Also called ringworm. Refers to a variety of superficial fungal infections of the skin on different areas of the body caused by dermatphyte fungi belonging to the genera Epidemophytum, Microsporosum, and Trichophytum..... tinea

Genus of dermatophyte fungi associated with tinea or ringworm in humans.... epidermophyton

A suppurating form of RINGWORM.... kerion

Alopecia means hair loss. It may be localised or total in the scalp. The commonest type, which is hereditary, is male baldness (androgenic alopecia). Female balding spares the anterior hair line, develops later, and is less severe than the male variety. Di?use hair loss is common after childbirth, severe illness or infection (telogen alopecia); it begins 8–12 weeks after the causative event and recovery is complete. Persistent di?use hair loss may be caused by severe iron de?ciency or HYPOTHYROIDISM, or may be drug-induced.

Patchy localised hair loss is commonly caused by fungal infections (tinea capitis – see RINGWORM), especially in the tropics. It may also be due to trauma, such as hair-pulling by children or disturbed adults, or hair-straightening by African or Afro-Caribbean women (traction alopecia). Rarely, diseases of the scalp-skin such as discoid lupus erythematosus (see under LUPUS) or lichen planus (see under LICHEN) may cause patchy alopecia with scarring which is irreversible. The long-term effects of radiotherapy may be similar.

Treatment depends on the cause. Speci?c antifungal drugs cure tinea capitis. Correction of thyroid or iron de?ciency may be dramatic. Male baldness may be modi?ed slightly by long-term use of minoxidil lotion, or improved permanently by various types of hair-follicle grafting of transplants from the occipital scalp. Female balding may be amenable to anti-androgen/oestrogen regimens, but severe forms require a wig.... alopecia

Mould fungi belonging to the genera Microsporum, Trichophyton or Epidermophyton. Cause tinea or ringworm.... dermatophyte

An antibiotic obtained from Penicillium griseofulvum Dierckse, used to treat various forms of RINGWORM.... griseofulvin

A triazole antifungal drug taken orally for oropharyngeal and vulvovaginal CANDIDA, PITYRIASIS versicolor, and tinea corporis and pedis (see under RINGWORM). It is also used for systemic fungal infections such as ASPERGILLOSIS, candidiasis and cryptococcosis where other fungicidal drugs have not worked. Itraconazole is metabolised in the liver so should not be given to patients who have or have had liver disease. The drug can be given as maintenance treatment of AIDS (see AIDS/HIV) patients to prevent resurgence of underlying fungal disease to which they are vulnerable. (See FUNGAL AND YEAST INFECTIONS.)... itraconazole

Sanguinaria canadensis. N.O. Papaveraceae.

Habitat: Widely distributed throughout North America.

Features ? Root reddish-brown, wrinkled lengthwise, about half-inch thick. Fracture short. Section whitish, with many small, red resin cells which sometimes suffuse the whole. Heavy odour, bitter and harsh to the taste.

Part used ? Root.

Action: Stimulant, tonic, expectorant.

Pulmonary complaints and bronchitis. Should be administered in whooping-cough and croup until emesis occurs. The powdered root is used as a snuff in nasal catarrh, and externally in ringworm and other skin eruptions. The American Thomsonians use it in the treatment of adenoids. Dose, 10 to 20 grains of the powdered root.... blood root

One of the three genera of dermatophytes (fungi) which cause tinea (see RINGWORM). Microsporum of human or animal origin is an important cause of tinea capitis, or ringworm of the scalp.... microsporum

The general term applied to diseases due to the growth of fungi in the body. Among some of the simplest and commonest mycoses are RINGWORM, FAVUS, and thrush (CANDIDA). The MADURA FOOT of India, ACTINOMYCOSIS, and occasional cases of PNEUMONIA and suppurative ear disease are also due to the growth of moulds in the bodily tissues. Other forms of mycosis include ASPERGILLOSIS, candidiasis (see CANDIDA), CRYPTOCOCCOSIS and HISTOPLASMOSIS.... mycosis

A fungus infection of the nail (see under SKIN), caused by CANDIDA or DERMATOPHYTES (see also RINGWORM).... onychomycosis

Superficial infection of the skin of the feet by a fungus. Ringworm of the feet. Scaly lesions, sometimes with blisters. May be secondary infection from lymphadenitis or cellulitis – in which cases internal treatment would be indicated. Begins between the toes before spreading to plantar surface. Differential diagnosis. Eczema, psoriasis or dermatitis from shoes.

Symptoms. Itchy redness and peeling. Sore raw areas left after removal of patches of skin. Possible invasion of other parts of the body: fingers, palms. The fungus can be picked up walking bare-feet in sport’s clubs, schools or swimming baths. Worse in warm weather. Resistant to cleansing.

Treatment. Tablets/capsules. Echinacea, Thuja, Poke root.

Formula. Echinacea 2; Goldenseal 1; Poke root half. Mix. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: one 5ml teaspoon. Tinctures: two 5ml teaspoons. Thrice daily before meals.

Topical. Alternatives:– Thuja lotion applied on lint or suitable material (1 teaspoon Liquid extract Thuja in 1oz (30ml) distilled extract of Witch Hazel. Wild Indigo salve (1 teaspoon Wild Indigo powder in 1oz (30ml) honey – store in screw-top jar.

Aloe Vera, fresh juice or gel.

Tea Tree oil: if too strong may be diluted many times.

Comfrey cream. Castor oil. Mullein oil. Houseleek.

Black Walnut: tincture or Liquid extract. Cider vinegar. Bran bath.

Night foot-wash. With water to which has been added a few drops of tincture Thuja, Myrrh, or Tea

Tree oil.

Light sprinkle of powdered Myrrh or Goldenseal in sock or shoe. ... athlete’s foot

Nees.

Synonym: A. zeylanica Medic. Justicia adhatoda Linn.

Family: Acanthaceae.

Habitat: Throughout India, up to an altitude of 1,300 m.

English: Malabar Nut, Vasaca.

Ayurvedic: Vaasaa, Vaasaka, Vaasikaa, Simhaasya, Simhaparni, Simhavadanaa, Vaajidanta, Vrisha, Aataruushaka.

Unani: Arusaa.

Siddha/Tamil: Aadaathodai.

Folk: Vasaakaa.

Action: Expectorant (used in bronchial, asthmatic and pulmonary affections), antispasmodic, febrifuge.

Key application: As bronchodilatory, expectorant. (Indian Herbal Pharmacopoeia.) The Ayurvedic Pharmacopoeia of India indicates its use in dyspnoea.

The chief quinazoline alkaloid vas- icine is reported in all parts of the plant, the highest being in inflorescence. It is a bitter bronchodilator, respiratory stimulant, hypotensive, cardiac depressant, uterotonic and aborti- facient. An aqueous solution of va- sicinone hydrochloride, when studied in mice and dogs, was found to potentiate the bronchodilatory activity of aminophylline, also that of isopre- naline. Vasicinone exhibited smooth- muscle-relaxant properties of airways.

Alkaloids present in the plant showed significant protection against allergin-induced bronchial obstruction in guinea pigs.

The leaves are found to activate the digestive enzyme trypsin.

