahkaar, Maakaal, Laal Indraayana, Kondal.Action: Same as that of Citrullus colocynthis. The fruits are poisonous. The seed extract show haemagglutinating activity. Fruit— cathartic, antiasthmatic (the fruit is smoked in asthma and lung diseases), anti-inflammatory (used for rheumatic affections, weakness of limbs, dental diseases, hemicrania).
The root gave tetrahydroxypenta- cyclic triterpenoid, trichotetrol. Cy- clotrichosantol and cycloeucalenol have been isolated from the leaves.... trichosanthes bracteataTeas: Balm, Motherwort, Mistletoe, Lime flowers. Tablets/capsules. Lobelia, Hawthorn, Motherwort, Valerian. ... breathing irregularities
Cystitis Most cases of cystitis are caused by bacteria which have spread from the bowel, especially Escherichia coli, and entered the bladder via the urethra. Females are more prone to cystitis than are males, owing to their shorter urethra which allows easier entry for bacteria. Chronic or recurrent cystitis may result in infection spreading up the ureter to the kidney (see KIDNEY, DISEASES OF).
Symptoms Typically there is frequency and urgency of MICTURITION, with stinging and burning on passing urine (dysuria), which is often smelly or bloodstained. In severe infection patients develop fever and rigors, or loin pain. Before starting treatment a urine sample should be obtained for laboratory testing, including identi?cation of the invading bacteria.
Treatment This includes an increased ?uid intake, ANALGESICS, doses of potassium citrate to make the urine alkaline to discourage bacterial growth, and an appropriate course of ANTIBIOTICS once a urine sample has been ana-lysed in the laboratory to con?rm the diagnosis and determine what antibiotics the causative organism is likely to respond to.
Stone or calculus The usual reason for the formation of a bladder stone is an obstruction to the bladder out?ow, which results in stagnant residual urine – ideal conditions for the crystallisation of the chemicals that form stones – or from long-term indwelling CATHETERS which weaken the natural mechanical protection against bacterial entry and, by bruising the lining tissues, encourage infection.
Symptoms The classic symptom is a stoppage in the ?ow of urine during urination, associated with severe pain and the passage of blood.
Treatment This involves surgical removal of the stone either endoscopically (litholapaxy); by passing a cystoscope into the bladder via the urethra and breaking the stone; or by LITHOTRIPSY in which the stone (or stones) is destroyed by applying ultrasonic shock waves. If the stone cannot be destroyed by these methods, the bladder is opened and the stone removed (cystolithotomy).
Cancer Cancer of the bladder accounts for 7 per cent of all cancers in men and 2·5 per cent in women. The incidence increases with age, with smoking and with exposure to the industrial chemicals, beta-napththylamine and benzidine. In 2003, 2,884 men and 1,507 women died of bladder cancer in England and Wales.
Symptoms The classical presenting symptom of a bladder cancer is the painless passing of blood in the urine – haematuria. All patients with haematuria must be investigated with an X-ray of their kidneys, an INTRAVENOUS PYELOGRAM (UROGRAM) and a cystoscopy.
Treatment Super?cial bladder tumours on the lining of the bladder can be treated by local removal via the cystoscope using DIATHERMY (cystodiathermy). Invasive cancers into the bladder muscle are usually treated with RADIOTHERAPY, systemic CHEMOTHERAPY or surgical removal of the bladder (cystectomy). Local chemotherapy may be useful in some patients with multiple small tumours.... urinary bladder, diseases of
Habitat: North Kanara, forests of Malabar, Annamalai and Travancore, up to 1,200 m.
Ayurvedic: Krishna-Agaru. (In South India V. bilocularis is used as Krishna-Agaru and Dysoxylum labricum Bedd. ex Hiern as Shveta-Agaru.)Siddha/Tamil: Devadaram.Action: Wood—extract in oil is used for rheumatic swellings and skin diseases. Root—used for biliousness.
Alkaloids from stem bark included kokusaginine, skimmianine, flindersi- amine, evoxanthine, N-methylacrido- ne derivatives, maculine and vepris- one. The leaves contain a triterpenoid, lupeol.... vepris bilocularisHabitat: The Aka hills of Arunachal Pradesh, as a weed.
Action: Leaves and roots— decoction used in colds and fevers. Young plants—used for the treatment of convulsions in children.
Family: Scrophulariaceae.Habitat: Western Himalayas and Kashmir at 2,700-3,600 m.
English: Brooklime.Folk: Titalokiyaa, Tezhak.Action: Antiscorbutic, blood purifier, alterative, diuretic. Used for scurvy, scrofulous affections, swollen piles, lithiasis, skin diseases, burns, ulcers.
The plant gave iridoid glycosides including aucubin; bitters and tannins. Aucubin has been reported to stimulate the uric acid secretion of the kidneys.... veronica beccabungaHabitat: Near sea-coasts and the Andamans.
Ayurvedic: Bhringaraaja (yellow- flowered var).Action: Leaves—used as poultice on ulcers, sores, varicose veins; paste applied to fungal infections. Leaf decction—vulnerary and antiscabious. The juice of leaf is also given internally with cow's milk as a tonic after child birth.
The dried leaves contain veratryli- dene hydrazide and quercetin derivatives. The stem contains stigmasterol and grandifloric acid. The leaves and stem showed antifungal activity.... wedelia bifloraHabitat: Thickets, woods and shady waysides.
Features ? The stem of this well-known wild plant is slender, square and hairy; it gives off a few distant pairs of rough, oblong leaves with rounded teeth. Purplish flowers, arranged in a terminal, oval spike, bloom in July and August. The roots are white and thready. Bitter to the taste, the odour is slight and pleasant.Part used ? The whole herb.Action: Aromatic, astringent and alterative.
It is highly recommended for biliousness, stomach cramp and colic, and as a tonic in digestive disorders generally. It is a helpful component of prescriptions in the treatment of rheumatism and blood impurities. A wineglass of the ounce to pint infusion may be taken frequently.Tilke is interesting on Wood Betony, as his remarks show that the herb was as popular a carminative a hundred years ago as it is to-day ? "This herb boiled with wine or water," he tells us, "is good for those who cannot digest their meals, or have belchings and a continual rising in their stomach."... wood betonyGreen’s Herbal: Butter-bur. ... buboes
Symptoms: dry throat, eye irritation, headache, fatigue, wheezy chest and flu-like colds may be a product of modern ventilating systems. The headache may come on in the afternoon and improve on leaving work. Humidifier fever. Passive inhalation of cigarette smoke a factor.
Alternatives. Treatment. Ginseng, Iceland Moss, Irish Moss, German Chamomile tea. ... building sickness syndrome
Action: astringent tonic, anti-haemorrhagic. Mild antibacterial.
Uses: Irritable bowel, ulcerative colitis, excessive menstruation, gargle for throat infections.
Traditional: tea used as a wash for piles and anal irritation, or as a poultice for sores and wounds. Widely used in Chinese medicine.
Preparations: Thrice daily.
Tea: 2 teaspoons to each cup boiling water; infuse 5 minutes. Half-1 cup. Liquid extract: half-1 teaspoon in water.
Tincture BHP (1983) 1:5 in 45 per cent alcohol. Dose 2-8ml. ... burnet, greater
Habitat: Meghalaya, foothills of Assam and Peninsular India.
Ayurvedic: Tumburu (Kerala), Ashvaghra, Tejabala.Siddha/Tamil: Tratechai.Action: Fruits—used for diarrhoea, dyspepsia; asthma, bronchitis; rheumatism; diseases of the mouth and teeth. Pericarp—astringent, digestive, stimulant. Essential oil—disinfectant, used in infective dermatosis. Bark—cholinergic, diuretic, hypoglycaemic, spasmolytic. Root—emmenagogue, febrifuge.
The trunk-bark from Assam gave alkaloids—chelerythrine (0.014%), evodiamine (0.03%) and hydoxyevodi- amine (0.05%). The essential oil from the fruit contains l-sabinene, alpha- terpinene, beta-phellandrene, 1,4-cine- ole, decanal, octanal, terpinen-4-ol, dihydrocarveol, l-cryptone and cumi- naldehyde.The essential oil exhibits anti-inflammatory, anaesthetic and antago- nisic activity.Z. nitidum (Roxb.) DC. (Bihar eastwards to Sikkim and Assam) is known as Tezmul in Assam. The root is used in toothache and stomachache.The plant is used as one of the ingredients in the preparation of pharmaceutical tablets given to drug addicts for the treatment of withdrawl symptoms.Methanolic extract of the roots gave nitidine, chelerythrine and isogari- dine. The extract showed antitumour property.Z. ovalifolium Wight (Eastern Himalayas, Meghalaya, the Western Ghats of South Kanara and Kerala) is known as Armadalu in Karnataka and Diang-shih in Meghalaya (Khasi Hills). The leaf contains diosmetin and the heartwood contains flavonoids of dihydrofisetin and cinnamaldehyde. The bark and fruit possess properties similar to other species of the genus.... zanthoxylum budrungaAction. Carminative, aromatic, stimulant, expectorant.
Uses: Flatulence, Stomach upsets.
Preparation. Tea. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes; 1 cup 2-3 times daily. ... burnet saxifrage
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
Action: diuretic, diaphoretic, laxative, deobstruent, anti-inflammatory, veinous tonic. Action similar to Wild Yam: used in synthesis of steroid hormones. Antispasmodic. Haemostatic.
Uses: Varicose veins, piles, jaundice, obstructed menstruation, sluggish circulation, oedema. To arrest haemorrhage.
Decoction: half an ounce fine-cut herb to 1 pint water simmered gently 20 minutes. Dose: half-1 cup thrice daily.
Powder, capsules: 270mg. 3 capsules twice daily during meals. (Arkocaps)
Endopharm capsules for piles. ... butcher’s broom
Action: Astringent, expectorant, diuretic (mild), antispasmodic, stimulant. Of limited use because of pyrrolizidine alkaloids.
Uses: Inflammation of urinary tract, gravel, skin disorders. Gall bladder disorders, bronchitis, asthma, whooping cough. Migraine of liver origin.
Preparations: 1 teaspoon crushed root steeped in each cup cold water overnight. Next day warm, not boil, and strain. Half cup thrice daily.
Petaforce. (Vogel & Webb) capsules, 25mg Butterburr extract.
Neurochol (Brenner). Combines Butterburr and Wormwood. ... butterbur
After years of study in a remote Norfolk village he concluded there were 38 states of mind which, if corrected led to improvement of certain physical conditions. Being ‘psychic’, he claimed to feel the vibrations of plants and their reactions to his body when holding them in his hand; some causing pain, nausea, nervous excitability or producing a fever. He divined the ‘soul’ of a number of different plants, matching each to a particular state of mind.
It was claimed that destructive moods produced body toxins which lowered vitality and natural resistance. He prepared what are now known as the Bach Remedies from the petals of wild flowers with which he overcame depression, fear and abnormal mental states. He treated the attitude of mind, illness being a cleansing process of mind and body. Thus he became the first Holistic practitioner.
He ‘potentised’ remedies by immersing petals in fresh spring water in the sun and preserving. Though his cures are still regarded as ‘anecdotal’, the remedies enjoy world-wide recognition. Dr W.T. Garton writes: “Dr Bach’s remedies have the power to dispel gloom, anxiety, hate and fear, and with them go many of the physical ills which are the natural outcome of such frames of mind. The remedies are not a substitute for courageous living, but may enable us to better cope with life.”
The Bach Centre, Mount Vernon, Wallingford, Oxon, England. ... bach
Symptoms. A small lump comes to light while washing, a discharge from the nipple, change in nipple size and colour, irregular contour of the breast surface. Though tissue change is likely to be a cyst, speedy diagnosis and treatment are necessary. Some hospital physicians and surgeons are known to view favourably supportive herbal aids, and do not always think in terms of radical mastectomy. Dr Finlay Ellingwood, Chicago physician (1916) cured a case by injection of one dram Echinacea root extract twice a week into the surrounding tissues.
The condition is believed to be due to a number of causes including suppression of ovulation and oestrogen secretion in pregnant and lactating women. A high fat diet is suspected of interference with the production of oestrogen. Some women are constitutionally disposed to the condition which may be triggered by trauma or emotional shock. Increase in incidence in older women has been linked with excessive sugar consumption. “Consumption overwhelms the pancreas which has to ‘push it out’ to all parts of the body (when broken down by the digestive process) whether they need it or not. The vital organs are rationed according to their requirements of nutrients from the diet. What is left over has to ‘go into store elsewhere’. And the breast is forced to take its share and store it. If it gets too much, for too long, it may rebel!” (Stephen Seely, Department of Bacteriology and Virology, Manchester)
“Women who nurse their babies less than one month are at an increased risk for breast cancer. The longer a woman breast-feeds – no matter what her age – the more the risk decreases. (Marion Tompson, co-founder, The La Leche League, in the American Journal of Epidemiology)
Lactation reduces the risk of pre-menopausal breast cancer. (Newcomb P.A. et al New England Journal of Medicine, 330 1994)
There is currently no treatment to cure metastatic breast cancer. In spite of chemotherapy, surgery and radiotherapy survival rate has not diminished. Herbs not only have a palliative effect but, through their action on hormone function offer a positive contribution towards overcoming the condition. Their activity has been widely recorded in medical literature. Unlike cytotoxic drugs, few have been known to cause alopecia, nausea, vomiting or inflammation of the stomach.
Treatment by a general medical practitioner or oncologist.
Special investigations. Low radiation X-ray mammography to confirm diagnosis. Test for detection of oestrogen receptor protein.
Treatment. Surgery may be necessary. Some patients may opt out from strong personal conviction, choosing a rigid self-disciplined approach – the Gentle Way. Every effort is made to build up the body’s natural defences (immune system).
An older generation of herbalists believed tissue change could follow a bruise on the breast, which should not be neglected but immediately painted with Tincture Arnica or Tincture Bellis perennis.
Vincristine, an alkaloid from Vinca rosea (Catharanthus roseus) is used by the medical profession as an anti-neoplastic and anti-mitotic agent to inhibit cell division.
Of possible therapeutic value. Blue Flag root, Burdock root, Chaparral, Clivers, Comfrey root, Echinacea, Figwort, Gotu Kola, Marshmallow root, Mistletoe, Myrrh, Prickly Ash bark, Red Clover, Thuja, Wild Violet, Yellow Dock.
Tea. Equal parts: Red Clover, Clivers, Gotu Kola, Wild Violet. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. 3 or more cups daily.
Decoctions. Echinacea, Blue Flag root, Queen’s Delight, Yellow Dock.
Tablets/capsules. Blue Flag root, Echinacea, Poke root, Mistletoe.
Formula. Echinacea 2; Gotu Kola 1; Poke root 1; Mistletoe 1; Vinca rosea 1. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Thrice daily and at bedtime. According to progress of the disease, increase dosage as tolerated.
Maria Treben’s tea. Parts: Marigold (3), Yarrow 1; Nettles 1. Mix. 2 teaspoons to each cup boiling water. 1 cup as many times daily as tolerated.
William Boericke, M.D. recommends Houseleek. E.H. Ruddock M.D. favours Figwort.
Topical. Treatments believed to be of therapeutic value or for use as a soothing application.
(1) Cold poultice: Comfrey root.
(2) Poultice of fresh Marshmallow root pulped in juicer.
(3) Injection of Extract Greater Celandine (Chelidonium), locally, gained a reputation in the Eclectic school.
(4) The action of Blood root (Sanguinaria) is well known as a paint or injection.
(5) Ragwort poultice: 2oz Ragwort boiled in half a pint potato water for 15 minutes. See: POULTICE.
(6) Popular Russian traditional remedy: Badiaga (Spongilla fluviatilis), fresh water sponge gathered in the autumn; dried plant rubbed to a powder. Poultice.
(7) Maria Treben’s Poultice: Carefully washed fresh Plantain leaves, pulped, and applied direct to the lesion.
(8) If lymph glands are affected, apply Plantain poultice to glands.
(9) Dr Brandini’s treatment. Dr Brandini, Florence, used 4 grains Citric Acid (prepared from lemons) in 1oz (30ml) water for ulcerated cancer of the breast considered incurable. “The woman’s torments were so distressing that neither she nor other patients could get any rest. Applying lint soaked in the solution, relief was instantaneous. Repeated, it was successful.”
(10) Circuta leaves. Simmered till soft and mixed with Slippery Elm bark powder as a poultice morning and night.
(11) Decoction. Simmer gently Yellow Dock roots, fine cut or powdered, 1oz to 1 pint, 20 minutes. Saturate lint or suitable material and apply.
(12) Yellow Dock ointment. Half ounce Lobelia seed, half ounce Yellow Dock root powder. Baste into an ointment base. See: OINTMENT BASE.
(13) Infusion, for use as a wash. Equal parts: Horsetail, Red Clover, Raspberry leaves. 1oz to 1 pint boiling water infuse 15 minutes.
(14) Dr Christopher’s Ointment. Half an ounce White Oak, half an ounce Garden Sage, half an ounce Tormentil, half an ounce Horsetail, half an ounce Lemon Balm. Method: Boil gently half an hour in quart water, strain. Reduce to half a pint by simmering. Add half a pound honey. Bring to boil. Skim off scum. Allow cool. Apply: twice daily on sores.
(15) Dr Finlay Ellingwood. Poke root juice. “Fresh juice from the stems, leaves and roots applied directly to diseased tissue. Exercises a selective action; induces liquefaction and promotes removal, sometimes healing the open wound and encouraging scar formation. Masses of such tissue have been known to be destroyed in a few weeks with only a scar, with no other application but the fresh juice. Produces pain at first, but is otherwise harmless.”
(16) Lesion painted with Mandrake resin. (American Podophyllum)
(17) Dust affected parts with Comfrey powder. Mucilage from Comfrey powder or crushed root with the aid of a little milk. See: COMFREY.
(18) Dr Samuel Thomson’s Cancer Plaster. “Take heads of Red Clover and fill a kettle. Boil in water for one hour. Remove and fill kettle with fresh flower heads. Boil as before in the same liquor. Strain and press heads to express all the liquor. Simmer over a low fire till of the consistency of tar. It must not burn. Spread over a piece of suitable material.”
(19) Wipe affected area with cut Houseleek. (Dr Wm Boericke)
(20) Chinese Herbalism. Take 1-2 Liang pulverised liao-ko-wang (Wickstroemia indica), mix with cold boiled water or rice wine for local compress. Also good for mastitis.
(21) Italian women once used an old traditional remedy – Fenugreek tea.
(22) A clinical trial of Vitamin D provided encouraging results. Patients with locally advanced breast cancer were given a highly active Vitamin D analogue cream to rub on their tumours. “It was effective in one third of the tumours,” said Professor Charles Coombes, clinical oncologist, Charing Cross Hospital, London.
Diet. “A diet rich in cereal products (high in dietary fibre) and green leafy vegetables (antioxidants) would appear to offer women some protection against breast cancer due to the relation between fibre and oestrogen metabolism. Meat-free diet. In a study of 75 adolescent girls, vegetarians were found to have higher levels of a hormone that women suffering from breast cancer often lack. (Cancer Research) Supplements. Daily. Chromium. Selenium (600mcg). Zinc chelate (100mg morning and evening). Beta carotene. “Low levels of Selenium and Vitamins A and E are shown in breast cancer cases.” (British Journal of Cancer 49: 321-324, 1984).
Vitamins A and D inhibit virus penetration in healthy cell walls. Multivitamin combinations should not include Vitamin B12, production of which in the body is much increased in cancerous conditions. Vitamins B-complex and C especially required.
Note: A link between sugar consumption and breast cancer has been reported by some authorities who suggest that countries at the top of the mortality table are the highest also in sugar consumption; the operative factor believed to be insulin.
Screening. Breast screening should be annual from the age of forty.
General. Mothers are encouraged to breast-feed children for the protection it offers against mammary malignancy. (Am.J. Obstet. Gyn. 15/9/1984. 150.)
Avoidance of stress situations by singing, playing an instrument. Adopt relaxation techniques, spiritual healing and purposeful meditation to arouse the immune system; intensive visualisation. Avoid the carcinogens: smoking, alcohol.
Information. Breast Cancer Care. Free Help Line. UK Telephone: 0500 245345. ... cancer - breast
To increase elimination through the skin. As it has a drying effect should not be taken by those with irritative skin disorders. Follow with moisturising lotion next morning. Also not taken in the presence of high blood pressure. ... epsom salt bath
Alfalfa tea freely.
Of value: Kelp, Irish Moss, Iceland Moss.
Diet. Vitamin A foods, carrots, bilberries, Cod Liver oil.
