Ab Health Dictionary

An agent that induces abortion... abortifacient

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

Abrasion means the rubbing-o? of the surface of the skin or of a mucous membrane due to some mechanical injury. Such injuries, though slight in themselves, are apt to allow the entrance of dirt-containing organisms, and so to lead to an ABSCESS or some more severe form of in?ammation.

Treatment The most e?ective form of treatment consists in the thorough and immediate cleansing of the wound with soap and water. An antiseptic such as 1 per cent cetrimide can then be applied, and a sterile dry dressing.... abrasion

The lower part of the trunk. Above, and separated from it by the diaphragm, lies the thorax or chest, and below lies the PELVIS, generally described as a separate cavity though continuous with that of the abdomen. Behind are the SPINAL COLUMN and lower ribs, which come within a few inches of the iliac bones. At the sides the contained organs are protected by the iliac bones and down-sloping ribs, but in front the whole extent is protected only by soft tissues. The latter consist of the skin, a varying amount of fat, three layers of broad, ?at muscle, another layer of fat, and ?nally the smooth, thin PERITONEUM which lines the whole cavity. These soft tissues allow the necessary distension when food is taken into the STOMACH, and the various important movements of the organs associated with digestion. The shape of the abdomen varies; in children it may protrude considerably, though if this is too marked it may indicate disease. In healthy young adults it should be either slightly prominent or slightly indrawn, and should show the outline of the muscular layer, especially of the pair of muscles running vertically (recti), which are divided into four or ?ve sections by transverse lines. In older people fat is usually deposited on and inside the abdomen. In pregnancy the abdomen enlarges from the 12th week after conception as the FETUS in the UTERUS grows (see PREGNANCY AND LABOUR; ANTENATAL CARE).

Contents The principal contents of the abdominal cavity are the digestive organs, i.e. the stomach and INTESTINE, and the associated glands, the LIVER and PANCREAS. The position

of the stomach is above and to the left when the individual is lying down, but may be much lower when standing. The liver lies above and to the right, largely under cover of the ribs, and occupying the hollow of the diaphragm. The two KIDNEYS lie against the back wall on either side, protected by the last two ribs. From the kidneys run the URETERS, or urinary ducts, down along the back wall to the URINARY BLADDER in the pelvis. The pancreas lies across the spine between the kidneys, and on the upper end of each kidney is a suprarenal gland

(see ADRENAL GLANDS). The SPLEEN is positioned high up on the left and partly behind the stomach. The great blood vessels and nerves lie on the back wall, and the remainder of the space is taken up by the intestines or bowels (see INTESTINE). The large intestine lies in the ?anks on either side in front of the kidneys, crossing below the stomach from right to left, while the small intestine hangs from the back wall in coils which ?ll up the spaces between the other organs. Hanging down from the stomach in front of the bowels is the OMENTUM, or apron, containing much fat and helping to protect the bowels. In pregnancy the UTERUS, or womb, rises up from the pelvis into the abdomen as it increases in size, lifting the coils of the small intestine above it.

The PELVIS is the part of the abdomen within the bony pelvis (see BONE), and contains the rectum or end part of the intestine, the bladder, and in the male the PROSTATE GLAND; in the female the uterus, OVARIES, and FALLOPIAN TUBES.... abdomen

Ablation means the removal of any part of the body by a surgical operation.... ablation

An emotional release caused by the recall of past unpleasant experiences. This is normally the result of psychoanalytical treatment in which psychotherapy, certain drugs, or hypnosis (see HYPNOTISM) are used to e?ect the abreaction. The technique is used in the treatment of anxiety, hysteria, or other neurotic states.... abreaction

Uptake by the body tissues of ?uids or other substances. For example, food is absorbed from the digestive tract into the blood and lymph systems. Food is absorbed mainly in the small INTESTINE (jejunum and ileum), which is lined by multiple villi that increase its surface area. (See also DIGESTION; ASSIMILATION.)... absorption

Abortion is de?ned as the expulsion of a FETUS before it is normally viable, usually before 24 weeks of pregnancy. (There are exceptional cases nowadays in which fetuses as young as 22 weeks’ gestation have survived.) (See also PREGNANCY AND LABOUR.)

Spontaneous abortion Often called miscarriage, this may occur at any time before 28 weeks; 85 per cent occur in the ?rst 12 weeks of pregnancy. Of all diagnosed pregnancies, 25 per cent end in spontaneous abortion.

Spontaneous abortions occurring in early pregnancy are almost always associated with chromosomal abnormalities of the fetus. Other causes are uterine shape, maternal disorders such as DIABETES MELLITUS, diseases of the thyroid gland (see under ENDOCRINE GLANDS), and problems with the immune system (see IMMUNITY). Recurrent spontaneous abortion (that is, three or more) seems to be a particular problem in women who have an abnormal response of their immune system to pregnancy. Other factors include being older, having had a lot of babies previously, cigarette smoking and spontaneous (but not therapeutic) abortions in the past.

Early ULTRASOUND scans have altered the management of spontaneous abortions. These make it possible to distinguish between threatened abortion, where a woman has had some vaginal bleeding but the fetus is alive; inevitable abortion, where the neck of the uterus has started to open up; incomplete abortion, where part of the fetus or placenta is lost but some remains inside the uterus; and complete abortion. There is no evidence that bed rest is e?ective in stopping a threatened abortion becoming inevitable.

Inevitable or incomplete abortion will usually require a gynaecologist to empty (evacuate) the uterus. (Complete miscarriage requires no treatment.) Evacuation of the uterus is carried out using local or general anaesthetic, usually gentle dilatation of the neck of the uterus (cervix), and curetting-out the remaining products of the pregnancy.

A few late abortions are associated with the cervix opening too early, abnormal structural abnormalities of the uterus, and possibly infection in the mother.

Drugs are often used to suppress uterine contractions, but evidence-based studies show that these do not generally improve fetal salvage. In proven cases of cervical incompetence, the cervix can be closed with a suture which is removed at 37 weeks’ gestation. The evidence for the value of this procedure is uncertain.

Therapeutic abortion In the UK, before an abortion procedure is legally permitted, two doctors must agree and sign a form de?ned under the 1967 Abortion Act that the continuation of the pregnancy would involve risk – greater than if the pregnancy were terminated – of injury to the physical and/or mental health of the mother or any existing child(ren).

Legislation in 1990 modi?ed the Act, which had previously stated that, at the time of the abortion, the pregnancy should not have exceeded the 24th week. Now, an abortion may legally be performed if continuing the pregnancy would risk the woman’s life, or the mental health of the woman or her existing child(ren) is at risk, or if there is a substantial risk of serious handicap to the baby. In 95 per cent of therapeutic terminations in the UK the reason is ‘risk of injury to the physical or mental health of the woman’.

There is no time limit on therapeutic abortion where the termination is done to save the mother’s life, there is substantial risk of serious fetal handicap, or of grave permanent injury to the health of the mother.

About 190,000 terminations are carried out in the UK each year and only 1–1.5 per cent are over 20 weeks’ gestation, with the vast majority of these late abortions being for severe, late-diagnosed, fetal abnormality.

The maternal mortality from therapeutic abortion is less than 1 per 100,000 women and, provided that the procedure is performed skilfully by experienced doctors before 12 weeks of pregnancy, it is very safe. There is no evidence that therapeutic abortion is associated with any reduction in future fertility, increased rates of spontaneous abortion or preterm birth in subsequent pregnancies.

Methods of abortion All abortions must be carried out in premises licensed for doing so or in NHS hospitals. The method used is either surgical or medical, with the latter being used more and the former less as time goes on. Proper consent must be obtained, signed for and witnessed. Women under 16 years of age can consent to termination provided that the doctors obtaining the consent are sure she clearly understands the procedure and its implications. Parental consent in the under-16s is not legally required, but counselling doctors have a duty to record that they have advised young people to inform their parents. However, many youngsters do not do so. The woman’s partner has no legal say in the decision to terminate her pregnancy.

MEDICAL METHODS A combination of two drugs, mifepristone and a prostaglandin (or a prostaglandin-like drug, misoprostol – see PROSTAGLANDINS), may be used to terminate a pregnancy up to 63 days’ gestation. A similar regime can be used between nine and 12 weeks but at this gestation there is a 5 per cent risk of post-treatment HAEMORRHAGE.

An ultrasound scan is ?rst done to con?rm pregnancy and gestation. The sac containing the developing placenta and fetus must be in the uterus; the woman must be under 35 years of age if she is a moderate smoker, but can be over 35 if she is a non-smoker. Reasons for not using this method include women with diseases of the ADRENAL GLANDS, on long-term CORTICOSTEROIDS, and those who have a haemorrhagic disorder or who are on ANTICOAGULANTS. The drugs cannot be used in women with severe liver or kidney disease, and caution is required in those with CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), disease of the cardiovascular system, or prosthetic heart valves (see PROSTHESIS), as well as with those who have had a CAESAREAN SECTION or an ECTOPIC PREGNANCY in the past or who are being treated for HYPERTENSION.

