Suppuration Health Dictionary

Suppuration: From 3 Different Sources


The formation or discharge of pus.
Health Source: BMA Medical Dictionary
Author: The British Medical Association
The process of PUS formation. When pus forms on a raw surface the process is called ulceration, whilst a deep-seated collection of pus is known as an ABSCESS. (See also INFLAMMATION; PHAGOCYTOSIS; ULCER; WOUNDS.)
Health Source: Medical Dictionary
Author: Health Dictionary

Abscess

A localised collection of pus caused by suppuration in a tissue... abscess

Comfrey

Symphytum officinale. N.O. Boraginaceae.

Synonym: Knitbone, Nipbone.

Habitat: Damp fields and waste places ; ditch and river sides.

Features ? The hairy stem is two to three feet high, freely branched, rough and angular. Egg-shaped to lance-shaped leaves, with wavy edges, hug the stem above, the lower ones having long stalks ; they are all large and hairy. The plant produces yellowish, bluish, or purplish-white flowers in May and June, all on the same side of the stem. The root is brownish-black, deeply wrinkled, greyish and horny internally. The taste is mucilaginous and sweetish, and the dried herb has an odour resembling that of tea.

Part used ? Root and leaves.

Action: The roots, and to some extent the leaves, are demulcent and astringent.

The action of Comfrey is similar to that of Marsh Mallow, and consequently it is a popular cough remedy. It is also used as a fomentation in strained and inflammatory conditions of the muscles, and will promote suppuration of boils and other skin eruptions. A decoction is made by boiling 1/2 to 1 ounce of the crushed root in 1 quart of water,

reducing to 1 1/2 pints, and is taken in wineglass doses.

Coffin tells us the root of the plant is also "a good tonic medicine, and acts friendly on the stomach; very useful in cases where, from maltreatment, the mouth, the throat and stomach have become sore."... comfrey

Ficus

Ficus spp.

Moraceae

The genus Ficus constitutes an important group of trees with immense medicinal value. It is a sacred tree of Hindus and Buddhists. Among the varied number of species, the most important ones are the four trees that constitute the group “Nalpamaram”, namely, F. racemosa, F. microcarpa, F. benghalensis and F. religiosa (Athi, Ithi, Peral and Arayal respectively).

1. Ficus racemosa Linn. syn. F. glomerata Roxb.

Eng: Cluster fig, Country fig

San: Udumbarah, Sadaphalah

Hin: Gular, Umar

Ben: Jagya dumur

Mal, Tam,

Kan: Athi

Tel: Udambaramu, Paidi

Gular fig, Cluster fig or Country fig, which is considered sacred, has golden coloured exudate and black bark. It is distributed all over India. Its roots are useful in treating dysentery. The bark is useful as a wash for wounds, highly efficacious in threatened abortions and recommended in uropathy. Powdered leaves mixed with honey are given in vitiated condition of pitta. A decoction of the leaves is a good wash for wounds and ulcers. Tender fruits (figs) are used in vitiated conditions of pitta, diarrhoea, dyspepsia and haemorrhages. The latex is administered in haemorrhoids and diarrhoea (Warrier et al, 1995). The ripe fruits are sweet, cooling and are used in haemoptysis, thirst and vomiting (Nadkarni, 1954; Aiyer et al, 1957; Moos, 1976). Nalpamaradi coconut oil, Candanasava, Valiya Arimedastaila, Dinesavalyadi Kuzhambu, Abhrabhasma, Valiya candanaditaila, etc. are some important preparations using the drug (Sivarajan et al, 1994).

It is a moderate to large-sized spreading laticiferous, deciduous tree without many prominent aerial roots. Leaves are dark green and ovate or elliptic. Fruit receptacles are 2-5cm in diameter, sub- globose or pyriform arranged in large clusters on short leafless branches arising from main trunk or large branches. Figs are smooth or rarely covered with minute soft hairs. When ripe, they are orange, dull reddish or dark crimson. They have a pleasant smell resembling that of cedar apples. The bark is rusty brown with a fairly smooth and soft surface, the thickness varying from 0.5-2cm according to the age of the trunk or bark. Surface is with minute separating flakes of white tissue. Texture is homogeneously leathery (Warrier et al, 1995).

Stem-bark gives gluanol acetate, -sitosterol, leucocyanidin-3-O- -D-glucopyrancoside, leucopelargonidin-3-O- -D-glucopyranoside, leucopelargonidin -3-O- -L-rhamnopyranoside, lupeol, ceryl behenate, lupeol acetate and -amyrin acetate. Stem- bark is hypoglycaemic and anti-protozoal. Gall is CVS active. Bark is tonic and used in rinder pest diseases of cattle. Root is antidysenteric and antidiabetic. Leaf is antibilious. Latex is antidiarrhoeal and used in piles. Bark and syconium is astringent and used in menorrhagia (Husain et al, 1992).

