Hope Health Dictionary

Depression is a word that is regularly misused. Most people experience days or weeks when they feel low and fed up (feelings that may recur), but generally they get over it without needing to seek medical help. This is not clinical depression, best de?ned as a collection of psychological symptoms including sadness; unhappy thoughts characterised by worry, poor self-image, self-blame, guilt and low self-con?dence; downbeat views on the future; and a feeling of hopelessness. Su?erers may consider suicide, and in severe depression may soon develop HALLUCINATIONS and DELUSIONS.

Doctors make the diagnosis of depression when they believe a patient to be ill with the latter condition, which may affect physical health and in some instances be life-threatening. This form of depression is common, with up to 15 per cent of the population suffering from it at any one time, while about 20 per cent of adults have ‘medical’ depression at some time during their lives – such that it is one of the most commonly presenting disorders in general practice. Women seem more liable to develop depression than men, with one in six of the former and one in nine of the latter seeking medical help.

Manic depression is a serious form of the disorder that recurs throughout life and is manifested by bouts of abnormal elation – the manic stage. Both the manic and depressive phases are commonly accompanied by psychotic symptoms such as delusions, hallucinations and a loss of sense of reality. This combination is sometimes termed a manic-depressive psychosis or bipolar affective disorder because of the illness’s division into two parts. Another psychiatric description is the catch-all term ‘affective disorder’.

Symptoms These vary with the illness’s severity. Anxiety and variable moods are the main symptoms in mild depression. The sufferer may cry without any reason or be unresponsive to relatives and friends. In its more severe form, depression presents with a loss of appetite, sleeping problems, lack of interest in and enjoyment of social activities, tiredness for no obvious reason, an indi?erence to sexual activity and a lack of concentration. The individual’s physical and mental activities slow down and he or she may contemplate suicide. Symptoms may vary during the 24 hours, being less troublesome during the latter part of the day and worse at night. Some people get depressed during the winter months, probably a consequence of the long hours of darkness: this disorder – SEASONAL AFFECTIVE DISORDER SYNDROME, or SADS – is thought to be more common in populations living in areas with long winters and limited daylight. Untreated, a person with depressive symptoms may steadily worsen, even withdrawing to bed for much of the time, and allowing his or her personal appearance, hygiene and environment to deteriorate. Children and adolescents may also suffer from depression and the disorder is not always recognised.

Causes A real depressive illness rarely has a single obvious cause, although sometimes the death of a close relative, loss of employment or a broken personal relationship may trigger a bout. Depression probably has a genetic background; for instance, manic depression seems to run in some families. Viral infections sometimes cause depression, and hormonal disorders – for example, HYPOTHYROIDISM or postnatal hormonal disturbances (postnatal depression) – will cause it. Di?cult family or social relations can contribute to the development of the disorder. Depression is believed to occur because of chemical changes in the transmission of signals in the nervous system, with a reduction in the neurochemicals that facilitate the passage of messages throughout the system.

Treatment This depends on the type and severity of the depression. These are three main forms. PSYCHOTHERAPY either on a one-to-one basis or as part of a group: this is valuable for those whose depression is the result of lifestyle or personality problems. Various types of psychotherapy are available. DRUG TREATMENT is the most common method and is particularly helpful for those with physical symptoms. ANTIDEPRESSANT DRUGS are divided into three main groups: TRICYCLIC ANTIDEPRESSANT DRUGS (amitriptyline, imipramine and dothiepin are examples); MONOAMINE OXIDASE INHIBITORS (MAOIS) (phenelzine, isocarboxazid and tranylcypromine are examples); and SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIS) (?uoxetine – well known as Prozac®, ?uvoxamine and paroxetine are examples). For manic depression, lithium carbonate is the main preventive drug and it is also used for persistent depression that fails to respond to other treatments. Long-term lithium treatment reduces the likelihood of relapse in about 80 per cent of manic depressives, but the margin between control and toxic side-effects is narrow, so the drug must be carefully supervised. Indeed, all drug treatment for depression needs regular monitoring as the substances have powerful chemical properties with consequential side-effects in some people. Furthermore, the nature of the illness means that some sufferers forget or do not want to take the medication. ELECTROCONVULSIVE THERAPY (ECT) If drug treatments fail, severely depressed patients may be considered for ECT. This treatment has been used for many years but is now only rarely recommended. Given under general anaesthetic, in appropriate circumstances, ECT is safe and e?ective and may even be life-saving, though temporary impairment of memory may occur. Because the treatment was often misused in the past, it still carries a reputation that worries patients and relatives; hence careful assessment and counselling are essential before use is recommended.

Some patients with depression – particularly those with manic depression or who are a danger to themselves or to the public, or who are suicidal – may need admission to hospital, or in severe cases to a secure unit, in order to initiate treatment. But as far as possible patients are treated in the community (see MENTAL ILLNESS).... depression

(Sanskrit / African) Hope; in mythology, the wife of a Hindu demigod / one who is lively Ashia, Ashah, Ashiah... asha

Linn.

Family: Aspleniaceae.

Habitat: Kashmir at 1500-2000 m and extending to Dalhousie and Chamba in Himachal Pradesh.

English: Black Spleenwort.

Folk: Krishna fern.