Some clinics use this drug combination for pregnancies older than 12 weeks. In pregnancies approaching viability (20 weeks), pretreatment fetocide (killing of the fetus) with intrauterine drug therapy may be required.

SURGICAL METHODS Vacuum curettage is a method used up to 14–15 weeks. Some very experienced gynaecologists will perform abortions surgically by dilating the cervix and evacuating the uterine contents up to 22 weeks’ gestation. The greater the size of the pregnancy, the higher the risk of haemorrhage and perforation of the uterus. In the UK, illegal abortion is rare but in other countries this is not the case. Where illegal abortions are done, the risks of infection and perforation are high and death a de?nite risk. Legal abortions are generally safe. In the USA, partial-birth abortions are spoken of but, in fact, there is no such procedure recorded in the UK medical journals.... abortion

This traditional term covers the neglect, physical injury, emotional trauma and sexual abuse of a child. Professional sta? responsible for the care and well-being of children now refer to physical injury as ‘non-accidental injury’. Child abuse may be caused by parents, relatives or carers. In England around 35,000 children are on local-authority social-service department child-protection registers – that is, are regarded as having been abused or at risk of abuse. Physical abuse or non-accidental injury is the most easily recognised form; victims of sexual abuse may not reveal their experiences until adulthood, and often not at all. Where child abuse is suspected, health, social-care and educational professionals have a duty to report the case to the local authority under the terms of the Children Act. The authority has a duty to investigate and this may mean admitting a child to hospital or to local-authority care. Abuse may be the result of impulsive action by adults or it may be premeditated: for example, the continued sexual exploitation of a child over several years. Premeditated physical assault is rare but is liable to cause serious injury to a child and requires urgent action when identi?ed. Adults will go to some lengths to cover up persistent abuse. The child’s interests are paramount but the parents may well be under severe stress and also require sympathetic handling.

In recent years persistent child abuse in some children’s homes has come to light, with widespread publicity following o?enders’ appearances in court. Local communities have also protested about convicted paedophiles, released from prison, coming to live in their communities.

In England and Wales, local-government social-services departments are central in the prevention, investigation and management of cases of child abuse. They have four important protection duties laid down in the Children Act 1989. They are charged (1) to prevent children from suffering ill treatment and neglect; (2) to safeguard and promote the welfare of children in need; (3) when requested by a court, to investigate a child’s circumstances; (4) to investigate information – in concert with the NSPCC (National Society for the Prevention of Cruelty to Children) – that a child is suffering or is likely to suffer signi?cant harm, and to decide whether action is necessary to safeguard and promote the child’s welfare. Similar provisions exist in the other parts of the United Kingdom.

When anyone suspects that child abuse is occurring, contact should be made with the relevant social-services department or, in Scotland, with the children’s reporter. (See NONACCIDENTAL INJURY (NAI); PAEDOPHILIA.)... child abuse

The term applied to a collection of pus or an ABSCESS which occurs complicating an attack of TONSILLITIS. The collection of pus forms between the tonsil and the superior constrictor muscle of the pharynx. This condition is also known as quinsy; treatment drainage of the abscess and the administration of appropriate antibiotics.... peritonsillar abscess

See CHILD ABUSE.... sexual abuse

An ABSCESS that develops under the DIAPHRAGM, usually on the right side of the abdomen between the liver and the diaphragm. The cause may be an organ that has perforated – for instance, a peptic ulcer in the stomach or intestine. An abscess may also occur after an abdominal operation, usually when the bowel or stomach has been operated on. Antibiotics and sometimes surgery are the method of treatment.... subphrenic abscess

See ABDOMEN, DISEASES OF.... abdomen, acute

This is the sixth nerve rising from the brain and controls the external rectus muscle of the EYE, which turns the eye outwards. It is particularly liable to be paralysed in diseases of the nervous system, thus leading to an inward squint.... abducent nerve

To abduct means to move a part of the body – for example, a limb – away from the mid line. (Opposite: ADDUCT.)... abduct

A brief summary or digest of a study and its results. It should include the problem investigated, the subjects and instruments involved, the design and procedures and the major conclusions.... abstract

An ABSCESS arising in the space between the RECTUM and ischial bone (see ISCHIUM) and often resulting in a FISTULA. It may occur spontaneously or be secondary to an anal ?ssure, thrombosed HAEMORRHOIDS or other anal disease. The disorder is painful and usually accompanied by fever. Treatment is by a combination of antibiotics and surgery.... ischiorectal abscess

(Acute). Sudden unexplained colicky pain with distension in a healthy person justifies immediate attention by a doctor or suitably trained practitioner. Persistent tenderness, loss of appetite, weight and bowel action should be investigated. Laxatives: not taken for undiagnosed pain. Establish accurate diagnosis.

Treatment. See entries for specific disorders. Teas, powders, tinctures, liquid extracts, or essential oils – see entry of appropriate remedy.

The following are brief indications for action in the absence of a qualified practitioner. Flatulence (gas in the intestine or colon), (Peppermint). Upper right pain due to duodenal ulcer, (Goldenseal). Inflamed pancreas (Dandelion). Gall bladder, (Black root). Liver disorders (Fringe Tree bark). Lower left – diverticulitis, colitis, (Fenugreek seeds). Female organs, (Agnus Castus). Kidney disorders, (Buchu). Bladder, (Parsley Piert). Hiatus hernia (Papaya, Goldenseal). Peptic ulcer, (Irish Moss). Bilious attack (Wild Yam). Gastro-enteritis, (Meadowsweet). Constipation (Senna). Acute appendicitis, pain central, before settling in low right abdomen (Lobelia). Vomiting of blood, (American Cranesbill). Enlargement of abdominal glands is often associated with tonsillitis or glandular disease elsewhere which responds well to Poke root. As a blanket treatment for abdominal pains in general, old-time physicians used Turkey Rhubarb (with, or without Cardamom seed) to prevent griping.

Diet: No food until inflammation disperses. Slippery Elm drinks. ... abdominal pain

See: ABSCESS. ... breast, abscess

In medical terms, a temporary loss or impairment of consciousness that occurs in some forms of epilepsy, typically generalized absence (petit mal) seizures in childhood.... absence

May follow inflammation of the liver from a number of causes, the most common being a manifestation of amoebic dysentery. Through blood infection it may appear on the surface of the liver or other organs.

Symptoms: pain under the right lower rib which may be referred to the right shoulder or under shoulder blades.

Treatment. Official treatment is aspiration or opening-up the abscess followed by drainage. Whether or not this is necessary, alternative anti-bacterials such as Myrrh, Goldenseal, Echinacea and Blue Flag may be used with good effect.

Alternatives. Teas: Milk Thistle. Grape leaves. 1 heaped teaspoon to each cup of water, thrice daily. Decoctions: Echinacea, Blue Flag, Goldenseal, Parsley root. One heaped teaspoon to each cup water gently simmered 20 minutes. Half a cup thrice daily.

Tablets/capsules: Blue Flag, Echinacea. Goldenseal. Wild Yam. Devil’s Claw.

Tinctures. Formula. Fringe Tree 3; Meadowsweet 2; Goldenseal 1. One to two 5ml teaspoons, thrice daily.

Practitioner. Ipecacuanha contains emetine which is specific for liver abscess; at the same time it is effective as an anti-amoebic-dysentery agent. Where dysentery is treated with Ipecacuanha liver abscess is rare. Tincture Ipecacuanha BP (1973). Dose: 0.25-1ml.

Diet. Fat-free. Dandelion coffee. Vitamins B6, C and K. Lecithin.

Treatment by or in liaison with a general medical practitioner. ... liver – abscess

A treatment for persistent menorrhagia (heavy menstrual blood loss) that involves endoscopic examination of the uterus (see endoscopy) and removal of the uterus lining, the endometrium, by diathermy or laser.... endometrial ablation

Separation of all or part of the placenta from the wall of the uterus before the baby is delivered. The exact cause is not known, but placental abruption is more common in women with long-term hypertension and in those who have had the condition in a previous pregnancy or who have had several pregnancies. Smoking and high alcohol intake may also contribute to the risk of placental abruption.

Symptoms usually occur suddenly and depend on how much of the placenta has separated from the wall of the uterus. They include slight to heavy vaginal bleeding, which can be severe haemorrhaging in complete separation; cramps in the abdomen or backache; severe, constant abdominal pain; and reduced fetal movements. If the bleeding does not stop, or if it starts again, it may be necessary to induce labour (see

A small placental abruption is usu-tal. In more severe

ergency caesarean section is often necessary to save the the life of the fetus. A blood transfusion required.

placenta praevia Implantation of the placenta in the lower part of the uterus, near or over the cervix. Placenta praevia occurs in about 1 in 200 pregnancies. It varies in severity from marginal placenta praevia, when the placenta reaches the edge of the cervical opening, to complete placental praevia, when the entire opening of the cervix is covered. Mild placenta praevia may have no adverse effect. More severe cases often cause painless vaginal bleeding in late pregnancy. If the bleeding is slight and the pregnancy still has several weeks to run, bed rest in hospital may be all that is necessary. The baby will probably be delivered by caesarean section at the 38th week. If the bleeding is heavy or if the pregnancy is near term, an immediate delivery is carried out. placenta, tumours of See choriocarcinoma; hydatidiform mole.... placental abruption

Calligonum comosum

Description: The abal is one of the few shrubby plants that exists in the shady deserts. This plant grows to about 1.2 meters, and its branches look like wisps from a broom. The stiff, green branches produce an abundance of flowers in the early spring months (March, April).