2. Ficus microcarpa Linn. f. syn. F. retusa auct. Non. Linn.

San: Plaksah; Hin,

Ben: Kamarup;

Mal: Ithi, Ithiyal;

Tam: Kallicci, Icci;

Kan: Itti;

Tel: Plaksa

Plaksah is the Ficus species with few branches and many adventitious roots growing downward. It is widely distributed throughout India and in Sri Lanka, S. China, Ryuku Isles and Britain. Plakasah is one of the five ingredients of the group panchvalkala i.e, five barks, the decoction of which is extensively used to clear ulcers and a douche in leucorrhoea in children. This decoction is administered externally and internally with satisfactory results. Plaksah is acclaimed as cooling, astringent, and curative of raktapitta doshas, ulcers, skin diseases, burning sensation, inflammation and oedema. It is found to have good healing property and is used in preparation of oils and ointments for external application in the treatment of ulcers (Aiyer and Kolammal, 1957). The stem-bark is used to prepare Usirasava, Gandhataila, Nalpamaradi taila, Valiya marmagulika, etc. (Sivarajan et al, 1994). The bark and leaves are used in wounds, ulcers, bruises, flatulent colic, hepatopathy, diarrhoea, dysentery, diabetes, hyperdipsia, burning sensation, haemaorrhages, erysipelas, dropsy, ulcerative stomatitis, haemoptysis, psychopathy, leucorrhoea and coporrhagia (Warrier et al,1995) F. microcarpa is a large glabrous evergreen tree with few aerial roots. Leaves are short- petioled, 5-10cm long, 2-6cm wide and apex shortly and bluntly apiculate or slightly emarginate. Main lateral nerves are not very prominent and stipules are lanceolate. Fruit receptacles are sessile and globose occurring in axillary pairs. It is yellowish when ripe without any characteristic smell. Bark is dark grey or brown with a smooth surface except for the lenticels. Outer bark is corky and crustaceous thin and firmly adherent to inner tissue. Inner bark is light and flesh coloured with firbrous texture (Warrier et al, 1995). It is also equated with many other species of the genus. viz. F. Singh and Chunekar, 1972; Kapoor and Mitra, 1979; Sharma, 1983).

The bark contains tannin, wax and saponin. Bark is antibilious. Powdered leaves and bark is found very good in rheumatic headache. The bark and leaves are astringent, refrigerant, acrid and stomachic.

3. Ficus benghalensis Linn.

Eng: Banyan tree; San: Nyagrodhah, Vatah;

Hin: Bat, Bargad;

Ben: Bar, Bot; Mar: Vada; Mal: Peral, Vatavriksham;

Tam: Alamaram, Peral;

Kan: Ala;

Tel: Peddamarri;

Guj: Vad

Banyan tree is a laticiferous tree with reddish fruits, which is wound round by aerial adventitious roots that look like many legs. It is found in the Sub-Himalayan tract and Peninsular India. It is also grawn throughout India. It is widely used in treatment of skin diseases with pitta and rakta predominance. Stem-bark, root -bark, aerial roots, leaves, vegetative buds and milky exudate are used in medicine. It improves complexion, cures erysepelas, burning sensation and vaginal disorders, while an infusion of the bark cures dysentery, diarrhoea, leucorrhoea, menorrhagia, nervous disorders and reduces blood sugar in diabetes. A decoction of the vegetative buds in milk is beneficial in haemorrhages. A paste of the leaves is applied externally to abcesses and wounds to promote suppuration, while that of young aerial roots cure pimples. Young twigs when used as a tooth brush strengthen gum and teeth (Nadkarni, 1954; Aiyer and Kolammal, 1957; Mooss,1976). The drug forms an important constituent of formulations like Nalpamaradi Coconut oil, Saribadyasava, Kumkumadi taila, Khadi ra gulika, Valiyacandanadi taila, Candanasava, etc. (Sivarajan et al, 1994). The aerial roots are useful in obstinate vomiting and leucorrhoea and are used in osteomalacia of the limbs. The buds are useful in diarrhoea and dysentery. The latex is useful in neuralgia, rheumatism, lumbago, bruises, nasitis, ulorrhagia, ulitis, odontopathy, haemorrhoids, gonorrhoea, inflammations, cracks of the sole and skin diseases (Warrier et al, 1995).

It is a very large tree up to 30m in height with widely spreading branches bearing many aerial roots functioning as prop roots. Bark is greenish white. Leaves are simple, alternate, arranged often in clusters at the ends of branches. They are stipulate, 10-20cm long and 5-12.5cm broad, broadly elliptic to ovate, entire, coriaceous, strongly 3-7 ribbed from the base. The fruit receptacles are axillary, sessile, seen in pairs globose, brick red when ripe and enclosing male, female and gall flowers. Fruits are small, crustaceous, achenes, enclosed in the common fleshy receptacles. The young bark is somewhat smooth with longitudinal and transverse row of lenticels. In older bark, the lenticels are numerous and closely spaced; outer bark easily flakes off. The fresh cut surface is pink or flesh coloured and exudes plenty of latex. The inner most part of the bark adjoining the wood is nearly white and fibrous (Warrier et al, 1995).

The bark yields flavanoid compounds A, B and C; A and C are identified as different forms of a leucoanthocyanidin and compound B a leucoanthocyanin. All the 3 were effective as hypoglycaemic agents. Leaves give friedelin, -sitosterol, flavonoids- quercetin-3-galactoside and rutin. Heart wood give tiglic acid ester of taraxasterol. Bark is hypoglycemic, tonic, astringent, antidiarrhoeal and antidiabetic. Latex is antirheumatic. Seed is tonic. Leaf is diaphoretic. Root fibre is antigonorrhoeic. Aerial root is used in debility and anaemic dysentery (Husain et al, 1992).

