The nervous system can be likened to a computer. The central processing unit – which receives, processes and stores information and initiates instructions for bodily activities – is called the central nervous system: this is made up of the brain and SPINAL CORD. The peripheral nervous system – synonymous with the cables that transmit information to and from a computer’s processing unit – has two parts: sensory and motor. The former collects information from the body’s many sense organs. These respond to touch, temperature, pain, position, smells, sounds and visual images and the information is signalled to the brain via the sensory nerves. When information has been processed centrally, the brain and spinal cord send instructions for action via motor nerves to the ‘voluntary’ muscles controlling movements and speech, to the ‘involuntary’ muscles that operate the internal organs such as the heart and intestines, and to the various glands, including the sweat glands in the skin. (Details of the 12 pairs of cranial nerves and the 31 pairs of nerves emanating from the spinal cord are given in respective texts on brain and spinal cord.)
Functional divisions of nervous system As well as the nervous system’s anatomical divisions, the system is divided functionally, into autonomic and somatic parts. The autonomic nervous system, which is split into sympathetic and parasympathetic divisions, deals with the automatic or unconscious control of internal bodily activities such as heartbeat, muscular status of blood vessels, digestion and glandular functions. The somatic system is responsible for the skeletal (voluntary) muscles (see MUSCLE) which carry out intended movements initiated by the brain – for example, the activation of limbs, tongue, vocal cords (speech), anal muscles (defaecation), urethral sphincters (urination) or vaginal muscles (childbirth). In addition, many survival responses – the most powerfully instinctive animal drives, which range from avoiding danger and pain to shivering when cold or sweating when hot – are initiated unconsciously and automatically by the nervous system using the appropriate neural pathways to achieve the particular survival reaction required.
The complex functions of the nervous system include the ability to experience emotions, such as excitement and pleasure, anxiety and frustration, and to undertake intellectual activities. For these experiences an individual can utilise many built-in neurological programmes and he or she can enhance performance through learning – a vital human function that depends on MEMORY, a three stage-process in the brain of registration, storage and recall. The various anatomical and functional divisions of the nervous system that have been unravelled as science has strived to explain how it works may seem confusing. In practical terms, the nervous system works mainly by using automatic or relex reactions (see REFLEX ACTION) to various stimuli (described above), supplemented by voluntary actions triggered by the activity of the conscious (higher) areas of the brain. Some higher functions crucial to human activity – for example, visual perception, thought, memory and speech – are complex and subtle, and the mechanisms are not yet fully understood. But all these complex activities rest on the foundation of relatively simple electrochemical transmissions of impulses through the massive network of billions of specialised cells, the neurones.... nervous system
Treatment In severely affected fetuses, a fetal blood transfusion may be required and/or the baby may be delivered early for further treatment. Mild cases may need observation only, or the reduction of jaundice by phototherapy alone (treatment with light, involving the use of sunlight, non-visible ULTRAVIOLET light, visible blue light, or LASER).
Whatever the case, the infant’s serum BILIRUBIN – the bilirubin present in the blood – and its HAEMOGLOBIN concentration are plotted regularly so that treatment can be given before levels likely to cause brain damage occur. Safe bilirubin concentrations depend on the maturity and age of the baby, so reference charts are used.
High bilirubin concentrations may be treated with phototherapy; extra ?uid is given to prevent dehydration and to improve bilirubin excretion by shortening the gut transit time. Severe jaundice and anaemia may require exchange TRANSFUSION by removing the baby’s blood (usually 10 millilitres at a time) and replacing it with rhesus-negative fresh bank blood. Haemolytic disease of the newborn secondary to rhesus incompatibility has become less common since the introduction of anti-D (Rho) immunoglobulin. This antibody should be given to all rhesus-negative women at any risk of a fetomaternal transfusion, to prevent them from mounting an antibody response. Anti-D is given routinely to rhesus-negative mothers after the birth of a rhesus-positive baby, but doctors should also give it after threatened abortions, antepartum haemorrhages, miscarriages, and terminations of pregnancy.
Occasionally haemolytic disease is caused by ABO incompatibility or that of rarer blood groups.... haemolytic disease of the newborn
Naevus simplex Also known as ‘salmon patch’. About one-third of white children are born with macular pink areas of ERYTHEMA on the nape, brow or eyelids which usually disappear after a few months, but patches on the nape may persist.
Naevus ?ammeus Also known as ‘portwine stain’ and present at birth. It is unilateral, usually on the face, and may be extensive. It tends to darken with age and is permanent. Laser treatment is e?ective.
Strawberry naevus (cavernous haemangioma) is usually not present at birth but appears within a few weeks and grows rapidly, reaching a peak in size after 6–12 months, when the lobulated red nodule may resemble a ripe strawberry. Untreated, the naevus disappears spontaneously over several years. It may occur anywhere and may be very troublesome when occurring around an eye or on the ‘nappy’ area. If possible it should be left alone, but where it is causing problems other than simply cosmetic ones it is best treated by an expert. This may involve medical treatment with steroids or interferon or laser therapy.
Spider naevus is due to a dilated ARTERIOLE causing a minute red papule in the skin, the small branching vessels resembling spider legs. A few spider naevi are common in young people, but multiple naevi are common in pregnancy and may also be a warning sign of chronic liver disease.... naevus
Causes: recurrent attacks of nephritis, bacterial toxins, environmental poisons, mineral drugs (mercury etc).
Treatment. Specific hospital treatment essential, (dialysis etc). Simple phytomedicines may bring a measure of relief as supportives to conventional medicine.
Teas. Barley water, Buchu, Clivers, Cornsilk, Couchgrass, Goldenrod, Parsley, Plantain, Wild Carrot. Decoctions. Broom tops, Dandelion root, Marshmallow root, Hydrangea root, Parsley root.
Powders. Alfalfa 45; Bearberry 15; Buchu 10; Couchgrass 15; Wild Carrot 15. Dose: 500-750mg (2-3 00 capsules or one-third to half a teaspoon) thrice or more daily.
Tinctures. Echinacea 2 (to enhance powers of resistance). Parsley root 2; Ginseng 1; Ginger quarter. Dose: 1-2 teaspoons in water thrice or more daily.
Restharrow herb. For weak kidneys and bladder. (R.F Weiss MD. Book: Herbal Medicine, Beaconsfleld Publishers)
Diet. High protein, salt-free, herb teas. Spring water in abundance.
Supplements. Vitamin A, B-complex, B2, C, E. Calcium, Iron, Magnesium.
Supportives. Hot abdominal packs. Castor oil packs. Sweat packs. Induce sweating with aid of diaphoretics.
Subsequent treatment by or in liaison with a qualified medical practitioner. ... nephrosis
Alfalfa, Arabic gum, Arrow root, Carob flour, Fenugreek seed, Iceland Moss, Irish Moss, Okra pods, Sago root, Slippery Elm, Oats, Barley. ... nutrient
Nerves vary in size from the large pencil-sized sciatic nerve in the back of the thigh muscles to the single, hair-sized ?bres distributed to the skin. A nerve, such as the sciatic, possesses a strong, outer ?brous sheath, called the epineurium, within which lie bundles of nerve-?bres, divided from one another by partitions of ?brous tissue, in which run blood vessels that nourish the nerve. Each of these bundles is surrounded by its own sheath, known as the perineurium, and within the bundle ?ne partitions of ?brous tissue, known as endoneurium, divide up the bundle into groups of ?bres. The ?nest subdivisions of the nerves are the ?bres, and these are of two kinds: medullated and non-medullated ?bres. (See NEURON(E) and NERVOUS SYSTEM for more details on structure and functions of neurons and nerves.)... nerve
– for example, CT scanning (see COMPUTED TOMOGRAPHY) and MRI – to aid diagnosis. Until relatively recently, many neurological conditions could be treated only with palliative methods. Now there is much improved understanding of the nervous system and its disorders, with closer liaison between psychiatrists (see PSYCHIATRY) and neurologists.... neurology
Anxiety neurosis, or anxiety state, constitutes the most common form of neurosis; fortunately it is also among the most responsive to treatment. Once the neurosis develops, sufferers are in a state of persistent anxiety and worry, ‘tensed up’, always fatigued and unable to sleep at night. In addition, there are often physical complaints – for example, palpitations, sweating, apparent discomfort on swallowing (‘globus’), and headache.
Obsessional neuroses are much less common and constitute only about 5 per cent of all neuroses. Like other neuroses, they usually develop in early adult life. (See MENTAL ILLNESS.)... neurosis
Several sinuses (see SINUS) lie concealed in the bones of the SKULL, into which air enters freely by apertures connecting them with the nose. These cavities occupy spaces in the frontal bone over the eyebrow (frontal sinus); in the upper jaw-bone, ?lling in the angle between the EYE and the nose (maxillary sinus); in the sphenoid bone (sphenoidal sinus); and in the lateral part of the ethmoid bone (ethmoidal sinus). The sinuses drain into the interior of the nose, as does the Eustachian or auditory tube from the middle ear (see EAR).... nose
Causes: high blood pressure, accident, anticoagulant drugs, infection, blood disorder. As many as fifty- four causes. Usually innocent, from ruptured small vessel on anterior part of the nasal septum. May be spontaneous in the elderly, in which case blood vessels may be strengthened by Nettle tea.
Teas. Marigold flowers, Ephedra, Nettles, Melilot, Yarrow, Shepherd’s Purse, Ladies Mantle, Tormentil. Decoction. Burdock root.
Tablets/capsules. Cranesbill. Goldenseal.
Powders. Alternatives. (1) Cinnamon. (2) Bayberry. (3) Cranesbill. Half a teaspoon in milk or honey. External. Instil juice of Houseleek into nostril. Soak cotton wool in Witch Hazel and plug nostril. Pound fresh Nettles to a pulp in pestal and mortar and instil the juice or pulp. Beth root powder. Artichoke. Soak cotton wool in Cider vinegar and plug nostril. Other astringents, as available. See: ASTRINGENTS. Cold compresses to back of neck. ... nosebleed
The group of arthropod insects that include the parasitic MITES and TICKS.... acanthosis nigricans
Treatment Topical nasal decongestants include sodium chloride drops and corticosteroid nasal drops (for polyps). For commoncold-induced congestion, vapour inhalants, decongestant sprays and nasal drops, including EPHEDRINE drops, are helpful. Overuse of decongestants, however, can produce a rebound congestion, requiring more treatment and further congestion, a tiresome vicious circle. Allergic RHINITIS (in?ammation of the nasal mucosa) usually responds to ipratropium bromide spray.
Systemic nasal decongestants given by mouth are not always as e?ective as topical administrations but they do not cause rebound congestion. Pseudoephedrine hydrochoride is available over the counter, and most common-cold medicines contain anticongestant substances.... nasal congestion
– usually a diuretic (see DIURETICS) – is termed a natriuretic.... natriuresis
Needling is also used for certain minor dermatological procedures, such as removal of small facial cysts and scabies mites.... needling
Tre atme nt. Bedrest where necessary. Treat underlying cause which may be ulcerative colitis, tuberculosis, toxicity from The Pill, drug reactions.
Alternatives:– Tea. Red Clover, Gotu Kola, Clivers. Combine. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes; half-1 cup thrice daily.
Tablets/capsules. Blue Flag root, Devil’s Claw, Poke root, Seaweed and Sarsaparilla, Wild Yam. Formula. Burdock 1; Dandelion 2; Sarsaparilla 1. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. Thrice daily in water.
Diet. See: DIET – SKIN DISEASES.
Note: Erythema nodosum associated with Crohn’s disease, more frequently recognised in childhood. ... erythema nodosum
Causes: excessive mental activity during the day, a heavy meal late in the evening, indigestion, obstruction of free blood return from the brain.
Teas: Alfalfa. English Herb Tea.
Dioscorides, and Pliny, both record: Paeony root. Prepare: 1 part powdered Paeony root mixed with 4 parts honey. 1-2 teaspoons to cup boiling water at bedtime.
France: traditional – Marjoram tea.
Dr Wooster Beach, USA. Cup Skullcap tea with honey and pinch of Cayenne on retiring.
Aromatherapy. Bedtime inhalation or anointing of forehead: oil of Frankincense. Nightly footbath. Practice relaxation at night before falling asleep. ... nightmare
aversion therapy An outdated form of behaviour therapy in which unpleasant stimuli, such as electric shocks, are administered at the same time as an unwanted behaviour in an attempt to alter behavioural patterns.... avascular necrosis
The grading system is used to distinguish levels of change in the surface cells of the cervix in biopsy samples taken during colposcopy, a procedure usually performed following an abnormal cervical smear test.
Grades 1–3 broadly correspond to mild to severe cervical dysplasia in cells obtained from a smear.... cervical intraepithelial neoplasia
Acute encephalitis, acute meningitis, acute poliomyelitis, anthrax, cholera, diphtheria, dysentery (amoebic and bacillary), food poisoning, infective jaundice, leprosy, leptospirosis, lassa fever, mumps, malaria, marburg disease, measles, German measles, ophthalmia neonatorum, paratyphoid fever, plague, rabies, relapsing fever, scarlet fever, smallpox, tetanus, tuberculosis, typhoid fever, typhus, viral haemorrhagic fever, whooping cough and yellow fever.
Six communicable diseases are internationally notifiable to the World Health Organisation: yellow fever, plague, cholera, smallpox, louse-borne relapsing fever, louse-borne typhus.
Notification has to be made to local and central Government authorities. Certain occupational diseases and all cases of cancer must be registered and notified.
It is required that the above diseases and certain others receive modern medical therapy in a hospital or treatment under the supervision of a qualified physician. Failure to conform may expose a practitioner, registered or unregistered, to a charge of negligence. ... notifiable diseases
Action: prostaglandin inhibitor, anti-diarrhoeal, anti-inflammatory, antispasmodic, sedative, diaphoretic, brain stimulant, carminative, aromatic (oil), digestive stimulant.
Uses: children’s diarrhoea, dysentery, colic, nausea, vomiting, to promote acid content of gastric juice. Claimed to dissolve gall-stones. Nervous stomach, throbbing headache caused by stress, palpitation.
Relief of muscle tension back of neck.
“To comfort head and nerves.” (Dr Joseph Mill)
Preparations: Average dose, 0.3-1 gram or equivalent. Thrice daily, after meals. Grains obtained by rubbing a Nutmeg over a metal kitchen grater; may be taken in a beverage, honey, mashed banana, etc. Powder: Fill No 3 gelatin capsules; 1 capsule or 50mg.
Oil: an alternative for internal conditions. 1-2 drops daily.
Massage oil for rheumatic pains and to stimulate circulation: Nutmeg oil (1), Olive oil or Almond oil (10).
Home tincture: one freshly grated Nutmeg to macerate in half pint 60 per cent alcohol (Vodka, gin, etc) 7 days. Decant. Dose: 5-10 drops.
Avoid large doses. ... nutmeg
Indicated: Agnus Castus, Hops, Black Willow, Ladyslipper, (Albert Priest) Sweet Marjoram. Traditional: White Pond Lily (emblem of purity).
Chinese Barefoot medicine – Sage tea.
Teas. Agnus Castus, Hops, Sweet Marjoram.
Decoction. Black Willow bark.
Tablets/capsules. Agnus Castus, Black Willow.
Formula. Equal parts: Black Willow, Agnus Castus, Wild Lettuce. Dose: Liquid extracts: 2 teaspoons. Tinctures: 2-3 teaspoons. Powders: 750mg (three 00 capsules or half a teaspoon). Thrice daily.
Oregano (origanum vulgare). Spanish traditional. 5-20 drops tincture or 1 drop oil in honey between meals, thrice daily.
Home-tincture: handful Oregano steeped in bottle of white wine. ... nymphomania
Damage to the femoral nerve (which impairs the ability to straighten the knee) is usually caused by a slipped disc in the lumbar region of the spine (see disc prolapse). Damage may also result from a backward dislocation of the hip or a neuropathy.... femoral nerve
This nerve performs both sensory and motor functions.
It conveys sensations, especially taste, from the back of the tongue, regulates secretion of saliva by the parotid gland, and controls movement of the throat muscles.... glossopharyngeal nerve
A lymph node consists of a thin, fibrous outer capsule and an inner mass of lymphoid tissue. Penetrating the capsule are several small lymphatic vessels (whichcarry lymph into the node). Each node contains sinuses (spaces), in which the lymph is filtered. The flow of the lymph slows as it moves through narrow channels in the sinuses; this reduction in flow allows macrophages (white blood cells that engulf and destroy foreign and dead material) time to filter microorganisms from the lymph. Germinal centres in the lymph node release white blood cells called lymphocytes, which also help to fight infection. A single, larger vessel carries lymph out of the node.... lymph node
The most common type of motor neuron disease is amyotrophic lateral sclerosis ( or Lou Gehrig’s disease). It usually affects people over the age of 50 and is more common in men. Some cases run in families. Usually, symptoms start with weakness in the hands and arms or legs, and muscle wasting. There may be irregular muscle contractions, and muscle cramps or stiffness. All four extremities are soon affected.
Progressive muscular atrophy and progressive bulbar palsy both start with patterns of muscle weakness different from but usually develop into.There are 2 types of motor neuron disease that first appear in childhood or adolescence. In most cases, these conditions are inherited. Werdnig–Hoffman disease affects infants at birth or soon afterwards. In almost all cases, progressive muscle weakness leads to death within several years. Chronic spinal muscular atrophy begins in childhood or adolescence, causing progressive weakness but not always serious disability.
There are no specific tests for motor neuron disease. Diagnosis is based on careful clinical examination by a neurologist. Tests including EMG, muscle biopsy, blood tests, myelography, CT scanning, or MRI may be performed.
The disease typically goes on to affect the muscles involved in breathing and swallowing, leading to death within 2–4 years. However, about 10 per cent of sufferers survive for 10 years.
Nerve degeneration cannot be slowed down, but physiotherapy and the use of various aids may help to reduce disability. The drug riluzole is used to extend life (or the time until mechanical ventilation is required).... motor neuron disease
Nebulizers are used to administer bronchodilator drugs, especially in the emergency treatment of asthma.... nebulizer
Necrotizing fasciitis is most likely to occur as a complication following surgery.
The initial symptoms are inflammation and blistering of the skin.
The infection spreads very rapidly, and the bacteria release enzymes and toxins that can cause extensive destruction of deeper tissues and damage internal organs.
Urgent treatment with antibiotic drugs and removal of all infected tissue are essential.
The infection is life-threatening.... necrotizing fasciitis
Nelson’s syndrome is treated by hypophysectomy (removal or destruction of the pituitary gland).... nelson’s syndrome
Nephrolithotomy may be performed through an abdominal incision, or via a puncture incision in the back. Large
calculi may need to be broken up before removal. Other methods of removal are pyelolithotomy and lithotripsy.... nephrolithotomy
scratching. (See also lichen simplex.)... neurodermatitis
This may include the effects of head injury and alcohol on the brain, or disorders such as brain tumours, infections, inherited illnesses, and disorders causing brain damage in childhood.... neuropsychiatry
Surgical removal of neurofibromas is necessary only if there are complications.
Anyone with this disorder, and parents of an affected child, should seek genetic counselling if planning a pregnancy.... neurofibromatosis
The nervous system contains billions of neurons, of which there are 3 main types: sensory neurons, which carry signals from sense receptors into the central nervous system (CNS); motor neurons, which carry signals from the CNS to muscles or glands; and interneurons, which form all the complex electrical circuitry within the CNS itself.
