Antiseptics Health Dictionary

Antiseptics: From 3 Different Sources


Anti-infectives. Anti-microbials. Powerful plant germicides destructive to harmful bacteria, tending to prevent decay and putrefaction. This group includes the astringents and contains tannins which of themselves tend towards an antiseptic effect. Three of the most widely used are: Myrrh, Echinacea and Goldenseal which combined are a popular combination. Cinnamon is regarded as a powerful antiseptic, internally and externally, in China and the Far East; a sprinkle of the powder applied even to open wounds.

Aromatherapy oils: Borneol, Cinnamon, Eucalyptus, Juniper, Cloves, Lavender, Niaouli, Pine, Rosemary, Thyme, Ylang Ylang.

In present practice: (General) Abscess root, Black Catechu, Boldo, Barberry, Bearberry, Balm of Gilead, Buchu, Blood root, Composition powder or essence, Cudweed, Eucalyptus, Echinacea, Garlic, Goldenrod, Juniper, German Chamomile, Marigold, Myrrh, Oak bark, Peppermint, Onion, Peruvian bark, Poke root, Poplar (white), Rosemary, Sage, Sarsaparilla, Saw Palmetto, Southernwood, Thyme, Wild Indigo, Wild Thyme, White Willow bark, Wintergreen.

Eyes: Marigold, German Chamomile.

Intestines: Goldenseal, German Chamomile.

Lymph glands: Poke root, Echinacea, Garlic, Sarsaparilla, Wild Indigo.

Mucous membranes: Goldenseal, Myrrh, Echinacea, Sarsaparilla.

Genital system: Saw Palmetto, Goldenseal.

Nose: Eucalyptus (oil) injection.

Respiratory system: Balm of Gilead, Cudweed, Pine (oil of).

Skin: Myrrh, Cinnamon, Goldenseal, Sphagnum

Moss, Marigold; Oils of Garlic, Thyme, Sage,

Juniper, Blood root, Marigold.

Throat and mouth: Poke root, Goldenseal, Cinnamon, Sage.

Urinary system: Barberry, Bearberry, Boldo, Couch Grass, Echinacea, Juniper, Meadowsweet (mild), Onion, Wild Indigo, Yarrow. 

Health Source: Bartrams Encyclopedia of Herbal Medicine
Author: Health Encyclopedia
Chemicals applied to the skin in order to destroy bacteria and other microorganisms, thereby preventing infection. Common antiseptics are chlorhexidine, cetrimide, hexachlorophene, and compounds containing iodine.

(See also disinfectants; aseptic technique.)

Health Source: BMA Medical Dictionary
Author: The British Medical Association
Antiseptics prevent the growth of disease-causing micro-organisms without damaging living tissues. Among chemicals used are boric acid, carbolic acid, hydrogen peroxide and products based on coal tar, such as cresol. Chlorhexidines, iodine, formaldehyde, ?avines, alcohol and hexachlorophane are also used. Antiseptics are applied to prevent infection – for example, in preparing the skin before operation. They are also used externally to treat infected wounds.
Health Source: Medical Dictionary
Author: Health Dictionary

Asepsis

A technique to produce a germ-free environment to protect patients from infection. It is used for any procedure that might introduce infection into the body and is essential for all surgery – even minor procedures. Asepsis is achieved by ensuring that all people who come into contact with the patient scrub their hands and wear sterilised gowns with disposable masks and gloves. Operating-theatre air and equipment must also be clean. An aseptic technique is also necessary when caring for patients whose immune system (see IMMUNITY) is suppressed: one example is LEUKAEMIA, the treatment of which affects the immune system. Asepsis is aimed at preventing infection; antisepsis is the use of chemicals to destroy germs already on the body or in a wound (see ANTISEPTICS).... asepsis

Bactericide

Anything which kills BACTERIA; the term is, however, usually applied to drugs and antiseptics which do this. Hence bactericidal.... bactericide

Carbolic Acid

Carbolic acid, or phenol, was the precursor of all ANTISEPTICS. It paralyses and then destroys most forms of life, particularly organisms such as bacteria. It has been superseded by less penetrative and harmful antiseptics.... carbolic acid

Cocos Nucifera

Linn.

Family: Palmae; Arecaceae.

Habitat: Cultivated chiefly in Kerala, Tamil Nadu and Karnataka.

English: Coconut Palm.

Ayurvedic: Naarikela, Naalikera, Laangali, Tunga, Skandhaphala, Sadaaphala, Trnaraaja, Kuurch- shirshaka.

Unani: Naarjeel, Naariyal.

Siddha/Tamil: Thenkai. Kopparai (kernel of ripe coconut).

Action: Water from tender fruit— cooling, used in thirst, fever, urinary disorders, gastroenteritis, and as a source of K for cholera patients. Fruit—stomachic, laxative, diuretic, styptic, sedative; useful in dyspepsia and burning sensation. Oil from endosperm—antiseptic; used in alopecia. Root—astringent; used in urinary and uterine and disorders.

Tender coconut water is rich in potassium and other minerals and vitamins. It contains reducing sugars 2.222.85%, total sugars 3.5-4.25%; brix 5.56.2%. It is used as a substitute for normal saline in cases of dehydration.

