Beach, dr wooster (1794-1868) Health Dictionary

Beach, Dr Wooster (1794-1868): From 1 Different Sources


Scholar and physician. Of the eclectic school of physicians whose pharmacy was drawn from botanic medicine. In 1829 he founded the Medical Society of the United States for teaching the various branches of medical science and botanic medicine. Their methods became so popular that the American Government granted many charters for schools to teach the system.

Beach made many long visits to Britain gleaning information from the British Museum, Guy’s Hospital and from consulting medical herbalists. Ex-Professor of several American universities, he organised herbal medication into a system defined in his books: “American Practice of Medicine”, “Midwifery”, and “Family Physician” which proved a bestseller. 

Health Source: Bartrams Encyclopedia of Herbal Medicine
Author: Health Encyclopedia

Indian Beech

Pongamia pinnata

Papilionaceae

San: Karanj;

Hin: Karanja, Dittouri;

Ben: Dehar karanja;

Mal: Ungu, Pongu; Guj, Mar, Pun: Karanj;

Kan: Hongae;

Tel: Kangu;

Tam: Puggam; Ass: Karchaw; Ori: Koranjo

Importance: Indian beech, Pongam oil tree or Hongay oil tree is a handsome flowering tree with drooping branches, having shining green leaves laden with lilac or pinkish white flowers. The whole plant and the seed oil are used in ayurvedic formulations as effective remedy for all skin diseases like scabies, eczema, leprosy and ulcers. The roots are good for cleaning teeth, strengthening gums and in gonorrhoea and scrofulous enlargement. The bark is useful in haemorhoids, beriberi, ophthalmopathy and vaginopathy. Leaves are good for flatulence, dyspepsia, diarrhoea, leprosy, gonorrhoea, cough, rheumatalgia, piles and oedema. Flowers are given in diabetes. Fruits overcomes urinary disease and piles. The seeds are used in inflammations, otalgia, lumbago, pectoral diseases, chronic fevers, hydrocele, haemorrhoids and anaemia. The seed oil is recommended for ophthalmia, haemorrhoids, herpes and lumbagoThe seed oil is also valued for its industrial uses. The seed cake is suggested as a cheap cattle feed. The plant enters into the composition of ayurvedic preparations like nagaradi tailam, varanadi kasayam, varanadi ghrtam and karanjadi churna.

It is a host plant for the lac insect. It is grown as a shade tree. The wood is moderately hard and used as fuel and also for making agricultural implements and cart- wheels.

Distribution: The plant is distributed throughout India from the central or eastern Himalaya to Kanyakumari, especially along the banks of streams and rivers or beach forests and is often grown as an avenue tree. It is distributed in Sri Lanka, Burma, Malaya, Australia and Polynesia.

Botany: Pongamia pinnata (Linn.) Pierre syn. P. glabra Vent., Derris indica (Lam.) Bennet, Cystisus pinnatus Lam. comes under family Papilionaceae. P. pinnata is a moderate sized, semi -evergreen tree growing upto 18m or more high, with a short bole, spreading crown and greyish green or brown bark. Leaves imparipinnate, alternate, leaflets 5-7, ovate and opposite. Flowers lilac or pinkish white and fragrant in axillary recemes. Calyx cup-shaped, shortly 4-5 toothed, corolla papilionaceous. Stamens 10 and monadelphous, ovary subsessile, 2-ovuled with incurved, glabrous style ending in a capitate stigma. Pod compressed, woody, indehiscent, yellowish grey when ripe varying in size and shape, elliptic to obliquely oblong, 4.0-7.5cm long and 1.7-3.2cm broad with a short curved beak. Seeds usually 1, elliptic or reniform, wrinkled with reddish brown, leathery testa.

Agrotechnology: The plant comes up well in tropical areas with warm humid climate and well distributed rainfall. Though it grows in almost all types of soils, silty soils on river banks are most ideal. It is tolerant to drought and salinity. The tree is used for afforestation, especially in watersheds in the drier parts of the country. It is propagated by seeds and vegetatively by rootsuckers. Seed setting is usually in November. Seeds are soaked in water for few hours before sowing. Raised seed beds of convenient size are prepared, well rotten cattle manure is applied at 1kg/m2 and seeds are uniformly broadcasted. The seeds are covered with a thin layer of sand and irrigated. One month old seedlings can be transplanted into polybags, which after one month can be planted in the field. Pits of size 50cm cube are dug at a spacing of 4-5m, filled with top soil and manure and planted. Organic manure are applied annually. Regular weeding and irrigation are required for initial establishment. The trees flower and set fruits in 5 years. The harvest season extends from November- June. Pods are collected and seeds are removed by hand. Seed, leaves, bark and root are used for medicinal purposes. Bark can be collected after 10 years. No serious pests and diseases are reported in this crop.