When a neuron transmits (“fires”) an electrical impulse, a chemical called a neurotransmitter is released from the axon terminals at synapses (junctions with other neurons). This neurotransmitter may make a muscle cell contract, cause an endocrine gland to release a hormone, or affect an adjacent neuron.
Different stimuli excite different types of neurons to fire. Sensory neurons, for example, may be excited by physical stimuli, such as cold or pressure. The activity of most neurons is controlled by the effects of neurotransmitters released from adjacent neurons. Certain neurotransmitters generate a sudden change in the balance of electrical potential inside and outside the cell (an “action potential”), which occurs at one point on the cell’s membrane and flows at high speed along it. Others stabilize neuronal membranes, preventing an action potential. Thus, the firing pattern of a neuron depends on the balance of excitatory and inhibitory influences acting on it.
If the cell body of a neuron is damaged or degenerates, the cell dies and is never replaced. A baby starts life with the maximum number of neurons, which decreases continuously thereafter.... neuron
Damage to the spinal cord due to neurosyphilis may cause tabes dorsalis, characterized by poor coordination of leg movements, urinary incontinence, and pains in the abdomen and limbs. Damage to the brain may cause dementia, muscle weakness, and, in rare cases, total paralysis of the limbs.... neurosyphilis
Episodes occur during (nonrapid eye movement) sleep, usually half an hour to 3 and a half hours after falling asleep. Sufferers wake up screaming in a semiconscious state and remain frightened for some minutes. They do not recognize familiar faces or surroundings, and usually cannot be comforted. The sufferer gradually falls back to sleep and has no memory of the event the following day.
Night terror in children has no serious significance, but, in adults, is likely to be associated with an anxiety disorder.... night terror
Nitric oxide causes blood vessels to dilate, affecting the flow of oxygenated blood and regulating blood pressure.
Overproduction of nitric oxide is associated with various disorders, including toxic shock, rheumatoid arthritis, and diabetes mellitus; underproduction may cause impotence and angina.
The control of nitric oxide is an important element of many drug treatments.... nitric oxide
Adverse effects of nitrous oxide and oxygen may include nausea and vomiting during the recovery period.... nitrous oxide
The infection causes a pneumonia-like illness, with fever and cough.
It fails to respond to short-term, antibiotic treatment, and progressive lung damage occurs.
Brain abscesses may follow.
Treatment is with sulphonamide drugs, often in conjunction with other antibacterial drugs, for example trimethoprim.... nocardiosis
Examples include CT scanning and echocardiography.
The term noninvasive is sometimes also applied to noncancerous tumours that do not spread throughout body tissues.... noninvasive
The infection is treated with antibiotic drugs.... ophthalmia neonatorum
Disc prolapse may lead to pressure on a spinal nerve, causing pain. Injury to a nerve may lead to loss of sensation or movement in the area supplied by the nerve. (See also nerve injury; neuropathy.)... spinal nerves
Habitat: The Nilgiri Hills at 2,1002,500 m.
Ayurvedic: Raktaskandana.Folk: Kaatplaaster (Nilgiri hills).Action: Antiseptic. Fresh leaves are bruised and applied to wounds and cuts as plaster.
An acyl flavonoid glycoside, ana- phaloside, along with isoquercitrin and astragalin, has been isolated from the flowers of a related sp. Anaphalis contorta, used as an antibacterial and styptic.... anaphalis neelgerrianaAbsent 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:
Habitat: The temperate regions of the Himalayas. Wild at several places.
English: Roman Chamomile, Double Chamomile.Unani: Gul-e-Baabuuna.Siddha/Tamil: Shimai chamantipu.Action: Mild sedative, anticon- vulsant, antispasmodic, anti- inflammatory, mild analgesic; used externally for skin disorders, poultice of flowers in sprains and rheumatism.
Key application: Used mainly in France for mild spasmodic gastrointestinal disturbances and sluggishness of bowels, also for nervousness. (PDR.) (German Chamomile has been included by German Commission E among approved herbs, whereas Roman chamomile remains unapproved due to lack of clinical evidence.) The British Herbal Pharmacopoeia recognizes antispasmodic activity of Anthemis nobilis.The flower heads contain volatile oil (including azulenes and bisabolol); sesquiterpene lactone (nobilin); flavo- noids, cyanogenic glycoside, bitter glu- coside (anthemic acid); acetylenic salicylic derivatives, coumarins (including scopolin), valerianic acid; tannins.Azulenes and bisabolol are anti- inflammatory and antispasmodic, reducing histamine-induced reactions, including hay fever and asthma. Flavo- noids, especially anthemidin, are also antispasmodic. Valerianic acid and cyanogenic glycosides are sedative.Flowers and root—abortifacient. Leaves—astringent. A decoction is used for gargling in stomatitis and aphthae.Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India indicates the use of dried stembark in disorders of female genital tract and bleeding disorders.The dried bark contains alkaloids, steroids, reducing sugars and also tannins (4.61%). The ether-soluble alkaloid of the bark shows antibacterial activity.Dosage: Stembark—0.5-1.5 g powder. (API Vol. II.)... anthemis nobilisPharmaceutical manufacturers usually give proprietary (brand) names to the drugs they develop, though doctors in the NHS are expected to prescribe using approved – nonproprietary or generic – titles. Most nonproprietary titles are those in the European Pharmacopoeia, British Pharmacopoeia Commission or the British Pharmaceutical Codex. The USA has its own legislation and arrangements covering the naming and prescribing of medicines. (See PROPRIETARY NAME; GENERIC DRUG; PATENT.)... approved names for medicines
Habitat: Kashmir at 1500-2000 m and extending to Dalhousie and Chamba in Himachal Pradesh.
English: Black Spleenwort.Folk: Krishna fern.Action: Fond—expectorant, pectoral, emmenagogue. Rhizome— anthelmintic. Plant—bitter, diuretic, laxative, anti-inflammatory. It is used for diseases of spleen and in jaundice; produces sterility in women.
The fonds contain aliphatic hydrocarbons, the chief one being hentri- acontane, non-acosane and triterpe- noid hydrocarbons, mainly of 22 (29)- hopene.Alcohols, sterols and fatty acids are also reported.Related sp. include: A. laciniatum D. Don (vitamin K3 and phthiocol have been isolated for the first time from the plant); A. adiantoides (L.) C. Chr., synonym A. falcatum Lam. (used in the treatment of enlarged spleen, in in- contenence of urine, in calculus, jaundice and malaria); A. nidus Linn. synonym Thamnopteris nidus (L.) C. Presl., known as Bird's Nest Fern (used as a depurative and sedative).... asplenium adiantum-nigrumHabitat: 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
Habitat: Cultivated chiefly in Kerala, Tamil Nadu and Karnataka.
English: Coconut Palm.Ayurvedic: Naarikela, Naalikera, Laangali, Tunga, Skandhaphala, Sadaaphala, Trnaraaja, Kuurch- shirshaka.Unani: Naarjeel, Naariyal.Siddha/Tamil: Thenkai. Kopparai (kernel of ripe coconut).Action: Water from tender fruit— cooling, used in thirst, fever, urinary disorders, gastroenteritis, and as a source of K for cholera patients. Fruit—stomachic, laxative, diuretic, styptic, sedative; useful in dyspepsia and burning sensation. Oil from endosperm—antiseptic; used in alopecia. Root—astringent; used in urinary and uterine and disorders.
Tender coconut water is rich in potassium and other minerals and vitamins. It contains reducing sugars 2.222.85%, total sugars 3.5-4.25%; brix 5.56.2%. It is used as a substitute for normal saline in cases of dehydration.Alcoholic extract of coconut shell (2% in petroleum jelly, externally) was found very effective in dermatophyto- sis. Lighter fractions of the tar oil are used as antiseptics.Flowers, mixed with oil, are applied to swellings, leaves to treat abscesses, shoots and ashes of dry meat to deep cuts, grated meat to burns, roots to wounds and gonorrhoea.Shell and fibre—antimicrobial.Dosage: Dried endosperm—10- 20 g powder. (API Vol. III.)... cocos nuciferaHabitat: Throughout India.
Ayurvedic: Kanchata (var.).Folk: Kenaa (vegetable) (Maharashtra).Action: Antidermatosis. The plant is used as a blood purifier.
Commelina diffusa Burm f; C. paludosa Blume synonym C. obliqua Buch.- Ham. and C. salicifolia Roxb. are related species of Kanchata and are known as Kenaa vegetable.Commiphora sp. (Burseraceae).Refer to Balsamodendron sp.... commelina nudifloraHabitat: Wild as well as cultivated in gardens all over India.
Ayurvedic: Varuna, Varana, Barnaa, Setu, Ashmarighna, Kumaarak, Tiktashaaka.Unani: Baranaa.Siddha/Tamil: Maavilingam.Action: Bark—diuretic (finds application in urinary disorders, including urolithiasis, prostatic hypertrophy, neurogenic bladder and urinary infections; uterine and gastro-intestinal problems). Juice of the bark is given to women after childbirth. Extract of root bark, mixed with honey, is applied to scrofulous enlargements of glands. Whole plant powder—cholinergic in smooth muscles including urinary bladder.
Key application: As antiurolithiatic. (Indian Herbal Pharmacopoeia.)The antiurolithic activity of the stem-bark is attributed to the presence of lupeol. Lupeol not only prevented the formation of vesical calculi, but also reduced the size of the preformed stones in the kidneys of calculogenic rats. It also reversed the biochemical parameters in urine, blood and serum towards normal.The stem bark also exhibit anti- inflammatory activity, and is reported to stimulate bile secretion, appetite and bowel movement.Dosage: Stem bark—20-30 g for decoction. (API Vol. I.)... crataeva nurvalaHabitat: Mainly in South India; cultivated to a small extent in warmer parts of India.
English: Ceylon Citronella Grass.Ayurvedic: Jambir-trn (var.).Siddha/Tamil: Kamachipillu.Action: Leaf—stomachic, carminative, spasmolytic, mild astringent. Essential oil—stimulant, carminative, diaphoretic, rubefacient, antiseptic, antibacterial, antifungal, larvicidal.
Lemongrass and lemongrass oil preparations are used almost exclusively in combinations for disorders and discomforts of gastrointestinal tract, muscle pain and neuralgia, colds, various nervous disturbances and for conditions of exhaustion.Major constituents of the essential oil are: citronellal 31.6, neral 28.6, cit- ronellol 10.6, elemicine 7.3, geranyl acetate 4.6, elemol 3.7, limonene 3.2 and isopulegol 2.7%.Citronella oil is also used as an insect repellent.... cymbopogon nardusHabitat: A weed of grassy lawns.
Ayurvedic: Aakhukarni, Muusaakarni (substitute for Merremia emarginata (Burm. f.) Hallier f., synonym Ipomoea reniformis Choisy).Folk: Muusaakaani, Chhinipatra (Bihar).Action: Weak sedative, anthelmintic.... evolvulus nummularius
Habitat: Tropical Himalayas from Nepal eastward to Assam, and in Deccan from Konkan southwards.
Ayurvedic: Baalakanda, Amarkan- da, Maalaakanda.Folk: Ambarkanda (Maharashtra).Action: Tubers—used for bronchitis, diseases due to vitiated blood, tumours, scrofulous glands. Also used as vermifuge.
The tubers yield two phenanthrene derivatives, eulophiol and nudol, along with n-hexacosyl alcohol and lupeol.... eulophia nudaHabitat: Grown as a field and boundary fence and as curious on rockeries in gardens.
English: Holy Milk Hedge, Dog's Tongue.Ayurvedic: Snuhi, Samant-dugdhaa, Sehunda, Singhtunda, Snuk, Gudaa, Sudhaa, Vajra, Vajjri, Vajjradram, Thuuhar.Siddha/Tamil: Ielaikkali, Perumbu- kalli.Action: Latex—purgative, diuretic, antiasthmatic, expectorant, rube- facient. Used in ascites, polyuria, anasarca, chlorosis, tympanitis; externally on warts, cutaneous eruptions, scabies, unhealthy ulcers.
A succus compounded of equal parts of the juice and simple syrup is said to be used for giving relief in asthma.The triterpenoids, euphol, 24-meth- ylenecycloartenol, euphorbol hexa- cosonate, glut-5 (10)-en-1-one, glut-5- en-3 beta-yet-acetate, taraxerol, friede- lan-3 alpha-ol and -3 beta-ol have been reported from the plant.... euphorbia neriifoliaBuch.-Ham.
Family: Euphorbiaceae.
Habitat: Northern and central India, often planted in dry areas.Ayurvedic: Snuhi (substitute), Patra-Snuhi.Siddha/Tamil: Kalli, Naga-kalli.
Action: Latex—used for treating jaundice, dropsy, enlargement of liver and spleen; colic; syphilis, leprosy; applied to haemorrhoids. Coagulated latex is used for bronchitis. Leaf—juice is used as a purgative. Warmed in mustard oil, applied in cold and headache.The latex gave cycloart-25-en-3 beta-ol, and cyclolaudenol; stem contained cyclolaudenol and sitosterol; leaves gave sitosterol. (None of these triterpenes have been reported from E. neriifolia.) These triterpenes exhibited antimicrobial activity against Staphylococcus aureus and E. coli.
... euphorbia nivuliaHabitat: Temperate Himalayas, Kashmir, Khasi Hills and the Nilgiris.
English: Nepal Geranium, Nepalese Crane's Bill.Ayurvedic: Bhanda, Bhandaa.Folk: Ratanjot (var.), Roel (Kashmir).Action: Astringent, styptic, used in renal diseases, diarrhoea, internal and external bleeding. Also used topically for ulcers and haemorrhoids.
The plant gave geraniin, kaempferol- 7-rhamnoside and kaempferitrin. The leaves gave tannins.EtOH (50%) extract of the plant exhibited hypotensive activity.A gastrointestinal-contracting cho- line-like substance has been isolated from var. thumbergii and is found useful for the treatment of gastrointestinal disorders such as gastroptosis.... geranium nepalenseHabitat: Temperate Himalaya and in Khasi Hills.
Ayurvedic: Paarseeka Vachaa.Folk: Sosan, Shoti, Chalnundar, Chiluchi.Action: Deobstruent (in bilious obstructions), diuretic, cathartic. Used in diseases of the liver.
The plant contains an isoflavone, irisolidone. Rhizomes contain iriso- lone and irigenin.... iris nepalensisHabitat: The Himalayas; from Kashmir to Bhutan at 1,5002,000 m and Assam at 1,3502,000 m.
English: Nepal Ivy.Folk: Baandaa, Bandaa, Lablab.Action: Leaves and berries— cathartic, diaphoretic, febrifuge, antispasmodic, expectorant. Used in whooping cough. Leaves— used in glandular enlargements. A decoction of the leaves is used topically to destroy lice in the hair. An infusion of berries is given in rheumatism. Gum— emmenagogue.
The inflorescences contain beta- amyrin, beta-sitosterol and its D-glu- coside, oleanolic acid, triterpene gly- cosides, nepalins. Nepalins 1,2 and 3 at 0.5, 0.25 and 0.125% respectively completely immobilize human sperm.Plant extract exhibited antitumour activity in vivo and in vitro against Ehrich ascites.... hedera nepalensisHabitat: Native to sub-alpine woods in Southern and Eastern Europe. Grown in Indian gardens.
English: Black Hellebore, Christmas Rose.Ayurvedic: Khuraasaani Kutaki.Unani: Kharbaq Siyah, Kutaki.Action: Digitalis-like action in cardiac disorders, drastic purgative, abortifacient, diuretic, local anaesthetic, narcotic.
The rhizome contains cardiac glycosides; helleborin, helleborein, hellebrin and others based on helleborigenin.Helleborin has a burning, acrid taste and is narcotic. Helleborein has a sweetish taste and is a highly active cardiac poison. Helleborin and veratrin (steroidal saponins), helle- brin or helleborein (steroid glycoside) are main constituents of the root and leaves. The plant irritates mucous membranes.A related species, Helleborus virdis Linn. (Bear's Foot, Green Hellebore) is known as Kaali Kutaki and Krishna- bhedi. The plant contains magno- florine and corytuberine. The roots and rhizomes gave hellebrin, desgluco- hellebrin, hellebrigenin, bufatetraeno- lide, beta-ecdysterone and 5beta-hy- droxyecdysterone.... helleborus nigerHabitat: Native to Europe and Asia. Occurs in the temperate Himalayas from Kashmir to Garhwal.
English: Indian Henbane, Black Henbane.Ayurvedic: Paarsika-yavaani, Yavaani, Madkaarini, Turushkaa, Khuraashaanikaa, Khuraasaani Ajwaayin.Unani: Barz-ul-Banj, Khuraasaani Ajwaayin.Siddha/Tamil: Paarseekayavani, Khurasani Omam.Action: Sedative. Narcotic drug. Used for convulsions. Action similar to Belladonna.
Key application: In spasms of gastrointestinal tract. (German Commission E, The British Herbal Pharmacopoeia.)The leaves and flowering tops contain tropane alkaloids, 0.045-00.14%, the principal ones being hyoscyamine and hyoscine. The alkaloids are para- sympatholytic, with similar actions to Belladonna, although with less cerebral excitement.The seeds show inhibitory activity against digestive enzyme, lipase in vitro.Contraindicated in tachycardias, prostatic hyperplasia, narrow-angle glaucoma, acute pulmonary oedema, stenosis of gastrointestinal tract, maga colon.Dosage: Seed—3-5 g powder. (CCRAS.)... hyoscyamus nigerHabitat: Native to the Mediterranean region; cultivated throughout India.
English: Laurel, Sweet Bay.Unani: Habb-ul-Ghaar, Daphni.Action: Leaves—mild sedative, gastric tonic, cholagogue, diaphoretic, antiseptic, antifungal. Used as a gargle against sore throat. Oil—used externally for rheumatism and in hair dressings for dandruff. Berry— emmenagogue, antileucorrhoeic, antidiarrhoeal.
Fresh leaves from Lahore (Pakistan) gave an essential oil (0.3-0.36%) with, 1,8-cineole 42.2, eugenol 16.4, sabinene 6.5, alpha terpineol 1.6, alpha-pinene 3.4, methyl eugenol 2.4 and terpinolene 1.9%. Major components of Greek and Russian oils were 1,8-cineole followed by alpha-terpinyl acetate.The fruit from Kumaon region gave an essential oil (5%), including among others, 1,8-cineol (28.4), methyl cinna- mate (20.1), alpha phellandrene (10.1) and alpha-pinene (9.3%).The leaves contain sesquiterpene lactones and isoquinoline alkaloids. Ethanolic extract of leaves produces a significant decrease in blood glucose level of diabetic rabbits. It contains amylase inhibitors which can supress sugar metabolism and can be used as an antiobesity agent for pet animals.The leaf extract has been used as an antidandruff solution.... laurus nobilisHabitat: Kashmir.
English: Fringed Water-Lily.Folk: Kuru, Khairposh (Punjab).Action: Leaf—used in periodic headache.... limnanthemum nymphaeoides
Habitat: Temperate Himalayas from Nepal eastwards at 1,800-2,400 m, and in Assam.
Folk: Gandha-daaru (Bengal), Siltimur (Nepal).Action: Carminative.
The plant is reported to yield sassafras, which is substituted for the true sassafras from Cinnamomum glan- duliferum Meissn.The seeds yield a fatty oil (60.7%). It gave methyl esters : methyl laurate 75.2, methyl caprate 13.3, methyl oleate 5.4, methyl myristate 2.4, and methyl- palmitate 0.5%.... lindera nessianaHabitat: Throughout India, in wet places and river banks.