Action: Fond—expectorant, pectoral, emmenagogue. Rhizome— anthelmintic. Plant—bitter, diuretic, laxative, anti-inflammatory. It is used for diseases of spleen and in jaundice; produces sterility in women.

The fonds contain aliphatic hydrocarbons, the chief one being hentri- acontane, non-acosane and triterpe- noid hydrocarbons, mainly of 22 (29)- hopene.

Alcohols, sterols and fatty acids are also reported.

Related sp. include: A. laciniatum D. Don (vitamin K3 and phthiocol have been isolated for the first time from the plant); A. adiantoides (L.) C. Chr., synonym A. falcatum Lam. (used in the treatment of enlarged spleen, in in- contenence of urine, in calculus, jaundice and malaria); A. nidus Linn. synonym Thamnopteris nidus (L.) C. Presl., known as Bird's Nest Fern (used as a depurative and sedative).... asplenium adiantum-nigrum

Cytotoxic means destructive to living cells. Cytotoxic drugs possess anti-cancer properties but also have the potential to damage normal tissue. Their use is twofold: to eliminate a cancer and so prolong life; or to alleviate distressing symptoms, especially in patients whose prospects of a cure are poor. In many cases CHEMOTHERAPY with cytotoxic drugs is combined with surgery, RADIOTHERAPY or both. Chemotherapy may be used initially to reduce the size of the primary TUMOUR (a process called neoadjuvant therapy) before using radiotherapy or surgery to eliminate it. Cytotoxic drugs may also be used as adjuvant treatment to prevent or destroy secondary spread of the primary tumour that has either been removed by surgery or treated with radiotherapy. All chemotherapy causes side-effects: the ONCOLOGIST – a specialist in cancer treatment – has to strike a balance between hoped-for bene?ts and acceptable (for the patient) toxic effects, which include nausea and vomiting, BONE MARROW suppression, ALOPECIA (hair loss) and teratogenic effects (see TERATOGENESIS).

Cytotoxic drugs are used either singly or in combination, when an enhanced response is the aim. Chemotherapy of cancer is a complex process and should be supervised by an oncologist in co-operation with physicians, surgeons, radiotherapists and radiologists as appropriate.

The cytotoxic drugs include:

(1) The alkylating agents which act by damaging DNA, thus interfering with cell reproduction. Cyclophosphamide, ifosfamide, chlorambucil, kelphalan, busulphan, thiotepa and mustine are examples of alkylating agents.

(2) There are a number of cytotoxic antibiotics used in the treatment of cancer – doxorubicin, bleomycin, dactinomycin, mithramycin and amsacrine are examples. They are used primarily in the treatment of acute leukaemia and lymphomas.

(3) Antimetabolites – these drugs combine irreversibly with vital enzyme systems of the cell and hence prevent normal cell division. Methotrexate, cytarabine, ?uorouracil, mercaptopurine and azathioprine are examples.

(4) Another group of cytotoxic drugs are the vinca alkaloids such as vincristine, vinblastine and vindesima.

(5) Platinum compounds such as carboplatin, cisplatin and oxaliplatin are e?ective. All of them are given intravenously, but the latter two tend to have more unpleasant side-effects. Carboplatin and cisplatin are useful in the treatment of solid tumours. Carboplatin, a derivative of cisplatin, is given intravenously in ovarian cancer and in small-cell lung cancer. Better tolerated than cisplatin, the drug causes less nausea and vomiting, nephrotoxicity, neurotoxicity and ototoxicity. Where platinum-containing therapy has failed, intravenous treatment with paclitaxel may be tried. With only a limited success rate, it is relatively toxic and should be carefully supervised; responses, however, are sometimes prolonged.

Also of increasing importance in treating cancer are interferons. These are naturally occurring proteins with complex effects on immunity and cell function. Although toxic, with numerous adverse effects, they have shown some anti-tumour e?ect against certain lymphomas and solid tumours.... cytotoxic

(American) A father’s hope for tomorrow

Daye, Dai, Dae... day

(Greek) Feminine form of Elpidius; filled with hope

Elpidah, Elpyda, Elpeeda, Elpieda, Elpeida, Elpeada, Espe, Elpydah, Elpeedah, Elpiedah, Elpeidah, Elpeadah... elpida

(Spanish) Filled with hope Esperanzah, Esperanzia, Esperanze, Esperanzea, Esperansa, Esperansah, Esperansia, Esperanse, Esperansea... esperanza

(Basque) One who has hope Itxarro... itxaro

(English) Filled with hope Lanseng, Lansyng... lansing

(Sanskrit) One who is hopeful... marjah

(Slavic) One who is full of hope Nadja, Nadya, Naadiya, Nadine, Nadie, Nadiyah, Nadea, Nadija, Nadka, Nadenka, Nadezhda, Nadusha, Nadiah, Nadeen, Nadeene, Nadean, Nadyne, Nadien, Nadin, Nadene, Nadina, Nadena, Nadyna, Nadyn, Nadeana, Nadeane, Nadeena, Naydene, Naydeen, Naydin, Naydyn, Naidene, Naidine, Naidyne, Naideen, Naydine, Nadezda, Nadiya, Nadjae, Nadjah, Nads, Nadyenka, Nadyuiska, Nadzia, Naiya, Naia, Naiyana, Naya, Nadege, Natia... nadia

