Alcoholism Health Dictionary

A colourless liquid, also called ethanol or ethyl-alcohol, produced by the fermentation of carbohydrates by yeast. Medically, alcohol is used as a solvent and an antiseptic; recreationally it is a widely used drug, taken in alcoholic drinks to give a pleasant taste as well as to relax, reduce inhibitions, and increase sociability. Taken to excess, alcohol causes much mental and physical harm – not just to the individual imbibing it, but often to their family, friends, community and work colleagues.

Alcohol depresses the central nervous system and disturbs both mental and physical functioning. Even small doses of alcohol will slow a person’s re?exes and concentration; potentially dangerous effects when, for example, driving or operating machinery. Drunkenness causes slurred speech, muddled thinking, amnesia (memory loss), drowsiness, erectile IMPOTENCE, poor coordination and dulled reactions – thereby making driving or operating machinery especially dangerous. Disinhibition may lead to extreme euphoria, irritability, misery or aggression, depending on the underlying mood at the start of drinking. Severe intoxication may lead to COMA and respiratory failure.

Persistent alcohol misuse leads to physical, mental, social and occupational problems, as well as to a risk of DEPENDENCE (see also ALCOHOL DEPENDENCE). Misuse may follow several patterns: regular but controlled heavy intake, ‘binge’ drinking, and dependence (alcoholism). The ?rst pattern usually leads to mainly physical problems such as gastritis, peptic ulcer, liver disease, heart disease and impotence. The second is most common among young men and usually leads to mainly social and occupational problems – getting into ?ghts, jeopardising personal relationships, overspending on alcohol at weekends, and missing days o? work because of hangovers. The third pattern – alcohol dependence – is the most serious, and can severely disrupt health and social stability.

Many researchers consider alcohol dependence to be an illness that runs in families, with a genetic component which is probably passed on as a vulnerable personality. But it is hard to disentangle genetic, environmental and social factors in such families. In the UK there are estimated to be around a million people suffering from alcohol dependence and a similar number who have di?culty controlling their consumption (together about 1:30 of the population).

Alcohol causes tolerance and both physical and psychological dependence (see DEPENDENCE for de?nitions). Dependent drinkers classically drink early in the morning to relieve overnight withdrawal symptoms. These symptoms include anxiety, restlessness, nausea and vomiting, and tremor. Sudden withdrawal from regular heavy drinking can lead to life-threatening delirium tremens (DTs), with severe tremor, hallucinations (often visual – seeing spiders and monsters, rather than the pink elephants of romantic myth), and CONVULSIONS. This must be treated urgently with sedative drugs, preferably by intravenous drip. Similar symptoms, plus severe INCOORDINATION and double-vision, can occur in WERNICKE’S ENCEPHALOPATHY, a serious neurological condition due to lack of the B vitamin thiamine (whose absorption from the stomach is markedly reduced by alcohol). If not treated urgently with injections of thiamine and other vitamins, this can lead to an irreversible form of brain damage called Korsako?’s psychosis, with severe amnesia. Finally, prolonged alcohol misuse can cause a form of dementia.

In addition to these severe neurological disorders, the wide range of life-threatening problems caused by heavy drinking includes HEPATITIS, liver CIRRHOSIS, pancreatitis (see PANCREAS, DISEASES OF), gastrointestinal haemorrhage, suicide and FETAL ALCOHOL SYNDROME; pregnant women should not drink alcohol as this syndrome may occur with more than a glass of wine or half-pint of beer a day. The social effects of alcohol misuse – such as marital breakdown, family violence and severe debt – can be equally devastating.

Treatment of alcohol-related problems is only moderately successful. First, many of the physical problems are treated in the short term by doctors who fail to spot, or never ask about, heavy drinking. Second, attempts at treating alcohol dependence by detoxi?cation or ‘drying out’ (substituting a tranquillising drug for alcohol and withdrawing it gradually over about a week) are not always followed-up by adequate support at home, so that drinking starts again. Home support by community alcohol teams comprising doctors, nurses, social workers and, when appropriate, probation o?cers is a recent development that may have better results. Many drinkers ?nd the voluntary organisation Alcoholics Anonymous (AA) and its related groups for relatives (Al-Anon) and teenagers (Alateen) helpful because total abstinence from alcohol is encouraged by intensive psychological and social support from fellow ex-drinkers.

Useful contacts are: Alcoholics Anonymous; Al-Anon Family Groups UK and Eire (including Alateen); Alcohol Concern; Alcohol Focus Scotland; and Alcohol and Substance Misuse.

1 standard drink =1 unit

=••• pint of beer

=1 measure of spirits

=1 glass of sherry or vermouth

=1 glass of wine

Limits within which alcohol is believed not to cause long-term health risks:... alcohol

A form of psychological treatment in which such an unpleasant response is induced to his or her psychological aberration that the patient decides to give it up. Thus the victim of alcoholism is given a drug that makes the subsequent drinking of alcoholic liquors so unpleasant, by inducing nausea and vomiting, that he or she decides to give up drinking. (See ALCOHOL; DISULFIRAM.) Aversion therapy may help in the treatment of alcoholism, drug addiction, sexual deviations such as transvestism, and compulsive gambling.... aversion therapy

In?ammation of the STOMACH lining. This may take an acute form when excess alcohol or other irritating substances have been taken, resulting in vomiting. Chronic gastritis may be the result of regular smoking and chronic alcoholism, or the condition may be caused by the back ?ow of BILE from the DUODENUM. The common cause, however, is chronic infection with HELICOBACTER PYLORI. Symptoms are vague but victims are likely to develop gastric ulcers or sometimes cancer. Atrophic gastritis, when the mucosal lining of the stomach withers away, may follow chronic gastritis but sometimes occurs as an autoimmune disorder.... gastritis

Psychotherapy in which at least two, but more commonly up to ten, patients, as well as the therapist, take part. The therapist encourages the patients to analyse their own and the others’ emotional and psychological diffculties. Group therapy is also used to help patients sharing the same condition – for instance, alcoholism or compulsive gambling. They discuss their problems for perhaps an hour twice a week and explore ways of resolving them.... group therapy

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

Alcohol dependence, or alcoholism, is described under ALCOHOL but a summary of the symptoms may be helpful in spotting the disorder. Behavioural symptoms vary but include furtiveness; aggression; inappropriately generous gestures; personality changes (sel?shness, jealousy, irritability and outbursts of anger); empty promises to stop drinking; poor appetite; scru?y appearance; and long periods of drunkenness.... alcohol dependence

(Ale)

Nutritional Profile Energy value (calories per serving): Low Protein: Moderate Fat: None Saturated fat: None Cholesterol: None Carbohydrates: High Fiber: None Sodium: Low Major vitamin contribution: B vitamins Major mineral contribution: Phosphorus

About the Nutrients in This Food Beer and ale are fermented beverages created by yeasts that convert the sugars in malted barley and grain to ethyl alcohol (a.k.a. “alcohol,” “drink- ing alcohol”).* The USDA /Health and Human Services Dietary Guidelines for Americans defines one drink as 12 ounces of beer, five ounces of wine, or 1.25 ounces of distilled spirits. One 12-ounce glass of beer has 140 calo- ries, 86 of them (61 percent) from alcohol. But the beverage—sometimes nicknamed “liquid bread”—is more than empty calories. Like wine, beer retains small amounts of some nutrients present in the food from which it was made. * Because yeasts cannot digest t he starches in grains, t he grains to be used in mak ing beer and ale are allowed to germinate ( “malt” ). When it is t ime to make t he beer or ale, t he malted grain is soaked in water, forming a mash in which t he starches are split into simple sugars t hat can be digested (fermented) by t he yeasts. If undisturbed, t he fermentat ion will cont inue unt il all t he sugars have been digested, but it can be halted at any t ime simply by raising or lowering t he temperature of t he liquid. Beer sold in bott les or cans is pasteurized to k ill t he yeasts and stop t he fermentat ion. Draft beer is not pasteurized and must be refrigerated unt il tapped so t hat it will not cont inue to ferment in t he container. The longer t he shipping t ime, t he more likely it is t hat draft beer will be exposed to temperature variat ions t hat may affect its qualit y—which is why draft beer almost always tastes best when consumed near t he place where it was brewed. The Nutrients in Beer (12-ounce glass)

Nutrients	Beer	%R DA
Calcium	17 mg	1.7
Magnesium	28.51 mg	7–9*
Phosphorus	41.1 mg	6
Potassium	85.7 mg	(na)
Zinc	0.06 mg	0.5– 0.8*
Thiamin	0.02 mg	1.6 –1.8*
R iboflavin	0.09 mg	7– 8*
Niacin	1.55 mg	10
Vitamin B6	0.17 mg	13
Folate	20.57 mcg	5

  * t he first figure is t he %R DA for a man; t he second, for a woman Source: USDA Nut rient Database: w w w.nal.usda.gov/fnic/cgi-bin /nut _search.pl.

Diets That May Restrict or Exclude This Food Bland diet Gluten-free diet Low-purine (antigout) diet

Buying This Food Look for: A popular brand that sells steadily and will be fresh when you buy it. Avoid: Dusty or warm bottles and cans.

Storing This Food Store beer in a cool place. Beer tastes best when consumed within two months of the day it is made. Since you cannot be certain how long it took to ship the beer to the store or how long it has been sitting on the grocery shelves, buy only as much beer as you plan to use within a week or two. Protect bottled beer and open bottles or cans of beer from direct sunlight, which can change sulfur compounds in beer into isopentyl mercaptan, the smelly chemical that gives stale beer its characteristic unpleasant odor.

When You Are Ready to Serve This Food Serve beer only in absolutely clean glasses or mugs. Even the slightest bit of grease on the side of the glass will kill the foam immediately. Wash beer glasses with detergent, not soap, and let them drain dry rather than drying them with a towel that might carry grease from your hands to the glass. If you like a long-lasting head on your beer, serve the brew in tall, tapering glasses to let the foam spread out and stabilize. For full flavor, serve beer and ales cool but not ice-cold. Very low temperatures immo- bilize the molecules that give beer and ale their flavor and aroma.

What Happens When You Cook This Food When beer is heated (in a stew or as a basting liquid), the alcohol evaporates but the flavor- ing agents remain intact. Alcohol, an acid, reacts with metal ions from an aluminum or iron pot to form dark compounds that discolor the pot or the dish you are cooking in. To prevent this, prepare dishes made with beer in glass or enameled pots.