Alcoholic extract of coconut shell (2% in petroleum jelly, externally) was found very effective in dermatophyto- sis. Lighter fractions of the tar oil are used as antiseptics.

Flowers, mixed with oil, are applied to swellings, leaves to treat abscesses, shoots and ashes of dry meat to deep cuts, grated meat to burns, roots to wounds and gonorrhoea.

Shell and fibre—antimicrobial.

Dosage: Dried endosperm—10- 20 g powder. (API Vol. III.)... cocos nucifera

Cyanides

Salts of hydrocyanic or prussic acid. They are highly poisonous, and are also powerful antiseptics. (See CYANIDE POISONING; WOUNDS.)... cyanides

Disinfectants

Substances that destroy micro-organisms, thus preventing them from causing infections. The name is usually applied to powerful chemicals that are also capable of destroying tissue and so are used only to sterilise inanimate surfaces. ANTISEPTICS are used to cleanse living tissues.... disinfectants

Flavine

See ANTISEPTICS.... flavine

Fumigation

A means of DISINFECTION by the vapour of powerful antiseptics.... fumigation

Hexachlorophene

A widely used antiseptic (see ANTISEPTICS) which is active against a range of microorganisms, including gram-positive and gram-negative organisms (see GRAM’S STAIN), Shigella dysenteriae, and Salmonella typhi. One of its advantages is that it retains its activity in the presence of soap, and is therefore often used in soaps and creams in a concentration of 1–2 per cent. It must be used with caution in babies as it can be absorbed through the skin and prove harmful. Hexachlorophene must not be used on burned or excoriated skin.... hexachlorophene

Mercury

Mercury is a heavy ?uid metal which, with its salts, has been used in medicine for many centuries.

Uses In the past, mercuric salts were used as ANTISEPTICS, anti-parasitic agents and fungicides. Mercury has been widely used in dental amalgams for ?lling teeth. Because of their toxicity, mercury compounds must not be taken internally.

Mercury has traditionally been used in thermometers for recording body temperature, and in sphygmomanometers for measuring a person’s BLOOD PRESSURE. These instruments have been largely replaced in the UK by electronic devices that do not require mercury.... mercury

Potassium Permanganate

A salt of the metallic element POTASSIUM. It is used as a skin antiseptic (see ANTISEPTICS) and for cleaning wounds; its astringent e?ect is useful in the treatment of DERMATITIS. It should not be taken internally because the compound is poisonous.... potassium permanganate

Sepsis

Poisoning by the products of the growth of micro-organisms in the body, the general symptoms which accompany it are those of INFLAMMATION. Sepsis is prevented by the various procedures mentioned under ASEPSIS, and is treated locally with ANTISEPTICS and systemically with ANTIBIOTICS.... sepsis

Gargle

A liquid preparation to wash and freshen the mouth and throat. Some gargles contain antiseptics or local anaesthetics to relieve sore throats.... gargle

Swab

A wad of absorbent material used to apply antiseptics or soak up body fluids during surgery, or to obtain a sample of bacteria from an infected patient.... swab

Urethritis

Inflammation of the urethra, usually due to an infection but sometimes having other causes.

Urethritis may be caused by various infectious organisms, including the bacterium that causes gonorrhoea. Nongonococcal urethritis may be caused by any of a large number of different types of microorganisms. Urethritis may also be caused by damage from an accident

or from a catheter or cystoscope.

Other possible causes include irritant chemicals, such as antiseptics and some spermicidal preparations.

Treatment of infection is with antibiotic drugs.... urethritis

Dead, Disposal Of The

Practically, only three methods have been used from the earliest times: burial, embalming and cremation. Burial is perhaps the earliest and most primitive method. It was customary to bury the bodies of the dead in consecrated ground around churches up until the earlier half of the 19th century, when the utterly insanitary state of churchyards led to legislation for their better control. Burials in Britain take place usually upon production of a certi?cate from a registrar of deaths, to whom notice of the death, accompanied by a medical certi?cate, must be given without delay by the nearest relatives.

When a death occurs at sea, the captain of the ship has authority to permit burial at sea. If, however, there are any doubts about cause of death, the captain may decide to preserve the body and refer the case to the relevant authorities at the next port of call.

Embalming is still used occasionally. The process consists in removing the internal organs through small openings, and ?lling the body cavities with various aromatics of antiseptic power – the skin being swathed in bandages or otherwise protected from the action of the air. Bodies are also preserved by injecting the blood vessels with strong antiseptics such as perchloride of mercury.

Cremation or incineration of the body is now the commonest method of disposal of the dead in the UK, where land for burials is increasingly scarce; today it accounts for around 75 per cent of disposals. The process of incineration takes 1–2 hours. Something in the range of 2·3 to 3·2 kg (5–7 lbs) of ash result from the combustion of the body, and there is no admixture with that from the fuel.