(Japanese) One who brings hope to others

Nozomie, Nozomy, Nozomey, Nozomee, Nozomea... nozomi

(Arabic) One who is filled with hope Rajah... raja

(Greek) One who is filled with hope Rizpa, Ritzpa, Ritzpah, Rhizpa, Rhizpah... rizpah

(Italian) Form of Esperanza, meaning “filled with hope” Speranzia, Speranzea, Speranziya, Speranzya... speranza

(Latin) In mythology, goddess of hope... spes

(Hebrew) One who has hope Tikvah, Tickva, Ticva... tikva

(Japanese / Korean) One who grasps opportunity; hopeful / resembling a rabbit Tokie, Toky, Tokey, Tokye, Tokiko, Tokee, Tokea... toki

(Turkish) One who is hopeful Umaa, Umai, Umae... umay

(English) One who is hoped for; desired

Wilonah, Willona, Wilone, Willone, Wylona, Wylone... wilona

(Chinese) One with hope... xi-wang

(American) One with high hopes Yanishah, Yaneesha, Yaneeshah, Yaniesha, Yanieshah, Yaneisha, Yaneishah, Yanysha, Yanyshah, Yaneasha, Yaneashah... yanisha

Marjoram tea has been known for a very long time for its diuretic and antispasmodic actions. Marjoram is a perennial herb that grows in North Africa, the Middle East and India. Its leaves are small, roundish and fuzzy-haired, having a sweet and spicy flavor in the same time. It is believed that marjoram plant was cultivated by Aphrodite, the Greek goddess of love. The herb is still placed in hope chests and under women’s pillow to ensure a happy marriage. The constituents of marjoram tea are oleic acids, essential oils, tannins, ursolic acid, vitamin C and zinc. How To Make Marjoram Tea To brew marjoram tea, you will need to place 1 teaspoon of marjoram herb in 8 ounces of cold water. Bring the mix to a boil and just when the water reaches the boiling point, reduce the heat and let it steep for 15-20 minutes. Strain the tea into your cup and enjoy! Marjoram Tea Benefits

• Helps relieve dry cough.
• May help in the treatment of epilepsy and rheumatism.
• Can be used as a remedy for asthma.
• Relieves indigestion and flatulence.
• Prevents spasm in the digestive tract.

Marjoram Tea Side Effects So far, no side effects have been noticed when consuming marjoram tea. However, pregnant women should not consume large amounts of marjoram because it can cause uterine contractions. Infants and children should not drink marjoram tea. If you are experiencing nausea, diarrhea or vomiting, reduce your dose of marjoram tea or stop drinking it! If these symptoms last more than a few days, consult your doctor. Marjoram tea may interfere with the action of certain drugs, so make sure you consult your doctor before drinking any herbal tea. Marjoram tea is a healthy choice, having many health benefits. Do not drink more than 3 cups per day in order not to experience any of the side effects listed above!... discover marjoram tea

Also known as salaam attacks, these are a rare but serious type of EPILEPSY, usually starting in the ?rst eight months of life. The spasms are short and occur as involuntary ?exing of the neck, arms, trunk and legs. They may occur several times a day. If the baby is sitting, it may collapse into a ‘salaam’ position; more usually there is a simple body jerk, sometimes accompanied by a sudden cry. An electroencephalogram (see ELECTROENCEPHALOGRAPHY (EEG)) shows a picture of totally disorganised electrical activity called hypsarrhythmia. The condition results from any one of many brain injuries, infections or metabolic insults that may have occurred before, during, or in the ?rst few months after birth. Its importance is that in most cases, the baby’s development is seriously affected such that they are likely to be left with a profound learning disability. Consequently, prompt diagnosis is important. Treatment is with CORTICOSTEROIDS or with certain anti-convulsants – the hope being that prompt and aggressive treatment might prevent further brain damage leading to learning disability.... infantile spasms

One of two proteins secreted from the lining of the stomach whose sole purpose is (it seems) to cradle B12 in a pre-fitted styrofoam mold and (A) carry it through the Seven Levels of Digestive Hell until it reaches those few absorption sites in the last foot of small intestine that understand its “Special Needs” (sounds either sexually kinky or the airplane dinner label on kosher food for flying Hassidim jewelers) and finally (B) slip it from one protein to the other, and thence into the cell membranes where its is turn handed over to (C) the specialized blood protein that can carry it safely to the final target tissues (3 times out of 4, the bone marrow). Cyanocobalamin (B12) has parts that fall off, radicals that twirl around in five directions on three charge potentials, and is as durable as a 49¢ water pistol. And, if we have an ulcer, chronic enteritis or long-standing steatorrhea, we either get B12 shots (and hope the liver still makes that blood carrier) or walk around with pernicious anemia and a hematocrit of 16.... intrinsic factor

Those natural substances, so-called because they were ?rst discovered in the SEMEN and thought to arise in the PROSTATE GLAND, are a group of fatty-acid substances with a wide range of activity. The richest known source is semen, but they are also present in many other parts of the body. Their precise mode of action is not yet clear, but they are potent stimulators of muscle contraction and they are also potent VASODILATORS. They cause contraction of the UTERUS and have been used to induce labour (see PREGNANCY AND LABOUR); they are also being used as a means of inducing therapeutic abortions (see ABORTION).