Supplements. Vitamin A, Beta-carotene. C (2g), E (400iu). B-complex, B2, Niacin, Zinc. ... eyes - night blindness
Formula. Ginseng 2; Liquorice 1; Sarsaparilla 1; Ginger half; Kelp half. Dose – powders: half a teaspoon; tinctures 1-3 teaspoons; liquid extracts: 1-2 teaspoons; in water or honey thrice daily. ... gland balancer
Action. Mild analgesic (forerunner of aspirin), Febrifuge, Anti-inflammatory, Stimulating diuretic (resin), Antiseptic, Circulatory stimulant, Expectorant. Contains salicylates.
Uses: Laryngitis. Chronic bronchitis. Safe for children’s chest troubles. Traditional: for coughs, colds and sore throats. Buds used by North American Indians for muscular and circulatory aches and pains (Dr A. Clapp, 1852).
Side effects. None known.
Preparations: Tea. 2-3 buds to each cup boiling water; infuse 15 minutes. Half-1 cup 3-hourly, acute cases; thrice daily, chronic.
Tincture, BHC (vol 1). 1:5 45 per cent Ethanol, 4-8ml.
Balm of Gilead Cough Mixture (Potter’s). Each 10ml contains Acet. Scill. BP 0.339ml; Acetic acid (5.5 per cent) extractive from Lobelia (1-12.5) 0.148ml; Ipecac Liquid extract BP 0.004ml; 30 per cent alcoholic extractive (1:1) from each of 100mg Balm of Gilead buds and 200mg Lungwort lichen in a sweetened flavoured vehicle. ... balm of gilead
Action. Liver stimulant, cholagogue, antiseptic, alterative. Tonic to spleen and pancreas, antemetic, digestive tonic. Hypotensive. Mild sedative and anticonvulsant. Uterine stimulant. Anti-haemorrhagic, Febrifuge, Anti-inflammatory, Anti-diarrhoeal, Amoebicidal, Bactericidal.
Uses: Sluggish liver, jaundice, biliousness, gastritis, gallstones, itching anus, ulcerated mouth, malaria, sandfly fever, toxaemia from drugs and environmental chemicals. Shingles, bladder disorders, leucorrhoea, renal colic. Old gouty constitutions react favourably. Cholera (animals). Leukopaenia due to chemotherapy.
Combinations. With Yarrow for malaria. With Gelsemium for pain in the coccyx (tailbone). With Fringe Tree bark for skin disorders.
Contra-indications: pregnancy, diarrhoea.
Preparations: Thrice daily.
Decoction: 1 teaspoon to each cup cold water left to steep overnight. Half-1 cup. Liquid Extract: BHP (1983) 1:1 in 25 per cent alcohol. Dose (1-3ml).
Tincture: BHP (1983) 1:10 in 60 per cent alcohol. Dose (2-4ml).
Powdered bark, dose, 1-2g. ... barberry bark
Alternatives. Seldom necessary. Prolonged pressure with the finger against the source of the bleeding usually suffices. Insert tampon saturated with Witch Hazel water. Marigold or Yarrow tea.
Internal. Two Cranesbill tablets every 15 minutes. Raspberry leaf or Ladies Mantle tea. Topical. Douche – Raspberry leaf infusion. ... hymenal bleeding
The Bartrams’ friends included Benjamin Franklin and Washington who often visited their house, resting in the garden with giant trees planted by the Bartrams. John (1699-1777) was described by Linnaeus as the “greatest contemporary natural botanist”. His son, William, was also an explorer- naturalist and artist whose works are now collector’s pieces. ... bartram, john and william
Active principle: “maesanin”. (Dr Isno Kubo, University of California-Berkeley)
Recommended by the Bwana-mganga medicine-men as a tea to be drunk one week before visiting Lake Victoria, an area where cholera is endemic. ... orange berries
The body has three mechanisms for maintaining normal acid–base balance: buffers, breathing, and the activities of the kidneys. Buffers are substances in the blood that neutralize acid or alkaline wastes. Rapid breathing results in the blood becoming less acidic; slow breathing has the opposite effect. The kidneys regulate the amounts of acid or alkaline wastes in the urine.
Disturbances of the body’s acid–base balance result in either acidosis (excessive blood acidity) or alkalosis (excessive blood alkalinity).... acid–base balance
Coronary balloon angioplasty is usually successful, but the narrowing may recur
in the affected vessel, requiring repeat treatment.
Angioplasty of peripheral vessels is most successful in treating the iliac and femoral arteries in the legs.... angioplasty, balloon
Hyperactive children: Chamomile. Nerve stress: Valerian. Irritable rashes of eczema or psoriasis: bran (2, 3-4 handfuls).
Rheumatic joints: Mustard (2 teaspoons).
Low blood pressure: Rosemary.
Feverish conditions: Yarrow.
Any may be used for Sitz or foot bath. Crush fresh herbs with rolling pin.
Seaweed bath. Take handful freshly-gathered seaweed; tie in muslin bag (or nylon stocking); use as a sponge as a relaxing rub in bath or ablutions. Skin nutrient; sleep restorative. ... baths
Action. Diffusive circulatory stimulant, Deobstruent, Tonic. Astringent (local). Diaphoretic (in hot infusion). Bactericidal, Spermatocidal.
Uses: Mucous colitis, diarrhoea. Congestive catarrhal conditions of mucous membranes. Leucorrhoea, prolapse of the womb. Tuberculosis diathesis. To stimulate a sluggish circulation. Colds and fevers to promote sweating. Nasal polypi (powdered bark snuff). Bleeding from lungs, stomach and bowels. Candidiasis (douche). Leg ulcers (dusting powder). Diphtheria (local application to throat).
An essential ingredient of Dr Thomson’s Composition powder. Combination: with Turkey Rhubarb, Goldenseal, Slippery Elm or Fenugreek seeds for chronic stomach/intestine disorders and irritable bowel syndrome.
Preparations: Thrice daily.
Decoction: 1 teaspoon powdered bark to each cup water; remove vessel when boiling point is reached: dose, quarter to half a cup.
Liquid extract BHP (1983). 1:1 in 45 per cent alcohol: dose, 0.6-2ml. Powdered bark, dose 0.6-2g.
Poultices, powdered bark for ulceration.
Peerless Composition Essence (Potter’s). Ingredient. ... bayberry bark
One type is used to drain urine from the bladder (see catheterization, urinary).
Balloon catheters are sometimes used to expand narrowed arteries (balloon angioplasty).
They may also be used to control bleeding oesophageal varices before surgery.... balloon catheter
Bambuterol can only be taken orally.... bambuterol
1. Agrimony. Those who suffer considerable inner torture which they try to dissemble behind a facade of cheerfulness.
2. Aspen. Apprehension and foreboding. Fears of unknown origin.
3. Beech. Critical and intolerant of others. Arrogant.
4. Centaury. Weakness of will; those who let themselves be exploited or imposed upon – become subservient; difficulty in saying ‘no’. Human doormat.
5. Cerato. Those who doubt their own judgement, seeks advice of others. Often influenced and misguided.
6. Cherry Plum. Fear of mental collapse/desperation/loss of control and fear of causing harm. Vicious rages.
7. Chestnut Bud. Refusal to learn by experience; continually repeating the same mistakes.
8. Chicory. The over-possessive, demands respect or attention (selfishness), likes others to conform to their standards. makes martyr of oneself.
9. Clematis. Indifferent, inattentive, dreamy, absent-minded. Mental escapist from reality.
10. Crab Apple. Cleanser. Feels unclean or ashamed of ailments. Self disgust/hatred. House proud.
11. Elm. Temporarily overcome by inadequacy or responsibility. Normally very capable.
12. Gentian. Despondent. Easily discouraged and dejected.
13. Gorse. Extreme hopelessness – pessimist – ‘Oh, what’s the use?’.
14. Heather. People who are obsessed with their own troubles and experiences. Talkative ‘bores’ – poor listeners.
15. Holly. For those who are jealous, envious, revengeful and suspicious. For those who hate.
16. Honeysuckle. For those with nostalgia and who constantly dwell in the past. Homesickness.
17. Hornbeam. ‘Monday morning’ feeling but once started, task is usually fulfilled. Procrastination.
18. Impatiens. Impatience, irritability.
19. Larch. Despondency due to lack of self-confidence; expectation of failure, so fails to make the attempt. Feels inferior though has the ability.
20. Mimulus. Fear of known things. Shyness, timidity.
21. Mustard. Deep gloom like an overshadowing dark cloud that descends for no known reason which can lift just as suddenly. Melancholy.
22. Oak. Brave determined types. Struggles on in illness and against adversity despite setbacks. Plodders.
23. Olive. Exhaustion – drained of energy – everything an effort.
24. Pine. Feelings of guilt. Blames self for mistakes of others. Feels unworthy.
25. Red Chestnut. Excessive fear and over caring for others especially those held dear.
26. Rock Rose. Terror, extreme fear or panic.
27. Rock Water. For those who are hard on themselves – often overwork. Rigid minded, self denying. 28. Scleranthus. Uncertainty/indecision/vacillation. Fluctuating moods.
29. Star of Bethlehem. For all the effect of serious news, or fright following an accident, etc.
30. Sweet Chestnut. Anguish of those who have reached the limit of endurance – only oblivion left.
31. Vervain. Over-enthusiasm, over-effort; straining. Fanatical and highly-strung. Incensed by injustices. 32. Vine. Dominating/inflexible/ambitious/tyrannical/autocratic. Arrogant Pride. Good leaders.
33. Walnut. Protection remedy from powerful influences, and helps adjustment to any transition or change, e.g. puberty, menopause, divorce, new surroundings.
34. Water Violet. Proud, reserved, sedate types, sometimes ‘superior’. Little emotional involvement but reliable/dependable.
35. White Chestnut. Persistent unwanted thoughts. Pre-occupation with some worry or episode. Mental arguments.
36. Wild Oat. Helps determine one’s intended path in life.
37. Wild Rose. Resignation, apathy. Drifters who accept their lot, making little effort for improvement – lacks ambition.
38. Willow. Resentment and bitterness with ‘not fair’ and ‘poor me’ attitude.
39. Rescue Remedy. A combination of Cherry Plum, Clematis, Impatiens, Rock Rose, Star of Bethlehem. All purpose emergency composite for causes of trauma, anguish, bereavement, examinations, going to the dentist, etc. ... bach remedies
Beach made many long visits to Britain gleaning information from the British Museum, Guy’s Hospital and from consulting medical herbalists. Ex-Professor of several American universities, he organised herbal medication into a system defined in his books: “American Practice of Medicine”, “Midwifery”, and “Family Physician” which proved a bestseller. ... beach, dr wooster (1794-1868)
Bedbugs live in furniture, especially beds and carpets, emerging at night to feed on humans by sucking blood.
They are not known to transmit disease, but their bites are itchy and may become infected.... bedbug
Keynote: kidneys. Part used: pods without beans.
Action: hypotensive, diuretic, anti-diabetic, resolvent, glycaemic – to regulate blood sugar.
Uses: Water retention. Albuminuria (proteinuria), especially of pregnancy. Oedema of cardiac origin. Premenstrual tension. Diabetes mellitus. Hyperinsulinism. To induce loss of weight. Swollen legs and ankles. Hypoglycaemia. Sometimes given in combination with Bladderwrack.
Preparations: Capt Frank Roberts Bean Cure. 40 grams of the dried herb soaked for 6 hours in 750ml (1 and a half pints) cold water. Boil, half an hour. Drink all over 1-2 days for water retention.
Roasted beans: nutritious coffee substitute.
French bean water (after cooking beans without salt) used traditionally in France for a soaked-lint compress for leg ulcer.
Powder. Capsules, 200mg. Dose: 8 capsules: 2 in morning, 3 at midday, 3 in the evening, at beginning of meals. (Arkocaps) ... bean husks
Contain natural L-dopa which penetrates the intestinal epithelial cells and is transported through the blood stream to the brain capillaries where it is converted into dopamine, of value in the nutrition of Parkinson patients.
Beans should be eaten, not when fully mature, but when young, with a thin skin and easy to digest. Ninety per cent afflicted with Parkinson’s disease at an early age respond quickly. It is easily oxidised two or three days after harvest and vanishes completely as the plant stops growing and begins to dry. Patients report a marked improvement each time they eat a meal of fresh broad beans and may not require drug treatment “for many hours”. The young beans are immersed in boiling water for three minutes, and may be eaten as a preventative. ... beans, broad
Contains hydroquinones, iridoids, flavonoids. Keynote: highly acid urine.
Action. Diuretic, urinary antiseptic, astringent, haemostatic, oxytocic.
Uses: smarting cystitis, painful micturition, urethritis, blood in the urine, urinary retention, oedema of legs or face, bed-wetting, diarrhoea, dysentery, profuse menstruation, leucorrhoea (chronic).
Combinations. With Dandelion root for dropsy. With Broom, Buchu and Clivers for inflammation of urinary tract and bladder. With Couch Grass as a urinary antiseptic.
Soothing combination for kidney relief and renal backache: Bearberry 15 per cent, Couchgrass 15 per cent, Wild Carrot 15 per cent, Buchu 10 per cent, Alfalfa 45 per cent. Tea: 1 heaped teaspoon to each cup boiling water. Infuse 10 minutes, 1 cup twice daily.
Preparations: Thrice daily.
Tea. 1 heaped teaspoon to each cup boiling water; infuse 15 minutes; Dose: half-1 cup.
Liquid extract BHC Vol 1. 1:1, in 25 per cent ethanol. Dose: 1.5-2.5ml.
Tincture BHC Vol 1. 1:5. in 25 per cent ethanol. Dose: 2-4ml.
Powder. 250mg. (One 00 capsule or one-sixth teaspoon).
Tablets. Popular combination. Powdered Dandelion root BHP (1983) 90mg; powdered Horsetail extract 3:1 10mg; powdered Uva Ursi extract 3:1 75mg. To assist urinary flow and prevent fluid retention. Precautions. Not used in pregnancy, kidney disorders, lactation. Large doses may cause vomiting. Should not be used for more than two weeks without consulting a practitioner. ... bearberry
Symptoms. Vulva or penis swollen and itching. Neuritis of the eye with possible ensuing blindness. A specific disease unrelated to herpes simplex which it resembles. There is no evidence that it is venereal. Basic pathology is inflammation of the veins, arteries and capillaries (Nettles). Thrombosis is possible (Hawthorn).
Treatment. Tea. (1) Nettles. Or (2): place half an ounce Burdock root in 1 pint water; simmer gently 20 minutes: Add 1oz Nettles. Allow to steep for further 15 minutes. Dose: 1 cup thrice daily.
Tablets/capsules. Kelp, Echinacea, Blue Flag.
Tinctures. Combine Echinacea 2; Goldenseal three-quarters; Myrrh quarter. Dose: 1-2 teaspoons in water thrice daily.
Practitioner. Tincture Colchicum BP 1973.
Topical. Bathe with dilute cider vinegar. Cold tea. Garlic ointment. Tea Tree oil diluted many times. Houseleek.
Eyedrops. Goldenseal eyedrops.
Diet. Avoid hot peppery foods, fried foods.
Low-salt. Regular raw food days.
Supplementation. Vitamin E: 500-1000iu daily. Vitamin B-complex. Calcium and Magnesium. Avoid: scented soap, talcum powder, wool (alternatives: cotton briefs, open gusset tights). Information: Bechet’s Syndrome Society, 3 Belgrave Street, Haxby Road, York Y03 7YY. ... bechet’s disease
The juice is an oxygen catalyser believed to have an anti-tumour effect. High in iron content and silicic acids, it assists regeneration of red blood cells. Hungarian research indicates anti-cancerous properties; one kilo fresh vegetable daily. Active elements are stable and unaffected by cooking. Other contents: selenium; Vitamins A, C, E, flavonoids, fibre. Side-effects – nil. Bottled juices – (Biotta, Switzerland) Produces red stool and urine.
Beetroot juice assists the liver to break-down stored fats and is of value for cellulite and other obese conditions. ... beetroot
Action: Antiseptic, Carminative, Expectorant.
Use s. Flatulence. Stomach cramp. Intestinal colic. Weak digestion. Nausea. Headache. menstruation.
Preparation. Tea. 1 teaspoon to each cup boiling water; infuse 5-10 minutes. Half-1 cup as necessary. Bergamot imparts the distinctive flavour to Earl Grey tea.
Aromatherapy. Diluted oil for shingles: 6 drops to 2 teaspoons Almond oil as a soothing lotion.
BERI BERI. A disease caused by a deficiency of thiamine (Vitamin B1) by eating polished rice from which the husk (in which the vitamin is found) is discarded. Others at risk from Vitamin B1 deficiency are alcoholics, hypothyroids, pregnant women and those with a high intake of refined sugar but a low intake of fresh fruits and vegetables. Heavy coffee drinkers suffer temporary wastage.
Symptoms: weight loss, poor appetite, loss of sensation in arms and legs. Polyneuritis, muscular atrophy. Mood changes.
Painful Of value. Slippery Elm. Dandelion. Alfalfa sprouts or tea. Psyllium husks.
Diet. Vitamin B1 is present in green vegetables, eggs, meat, nuts, yeast, natural unprocessed brown rice, cereal germ and husks, oatmeal, peas, beans, asparagus, brewer’s yeast, desiccated liver.
Supplements. Vitamin B-complex. Vitamins B1 and C. ... bergamot, red
Part used: root. Long reputation in traditional medicine. Prescription by medical practitioner only. Action: stimulant, emmenagogue, diaphoretic, oxytocic (hence its name – to induce childbirth delivery). Immune enhancer. Stimulates action of white blood cells.
Reduces effects of Prednisolone, Chloramphenicol and Tetracycline (H. Wagner, “Economic & Medicinal Plant Research, vol 1, Pub: Academic Press (1985) UK)
Uses: Chinese medicine: ulcers, infectious diseases.
Preparations: Powdered root: dose – 2-4 grams. 2-3 times daily.
Madaus: Tardolyt: a sodium salt of aristolochic acid. ... birthwort
Bitters increase the appetite, assist assimilation, and are indicated for perverted or loss of the sense of taste (zinc). They reduce fermentation in the intestines and are of value in hypoglycaemia and diabetes mellitus. Bitters are not carminatives. Some, such as Gentian, Calumba and Chamomile are also sialogogues (increasing the flow of saliva). Another effect, little understood, is an increase in white corpuscles in the peripheral circulation.
Aletris, Angostura, Avens, Balmony, Barberry, Betony, Bogbean, Boneset, Calumba, Centuary, Chicory, Condurango, Feverfew, Gentian, Goldenseal, Holy Thistle, Hops, Quassia Chips, Rue, Southernwood, White Horehound, Wormwood.
Not used in presence of gastric ulcer. ... bitters
Action: relaxing nervine, sedative, spasmolytic, vaso-dilator, anti-arthritic, anti-inflammatory, anti- rheumatic, anti-cough, regulates autonomic system, emmenagogue, natural source of salicylic acid which has an aspirin-like effect. The agent works powerfully upon the female reproductive organs. Analgesic (mild).
Constituents: triterpine glycosides.
Uses: Cramps, sciatica, low back pain, facial and intercostal neuralgia, stiff neck, aches after strenuous exercise. Painful menstruation and menopausal symptoms, breast pains, threatened abortion, migraine of hormonal origin and pain in the ovaries. Tinnitus. Oestrogen-deficiency. Scarlet fever. Fatty heart.
Combines, equal parts with Bogbean for rheumatism; with Blue Cohosh for ovaries and womb; with Elecampane for whooping cough. Psychological: of value for melancholia, hysteria and nervous depression. Peter Smith, 19th century explorer, claimed the Indians used it with success for yellow fever. Contra-indicated in pregnancy and lactation.
Preparations: Unless otherwise prescribed, daily dose: dried rhizome and root, 40-200mg or by decoction; tincture (1:10, 60 per cent ethanol), 0.4-2ml. (British Herbal Compendium, Vol 1). Antispasmodic tincture (Potter’s) Used in traditional Chinese medicine. ... black cohosh
Action: febrifuge (mild), astringent, diuretic, anti-rheumatic. Fruits are a rich source of Vitamin C, and have a Vitamin P effect. Anti-inflammatory for rheumatic disorders and gout. Nerve tonic. Hypotensor. Mild antispasmodic. Cooling.
Uses: As a tea in early stages of fevers until deeper-acting and more specific treatment is prescribed. Capillary fragility. High blood pressure (fruit). Sore throat (tea used as a gargle). Irritable bowel. Renal calculi, oliguria, renal colic.
Combination: equal parts: with Agrimony and German Chamomile for diverticulosis.
Preparations: Leaves: 1oz to 1 pint boiling water; infuse 15 minutes. One-half-1 cup freely.
Fruits: Black currant syrup, BPC.
Note: Seeds are twice as rich in gamma linolenic acid than an equivalent amount in Evening Primrose oil. Assists production of prostaglandins that control blood pressure and regulate metabolism. ... black currant
forearm. The biceps femoris at the back of the thigh bends the leg at the knee and extends the thigh.... biceps muscle
Action. Antiseptic, antispasmodic, mild liver relaxant, promotes flow of bile, a laxative that acts without griping.