Properties and activity: The plant is rich in flavonoids and related compounds. Seeds and seed oil, flowers and stem bark yield karanjin, pongapin, pongaglabrone, kanugin, desmethoxykanugin and pinnatin. Seed and its oil also contain kanjone, isolonchocarpin, karanjachromene, isopongachromene, glabrin, glabrachalcone, glabrachromene, isopongaflavone, pongol, 2’- methoxy-furano 2”,3”:7,8 -flavone and phospholipids. Stem-bark gives pongachromene, pongaflavone, tetra-O-methylfisetin, glabra I and II, lanceolatin B, gamatin, 5-methoxy- furano 2”,3”:7,8 -flavone, 5-methoxy-3’,4’-methelenedioxyfurano 2”,3”:7,8 -flavone and - sitosterol. Heartwood yields chromenochalcones and flavones. Flowers are reported to contain kanjone, gamatin, glabra saponin, kaempferol, -sitosterol, quercetin glycocides, pongaglabol, isopongaglabol, 6-methoxy isopongaglabol, lanceolatin B, 5-methoxy-3’,4’- methelenedioxyfurano 8,7:4”,5” -flavone, fisetin tetramethyl ether, isolonchocarpin, ovalichromene B, pongamol, ovalitenon, two triterpenes- cycloart-23-ene,3 ,25 diol and friedelin and a dipeptide aurantinamide acetate.

Roots and leaves give kanugin, desmethoxykanugin and pinnatin. Roots also yield a flavonol methyl ether-tetra-O-methyl fisetin. The leaves contain triterpenoids, glabrachromenes I and II, 3’-methoxypongapin and 4’-methoxyfurano 2”,3”:7,8 -flavone also. The gum reported to yield polysaccharides (Thakur et al, 1989; Husain et al, 1992).

Seeds, seed oil and leaves are carminative, antiseptic, anthelmintic and antirheumatic. Leaves are digestive, laxative, antidiarrhoeal, bechic, antigonorrheic and antileprotic. Seeds are haematinic, bitter and acrid. Seed oil is styptic and depurative. Karanjin is the principle responsible for the curative properties of the oil. Bark is sweet, anthelmintic and elexteric.... indian beech

Laguna

(American) From the beach Lagoona, Lagunah, Lagoonah, Lagouna, Lagounah... laguna

Mala Madre

Palm beach-bells (Kalanchoe gastonis-bonnieri).

Plant Part Used: Leaf.

Dominican Medicinal Uses: Leaf: decoction, orally, for pain, infection, inflammation; as a douche, for vaginal infection; added to multi-herb preparations for menstrual disorders, uterine fibroids, ovarian cysts, menopausal symptoms and tumors.

Safety: Animal studies have shown moderate- to low toxicity when administered orally.

Laboratory & Preclinical Data: In vivo: antifertility and contraceptive effects on sperm (leaf juice).

* See entry for Mala madre in “Part 3: Dominican Medicinal Plant Profiles” of this book for more information, including references.... mala madre

Red Tide

The appearance of a reddish-brown scum on the surface of the sea caused by dinoflagelates at certain times of the year when heat and other climatic conditions allow for vast expansion in their numbers. Unlike the dinoflagellates that cause PSP, they seems to cause no medical problem apart from irritation of the eyes (conjunctivitis), foul-tasting sea water, and leaving a rotting, unpleasant smell when they dry out on the beach.... red tide

Self Medication

The Government and health authorities of the UK and Europe express their desire that citizens take more responsibility for their own health. Also, the public’s disquiet towards some aspects of modern medicine leads them to seek alternatives elsewhere. As a generation of health-conscious people approach middle age, it is less inclined to visit the doctor but to seek over-the-counter products of proven quality, safety and efficacy for minor self-limiting conditions. This has the advantage of freeing the doctor for more serious cases. Intelligent self-medication has come to stay.

Prescriptions. While specimen combinations appear for each specific disease in this book, medicines from the dispensary may be varied many times during the course of treatment. The practitioner will adapt a prescription to a patient’s individual clinical picture by adding and subtracting agents according to the changing basic needs of the case. For instance, a first bottle of medicine or blend of powders may include a diuretic to clear the kidneys in preparation for the elimination of wastes and toxins unleashed by active ingredients.

