Astringents Health Dictionary

Astringents: From 1 Different Sources


One of the largest groups of herbs. Herbs that contract blood vessels and certain body tissues (mucous membranes) with the effect of reducing secretion and excretion. Binders. They are used for debility, internal and external bleeding, catarrhal discharges, etc, their action due to the tannins they contain. Main astringents: Agrimony, Avens, Bayberry, Beth root, Bistort, Black Catechu, Burr-Marigold, American Cranesbill, Eyebright, Golden Rod, Great Burnet, Ground Ivy, Hemlock Spruce bark, Kola, Ladies Mantle, Meadowsweet, Mouse Ear, Mullein, Nettles, Oak bark, Periwinkle, Pilewort, Plantain, Raspberry leaves, Sage, Rosemary, Shepherd’s Purse, Tormentil, Wild Cherry bark, Witch Hazel, Yarrow, White Pond Lily. 
Health Source: Bartrams Encyclopedia of Herbal Medicine
Author: Health Encyclopedia

Astringent

A substance that causes tissue to dry and shrink by reducing its ability to absorb water.

Astringents are widely used in antiperspirants and to promote healing of broken or inflamed skin.

They are also used in some eye or ear preparations.

Astringents may cause burning or stinging when applied.... astringent

Curcuma

Curcuma spp.

Zingiberaceae

The genus Curcuma belonging to the family Zingiberaceae comprises of a number of species which are medicinally very important. Among them, the most important species are described below.

1. C. amada Roxb.

English: Mango ginger San: Amrardrakam, Karpuraharida Hin: Ama -haldi

Mal: Mangainchi

Tam: Mankayinci

Tel: Mamidi Allam

Mango ginger is cultivated in Gujarat and found wild in parts of West Bengal, U. P, Karnataka and Tamil Nadu. It is a rhizomatous aromatic herb with a leafy tuft and 60-90cm in height. Leaves are long, petiolate, oblong-lanceolate, tapering at both ends, glabrous and green on both sides. Flowers are white or pale yellow, arranged in spikes in the centre of tuft of the leaves. Lip is semi -elliptic, yellow, 3-lobbed with the mid lobe emarginate. The rhizomes are useful in vitiated conditions of pitta, anorexia, dyspepsia, flatulence, colic, bruises, wounds, chronic ulcers, skin diseases, pruritus, fever, constipations, strangury, hiccough, cough, bronchitis, sprains, gout, halitosis, otalgia and inflammations (Warrier et al, 1994). The fresh root possesses the smell of green mango and hence the name mango ginger. The rhizomes are used externally in the form of paste as an application for bruises and skin diseases generally combined with other medicines. Tubers rubbed with the leaf- juice of Caesalpinia bonduc is given for worms (Nadkarni, 1982).

The essential oil contains -pinene, -and -curcumene, camphor, cuminyl alcohol, myristic acid and turmerone. Car-3-ene and cis-ocimene contribute the characteristic mango odour of the rhizome. Rhizome is CNS active, hypothermic and it shows potentiation of amphetamine toxicity. Tuber is trypsin inhibitor and is effective against Vibrio cholerae (Husain et al, 1992). The rhizomes are bitter, sweet sour, aromatic, cooling, appetiser, carminative, digestive, stomachic, demulcent, vulnerary, febrifuge, alexertic, aphrodisiac, laxative, diurectic, expectorant, antiinflammatory and antipyretic (Warrier et al, 1994).

2. C. aromatica Salisb.

Eng: Wild turmeric; San: Aranyaharidra, Vanaharidra;

Hin: Ban-haridra, Jangli-haldi;

Ben: Ban Haland; Mal,

Tam: Kasturimanjal, Kattumanjal;

Tel: Adavi-pasupu;

Kan: Kadarasina

Wild turmeric or Cochin turmeric or Yellow zeodoary is found wild throughout India and cultivated in Bengal and Kerala. It is a perennial tuberous herb with annulate, aromatic yellow rhizome which is internally orange-red in colour. Leaves are elliptic or lanceolate- oblong, caudate-acuminate, 30-60cm long, petioles as long or even longer, bracts ovate, recurved, more or less tinged with red or pink. Flowers are pink, lip yellow, obovate, deflexed, sub-entire or obscurely three lobed. Fruits are dehiscent, globose, 3-valved capsules. Rhizomes are used in combination with astringents and aromatics for bruises, sprains, hiccough, bronchitis, cough, leucoderma and skin eruptions (Warrier et al, 1994). The rhizomes have an agreeable fragrant smell and yield a yellow colouring matter like turmeric, and the fresh root has a camphoraceous odour. The dried rhizome is used as a carminative and aromatic adjunctant to other medicines (Nadkarni, 1998).