Prostaglandins play an important part in the production of PAIN, and it is now known that ASPIRIN relieves pain by virtue of the fact that it prevents, or antagonises, the formation of certain prostaglandins. In addition, they play some, although as yet incompletely de?ned, part in producing in?ammatory changes. (See INFLAMMATION; NON-STEROIDAL ANTIINFLAMMATORY DRUGS (NSAIDS).)

Thus prostaglandins have potent biological effects, but their instability and rapid metabolism make them short-acting. They are produced but not stored by most living cells and act locally. The two most important prostaglandins are prostacycline and thromboxane: prostacycline is a vasodilator and an inhibitor of platelet aggregation; thromboxanes have the opposite effects and cause vasoconstriction and platelet aggregation. The NSAIDs act by blocking an ENZYME called cyclo-oxygenase which converts arachidonic acid to the precursors of the various prostaglandins. Despite their potent pharmacological properties, the role of prostaglandins in current therapeutics is limited and controversial. They have been used most successfully as an inhibitor of platelet aggregation in extra-corporeal haemoperfusion systems. The problems with the prostacyclines is that they have to be given intravenously as they are inactive by mouth, and continuous infusion is required because the drug is rapidly eliminated with a half-life of minutes. Side-effects tend to be severe because the drug is usually given at the highest dose the patient can tolerate. The hope for the future lies in the exploitation of the compound to generate, synthetically, stable orally active prostacycline analogues which will inhibit platelet aggregation and hence thrombotic events, and yet have minimal effects on the heart and blood vessels.... prostaglandins

Any operation that is performed on the heart. Open heart surgery allows the treatment of most types of heart defect present at birth (see heart disease, congenital) and various disorders of the heart valves. Coronary artery bypass is performed to treat obstruction of the coronary arteries. Narrowing of the coronary arteries can be treated by balloon angioplasty. Angioplasty balloons have also been used to open up narrowed heart valves in cases where the patient is unsuitable for open heart surgery (see valvuloplasty). Heart transplant surgery can offer hope to people with progressive, incurable heart disease.... heart surgery

Also known as Hansen’s disease, this is a chronic bacterial infection caused by Mycobacterium leprae affecting the skin, mucous membranes, and nerves. Infection is now almost con?ned to tropical and subtropical countries – mostly in Africa and India. There are two distinct (polarised) clinical forms: tuberculoid and lepromatous. The former usually takes a benign course and frequently burns out, whereas the latter is relentlessly progressive; between these two polar forms lies an intermediate/dimorphous group. Susceptibility may be increased by malnutrition. Nasal secretions (especially in lepromatous disease) are teeming with M. leprae and constitute the main source of infection; however, living in close proximity to an infected individual seems necessary for someone to contract the disease. M. leprae can also be transmitted in breast milk from an infected mother.

Only a small minority of those exposed to M. leprae develop the disease. The incubation period is 3–5 years or longer. The major clinical manifestations involve skin and nerves: the former range from depigmented, often anaesthetic areas, to massive nodules; nerve involvement ranges from localised nerve swelling(s) to extensive areas of anaesthesia. Advanced nerve destruction gives rise to severe deformities: foot-drop, wrist-drop, claw-foot, extensive ulceration of the extremities with loss of ?ngers and toes, and bone changes. Eye involvement can produce blindness. Laryngeal lesions produce hoarseness and more serious sequelae. The diagnosis is essentially a clinical one; however, skin-smears, histological features and the lepromin skin-test help to con?rm the diagnosis and enable the form of disease to be graded.

Although the World Health Organisation had originally hoped to eliminate leprosy worldwide by 2000, that has proved an unrealistic target. The reason is an absence of basic information. Doctors are unable to diagnose the disorder before a patient starts to show symptoms; meanwhile he or she may have already passed on the infection. Doctors do not know exactly how transmission occurs or how it infects humans – nor do they know at what point a carrier of the bacterium may infect others. The incidence of new infections is still more than 650,000 cases a year or about 4.5 cases per 10,000 people in those countries worst affected by the disease.

Treatment Introduction of the sulphone compound, dapsone, revolutionised management of the disease. More recently, rifampicin and clofazimine have been added as ?rst-line drugs for treatment. Second-line drugs include minocycline, o?oxacin and clarithromycin; a number of regimens incorporating several of these compounds (multi-drug regimens – introduced in 1982) are now widely used. A three-drug regime is recommended for multi-bacillary leprosy and a two-drug one for parcibacillary leprosy. Dapsone resistance is a major problem worldwide, but occurs less commonly when multi-drug regimens are used. Older compounds – ethionamide and prothionamide

– are no longer used because they are severely toxic to the liver. Corticosteroids are sometimes required in patients with ‘reversal reaction’. Supportive therapy includes physiotherapy; both plastic and orthopaedic surgery may be necessary in advanced stages of the disease. Improvement in socio-economic conditions, and widespread use of BCG vaccination are of value as preventive strategies. Early diagnosis and prompt institution of chemotherapy should prevent long-term complications.... leprosy