Habitat and Distribution: This plant is found in desert scrub and waste in any climatic zone. It inhabits much of the North African desert. It may also be found on the desert sands of the Middle East and as far eastward as the Rajputana desert of western India.

Edible Parts: This plant’s general appearance would not indica te its usefulness to the survivor, but while this plant is flowering in the spring, its fresh flowers can be eaten. This plant is common in the areas where it is found. An analysis of the food value of this plant has shown it to be high in sugar and nitrogenous components.... abal

(Hebrew) Feminine form of Abraham; mother of a multitude; mother of nations

Abarrayne, Abarraine, Abarane, Abarayne, Abaraine, Abame, Abrahana... abarrane

(Greek) Woman of the city of Abdera

Abderah, Abderra, Abderrah, Abderia, Abderiah... abdera

(African) Woman who is delicate and flowerlike

Abedah, Abeeda, Abeida, Abyda, Abeedah, Abeidah, Abydah, Abieda, Abiedah, Abeada, Abeadah... abeba

(African) Child who is asked for Abebi, Abebie, Abeby, Abebey, Abebye, Abebee, Abebeah, Abebea... abebe

(Native American) Sight of day; dawn’s child... abedabun

(French) A breath or sigh; source of life

Abelah, Abella, Abelia, Abelya, Abellah, Abeliah, Abelyah... abela

(Greek) Woman who is manly Abellona, Abellonia, Abellonea, Abelone, Abelona... abellone

(African) Born on a Tuesday Abenah, Abeena, Abyna, Abina, Abeenah, Abynah, Abinah... abena

(African) A girl child who was prayed for

Abenie, Abeny, Abeney, Abenye, Abenea, Abeneah, Abenee... abeni

(Native American) Woman who stays at home... abeque

(Scottish) A woman from a city in northeast Scotland Aberdeene, Aberdeena, Aberdeenah, Aberdeenia, Aberdeane, Aberdean, Aberdeana, Aberdyne, Aberdyn, Aberdyna... aberdeen

(Welsh) From the mouth of the river Aberfah, Aberpha, Aberphah... aberfa

See under STOMACH, DISEASES OF; INTESTINE, DISEASES OF; DIARRHOEA; LIVER, DISEASES OF; PANCREAS, DISEASES OF; GALL-BLADDER, DISEASES OF; KIDNEYS, DISEASES OF; URINARY BLADDER, DISEASES OF; HERNIA; PERITONITIS; APPENDICITIS; TUMOUR.

Various processes that can occur include in?ammation, ulceration, infection or tumour. Abdominal disease may be of rapid onset, described as acute, or more long-term when it is termed chronic.

An ‘acute abdomen’ is most commonly caused by peritonitis – in?ammation of the membrane that lines the abdomen. If any structure in the abdomen gets in?amed, peritonitis may result. Causes include injury, in?ammation of the Fallopian tubes (SALPINGITIS), and intestinal disorders such as APPENDICITIS, CROHN’S DISEASE, DIVERTICULITIS or a perforated PEPTIC ULCER. Disorders of the GALLBLADDER or URINARY TRACT may also result in acute abdominal pain.

General symptoms of abdominal disease include:

Pain This is usually ill-de?ned but can be very unpleasant, and is termed visceral pain. Pain is initially felt near the mid line of the abdomen. Generally, abdominal pain felt high up in the mid line originates from the stomach and duodenum. Pain that is felt around the umbilicus arises from the small intestine, appendix and ?rst part of the large bowel, and low mid-line pain comes from the rest of the large bowel. If the diseased organ secondarily in?ames or infects the lining of the abdominal wall – the PERITONEUM – peritonitis occurs and the pain becomes more de?ned and quite severe, with local tenderness over the site of the diseased organ itself. Hence the pain of appendicitis begins as a vague mid-line pain, and only later moves over to the right iliac fossa, when the in?amed appendix has caused localised peritonitis. PERFORATION of one of the hollow organs in the abdomen – for example, a ruptured appendix or a gastric or duodenal ulcer (see STOMACH, DISEASES OF) eroding the wall of the gut – usually causes peritonitis with resulting severe pain.

The character of the pain is also important. It may be constant, as occurs in in?ammatory diseases and infections, or colicky (intermittent) as in intestinal obstruction.

Swelling The commonest cause of abdominal swelling in women is pregnancy. In disease, swelling may be due to the accumulation of trapped intestinal contents within the bowel, the presence of free ?uid (ascites) within the abdomen, or enlargement of one or more of the abdominal organs due to benign causes or tumour.

Constipation is the infrequent or incomplete passage of FAECES; sometimes only ?atus can be passed and, rarely, no bowel movements occur (see main entry for CONSTIPATION). It is often associated with abdominal swelling. In intestinal obstruction, the onset of symptoms is usually rapid with complete constipation and severe, colicky pain. In chronic constipation, the symptoms occur more gradually.

Nausea and vomiting may be due to irritation of the stomach, or to intestinal obstruction when it may be particularly foul and persistent. There are also important non-abdominal causes, such as in response to severe pain or motion sickness.

Diarrhoea is most commonly due to simple and self-limiting infection, such as food poisoning, but may also indicate serious disease, especially if it is persistent or contains blood (see main entry for DIARRHOEA).

Jaundice is a yellow discoloration of the skin and eyes, and may be due to disease in the liver or bile ducts (see main entry for JAUNDICE).

Diagnosis and treatment Abdominal diseases are often di?cult to diagnose because of the multiplicity of the organs contained within the abdomen, their inconstant position and the vagueness of some of the symptoms. Correct diagnosis usually requires experience, often supplemented by specialised investigations such as ULTRASOUND. For this reason sufferers should obtain medical advice at an early stage, particularly if the symptoms are severe, persistent, recurrent, or resistant to simple remedies.... abdomen, diseases of

(Welsh) One who is sacrificed Aberthah... abertha

(Indian) One who shines; a lustrous beauty Abhah... abha

(Hindi) One who is desired Abhilashah, Abhylasha, Abhylashah... abhilasha

(Arabic) One who is great Abiah... abia

(African) First child born after the grandmother has died Abibah, Abeeba, Abyba, Abeebah, Abybah, Abeiba, Abeibah, Abieba, Abiebah, Abeaba, Abeabah... abiba

(Arabic / Hebrew) She who worships or adores / having knowledge Abidah, Abeeda, Abyda, Abeedah, Abydah, Abeida, Abeidah, Abieda, Abiedah, Abeada, Abeadah... abida

(Hebrew) My father is Lord Abielah, Abiella, Abiellah, Abyela, Abyelah, Abyella, Abyellah... abiela

(Hebrew) The source of a father’s joy Abbigail, Abigael, Abigale, Abbygail, Abygail, Abygayle, Abbygayle, Abbegale, Abigayle, Abagail, Abaigael, Abaigeal, Abbey, Abbie, Abbigail, Abie, Abby, Abegayle, Abey, Abhy, Abiageal, Abichail, Avagail, Avigail, Avagale, Avigale, Avagayle, Avichayil, Abbye... abigail

(Hebrew) My father is Lord Abija, Abisha, Abishah, Abiah, Abia, Aviah, Avia... abijah

(Spanish) One who is beautiful Abilah, Abyla, Abylah... abila

(American / Hebrew) From a town in Texas / resembling grass Abalene, Abalina, Abilena, Abiline, Abileene, Abileen, Abileena, Abilyn, Abilyne, Abilyna, Abilean, Abileane, Abileana... abilene

(Yoruban) Born during a journey Abionah, Abionia, Abioniah... abiona

(Arabic) Having a fragrant scent Abeer, Abyr, Abire, Abeere, Abbir, Abhir... abir

(Hebrew) A source of strength; one who is strong

Abera, Abyra, Abyrah, Abirah, Abbira, Abeerah, Abhira... abira

(Hebrew) My father is the dew; in the Bible, the fifth wife of David Avital, Abitall, Avitall... abital

(Arabic) One who is perfectly formed; full-figured woman Abla... ablah

Royle.

Synonym: A. pindrow Spach. A. webbiana Lindl. var. pindrow Brandis. Pinus pindrow Royle.

Family: Pinaceae.

Habitat: Kashmir, Himachal Pradesh, Tehri-Garhwal and other areas of northern India, at altitudes of 2,100-3,600 m.

English: Pindrow-Fir, Silver-Fir, The West-Himalayan Low-Level Fir.

Ayurvedic: Taalisha (related sp.).

Folk: Badar, Morinda, Raisalla, Ransla.

Action: Uses similar to those of A. webbiana.