English: Wild sage.Ayurvedic: Jalapippali, Shaaradi, Shakulaadani, Jalakarnaa, Matsya- gandhaa. Laangali (now equated with Gloriosa superba).Unani: Bukkum Booti.Siddha/Tamil: Paduthalai.Action: Plant—cooling, febrifuge, diuretic. Poultice used as maturant for boils. Leaves—an infusion is given to women after delivery.
An alcoholic extract of the leaves shows antibacterial activity against E. coli. The leaf juice enters into hair oils for alopecia areata.Aerial parts are reported to contain flavonoids, flavone aglycones and flavone sulphates.Dosage: Whole plant—10-20 ml juice. (CCRAS.)... lippia nodifloraHabitat: Deccan, Konkan and Western Ghats, at altitudes of 9002,100 m.
English: Wild Tobacco.Ayurvedic: Devanala, Nala (var.).Siddha/Tamil: Kattuppugaiyilai, Upperichedi.Action: Used as a substitute for Lobelia inflata.
An analysis of Lobelia nicotianae- folia, grown in Maharashtra, shows that the plant contains appreciable quantities of nor-lobelanine and small amounts of lobinine and minor bases.Lobelia cardinalis Linn., Cardinal Flower, is cultivated in Indian gardens. It contains lobinaline as main alkaloid. Lobinaline depresses blood pressure but has no influence on respiration. L. erinus Linn. and L. succulenta Blume, synonym L. affinis Wall. also contain alkaloids with lobinaline 0.445%.Lobelia cordigera Cav., synonym L. fulgens Willd., an ornamental Lobelia sp., grown in Indian gardens, contains inulin.Lobelia pyramidalis Wall. (Himalayas from Kumaon eastwards to Sikkim and Assam at altitudes of900-2,700 m) contains 0.29-0.38% alkaloids as lobeline, and may be used as a substitute for Lobelia inflata.... lobelia nicotianaefoliaHabitat: Gujarat.
Folk: Ragat-Rohido (Gujarat), Rakta-Rohido.Action: Used for diseases of liver and spleen. In folk medicine, as a substitute for Rakta-Rohitaka. (Rohitaka is equated with Tecomel- lia undulata Seem., synonym Tecoma undulata G. Don, Bignoni- aceae.)
In Gujarat, Polygonum glabrum Willd. (Polygonaceae) and Myristica attenuta Wall., synonym Knema atten- uata (Wall.) Warb. (Myristicaceae) are also known as Rakta Rohido, and are used for diseases of liver and spleen.In Mumbai, Rhamnus wightii Wight & Arn. (Rhamnaceae) is known as Rakta-Rohidaa. The bark is used as astringent and deobstruent.Folk: Phulwaaraa, Maakhaniaa Mahuaa.Action: Fat used as ointment in rheumatism, for chapped hands and feet during winter.
The flowers contain beta-amyrin acetate, friedelin, erythrodiol monopal- mitate, beta—sitosterol and apha-spi- nasterol. The seeds contain triterpe- noid saponins, butyroside C and buty- roside D. A triterpenoidal sapogenin, butyraceol, has been isolated from the seed. The leaves contain butyracic acid. Defatted seed flour contains 10.4% saponins.Administration of acute dose of saponins to albino rats caused severe diarrhoea and histopathological changes in liver and kidney and altered, particularly in female rats, levels of serum alkaline phosphatase, cholesterol and proteins.... maba nigrescensHabitat: Throughout India, in moist and marshy places; common in West Bengal.
Ayurvedic: Koshapushpi.Folk: Kanshura.Action: Plant—used in burns, boils and sores.... murdannia nudiflora
Habitat: Temperate Himalayas from Garhwal to Bhutan at 1,3502,700 m. and in Khasi Hills.
English: Holly Leaved Berberry.Folk: Chhatri (Nepal), Haldia (Garhwal).Action: Used as Berberis. Anti- prolific, antipsoriatic, alterative, demulcent, diuretic, antidysenteric.
The plant gave tertiary aporphines, berberine and jatrorrhizine.... mahonia napalensisHabitat: Native to West Asia; cultivated in Kashmir, also grown in Darjeeling.
English: Black Mulberry.Unani: Tuut Siyaah.Action: Berries and root bark— mild laxative and used in the treatment of respiratory catarrh. Berries—refrigerant, given during convalescence.
The fruit contains invert sugar, pectin, fruit acids (including malic and citric acid), ascorbic acid, and fla- vonoids (including rutin). Leaves contain flavonoids, including rutin (26%). Root bark contains calcium malate; the bark of branches contains tannins, phlobaphenes, a sugar, a phy- tosterol, ceryl alcohol, fatty acids and phosphoric acid.An infusion of leaves causes a drop in blood sugar, sometimes diuresis and a reduction in arterial pressure. It shows no effect on glucosuria.Morus acidosa Griff., M. australis Poir and Morus indica L. have also been equated with Tuut Siyaah of Unani medicine.... morus nigraHabitat: Subtropical Himalayas from the Ravi eastwards at 9002,100 m.
English: Box Myrtle.Ayurvedic: Katphala, Kushb- hikaa, Shriparnikaa, Mahaavalkal, Bhadraa, Bhadravati.Unani: Kaayaphal.Siddha/Tamil: Marudam.Action: Bark—carminative, antiseptic. Used in fever, cough and asthma; also as a snuff in catarrh with headache. Fruit wax— used externally for ulcers. Fruit— pectoral, sedative.
The Ayurvedic Pharmacopoeia ofIn- dia recommends the stem bark and fruit in anaemia and polyuria.The stembarkgave myricanol, a pro- anthocyanidin. The root bark yielded beta-sitosterol, taraxerol and myricadi- ol. The stem bark exhibited analgesic, spasmolytic, hypotensive and antiar- rhythmic activity.Dosage: Fruit—3-5 g, stem bark— 3-5 g. (API, Vol. III.)... myrica nagiNadette, Nadett, Nadet, Nadete, Nadeta... nadetta
Nadhirah, Naadhira, Nadheera, Nadhyra, Nadhiera, Nadheira, Nadhera, Naadhirah, Nadheerah, Nadhyrah, Nadhierah, Nadheirah, Nadherah, Nadheara... nadhira
Nadifah, Nadeefa, Nadyfa, Nadeefah, Nadyfah, Nadeafa, Nadeafah... nadifa
Naenie, Naeni, Naeny, Naeney, Naenee, Naenea, Naeniah... naenia
Nafunah, Nafunna, Nafoona, Nafoonah, Naphuna, Naphunah, Naphoona, Naphoonah, Nafouna, Naphouna... nafuna
Na’ima, Na’imah, Naimah, Nayma, Naymah, Naeema, Naeemah, Naema, Naemah... naima
Nairah, Nayra, Nayrah, Naera, Naerah... naira
Nairie, Nairy, Nairey, Nairee, Nairea... nairi
Nairobie, Nairoby, Nairobey, Nairobee, Nayrobi, Nayrobie, Nayroby, Nayrobey, Nayrobee, Nairobea, Nayrobea... nairobi
PSORIASIS is a common cause of disease of the nail plate, as are eczema (see DERMATITIS) and fungal infection (see FUNGAL AND YEAST INFECTIONS). Deformity of the nail may point to systemic disease, as in CLUBBING, or the spoon-shaped concave nails (koilonychia) of severe iron de?ciency. Acute toxic illnesses may temporarily disturb nail growth causing horizontal ridges (Beau’s lines) which grow out slowly.
Onycholysis is separation of the nail plate from its bed. It may be due to psoriasis of the nail bed and trauma, or may occur spontaneously. Gross thickening of nails is common in the toes, caused by psoriasis or fungal infection.... nails, diseases of
Najjiyyah, Najiyah, Najiya... najjiyya
Nalah, Nalla, Nallah, Nalia, Nalea... nala
Nalanie, Nalany, Nalaney, Nalany, Nalanee, Nalaneigh, Nalanea, Nalania, Nalanya, Nallely... nalani
Nalinie, Naliny, Naliney, Nalinee, Nalyni, Nalynie, Nalynee, Nalinea... nalini
Namitah, Nameeta, Namyta, Nameetah, Namytah, Nameata, Nameatah... namita
Habitat: The tropical forests of eastern Himalayas, Assam, Bengal, Bihar, Deccan Peninsula.
Ayurvedic: Dhanavalli (Kerala), Chhagul-bati (Bengal).Siddha/Tamil: Vathomkolli, Neen- davalli.Action: Astringent, antiinflammatory, vulnerary, anthelmintic. Used for colic, headache, inflammations, rheumatic pain, wounds and ulcers, intestinal worms, leprosy and skin diseases. Saps of stem—effective in onychia.... naravelia zeylanica
Habitat: All over Europe. Grown in Indian gardens.
English: Narcissus, Daffodil, Lent Lily.Unani: Nargis.Action: Bulbs—powerfully emetic, diuretic, purgative. Poisonous. Oil is applied for curing baldness.
The bulbs are imported into India. Dried and sliced bulbs are sold as a substitute for bitter hermodactyls.Alkaloids, lycorine, pseudolycorine, galanthamine, haemanthamine and narcisine, have been isolated from the bulbs of the species. The alkaloid nar- cisine is toxic.The mucilage, narcissus T-gluco- mannan, isolated from the bulbs, was found to exhibit significant hypogly- caemic activity in mice.... narcissus tazettaNardah, Nardia, Nardea, Nardiya, Nardya... narda
Habitat: Alpine Himalayas, Kumaon, Sikkim and Bhutan.
English: Spikenard, Musk-root.Ayurvedic: Maansi, Jataamaansi, Bhuutajataa, Tapaswini, Sulo- mashaa, Jatilaa, Naladaa.Unani: Sumbul-e-Hindi, Sambul-ut- Teeb, Naardeen-e-Hindi, Baalchhar.Siddha/Tamil: Sadamanchil.Action: Used as a substitute for Valerian. Tranquilizer, sedative, hypotensive. Used for the treatment of epilepsy, hysteria, convulsive affections, palpitation of heart and in intestinal colic. A decoction of powdered roots is prescribed as a home remedy for high blood pressure. It is used in dysmenorrhoea for pain relief and smooth menstrual flow. It is used in hair oil for arresting hair loss and greying of hair.
The Ayurvedic Pharmacopoeia of India recommends dry rhizomes in obstinate skin diseases, erysipelas, disturbed mental state and insomnia.The rhizome is rich in sesquiter- penoids. The crude drug gave an oil (yield 2.5% v/w), which contains d- nardostachone, valeranone and jata- mansone as the major ketonic sesqui- terpenes. The oil potentiated phenobarbital narcosis in rats, reduced brain serotonin content and decreased the conditioned avoidance performance in cats.Jatamansone was shown to exert tranquilizing effect in mice and monkeys. In rabbits, jatamansone was found to impair biosynthesis of serotonin in the brain leading to a reduction in brain level of 5-hydroxytrypta- mine. The degradation of serotonin was unaffected. The mode of action of jatamansone was thus in variance with that of reserpine which has direct action on the cell to liberate serotonin.On the other hand, the alcoholic extract of the roots of Indian Nard caused an overall increase in the levels of central monamines, 5-hydroxy indole acetic acid and the inhibitory amino acids, gamma-aminobutyric acid, norepinephrine, dopamine and serotonin in rat brain.In a clinical trial on hyperkinetic children, jatamansone showed significant reduction in hyperactivity and improvement in restlessness and aggressiveness, almost at par with D- amphetamine.The volatile oil was found to be less active than quinidine in several tests. It did not counteract digitalis induced ventricular arrhythmias.Jatamansone semicarbazone, a sesquiterpene ketone, was found to possess antiestrogenic activity.N. jatamansi is also used in place of Muraa (Selinum tenuifolium Wall. ex DC.)Dosage: Root—2-3 g powder; 5-10 g for infusion; 50-100 ml infusion. (API, Vol. I; CCRAS.)... nardostachys jatamansiHabitat: Western Ghats of Tamil Nadu and Karnataka, up to 1,000 m.
English: Goanese Ipecacuanha.Folk: Nilanaaringa, Bhumi- Naagaranga. Pitta-vela, Tinpaani (Maharashtra).Action: Root—emetic, cholagogue, expectorant, antidysenteric; plant— antirheumatic; leaf and stem— antibilious.
Creeping roots possess properties similar to ipecacuanha (Cephaelis ipecacuanha).The plant is used in prescriptions for malarial and chronic fevers, anaemia and enlarged spleen.The root and stem gave heneicosane, beta-sitosterol, stearic and palmitic acids.... naregamia alataNashaly, Nashalee, Nashaley, Nashalia, Nashalea, Nashaleigh, Nashalie, Nashali... nasha
Nashitah, Nashyta, Nasheeta, Nasheata, Nashieta, Nasheita... nashita
Nashotah, Nashotta, Nashottah... nashota
Naseeba, Nasyba, Nasibah, Nasybah, Naseebah, Naseaba, Naseabah... nasiba
Naasira, Nasirah, Naseera, Naseerah, Nasyra, Nasyrah, Naseara, Nasearah... nasira
Nasnane, Nasnana, Nasnann, Nasnanne, Nasnanna... nasnan
Habitat: Cultivated in Bengal, Orissa and Punjab.
English: Watercress.Folk: Piriyaa-Haalim (Punjab), Latputiyaa (Maharashtra).Action: Leaves—antiscorbutic, expectorant (used in catarrh of the respiratory organs), diuretic (used in kidney and bladder disorders), detoxifying. A lotion of leaves is applied to blotches, spots and blemishes. Fresh herb is used as a blood purifier.
Key application: For catarrh of respiratory tract. (German Commission E.)Watercress contains vitamin A 4720 IU, ascorbic acid 77 mg/100 g, also thiamine, riboflavin, niacin and biotin; mineral matter 2.2%—calcium 290, phosphorus 140, iron 4.6 mg/100 g, also sulphur, iodine, manganese, zinc, arsenic and copper; proteins 2.9%, amino acid composition includes leucine, phenylalanine, valine, lysine, tyrosine, alanine, threonine, glutamic acid, serine, aspartic acid, cystine, methionine sulphoxide and proline.The glucosinolate phenethyl isothio- cyanate, which is released upon chewing the leaf, is a chemopreventive agent against lung cancer. (cited in Expanded Commission E Monographs.)Watercress is contraindicated in gastric and duodenal ulcers and inflammatory kidney diseases. (Francis Brinker.)... nasturtium officinaleNICE – its Scottish equivalent is the Scottish Health Technology Assessment Centre – has three main functions:
appraisal of new and existing technologies.
development of clinical guidelines.
promotion of clinical audit and con?dential inquiries. Central to its task is public concern about ‘postcode prescribing’ – that is, di?erent availability of health care according to geography.
In 2003 the World Health Organisation appraised NICE. Amongst its recomendations were that there should be greater consistency in the methods used for appraisal and the way in which results and decisions were reported. WHO was concerned about the need for transparency about the con?ict between NICE’s use of manufacturers’ commercial evidence in con?dence, and believed there should be greater de?nition of justi?cation for ‘threshold’ levels for cost-e?ectiveness in the Centre’s judgement of what represents value for money.
In all, WHO was congratulatory – but questions remain about the practical value and imlementation of NICE guidelines.... national institute for clinical excellence (nice)
[catlist id=14 numberposts=100 pagination=yes instance=2 orderby=title order=asc]
... natural herbs that increase sex driveNayelie, Nayely, Nayeley, Nayeli, Nayelee, Nayeleigh, Nayelea... nayeli
Nazneene, Naznine, Nazyne, Naazneen, Naznin, Naznean, Nazneane... nazneen
Neale, Nealla, Neila, Neile, Neilla, Neille, Neely, Neelie, Nealina, Neilina, Neelle, Neela, Nealie, Neali, Nelia, Nelea, Niall, Niala, Nialla, Niela, Nielsine... neala
The symptoms depend upon the site of the infection. General symptoms such as fever, weight loss and night sweats are common. In the most common form of pulmonary tuberculosis, cough and blood-stained sputum (haemoptysis) are common symptoms.
The route of infection is most often by inhalation, although it can be by ingestion of products such as infected milk. The results of contact depend upon the extent of the exposure and the susceptibility of the individual. Around 30 per cent of those closely exposed to the organism will be infected, but most will contain the infection with no signi?cant clinical illness and only a minority will go on to develop clinical disease. Around 5 per cent of those infected will develop post-primary disease over the next two or three years. The rest are at risk of reactivation of the disease later, particularly if their resistance is reduced by associated disease, poor nutrition or immunosuppression. In developed countries around 5 per cent of those infected will reactivate their healed tuberculosis into a clinical problem.
Immunosuppressed patients such as those infected with HIV are at much greater risk of developing clinical tuberculosis on primary contact or from reactivation. This is a particular problem in many developing countries, where there is a high incidence of both HIV and tuberculosis.
Diagnosis This depends upon identi?cation of mycobacteria on direct staining of sputum or other secretions or tissue, and upon culture of the organism. Culture takes 4–6 weeks but is necessary for di?erentiation from other non-tuberculous mycobacteria and for drug-sensitivity testing. Newer techniques involving DNA ampli?cation by polymerase chain reaction (PCR) can detect small numbers of organisms and help with earlier diagnosis.
Treatment This can be preventative or curative. Important elements of prevention are adequate nutrition and social conditions, BCG vaccination (see IMMUNISATION), an adequate public-health programme for contact tracing, and chemoprophylaxis. Radiological screening with mass miniature radiography is no longer used.
Vaccination with an attenuated organism (BCG – Bacillus Calmette Guerin) is used in the United Kingdom and some other countries at 12–13 years, or earlier in high-risk groups. Some studies show 80 per cent protection against tuberculosis for ten years after vaccination.
Cases of open tuberculosis need to be identi?ed; their close contacts should be reviewed for evidence of disease. Adequate antibiotic chemotherapy removes the infective risk after around two weeks of treatment. Chemoprophylaxis – the use of antituberculous therapy in those without clinical disease – may be used in contacts who develop a strong reaction on tuberculin skin testing or those at high risk because of associated disease.
The major principles of antibiotic chemotherapy for tuberculosis are that a combination of drugs needs to be used, and that treatment needs to be continued for a prolonged period – usually six months. Use of single agents or interrupted courses leads to the development of drug resistance. Serious outbreaks of multiply resistant Mycobacterium tuberculosis have been seen mainly in AIDS units, where patients have greater susceptibility to the disease, but also in developing countries where maintenance of appropriate antibacterial therapy for six months or more can be di?cult.
Streptomycin was the ?rst useful agent identi?ed in 1944. The four drugs used most often now are RIFAMPICIN, ISONIAZID, PYRAZINAMIDE and ETHAMBUTOL. Three to four agents are used for the ?rst two months; then, when sensitivities are known and clinical response observed, two drugs, most often rifampicin and isoniazid, are continued for the rest of the course. Treatment is taken daily, although thrice-weekly, directly observed therapy is used when there is doubt about the patient’s compliance. All the antituberculous agents have a range of adverse effects that need to be monitored during treatment. Provided that the treatment is prescribed and taken appropriately, response to treatment is very good with cure of disease and very low relapse rates.... nature of the disease tuberculosis has
Nehama, Nehamah, Nachmanit, Nachuma, Nechamah, Nechamit... nechama
Necia, Necie, Necee, Necy, Necey, Necea... neci
Nedivah, Nedeeva, Nedyva, Nedeevah, Nedyvah, Nedeava, Nedeavah... nediva
eyes
Neenah, Neanah, Neana, Neyna, Neynah... neena
Neginothe, Negynoth, Negynothe, Neginotha, Negynotha... neginoth
... nehama
Nehandah, Nehandia, Nehandea, Nehandiya... nehanda
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
To strengthen nerves and generate vitality: Ginseng, Bee pollen, Oats, Ginkgo, Saw Palmetto, Damiana. Tea. Formula. Equal parts: Betony, Balm, Skullcap. One heaped teaspoon to each cup boiling water; infuse 5-15 minutes. 1 cup thrice daily.