Uses: Chronic indigestion associated with liver disorder BHP (1983). Chronic liver congestion, non- obstructive jaundice, inflammation of the gall bladder.
Combination: with Dandelion (2) and Black root (1) an aid to liver function in cirrhosis.
History. Used by the Menominee Indians for internal purification.
Preparations: Thrice daily.
Decoction: 1oz (30g) to 1 pint (500ml) water gently simmered 20 minutes: One-third to half a cup. Liquid extract: 10-60 drops in water.
Tincture BHP (1983): 2.5ml-10ml.
Powder. Mix sifted powder with pinch Cayenne: 1-4g. ... black root
As blood flow to the brain is reduced the person may feel light-headed, wobbly and sick. Blood pressure falls. Sight fades and consciousness is lost. Rapid breathing and ‘pins and needles’. May be due to a tiny bloodclot entering the circulation of the brain, emotional shock, premenstrual pain, a hot room, drugs that lower blood pressure. Diabetics sometimes feel faint when blood pressure is low. The heart may be responsible: with sudden drop in output, cardiac infarction with chest pains and palpitation.
An epileptic convulsion is recognisable as a fit, with possible discharge of urine and biting of the tongue. See: EPILEPSY. For a simple faint:–
Treatment. Place head between the knees to ensure an immediate flow of blood to the brain. When he ‘comes-to’ any of the following may be given, either in tablet, capsule or liquid form: Ginseng, Prickly Ash, Ginger, Cayenne, Peppermint, Cola, Ephedra or Composition Essence. ... blackouts
Blood tonic. Decoction, tablets, tinctures or fluid extracts:– Echinacea 3; Burdock 2; Goldenseal 1. See also: ALTERATIVES. ... blood purifiers
Uses: Early American settlers and Indians claimed its power to prevent premature labour and miscarriage, prolonged painful labours and rigidity of the os. Indicated in labour with no expulsive effort and to counter false labour pains with bearing down sensations in the abdomen. Dr Farrington (Ellingwood’s Therapeutist) knew a single dose to arrest them after lasting several hours.
For persistent amenorrhoea and to increase menstrual flow; painful adolescent menses. Habitual abortion. Painful inflammation of the vagina, internally; and as a douche. Adolescent leucorrhoea. Acute rheumatic pains of the menopause. Combines well with Motherwort for rapid recovery after childbirth. Preparations. Thrice daily, or as dictated for an acute condition.
Powder: by capsule or for decoction: dose, 0.3-1g.
Liquid Extract BHP (1983): 1:1 in 70 per cent alcohol; dose, 0.5-1ml. Tincture. One to ten parts 70 per cent alcohol. Dose: 1-2ml.
Note: Chiefly used the latter half of pregnancy. ... blue cohosh
Action: anti-inflammatory, astringent (liver), cholagogue, diuretic, laxative, stimulant, anti-emetic, blood and lymph purifier, anti-obesity. A powerful alterative for passive sluggish conditions involving the liver, gall bladder, lymphatics, veins and glandular system. Restores loss of tonicity to involuntary muscle structures.
Uses: Chronic liver conditions to increase flow of bile. Cirrhosis, psoriasis, eczema and scrofulous skin disorders, acne, shingles, anal fissure. Combines well with Yellow Dock, Red Clover. Poke root and Queen’s Delight for skin disorders BHP (1983). Soft goitre (persist for months). Migraine or sick headache of liver origin. Reported to be of value in thyroid deficiency. Jaundice (Dr M.L. Tyler). Uterine fibroids: combined with Goldenseal and Balmony (Priest). Promotes secretions of pancreas, intestines and salivary glands.
Traditional combination: With equal parts Yellow Dock and Sarsaparilla as a powerful lymph cleanser. Henry Smith MD. “I use Blue Flag when there is any local disease involving the lymph glands. The vessels become enlarged and congested because of obstruction. Disease in these vessels is the forerunner of chronic skin disease. Blue Flag can be given in expectation of satisfactory results.”
Colonel Lydius, explorer. “The Indians take the root, wash it clean, boil it a little, then crush it between a couple of stones. They spread this crushed root as a poultice over leg ulcers. At the same time, the leg is bathed with the water in which the root is boiled. I have seen great cures by the use of this remedy. (Travels in North America, II. 606)
Preparations: Thrice daily.
Decoction: half a teaspoon to each cup water; simmer gently 15 minutes: dose – one-third cup. Liquid Extract, BHC Vol 1. 1:1, 45 per cent ethanol. Dose: 0.6-2ml.
Tincture, BHC Vol 1. 1:5, ethanol. Dose: 3-10ml. Powdered root. Half-2g.
Blue Flag is an ingredient of Potter’s Irisine Mixture.
Note: Tincture is best made from fresh root in early spring or autumn. ... blue flag root
Constituents: iridoid glycosides and coumarins.
Action: bitter, tonic, diuretic, anti-rheumatic, anti-inflammatory, lymph-alterative.
Uses: Diseases of liver and gall bladder, stomach. Anorexia, migraine of liver origin. Gout. Rheumatism and rheumatoid arthritis; muscular rheumatism with physical weakness BHP (1983).
Combines well with Celery seed or Black Cohosh BHP (1983). Contra-indicated: colitis, diarrhoea, dysentery.
Preparations: Thrice daily.
Tea: teaspoon in each cup of boiling water; infuse 10 minutes. Dose half-1 cup. Liquid extract, BHC Vol 1, 1:1 in 25 per cent alcohol. Dose half-2ml. Tincture, BHC Vol 1, 1:5 in 25 per cent alcohol. Dose 2-6ml. ... bogbean
Care should be taken to trace any underlying cause which should receive primary treatment: diabetes, kidney inflammation, anaemia, etc. The ‘core’ or centre of the boil should be extracted, although pustular matter may disperse and eruption aborted. Echinacea counters infection and hastens ripening. Goldenseal is shown to be effective for staph. aureus.
Alternatives. Teas. Chickweed, Clivers, Comfrey leaves, Figwort, Linseed, Marshmallow leaves, Plantain, Nettles.
Combination tea. Equal parts: Dandelion root, Nettles, Senna leaf, Burdock leaves. 1-2 teaspoons to each cup boiling water, thrice daily.
Decoctions from any of the following: one teaspoon to two cups water; gently simmer 20 minutes; strain when cold. Half-1 cup thrice daily. Blue Flag root, Burdock root, Echinacea root, Marshmallow root, Yellow Dock, Wild Indigo.
Tablets/capsules. Echinacea, Blue Flag, Queen’s Delight, Poke root.
Powders. Formula: Echinacea 1; Poke root half; Goldenseal quarter. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.
Tinctures. Formula. Echinacea 1; Burdock 1; Yellow Dock 1; Few drops Tincture Myrrh. Mix. Dose: 1 teaspoon in water thrice daily.
Tincture Myrrh, BPC (1973). 10-20 drops in water, 3 times daily.
BHP (1983) recommends, internal – combination: Burdock, Poke root, Violet and Wild Indigo.
Topical. Self-cleansing process is promoted by hot poultices of equal parts: Marshmallow root and Slippery Elm bark (preferably in powder form). An ointment with this combination is available. In the absence of herbs, use honey on clean lint, cover with cotton wool and fix in position. Alternatives: poultices of Carrot, Cabbage, White Pond Lily, Chickweed, Comfrey, Plantain, Linseed, Fenugreek. Cover with clean linen or gauze.
Dr A. Vogel. Tincture Marigold; pulped Cabbage leaves.
Tea Tree oil. After cleansing site, use lotion: 5 drops oil in eggcup boiled water, 3-4 times daily. Supplements. Vitamins A, C, D, E. Zinc.
Preventative: 2 Garlic capsules at night. ... boils
Most biorhythms are based on a daily, or circadian (24hour), cycle.
Our bodies are governed by an internal clock, which is itself regulated by hormones.
Periods of sleepiness and wakefulness may be affected by the level of melatonin secreted by the pineal gland in the brain.
Melatonin release is stimulated by darkness and suppressed by light.
Cortisol, secreted by the adrenal glands, also reflects the sleeping and waking states, being low in the evening and high in the morning.... biorhythms
Constituents: Peumus bollidus, boldine. Grows in Central Chile where it is used against liver diseases and gall stones.
Action. Cholagogue, liver tonic, diuretic, urinary antiseptic, laxative (mild), choleretic, anti-obesity, liver-protector, anti-inflammatory, choleretic.
Uses: Inflammation of the gall bladder, gall stone, biliary colic, infective cystitis, hypothyroidism, fluid retention.
Combination. With Barberry and Fringe Tree for gall stones and hepatic disease BHP (1983). Preparations. Thrice daily.
Tea. Quarter of a teaspoon to each cup boiling water; infuse 15 minutes. Dose: half a cup. Liquid extract. 1-5 drops in water.
Tincture BHP (1983) 1:10 in 60 per cent alcohol. Dose: 0.5-2ml in water. Powder. (capsules) 250mg (one 00 capsule) or one-sixth teaspoon. ... boldo
Comfrey decoction. 1 heaped teaspoon to cup water gently simmered 5 minutes; strain when cold; 1 cup – to which is added 20 drops Tincture Calendula (Marigold), thrice daily. Fenugreek seeds may be used as an alternative to Comfrey.
Alternative:– Mixture: equal parts liquid extracts: Comfrey, Marigold, St John’s Wort. One teaspoon in water or honey thrice daily.
Tablets/capsules. Fenugreek, St John’s Wort.
Topical. Comfrey, Fenugreek or Horsetail poultice.
Supplements. Vitamin A, C, E. Dolomite, Zinc.
Supportive. Exposure of site to sunlight.
Comfrey. The potential benefit of Comfrey root outweighs possible risk for bone disorders. ... bone disorders
Abscess, Alzheimer’s Disease, anoxia (oxygen starvation), coma, concussion, haemorrhage, Down’s syndrome, epilepsy, tumour, hydrocephalus (water on the brain), meningitis, multiple sclerosis, stroke (rupture of blood vessel), spina bifida, syphilis (general paralysis of the insane), sleepy sickness.
Poor circulation through the brain due to hardening of the arteries: Ginkgo, Ginseng. Ginseng stimulates the hypothalmic/pituitary axis of the brain and favourably influences its relationship with the adrenal glands.
Congestion of the brain – Cowslip (Boerwicke). Irritability of brain and spine – Hops. Oats. Inflammation of the brain (encephalitis) as in viral infection, poliomyelitis, rabies, sleepy sickness, etc: Echinacea, Passion flower, Skullcap and Lobelia. Gelsemium acts as a powerful relaxant in the hands of a practitioner: Tincture BPC (1973): dose 0.3ml.
Brain storm from hysteria, locomotor ataxia, etc – Liquid Extract Lobelia: 5ml teaspoon in water when necessary (Dr Jentzsch, 1915, Ellingwood) Supplement with Zinc, Vitamins C and E.
Blood clot, thrombosis: Yarrow. Neurasthenia: Oats, Basil, Hops.
Brain fag and jet-lag: Chamomile, Skullcap, Oats, Ginseng, Ginkgo.
Tumour may be present years before manifesting: Goldenseal.
Mental state: depression, anxiety, schizophrenia.
Tea. Formula. Skullcap, Gotu Kola and German Chamomile; equal parts. 1 heaped teaspoon to each cup water gently simmered 10 minutes. Strain. 1 cup thrice daily.
Unspecified tensive state. Formula. Tinctures. Hops 1; Passion flower 2; Valerian 2. Dose: 2 teaspoons thrice daily until diagnosis is concluded.
Unspecified torpor. Formula. Tinctures. Ginseng 1; Kola 1; Capsicum quarter. 2 teaspoons in water thrice daily until diagnosis is concluded.
Brain weakness in the elderly: Ginkgo. See: ALZHEIMER’S DISEASE.
Fluid on the brain: see HYDROCEPHALUS.
Abscess of the brain: see ABSCESS.
Brain restoratives. Black Haw, True Unicorn root, Galangal, Oats, Oatstraw, False Unicorn root, Kola, Hops. Vitamin B6. Magnesium.
Cerebral thrombosis. See entry.
Note: Cold water may help victims to survive: rapid loss of body heat protects the brain. (Child Health Department, University of Wales)
Treatment by or in liaison with general medical practitioner or hospital specialist. ... brain disorders
Alternatives. Tea. Equal parts: Marigold petals, St John’s Wort, Mullein. 2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup 3 or more times daily.
Tissue regeneration. Fenugreek tea.
Capsules. Oil of Evening Primrose: 2 × 250mg, 3 times daily.
Liquid Extract Blue Cohosh BHP (1983) 7-15 drops (0.5-1ml).
Topical. Oil of Evening Primrose. Comfrey dusting powder. Aloe Vera juice. Vitamin E cream. Diet. Lacto-vegetarian.
Information. BCC, Free Help Line. UK telephone: 0500 245345. ... breasts, mastectomy
Symptoms. Local tenderness, feverishness, general agitation. Pain following mumps. Nipple discharge. Alternatives. Where there is feverishness add Elderflowers (one part).
Tea. Combine equal parts: Comfrey leaves. Wild Thyme. German Chamomile. Red Clover. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. Drink freely.
Tablets/capsules. Poke root. Red Clover. Echinacea.
Powders. Formula: Echinacea 2; Red Clover 1; Poke root 1. Mix. Dose: 500mg (two 00 capsules or one- third teaspoon) thrice daily.
Tinctures. Formula. Echinacea 2; Marigold 1; Agnus Castus 2; Poke root 1. Dose: 1-2 teaspoons thrice daily, in water.
Poultice: (1) Fresh Plantain leaves beaten in pestle and mortar, applied cold. (2) Comfrey powder or Slippery Elm powder (or both) sprinkled on suitable material wrung out in boiling water and applied. (3) German Chamomile and Comfrey leaves. (Arthur Hyde, MNIMH) (4) Bring to boil, equal parts Chamomile flowers and Marshmallow leaves in milk and water. Remove when boiling point is reached. Saturate linen or suitable material. Apply every 12 hours. (Rev. John Wesley) (6) Bathe with juice of Houseleek. (Traditional, Norfolk villages)
Evening Primrose oil: internally and externally.
Poke root. An important ingredient of prescription for acute condition. ... breasts, mastitis
Formula (2). Equal parts: Goat’s Rue, Raspberry leaves. Mix. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. Dose: 1 cup 3 or more times daily.
Tablets/capsules. Agnus Castus, Fenugreek, Borage. ... breasts, milk scanty
When the discharge is yellow, indicating pus, an infection is suspected which may develop into an abscess. Herbal treatment can be effective but if, after a week, the condition has not improved surgical exploration may be necessary to remove the affected duct.
Alternatives. Clivers, Goldenseal, Fenugreek, Marigold, Poke root, Queen’s Delight, Wild Indigo. Taken as tea, powder, liquid extract or decoction.
Tea. Formula. Equal parts: Red Clover, Clivers, Gotu Kola. 2 teaspoons to each cup boiling water; infuse 15 minutes. Half-1 cup thrice daily.
Powders. Formula. Wild Indigo 1; Echinacea 2; Poke root 1. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.
Tinctures. Formula. Echinacea 2; Goldenseal 1; Poke root 1. Dose: 30-60 drops thrice daily.
Topical – for sore nipples. Wheatgerm oil, Evening Primrose oil. Lotions: Goldenseal, Marigold, distilled extract of Witch Hazel. Nipples to be washed before a child is again put to the breast. Cracked nipples: Comfrey – pulp from fresh plant, or equal parts powder and milk as a paste.
Minerals: magnesium, zinc. ... breasts, nipples, discharge
Birthweight depends on a number of factors, including the size and ethnic origin of the parents.
Babies who weigh less than 2.5 kg at birth are classified as being of low birthweight.
Causes of low birthweight include prematurity and undernourishment in the uterus (for example, because the mother had preeclampsia).
Abnormally high birthweight is often due to unrecognized or poorly controlled diabetes mellitus in the mother.... birthweight
Bisphosphonates are also used in the prevention or treatment of osteoporosis.... bisphosphonate drugs
Gerard tea. Equal parts: Raspberry leaves, Lemon Balm leaves, Agrimony leaves. Mix. Made as ordinary tea: 2-3 teaspoons to small teapot; infuse few minutes. Drink freely.
Fenugreek tea: consume seeds as well as liquor.
Gentian root. 2 teaspoons to cup cold water left to steep overnight. Half-1 cup before meals.
Pollen..
Diet. Oatmeal porridge. Honey.
Supplements. Multivitamins, B-complex, B6, B12. ... breasts, nursing mother exhaustion
Rosemary. 1 teaspoon leaves to cup boiling water; infuse 15 minutes. Half-1 cup 2-3 times daily.
Tea. Formula. Equal parts leaves, Agnus Castus, Rosemary, Balm. 1-2 teaspoons to each cup boiling water; infuse 15 minutes; 1 cup 2-3 times daily.
Evening Primrose oil. 10 drops (or 2 × 250ml capsules) 3 times daily.
Poke root. Internally and externally.
Yorkshire gypsy device: fix a cabbage or a rhubarb leaf beneath brassiere.
Liquid Extract Blue Cohosh BHP (1983): 0.5-1ml, Thrice daily. Alternative: Liquid Extract Rosemary BHP (1983): 2-4ml. Thrice daily.
Vitamins. All-round multivitamin and mineral supplement. Vitamin C (1g daily). Vitamin E (400iu daily). ... breast (female) tenderness, pain
Acute toxic nephritis is possible in the convalescent stage of scarlet and other infectious fevers, even influenza. Causes are legion, including septic conditions in the ear, nose, throat, tonsils, teeth or elsewhere. Resistance to other infections will be low because of accumulation of toxins awaiting elimination. When protein escapes from the body through faulty kidneys general health suffers.
This condition should be treated by or in liaison with a qualified medical practitioner.
Treatment. Bedrest essential, with electric blanket or hot water bottle. Attention to bowels; a timely laxative also assists elimination of excessive fluid. Diuretics. Diaphoretics. Abundant drinks of bottled water or herb teas (3-5 pints daily). Alkaline drinks have a healing effect upon the kidneys. Juniper is never given for active inflammation.
Useful teas. Buchu, Cornsilk, Couchgrass, Clivers, Bearberry, Elderflowers, Marshmallow, Mullein, Marigold flowers, Wild Carrot, Yarrow.
Greece: traditional tea: equal parts, Agrimony, Bearberry, Couchgrass, Pellitory.
Powders. Equal parts: Dandelion, Cornsilk, Mullein. Dose: 750mg (three 00 capsules or half teaspoon) every 2 hours. In water or cup of Cornsilk tea.
Tinctures. Equal parts: Buchu, Elderflowers, Yarrow. Mix. Dose: 1-2 teaspoons in water or cup of Cornsilk tea, every two hours.
Topical. Hot poultices to small of the back; flannel or other suitable material saturated with an infusion of Elderflowers, Goldenrod, Horsetail or Yarrow. Herbal treatment offers a supportive role. ... bright’s disease (acute)
The surface of the affected tooth is painted with oxidizing agents and then exposed to ultraviolet light.... bleaching, dental
A constant fear is the onset of uraemia caused by accumulation in the blood of waste by-products of protein digestion, therefore the patient should reject meat in favour of fish. Eggs and dairy products taken in strict moderation.
Where urea accumulates in the circulation ‘sustaining’ diuretics are indicated; these favour excretion of solids without forcing the discharge of more urine: including Shepherd’s Purse, Gravel root, or Uva Ursi when an astringent diuretic is needed for a show of blood in the urine. According to the case, other agents in common practice: Dandelion root, Yarrow, Hawthorn, Marigold, Stone root, Hydrangea. Parsley Piert, Buchu, Hawthorn, Golden Rod.
The patient will feel the cold intensely and always be tired. Warm clothing and ample rest are essential. Heart symptoms require treatment with Lily of the Valley or Broom.
This condition should be treated by or in liaison with a qualified medical practitioner.
Treatment. As kidney damage would be established, treatment would be palliative; efforts being to relieve strain and obtain maximum efficiency. There may be days of total bed-rest, raw foods and quiet. Consumption of fluids may not be as abundant as formerly. Soothing herb teas promote well-being and facilitate elimination. Oil of Juniper is avoided.
Efforts should be made to promote a rapid absorption – to restore the balance between the circulation and the lymphatics. For this purpose Mullein is effective. A few grains of Cayenne or drops of Tincture Capsicum enhances action.
Indicated. Antimicrobials, urinary antiseptics, diuretics, anti-hypertensives. For septic conditions add Echinacea.
Of Therapeutic Value. Alfalfa, Broom, Buchu, Couchgrass, Cornsilk, Dandelion, Lime flowers, Marigold, Mullein, Marshmallow, Parsley Piert, Periwinkle (major), Wild Carrot, Water Melon seed tea. Tea. Combine equal parts: Couchgrass, Dandelion, Mullein. 2 teaspoons to each cup boiling water. Infuse 5-15 minutes. 1 cup freely.