Terpenoids, flavonoids, glycosides and steroids of the leaf were found to have mast cell stabilizing action in rats. Terpenoids and flavonoids offered bronchoprotection against his- tamine challenge in guinea pigs. The ulcer protective action of petroleum ether, benzene and chloroform fraction has been attributed to steroidal contents. Terephthalic acid demethyl ester (TADE), isolated from the leaf, exhibited protection against inflammation and bronchospasm in guinea pigs. Ethanolic extract of leaves showed significant anxiolytic effects on all the paradigms of anxiety, barbiturate hypnosis potentiation.

Pindrolactone, a lanostane-based triterpene lactone, isolated from the leaves, showed mild activity against Gram-positive bacteria but exhibited potent antibacterial activity against Gram-negative bacteria E. coli.... abies pindrow

Lindl.

Synonym: A. spectabilis (D. Don) Spach.

Pinus webbiana Wall.

Family: Pinaceae.

Habitat: The Himalayas from Kashmir to Assam at altitudes of 1,600-4,000 m.

English: Indian Silver Fir, The West-Himalayan High-Level Fir, The East-Himalayan Fir.

Ayurvedic: Taalisa, Taalisapatra, Taalisha, Patraadhya, Dhaatriparni, Dhaatripatra.

Unani: Taalisapattar.

Siddha/Tamil: Taalispatri.

Folk: Badar, Chilrow, Morinda, Raisalla, Taalispatra. (Tallispatra, Taalispatri and Talespattre are also equated with the leaves of Cinnamomum tamala Nees.)

Action: Expectorant, bronchial sedative, decongestant, anticatarrhal, antiseptic, carminative.

Key application: Fir (Abies alba Miller) needle oil—in catarrhal illness of upper and lower respiratory tract (internally and externally); externally in rheumatic and neuralgic pains. Contraindicated in bronchial asthma and whooping cough. (German Commission E.)

A biflavonoid, abiesin, n-triaconta- nol, beta-sitosterol and betuloside are present in the leaves.

The essential oil from leaves contains alpha-pinene, l-limonene, delta- carene, dipentene, l-bornyl acetate and l-cardinene as major constituents.

Dosage: Needles—2-6 g powder. (API Vol. IV.)... abies webbiana

A structure or process that is not normal (typical, usual or conforming to the standard); di?ering from the usual condition of the body.... abnormal

(Italian) Feminine form of Abraham; mother of a multitude; mother of nations

Abriana, Abreana, Abryana, Abryann, Abreanne, Abrielle, Abrienne, Abriell, Abriele... abrianna

(African) Woman who emanates light... abrihet

Placental bleeding after the 24th week of pregnancy, which may result in complete or partial detachment of the placenta from the wall of the womb. The woman may go into shock. The condition is sometimes associated with raised blood pressure and PRE-ECLAMPSIA. (See also PREGNANCY AND LABOUR.)... abruptio placenta

The probability of an event in a population as contrasted with relative risk. See “relative risk”.... absolute risk

A measure of treatment effect that compares the probability (or mean) of a type of outcome in the control group with that of a treatment group.... absolute risk reduction

Any agent which attracts and sucks up gases or secretions from a wound.... absorbent

Mistreatment or neglect of an older person(s) through the intentional or unintentional behaviour of another person(s). Abuse may be collectively perpetrated or politically motivated. This abuse may be physical, psychological, sexual, financial and/or systemic. One type of abuse is usually accompanied by other types. See also “neglect”.... abuse

(Hebrew / Arabic) Feminine form of Abraham; mother of a multitude; mother of nations / lesson; example Abri, Abrah, Abree, Abria, Abbra, Abrah, Abbrah... abra

Jacq.

Synonym: Ambroma augusta Linn. f.

Family: Sterculiaceae.

Habitat: Throughout the hotter and moister parts of India, from Punjab and Uttar Pradesh, eastwards to Arunachal Pradesh, Assam, Meghalaya and Tripura, ascending to 1,200 m, southwards in Peninsular India.

English: Perennial Indian Hemp, Devil's Cotton.

Ayurvedic: Pishaacha Kaarpaasa, Pivari.

Unani: Ulat-kambal.

Siddha/Tamil: Sivapputtuti.

Folk: Kumal, Sanukapaasi.

Action: Rootbark—emmena- gogue (used for dysmenorrhoea, amenorrhoea), abortifacient, galac- totrophic.

The root contains abromine (betaine), friedelin, abromasterol, abro- masterol A, choline, beta-sitosterol, stigmasterol and octacosanol. Leaves, reported to be useful in treating uterine disorders, contain taraxerol, its acetate and lupeol.

Dosage: Leaf juice—10-20 ml. Rootbarkpowder—3-6 g. (CCRAS.)... abroma augusta

Linn.

Family: Papilionaceae; Fabaceae.

Habitat: Throughout the country, ascending to an altitude of about 1,050 m in the outer Himalayas.

English: Indian Wild Liquorice, Jequirity, Crab's Eye, Precatory Bean.

Ayurvedic: Gunjaa, Gunjaka, Chirihintikaa, Raktikaa, Chirmi- ti, Kakanti, Kabjaka, Tiktikaa, Kaakananti, Kaakchinchi. (Not to be used as a substitute for liquorice.)

Unani: Ghunghchi, Ghamchi.

Siddha/Tamil: Kunri.

Folk: Chirmiti, Ratti.

Action: Uterine stimulant, abortifa- cient, toxic. Seeds—teratogenic. A paste of seeds is applied on vitiligo patches.

Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India has indicated the use of seeds in baldness.

Seeds contain abrin, a toxalbumin, indole derivatives, anthocyanins, ste- rols, terpenes. Abrin causes agglutination of erythrocytes, haemolysis and enlargement of lymph glands. A non- toxic dose of abrin (1.25 mcg/kg body weight), isolated from the seeds of red var., exhibited a noticeable increase in antibody-forming cells, bone marrow cellularity and alpha-esterase-positive bone marrow cells.

Oral administration of agglutinins, isolated from the seeds, is useful in the treatment of hepatitis and AIDS.

The seed extract exhibited antischis- tosomal activity in male hamsters.

The methanolic extract of seeds inhibited the motility of human spermatozoa.

The roots contain precol, abrol, gly- cyrrhizin (1.5%) and alkaloids—abra- sine and precasine. The roots also contain triterpenoids—abruslactone A, methyl abrusgenate and abrusgenic acid.

Alkaloids/bases present in the roots are also present in leaves and stems.

A. fruticulosus Wall. Ex Wight and Arn. synonym A. pulchellus Wall., A. laevigatus E. May. (Shveta Gunjaa) is also used for the same medicinal purposes as A. precatorius.

Dosage: Detoxified seed—1-3 g powder. Root powder—3-6 g. (API Vols. I, II.)... abrus precatorius

Abuta tea is a complex type of tea, used at first only by midwives to treat different childbirth issues. Now, it is widely-appreciated due to its therapeutic value. About Abuta Tea Abuta is a high-climbing vine, originating from South Africa and being widely known for its efficiency in treating women’s ailments. The plant has woody stems and extremely long roots. Its leaves are heart-shaped and have a waxy texture. The seeds are flat, the flowers grow in panicles, whereas its fruits are bright red, turning black when they are ripened. Practitioners of nowadays medicine have been acknowledged using derivatives of some of the constituents of abuta to block neuromuscular activity during surgery. Extracts of the same plant are included in pharmaceutical products for medical applications. Abuta tea gained its reputation as the brew used by midwives, especially in South America. It is thought to help fighting hemorrhage that may threaten a miscarriage. In Indian Ayurvedic medicine, Abuta tea is believed to have anti-fertility properties. Brewing Abuta Tea Abuta tea can be intaken in the form of capsules or tincture. It can be brewed in the following way:

• boil the dried roots of the plant ( 20 to 25 minutes)
• allow the mix to steep (5 minutes)
• drink it slowly

Abuta Tea benefits Abuta Teais successfully used to:

• fight kidney stones and bladder infections
• alleviate fever
• counter jaundice
• ease symptoms of arthritis and rheumatism
• fight gonorrhea
• treat anemia

Abuta tea is given to women to help ease childbirth. It is also efficient in alleviating the unpleasant menstrual problems. Abuta Tea side effects High doses ofAbuta teacombined with other medications, may lead to respiratory problems. It is not recommended to pregnant or breastfeeding women. Abuta tea is benefic to treat a large array of diseases, being also recommended as an excellent blood depurative.... abuta tea: healing effects

Abscess of the liver caused by Entamoeba histolytica and often containing socalled “anchovy sauce” fluid.... amoebic liver abscess (ala)

Drugs are usually administered distant to their site of action in the body; they must then pass across cell membranes to reach their site of action. For example, drugs given by mouth must pass across the gut membrane to enter the bloodstream and then pass through the endothelium of vessel walls to reach the site of action in the tissues. This process is called absorption and may depend on lipid di?usion, aqueous di?usion, active transport, or pinocytosis – a process in which a cell takes in small droplets of ?uid by cytoplasmic engulfment.... drug absorption

Linn. Sweet.

Synonym: A. indicum G. Don.

Family: Malvaceae.

Habitat: Throughout the hotter parts of India. Found as a weed in the sub-Himalayan tract and other hills up to 1,200 m.