An extract of the leaves showed significant antifungal activity against ringworm.

Adhatoda beddomei C.B. Clarke, found in Kerala, is considered to be more powerful and active than A. vasi- ca. Fresh leaf juice is used in haemoptysis and menorrhagia, also as an antiasthmatic.

Jacobinia tinctoria Henl. is equated with the red-flowered var. of Vaasaa.

Dosage: Leaf—10-20 ml juice. Dried leaves—10-20 g for deoction. Root—3-6 g powder. (API Vols. I, IV)... adhatoda vasica

Linn.

Family: Apocynaceae.

Habitat: Native to Central America and Brazil. Grown in Indian gardens.

English: Golden Trumpet.

Folk: Zahari Sontakkaa. (Maharashtra).

Action: Leaves—cathartic (in moderate doses; emetic in large doses). Bark—hydragogue, in ascites.

The purgative property of the aqueous extract of leaves was confirmed pharmacologically in rats. The extract also showed antifungal activity against ringworm causing fungi. Flower extract inhibits fungal growth.

EtOH extract of roots showed in- vivo activity against P-388 leukaemia in mouse and in vitro against human carcinoma cells of nasopharynx (KB). The root contains antileukaemic iri- doid lactone, allamandin and two other iridoids, allamandicin and allamdin.

The stems and leaves contain beta- amyrin, beta-sitosterol and ursolic acid. Petals gave flavonoids—kaem- pferol and quercetin.... allemanda cathartica

An agent that kills or inhibits fungi, and, in my usage here, an herb that inhibits either a dermatomycosis like ringworm or athlete’s foot, or one that inhibits Candida albicans either externally as a douche or internally as a systemic antifungal. (Examples: Nystatin, griseofulvin, Tabebuia.)... antifungal

A somewhat loose term applied to a skin eruption on the foot, usually between the toes. It is commonly due to RINGWORM, but may be due to other infections or merely excessive sweating of the feet. It usually responds to careful foot hygiene and the use of antifungal powder.... athlete’s foot

Cucurbitaceae

The family Cucurbitaceae includes a large group of plants which are medicinally valuable. The important genera belonging to the family are Trichosanthes, Lagenaria, Luffa, Benincasa, Momordica, Cucumis, Citrullus, Cucurbita, Bryonopsis and Corallocarpus. The medicinally valuable species of these genera are discussed below.

1. Trichosanthes dioica Roxb.

Eng: Wild Snake-gourd; San: Meki,Pargavi, Parvara, Patola;

Hin: Palval, Parvar

Ben: Potol;

Mal: Kattupatavalam, Patolam;

Tam: Kombuppudalai;

Tel: Kommupotta

Wild snake-gourd is a slender-stemmed, extensively climbing, more or less scabrous and woolly herb found throughout the plains of N. India, extending to Assam and W. Bengal. Tendrils are 2-4 fid. Leaves are 7.5x5cm in size, ovate-oblong, cordate, acute, sinuate- dentate, not lobed, rigid, rough on both surface and with a petiole of 2cm. Flowers are unisexual. Male flowers are not racemed but woolly outside. Calyx tube is 4.5cm long, narrow, teeth linear and erect. Anthers are free. Fruit is 5.9cm long, oblong or nearly spherical, acute, smooth and orange-red when ripe. Seeds are half-ellipsoid, compressed and corrugated on the margin (Kirtikar and Basu, 1988). The unripe fruit of this is generally used as a culinary vegetable and is considered very wholesome and specially suited for the convalescent. The tender shoots are given in decoction with sugar to assist digestion. The seeds are useful for disorders of the stomach. The leaf juice is rubbed over the chest in liver congestion and over the whole body in intermittent fevers (Nadkarni, 1998). The fruit is used as a remedy for spermatorrhoea. The fresh juice of the unripe fruit is often used as a cooling and laxative adjunct to some alterative medicines. In bilious fever, a decoction of patola leaves and coriander in equal parts is given. The fruit in combination with other drugs is prescribed in snakebite and scorpion sting (Kirtikar and Basu, 1988).

Fruits contain free amino acids and 5-hydroxy tryptamine. Fatty acids from seeds comprise elaeostearic, linoelic, oleic and saturated acids. The aerial part is hypoglycaemic. Leaf and root is febrifuge. Root is hydragogue, cathartic and tonic. Unripe leaf and fruit is laxative (Husain et al, 1992). The plant is alterative and tonic. Leaves are anthelmintic. Flower is tonic and aphrodisiac. The ripe fruit is sour to sweet, tonic, aphrodisiac, expectorant and removes blood impurities.

The other important species belonging to the genus Trichosanthes are as follows.

T. palmata Roxb. T. cordata Roxb. T. nervifolia Linn.

T. cucumerina Linn.

T. anguina Linn.

T. wallichiana Wight. syn. T. multiloba Clarke

2. Lagenaria vulgaris Ser. syn. Cucurbita Lagenaria Linn. ; Roxb.

Eng: Bottle gourd San: Alabu Hin: Lauki, Jangli-khaddu

Ben: Lau, Kodu

Mal: Katuchuram, Churakka

Tam: Soriai-kay

Tel: Surakkaya

Bottle gourd is a large softly pubescent climbing or trailing herb which is said to be indigenous in India, the Molucas and in Abyssinia. It has stout 5-angled stems with bifid tendrils. Leaves are ovate or orbiculate, cordate, dentate, 5-angular or 5-lobed, hairy on both surfaces. Flowers are large, white, solitary, unisexual or bisexual, the males long and females short peduncled. Ovary is oblong, softly pubescent with short style and many ovules. Fruits are large, usually bottle or dumb-bell-shaped, indehiscent and polymorphous. Seeds are many, white, horizontal, compressed, with a marginal groove and smooth. There are sweet fruited and bitter-fruited varieties (Kirtikar and Basu, 1988). The fruit contains a thick white pulp which, in the cultivated variety (kodu) is sweet and edible, while in the smaller wild variety (tamri) it is bitter and a powerful purgative. The seeds yield clear limpid oil which is cooling and is applied to relieve headache. The pulp of the cultivated forms is employed as and adjunct to purgatives and considered cool, diuretic and antibilious, useful in cough, and as an antidote to certain poisons. Externally it is applied as a poultice. The leaves are purgative and recommended to be taken in the form of decoction for jaundice (Nadkarni, 1998). In the case of sweet-fruited variety, the stem is laxative and sweet. The fruit is sweet oleagenous, cardiotonic, general tonic, aphrodisiac, laxative and cooling. In the case of bitter-fruited variety, the leaves are diuretic, antibilious; useful in leucorrhoea, vaginal and uterine complaints and earache. The fruit is bitter, hot, pungent, emetic, cooling, cardiotonic, antibilious; cures asthma, vata, bronchitis, inflammations ulcers and pains.