Gentian. One teaspoon fine-cut root in cup cold water; infuse overnight. Strain; drink cold following morning.
Tablets/capsules: Damiana, Skullcap, Lady’s Slipper, Ginseng, Ginkgo.
Formula. Equal parts: Gentian, Oats. Gotu Kola. Dose: Liquid Extracts: 2 teaspoons. Tinctures: 3 teaspoons. Powders: 750mg (three 00 capsules or half a teaspoon). Thrice daily.
After surgical operation: St John’s Wort. Hawthorn. ... nervous debility
German Chamomile tea. ... nervous stomach
Teas. Cowslip flowers, St John’s Wort flowers, Passion flower, Valerian, Hops, Lime flowers, Balm, Motherwort, Woodruff, Skullcap, Oats.
Formula, tea: equal parts, Balm, Motherwort, Passion flower. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. 1 cup thrice daily.
Tablets. Valerian. Pulsatilla. Natracalm. (English Grains) 500mg Passion flower tablets: 1 tablet thrice daily.
See: SEDATIVES. ... nerve tension
Alternatives. Betony, Black Cohosh, Hops, Lady’s Slipper, Mistletoe, Oats, Skullcap, Valerian.
Tea. Formula. Equal parts: Skullcap, Mistletoe, Valerian. 1 heaped teaspoon to each cup water gently simmered 10 minutes. Dose: half-1 cup thrice daily.
Formula. Equal parts: Hops, Rosemary, Valerian. Dose: Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily.
Supplements. B-complex, B12, B6, E. Magnesium, Dolomite. Calcium. ... nervous shock
Tea. Combine equal parts: Raspberry leaves, Skullcap, Motherwort. 1 heaped teaspoon to each cup boiling water; infuse 15 minutes. 1 cup freely.
Formula. Equal parts: Black Cohosh, Helonias, Valerian. Dose: Liquid Extracts: half a teaspoon. Tinctures: 1 teaspoon. Powders: 250mg thrice daily.
Supplements. B-complex. Vitamin C to aid iron absorption. ... nervousness in young women
Address: 24, Harcourt House, 19, Cavendish Square, London W1M 0AB. ... nutrition association, the.
Neitha, Neytha, Neyth, Neit, Neita, Neitia, Neitea, Neithe, Neythe... neith
Nel, Nelida, Nell, Nella, Nellene, Nellie, Nellwen, Nellwin, Nelle, Nelley, Nelli, Nellee, Nellis, Nelma, Nellwinne, Nellwenne, Nellwyn, Nellwynne, Nelwina, Nelwena, Nellwina, Nellwena, Nelda, Nelleke... nelly
Habitat: Throughout warmer parts of India, up to 1,800 m.
English: East Indian Lotus, Sacred Lotus.Ayurvedic: Kamala, Padma, Nalina, Aravinda, Jalaja, Raajeeva, Pushkara, Ambuja, Abja, Pankaja. Pundarika (whitish), kokanada (red), Indivara (Bluish).Unani: Used as a substitute for Nilofar.Siddha/Tamil: Thaamarai, Ambel.Action: Filament—astringent and haemostatic. Prescribed for bleeding piles and menorrhagia. Flowers—a decoction is given in cholera, fever, strangury, palpitation of heart. Rhizomes—given in piles, chronic dyspepsia and dysentery; applied externally to cutaneous eruptions, scabies and ringworm. Rhizome-arrowroot— given to children in diarrhoea and dysentery. Root—astringent, diuretic, antiemetic, cooling. Used for dysentery, dyspepsia, piles, skin affections and for its anticoagulant properties.
The Ayurvedic Pharmacopoeia ofIn- dia recommends dried rhizomes, with roots attached at nodes, in syncope and vertigo.Flowers yielded quercetin, luteolin and their glycosides and kaempferol glycosides. Leaves gave quercetin, iso- quercitrin and leucoanthocyanidin.Isoquinoline alkaloid, nuciferin, is neuroleptic. Active agents in the leaves are the alkaloids, nelumbin and roe- merin.Dosage: Dried flower—12-24 g for decoction (API, Vol. II); rhizomes— 5-10 m powder; 10-20 ml juice (API, Vol. III). Seed—3-6 g powder; flower—10-20 ml juice. (CCRAS.)... nelumbo nuciferaNemisiss, Nemisys, Nemisyss, Nemysis, Nemysiss, Nemysys, Nemysyss... nemesis
Nearly three-quarters of neonatal deaths occur during the ?rst week of life. For this reason, increasing emphasis is being laid on this initial period of life. In Britain, in the last four decades of the 20th century, the number of deaths in the ?rst week of life fell dramatically from 13.2 to just over 2.7 per 1,000 live births. The chief causes of deaths in this period are extreme prematurity (less than 28 weeks’ gestation), birth asphyxia with oxygen lack to the brain, and congenital abnormalities. After the ?rst week the commonest cause is infection.... neonatal mortality
Nephelle, Nephel, Nephell, Nephelia, Nephelea... nephele
Habitat: Cultivated in Britain and the USA. Occurs in Himalayas from Kashmir to Nepal at 2,000-3,300 m.
English: Catnip, Catnep, Catmint.Action: Leaves and flowers— gentle nerve relaxant and sedative, carminative, antispasmodic, an- tidiarrhoeal, diaphoretic, febrifuge. Used in restlessness, convulsions, nervous headache, colic, early stages of fever, colds and influenza. The herb is to be infused (not boiled).
Catnip contains iridoids, tannins and volatile oil, major components being alpha- and beta-nepetalactone (up to 42%), citronellol and geraniol.The catnip response in the domestic cat is being attributed to iridoid lac- tones, nepetalactone, dihydronepeta- lactone, iso-dihydronepetalactone and neonepetalactone. Its reputation as a hallucinogen has been disputed, but a few studies have shown behavioural effects, although weak, in young chicks, rodents and cats. (Potter's New Cyclopaedia.)Neptalactone is structurally related to valepotriates found in valerian. (Natural Medicines Comprehensive Database, 2007.)... nepeta catariaHabitat: Punjab, Uttar Pradesh, Bihar, West Bengal, Madhya Pradesh and South India up to 2,400 m. (Blue-flowered var.)
Unani: Baadranjboyaa, Billilotan. Also equated with Melissa officinalis.Action: See Nepeta cataria.
The alcoholic extract of the plant yielded a triterpenoid aldehyde, nepe- hinal. Nepetidone, nepedinol, and a triterpenic acid have also been reported. The plant contains flavonoids including nepitrin, dinatin, nepetin. Flowers and stem gave napetol, hen- triacontane and beta-sitosterol. An aqueous extract of flowers contained Na, K, Ca, Mg, Zn, Cd, Cu, Ni, Mn and Fe. Alcoholic extract of the plant produced marked hypocholesterolaemic effect in experimental animals. It also produced beneficial effects in the histopathology of myocardial infarction. Aqueous extract of the plant, given intravenously, lowered the blood pressure in dogs by 26.87%. It also showed CNS depressant and sedative activities. (In Indian medicine, the plant is used in various cardiac conditions including cardiac asthma.)... nepeta hindostanaHabitat: Throughout India, in tanks.
Ayurvedic: Lajjaalu (var.), Alam- bushaa. (Provisional synonyms.)Siddha: Sadai, Sundaikkirai.Folk: Paani-lajak (Punjab).Action: Astringent, refrigerant.
Mimosa pudica Linn. is the accepted source of the classical herb Lajjaalu. It is used as astringent and styptic.... neptunia oleraceaNarissa, Naryssa, Nericcia, Neryssa, Narice, Nerice, Neris... nerissa
Nerolia, Nerolie, Nerolea, Neroli, Neroley, Neroly, Nerolee, Neroleigh... nerola
II. 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: Tropical Himalayas from Garhwal eastwards at altitudes of 1,200-1,500 m and in Bihar, Konkan, North Kanara and Travancore.
Ayurvedic: Padmachaarini, Shankhaaluka. (Sthala Kamala is a doubtful synonym.)Action: Astringent, diuretic (used in dysuria).
A decoction of leaves is given after parturition.... nervilia aragoanaHabitat: Native of Mediterranean region; grown in Indian gardens.
English: Indian oleander, White oleander.Ayurvedic: Karavira, Viraka, Ashva- maaraka, Hayamaaraka, Gauripush- pa, Divyapushpa, Shatakumbha, Siddhapushpa (white-flowered var.). Raktapushpa, Raktaprasava, Ravipriya (red-flowered var.)Unani: Kaner Safed, Diflaa, Samm-ul-maar, Khar-zaharah.Siddha/Tamil: Arali, Alari, Aatrulari, Karaviram.Action: Root—resolvent and attenuant. A paste of the root is externally applied to haemorrhoids and ulcerations in leprosy. Paste of the root bark and leaves is used in ringworm and other skin diseases. An oil extracted from the root bark is used in skin diseases of scaly nature. Leaves—cardioactive (digitalis-like effect) and diuretic, anti-inflammatory, antifungal, insecticidal. Toxic.
The leaves contain several glyco- sides including glycosides of 8 beta- hydroxy-digitoxigenin. Cardenolide glycosides and pregnanolone glyco- sides have been isolated from roots.The ethanolic extract of the flowers inhibits the growth of dermatophytes.The plant shows antifungal activity against ringworm fungus, Microspo- rum nanum.Dosage: Detoxified leaves—30— 125 mg powder (API, Vol. I); root— 30 mg—125 mg powder (API, Vol. III).... nerium indicumHabitat: Native to Mediterranean region; grown in Indian gardens.
English: Red Oleander, Rose Bay.Unani: Surkh Kaner.Action: See N. indicum. (The white- and red-flowered varieties are equated with Nerium oleander; both possess similar properties. The yellow-flowered variety is equated with Thevetia peruviana.)
Key application: Leaf—included among unapproved herbs by German Commission E. Positively inotropic and negatively chronotropic actions have been mentioned; the use of leaf for diseases and functional disorders of the heart, as well as for skin diseases has been indicated.The leaves and roots gave a number of active principles including gly- cosides, terpenoids, sterols and other compounds. Cardiac steroids, isolated from the leaf, include oleandrin, gen- tiobiosyl oleandrin, odoroside. The stem contained alanine arginine, as- partic acid, cysteine, glutamic acid, glycine, histidine, leucine, isoleucine, lysine, phenylalanine, proline, serine, threonine, tryptophan, tyrosine and valine. A polysaccharide (2.3%), containing galacturonic acid, rhamnose, arabinose and galactose has been isolated from leaves.Neutral fraction from leaves at low doses caused marked suppression of locomotor activity.Aqueous extract of leaves showed significant antibacterial activity against Pseudomonas aeruginosa. The leaves also showed insecticidal activity.... nerium oleander... nerys
Nesha, Nessah, Nessia, Nessya, Nesta, Neta, Netia, Nessie, Nessy, Nessi, Nessey, Nessee, Nest, Nestia, Nesy, Netta, Netah, Nettah, Neysa, Niesha... nessa
Nethinima, Nethynima, Nethynym, Nethynyma, Nethinimia, Nethinimea... nethinim
Netiss, Netisse, Netys, Netyss, Netysse... netis
Symptoms When a sensory nerve is injured or diseased, sensation is immediately more or less impaired in the part supplied by the nerve. Ulceration or death of the tissue supplied by the defective nerve may occur. When the nerve in question is a motor one, the muscles governed through it are instantly paralysed. In the latter case, the portion of nerve beyond the injury degenerates and the muscles gradually waste, losing their power of contraction in response to electrical applications. Finally, deformities result and the joints become ?xed. This is particularly noticeable when the ulnar nerve is injured, the hand and ?ngers taking up a claw-like position. The skin may also be affected.
Treatment Damaged or severed (peripheral) nerve ?bres should be sewn together, using microsurgery. Careful realignment of the nerve endings gives the ?bres an excellent chance of regenerating along the right channels. Full recovery is rare but, with regular physiotherapy to keep paralysed muscles in good shape and to prevent their shortening, the patient can expect to obtain a reasonable return of function after a few weeks, with improvement continuing over several months.... nerves, injuries to
Habitat: Western Ghats, Deccan and Gujarat.
Folk: Ganther (Gujarat and Maharashtra), Ghosa-vel (Maharashtra).Action: Root-paste applied to ringworm.... neuracanthus sphaerostachyus
Most of these drugs act by blocking DOPAMINE receptors. As a result they can give rise to the extrapyramidal effects of PARKINSONISM and may also cause HYPERPROLACTINAEMIA.
Troublesome side-effects may require control by ANTICHOLINERGIC drugs. The main antipsychotic drugs are: (i) chlorpromazine, methotrimeprazine and promazine, characterised by pronounced sedative effects and a moderate anticholinergic and extrapyramidal e?ect; (ii) pericyazine, pipothiazine and thioridazine, which have moderate sedative effects and marked anticholinergic effects, but less extrapyramidal effects than the other groups; (iii) ?uphenazine, perphenazine, prochlorperazine, sulpiride and tri?uoperazine, which have fewer sedative effects and fewer anticholinergic effects, but more pronounced extrapyramidal effects.... neuroleptics
(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
Sensory These carry signals to the central nervous system (CNS) – the BRAIN and SPINAL CORD – from sensory receptors. These receptors respond to di?erent stimuli such as touch, pain, temperature, smells, sounds and light.
Motor These carry signals from the CNS to activate muscles or glands.
Interneurons These provide the interconnecting ‘electrical network’ within the CNS.
Structure Each neurone comprises a cell body, several branches called dendrites, and a single ?lamentous ?bre called an AXON. Axons may be anything from a few millimetres to a metre long; at their end are several branches acting as terminals through which electrochemical signals are sent to target cells, such as those of muscles, glands or the dendrites of another axon.
Axons of several neurones are grouped
together to form nerve tracts within the brain or spinal cord or nerve-?bres outside the CNS. Each nerve is surrounded by a sheath and contains bundles of ?bres. Some ?bres are medullated, having a sheath of MYELIN which acts as insulation, preventing nerve impulses from spreading beyond the ?bre conveying them.
The cellular part of the neurones makes up the grey matter of the brain and spinal cord – the former containing 600 million neurones. The dendrites meet with similar outgrowths from other neurones to form synapses. White matter is the term used for that part of the system composed of nerve ?bres.
Functions of nerves The greater part of the bodily activity originates in the nerve cells (see NERVE). Impulses are sent down the nerves which act simply as transmitters. The impulse causes sudden chemical changes in the muscles as the latter contract (see MUSCLE). The impulses from a sensory ending in the skin pass along a nerve-?bre to affect nerve cells in the spinal cord and brain, where they are perceived as a sensation. An impulse travels at a rate of about 30 metres (100 feet) per second. (See NERVOUS IMPULSE.)
The anterior roots of spinal nerves consist of motor ?bres leading to muscles, the posterior roots of sensory ?bres coming from the skin. The terms, EFFERENT and AFFERENT, are applied to these roots, because, in addition to motor ?bres, ?bres controlling blood vessels and secretory glands leave the cord in the anterior roots. The posterior roots contain, in addition to sensory ?bres, the nerve-?bres that transmit impulses from muscles, joints and other organs, which among other neurological functions provide the individual with his or her
proprioceptive faculties – the ability to know how various parts of the body are positioned.
The connection between the sensory and motor systems of nerves is important. The simplest form of nerve action is that known as automatic action. In this, a part of the nervous system, controlling, for example, the lungs, makes rhythmic discharges to maintain the regular action of the respiratory muscles. This controlling mechanism may be modi?ed by occasional sensory impressions and chemical changes from various sources.
Re?ex action This is an automatic or involuntary activity, prompted by fairly simple neurological circuits, without the subject’s consciousness necessarily being involved. Thus a painful pinprick will result in a re?ex withdrawal of the affected ?nger before the brain has time to send a ‘voluntary’ instruction to the muscles involved.
Voluntary Actions are more complicated than re?ex ones. The same mechanism is involved, but the brain initially exerts an inhibitory or blocking e?ect which prevents immediate re?ex action. Then the impulse, passing up to the cerebral hemispheres, stimulates cellular activity, the complexity of these processes depending upon the intellectual processes involved. Finally, the inhibition is removed and an impulse passes down to motor cells in the spinal cord, and a muscle or set of muscles is activated by the motor nerves. (Recent advances in magnetic resonance imaging (MRI) techniques have provided very clear images of nerve tracts in the brain which should lead to greater understanding of how the brain functions.) (See BRAIN; NERVOUS SYSTEM; SPINAL CORD.)... neuron(e)
Nevah, Neve, Nevara, Nevarra, Nevaria, Nevarea, Nieve, Neiva, Nieva, Neive... neva
Nezia, Nezea, Nezeah, Neza, Nezah, Neziya, Neziyah... neziah
Niagarah, Niagarra, Niagarrah, Nyagara, Nyagarra... niagara
Nabelung, Nebelung, Nybelung... nibelung
Nachell, Nichele, Nishell, Nishelle, Nishele, Nychelle, Nychele, Nyshelle, Nyshele... nichelle
Nicosiah, Nicosea, Nicoseah, Nicotia, Nicotea... nicosia
Habitat: Native to tropical America; cultivated mainly in Andhra Pradesh, Maharashtra, Karnataka, Uttar Pradesh, West Bengal.
English: Tobacco.Ayurvedic: Taamraparna, Dhuu- mrapatraa.Unani: Tambaakhu.Action: Leaves—decoction is locally applied for muscle relaxation in dislocation, strangulated hernia and orchitis. Also for arthralgia, lumbago, rheumatism and gout (an ointment is made by simmering the leaves in lard). Not used internally as a medicine.
The plant contains nicotine as the major alkaloid.Toxic influence of cigarette and bidi smoking on carboxyhaemoglobin levels of the blood of regular smokers was compared and no significant difference was observed in both of them. A py- rolysed tobacco product, used in India as a dentifrice, when administered to rats, showed activity comparable to benzo(a)pyrene, a potent carcinogen.Habitual consumption of betel quid containing tobacco shows a strong cy- totoxic potential.Nicotiana rustica Linn. is known as Kalakatiyaa or Vfilaayati tobacco. Its nicotine content is high and is not suitable for cigarettes, cigars or bidis. Different variants of this tobacco are used for hookah, chewing and snuff.... nicotiana tabacumNeedah, Nidah, Needa, Nyda, Nydah, Neada, Neadah... nida
Nigeliah, Nigela, Nigella, Nigelea... nigelia
Habitat: Native to Southern Europe; cultivated in Indian gardens.
English: Love-in-a-mist.Ayurvedic: Upakunchikaa (var.).Siddha: Karumcheerakam.Action: Seeds—carminative, emmenagogue, anthelmintic. A tincture prepared from the ripe seeds is used against catarrhal inflammations of liver and intestines in homoeopathy.... nigella damascena
Habitat: Cultivated in Punjab, Bengal, Assam and Bihar.