.4. Ficus religiosa Linn.

Eng:Peepal tree, Sacred fig; San:Pippalah, Asvatthah; Hin:Pippal, Pipli, Pipar; Mal:Arayal

Ben: Asvatha;

Tam: Arasu, Asvattam;

Kan: Aswatha;

Tel: Ravi; Mar: Ashvata, Pimpala

Peepal tree or Sacred fig is a large deciduous tree with few or no aerial roots. It is common throughout India, often planted in the vicinity of the temples. An aqueous extract of the bark has an antibacterial activity against Staphylococcus aureus and Escherichia coli. It is used in the treatment of gonorrhoea, diarrhoea, dysentery, haemorrhoids and gastrohelcosis. A paste of the powdered bark is a good absorbent for inflammatory swellings. It is also good for burns. Leaves and tender shoots have purgative properties and are also recommended for wounds and skin diseases. Fruits are laxative and digestive. The dried fruit pulverized and taken in water cures asthma. Seeds are refrigerant and laxative. The latex is good for neuralgia, inflammations and haemorrhages (Warrier et al, 1995). Decoction of the bark if taken in honey subdues vatarakta (Nadkarni, 1954; Aiyer and Kolammal, 1957; Mooss, 1976; Kurup et al, 1979). The important preparations using the drug are Nalpamaradi taila, Saribadyasava, Candanasava, Karnasulantaka, Valiyamarma gulika etc (Sivarajan et al, 1994). branches bearing long petioled, ovate, cordate shiny leaves. Leaves are bright green, the apex produced into a linear-lanceolate tail about half as long as the main portion of the blade. The receptacles occurring in pairs and are axillary, depressed globose, smooth and purplish when ripe. The bark is grey or ash coloured with thin or membranous flakes and is often covered with crustose lichen patches. The outer bark is not of uniform thickness, the middle bark in sections appear as brownish or light reddish brown. The inner part consists of layers of light yellowish or orange brown granular tissue (Warrier et al, 1995).

Bark gives -sitosterol and its glucoside. Bark is hypoglycaemic. Stem bark is antiprotozoal, anthelmintic and antiviral. Bark is astringent, antigonorrheic, febrifuge, aphrodisiac and antidysenteric. Syconium, leaf and young shoot is purgative (Husain et al, 1992).

Agrotechnology: Ficus species can be cultivated in rocky areas, unused lands, or other wastelands of the farmyard. The plant is vegetatively propagated by stem cuttings. A few species are also seed propagated. Stem cuttings of pencil thickness taken from the branches are to be kept for rooting. Rooted cuttings are to be transplanted to prepared pits. No regular manuring is required. Irrigation is not a must as a plant is hardy. The plant is not attacked by any serious pests or diseases. Bark can be collected after 15 years. Ficus species generally has an economic life span of more than hundred years. Hence bark can be regularly collected from the tree. Root, bark, leaves, fruits and latex form the economic parts (Prasad et al,1995).... ficus

Annona Squamosa

Linn.

Family: Annonaceae.

Habitat: A native to South America and the West Indies; now cultivated throughout India.

English: Custard Apple, Sugar Apple, Sweet-sop.

Ayurvedic: Gandagaatra, Sitaa phala (also equated with Curcurbita maxima).

Unani: Sharifaa.

Siddha/Tamil: Sitaaphalam, Atta.

Action: Leaves—insecticide (seed powder, mixed with leaf juice is used for removing lice from scalp). Seeds—abortifacient. Root— purgative, used in blood dysentery.

Fruit—invigorating, sedative to heart, antibilious, antiemetic, expectorant. Dried, powdered unripe fruits—used for treating ulcers. Ripe fruit made into paste with betel leaves is applied to tumour to hasten suppuration. Leaves, bark, unripe fruit—strongly astringent; used for diarrhoea and dysentery.

A fraction of total alkaloid from roots exhibits antihypertensive, antispasmodic, antihistaminic and bron- chodilatory properties. Leaves contain a cardiotonic alkaloid, quinoline. Squamone and bullatacinone were selectively cytotoxic to human breast carcinoma.

In Cuban medicine, leaves are taken to reduce uric acid levels.... annona squamosa

Antrum

Antrum means a natural hollow or cavity. The maxillary antrum is now known as the maxillary SINUS. The mastoid antrum is situated in the mastoid process, the mass of bone felt behind the ear. It may become the seat of an ABSCESS in cases of suppuration of the middle ear (see EAR, DISEASES OF). The pyloric antrum is the part of the stomach immediately preceding the PYLORUS.... antrum

Artocarpus Integrifolia

Linn. f.

Synonym: A. heterophyllus Lam.

Family: Moraceae.

Habitat: Cultivated throughout the hotter parts of India.

English: Jackfruit, Jack tree.

Ayurvedic: Panasa, Kantakiphala, Ativrihatphala, Aamaashayaphala.

Siddha/Tamil: Murasabalam.

Folk: Katahal, Phanasa.

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

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

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

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

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

Ethmoid

A bone in the base of the SKULL which separates the cavity of the nose from the membranes of the brain. It is a spongy bone with numerous cavities or sinuses.