3. Luffa acutangula (Linn.) Roxb.

Eng: Ridged gourd; San: Dharmargavah, Svadukosataki;

Hin: Tori, Katitori;

Ben: Ghosha

Mal: Peechil, Peechinga;

Tam: Pikangai, Prikkangai;

Tel: Birakaya;

Kan: Kadupadagila

Ridged gourd or ribbed gourd is a large monoecious climber cultivated throughout India. It is with 5-angled glabrous stems and trifid tendrils. Leaves are orbicular-cordate, palmately 5-7 lobed, scabrous on both sides with prominent veins and veinlets. Flowers are yellow, males arranged in 12-20 flowered axillary racemes. Female flowers are solitary, arranged in the axils of the males. Ovary is strongly ribbed. Fruits are oblong-clavate with 10-sharp angles 15-30cm long, tapering towards the base. Seeds are black, ovoid-oblong, much compressed and not winged (Warrier et al, 1995). The leaves are used in haemorrhoids, leprosy, granular-conjunctivitis and ringworm. The seeds are useful in dermatopathy. The juice of the fresh leaves is dropped into the eyes of children in granular conjunctivitis, also to prevent the lids from adhering at night on account of excessive meihomian secretion (Nadkarni, 1998). Fruits are demulcent, diuretic, tonic, expectorant, laxative and nutritive. The seeds are bitter, emetic, cathartic, expectorant and purgative.

The other important species of the genus Luffa are:

L. aegyptiaca Mill.

L. acutangula var. amara Clarke

L. echinata Roxb.

4. Benincasa hispida (Thumb.) Cogn. syn. B. cerifera Savi.

Eng: Ash gourd, White gourd melon; San: Kusmandah;

Hin: Petha, Raksa;

Ben: Kumra

Mal: Kumpalam;

Tam: Pusanikkai;

Kan: Bile Kumbala;

Tel: Bodigummadi

Ash gourd or White gourd melon is a large trailing gourd climbing by means of tendrils which is widely cultivated in tropical Asia. Leaves are large and hispid beneath. Flowers are yellow, unisexual with male peduncle 7.5-10cm long and female peduncle shorter. Fruits are broadly cylindric, 30-45cm long, hairy throughout and ultimately covered with a waxy bloom. The fruits are useful in asthma, cough, diabetes, haemoptysis, hemorrhages from internal organs, epilepsy, fever and vitiated conditions of pitta. The seeds are useful in dry cough, fever, urethrorrhea, syphilis, hyperdipsia and vitiated conditions of pitta (Warrier et al,1993). It is a rejuvenative drug capable of improving intellect and physical strength. In Ayurveda, the fresh juice of the fruit is administered as a specific in haemoptysis and other haemorrhages from internal organs. The fruit is useful in insanity, epilepsy and other nervous diseases, burning sensation, diabetes, piles and dyspepsia. It is a good antidote for many kinds of vegetable, mercurial and alcoholic poisoning. It is also administered in cough, asthma or respiratory diseases, heart diseases and catarrah. Seeds are useful in expelling tapeworms and curing difficult urination and bladder stones. The important formulations using the drug are Kusmandarasayana, Himasagarataila, Dhatryadighrita, Vastyamantakaghrita, Mahaukusmandakaghrita, etc. (Sivarajan et al, 1994).

Fruits contain lupeol, -sitosterol, n-triacontanol, vitamin B, mannitol and amino acids. The fruit is alterative, laxative, diuretic, tonic, aphrodisiac and antiperiodic. Seed and oil from seed is anthelmintic (Husain et al, 1992).

5. Momordica charantia Linn.

Eng: Bitter gourd, Carilla fruit San: Karavellam

Hin: Karela, Kareli

Mal: Kaypa, Paval

Tam: Pavakkai, Paval, Pakar

Tel: Kakara

Bitter gourd or Carilla fruit is a branched climbing annual which is cultivated throughout India. It is a monoecious plant with angled and grooved stems and hairy or villous young parts. Tendrils are simple, slender and elongate. Leaves are simple, orbicular, cordate and deeply divided into 5-7 lobes. Flowers are unisexual, yellow and arranged on 5-10cm long peduncles. Fruits are 5-15cm long with 3-valved capsules, pendulous, fusiform, ribbed and beaked bearing numerous triangular tubercles. Seeds are many or few with shining sculptured surface. The roots are useful in coloptosis and ophthalmopathy. The leaves are useful in vitiated conditions of pita, helminthiasis, constipation, intermittent fever, burning sensation of the sole and nyctalopia. The fruits are useful in skin diseases, leprosy, ulcers, wounds, burning sensation, constipation, anorexia, flatulence, colic, helminthiasis, rheumatalgia, gout, diabetes, asthma, cough, dysmenorrhoea, impurity of breast milk, fever and debility. Seeds are useful in the treatment of ulcers, pharyngodynia, and obstructions of the liver and spleen. The leaves and fruits are used for external application in lumbago, ulceration and bone fractures and internally in leprosy, haemorrhoids and jaundice (Warrier et al, 1995). The drug improves digestion, calms down sexual urge, quells diseases due to pitta and kapha and cures anaemia, anorexia, leprosy, ulcers, jaundice, flatulence and piles. Fruit is useful in gout, rheumatism and complaints of liver and spleen (Nadkarni, 1954; Aiyer and Kolammal, 1966; Mooss, 1976; Kurup et al, 1979). Kaccoradi taila is an important preparation using the drug (Sivarajan et al, 1994).

The seeds give triterpene glycosides, named momordicosides A, B, C, D and E, which are glycosides of cucurbit-5-en-triol, tetraol or pentaol. Leaves and vines give tetracyclic triterpenes-momordicines I, II and III (bitter principles). Immature fruits give several non-bitter and 2 bitter cucurbitacin glycosides. Four of the non-bitter glycosides, momordicosides F1, F2, G and I and the bitter momordicosides; K and L have also been characterized. Fruits, seeds and tissue culture give a polypeptide which contained 17 types of amino acids and showed hypoglycaemic activity. Fruits also give 5-hydroxy tryptamine and a neutral compound charantin (a steroidal glucoside), diosgenin, cholesterol, lanosterol and -sitosterol. Leaf is emetic, purgative and antibilious. Fruit is stomachic, tonic, carminative, febrifuge, antirheumatic and hypoglycaemic. Root is astringent. Fruit and leaf is anti-leprotic. Fruit, leaf and root are abortifacient and anti-diabetic. Leaf and seed is anthelmintic. Seed oil possesses antifeeding and insecticidal properties. Unsaponifiable matter from seed oil exhibited pronounced inhibitory activity against gram negative bacteria. Seed and fruit are hypoglycaemic, cytotoxic and anti-feedant (Husain et al, 1992).

Other important species belonging to the genus Momordica are as follows.

M. dioica Roxb.

M. cochinchinensis Spreng.

M. tuberosa Cogn.

M. balsamina Linn.

6. Cucumis melo Linn. syn. C. melo Linn. var. cultis Kurz., C. pubescens

Willd., C. callosus (Rottl.) Cogn.

Eng: Sweet melon San,

Hin: Kharbuja

Ben: Kharmul

Mal: Mulam

Tam: Chukkari-kai, Thumatti-kai, Mulampazham

Tel: Kharbuja-doshavSweet melon is a creeping annual extensively cultivated throughout India, found wild in India, Baluchistan and tropical Africa. The stem is creeping, angular and scabrous. Leaves are orbicular-reniform in outline, 5-angled or lobed, scabrous on both surfaces and often with soft hairs. Lobes of leaves are not very deep nor acute and with 5cm long petiole. Female peduncle is 5cm. Fruit is spherical, ovoid, elongate or contorted, glabrous or somewhat hairy, not spinous nor tuberculate.

