Substances that cause allergic reactions are known as allergens. Their number are limitless. Against these, the body produces antibodies to fight off invaders. If we are allergic, such defence mechanisms over-react. The reaction has the effect of releasing various chemicals such as histamine which causes irritation and swelling of mucous membranes. Removal of dental amalgam fillings sometimes relieves.
Perhaps the most common allergy is hay fever. It is now known that most sufferers have a family
history of the complaint. Asthma is a serious form, but with the aid of certain herbs (Lobelia, etc) sufferers may lead normal lives.
Premature babies fed on cow’s milk are at risk of cow’s milk allergy with increased histamine release. (Dunn Nutrition Unit, Cambridge)
Food allergies from shell fish and cereal grain fungi are difficult to detect. A large body of opinion favours Garlic (corm, tablets or capsules), being observed that Garlic eaters seldom suffer allergies. Agrimony tea.
Skin reactions may be severe. Hives, dermatitis and blisters can be the result of allergies triggered off by insect stings or animal bites, drugs, food additives, colourings, monosodium glutamate, chocolate, wines, aspirin, penicillin and other drugs. Cytotoxic tests are made to discover foods to which a person may be allergic.
Heredity predisposes, but forms vary. A ‘nettle rash’ father may have a ‘hay fever’ son. Stress is an important factor. While allergy is not a psychosomatic disturbance, there is general agreement that emotional distress – fright, fury or fatigue – can be related. An allergy can also be due to a flaw in the immune system, the body over-reacting to an allergen. Some allergies are treated with the antihistamines of orthodox pharmacy but which may induce drowsiness.
Treatment. The phytotherapist’s primary agent is Ephedra.
Teas. Chamomile, Centuary, Elderflowers, Ground Ivy, Lime flowers, Nettles, Plantain, Red Sage. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. 1 cup 1 to 3 times daily.
Liquid Extract. Ephedra sinica BHP (1983): Dose – 1-3ml. Thrice daily.
Tincture. Ephedra sinica BHP (1983) 1:4 in 45 per cent alcohol. Dose: 6-8ml thrice daily.
A Vogel. Devil’s Claw, thrice daily.
J. Christopher. Burdock, Marshmallow root, Parsley root.
Valerian. Add to prescription in cases of nervous hyperactivity.
Diet. Low salt, low fat, high fibre. Eggs and dairy products are known to cause allergies. Raw salad once daily. Add more protein, cooked and raw vegetables. Rice is not known to cause any allergic reactions. Supplements. Daily. Vitamin A, B-complex, Vitamin C. Bromelain, Selenium, Zinc.
Note: No animals or birds in the house. ... allergy
First-generation examples still in use include cephalexin and cefadroxil. They are orally active and, along with second-generation cefaclor, have a similar antimicrobial spectrum. They are used for ‘resistant’ urinary infections and urinary infections in pregnancy. Cephalosporins have a similar pharmacology to that of penicillin, and about 10 per cent of patients allergic to penicillin will also be hypersensitive to cephalosporins. They are e?ective in treating SEPTICAEMIA, PNEUMONIA, MENINGITIS, biliary-tract infections and PERITONITIS.
Second-generation cefuroxime and cefamandole are less vulnerable to penicillinases and are useful for treating ‘resistant’ bacteria and Haemophilus in?uenzae and Neisseria gonorrhoea. Third-generation cephalosporins include cefotaxime, ceftazidime and others; these are more e?ective than the second-generation in treating some gram-negative infections, especially those causing septicaemia.... cephalosporins
Chronic bronchitis is typi?ed by chronic productive cough for at least three months in two successive years (provided other causes such as TUBERCULOSIS, lung cancer and chronic heart failure have been excluded). The characteristics of emphysema are abnormal and permanent enlargement of the airspaces (alveoli) at the furthermost parts of the lung tissue. Rupture of alveoli occurs, resulting in the creation of air spaces with a gradual breakdown in the lung’s ability to oxygenate the blood and remove carbon dioxide from it (see LUNGS). Asthma results in in?ammation of the airways with the lining of the BRONCHIOLES becoming hypersensitive, causing them to constrict. The obstruction may spontaneously improve or do so in response to bronchodilator drugs. If an asthmatic patient’s airway-obstruction is characterised by incomplete reversibility, he or she is deemed to have a form of COPD called asthmatic bronchitis; sufferers from this disorder cannot always be readily distinguished from those people who have chronic bronchitis and/ or emphysema. Symptoms and signs of emphysema, chronic bronchitis and asthmatic bronchitis overlap, making it di?cult sometimes to make a precise diagnosis. Patients with completely reversible air?ow obstruction without the features of chronic bronchitis or emphysema, however, are considered to be suffering from asthma but not from COPD.