Essential oil contains -and - -curcumene, d-camphene and p-methoxy cinnamic acid. The colouring matter is curcumin. Numerous sesquiterpenoids of germacrone and guaiane skeletons have been identified recently. Rhizome has effect on respiration. It is spasmolytic and shows antagonism of amphetamine hyperactivity. Rhizome is an anti-dote for snakebite and carminative (Husain et al, 1992).

3. C. longa Linn. syn. C. domestica Valeton.

Eng: Turmeric; San: Haridra, Varavarnini;

Hin: Haldi, halda;

Ben: Haldi;

Mal: Manjal, Pachamanjal, Varattumanjal;

Tam: Mancal;

Kan: Haldi, Arasina;

Tel: Pasapu

Turmeric is cultivated all over India, particularly in W. Bengal, T. N and Maharashtra. It is a perennial herb, 60-90cm in height, with a short stem and tufts of erect leaves. Rhizome is cylindric, ovoid, orange coloured and branched. Leaves are simple, very large, petiole as long as the blade, oblong-lanceolate, tapering to the base upto 45cm long. Flowers are pale yellow, arranged in spikes concealed by the sheathing petioles and flowering bracts are pale green (Warrier et al, 1994). Turmeric occupies an important position in the life of Indian people as it forms an integral part of the rituals, ceremonies and cuisine. Due to the strong antiseptic properties, turmeric has been used as a remedy for all kinds of poisonous affections, ulcers and wounds. It gives good complexion to the skin and so it is applied to face as a depilatory and facial tonic. The drug cures diseases due to morbid vata, pitta and kapha, diabetes, eye diseases, ulcers, oedema, anaemia, anorexia, leprosy and scrofula. It purifies blood by destroying the pathogenic organisms. A paste of turmeric alone, or combined with a paste of neem (Azadirachta indica) leaves, is used to cure ringworm, obstinate itching, eczema and other parasitic skin diseases and in chicken pox and small pox. The drug is also useful in cold, cough, bronchitis, conjunctivitis and liver affections (Nadkarni, 1954; Kurup et al,1979; Kolammal, 1979). The rhizome is the officinal part and is an important ingredient of formulations like Nalpamaradi taila, Jatyadi taila, Narayana gula, etc. (Sivarajan et al, 1994).

Turmeric paste mixed with a little limejuice and saltpetre and applied hot is a popular application to sprains and bruises. In smallpox and chickenpox, a coating of turmeric is applied to facilitate the process of scabbing. The smoke produced by sprinkling powdered turmeric over burnt charcoal will relieve scorpion sting when the part affected is exposed to the smoke for a few minutes. Turmeric and alum powder in the proportion of 1:20 is blown into the ear in chronic otorrhoea (Nadkarni, 1998). “Haridra Khand”, a compound containing powdered turmeric, sugar and many other ingredients is a well-known preparation for cold, cough and flu, and for skin diseases. In Unani system, roasted turmeric is an ingredient of “Hab Narkachur”, used as antidysenteric for children (Thakur et al, 1989).