Medical Uses and/or Benefits Reduced risk of heart attack. Data from the American Cancer Society’s Cancer Prevention Study 1, a 12-year survey of more than 1 million Americans in 25 states, shows that men who take one drink a day have a 21 percent lower risk of heart attack and a 22 percent lower risk of stroke than men who do not drink at all. Women who have up to one drink a day also reduce their risk of heart attack. Numerous later studies have confirmed these findings. Lower risk of stroke. In January 1999, the results of a 677-person study published by researchers at New York Presbyterian Hospital-Columbia University showed that moder- ate alcohol consumption reduces the risk of stroke due to a blood clot in the brain among older people (average age: 70). How the alcohol prevents stroke is still unknown, but it is clear that moderate use of alcohol is a key. Heavy drinkers (those who consume more than seven drinks a day) have a higher risk of stroke. People who once drank heavily, but cut their consumption to moderate levels, can also reduce their risk of stroke. Numerous later studies have confirmed these findings. Lower cholesterol levels. Beverage alcohol decreases the body’s production and storage of low-density lipoproteins (LDLs), the protein and fat particles that carr y cholesterol into your arteries. As a result, people who drink moderately tend to have lower cholesterol levels and higher levels of high density lipoproteins (HDLs), the fat and protein particles that carr y cholesterol out of the body. The USDA /Health and Human Services Dietar y Guidelines for Americans defines moderation as two drinks a day for a man, one drink a day for a woman. Stimulating the appetite. Alcoholic beverages stimulate the production of saliva and the gastric acids that cause the stomach contractions we call hunger pangs. Moderate amounts of alcoholic beverages, which may help stimulate appetite, are often prescribed for geriatric patients, convalescents, and people who do not have ulcers or other chronic gastric problems that might be exacerbated by the alcohol. Dilation of blood vessels. Alcohol dilates the capillaries (the tiny blood vessels just under the skin), and moderate amounts of alcoholic beverages produce a pleasant flush that temporar- ily warms the drinker. But drinking is not an effective way to warm up in cold weather since the warm blood that flows up to the capillaries will cool down on the surface of your skin and make you even colder when it circulates back into the center of your body. Then an alco- hol flush will make you perspire, so that you lose more heat. Excessive amounts of beverage alcohol may depress the mechanism that regulates body temperature.

Adverse Effects Associated with This Food Increased risk of breast cancer. In 2008, scientists at the National Cancer Institute released data from a seven-year survey of more than 100,000 postmenopausal women showing that even moderate drinking (one to two drinks a day) may increase by 32 percent a woman’s risk of developing estrogen-receptor positive (ER+) and progesterone-receptor positive (PR+) breast cancer, tumors whose growth is stimulated by hormones. No such link was found between consuming alcohol and the risk of developing ER-/PR- tumors (not fueled by hor- mones). The finding applies to all types of alcohol: beer, wine, and spirits. Increased risk of oral cancer (cancer of the mouth and throat). Numerous studies confirm the American Cancer Society’s warning that men and women who consume more than two drinks a day are at higher risk of oral cancer than are nondrinkers or people who drink less. Note: The Dietary Guidelines for Americans describes one drink as 12 ounces of beer, five ounces of wine, or 1.5 ounces of distilled spirits. Increased risk of cancer of the colon and rectum. In the mid-1990s, studies at the University of Oklahoma suggested that men who drink more than five beers a day are at increased risk of rectal cancer. Later studies suggested that men and women who are heavy beer or spirits drinkers (but not those who are heavy wine drinkers) have a higher risk of colorectal cancers. Further studies are required to confirm these findings. Fetal alcohol syndrome. Fetal alcohol syndrome is a specific pattern of birth defects—low birth weight, heart defects, facial malformations, and mental retardation—first recognized in a study of babies born to alcoholic women who consumed more than six drinks a day while pregnant. Subsequent research has found a consistent pattern of milder defects in babies born to women who consume three to four drinks a day or five drinks on any one occasion while pregnant. To date, there is no evidence of a consistent pattern of birth defects in babies born to women who consume less than one drink a day while pregnant, but two studies at Columbia University have suggested that as few as two drinks a week while preg- nant may raise a woman’s risk of miscarriage. (“One drink” means 12 ounces of beer, five ounces of wine, or 1.25 ounces of distilled spirits.) Alcoholism. Alcoholism is an addiction disease, the inability to control one’s alcohol consumption. It is a potentially life-threatening condition, with a higher risk of death by accident, suicide, malnutrition, or acute alcohol poisoning, a toxic reaction that kills by para- lyzing body organs, including the heart. Malnutrition. While moderate alcohol consumption stimulates appetite, alcohol abuse depresses it. In addition, an alcoholic may drink instead of eating. When an alcoholic does eat, excess alcohol in his/her body prevents absorption of nutrients and reduces the ability to synthesize new tissue. Hangover. Alcohol is absorbed from the stomach and small intestine and carried by the bloodstream to the liver, where it is oxidized to acetaldehyde by alcohol dehydrogenase (ADH), the enzyme our bodies use to metabolize the alcohol we produce when we digest carbohydrates. The acetaldehyde is converted to acetyl coenzyme A and either eliminated from the body or used in the synthesis of cholesterol, fatty acids, and body tissues. Although individuals vary widely in their capacity to metabolize alcohol, on average, normal healthy adults can metabolize the alcohol in one quart of beer in approximately five to six hours. If they drink more than that, they will have more alcohol than the body’s natural supply of ADH can handle. The unmetabolized alcohol will pile up in the bloodstream, interfering with the liver’s metabolic functions. Since alcohol decreases the reabsorption of water from the kidneys and may inhibit the secretion of an antidiuretic hormone, they will begin to urinate copiously, losing magnesium, calcium, and zinc but retaining more irritating uric acid. The level of lactic acid in the body will increase, making them feel tired and out of sorts; their acid-base balance will be out of kilter; the blood vessels in their heads will swell and throb; and their stomachs, with linings irritated by the alcohol, will ache. The ultimate result is a “hangover” whose symptoms will disappear only when enough time has passed to allow their bodies to marshal the ADH needed to metabolize the extra alcohol in their blood. Changes in body temperature. Alcohol dilates capillaries, tiny blood vessels just under the skin, producing a “flush” that temporarily warms the drinker. But drinking is not an effective way to stay warm in cold weather. Warm blood flowing up from the body core to the surface capillaries is quickly chilled, making you even colder when it circulates back into your organs. In addition, an alcohol flush triggers perspiration, further cooling your skin. Finally, very large amounts of alcohol may actually depress the mechanism that regulates body temperature. Impotence. Excessive drinking decreases libido (sexual desire) and interferes with the ability to achieve or sustain an erection. “Beer belly.” Data from a 1995, 12,000 person study at the University of North Carolina in Chapel Hill show that people who consume at least six beers a week have more rounded abdomens than people who do not drink beer. The question left to be answered is which came first: the tummy or the drinking.

Food/Drug Interactions Acetaminophen (Tylenol, etc.). The FDA recommends that people who regularly have three or more drinks a day consult a doctor before using acetaminophen. The alcohol/acetamino- phen combination may cause liver failure. Disulfiram (Antabuse). Taken with alcohol, disulfiram causes flushing, nausea, low blood pressure, faintness, respiratory problems, and confusion. The severity of the reaction gener- ally depends on how much alcohol you drink, how much disulfiram is in your body, and how long ago you took it. Disulfiram is used to help recovering alcoholics avoid alcohol. (If taken with alcohol, metronidazole [Flagyl], procarbazine [Matulane], quinacrine [Atabrine], chlorpropamide (Diabinase), and some species of mushrooms may produce a mild disulfi- ramlike reaction.) Anticoagulants. Alcohol slows the body’s metabolism of anticoagulants (blood thinners) such as warfarin (Coumadin), intensif ying the effect of the drugs and increasing the risk of side effects such as spontaneous nosebleeds. Antidepressants. Alcohol may increase the sedative effects of antidepressants. Drinking alcohol while you are taking a monoamine oxidase (M AO) inhibitor is especially hazard- ous. M AO inhibitors inactivate naturally occurring enzymes in your body that metabolize tyramine, a substance found in many fermented or aged foods. Tyramine constricts blood vessels and increases blood pressure. If you eat a food containing tyramine while you are taking an M AO inhibitor, you cannot effectively eliminate the tyramine from your body. The result may be a hypertensive crisis. Ordinarily, fermentation of beer and ale does not produce tyramine, but some patients have reported tyramine reactions after drinking some imported beers. Beer and ale are usually prohibited to those using M AO inhibitors. Aspirin, ibuprofen, ketoprofen, naproxen, and nonsteroidal anti-inflammatory drugs. Like alcohol, these analgesics irritate the lining of the stomach and may cause gastric bleeding. Combining the two intensifies the effect. Insulin and oral hypoglycemics. Alcohol lowers blood sugar and interferes with the metabo- lism of oral antidiabetics; the combination may cause severe hypoglycemia. Sedatives and other central nervous system depressants (tranquilizers, sleeping pills, antidepres- sants, sinus and cold remedies, analgesics, and medication for motion sickness). Alcohol inten- sifies sedation and, depending on the dose, may cause drowsiness, respiratory depression, coma, or death.... beer

The most common type of cirrhosis, caused by chronic alcoholism and a lousy diet (or malabsorption).... cirrhosis, laennecs

A useful hypnotic, particularly for elderly patients, because of its freedom from hangover e?ect. It is especially bene?cial in the acute withdrawal symptoms of alcoholism and is used to treat STATUS EPILEPTICUS. The drug’s sedative effects are an adjunct to regional anaesthesia and may also be of help in ECLAMPSIA. Dependence may occur occasionally and therefore the length of period for which the drug is used should be limited. Side-effects include sneezing, conjunctival irritation and occasional headache.... clormethiazole

(Brandy, gin, rum, tequila, whiskey, vodka)

Nutritional Profile Energy value (calories per serving): Moderate to high Protein: None Fat: None Saturated fat: None Cholesterol: None Carbohydrates: None (except for cordials which contain added sugar) Fiber: None Sodium: Low Major vitamin contribution: None Major mineral contribution: Phosphorus

About the Nutrients in This Food Spirits are the clear liquids produced by distilling the fermented sugars of grains, fruit, or vegetables. The yeasts that metabolize these sugars and convert them into alcohol stop growing when the concentration of alcohol rises above 12–15 percent. In the United States, the proof of an alcoholic beverage is defined as twice its alcohol content by volume: a beverage with 20 percent alcohol by volume is 40 proof. This is high enough for most wines, but not high enough for most whiskies, gins, vodkas, rums, brandies, and tequilas. To reach the concentra- tion of alcohol required in these beverages, the fermented sugars are heated and distilled. Ethyl alcohol (the alcohol in beer, wine, and spirits) boils at a lower temperature than water. When the fermented sugars are heated, the ethyl alcohol escapes from the distillation vat and condenses in tubes leading from the vat to a collection vessel. The clear liquid that collects in this vessel is called distilled spirits or, more technically, grain neutral spirits. Gins, whiskies, cordials, and many vodkas are made with spirits American whiskeys (which include bourbon, rye, and distilled from grains. blended whiskeys) and Canadian, Irish, and Scotch whiskies are all made from spirits aged in wood barrels. They get their flavor from the grains and their color from the barrels. (Some whiskies are also colored with caramel.) Vodka is made from spirits distilled and filtered to remove all flavor. By law, vodkas made in America must be made with spirits distilled from grains. Imported vodkas may be made with spirits distilled either from grains or potatoes and may contain additional flavoring agents such as citric acid or pepper. Aquavit, for example, is essentially vodka flavored with caraway seeds. Gin is a clear spirit flavored with an infusion of juniper berries and other herbs (botanicals). Cordials (also called liqueurs) and schnapps are flavored spirits; most are sweetened with added sugar. Some cordials contain cream. Rum is made with spirits distilled from sugar cane (molasses). Tequila is made with spirits distilled from the blue agave plant. Brandies are made with spirits distilled from fruit. (Arma- gnac and cognac are distilled from fermented grapes, calvados and applejack from fermented apples, kirsch from fermented cherries, slivovitz from fermented plums.) Unless they contain added sugar or cream, spirits have no nutrients other than alcohol. Unlike food, which has to be metabolized before your body can use it for energy, alcohol can be absorbed into the blood-stream directly from the gastrointestinal tract. Ethyl alcohol provides 7 calories per gram.