Cremation of a body means that it is almost impossible to conduct any meaningful forensic tests should any subsequent doubts be raised about the cause of death. So, before cremation can take place, two doctors have to sign the cremation forms. The ?rst is usually the doctor who was caring for the patient at the time of death – an important exception being cases of sudden death, when the coroner holds an inquest into the cause and authorises the necessary approval for cremation. In 1999, fewer than 3,500 deaths were certi?ed following a post-mortem, out of a total number of deaths in England and Wales of more than 556,000. When the coroner is not involved, the second doctor must have been quali?ed for ?ve years; he or she must be unconnected with the patient’s care and not linked professionally with the ?rst doctor. (For example, if the ?rst doctor is a general practitioner – as in the majority of cases they are – the second doctor should be from another practice.) Before signing the cremation certi?cate the second doctor must conduct an external examination of the dead person and discuss the circumstances of death with the ?rst doctor.

The two cremation forms are then inspected by crematorium medical referees who must be satis?ed that the cause of death has de?nitely been ascertained. The present death and cremation certi?cation system has been in place in the UK for many years – the legislative framework for cremation was set up in 1902 – and death certi?cation procedures were last reviewed by the government-appointed Brodrick committee in 1971, with no fundamental changes proposed. The case of Harold Shipman, a general practitioner convicted of murdering more than 15 patients, and suspected of murdering many more, has revealed serious weaknesses in the certi?cation system. A comprehensive review of the present procedures was in place at the time of writing (2004).... dead, disposal of the

Quinine

An alkaloid (see ALKALOIDS) obtained from the bark of various species of cinchona trees. This bark is mainly derived from Peru and neighbouring parts of South America and the East Indies. Other alkaloids and acid substances are also derived from cinchona bark, such as QUINIDINE and cinchonine.

Quinine is generally used in the form of one of its salts, such as the sulphate of quinine, or dihydrochloride of quinine. All are sparingly soluble in water, much more so when taken along with an acid.

Action Quinine is a powerful antiseptic (see ANTISEPTICS). Its best-known action is in checking the recurrence of attacks of MALARIA, as it destroys malarial parasites in the blood. In fevers it acts as an antipyretic (see ANTIPYRETICS).

Among its side-effects are ringing in the ears, temporary impairment of vision, and sometimes disturbance of kidney function leading to renal failure.

Uses The most important use of quinine is its original one in malaria, attacks of which it quickly cuts short or prevents altogether. It has been largely replaced by more e?ective and less toxic antimalarial drugs; however, development of malarial parasites resistant to newer drugs has revived the use of quinine. For intravenous injection, when this is necessary in cases of malaria, a soluble form of quinine, the dihydrochloride, is used. Quinine can also be given in combination with other antimalarial drugs on medical advice. The drug is sometimes used in the treatment of cramps.... quinine

Bactericidal

adj. being capable of killing bacteria. Substances with this property include antibiotics, antiseptics, and disinfectants; they are known as bactericides. Compare bacteriostatic.... bactericidal

Blister

n. a swelling containing watery fluid (serum) and sometimes also blood (blood blister) or pus, within or just beneath the skin. Blisters commonly develop as a result of unaccustomed friction on the hands or feet or at the site of a burn but are also a feature of certain skin diseases. Blisters may be treated with antiseptics and dressings. An unduly painful blister may be punctured with a sterile needle so that the fluid is released.... blister

Detergent

n. a synthetic cleansing agent that removes all impurities from a surface by reacting with grease and suspended particles, including bacteria and other microorganisms. Detergents are used for cleansing or as *antiseptics and *disinfectants.... detergent

Dimeticone

(dimethicone) n. a silicone preparation used to treat head lice; it forms a coating around the parasites that prevents their excretion of water. Dimeticone is also included in various *barrier creams (with antiseptics and astringents) to prevent undue drying of the skin and protect it against irritating external agents. See also simeticone.... dimeticone

Paint

n. (in pharmacy) a liquid preparation that is applied to the skin or mucous membranes. Paints usually contain antiseptics, astringents, caustics, or analgesics.... paint

Penicillin

The name given by Sir Alexander Fleming, in 1929, to an antibacterial substance produced by the mould Penicillium notatum. The story of penicillin is one of the most dramatic in the history of medicine, and its introduction into medicine initiated a new era in therapeutics comparable only to the introduction of ANAESTHESIA by Morton and Simpson and of ANTISEPTICS by Pasteur and Lister. The two great advantages of penicillin are that it is active against a large range of bacteria and that, even in large doses, it is non-toxic. Penicillin di?uses well into body tissues and ?uids and is excreted in the urine, but it penetrates poorly into the cerebrospinal ?uid.

Penicillin is a beta-lactam antibiotic, one of a group of drugs that also includes CEPHALOSPORINS. Drugs of this group have a four-part beta-lactam ring in their molecular structure and they act by interfering with the cell-wall growth of mutliplying bacteria.

Among the organisms to which it has been, and often still is, active are: streptococcus, pneumococcus, meningococcus, gonococcus, and the organisms responsible for syphilis and for gas gangrene (for more information on these organisms and the diseases they cause, refer to the separate dictionary entries). Most bacteria of the genus staphylococcus are now resistant because they produce an enzyme called PENICILLINASE that destroys the antibiotic. A particular problem has been the evolution of strains resistant to methicillin – a derivative originally designed to conquer the resistance problem. These bacteria, known as METHICILLINRESISTANT STAPHYLOCOCCUS AUREUS (MRSA), are an increasing problem, especially after major surgery. Some are also resistant to other antibiotics such as vancomycin.