English: Black Cumin, Small Fennel.Ayurvedic: Kaalaajaaji, Kalikaa, Prthvikaa, Sthulajiraka, Sushavi, Upkunchikaa (the plant bears seeds of bigger size).Unani: Kalonji, Kamaazaruus.Siddha/Tamil: Karum seeragm.Action: Seeds—stimulant, carminative, diuretic, lactiferous, em- menagogue (stimulate uterine contractions). Used in puerperal fever. Powdered seeds externally applied to boils. Essential oil— used in common cold, cough and bronchospasm.
The essential oil from seeds contains nigellone and 2-methyl-4-isopropyl-p- quinone. The oil contains carvone (4560%), d-limonene and cymene. Seeds contain fatty acids including palmitic, myristic, stearic, oleic, linoleic and linolenic. Beta-sitosterol is also present in the seeds.Low concentration of nigellone has been shown to inhibit the release of histamine from mast cells in animals. (Natural Medicines Comprehensive Database, 2007.)The ethanolic extract of the seeds and the volatile oil from seeds showed antispasmodic activity in experimental animals, possibly due to a calcium antagonistic effect.The oil exhibited CNS depressant and potent analgesic effects on experimental animals, possibly due to the presence of an opioid principle in the oil.Dosage: Seed—1-3 g powder (API, Vol. I); 3-5 g powder (CCRAS).... nigella sativaNeelam, Nylam, Nilima, Nilyma, Nylyma, Nylima, Nealam, Nealama... nilam
Habitat: Western Ghats from South Kanara to Travancore, in evergreen forests.
Ayurvedic: Sahachara (pale-rose- flowered var. used in Kerala). (Sahachara is equated with Barleria prionitis in other regions.)Siddha/Tamil: Kurinji, Sinnangur- inji.Action: Used against neurological disorders, sciatica, glandular swellings and oedema.... nilgirianthus ciliatus
Nilsina, Nilsyne, Nilsyna, Nylsine, Nylsyna, Nylsina, Nylsyne, Nilsa... nilsine
Nimeeshah, Nimiesha, Nimisha, Nimysha, Nymeesha, Nymisha, Nymysha, Nimeasha, Nymeasha... nimeesha
Ninah, Nyna, Neena, Neenah, Nena, Neneh, Neina, Nenna, Ninacska, Nineta, Ninete, Ninetta, Ninette, Ninnette, Ninon, Ninochka, Ninoska, Ninotchka... nina
Niobee, Niobeh, Nyobe, Nyobee, Niobey, Nyobey, Niobea, Nyobea, Niobi, Nyobi, Niobie, Nyobie... niobe
Nurit, Nurita, Nureet, Nirita, Nureeta... nirit
Nirvanah, Nervana, Nirvanna, Nervanna, Nyrvana, Nyrvanna, Narvana, Narvanna... nirvana
Nitah, Neeta, Nyta, Neetah, Nytah, Neata, Neatah... nita
Nitzah, Nitzana, Nitzanna, Nitzaniya, Nytza, Nytzana, Nytzaniya, Nizana... nitza
Niveditah, Nivedeeta, Nivedyta, Nyvedita, Nyvedyta, Nivedeata, Nyvedeata... nivedita
Nizhonie, Nyzhoni, Nyzhonie, Nizhony, Nizhoney, Nizhonea, Nyzhony, Nyzhoney, Nyzhonea, Nizhonee, Nyzhonee... nizhoni
The age at which a child achieves full control of bladder function varies considerably. Such control is sometimes achieved in the second year, but much more commonly not until 2–3 years old. Some children do not normally achieve such control until the fourth, or even ?fth, year, so that paediatricians are reluctant to make this diagnosis before a child is aged six.
The approach consists essentially of reassurance and ?rm but kindly and understanding training. In most cases the use of a ‘star chart’ and a buzzer alarm which wakens the child should he or she start passing urine is helpful. Where there are relationship or social problems, these need to be considered in treating the child. The few who have urinary infection or irritable bladders may respond to drug tretament.
Those who do not respond may be helped by DDAVP, an analogue of a pituitary hormone, which reduces the amount of urine produced overnight. It is licensed for use for three months at a time. Some children prefer to reserve it for occasions such as sleeping away from home. The antidepressant imipramine can help some children but has to be used cautiously because of side-effects.
For help, contact www.eric.org.uk... nocturnal enuresis
Noelanie, Noelany, Noelaney, Noelanee, Nohealani, Nohealanie, Nohealanee, Noelanea, Nohealanea... noelani
Nokomiss, Nokomisse, Nokomys, Nokomyss, Nokomysse... nokomis
Norah, Noora, Norella, Norelle, Norissa, Norri, Norrie, Norry, Noreen, Noreena, Norene, Norine, Norena, Norina, Norma, Normina, Normie, Normee, Normi, Neorah, Noirin, Norabel... nora
Normandi, Normandee, Normandy, Normandey, Normandea... normandie
Acute in?ammation is generally the result of a viral infection (see COLD, COMMON) affecting the mucous membrane and paranasal sinuses (see SINUSITIS); less commonly it results from the inhalation of irritant gases. Boils may develop just inside the entrance to the nose, causing pain; these are potentially troublesome as infection can spread to the sinuses. HAY FEVER is one distressing form of acute rhinitis.
Malformations are of various kinds. Racial and familial variations in the external nose occur and may be a reason for RHINOPLASTY. Di?erences in the size and shape of the nose occur, often forming the starting point for chronic in?ammation of the nose, perennial rhinitis (all the year round), hay fever, or ASTHMA. More commonly, obstruction results from nasal polyps or adenoids, leading to inhalation through the mouth. Adenoids are an overgrowth of glandular tissue at the back of the throat, into which the nose opens. Polyps are growths of soft jelly-like character: they arise from chronic in?ammation associated with allergic rhinitis, chronic sinusitis, asthma, and aspirin abuse. Large polyps can cause erosion of the nasal bones and should be surgically removed.
Bleeding (see HAEMORRHAGE).
Foreign bodies At ?rst these may not cause any symptoms, but in time they can cause obstruction of the affected nostril with a foul-smelling bloody discharge. The problem is common with small children who tend to push small objects into their noses. Foreign bodies require removal, sometimes in hospital. Anyone attempting to remove a foreign body should take care not to push it further into the nose.
Loss of sense of smell, or anosmia, may be temporary or permanent. Temporary anosmia is caused by conditions of the nose which are reversible, whereas permanent
anosmia is caused by conditions which destroy the OLFACTORY NERVES. Temporary conditions are those such as the common cold, or other in?ammatory conditions of the nasal mucosa or the presence of nasal polyps (see above). Permanent anosmia may follow in?uenzal NEURITIS or it may also follow injuries to the brain and fractures of the skull involving the olfactory nerves.
Injury to nose The commonest injury is a fracture of the nasal bones or displacement of the cartilage that forms the bridge of the nose. The nasal SEPTUM may also be displaced sideways by a lateral blow. Sporting activities, especially boxing and rugby football, are commonly a cause of nasal injury. If a fracture is suspected, or if there is substantial tissue swelling, an X-ray examination is necessary. Resetting a damaged bone should be done either immediately, before swelling makes surgery di?cult, or ten days or so later when the swelling has subsided. Results are usually good, ensuring a clear airway as well as a restored pro?le. It is not unusual for the cheek-bone to sustain a depressed fracture at the same time as the nose is broken. Careful assessment and prompt surgery are called for. (For more information on fractures, see under BONE, DISORDERS OF).
Rhinitis In?ammation of the MUCOUS MEMBRANE lining the nose. Symptoms include nasal discharge and obstruction, sneezing and sometimes pain in the sinuses. There are several types of rhinitis:
•Allergic – due to allergy to dust, pollen or other airborne particles. Also called hay fever, allergic rhinitis causes a runny nose, sneezing and local congestion. It affects up to 10 per cent of the population and is more common in people suffering from other allergic disorders such as asthma or eczema (see DERMATITIS). Skin tests help to identify the causative ALLERGEN which the sufferer can then try to avoid, although in the case of pollen this is di?cult. Decongestant drugs, ANTIHISTAMINE DRUGS, and CORTICOSTEROIDS may help, as can SODIUM CROMOGLYCATE inhaled regularly during the pollen season. A desensitisation course to a particular allergen sometimes provides long-term relief.
Atrophic rhinitis is caused by a deterioration in the nasal mucous membrane as a result of chronic bacterial infection, nasal surgery or AGEING. Symptoms include persistent nasal infection and discharge and loss of sense of smell. ANTIBIOTICS and, in some cases, OESTROGENS alleviate the symptoms.
Hypertrophic rhinitis results from repeated nasal infection, and is characterised by thickened nasal membranes and congestion of the nasal veins. Removal of thickened mucosa may help severe cases.
Vasomotor rhinitis occurs when the mucosa becomes oversensitive to stimuli such as pollutants, temperature changes or certain foods or medicines. It may occur as a result of emotional disturbances and is common in pregnancy.
Viral rhinitis occurs as a result of infection by the common cold virus; treatment is symptomatic. Sinusitis is sometimes a complication.... nose, disorders of
Habitat: 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
Noti?able diseases in the UK (For more information on a speci?c disease, refer to the separate dictionary entry.) Acute encephalitis Acute poliomyelitis Anthrax Cholera Diphtheria Dysentery (amoebic or bacillary) Ebola virus disease Food poisoning Lassa fever Leprosy (reported to Chief Medical O?cer at the Department of Health) Leptospirosis Malaria Marburg disease Measles Meningitis Meningococcal septicaemia (without meningitis) Mumps Ophthalmia neonatorum Paratyphoid fever Plague Rabies Relapsing fever Rubella Scarlet fever Smallpox Tetanus Tuberculosis Typhoid fever Typhus Viral haemorrhagic fever (including Lassa fever) Viral hepatitis Whooping cough Yellow fever
Reporting AIDS is voluntary (and in con?dence) to the Director, Communicable Diseases Surveillance Centre (PHLS).... notifiable diseases
Habitat: Konkan,Western Ghats, Deccan and hills of South India.
English: Common Fleshy Rag-weed.Siddha/Tamil: Mosakathu-thalai.Folk: Waandar-Roti, Gaidar (Maharashtra).Action: Plant—feebly aperient. Used externally for pimples.... notonia grandiflora
Noushah, Noushia, Noushiah, Noushea, Nousheah... nousha
Nozomie, Nozomy, Nozomey, Nozomee, Nozomea... nozomi
Nubea, Nubiah, Nubeah, Nubiane, Nubiann, Nubianna, Nubiana, Nubianne... nubia
Habitat: Outer Himalaya, Assam, West Bengal; cultivated in many parts of India.
English: Tree of Sorrow, Night Jasmine, Coral Jasmine.Ayurvedic: Paarijaata, Shephaali, Shephaalikaa, Mandaara.Unani: Harasingaar.Siddha: Pavazha mattigai.Action: Leaves—bitter tonic, chola- gogue, febrifuge, anti-inflammatory, antispasmodic, hypotensive, respiratory stimulant. Used for fevers, rheumatism, obstinate sciatica.
The leaves and seeds contain iri- doid glycosides; other constituents reported from the leaves are mannitol, beta-amyrin, beta-sitosterol, hentria- contane, benzoic acid, astragalin, nico- tiflorin, oleanolic acid, nyctanthic acid, friedelin and lupeol. The seeds contain a polysaccharide glucomannan.All parts of the plant are used for allergic disorders. Alcoholic extract of the plant was found to inhibit passive cutaneous anaphylaxis (PCA) in experimental animals. The inhibition was comparable to standard drugs used for allergy and bronchial asthma.Ethanolic extract of the leaves, flowers and seeds demonstrated strong stimulation of antigen specific and non-specific immunity in mice.The 50% ethanolic extracts of the leaves, flowers, seeds and roots were found effective in treating caecal amoe- biasis caused by Entamoeba histolytica in rats. But the extracts did not exhibit direct amoebicidal activity in vitro against trophozoites of the parasite.The iridoid glucosides showed an- tileishmanial activity both in vivo and in vitro.Dosage: Leaf—10-20 ml juice. (CCRAS.)Seeds—used in diabetes, also in cutaneous diseases. Filaments— astringent and cooling; prescribed for bleeding piles and menorrhagia. Plant—toxic on the nervous system.The flowers contain flavonoids including quercetin, kaempferol, api- genin. Cardiac glucoside, nymphalin, showed sedative action in small doses.The petroleum ether extract of the plant of Nymphaea species, given at a dose of 300 mg/kg i.p. prevented necrosis of the liver tissue and promoted, to some extent, liver regeneration in CCl4-induced toxicity.Dosage: Dried flowers—3-6 g (API, Vol. III); seed—3-6 g. powder (CCRAS.).... nyctanthes arbor-tristisHabitat: A native to Southeast Asia; found in ponds and ditches throughout India.
English: Indian Blue Water-lily.Ayurvedic: Nilotpala (blue or voilet-flowered var.).Unani: Nilofar.Siddha/Tamil: Neelothpalam.Action: See N. alba.... nymphaea stellata
Habitat: South India.
Folk: Granthik Tagar.Action: Sedative, antispasmodic. Used in neurological disorders and colic.
Stalks and leaves—pounded with oil and applied to ulcers.See Limnanthemum cristatum Griseb.... nymphoides macrospermumNursing is changing rapidly, and today’s nurses are expected to take on an extended role – often performing tasks which were once the sole preserve of doctors, such as diagnosing, prescribing drugs and admitting and discharging patients.
There are four main branches of nursing: adult, child, mental health and learning disability. Student nurses qualify in one of these areas and then apply to go on the nursing register. This is held by nursing’s regulatory body, the Council for Nursing and Midwifery. Nurses are expected to abide by the Council’s Code of Professional Conduct. The organisation’s main role is protecting the public and it is responsible for monitoring standards and dealing with allegations of misconduct. There are more than 637,000 quali?ed nurses on the Council’s register, and this is the main pool from which the NHS and other employers recruit.
The criticisms about nurses’ education being too academic, and persisting problems of recruitment of nurses into the NHS, were among factors prompting a strategic government review of the status, training, pay and career opportunities for nurses and other health professionals. The new model emphasises the practical aspects of the education programme with a better response to the needs of patients and the NHS. It also o?ers nurses a more ?exible career path and education linked more closely with practice development and research, so as to provide greater scope for continuing professional education and development.
About 60 per cent of RNs work in NHS hospitals and community trusts. But an increasing number are choosing to work elsewhere, either in the private sector or in jobs such as school nursing, occupational health or for NHS Direct, the nurse-led telephone helpline. Others have dropped out of nursing altogether. The health service is facing a shortage of quali?ed nurses and many trust employers have resorted to overseas recruitment drives. The government has launched a major nurse recruitment and retention campaign and is promoting family-friendly employment practices to lure those with a nursing quali?cation currently working outside the NHS back into the workforce. Nursing is a mainly female profession and a third of nurses work part-time.
Nurses’ pay has for long compared unfavourably with other professional employment opportunities, despite being determined by an independent Pay Review Body. With the recruitment of nurses a perennial problem, the government’s strategy, Making a Di?erence, is to set up a new pay system o?ering greater ?exibility and opportunities for nurses and other health-service sta?. In 2005, a newly quali?ed sta? nurse earned around £16,000 a year, while one of the new grade of consultant nurses could command an annual salary of between £27,000 and £42,000. Nurse consultants were introduced in spring 2000 as a means of allowing nurses to progress up the career ladder while maintaining a clinical role.
The nurse of today is increasingly likely to be part of a multidisciplinary team, working alongside a range of other professionals from doctors and physiotherapists to social workers and teachers. A further sign of the times is that many registered nurses are being asked to act in a supervisory role, delegating tasks to nonregistered nurses working as health-care assistants and auxiliaries. In recognition of the latter’s increasing role, the Royal College of Nursing, the main professional association and trade union for nurses, has now agreed to extend membership to health-care assistants with a Scottish/National Vocational Quali?cation at level three.
Midwifery Midwives (see MIDWIFE) are practitioners who o?er advice and support to women before, during and after pregnancy. They are regulated by the Council for Nursing and Midwifery (formerly the UK Central Council for Nursing, Midwifery and Health Visiting). Registered nurses can take an 18month course to become a midwife, and there is also a three-year programme for those who wish to enter the profession directly. Midwifery courses lead to a diploma or degree-level quali?cation. Most midwives work for the NHS and, as with nursing, there are problems recruiting and retaining sta?.
Health visiting Health visitors are registered nurses who work in the community with a range of groups including families, the homeless and older people. They focus on preventing ill-health and o?er advice on a range of topics from diet to child behavioural problems. They are employed by health trusts, primary-care groups and primary-care trusts.... nursing
Habitat: Kashmir (in lakes).
English: European White Water-lily.Ayurvedic: Kumuda, Utpala (white- flowered var.) (Mahotpla is the synonym of Nelumbo nucifera.)Unani: Nilofar.Siddha/Tamil: Alli (water lilies).Action: Flowers and rhizomes—astringent, demulcent, mild sedative, spasmolytic, antiseptic, antimicrobial. Used in the form of an infusion internally for chronic diarrhoea, as a douche for leucorrhoea and vaginitis, as a gargle for sore throat. Also given internally in prostatis.... nymphaea alba
Habitat: Throughout the warmer parts of India.
English: Indian Red Water-lily.Ayurvedic: Kumuda, utpala (red-flowered var.).Siddha/Tamil: Alli-tamarai, Vellam- bal.Action: Flower—astringent, cardiac tonic; used in palpitation of heart. Rhizomes—used for dysentery and dyspepsia.... nymphaea rubra
The preferred route for the infusion of hyperosmolar solutions is via a central venous catheter (see CATHETERS). If parenteral nutrition is required for more than two weeks, it is advisable to use a long-term type of catheter such as the Broviac, Hickman or extra-corporeal type, which is made of silastic material and is inserted via a long subcutaneous tunnel; this not only helps to ?x the catheter but also minimises the risk of ascending infection.
Dextrose is considered the best source of carbohydrate and may be used as a 20 per cent or 50 per cent solution. AMINO ACIDS should be in the laevo form and should contain the correct proportion of essential (indispensable) and non-essential amino acids. Preparations are available with or without electrolytes and with or without fat emulsions.
The main hazards of intravenous feeding are blood-borne infections made possible by continued direct access to the circulation, and biochemical abnormalities related to the composition of the solutions infused. The continuous use of hypertonic solutions of glucose can cause HYPERGLYCAEMIA and glycosuria and the resultant POLYURIA may lead to dehydration. Treatment with INSULIN is needed when hyper-osmolality occurs, and in addition the water and sodium de?cits will require to be corrected.... parenteral nutrition
Habitat: Throughout India, near fresh water bodies.
English: Jalapippali, Shaaradi, Shakulaadani, Matsyagandhaa, Matsyaadani, Laangali, Vashiraa.Siddha/Tamil: Poduthalai.Action: Spasmolytic, diuretic, febrifuge.
The plant contains flavone glyco- sides—nodiflorins A and B, lipiflorins A and B, as well as free flavones including 6-hydroxyluteolin, nepetin and nodifloretin along with beta-sitosterol and stigmasterol glucosides.Dosage: Plant—10-20 ml. juice. (CCRAS.)... phyla nodifloraHabitat: Native to America.