The Most Nutritious Way to Serve This Food The USDA /Health and Human Services Dietary Guidelines for Americans defines one drink as 12 ounces of beer, five ounces of wine, or 1.25 ounces of distilled spirits, and “moderate drinking” as two drinks a day for a man, one drink a day for a woman.

Diets That May Restrict or Exclude This Food Bland diet Lactose-free diet (cream cordials made with cream or milk) Low-purine (antigout) diet

Buying This Food Look for: Tightly sealed bottles stored out of direct sunlight, whose energy might disrupt the structure of molecules in the beverage and alter its flavor. Choose spirits sold only by licensed dealers. Products sold in these stores are manufac- tured under the strict supervision of the federal government.

Storing This Food Store sealed or opened bottles of spirits in a cool, dark cabinet.

Preparing This Food All spirits except unflavored vodkas contain volatile molecules that give the beverage its characteristic taste and smell. Warming the liquid excites these molecules and intensifies the flavor and aroma, which is the reason we serve brandy in a round glass with a narrower top that captures the aromatic molecules as they rise toward the air when we warm the glass by holding it in our hands. Whiskies, too, though traditionally served with ice in America, will have a more intense flavor and aroma if served at room temperature.

What Happens When You Cook This Food The heat of cooking evaporates the alcohol in spirits but leaves the flavoring intact. Like other alcoholic beverages, spirits should be added to a recipe near the end of the cooking time to preserve the flavor while cooking away any alcohol bite. Alcohol is an acid. If you cook it in an aluminum or iron pot, it will combine with metal ions to form dark compounds that discolor the pot and the food you are cooking. Any recipe made with spirits should be prepared in an enameled, glass, or stainless-steel pot.

Medical Uses and/or Benefits Reduced risk of heart attack. Data from the American Cancer Society’s Cancer Prevention Study 1, a 12-year survey of more than 1 million Americans in 25 states, shows that men who take one drink a day have a 21 percent lower risk of heart attack and a 22 percent lower risk of stroke than men who do not drink at all. Women who have up to one drink a day also reduce their risk of heart attack. Numerous later studies have confirmed these findings. Lower cholesterol levels. Beverage alcohol decreases the body’s production and storage of low density lipoproteins (LDLs), the protein and fat particles that carry cholesterol into your arteries. As a result, people who drink moderately tend to have lower cholesterol levels and higher levels of high density lipoproteins (HDLs), the fat and protein particles that carry cholesterol out of the body. Numerous later studies have confirmed these findings. Lower risk of stroke. In January 1999, the results of a 677-person study published by researchers at New York Presbyterian Hospital-Columbia University showed that moderate alcohol consumption reduces the risk of stroke due to a blood clot in the brain among older people (average age: 70). How alcohol prevents stroke is still unknown, but it is clear that moderate use is a key. Heavy drinkers (those who consume more than seven drinks a day) have a higher risk of stroke. People who once drank heavily, but cut their consumption to moderate levels, reduce their risk of stroke. Stimulating the appetite. Alcoholic beverages stimulate the production of saliva and the gastric acids that cause the stomach contractions we call hunger pangs. Moderate amounts of alcoholic beverages, which may help stimulate appetite, are often prescribed for geriatric patients, convalescents, and people who do not have ulcers or other chronic gastric problems that might be exacerbated by the alcohol. Dilation of blood vessels. Alcoholic beverages dilate the tiny blood vessels just under the skin, bringing blood up to the surface. That’s why moderate amounts of alcoholic beverages (0.2–1 gram per kilogram of body weight, or two ounces of whiskey for a 150-pound adult) temporarily warm the drinker. But the warm blood that flows up to the surface of the skin will cool down there, making you even colder when it circulates back into the center of your body. Then an alcohol flush will make you perspire, so you lose more heat. Excessive amounts of beverage alcohol may depress the mechanism that regulates body temperature.

Adverse Effects Associated with This Food Alcoholism. Alcoholism is an addiction disease, the inability to control one’s alcohol consumption. It is a potentially life-threatening condition, with a higher risk of death by accident, suicide, malnutrition, or acute alcohol poisoning, a toxic reaction that kills by para- lyzing body organs, including the heart. Fetal alcohol syndrome. Fetal alcohol syndrome is a specific pattern of birth defects—low birth weight, heart defects, facial malformations, learning disabilities, and mental retarda- tion—first recognized in a study of babies born to alcoholic women who consumed more than six drinks a day while pregnant. Subsequent research has found a consistent pattern of milder defects in babies born to women who drink three to four drinks a day or five drinks on any one occasion while pregnant. To date there is no evidence of a consistent pattern of birth defects in babies born to women who consume less than one drink a day while preg- nant, but two studies at Columbia University have suggested that as few as two drinks a week while pregnant may raise a woman’s risk of miscarriage. (One drink is 12 ounces of beer, five ounces of wine, or 1.25 ounces of distilled spirits.) Increased risk of breast cancer. In 2008, scientists at the National Cancer Institute released data from a seven-year survey of more than 100,000 postmenopausal women showing that even moderate drinking (one to two drinks a day) may increase by 32 percent a woman’s risk of developing estrogen-receptor positive (ER+) and progesterone-receptor positive (PR+) breast cancer, tumors whose growth is stimulated by hormones. No such link was found between consuming alcohol and the risk of developing ER-/PR- tumors (not fueled by hor- mones). The finding applies to all types of alcohol: beer, wine, and distilled spirits. Increased risk of oral cancer (cancer of the mouth and throat). Numerous studies confirm the A merican Cancer Societ y’s warn ing that men and women who consume more than t wo drinks a day are at higher risk of oral cancer than are nondrinkers or people who drink less. Increased risk of cancer of the colon and rectum. In the mid-1990s, studies at the University of Oklahoma suggested that men who drink more than five beers a day are at increased risk of rectal cancer. Later studies suggested that men and women who are heavy beer or spirits drinkers (but not those who are heavy wine drinkers) have a higher risk of colorectal cancers. Further studies are required to confirm these findings. Malnutrition. While moderate alcohol consumption stimulates appetite, alcohol abuses depresses it. In addition, an alcoholic may drink instead of eating. When an alcoholic does eat, excess alcohol in his/her body prevents absorption of nutrients and reduces the ability to synthesize new tissue. Hangover. Alcohol is absorbed from the stomach and small intestine and carried by the bloodstream to the liver, where it is oxidized to acetaldehyde by alcohol dehydrogenase (ADH), the enzyme our bodies use every day to metabolize the alcohol we produce when we digest carbohydrates. The acetaldehyde is converted to acetyl coenzyme A and either eliminated from the body or used in the synthesis of cholesterol, fatty acids, and body tis- sues. Although individuals vary widely in their capacity to metabolize alcohol, an adult of average size can metabolize the alcohol in four ounces (120 ml) whiskey in approximately five to six hours. If he or she drinks more than that, the amount of alcohol in the body will exceed the available supply of ADH. The surplus, unmetabolized alcohol will pile up in the bloodstream, interfering with the liver’s metabolic functions. Since alcohol decreases the reabsorption of water from the kidneys and may inhibit the secretion of an antidiuretic hormone, the drinker will begin to urinate copiously, losing magnesium, calcium, and zinc but retaining uric acid, which is irritating. The level of lactic acid in the body will increase, making him or her feel tired and out of sorts; the acid-base balance will be out of kilter; the blood vessels in the head will swell and throb; and the stomach, its lining irritated by the alcohol, will ache. The ultimate result is a hangover whose symptoms will disappear only when enough time has passed to allow the body to marshal the ADH needed to metabolize the extra alcohol in the person’s blood. Changes in body temperature. Alcohol dilates capillaries, tiny blood vessels just under the skin, producing a “flush” that temporarily warms the drinker. But drinking is not an effective way to stay warm in cold weather. Warm blood flowing up from the body core to the surface capillaries is quickly chilled, making you even colder when it circulates back into your organs. In addition, an alcohol flush triggers perspiration, further cooling your skin. Finally, very large amounts of alcohol may actually depress the mechanism that regulates body temperature. Impotence. Excessive drinking decreases libido (sexual desire) and interferes with the ability to achieve or sustain an erection. Migraine headache. Some alcoholic beverages contain chemicals that inhibit PST, an enzyme that breaks down certain alcohols in spirits so that they can be eliminated from the body. If they are not broken down by PST, these alcohols will build up in the bloodstream and may trigger a migraine headache. Gin and vodka appear to be the distilled spirits least likely to trigger headaches, brandy the most likely.

Food/Drug Interactions Acetaminophen (Tylenol, etc.). FDA recommends that people who regularly have three or more drinks a day consult a doctor before using acetaminophen. The alcohol/acetaminophen combination may cause liver failure. Anti-alcohol abuse drugs (disulfiram [Antabuse]). Taken concurrently with alcohol, the anti- alcoholism drug disulfiram can cause flushing, nausea, a drop in blood pressure, breathing difficulty, and confusion. The severity of the symptoms, which may var y among individu- als, generally depends on the amount of alcohol consumed and the amount of disulfiram in the body. Anticoagulants. Alcohol slows the body’s metabolism of anticoagulants (blood thinners), intensif ying the effect of the drugs and increasing the risk of side effects such as spontane- ous nosebleeds. Antidepressants. Alcohol may strengthen the sedative effects of antidepressants. Aspirin, ibuprofen, ketoprofen, naproxen and nonsteroidal anti-inflammatory drugs. Like alco- hol, these analgesics irritate the lining of the stomach and may cause gastric bleeding. Com- bining the two intensifies the effect. Insulin and oral hypoglycemics. Alcohol lowers blood sugar and interferes with the metabo- lism of oral antidiabetics; the combination may cause severe hypoglycemia. Sedatives and other central nervous system depressants (tranquilizers, sleeping pills, antide- pressants, sinus and cold remedies, analgesics, and medication for motion sickness). Alcohol intensifies the sedative effects of these medications and, depending on the dose, may cause drowsiness, sedation, respiratory depression, coma, or death. MAO inhibitors. Monoamine oxidase (M AO) inhibitors are drugs used as antidepressants or antihypertensives. They inhibit the action of natural enzymes that break down tyramine, a substance formed naturally when proteins are metabolized. Tyramine is a pressor amine, a chemical that constricts blood vessel and raises blood pressure. If you eat a food that contains tyramine while you are taking an M AO inhibitor, the pressor amine cannot be eliminated from your body and the result may be a hypertensive crisis (sustained elevated blood pressure). Brandy, a distilled spirit made from wine (which is fermented) contains tyramine. All other distilled spirits may be excluded from your diet when you are taking an M AO inhibitor because the spirits and the drug, which are both sedatives, may be hazard- ous in combination.... distilled spirits

Disul?ram is used as an adjunct in the treatment of alcoholism. It is relatively non-toxic by itself, but when taken in conjunction with alcohol it produces most unpleasant effects: for example, ?ushing of the face, palpitations, a sense of oppression and distress, and ultimately sickness and vomiting. The rationale of treatment therefore is to give the alcoholic subject a course of disul?ram and then demonstrate, by letting him or her take some alcoholic liquor, how unpleasant are the effects. If the patient is co-operative, the treatment may be e?ective, but there is some risk so it must be given under skilled medical supervision.... disulfiram

An excess of fat in the blood, characterising a group of metabolic disorders. The two most important fats circulating in the blood are CHOLESTEROL and TRIGLYCERIDE. Raised blood levels of cholesterol predispose to ATHEROMA and coronary artery disease (see HEART, DISEASES OF); raised triglycerides predispose to pancreatitis (see PANCREAS, DISORDERS OF). Six types of hyperlipidaemia have been identi?ed, and diagnosis of the di?erent types depends upon blood tests to discover lipid levels. Some of the hyperlipidaemias are familial, and some are secondary to other diseases such as hypothyroidism (see THYROID GLAND, DISEASES OF), DIABETES MELLITUS, nephrotic syndrome and alcoholism.