Cucumis melo includes two varieties, namely,

C. melo var. momordica syn. C. momordica Roxb.

C. melo var. utilissimus Duthie & Fuller. syn. C. utilissimus Roxb.

The fruit is eaten raw and cooked. Its pulp forms a nutritive, demulcent, diuretic and cooling drink. It is beneficial as a lotion in chronic and acute eczema as well as tan and freckles and internally in cases of dyspepsia. Pulp mixed with cumin seeds and sugar candy is a cool diet in hot season. Seeds yield sweet edible oil which is nutritive and diuretic, useful in painful discharge and suppression of urine. The whole fruit is useful in chronic eczema (Kirtikar & Basu, 1988).

Seeds contain fatty acids-myristic, palmitic, oleic, linoleic; asparagine, glutamine, citrulline, lysine, histidine, arginine, phenylalanine, valine, tyrosine, leucine, iso-leucine, methionine, proline, threonine, tryptophan and crystine. Seed is tonic, lachrymatory, diuretic and urease inhibitor. Fruit pulp is eczemic. Fruit is tonic, laxative, galactagogue, diuretic and diaphoretic. The rind is vulnerary (Husain et al, 1992).

7. Cucumic sativus Linn.

Eng: Cucumber, Common cucumber; San: Trapusah;

Hin,

Ben: Khira;

Mal: Vellari

Tam: Vellarikkai, Pippinkai;

Kan: Mullusavte;

Tel: Dosekaya

Cucumber is a climbing annual which is cultivated throughout India, found wild in the Himalayas from Kumaon to Sikkim. It is a hispidly hairy trailing or climbing annual. Leaves are simple, alternate, deeply cordate, 3-5 lobed with both surfaces hairy and denticulate margins. Flowers are yellow, males clustered, bearing cohering anthers, connective crusted or elevated above the cells. Females are solitary and thickly covered with very bulbous based hairs. Fruits are cylindrical pepo of varying sizes and forms. Seeds are cream or white with hard and smooth testa. The fruits are useful in vitiated conditions of pitta, hyperdipsia, burning sensation, thermoplegia, fever, insomnia, cephalgia, bronchitis, jaundice, haemorrhages, strangury and general debility. The seeds are useful in burning sensation, pitta, constipation, intermittent fevers, strangury, renal calculus, urodynia and general debility (Warrier et al, 1994). The leaves boiled and mixed with cumin seeds, roasted, powdered and administered in throat affections. Powdered and mixed with sugar, they are powerful diuretic (Nadkarni, 1998). The fruits and seeds are sweet, refrigerant, haemostatic, diuretic and tonic. Other important species belonging to the genus are:

C. trigonus Roxb. syn. C. pseudo-colocynthis

C. prophetarum Linn.

8. Citrullus colocynthis (Linn.) Schrader. syn. Cucumis colocynthis Linn.

Eng: Colocynth, Bitter apple; San: Visala, Mahendravaruni;

Hin: Badi indrayan, Makkal

Ben: Makhal;

Mal: Kattuvellari (Valutu), Valiya pekkummatti;

Tel: Etti-puchcha

Tam: Paitummatti, Petummatti;

Colocynth or Bitter apple is found, cultivated and wild, throughout India in warmer areas. It is an extensively trailing annual herb with bifid tendrils angular branching stems and wooly tender shoots. Leaves are deeply divided, lobes narrow thick, glabrous or somewhat hairy. Flowers are unisexual, yellow, both males and females solitary and with pale-yellow corolla. Fruit is a globose or oblong fleshy indehiscent berry, 5-7.5cm in diameter and variegated with green and white. Seeds are pale brown. The fruits are useful in tumours, ascites, leucoderma, ulcers, asthma, bronchitis, urethrorrhea, jaundice, dyspepsia, constipations, elephantiasis, tubercular glands of the neck and splenomegaly (Warrier et al, 1994). It is useful in abnormal presentations of the foetus and in atrophy of the foetus. In addition to the above properties, the root has a beneficial action in inflammation of the breasts, pain in the joints; externally it is used in ophthalmia and in uterine pains. The fruit and root, with or without is rubbed into a paste with water and applied to boils and pimples. In rheumatism, equal parts of the root and long pepper are given in pill. A paste of the root is applied to the enlarged abdomen of children (Kirtikar and Basu, 1988). The fruit is useful in ascites, biliousness, jaundice, cerebral congestion, colic, constipation dropsy, fever, worms and sciatica. Root is given in cases of abdominal enlargement, cough, asthma, inflammation of the breast, ulcers, urinary diseases and rheumatism. Oil from seeds is used for poisonous bites, bowel complaints, epilepsy and also for blackening the hair (Nadkarni, 1954; Dey, 1980). The important formulations using the root and fruit are Abhayarista, Mahatiktakam kasaya, Manasamitravatakam, Cavikasava, Madhuyastyadi taila, etc. (Sivarajan et al, 1994). The powder is often used as an insecticide. The extract should never be given without some aromatic to correct its griping tendency (Nadkarni, 1998).

Fruit contains a glycoside- colocynthin, its aglycone- -elaterin, citrulluin, citrullene and citrullic acid. Unripe fruit contains p-hydroxy benzyl methyl ester. Roots contain - elaterin and hentriacontane (Husain et al, 1992). Colocynth is, in moderate doses, drastic, hydrogogue, cathartic and diuretic. In large doses, it is emetic and gastro-intestinal irritant and in small doses, it is expectorant and alterative. Colocynthin is a cathartic and intensely bitter principle. It has a purgative action. All parts of the plant are very bitter. The fruit has been described as cathartic (Nadkarni, 1982).

9. Citrullus vulgaris Schrad. syn. C. lanatus (Thunb.) Mats. & Nakai.

Eng: Water melon; San: Tarambuja;

Hin: Tarbuj;

Ben: Tarbuz

Mal: Thannimathan;

Tam: Pitcha, Dharbusini

Watermelon is an extensively climbing annual which is largely cultivated throughout India and in all warm countries. It has thick angular branching stems. Tendrils are bifid, stout and pubescent. Leaves are long, deeply divided or moderately lobed, glabrous or somewhat hairy and hardly scabrous. Petiole is a little shorter than the limb and villous. Calyx-lobes are narrowly lanceolate, equalling the tube. Corolla is yellow within, greenish outside and villous. Lobes are ovate-oblong, obtuse and prominently 5-nerved. Fruit is sub-globose or ellipsoid, smooth, greenish or clouded, often with a glaucous waxy coating. Flesh is juicy, red or yellowish white. Seeds are usually margined. C. vulgaris var. fistulosus Duthie & Fuller. syn. C. fistulosus has its fruit about the size of small turnip, the seeds of which are used medicinally. The fruit is tasteless when unripe and sweet when ripe. The unripe fruit is used to cure jaundice. Ripe fruit cures kapha and vata and causes biliousness. It is good for sore eyes, scabies and itching. The seeds are tonic to the brain and used as a cooling medicine. An emulsion of the seeds is made into a poultice with the pounded leaves and applied hot in cases of intestinal inflammations (Kirtikar and Basu, 1988). Fruit juice is good in quenching thirst and it is used as an antiseptic in typhus fever with cumin and sugar. It is used as a cooling drink in strangury and affections of urinary organs such as gonorrhoea; in hepatic congestion and intestinal catarrh. The bitter watermelon of Sind is known as “Kirbut” and is used as a purgative.