Essential oil contains ar-turmerone, and ar-curcumene as ma jor constituents. Some of the other compounds are -and -pinene, sabinene, myrcene, -terpinene, limonene, p- cymene, perillyl alcohol, turmerone, eugenol, iso-eugenol, eugenol methyl ether and iso- eugenol methyl ether. Curcumin and related compounds have also been reported as major constituents of the rhizomes. Recently a number of sesquiterpenes have been reported from C. longa, viz., the sesquiterpenoids of germacrane, bisabolane and guainane skeletons (Husain et al, 1992). The study of sesquiterpenes has revealed a new compound curlone (Kisoy et al, 1983). The crystalline colouring matter curcumin (0. 6%) is diferuloyl methane (Mathews et al, 1980). Stigmasterol, cholestrol, -sitosterol and fatty acids, mainly straight chain dienoic acids are reported (Moon et al, 1977). Curcumin, the colouring agent and major constituent of C. longa, is said to possess local as well as systemic antiinflammatory property which has been found to compare favourably with phenylbutazone (Srimal and Dhawan, 1973). An extract of the crude drug ‘akon’ containing the rhizomes exhibited intensive preventive activity against carbon tetrachloride induced liver injury invivo and invitro. The liver protecting effects of some analogs of ferulic acid and p-coumaric acid, probable metabolites of the curcuminoids have been also evaluated (Kiso et al, 1983). Curcumin is antiinflammatory. Rhizome is antiprotozoal, spasmolytic, CNS active, antiparasitic, antispasmodic, antibacterial, antiarthritic, anthelmintic, carminative, antiperiodic, emo llient, anodyne, laxative, diruretic, expectorant, alterative, alexertive, febrifuge, opthalmic and tonic.

4. C. zedoaria (Berg.) Rosc. syn. C. zerumbet Roxb; Amomum zedoaria

Christm.vEng: Round zedoary; San: Kachura, Shati;

Hin: Kakhur;

Ben: Sati;

Kan: Kachora

Mal: Manjakoova, Adavi-kacholam;

Tam: Kichilikizhangu, Nirvisham;

Tel: Kacheramu

The round zedoary or Zerumbet is mostly found in India and S. E. Asia. The plant has 4-6 leaves with 20-60cm long lamina. The leaf lami na is oblong-lanceolate, finely acuminate and glabrous on both the surfaces. Flower stalk is 20-25cm long, emerging before the leaves. Flowers are yellow, while the flowering bract is green tinged with red. Calyx is 8mm long, corolla tube is twice as long as the calyx. Capsule is ovoid, trigonous, thin smooth and bursting irregularly. Tubers are palmately branched and camphoraceous (Thakur et al, 1989). The identity of the plant sources of the drug Karcura is a matter of debate. There is difference of opinion among men of Ayurveda, as to whether Sati and Karcura are the same drug or different. Many authors consider them different and equate Sati with Hedychium spicatum Smith. and Karcura with C. zedoaria, both belonging to Zingiberaceae (Kurup et al,1979; Chunekar 1982; Sharma, 1983). Some others treat them to be the same and equate it with C. zedoaria (Kirtikar and Basu, 1918; Vaidya, 1936; Nadkarni, 1954; Kapoor and Mitra, 1979). However, the source of Karcura in Kerala in the recent times has been Kaempferia galanga of the same family. The rhizome of C. zedoaria is used as appetiser and tonic, particularly prescribed to ladies after childbirth. In case of cold, a decoction of long pepper (Piper longum), cinnamon (Cinnamomum verum), zedoary and honey is given. In Ayurveda it is an ingredient of “Braticityadi kwatha”, used in high fever (Thakur et al, 1989). Root is useful in flatulence and dyspepsia, and as a corrector of purgatives. Fresh root checks leucorrhoeal and gonorrhoeal discharges. Root powder is a good substitute for many foreign foods for infants. For worms, the juice from the tubers is given to children. Juice of the leaves is given in dropsy (Nadkarni, 1982). It is an odoriferous ingredient of the cosmetics used for the cure of chronic skin diseases caused by impure or deranged blood (Nadkarni, 1998).

Essential oil from rhizomes contains -pinene, d-camphene, cineole, d-camphor, sesquiterpenes and sesquiterpene alcohols (Husain et al, 1992). The novel sesquiterpenoids which have been isolated and characterised are cuzerenone, epi-cuzerenone, iso- furanogermerene, curcumadiol, curcumol, curcumenol, iso-curcumenol, procurcumenol, dehydrocurdione (Hikino et al, 1968, 1971, 1972), germacrone-4, 5-epoxide, germacrone, germacrone furanodienone, curcumenol, iso-curcumenol, curcumanolides A and B and curcumenone (Shiobara et al, 1985). The starch left after the extraction is purified and sold as a commodity of cottage industry in West-Bengal under the name ‘Shoti’ (Rao et al, 1928). Ethyl-p methoxy-cinnamate has been isolated from the alcoholic extract of the plant (Gupta et al, 1976). Rhizome is stomachic, diuretic, and carminative and gastrointestinal stimulant.