An important side-e?ect of penicillins is hypersensitivity which causes rashes and sometimes ANAPHYLAXIS, which can be fatal.

Forms of penicillin These include the following broad groups: benzylpenicillin and phenoxymethyl-penicillin; penicillinase-resistant penicillins; broad-spectrum penicillins; antipseudomonal penicillins; and mecillinams. BENZYLPENICILLIN is given intramuscularly, and is the form that is used when a rapid action is required. PHENOXYMETHYLPENICILLIN (also called penicillin V) is given by mouth and used in treating such disorders as TONSILLITIS. AMPICILLIN, a broad-spectrum antibiotic, is another of the penicillins derived by semi-synthesis from the penicillin nucleus. It, too, is active when taken by mouth, but its special feature is that it is active against gram-negative (see GRAM’S STAIN) micro-organisms such as E. coli and the salmonellae. It has been superceded by amoxicillin to the extent that prescriptions for ampicillin written by GPs in the UK to be dispensed to children have fallen by 95 per cent in the last ten years. CARBENICILLIN, a semi-synthetic penicillin, this must be given by injection, which may be painful. Its main use is in dealing with infections due to Pseudomonas pyocanea. It is the only penicillin active against this micro-organism which can be better dealt with by certain non-penicillin antibiotics. PIPERACILLIN AND TICARCILLIN are carboxypenicillins used to treat infections caused by Pseudomonas aeruginosa and Proteus spp. FLUCLOXACILLIN, also a semi-synthetic penicillin, is active against penicillin-resistant staphylococci and has the practical advantage of being active when taken by mouth. TEMOCILLIN is another penicillinase-resistant penicillin, e?ective against most gram-negative bacteria. AMOXICILLIN is an oral semi-synthetic penicillin with the same range of action as ampicillin but less likely to cause side-effects. MECILLINAM is of value in the treatment of infections with salmonellae (see FOOD POISONING), including typhoid fever, and with E. coli (see ESCHERICHIA). It is given by injection. There is a derivative, pivmecillinam, which can be taken by mouth. TICARCILLIN is a carboxypenicillin used mainly for serious infections caused by Pseudomonas aeruginosa, though it is also active against some gram-negative bacilli. Ticarcillin is available only in combination with clarulanic acid.... penicillin

Sterilisation

Sterilisation means either (1) the process of rendering various objects – such as those which come in contact with wounds, and various foods – free from microbes, or (2) the process of rendering a person incapable of producing children.

The manner of sterilising bedding, furniture, and the like, after contact with a case of infectious disease, is given under DISINFECTION; whilst the sterilisation of instruments, dressings, and skin surfaces, necessary before surgical procedures, is mentioned in the same article and also under ANTISEPTICS, ASEPSIS, and WOUNDS. For general purposes, one of the cheapest and most e?ective agents is boiling water or steam.

Bacteriological sterilisation may be e?ected in many ways, and di?erent methods are used in di?erent cases.

Reproductive sterilisation In women, this is performed by ligating (cutting) and then tying the FALLOPIAN TUBES – the tubes that carry the OVUM from the ovary (see OVARIES) to the UTERUS. Alternatively, the tubes may be sealed-o? by means of plastic and silicone clips or rings. The technique is usually performed (by LAPAROSCOPY) through a small incision, or cut, in the lower abdominal wall. It has no e?ect on sexual or menstrual function, and, unlike the comparable operation in men, it is immediately e?ective. The sterilisation is usually permanent (around 0·05 pregnancies occur for every 100 women years of use), but occasionally the two cut ends of the Fallopian tubes reunite, and pregnancy is then again possible. Removal of the uterus and/or the ovaries also sterilises a woman but such procedures are only used when there is some special reason, such as the presence of a tumour.

The operation for sterilising men is known as VASECTOMY.... sterilisation

Rectum, Diseases Of

The following are described under their separate dictionary entries: FAECES; HAEMORRHOIDS; FISTULA; DIARRHOEA; CONSTIPATION.

Imperforate anus, or absence of the anus, may occur in newly born children, and the condition is relieved by operation.

Itching at the anal opening is common and can be troublesome. It may be due to slight abrasions, to piles, to the presence of threadworms (see ENTEROBIASIS), and/or to anal sex. The anal area should be bathed once or twice a day; clothing should be loose and smooth. Local application of soothing preparations containing mild astringents (bismuth subgallate, zinc oxide and hamamelis) and CORTICOSTEROIDS may provide symptomatic relief. Proprietary preparations contain lubricants, VASOCONSTRICTORS and mild ANTISEPTICS.

Pain on defaecation is commonly caused by a small ulcer or ?ssure, or by an engorged haemorrhoid (pile). Haemorrhoids may also cause an aching pain in the rectum. (See also PROCTALGIA.)

