Tea. Rosemary. 1 teaspoon to each cup boiling water; infuse 15 minutes; dose – half-1 cup thrice daily. Tea. Sage. 2 teaspoons to each cup boiling water; infuse 15 minutes; dose – half-1 cup thrice daily. Old hospital remedy: Epsom’s salts.
Preparation of milk Milk may be prepared for food in various ways. Boiling destroys the bacteria, especially any Mycobacteria tuberculosis which the milk may contain. It also partly destroys vitamin C and thiamine, as does pasteurisation. Curdling of milk is e?ected by adding rennet, which carries out the initial stage of digestion and thus renders milk more suitable for people who could not otherwise tolerate it. Souring of milk is practised in many countries before milk is considered suitable for food; it is carried out by adding certain organisms such as the LACTIC ACID bacillus, the Bulgarian bacillus, and setting the milk in a warm place for several hours. Sterilisation, which prevents fermentation and decomposition, is usually carried out by raising the milk to boiling temperature (100 °C) for 15 minutes and then hermetically sealing it. Condensed, unsweetened milk – usually known as evaporated milk – is concentrated in vacuo at low temperature; the milk is then placed in tins, which are sealed, and is sterilised by heat at a temperature of 105 °C. This destroys 60 per cent of the vitamin C and 30–50 per cent of the thiamine. Sweetened condensed milk is not exposed to such a high temperature. The sugar, which prevents the growth of micro-organisms, is added before the condensing, and ?nally reaches a concentration of about 40 per cent.
Dried milk is prepared by evaporating all the ?uid so that the milk is reduced to the form of powder. Humanised milk is cow’s milk treated to render it closely similar to human milk.... milk
Breasts, or mammary glands, occur only in mammals and provide milk for feeding the young. These paired organs are usually fully developed only in adult females, but are present in rudimentary form in juveniles and males. In women, the two breasts over-lie the second to sixth ribs on the front of the chest. On the surface of each breast is a central pink disc called the areola, which surrounds the nipple. Inside, the breast consists of fat, supporting tissue and glandular tissue, which is the part that produces milk following childbirth. Each breast consists of 12–20 compartments arranged radially around the nipple: each compartment opens on to the tip of the nipple via its own duct through which the milk ?ows. The breast enlargement that occurs in pregnancy is due to development of the glandular part in preparation for lactation. In women beyond childbearing age, the glandular part of the breasts reduces (called involution) and the breasts become less ?rm and contain relatively more fat.
... breastsBenign disease is much more common than cancer, particularly in young women, and includes acute in?ammation of the breast (mastitis); abscess formation; and benign breast lumps, which may be ?broadenosis – di?use lumpiness also called chronic mastitis or ?brocystic disease – in which one or more ?uid-?lled sacs (cysts) develop.
Women who are breast feeding are particularly prone to mastitis, as infection may enter the breast via the nipple. The process may be arrested before a breast abscess forms by prompt treatment with antibiotics. Non-bacterial in?ammation may result from mammary duct ectasia (dilatation), in which abnormal or
blocked ducts may over?ow. Initial treatments should be with antibiotics, but if an abscess does form it should be surgically drained.
Duct ectasia, with or without local mastitis, is the usual benign cause of various nipple complaints, with common symptoms being nipple retraction, discharge and skin change.
Breast lumps form the chief potential danger and may be either solid or cystic. Simple examination may fail to distinguish the two types, but aspiration of a benign cyst usually results in its disappearance. If the ?uid is bloodstained, or if a lump still remains, malignancy is possible, and all solid lumps need histological (tissue examination) or cytological (cell examination) assessment. As well as having their medical and family history taken, any women with a breast lump should undergo triple assessment: a combination of clinical examination, imaging
– mammography for the over-35s and ultrasonagraphy for the under-35s – and ?ne-needle aspiration. The medical history should include details of any previous lumps, family history (up to 10 per cent of breast cancer in western countries is due to genetic disposition), pain, nipple discharge, change in size related to menstrual cycle and parous state, and any drugs being taken by the patient. Breasts should be inspected with the arms up and down, noting position, size, consistency, mobility, ?xity, and local lymphadenopathy (glandular swelling). Nipples should be examined for the presence of inversion or discharge. Skin involvement (peau d’orange) should be noted, and, in particular, how long changes have been present. Fine-needle aspiration and cytological examination of the ?uid are essential with ULTRASOUND, MAMMOGRAPHY and possible BIOPSY being considered, depending on the patient’s age and the extent of clinical suspicion that cancer may be present.