The incidence of COPD has been increasing, as has the death rate. In the UK around 30,000 people with COPD die annually and the disorder makes up 10 per cent of all admissions to hospital medical wards, making it a serious cause of illness and disability. The prevalence, incidence and mortality rates increase with age, and more men than women have the disorder, which is also more common in those who are socially disadvantaged.
Causes The most important cause of COPD is cigarette smoking, though only 15 per cent of smokers are likely to develop clinically signi?cant symptoms of the disorder. Smoking is believed to cause persistent airway in?ammation and upset the normal metabolic activity in the lung. Exposure to chemical impurities and dust in the atmosphere may also cause COPD.
Signs and symptoms Most patients develop in?ammation of the airways, excessive growth of mucus-secreting glands in the airways, and changes to other cells in the airways. The result is that mucus is transported less e?ectively along the airways to eventual evacuation as sputum. Small airways become obstructed and the alveoli lose their elasticity. COPD usually starts with repeated attacks of productive cough, commonly following winter colds; these attacks progressively worsen and eventually the patient develops a permanent cough. Recurrent respiratory infections, breathlessness on exertion, wheezing and tightness of the chest follow. Bloodstained and/or infected sputum are also indicative of established disease. Among the symptoms and signs of patients with advanced obstruction of air?ow in the lungs are:
RHONCHI (abnormal musical sounds heard through a STETHOSCOPE when the patient breathes out).
marked indrawing of the muscles between the ribs and development of a barrel-shaped chest.
loss of weight.
CYANOSIS in which the skin develops a blue tinge because of reduced oxygenation of blood in the blood vessels in the skin.
bounding pulse with changes in heart rhythm.
OEDEMA of the legs and arms.
decreasing mobility.
Some patients with COPD have increased ventilation of the alveoli in their lungs, but the levels of oxygen and carbon dioxide are normal so their skin colour is normal. They are, however, breathless so are dubbed ‘pink pu?ers’. Other patients have reduced alveolar ventilation which lowers their oxygen levels causing cyanosis; they also develop COR PULMONALE, a form of heart failure, and become oedematous, so are called ‘blue bloaters’.
Investigations include various tests of lung function, including the patient’s response to bronchodilator drugs. Exercise tests may help, but radiological assessment is not usually of great diagnostic value in the early stages of the disorder.
Treatment depends on how far COPD has progressed. Smoking must be stopped – also an essential preventive step in healthy individuals. Early stages are treated with bronchodilator drugs to relieve breathing symptoms. The next stage is to introduce steroids (given by inhalation). If symptoms worsen, physiotherapy – breathing exercises and postural drainage – is valuable and annual vaccination against INFLUENZA is strongly advised. If the patient develops breathlessness on mild exertion, has cyanosis, wheezing and permanent cough and tends to HYPERVENTILATION, then oxygen therapy should be considered. Antibiotic treatment is necessary if overt infection of the lungs develops.
Complications Sometimes rupture of the pulmonary bullae (thin-walled airspaces produced by the breakdown of the walls of the alveoli) may cause PNEUMOTHORAX and also exert pressure on functioning lung tissue. Respiratory failure and failure of the right side of the heart (which controls blood supply to the lungs), known as cor pulmonale, are late complications in patients whose primary problem is emphysema.