Seeds yield a fixed oil and proteids; citrullin. Seeds are cooling, demulcent, diuretic, vermifuge and nutritive. Pulp is cooling and diuretic. Fruit-juice is cooling and refreshing (Nadkarni, 1982).

10. Curcurbita pepo Linn. syn. Pepo vulgaris et P. verrucosus Moench

Meth.

Eng: Pompion, Pumpkin, Vegetable Marrow; San: Karkaru, Kurkaru, Kushmandi

Hin,

Ben: Kadimah, Konda, Kumra, Safedkkadu;

Mal: Mathan, Matha

Tel: Budadegummadi, Pottigummadi

Pompion or Pumpkin is a climbing herb which is considered to be a native of America and cultivated in many parts of India. The stem and leaves are with a harsh prickly armature. Foliage is stiff, more or less rigid and erect. Leaves are with a broad triangular pointed outline and often with deep lobes. Corolla is mostly with erect or spreading (not drooping) pointed lobes, the tube narrowing towards the base. Peduncle is strongly 5-angled and little or much expanding near the fruit. The fruit is cooling and astringent to the bowels, increases appetite, cures leprosy, ‘kapha and vata’, thirst, fatigue and purifies the blood. The leaves are used to remove biliousness. Fruit is good for teeth, throat and eyes and allays thirst. Seeds cure sore chests, haemoptysis, bronchitis and fever. It is good for the kidney and brain. The leaves are used as an external application for burns. The seeds are considered anthelmintic. The seeds are largely used for flavouring certain preparations of Indian hemp, and the root for a nefarious purpose, viz., to make the preparation more potent. The seeds are taeniacide, diuretic and demulcent. The fruit is cooling, laxative and astringent. The leaves are digestible, haematinic and analgesic.

The other important species belonging to the genus Cucurbita is C. maxima Duchena, the seeds of which are a popular remedy for tape-worm and oil as a nervine tonic (Kirtikar & Basu, 1988).

11. Corallocarpus epigaeus Benth. ex Hook. f. syn. Bryonia epigaea Wight.

San: Katunahi;

Hin: Akasgaddah;

Mal: Kadamba, Kollankova

Tam: Akashagarudan, Gollankovai;

Tel: Murudonda, Nagadonda

Corallocarpus is a prostrate or climbing herb distributed in Punjab, Sind, Gujarat, Deccan, Karnataka and Sri Lanka. It is monoecious with large root which is turnip-shaped and slender stem which is grooved, zigzag and glabrous. Tendrils are simple, slender and glabrous. Leaves are sub-orbicular in outline, light green above and pale beneath, deeply cordate at the base, angled or more or less deeply 3-5 lobed. Petiole is long and glabrous. Male flowers are small and arranged at the tip of a straight stiff glabrous peduncle. Calyx is slightly hairy, long and rounded at the base. Corolla is long and greenish yellow. Female flowers are usually solitary with short, stout and glabrous peduncles. Fruit is stalked, long, ellipsoid or ovoid. Seeds are pyriform, turgid, brown and with a whitish corded margin. It is prescribed in later stages of dysentery and old veneral complaints. For external use in chronic rheumatism, it is made into a liniment with cumin seed, onion and castor oil. It is used in case of snakebite where it is administered internally and applied to the bitten part. The root is given in syphilitic rheumatism and later stages of dysentery. The plant is bitter, sweet, alexipharmic and emetic. The root is said to possess alterative and laxative properties (Kirtikar and Basu, 1988). Root contains a bitter principle like Breyonin (Chopra et al, 1980).

Agrotechnology: Cucurbits can be successfully grown during January-March and September- December. For the rainfed crop, sowing can also be started after the receipt of the first few showers.

Pits of 60cm diameter and 30-45cm depth are to be taken at the desired spacing. Well rotten FYM or vegetable mixture is to be mixed with topsoil in the pit and seeds are to be sown at 4-5/pit. Unhealthy plants are to be removed after 2 weeks and retained 2-3 plants/pit. FYM is to be applied at 20-25t/ha as basal dose along with half dose of N (35kg/ha) and full dose of P (25kg) and K (25kg). The remaining dose of N (35kg) can be applied in 2 equal split doses at fortnightly intervals. During the initial stages of growth, irrigation is to be given at an interval of 3-4 days and at alternate days during flowering and fruiting periods. For trailing cucumber, pumpkin and melon, dried twigs are to be spread on the ground. Bitter gourd, bottle gourd, snake gourd and ash gourd are to be trailed on Pandals. Weeding and raking of the soil are to be conducted at the time of fertilizer application. Earthing up may be done during rainy season. The most dreaded pest of cucurbits is fruit flies which can be controlled by using fruit traps, covering the fruits with polythene, cloth or paper bags, removal and destruction of affected fruits and lastly spraying with Carbaryl or Malathion 0. 2% suspension containing sugar or jaggery at 10g/l at fortnightly intervals after fruit set initiation. During rainy season, downy mildew and mosaic diseases are severe in cucurbits. The former can be checked by spraying Mancozeb 0.2%. The spread of mosaic can be checked by controlling the vectors using Dimethoate or Phosphamidon 0.05% and destruction of affected plants and collateral hosts. Harvesting to be done at least 10 days after insecticide or fungicide application (KAU,1996).... cucurbits

Curcuma spp.

Zingiberaceae

The genus Curcuma belonging to the family Zingiberaceae comprises of a number of species which are medicinally very important. Among them, the most important species are described below.

1. C. amada Roxb.

English: Mango ginger San: Amrardrakam, Karpuraharida Hin: Ama -haldi

Mal: Mangainchi

Tam: Mankayinci

Tel: Mamidi Allam

Mango ginger is cultivated in Gujarat and found wild in parts of West Bengal, U. P, Karnataka and Tamil Nadu. It is a rhizomatous aromatic herb with a leafy tuft and 60-90cm in height. Leaves are long, petiolate, oblong-lanceolate, tapering at both ends, glabrous and green on both sides. Flowers are white or pale yellow, arranged in spikes in the centre of tuft of the leaves. Lip is semi -elliptic, yellow, 3-lobbed with the mid lobe emarginate. The rhizomes are useful in vitiated conditions of pitta, anorexia, dyspepsia, flatulence, colic, bruises, wounds, chronic ulcers, skin diseases, pruritus, fever, constipations, strangury, hiccough, cough, bronchitis, sprains, gout, halitosis, otalgia and inflammations (Warrier et al, 1994). The fresh root possesses the smell of green mango and hence the name mango ginger. The rhizomes are used externally in the form of paste as an application for bruises and skin diseases generally combined with other medicines. Tubers rubbed with the leaf- juice of Caesalpinia bonduc is given for worms (Nadkarni, 1982).