Suppuration in the ethmoidal sinuses is sometimes responsible for in?ammation in neighbouring parts such as the eye.... ethmoid

Madura Foot

Tropical infection of the foot by deeply invasive fungi which cause chronic swelling and suppuration with multiple discharging sinuses. Antibiotics are of limited value and advanced disease may require amputation of the affected foot.... madura foot

Melioidosis

An infectious disease caused by a soil bacterium, Burkholderia pseudomallei, seen in many areas of the tropics and is particularly prevalent during the wet season. The illness may present in a number of ways including life threatening acute septicaemia as well as pneumonia and chronic suppuration, which has a lower mortality.... melioidosis

Resolution

A term applied to infective processes, to indicate a natural subsidence of the INFLAMMATION without the formation of PUS. Thus a pneumonic lung is said to ‘resolve’ when the material exuded into it is absorbed into the blood and lymph, so that recovery takes place naturally; an in?amed area is said to resolve when the in?ammation diminishes and no abscess forms; a glandular enlargement is said to resolve when it decreases in size without suppuration. Resolution is also used to describe the extent to which individual details – for example, cell structures – can be identi?ed by the eye when using a light microscope.... resolution

Bauhinia

Bauhinia variegata

Caesalpiniaceae

San: Kancanarah, Kovidarah;

Hin: Kancanar;

Ben: Rakta Kanchan;

Tam: Sigappu-mandarai

Mal: Mandaram, Chuvannamandaram, Malayakatti, Kongu, Kongumandaram;

Tel: Daeva Kanchanamu, Mandara;

Kan: Ullipe, Kanchavala, Kempu Mandara

Importance: In traditional medicine, Bauhinia is extensively used in glandular diseases and as an antidote to poison. The drug is also reported to be useful in dysentery, diarrhoea, piles and worms (Kurup et al, 1979; Sharma et al, 1983). They are useful in vitiated conditions of kapha and pitta, diarrhoea, dysentery, skin diseases, leprosy, intestinal worms, tumours, wounds, ulcers, inflammations, scrofula, protoptosis, haemorrhoids, haemoptysis, cough, menorrhagia and diabetics. Usirasavam and Candanasavam are some of the preparations using the drug. An important Ayurvedic preparation, “Kanchnar Guggal” contains bark of this plant. In Unani system, the flowers are used in “Hab Mussafi Khun”, for skin diseases, the bark is used in “Sufuf Kalan”-an aphrodisiac.

Distribution: The plant is distributed in the Sub-Himalayan tracts from the Indus eastwards and throughout the dry forests of India, ascending to 1300m. It is also cultivated throughout the plains.

Botany: Bauhinia variegata Linn. syn. B.

candida Roxb. belonging to the family Caesalpiniaceae is a moderate sized deciduous tree with vertically cracked grey bark, wood moderately hard, greyish brown with irregular darker patches. Leaves are of 2 leaflets, connate for about two-thirds up. Leaflets are ovate with rounded apex, 10-15cm long, pubescent beneath when young and coriaceous. Flowers are white or pink, the uppermost petal darker and variegated usually appearing before the leaves in short axillary or terminal racemes. Stamens are 5 and stamenodes absent. Fruits are flat dehiscent pods with 10-15 seeds (Warrier et al, 1993).

Other important species of the genus Bauhinia are as follows.

1. B. tomentosa Linn.

It is the yellow or golden flowered one, commonly known as Manja Mandaram. It is found in Africa and Asia. In India it is found wild in dry deciduous forests and often cultivated. The plant is antidysenteric, antidote for snakebite and scorpion sting and also used in liver complaints. The bark is astringent. Root bark is vermifuge. Fruit is diuretic. Seed is tonic, wound healing and aphrodisiac.

2. B. purpurea Linn.

Pink Bauhinia or Camel’s Foot tree is found in South and S. E. Asia. In India, it is found in deciduous forests. Root is carminative and tonic. Bark is astringent and antidiarrhoeal and is used in ulcer and goitre. Flowers are laxative. The experimental studies conducted by Sijoria and Prasad (1979) on animals indicate that B. purpurea is very effective in normalising the thyroid gland.

3. B. racemosa Lam.

The plant is found in Sub-Himalayan tracts, in U.P, West Bengal, Central and South India. The leaf is anticephalalgic and antimalarial. Bark is astringent, antidiarrhoeal. The seeds are antibacterial. Stem-bark is CVS and CNS active, hypothermic and anticancerous.

4. B. malabarica Roxb.

Malabar Mountain Ebony is found in Sub-Himalayan tracts, from Kumaon to West Bengal, ascending to 1350m, Assam, Bihar and South India. The flowers of this plant are antidysenteric.

5. B. retusa Roxb.

The plant is distributed in north-western Himalayas from the Beas eastwards, Himachal Pradesh, U.P., Orissa, M.P. and A.P. The gum of the plant is emmenagogue, diuretic and can be used externally in sores. The seed is hypoglycaemic and hypocholesterolaemic. The aerial part is CVS active and has effect on respiration.

6. B. vahlii W.&A.

Camel’s Foot climber is found in Punjab, Bihar, Assam, Madhy Pradesh, Andra Pradesh and Tamil Nadu. Leaf is demulcent. Seed is tonic and aphrodisiac. Stem is CVS active, antiarrhythmic and spasmolytic.