Prognosis This is related to age and to the extent of the patient’s response to bronchodilator drugs. Patients with COPD who develop raised pressure in the heart/lung circulation and subsequent heart failure (cor pulmonale) have a bad prognosis.... chronic obstructive pulmonary disease (copd)
Causes Shingles is due to the same virus that causes chickenpox. This invades the ganglia of the nerves, particularly the spinal nerves of the chest and the ?fth cranial nerve which supplies the face. Despite being due to the same virus as chickenpox, it is rare for herpes zoster to occur as a result of contact with a case of chickenpox. On the other hand, it is not unusual for a patient with herpes zoster to infect a child with chickenpox. It is a disease of adults rather than children, and the older the person, the more likely he or she is to develop the disease. Thus in adults under 50, the incidence is around 2·5 per 1,000 people a year; between 50 and 60 it is around 5 per 1,000; whilst in octogenarians it is 10 per 1,000. Occasionally it may be associated with some serious underlying disease such as LEUKAEMIA, LYMPHADENOMA, or multiple myeloma (see MYELOMATOSIS).
Symptoms The ?rst symptoms are much like those of any feverish attack. The person feels unwell for some days, has a slight rise of temperature, and feels vague pain in the side or in various other parts. Often the area of skin to be affected feels hypersensitive (hyperaesthesia) as though something were rubbing on it. The pain ?nally settles at a point in the side, and, two or three days after the ?rst symptoms, the rash appears. Minute yellow blebs – or vesicles, as they are known – are seen on the skin of the back, of the side, or of the front of the chest, or simultaneously on all three, the points corresponding to the space between one pair of ribs right around. These blebs increase in number for some days, and spread until there is often a complete half-girdle around one side of the chest. The pain in this stage is severe, but it appears to vary a good deal with age, being slight in children and very severe in old people, in whom indeed herpes sometimes forms a serious illness. After one or two weeks, most of the vesicles have dried up and formed scabs. The pain may not pass o? when the eruption disappears, but may remain for weeks or even months – a condition known as post-herpetic NEURALGIA. Old people are prone to develop this condition.
Treatment ACICLOVIR or famciclovir can be given orally, and are e?ective if started in large doses early in the attack. Later, topical antibiotics may be required. Analgesics may be necessary if neuralgia is severe.... herpes zoster
Sulphonylureas are best avoided in patients who are overweight, as they tend to stimulate the appetite and aggravate obesity. They should be used with caution in patients with hepatic or renal disease. Side-effects are infrequent and usually not severe, the most common being epigastric discomfort with occasional nausea, vomiting and anorexia. In about 10 per cent of patients, chlorpropamide and tolbutamide may cause facial ?ushing after drinking alcohol. Some patients are hypersensitive to oral hypoglycaemic agents and develop rashes which may progress to ERYTHEMA multi-forme and exfoliative DERMATITIS. These reactions usually appear in the ?rst 6–8 weeks of treatment.... sulphonylureas
Habitat: Cultivated in Tamil Nadu and Kerala.
English: Clove.Ayurvedic: Lavanga, Devakusum, Devapushpa, Shrisangya, Shripra- suunaka.Unani: Qaranful, Laung.Siddha/Tamil: Kiraambu, Lavangam.Action: Carminative, antiinflammatory, antibacterial. Flower buds—antiemetic, stimulant, carminative. Used in dyspepsia, gastric irritation. Oil—employed as a local analgesic for hypersensitive dent- lines and carious cavaties; internally as a carminative and antispasmodic.
Key application: In inflammatory changes of oral and pharyngeal mucosa; in dentistry; for topical anesthesia. (German Commission E.)Eugenin, triterpene acids, crategolic acid and steroid glucosides afford anti- inflammatory and antiseptic proper ties to the buds. Eugenol, a major component of the oil, is antibacterial. Acetone extract of clove, eugenol and acetyleugenol possess cholagogue activity. The eugenol and acetyleugenol components of the clove oil inhibit arachidonate-, adrenalin- and collagen- induced platelet aggregation.Clove terpenes show significant activity as inducers of detoxifying enzyme, glutathione-S-transferase (GST) in mouse liver and intestine and bring about carcinogen detoxification.Whole cloves might have chemopro- tective activity against liver and bone marrow toxicity. (The Review of Natural Products by Facts and Comparisons, 1999.)Dosage: Dried flower-bud—0.5-2.0 g powder. (API, Vol. I.)... syzygium aromaticumMercury has an affinity for the central nervous system. Soon it concentrates in the kidney causing tubular damage. A common cause is the mercurial content (50 per cent) in the amalgam fillings in teeth which, under certain conditions, release a vapour. Fortunately, its use in dentistry is being superceded by an alternative composite filling.