Other important species of Curcuma genus are

C. angustifolia Roxb. (Vellakoova)

C. caesia Roxb. (Black ginger)

C. leucorhiza Roxb.

C. pseudomontana Grah.

C. rubescens Roxb.

Agrotechnology: Curcuma species are tropical herbs and can be grown on different types of soils both under irrigated and rainfed conditions. Rich loamy soils having good drainage are ideal for the crop. The plant is propagated by whole or split mother rhizomes. Well developed, healthy and disease free rhizomes are to be selected. Rhizomes are to be treated with copper oxychloride fungicides and stored in cool, dry place or earthen pits plastered with mud and cowdung. The best season of planting is during April with the receipt of pre-monsoon showers. The land is to be prepared to a fine tilth during February-March. On receipt of pre- monsoon showers in April, beds of size 3x1.2m with a spacing of 40cm between beds are to be prepared. Small pits are to be taken in the beds in rows with a spacing of 25-40cm.

Finger rhizomes are to be planted flat with buds facing upwards and covered with soil or dry powdered cattle ma nure. The crop is to be mulched immediately after planting and 50 days after first mulching. Cattle manure or compost is to be applied as basal dose at 20-40t/ha at the time of land preparation or by spreading over the beds after planting. Application of NPK fertilizers is beneficial and found to increase the yield considerably. Weeding is to be done twice at 60 and 120 days after planting, depending upon weed intensity. Earthing up is to be done after 60 days. No major incidence of pest or disease is noticed in this crop. Leaf blotch and leaf spot can be controlled by spraying Bordeaux mixture or 0.2% Mancozeb. Shoot borers can be controlled by spraying 0.05% Dimethoate or 0.025% Quinalphos. Time of harvest usually extends from January-March. Harvesting is generally done at about 7-10 months after planting depending upon the species and variety. Harvested rhizomes are to be cleaned of mud and other materials adhering to them. Good fingers separated are to be used for curing (KAU, 1996).... curcuma

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

Tannins

A group of simple and complex phenol, polyphenol, and flavonoid compounds, bound with starches, and often so amorphous that they are classified as tannins simply because at some point in degradation they are astringent and contain variations on gallic acid. Produced by plants, tannins are generally protective substances found in the outer and inner tissues, often breaking down in time to phlebotannins and, finally, humin. All of the tannins are relatively resistant to digestion or fermentation, and either decrease the ability of animals to easily consume the living plant, or, as in deciduous trees, cause shed parts of the plant to decay so slowly that there is little likelihood of infection to the living tree from rotting dead material around its base. All tannins act as astringents, shrinking tissues and contracting structural proteins in the skin and mucosa. Tannin-containing plants can vary a great deal in their physiological effects and should be approached individually.... tannins

Haemostatics

Agents that arrest bleeding. Bayberry, Blackberry, Cayenne, Cinnamon, Cranesbill (American), Ephedra, Goldenseal, Herb Robert, Horsetail, Marigold, Mullein, Oak bark, St John’s Wort, Turmeric, Uva Ursi, Witch Hazel, Yellow Dock, Tormentil, Rhatany root, Cinquefoil, Comfrey. This group is made up chiefly of astringents and coagulants. All serious cases of bleeding should be referred to a qualified practitioner. ... haemostatics

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

Tormentil

Potentilla tormentilla. N.O. Rosaceae.

Synonym: Septfoil (seven leaf), Tormentilla.

Habitat: Dry pasture and moorland.

Features ? The height of this freely-forked plant varies between six and twelve inches. The ternate, jagged-toothed leaves are rather long and narrow, the leaflets oblong in form. Upper leaves derive directly from the stem and seem to circle round it, the lower ones being frequently stalked. Flowering in June and July, the bright yellow petals are distinctly separate, and, seen from above, form an almost perfect Maltese cross. The root is brown, hard and cylindrical, with roundish swellings and tiny, thread-like rootlets. The fracture shows light brownish-red, with a large pith.