English: Chanca Piedra.Ayurvedic: Bhuumyaamalaki, assigned to P. niruri, has now been equated with P.fraternus.Action: Antispasmodic, antipyretic, diuretic, antiviral, bactericidal.
Taking Chanca Piedra orally does not seem to be effective for treating hepatitis B. The herb contains niuride, which inhibits specific HIV-protein binding activity, but does not protect cells from acute HIV infection. (Natural Medicines Comprehensive Database, 2007.)... phyllanthus niruriHabitat: Native of the Indo- Malaysian region; cultivated in Western Ghats, Karnataka, Maharashtra, Assam and Kerala.
English: Black Pepper.Ayurvedic: Maricha, Vellaja, Uushna, Suvrrita, Krishnaa.Unani: Filfil Siyaah, Safed.Siddha/Tamil: Milagu. Milaguver (root).Action: Stimulant, carminative, diuretic, anticholerin, sialagogue, bechic, antiasthmatic. Used in fevers, dyspepsia, flatulence, indigestion, and as mucous membrane and gastro-intestinal stimulant. Externally—rubefacient and stimulant to the skin. Used as a gargle for sore throat. Used with ginger and Piper longum for viral hepatitis.
The fruit yielded piperine, pipera- tine and piperidine; amides, pipery- line, piperoleins A and B, and N-i'so- butyl-cicosa-trans-2-trans-4-dienami- de.The aqueous extract of roasted black pepper is reported to show cholinomi- metic effect on rat abdominis muscles.Dosage: Fruit—500 mg to 1 g. (CCRAS.)... piper nigrumHabitat: North-western Himalaya at 900-3,700 m.
English: Black Lombardy Poplar.Action: Bark and balsam from leaf bud— used for cold. Bark— depurative. Leaf bud—antiseptic, anti- inflammatory.
The bud exudate contains dimethyl- caffeic acid, which was found active against herpes simplex virus type 1.A 50% ethanol extract of a mixture of flowers and buds showed 11% inhibition of enzymatic conversion of testosterone into 5 alpha-dihydrotesterone and 4-androstene-3,17-dione. The extract was partitioned between ethylac- etate and water and the resultant ethy- lacetate fraction contained the active compounds, pinobanksin, demethyl- quercetin and pinocembrin. It exhibited 15% inhibitory activity on the enzyme. Pinocembrin was the most potent, almost equal to estradiol, which was used as a control.The bark of all Populus species contains, phenolic glycosides, salicin and populin (salicinbenzoate). Tannins are also present (5-9%).Both salicin and populin cause elimination of uric acid. Salicin is antiperi- odic and is used like quinine in intermittent fever, also in coryza, rheumatism and neuralgia.... populus nigraHabitat: The Himalayas from Kashmir to Kumaon.
Folk: Ratanjot (substitute).Action: Rootstocks—depurative; ash, mixed with oil, is applied to burns.
Unani: Baadiyaan-kohi, Karafs-e- kohi, Fitraasaaliyun (also equated with Petroselinum crispum Mill. Nym. ex auct. Kew.).Folk: Komal.Action: Root and fruit—diuretic, emmenagogue. An infusion of root is given for indigestion and irregular menses.
The roots and umbels yielded cou- marins and their glycosides. Osthol (7-methoxy-8-isop entenyl-coumarin), which occurs in the dried roots up to the extent of 3.6%, has been found to be a potent respiratory and circulatory stimulant in experimental animals. Its respirotonic effect was more marked than that of coramine, leptazol and caffeine.... potentilla nepalensis– runs up again into the neck, where it enters the larynx and supplies branches to the muscles which control the vocal cords.... recurrent laryngeal nerve
Habitat: The Himalayas from Nepal to Bhutan at 3,900-4,800 m.
Folk: Tehuka (Sikkim).Action: The roots resemble those of Rheum emodi, but are spongy and inert. Stems are acidic, used as salad. Dried leaves are sometimes used as a substitute for tobacco.... rheum nobile
Habitat: Throughout the greater part of India.
English: Snake Jasmine.Ayurvedic: Yuuthiparni, Yuuthika- parni. Paalaka-Juuhi.Unani: Gul-baglaa.Siddha/Tamil: Nagamalli.Action: Leaf, seed and root—used for skin diseases. A paste of the root, with lime juice, is applied externally to eczema, ringworm and Dhobi's itch.
The roots are reported to contain an antiseptic and antiparasitic active principle, rhinacanthin (1.9%). The plant is rich in potassium salts; also contains oxymethyl anthraquinones. The flowers contain rutin.Dosage: Leaf, seed, root—5-10 ml juice; 3-5 g powder. (CCRAS.)... rhinacanthus nasutusHabitat: Cold temperate regions extending from Himalayas to northern Asia and Europe.
English: European Black Currant.Folk: Nabar.Action: Dried leaves and twigs— a home remedy for coughs. Leaves—diuretic, hypotensive, refrigerant. An infusion is used for inflammatory conditions, sore throat, hoarseness. Fruits— refrigerant, mildly spasmolytic, vasoprotective, anti-inflammatory.
Black currents are very rich in vitamin C (average 150 mg/100g) and contain 0.9-1.7% pectin as calcium pec- tate, also minerals, potassium (372 mg/ 100 g). The acidity of the fruit is mainly due to citric acid; malic acid is present in small amounts. Glucose and fructose are principal sugars; sucrose is a minor component.The flavonoids in the fruits include kaempferol, quercetin and myricetin. About 0.3% anthocyanosides, concentrated mainly in the skin, consist of glycosides of cyanidol and delphinidol.The anthocyanosides are reportedly bacteriostatic and exhibit vasopro- tective and anti-inflammatory activity. They are antisecretory against cholera toxin-induced intestinal fluid secretion in vitro.The leaves contain an anti-inflammatory principle, pycnometol and minute quantities of an essential oil composed mostly of terpenes.Polyphenolic extract of buds inhibited lipid peroxidation by rat liver mi- crosomes.Polyphenols present in R. nigrum and R. rubrum (Red Current, Western Himalayas from Kumaon to Kashmir) exhibit free radical scavenging activity. The seed oil lowers VLDL and total cholesterol.Contraindicated in bleeding disorders. (Sharon M. Herr.)... ribes nigrumHabitat: Native to America (New York and Pennsylvania).
English: Black Willow.Unani: Bed-Siyaah.Action: Astringent, febrifuge, sedative, nervine tonic. Anaphrodisiac (used for reducing sexual activity; in spermatorrhoea). Largely used in the treatment of nocturnal emissions.
The bark contains tannin, about 1% of glucoside salinigrin. Once considered a substitute for potassium bromide, but without a depressant effect.... salix nigraHabitat: Throughout India, in dry parts, up to an elevation of 2,100 m.
English: Black Nightshade.Ayurvedic: Kaakamaachi, Kaakaahya, Kaakamaataa, Dhvankshamaachi.Unani: Mako (smallar var., black var.)Siddha/Tamil: Manittakkali.Action: Plant—anti-inflammatory, antispasmodic, sedative, diuretic, laxative, antiseptic; fresh extract is used for inflammatory swellings, enlargement of liver and spleen and in cirrhosis of liver. Berries— antidiarrhoeal, antipyretic. Berries and flowers—prescribed in cough and cold. Leaves— applied hot to swollen testicles; paste used as poultice to gout, rheumatic swellings and skin diseases.
The berries contain steroidal alkaloid glycosides, solasonine, alpha- and beta-solanigrine, alpha-and beta- solamargine; steroidal sapogenins, di- osgenin and tigogenin; solasodine and solasodine.Solamargine and solasonine are present also in leaves. The total alkaloid content of fruits and leaves are 0.101 and 0.431% respectively.Dosage: Whole plant—5-10 ml juice. (API, Vol. II.)... solanum nigrumHabitat: Karnataka, Kerala and Tamil Nadu.
Ayurvedic: Patoli (related species of Patola).Siddha/Tamil: Kombu Pudalai.Action: Herb—bitter tonic, febrifuge. Root—purgative. Fruit— used as dentifrice.... trichosanthes nervifolia
Habitat: Throughout moist and hot parts of India.
English: False White Teak, Gutel.Ayurvedic: Shriparni, Tumri, Pindaara. Shriparni is a synonym of Gambhaari (Gmelina arborea).Siddha/Tamil: Attarasu, Nay Kumil.Action: Plant—antibilious, antiflat- ulent, bechic, anti-inflammatory. Root—carminative, antirheumatic.
Applied as poultice in gout and rheumatism. Plant extract showed an- tileukaemic activity.Plant contains a pyridine alkaloid, N-methyl-5-carboxamide-2-pyridone. Leaves contain an alkaloid, nudiflor- ine.Bark yields taraxerone and beta- sitosterol. Seeds contain an alkaloid ricinidine. The seeds also contain a maytansinoid compound, trewiasine (TWS). It exhibited significant cyto- toxic activity against various human cell lines in vitro.The charcoal made from the wood is rich in potassium (21.16%).Trewia polycarpa Benth. ex Hook. f. (Western Ghats, Konkan and Kerala) is also a related species of Tumri.... trewia nudifloraHabitat: The Himalayas from Kashmir to Sikkim at altitudes of 3,000-4,000 m.
Ayurvedic: Tilvaka.Folk: Telam, Timoi (Kumaon), Tilen, Thelkaa (Garhwal).Action: Bark—astringent; contain 13.1% tannin on dry basis.... viburnum nervosum
Habitat: Western ghats from Maharashtra southwards up to an altitude of 1,200 m.
Siddha/Tamil: Pulichan.Action: Root and leaves—used in intermittent fevers, biliousness, jaundice; also in rheumatic affections; bruised in salt water, used in skin diseases. A decoction of the root bark is given to women to control fits at the time of delivery.
Acetogenins, including stereoiso- mers, are important constituents of the root bark. Glutinone, glutinol, taraxerol, beta-sitosterol and benzyl benzoate have also been isolated. The essential oil of the root bark of Kerala plant contains bornyl acetate 15.2% and patchoulenone 8.1%.A decoction and roots of Uvaria gandiflora Roxb., synonym U. purpurea Blume (Indian Botanic Garden, Kolkata) is used for flatulence, stomachache; also after childbirth. A decoction of U. micrantha (A. DC.) Hook. f. & Thoms. (tropical forests of the Andamans) is also administered after childbirth as a prophylactic.... uvaria narumHabitat: Throughout India in the warmer zones; ascending to 900 m in the North-western Himalaya.
English: Five-leaved Chaste tree.Ayurvedic: Nirgundi, Shephaa- likaa, Sindhuka, Sindhuvaara, Suvahaa, Sugandhikaa. Nila, Nila- nirgundi, Shveta nirgundi (var.). White-flowered var. is known as Sinduvaara, blue-flowered as Nirgundi or Shephaali,Unani: Sambhaalu, Fanjankisht.Siddha/Tamil: Nochi, Nalla Nochi, Vellai Nochchi, Nirkundi.Action: Seeds—prescribed in spermatorrhoea, and for promoting spermiogenesis (in Unani medicine). Also given as a rejuvenating tonic for retarding old age and for retaining and promoting virility. (in Ayurvedic medicine). Leaf—anti-inflammatory, analgesic; removes foetid discharges and worms from ulcers. Flowers—astringent, febrifuge, antidiarrhoeic; prescribed in liver complaint. Oil— applied to sinus, scrofulous sores.
The Ayurvedic Pharmacopoeia of India recommends the leaf (also the root) in excessive vaginal discharges, oedema, skin diseases, pruritus, helmin- thiasis, rheumatism, and puerperal fever.A water extract of the leaves, when administered to rats, exhibited anti- inflammatory, analgesic, antihistami- nic and membrane stabilizing and an- tioxidant activities. (J. Ethnopharmo- col, 2003, (203), 199-206.) Methano- lic extract of leaves showed remarkable antihistaminic activity.The leaves contain iridoid glyco- sides, isomeric flavanones and flavo- noids, besides casticin and the gluco- sides, luteolin-7-glucoside and alpha- D-glucoside of a tetrahydroxy mono- methoxy flavone.Dried powder of roots contains hen- triacontane, beta-sitosterol and its aetat and stigmasterol. Alcoholic extract of the root showed 40-60% antiimplantation activity with no anti- ovulatory effect in rats.Flavone vitexicarpin (1), isolated from the leaves, exhibited broad cyto- toxicity in human cancer cell line panel. Two pentacyclic triterpenoids, betulin- ic acid and ursolic acid, along with an aliphatic alcohol, n-hentriacontanol, beta-sitosterol and p-hydroxybenzoic acid have been isolated from leaves.The seeds contain p-hydroxybenz- oic acid, 5-oxyisophthalic acid, glucose and the triterpene, vitextriter- pene. Several anti-inflammatory triter- penoids and flavonoids have also been isolated from the seeds. The flavanone, 5,7,3' trihydroxy-6, 8,4'-trimethoxy- flavone exhibited anti-androgenic activity in adult mice and dogs.Dosage: Leaf—10-15 ml juice (API, Vol. III); root—10-12 ml juice (API, Vol. IV.)... vitex negundoAction: Fruit—cooling and astringent. Prescribed for bilious affections. Leaves—used in scabies and other skin diseases.
The root bark contains 12% of tannin and cyclopeptide alkaloids—num- mularines A, B and C, mucronine D and amphibine H. The leaves contain ascorbic acid. Nummularine M, R and S, besides frangufoline have been isolated from the stem bark. Num- mularine R and S showed antibacterial activity against Gram-negative bacteria, while frangufoline was active against both Gram-negative and Gram-positive bacteria. The alkaloid fraction, obtained from the bark, showed significant analgesic activity.... ziziphus nummulariaAlternatives. 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
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
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
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
Anyone over 40 who has recurrent sore throat for more than six weeks should visit his family doctor. Symptoms. Pain, headache, paralysis of eye muscles.
Of possible value. Alternatives:– Teas. Violet leaves, Red Clover flowers, Plantain. 1-2 teaspoons to each cup boiling water; infuse 5-15 minutes. Drink freely.
Decoction. Combination. Goldenseal 1; Poke root 1; Yellow Dock 3; Marshmallow root 3. Place half an ounce (15g) in 1 pint (500ml) water simmered gently 20 minutes. Half a cup or more, as freely as tolerated.
Formula. Echinacea 2; Goldenseal 1; Poke root half; Thuja quarter; Liquorice half. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Three or more times daily as tolerated.
Case of Lady Margaret Marsham, Maidstone. Cured of cancer of the throat by Violet leaf tea. Boiling water was poured on fresh Violet leaves (wild, not cultivated) and allowed to stand 12 hours. Compresses were moistened and applied externally to the throat and covered with oil silk. Relief was immediate. Difficult swallowing, sense of suffocation and the visible swelling disappeared within one week, the growth on the tonsil within a fortnight.
Treatment by a general medical practitioner or hospital oncologist. Diet. See: DIET – CANCER. ... cancer – nose and throat
Internal. Goldenseal 1; Myrrh 1; Thuja half; Poke root half. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: one 5ml teaspoon. Tinctures: two 5ml teaspoons. Thrice daily before meals.
Capricin. See entry.
Topical. Thuja lotion: 1 teaspoon Liquid extract Thuja to 1oz (30ml) distilled extract Witch Hazel.
Aloe Vera; fresh juice or gel.
Tea Tree oil; may be diluted many times.
Comfrey cream; Castor oil, Oil of Mullen or Houseleek. Cider vinegar.
Night wash. Warm water to which is added a few drops Tincture Myrrh, Tincture Thuja or Tea Tree oil. Diet and Supplements. Same as for CANDIDA – VAGINAL. ... candida, of skin and nails
Constituents: flavone glycosides, mucilage, tannin.
Action: anti-catarrhal.
Uses: Nasal catarrh, leucorrhoea. Anaemia.
Preparations: Tea. As a medicament or daily ‘health’ tea. 1-2 teaspoons to each cup boiling water; infuse 10-15 minutes. 1 cup as desired.
Vaginal douche: 2oz dried (or handful fresh herb) to 2 pints boiling water; infuse, and inject warm. May also be used as a lotion for skin disorders. ... dead nettle
Treatment. Conventional medicine advises strong anti-depressants. Alternatives, until “hormones settle down”: Agnus Castus, Helonias, Milk Thistle. Raspberry leaf tea (tablets/capsules/liquid extracts/tinctures). Special attention to the thyroid gland.
Diet. See: GENERAL DIET.
Supplements. Vitamins: B group, E. Minerals: Calcium, Iodine, Magnesium, Zinc. Tyrosine. Supportives: Astute GP, helpful health visitor, thoughtful husband. ... depression – post-natal
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
Publications include: Hamdard Pharmacopoeia of Eastern Medicine; Greco-Arabian Concepts of Cardio-vascular Disease; Avicenna’s Tract of Cardiac Drugs and Essays on Arab Cardiotherapy. Scientific journal: Hamdard Medicus – informative articles by world authorities. Hamdard Foundation, Nazimabad, Karachi-18, Pakistan. ... hamdard national foundation, pakistan
Alternatives. Neuralgia of the Heart: Lobelia.
Palpitation with sense of suffocation: Pulsatilla.
From physical exhaustion: Ginseng.
With rapid heart beat: Lily of the Valley, Gelsemium.
Tea. Equal parts, Valerian, Motherwort, Lime flowers. Mix. 1-2 teaspoons to each cup boiling water allowed to cool. Drink cold 1 teacup 2 or 3 times daily.
Decoction. Equal parts, Valerian, Hawthorn, Mistletoe. Mix. 1 heaped teaspoon to each cup water simmered gently for 20 minutes. 1 teacup 2 or 3 times daily.
Tablets/capsules. Hawthorn, Mistletoe, Motherwort. Valerian. Passion flower. Lobelia.
Formula. Equal parts: Hawthorn, Lily of the Valley, Mistletoe. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures 2 teaspoons. Thrice daily.
Practitioner. Formula. Tincture Hawthorn 2; Tincture Gelsemium 1. Dose: 15-30 drops 2-3 times daily. Alternative formula. Tincture Valerian 2; Strophanthus 1. Dose: 15-30 drops thrice daily.
Diet. Oats (oatmeal porridge), low fat, low salt, high fibre. See also: DIET – HEART AND CIRCULATION. ... heart – nervous
Treatment: usually by cauterisation.
See: CYST, CERVICAL. ... nabothian cyst
Infections include candidiasis (monilia), ringworm, staphylococcal or streptococcal bacteria. Biting of fingernails reveals anxiety. Colour change and atrophy of nails may be caused by antibiotics, antimalarials, betablockers, gold and arsenic medicines, steroids, “The Pill”; requiring Eliminatives, liver, kidney and possibly Lymphatic agents.
For in-growing toenail – see entry.
Alternatives. General, internal. For antifungals, see: WHITLOW. Mineral-rich herbs for nutrition.
Teas: Alfalfa, Carragheen, Horsetail, Gotu Kola, Red Clover, Oats (for silicon salts), Plantain, Silverweed, Clivers, Dandelion.
Decoctions: Yellow Dock, Burdock, Sarsaparilla, Queen’s Delight.
Tablets or capsules: Alfalfa. Kelp. Bamboo gum.
Formula. Horsetail 2; Gotu Kola 1; Thuja quarter. Dose: Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily.
Cider Vinegar, See entry. Efficacy recorded.
Topical. Alternatives:– Apply to the nail:
(1) Liquid Extract or Tincture Thuja. (Ellingwood)
(2) Blood root. (J.T Kent MD)
(3) Evening Primrose oil.