The essential oil contains -pinene, -and -curcumene, camphor, cuminyl alcohol, myristic acid and turmerone. Car-3-ene and cis-ocimene contribute the characteristic mango odour of the rhizome. Rhizome is CNS active, hypothermic and it shows potentiation of amphetamine toxicity. Tuber is trypsin inhibitor and is effective against Vibrio cholerae (Husain et al, 1992). The rhizomes are bitter, sweet sour, aromatic, cooling, appetiser, carminative, digestive, stomachic, demulcent, vulnerary, febrifuge, alexertic, aphrodisiac, laxative, diurectic, expectorant, antiinflammatory and antipyretic (Warrier et al, 1994).

2. C. aromatica Salisb.

Eng: Wild turmeric; San: Aranyaharidra, Vanaharidra;

Hin: Ban-haridra, Jangli-haldi;

Ben: Ban Haland; Mal,

Tam: Kasturimanjal, Kattumanjal;

Tel: Adavi-pasupu;

Kan: Kadarasina

Wild turmeric or Cochin turmeric or Yellow zeodoary is found wild throughout India and cultivated in Bengal and Kerala. It is a perennial tuberous herb with annulate, aromatic yellow rhizome which is internally orange-red in colour. Leaves are elliptic or lanceolate- oblong, caudate-acuminate, 30-60cm long, petioles as long or even longer, bracts ovate, recurved, more or less tinged with red or pink. Flowers are pink, lip yellow, obovate, deflexed, sub-entire or obscurely three lobed. Fruits are dehiscent, globose, 3-valved capsules. Rhizomes are used in combination with astringents and aromatics for bruises, sprains, hiccough, bronchitis, cough, leucoderma and skin eruptions (Warrier et al, 1994). The rhizomes have an agreeable fragrant smell and yield a yellow colouring matter like turmeric, and the fresh root has a camphoraceous odour. The dried rhizome is used as a carminative and aromatic adjunctant to other medicines (Nadkarni, 1998).

Essential oil contains -and - -curcumene, d-camphene and p-methoxy cinnamic acid. The colouring matter is curcumin. Numerous sesquiterpenoids of germacrone and guaiane skeletons have been identified recently. Rhizome has effect on respiration. It is spasmolytic and shows antagonism of amphetamine hyperactivity. Rhizome is an anti-dote for snakebite and carminative (Husain et al, 1992).

3. C. longa Linn. syn. C. domestica Valeton.

Eng: Turmeric; San: Haridra, Varavarnini;

Hin: Haldi, halda;

Ben: Haldi;

Mal: Manjal, Pachamanjal, Varattumanjal;

Tam: Mancal;

Kan: Haldi, Arasina;

Tel: Pasapu

Turmeric is cultivated all over India, particularly in W. Bengal, T. N and Maharashtra. It is a perennial herb, 60-90cm in height, with a short stem and tufts of erect leaves. Rhizome is cylindric, ovoid, orange coloured and branched. Leaves are simple, very large, petiole as long as the blade, oblong-lanceolate, tapering to the base upto 45cm long. Flowers are pale yellow, arranged in spikes concealed by the sheathing petioles and flowering bracts are pale green (Warrier et al, 1994). Turmeric occupies an important position in the life of Indian people as it forms an integral part of the rituals, ceremonies and cuisine. Due to the strong antiseptic properties, turmeric has been used as a remedy for all kinds of poisonous affections, ulcers and wounds. It gives good complexion to the skin and so it is applied to face as a depilatory and facial tonic. The drug cures diseases due to morbid vata, pitta and kapha, diabetes, eye diseases, ulcers, oedema, anaemia, anorexia, leprosy and scrofula. It purifies blood by destroying the pathogenic organisms. A paste of turmeric alone, or combined with a paste of neem (Azadirachta indica) leaves, is used to cure ringworm, obstinate itching, eczema and other parasitic skin diseases and in chicken pox and small pox. The drug is also useful in cold, cough, bronchitis, conjunctivitis and liver affections (Nadkarni, 1954; Kurup et al,1979; Kolammal, 1979). The rhizome is the officinal part and is an important ingredient of formulations like Nalpamaradi taila, Jatyadi taila, Narayana gula, etc. (Sivarajan et al, 1994).

Turmeric paste mixed with a little limejuice and saltpetre and applied hot is a popular application to sprains and bruises. In smallpox and chickenpox, a coating of turmeric is applied to facilitate the process of scabbing. The smoke produced by sprinkling powdered turmeric over burnt charcoal will relieve scorpion sting when the part affected is exposed to the smoke for a few minutes. Turmeric and alum powder in the proportion of 1:20 is blown into the ear in chronic otorrhoea (Nadkarni, 1998). “Haridra Khand”, a compound containing powdered turmeric, sugar and many other ingredients is a well-known preparation for cold, cough and flu, and for skin diseases. In Unani system, roasted turmeric is an ingredient of “Hab Narkachur”, used as antidysenteric for children (Thakur et al, 1989).

Essential oil contains ar-turmerone, and ar-curcumene as ma jor constituents. Some of the other compounds are -and -pinene, sabinene, myrcene, -terpinene, limonene, p- cymene, perillyl alcohol, turmerone, eugenol, iso-eugenol, eugenol methyl ether and iso- eugenol methyl ether. Curcumin and related compounds have also been reported as major constituents of the rhizomes. Recently a number of sesquiterpenes have been reported from C. longa, viz., the sesquiterpenoids of germacrane, bisabolane and guainane skeletons (Husain et al, 1992). The study of sesquiterpenes has revealed a new compound curlone (Kisoy et al, 1983). The crystalline colouring matter curcumin (0. 6%) is diferuloyl methane (Mathews et al, 1980). Stigmasterol, cholestrol, -sitosterol and fatty acids, mainly straight chain dienoic acids are reported (Moon et al, 1977). Curcumin, the colouring agent and major constituent of C. longa, is said to possess local as well as systemic antiinflammatory property which has been found to compare favourably with phenylbutazone (Srimal and Dhawan, 1973). An extract of the crude drug ‘akon’ containing the rhizomes exhibited intensive preventive activity against carbon tetrachloride induced liver injury invivo and invitro. The liver protecting effects of some analogs of ferulic acid and p-coumaric acid, probable metabolites of the curcuminoids have been also evaluated (Kiso et al, 1983). Curcumin is antiinflammatory. Rhizome is antiprotozoal, spasmolytic, CNS active, antiparasitic, antispasmodic, antibacterial, antiarthritic, anthelmintic, carminative, antiperiodic, emo llient, anodyne, laxative, diruretic, expectorant, alterative, alexertive, febrifuge, opthalmic and tonic.