Agrotechnology: Well drained hilly areas are ideal for the cultivation of Bauhinia. The plant is seed propagated. Seeds are formed in February-March. Seeds are to be collected from the dried pods, soaked in water for 12 hours before sowing in seedbeds. At four-leaved stage they are to be transferred to polybags. Two month old seedlings from polybags are used for field planting. Pits of size 60cm cube are to be taken and filled with 10kg dried cowdung mixed with topsoil and formed into a mound. On these seedlings are to be planted at a distance of 6-7.5m. Irrigation is to be given in the first year. Two weedings and application of organic manure once is required in a year. The plant is not attacked by any serious pests and diseases. The plant flowers on the third year. At the end of tenth year the tree can be cut and wood used for medicinal purposes (Prasad et al, 1997).

Properties and activity: Flowers contain flavanoids-kaempferol-3-galactoside and kaempferol-3- rhamnoglucoside. Stem bark yields hentriacontane, octacosanol and stigmasterol. Stem yields -sitisterol, lupiol and a flavanone glycoside-5, 7-dimethoxy flavanone 4-O- -L- rhamnopyranoside- -D-glucopyranoside. Seeds possess human blood agglutinating activity. Stem bark is hypothermic, CNS active and depressant. Bud, flower, leaf and stembark are antibacterial. Stem possesses juvenoid activity. Bark is alterative, tonic, antileprotic and antirheumatic. Bud is antidysenteric. Root is carminative and antidote for snakebite. Bark, flower and root promote suppuration. Bark and bud are astringent and vermifuge (Husain et al, 1992).... bauhinia

Tarenna Asiatica

(Linn.) Alston.

Synonym: Webra corymbosa Willd.

Family: Rubiaceae.

Habitat: Peninsular region, ascending to an altitude of 1,000 m, and in Assam.

Folk: Kuraa (Maharashtra).

Action: Fruit—smashed and applied to boils to promote suppuration. Leaves— used in skin diseases.

Thewholeplant, including theroots, contained D-mannitol. The leaves contain a flavone, corymbosin.... tarenna asiatica

Gunshot Wounds

To prevent suppuration and pyaemia – Marigold.

Internally: Marigold petal tea freely.

Externally: Marigold (Calendula) ointment, cream or fomentation with petals. During the Coup d’etat in Paris in 1849, a Dr Jahr saved many limbs with Marigold. Echinacea to allay infection. See entry: WOUNDS. ... gunshot wounds

Burns And Scalds

Burns are injuries caused by dry heat, scalds by moist heat, but the two are similar in symptoms and treatment. Severe burns are also caused by contact with electric wires, and by the action of acids and other chemicals. The burn caused by chemicals di?ers from a burn by ?re only in the fact that the outcome is more favourable, because the chemical destroys the bacteria on the affected part(s) so that less suppuration follows.

Severe and extensive burns are most frequently produced by the clothes – for example, of a child – catching ?re. This applies especially to cotton garments, which blaze up quickly. It should be remembered that such a ?ame can immediately be extinguished by making the individual lie on the ?oor so that the ?ames are uppermost, and wrapping him or her in a rug, mat or blanket. As prevention is always better than cure, particular care should always be exercised with electric ?res and kettles or pots of boiling water in houses where there are young children or old people. Children’s clothes, and especially night-clothes, should be made of non-in?ammable material: pyjamas are also much safer than nightdresses.

Severe scalds are usually produced by escape of steam in boiler explosions. Cigarettes are a common cause of ?res and therefore of burns; people who have fallen asleep in bed or in a chair while smoking may set ?re to the bed or chair. Discarded, unextinguished cigarettes are another cause.

Degrees of burns Burns are referred to as either super?cial (or partial-thickness) burns, when there is su?cient skin tissue left to ensure regrowth of skin over the burned site; and deep (or full-thickness) burns, when the skin is totally destroyed and grafting will be necessary.

Symptoms Whilst many domestic burns are minor and insigni?cant, more severe burns and scalds can prove to be very dangerous to life. The main danger is due to SHOCK, which arises as a result of loss of ?uid from the circulating blood at the site of a serious burn. This loss of ?uid leads to a fall in the volume of the circulating blood. As the maintenance of an adequate blood volume is essential to life, the body attempts to compensate for this loss by withdrawing ?uid from the uninjured areas of the body into the circulation. If carried too far, however, this in turn begins to affect the viability of the body cells. As a sequel, essential body cells, such as those of the liver and kidneys, begin to suffer, and the liver and kidneys cease to function properly. This will show itself by the development of JAUNDICE and the appearance of albumin in the urine (see PROTEINURIA). In addition, the circulation begins to fail with a resultant lack of oxygen (see ANOXIA) in the tissues, and the victim becomes cyanosed (see CYANOSIS), restless and collapsed: in some cases, death ensues. In addition, there is a strong risk of infection occurring. This is the case with severe burns in particular, which leave a large raw surface exposed and very vulnerable to any micro-organisms. The combination of shock and infection can all too often be life-threatening unless expert treatment is immediately available.