Treatment There is evidence that therapy which lowers the lipid concentration reduces the progression of premature atheroma, particularly in those who suffer from the familial disorder. Treatment should include appropriate diets, usually food that is low in cholesterol and saturated fats. There are a number of drugs available for lowering the lipid content of the plasma, but these should be reserved for patients in whom severe hyperlipidaemia is inadequately controlled by weight reduction. Anion-exchange resins – clo?brate, beza?brate and gem?brozil, for example – and statins such as atorvastatin and simvastatin, as well as nicotinic acid, all lower plasma cholesterol and plasma triglyceride concentration through their e?ect on reducing the hepatic production of lipoproteins. Cholestyramine and colestipol, both of which are anion-exchange resins, bind bile salts in the gut and so decrease the absorption of the cholesterol that these bile salts contain – hence lowering plasma cholesterol concentrations. Probucol lowers plasma cholesterol concentrations by increasing the metabolism of low-density lipoproteins.

The statins (atorvastatin, cerivastatin, ?uvastatin, pravastatin and simvastatin) inhibit an enzyme involved in synthesising cholesterol, especially in the liver. They are more e?ective than anion-exchange resins in lowering LDL (low-density lipoprotein) cholesterol – a form of low-density cholesterol carried in the bloodstream, high levels of which are believed to be the main cause of atheroma. Statins are, however, less e?ective than the clo?brate group in reducing triglycerides and raising HDL (highdensity lipoprotein) cholesterol (high-density cholesterol).... hyperlipidaemia

A form of mental disturbance occurring in chronic alcoholism and other toxic states, such as URAEMIA, lead poisoning and cerebral SYPHILIS. Its special features are talkativeness with delusions in regard to time and place – the patient, although clear in other matters, imagining that he or she has recently made journeys.... korsakoff’s syndrome

Very Low Density Lipids. These are blood transport fats, consisting mainly of triglycerides (made from sugar by the liver) and loosely covered in specialized proteins and phospholipids so they don’t dissolve in the blood and the target tissues can recognize them. Chronic elevation occurs when the tissues cannot absorb them or the liver is overwhelmed by carbohydrates...such as in alcoholism, some hepatitis, and diabetes.... vldl

Health tree. Puerto Rican Cherry. (Malpighia punicifolia). Valuable source of vitamins and nutritive elements. One of the richest sources of Vitamin C.

Uses: Alcoholism, arteriosclerosis, habitual abortion, chronic infection of the cornea and eye disturbance due to diseases of the blood vessels. Rheumatic inflammatory conditions, common cold, high blood pressure, whooping cough, fatigue, stress, strokes, premature symptoms of old age.

A number of Vitamin C preparations are made from Acerola berries. Concentrated juices. Powder. Capsules, 250mg. ... acerola

Refer: ALCOHOLISM, CATARACT, CONJUNCTIVITIS, DIABETES, ECLAMPSIA, GLAUCOMA, IRITIS, MIGRAINE, MULTIPLE SCLEROSIS, RETINITIS, SHOCK. ... blurred vision

See: ALCOHOLISM. Also: WORMWOOD TEA. ... drunkenness

 Amnesia – from slightly impaired to complete loss. Forgetfulness associated with ageing, depression, alcoholism, low thyroid function, Alzheimer’s disease.

Alternatives: to improve concentration.

Teas, Liquid extracts, tinctures or powders: Ginseng, Gotu Kola, Hawthorn (berries or blossoms), Holy Thistle, Horsetail, Kola nuts, Periwinkle (minor), Rosemary, Skullcap, Vervain, Ginkgo.

Ginkgo: impressive results reported.

Practitioner. Ephedra.

Supplements. B-complex, B6, B12, E. Phosphorus, Zinc. ... memory, weak

Lethargy, or lassitude, means a loss of energy. It is a common presenting complaint both to general practitioners and to hospital consultants. It may have a physical cause or a psychological cause; it may be the result of inadequate rest, environmental noise, boredom, insomnia or recent illness. Certain medicinal drugs can cause lethargy, the most common being beta blockers (see BETA-ADRENOCEPTOR-BLOCKING DRUGS) and DIURETICS, and drugs of abuse may also be a cause (see DEPENDENCE). The common psychosocial problems producing lethargy are DEPRESSION and anxiety.

If the patient with lethargy runs a fever, the di?erential diagnosis is that of a PUO (pyrexia of unknown origin). Many patients with fatigue can establish the onset of the symptom to a febrile illness even though they no longer run a fever. The lethargy that follows some viral infecions, such as HEPATITIS A and glandular fever (see MONONUCLEOSIS) is well recognised; MYALGIC ENCEPHALOMYELITIS (ME) or chronic fatigue syndrome is another disorder associated with lethargy and tiredness. Organic causes of lethargy include ANAEMIA, malnutrition and hypothyroidism (see THYROID GLAND, DISEASES OF). Some of these patients have a true depressive illness and their presentation and response to treatment is little di?erent from that of sufferers of any other depressive illness, URAEMIA, alcoholism and DIABETES MELLITUS.... lethargy

The capacity to remember. It is a complex process and probably occurs in many areas of the BRAIN including the LIMBIC SYSTEM and the temporal lobes. There are three main steps: registration, storage, and recall.

During registration, information from the sense organs and the cerebral cortex is put into codes for storage in the short-term memory system. The codes are usually acoustic (based on the sounds and words that would be used to describe the information) but may use any of the ?ve senses. This system can take only a few chunks of information at a time: for example, only about seven longish numbers can be retained and recalled at once – the next new number displaces an earlier one that is then forgotten. And if a subject is asked to describe a person just met, he or she will recall only seven or so facts about that person. This depends on attention span and can be improved by concentration and rehearsal – for example, by reciting the list of things that must be remembered.

Material needing storage for several minutes stays in the short-term memory. More valuable information goes to the long-term memory where it can be kept for any period from a few minutes to a lifetime. Storage is more reliable if the information is in meaningful codes – it is much easier to remember people’s names if their faces and personalities are memorable too. Using techniques such as mnemonics takes this into account.

The ?nal stage is retrieval. Recognising and recalling the required information involves searching the memory. In the short-term memory, this takes about 40-thousandths of a second per item – a rate that is surprisingly consistent, even in people with disorders such as SCHIZOPHRENIA.

Most kinds of forgetting or AMNESIA occur during retrieval. Benign forgetfulness is usually caused by interference from similar items because the required information was not clearly coded and well organised. Retrieval can be improved by recreating the context in which the information was registered. This is why the police reconstruct scenes of crimes, and why revision for exams is more e?ective if facts are learnt in the form of answers to mock questions.

Loss of memory or amnesia mainly affects long-term memory (information which is stored inde?nitely) rather than short-term memory which is measured in minutes. Short-term memory may, however, be affected by unconsciousness caused by trauma. Drivers involved in an accident may be unable to recall the event or the period leading up to it. The cause of amnesia is disease of or damage to the parts of the brain responsible for memory. Degenerative disorders such as ALZHEIMER’S DISEASE, brain tumours, infections (for example, ENCEPHALITIS), STROKE, SUBARACHNOID HAEMORRHAGE and alcoholism all cause memory loss. Some psychiatric illnesses feature loss of memory and AGEING is usually accompanied by some memory loss, although the age of onset and severity vary greatly.... memory

DC.

Family: Papilionaceae; Fabaceae.

Habitat: Punjab, Western Uttar Pradesh, Central India.

English: Indian Kudze.

Ayurvedic: Vidaari, Swaadukandaa, Ikshugandhaa, Gajavaajipriyaa, Kandapalaasha, Bhuumikushmaan- da. (Substitute for Jivaka and Rshabhaka.)

Folk: Bhui-kumhadaa, Suraal.

Action: Tuber—diuretic, cardiac tonic, galactagogue. Also used for fertility control. Root—used as a demulcent, and refrigerant in fevers, as cataplasm for swelling of joints, as galactagogue.

The butanolic extract of Pueraria tuberosa showed significant protection against hepatic damage in rats. The ethanolic extract of the tubers and its butanol and pre-puerarin fractions exhibited anti-implantation effect. The pure compounds, puerarin, daidzein and tuberosin, exhibited significant anti-implantation activity in hamsters.

In Indian medicine, Vidaari and Kshira-vidaari are used for promoting breast milk and semen, and as a restorative tonic. Most authors have equated Vidaari with Pueraria tuberosa and Kshira-vidaari with Ipomoea digi- tata.

In Western herbal, Pueraria lobata and P. tuberosa roots are used alone or in combination with other products for symptoms due to alcoholism. But preliminary research shows that Kudze does not improve sobriety in chronic alcoholics. (Natural Medicines Comprehensive Database, 2007.)

Dosage: Tuber—3-5 g powder. (CCRAS.)... pueraria tuberosa

*hallucinations in the context of *alcoholism. They are usually shortlived *auditory hallucinations (‘hearing voices’). Although abstinence is the best remedy, they can persist beyond the active use of alcohol and are often difficult to treat (a recent review showed a dearth of data regarding all possible treatment options).... alcoholic hallucinosis

a deep tendon reflex mediated by the fifth cervical *spinal nerve (C5). The examiner’s thumb or index finger is placed over the patient’s biceps tendon in the elbow crease and struck sharply with a tendon hammer; the normal response is a reflex contraction of the biceps and flexion of the elbow. The jerk is exaggerated in upper *motor neuron lesions, such as a stroke, and reduced or absent in lower motor neuron lesions, such as a disc herniation, peripheral nerve injury, or peripheral neuropathy (e.g. diabetes, alcoholism).... biceps jerk

Linn.

Family: Polygonaceae.

Habitat: Western Himalayas up to an altitude of 2,400 m.

English: French Sorrel.

Action: Plant—refrigerant, astringent; given in dysentery. Juice of leaves—antiscorbutic.