A common cause of poisoning was demonstrated in 1972 when 6,000 people became seriously ill (600 died) from eating bread made from grain treated with a fungicide containing methylmercury. For every fungus in grain there is a mercuric compound to destroy it. The seed of all cereal grain is thus treated to protect its power of germination.
Those who are hypersensitive to the metal should as far as possible avoid button cells used in tape recorders, cassette players, watch and camera mechanisms. As the mercury cells corrode, the metal enters the environment and an unknown fraction is converted by micro organisms to alkylmercury compounds which seep into ground waters and eventually are borne to the sea. When cells are incinerated, the mercury volatilises and enters the atmosphere. (Pharmaceutical Journal, July 28/1984)
Mercury poisoning from inhalation of mercury fumes goes directly to the brain and pituitary gland. Autopsies carried out on dentists reveal high concentrations of mercury in the pituitary gland. (The Lancet, 5-27-89,1207 (letter))
Treatment. For years the common antidote was sulphur, and maybe not without reason. When brought into contact sulphur and mercury form an insoluble compound enabling the mercury to be more easily eliminated from the body. Sulphur can be provided by eggs or Garlic.
Old-time backwoods physicians of the North American Medical School used Asafoetida, Guaiacum and Echinacea. German pharmacists once used Bugleweed and Yellow Dock. Dr J. Clarke, USA physician recommends Sarsaparilla to facilitate breakdown and expulsion from the body.
Reconstructed formula. Echinacea 2; Sarsaparilla 1; Guaiacum quarter; Asafoetida quarter; Liquorice quarter. Dose: Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily.
Chelation therapy.
Formula. Tinctures. Skullcap 2-15 drops; Pleurisy root 20-45 drops; Horehound 5-40 drops. Mercurial salivation. Thrice daily. (Indian Herbology of North America, by Alma Hutchens) Dental fillings: replace amalgam with safe alternative – ceramic, etc. Evidence of a link between tooth fillings containing mercury and ME has caused the use of dental amalgam to be banned in Sweden. ... mercury poisoning
Constituents: isoflavones, triterpenes, essential oil.
Action: demulcent, expectorant, anti-diarrhoeal. The fresh root is laxative and diuretic; stimulates elimination of excess fluid.
Uses: Irritable bowel, summer diarrhoea in children. To loosen phlegm in stubborn cases of respiratory congestion. Sore throat. Coughs.
Preparation. Rhizomes are ground into a flour for internal use; quarter-1 gram in cup of boiling water: infuse 15 minutes. Dose: half a cup thrice daily. Powder is used as a tooth powder or natural face powder. Small segment sucked by a child in place of a dummy.
Contra-indication: large doses are purgative and cause vomiting. Hypersensitive individuals may react with urticaria on handling.
GSL, external use only ... orris root
Venom injected by the insect contains inflammatory substances that cause local pain, redness, and swelling for about 48 hours. Any sting in the mouth or throat is dangerous because the swelling may obstruct breathing. About 1 person in 200 is allergic to insect venom, and a severe allergic reaction can occur, leading to anaphylactic shock. A procedure known as hyposensitization is sometimes recommended for such people.