4. C. zedoaria (Berg.) Rosc. syn. C. zerumbet Roxb; Amomum zedoaria

Christm.vEng: Round zedoary; San: Kachura, Shati;

Hin: Kakhur;

Ben: Sati;

Kan: Kachora

Mal: Manjakoova, Adavi-kacholam;

Tam: Kichilikizhangu, Nirvisham;

Tel: Kacheramu

The round zedoary or Zerumbet is mostly found in India and S. E. Asia. The plant has 4-6 leaves with 20-60cm long lamina. The leaf lami na is oblong-lanceolate, finely acuminate and glabrous on both the surfaces. Flower stalk is 20-25cm long, emerging before the leaves. Flowers are yellow, while the flowering bract is green tinged with red. Calyx is 8mm long, corolla tube is twice as long as the calyx. Capsule is ovoid, trigonous, thin smooth and bursting irregularly. Tubers are palmately branched and camphoraceous (Thakur et al, 1989). The identity of the plant sources of the drug Karcura is a matter of debate. There is difference of opinion among men of Ayurveda, as to whether Sati and Karcura are the same drug or different. Many authors consider them different and equate Sati with Hedychium spicatum Smith. and Karcura with C. zedoaria, both belonging to Zingiberaceae (Kurup et al,1979; Chunekar 1982; Sharma, 1983). Some others treat them to be the same and equate it with C. zedoaria (Kirtikar and Basu, 1918; Vaidya, 1936; Nadkarni, 1954; Kapoor and Mitra, 1979). However, the source of Karcura in Kerala in the recent times has been Kaempferia galanga of the same family. The rhizome of C. zedoaria is used as appetiser and tonic, particularly prescribed to ladies after childbirth. In case of cold, a decoction of long pepper (Piper longum), cinnamon (Cinnamomum verum), zedoary and honey is given. In Ayurveda it is an ingredient of “Braticityadi kwatha”, used in high fever (Thakur et al, 1989). Root is useful in flatulence and dyspepsia, and as a corrector of purgatives. Fresh root checks leucorrhoeal and gonorrhoeal discharges. Root powder is a good substitute for many foreign foods for infants. For worms, the juice from the tubers is given to children. Juice of the leaves is given in dropsy (Nadkarni, 1982). It is an odoriferous ingredient of the cosmetics used for the cure of chronic skin diseases caused by impure or deranged blood (Nadkarni, 1998).

Essential oil from rhizomes contains -pinene, d-camphene, cineole, d-camphor, sesquiterpenes and sesquiterpene alcohols (Husain et al, 1992). The novel sesquiterpenoids which have been isolated and characterised are cuzerenone, epi-cuzerenone, iso- furanogermerene, curcumadiol, curcumol, curcumenol, iso-curcumenol, procurcumenol, dehydrocurdione (Hikino et al, 1968, 1971, 1972), germacrone-4, 5-epoxide, germacrone, germacrone furanodienone, curcumenol, iso-curcumenol, curcumanolides A and B and curcumenone (Shiobara et al, 1985). The starch left after the extraction is purified and sold as a commodity of cottage industry in West-Bengal under the name ‘Shoti’ (Rao et al, 1928). Ethyl-p methoxy-cinnamate has been isolated from the alcoholic extract of the plant (Gupta et al, 1976). Rhizome is stomachic, diuretic, and carminative and gastrointestinal stimulant.

Other important species of Curcuma genus are

C. angustifolia Roxb. (Vellakoova)

C. caesia Roxb. (Black ginger)

C. leucorhiza Roxb.

C. pseudomontana Grah.

C. rubescens Roxb.

Agrotechnology: Curcuma species are tropical herbs and can be grown on different types of soils both under irrigated and rainfed conditions. Rich loamy soils having good drainage are ideal for the crop. The plant is propagated by whole or split mother rhizomes. Well developed, healthy and disease free rhizomes are to be selected. Rhizomes are to be treated with copper oxychloride fungicides and stored in cool, dry place or earthen pits plastered with mud and cowdung. The best season of planting is during April with the receipt of pre-monsoon showers. The land is to be prepared to a fine tilth during February-March. On receipt of pre- monsoon showers in April, beds of size 3x1.2m with a spacing of 40cm between beds are to be prepared. Small pits are to be taken in the beds in rows with a spacing of 25-40cm.

Finger rhizomes are to be planted flat with buds facing upwards and covered with soil or dry powdered cattle ma nure. The crop is to be mulched immediately after planting and 50 days after first mulching. Cattle manure or compost is to be applied as basal dose at 20-40t/ha at the time of land preparation or by spreading over the beds after planting. Application of NPK fertilizers is beneficial and found to increase the yield considerably. Weeding is to be done twice at 60 and 120 days after planting, depending upon weed intensity. Earthing up is to be done after 60 days. No major incidence of pest or disease is noticed in this crop. Leaf blotch and leaf spot can be controlled by spraying Bordeaux mixture or 0.2% Mancozeb. Shoot borers can be controlled by spraying 0.05% Dimethoate or 0.025% Quinalphos. Time of harvest usually extends from January-March. Harvesting is generally done at about 7-10 months after planting depending upon the species and variety. Harvested rhizomes are to be cleaned of mud and other materials adhering to them. Good fingers separated are to be used for curing (KAU, 1996).... curcuma

Fungi which can infect skin, hair and nails. About 30 species in three genera are PATHOGENIC to humans (see RINGWORM).... dermatophytes

Another name for honeycomb ringworm. (See RINGWORM.)... favus

Linn.

Family: Lythraceae.

Habitat: Marshy areas throughout India, as a weed.

English: Blistering Ammannia.

Ayurvedic: Agnipatri.

Folk: Daadmaari. (Also known as Paashaanabheda.)

Action: Stomachic, laxative, antirheumatic, febrifuge. Leaves— used externally for ringworm, herpic eruptions and other skin diseases; rubefacient.

Leaves contain lawsone. Plant extract—antibacterial. Extracts of stem, leaf and inflorescence are more effective as compared with the seed and root extract.... ammannia baccifera

Sweet.

Synonym: A. nervosa (Burm. f.) Boj.

Family: Convolvulaceae.

Habitat: Found all over India, ascending to 300 m.

English: Elephant Creeper.

Ayurvedic: Vriddhadaaruka, Vriddhadaaru, Vriddhadaaraka, Bastaantri, Sthavira, Sthaviradaaru, Atarunadaaru, Samudrashosha. (Seeds of Salvia plebeia R. Br. are also known as Samudrashosha.)

Unani: Samunder sokh.

Siddha/Tamil: Ambgar, Samuddira- pacchai

Folk: Bidhaaraa.

Action: Root—aphrodisiac (considered as a rejuvenator), nervine (used in diseases of nervous system, sexual disorders), diuretic (used in strangury), antirheumatic. Seeds—hypotensive, spasmolytic. Leaves—used externally in skin diseases (ringworm, eczema, boils, swellings); rubefacient, topically stimulant.

The seeds contain hallucinogenic ergoline alkaloids, the main ones being ergine and isoergine. EtOH (50%) extract of seeds exhibits hypotensive activity. (Seeds of all species of Argyreia contain ergoline alkaloids and are hypotensive.) Leaves of Argyreia sp. contain sitosterol and are antiphlogistic.