Abscess in the cellular tissue at the side of the rectum – known from its position as an ischio-rectal abscess – is fairly common and may produce a ?stula. Treatment is by ANTIBIOTICS and, if necessary, surgery to drain the abscess.

Prolapse or protrusion of the rectum is sometimes found in children, usually between the ages of six months and two years. This is generally a temporary disorder. Straining at defaecation by adults can cause the lining of the rectum to protrude outside the anus, resulting in discomfort, discharge and bleeding. Treatment of the underlying constipation is essential as well as local symptomatic measures (see above). Haemorrhoids sometimes prolapse. If a return to normal bowel habits with the production of soft faeces fails to restore the rectum to normal, surgery to remove the haemorrhoids may be necessary. If prolapse of the rectum recurs, despite a return to normal bowel habits, surgery may be required to rectify it.

Tumours of small size situated on the skin near the opening of the bowel, and consisting of nodules, tags of skin, or cauli?ower-like excrescences, are common, and may give rise to pain, itching and watery discharges. These are easily removed if necessary. Polypi (see POLYPUS) occasionally develop within the rectum, and may give rise to no pain, although they may cause frequent discharges of blood. Like polypi elsewhere, they may often be removed by a minor operation. (See also POLYPOSIS.)

Cancer of the rectum and colon is the commonest malignancy in the gastrointestinal tract: around 17,000 people a year die from these conditions in the United Kingdom. Rectal cancer is more common in men than in women; colonic cancer is more common in women. Rectal cancer is a disease of later life, seldom affecting young people, and its appearance is generally insidious. The tumour begins commonly in the mucous membrane, its structure resembling that of the glands with which the membrane is furnished, and it quickly in?ltrates the other coats of the intestine and then invades neighbouring organs. Secondary growths in most cases occur soon in the lymphatic glands within the abdomen and in the liver. The symptoms appear gradually and consist of diarrhoea, alternating with attacks of constipation, and, later on, discharges of blood or blood-stained ?uid from the bowels, together with weight loss and weakness. A growth can be well advanced before it causes much disturbance. Treatment is surgical and usually this consists of removal of the whole of the rectum and the distal two-thirds of the sigmoid colon, and the establishment of a COLOSTOMY. Depending upon the extent of the tumour, approximately 50 per cent of the patients who have this operation are alive and well after ?ve years. In some cases in which the growth occurs in the upper part of the rectum, it is now possible to remove the growth and preserve the anus so that the patient is saved the discomfort of having a colostomy. RADIOTHERAPY and CHEMOTHERAPY may also be necessary.... rectum, diseases of

Actinomycosis

A suppurative disease from hard surfaces that soften and form punctured holes in the skin (multiple sinuses). Primarily a disease of cattle (hard mouth), infectious to man. Can affect lungs, abdomen, throat and mouth. Draining fistulas and ‘holes’ produce a pus with gram positive micro- organism (actinomyces israeli) which causes abscesses and hard swellings.

Differential diagnosis: tuberculosis and cancer.

Conventional treatment: antibiotics and surgical excision.

Herbal treatment: antiseptics, anti-microbials, vulneraries. In addition to basic formula, they will be given according to the organ or system involved. for skin give basic formula.

Alternatives. Basic formula: Combine: Echinacea 4; Goldenseal 1; Yellow Dock 2. Preparations: powders, liquid extracts, tinctures; doses taken in water or honey thrice daily.

For the lungs: add Balm of Gilead 1.

For the abdomen: add Sarsaparilla 2.

For the throat: add Red Sage 2.

For the mouth: add Myrrh quarter.

Powders. 500mg (two 00 capsules or one-third teaspoon).

Liquid Extracts: mix. Dose, 15-30 drops.

Tinctures: Dose, 30-60 drops thrice daily.

Dr Finlay Ellingwood. Echinacea liquid extract: 60 drops in water every 2 hours. Where ulcerative lesions are present: 10 drops in water applied externally.

Topical:– Lotion: 1 part oil Eucalyptus to 9 parts glycerine. shake well.

Diet: The fungus is more likely to become established where health is poor. Regular raw food days. Avoid liver-clogging eggs, ham, bacon, cream and excessive cheese. ... actinomycosis

Sweet Flag

Acorus calamus

Araceae

San: Vaca, Ugragandha, Bhadra;

Hin: Bacc, Gorbacc;

Ben: Bach; Mal:Vayampu;

Tam: Vasampu;

Kan: Bajai;

Tel: Vasa Vadaja

Importance: The sweet flag is an important medhya drug, capable of improving memory power and intellect. It is used in vitiated conditions of vata and kapha, stomatopathy, hoarseness, colic, flatulence, dyspepsia, helminthiasis, amenorrhoea, dismenorrhoea, nephropathy, calculi, strangury, cough, bronchitis, odontalgia, pectoralgia, hepatodynia, otalgia, inflammations, gout, epilepsy, delirium, amentia, convulsions, depression and other mental disorders, tumours, dysentery, hyperdipsia, haemorrhoids, intermittent fevers, skin diseases, numbness and general debility. It is reportedly useful in improving digestion, clearing speech and curing diarrhoea, dysentery, abdominal obstruction and colic. It is also useful in infantile fever, cough bronchitis and asthma. The drug is reported to cure hysteria, insanity and chronic rheumatic complaints. The rhizome is an ingredient of preparations like Vacaditaila, Ayaskrti, Kompancadi gulika, Valiya rasnadi kashaya, etc.