The immediate outcome of a burn is largely determined by its extent. This is of more signi?cance than the depth of the burn. To assess the extent of a burn in relation to the surface of the body, what is known as the Rule of Nine has been evolved. The head and each arm cover 9 per cent of the body surface, whilst the front of the body, the back of the body, and each leg each cover 18 per cent, with the perineum (or crutch) accounting for the remaining 1 per cent. The greater the extent of the burn, the more seriously ill will the victim become from loss of ?uid from his or her circulation, and therefore the more prompt should be his or her removal to hospital for expert treatment. The depth of the burn, unless this is very great, is mainly of import when the question arises as to how much surgical treatment, including skin grafting, will be required.

Treatment This depends upon the severity of the burn. In the case of quite minor burns or scalds, all that may be necessary if they are seen immediately is to hold the part under cold running water until the pain is relieved. Cooling is one of the most e?ective ways of relieving the pain of a burn. If the burn involves the distal part of a limb – for example, the hand and forearm – one of the most e?ective ways of relieving pain is to immerse the burned part in lukewarm water and add cold water until the pain disappears. As the water warms and pain returns, more cold water is added. After some three to four hours, pain will not reappear on warming, and the burn may be dressed in the usual way. Thereafter a simple dressing (e.g. a piece of sterile gauze covered by cotton-wool, and on top of this a bandage or adhesive dressing) should be applied. The part should be kept at rest and the dressing kept quite dry until healing takes place. Blisters should be pierced with a sterile needle, but the skin should not be cut away. No ointment or oil should be applied, and an antiseptic is not usually necessary.

In slightly more severe burns or scalds, it is probably advisable to use some antiseptic dressing. These are the cases which should be taken to a doctor – whether a general practitioner, a factory doctor, or to a hospital Accident & Emergency department. There is still no general consensus of expert opinion as to the best ‘antiseptic’ to use. Among those recommended are CHLORHEXIDINE, and antibiotics such as BACITRACIN, NEOMYCIN and polymixin. An alternative is to use a Tulle Gras dressing which has been impregnated with a suitable antibiotic.

In the case of severe burns and scalds, the only sound rule is immediate removal to hospital. Unless there is any need for immediate resuscitation, such as arti?cial respiration, or attention to other injuries there may be, such as fractures or haemorrhage, nothing should be done on the spot to the patient except to make sure that s/he is as comfortable as possible and to keep them warm, and to cover the burn with a sterile (or clean) cloth such as a sheet, pillowcases, or towels wrung out in cold water. If pain is severe, morphine should be given – usually intravenously. Once the victim is in hospital, the primary decision is as to the extent of the burn, and whether or not a transfusion is necessary. If the burn is more than 9 per cent of the body surface in extent, a transfusion is called for. The precise treatment of the burn varies, but the essential is to prevent infection if this has not already occurred, or, if it has, to bring it under control as quickly as possible. The treatment of severe burns has made great advances, with quick transport to specialised burns units, modern resuscitative measures, the use of skin grafting and other arti?cial covering techniques and active rehabilitation programmes, o?ering victims a good chance of returning to normal life.

CHEMICAL BURNS Phenol or lysol can be washed o? promptly before they do much damage. Acid or alkali burns should be neutralised by washing them repeatedly with sodium bicarbonate or 1 per cent acetic acid, respectively. Alternatively, the following bu?er solution may be used for either acid or alkali burns: monobasic potassium phosphate (70 grams), dibasic sodium phosphate (70 grams) in 850 millilitres of water. (See also PHOSPHORUS BURNS.)... burns and scalds

Ficus Benghalensis

Linn.

Family: Moraceae.

Habitat: Sub-Himalayan tract and Peninsular India. Planted along roadsides, and in gardens.

English: Banyan tree.

Ayurvedic: Vata, Nyagrodha, Bahupaada, Dhruv.

Unani: Bargad, Darakht-e-Reesh.

Siddha/Tamil: Aalamaram.

Action: Infusion of bark—used in diabetes, dysentery, and in seminal weakness, leucorrhoea, menorrhagia, nervous disorders, erysipelas, burning sensation. Milky juice and seeds—applied topically to sores, ulcers, cracked soles of the feet, rheumatic inflammations. Buds—a decoction in milk is given in haemorrhages. Aerial roots— antiemetic, topically applied to pimples. Leaves—a paste is applied externally to abscesses and wounds for promoting suppuration.

Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India recommends the aerial root in lipid disorders.

Phytosterolin, isolated from the roots, given orally to fasting rabbits at a dose of 25 mg/kg, produced maximum fall in blood sugar level equivalent to 81% of the tolbutamide standard after 4 h. The root bark showed antidiabetic activity in pituitary diabetes and alloxan-induced diabetes.

The alcoholic extract of the stem bark also exhibited antidiabetic activity on alloxan-induced diabetes in albino rats, and brought down the level of serum cholesterol and blood urea. This activity is attributed to a glucoside, bengalenoside and the flavonoid glycosides, leucocyanidin and leucopelargonidin. Bengalenoside is half as potent as tolbutamide. The leucopelargonidin glycoside is practically nontoxic and may be useful in controlling diabetes with hyperlipi- demia. The leucocyanidin, when combined with a low dose of insulin, not only equalled in response the effects brought about by a double dose of insulin, but also excelled in amelioration of serum cholesterol and triglycerides.

(Additional references: Indian J Physiol Pharmacol, 1975, 19(4), 218220; J Ethnopharmacol, 1989, 26(1), 155; Indian J Physiol Pharmacol, 1994, 38(3), 220-222.)... ficus benghalensis

Luffa Cylindrica

(Linn.) M. J. Roem.