The roots contain oxymethyl an-

Action: Plant—astringent antiscorbutic, stomachic, diuretic, used for disorders of lymphatic and glandular system; for bronchitis, asthma; constipation, dyspepsia, diseases of liver and spleen; urinary and renal disorders; alcoholism. Seeds—antidysenteric.

Anthraquinone glucosides, emodin and chrysophanol, have been reported from leaves, root and seeds. The leaves contain large amounts of oxalate (21.8% on dry basis); vitamin C content is 12 mg and vitamin A 6,100 IU/100 g.

The leaves of Rumex species are eaten in salad or cooked like spinach. They contain protein, carbohydrates, potassium, magnesium, phosphorus, calcium, manganese, copper, zinc, (iodine, in some samples), ascorbic acid, beta-carotene and thiamine; also oxalic acid, potassium binoxalate and some tartaric acid.... rumex scutatus

DEMENTIA was traditionally divided into presenile and senile types; this is increasingly recognised as an arbitrary division of a condition in which there is a general and often slow decline in mental capabilities. Around 10 per cent of people over 65 years of age and 20 per cent over 75 are affected by dementing illness, but people under 65 may also be affected. Treatable causes such as brain tumour, head injury, ENCEPHALITIS and alcoholism are commoner in younger people. Other causes such as cerebrovascular disease – which is a major factor, especially among older people – or ALZHEIMER’S DISEASE are not readily treatable, although ANTIHYPERTENSIVE DRUGS for the former disorder may help, and symptomatic treatment for both is possible.

Individuals with dementia suffer a gradual deterioration of memory and of the ability to grasp what is happening around them. They often cover up their early failings and the condition may ?rst become apparent as a result of emotional outbursts or uncharacteristic behaviour in public. Eventually personal habits and speech deteriorate and they become thoroughly confused and di?cult to look after. Treatment is primarily a matter of ameliorating the symptoms, coupled with a sympathetic handling of the sufferer and the relatives. Admission to hospital or nursing home may be necessary if relatives are unable to look after the patient at home. (See also MEDICINE OF THE AGEING.)... senile dementia

Linn.

Family: Loganiaceae; Strychnaceae.

Habitat: Tropical India up to an altitude of 360 m.

English: Nux vomica.

Ayurvedic: Kapilu, Kaakatin- duka, Kaakendu, Kaakapiluka, Vishamushtikaa, Vishamushti, Vishatinduka, Kuchilaa, Ksuchalaa.

Unani: Azaraaqi, Kuchlaa.

Siddha: Yettikkottai.

Action: Nervine tonic and a potent CNS stimulant.

Seeds—used in emotional disorders, insomnia, hysteria, epilepsy, paralytic and neurological affections, retention or nocturnal incontinence of urine, spermatorrhoea, sexual debility and impotence, general exhaustion; as antidote to alcoholism; GIT disorders. Bark—juice given in acute dysentery, diarrhoea and colic. Root—given in intermittent fevers. In Chinese medicine a paste made of Nux vomica seeds is applied topically for treating facial paralysis.

Included among unapproved herbs by German Commission E.

The Ayurvedic Pharmacopoeia ofIn- dia recommends detoxified seeds in paralysis, facial paralysis, sciatica and impotency.

The seeds contain indole alkaloids, the major one is strychnine (approx. 50% of the alkaloids); others include strychnine N-oxide, brucine and its N-oxide, alpha-and beta-colubrine, condylocarpine, diaboline, geissoschi- zine, icajine, isostrychnine, normacu- sine, novacine, pseudobrucine, pseu- do-alpha-colubrine, pseudo-beta-col- ubrine, pseudostrychnine and vom- icine (3-hydro-beta-colubrine). Loga- nin is also present. Pseudostrychnine is non-toxic. The alkaloidal content of the seeds ranges from 1.8 to 5.3%.

The leaves contain strychnine and brucine (together 1.6%), strychnine 0.025%; vomicine is the major constituent of leaves. The bark contains 9.9% total alkaloids (brucine 8%, strychnine 1.58%); pseudostrychnine, pseudobrucine and beta-colubrine in small amounts. The roots contain 0.99% alkaloids (brucine 0.28%, strychnine 0.71%).

Strychnine, when tested for an- tiulcer activity in shay rat model at a dose of 0.25 mg/kg body weight, complete absence of ulceration was observed which was comparable to cime- tidine. Exhausted Nux-vomica powder at a dose of 20 mg/kg body weight, and brucine at a dose of 0.25 mg/kg body weight gave protection similar to strychnine.

Orally, 30-50 mg Nux-vomica (5 mg strychnine) is toxic.

Dosage: Detoxified seed—60- 125 mg. (API, Vol. IV.)... strychnos nux-vomica

a screening tool for alcoholism, widely used in hospitals, primary care, and psychiatric services. The name derives from an acronym of its four questions: (1) Have you ever felt you needed to cut down on your drinking? (2) Have people annoyed you by criticizing your drinking? (3) Have you ever felt guilty about drinking? (4) Have you ever felt you needed a drink first thing in the morning (eye-opener) to steady your nerves or to get rid of a hangover? A CAGE test score of two or more yes answers indicates a reasonably high likelihood of alcohol problems.... cage questionnaire

an acute confusional state often seen as a withdrawal syndrome in chronic alcoholics (see alcoholism) and caused by sudden cessation of drinking alcohol. Features include anxiety, tremor, sweating, and vivid and terrifying visual and sensory hallucinations, often of animals and insects. Without medical treatment severe cases may end fatally.... delirium tremens

a *delusional belief that one’s partner is unfaithful when there is no reasonable evidence for this. It often occurs in the context of *alcoholism.... delusional jealousy

Conditions of the tongue At rest, the TONGUE touches all the lower teeth and is slightly arched from side to side. It has a smooth surface with a groove in the middle and an even but de?nite edge. It is under voluntary control and the tip can be moved in all directions.

Ankyloglossia or tongue-tie is a rare disorder in which the frenum or band connecting the lower surface of the tongue to the ?oor of the mouth is so short or tight that the tongue cannot be protruded. Surgery can remedy the defect. It is easy to overdiagnose and is not a common cause of di?culty in feeding at birth or speech defects in infancy.

Gross enlargement of the tongue can make speech indistinct or make swallowing and even breathing di?cult. This is known as macroglossia and may be such that the tongue is constantly protruded from the mouth. The cause may be CONGENITAL, as in severe cases of DOWN’S (DOWN) SYNDROME, or it may occur as a result of ACROMEGALY or be due to abnormal deposits as in AMYLOIDOSIS.

A marked tremor of the tongue when protruded may be seen in various neurological diseases, but may be caused by alcoholism.

After a STROKE involving the motor nerve centre, the control of one side of the tongue musculature will be lost. This will result in the protruded tongue pointing to the side of the body which is paralysed. The sense of taste on one side of the tongue may also be lost in some diseases of the brain and facial nerve.

The presence of fur on the tongue may be obvious and distressing. This is due to thickening of the super?cial layers of the tongue which may appear like hairs which trap food debris and become discoloured. Furring is common during fever and as a result of mouth-breathing and smoking.

In some conditions the tongue may appear dry, red and raw (GLOSSITIS). An in?amed beefy tongue is characteristic of pellagra, a disease caused by de?ciency of NICOTINIC ACID in the diet. A magenta-coloured tongue may be seen when there is a lack of RIBOFLAVIN.

Ulcers of the tongue are similar to those elsewhere in the mouth. The most common are aphthous ulcers which are small, red and painful and last for about ten days. They are associated with stress, mild trauma (such as from jagged teeth), and occasionally with folic acid and vitamin B12 de?ciency. Ulcers of the tongue are sometimes found in patients with chronic bowel disease.... tongue, disorders of

A ?ne involuntary movement. Tremors may be seen in projecting parts like the hands, head and tongue, or they may involve muscles. Coarse tremors, which prevent a person from drinking a glass of water without spilling it, are found in MULTIPLE SCLEROSIS (MS) and in CHOREA; somewhat ?ner tremors, which produce trembling of the hands or tongue when they are stretched out, are caused by alcoholism (see ALCOHOL) and other forms of poisoning, by PARKINSONISM, and by the weakness which follows some acute disease or characterises old age. A ?ne tremor of the outstretched ?ngers is a characteristic of thyrotoxicosis (see under THYROID GLAND, DISEASES OF); very ?ne tremors, visible in the muscles of face or limbs and known as ?brillary tremors, are present in general paralysis of the insane (see SYPHILIS), and in progressive muscular atrophy or wasting palsy. Tremors may occur at rest and disappear on movement as in Parkinsonism, or they may occur only on movement (intention tremors) as in cerebellar disease.... tremor

Desv.

Synonym: Hedysarum pictum Jacq.

Family: Papilionaceae; Fabaceae.

Habitat: Throughout India, in dry grasslands. Ayurvedic: Prishniparni, Prithak- parni, Simhapushpi, Kalashi, Dhaavani, Guhaa, Chitraparni.

Siddha/Tamil: Oripai.

Action: Root—prescribed for cough, chills and fevers. Leaves—antiseptic, used for urinary discharges and genitourinary infections.

The Ayurvedic Pharmacopoeia of India recommends a decoction of whole plant in alcoholism, insanity, psychosis; cough, bronchitis, dyspnoea; diseases due to vitiated blood; gout; bleeding piles; blood dysentery, acute diarrhoea.

The plant is credited with fracture- healing properties. Its total extract exhibits better and quicker healing of fractures in experimental animals due to early accumulation of phosphorus and more deposition of calcium.

Dosage: Whole plant—20-50 g powder for decoction. (API, Vol. IV.)... uraria picta

n. morbid and insatiable craving for alcohol, occurring in paroxysms. A small proportion of alcoholics show this symptom (see alcoholism). The term (meaning ‘compulsive thirst’) has occasionally been used in relation to individuals with schizophrenia, who drink water or juices excessively.... dipsomania

n. a drug used in the treatment of chronic alcoholism. It acts as a deterrent by producing unpleasant effects when taken with alcohol, including flushing, breathing difficulties, headache, palpitations, nausea, and vomiting. Common side-effects are fatigue, nausea, and constipation.... disulfiram

n. a period of memory loss during which the patient leaves his or her usual surroundings and wanders aimlessly. It is often preceded by psychological conflict and associated with depression (see dissociative disorder), organic mental disease, or alcoholism.... fugue

n. abrupt involuntary lowering of the diaphragm and closure of the sound-producing folds at the upper end of the trachea, producing a characteristic sound as the breath is drawn in. Hiccups, which usually occur repeatedly, may be caused by indigestion or more serious disorders, such as alcoholism. Medical name: singultus.... hiccup

(IUGR, fetal growth restriction) failure of a fetus to achieve its growth potential, resulting in the birth of a baby whose birth weight is abnormally low in relation to its gestational age (see small for gestational age). Causes include *uteroplacental insufficiency, maternal disease (e.g. infection, malnutrition, high blood pressure, smoking, and alcoholism), poor socioeconomic conditions, multiple pregnancy (e.g. twins), and fetal disease or chromosomal abnormalities. It may be associated with *preterm birth.... intrauterine growth restriction

Linn.

Family: Vitaceae.

