per cent Water 10–12 Protein 10–12 Carbohydrate 65–75 Fat 0·5–8 Mineral matter 2
Composition of cereals
Cereals consist predominantly of carbohydrate. They are therefore an excellent source of energy. On the other hand, their de?ciency in protein and fat means that to provide a balanced diet, they should be supplemented by other foods rich in protein and fat.
per cent
Carbo-Cellu-
Water Protein Fat hydrate lose Ash Wheat 12·011·0 1·771·2 2·2 1·9 Oatmeal 7·2 14·2 7·365·9 3·5 1·9 Barley 12·310·1 1·969·5 3·8 2·4 Rye 11·010·2 2·372·3 2·1 2·1 Maize 12·59·7 5·468·9 2·0 1·5 Rice 12·46·9 0·479·4 0·4 0·5 (polished) Millet 12·310·4 3·968·3 2·9 2·2 Buck wheat 13·010·2 2·261·3 11·12·2
Composition of certain cereals... cereal
If required in states of chronic distress, whether induced by disease or environment, it is especially important to limit the drugs to a short time to prevent undue reliance on them, and to prevent the use of hypnotics and sedatives from becoming a means of avoiding the patient’s real problem. In many cases, such as chronic depression, overwork, and alcohol abuse, hypnotics are quite inappropriate; some form of counselling and relaxation therapy is preferable.
Hypnotics should always be chosen and prescribed with care, bearing in mind the patient’s full circumstances. They are generally best avoided in the elderly (confusion is a common problem), and in children – apart from special cases. Barbiturates should not now be used as they tend to be addictive. The most commonly used hypnotics are the BENZODIAZEPINES such as nitrazepam and temazepam; chloral derivatives, while safer for the few children who merit them, are generally second choice and should be used in the lowest possible dose for the minimum period.
Side-effects include daytime drowsiness – which may interfere with driving and other skilled tasks – and insomnia following withdrawal, especially after prolonged use, is a hazard. Occasionally benzodiazepines will trigger hostility and aggression. Zolpidem and zopiclone are two drugs similar to the benzodiazepines, indicated for short-term treatment of insomnia in the elderly. Adverse effects include confusion, incoordination and unsteadiness, and falls have been reported.
FLUNITRAZEPAM is a tranquilliser/hypnotic that has been misused as a recreational drug.... hypnotics
Rarely, ingredients such as preservatives may result in sensitization.... emulsifying ointment
They include benzodiazepines, antihistamines, antidepressants, and chloral hydrate.
Sleeping drugs may cause drowsiness and impaired concentration on waking.
Long-term use may induce tolerance and dependence.... sleeping drugs
Action: Emmenagogue, antispasmodic, carminative, expectorant. Leaves and seed— astringent, antispasmodic. Warm infusion of herb—promotes suppressed menstrual flow.
The herb contains about 3% volatile oil comprising sabinene hydrate, sa- binene, linalool, carvacrol, estrogole, eugenol and terpenes; flavonoids including luteolin-7-glucoside, dios- metin-7-glucoside, apigenin-7-gluco- side; rosmarinic acid, caffeic acid; and triterpenoids such as ursolic acid, olea- nolic acid, sterols.Marjoram herb and oil exhibit antibacterial action. (German Commission E.) The herb contains arbutin and hydroxyquinone (a carcinogenic agent) in low concentrations. The herb is not suited for extended use. Topical application of hydroxyquinone leads to depigmentation of the skin. There is no reports of similar side effects with marjoram ointment. (German Commission E.)Origanum vulgare Linn. (Wild Marjoram) contains volatile oil with a widely varying composition; major components include thymol, beta-bisabolene, caryophyllene, linalool and borneol; other constituents are similar to those of O. majorana.The leaves of Wild Marjoram contain phenolic acids. The phenyl propionic acid and the phenyl glucoside showed antioxidant activity comparable to that of BHA, a synthetic antiox- idant.Wild Marjoram preparations are used for bronchial catarrh and disturbances of the gastrointestinal tract in Unani medicine.Sweet Marjoram shows stronger effect on the nervous system than Wild Marjoram and gives better results in anxiety, headaches and insomnia.Both the species have been included among unapproved herbs by German Commission E.... oroxylum indicumThe chief object of perspiration is to maintain an even body temperature by regulating the heat lost from the body surface. Sweating is therefore increased by internally produced heat, such as muscular activity, or external heat. It is controlled by two types of nerves: vasomotor, which regulate the local blood ?ow, and secretory (part of the sympathetic nervous system) which directly in?uence secretion.