Spiritual pain is what may be felt when one of a person’s four key spiritual relationships (with other people, with oneself, with the world around, or with ‘Life’ itself) is traumatised or broken. A bad trauma in one of the ?rst three relationships can lead to damage to the last of them – that of the relationship with Life itself. For example, a wife deserted by her husband for another woman may not only feel devastated by the loss of her partner around the place, but may also feel a pain caused by the shattering of her beliefs about life (about faithfulness, hope, love, security, etc.). It is as if there is a picture at the centre of each person of what life should be about – whether or not held in a frame by a belief in God; this picture can be smashed by a particular trauma, so that nothing makes sense any more. The individual cannot get things together; everything loses its meaning. This shattering of someone’s picture of life is the source of the deepest pain in any spiritual trauma. The connection is often made between spiritual pain and meaninglessness. If the shattering of the picture, on the other hand, is done by the individual – for instance, by breaking his or her own moral or religious code – the pain may take the form of guilt and associated feelings. Hence, the therapist will be intent upon helping a client to recognise and come to terms with this ‘pain beneath the pain’.... spiritual pain

a hereditary disorder caused by deficiency of an enzyme that results in the accumulation of protein–carbohydrate complexes and fats in the cells of the body (see mucopolysaccharidosis). This leads to severe learning disabilities, enlargement of the liver and spleen, heart defects, deformities of the bones, and coarsening and thickening of facial features (gargoylism). A bone marrow transplant offers the only hope of treatment. Medical name: mucopolysaccharidosis type I. [G. Hurler (1889–1965), Austrian paediatrician]... hurler’s syndrome

a new technique still under evaluation for curing type 1 *diabetes mellitus, which involves the injection of donated cells from the pancreatic *islets of Langerhans into the liver, where it is hoped they will seed and survive. The transplanted cells then take over insulin production from the recipient’s diseased pancreas.... islet cell transplantation

(PVS) the condition that may be diagnosed after a patient has been in the *vegetative state for more than 4 weeks and is normally regarded as permanent, with little or no hope of recovery, after 12 months. Following the high-profile case of Tony Bland, who was in PVS following injuries sustained in the Hillsborough Football Stadium disaster, the law currently allows medical treatment, such as *artificial nutrition and hydration, to be withdrawn from patients in a permanent vegetative state, but permission must first be granted by the courts.... persistent vegetative state

(SCID) a rare disorder that usually manifests itself within the first three months of life by severe bacterial, fungal, and viral infection and *failure to thrive. It is due to reduced numbers of T and B *lymphocytes – white blood cells necessary for fighting infection. Some cases are caused by *adenosine deaminase deficiency. The only treatment currently available is a bone-marrow transplant, but *gene therapy offers hope for the future.... severe combined immune deficiency

Depression is a mental disorder. Patients suffering from this medical condition have a general low mood, they lack self-esteem and may also feel guilty, hopeless and worthless. There are some obvious symptoms displayed by people suffering from depression, such as: agitation, mental disturbance causing hallucinations and morbid thoughts and loss of sexual appetite. One of the main causes of this mental disorder is genetic history. There are also several external issues leading to depression: tormented childhood, relationship difficulties, loss of someone dear, money or  health problems. Anti-depressant medications are usually prescribed to patients suffering from depression. Studies showed that people between the age of 20 and 30 but also those from 30 to 40 years could suffer from depression, if there are right circumstances to cause this disease. Women are more likely to get depressed than men. They also attempt to commit suicide more often than the other sex. How Tea for Depression works Tea for depression usually calms down the person affected. Efficient Teas for Depression Ginseng tea and Gentian tea are said to be efficient as teas for depression. General benefits attributed to Ginseng tea are the following: it has cancer-preventive effects and may reduce the risk of several types of cancer, it controls blood-sugar levels and it has the ability to increase resistance to the effects of stress, by improving the circulation and mental functioning. To prepare Ginseng tea, add 2 tablespoons of the dried plant in a cup of boiling water. Steep it for 5-6 minutes, strain it and you may enjoy this beverage. Gentian plant has a long healing history, especially in Ayurvedic medicine, where it is used to treat anorexia and sluggish digestion. The Gentian tea is successful as a tea for depression, as it improves the circulation of blood to all parts of the body. To prepare Gentian tea, simmer one teaspoon of shredded Gentian root in two cups of water for 20 minutes. Allow it to cool to room temperature and then strain it. It is recommended that Gentian Tea should be drunk 15 to 30 minutes before eating. The tea is bitter and may be sweetened by adding sugar or honey. Tea for Depression: Side effects Rarely, teas for depression may cause diarrhea or vomiting. If these side effects occur, ask for your doctor’s advice. Teas for depression are good to be purchased, especially by patients suffering from this modern medical condition. A cup of the abovementioned beverage may keep away the traditional anti-depressant pills.... tea for depression

Linn.

Synonym: V. malabarica Bl.

Family: Dipterocarpaceae.

Habitat: Peninsular India, from Kanara to Trivandrum and in Coorg.

English: White Damar, Indian Copal-Tree, Malabar Tallow tree, Piney Varnish-Tree.

Ayurvedic: Sarja, Sarjaka, Karsya, Sasyasumbara, Devdhuupa, Marich-patraka. Chhaagakar- na. Ajakarna and Shaala (related species) are also equated with V indica.

Unani: Raal.

Siddha/Tamil: Kungiliyam, Vellai Kundarakam.

Action: Resin—astringent, antibacterial, antidiarrhoeal, emmena- gogue. Used for chronic bronchitis, piles, skin eruptions, ringworm, scrofula, tubercular glands, ulcers, wounds, boils; urinary discharges; amenorrhoea; gonorrhoea and syphilis. Bark—antidysenteric. Oil and resin—antirheumatic. Resin enters into a number of antiseptic and anti-inflammatory ointments. Leaves—juice is applied to cure burns. Orally administered to prevent vomiting.