English: Country Mallow, Flowering Maples, Chinese Bell-flowers.

Ayurvedic: Atibalaa, Kankatikaa, Rishyaproktaa.

Unani: Kanghi, Musht-ul-Ghaul, Darkht-e-Shaan.

Siddha/Tamil: Thutthi.

Folk: Kanghi, Kakahi, Kakahiyaa.

Action: Dried, whole plant— febrifuge, anthelmintic, demulcent, diuretic, anti-inflammatory (in urinary and uterine discharges, piles, lumbago). Juice of the plant— emollient. Seeds—demulcent (used in cough, chronic cystitis), laxative. Leaves—cooked and eaten for bleeding piles. Flowers— antibacterial, anti-inflammatory. Bark—astringent, diuretic. Root— nervine tonic, given in paralysis; also prescribed in strangury.

Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India indicates the use of the root in gout, polyuria and haemorrhagic diseases.

The plant contains mucilage, tannins, asparagines, gallic acid and ses- quiterpenes. Presence of alkaloids, leucoanthocyanins, flavonoids, sterols, triterpenoids, saponins and cardiac glycosides is also reported.

Asparagine is diuretic. Gallic acid is analgesic. Mucilages act by reflex, loosen cough as well as bronchial tension. Essential oil—antibacterial, antifungal.

The drug exhibits immunological activity. It augments antibody in animals. EtOH (50%) extract of A. indicum ssp. guineense Borssum, synonym A. asiaticum (Linn.) Sweet, exhibits anticancer activity.

Related sp. include: Abutilon avicen- nae Gaertn., synonym A. theophrastii

Medic.; A. fruticosum Guill. et al.; A. hirtum (Lam.) Sweet, synonym A. graveolens Wt. and Arn.; A. muticum Sweet, synonym A. glaucum Sweet; and A. polyandrum Wight and Arn., synonym A. persicum (Burm. f.) Merrill (known as Naani-khapaat, Jhinaki- khapaat, Kanghi, Makhamali-khapaat and Khaajavani-khapaat, respectively, in folk medicine).

Dosage: Root—3-6 g powder. (API Vol I.)... abutilon indicum

Linn.

Synonym: Absinthium vulgare Gaertn.

A. officinale Lam.

Family: Compositae; Asteraceae.

Habitat: Kashmir at altitudes of 1500-2100 m.

English: Wormwood, Maderwood.

Unani: Afsanteen, Vilaayati Afsan- teen.

Siddha/Tamil: Machipatri.

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

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

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

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

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

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

Linn.

Synonym: Abelmoschus moschatus Medic.

Family: Malvaceae.

Habitat: Throughout the warmer parts and hilly regions of India; also cultivated.

English: Musk Seed, Muskmallow, Ambette Seed.

Ayurvedic: Lataakasturi, Lataakas- turikaa, Kattaphala, Katuka.

Unani: Mushkdaanaa.

Siddha/Tamil: Kasturi-vendai.

Action: Seeds—diuretic, antispas- modic, stomachic, nervine (nervous debility, hysteria and other nervous disorders). Used externally for skin diseases and itch. Mucilage made from the root and leaves is prescribed in venereal diseases, urinary discharges and painful micturition. Seeds, steeped in water, are used for asthma, cold, flu.

Fatty oil of seeds contains phospholipids—alpha cephalin, phosphatidyl- serine and its plasmalogen and phos- phatidylcholine plasmalogen. Absolute contains farnesol and ambrettolic acid lactones.

The seeds contain chiefly 2-trans, 6-trans-farnesyl acetate, 2-cis, 6-trans farnesyl acetate and ambrettolide. The leaves contain beta-sitosterol and its beta-D-glucoside.

Dosage: Seed—2-4 g powder. (API Vol. IV.)... hibiscus abelmoschus

This may occur in diseases of intestinal malabsorption. A severe form of this anaemia in women, known as chlorosis, used to be common but is seldom seen nowadays.... inadequate absorption of iron

Honey; bee honey; often used for sweetening teas and infusions or for making syrups (jarabes); used in treatments for asthma, gripe, pecho apretado and anemia; given to children.... miel, miel de abeja

An abscess or pus pocket around the apex of the root of a tooth...sometimes called a gumboil... periapical abscess

An ABSCESS occurring in the cellular tissue behind the throat (PHARYNX). It is the result in general of disease in the upper part of the SPINAL COLUMN.... retropharyngeal abscess

Also known as volatile-substance abuse, this is the deliberate inhalation of intoxicating fumes given o? by some volatile liquids. Glue-sni?ng was the most common type of solvent abuse, but inhalation of fuel gases such as butane, especially in the form of lighter re?lls, is now a greater problem and has become common among children – particularly teenagers. Solvents or volatile substances are applied to a piece of cloth or put into a plastic bag and inhaled, sometimes until the person loses consciousness. He or she may become acutely intoxicated; chronic abusers may suffer from ulcers and rashes over the face as well as damage to peripheral nerves. Death can occur, probably as a result of an abnormal rhythm of the heart. TOLERANCE to the volatile substances may develop over months, but acute intoxication may lead to aggressive and impulsive behaviour. Treatment of addiction is di?cult and requires professional counselling. Victims with acute symptoms require urgent medical attention. In Britain, most solvent misusers are males under 20 years of age. Around 150 deaths occur every year. (See also DEPENDENCE.)... solvent abuse (misuse)

lx.... the unit of illumination. the abbreviation is

Following accident render first-aid treatment. See: FIRST AID. Straining to lift a heavy weight or when at stool may force an intestinal loop through the muscular wall to produce a rupture. Severe cases of injury require hospitalisation; those from blows or bruising benefit from a cold compress of Comfrey root or Fenugreek seed.

Before the doctor comes: 3 drops each or any one: Tinctures Arnica, Calendula and Hypericum; hourly. ... abdomen, injuries

Sweat root. Polemonium reptans L. Root.

Action: diaphoretic, expectorant, alterative, astringent.

Uses: Feverish conditions, bronchitis, pleurisy, coughs, tuberculosis.

Preparation. Decoction: 1oz to pint water, gently simmer 20 minutes. Dose: half a cup every 2 hours for febrile conditions; otherwise thrice daily. ... abscess root

Herbs that check any tendency to miscarriage. They should be prescribed by a practitioner and may include: Raspberry leaves, Cramp bark, Lobelia, etc. See: ABORTION. ... anti-abortives

Abortion is a medical procedure of ending a pregnancy during its first 24 weeks. There are several reasons why this medical process is carried out: a fetus’ or woman’s health issue or, most frequent, there are personal considerations which impede the woman to keep the baby. No matter the reasons of an abortion, it should be made by a physician. Also, the woman’s post-abortion state requires medical observation, because there have been acknowledged physical and psychological effects after this medical condition. Like any other medical procedure, abortion implies risks, like losing a large amount of blood (haemorrhage) or inflammation of the pelvis. Studies revealed that further miscarriages can be associated with earlier abortions, as the surgery may lead to the damage of the womb. A pregnancy can be ended by a medical procedure or, by a traditional method, like drinking teas causing abortion. How Tea for Abortion works There are two categories of tea which lead to ending a pregnancy: emmenagogue and abortifacient teas. The first type of tea induces woman’s period to start, whereas the second one causes painful contractions of the uterus, followed by abortion. Teas leading to Abortion Please read the list of some of the teas you should not drink if you are pregnant or, you try to become pregnant. Blue Cohosh is a wood plant, growing in New England (United States) and also in Canada. It has anti-inflammatory and antispasmodic properties. It is generally used to treat rheumatism and to prevent osteoporosis. Muscles aches caused by physical effort are relieved by taking Blue Cohosh as tea, tincture or decoction. It cannot stimulate the estrogen production thus, the body is not able to provide the endometrial and uterine growth, leading to contractions of the uterine and, finally, to a painful abortion. Unfortunately, Blue Cohosh tea has been used for a long period of time as a medicinal and home-made beverage for abortion. Pennyroyal is a plant from the mint family, whose essential oil is toxic if taken internally. In the past, women were poisoning themselves in the attempt of ending the pregnancy. Taken as an infusion, the plant is efficient in mitigating the unpleasant feelings of the upset stomach, abdominal cramps , as well as colds. Pennyroyal tea should not be drunk by pregnant women or by those who want to become pregnant, because it irritates the uterus, causing contractions and, of course, abortion. Tansy is a herbaceous plant, originating from Europe, but also cultivated in the United States. It is best known for its action as an insect repellant, being used as treatment against worms. It is a digestion adjuvant as well as a migraine reliever. Tansy tea provides contractions of the uterus and abortion, which can be so violent that causes death, just like the above mentioned teas causing abortion. Uterine bleeding, nausea and loss of consciousness are some of the signs displayed by people who had ingested a large dose of the beverage. Women should bear in mind that these three types of tea are scientifically proven to cause abortion. So, they should not consume them! Furthermore, women should ask their doctor for a list of the edible products while pregnancy, in order to avoid unpleasant situations of any kind.  ... teas causing abortion

A first-aid treatment for choking, in which sharp upward pressure is applied to the upper abdomen to dislodge a foreign body obstructing the airway. The technique is also known as the Heimlich manoeuvre.... abdominal thrust

An X-ray examination of the abdominal contents. X-rays can show whether any organ is enlarged and can detect swallowed foreign bodies in the digestive tract. They also show patterns of fluid and gas: distended loops of bowel containing fluid often indicate an obstruction (see intestine, obstruction of); gas outside the intestine indicates intestinal perforation.