(4) Contents of a Vitamin E capsule.
(5) Tincture Myrrh.
Diet. Nails are almost wholly protein. High protein. Onions, Garlic, Soya products, Carrot juice, Cod Liver oil, Kelp.
Vitamins. A. B-complex. B6. B12. Folic acid.
Minerals. Calcium. Dolomite. Copper. Iron. Silica. Stannum, Zinc. ... nails
Address: NHAA – PO Box 65, Kingsgrove, NSW 2208, Australia. Tel: +61(02) 502 2938. ... national herbalist association of australia
Nebulisers should carry a warning against misuse. Failure to respond should not be a signal to increase dosage, but an indication that asthma or the complaint is deteriorating. ... nebuliser
In those early days almost all herbs were collected locally and extracts made on the premises for the queues of patients which formed outside until ten o’clock at night. Today crude material comes from abroad for manufacture into their many preparations: Lobelia syrup, Compound Barberry bark, Composition Essence, Skullcap Herb Compound, Heart Tonic, etc. Ginseng, a supposed modern discovery, has been handled by Napier’s for over a century. ... napier’s of edinburgh
Constituents: mineral salts including iodine, iron, phosphates and a sulpho-nigrogenous oil.
Action: antibiotic, antitussive, diuretic, expectorant.
Uses: lung emphysema (fresh juice drunk in milk). Bronchitis, colds, influenza, dry cough. Cystitis, bladder disease. Alopecia – fresh juice rubbed into the scalp is said to stimulate hair growth. Wounds (external use).
Preparations: Thrice daily.
Tea: 2-3 bruised fresh leaves to cup boiling water. Infuse 15 minutes. Dose: one-third-1 cup.
Tincture: 1 part fresh leaves and flowers to 5 parts 45 per cent alcohol (Vodka, gin, etc). Macerate 8 days; shake daily. Filter. Bottle. Dose: 1-3 teaspoons in water.
Tromacaps. (Dr Madaus, West Germany) Antibiotic resistant pneumonia; monilial infections of the genito-urinary tract; acute pyelitis. Adults and children over 8 years: on the first day 2 capsules thrice daily; thereafter 1 capsule thrice daily.
Diet. Its pungent flavour adds a zestful stimulant to a salad. Eaten for general health and especially for skin infections. ... nasturtium
(a) To promote and protect the interests of Health Foods Stores among members.
(b) To set standards in retailing of health foods and herbs.
(c) To encourage production, marketing and sales of products derived from purely natural and vegetable sources.
((d) To provide qualifications by certificate and diploma courses for those engaged in the industry.
The Association provides advice on aspects of health food and herb retailing and is able to help its members with professional advice and merchandising. NAHS Diploma of Health Food Retailing qualifies for membership of the Institute of Health Food Retailing. Address: Bastow House, Queens Road, Nottingham NG2 3AS. ... national association of health stores (nahs)
Members are directly involved with patient-care, carrying full responsibility for their recommendations, prescribing medication suitable to the individual biological requirements of each patient. Their role includes patient-counselling, health education and research.
Official recognition of the Institute, indicating its growing importance in the field of medicine came with the historic Grant of Arms by Her Majesty’s College of Heralds. Members regard this as evidence that the Royal Charter of King Henry VIII still stands and that there is no monopoly in healing the sick. See: HENRY VIII, HERBALISTS’ CHARTER.
The Institute played a major role in winning vital concessions for the survival of the herbalist in the passage through Parliament of the Medicine’s Bill. See: MEDICINE’S ACT, 1968.
In connection with the NIMH degree courses in herbal medicine are available at a London University, and Exeter University.
The Institute provides professional indemnity cover for its members, and is engaged in a series of clinical trials to evaluate traditional remedies.
All members are required to adhere to a strict professional Code of Ethics and are entitled to carry after their names the letters of qualification: MNIMH or FNIMH.
Members have a key role in preventative medicine and health promotion in their contribution to improvement of the nation’s health.
Address: 56 Longbrook Street, Exeter EX4 6AH, from which a list of members is obtainable. ... national institute of medical herbalists
Stomach and intestines: Wild Cherry bark, Black Haw.
Heart: Lily of the Valley, Cactus. Liver: Wild Yam.
Eye: Blue Cohosh, Poke root.
Brain: Oats, Black Cohosh.
Spine: Damiana, Oats, Kola, Unicorn root (Aletris). Hops. Womb: False Unicorn root (Helonias).
General Restoratives: St John’s Wort, Vervain. ... nerve restoratives
Ephedra, Ginseng, Siberian Ginseng, Oats, Damiana, Kola, Gotu Kola, Thuja, Vervain. ... nerve stimulants
Betony, Damiana, Oats, St John’s Wort, Skullcap, Vervain.
Combination. Tea: Equal parts, Skullcap, Betony, Vervain. 1 heaped teaspoon to each cup boiling water; infuse 15 minutes. Half-1 cup freely. ... nerve tonics
Alte rnative s. Oral anti-histamines include: Burdock, Goldenseal, Juniper berries, Marshmallow, Lobelia, Myrrh, Echinacea, Nettles, Parsley root.
Teas. Betony, Boneset, Celery seed, Chamomile, Chickweed, Elderflowers, Hops, Meadowsweet, Motherwort, Red Clover, Sarsaparilla, Skullcap, Yarrow.
Tea, formula. Equal parts: Meadowsweet, Nettles, Red Clover. 1 heaped teaspoon to each cup boiling water; infuse 15 minutes; 1 cup thrice daily.
Decoction (cold). One teaspoon Barberry bark to each cup cold water steeped overnight. Half-1 cup thrice the following day.
Tablets/capsules. Blue Flag. Echinacea.
Formula. Echinacea 2; Blue Flag 1; Valerian 1. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Thrice daily.
Practitioner’s prescription. Tinctures: Echinacea ang. 20ml; Ephedra sinica, 20ml; Urtica dioica, 10ml.
Aqua et 100ml. Sig: 5ml (3i) tds Aq cal. pc.
Alternative:– Liquid extract Echinacea ang. 1 fl oz (30ml). Liquid extract Urtica dioica. 1 fl oz. Liquid extract Humulus lupulus. Half fl oz (15ml). Syrup Senna. 2 fl oz (60ml). Aqua et 8 fl oz (240ml). Sig: 8ml (3i) tds aq cal. pc. (Arthur Barker, FNIMH)
Topical. Wash with infusion of Chickweed, Elderflowers, Mullein, Chamomile or Eucalyptus leaves.
Oil of Evening Primrose. Aloe Vera gel.
Creams: Vitamin E, Chickweed, Elderflowers, Comfrey, Plantain. Diet. See: DIET – SKIN DISEASES.
Supplements. Daily. Vitamin A (7500iu). Vitamin C (2g). ... nettlerash
Constituents: Chlorophyll (high), vitamins including Vitamin C, serotonin, histamine, acetyl-choline, minerals including iron, calcium, silica.
Action: blood tonic, hypoglycaemic, antiseptic, tonic-astringent (external), diuretic, haemostatic (external), expectorant, vasodilator, hypotensive, galactagogue, splenic, circulatory stimulant, amphoteric (can increase or reduce flow of breast milk, making its own adjustment). Strengthens natural resistance. Re-mineraliser, antirheumatic. Eliminates uric acid from the body. Anti-haemorrhagic. Mild diuretic. Uses: iron-deficiency anaemia, gout (acute painful joints – partial amelioration). First stage of fevers (repeat frequently), malaria. Uvula – inflammation of. Foul-smelling sores. To stimulate kidneys. Detoxifies the blood. Pregnancy (Nettle and Raspberry leaf tea for iron and calcium). To withstand onset of uraemia in kidney disease; chronic skin disease, melaena with blood in stool, splenic disorders, high blood sugar in diabetes, burns (first degree), feeble digestion due to low level HCL; bleeding of stomach, bowels, lung and womb. Has power to eliminate urates; expulsion of gravel. On taking Nettle tea for high blood pressure passage of gravel is possible and should be regarded as a favourable sign. For women desiring an ample bust. Lobster and other shell-fish allergy, strawberry allergy. Nettle rash. Hair – fall out – tea used as a rinse.
“No plant is more useful in domestic medicine.” (Hilda Leyel)
Frequent drinks of Nettle tea often allay itching of Hodgkin’s disease. Preparations. Thrice daily.
Tea: 1oz herb to 1 pint boiling water; infuse 15 minutes. 1 cup.
Liquid Extract: 3-4ml in water.
Tincture BHP (1983): 1 part to 5 parts 45 per cent alcohol. Dose, 2-6ml in water. Powder: 210mg capsules, 6-8 capsules daily. (Arkocaps)
Floradix Herbal Iron Extract contains Nettles. (Salus-Haus)
Nettle shampoo and hair lotion.
Diet. Nettles cooked and eaten as spinach. Fresh juice: 1-2 teaspoons. ... nettles
Causes include: dental problems, ill-fitting dentures, laughing, yawning, bad teeth.
Symptoms: nervous exhaustion, contracted pupils, flushed face.
Alternatives. Black Cohosh, Cactus, Celery seed, Bogbean, Chamomile, Lady’s Slipper, Ginseng, Hops, Jamaica Dogwood, White Willow, Wild Lettuce, Skullcap, St John’s Wort, Valerian.
Tea. Combine equal parts: Chamomile, Hops, Skullcap. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. 1 cup freely.
Decoction. Combine: Rosemary 2; Ladyslipper 1; Jamaica Dogwood 1.1 heaped teaspoon to each cup water gently simmered 20 minutes. Half-1 cup every 2-3 hours.
Tablets. Passion flower. Ginseng. St John’s Wort, White Willow.
Formula. Equal parts: Jamaica Dogwood, Wild Lettuce, Valerian. Dose: Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily.
Cayenne pepper (Capsicum). Frequently successful.
Practitioner. Tincture Gelsemium BPC (1973). Dose: 0.3ml (5 drops).
Topical. Poultice: Chamomile, Hops, Linseed or Bran. Acute cases (cold), chronic cases (hot). Grated or bruised Horseradish root. Evening Primrose oil. Hot cider vinegar. Tincture Arnica or Hypericum. Aromatherapy. 2 drops each: Juniper, Lavender, Chamomile to 2 teaspoons vegetable oil. Light massage. Diet, and supplements. Same as for general neuralgia. Australian researchers found that hot curries and spices actually trigger the trigeminal nerve causing a burning sensation. ... neuralgia, facial
Alternatives. Black Cohosh, Cactus, Chamomile, Lady’s Slipper, Ginseng, Hops, Jamaica Dogwood, White Willow, Wild Lettuce, Valerian.
Chamomile tea (mild analgesic).
Tablets/capsules. Any of the above.
Formula. Ginseng 4; Black Cohosh 2; Skullcap 2; Mistletoe 1; Motherwort 1. Dose: Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily. Children: see: DOSAGE. Cayenne pepper (Capsicum) sometimes successful.
Topical. Poultice: Chamomile, Hops, Linseed or Bran. Acute cases (cold), chronic cases (hot). Grated or bruised Horseradish root. Evening Primrose oil. Hot Cider vinegar, Tincture Arnica or Hypericum. Aromatherapy. 2 drops each: Juniper, Lavender, Chamomile to 2 teaspoons vegetable oil. Light massage. Diet. High protein. Calcium-rich foods.
Supplements. Vitamin B-complex, B6, B12, Niacin, Magnesium, Dolomite, Zinc.
See: FACIAL and INTERCOSTAL NEURALGIA; DYSMENORRHOEA (neuralgia of the womb). ANTISPASMODICS. ... neuralgia, general
Causes: all kinds of infective diseases. Rheumatism, bad teeth, bony spinal lesions, gall stone, liver disorder, thickening of pleura, fractured ribs, shingles – see: SHINGLES. In simple cases a cup of Chamomile tea may suffice. Persistent cases require one of the following alternatives.
Alternatives. Decoction. Combine equal parts: Black Cohosh, Jamaica Dogwood (or White Willow), Pleurisy root. 1 heaped teaspoon to each cup water gently simmered 20 minutes. Half-1 cup thrice daily. Formula. Cramp bark 2; Black Cohosh 1; Valerian 1. Pinch of Cayenne or few drops Tincture Capsicum. Dose: Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one- third teaspoon). Thrice daily.
Neuralgia associated with bronchi and lung: Formula: Cramp bark 2; Pleurisy root 2; Liquorice half. Dose: as above.
Practitioner. Tincture Gelsemium BPC (1973). 0.3ml (5 drops) in water as necessary.
Dr Finlay Ellingwood. Tincture Pleurisy root (Asclepias). 20 drops, every 2 hours.
Topical. Poultice: Chamomile, Hops, Linseed or Bran. Acute cases (cold), chronic cases (hot). Grated or bruised Horseradish root. Evening Primrose oil. Hot Cider vinegar. Tincture Arnica or Hypericum. Aromatherapy. 2 drops each: Juniper, Lavender, Chamomile, to 2 teaspoons vegetable oil. Massage. Diet, vitamins, minerals. Same as for general neuralgia. Cold water packs. ... neuralgia, intercostal
Overdosage or where not adequately washed-down with fluid may lead to intestinal obstruction. Contra-indication: intestinal obstruction. ... normacol
Effective oil: Tea Tree oil (1 part) to 20 parts Almond, Olive or Corn oil.
Alternative. Adopt Mecca position. Kneel down, place head on ground and tuck under. The spray will reach the maximum surface of action in the nasal cavity. ... nose drops drill
Causes include normal changes associated with aging or, in some cases, an underlying cancer.... inverted nipple
The cervical mucus method attempts to pinpoint the fertile period by observing and charting the amount and appearance of cervical mucus during the menstrual cycle.
Recognized changes in the mucus occur before and often at ovulation.
The symptothermal method combines the temperature and cervical mucus methods.... contraception, natural methods of
Jaundiced babies usually require extra fluids and may be treated with phototherapy.
Exchange transfusion (see blood transfusion) may be needed in severe cases.
If severe neonatal jaundice is not treated promptly, kernicterus may occur.... jaundice, neonatal
joint The junction between 2 or more bones. Many joints are highly mobile, while others are fixed or allow only a small amount of movement.
Joints in the skull are fixed joints firmly secured by fibrous tissue. The bone surfaces of mobile joints are coated with smooth cartilage to reduce friction. The joint is sealed within a tough fibrous capsule lined with synovial membrane (see synovium), which produces a lubricating fluid. Each joint is surrounded by strong ligaments that support it and prevent excessive movement. Movement is controlled by muscles that are attached to bone by tendons on either side of the joint. Most mobile joints have at least one bursa nearby, which cushions a pressure point.
There are several types of mobile joint. The hinge joint is the simplest, allowing bending and straightening, as in the fingers. The knee and elbow joints are modified hinge joints that allow some rotation as well. Pivot joints, such as the joint between the 1st and 2nd vertebrae (see vertebra), allow rotation only. Ellipsoidal joints, such as the wrist, allow all types of movement except pivotal. Ball-and-socket joints include the hip and shoulder joints. These allow the widest range of movement (backwards or forwards, sideways, and rotation).
Common joint injuries include sprains, damage to the cartilage, torn ligaments, and tearing of the joint capsule.
Joint dislocation is usually caused by injury but is occasionally congenital.
A less severe injury may cause subluxation (partial dislocation).
Rarely, the bone ends are fractured, which may cause bleeding into the joint (haemarthrosis) or effusion (build-up of fluid in a joint) due to synovitis (inflammation of the joint lining).
Joints are commonly affected by arthritis.
Bursitis may occur as a result of local irritation or strain.... jogger’s nipple
Damage to the nerve may result from injury to the shoulder, a Colles’ fracture just above the wrist, or pressure on the nerve where it passes through the wrist (carpal tunnel syndrome).
Symptoms of damage include numbness and weakness in areas controlled by the nerve.... median nerve
Bleeding from the nose (see nosebleed) is usually caused by injury or a foreign body in the nose.
A discharge of cerebrospinal fluid from the nose may follow a fracture at the base of the skull.... nasal discharge
The most common cause of nasal obstruction is inflammation of the mucous membrane lining the passage (see nasal congestion).
Other causes include deviation of the nasal septum, nasal polyps, a haematoma (a collection of clotted blood) usually caused by injury, and, rarely, a cancerous tumour.
In children, enlargement of the adenoids is the most common cause of nasal obstruction.... nasal obstruction
Most nasal polyps are noncancerous, but they may need to be removed if they cause nasal obstruction.... nasal polyp
Disorders include a deviated septum (twisting of the septum to one side), which may be present from birth or caused by injury. Surgery may be needed if breathing is obstructed.
Injury may also cause a haematoma (a collection of clotted blood) to form between the cartilage of the septum and the wall of one nasal cavity. A haematoma may obstruct breathing and may become infected, causing an abscess that could require surgical drainage.
Rarely, a hole may be eroded in the nasal septum by tuberculosis, syphilis, Wegener’s granulomatosis, or as a result of sniffing cocaine.... nasal septum
The operation is commonly part of the treatment of cancer of the tongue, tonsils, or other structures in the mouth and throat.... neck dissection, radical
Neck rigidity is an important clinical sign of meningitis (inflammation of the membranes covering the brain and spinal cord).
Severe neck rigidity may cause the head to arch backwards, especially in babies.... neck rigidity
The most common cause of toxic epidermal necrolysis is an adverse reaction to a drug, particularly a barbiturate, sulphonamide, or penicillin. The condition usually clears up when the drug is discontinued. Intravenous fluid replacement is sometimes necessary.... necrolysis, toxic epidermal
The scheme is aimed at reducing the risks of infections, such as HIV and hepatitis, transmitted by the sharing of contaminated needles.... needle exchange
Possible adverse effects include nausea, nervousness, dry mouth, and difficulty sleeping.... nefopam
nerve injury Damage or severance of conducting fibres within a nerve as a result of trauma, causing loss of skin sensation and muscle power. (See neuropathy for nerve damage from cause.
other than injury.)
If a peripheral nerve (a nerve outside the brain or spinal cord) is only partially severed, the cut fibres may be able to regenerate. Provided the severed ends are still aligned, new fibres can grow across the cut to rejoin the connection, restoring function. If a nerve is totally severed, the individual fibres cannot regenerate successfully and there is no recovery of function. Nerve tracts within the brain and spinal cord are structurally different from the peripheral nerves, and severed fibres in these tracts do not regenerate. For example, vision cannot be restored if the optic nerves are cut.Microsurgery can sometimes be used to stitch a severed peripheral nerve into place, but recovery is rarely complete.... nerve conduction studies
A damaged nerve may take some time to heal. In severe cases, surgical decompression to relieve pressure on the nerve may be necessary.... nerve, trapped
All nervous habits increase during periods of tension or anxiety, and may be severe in some forms of depression, anxiety disorder, or drug withdrawal.... nervous habit
The best known of these neurocutaneous disorders is neurofibromatosis, in which there are brown patches on the skin and numerous fibrous nodules on the skin and nerves. Another example is tuberous sclerosis, which is characterized by small skin-coloured swellings over the cheeks and nose, mental deficiency, and epilepsy.... neurocutaneous disorders
There are different forms of spina bifida. In spina bifida occulta, the only defect is a failure of the fusion of the bony arches behind the spinal cord, which may not cause any problems. When the bone defect is more extensive, there may be a meningocele, a protrusion of the meninges, or a myelomeningocele, a malformation of the spinal cord. Myelomeningocele is likely to cause severe handicap, with paralysis of the legs, loss of sensation in the lower body, hydrocephalus, and paralysis of the anus and bladder, causing incontinence. Associated problems include cerebral palsy, epilepsy, and mental handicap.