The Ayurvedic Pharmacopoeia ofIn- dia recommends the resinous exudate internally (1-2 g) in lipid disorders, anaemia, genitourinary diseases, diarrhoea and diseases due to vitiated blood; externally in gout, abscesses, skin diseases, burns, eruptions.

The bark contains polyphenols—dl- epi-catechin, levorotatory isomers of fisetinidol, fzelechin; and bergenin.

Resin is a complex mixture of several triterpene hydrocarbons, ketones, alcohols and acids, along with small amounts of sesquiterpenes. On distillation, the oleoresin gave an essential oil (76%), consisting of phenolic constituents and azulenes. The essential oil shows marked antibacterial activity against Gram-positive and Gramnegative micro-organism.

The leaves and roots contain berge- nin and hope phenol. The seed also contain bergenin. Hope phenol showed fungicidal activity. The plant exhibited anti-ulcerogenic activity in rats.

The fruit shell contains 25% tannins.

Dosage: Resinous exudate—1-2 g (API, Vol. IV.)... vateria indica

Prescribed according to mental symptoms or personality traits:

1. Agrimony. Those who suffer considerable inner torture which they try to dissemble behind a facade of cheerfulness.

2. Aspen. Apprehension and foreboding. Fears of unknown origin.

3. Beech. Critical and intolerant of others. Arrogant.

4. Centaury. Weakness of will; those who let themselves be exploited or imposed upon – become subservient; difficulty in saying ‘no’. Human doormat.

5. Cerato. Those who doubt their own judgement, seeks advice of others. Often influenced and misguided.

6. Cherry Plum. Fear of mental collapse/desperation/loss of control and fear of causing harm. Vicious rages.

7. Chestnut Bud. Refusal to learn by experience; continually repeating the same mistakes.

8. Chicory. The over-possessive, demands respect or attention (selfishness), likes others to conform to their standards. makes martyr of oneself.

9. Clematis. Indifferent, inattentive, dreamy, absent-minded. Mental escapist from reality.

10. Crab Apple. Cleanser. Feels unclean or ashamed of ailments. Self disgust/hatred. House proud.

11. Elm. Temporarily overcome by inadequacy or responsibility. Normally very capable.

12. Gentian. Despondent. Easily discouraged and dejected.

13. Gorse. Extreme hopelessness – pessimist – ‘Oh, what’s the use?’.

14. Heather. People who are obsessed with their own troubles and experiences. Talkative ‘bores’ – poor listeners.

15. Holly. For those who are jealous, envious, revengeful and suspicious. For those who hate.

16. Honeysuckle. For those with nostalgia and who constantly dwell in the past. Homesickness.

17. Hornbeam. ‘Monday morning’ feeling but once started, task is usually fulfilled. Procrastination.

18. Impatiens. Impatience, irritability.

19. Larch. Despondency due to lack of self-confidence; expectation of failure, so fails to make the attempt. Feels inferior though has the ability.

20. Mimulus. Fear of known things. Shyness, timidity.

21. Mustard. Deep gloom like an overshadowing dark cloud that descends for no known reason which can lift just as suddenly. Melancholy.

22. Oak. Brave determined types. Struggles on in illness and against adversity despite setbacks. Plodders.

23. Olive. Exhaustion – drained of energy – everything an effort.

24. Pine. Feelings of guilt. Blames self for mistakes of others. Feels unworthy.

25. Red Chestnut. Excessive fear and over caring for others especially those held dear.

26. Rock Rose. Terror, extreme fear or panic.

27. Rock Water. For those who are hard on themselves – often overwork. Rigid minded, self denying. 28. Scleranthus. Uncertainty/indecision/vacillation. Fluctuating moods.

29. Star of Bethlehem. For all the effect of serious news, or fright following an accident, etc.

30. Sweet Chestnut. Anguish of those who have reached the limit of endurance – only oblivion left.

31. Vervain. Over-enthusiasm, over-effort; straining. Fanatical and highly-strung. Incensed by injustices. 32. Vine. Dominating/inflexible/ambitious/tyrannical/autocratic. Arrogant Pride. Good leaders.

33. Walnut. Protection remedy from powerful influences, and helps adjustment to any transition or change, e.g. puberty, menopause, divorce, new surroundings.

34. Water Violet. Proud, reserved, sedate types, sometimes ‘superior’. Little emotional involvement but reliable/dependable.

35. White Chestnut. Persistent unwanted thoughts. Pre-occupation with some worry or episode. Mental arguments.

36. Wild Oat. Helps determine one’s intended path in life.

37. Wild Rose. Resignation, apathy. Drifters who accept their lot, making little effort for improvement – lacks ambition.

38. Willow. Resentment and bitterness with ‘not fair’ and ‘poor me’ attitude.

39. Rescue Remedy. A combination of Cherry Plum, Clematis, Impatiens, Rock Rose, Star of Bethlehem. All purpose emergency composite for causes of trauma, anguish, bereavement, examinations, going to the dentist, etc. ... bach remedies

Chronic fatigue syndrome (CFS). Iceland disease. Post Viral Fatigue. A chronic neuromuscular illness with psychological disturbance ranging from depression to severe behavioural abnormality. Follows persistent infection by enteroviruses with viral material in the muscles. May follow influenza and so-called ‘burn-out’. While virus enters the body through the intestines, it tends to invade the central nervous system and depress the immune system. Occurs chiefly in women and young energetic executives pursuing vigorous activity when a feverish condition is latent.