Habitat: A woody, shrubby vine, cultivated in Punjab, Rajasthan, Delhi, Uttar Pradesh Maharashtra, Karnataka, Andhra Pradesh and Tamil Nadu for edible fruits.

English: Wine Grape, European Grape. (Chinese: P'u-t'ao.)

Ayurvedic: Draakshaa, Go-stani, Mrdvikaa. Dehydrated fruit— Daakh, Munnakaa, Kishmish.

Unani: Angoor. Dehydrated fruit—Daakh, Maweez, Zabeeb, Munaqqaa, Kishmish.

Siddha: Draksha.

Action: Dried fruits, seedless— nourishing and invigorating. Used in prescriptions for cough, respiratory tract catarrh, subacute cases of enlarged liver and spleen; and in alcohol-based tonics (Aasavs).

The Ayurvedic Pharmacopoeia ofIn- dia recommends dried mature fruits (5-10 g) in anaemia, jaundice, dyspepsia, constipation, haemorrhagic diseases, gout, cough, dyspnoea, and alcoholism.

Grape vine contains flavonoids, tannins, tartrates, inositol, carotenes, cho- line and sugars. The fruit contains tar- taric and malic acids, sugars, pectin, tannin, flavone glycosides, vitamins A, B1, B2, C and minerals; anthocyanins in red leaves and red grapes. Antho- cyanins reduce capillary permeability. Red leaves are astringent and anti- inflammatory; an infusion is used for diarrhoea, heavy menstrual bleeding and uterine haemorrhage; also in the treatment of varicose veins and haemorrhoids.

Oligomeric proanthocyanidin extract of the seed is used in atherosclerosis due to its free radical scavenging ability, also in venous insufficiency, night vision, oedema due to injury and post surgery oedema.

Proanthocyanidin extract decreased hepatotoxicity of acetaminophen in mice. Grape polyphenols, extracted from skin and seeds decreased hepatic injury from alcohol, but had no effect on ethanol-induced lipid changes in rats. (Sharon M. Herr.)

Dosage: Dried mature fruits—5-10 g. (API, Vol. III.)... vitis vinifera

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

Adeno-carcinoma. Cause: often related to chronic pancreatitis, alcoholism. Beer drinkers, more than 7 pints a week, run a three times greater risk of the disease than one in a 100 threat to the rest of the population. (Imperial Cancer Research Report, April, 1989) Diabetes. A study carried out at Harvard School of Public Health found strong evidence in favour of the excessive consumption of coffee. Seventh Day Adventists and Mormons, who abstain from coffee, have much lower rates than the average. Relative risk was 1-8 with up to two cups a day and 2.7 with three or more. (New England Journal of Medicine, 1981, March 12, Vol 304, No 11, p630)

Symptoms. Weight loss. Pain upper abdomen. Change of bowel habit. Phlebitis. Low blood sugar. Sugar in the urine. Jaundice when head of the pancreas is involved. As little benefit is said to be gained from chemotherapy or radiotherapy, and because a majority of these tumours are unresectable, there would appear to be good grounds for herbal medicine, either as primary or supportive treatment.

Of possible therapeutic value for relief of accompanying gastric and pressure symptoms only: Sarsaparilla, Liquorice, Dandelion, Peppermint, Fennel, German Chamomile.

Tea. Barberry bark. 1 teaspoon to each cup of cold water. Steep overnight. Dose: half-1 cup 3 or more times daily.

Formula. Equal parts: Barberry bark, Dandelion, Galangal. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon (5ml). Tinctures: 2 teaspoons. Thrice daily to commence: after fourteen days increase as tolerated.

Primrose oil. High doses GLA believed to improve immune system and prevent weight loss.

Macrobiotic diet. A retired English doctor had cancer of the pancreas, inoperable, the size of a cricket ball, for which conventional treatment could do nothing. Regression being almost impossible, he would die within a few months. In the meantime he was advised to try the Macrobiotic diet comprising wholefoods, compost grown vegetables, vegetable oils and natural drinks such as carrot juice and herbal teas. He and his wife, living in Italy, carefully followed the diet, drank water only from a local spring and ate vegetables organically grown on their own land. The tumour diminished in size and the doctor recovered.

Note: Cessation of cigarette smoking will result in a decreased incidence of the disease in the male adult population. (American Journal of Public Health 1989 79 1016)

A substance found in fish oil has been shown experimentally to prevent cancer of the pancreas. Mackerel, herring and sardines are among fish with the ingredient.

Treatment by oncologist or general practitioner. ... cancer – pancreas

an organic disorder affecting the brain that results in a memory defect in which new information fails to be learnt although events from the past are still recalled; *disorientation in time and place; and a tendency to unintentionally invent material to fill memory blanks (see confabulation). The commonest cause of the condition is untreated *Wernicke’s encephalopathy in the context of alcoholism. Large doses of thiamine are given as treatment. The condition often becomes chronic. [S. S. Korsakoff (1854–1900), Russian neurologist]... korsakoff’s syndrome

Peruvian bark. Jesuit’s bark. Cinchona officinalis L. Source of the alkaloid quinine used in the treatment of malaria. German: Chinabaum. French: Quinquina. Italian: China. Part used: stem-bark and root.

Constituents: quinoline alkaloids, (quinine is extracted from the bark) resin, tannins, glycosides.

Action: anti-protozoal, anti-cramp, anti-malarial, appetite stimulant, bitter, febrifuge, tonic.

Uses: Cinchona was named after the Countess of Cinchona, wife of the Viceroy of Peru who was cured of a malarial fever with the powdered bark. News of her recovery spread like wildfire through the high society circles of Europe which started a world demand for the bark.

Its temperature-reducing effect is felt by other fevers with shivering chill and violent shaking. Enlargement of the spleen due to abnormal destruction of blood cells. Iron-deficient anaemia. Atrial fibrillation of the heart. Alcoholism. Debility. For recovery from excessive diarrhoea, loss of blood and exhausting liver and gall bladder conditions. Persistent flatulence. Polymyalgia. Loss of appetite (with Hops).

Practitioner only use. The remedy is on the General Sales List, Schedule 2, Table A up to 50mg per dose (Rla); over 50mg per dose it is obtainable from a pharmacy only. Herbal practitioners are exempt up to 250mg per dose (750 daily).

Tincture (BPC 1949). Dose: 2 to 4ml.

Tonic Mineral Water. On open sale. A palatable way of taking quinine for malaria prevention. ... cinchona bark

Seizure, fit. Muscular spasms with alternate contraction and relaxation of muscles arising from brain disturbance. Epilepsy. Occurs when serum calcium, serum magnesium, or blood sugar is low. Feverish conditions are responsible for most convulsions in children. This is where herbal anti- febrile agents are helpful: Chamomile, Peppermint, Catnep, etc. Many parents unwittingly help to provoke a febrile convulsion.

Treatment would depend on diagnosis which may be one of a number of conditions: alcoholism, toxic drugs, meningitis, epilepsy, diabetic coma, dentition, expanding brain tumour, excessive crying or coughing – as in whooping cough, bowel irritation, emotional upset.

Symptoms. Aura, crying out, heavy breathing, loss of consciousness, rigidity, incontinence of urine and faeces.

Treatment. Cause the body to lose heat. For insulin coma give glucose, honey, or something sweet. Remove tight clothing. If the case is a child, lay on its side; sponge with cold water. If available, insert Valerian or other relaxant herb suppository. Catnep tea enema brings relief (Dr J. Christopherson).

Teas. Any one: German Chamomile, Hops, Lobelia, Motherwort, Passion flower, Skullcap, Wood Betony.

Decoctions. Any one: Cramp bark, Black Cohosh, Blue Cohosh, Skunk Cabbage, Valerian, Lady’s Slipper.

Tinctures. Any one: Cramp bark, Black Cohosh, Blue Cohosh, Lobelia, Valerian, Wild Yam, Lady’s Slipper. OR: Formula – Equal parts: Black Cohosh, Blue Cohosh, Valerian. Dose: 1 teaspoon in hot water, every half hour.

Camphor, Tincture or spirits of: 2-5 drops in honey or bread bolus offers a rapid emergency measure for adults. Inhalant also.

Peppermint, Oil. 1-2 drops in honey or milk.

Practitioner. Tincture Gelsemium BPC 1983. Dose: 0.3ml in water.

Supplements, for prevention: Calcium lactate 300mg 6 daily. Magnesium. Vitamin B6. ... convulsions

The Thatcher Finger. Fibrosis of the palm of the hand leading to deformity. Inability to straighten the ring and little finger due to fixed flexion. A tightened sinew. High serum fat levels are present, the disease affecting men from the age of 20 and women after the menopause.

“It is believed that oxidation of the lipids by free radicals (which are also present in high numbers in patients who have Dupuytren’s contracture) produces toxins which kill fibroblast cells in the palmar fascia. The surrounding tissue overreacts by producing many more fibroblasts, a bit like callous formation after a wound. The rapid increase in fibrous tissue leads to the contracture. This explains why the contracture is so common among patients with diabetes, epilepsy and alcoholism – serum lipid levels are raised in all these groups . . . However, the disorder occurs only if the patient has a genetic predisposition to the disease.” (Mr Paul Sanderson, Orthopaedic Surgeon, Wrightington Hospital, Wigan, in the Journal of Bone and Joint Surgery, Nov. 1992)

Treatment. Directed towards prevention. Same as for HYPERLIPIDAEMIA.

DWARF BEAN. See: FRENCH BEAN.

DWARF ELDER. Danewort. Ground Elder. Sambucus ebulus L. French: Petit sureau. German:

Attichwurzel. Spanish: Sauro enano. Italian: Ebbio. Part used: leaves. Action: expectorant, diaphoretic, diuretic, purgative.

Uses: Dropsy, kidney and bladder torpor, rheumatism.

Combine, equal parts Dwarf Elder, Greater Plantain and Parsley Piert for gravel.

Combine, equal parts Dwarf Elder, Wild Carrot, Broom and Motherwort for oedema of heart origin. Combine, equal parts Dwarf Elder and Celery seeds for polymyalgia and rheumatism. (W.T. Hewitt, FNIMH)

Preparations: Thrice daily.

Tea. 2 teaspoons leaves to each cup boiling water; infuse 10 minutes. Half-1 cup.

Tincture. 1 part in 5 parts 45 per cent alcohol. Macerate 8 days. Decant. 5-10ml (1-2 teaspoons). ... dupuytren’s contracture

n. infiltration of *hepatocytes with fat. This may occur in alcoholism, obesity, metabolic syndrome, pregnancy, malnutrition, viral hepatitis, or certain drugs (such as oestrogens or steroids).... steatosis

the nonclinical, or recreational, use of pharmacologically active substances such that continued use results in adverse physiological or psychological effects (see dependence). Substances commonly misused include alcohol (see alcoholism), *amphetamines, *cannabis, *cocaine, *Ecstasy, *heroin, *lysergic acid diethylamide (LSD) and organic solvents (by inhalation), but also many prescribed medications, such as co-codamol, quetiapine, or pregabalin.... substance misuse

Venus hair. Adiantum capillus-veneris. German: Venushaar. French: Adianthe. Italian: Adianto. Iranian: Hansa padi. Indian: Mubarakha. Arabian: Shuir-el-jin. Parts used: the fern and rhizomes.