Synonym: L. aegyptiaca Mill. L. pentandra Roxb.

Family: Cucurbitaceae.

Habitat: Cultivated throughout greater parts of India.

English: Smooth Luffa, Sponge- gourd, sponge Cucumber.

Ayurvedic: Dhaamaargava, Ma- haakoshtaki, Mahaajaalini, Raa- jakoshataki.

Siddha/Tamil: Mozhukupeerankai, Pikku.

Action: Plant—used against pharyngitis, rhinitis, mastitis, oedema, swellings and burns. Leaves— used for chronic bronchitis. Leaf juice is given for amenorrhoea. Flowers—used for treating migraine. Seeds—alcoholic extract exhibited 9.80% fungitoxic activity.

German Commission E included Luffa aegyptiaca among unapproved herbs. Preparations of Luffa sponge, used as a preventive for infections or cold, as a remedy for colds, nasal catarrh as well as sinusitis and suppuration of the sinus, have been negatively evaluated.

The saponins isolated from aerial parts are effective in controlling obesity, also the side-effects of steroids.

The oleanane saponins, lucyoside AH (at least one component) is effective in preventing loss of hair.

Spongegourd extracts or saponins (ginsenosides and lucyosides) find application in topical medication for skin disorders and haemorrhoids. Lucyo- sides are also used as antitussive.

The roots of the mature plants contain an acidic pentacyclic triterpene, bryonolic acid. Bryonolic acid showed antiallergic and anti-inflammatory activity in experimental animals. An aqueous extract of seeds showed strong fibrinolytic activity. It also showed anticancer activity in transplanted tumours.

Dosage: Leaf, flower, fruit—10- 20 ml juice. (CCRAS.)... luffa cylindrica

Bubonic Plague

Though the Black Death is supposed to have passed into medical history, occasional cases are recorded which give rise to the question: “Could it really come again?”

In an atomic age the collapse of medical services provided by governments is not far removed from the bounds of possibility. Wars come and go, medical fashions change, what is regarded as scientific today, may be neglected to tomorrow’s superstition. It is possible this book may be consulted long after 20th century medicine has had its day.

The preventative remedy of history is Garlic. It was given to workers on the Great Pyramid of Cheops as a known antiseptic and prophylactic against infection. A riot ensued when supplies ran out. During the Great Plague under Charles II a colony of people escaped death, living to reveal their secret – all were in the habit of eating Garlic. It was later confirmed that the plague was not found in houses in which Garlic had been consumed.

The disease is spread by fleas from the black rat by the organism: bacillus pestis. Incubation period is two to five days, followed by severe headache, shivering, dizziness, fever and rapid pulse. Before delirium, the patient may have the ‘staggers’ and confused speech.

Glands of the body enlarge and may suppurate. Suppuration is a welcome sign indicating speedy elimination of pus. Haemorrhagic spots break out on the skin.

The most dangerous type is that which affects the lungs, known as ‘pneumonic’ and which is highly infectious; characterised by cyanosis (blueness of the face).

Occasionally there are human cases of Bubonic Plague in California and the West but today they seldom prove fatal. Public health officials point out that the incidence of the disease in China and Vietnam is lower than for centuries because of vaccine therapy. Wild animals still spread sporadic cases of the Plague.

Treatment: Health Authorities to be notified immediately and patient isolated. All bedding and personal effects to be destroyed or disinfected. Specialised nursing necessary. If hospital care is not available, the patient should receive treatment for collapse (Capsicum, Ginger or other circulatory stimulants).

In the absence of streptomycin and tetracycline, to which the organism yersinia is sensitive, powerful alternatives may assist: Echinacea, Wild Indigo, Poke root, Queen’s Delight, Sarsaparilla, Yellow Parilla, Goldenseal, Prickly Ash.

Topical. Poultice of Slippery Elm, Marshmallow, or both combined to promote suppuration. History records pulped fresh Plantain leaves.

To be treated by general medical practitioner or Infectious Diseases consultant. ... bubonic plague

Impetigo

Skin disease with pus-filled itching lesions from bacterial infection. Primarily in children, particularly the under-nourished. Causative organisms: staphylococcus or beta haemolytic streptococcus. Vesicles burst and crust over. Gold-crusted lesions appear mainly on the face, hands and knees. Sometimes severe kidney infection may follow streptococcus invasion. Most common source of infection is the nose for which Garlic or Goldenseal are appropriate. May progress to boils or cellulitis. Alternatives. Blue Flag root (commended), Buchu, Chaparral, Clivers, Echinacea (profuse suppuration), Garlic, Goldenseal, Holy Thistle, Juniper, Marigold (Calendula), Myrrh, Poke root, Red Clover, Thyme (Wild), Wild Indigo, Wormwood, Yellow Dock (weeping).

Teas. Burdock leaves, Chaparral leaves, Clivers, Dandelion leaves, Figwort, Red Clover. Tablets/capsules. Blue Flag root, Dandelion root, Echinacea root, Devil’s Claw, Poke root, Seaweed and Sarsaparilla, Garlic.

Formula. Echinacea 2; Garlic 2; Goldenseal 1. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons.

Topical. Remove crusts with liquid paraffin or strong infusion of Soapwort.