If the symptoms of anaphylactic shock develop, it is essential to seek emergency medical treatment. Any person who is known to be hypersensitive to bee or wasp venom should obtain and carry an emergency kit for the self-injection of adrenaline (epinephrine).... insect stings
Each ulcer is usually small and oval, with a grey centre and a surrounding red, inflamed halo. The ulcer, which usually lasts for 1–2 weeks, may be a hypersensitive reaction to haemolytic streptococcus bacteria. Other factors commonly associated with the occurrence of these ulcers are minor injuries(such as at an injection site or from a toothbrush), acute stress, or allergies (such as allergic rhinitis). In women, aphthous ulcers are most common during the premenstrual period. They may also be more likely if other family members suffer from recurrent ulceration.
Analgesic mouth gels or mouthwashes may ease the pain of an aphthous ulcer.
Some ointments form a waterproof covering that protects the ulcer while it is healing.
Ulcers heal by themselves, but a doctor may prescribe a paste containing a corticosteroid drug or a mouthwash containing an antibiotic drug to speed up the healing process.... ulcer, aphthous
FAMILY: Geraniaceae
SYNONYMS: Rose geranium, pelargonium.
GENERAL DESCRIPTION: A perennial hairy shrub up to 1 metre high with pointed leaves, serrated at the edges and small pink flowers. The whole plant is aromatic.
DISTRIBUTION: Native to South Africa; widely cultivated in Russia, Egypt, Congo, Japan, Central America and Europe (Spain, Italy and France). With regard to essential oil production, there are three main regions: Reunion (Bourbon), Egypt and Russia (also China).
OTHER SPECIES: There are over 700 varieties of cultivated geranium and pelargonium, many of which are grown for ornamental purposes. There are several oil-producing species such as P. odorantissimum and P. radens, but P. graveolens is the main one commercially cultivated for its oil. Geranium Bourbon (P. Roseum) has a superior fragrance to other species, having a rich rosy-fruity scent due to the higher levels of linalook and iso-methone content. See also Botanical Classification section.
HERBAL/FOLK TRADITION: The British plant herb robert (Geranium robertianum) and the American cranesbill (G. maculatum) are the most widely used types in herbal medicine today, having been used since antiquity. They have many properties in common with the rose geranium, being used for conditions such as dysentery, haemorrhoids, inflammations, metrorrhagia and menorrhagia (excessive blood loss during menstruation). The root and herb of cranesbill is specifically indicated in the British Herbal Pharmacopoeia for diarrhoea and peptic ulcer.
ACTIONS: Antidepressant, antihaemorrhagic, anti-inflammatory, antiseptic, astringent, cicatrisant, deodorant, diuretic, fungicidal, haemostatic, stimulant (adrenal cortex), styptic, tonic, vermifuge, vulnerary.
EXTRACTION: Essential oil by steam distillation from the leaves, stalks and flowers. An absolute and concrete are also produced in Morocco.
CHARACTERISTICS: The Bourbon oil is a greenish-olive liquid with a green, rosy-sweet, minty scent. The Bourbon oil is generally preferred in perfumery work; it blends well with lavender, patchouli, clove, rose, sandalwood, jasmine, juniper, neroli, bergamot and other citrus oils.
PRINCIPAL CONSTITUENTS: Citronellol, geraniol, linalol, isomenthone, menthane, phellandrene, sabinene, limonene, among others. Constituents vary according to type and source.
SAFETY DATA: Non-toxic, non-irritant, generally non-sensitizing; possible contact dermatitis in hypersensitive individuals, especially with the Bourbon type.
AROMATHERAPY/HOME: USE
Skin Care: Acne, bruises, broken capillaries, burns, congested skin, cuts, dermatitis, eczema, haemorrhoids, lice, oily complexion, mature skin, mosquito repellent, ringworm, ulcers, wounds.
Circulation Muscles And Joints: Cellulitis, engorgement of breasts, oedema, poor circulation.
Respiratory System: Sore throat, tonsillitis.
Genito-Urinary And Endocrine Systems: Adrenocortical glands and menopausal problems, PMT.
Nervous System: Nervous tension, neuralgia and stress-related conditions.
OTHER USES: Used as a fragrance component in all kinds of cosmetic products: soaps, creams, perfumes, etc. Extensively employed as a flavouring agent in most major food categories, alcoholic and soft drinks.... geranium