Constituents: terpenoids, flavonoid glycosides.

Action: demulcent expectorant, pectoral stimulant, anti-tussive, mucilaginous, galactagogue, anti- dandruff.

Uses: detoxicant for alcoholism; coughs, sore throat, bronchitis.

Preparations: Average dose, half-2 grams. Thrice daily.

Tea. quarter-1 teaspoon to each cup boiling water; infuse 15 minutes. Half a cup. Liquid Extract BHP (1983) 1:1 in 25 per cent alcohol. Dose, half-2ml.

Powder: half-2 grams. ... maidenhair fern

Marian thistle. Silybum marianum L. Gaertn. German: Mariendistel. French: Chardon Marie. Spanish: Carod de Maria. Italian: Cardo di Maria. Parts used: seeds, leaves. One of the best liver remedies.

Constituents: silymarin and other flavo-lignans.

Action: bitter tonic, cholagogue for promoting flow of bile up to 60 per cent in liver disorders, choleretic, antidepressant. Antioxidant to inhibit action of free radicals. Stimulates synthesis of protein. Liver protector, producing new cells in place of the old. Detoxifier. Antiviral. Gall bladder protective. Uses: to assist digestion of fats, hypertensive, stitch-in-the-side, toxaemia from drug addiction, to correct pale stools, cirrhosis. Of value as supportive treatment for hepatitis B. Lowers blood fats. Varicose ulcer (powdered seed locally). Inflammation of gall bladder and duct. Food allergy. Damage caused by alcoholism and environmental poisons. Fatty liver. To raise bilirubin levels. Pre-menstrual tension. Mushroom poisoning. Candida. To assist liver function in chronic degenerative disease. To increase flow of milk in nursing mothers.

Preparations: Dose: 80 to 200mg, thrice daily. With a history of gall stones: 420mg daily as a protective. Tea: quarter to half a teaspoon to each cup boiling water; infuse 15 minutes. Dose: quarter to half a cup thrice daily.

Tincture: 10-30 drops in water. An ingredient of Biostrath.

Liver-gall Formula No 6 Biostrath. An ingredient of.

Extract. Capsules 100mg. Milk Thistle Extract, Lactose, Magnesium stearate, Silica. 1-3 capsules daily. (Reevecrest, Healthcare)

Legalon tablets. Contain 35mg Silymarin: 2-4 tablets after meals for 4-6 weeks; thereafter 1 tablet thrice daily. (R.F. Weiss MD)

German Pharmacopoeia. Rademacher’s Milk Thistle: 20 drops thrice daily in water or cup of Peppermint tea.

German Medical Research. Noted that Milk Thistle protected the liver from carbon tetrachloride poisoning.

Note: As an antioxidant is more powerful than Vitamin E.

Chronic alcoholism. Silymarin increases SOD activity of both red and white blood cells. (Journal of Hepatology, 12 pp290-5, 1991) ... milk thistle

Inflammation or deterioration of a nerve, usually peripheral. Peripheral neuritis. When more than one nerve is involved it is known as polyneuritis which may occur in various parts of the body. Causes: injuries, bone fractures, alcoholism, viral infection, Vitamin B12 deficiency, diabetes. Nerves become inflamed when poisons are taken into the body in the form of lead, mercury, arsenic and other heavy metals. Gout, leukaemia, and infectious diseases generally, may leave a legacy of polyneuritis. The neuritis of beri-beri is due to lack of Vitamin B1 (thiamine). Neuritis of the optic nerve – Gelsemium. Symptoms. Swelling, redness and pain in affected area. When squeezed, muscles are tender. Knee-jerks and other reflexes may be lost. ‘Pins and needles’.

Treatment. Appropriate to all types. To enhance growth of new nerve fibres as well as to assuage pain. Alternatives. Catnep (inflammation), Chamomile, Cramp bark, Gelsemium, Ginseng, Fringe Tree bark, Ladyslipper, Hops, Oats, Valerian, Wild Yam.

Tea. Combine equal parts: Catnep, Skullcap, Chamomile. 1 heaped teaspoon to each cup boiling water; infuse 15 minutes. 1 cup freely.

Decoction. Combine equal parts: Cramp bark, Valerian. One heaped teaspoon to each cup water gently simmered 10-20 minutes. Half-1 cup thrice daily.

Tablets/capsules. Chamomile, Cramp bark, Ginseng, Skullcap, Valerian.

Powders. Combine, Cramp bark 1; Liquorice half; Valerian half; Wild Yam half. Dose: 500mg thrice daily.

Liquid extracts. Combine: Chamomile 1oz; Hops half an ounce; Skullcap 60 drops; Cramp bark 1oz; water to 8oz. Dose: 2 teaspoons in water after meals. (A. Barker)

Tinctures. Formula: Cramp bark 3; Chamomile 2; Hops 2; Peppermint 1. Dose: 2 teaspoons thrice daily. Practitioner. Tincture Gelsemium BPC (1973). Dose: 0.3ml (5 drops).

Topical. Oil of St John’s Wort. Cloves, Cajeput, Chamomile. Poultices. Chamomile, Yarrow.

Vitamins. B1, B2, B6, B12, B-complex.

Pantothenic acid.

Minerals. Magnesium. Dolomite. Manganese. ... neuritis

English oak. Quercus robur L. Dried inner bark. German: Stieleiche. French: Bouvre. Italian: Rovere.

Constituents: tannins, quercin, pectin, resin.

Action: astringent, styptic, antiseptic, anti-inflammatory, haemostatic.

Uses: Alcoholism, diarrhoea, dysentery, colitis. To cleanse external ulcers and suppurating wounds. Mouth ulcers, spongy gums, sore throat, tonsillitis, (gargle and mouth-wash). Non-infectious vaginal discharge, leucorrhoea, (douche). Chilblains (decoction as a lotion). Piles (decoction as an enema). Preparations. Average dose, half-2 grams, or equivalent. Thrice daily.

Decoction. Half an ounce to 1 pint water gently simmered 20 minutes. Dose, one-third to half a cup (internally).

Liquid extract BHP (1983). 1:1 in 25 per cent alcohol; dose, 1-2ml.

Tincture of acorns. Dehusk and pulverise acorns. 1 part to 5 parts 45 per cent alcohol (vodka etc). Macerate 8 days, shake daily. Filter. Dose, 15-30 drops. External: 1 part to 20 parts boiled water. Powder, inner bark or acorns, for dusting foul-smelling ulcers and septic wounds.

Oak Bath. 6-8oz bark to 10 litres (7 pints) water simmered 20 minutes. Add to bath water. Oak Compress. Soak a piece of lint in decoction and fix firmly for acute eye troubles. ... oak

Oatstraw. Avena sativa L. Husks of oats. German: Evenhafer. French: Avoine. Spanish: Avena. Italian: Biada.

Constituents: glycosyl flavones, proteins, Vitamin E, oil, proteins.

Action: nerve restorative, antidepressant, tranquilliser, brain tonic. Cardiac tonic BHP (1983). Nutrient with selective action on brain and nerve cells. Source of minerals. Thymoleptic. Improves performance of athletes and stamina.

“Oats have the highest content of iron, zinc and manganese of all grain species.” (Dr A. Vogel)

Uses: Benzodiazepine, Valium or other drug addiction – with Valerian and Skullcap to assist withdrawal. Alcoholism. Nerve and physical weakness with depression and anxiety. Debility following illness; recovery from surgical operation. Neurasthenia. Tension and irritability through overwork. Headache with pain at back of the neck; sleeplessness, shingles, hyperactivity in children. Nerve tremor in the aged not caused by Parkinson’s or other nerve degenerative diseases. May be taken with benefit for general well-being in chronic nerve dyscrasies but with limited improvement in basic condition. Sometimes proves of benefit for schizophrenic tendency. Sexual weakness with night losses and impotence. Combines well with Saw Palmetto for spermatorrhoea. Combines with Valerian and Wood Betony for nerve weakness, to minimise attacks of petit mal, chorea and other convulsive states. Does not combine well with Passion flower or Cypripedium.

Contra-indicated in cases sensitive to gluten.

Preparations: Average dose, 1-2 grams or equivalent. Thrice daily. An older generation of herbalists prepared their tinctures and extracts from the green flowering unripe wild Oats as the effective constituent is unstable. Taken hot, effects are more immediate.

Tea: oatstraw: 1-2 teaspoons to each cup boiling water; infuse 15 minutes. Drink freely.

Tincture BHP (1983) 1 part to 5 parts 45 per cent alcohol. Macerate and shake daily for 8 days; dose, 1- 5ml.

Extracts, groats and oatmeal products are all beneficial but are not of the same efficacy as the fresh green plant.

Oatstraw bath: 2-3 handfuls oatstraw. Simmer in 2-3 litres water for 5 minutes; strain; add to bathwater. Liquid Extract: dose: 1-2ml in water.

Traditional combination: equal parts – Oats, Passion flower, Hops and Valerian. Diet. Porridge, but not to be eaten by the gluten intolerant.

Side-effects: none known. ... oats

A psychotic state often found with alcoholism, dementia and depression. Obsessional suspicion and aggression. Morbid jealousy. Such symptoms are often of physical causation and will not improve until the condition is remedied. Consider low thyroid function (Kelp), drug dependency (Valerian), auto-toxaemia (Echinacea).

Even as too low body fluids may kindle emotions of anger and irritability, so too much water has a depressing effect, bringing about an emotional state simulating paranoia. Administration of a timely diuretic (Parsley or Juniper berry tea) is sometimes known to raise the spirits.