Part used ? Root and herb.

Action: Tonic and astringent.

The root is regarded as one of the best and most powerful of all the herbal astringents. The decoction of 1 ounce to 1 pint (reduced) of water in wineglass doses is consequently used in diarrhea and as a gargle for relaxed throats. It may also be used with benefit as a lotion for application to ulcers.

Tormentil was appreciated as a medicine far back in the days of Culpeper, who made his usual picturesquely extravagant claims for the herb.... tormentil

Anti-haemorrhagics

A group of powerful astringents clinical experience has shown to be effective in arresting mild to moderate internal bleeding.

Digestive tract: Marigold, Comfrey, Bur-Marigold, Matico, Shepherd’s Purse, Holy Thistle, American Cranesbill, Goldenseal.

Anal/Rectal: Pilewort, Plantain, Matico, Rhatany root, Witch Hazel.

Mouth: Tormentil.

Nose-bleeds: Nettles.

Uterus. Shepherd’s Purse, Ladies Mantle, Greater Periwinkle, Beth root, Avens, Goldenseal. Urinary system. Bistort, Plantain, Marigold, Stone root, Horsetail, Bur-Marigold.

Lungs. Bugleweed, Elecampane, Lungwort.

Colon. Greater Burnet, Matico, Comfrey, Bistort, Wild Yam, Holy Thistle, Avens, Tormentil. Capillary haemorrhage. Buckwheat. ... anti-haemorrhagics

Antiseptics

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. ... antiseptics

Incontinence

Bladder instability. Sudden expulsion of a few drops (or more) of urine from the bladder from nervous or emotional strain, coughing, sneezing or lifting heavy weights. Where not due to defects of supporting muscles, may be the action of a psychogenic bladder. Trigger factors vary from acute stress to pressure from the womb or other local organ. The term also applies to inability of the bowel to hold back evacuation. Other causes may be injury, degenerative disease of the spinal cord and gynaecological problems.

Herbal urinary astringents help tighten up a sphincter muscle which has lost tone.

Treatment. Alternatives:– Tea: Bearberry, Cranesbill (American), Horsetail.

Tablets/capsules. Cranesbill (American).

Formula. Cranesbill (American) 2; Horsetail 2; Liquorice half. Dose – Powders: 750mg (three 00 capsules or half a teaspoon). Liquid Extracts: 1 teaspoon. Tinctures: 1-2 teaspoons. In water or honey thrice daily.

Practitioner. Tinctures: Ephedra 20ml; Cramp bark 20ml; Passion flower 10ml. Mix. Aqua to 100ml. Sig: 5ml (3i) tds aq cal pc.

Urinary problems, old men: Tincture Thuja, 5 drops in water thrice daily.

Sitz bath: alternating hot and cold water. See: SITZ-BATH.

Smoking. Researchers at the Medical College, Virginia, USA, estimate that 29 per cent of cases of incontinence can be attributed to smoking after examining results of their case-control study of 606 women with an average age of 46. ... incontinence

Dysentery, Bacillary

Severe watery diarrhoea caused by a microscopic single-celled organism of the genus shigella which may enter through the mouth, pass the stomach barrier and multiply in the lower intestine and bowel. Diarrhoea gives way to scanty slimy stools mixed with blood and shreds of mucous membrane due to abscesses on the villi. The classical bowel trouble of the armies of history. See: NOTIFIABLE DISEASES.

Symptoms. Fever, cramping abdominal pain, weight loss, serious fluid loss, appetite disappears. Treatment. Herbal antibiotics. These include carminatives to allay griping and deal with the infection.

Powerful astringents should not be given as they delay elimination of bacteria. Teas may be taken internally as supportive to primary treatment, and can also offer a soothing enema.

A daily gruel of Slippery Elm bark forms a soothing coating on the bowel and helps to carry off the bacillus in the stool. Cases require good nursing, warmth, and condition of the heart monitored.