Powders. Combine equal parts: Stone root, Hydrangea, Hawthorn. Dose: 500mg (two 00 capsules or one-third teaspoon) 3 or more times daily in water or cup Cornsilk tea. A few grains Cayenne enhances action. Formula. Buchu 2; Mullein 2; Echinacea 1; Senna leaves half. Mix. Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. In water or cup Cornsilk tea 3 or more times daily. 2-3 drops Tincture Capsicum to each dose enhances action.
Diffusive stimulant for the lymphatic vessels. Onion milk is an effective potassium-conserving diuretic and diaphoretic. Onions are simmered gently in milk for 2 hours and drunk when thirsty or as desired – a welcome alternative to water. May be eaten uncooked.
Diet. Salt-free, low fat, high protein. Spring water. Raw goat’s milk, potassium broth. Fish oils. Avoid eggs and dairy products. No alcohol.
Supplements. Vitamins A, B-complex, C plus bioflavonoids, B6, D, E, Magnesium, Lecithin. Herbal treatment offers a supportive role. ... bright’s disease (chronic)
The BHMA is recognised by the Medicines Control Agency as the official representative of the profession and the trade. Its objects are (a) to defend the right of the public to choose herbal remedies and be able to obtain them; (b) to foster research in herbal medicine and establish standards of safety which are a safeguard to the user; (c) to encourage the dissemination of knowledge about herbal remedies, and (d) do everything possible to advance the science and practice of herbal medicine, and to further recognition at all levels.
Membership is open to all interested in the future of herbal medicine, including herbal practitioners, herbal retailers, health food stores, wholesalers, importers, manufacturers, pharmacists, doctors and research workers.
The BHMA produces the British Herbal Pharmacopoeia. Its Scientific Committee is made up of senior herbal practitioners, university pharmacologists and pharmacognosists. Other publications include: BHMA Advertising Code (1978), Medicines Act Advertising guidelines (1979), the Herbal Practitioner’s Guide to the Medicine’s Act (F. Fletcher Hyde), and miscellaneous leaflets on ‘Herbs and Their Uses’.
The BHMA does not train students for examination but works in close co-operation with the National Institute of Medical Herbalists, and with the European Scientific Co-operative on Phytotherapy.
Chairmen since its inception: Frank Power, 1964-1969; Fred Fletcher-Hyde, 1969-1977; Hugh Mitchell 1977-1986; James Chappelle 1986-1990; Victor Perfitt 1990-.
During the years the association has secured important advantages for its membership, particularly continuity of sale of herbal medicines in health food shops. It continues to maintain vigilance in matterss British and European as they affect manufacturing, wholesaling, retailing, prescribing and dispensing.
See: BRITISH HERBAL PHARMACOPOEIA and BRITISH HERBAL COMPENDIUM. ... british herbal medicine association
Sheila E. Drew BPharm PhD MRPharms. Deputy Head of Technical Services, William Ransom & Son plc.
Fred Fletcher-Hyde BSc FNIMH. President Emeritus, British Herbal Medicine Association. President Emeritus, National Institute of Medical Herbalists.
Simon Y. Mills MA FNIMH. Director, Centre for Complementary Health Studies, University of Exeter. Hugh W. Mitchell MNIMH (Hon). President, British Herbal Medicine Association. Managing Director, Mitchfield Botanics Ltd.
Edward J. Shellard BPharm PhD DSc(Hon) (Warsaw Medical Academy) FRPharmS CChem FRSC FLS. Emeritus Professor of Pharmacognosy, University of London.
Arnold Webster CChem MRSC. Technical Director, English Grains Ltd.
Peter Wetton BSc LRSC. G.R. Lane Health Products Ltd.
Hein Zeylstra FNIMH. Principal. School of Phytotherapy, Sussex. ... british herbal medicine association, scientific committee, 1995
Action. Anti-inflammatory, smooth muscle relaxant, digestant, anti-oedema. Stimulates production of prostaglandin El-like compounds. Inhibitor of blood platelet aggregation thus preserving the normal consistency of the blood.
Uses: Cellulitis, to remove layers of fat. Has some reputation as a digestant in terminal disease. Sinusitis, weak digestion in the elderly, oedema following surgical operation, to promote postoperative healing. Used by natives of the Far East for quinsy. Part of the Bristol Cancer Diet to promote digestion of proteins.
“It is of value in modulating tumour growth, blood coagulation and inflammatory changes in the de?bridement of third degree burns. As an inflammatory it has been used for rheumatoid arthritis, thrombophlebitis, haematomas, oral inflammation, diabetic ulcers, rectal and perirectal inflammation, athletic injuries and general oral and plastic surgery.” (Kay van Rietschoten, British Journal of Phytotherapy, Vol 1, Nos 3/4)
Preparations: 1-2 200mg Bromelain tablets/capsules between meals thrice daily. Patient preference: vegetarian hypoallergenic yeast-free: as an aid to digestion, 250-500mg at meals. ... bromelain
Contains steroidal spirostane glycosides.
Action: rubefacient, bruise-healer. Resolvent.
Uses: Traditional: scraped root used externally as a rub for gout, rheumatism, and painful joints; and as a cold poultice for blackeye and bruises generally. Steeped in strong wine (teaspoon to 8oz wine) for 8 days – a lotion for chilblains. Berries steeped in gin used for the same purpose.
Preparations: Tincture: 1 part pulp to 5 parts alcohol. Macerate 8 days, strain, for external use.
Cream: Tamus cream or ointment. (Weleda, Nelson)
Pulped fresh root: as a poultice for chilblains or gout. ... bryony, black
Action: diaphoretic, expectorant, powerful hydragogue, emetic, cathartic, anti-tumour, anti-rheumatic. Externally: as a rubefacient. Internal use, practitioner only.
Uses: Rheumatism worse from movement, rheumatic fever, acute arthritis. Heart disorder following rheumatic fever. For absorption of serous fluid as in pleurisy. Congested bronchi and lungs. Synovitis, malaria and zymotic diseases.
Combinations: With Black Cohosh for muscular pain. Also for tenderness of the spinal vertebre (an important indication). With Poke root for inflammation of the breast or testicles.
Preparations: Owing to difficulty of the layman to dispense accurately dosage of powder or decoction, use is best confined to liquid extract or tincture; small doses frequently repeated; large doses avoided. Liquid Extract: 10 drops in 4oz water; dose 1 teaspoon every half hour.
Tincture: dose; 2 teaspoons every half hour (acute) cases; thrice daily (chronic).
External. Tincture used as a lotion.
Note: Not used in pregnancy, lactation or in presence of piles. ... bryony, white
All burns are serious. Vulnerary herbs are available to promote healing and cell growth, including: Aloe Vera, Comfrey, Fenugreek, Marigold, Marshmallow, Slippery Elm, Chickweed, Myrrh (powder).
Even hospital authorities may find these effective, enhancing healing, reducing risk of infection, and often concluding with a minimum of scar tissue. Echinacea – to mobilise the immune system.
Exclude air from affected parts as soon as possible. Remove no clothing adhering to wound; cut round. For corrosive alkalis: bathe with cider vinegar (2-4 teaspoons to teacup water). Follow with honey: apply lint and bandage. Honey has a long traditional reputation for burns. The following are analgesic and antiseptic, keeping wounds clean and free from pus. Apply sterile dressings.
Tea for internal use: Nettles 1; Valerian 1; Comfrey leaf 2. Mix. 2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup every 2 hours. Or, cup of ordinary tea laced with 2-3 drops Life Drops.
Topical. (1) Tea Tree oil: 1 part to 20 parts Almond oil. (2) Strong Nettle tea – pain killer. (3) St John’s Wort oil. (4) Aloe Vera – cut off piece of leaf and pulp; or, gel. (5) Slippery Elm – Powder mixed with little milk to form a paste. (6) Pierce Vitamin E capsule and anoint area. (7) Distilled extract of Witch Hazel. (8) Cod liver oil.
Compress. Apply piece of suitable material steeped in teas of any of the following: Chamomile, Chickweed, Comfrey, Cucumber, Elderflowers, Marigold, Plantain, St John’s Wort.
Alcohol should not be taken.
Supplementation. Vitamins A, B-complex, C, D, E. Potassium. Zinc. ... burns & scalds
BURSITIS. Tendinitis. Inflammation of a bursa – a soft-tissue elastic sac between bones that glide over one another, as in elbow and shoulder. Contains a little fluid, its purpose being to form a cushion against friction. In the knee-joint it is known as ‘housemaid’s knee’; over the hips as ‘weaver’s bottom’, joints becoming red, hot and painful.
Deposits of calcium may thicken walls and form a focus of pressure, causing pain. Relief comes when the swelling disperses or bursts. In the 60-70 age group rupture of tendons is a frequent cause. Bursitis accounts for two-thirds of shoulder pains. Neglected, it may progress to ‘frozen shoulder’ in later life. Teas. Celery seeds, Comfrey leaf, Nettles, Wintergreen.
Tablets/capsules. Prickly Ash, Lobelia, Wild Yam, Helonias.
Alternative formulae:– Powders. Turmeric 2; Prickly Ash 1; Cayenne quarter. Mix. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.
Liquid extracts. Equal parts: Black Cohosh, Devil’s Claw, Turmeric. Mix. Dose: 30-60 drops thrice daily.
Tinctures. White Willow bark 2; Prickly Ash bark 1; Wild Yam 1; Capsicum quarter. Mix. Dose: 2 teaspoons thrice daily.
Cider vinegar. 2-3 teaspoons to glass of water 2-3 times daily.
Topical. Apply strapping plaster to arrest swelling. See: FOMENTATIONS. POTATO. BRAN OR COMFREY ROOT POULTICE.
Aromatherapy. Cajeput, Chamomile, Origans, Rosemary. 6 drops of any one oil in 2 teaspoons Almond oil for massage.
Diet. See: DIET – GENERAL.
Supplements. Vitamin A. Vitamin C (3-4g). Vitamin E (400iu). Zinc 15mg.
General. Cold packs. Compression bandages. Gentle massage under the knee where knee joint is involved. For septic bursa add Echinacea to internal medication or apply ointment. For drainage, aspiration is sometimes necessary. Protect knees with knee-pads. Turmeric acquires reputation for relief. ... bush tea
Tablets/capsules. Ginseng. Sarsaparilla. Evening Primrose. Agnus Castus, Liquorice.
Powders. Equal parts: Caraway seeds, Saw Palmetto berries. Dose: 750mg (three 00 capsules or half a teaspoon) thrice daily.
Tinctures. Combine Dong Quai 1; Saw Palmetto 2. Dose: one 5ml teaspoon in water thrice daily.
Topical. Cream for use at bedtime: Lanolin 1oz; Cocoa butter half an ounce; Saw Palmetto berries Tincture or Liquid Extract 30 drops (or 10 grams powder); Oil Cajeput 30 drops. Heat in a pan and pour into jar.
Diet. See: DIET – THIN PEOPLE. Improve nutrition with potassium-rich foods. Two or more bananas daily.
Supplements. Vitamins B6, C, E. Zinc. ... bust developer
In suction lipectomy (liposuction), a rigid hollow tube is inserted through a small skin incision and use to break up large areas of fat, which can then be sucked out through the instrument.
Minor irregularities and dimpling of the skin commonly occur after surgery.... body contour surgery
It is sometimes used as an alternative to crowning (see crown, dental) and may also be used as a preventive technique to protect the teeth.... bonding, dental
Action: cholagogue, hepatic, laxative, blood tonic, anthelmintic, reputed anti-tumour.
Uses: Chronic constipation associated with liver disorder. To increase flow of bile and its release from the gall bladder. Toxic liver disorder. Skin diseases with pus. Worms in children. Piles.
Combinations. (1) equal parts, with Yellow Dock and Burdock for chronic skin disorders. (2) with Figwort 2; Butternut 1; for piles. (3) equal parts with Mugwort for worms.
Preparations: Thrice daily.
Decoction. Half a teaspoon to each cupful water gently simmer 15 minutes. Dose, half-1 cup.
Liquid Extract. 2 to 4ml in water. ... butternut
Symptoms: Blood in the urine with absence of pain on passing water in early stages. Then, burning frequency, especially at night. Kidneys become involved. Growths range from papilloma to tumour which may ulcerate in later stages.
The lesion is confirmed by cystoscopy (examination of the bladder by insertion of an instrument to illuminate inner surfaces and makes possible a direct view of the affected tissues). Even when the condition is healed this examination is repeatedly necessary to detect recurrence.
Two kinds: (1) papillary epithelioma (2) squamous cell epithelioma.
Tea. Formula. Equal parts: Marshmallow root, Clivers, Horsetail, Shepherd’s purse. 1-2 teaspoons to each cup boiling water; infuse 10-15 minutes. 2 cups or more daily.
Decoction. Barberry bark cold infusion. 1 teaspoon to each cup cold water. Steep over night. 2 cups or more daily.
Tinctures. Formula. Horsetail 1; Clivers 2; Barberry 1. Mix. 1-2 teaspoons (5-10ml) 2 or more times daily. If inflammation is present add Meadowsweet 1.
Dr William Boericke, physician, advised Dandelion to lessen symptoms.
Diet. See: DIET – CANCER.
Supplements. Emphasis on Vitamins A and C. (Vitamin A in epithelial tumours, ‘New Scientist’ (1975) 303)
Treatment offered as a supportive to specific modern hospital techniques. Treatment by or in liaison with a general medical practitioner. ... cancer – bladder
Diagnosis is confirmed by sputum test, chest X-ray, bronchoscopy or biopsy. Earliest symptoms are persistent cough, pain in the chest, hoarseness of voice and difficulty of breathing. Physical examination is likely to reveal sensitivity and swelling of lymph nodes under arms.
Symptoms. Tiredness, lack of energy, possible pains in bones and over liver area. Clubbing of finger-tips indicate congestion of the lungs. Swelling of arms, neck and face may be obvious. A haematologist may find calcium salts in the blood. The supportive action of alteratives, eliminatives and lymphatic agents often alleviate symptoms where the act of swallowing has not been impaired.
Broncho-dilators (Lobelia, Ephedra, etc) assist breathing. Mullein has some reputation for pain relief. To arrest bleeding from the lesion (Blood root).
According to Dr Madaus, Germany, Rupturewort is specific on lung tissue. To disperse sputum (Elecampane, Red Clover). In advanced cases there may be swollen ankles and kidney breakdown for which Parsley root, Parsley Piert or Buchu may be indicated. Cough (Sundew, Irish Moss). Soft cough with much sputum (Iceland Moss). To increase resistance (Echinacea).
Alternatives. Secondary to primary treatment. Of possible value.
Teas. Violet leaves, Mullein leaves, Yarrow leaves, Gotu Kola leaves, White Horehound leaves. Flavour with a little Liquorice if unpalatable.
Tablets/capsules. Lobelia, Iceland Moss, Echinacea, Poke root.
Formula. Equal parts: Violet, Red Clover, Garden Thyme, Yarrow, Liquorice. Dose: Powders: 750mg (three 00 capsules or half a teaspoon. Liquid Extracts: 1-2 teaspoons. Tinctures: 1-3 teaspoons. Thrice daily, and during the night if relief is sought.
Practitioner. Tinctures BHP (1983). Ephedra 4; Red Clover 4, Yellow Dock 2; Bugleweed 2; Blood root quarter; Liquorice quarter (liquid extract). Mix. Start low: 30-60 drops in water before meals and at bedtime increasing to maximum tolerance level.
Aromatherapy. Oils: Eucalyptus or Thyme on tissue to assist breathing. Inhale.
Diet. See: DIET – CANCER.
Treatment by a general medical practitioner or hospital specialist. ... cancer - bronchial carcinoma
much bones have grown in a particular body area, are used to determine bone age. (See also age.)... bone age
Bone cysts typically develop at one end of a long bone and maybe discovered only by chance after a bone fracture at the site of the cyst.
Minor surgery to scrape out the cyst and fill the the cavity with bone chips usually cures the condition, although many small cysts do not need treatment.... bone cyst
The most common type of noncancerous bone tumour is an osteochondroma.
Other types are osteoma and chondroma (see chondromatosis).
Treatment is only necessary if the tumour becomes very large or causes symptoms by pressing on other structures.
In such cases, the tumour can be removed by surgery.
Osteoclastoma (also called a giant cell tumour), which usually occurs in the arm or leg of a young adult, is tender and painful and has to be removed.... bone tumour
Action: antibacterial, antiseptic, haemostatic, powerful astringent to stomach and intestines.
Uses: Irritable bowel, dysentery, mucous colitis, chronic catarrh, haemorrhage, mouth ulcer, spongy and bleeding gums (mouth wash), sore throat (gargle). A wash for varicose ulcer. Nosebleed. “Indigestion in children.” (Chinese Traditional)
Reported use in cancer (J.L. Hartwell, Lloydia, 33, 97, 1970)
Preparations: Thrice daily.
Powder: 0.3 to 1 gram in honey or banana mash.
Tincture BHP (1983) 1:5 in 45 per cent alcohol. Dose half-1 teaspoon (2.5-5ml) in water. ... catechu, black
Constituents: quinoline alkaloids, (quinine is extracted from the bark) resin, tannins, glycosides.
Action: anti-protozoal, anti-cramp, anti-malarial, appetite stimulant, bitter, febrifuge, tonic.
Uses: Cinchona was named after the Countess of Cinchona, wife of the Viceroy of Peru who was cured of a malarial fever with the powdered bark. News of her recovery spread like wildfire through the high society circles of Europe which started a world demand for the bark.
Its temperature-reducing effect is felt by other fevers with shivering chill and violent shaking. Enlargement of the spleen due to abnormal destruction of blood cells. Iron-deficient anaemia. Atrial fibrillation of the heart. Alcoholism. Debility. For recovery from excessive diarrhoea, loss of blood and exhausting liver and gall bladder conditions. Persistent flatulence. Polymyalgia. Loss of appetite (with Hops).
Practitioner only use. The remedy is on the General Sales List, Schedule 2, Table A up to 50mg per dose (Rla); over 50mg per dose it is obtainable from a pharmacy only. Herbal practitioners are exempt up to 250mg per dose (750 daily).
Tincture (BPC 1949). Dose: 2 to 4ml.
Tonic Mineral Water. On open sale. A palatable way of taking quinine for malaria prevention. ... cinchona bark
Constituents: tannins, essential oil, coumarin.
Action: stimulant astringent to the stomach. Aromatic, antimicrobial, carminative, antispasmodic, anti- diarrhoea, anti-worm; a warming remedy for cold conditions. Haemostatic, anti-putrescent, antiseptic, vermifuge. “A stimulating effect on bone healing” (Hamdard, Oct/Dec 1988, Vol XXXI No 4) Anti- diabetic.
Uses: Weak digestion, feeble appetite, flatulence, vomiting, hyperacidity, to promote secretion of gastric juices. Irritable bowel, summer diarrhoea. Influenza and colds. Wasting and cachexia (5 drops oil in honey). Infestation: body lice (rub with oil). Chest complaints: massage chest with 3 drops oil to 2 teaspoons Almond oil. The tea is used by the Chinese to boost insulin activity.
Combines well with Chamomile for stomach upsets; with Elderflowers and Peppermint for influenza. Preparations. Thrice daily, or as necessary.
Tea: Quarter of a teaspoon bark in cup of boiling water, hot tea, or other beverage, infuse 15 minutes. Essence of Cinnamon: 10-20 drops in water or beverage.
Langdale’s Cinnamon Essence.
Oil of Cinnamon: BP, 0.05 to 0.2ml.
Powder: half to 1 gram.
Liquid Extract BHP (1983) 1:1 in 70 per cent alcohol, dose 0.5 to 1ml. ... cinnamon bark
Formula milk contains similar proportions of protein, fat, lactose (milk sugar), and minerals as those in human milk, but it lacks the protective antibodies that are present in breast milk.
Vitamins are added.
Bottle-fed babies are at higher risk of gastrointestinal infections than breast-fed babies and may be more likely to develop allergic disorders.
(See also feeding, infant.)... bottle-feeding
Relieve pressure on the tender area by use of thick felt rings.
Alternatives. Internal (to reduce inflammation). Prickly Ash, Lignum Vitae (Guaiacum). Celery seed tea for elimination of uric acid.
Topical. Lobelia, Comfrey or St John’s Wort fomentation. Zinc and Castor oil ointment or cream. Comfrey cream. Bind a slice of lemon over bunion or corn at night. Wipe surface with a cut raw onion or garlic 2-3 times daily. Wipe with expressed orange-coloured juice of the fractured stem of Greater Celandine.
Paint with Liquid Extract Lobelia. (Ernest Cockayne FNIMH)
For corns, soak feet in hot soapy water; scrape away the corn and when dry cover with a plaster. Successful results reported with Houseleek steeped in Cider vinegar. Hundreds of corn-cures exist.