Distribution: The plant is a native of Europe. It is distributed throughout the tropics and subtropics, especially in India and Sri Lanka. It is found in marshes, wild or cultivated, ascending the Himalayas upto 1800m in Sikkim. It is plentiful in marshy tracts of Kashmir and Sirmoor, in Manipur and Naga Hills.

Botany: Acorus calamus Linn. belonging to the family Araceae is a semi -aquatic rhizomatous perennial herb. Rhizome is creeping, much branched, cylindrical or slightly compressed, light brown or pinkish brown externally, white and spongy within. Leaves are bright green, distichous, ensiform, base equitant, thickened in the middle and with wavy margins. Flowers are light brown and densely packed in sessile cylindric spadix. Fruits are oblong, turbinate berries with a pyramidal top. Seeds are few and pendant from the apex of the cells (Warrier et al, 1993).

Another species belonging to the genus Acorus is A. gramineus Soland, the roots of which are used in tonic, antiseptics and insecticidal preparations (Chopra et al, 1956).

Agrotechnology: Acorus is a hardy plant found growing from tropical to subtropical climates. It needs a good and well distributed rainfall throughout the year. It needs ample sunlight during the growth period as well as after harvest for drying the rhizomes. It may be cultivated in any good but fairly moist soil. It is usually grown in areas where paddy can be grown. It comes up well in clayey soils and light alluvial soils of river bank. The field is laid out and prepared exactly as for rice, irrigated sufficiently and after ploughing twice, watered heavily and again ploughed in the puddle. Sprouted rhizome pieces are used for planting and pressed into the mud at a depth of about 5cm at a spacing of 30x30cm. The rhizomes are planted in such a way that the plants in the second row comes in between the plants of the first row and not opposite to them. FYM is to be applied at 25t/ha. Fertilisers are applied at 25:50:60 kg N:P2O5:K2O/ha/yr. Whole of FYM and 1/3 of N, P2O5 and K2O are to be added in the field during March - April as a basal dose. The remaining 2/3 of nutrients is to be given in two equal split doses at 4 months and 8 months after planting. The field is to be regularly irrigated. About 5 cm of standing water is to be maintained in the field in the beginning. Later, it is to be increased to 10 cm as the plant grows. The field is to be regularly weeded. About 8 weedings are to be carried out in all. At each weeding the plants are pressed into the soil. The plant is attacked by mealy bugs. Both shoot and root mealy bugs can be controlled by spraying the shoot and drenching the roots of grown up plants with 10 ml Methyl parathion or 15ml Oxydemeton methyl or 20ml Quinalphos in 10 litres of water. The crop is ready for harvest at the end of first year. The field is to be dried partially so that sufficient moisture is left in the soil to facilitate deep digging. The leaves start turning yellow and dry, indicating maturity. The rhizome will be at a depth of 60cm and having about 30-60cm spread. Therefore, harvesting is to be done carefully. The rhizomes are to be cut into 5-7.5cm long pieces and all the fibrous roots are to be removed. Yield of rhizome is about 10t/ha (Farooqi et al, 1991).

Properties and Activity:Rhizomes, roots and leaves yield essential oil. The important constituents of the Indian oil are asarone and its -isomer. Other constituents are and -pinene, myrcene, camphene, p-cymene, camphor and linalool, sesquiterpenic ketones like asarone, calamone, calacone, acolamone, iso-acolamone, acoragermacrone, epishyobunone, shyobunone and iso- shyobunone. Alcohol present is preisocalamendiol. Sesquiterpene hydrocarbons like elemene, elemane and calarene are also present. Tricyclic sesquiterpenes present are caryophyllene, humulene, guaiene, S-guaizulene, arcurcumene, -cadinene, cadinane, calamenene, calacorene, dihydrocalacorene(calamenene), cadalene and selinene. Roots yield acoric acid as a main constituent in addition to choline. Plant also yields a flavone diglycoside- luteolin 6,8-C-diglucoside.

-asarone is the ma jor constituent of essential oil from rhizome (Dandiya et al, 1958,1959; Raquibuddoula, 1967).

Rhizome is insecticidal, pisicidal, spasmolytic, hypothermic, CNS active and analgesic. Essential oil is anticonvulsant. Rhizome is acrid, bitter, thermogenic, aromatic, intellect promoting, emetic, laxative, carminative, stomachic, anthelmintic, emmenagogue, diuretic, alexeteric, expectorant, anodyne, antispasmodic, aphrodisiac, antiinflammatory, sudorific, antipyretic, sialagogue, insecticidal, tranquillizer, sedative, analgesic, antithermic, antiasthmatic, hypotensive, respiratory depressant, aperitive and tonic.... sweet flag

Bright’s Disease (chronic)

Chronic glomerulonephritis. The final stage. May follow the sub- acute stage or repeated attacks of the acute stage. Kidneys small and white due to scar tissue. Amount of urine passed is considerably increased, pale and low specific gravity. Kidneys ‘leak’ protein in large quantities of water passed, their efficiency as filters greatly impaired. Tissues of eyelids and ankles waterlogged. Symptoms include loin pain, anaemia, loss of weight, progressive kidney damage.