Surgery is usually performed a few days after birth. In mild cases, the defect can usually be corrected, but in myelomeningocele, some handicap will remain.
Genetic factors play a part in neural tube defects, which show multifactorial inheritance. Couples who have had an affected child or who have a family history of neural tube defects should seek genetic counselling. The risk of a neural tube defect occurring can be substantially reduced if the mother takes folic acid supplements for a month before conception and during the early part of the pregnancy.
Ultrasound scanning and amniocentesis allow accurate antenatal testing for neural tube defects.... neural tube defect
Exposure to nickel may cause dermatitis (inflammation of the skin). Lung cancer has been reported in workers in nickel refineries.... nickel
Nicotine products are available in the form of sublingual tablets, chewing gum, skin patches, nasal spray, or inhaler.
Side effects may include nausea, headache, palpitations, cold or flu-like symptoms, hiccups, and vivid dreaming.
Nicotine replacement therapy should be used as part of a complete package of measures, including the determination to succeed.... nicotine replacement therapy
When sensation to pain is lost, abnormal stress and strain on a joint do not stimulate the protective reflex spasm of the surrounding muscles; this failure of the protective reflex allows exaggerated movement that can damage the joint. Osteoarthritis, swelling, and deformity are features of a neuropathic joint.An orthopaedic brace or caliper splint may be necessary to restrict any abnormal movement of the joint.
Occasionally, an arthrodesis (a surgical operation to fuse a joint) is performed.
The nerve damage is irreversible.... neuropathic joint
Possible side effects of nitrate drugs include headache, flushing, and dizziness. Tolerance (the need for greater amounts of a drug for it to have the same effect) may develop when the drug is taken regularly.... nitrate drugs
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
Exposure to a sudden, very loud noise, usually above 130 decibels, can cause immediate and permanent damage to hearing. Normally, muscles in the middle ear respond to loud noise by altering the position of the ossicles (the chain of bones that pass vibrations to the inner ear), thus damping down the intensity of the noise. If these protective reflexes have no time to respond, the full force of the vibrations is carried to the inner ear, severely damaging the delicate hair cells in the cochlea. Occasionally, loud noises can rupture the eardrum.
More commonly, noise damage occurs over a period of time by prolonged exposure to lower levels of noise. Any noise above 85–90 decibels may cause damage, with gradual destruction of the hair cells of the cochlea, leading to permanent hearing loss. Prolonged exposure to loud noise leads initially to a loss of the ability to hear certain high tones. Later, deafness extends to all high frequencies, and the perception of speech is impaired. Eventually, lower tones are also affected.
Sounds at 85–90 decibels or above may cause pain and temporary deafness. Prolonged tinnitus (ringing or buzzing in
the ears) occurring after a noise has ceased is an indication that some damage has probably occurred.... noise-induced hearing loss
(see trichomoniasis), or other microorganisms. In the remainder of cases, the cause remains unknown.
In men, the infection usually causes a clear or a purulent urethral discharge, often accompanied by pain or discomfort on passing urine. The equivalent condition in women, called nonspecific genital infection, may not cause symptoms unless there are complications.
Treatment may be difficult if the cause of symptoms cannot be determined. Antibiotic drugs, such as doxycycline and erythromycin, are given. Follow-up visits may be advised after treatment.
In men, epididymitis, prostatitis and urethral stricture (narrowing of the urethra) can occur as complications of nongonococcal urethritis. Reiter’s syndrome (in which there is arthritis and conjunctivitis as well as urethritis) occurs as a complication in some men who develop nongonococcal urethritis.
In women, pelvic inflammatory disease and cysts of the Bartholin’s glands may occur. Ophthalmia neonatorum, a type of conjunctivitis, sometimes develops in babies born to women with chlamydial cervicitis.... nongonococcal urethritis
Nonsteroidal anti-inflammatory drugs are widely used to relieve symptoms caused by types of arthritis, such as rheumatoid arthritis, osteoarthritis, and gout. They do not cure or halt the progress of disease. NSAIDs are also used in the treatment of back pain, menstrual pain, headaches, pain after minor surgery, and soft tissue injuries.
The drugs reduce pain and inflammation by blocking the production of prostaglandins (chemicals that cause inflammation and trigger transmission of pain signals to the brain).
NSAIDs may cause a wide range of side effects, the most important of which are nausea, indigestion, bleeding from the stomach, and, sometimes, peptic ulcer.... nonsteroidal anti-inflammatory drugs
A nosocomial infection is one acquired by a patient in hospital.... nosocomial
Nuclear energy is released in certain natural processes, including the spontaneous decay of radioactive substances such as uranium ores, and the nuclear reactions that power the sun. It is also what powers nuclear reactors.... nuclear energy
There are 2 types of nucleic acid: deoxyribonucleic acid (DNA) and ribonucleic acid (RNA). In all plant and animal cells, including human cells, DNA permanently holds the coded instructions, which are translated and implemented by RNA. DNA is the main constituent of chromosomes, which are carried in the nucleus (central unit) of the cell.
DNA and RNA are similar in structure, both comprising long, chain-like molecules. However, DNA usually consists of 2 intertwined chains, whereas RNA is generally single-stranded.
The basic structure of DNA has been likened to a rope ladder, the chains forming the 2 sides, with interlinking structures in between forming the rungs.
The ladder is twisted into a spiral shape called a double helix.
Each DNA chain has a “backbone” consisting of a string of sugar and phosphate chemical groups. Attached to each sugar is a chemical called a base, which can be any of 4 types (adenine, thymine, guanine, and cytosine) and forms half a rung of the DNA ladder. The 4 bases can occur in any sequence along the chain. The sequence, which may be many millions of individual bases long, provides the code for the activities of the cell (see genetic code).
RNA is like a single strand of DNA; the main difference is that the base thymine is replaced by another base, uracil.
When a cell undergoes mitotic (see mitosis) division, identical copies of its DNA must go to each of the 2 daughter cells. The 2 DNA chains separate, and 2 more chains are formed, side by side with the original chains. Because only certain base pairings are possible, the new double chains are identical to the original DNA molecule. Each of a person’s cells carries the same DNA replica that was present in the fertilized ovum, so the DNA message passes from one generation of cells to the next.... nucleic acids
A diet deficient in carbohydrates is almost inevitably also deficient in protein, leading to the development of protein–calorie malnutrition. Such malnutrition is most often seen as a result of severe poverty and famine (see kwashiorkor; marasmus).
Deficiency of specific nutrients is commonly associated with a disorder of the digestive system, such as coeliac disease, Crohn’s disease, or pernicious anaemia (see anaemia, megaloblastic).
Inadequate intake of protein and calories may also occur in people who excessively restrict their diet to lose weight (see anorexia nervosa), hold mistaken beliefs about diet and health (see food fad), or suffer from a loss of interest in food associated with alcohol dependence or drug dependence.Obesity results from taking in more energy from the diet than is used up by the body. Nutritional disorders may also result from an excessive intake of minerals and vitamins. An excessive intake of saturated fat is thought to be a contributory factor in coronary artery disease and in some forms of cancer.
Naturally occurring toxins can interfere with the digestion, absorption, and/or utilization of nutrients, or can cause specific disorders due to their toxic effects: for example, the ergot fungus found on rye can cause ergotism.... nutritional disorders
The disease resembles eczema and can cause itching and a burning feeling.
A non-healing sore may develop.
Without treatment, the tumour may spread into the breast.
Diagnosis is made with a biopsy.... paget’s disease of the nipple
See neuralgia.... postherpetic neuralgia
In acute cases, treatment consists of resting the voice.
In chronic cases, surgical removal of the nodes may be necessary.... singer’s nodes
Mild stiffness may be relieved by massage, warming, and use of a liniment. Severe or persistent stiffness requires medical attention. (See also torticollis.)... stiff neck
spread by nonsexual means, such as through broken skin or saliva.
It occurs mainly in the Middle East and Africa.
Treatment is with antibacterial drugs.... syphilis, nonvenereal
nabothian follicle (nabothian cyst, nabothian gland) one of a number of retention *cysts on the neck (cervix) of the uterus, near its opening to the vagina. The sacs, which contain mucus, form when the ducts of the glands in the cervix are blocked by a new growth of surface cells (epithelium) over an area damaged because of infection.... nabilone
Different arrangements apply in Northern Ireland, Wales, and Scotland.
NHS website: includes much basic medical information together with a guide to local services... national health service
NIHR website... national institute for health research
NICE website... nice
Negative-pressure ventilation involves the use of devices that draw air into and out of the lungs noninvasively by applying negative pressure in a cyclical way (see ventilator).... noninvasive ventilation
ONS website... office for national statistics
National Screening Committee website: contains detailed notes on all screening programmes the committee has considered and the rationale for the decisions the committee has made... uk national screening committee
FAMILY: Pinaceae
SYNONYMS: A. pectinata, whitespruce, European silver fir, edeltanne, weisstanne, templin (cone oil), Strassburg or Vosges turpentine (oil), fir needle (oil).
GENERAL DESCRIPTION: A relatively small coniferous tree, with a regular pyramidal shape and a silvery white bark, grown chiefly for timber and as Christmas trees.
DISTRIBUTION: Native to north European mountainous regions; cultivated mainly in Switzerland, Poland, Germany, France, Austria and especially Yugoslavia.
OTHER SPECIES: Oils that are distilled from the twigs and needles of various members of the coniferous families, Abies, Larix, Picea, Pinus, and Tsuga, are all commonly called fir needle oil – it is therefore important to know the specific botanical name. There are many other members of the fir or Abies family, notably the Canadian balsam (A. balsamifera) and the Siberian fir (A. siberica), the most popular fir needle oil in Europe and the USA due to its fine fragrance. Others include the Japanese fir needle oil from A.mayriana or A.sachalinensis. See also entries on spruce, pines and the Botanical Classification section.
HERBAL/FOLK TRADITION: It is highly esteemed on the Continent for its medicinal virtues and its fragrant scent. It is used mainly for respiratory complaints, fever, muscular and rheumatic pain.
ACTIONS: Analgesic, antiseptic (pulmonary), antitussive, deodorant, expectorant, rubefacient, stimulant, tonic.
EXTRACTION: Essential oil by steam distillation from the 1. needles and young twigs, and 2. fir cones, broken up pieces (templin oil)
CHARACTERISTICS: 1. A colourless or pale yellow liquid of pleasing, rich, sweet-balsamic odour. 2. Similar to the needle oil, but with a more orange-like fragrance. It blends well with galbanum, labdanum, lavender, rosemary, lemon, pine and marjoram.
PRINCIPAL CONSTITUENTS: 1. Santene, pinene, limonene, bornyl acetate, lauraldehyde among others. 2. Pinene, limonene, borneol, bornyl acetate, among others.
SAFETY DATA: Non-toxic, non-irritant (except in high concentration), non-sensitizing.
AROMATHERAPY/HOME: USE
Circulation Muscles And Joints: Arthritis, muscular aches and pains, rheumatism.
Respiratory System: Bronchitis, coughs, sinusitis, etc.
Immune System: Colds, fever, ’flu.
OTHER USES: Employed as an ingredient in some cough and cold remedies and rheumatic treatments. Used as a fragrance component in deodorants, room sprays, disinfectants, bath preparations, soaps and perfumes.... fir needle, silver
FAMILY: Amaryllidaceae
SYNONYMS: Pinkster lily, pheasant’s eye, poet’s narcissus.
GENERAL DESCRIPTION: A familiar garden flower up to 50 cms high, with long sword-shaped leaves with very fragrant white flowers having a short yellow trumpet and crisped red edge.
DISTRIBUTION: Native to the Middle East or the eastern Mediterranean region; naturalized in southern France. It is cultivated extensively for its flowers. Only Holland and the Grasse region of France produce the concrete and absolute.
OTHER SPECIES: There are two main types produced in France: the cultivated or des plaines variety and the wild or des montagnes type. Narcissus is also closely related to the jonquil (N. jonquilla) and campernella (N. odorus), which are also occasionally used to produce an absolute, as well as to the daffodil (N. pseudo-narcissus).
HERBAL/FOLK TRADITION: The name derives from the Greek narkao – to be numb – due to its narcotic properties. The Roman perfumers used ‘narcissum’, a solid unguent made from narcissus flowers, in the preparation of their elaborate fragrances. In France the flowers were used at one time for their antispasmodic properties, said to be useful in hysteria and epilepsy.
In India the oil is applied to the body before prayer in temples, along with rose, sandalwood and jasmine. The Arabians recommend the oil as a cure for baldness, and as an aphrodisiac.
ACTIONS: Antispasmodic, aphrodisiac, emetic, narcotic, sedative.
EXTRACTION: A concrete and absolute by solvent extraction from the flowers.
CHARACTERISTICS: The absolute is a dark orange, olive or green viscous liquid with a sweet, green-herbaceous odour and heavy floral undertone. It blends well with clove bud, jasmine, neroli, ylang ylang, rose, mimosa, sandalwood, oriental and floral fragrances.
PRINCIPAL CONSTITUENTS: Quercetin, possibly narcissine (the alkaloid that causes nausea).
SAFETY DATA: All members of the Amaryllidaceae family, especially the bulbs, have a profound effect on the nervous system, causing paralysis and even in some cases death. ‘The bulbs of N. poeticus are more dangerous than those of the daffodil, being powerfully emetic and irritant. The scent of the flowers is deleterious, if they are present in any quantity in a closed room, producing in some persons headache and even vomiting.’.
AROMATHERAPY/HOME: USE Perfume.
OTHER USES: The absolute and concrete are used almost exclusively in high-class perfumes of the narcotic/floral type.... narcissus
FAMILY: Rutaceae
SYNONYMS: C. vulgaris, C. bigaradia, orange blossom, orange flower, neroli bigarade.
GENERAL DESCRIPTION: An evergreen tree up to 10 metres high with glossy dark green leaves and fragrant white flowers. There are two flowering seasons when the blossom is picked, one in May and another in October (in mild weather). See also bitter orange.
DISTRIBUTION: Native to the Far East, but well adapted to the Mediterranean climate. Major producers include Italy, Tunisia, Morocco, Egypt, America and especially France.
OTHER SPECIES: The sweet orange (C. aurantium var. dulcis) is also used to make an absolute oil called neroli Portugal or neroli petalae – however, it is less fragrant and considered of inferior quality.
HERBAL/FOLK TRADITION: This oil was named after a princess of Nerola in Italy, who loved to wear it as a perfume. Orange flowers have many folk associations. They were used in bridal bouquets and wreaths, to calm any nervous apprehension before the couple retired to the marriage bed.
On the Continent an infusion of dried flowers is used as a mild stimulant of the nervous system, and as a blood cleanser. The distillation water, known as orange flower water, is a popular cosmetic and household article.
ACTIONS: Antidepressant, antiseptic, antispasmodic, aphrodisiac, bactericidal, carminative, cicatrisant, cordial, deodorant, digestive, fungicidal, hypnotic (mild), stimulant (nervous), tonic (cardiac, circulatory).
EXTRACTION: 1. A concrete and absolute are produced by solvent extraction from the freshly picked flowers. 2. An essential oil is, produced by steam distillation from the freshly picked flowers. An orange flower water and an absolute are produced as a byproduct of the distillation process.
CHARACTERISTICS: 1. The absolute is a dark brown or orange viscous liquid with a fresh, delicate yet rich, warm sweet-floral fragrance; very true to nature. It blends well with jasmine, benzoin, myrrh and all citrus oils. 2. The oil is a pale yellow mobile liquid (darkening with age) with a light, sweet-floral fragrance and terpeney topnote. Blends well with virtually all oils: chamomile, coriander, geranium, benzoin, clary sage, jasmine, lavender, rose, ylang ylang, lemon and other citrus oils.
PRINCIPAL CONSTITUENTS: Linalol (34 per cent approx.), linalyl acetate (6–17 per cent), limonene (15 per cent approx.), pinene, nerolidol, geraniol, nerol, methyl anthranilate, indole, citral, jasmone, among others.
SAFETY DATA: Non-toxic, non-irritant, nonsensitizing, non-phototoxic.
AROMATHERAPY/HOME: USE
Skin care: Scars, stretch marks, thread veins, mature and sensitive skin, tones the complexion, wrinkles.
Circulation muscles and joints: Palpitations, poor circulation.
Digestive system: Diarrhoea (chronic), colic, flatulence, spasm, nervous dyspepsia.
Nervous system: Anxiety, depression, nervous tension, PMT, shock, stress-related conditions – ‘I find that by far the most important uses of neroli are in helping with problems of emotional origin.’.
OTHER USES: Neroli oil and orange flower water are used to flavour pharmaceuticals. The absolute is used extensively in high-class perfumery work, especially oriental, floral and citrus blends; also as a fixative. The oil is used in eau-de-cologne and toilet waters (traditionally with lavender, lemon, rosemary and bergamot). Limited use as a flavour ingredient in foods, alcoholic and soft drinks.... neroli
FAMILY: Myrtaceae
SYNONYMS: M. quinquenervia, ‘gomenol’.
GENERAL DESCRIPTION: An evergreen tree with a flexible trunk and spongy bark, pointed linear leaves and bearing spikes of sessile yellowish flowers. The leaves have a strong aromatic scent when they are crushed.
DISTRIBUTION: Native to Australia, New Caledonia, and the French Pacific Islands. The majority of the oil is produced in Australia and Tasmania.
OTHER SPECIES: A typical member of the ‘tea tree’ group of oils; the oil is similar to cajeput. There is another physiological form of M. viridiflora called ‘Variety A’, which was originally developed to provide a natural source of nerolidol, the main constituent of its essential oil.
HERBAL/FOLK TRADITION: It is used locally for a wide variety of ailments, such as aches and pains, respiratory conditions, cuts and infections; it is also used to purify the water. The name ‘gomenol’ derives from the fact that it used to be shipped from Gomen in the French East Indies.
ACTIONS: Analgesic, anthelmintic, anticatarrhal, antirheumatic, antiseptic, antispasmodic, bactericidal, balsamic, cicatrisant, diaphoretic, expectorant, regulator, stimulant, vermifuge.
EXTRACTION: Essential oil by steam distillation from the leaves and young twigs. (Usually rectified to remove irritant aldehydes.)
CHARACTERISTICS: A colourless, pale yellow or greenish liquid with a sweet, fresh, camphoraceous odour.
PRINCIPAL CONSTITUENTS: Cineol (50–65 per cent), terpineol, pinene, limonene, citrene, terebenthene, valeric ester, acetic ester, butyric ester.
SAFETY DATA: Non-toxic, non-irritant, nonsensitizing. Often subject to adulteration.
AROMATHERAPY/HOME: USE
Skin care: Acne, boils, burns, cuts, insect bites, oily skin, spots, ulcers, wounds.
Circulation muscles and joints: Muscular aches and pains, poor circulation, rheumatism.
Respiratory system: Asthma, bronchitis, catarrhal conditions, coughs, sinusitis, sore throat, whooping cough.
Genito-urinary system: Cystitis, urinary infection.
Immune system: Colds, fever, ’flu.
OTHER USES: Used in pharmaceutical preparations such as gargles, cough drops, toothpastes, mouth sprays, etc.... niaouli