Old Yorkshire tradition: 2 teaspoons Epsom salts to a bowl of hot water for a foot-soak; finish off with a Castor oil wipe.
Greek traditional: Rub corn or bunion with lemon juice and leave on lemon rind overnight. Onion juice. Preventative: Anoint feet with Plantain oil believed to be effective. Cider vinegar as a lotion. Aromatherapy. Massage feet after soaking: Lavender, Geranium. ... corns, bunions
Symptoms. Fever, cramping abdominal pain, weight loss, serious fluid loss, appetite disappears. Treatment. Herbal antibiotics. These include carminatives to allay griping and deal with the infection.
Powerful astringents should not be given as they delay elimination of bacteria. Teas may be taken internally as supportive to primary treatment, and can also offer a soothing enema.
A daily gruel of Slippery Elm bark forms a soothing coating on the bowel and helps to carry off the bacillus in the stool. Cases require good nursing, warmth, and condition of the heart monitored.
Relief has been reported by the use of purgative doses of castor oil combined with Lobelia and Valerian (to relieve pain). Prescriptions would include an analgesic. Always beneficial is a daily wash- out of the bowel with a strong infusion of Boneset, Chaparral, Ladies Mantle or carrot juice.
Dr Melville Keith, physician, recommended Raspberry leaf tea in frequent drinks.
Alternatives. Agrimony, Balm, Bistort, Calamus, Catnep, Cranesbill, Echinacea, Fenugreek, Goldenseal, Ladies Slipper, Nettles, Raspberry leaves, Red Clover, Sage, Shepherd’s Purse, Smartweed, Wild Indigo, Wild Yam, Yarrow.
Tea. Formula. Equal parts: Yarrow, Shepherd’s Purse, Fenugreek seeds. 2 teaspoons to each cup water; bring to boil; simmer for 5 minutes; allow to cool; 1 cup every two hours.
Decoction. Formula. Equal parts, Fenugreek seeds, Cranesbill, Echinacea, Valerian. One heaped teaspoon to 2 cups water. Simmer gently 20 minutes; cool; 1 cup every two hours.
Formula. Echinacea 2; Cranesbill 1; Valerian 1; Peppermint half. Dose – Liquid Extracts: One 5ml teaspoon. Tinctures: two 5ml teaspoons. Powders: 750mg (three 00 capsules or half a teaspoon). In water, honey or Fenugreek tea thrice daily. Acute cases: every 2 hours.
Clove of Garlic crushed in honey.
Enema. Any teas from above agents injected. Carrot juice as an enemata.
Practitioner. (1) Ipecacuanha BP (1973). Dose 0.25-1ml.
(2) Alternative. Combined tinctures – Aconite 10 drops; Ipecacuanha 20 drops, Wild Indigo 20 drops. Distilled water to 4oz. Dose: one teaspoon hourly. (Dr Finlay Ellingwood).
History. Dr Wooster Beach, New York Medical Society, writes: “500 Oneida Indians went down with dysentery in one season. All recovered by the use of Blackberry root while their white neighbours fell before the disease.”
Traditional. 2 teaspoons dried Blackberry root to each 2 teacups water gently simmered 20 minutes. Dose: half-1 cup every 2 hours.
Diet. No solid foods. Plenty of fluids – oatmeal porridge, boiled rice, semolina, pasta, Slippery Elm.
Treatment by or in liaison with general medical practitioner. ... dysentery, bacillary
Symptoms: blinking, watering, acute discomfort. Sensation of grit in the eye does not always imply foreign body, but symptoms of conjunctivitis or keratitis. Automatic blinking is sometimes enough to clear offending object.
Treatment. External. Evert lid and remove. Swab out with dilute Witch Hazel on cotton wool. Inject one drop Castor oil, (also good for scratched cornea), Aloe Vera gel or juice. Fenugreek seed puree. Juice of Houseleek and dairy cream.
Difficult case. Removal of particles of iron or dust, apply mucilage of Slippery Elm powder to eye – patient lying on his back, a second person injecting it into corner of eye, the patient moving eye in opposite direction. Safe and healing. Clean eye and bathe with warm milk.
Referral to consultant ophthalmologist. ... eyes – foreign body
Prominent cyst formations have been reduced, even eliminated by Poke root, internally and externally, though surgery is sometimes indicated. Diuretics influence the kidneys to expel more body fluids and are sometimes helpful to reduce size. Cold water packs may be applied to the affected area two or more times daily, as practical.
Alternatives. Tea. Formula. Equal parts: Ground Ivy, Clivers, Horsetail. One heaped teaspoon to each cup boiling water; infuse 15 minutes. 1 cup morning and evening.
Poke root. Tablets, powders. Tincture. 5-10 drops in water 3 times daily.
Evening Primrose oil. Two 500mg capsules, 3 times daily. Trials carried out by departments of Surgery at the University of Wales and the University of Dundee found Evening Primrose oil effective and safe. Poultice. Poke root. Horsetail.
Diet. As salt favours retention of fluid in cystic tissue it should be restricted.
Supplements. Daily. Beta carotene; B-complex; B6, Vitamin C 1g; Zinc. Vitamin E contra-indicated.
Treatment by or in liaison with a general medical practitioner. ... fibrocystic breast disease (fbd)
Action: bitter, diuretic, cholagogue, stimulating laxative.
Uses: Chronic spastic constipation. Torpid liver.
Preparations: Decoction: half-1 teaspoon to each cup water simmered 10 minutes: half-1 cup.
Liquid extract: 1-2 teaspoons in water once or twice daily.
Powder. Capsules (200mg). 2 capsules before meals.
Hoxsey Cancer Cure (1950s): Ingredient of.
Contra-indications. “Inflammatory colon diseases (e.g. ulcerative colitis, Crohn’s disease, ileus, appendicitis, abdominal pain of unknown origin.” (European monograph, ESCOP)
Side-effects. If used correctly side-effects will be minimal.
Not recommended during pregnancy, lactation or for children. ... frangula bark
Acute or chronic. One of the commonest acute abdominal emergencies. An impressive rise in incidence in the young female population has been linked with the use of oral contraceptives. Other causes: heavy consumption of animal fats, sugars.
Symptoms. Severe upper abdominal pain, often radiating to the shoulder and right midback. Constancy of the pain contrasts with the repeated brief attacks of gall-stone (biliary) colic. Sweating, shallow erratic breathing, tenderness upper right abdomen, distension, flatulence, nausea, intolerance of fatty foods.
In cases of suspected cholecystitis, bitter herbs help liquefy bile and prevent consolidation. Prevention: Blue Flag, or Wild Yam, 2 tablets at night.
For infection: Echinacea.
Alternatives. BHP (1983) selection: Barberry, Mountain Grape, Balmony, Fringe Tree, Wild Yam, Wahoo, Chiretta, Dandelion, Black root; according to individual case. Milk Thistle.
Teas. Agrimony, Milk Thistle, Fumitory, Black Horehound, Wormwood. 1 heaped teaspoon to each cup boiling water, infuse 15 minutes. Half-1 cup freely.
Cold tea. One teaspoon Barberry bark to each cup cold water. Steep overnight. Half-1 cup freely. Tablets/capsules. Blue Flag. Echinacea, Wild Yam, Milk Thistle.
Powders. Equal parts: Echinacea, Wild Yam, Milk Thistle. Dose: 500mg (two 00 capsules, or one-third teaspoon) thrice daily.
Tinctures. Equal parts: Wild Yam, Blue Flag, Milk Thistle. 1 teaspoon thrice daily in water.
Topical. Castor oil pack over painful area.
Diet. Low fat. Avoid dairy products.
Supplementation. Vitamins A, B-complex, C. Bromelain, Zinc. Note. See entry: COURVOISER’S LAW. ... gall bladder, inflammation
Alternatives. Teas: Balm, Motherwort, Hawthorn flowers or leaves. Tablets: Hawthorn, Motherwort, Mistletoe, Valerian.
Tincture Lily of the Valley: 8-15 drops when necessary.
Broom: Spartiol drops. (Klein) 20 drops thrice daily.
Broom decoction. 1oz to 1 pint water gently simmered 10 minutes. 1 cup morning and evening. ... heart – extra beats
Constituents: volatile oil, resin, grape sugar, diterpene acids, tannins, Vitamin C.
Action: urinary antiseptic, stimulating diuretic, digestive tonic, emmenagogue, parasiticide (externally), carminative, sudorific. The action of gin as a diuretic is due to oil expressed from the berries. Anti- diabetic (unconfirmed).
Uses: Cystitis, renal suppression (scanty micturition), catarrh of the bladder, proteinuria (albuminuria). Digestive weakness caused by poor secretion of gastric juices, flatulence. Aching muscles due to excess lactic acid. Amenorrhoea.
External. Aromatherapy for gout: lotion for joints. As an ingredient of massage oils for rheumatism and arthritis. Cirrhosis of the liver: upper abdominal massage.
Combination: Parsley Piert enhances action in bladder disorders. Combines well with Wild Carrot and Hydrangea for stone.
Preparations: Thrice daily, or as prescribed.
Tea: half-1 teaspoon crushed berries to each cup boiling water; infuse 30 minutes. Half-1 cup.
Tablets/capsules. 250mg. 1-2.
Tincture BHP (1983): 1 part to 5 parts 45 per cent alcohol. 1-2ml.
Basis of Martini and gin (gin and tonic).
Oil: 5-6 drops in honey after meals.
Aromatherapy. 3-6 drops in two teaspoons Almond oil or other base oil, for massage. Precaution. Not used internally without a break for every two weeks. Contra-indicated: pregnancy, Bright’s disease. ... juniper berries
Indicated: astringents, nerve relaxants.
Teas. Hops, Vervain, Chamomile, Cranesbill.
Tablets/capsules. Chamomile, Calamus, Wild Yam, Fenugreek.
Formula. Bayberry 2; Wild Yam 1; Valerian half. Dose: Liquid extracts: 1-2 teaspoons. Tinctures: 2-3 teaspoons. Powders: 750mg (three 00 capsules or half a teaspoon). Thrice daily.
Tincture. Black Catechu BHP (1983). 1:5 in 45 per cent alcohol. Dose 2.5 to 5ml in water, thrice daily. Fenulin. (Gerard House)
Diet. Slippery Elm gruel.
Supplements. Vitamins A, B6, C, Calcium, Dolomite. ... nervous bowel syndrome
Perhaps the simplest base is lard or butter, as used by Maria Treben. 2 handfuls (4oz or 120g) finely chopped herbs are digested in 500g lard or butter. Heat gently one hour. Stand overnight. Should be sufficiently fluid next morning to filter through muslin or a wire-mesh strainer. Pour into jars. Very effective but its life is not more than a few weeks.
((a) Vaseline base. Dissolve vaseline. Place 1oz (handful) fresh herb (say . . . Chickweed) or tablespoon dried herb (or 2 teaspoons powder) in 7oz (100g) vaseline melted in low heat. Simmer gently 15 minutes, stirring all the time. Strain through a wire-mesh strainer while hot and pour into air-tight containers.
(b) Vaseline base. To incorporate essential oils; i.e. Oil of Eucalyptus 2ml; Oil of Pine 1ml; Oil of Peppermint 2ml; vaseline to 30 gram. Melt the vaseline. Add oils. Stir until cold. Makes a useful inhalant ointment applied directly to the frontal sinus areas, or inhaled from boiling water. (Fred Fletcher Hyde) (c) Mixed base, suitable for holding liquid extracts, tinctures. Ingredients: parts, Almond oil 12; Liquid Extract (say . . . Comfrey) 5; powdered gum Acacia 3; water (preferably distilled) to 100.
Method: Rub together a small equal amount of well-sieved Acacia powder and water to form a paste – best performed in a pestle and mortar. Add the Almond oil. Mix. Add liquid extract, tincture or oil slowly until a good consistency is reached. Slowly add remaining water and stir. Store in airtight glass jars.
(d) Olive and Beeswax base. Ingredients: 2oz beeswax; 16oz Olive oil.
Method: cut beeswax into slices and dissolve in the Olive oil on a low heat. Stir until all beeswax is dissolved. Place in a stone jar or pyrex vessel 12oz aerial parts of fresh herb material (Marigold, Plantain, Chickweed etc) or 4oz hard woody parts, roots or barks (Comfrey, Marshmallow, etc). Pour on the Olive oil and beeswax. Place in a warm oven for 3 hours; give an occasional stir. While still hot, strain through a wire-mesh strainer into pots. Store in a refrigerator. Where powders are used, the proportion is 2oz for every 16oz Olive oil.
((e) Coconut oil base. Dissolve 7 parts Coconut oil. Add 5 parts powdered herbs and 6 parts beeswax. Simmer gently 1 and a half hours. Strain through warm wire mesh strainer or muslin. Filter if necessary. Pour into jars.
(f) Pile ointment. Prepare, vaseline base. Add, Liquid Extract Pilewort 5 per cent, Liquid Extract Witch Hazel 5 per cent; Tincture Benzoin 5 per cent; Menthol 2 and a half per cent.
((g) Pain Reliever. Prepare, vaseline base. Add Menthol 2 per cent; Eucalyptus 2 per cent; Camphor 2 per cent; Oil of Mustard 0.2 per cent.
(h) Russian traditional. It is still common in country practice to simmer popular herbs (Marigold, Arnica, St John’s Wort) in butter, as above.
Preservatives. Length of life of above ointments is increased by addition of Benzoic acid, Nipagen, etc. Benzoinated lard was once a popular base used in pharmacy. Ointments containing volatile oils should be kept in porcelain or glass pots in preference to synthetic containers. All ointments should be stored out of the light and in a cool place.
Marshmallow and Slippery Elm ointment has a long traditional reputation as a general purposes ointment. ... ointment bases
Back pain is usually caused by minor damage to the ligaments and muscles in the back. The lower back is especially vulnerable to these problems because it supports most of the body’s weight and is under continual stress from movements such as bending, twisting, and stretching. Less commonly, lower back pain may result from an underlying disorder such as a prolapsed intervertebral disc (see disc prolapse) in the spine.
In most cases, back pain can be treated with over-the-counter painkillers (see analgesic drugs) such as aspirin and related drugs, nonsteroidal antiinflammatory drugs, or muscle-relaxant drugs. If the pain persists, a heat pad, a wrapped hot-water bottle or, sometimes, an ice-pack, may provide additional relief. Generally, it is advisable to remain as active as the pain permits. People whose pain worsens or is still too severe to allow normal movement after several days should consult a doctor for medical tests.
Investigations for back pain, such as X-rays, CT scanning, or MRI, sometimes reveal abnormalities, such as disc prolapse, that require surgical treatment and can be treated by a microdiscectomy.
Other treatments for back pain include acupuncture, spinal injection, exercise, or spinal manipulation.... back pain
Different types of barium X-ray examination are used to investigate different parts of the gastrointestinal tract. Barium swallow involves drinking a barium solution and is used to investigate the oesophagus. A barium meal is carried out to look at the lower oesophagus, stomach, and duodenum. Barium followthrough is used to investigate disorders of the small intestine; X-rays are taken at intervals as the barium reaches the intestine. A barium enema is used to investigate disorders of the large intestine and rectum; barium is introduced though a tube inserted in the rectum. Barium remaining in the intestine may cause constipation. Therefore, it is important to have a high-fibre diet and drink plenty of water after a barium examination, until all the barium has passed through.... barium x-ray examinations
Blood accumulates in the liver, which swells.
Liver failure and portal hypertension result.
Treatment is aimed at removing the cause of the obstruction: this may be a blood clot, pressure on the veins from a liver tumour, or a congenital abnormality of the veins.
In most cases, treatment has only a limited effect and, unless a liver transplant can be done, the disease is fatal within 2 years.... budd–chiari syndrome
Behavioural problems that are common in babies and young children include feeding difficulties (see feeding, infant) and sleeping problems, such as waking repeatedly in the night. In toddlers, breath-holding attacks, tantrums, separation anxiety, and head-banging are problems best dealt with by a consistent and appropriate approach. Problems with toilet-training are usually avoided if the training is delayed until the child is physically and emotionally ready.
Between the ages of 4 and 8, behavioural problems such as nail-biting and thumb-sucking, clinginess, nightmares, and bed-wetting (see enuresis) are so common as to be almost normal.
They are best dealt with by a positive approach that concentrates on rewarding good behaviour.
In most cases, the child grows out of the problem, but sometimes medical help may be needed.... behavioural problems in children
Minor adverse effects of benzodiazepines include daytime drowsiness, dizziness, and forgetfulness. Unsteadiness and slowed reactions may also occur. Regular users may become psychologically and physically dependent; for this reason, the drugs are usually given for courses of 2–3 weeks or less. When the drugs are stopped suddenly, withdrawal symptoms, such as anxiety, restlessness, and nightmares may occur. Benzodiazepine drugs are sometimes abused for their sedative effect.... benzodiazepine drugs
There are 2 types of beta receptor: beta 1 and beta 2. Beta 1 receptors are present in the heart and blood vessels, and beta 2 in the lungs. Some betablockers (such as acebutolol, atenolol, and metoprolol) are termed cardioselective and, because they act mostly on beta 1 receptors, are used mainly to treat heart disease such as angina, hypertension, and cardiac arrhythmia. The drugs are sometimes given after a myocardial infarction (heart attack) to reduce the likelihood of further damage to the heart muscle.
Other types of beta-blocker, such as oxprenolol, propranolol, and timolol, may be given to prevent migraine attacks by acting on blood vessels in the head; reduce the physical symptoms of anxiety; or control the symptoms of thyrotoxicosis. Beta-blocker drugs such as timolol are sometimes given in the
form of eye drops to treat glaucoma and work by lowering the fluid pressure in the eyeball.
Beta-blockers may reduce an individual’s capacity for strenuous exercise. The drugs may worsen the symptoms of asthma, bronchitis, or other forms of lung disease. They may also reduce the flow of blood to the limbs, causing cold hands and feet. In addition, sleep disturbance and depression can be side effects of beta-blockers.... beta-blocker drugs
The symptoms and signs of secondary biliary cirrhosis include abdominal pain and tenderness, liver enlargement, fevers and chills, and sometimes blood abnormalities. Treatment is the same as for bile duct obstruction.... biliary cirrhosis
Caudal block may be used for obstetric and gynaecological procedures.... caudal block
The main disorders affecting the biliary system are gallstones, congenital biliary atresia and bile duct obstruction.
(See also gallbladder, disorders of.)... biliary system
The patient is connected to a recording instrument that measures one of the unconscious body activities, such as blood pressure, heart-rate, or the quantity of sweat on the skin. The patient receives information (feedback) on the changing levels of these activities from changes in the instrument’s signals. Using relaxation techniques, the patient learns to change the signals by conscious control of the body function. Once acquired, this control can be exercised without the instrument.... biofeedback training
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
Disturbed bladder control can also result from nerve degeneration in conditions such as diabetes mellitus, multiple sclerosis, or dementia. An unstable or irritable bladder is a common condition and is sometimes associated with a urinary tract infection or prolapse of the uterus. Tension or anxiety can cause frequent urination. In children, delayed bladder control (see enuresis) most often results from delayed maturation of the nervous system.... bladder, disorders of
Bladder cancer is more common in smokers and workers in the dye and rubber industries. Haematuria (blood in the urine) is the main symptom of bladder cancer. A tumour may obstruct the entry of a ureter into the bladder, causing back pressure and pain in the kidney region, or may obstruct the urethral exit, causing difficulty in passing, or retention of, urine.
Bladder tumours are diagnosed using cystoscopy and biopsy of the abnormal area. If small, they can be treated by heat or surgically during cystoscopy. They tend to recur at the same or other sites within the bladder, so that regular follow-up cystoscopy is needed. Bladder tumours that have spread through the bladder wall may be treated by radiotherapy or by surgical removal of part or all of the bladder.... bladder tumours
Coagulation disorders are usually due a deficiency of or abnormality in the enzymes (coagulation factors) involved in blood clotting. Defects may be congenital or acquired later in life. The
main congenital coagulation defects are von Willebrand’s disease, haemophilia, and Christmas disease.
Acquired defects of coagulation factors may develop at any age due to severe liver disease, digestive system disorders that prevent the absorption of vitamin K (needed to make certain coagulation factors), or the use of anticoagulant drugs. Disseminated intravascular coagulation (DIC) is an acquired disorder that is both complex and serious. It may be the result of underlying infection or cancer. In this condition, platelets accumulate and clots form within small blood vessels; coagulation factors are used up faster than they can be replaced, and severe bleeding may result.
Coagulation disorders are treated by replacement of the missing factor, factors extracted from fresh blood, or fresh frozen plasma. Genetically engineered factors may be used. Anticoagulants are sometimes used to suppress excess clotting activity in.