Relief has been reported by the use of purgative doses of castor oil combined with Lobelia and Valerian (to relieve pain). Prescriptions would include an analgesic. Always beneficial is a daily wash- out of the bowel with a strong infusion of Boneset, Chaparral, Ladies Mantle or carrot juice.

Dr Melville Keith, physician, recommended Raspberry leaf tea in frequent drinks.

Alternatives. Agrimony, Balm, Bistort, Calamus, Catnep, Cranesbill, Echinacea, Fenugreek, Goldenseal, Ladies Slipper, Nettles, Raspberry leaves, Red Clover, Sage, Shepherd’s Purse, Smartweed, Wild Indigo, Wild Yam, Yarrow.

Tea. Formula. Equal parts: Yarrow, Shepherd’s Purse, Fenugreek seeds. 2 teaspoons to each cup water; bring to boil; simmer for 5 minutes; allow to cool; 1 cup every two hours.

Decoction. Formula. Equal parts, Fenugreek seeds, Cranesbill, Echinacea, Valerian. One heaped teaspoon to 2 cups water. Simmer gently 20 minutes; cool; 1 cup every two hours.

Formula. Echinacea 2; Cranesbill 1; Valerian 1; Peppermint half. Dose – Liquid Extracts: One 5ml teaspoon. Tinctures: two 5ml teaspoons. Powders: 750mg (three 00 capsules or half a teaspoon). In water, honey or Fenugreek tea thrice daily. Acute cases: every 2 hours.

Clove of Garlic crushed in honey.

Enema. Any teas from above agents injected. Carrot juice as an enemata.

Practitioner. (1) Ipecacuanha BP (1973). Dose 0.25-1ml.

(2) Alternative. Combined tinctures – Aconite 10 drops; Ipecacuanha 20 drops, Wild Indigo 20 drops. Distilled water to 4oz. Dose: one teaspoon hourly. (Dr Finlay Ellingwood).

History. Dr Wooster Beach, New York Medical Society, writes: “500 Oneida Indians went down with dysentery in one season. All recovered by the use of Blackberry root while their white neighbours fell before the disease.”

Traditional. 2 teaspoons dried Blackberry root to each 2 teacups water gently simmered 20 minutes. Dose: half-1 cup every 2 hours.

Diet. No solid foods. Plenty of fluids – oatmeal porridge, boiled rice, semolina, pasta, Slippery Elm.

Treatment by or in liaison with general medical practitioner. ... dysentery, bacillary

Materia Medica

The science which deals with the source, origin, distribution, composition, preparation and action of medicinal plants used in herbalism. Although the modern herbalist no longer forages his own herbs from fields and hedgerows, a knowledge of materia medica is important.

“Crudes” are mostly imported from abroad, cut fine, and sold by skilled suppliers or druggists to herb shops for sale in their native state or for compounding into preparations by practitioners.

The art of preparing medicines is known as pharmacy; that of herbal medicine is often referred to as biopharmacy or “green pharmacy”. There are certain disadvantages of buying crude material from other than specialist sources; the risk of stale or otherwise inactive material is one.

An accredited manufacturer will compound materials according to a fixed formula published in an official pharmacopoeia. A practitioner writes his prescription which he compounds himself or gives it to an assistant who acts as a dispenser. This art of dispensing evolves as Herbal Pharmacy.

The traditional herbalist will endeavour to relieve a condition by giving a remedy which produces an opposite effect. For instance, a loose condition of the bowels, as in colitis, would be reversed by astringents; a ‘tight’ colon, as in some forms of constipation, would be relaxed by laxatives. They thus work to a system of cure known as contraria contraribus curantur.

Rational herbalism has evolved from a knowledge of the behaviour of disease patterns and an understanding of remedies used to combat them. Periwinkle (Vinca), for instance, kills off white blood cells over-produced in leukaemia without harming the body. Treatment of leukaemia with Vinca in the form of Vinplastine or other derivatives is therefore rational.

It is well-known that alkalies inhibit secretion of gastric juice. Hyper-acidity (over-secretion of acid) is the common cause of many forms of indigestion. A herbal pharmacopoeia describes effective plants with a positive alkaline action. Herbal alkalies are therefore rationally indicated.