The reader should never underestimate the capacity of herbal medicine to regenerate the human body, even from the brink of disaster.

Acknowledgements. I am indebted to my distinguished mentor, Edgar Gerald Jones, Mansfield, Nottinghamshire, England, to whom I owe more than I could ever repay. I am indebted also to the National Institute of Medical Herbalists, and to the British Herbal Medicine Association, both of which bodies have advanced the cause of herbal medicine. I have drawn heavily upon the British Herbal Pharmacopoeias 1983 and 1990, authentic publications of the BHMA, and have researched major works of ancient and modern herbalism including those pioneers of American Eclectic Medicine: Dr Samuel Thomson, Dr Wooster Beach, Dr Finlay Ellingwood and their British contemporaries. All made a vital contribution in their day and generation. I have endeavoured to keep abreast of the times, incorporating the latest scientific information at the time of going to press. For the purposes of this book I am especially indebted to my friend Dr John Cosh for checking accuracy of the medical material and for his many helpful suggestions.

A wealth of useful plants awaits further investigation. Arnica, Belladonna and Gelsemium are highly regarded by European physicians. It is believed that these plants, at present out of favour, still have an important role in medicine of the future. The wise and experienced clinician will wish to know how to harness their power to meet the challenge of tomorrow’s world.

Perhaps the real value of well-known alternative remedies lies in their comparative safety. Though largely unproven by elaborate clinical trials, the majority carry little risk or harm. Some have a great potential for good. The therapy is compatible with other forms of treatment.

The revival of herbal medicine is no passing cult due to sentimentality or superstition. It indicates, rather, a return to that deep devotion to nature that most of us have always possessed, and which seems in danger of being lost in the maze of modern pharmacy. It is an expression of loyalty to all that is best from

the past as we move forward into the 21st century with a better understanding of disease and its treatment. I believe the herbal profession has a distinguished and indispensible contribution to make towards the conquest of disease among peoples of the world, and that it should enjoy a place beside orthodox medicine.

Who are we to say that today’s antibiotics and high-tech medicine will always be available? In a world of increasing violence, war and disaster, a breakdown in the nation’s health service might happen at any time, thus curtailing production of insulin for the diabetic, steroids for the hormone-deficient, and anti-coagulants for the thrombotic. High-technology can do little without its specialised equipment. There may come a time when we shall have to reply on our own natural resources. It would be then that a knowledge of alternatives could be vital to survival. ... self medication

Castor Oil Plant

Palma Christi. Ricinus communis L. Part used: oil expressed cold drawn from the seeds without the aid of heat. Versatile agent for skin diseases. “Biochemical precursor of prostaglandins . . . a trigger mechanism to immune system T-cells in the skin causing them to activate a local immune system reaction through the lymphatics.” (Harvey Grady, Edgar Cayce Foundation, Virginia Beach, Va., USA)

Action: anti-allergenic, galactagogue. Canary Island nursing mothers bind leaves to the breast to increase secretion of milk. Vitality of cells is upgraded by contact with the oil. Oral contraceptive. (V.J. Brondegaard, Plants Med. 23, 167, 1973) A traditional purgative.

Uses: Internal. Rarely used, except for varied forms of allergy (penicillin, hay fever, etc): 5 drops oil in honey, 3-4 times daily. Mouth ulcers, smear with oil. Large doses avoided.

Topical. Anti-fungal, emollient, anodyne.

Application to warts, corns, bunions, skin disorders, psoriasis, eczema, nail infection, bedsores, pigmented mole, ringworm, itch, ear-infection in children (drops), leg ulcers – dab with smear for pain relief, rodent ulcers made bearable, gangrene (with tincture Myrrh drops). Oil massaged into scalp for 20 minutes daily for falling hair. Eyelids, to soothe and heal. Age spots: brown patches on face, arms or hands have been known to disappear when persevering with a smear of each – Castor oil and Bicarbonate of Soda.

Preparations: Internal use: oil – 5 to 20ml, as prescribed.

External use: Zinc and Castor oil cream, or ointment. Or, Castor oil only.