Calcium, which is opaque to X-rays, is present in most kidney stones (see calculus, urinary tract) and in some gallstones and aortic aneurysms; these can sometimes be detected on an abdominal X-ray.... abdominal x-ray

Movement of a limb away from the central line of the body, or of a digit away from the axis of a limb. Muscles that carry out this movement are called abductors. (See also adduction.)... abduction

A physical deformity or malformation, a behavioural or mental problem, or a variation from normal in the structure or function of a cell, tissue, or organ in the body.... abnormality

Medically induced termination of pregnancy. Abortion may be performed if continuation of the pregnancy would risk the woman’s life, if the mental or physical health of the woman or her existing children is at risk, or if there is a substantial risk of handicap to the baby.

Depending on the stage of pregnancy, termination may be induced by using drugs or by the surgical technique of vacuum suction curettage, under either a general or local anaesthetic, during which the fetal and placental tissues are removed.

Complications are rare.... abortion, induced

Disruptive termination of pregnancy before twenty-eighth week. Too premature expulsion of contents of the pregnant womb may be spontaneous, habitual, or by intentional therapy. Untimely onset of uterine contractions with dilation of cervical os (mouth of the womb) dispose to abortion. Essential that services of a suitably qualified doctor or obstetrician be engaged. It would be his responsibility to ensure that the embryo (unborn baby) and the placenta (after birth) are completely expelled.

Alternatives. Tea: equal parts – Agnus Castus, Ladysmantle, Motherwort, Raspberry leaves, 1-2 teaspoon to each cup boiling water; infuse 5-10 minutes; 1 cup 2-3 times daily.

Tablets/capsules. Cramp bark, Helonias.

Powders. Formula. Combine Blue Cohosh 1; Helonias 2; Black Haw 3. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.

Practitioner. Tincture Viburnum prunifolium BHP (1983), 20ml; Tincture Chamaelirium luteum BHP (1983) 20ml; Tincture Viburnum opulus BHP (1983), 20ml; Tincture Capsicum, fort, BPC 1934, 0.05ml. Distilled water to 100ml. Sig: 5ml tds pc c Aq cal.

Black Cohosh. Liquid Extract Cimicifuja BP 1898, 1:1 in 90 per cent alcohol. Dosage: 0.3-2ml. OR: Tincture Cimicifuja, BPC 1934, 1:10 in 60 per cent alcohol. Dosage: 2-4ml.

Squaw Vine (mother’s cordial) is specific for habitual abortion, beginning soon after becoming pregnant and continuing until the seventh month. Also the best remedy when abortion threatens. If attended by a physician for abortion, a hypodermic of morphine greatly assists; followed by Liquid Extract 1:1 Squaw Vine. Dosage: 2-4ml, 3 times daily.

Liquid extracts. Squaw Vine, 4 . . . Helonias, 1 . . . Black Haw bark, 1 . . . Blue Cohosh, 1. Mix. Dose: One teaspoon every 2 hours for 10 days. Thereafter: 2 teaspoons before meals, 3 times daily. Honey to sweeten, if necessary. (Dr Finlay Ellingwood)

Abortion, to prevent: Cramp bark, (Dr John Christopher)

Evening Primrose. Two 500mg capsules, at meals thrice daily.

Diet: High protein.

Vitamins. C. B6. Multivitamins. E (400iu daily).

Minerals. Calcium. Iodine. Iron. Selenium, Zinc. Magnesium deficiency is related to history of spontaneous abortion; magnesium to commence as soon as pregnant.

Enforced bed rest. ... abortion – to prevent

Abscess with collection of pus on one or either side of the anus. May be associated with ulcerative colitis, Crohn’s disease or TB. Boil-like swelling.

Symptoms: bursting and throbbing pain, worse sitting down. Hot bath relieves.

Alternatives. Teas: Holy Thistle, Marigold petals, dried flowering tops. Clivers, Nettles. Wormwood. Oat husk. Thyme. 1 heaped teaspoon to each cup boiling water infused for 10-15 minutes. 1 cup 2-3 times daily.

Decoctions: Echinacea. Goldenseal. Juniper berries. Wild Indigo. 1 teaspoon to each cup water simmered gently 20 minutes. Half a cup 2-3 times daily.

Powders. Formula. Echinacea 1; Stone root half; Wild Yam half. Dose: 500mg (two 00 capsules or one- third teaspoon) thrice daily.

Liquid extracts. Echinacea 1; Goldenseal quarter; Stone root quarter; Marshmallow 1 and a half. Mix. Dose: 15-30 drops, in water, 2-3 times daily before meals.

Tincture. Tincture Myrrh BPC (1973). 15-40 drops, in water or honey, 3 times daily before meals. Topical. Aloe Vera juice, fresh leaf or gel. Comfrey, Chickweed or Marshmallow and Slippery Elm ointment. ... abscess anal

Three to four daily drinks for several weeks result in increased fat in liver cells. Then comes alcoholic hepatitis, inflammation of the liver tissue and destruction of cells, degenerating into an irreversible state known as cirrhosis. Complications develop such as intestinal bleeding, fluid accumulation, kidney failure and death if not arrested in time. Alcoholism is compulsive drinking leading to dependence.

Alternatives: Teas. Hops, Angelica, German Chamomile, or Skullcap. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. 1 cup 3-4 times daily.

Tablets/capsules. Cramp bark, Black Cohosh, Valerian.

Formula. Equal parts: Cramp bark and Valerian. Dose – powders: 250mg, or one 00 capsule; liquid extracts: 15-30 drops; bark tinctures: 30-60 drops; in honey or water 3-4 times daily.

Cold infusion. 1 teaspoon Oak bark cut, in cup cold water. Infuse 1 hour. Dose: sips during the day. Tincture Cinchona, BPC (1949), 15-30 drops, 2-3 times daily.

Tincture Myrrh BPC (1973) 5-10 drops in half glass water 2-3 times daily.

Oil of Evening Primrose improves brain function in cases of withdrawal (Efamol Can Improve Alcohol Recovery, General Practitioner, p11, Sept 18, 1987).

Milk Thistle. Good responses observed. Dose: 80-200mg, thrice daily.

Chinese Medicine. Kudzu vine (Pueraria lobata) can effectively reduce the cravings of alcohol. The flowers are used in China for alcoholic poisoning. Used for reforming alcoholics. (Herbarium Dec 1993) Supplements. B-complex, A, C, E. Magnesium, Selenium, Zinc. For bone-loss of alcoholism: see: OSTEOPOROSIS.

Information. Alcoholics Anonymous, Stonebow House, Stonebow, York YO1 2NJ. ... alcohol abuse

The wearing away of tooth enamel, often accompanied by the erosion of dentine (the layer beneath the enamel) and cementum (the bonelike tissue that covers the tooth root), usually through too-vigorous brushing. Abraded areas are often sensitive to cold or hot food or drink, and a desensitizing toothpaste and/or protection with a bonding (see bonding, dental) agent or filling may be needed.... abrasion, dental

A localized collection of pus in a bone (see osteomyelitis).... bone abscess

See faeces, abnormal.... bowel movements, abnormal

The maltreatment of children.

Child abuse may take the form of physical injury, sexual abuse, emotional mistreatment, and/or neglect; it occurs at all levels of society.

Being deprived or ill-treated in childhood may predispose people to repeat the pattern of abuse with their own children.

Children who are abused or at risk of abuse may be placed in care while the health and social services decide on the best course of action.... they generally heal without treatment child abuse

Usually contracted in a tropical country during foreign travel. Likely to be associated with amoebic dysentery by the organism Entamoeba histolytica from contaminated drinking water or decaying foods (uncooked vegetables), foods exposed to flies. Onset of the disease may not be apparent until years after original infection. It presents with tenderness over the liver. On palpation, liver area is tender and the diaphragm elevated.

Symptoms. Fever, sweating, constitutional upset.

Differential diagnosis: diverticulitis, Crohn’s disease, salmonella, carcinoma, bacillary dysentery.

Alte rnative s:– Blue Flag, Boneset, Burdock, Chaparral, Echinacea, Elecampane, Elder flowers, Eucalyptus, Fringe Tree, Milk Thistle, Marshmallow, Queen’s Delight, Thyme (garden), Wild Indigo, Wild Yam, Yarrow, Yellow Dock.

Tea. Combine: equal parts, Yarrow, Burdock leaves, Marshmallow leaves. 2 teaspoons to each cup boiling water: infuse 10-15 minutes; 1 cup freely.

Decoction. Echinacea 2; Fringe Tree bark 1; Yellow Dock root 1. 2 teaspoons to 2 cups water gently simmered 20 minutes. Half a cup freely.