Eccrine sweat is a faintly acid, watery ?uid containing less than 2 per cent of solids. The eccrine sweat-glands in humans are situated in greatest numbers on the soles of the feet and palms of the hands, and with a magnifying glass their minute openings or pores can be seen in rows occupying the summit of each ridge in the skin. Perspiration is most abundant in these regions, although it also occurs all over the body.
Apocrine sweat-glands These start functioning at puberty and are found in the armpits, the eyelids, around the anus in association with the external genitalia, and in the areola and nipple of the breast. (The glands that produce wax in the ear are modi?ed apocrine glands.) The ?ow of apocrine sweat is evoked by emotional stimuli such as fear, anger, or sexual excitement.
Abnormalities of perspiration Decreased sweating may occur in the early stages of fever, in diabetes, and in some forms of glomerulonephritis (see KIDNEYS, DISEASES OF). Some people are unable to sweat copiously, and are prone to HEAT STROKE. EXCESSIVE SWEATING, OR HYPERIDROSIS, may be caused by fever, hyperthyroidism (see THYROID GLAND, DISEASES OF), obesity, diabetes mellitus, or an anxiety state. O?ensive perspiration, or bromidrosis, commonly occurs on the hands and feet or in the armpits, and is due to bacterial decomposition of skin secretions. A few people, however, sweat over their whole body surface. For most of those affected, it is the palmar and/or axillary hyperhidrosis that is the major problem.
Conventional treatment is with an ANTICHOLINERGIC drug. This blocks the action of ACETYLCHOLINE (a neurotransmitter secreted by nerve-cell endings) which relaxes some involuntary muscles and tightens others, controlling the action of sweat-glands. But patients often stop treatment because they get an uncomfortably dry mouth. Aluminium chloride hexahydrate is a topical treatment, but this can cause skin irritation and soreness. Such antiperspirants may help patients with moderate hyperhidrosis, but those severely affected may need either surgery or injections of BOTULINUM TOXIN to destroy the relevant sympathetic nerves to the zones of excessive sweating.... perspiration
Habitat: A tree, found in Rajasthan,
Synonym: W arborea (Dennst.) Mabberley.Habitat: Punjab, Rajasthan, Bihar, Assam and Western Peninsula.
Ayurvedic: Kutaja (red-flowered). Indrayava (seeds).Siddha/Tamil: Pala.Action: Two varieties—male and female—are mentioned in Ayurvedic texts. Mostly, Holarrhena is supposed to be the male and Wrightia the female. In Unani medicine, Inderjao Talkh (bitter) is equated with Holarrhena antidysenterica (Conesse Bark) and Inderjao Shireen (sweet) with Wrightia tinctoria (known as Dyer's Oleander, Blue Dyeing Roseberry).
Dried bark is used as a substitute for Holarrhena antidysenterica bark. Alkaloid conessine is the active principle of both the barks.Besides conessine, other alkaloids present in the bark are conessine di- hydrate, holarrhine, kurchicine and a very minute quantity of conkurchine. The bark contains beta-sitosterol, lupe- ol, alpha-amyrin and reducing sugars besides alkaloids.The isoflavone, wrightiadione, isolated from the stem bark, displayed cytotoxic activity. Two aliphatic compounds, n-tritriacont-16-one and hexa- consan-3, 6-diol-12-oic acid, have also been isolated from the bark.See Wrightia tinctoria and Holar- rhena antidysenterica.... wrightia tomentosa