Castor oil pack, to stimulate the immune system: apply soft pad of material saturated with Castor oil; hold in position with elastic bandage for skin diseases, pains of arthritis or rheumatism; lacerated and well-sutured wounds that refuse to heal. Renew oil when pad becomes dry. Oil may be used as a vehicle for eye drops. ... castor oil plant

Ellingwood

Dr FINLAY. Distinguished Chicago physician with a practice based on herbal medicine. Of the school of American physiomedicalists including John K. Scudder, M.D., Wooster Beach, MD. Editor: Ellingwood’s Therapeutist published beginning of this century and still consulted by progressive herbalists. Books: Ellingwood’s New American Materia Medica, Therapeutics and Pharmacognosy. Ellingwood’s Practice of Medicine. Commended.

This pioneer and frontiersman was one of the first of the eclectic physicians to discover the remarkable versatility of Echinacea root. ... ellingwood

Cancer

An invasive growth which gradually emerges into life and, undisciplined, eats its way into neighbouring tissues. Malignancy is the growth of abnormal cells with the ability to form a primary lesion from which cells may be bloodborne to other parts of the body (metastasis). Growth usually follows the line of the lymph vessels (Violet leaves have an affinity for lymph vessels).

Course of the disease is unpredictable, cases surviving for many years on primary or supportive herbal treatment. Suspected malignancy should be referred to modern hospital treatment immediately. Early detection is vital.

Common signs calling attention are: (1) Unusual bleeding or discharge. (2) Tired feeling all the time. (3) Thickening or lump in breast or elsewhere. (4) Sudden change in hair texture and colour. (5) Irritable cough or hoarseness. (6) Extreme mental depression. (7) Obvious change in a mole or wart. (8) Muscle weakness and cramps. (9) A sore that does not heal. (10) Change in bowel or bladder habit. (11) Sudden weakness of the eyes. (12) Difficulties in swallowing; indigestion. (13) Excess wind in stomach or bowel.

Tumour-killing effect of chemotherapy may be intensified and side-effects minimised (loss of weight, and of white blood cells) when certain neoplastic herbs are prescribed. Cytotoxic drugs inhibit the ability of Vitamin C to stimulate the body’s defences. Herbs enhance the body’s self-healing ability to eliminate. An inoperable cancer would appear to be good grounds for herbal medication which often relieves pain and preserves a man’s dignity in his hour of extremity.

A series of medical trials in Finland revealed that terminal cases had 12 per cent lower mean serum selenium concentration than controls. Other similar trials point to the need for selenium supplements. Those with both low selenium and low Vitamin E levels are especially at risk.

See: GERSON CANCER THERAPY.

Exercise. High levels of fitness are associated with lower death rates. (American study)

Plants with a special reference to cancer include: Blue Flag, Burdock, Clivers, Condurango, Echinacea, Guaiacum, Houseleek, Poke root. There are many more referred to in medical literature.

Poke Root. John Bartram reported in the late 18th century that from his experience among the Mohawk Indians, Poke root (Phytolacca decandra) was a “cure” for cancer. (American Indian Medicine, Virgil J. Vogel)

Blood Root. For internal or external bleeding of cancer.

Calendula (Marigold). For the same purpose.

Mistletoe. Dr Alfred Vogel advises an extract of the plant (Loranthus europaeus) as grown on the Oak tree: dose: 10-15 drops.

Almonds. Edgar Cayce, Virginia Beach, USA, with some successes to his credit, advised eating three almonds a day to counter any tendency towards the disease.

Laetrile. From Apricot kernels that contain cyanogenic glucosides. Though competent physicians have reported positive results in some terminal cases without prior surgery or radiation, the remedy has been withdrawn from general practice because of possible toxicity.

Much needless suffering may be incurred because of out-moded resistance of doctors and governments against prescribing morphine early in cancer patients. It is estimated that 50-80 per cent of patients do not receive satisfactory pain-relief because doctors fear tolerance of the drug would increase, necessitating a higher dosage. From the beginning of time the Opium Poppy has been the most effective analgesic for the terminal condition. Morphine is a respiratory depressant and some authorities believe it should be given before the final stages in continuous doses for adequate pain control. Risks must be balanced with benefits. Dangerous in asthmatics.

Way of Life. Herbal medication of malignant disease involves the patient with his treatment. Here is something he or she can do to regain some control over their life. It can give them the satisfaction of knowing that in some way they are ‘fighting back’ thus influencing the quality of life and a sense of well- being.

If improvement in cancer is not possible maybe the condition can be stabilised and the patient helped to cope with the very unpleasant side-effects of chemotherapy and radiation. Thus, may be restored the body’s natural balance and a possible extension of lifespan.