Thrombocytopenia, which results from insufficient platelets in the blood, produces surface bleeding into the skin and gums and multiple small bruises. Platelet defects may be inherited, associated with the use of certain drugs (including aspirin), or a complication of certain bone marrow disorders such as myeloid leukaemia. Treatment consists of platelet transfusions. Rarely, abnormal bleeding is caused by a bloodvessel defect or scurvy. Elderly people and patients on long-term courses of corticosteroid drugs may suffer mild abnormal bruising due to loss of skin support to the smallest blood vessels.
Treatment is rarely required.... bleeding disorders
Red blood cells (also known as RBCs, red blood corpuscles, or erythrocytes) transport oxygen from the lungs to the tissues (see respiration). Each is packed with haemoglobin, enzymes, minerals, and sugars. Abnormalities can occur in the rate at which RBCs are either produced or destroyed, in their numbers, and in their shape, size, and haemoglobin content, causing forms of
anaemia and polycythaemia (see blood, disorders of).
White blood cells (also called WBCs, white blood corpuscles, or leukocytes) protect the body against infection and fight infection when it occurs. The 3 main types of are granulocytes (also called polymorphonuclear leukocytes), monocytes, and lymphocytes. Granulocytes are further classified as neutrophils, eosinophils, or basophils, and each type of granulocyte has a role in either fighting infection or in inflammatory or allergic reactions. Monocytes and lymphocytes also play an important part in the immune system. Lymphocytes are usually formed in the lymph nodes. One type, a T-lymphocyte, is responsible for the delayed hypersensitivity reactions
White (see allergy) and Red blood blood cell is also involved in cell (neutrophil) protection against cancer. T-lymphocytes manufacture chemicals, known as lymphokines, which affect the function of other cells. In addition, the T-cells moderate the activity of B-lymphocytes, which form the antibodies that can prevent a second attack of certain infectious diseases. Platelets (also known as thrombocytes), are the smallest blood cells and are important in blood clotting.
The numbers, shapes, and appearance of the various types of blood cell are of great value in the diagnosis of disease (see blood count; blood film).... blood cells
It causes a bronze skin coloration, and sufferers often develop diabetes mellitus.... diabetes, bronze
In double-blind trials, neither the patients nor the doctors assessing the treatments know which patients are receiving which treatment.
This eliminates any expectations about which treatment will be most effective.... double-blind
Donated blood is tested for a range of infectious agents such as hepatitis B and hepatitis C and antibodies to HIV. After being classified into blood groups, the blood is stored in a blood bank, either whole or separated into its different components (see blood products). Apheresis is a type of blood donation in which only a specific blood component, such as plasma, platelets, or white cells, is withdrawn from the donor. blood film A test that involves smearing a drop of blood on to a glass slide for examination under a microscope. The blood film is stained with dyes to make the blood cells show up clearly.
The test allows the shape and appearance of blood cells to be checked for any abnormality, such as the sickleshaped red blood cells characteristic of sickle cell anaemia.
The relative proportions of the different types of white blood cells can also be counted.
This examination, called a differential white cell count, may be helpful in diagnosing infection or leukaemia.
Blood films are also used in diagnosing infections, such as malaria, in which the parasites can be seen inside the red blood cells.
Blood films are usually carried out together with a full blood count.... blood donation
Platelets may be given in transfusions for people with blood-clotting disorders. Patients who have life-threatening infections may be treated with granulocytes, a type of white blood cell. Fresh frozen plasma is used to correct many types of bleeding disorder because it contains all the clotting factors. Albumin, prepared from the plasma of whole blood, is used mainly to treat shock resulting from severe blood loss until compatible whole blood becomes available. Purified albumin preparations are used to treat nephrotic syndrome and chronic liver disease.
Concentrates of blood clotting factors and are used in the treatment of haemophilia and Christmas disease.
Immunoglobulins (also called antibodies), which are extracted from blood plasma, can be given by injection (see immunoglobulin injection) to protect people who are unable to produce their own antibodies or have already been exposed to an infectious agent, or to provide short-term protection against hepatitis A.
Immunoglobulins are given in large doses to treat certain autoimmune disorders.... blood products
Usually, there are also other defects, such as epispadias in males and failure of the pubic bones to join at the front.
Surgical treatment involves reconstructing the bladder and closing the abdominal wall.
If the bladder is very small, it is removed and the urine diverted (see urinary diversion).... exstrophy of the bladder
in septicaemia. Microbiology also looks for antibodies in the blood, which may confirm immunity to an infection. blood transfusion The infusion of large volumes of blood or blood products directly into the bloodstream to remedy severe blood loss or to correct chronic anaemia. In an exchange transfusion, nearly all of the recipient’s blood is replaced by donor blood. Before a transfusion, a sample of the recipient’s blood is taken to identify the blood groups, and it is matched with suitable donor blood. The donor blood is transfused into an arm vein through a plastic cannula. Usually, each unit (about 500 ml) of blood is given over 1–4 hours; in an emergency, 500 ml may be given in a couple of minutes. The blood pressure, temperature, and pulse are monitored during the procedure.
If mismatched blood is accidentally introduced into the circulation, antibodies in the recipient’s blood may cause donor cells to burst, leading to shock or kidney failure. Less severe reactions can produce fever, chills, or a rash. Reactions can also occur as a result of an allergy to transfused blood components. All
blood used for transfusion is carefully screened for a number of infectious agents, including HIV (the AIDS virus) and hepatitis B and hepatitis C.
In elderly or severely anaemic patients, transfusion can overload the circulation, leading to heart failure.
In patients with chronic anaemia who need regular transfusion over many years, excess iron may accumulate (haemosiderosis) and damage organs such as the heart, liver, and pancreas.
Treatment with desferrioxamine to remove excess iron may be needed.... blood tests
The cancers that spread readily to form secondary bone cancer are those of the breast, lung, prostate, thyroid, and kidney.
These bone metastases occur commonly in the spine, pelvis, ribs, and skull.
Pain is usually the main symptom.
Affected bones are abnormally fragile and may easily fracture.
Bone cancer that affects the spine may cause collapse or crushing of vertebrae, damaging the spinal cord and causing weakness or paralysis of one or more limbs.
Secondary bone cancers from the breast and prostate often respond to treatment with hormone antagonists.... bone cancer
cavities; it may be red or yellow. Red bone marrow is present in all bones at birth and is the factory for most of the blood cells. During the teens, red bone marrow is gradually replaced in some bones by less active yellow marrow. In adults, red marrow is confined chiefly to the spine, sternum, (breastbone), ribs, pelvis (hip-bones), scapulae (shoulderblades), clavicles (collarbones), and bones of the skull.
Stem cells within the red marrow are stimulated to form blood cells by the hormone erythropoietin.
Yellow marrow is composed mainly of connective tissue and fat.
If the body needs to increase its rate of blood formation, some of the yellow marrow will be replaced by red.
Sometimes marrow fails to produce sufficient numbers of normal blood cells, as occurs in aplastic anaemia (see anaemia, aplastic) or when marrow has been displaced by tumour cells.
In other cases, marrow may overproduce certain blood cells, as occurs in polycythaemia and leukaemia.... bone imaging
They include branchial cyst and branchial fistula.
A branchial cyst is a soft swelling, containing a pus-like or clear fluid, that appears on the side of the neck in early adulthood.
Treatment is by surgical removal.
A branchial fistula occurs between the back of the throat and the external surface of the neck, where it appears as a small hole, usually noted at birth.
A hole in the neck that does not extend to the back of the throat is a branchial cleft sinus.
A branchial fistula or cleft sinus may discharge mucus or pus and may be removed surgically.... branchial disorders
Kidney biopsy is performed to investigate and diagnose serious kidney disorders, such as glomerulonephritis, proteinuria, nephrotic syndrome, and acute kidney failure, or to assess the kidneys’ response to treatment.
There are 2 basic techniques: percutaneous needle biopsy, in which a hollow needle is passed through the skin into the kidney under local anaesthesia; and open surgery under general anaesthesia.... kidney biopsy
At least 90 per cent of lumps are noncancerous; the rest are breast cancer.
Many women have generally lumpy breasts, with the lumps more obvious in the days before a period.
Once known as fibrocystic disease or fibroadenosis, this is now considered to be a variation of normal.
Lumpy breasts do not increase the risk of developing breast cancer.
However, any new, distinct, or separate lump should be assessed by a doctor.
In a young woman, a single lump is most likely to be a fibroadenoma.
This noncancerous growth is usually round, firm, and rubbery, causes no pain, and can be moved about beneath the skin using the fingertips.
In an older woman, a lump is more likely to be a noncancerous, fluid-filled breast cyst.
Regular breast self-examination may detect any changes.
Treatment depends on the cause and type of lump.
Cysts can be drained in a simple outpatient procedure.
Other lumps can be removed surgically.... breast lump
and other changes that might be an indication of early breast cancer. To carry out self-examination, the breasts should be checked in a mirror for any dimpling of the skin or changes in the nipples or breast size and shape. Then, with one arm behind the head, and using small circular movements, the breast should be gently but firmly pressed. The entire breast, armpit area, and nipple should be examined. Regular self-examination helps a woman to become familiar with the appearance and feel of her breasts; any changes should be reported to a doctor without delay.... breast self-examination
Cyclical tenderness may be relieved by reduced caffeine intake, relaxation
exercises for stress, a well-fitting bra, or weight loss to reduce breast size.
If these measures do not work, hormonal treatment may be recommended.... breast tenderness
In yoga, deep rhythmic breathing is used to achieve a state of relaxation. During childbirth, breathing exercises relax the mother and also help to control contractions and reduce pain. (See also physiotherapy.)... breathing exercises
The main side effects of sympathomimetics are palpitations and trembling.
Anticholinergics may cause dry mouth, blurred vision, and, rarely, difficulty in passing urine.
Xanthines may cause headaches, nausea and palpitations.... bronchodilator drugs
(See also genetic disorders.)... laurence–biedl–moon syndrome
A burn is covered with a non-stick dressing to keep the area moist. If necessary, analgesic drugs are given, and antibiotic drugs are prescribed if there is any sign of infection. For extensive 2nddegree burns, when there may be slow healing or a fear of infection, a topical antibacterial agent such as silver sulphadiazine is used. Skin grafts are used early in treatment to minimize scarring. 3rd-degree burns always require skin grafting. Extensive burns may require repeated plastic surgery.... burns
Investigations into coughing up blood include chest X-ray, and, in some cases, bronchoscopy. In about a 3rd of cases, no underlying cause is found. Treatment depends on the cause.... coughing up blood
Resetting is usually carried out either before the swelling has started, or when it has subsided, usually about 10 days after the injury. Occasionally, a displaced bridge can be manipulated into position under a local anaesthetic, but, usually, a general anaesthetic is needed. A plaster splint is sometimes required during healing.... nose, broken
A foreign body may cause irritation, redness, increased tear production, and blepharospasm. In some cases, a foreign body left in the eye may cause a reaction that results in permanent loss of sight in both eyes.
Foreign bodies on or in the conjunctiva can usually be flushed out with water.
However, medical attention is needed if the object has penetrated the eyeball.
Dropping the dye fluorescein into the eye reveals corneal abrasions or sites of penetration.
Ultrasound scanning or an X-ray of the eye may also be performed.
Local anaesthetic eye-drops may be applied and a spatula used to remove an object from the cornea.
The eye may then be covered with a patch.
Antibiotic drugs may also be prescribed.... eye, foreign body in
Immunization is available against certain food- and water-borne infections such as typhoid fever.... food-borne infection
Diagnosis of Guillain–Barré syndrome is confirmed by electrical tests to measure how fast nerve impulses are being conducted, or by a lumbar puncture. Most people recover fully with only supportive treatment. However, in severe cases, treatment with plasmapheresis or immunoglobulin may be given. Mechanical ventilation may be needed to aid breathing if the respiratory muscles and diaphragm are severely affected. Some people are left with permanent weakness in affected areas and/or suffer from further attacks of the disease.... guillain–barré syndrome
As well as being irritating, mosquito bites can also transmit diseases. The main disease-transmitting mosquitoes belong to 3 groups: ANOPHELES (which transmits malaria), AEDES (which carries yellow fever), and CULEX (which transmits filariasis).
Preventive measures should be taken in any area where mosquitoes are rampant. The most effective measures are wearing long sleeves and socks, placing mosquito screens over windows, and using insect-repellent sprays or slowburning coils that release insecticidal smoke. Mosquito nets should be placed over beds. (See also insect bites; insects and disease.)... mosquito bites
A local anaesthetic (see anaesthesia, local) is injected into either side of the vagina near the pudendal nerve.... pudendal block
In tropical and subtropical areas they transmit leishmaniasis.
In parts of Asia and the Mediterranean, they transmit sandfly fever, an influenza-like illness.
In the western Andes, they transmit bartonellosis, different forms of which cause either joint pain and fever, or a rash.... sandfly bites
Occasionally, there is an underlying cause (such as an infection or, very rarely, cancer) that requires treatment.
Blood in the semen may also occur after a prostate biopsy.... semen, blood in the
Symptoms include loss of energy, headaches, and dry, itching eyes, nose, and throat.
The cause is unknown, but various factors are involved, including air conditioning, passive smoking, lack of natural ventilation and light, and psychological factors.... sick building syndrome
The effects of a venomous bite depend on the species and size of the snake, the amount of venom injected, and the age and health of the victim. A bite from an adder or other viper typically causes immediate pain and swelling at the site, followed by dizziness and nausea, a drop in blood pressure, an increase in heart-rate, and internal bleeding.
Antibiotic drugs and tetanus antitoxin injections are given for all bites to prevent infection and tetanus.
An injection of antivenom is also given for a venomous bite.
With prompt treatment, most victims recover completely.... snake bites
However, only a few species, such as the black widow in North America, are harmful to humans.
Antivenoms are available for many dangerous spider bites.... spider bites
Ventricular ectopic beats may be detected on an ECG.
If there are frequent abnormal beats that cause symptoms, or beats that arise from more than 1 site in the ventricles, treatment with an antiarrhythmic drug may be required.... ventricular ectopic beat
A wobble board is sometimes used after an ankle sprain.... wobble board
The cause of vomiting blood is investigated by endoscopy of the oesophagus and stomach, or by barium X-ray examinations. If blood loss is severe, blood transfusion, and possibly surgery to stop the bleeding, may be required.... vomiting blood
Swimming in polluted water should be avoided because, if swallowed, there is a risk of contracting disease. In addition, a form of leptospirosis is caused by contact with water contaminated by rat’s urine. In tropical countries, there is also a risk of contracting schistosomiasis (bilharzia), which is a serious disease caused by a fluke that can burrow through the swimmer’s skin.... water-borne infection
Other species of Bartonella cause *cat-scratch disease and *trench fever.... bartonellosis
cebile-acid sequestrant a drug that binds to bile acids, forming a complex that is excreted in the faeces. Bile acids are formed in the liver from *cholesterol and the effect of loss of bile acids is a reduction in total body cholesterol and a decrease in *low-density lipoprotein serum levels. These drugs, which include *colestyramine and *colestipol, are used to treat patients with abnormally high blood cholesterol levels who are liable to develop coronary heart disease.... bile acids
BI-RADS (Breast Imaging Reporting and Data System) a standardized system of terminology, report organization, assessment, and classification for mammography and ultrasound or MRI of the breast. BI-RADS reporting enables radiologists to communicate results to the referring physician clearly and consistently, with a final assessment and specific management recommendations.
The success of BI-RADS has inspired several other systems of the same kind: TI-RADS (Thyroid Imaging Reporting and Data System); LI-RADS (Liver Imaging Reporting and Data System); and PI-RADS (Prostate Imaging Reporting and Data System).... bipolar affective disorder
black hairy tongue (BHT) a harmless condition characterized by the appearance of elongated filiform *papillae on the upper surface of the tongue. The usual cause is an overgrowth of bacteria that accumulate on the papillae and create pigments giving the tongue a black appearance. Known predisposing factors include smoking, excessive consumption of tea and/or coffee, poor oral hygiene, trigeminal *neuralgia, and *dry mouth.... black fly
There are more than 30 blood group systems, one of the most important of which is the ABO system. This system is based on the presence or absence of antigens A and B: blood of groups A and B contains antigens A and B, respectively; group AB contains both antigens and group O neither. Blood of group A contains antibodies to antigen B; group B blood contains anti-A antibodies or *isoagglutinins; group AB has neither antibody and group O has both. A person whose blood contains either (or both) of these antibodies cannot receive a transfusion of blood containing the corresponding antigens. The table illustrates which blood groups can be used in transfusion for each of the four groups.
Blood group... blood group
Type I: a benign cyst with smooth margins and no calcification or septa that does not enhance with contrast material.
Type II: a benign cyst with a few hairline septa and/or minimal calcification that does not enhance with contrast.
Type IIF: a cyst with more septa and increased calcification but no contrast enhancement.
Type III: a complicated cyst with irregular margins, moderate calcification, thick septa, and contrast enhancement.
Type IV: a malignant cyst with irregular margins and solid enhancing elements.... bosniak classification
BRCA1 and BRCA2 genes associated with susceptibility to breast and ovarian cancer. Women with mutations in either of these genes have a 56–85% risk of developing breast cancer, and this form of the cancer tends to develop at a relatively young age. The risk of ovarian cancer is 36–66% in women with BRCA1 mutations and 10–20% with BRCA2. Targeted therapy specific to these mutations using a *PARP inhibitor is undergoing investigation.... braxton hicks contractions
brief resolved unexplained episode (BRUE) a sudden, brief (less than 30 to 60 seconds), and resolved episode in an infant that includes one or more of the following: decreased or irregular breathing; change in muscle tone; pallor or cyanosis or altered responsiveness. The episode is frightening for the person caring for the infant. BRUE is a description rather than a diagnosis and the term is used only when there is no explanation for the event after a thorough history and examination.... bridge
burr n. see bur.... burns–marshall manoeuvre
burning mouth syndrome (BMS) a disorder characterized by a burning sensation in the mouth for which there is no obvious medical or dental cause. Other symptoms may include thirst, sore throat, and an unpleasant taste. BMS occurs most commonly in older females and may be related to menopause, stress, or vitamin deficiencies.... burn
kV symbol for *kilovolt.... kussmaul breathing
NHS Blood and Transplant website... nhs blood and transplant
NHS Business Services Authority website... nhs business services authority
FAMILY: Rosaceae
SYNONYMS: P. amygdalus var. amara, Amygdalus communis var. amara, A. dulcis, P. communis.
GENERAL DESCRIPTION: The almond tree grows to a height of about 7 metres and is popular as a garden tree due to its pinky-white blossom. It is botanically classified as a drupe.
DISTRIBUTION: Native to Western Asia and North Africa, it is now extensively cultivated throughout the Mediterranean region, Israel and California.
OTHER SPECIES: There are two main types of almond tree – bitter and sweet. The sweet almond does not produce any essential oil.
HERBAL/FOLK TRADITION: A ‘fixed’ oil commonly known as ‘sweet almond oil’ is made by pressing the kernels from both the sweet and bitter almond trees. Unlike the essential oil, this fixed oil does not contain any benzaldehyde or prussic acid, and has many medical and cosmetic uses. It is used as a laxative, for bronchitis, coughs, heartburn and for disorders of the kidneys, bladder and biliary ducts. It helps relieve muscular aches and pains, softens the skin and premotes a clear complexion.
ACTIONS: Anaesthetic, antispasmodic, narcotic, vermifuge (FFPA).
EXTRACTION: Essential oil by steam distillation from the kernels. The nuts are first pressed and macerated in warm water for 12 to 24 hours before the oil is extracted. It is during this process that the prussic acid is formed; it is not present in the raw seed. Most commercial bitter almond oil is rectified to remove all prussic acid, i.e. free from prussic acid (FFPA).
CHARACTERISTICS: Light colourless liquid with a characteristic ‘marzipan’ scent (FFPA).
PRINCIPAL CONSTITUENTS: Benzaldehyde (95 per cent), prussic acid (3 per cent).
SAFETY DATA: Prussic acid, also known as hydrocyanic acid or cyanide, is a well-known poison. Benzaldehyde is also moderately toxic.
AROMATHERAPY/HOME: USE None. ‘Should not be used in therapy either internally or externally.’2
OTHER USES: Bitter almond oil is no longer used for internal medication. Rectified bitter almond oil is used for flavouring foods, mainly confectionery; the most common uses are ‘almond essence’ and marzipan. The oil (FFPA) is increasingly being replaced by synthetic benzaldehyde in food flavourings.... almond, bitter
FAMILY: Pinaceae
SYNONYMS: A. balsamifera, Pinus balsamea, balsam fir, balsam tree, American silver fir, balm of Gilead fir, Canada turpentine (oil).
GENERAL DESCRIPTION: A tall, graceful evergreen tree up to 20 metres high, with a tapering trunk and numerous branches giving the tree an overall shape of a perfect cone. It forms blisters of oleoresin (the so-called ‘balsam’) on the trunk and branches, produced from special vesicles beneath the bark. The tree does not produce a ‘true’ balsam, since it does not contain benzoic or cinnamic acid in its esters; it is really an oleoresin, being a mixture of resin and essential oil.