Exercise worsens symptoms by reduced muscle tissue oxygen. (Swedish study)

The function of the immune system is to arrest the action of viruses and bacteria, but when it ceases to act the body intelligence cannot tell the difference between a normal reaction and an alien one. It begins to attack its own weapons of defence – the antibodies.

Symptoms. Exercise-induced muscle fatigue and weakness after walking or other activity. Movements are slow. Headache, dizziness, chest pain, difficult breathing, sore throat, swollen glands, stomach unrest. Mental weariness. “Cannot fight back”. Wants to sleep all the time. Difficulty in finding the right words, to remember things, to concentrate on problems and has to force the brain to work. He or she looks basically healthy but is unhappy and may awake crying in response to the pressures of life.

Treatment. Lymphatics, hepatics, nervines, oral anti-fungals (anti-candida).

Alternatives. Clivers, Galangal, Gentian, Ginkgo, Ginseng, Goldenseal, Milk Thistle, Liquorice root, Garlic, Astragalus radix, Poke root, Shitake Mushroom, Wild Indigo, Wormwood.

To enhance immune response: Echinacea.

Of value: Ginseng (anti-depressant), Evening Primrose (GLA), Vitamin E (antioxidant).

Formula: Tea: equal parts Gotu Kola, Ginkgo, Caraway. One teaspoon to each cup boiling water; infuse 15 minutes; 1 cup thrice daily.

Formula. Echinacea 2; Astragalus 1; Ginseng 1. Dose: Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily.

Diet. Low salt and fat, high fibre. Wholegrains, sprouting seeds, fresh fruit and vegetables, fish oils. Avoid sugar, yeast and dairy products.

Supplements: daily. Beta carotene, Vitamin B12, Vitamin C, Magnesium asparate 1g, Potassium 1g, Zinc. Contra-indications: tranquillisers that decrease physical and mental activity.

Evening Primrose. Clinical trials (Efamol) prove to help treat symptoms, especially when in combination with fish oils.

Supportive: cranial osteopathy. Aromatherapy massage. Complete rest, with long sleep periods.

Information. MEA, Stanhope House, High Street, Stanford-le-Hope, Essex SS17 0HA, UK. Send SAE. ... myalgic encephalomyelitis (me)

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

Knitbone. Symphytum officinale, L. French: Grande consoude. German: Reinweld. Italian: Consolide maggiore. Part used: root and leaves. Considerable therapeutic versatility.

Constituents: allantoin, pyrrolizidine alkaloids (fresh young leaves and roots), mucilage, phenolic acids, steroidal saponins (root).

Action: astringent-demulcent, haemostatic, vulnerary. Rapid healer of flesh and bones by its property to accelerate mitosis (cell-division). Useful wherever a mucilaginous tissue restorative is required (repairing broken bones and lacerated flesh), especially in combination with Slippery Elm powder which prevents excess fluidity.

Uses: Ulceration anywhere along the gastrointestinal tract; colitis, hiatus hernia.

Bleeding from stomach, throat, bowel, bladder and lungs (haemoptysis) in which it reduces blood clotting time. Once used extensively for tuberculosis (pulmonary and elsewhere). Irritating cough, ‘dry’ lung complaints; pleurisy. Increases expectoration. Should not be given for oedematous conditions of the lungs.

Bones – fractures: to promote formation of a callus; rickets, wasting disease. Skin – varicose ulcers and indolent irritating sores that refuse to heal. Promotes suppuration of boils and gangrene as in diabetes. Bruises. STD skin lesions, internally and externally. Blood sugar control: assists function of the pancreas. Urine: scalding. Rheumatoid arthritis: improvement reported. Malignancy: cases of complete regression of sarcoma and carcinoma recorded. Rodent ulcer, (as a paste).

Preparations: thrice daily.

Tea: dried herb, one heaped teaspoon to each cup; or, 1oz to 1 pint boiling water; infuse 15 minutes, half- 1 cup for no more than 8 weeks.

Tincture (leaf). 1 part to 5 parts alcohol: dose 2.5-5ml. Maximum weekly dosage – 100ml for no more than 8 weeks.

Tincture (root). 1 part to 5 parts alcohol. Maximum weekly dosage – 80ml, for 8 weeks.

(National Institute of Medical Herbalists)

Poultice. A mucilage is prepared from fresh root in a liquidiser or by use of a rolling pin. For sprains, bruises, severe cuts, cleaning-out old ulcers and wounds.

Compress. 3 tablespoons crushed root or powder in 1 pint (500ml) water. Bring to boil; simmer gently 10 minutes. Saturate linen or suitable material and apply. Renew 2-3 times daily as moisture dries off. Ointment. 1 part powder, or liquid extract, to 10 parts base (cooking fat, Vaseline, etc).