The commonest solid benign lump is a ?broadenoma, particularly in women of childbearing age, and is a painless, mobile lump. If small, it is usually safe to leave it alone, provided that the patient is warned to seek medical advice if its size or character changes or if the lump becomes painful. Fibroadenosis (di?use lumpiness often in the upper, outer quadrant) is a common (benign) lump. Others include periductal mastitis, fat NECROSIS, GALACTOCELE, ABSCESS, and non-breast-tissue lumps – for example, a LIPOMA (fatty tissue) or SEBACEOUS CYST. A woman with breast discharge should have a mammograph, ductograph, or total duct excision until the cause of any underlying duct ectasia is known. Appropriate treatment should then be given.
Malignant disease most commonly – but not exclusively – occurs in post-menopausal women, classically presenting as a slowly growing, painless, ?rm lump. A bloodstained nipple discharge or eczematous skin change may also be suggestive of cancer.
The most commonly used classi?cation of invasive cancers has split them into two types, ductal and lobular, but this is no longer suitable. There are also weaknesses in the tumour node metastases (TNM) system and the International Union Against Cancer (UICC) classi?cation.
The TNM system – which classi?es the lump by size, ?xity and presence of affected axillary glands and wider metastatic spread – is best combined with a pathological classi?cation, when assessing the seriousness of a possibly cancerous lump. Risk factors for cancer include nulliparity (see NULLIPARA), ?rst pregnancy over the age of 30 years, early MENARCHE, late MENOPAUSE and positive family history. The danger should be considered in women who are not breast feeding or with previous breast cancer, and must be carefully excluded if the woman is taking any contraceptive steroids or is on hormone-replacement therapy (see under MENOPAUSE).
Screening programmes involving mammography are well established, the aim being to detect more tumours at an early and curable stage. Pick-up rate is ?ve per 1,000 healthy women over 50 years. Yearly two-view mammograms could reduce mortality by 40 per cent but may cause alarm because there are ten false positive mammograms for each true positive result. In premenopausal women, breasts are denser, making mammograms harder to interpret, and screening appears not to save lives. About a quarter of women with a palpable breast lump turn out to have cancer.
Treatment This remains controversial, and all options should be carefully discussed with the patient and, where appropriate, with her partner. Locally contained disease may be treated by local excision of the lump, but sampling of the glands of the armpit of the same side should be performed to check for additional spread of the disease, and hence the need for CHEMOTHERAPY or RADIOTHERAPY. Depending on the extent of spread, simple mastectomy or modi?ed radical mastectomy (which removes the lymph nodes draining the breast) may be required. Follow-up chemotherapy, for example, with TAMOXIFEN (an oestrogen antagonist), much improves survival (it saves 12 lives over 100 women treated), though it may occasionally cause endometrial carcinoma. Analysis in the mid-1990s of large-scale international studies of breast-cancer treatments showed wide variations in their e?ectiveness. As a result the NHS has encouraged hospitals to set up breast-treatment teams containing all the relevant health professional experts and to use those treatments shown to be most e?ective.
As well as the physical treatments provided, women with suspected or proven breast cancer should be o?ered psychological support because up to 30 per cent of affected women develop an anxiety state or depressive illness within a year of diagnosis. Problems over body image and sexual diffculties occur in and around one-quarter of patients. Breast conservation and reconstructive surgery can improve the physical effects of mastectomy, and women should be advised on the prostheses and specially designed brassieres that are available. Specialist nurses and self-help groups are invaluable in supporting affected women and their partners with the problems caused by breast cancer and its treatment. Breast Cancer Care, British Association of Cancer United Patients (BACUP), Cancerlink, and Cancer Relief Macmillan Fund are among voluntary organisations providing support.... breasts, diseases of
Alternatives. Tea. Equal parts: Marigold petals, St John’s Wort, Mullein. 2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup 3 or more times daily.
Tissue regeneration. Fenugreek tea.
Capsules. Oil of Evening Primrose: 2 × 250mg, 3 times daily.
Liquid Extract Blue Cohosh BHP (1983) 7-15 drops (0.5-1ml).
Topical. Oil of Evening Primrose. Comfrey dusting powder. Aloe Vera juice. Vitamin E cream. Diet. Lacto-vegetarian.
Information. BCC, Free Help Line. UK telephone: 0500 245345. ... breasts, mastectomy
Symptoms. Local tenderness, feverishness, general agitation. Pain following mumps. Nipple discharge. Alternatives. Where there is feverishness add Elderflowers (one part).
Tea. Combine equal parts: Comfrey leaves. Wild Thyme. German Chamomile. Red Clover. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. Drink freely.