Cream: Comfrey, Marshmallow and Slippery Elm, Aloe Vera or Evening Primrose.

Tea Tree oil: 3 drops to each teaspoonful water; wipe over area with aid of cotton wool.

Tea Tree oil and Castor oil: equal parts; use as a ‘wipe-over’.

Diet. See: DIET, SKIN DISORDERS.

Supplements. Vitamin A (7,500iu); Vitamin C (500mg); Vitamin E (400iu). Zinc (15mg). Daily.

On retiring at night: 2-3 tablets/capsules, Garlic. ... impetigo

Marigold

Pot marigold. Calendula officinalis L. German: Ringelblume. French: Souci des Jardins. Spanish: Calendula. Italian: Calendola. Dried florets. One of the most versatile and important herbal medicines. This is the same Calendula as used by the homoeopaths but the method of preparation and therapy is different. Contains high levels of nitrogen, phosphoric acid and Vitamin A.

Keynote: injuries. Not the same plant as French Marigold (Tagetes patula).

Constituents: volatile oil, flavonoids, triterpenes.

Action: immune stimulant, anti-protazoal, anti-inflammatory, anti-fungal, anti-spasmodic, anti- haemorrhage, anti-histamine, anti-bacterial effect particularly against staphylococcus and streptococcus, anti-emetic, anti-cancer, antiseptic, styptic, haemostatic, diaphoretic, anthelmintic, oestrogenic activity (extract from fresh flowers), menstrual regulator.

Uses: Internal. A remedy which should follow all surgical operations. Enlarged and inflamed lymphatic glands, gastric and duodenal ulcer, jaundice, gall bladder inflammation, absent or painful menstruation, balanitis, rectum – inflammation of, gum disease, nose-bleeds, sebaceous cysts, measles (cup of tea drunk freely), pneumonia – a cooling drink which is anti-inflammatory. Vaginal thrush.

Uses: External. Rapid epithelisation process in damaged skin tissue, especially alcoholic extract; rapid wound adhesion and granulation without suppuration. (Weleda)

Wounds where the skin has been broken: laceration with bleeding (Arnica for unbroken skin). Sores, leg ulcers, abscess etc. Sore nipples in nursing mothers, varicose veins, nosebleeds, grazed knees in schoolchildren. Bee, wasp and other insect stings. Chilblains, fistula, inflamed nails, whitlow, dry chapped skin and lips, wind burn, air pollution.

Dentistry: Tooth extractions: rinse mouth with infusion of the florets or much-diluted tincture – 5-10 drops in water.

Malignancy: strong tea, 1-2oz to 1 pint boiling water; use as a wash to cleanse exudations.

STD purulent discharge: inject douche of strong infusion as above.

Wm M. Gregory MD, Berea, Ohio, USA. “I have never seen one drop of pus develop in any wound, however dirty.”

Preparations: For internal or external use. Average dose, 1-4 grams, or equivalent. Thrice daily.

Tea: dried petals/florets. 1-2 teaspoons to each cup boiling water; infuse 15 minutes. Drink freely.

Home tincture. 1 handful petals/florets (approximately 50g) to 1 pint (500ml) 70 per cent alcohol (Vodka); stand 14 days in a warm place, shake daily. Filter. Dose: 5-20 drops in water.

Poultice. Handful petals/florets to 1 pint boiling water; infuse 15 minutes. Apply on suitable material to injuries where skin is broken; replenish when dry.

Herbalist’s Friend. 1 part Tincture Calendula to 4 parts Witch Hazel, for phlebitis and painful varicose veins.

Weleda. Calendula lotion locally, or as a mouth wash and gargle. ... marigold

Pancreatitis

Acute or chronic disease of the pancreas, usually by spread of infection from the gall bladder, or due to temporary blockage of the gall duct by stone. Alcoholism is common. Haemorrhage and extravasation of pancreatic juice results in profound general shock, gangrene and suppuration.

Symptoms. Upper abdominal pain, fever, nausea, backache, low blood pressure, high white cell count. Tre atme nt: anti-inflammatories, herbal antibiotics for bacterial infection. Allspice, Bearberry, Elecampane, Goldenseal, Liquorice root, Mullein, Nettles, Wahoo. Others as follows:–

Teas: Haronga Tree, Chamomile, Mullein, Uva Ursi, Burdock leaves, Marigold petals, Liquorice. Cup every 3 hours.

Decoctions: Sarsaparilla (hot). Barberry (cold). See: DECOCTION.

Tablets/capsules. Blue Flag root, Chamomile, Sarsaparilla, Kelp.

Formula. Echinacea 2; Blue Flag root 1; Liquorice root 1. Dose – Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon); every 3 hours for acute cases, otherwise thrice daily.

Goldenseal, tincture: 10 drops once daily maintenance prophylactic dose.

External. Poultice over upper abdomen: Mullein, Chamomile or Castor oil.

Diet. Abundant citrus fruits.

Supplements. Vitamin C, methionine and selenium to mop up free radicals. Without the supplements toxins strike the pancreas, leading to severe pain. In this way they can be used as an alternative to pain-killers. (Researchers, Manchester Royal Infirmary)

Vitamin C. Lack of Vitamin C may trigger acute pancreatitis in susceptible patients. (Mr Patrick Scott, Manchester Royal Infirmary) ... pancreatitis




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