Pulsatilla. (N. Gosling FNIMH, Herbal Practitioner, Apr 1979, p.11) ... paranoia

n. a state of *dependence produced either by the habitual taking of drugs or by regularly engaging in certain activities (e.g. gambling). People can develop physical and psychological symptoms of *dependence, which include a strong desire to take the substance or exercise the behaviour, impaired capacity to control such behaviour or substance taking, a physical or psychological *withdrawal state, evidence of *tolerance development, social and mental preoccupation with substance use or the given behaviour, and persistent use despite harmful consequences. Treatment is directed to withdrawal of the drug or behaviour with the aim of partial or total abstinence. See also alcoholism; tolerance.... addiction

n. a condition in which the liver responds to liver cell (*hepatocyte) injury or death by replacing damaged tissue with interlacing strands of fibrous tissue and nodules of regenerating cells. The liver becomes tawny and characteristically knobbly in appearance (due to the nodules). Causes include chronic *alcoholism (alcoholic cirrhosis), viral *hepatitis, *nonalcoholic fatty liver disease (NAFLD), chronic obstruction of the common bile duct (secondary biliary cirrhosis), autoimmune diseases (chronic autoimmune hepatitis, primary biliary cirrhosis), sclerosing *cholangitis, and chronic heart failure (cardiac cirrhosis). In a small minority of cases no cause is found (cryptogenic cirrhosis). Complications include *portal hypertension, *ascites, *hepatic encephalopathy, and *hepatoma. Cirrhosis is irreversible. The withdrawal or treatment of causative factors prevents further deterioration of liver function. Liver transplantation may be considered when liver failure has become established. Complete abstinence from alcohol should be recommended to those patients with cirrhosis secondary to alcoholic liver disease. —cirrhotic adj.... cirrhosis

any attempt at self-injury or self-poisoning, as often occurs in the context of acute stress, personality disorder, depression, and alcoholism. It may or may not involve suicidal intent. Treatment begins with a psychosocial assessment, on the basis of which the patient may be offered various forms of *psychotherapy and occasionally *antipsychotic medication, *lithium, or *SSRIs. If the attempt is serious, immediate treatment may be necessary in a medical ward or (more rarely), if suicidal intent persists, in a psychiatric ward. Patients who do not have a mental disorder should be assessed using the criteria set out in the Mental Capacity Act 2005 and, if found to have *capacity, are entitled to consent to or refuse treatment like any other capacitous adult. See also suicide.... deliberate self-harm

n. 1. an eating away of surface tissue by physical or chemical processes, including those associated with inflammation. In the skin, an erosion represents a superficial type of ulceration and therefore heals quite readily. 2. (in dentistry) loss of non-carious tooth surface, usually caused by repeated application of acid, which softens the enamel. It may result from excessive intake of fruit juice, carbonated drinks, or acidic fruits or by regurgitation of acid from the stomach, as in bulimia nervosa, hiatus hernia, alcoholism, or stress (see gastro-oesophageal reflux disease). The teeth become very sensitive. The aetiology should be identified and corrected; severe cases may require extensive dental restorations.... erosion

A group of watersoluble vitamins comprising thiamine (vitamin B1), riboflavin (vitamin B2), niacin, pantothenic acid, pyridoxine (vitamin B6), biotin (vitamin H), and folic acid. Vitamin B12 is discussed above.

Thiamine plays a role in the activities of various enzymes involved in the utilization of carbohydrates and thus in the functioning of nerves, muscles, and the heart. Sources include whole-grain cereals, wholemeal breads, brown rice, pasta, liver, kidney, pork, fish, beans, nuts, and eggs.

Those susceptible to deficiency include elderly people on a poor diet, and people who have hyperthyroidism, malabsorption, or severe alcohol dependence. Deficiency may also occur as a result of severe illness, surgery, or injury.

Mild deficiency may cause tiredness, irritability, and loss of appetite. Severe deficiency may cause abdominal pain, constipation, depression, memory impairment, and beriberi; in alcoholics, it may cause Wernicke–Korsakoff syndrome. Excessive intake is not known to cause harmful effects.

Riboflavin is necessary for the activities of various enzymes involved in the breakdown and utilization of carbohydrates, fats, and proteins; the production of energy in cells; the utilization of other B vitamins; and hormone production by the adrenal glands. Liver, whole grains, milk, eggs, and brewer’s yeast are good sources. People who are susceptible to riboflavin deficiency include those taking phenothiazine antipsychotic drugs, tricyclic antidepressant drugs, or oestrogen-containing oral contraceptives, and those with malabsorption or severe alcohol dependence. Riboflavin deficiency may also occur as a result of serious illness, surgery, or injury.

Prolonged deficiency may cause soreness of the tongue and the corners of the mouth, and eye disorders such as amblyopia and photophobia.

Excessive intake of riboflavin is not known to have any harmful effects.

Niacin plays an essential role in the activities of various enzymes involved in the metabolism of carbohydrates and fats, the functioning of the nervous and digestive systems, the manufacture of sex hormones, and the maintenance of healthy skin. The main dietary sources are liver, lean meat, fish, nuts, and dried beans. Niacin can be made in the body from tryptophan (an amino acid). Most cases of deficiency are due to malabsorption disorders or to severe alcohol dependence. Prolonged niacin deficiency causes pellagra. Excessive intake is not known to cause harmful effects.

Pantothenic acid is essential for the activities of various enzymes involved in the metabolism of carbohydrates and fats, the manufacture of corticosteroids and sex hormones, the utilization of other vitamins, the functioning of the nervous system and adrenal glands, and growth and development. It is present in almost all vegetables, cereals, and animal foods. Deficiency of pantothenic acid usually occurs as a result of malabsorption or alcoholism, but may also occur after severe illness, surgery, or injury. The effects include fatigue, headache, nausea, abdominal pain, numbness and tingling, muscle cramps, and susceptibility to respiratory infections. In severe cases, a peptic ulcer may develop. Excessive intake has no known harmful effects.Pyridoxine aids the activities of various enzymes and hormones involved in the utilization of carbohydrates, fats, and proteins, in the manufacture of red blood cells and antibodies, in the functioning of the digestive and nervous systems, and in the maintenance of healthy skin. Dietary sources are liver, chicken, pork, fish, whole grains, wheatgerm, bananas, potatoes, and dried beans. Pyridoxine is also manufactured by intestinal bacteria. People who are susceptible to pyridoxine deficiency include elderly people who have a poor diet, those with malabsorption or severe alcohol dependence, or those who are taking certain drugs (including penicillamine and isoniazid). Deficiency may cause weakness, irritability, depression, skin disorders, inflammation of the mouth and tongue, anaemia, and, in infants, seizures. In very large amounts, pyridoxine may cause neuritis.

Biotin is essential for the activities of various enzymes involved in the breakdown of fatty acids and carbohydrates and for the excretion of the waste products of protein breakdown. It is present in many foods, especially liver, peanuts, dried beans, egg yolk, mushrooms, bananas, grapefruit, and watermelon. Biotin is also manufactured by bacteria in the intestines. Deficiency may occur during prolonged treatment with antibiotics or sulphonamide drugs. Symptoms are weakness, tiredness, poor appetite, hair loss, depression, inflammation of the tongue, and eczema. Excessive intake has no known harmful effects.

Folic acid is vital for various enzymes involved in the manufacture of nucleic acids and consequently for growth and reproduction, the production of red blood cells, and the functioning of the nervous system. Sources include green vegetables, mushrooms, liver, nuts, dried beans, peas, egg yolk, and wholemeal bread. Mild deficiency is common, but can usually be corrected by increasing dietary intake. More severe deficiency may occur during pregnancy or breastfeeding, in premature or low-birthweight infants, in people undergoing dialysis, in people with certain blood disorders, psoriasis, malabsorption, or alcohol dependence, and in people taking certain drugs. The main effects include anaemia, sores around the mouth, and, in children, poor growth. Folic acid supplements taken just before conception, and for the first 12 weeks of pregnancy, have been shown to reduce the risk of a neural tube defect.... vitamin b complex

Rhododendron groenlandicum

FAMILY: Ericaceae

SYNONYMS: Ledum, Labrador tea, marsh tea, swamp tea, bog Labrador tea, rusty Labrador tea, Hudson’s Bay tea (formerly Ledum groenlandicum).

GENERAL DESCRIPTION: This beautiful, hardy plant is a shrub belonging to the heather family, which can reach one metre in height. It is recognizable by its thick, leathery evergreen leaves whose edges coil under and are quite unique, being deep green on top with a downy-fuzz beneath. New leaves have a woolly mat of white hairs underneath; mature leaves have reddish hairs. All leaves are dotted with resinous glands and are fragrant, with a pungent scent, when crushed. The fluffy white flowers, which are borne in spring, are also strongly aromatic.

DISTRIBUTION: The plant is native to North America, from Greenland and Labrador across to Alaska, as far north as the treeline. It is absent from the far North and the dry prairies. The Latin name groenlandicum refers to the fact that it grows in Greenland where it is still widespread, often growing in dense colonies.

OTHER SPECIES: Ledum is a genus name, which includes 8 species of evergreen shrubs native to cool temperate and sub-arctic regions of the Northern Hemisphere, commonly known as Labrador tea. The common name Ledum is also applied to Rhododendron tomentsum subsp. subarcticum (formerly L. decumbens) which is known as Northern Labrador tea. This species, which is similar but slightly smaller, grows farther north on tundra at up to 1,800 metres and contains toxic alkaloids known to be poisonous to livestock. It lacks the characteristic fuzz on the underside of the mature leaves and the flowers of L. groenlandicum.

HERBAL/FOLK TRADITION: This strongly aromatic herb has been used in folk medicine for centuries. Brewed as a medicinal beverage known as Labrador tea, it was used by practically all Canada’s First Nations peoples as a tonic and to treat certain respiratory, digestive and kidney ailments; as a remedy for headaches and various types of rheumatism; and to facilitate childbirth. The herbal tea also served to clean wounds and was applied to insect bites. It is said that the plant was used for over 5,000 years by the native people of North America, to protect themselves from scurvy, and the Cree used it for fevers and colds: indeed it was regarded as a ‘cure-all’ by the indigenous people. In the fur-trading era, the French Canadian coureurs-de-bois used Labrador tea to extend their supplies of black tea: it thus became a substitute for unaffordable Chinese tea during times of economic crisis. However, like other plants in the heather family, Greenland moss contains an andromedo-toxin that can cause poisoning if used in excess.

According to recent clinical trials, Greenland moss essential oil has a natural affinity for the immune system and can be an effective immune system supporter. The oil also helps counteract blood toxicity and aids liver regeneration, valuable in cases of liver intoxication originating from circulation disorders, viral hepatitis, enteritis and cirrhosis (fatty liver). Clinical research suggests that the essential oil functions like an enzyme in the liver, digesting toxic waste and fat molecules. It is also indicated for obesity, oedema, water retention and thyroid regulation. The oil has also been studied at the University of Quebec, and was found to be a strong antioxidant and natural anti-inflammatory: it also showed anticancer activity against colon carcinoma and lung carcinoma cells.

ACTIONS: Analgesic, antibacterial, anticancerous, antiviral, anti-inflammatory, anti-tumoral, antispasmodic, antioxidant, anti-infectious, antiseptic, carminative, cicatrizing, decongestant, digestive tonic, immune support, liver support, stomachic, tonic.

EXTRACTION: Greenland moss oil is extracted by steam distillation from the leaves.

CHARACTERISTICS: A clear, pale-yellow liquid, with a fresh-herbaceous, medicinal and slightly sweet aroma and earthy-woody undertones.

PRINCIPAL CONSTITUENTS: The main chemical constituents are limonene (up to 35 per cent), sabinene, selinene, bornyl acetate with other monoterpenes and sesquiterpenes.

SAFETY DATA: Possible skin sensitization: always dilute for topical use. Avoid during pregnancy and by children. NB: Abusive consumption of the tea derived from its leaves may cause indigestion, and may even have a toxic effect due to the high level of tannins that it contains.

AROMATHERAPY/HOME: USE

Skin Care: Allergies, skin problems.

Circulation Muscles And Joints: Aching muscles and joints.

Respiratory System: Colds, coughs, bronchitis, hoarseness, influenza, laryngitis.

Digestive System: Addictions, alcoholism, allergies, cellulite, fatty liver, hepatitis (viral), hypothyroid, liver problems (toxic liver, support and detoxifier), lymph nodes (inflamed), obesity, thyroid regulation and water retention.

Immune System: Tonic and immune support.

Nervous System: Anxiety, nervous debility tension.

OTHER USES: The plant is still used as a local ‘tea plant’ in parts of the Northern Hemisphere.... greenland moss