Tablets/capsules. Poke root. Red Clover. Echinacea.
Powders. Formula: Echinacea 2; Red Clover 1; Poke root 1. Mix. Dose: 500mg (two 00 capsules or one- third teaspoon) thrice daily.
Tinctures. Formula. Echinacea 2; Marigold 1; Agnus Castus 2; Poke root 1. Dose: 1-2 teaspoons thrice daily, in water.
Poultice: (1) Fresh Plantain leaves beaten in pestle and mortar, applied cold. (2) Comfrey powder or Slippery Elm powder (or both) sprinkled on suitable material wrung out in boiling water and applied. (3) German Chamomile and Comfrey leaves. (Arthur Hyde, MNIMH) (4) Bring to boil, equal parts Chamomile flowers and Marshmallow leaves in milk and water. Remove when boiling point is reached. Saturate linen or suitable material. Apply every 12 hours. (Rev. John Wesley) (6) Bathe with juice of Houseleek. (Traditional, Norfolk villages)
Evening Primrose oil: internally and externally.
Poke root. An important ingredient of prescription for acute condition. ... breasts, mastitis
Internal:– Nettles, Agnus Castus, Poke root, Pipsissewa leaves. Teas, powders or tinctures thrice daily. External:– Engorgement from breast-feeding – massage with Calendula cream or Almond oil. ... breasts, over large
Peruvian bark. Liquid Extract, BPC (1954), 0.3-1ml in water, thrice daily.
Diet. Adequate protein is essential for a healthy-looking bust. Fenugreek seed tea. Favourable results reported. ... breasts, underdeveloped
Symptoms. Irritable bowel, respiratory troubles (asthma), skin disorders (eczema) and behavioural problems. Symptoms disappear when dairy products are discontinued but re-appear when they re-enter the diet.
Treatment and prevention. Garlic, for reduction of symptoms. A switch from cow’s to goat’s milk proves effective. Cases are on record of goat’s milk checking irritable bowel and the spread of eczema. ... cow’s milk allergy (cma)
Formula (2). Equal parts: Goat’s Rue, Raspberry leaves. Mix. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. Dose: 1 cup 3 or more times daily.
Tablets/capsules. Agnus Castus, Fenugreek, Borage. ... breasts, milk scanty
When the discharge is yellow, indicating pus, an infection is suspected which may develop into an abscess. Herbal treatment can be effective but if, after a week, the condition has not improved surgical exploration may be necessary to remove the affected duct.
Alternatives. Clivers, Goldenseal, Fenugreek, Marigold, Poke root, Queen’s Delight, Wild Indigo. Taken as tea, powder, liquid extract or decoction.
Tea. Formula. Equal parts: Red Clover, Clivers, Gotu Kola. 2 teaspoons to each cup boiling water; infuse 15 minutes. Half-1 cup thrice daily.
Powders. Formula. Wild Indigo 1; Echinacea 2; Poke root 1. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.
Tinctures. Formula. Echinacea 2; Goldenseal 1; Poke root 1. Dose: 30-60 drops thrice daily.
Topical – for sore nipples. Wheatgerm oil, Evening Primrose oil. Lotions: Goldenseal, Marigold, distilled extract of Witch Hazel. Nipples to be washed before a child is again put to the breast. Cracked nipples: Comfrey – pulp from fresh plant, or equal parts powder and milk as a paste.
Minerals: magnesium, zinc. ... breasts, nipples, discharge
Gerard tea. Equal parts: Raspberry leaves, Lemon Balm leaves, Agrimony leaves. Mix. Made as ordinary tea: 2-3 teaspoons to small teapot; infuse few minutes. Drink freely.
Fenugreek tea: consume seeds as well as liquor.
Gentian root. 2 teaspoons to cup cold water left to steep overnight. Half-1 cup before meals.
Pollen..
Diet. Oatmeal porridge. Honey.
Supplements. Multivitamins, B-complex, B6, B12. ... breasts, nursing mother exhaustion
It may be needed if the woman’s breasts are overfull (see engorgement).
A woman may want to express milk so that it can be given to the baby in her absence, or so that an infant unable to feed at the breast, due to prematurity, for example, can benefit from breast milk.
Milk can be expressed by hand or with a breast pump.... expressing milk
Causes include psychiatric problems, which may cause a person to drink compulsively; diabetes mellitus; disorders of the kidney known as salt-losing states; and central diabetes insipidus. Any person who passes large quantities of urine should consult a doctor.... urination, excessive
Health Encyclopedia