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
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
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.... tormentilDigestive 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
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
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
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
“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
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)
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
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
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