A constant fear is the onset of uraemia caused by accumulation in the blood of waste by-products of protein digestion, therefore the patient should reject meat in favour of fish. Eggs and dairy products taken in strict moderation.

Where urea accumulates in the circulation ‘sustaining’ diuretics are indicated; these favour excretion of solids without forcing the discharge of more urine: including Shepherd’s Purse, Gravel root, or Uva Ursi when an astringent diuretic is needed for a show of blood in the urine. According to the case, other agents in common practice: Dandelion root, Yarrow, Hawthorn, Marigold, Stone root, Hydrangea. Parsley Piert, Buchu, Hawthorn, Golden Rod.

The patient will feel the cold intensely and always be tired. Warm clothing and ample rest are essential. Heart symptoms require treatment with Lily of the Valley or Broom.

This condition should be treated by or in liaison with a qualified medical practitioner.

Treatment. As kidney damage would be established, treatment would be palliative; efforts being to relieve strain and obtain maximum efficiency. There may be days of total bed-rest, raw foods and quiet. Consumption of fluids may not be as abundant as formerly. Soothing herb teas promote well-being and facilitate elimination. Oil of Juniper is avoided.

Efforts should be made to promote a rapid absorption – to restore the balance between the circulation and the lymphatics. For this purpose Mullein is effective. A few grains of Cayenne or drops of Tincture Capsicum enhances action.

Indicated. Antimicrobials, urinary antiseptics, diuretics, anti-hypertensives. For septic conditions add Echinacea.

Of Therapeutic Value. Alfalfa, Broom, Buchu, Couchgrass, Cornsilk, Dandelion, Lime flowers, Marigold, Mullein, Marshmallow, Parsley Piert, Periwinkle (major), Wild Carrot, Water Melon seed tea. Tea. Combine equal parts: Couchgrass, Dandelion, Mullein. 2 teaspoons to each cup boiling water. Infuse 5-15 minutes. 1 cup freely.

Powders. Combine equal parts: Stone root, Hydrangea, Hawthorn. Dose: 500mg (two 00 capsules or one-third teaspoon) 3 or more times daily in water or cup Cornsilk tea. A few grains Cayenne enhances action. Formula. Buchu 2; Mullein 2; Echinacea 1; Senna leaves half. Mix. Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. In water or cup Cornsilk tea 3 or more times daily. 2-3 drops Tincture Capsicum to each dose enhances action.

Diffusive stimulant for the lymphatic vessels. Onion milk is an effective potassium-conserving diuretic and diaphoretic. Onions are simmered gently in milk for 2 hours and drunk when thirsty or as desired – a welcome alternative to water. May be eaten uncooked.

Diet. Salt-free, low fat, high protein. Spring water. Raw goat’s milk, potassium broth. Fish oils. Avoid eggs and dairy products. No alcohol.

Supplements. Vitamins A, B-complex, C plus bioflavonoids, B6, D, E, Magnesium, Lecithin. Herbal treatment offers a supportive role. ... bright’s disease (chronic)

Inflammation

“A healing crisis (rise in temperature, etc) is an acute reaction resulting from the ascendance of Nature’s healing forces over disease conditions. Its tendency is towards recovery. It is therefore in conformity with Nature’s constructive principle.” (Catechism of Natural Medicine).

It can be a reaction of tissue to infection, injury, surgery, radiation, chemicals, heat or cold, cancer or auto-immune disease.

Every medical student has to commit to memory four classical symptoms: heat, redness, pain and swelling.

As inflammation is a natural process, its progress should not be hindered by too much interference. Invading micro-organisms are destroyed by antibodies and white blood cells. During the encounter white cells may also be destroyed and expelled from the body in the form of pus. They are assisted in their action by an Anti-inflammatory. Most anti-inflammatories are also antiseptics. An external injury should be washed and treated with one.

Selection of remedies varies according to area and degree of inflammation. When occurring in the colon, it was known as ‘colicon’ by Celsus, Roman physician, in the 1st century. His prescription is as apt today:– Aniseed, Parsley, Pepper, few drops Castor oil and a pinch of powdered Myrrh.

Treatment for inflammation would be appropriate to the disease or condition, i.e. inflammation of the inner lining of the heart requires specific treatment as appears in entry for ENDOCARDITIS. For simple external inflammation, a tea of Chickweed, Comfrey or Marshmallow root may be indicated. See: ANTI- INFLAMMATORIES.

Treatment by or in liaison with a general medical practitioner. ... inflammation

Candida, Vaginal

 Fungus infection by Candida albicans and other organisms including Torilopsis glabrala. Causes: oral contraceptives, broad spectrum antibiotics, iron deficiency anaemia, diabetes, steroid therapy, pregnancy, high sugar diet, alcohol. When sexually transmitted may appear together with mixed organisms which prove difficult to eliminate.