Formula: Combine: Echinacea 2; Fringe Tree bark 1; Boneset 1; Goldenseal quarter. Dose: Liquid Extracts: 2-4ml. Tinctures: 4-8ml. Powders: 500mg (two 00 capsules, or one-third teaspoon). In water, honey, or cup of Fenugreek tea.

Cold puree. Pass Garlic corm through food blender. Eat with a spoon as much as tolerated. Blend with adjutants: carrots, raisins, apple. ... amoebic liver abscess

Enlargement of the abdomen. Abdominal swelling is a natural result of obesity and growth of the uterus during pregnancy. Wind in the stomach or intestine may cause uncomfortable, bloating distension of the abdomen. Some women experience abdominal distension due to temporary water retention just before menstruation. Other causes may be more serious.

For instance, ascites (accumulation of fluid between organs) may be a symptom of cancer or disease of the heart, kidneys, or liver; swelling may also be due to intestinal obstruction (see intestine, obstruction of) or an ovarian cyst.

Diagnosis of the underlying cause may involve abdominal X-rays, ultrasound scanning, laparotomy, or laparoscopy. In ascites, some fluid between organs may be drained for examination.... abdominal swelling

A pus-filled sac in the tissue around the root of a tooth. An abscess may occur when bacteria invade the pulp (the tissues in the central cavity of a tooth) as a result of dental caries, which destroys the tooth’s enamel and dentine, allowing bacteria to reach the pulp. Bacteria can also gain access to the pulp when a tooth is injured. The infection in the pulp then spreads into the surrounding tissue to form an abscess. Abscesses can also result from periodontal disease, in which bacteria accumulate in pockets that form between the teeth and gums.

The affected tooth aches or throbs, and biting or chewing is usually extremely painful. The gum around the tooth is tender and may be red and swollen. An untreated abscess eventually erodes a sinus (channel) through the jawbone to the gum surface, where it forms a swelling known as a gumboil. As the abscess spreads, the glands in the neck and the side of the face may become swollen, and fever may develop. Treatment may consist of draining the abscess, followed by root-canal treatment of the affected tooth, but in some cases extraction of the tooth is necessary. Antibiotics are prescribed if the infection has spread beyond the tooth.

An abscess in a periodontal pocket can usually be treated by the dentist scraping away infected material.... abscess, dental

A scratch or defect in the epithelium (outer layer) of the cornea caused by a small, sharp particle in the eye (see eye, foreign body in) or by an injury. Corneal abrasions usually heal quickly but may cause severe pain and photophobia. Treatment includes covering the eye with a patch, analgesic drugs to relieve pain, and, if the eye muscles go into spasm, eyedrops containing cycloplegic drugs (which paralyse the ciliary muscle, preventing accommodation). Antibiotic eyedrops are usually

given to prevent bacterial infection, which can lead to a corneal ulcer.... corneal abrasion

Use of a drug for a purpose other than that for which it is normally prescribed or recommended. Commonly abused drugs include stimulant drugs, such as cocaine and amfetamine drugs; central nervous system depressants, such as alcohol and barbiturate drugs; hallucinogenic drugs, such as LSD; and narcotics (see opioid drugs), such as heroin. Some drugs are abused in order to improve performance in sports (see sports, drugs and; steroids, anabolic).

Problems resulting from drug abuse may arise from the adverse effects of the drug, accidents that occur during intoxication, or from the habit-forming potential of many drugs, which may lead to drug dependence.... drug abuse

A collection of pus, surrounded by inflamed tissues, within the brain or on its surface. The most common sites are the frontal and temporal lobes of the cerebrum in the forebrain.

Brain abscesses may occur after a head injury, but most cases result from the spread of infection from elsewhere in the body, such as the middle ear or sinuses.

Another cause is an infection following a penetrating brain injury.

Multiple brain abscesses may occur as a result of blood-borne infection, most commonly in patients with a heart-valve infection (see endocarditis).

Symptoms include headache, drowsiness, vomiting, visual disturbances, fever, seizures, and symptoms, such as speech disturbances, that are due to local pressure.

Treatment is with antibiotic drugs and surgery.

A craniotomy may be needed to open and drain the abscess.

Untreated, brain abscesses can cause permanent damage or can be fatal.

Despite treatment, scarring can cause epilepsy in some cases.... brain abscess

Variations from normal in the number or structure of chromosomes contained in a person’s cells. The cause is generally a fault in the process of chromosome division, either during the formation of an egg or sperm, or during the first few divisions of a fertilized egg. Chromosomal abnormalities are classified according to whether they involve the 44 autosomes or the 2 X and Y sex chromosomes. A complete extra set of chromosomes per cell is called polyploidy and is lethal.

Autosomal abnormalities cause physical and mental defects of varying severity. Some types of autosomal abnormality, known as trisomy, consist of an extra chromosome on 1 of the 22 pairs of autosomes. The most common trisomy is Down’s syndrome. Sometimes, part of a chromosome is missing, as in cri du chat syndrome. In translocation, a part of a chromosome is joined to another, causing no ill effects in the person but a risk of abnormality in his or her children.

Sex chromosome abnormalities include Turner’s syndrome, in which a girl is born with a single X chromosome in her

cells instead of 2, causing physical abnormalities, defective sexual development, and infertility. A boy with 1 or more extra X chromosomes has Klinefelter’s syndrome, which causes defective sexual development and infertility. The presence of an extra X chromosome in women or an extra Y chromosome in men normally has no physical effect but increases the risk of mild mental handicap.

Chromosomal abnormalities are diagnosed by chromosome analysis in early pregnancy, using amniocentesis or chorionic villus sampling.... chromosomal abnormalities

Faeces that differ from normal in colour, odour, consistency, or content. Abnormal faeces may indicate a disorder of the digestive system or related organ, such as the liver, but a change in the character of faeces is most often due to a change in diet.

Diarrhoea may be due simply to anxiety or may be caused by an intestinal infection (see gastroenteritis); by an intestinal disorder such as ulcerative colitis or Crohn’s disease; or by irritable bowel syndrome. Loose stools may indicate malabsorption. Constipation is generally harmless but, if it develops unexpectedly, may be caused by a large-intestine disorder such as colon cancer.

Pale faeces may be caused by diarrhoea, a lack of bile in the intestine as a result of bile duct obstruction, or a disease that causes malabsorption (such as coeliac disease). Such faeces may be oily, foul-smelling, and difficult to flush away. Dark faeces may result from taking iron tablets. However, if faeces are black, there may be bleeding in the upper digestive tract.

Faeces containing excessive mucus are sometimes associated with constipation or irritable bowel syndrome. Enteritis, dysentery, or a tumour of the intestine (see intestine, tumours of) may result in excess mucus, which is often accompanied by blood.

Blood in the faeces differs in appearance depending on the site of bleeding. Bleeding from the stomach or duodenum is usually passed in the form of black, tarry faeces. Blood from the colon is red and is usually passed at the same time as the faeces. Bleeding from the rectum or anus, which may be due to tumours or to haemorrhoids, is usually bright red. (See also rectal bleeding.)... faeces, abnormal

Nonmedical use of heroin.

Heroin addiction has many adverse effects on the user, including injection scars, skin abscesses, weight loss, impotence, and the risk of infection with hepatitis B, hepatitis C, and HIV through sharing needles.

Death commonly occurs from accidental overdose.... heroin abuse

The practice of inhaling the intoxicating fumes given off by certain volatile liquids. Glue sniffing is the most common form.

Inhalation of solvent fumes produces a feeling of intoxication similar to that produced by alcohol. Solvent abuse can cause headache, vomiting, confusion, and coma. Death may occur due to a direct toxic effect on the heart, a fall, choking on vomit, or asphyxiation. Longterm effects include erosion of the lining of the nose and throat, and damage to the kidneys, liver, and nervous system.

Acute symptoms resulting from solvent abuse require urgent medical attention. Counselling may be helpful in discouraging the behaviour.... solvent abuse

The use of drugs or other substances for a purpose other than that which is normally recommended. Stimulant drugs, solvents, and glue, are all commonly abused. Problems may arise due to adverse effects or from the habit-forming potential of the substance. (See also drug abuse.)... substance abuse

See abscess, dental.... tooth abscess

n. 1. the dislocation of a joint. 2. a synovial joint (see diarthrosis).... abarticulation

n. an inability to walk normally for which no physical cause can be identified. The patient displays normal motor ability when sitting or lying down, suggesting that a psychogenic reaction may be involved (see conversion disorder). Astasia-abasia (also known as Blocq’s disease) is abasia with the inability to stand.... abasia

n. a *biological therapy that inhibits overactive T-lymphocyte stimulation of the immune response. It is used for the management of moderate to severe rheumatoid arthritis to treat joint pain and swelling, improve quality of life, and prevent joint damage. Side-effects are rare but may include infection, allergy, and headache.... abatacept

Dulled, unpleasant, or otherwise altered sensations in the absence of an obvious stimulus.