Plant medicines obtain their objective by chemical means. During its life, a plant will take up from the soil various minerals from which it synthesises alkaloids, glycosides, saponins, etc, that are the real activators. Their strength depends upon the quality of soil on which they are grown. ... materia medica

Irritable Bowel Syndrome (ibs)

Previously known as “mucous colitis”, “spastic colon”. Believed to be associated with psychomatic rather than allergic phenomena. Food is said to be responsible for one-third cases. X-ray fails to reveal evidence; prostaglandins implicated. Females more susceptible than men. Cow’s milk and antigens in beef can precipitate.

Symptoms. Spastic colon: colon held in spasm. The two main symptoms are abdominal pain and altered bowel habit. Pain relieved on going to stool or on passing wind. Diarrhoea with watery stools on rising may alternate with constipation. Sensation that the bowel is incompletely emptied. Flatulence. Passing of mucus between stools. The chronic condition may cause anaemia, weight loss and rectal blood calling for treatment of the underlying condition.

Indicated: astringents, demulcents, antispasmodics.

Treatment. If possible, start with 3-day fast.

Alternatives. Teas. (1) Combine equal parts; Agrimony (astringent), Hops (colon analgesic), Ephedra (anti-sensitive). (2) Combine equal parts; Meadowsweet (astringent) and German Chamomile (nervine and anti-inflammatory). Dose: 1 heaped teaspoon to each cup boiling water; infuse 15 minutes. 1 cup freely, as tolerated. Bilberry tea. 2 tablespoons fresh or dried Bilberries in 1 pint water simmered 10 minutes. Half-1 cup freely.

Note: Old European: Chamomile and Caraway seed tea. 1 cup morning and evening.

Decoction. Formula. Tormentil root 2; Bistort root 2; Valerian root 1. Dose: 2 teaspoons to each cup water simmered 20 minutes. Half-1 cup 3-4 times daily.

Tablets/capsules. Calamus. Cramp bark. Goldenseal. Slippery Elm, Cranesbill.

Formula. Cranesbill 2; Caraway 2; Valerian half. Dose: Powders: 750mg or half a teaspoon). Liquid Extracts: 1-2 teaspoons. Tinctures: 2-4 teaspoons. Thrice daily.

Practitioner. RX tea: equal parts herbs Peppermint, Balm and German Chamomile. Infuse 1-2 teaspoons in cup boiling water and add 3 drops Tincture Belladonna.

Formula. Tinctures. Black Catechu 2; Cranesbill 1; Hops quarter. Dose: 1-2 teaspoons in water or honey, thrice daily.

Psyllium seeds (Ispaghula). 2-5 teaspoons taken with sips of water, or as Normacol, Isogel, etc. For pain in bowel, Valerian.

Fenugreek seeds. 2 teaspoons to cup water simmered 10 minutes. Half-1 cup freely. Consume seeds. Cinnamon, tincture or essence: 30-60 drops in water 3-4 times daily.

Menstrual related irritable bowel. Evening Primrose.

Irritable Bowel Syndrome, with neurosis. Treat thyroid gland (Bugleweed, Kelp, etc).

With severe nerve stress: add CNS (central nervous system) relaxant (Hops, Ladies Slipper, Roman Chamomile)

Oil of Peppermint. A simple alternative. 3-5 drops in teaspoon honey, or in enteric-coated capsule containing 0.2ml standardised Peppermint oil B.P., (Ph.Eur.)

Intestinal antispasmodics: Valerian, Chamomile, Balm, Rosemary.

Diet. “People with IBS should stop drinking coffee as it can induce a desire to defecate.” (Hallamshire Hospital Research Team)

Dandelion coffee. Fenugreek tea. Carrot juice. Bananas mashed into a puree with Slippery Elm powder. Yoghurt. Gluten-free diet.

Supplements. Calcium lactate tablets: 2 × 300mg thrice daily at meals. Floradix. Lactobacillus acidophilus to counteract toxic bacteria. Vitamin C (2-4g). Zinc. Linusit.

Note: Serious depression may underlay the condition. Anti-depressants sometimes relieve symptoms dramatically.