Oil (external use). Ingredients: powdered Comfrey root in peanut oil and natural chlorophyll. (Henry Doubleday Research Association)

Notes. Contains trace element germanium, often given for cancer and arthritis. (Dr Uta Sandra Goodman) Helps eliminate toxic minerals. Neutralises free radicals that are created by toxic substances entering the body. Restores the body’s pH balance disturbed by highly acid foods such as meat, dairy products, refined foods and alcohol.

Dr H.E. Kirschner, well-known American physician, reported being called to the bedside of a patient with a huge advanced cancer of the breast. The odour was over-powering and the condition hopeless, but he advised poultices of fresh crushed Comfrey leaves several times daily to the discharging mass. Much to the surprise of all, the vile odour disappeared. The huge sore scaled over and the swelling subsided. Within three weeks the once-malignant sore was covered with a healthy scale and the pain disappeared. Unfortunately, treatment came too late; metastases had appeared in the liver which could not be reached by the poultices.

Claims that Comfrey is a toxic plant are unsubstantiated by a mass of clinical evidence to the contrary. Attempts to equate the effects of its isolated compounds apart from the whole plant yield conflicting results. For thousands of years the plant has been used by ancient and modern civilisations for healing purposes. Risks must be balanced with benefits.

There is a growing body of opinion to support the belief that a herb which has, without ill-effects been used for centuries and capable of producing convincing results is to be recognised as safe and effective.

Experiments reveal that in sufficient doses Comfrey can cause liver disease in laboratory animals. Its risk to humans has been a matter of serious debate since the 1960s, and is still unresolved. Although the overall risk is very low, a restriction has been placed on the plant as a precautionary measure. Fresh Comfrey leaves should not be used as a vegetable which is believed to be a health risk. It is believed that no toxicity has been found in common Comfrey (Symphytum officinale L). No restriction has been placed on use of dried Comfrey leaves as a tea. The debate continues.

It would appear that use of the root of Symphytum officinale may be justified in the treatment of severe bone diseases for which it has achieved a measure of success in the past, such as rickets, Paget’s disease, fractured bones, tuberculosis, etc, its benefits outweighing risks. Few other medicinal plants replenish wasted bone cells with the speed of Comfrey. (external use only) ... comfrey

the branch of psychology concerned with all human activities relating to knowledge. More specifically, cognitive psychology is concerned with how knowledge is acquired, stored, correlated, and retrieved, by studying the mental processes underlying attention, concept formation, information processing, memory, and speech. Cognitive psychology views the brain as an information-processing system operating on, and storing, the data acquired by the senses. It investigates this function by experiments designed to measure and analyse human performance in carrying out a wide range of mental tasks. The data obtained allows possible models of the underlying mental processes to be constructed. These models do not purport to represent the actual physiological activity of the brain. Nevertheless, as they are refined by testing and criticism, it is hoped that they may approach close to reality and gradually lead to a clearer understanding of how the brain operates.... cognitive psychology

impairment of renal function, which can occur in acute or chronic liver disease. The condition is associated with intrarenal vasoconstriction and extrarenal vasodilation and hypotension, and the kidney disease is functional rather than structural in nature. There are two common clinical presentations. An acute form (type 1) is characterized by rapid spontaneous deterioration in renal function against a background of acute liver failure, acute alcoholic hepatitis, or acute decompensation of chronic cirrhotic liver disease. A chronic form (type 2) is characterized by insidious onset and slowly progressive deterioration in renal function. This is most often observed in patients with decompensated cirrhosis and portal hypertension. The prognosis of hepatorenal syndrome is extremely poor, and the best hope of survival is usually with liver transplantation.... hepatorenal syndrome

Agothosma betulina

FAMILY: Rutaceae

SYNONYMS: Barosma betulina, short buchu, mountain buchu, bookoo, buku, bucca.

GENERAL DESCRIPTION: A small shrub with simple wrinkled leaves about 1–2 cms long; other much smaller leaves are also present which are bright green with finely serrated margins. It has delicate stems bearing five petalled white flowers. The whole plant has a strong, aromatic, blackcurrant-like odour.

DISTRIBUTION: Native to the Cape of Good Hope in South Africa, it now grows wild all over South Africa. Dried leaves are exported to Holland, England and America.

OTHER SPECIES: There are more than twelve so-called Barosma species in South Africa – the ‘true’ buchus are B. crenulata (contains high amounts of pulegone, a toxic constituent), B. serratifolia and B. betulina.

HERBAL/FOLK TRADITION: The leaves are used locally for antiseptic purposes and to ward off insects. In western herbalism, the leaves are used for infections of the genito-urinary system, such as cystitis, urethritis and prostatitis. Current in British Herbal Pharmacopoeia 1983.

ACTIONS: Antiseptic (especially urinary), diuretic, insecticide.

EXTRACTION: Essential oil by steam distillation from the dried leaves.

CHARACTERISTICS: Dark yellowy-brown oil with a penetrating minty-camphoraceous odour.

PRINCIPAL CONSTITUENTS: Diosphenol (25–40 per cent), limonene and menthane, among others.

SAFETY DATA: Should not be used during pregnancy. The toxicity of buchu is unknown but since B. betulina yields oils high in diophenols and B. crenulata yields oils high in pulegone, they should both be regarded as questionable at present.

AROMATHERAPY/HOME: USE None.

OTHER USES: A tincture, extract and oleoresin are produced for pharmaceutical use. Limited use in blackcurrant flavour and fragrance work, for example colognes and chypre bases.... buchu