Numbness and pins-and-needles are common abnormal sensations. The special senses can be impaired by damage to the relevant sensory apparatus (see vision, disorders of; smell; deafness; tinnitus). Other causes of abnormal sensation include peripheral nerve damage caused by diabetes mellitus, herpes zoster infection, or pressure from a tumour, and disruption of nerve pathways in the brain or spinal cord due to spinal injury, head injury, stroke, and multiple sclerosis.

Pressure on or damage to nerves can sometimes be relieved by surgery or by treatments for the cause.

In other cases, distressing abnormal sensation can be relieved only by cutting the relevant nerve fibres or by giving injections to block the transmission of signals.... sensation, abnormal

Urine may be produced in abnormal amounts or have an abnormal appearance or composition.

Conditions of abnormal production of urine include excessive production (see urination, excessive), oliguria, and anuria. Abnormal appearances of urine include cloudiness (which may be caused by a urinary tract infection, a calculus, or the presence of salts); haematuria; discoloration from certain foods or drugs; and frothiness (which may be caused by an excess of protein).Abnormal composition of the urine may occur in diabetes mellitus, kidney failure, and sometimes glomerulonephritis and nephrotic syndrome, as well as in other kidney disorders such as Fanconi’s syndrome and renal tubular acidosis.... urine, abnormal

a quick method for determining the severity of a case of serious trauma. It can be used for purposes of *triage and *clinical audit.... abbreviated injury scale

n. an *antiplatelet drug (a *monoclonal antibody) that is used as an adjunct to lessen the chance of a heart attack during surgery to open blocked arteries of the heart (see coronary angioplasty). Side-effects include bleeding, nausea, chest and back pain, and headache.... abciximab

(abdomino-) combining form denoting the abdomen. Examples: abdominalgia (pain in the abdomen); abdominothoracic (relating to the abdomen and thorax).... abdomin

see burst abdomen.... abdominal dehiscence

a condition characterized by intermittent central abdominal pain that may be associated with nausea, and often vomiting. It usually occurs in children between the ages of three and ten years and is more common in those with a family history of migraine headaches. Typically these children develop migraine headaches when they are older.... abdominal migraine

(Heimlich manoeuvre) a manoeuvre for the treatment of choking in which the patient is held firmly around the midriff just under the ribcage. The hands of the rescuer are held as a fist and short sharp thrusts into the patient’s upper abdomen are made in order to dislodge the obstructing article from the airway. This manoeuvre should not be performed on children under the age of one year.... abdominal thrusts

surgical excision of the anal sphincter, rectum, and part of the sigmoid colon because of cancer involving the anal canal or the lower third of the rectum. The remaining length of sigmoid colon is brought through the abdominal wall (see colostomy; stoma). This procedure may be performed using abdominal and perineal incisions or laparoscopically; it is indicated for tumours close to the anal canal and in patients with poor sphincter function.... abdominoperineal resection

the sixth *cranial nerve (VI), which supplies the lateral rectus muscle of each eyeball, responsible for turning the eye outwards.... abducens nerve

n. any muscle that moves one part of the body away from another or from the midline of the body.... abductor

adj. abnormal: usually applied to a blood vessel or nerve that does not follow its normal course.... aberrant

n. (in optics) a defect in the image formed by an optical device (e.g. a lens). In chromatic aberration the image has coloured fringes as a result of the different extent to which light of different colours is refracted. In spherical aberration, the image is blurred because rays from the object come to a focus in slightly different positions: the rays passing through more peripherally are bent more than those passing through centrally. This occurs even with monochromatic light.... aberration

n. a form of non-carious tooth-tissue loss manifesting as notching at the neck of a tooth. It is thought that this is caused by the forces placed on the teeth during biting, chewing, and grinding, resulting in flexion and the separation of the enamel from the dentine at the *cemento-enamel junction.... abfraction

n. degeneration or loss of function without apparent cause; for example, retinal abiotrophy is progressive degeneration of the retina leading to impaired vision, occurring in genetic disorders such as *retinitis pigmentosa.... abiotrophy

a drug used in the treatment of metastatic prostate cancer resistant to hormonal treatment. It reduces testosterone production in prostate and adrenal tissues by inhibiting an enzyme, cytochrome P450 17A1, involved in the androgen-producing pathway in these tissues (see anti-androgen). Side-effects include oedema, liver disorders, hypertension, and low potassium levels.... abiraterone acetate

n. absence of or reduction in the size of the eyelids.... ablepharia

n. a fetus, weighing less than 500 g, that is expelled from the uterus either dead or incapable of surviving.... abortus

(bladder outlet obstruction index, BOOI) a mathematical index used to estimate the degree of bladder outlet obstruction (*BOO). It categorizes patients as being obstructed, unobstructed, or equivocal.... abrams–griffiths number

(ablatio) n. separation.... abruptio

(placental abruption) bleeding from a normally situated placenta causing its complete or partial detachment from the uterine wall after the 24th week of gestation. Abruption is often an unanticipated emergency, as a small bleed (*antepartum haemorrhage) can suddenly evolve into a major abruption and *disseminated intravascular coagulation. Abruptio placentae is often associated with hypertension and pre-eclampsia.... abruptio placentae

n. a genus of fungi that sometimes cause disease in humans (see phycomycosis).... absidia

n. a lack of will and initiative resulting in the inability to act or make decisions independently. It occurs in neurological diseases involving the frontal lobes and/or *basal ganglia, such as *traumatic brain injury, stroke, and dementia. Abulia is also seen in psychiatric diseases, including schizophrenia. It is a disorder of motivation and may result from dysfunction of the *dopamine-mediated reward system.... abulia

n. (in dentistry) the supporting component of a dental *bridge or *implant.... abutment

the sudden uncontrolled development of severe abdominal symptoms secondary to disease or injury. Failure to establish a prompt diagnosis may lead to rapid clinical decline. Perforation of a peptic ulcer, an inflamed appendix or colonic diverticulum, or rupture of the liver or spleen following a crush injury all produce an acute abdomen requiring urgent treatment.... acute abdomen

an infection in the bone around the apex of a tooth. An acute abscess is extremely painful and if left untreated may cause swelling of the jaw and sometimes the face. A chronic abscess may be completely asymptomatic. An abscess invariably results from damage to and infection of the pulp of the tooth. Treatment is drainage and *root canal treatment or extraction of the tooth; antibiotics may give temporary relief. If left untreated, the infection may spread, resulting in severe complications and even mortality.... apical abscess

see abasia.... astasia-abasia

a chronic abscess of bone that develops from acute bacterial *osteomyelitis. The classic appearance on X-ray is a small walled-off cavity in the bone with little or no periosteal reaction. Treatment is by surgical drainage and antibiotics. [Sir B. C. Brodie (1783–1862), British surgeon]... brodie’s abscess

(abdominal dehiscence) spontaneous opening of a surgical wound after an abdominal operation.... burst abdomen

see abscess.... cerebral abscess

see abortion.... induced abortion

(MWA) an *ablation technique in which microwaves are used to burn tumour tissues. This has some advantages over *radiofrequency ablation because the heat generated is field heating, as in conventional microwave machines. This makes it possible to get a bigger ablation zone and means that the ablation is not affected by the heat-sink effect of adjacent blood vessels.... microwave ablation

see endometrial ablation.... microwave endometrial ablation

(NAS) symptoms and signs exhibited by a newborn baby (neonate) due to drug withdrawal (see dependence). This results when the fetus has been exposed to addictive drugs through maternal substance abuse or misuse. Symptoms tend to occur in the first few days of life (in the case of methadone, which is a long-acting opioid, symptom onset may be delayed). They include tremors and jerking, high-pitched crying, sneezing, sucking of fists, feeding difficulties, shortened periods of sleep between feeds, rapid breathing, sweating, loose stools, nasal stuffiness, and frequent yawning. Treatment includes swaddling or snugly wrapping in a blanket, as babies with NAS are often difficult to comfort. Other nonpharmacological measures include frequent small feeds using high-calorie formula and intravenous fluids if babies become dehydrated. Drug therapy may be used for seizures and withdrawal symptoms.... neonatal abstinence syndrome

a collection of pus around the kidney, usually secondary to *pyonephrosis but also resulting from spread of infection from other sites. It is more likely to occur in individuals who are immunosuppressed or have diabetes mellitus. Percutaneous or open surgical drainage are usually necessary but occasionally nephrectomy may be needed if the kidney is severely infected.... perinephric abscess

a localized abscess that arises in the periodontal tissues and is usually an acute manifestation of periodontal disease. It appears as a pocket of pus in the tissues of the gum but not around the apex of the tooth.... periodontal abscess

the use of radioactive iodine (iodine-131) to destroy any residual thyroid tissue after thyroidectomy for cancer. Subsequent radioiodine treatment may be necessary to treat suspected or known residual thyroid cancer cells. Following ablation, thyroglobulin levels can be used as a *tumour marker.... radioiodine ablation

(amoebic abscess) an abscess of the liver caused by infection with *Entamoeba histolytica. See dysentery.... tropical abscess

a highly concentrated viscous, semi-solid or solid perfume material, usually obtained by alcohol extraction from the concrete.... absolute