DISTRIBUTION: Native to North America, particularly Quebec, Nova Scotia and Maine.
OTHER SPECIES: The hemlock spruce (Tsuga canadensis) also yields an exudation sold under the name of ‘Canada balsam’. There are also many other species of fir which produce oils from their needles – see entry on silver fir and Botanical Classification section. NB: Not to be confused with the genuine balsam of Gilead (Commiphora opabalsamum), of ancient repute.
HERBAL/FOLK TRADITION: The oleoresin is used extensively by the American Indians for ritual purposes and as an external treatment for burns, sores, cuts and to relieve heart and chest pains. It is also used internally for coughs.
ACTIONS: Antiseptic (genito-urinary, pulmonary), antitussive, astringent, cicatrisant, diuretic, expectorant, purgative, regulatory, sedative (nerve), tonic, vulnerary.
EXTRACTION: 1. The oleoresin is collected by punturing vesicles in the bark. 2. An essential oil is produced by steam distillation from the oleoresin, known as Canada balsam or Canada turpentine. (An essential oil is also produced by steam distillation from the leaf or needles, known as fir needle oil.)
CHARACTERISTICS: 1. The oleoresin is a thick pale yellow or green honeylike mass which dries to crystal clear varnish, with a fresh sweet balsamic, almost fruity odour. 2. A colourless mobile liquid with a sweet, soft-balsamic, pinelike scent. It blends well with pine, cedarwood, cypress, sandalwood, juniper, benzoin and other balsams.
PRINCIPAL CONSTITUENTS: Consists almost entirely of monoterpenes, pinene, phellandrene, esters and alcohols.
SAFETY DATA: Generally non-toxic, non-irritant, non-sensitizing. ‘In large doses it is purgative and may cause nausea.’4
AROMATHERAPY/HOME: USE
Skin Care: Burns, cuts, haemorrhoids, wounds.
Respiratory System: Asthma, bronchitis, catarrh, chronic coughs, sore throat.
Genito-Urinary System: Cystitis, genito-urinary infections.
Nervous System: Depression, nervous tension, stress-related conditions – described as ‘appeasing, sedative, elevating, grounding, opening’.5
OTHER USES: The oil from the oleoresin is used in certain ointments and creams as an antiseptic and treatment for haemorrhoids. Used in dentistry as an ingredient in root canal sealers. Also used as a fixative or fragrance component in soaps, detergents, cosmetics and perfurmes. There is some low-level use in food products, alcoholic and soft drinks. The oleoresin is used as a medium in microscopy and as a cement in glassware.... balsam, canadian
FAMILY: Fabaceae (Leguminosae)
SYNONYMS: Copahu balsam, copaiba, copaiva, Jesuit’s balsam, Maracaibo balsam, para balsam.
GENERAL DESCRIPTION: Wild-growing tropical tree up to 18 metres high, with thick foliage and many branches. The natural oleoresin occurs as a physiological product from various Copaifera species. Not a ‘true’ balsam.
DISTRIBUTION: Native to north east and central South America. Mainly produced in Brazil; also Venezuela, Guyana, Surinam and Colombia.
OTHER SPECIES: Several Copaifera speices yield an oleoresin: the Venezuelan type ‘Maracaibo balsam’ has a low oil content, the Brazilian type ‘para balsam’ has a high oil content. See also Botanical Classification section.
HERBAL/FOLK TRADITION: Used for centuries in Europe in the treatment of chronic cystitis and bronchitis; also for treating piles, chronic diarrhoea and intestinal problems.
ACTIONS: Batericidal, balsamic, disinfectant, diuretic, expectorant, stimulant.
EXTRACTION: 1. The crude balsam is collected by drilling holes into the tree trunks; it is one of the most plentiful naturally occurring perfume materials. 2. An essential oil is obtained by dry distillation from the crude balsam. It is mainly the ‘para balsams’ with a high oil content (60–80 per cent), which are used for distillation.
CHARACTERISTICS: 1. The crude balsam is a viscous, yellowy-brown or greenish-grey liquid which hardens upon exposure to air with a mild, woody, slightly spicy odour. It blends well with styrax, amyris, lavandin, cedarwood, lavender, oakmoss, woods and spices. 2. The oil is a pale yellow or greenish mobile liquid with a mild, sweet, balsamic-peppery odour. It blends well with cananga, ylang ylang, vanilla, jasmine, violet and other florals.
PRINCIPAL CONSTITUENTS: Mainly caryophyllene.
SAFETY DATA: Relatively non-toxic, non-irritant, possible sensitization. Large doses cause vomiting and diarrhoea.
AROMATHERAPY/HOME: USE:
DIGESTIVE SYSTEM: Intestinal infections, piles.
Respiratory System: Bronchitis, chills, colds, coughs, etc.
Genito-Rinary System: Cystitis.
Nervous System: Stress-related conditons.
OTHER USES: The oleoresin is used in pharmaceutical products especially cough medicines and iuretics. The oil and crude balsam are extensively used as a fixative and fragrance component in all types of perfumes, soaps, cosmetics and detergents. The crude is also used in porcelain painting.
BALSAM, PERU... balsam, copaiba
FAMILY: Fabaceae (Leguminosae)
SYNONYMS: Toluifera balsamum, Balsamum tolutanum, B. americanum, Myrospermum toluiferum, Thomas balsam, resin Tolu, opobalsam.
GENERAL DESCRIPTION: A tall, graceful tropical tree, similar in appearance to the Peru balsam tree. The balsam is a pathological product, obtained by making V-shaped incisions into the bark and sap wood, often after the trunk has been beaten and scorched. It is a ‘true’ balsam.
DISTRIBUTION: Native to South America, mainly Venezuela, Colombia and Cuba; also cultivated in the West Indies.
OTHER SPECIES: There are many types of South American balsam-yielding trees, such as the Peru balsam – see entry.
HERBAL/FOLK TRADITION: The balsam works primarily on the respiratory mucous membranes, and is good for chronic catarrh and non-inflammatory chest complaints, laryngitis and croup. It is still used as a flavour and mild expectorant in cough syrups and lozenges. As an ingredient in compound benzoin tincture and similar formulations, it is helpful in the treatment of cracked nipples, lips, cuts, bedsores, etc.
ACTIONS: Antitussive, antiseptic, balsamic, expectorant, stimulant.
EXTRACTION: The crude balsam is collected from the trees. It appears first in liquid form, then hardens and solidifies into an orange-brown brittle mass. An ‘essential oil’ is obtained from the crude by 1. steam distillation, or 2. dry distillation. (A resinoid and absolute are also produced for use primarily as fixatives.)
CHARACTERISTICS: 1. A pale yellow-brown liquid with a sweet-floral scent and peppery undertone. 2. An amber-coloured liquid with a rich balsamic-floral scent, which slowly solidfies on cooling into a crystalline mass. Tolu balsam blends well with mimosa, ylang ylang, sandalwood, labdanum, neroli, patchouli, cedarwood and oriental, spicy and floral bases.
PRINCIPAL CONSTITUENTS: The balsam contains approx. 80 per cent resin, 20 per cent oil, with cinnamic and benzoic acids, small amounts of terpenes, and traces of eugenol and vanillin.
SAFETY DATA: Available information indicates it to be non-toxic, non-irritant, possible sensitization, see Peru Balsam.
AROMATHERAPY/HOME: USE
SKIN CARE: Dry, chapped and cracked skin, eczema, rashes, scabies, sores, wounds.
RESPIRATORY SYSTEM: Bronchitis, catarrh, coughs, croup, laryngitis. ‘It may be used as an inhalant by putting about a teaspoon into a steam bath.’6
OTHER USES: As a fixative and fragrance component in colognes, cosmetics and perfumes (especially the dry distilled type). Some use in pharmaceutical preparations, e.g. cough syrups. Low levels used in many major food products, especially baked goods.... balsam, tolu
FAMILY: Lamiaceae (Labiatae)
SYNONYMS: Sweet basil, Comoran basil (oil), Reunion basil (oil).
GENERAL DESCRIPTION: Botanically classified as identical from the French basil, though it is a larger plant with a harsher odour and different constituents.
DISTRIBUTION: Mainly produced in the Comoro Islands, but it is also processed in Madagascar.
OTHER SPECIES: The exotic basil is a dramatically different chemotype to the French basil and probably a seperate sub-species (possibly a form of O. canum), although this has not been specified. Essential oils are also produced in Morocco, Egypt, South Africa, Brazil and Indonesia from various chemotypes of the East Indian or shrubby basil (O. gratissimum), which contain a high percentage of either thymol or eugenol. The hairy or hoary basil (O. canum), originating in East Africa and found in India and South America, is also used to extract oils rich in either methyl cinnamate or camphor, which are produced in West and East Africa, India, the West Indies and Indonesia. See also entry on French basil.
HERBAL/FOLK TRADITION: See French Basil.
ACTIONS: See Basil French.
EXTRACTION: Essential oil by steam distillation from the leaves and flowering tops.
CHARACTERISTICS: The Exotic type oil is yellow or pale green, with a slightly coarse sweet-herbaceous odour with a camphoraceous tinge. It’s scent does not compare with the ‘true’ sweet basil oil.
PRINCIPAL CONSTITUENTS: Mainly methyl chavicol (70–88 per cent), with small amounts of linalol, cineol, camphor, eugenol, limonene and citronellol.
SAFETY DATA: Methyl chavicol is moderately toxic and irritating to the skin: ‘the methyl chavicol content of Comoran basil is sufficient reason to discard it for therapeutic usage in favour of the French type.’6 There has also been some recent concern over the possible carcinogenic effects of methyl chavicol. Basil should be avoided during pregnancy.
AROMATHERAPY/HOME: USE None.
OTHER USE The oil is employed in high class fragrances, soaps and dental products; used extensively in major food categories especially meat products and savories.... basil, exotic
FAMILY: Lamiaceae (Labiatae)
SYNOYNMS Common basil, joy-of-the-mountain, ‘true’ sweet basil, European basil.
GENERAL DESCRIPTION: A tender annual herb, with very dark green, ovate leaves, greyish-green beneath, an erect square stem up to 60 cms high, bearing whorls of two-lipped greenish or pinky-white flowers. The whole plant has a powerful aromatic scent.
DISTRIBUTION: Native to tropical Asia and Africa, it is now widely cultivated throughout Europe, the Mediterranean region, the Pacific Islands, North and South America. The European, French or ‘true’ sweet basil oil is produced in France, Italy, Egypt, Bulgaria, Hungary and the USA.
OTHER SPECIES: There are many varieties of basil occurring all over the world, used both for their culinary and medicinal applications, such as bush basil (O. minimum), holy basil (O. sanctum), both from India, camphor basil (O. kilimanjaricum) from East Africa (also grown in India), and the fever plant (O. viride) from West Africa. However, there are two principal chemotypes most commonly used for the extraction of essential oil: the so-called ‘French basil’ and the ‘exotic basil’ – see separate entry.
HERBAL/FOLK TRADITION: Widely used in Far Eastern medicine especially in the Ayurvedic tradition, where it is called tulsi. It is used for respiratory problems such as bronchitis, coughs, colds, asthma, ’flu and emphysema but is also used as an antidote to poisonous insect or snake bites. It has also been used against epidemics and fever, such as malaria. It improves blood circulation and the digestive system and in China it is used for stomach and kidney ailments.
In the West it is considered a ‘cooling’ herb, and is used for rheumatic pain, irritable skin conditions and for those of a nervous disposition. It is a popular culinary herb, especially in Italy and France.
ACTIONS: Antidepressant, antiseptic, antispasmodic, carminative, cephalic, digestive, emmenagogue, expectorant, febrifuge, galactagogue, nervine, prophylactic, restorative, stimulant of adrenal cortex, stomachic, tonic.
EXTRACTION: Essential oil by steam distillation from the flowering herb.
CHARACTERISTICS: ‘True’ sweet basil oil is a colourless or pale yellow liquid with a light, fresh sweet-spicy scent and balsamic undertone. It blends well with bergamot, clary sage, lime, opopanax, oakmoss, citronella, geranium, hyssop and other ‘green’ notes.
PRINCIPAL CONSTITUENTS: Linalol (40–45 per cent), methyl chavicol (23.8 per cent) and small amounts of eugenol, limonene and citronellol, among others.
SAFETY DATA: Relatively non-toxic, non-irritant, possible sensitization in some individuals. Avoid during pregnancy.
AROMATHERAPY/HOME: USE
Skin Care: Insect bites (mosquito, wasp), insect repellent.
Circulation, Muscles and Joints: Gout, muscular aches and pains, rheumatism.
Respiratory Syste: Bronchitis, coughs, earache, sinusitis.
Digestive System: Dyspepsia, flatulence, nausea.
Genito-Urinary System: Cramps, scanty periods.
Immune System: Colds, fever, ’flu, infectious disease.
Nervous System: Anxiety, depression, fatigue, insomnia, migraine, nervous tension: ‘Oil of Basil is an excellent, indeed perhaps the best, aromatic nerve tonic. It clears the head, relieves intellectual fatigue, and gives the mind strength and clarity.’8
OTHER USES: The oil is used in soaps, cosmetics and perfumery; it is also used extensively in major food categories, especially savouries.... basil, french
FAMILY: Betulaceae
SYNONYMS: B. capinefolia, cherry birch, southern birch, mahogany birch, mountain mahogany.
GENERAL DESCRIPTION: A graceful tree about 25 metres high which has a pyramidal shape while young. It has bright green leaves and a dark reddish-brown aromatic bark, which is broken into plates or patches.
DISTRIBUTION: Native to southern Canada and southeastern USA; produced mainly in Pennsylvania.
OTHER SPECIES: There are numerous species of birch, spanning several continents, such as black birch (B. nigra) found in North America. Not to be confused with the European white birch (B. alba), which produces birch tar oil used in chronic skin diseases.
HERBAL/FOLK TRADITION: The cambium (the layer directly under the bark) is eaten in the spring, cut into strips like vermicelli. The bark, in the form of an infusion, is used as a general stimulant and to promote sweating. As a decoction or syrup, it is used as a tonic for dysentery and is said to be useful in genito-urinary irritation. The flavour of wintergreen and birch bark, in the form of a tea, was popular with the American Indians and European settlers. More recently, this has been translated into a preference for ‘root beer’ flavourings.
ACTIONS: Analgesic, anti-inflammatory, antipyretic, antirheumatic, antiseptic, astringent, depurative, diuretic, rubefacient, tonic.
EXTRACTION: Essential oil by steam distillation of the bark macerated in warm water.
CHARACTERISTICS: Colourless, pale yellow or reddish tinted liquid with an intense, sweet-woody, wintergreen-like scent.
PRINCIPAL CONSTITUENTS: Almost entirely methyl salicylate (98 per cent), produced during the maceration process. It is almost identical in composition to wintergreen oil.
SAFETY DATA: Methyl salicylate, the major constituent, is not exactly toxic but very harmful in concentration.’ It can be absorbed through the skin, and fatal poisoning via this route has been reported.’. ’ It is also classed as an enviromental hazard or marine pollutant.
AROMATHERAPY/HOME: USE None.
OTHER USES: Limited use as a counter-irritant in anti-arthritic and antineuralgic ointments and analgesic balms. Limited use as a fragrance component in cosmetics and perfumes; extensively used as a flavouring agent, especially ‘root beer’, chewing gum, toothpaste, etc. (usually very low-level use).... birch, sweet
FAMILY: Rutaceae
SYNONYM: Citrus aurantium subsp. bergamia.
GENERAL DESCRIPTION: A small tree, about 4.5 metres high with smooth oval leaves, bearing small round fruit which ripen from green to yellow, much like a miniature orange in appearance.
DISTRIBUTION: Native to tropical Asia. Extensively cultivated in Calabria in southern Italy and also grown commercially on the Ivory Coast.
OTHER SPECIES: Not to be confused with the herb bergamot or bee balm (Monarda didyma).
HERBAL/FOLK TRADITION: Named after the Italian city of Bergamo in Lombardy, where the oil was first sold. The oil has been used in Italian folk medicine for many years, primarily for fever (including malaria) and worms; it does not feature in the folk tradition of any other countries. However, due to recent research in Italy, bergamot oil is now known to have a wide spectrum of applications, being particularly useful for mouth, skin, respiratory and urinary tract infections.
ACTIONS: Analgesic, anthelmintic, antidepressant, antiseptic (pulmonary, genito-urinary), antispasmodic, antitoxic, carminative, digestive, diuretic, deodorant, febrifuge, laxative, parasiticide, rubefacient, stimulant, stomachic, tonic, vermifuge, vulnerary.
EXTRACTION: Essential oil by cold expression of the peel of the nearly ripe fruit. (A rectified or terpeneless oil is produced by vacuum distillation or solvent extraction.)
CHARACTERISTICS: A light greenish-yellow liquid with a fresh sweet-fruity, slightly spicy-balsamic undertone. On ageing it turns a brownish-olive colour. It blends well with lavender, neroli, jasmine, cypress, geranium, lemon, chamomile, juniper, coriander and violet.
PRINCIPAL CONSTTTUENTS Known to have about 300 compounds present in the expressed oil: mainly linalyl acetate (30–60 per cent), linalol (11–22 per cent) and other alcohols, sesquiterpenes, terpenes, alkanes and furocoumarins (including bergapten, 0.30–0.39 per cent).
SAFETY DATA: Certain furocoumarins, notably bergapten, have been found to be phototoxic on human skin; that is, they cause sensitization and skin pigmentation when exposed to direct sunlight (in concentration and in dilution even after some time!). Extreme care must be taken when using the oil in dermal applications – otherwise a rectified or ‘bergapten-free’ oil should be substituted. Available information indicates it to be otherwise non-toxic and relatively non-irritant.
AROMATHERAPY/HOME: USE
Skin Care: Acne, boils, cold sores, eczema, insect repellent and insect bites, oily complexion, psoriasis, scabies, spots, varicose ulcers, wounds.
Respiratory System: Halitosis, mouth infections, sore throat, tonsillitis.
Digestive System: Flatulence, loss of appetite.
Genito-URINARY SYSTEM: Cystitis, leucorrhoea, pruritis, thrush.
Immune System: Colds, fever, ’flu, infectious diseases.
Nervous System: Anxiety, depression and stress-related conditions, having a refreshing and uplifting quality.
OTHER USES: Extensively used as a fragrance and, to a degree, a fixative in cosmetics, toiletries, suntan lotions and perfumes – it is a classic ingredient of eau-de-cologne. Widely used in most major food categories and beverages, notably Earl Grey tea.... bergamot
FAMILY: Betulaceae
SYNONYMS: B. alba var. pubescens, B. odorata, B. pendula, European white birch, silver birch.
GENERAL DESCRIPTION: Decorative tree, up to 15–20 metres high, with slender branches, silvery-white bark broken into scales, and light green oval leaves. The male catkins are 2–5 cms long, the female up to 15 cms long.
DISTRIBUTION: Native to the northern hemisphere; found throughout Eastern Europe, Russia, Germany, Sweden, Finland, the Baltic coast, northern China and Japan.
OTHER SPECIES: Many cultivars exist of this species of birch. The paper birch (B. papyrifera) and B. verrucosa are also used for the production of birch bud oil and/or birch tar. NB Should not be confused with the oil from the sweet birch (B. lenta) which is potentially toxic.
HERBAL/FOLK TRADITION: Birch buds were formerly used as a tonic in hair preparations. Birch tar is used in Europe for all types of chronic skin complaints: psoriasis, eczema, etc. In Scandinavia the young birch leaflets and twigs are bound into bundles and used in the sauna to tone the skin and promote the circulation. The sap is also tapped in the spring and drunk as a tonic. Buds, leaves and bark are used for ‘rheumatic and arthritic conditions, especially where kidney functions appear to need support … oedematous states; urinary infections and calculi.’.
ACTIONS: Anti-inflammatory, antiseptic, cholagogue, diaphoretic, diuretic, febrifuge, tonic.
EXTRACTION: 1. Essential oil by steam distillation from the leaf-buds. 2. Crude birch tar is extracted by slow destructive distillation from the bark; this is subsequently steam distilled to yield a rectified birch tar oil.
CHARACTERISTICS: 1. Pale yellow, viscous oil with a woody-green balsamic scent. It crystallizes at low temperatures. 2. The crude tar is an almost black, thick oily mass. The rectified oil is a brownish-yellow, clear oily liquid with a smoky, tar-like, ‘Russian leather’ odour. It blends well with other woody and balsamic oils.
PRINCIPAL CONSTITUENTS: 1. Mainly betulenol and other sesquiterpenes. 2. In the tar oil: phenol, cresol, xylenol, guaiacol, creosol, pyrocatechol, pyrobetulin (which gives the ‘leather’ scent).