Greater incidence of the condition is found in women. By interfering with the hormone balance The Pill raises the female body to a constant state of false pregnancy. This affects the character of vaginal secretions and favours growth of fungi. Oestrogens in contraceptive pills create a tissue climate conducive to Candida. Vaginal deodorants and scented soaps irritate. Because of its effect upon the Fallopian tubes it is a common cause of infertility.

Symptoms. Vulva itching, soreness, white discharge of watery to cheesy consistency. Urination painful, recurring cystitis, irritability, premenstrual and menstrual problems, anxiety, heartburn and dyspepsia. Alternatives. Teas. Agnus Castus, Balm, Barberry bark, Chamomile, La Pacho (Pau d’arco), Sage, Thyme.

Tablets/capsules. Agnus Castus, Goldenseal, Pulsatilla, Poke root, Thuja, Garlic, La Pacho.

Tincture Thuja. 15-30 drops in water, once daily.

Tinctures. Combination for the average case. Echinacea 30ml; Calendula 15ml; Goldenseal 15ml; Ladysmantle 15ml. Dose: one 5ml teaspoon thrice daily. (Brenda Cooke MNIMH, Mansfield, Notts) Topical. Tea Tree oil pessaries/cream. Alternative:– (1) Impregnate tampon with plain yoghurt and insert into vagina. Or: inject with spermicidal cream applicator or cardboard tampon applicator 2-3 teaspoons yoghurt into vagina 2-3 times daily. The theory is that the lacto-bacilli in the yoghurt competes with the candida and finally reduces it to normal levels.

(2) 2-3 teaspoons Distilled Extract Witch Hazel to cup of water for cooling antiseptic lotion.

(3) 1-2 drops Eucalyptus oil well-shaken in 4oz (120ml) Distilled Extract Witch Hazel. Reputed to kill colonies of candida albicans and allay irritation.

(4) Aloe Vera gel.

(5) Capricin.

(6) Cloves are anti-fungal and may be chewed.

(7) Calendula and Hydrastis pessaries.

Avoid surgical spirit antiseptics. A smear of Olive oil or yoghurt or No 3 above to allay irritation. Frequent washing, hot baths and use of soap at first soothe, but later exacerbate. Use water only. When washing, wipe from front to back to avoid spreading spores from bowel. No smoking.

Diet. Gluten-free, low fat, high fibre.

Acidophilus. A large mixed salad once daily. Cooked vegetables, seafood, Vitamin A foods. Replace salt with Celery, Garlic or Kelp powders. All meats, game and chicken to be from animals raised on steroid-free fodder. Replace alcohol with fresh fruit and vegetable juices. Eggs.

Reject: Dairy products (butter, cheese, milk). Brewer’s yeast. Foods and drinks with which yeast has been associated: bread, beer, homemade wines. Dried fruit, mushrooms, monosodium glutamate, pickles and preserves, smoked fish and meats, foods known to be allergic to the patient, sugar, syrup, sweeteners, chocolate, puddings, pastry, white flour products.

Supplements. Daily. Vitamin A 7500iu, Vitamin C 200mg. Zinc. ... candida, vaginal

Bacteria

Single-celled microorganisms that are invisible to the naked eye. The singular form of the term is bacterium. Abundant in the air, soil, and water, most bacteria are harmless to humans. Some bacteria, such as those that live in the intestine, are beneficial and help to break down food for digestion. Bacteria that cause disease are known as pathogens and are classified by shape into 3 main groups: cocci (spherical); bacilli (rod-shaped); and spirochaetes or spirilla (spiral-shaped). Many bacteria have whip-like threads called flagella, which enable them to move in fluids, and pili, which anchor them to other cells.

Aerobic bacteria require oxygen to grow and multiply; in the body, these are most commonly found on the skin or in the respiratory system. Anaerobic bacteria thrive where there is no oxygen, deep within tissue or wounds. They reproduce by simple division, which can take place every 20 minutes. Some bacteria also produce spores that can survive high temperatures, dry conditions, and lack of nourishment; and some produce poisons (either endotoxins or exotoxins) that are harmful to human cells.

The body’s immune system attacks invading bacteria, but in some cases treatment with antibiotic drugs is necessary and will speed recovery. Superficial inflammation and infected wounds may be treated with antiseptics. Immunity to invading bacterial diseases, such as some types of meningitis, can be acquired by active immunization. (See also infectious disease.)... bacteria

Iodine

An element essential for formation of the thyroid hormones, triiodothyronine (T3) and thyroxine (T4), which control the rate of metabolism (internal chemistry) and growth and development. Dietary shortage may lead to goitre or hypothyroidism. Deficiency in the newborn can, if left untreated, lead to cretinism. Shortages are very rare in developed countries due to bread and table salt being fortified with iodide or iodate. Radioactive iodine is sometimes used to reduce thyroid gland activity in cases of thyrotoxicosis and in the treatment of thyroid cancer. Iodine compounds are used as antiseptics, in radiopaque contrast media in some X-ray procedures (see imaging techniques), and in some cough remedies.... iodine



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