Chronic cases. Referral to Gastrology Outpatient Department. ... irritable bowel syndrome (ibs)

Menorrhagia

Abnormally heavy menstrual bleeding; more than normal flow and lasting longer. Causes: iron deficiency, shock, thyroid gland disturbance, ovarian insufficiency, prolapse, polypi, fibroids, congestion of the womb, or failure of the blood to coagulate – for which coagulants and Vitamin K are indicated. Hormone imbalance. Use of intra uterine devices (IUD).

Symptoms: legs and hands cold, pale face, alternate heats and chills, loss of appetite, nervous exhaustion, pain in the back and loins.

General use. Uterine astringents.

Alternatives. Bayberry bark, Beth root, Black Haw, Blue Cohosh, Broom, Cranesbill (American), Goldenseal, Lady’s Mantle, Life root, Periwinkle (greater), Raspberry leaves, Rhatany root, Shepherd’s Purse, Yarrow. For reduction of menstrual flow without arrest.

Raspberry leaves. A gentle astringent tea for mild cases.

Agnus Castus. Heavy bleeding between periods.

Formula. Tea. Equal parts: Lady’s Mantle, Raspberry leaves, Shepherd’s Purse. 2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup freely.

Formula. Powders. Black Haw 3; Bayberry bark 3; Cinnamon 1. Dose: 750mg (three 00 capsules or half a teaspoon) 3-4 times daily.

For the severe case. Formula. Bur-marigold 2; Lady’s Mantle 2; Beth root 1. Dose: Liquid Extracts: 1-2 teaspoons; Tinctures: 2-3 teaspoons; every 2 hours.

Prophylactic: Mistletoe, taken at least 14 days before period. For prolonged heavy loss, refer patient to a gynaecologist.

Diet. Vitamin K foods. Iron foods. Prunes. Kelp. Irish Moss.

Supplements. Daily. Vitamin A, 7,500iu, Vitamin C, 1g. Vitamin E, 200iu. Vitamin K, 5mcg. Bioflavonoids. Calcium. Iodine. Iron – Floradix.

Sitz bath. Has a toning effect upon the pelvic organs, arresting high blood loss. See: SITZ BATH. ... menorrhagia

Nervous Bowel Syndrome

Frequent urging to stool due to nervous irritability or emotional distress.

Indicated: astringents, nerve relaxants.

Teas. Hops, Vervain, Chamomile, Cranesbill.

Tablets/capsules. Chamomile, Calamus, Wild Yam, Fenugreek.

Formula. Bayberry 2; Wild Yam 1; Valerian half. Dose: Liquid extracts: 1-2 teaspoons. Tinctures: 2-3 teaspoons. Powders: 750mg (three 00 capsules or half a teaspoon). Thrice daily.

Tincture. Black Catechu BHP (1983). 1:5 in 45 per cent alcohol. Dose 2.5 to 5ml in water, thrice daily. Fenulin. (Gerard House)

Diet. Slippery Elm gruel.

Supplements. Vitamins A, B6, C, Calcium, Dolomite. ... nervous bowel syndrome

Nosebleed

Epistaxis. Often Nature’s way of relieving high blood pressure.

Causes: high blood pressure, accident, anticoagulant drugs, infection, blood disorder. As many as fifty- four causes. Usually innocent, from ruptured small vessel on anterior part of the nasal septum. May be spontaneous in the elderly, in which case blood vessels may be strengthened by Nettle tea.

Teas. Marigold flowers, Ephedra, Nettles, Melilot, Yarrow, Shepherd’s Purse, Ladies Mantle, Tormentil. Decoction. Burdock root.

Tablets/capsules. Cranesbill. Goldenseal.

Powders. Alternatives. (1) Cinnamon. (2) Bayberry. (3) Cranesbill. Half a teaspoon in milk or honey. External. Instil juice of Houseleek into nostril. Soak cotton wool in Witch Hazel and plug nostril. Pound fresh Nettles to a pulp in pestal and mortar and instil the juice or pulp. Beth root powder. Artichoke. Soak cotton wool in Cider vinegar and plug nostril. Other astringents, as available. See: ASTRINGENTS. Cold compresses to back of neck. ... nosebleed




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