SAFETY DATA: Non-toxic, non-irritant, non-sensitizing.
AROMATHERAPY/HOME: USE
Skin Care: Dermatitis, dull or congested skin, eczema, hair care, psoriasis etc.
Circulation Muscles And Joints: Accumulation of toxins, arthritis, cellulitis, muscular pain, obesity, oedema, poor circulation, rheumatism.
OTHER USES: Birch bud oil is used primarily in hair tonics and shampoos, and in some cosmetics for its potential skin-healing effects. The crude tar is used in pharmaceutical preparations, ointments, lotions, etc. for dermatological diseases. It is also used in soap and leather manufacture – rectified birch tar oil provides the heart for many ‘leather’ type perfumes and aftershaves.... birch, white
FAMILY: Monimiaceae
SYNONYMS: Boldu boldus, Boldoa fragrans, boldus, boldu.
GENERAL DESCRIPTION: An evergreen shrub or small tree up to 6 metres high, with slender branches, sessile coarse leaves and bearing yellowish-green fruit; when dried the leaves turn a deep reddish-brown colour. The whole plant is aromatic.
DISTRIBUTION: Native to Chile; naturalized in the Mediterranean region. Some essential oil is produced in Nepal and Vietnam.
OTHER SPECIES: The Australian tree Monimia rotundifolia contains a similar oil, which has been used as a substitute. The oil of chenopodium or wormseed is also chemically related.
HERBAL/FOLK TRADITION: The bark is used for tanning, the wood utilized in charcoal making and the fruit eaten by locals. In South America it has long been recognized as a valuable cure for gonorrhoea. In Western herbalism, the dried leaves are used for genito-urinary inflammation, gallstones, liver or gall bladder pain, cystitis and rheumatism. The dried leaves are current in the British Herbal Pharmacopoeia as a specific for cholelithiasis with pain.
ACTIONS: Antiseptic, cholagogue, diaphoretic, diuretic, hepatic, sedative, tonic, urinary demulcent.
EXTRACTION: Essential oil by steam distillation of the leaves.
CHARACTERISTICS: A yellow liquid with a powerful spicy-camphoraceous, disagreeable odour.
PRINCIPAL CONSTITUENTS: Cymene, ascaridole, cineol, linalol.
SAFETY DATA: Extremely toxic. ‘The oil has powerful therapeutic effects, and it can be considered harmful to the human organism even when used in very small doses … should not be used in therapy, either internally or externally.’.
AROMATHERAPY/HOME: USE None.
OTHER USES: Used in pharmaceuticals in minute amounts for its therapeutic properties.... boldo leaf
FAMILY: Rutaceae
SYNONYM: Brown boronia.
GENERAL DESCRIPTION: A bushy evergreen shrub, up to 2 metres high, which bears an abundance of fragrant, nodding flowers with an unusual colouring – the petals are brown on the outside, yellow on the inside. Often grown as an ornamental shrub in gardens.
DISTRIBUTION: Native to Western Australia; grows wild all over west and south west Australia.
OTHER SPECIES: There are over fifteen species of boronia found in Western Australia; B. megastigma is one of the most common and the only one used for its perfume; other types smell of sarsaparilla, lemons or roses! Boronia is botanically related to the citrus tree.
HERBAL/FOLK TRADITION: ‘A botanist in the Victorian era suggested this species would be suitable for graveyard planting because of its dark flowers!’.
ACTIONS: Aromatic.
EXTRACTION: A concrete and absolute by the enfleurage method or petroleum-ether extraction, from the flowers. An essential oil is also produced in small quantities by steam distillation.
CHARACTERISTICS: The concrete is a dark green butterlike mass with a beautiful warm, woody-sweet fragrance; the absolute is a green viscous liquid with a fresh, fruity-spicy scent and a rich, tenacious, floral undertone. It blends well with clary sage, sandalwood, bergamot, violet, immortelle, costus, mimosa and other florals.
PRINCIPAL CONSTITUENTS: Notably ionone; also eugenol, triacontane, phenols, ethyl alcohol and ethyl formate, among others.
SAFETY DATA: Prohibitively expensive and therefore often adulterated.
AROMATHERAPY/HOME: USE Perfume
OTHER USES: The absolute is used in high-class perfumery work, especially florals. Used in specialized flavour work, especially rich fruit products.... boronia
FAMILY: Fabaceae (Leguminosae).
SYNONYMS: Genista juncea, genista, weavers broom, broom (absolute), genet (absolute).
GENERAL DESCRIPTION: A decorative plant, often cultivated as an ornamental shrub, up to 3 metres high with upright woody branches and tough flexible stems. It has bright green leaves and large, yellow, pea-like fragrant flowers, also bearing its seeds in pods or legumes.
DISTRIBUTION: Native to southern Europe, especially southern Spain and southern France; mainly cultivated in Spain, France, Italy and USA (as a garden shrub). The absolute is produced in Southern France.
OTHER SPECIES: Closely related to dyer’s greenweed (Genista tinctoria) and the common or green broom (Sarothamnus scoparius or Cytisus scoparius). There are also several other related species of broom, which are rich in their folk tradition.
HERBAL/FOLK TRADITION: The twigs and bark have been used since ancient times to produce a strong fibre which can be made into cord or a coarse cloth. The branches were also used for thatching, basketwork, fencing and, of course, for making brooms. Spanish broom has similar therapeutic properties to the common broom, which is still current in the British Herbal Pharmacopoeia for cardiac dropsy, myocardial weakness, tachycardia and profuse menstruation. However, the Spanish broom is said to be five to six times more active than the common broom, and even that must be used with caution by professional herbalists due to the strength of the active ingredients: ‘A number of cases of poisoning have occurred from the substitution of the dried flowers of Spartium for those of true Broom.’.
ACTIONS: Antihaemorrhagic, cardioactive, diuretic, cathartic, emmenagogue, narcotic, vasoconstrictor.
EXTRACTION: An absolute is obtained by solvent extraction from the dried flowers.
CHARACTERISTICS: A dark brown, viscous liquid with an intensely sweet, floral, hay-like scent with a herbaceous undertone. It blends well with rose, tuberose, cassie, mimosa, violet, vetiver and herbaceous-type fragrances.
PRINCIPAL CONSTITUENTS: The absolute contains capryllic acid, phenols, aliphatics, terpenes, esters, scoparin and sparteine, as well as wax, etc.
SAFETY DATA: Sparteine, which is contained in the flowers as the main active constituent, is toxic. In large doses, it causes vomiting, renal irritation, weakens the heart, depresses the nerve cells and lowers the blood pressure, and in extreme cases causes death.
AROMATHERAPY/HOME: USE None.
OTHER USES: Used in soaps, cosmetics and high-class perfumery; also as a flavour ingredient in sweet rich ‘preserves’, alcoholic and soft drinks.... broom, spanish
FAMILY: Euphorbiaceae
SYNONYMS: Cascarilla, sweetwood bark, sweet bark, Bahama cascarilla, aromatic quinquina, false quinquina.
GENERAL DESCRIPTION: A large shrub or small tree up to 12 metres high, with ovate silver-bronze leaves, pale yellowish-brown bark and small white fragrant flowers. It bears fruits and flowers all year round.
DISTRIBUTION: Native to the West Indies, probably the Bahama Islands; found growing wild in Mexico, Colombia and Ecuador. The oil is mainly produced in the Bahamas and Cuba; some distillation takes place in America, France and England from the imported bark.
OTHER SPECIES: An essential oil is also distilled locally from other Croton species. White, red and black cascarillas are also found in commerce.
HERBAL/FOLK TRADITION: The bark is used as an aromatic bitter and tonic for dyspepsia, diarrhoea, dysentery, fever, debility, nausea, flatulence, vomiting and chronic bronchitis. The leaves are used as a digestive tea, and for flavouring tobacco. The bark also yields a good black dye.
ACTIONS: Astringent, antimicrobial, antiseptic, carminative, digestive, expectorant, stomachic, tonic.
EXTRACTION: Essential oil by steam distillation from the dried bark. (1.5–3 per cent yield).
CHARACTERISTICS: A pale yellow, greenish or dark amber liquid with a spicy, aromatic, warm-woody odour. It blends well with nutmeg, pepper, pimento, sage, oakmoss, oriental and spicy bases.
PRINCIPAL CONSTITUENTS: Cymene, diterpene, limonene, caryophyllene, terpineol and eugenol, among others.
SAFETY DATA: Non-irritant, non-sensitizing, relatively non-toxic (possibly narcotic in large doses).
AROMATHERAPY/HOME: USE
Respiratory System: Bronchitis, coughs
Digestive System: Dyspepsia, flatulence, nausea.
Immune System: ’Flu.
OTHER USES: Fragrance component in soaps, detergents, cosmetics and perfumes, especially men’s fragrances. Flavour ingredient in most major food categories, soft drinks and alcoholic beverages, especially vermouths and bitters.... cascarilla bark
FAMILY: Myrtaceae
SYNONYMS: Gum tree, southern blue gum, Tasmanian blue gum, fever tree, stringy bark.
GENERAL DESCRIPTION: A beautiful, tall, evergreen tree, up to 90 metres high. The young trees have bluish-green oval leaves while the mature trees develop long, narrow, yellowish leaves, creamy-white flowers and a smooth, pale grey bark often covered in a white powder.
DISTRIBUTION: Native to Tasmania and Australia. Mainly cultivated in Spain and Portugal, also Brazil, California, Russia and China. Very little of this oil now comes from its native countries.
OTHER SPECIES: There are over 700 different species of eucalyptus, of which at least 500 produce a type of essential oil. Many have been extracted simply for experimental purposes, and research is still being carried out with regard to the different constituents of each oil. In general, they can be divided into three categories. 1. The medicinal oils containing large amounts of cineol (or eucalyptol), such as the blue gum, but increasingly the blue malee (E. polybractea), the narrow-leaved peppermint (E. radiata var. australiana) and the gully gum (E. smithii). 2. The industrial oils containing mainly piperitone and phellandrene, such as the peppermint eucalyptus (E. piperita), grey peppermint (E. radiata var. phellandra) and increasingly the broad-leaved peppermint (E. dives var. Type). 3. The perfumery oils containing mainly citronellal, such as the lemon-scented eucalyptus (E. citriodora). See also Botanical Classification section.
HERBAL/FOLK TRADITION: A traditional household remedy in Australia, the leaves and oil are especially used for respiratory ailments such as bronchitis and croup, and the dried leaves are smoked like tobacco for asthma. It is also used for feverish conditions (malaria, typhoid, cholera, etc.) and skin problems like burns, ulcers and wounds. Aqueous extracts are used for aching joints, bacterial dysentery, ringworms, tuberculosis, etc. and employed for similar reasons in western and eastern medicine. The wood is also used for timber production in Spain.
ACTIONS: Analgesic, antineuralgic, antirheumatic, antiseptic, antispasmodic, antiviral, balsamic, cicatrisant, decongestant, deodorant, depurative, diuretic, expectorant, febrifuge, hypoglycaemic, parasiticide, prophylactic, rubefacient, stimulant, vermifuge, vulnerary.
EXTRACTION: Essential oil by steam distillation from the fresh or partially dried leaves and young twigs.
CHARACTERISTICS: A colourless mobile liquid (yellows on ageing), with a somewhat harsh camphoraceous odour and woody-sweet undertone. It blends well with thyme, rosemary, lavender, marjoram, pine, cedarwood and lemon. (The narrow-leaved eucalyptus (E. radiata var. australiana) is often used in preference to the blue gum in aromatherapy work, being rich in cineol but with a sweeter and less harsh odour.)
PRINCIPAL CONSTITUENTS: Cineol (70–85 per cent), pinene, limonene, cymene, phellandrene, terpinene, aromadendrene, among others.
SAFETY DATA: Externally non-toxic, non-irritant (in dilution), non-sensitizing. ‘When taken internally eucalyptus oil is toxic and as little as 3.5ml has been reported as fatal’..
AROMATHERAPY/HOME: USE
Skin Care: Burns, blisters, cuts, herpes, insect bites, insect repellent, lice, skin infections, wounds.
Circulation Muscles And Joints: Muscular aches and pains, poor circulation, rheumatoid arthritis, sprains, etc.
Respiratory System: Asthma, bronchitis, catarrh, coughs, sinusitis, throat infections.
Genito-Urinary System: Cystitis, leucorrhoea.
Immune System: Chickenpox, colds, epidemics, ’flu, measles.
Nervous System: Debility, headaches, neuralgia.
OTHER USES: The oil and cineol are largely employed in the preparation of liniments, inhalants, cough syrups, ointments, toothpaste and as pharmaceutical flavourings also used in veterinary practise and dentistry. Used as a fragrance component in soaps, detergents and toiletries – little used in perfumes. Used for the isolation of cineol and employed as a flavour ingredient in most major food categories.... eucalyptus, blue gum
FAMILY: Myrtaceae
SYNONYMS: Broad-leaf peppermint, blue peppermint, menthol-scented gum.
GENERAL DESCRIPTION: A robust, medium-sized eucalyptus tree, with a short trunk, spreading branches and fibrous grey bark. The young leaves are blue and heart-shaped, the mature leaves are very aromatic, thick and tapering at both ends.
DISTRIBUTION: Native to Tasmania and Australia, especially New South Wales and Victoria. Oil is also produced in South Africa.
OTHER SPECIES: There are two types of broad-leaved peppermint although they look identical – one is rich in cineol (E. dives var. C.) and one is rich in ‘piperitone’ (E. dives var. Type). It is also similar to the peppermint eucalyptus (E. piperita) and the grey or narrow-leaved peppermint (E. radiata var. phellandra). See also entry on Eucalyptus, blue gum and Botanical Classification section.
HERBAL/FOLK TRADITION: The aborigines used the burning leaves in the form of a fumigation for the relief of fever; ‘heat went out of sick man and into fire’.
ACTIONS: See Eucalyptus, blue gum.
EXTRACTION: Essential oil by steam distillation from the leaves and twigs.
CHARACTERISTICS: A colourless or pale yellow mobile liquid with a fresh, camphoraceous, spicy-minty odour.
PRINCIPAL CONSTITUENTS: Piperitone (40–50 per cent), phellandrene (20–30 per cent), camphene, cymene, terpinene and thujene, among others. It is sold as Grades A, B or C according to the exact balance of constituents.
SAFETY DATA: Non-toxic, non-irritant (in dilution), non-sensitizing. Eucalyptus oil is toxic if taken internally (see entry on eucalyptus blue gum).
AROMATHERAPY/HOME: USE
Skin Care: Cuts, sores, ulcers etc.
Circulation muscles and joints: Arthritis, muscular aches and pains, rheumatism, sports injuries, sprains, etc.
Respiratory System: Asthma, bronchitis, catarrh, coughs, throat and mouth infections, etc.
Immune System: Colds, fevers, ’flu, infectious illness, e.g. measles.
Nervous System: Headaches, nervous exhaustion, neuralgia, sciatica.
OTHER USES: Little used medicinally these days except in deodorants, disinfectants, mouthwashes, gargles and in veterinary practice. ‘Piperitone’ rich oils are used in solvents. Employed for the manufacture of thymol and menthol (from piperitone).
EUCALYPTUS, ... eucalyptus, broad-leaved peppermint
FAMILY: Rutaceae
SYNONYMS: C. vulgaris, C. bigaradia, Seville orange, sour orange bigarade (oil).
GENERAL DESCRIPTION: An evergreen tree up to 10 metres high with dark green, glossy, oval leaves, paler beneath, with long but not very sharp spines. It has a smooth greyish trunk and branches, and very fragrant white flowers. The fruits are smaller and darker than the sweet orange. It is well known for its resistance to disease and is often used as root stock for other citrus trees, including the sweet orange.
DISTRIBUTION: Native to the Far East, especially India and China, but has become well adapted to the Mediterranean climate. It also grows abundantly in the USA (California), Israel and South America. Main producers of the oil include Spain, Guinea, the West Indies, Italy, Brazil and the USA.
OTHER SPECIES: There are numerous different species according to location – oils from Spain and Guinea are said to be of superior quality.
HERBAL/FOLK TRADITION: ‘Oranges and lemons strengthen the heart, are good for diminishing the coagubility of the blood, and are beneficial for palpitation, scurvy, jaundice, bleedings, heartburn, relaxed throat, etc. They are powerfully anti-scorbutic, either internally or externally applied.’. The dried bitter orange peel is used as a tonic and carminative in treating dyspepsia.
In Chinese medicine the dried bitter orange and occasionally its peel are used in treating prolapse of the uterus and of the anus, diarrhoea, and blood in the faeces. Ingestion of large amounts of orange peel in children, however, has been reported to cause toxic effects.
ACTIONS: Anti-inflammatory, antiseptic, astringent, bactericidal, carminative, choleretic, fungicidal, sedative (mild), stomachic, tonic.
EXTRACTION: An essential oil by cold expression (hand or machine pressing) from the outer peel of the almost ripe fruit. (A terpeneless oil is also produced.) The leaves are used for the production of petitgrain oil; the blossom for neroli oil.
CHARACTERISTICS: A dark yellow or brownish-yellow mobile liquid with a fresh, dry, almost floral odour with a rich, sweet undertone.
PRINCIPAL CONSTITUENTS: Over 90 per cent monoterpenes: mainly limonene, myrcene, camphene, pinene, ocimene, cymene, and small amounts of alcohols, aldehydes and ketones.
SAFETY DATA: Phototoxic; otherwise generally non-toxic, non-irritant and non sensitizing. Limonene has been reported to cause contact dermatitis in some individuals.
AROMATHERAPY/HOME: USE See sweet orange.
OTHER USES: Used in certain stomachic, laxative and carminative preparations. Employed as a fragrance component in soaps, detergents, cosmetics, colognes and perfumes. Extensively used as a flavouring material, especially in liqueurs and soft drinks. Also utilized as a starting material for the isolation of naturallimonene.... orange, bitter
FAMILY: Piperaceae
SYNONYMS: Piper, pepper.
GENERAL DESCRIPTION: A perennial woody vine up to 5 metres high with heart-shaped leaves and small white flowers. The berries turn from red to black as they mature – black pepper is the dried fully grown unripe fruit.
DISTRIBUTION: Native to south west India; cultivated extensively in tropical countries. Major producers are India, Indonesia, Malaysia, China and Madagascar. It is also distilled in Europe and America from the imported dried fruits.
OTHER SPECIES: The so-called white pepper is the dried ripe fruit with the outer pericarp removed. Not to be confused with cayenne pepper or paprika from the capsicum species, which are used to make an oleoresin.
HERBAL/FOLK TRADITION: Both black and white pepper have been used in the East for over 4000 years for medicinal and culinary purposes. In Chinese medicine, white pepper is used to treat malaria, cholera, dysentery, diarrhoea, stomach ache and other digestive problems. In Greece it is used for intermittent fever and to fortify the stomach. ‘The mendicant monks of India who cover daily considerable distances on foot, swallow 7–9 grains of pepper a day. This gives them remarkable endurance.’.
ACTIONS: Analgesic, antimicrobial, antiseptic, antispasmodic, antitoxic, aperitif, aphrodisiac, bactericidal, carminative, diaphoretic, digestive, diuretic, febrifuge, laxative, rubefacient, stimulant (nervous, circulatory, digestive), stomachic, tonic.
EXTRACTION: Essential oil by steam distillation from the black peppercorns, dried and crushed. (‘Light’ and ‘heavy’ oils are produced by the extraction of the low or high boiling fractions respectively.) An oleoresin is also produced by solvent extraction, mainly for flavour use.
CHARACTERISTICS: A water-white to pale olive mobile liquid with a fresh, dry-woody, warm, spicy scent. It blends well with frankincense, sandalwood, lavender, rosemary, marjoram, spices and florals (in minute quantities).
PRINCIPAL CONSTITUENTS: Mainly monoterpenes (70–80 per cent): thujene, pinene, camphene, sabinene, carene, myrcene, limonene, phellandrene, and sesquiterpenes (20–30 per cent) and oxygenated compounds.
SAFETY DATA: Non-toxic, non-sensitizing, irritant in high concentration due to rubefacient properties. Use in moderation only.
AROMATHERAPY/HOME: USE
Skin care: Chilblains.
Circulation muscles and joints: Anaemia, arthritis, muscular aches and pains, neuralgia, poor circulation, poor muscle tone (muscular atonia), rheumatic pain, sprains, stiffness.
Respiratory system: Catarrh, chills.
Digestive system: Colic, constipation, diarrhoea, flatulence, heartburn, loss of appetite, nausea.
Immune system: Colds, ’flu, infections and viruses.
OTHER USES: Used in certain tonic and rubefacient preparations. Used for unusual effects in perfumery work; for example, with rose or carnation in oriental or floral fragrances. The oil and oleoresin are used extensively in the food industry, as well as in alcoholic drinks.... pepper, black
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