For this, patients and practitioners may need information and support. That is why suggestions for malignant disease are included in this book. Moreover, well-meaning friends and relatives may exert pressure on the patient ‘to leave no stone unturned’ in search of a cure. Thus every possible secondary treatment should be considered since any one may prove to contribute towards recovery. It is hoped that this book will invite a therapeutic alliance with members of the medical profession as well as with other practitioners.

Macmillan nurses help alleviate physical pain and the psychological distress that can accompany this illness. They are trained to help people with cancer and their families fight cancer with more than medicine.

All forms of cancer should be treated by or in liaison with a qualified medical practitioner or an oncologist. ... cancer

Cholera

The ancient disease cholera resurfaces from time to time. Thousands still die each year. It is an acute infectious disease caused by vibrio cholerae and is notifiable under the Public Heath (Control of Diseases) Act 1984. Human Carriers maintain infection. Incubation may be from a few hours to a number of days. See: NOTIFIABLE DISEASES.

It is spread by polluted water as in the case of the composer, Tchaikovsky, who died imprudently drinking unboiled water during a cholera epidemic, despite warnings of his friends. It is transmitted also by milk, shellfish and by the faeces of infected people.

Symptoms. Profuse rice-water diarrhoea, vomiting and shock from severe loss of body fluids. Muscle cramps, cyanosis, stupor.

Alternatives. Powders. Formula: Tormentil root 2; Ginger 8; Poplar bark 2; Ipecacuanha half; Gum Myrrh quarter; Cloves; Cayenne quarter; Slippery Elm 5. (Reformed School of Medicine, W. Beach MD, USA) No dosage recorded. Suggested hourly dose: Liquid Extract: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg.

Tinctures. Formula No 1. Turkey Rhubarb 3; Hops 2; Peppermint 1. Dose: 1-2 teaspoons in water hourly, as tolerated.

Tinctures. Formula No 2. Turkey Rhubarb 2; Camphor (spirits) 1; Capsicum quarter; Peppermint quarter. Dose: 1-2 teaspoons hourly, as tolerated.

Orange berries. (Maeso lanceolata) Tea drunk by natives before visiting cholera epidemic areas. (Dr Isno Kufo, University of California, Berkeley)

Barberry. Berberine alkaloid. (Indian Journal of Medical Research, 50. 732, 1962)

Camphor. In the Cholera epidemic of 1831, a Russian Consol-General reported 70 cases in two places, all were cured. Elsewhere, of 1270 cases only 108 died. Practitioner use: Spirits of Camphor (10 per cent Camphor in 90 per cent brandy, gin or Vodka). 0.3 to 2ml (5 to 30 drops). Effective in the early stages. Also, rub into soles of feet and use as an inhalant.

Calamint. Old European remedy.

Enema. Bring 2 pints (1 litre) water to boiling point. Allow to cool. Add 20 drops Goldenseal and 20 drops Tincture Myrrh; for soothing and healing injection.

Diet. During an outbreak of cholera: avoid unboiled or unbottled water, uncooked seafood, vegetables and fruit unless fruit can be peeled.

Strict sanitary hygiene. Wash hands frequently.

Recovery period. Replacement of body fluids: glasses of boiled water to which 2-3 teaspoons cider vinegar has been added. Make up potassium loss with 3-4 bananas daily. Calcium, Magnesium and Potassium. Multivitamins.

Alternative rehydration therapy: spring or bottled water with sugar and salt; salt to replace water in the blood, sugar to promote absorption. Glass of water to contain 1 teaspoon salt and 2 teaspoons sugar.

To be treated by a general medical practitioner or hospital specialist.

CHOLERETIC. An agent which reduces cholesterol levels by excreting cholesterol. It also causes bile to flow freely. Differs from a cholagogue in that the latter increases the flow of bile (Artichoke). ... cholera

Nightmare

A frightening dream. Night terrors in children.

Causes: excessive mental activity during the day, a heavy meal late in the evening, indigestion, obstruction of free blood return from the brain.

Teas: Alfalfa. English Herb Tea.

Dioscorides, and Pliny, both record: Paeony root. Prepare: 1 part powdered Paeony root mixed with 4 parts honey. 1-2 teaspoons to cup boiling water at bedtime.

France: traditional – Marjoram tea.

Dr Wooster Beach, USA. Cup Skullcap tea with honey and pinch of Cayenne on retiring.

Aromatherapy. Bedtime inhalation or anointing of forehead: oil of Frankincense. Nightly footbath. Practice relaxation at night before falling asleep. ... nightmare

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




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