In Indian medicine, A. speciosa is not used as a single drug for sexual disorders in men, but as a supporting drug for exerting its antiphlogistic, spasmolytic and hypotensive actions on the central nervous system. The drug, in itself, did not show anabolic- cum-androgen-like or spermogenetic activity experimentally.

Ipomoea petaloidea Chois and Ipo- moea biloba Forskofthe Convolvulacae family are also used as Vriddhadaaru.

In Western herbal medicine, Hawaiian Baby Woodrose is equated with Argyreia nervosa (synonym Argyreia speciosa; grows in Florida, California and Hawaii). The seed is used for pain relief and as a hallucinogen.

The seeds contain hallucinogens including ergonovine, isoergine (isoly- sergic acid amide) and ergine (lysergic acid amide). Four to eight seeds are equivalent to 10-100 mcg of LSD, a potent serotonin-1A (5-HT1A) agonist. The effects last 6-8 h. (Natural Medicines Comprehensive Database, 2007.)

Dosage: Root—3-5 g powder.

(CCRAS.)... argyreia speciosa

Linn.

Family: Oxalidaceae; Averrhoaceae.

Habitat: Native to Malaysia; cultivated throughout the warmer parts of India, especially in Kerala.

English: Carambola, Star Fruit, Chinese Gooseberry.

Ayurvedic: Karmaranga.

Unani: Khamraq, Karmal.

Siddha/Tamil: Tamarattai.

Folk: Kamarakh.

Action: Root—antidote in poisoning. Leaf and shoot—applied externally in ringworm, scabies, chickenpox. Flower—vermicidal. Fruit—laxative, antidysenteric, antiphlogistic, febrifuge, anti- inflammatory, antispasmodic (used in hepatic colic, bleeding piles). Seeds—galactogenic; in large doses act as an emmenagogue and cause abortion.

The fruits are a fairly good source of iron but deficient in calcium. They also contain oxalic acid and potassium oxalate. The presence of fluorine is also reported. A wide variation of vitamin-C content (0.3-23.0 mg/100 g) is recorded from different places in India. Sugar (3.19%) consists mainly of glucose (1.63%).... averrhoa carambola

Vahl.

Family: Oleaceae.

Habitat: South India.

English: Wild Jasmine.

Ayurvedic: Bana-mallikaa, Vana- malli, Kaanan-mallikaa, Aasphotaa.

Siddha/Tamil: Kaatumalli.

Action: Root—used in ringworm. Leaves—juice is given as an emetic in cases of poisoning. Fresh flowers gave indole.... jasminum angustifolium

Roxb.

Family: Vitaceae.

Habitat: Throughout hotter parts of India.

Ayurvedic: Hastikanda, Hasti-karna Palaasha; Kekidandaa.

Folk: Hatkan, Dholsamudra, Haath, Kaan.

Action: Astringent, anodyne, styptic, antiseptic. Root tubers— astringent, mucilaginous; applied to wounds and sores; used for ringworm and guineaworm.... leea macrophylla

(L.) Voss.

Synonym: B. arundinaceae (Retz.) Roxb.

Arundo bambos L.

Family: Gramineae; Poaceae.

Habitat: Wild throughout India, especially in the hill forests of Western and Southern India.

English: Spiny or Thorny Bamboo.

Ayurvedic: Vansha, Venu, Kichaka, Trinadhwaj, Shatparvaa, Yavphala. Vanshalochana, Vansharochanaa, Shubhaa, tugaa, Tugaakshiri, Tvak- kshiri (Bamboo-manna). Starch of Curcuma angustifolia Roxb., Zingiberaceae, was recommended a substitute for Vanshalochana (Ayurvedic Formularly of India, Part I, First edn).

Unani: Qasab, Tabaashir (Bamboo- manna).

Siddha/Tamil: Moongil; Moongilup- pu, (Bambo-manna.)

Action: Leaf bud and young shoots—used in dysmenorrhoea; externally in ulcerations. Leaf—em- menagogue, antileprotic, febrifuge, bechic; used in haemoptysis. Stem and leaf—blood purifier (used in leucoderma and inflammatory conditions). Root—poisonous. Burnt root is applied to ringworm, bleeding gums, painful joints. Bark—used for eruptions. Leaf and Bamboo-manna—emmena- gogue. Bamboo-manna—pectoral, expectorant, carminative, cooling, aphrodisiac, tonic (used in debilitating diseases, urinary infections, chest diseases, cough, asthma).

The plant gave cyanogenic glu- coside—taxiphyllin. Bamboo-manna contains silicious crystalline substances.

The starch obtained from Maranta arundinacea Linn., Marantaceae, is also used as Bamboo-manna (known as Koovai Kizhangu, Kookaineer and Araroottu Kizangu in Siddha medicine).

Dosage: Manna—1-3 g (CCRAS.)... bambusa bambos

Roxb.

Family: Burseraceae.

Habitat: The drier parts of Peninsular India.

English: Indian Frankincense, Indian Olibanum.

Ayurvedic: Shallaki, Susravaa, Gajabhakshyaa, Salai. Gum— Kunduru.

Unani: Kundur (gum).

Siddha/Tamil: Parangisambirani, Kungli.

Folk: Salai Guggul.

Action: Gum-resin—antiseptic, anti-inflammatory, antiatheroscle- rotic, emmenagogue, analgesic, sedative, hypotensive. Also used in obesity, diarrhoea, dysentery, piles, urinary disorders, scrofulous affections. Oil—used topically in chronic ulcers, ringworm.

Nonphenolic fraction of gum-resin exhibited marked sedative and analgesic effect in rats. It produced a marked and long-lasting hypotension in anaesthetized dogs.

Many derivatives of 3-keto-methyl- beta-boswellic ester, isolated from the gum-resin., have been prepared; a py- razoline derivative exhibited maximum anti-inflammatory activity. (Gum-resin is used in osteoarthri- tis, juvenile rheumatoid arthritis, soft tissue fibrositis and spondylitis, also for cough, bronchitis, asthma, mouth sores.)

Essential oil from gum-resin—anti- fungal.

Gum-resin contains triterpenes of oleanane, ursane and euphane series. Stem and fruit—hypoglycaemic.

Dosage: Gum-resin—1-3 g (API Vol. IV.)... boswellia serrata

(Lamk.) Kuntze.

Synonym: M. volubilis DC.

Family: Asteraceae, Compositae.

Habitat: North-eastern Indian hills.

Action: Leaf—used for ringworm of the scalp.

A acetylenic glucoside, isolated from the leaf, showed antibacterial activity against Pseudomonas aeruginosa and Staphylococcus aureus.... microglossa pyrifolia

Dalz.

Family: Acanthaceae.

Habitat: Western Ghats, Deccan and Gujarat.

Folk: Ganther (Gujarat and Maharashtra), Ghosa-vel (Maharashtra).

Action: Root-paste applied to ringworm.... neuracanthus sphaerostachyus

Occupational health The e?ect of work on human health, and the impact of workers’ health on their work. Although the term encompasses the identi?cation and treatment of speci?c occupational diseases, occupational health is also an applied and multidisciplinary subject concerned with the prevention of occupational ill-health caused by chemical, biological, physical and psychosocial factors, and the promotion of a healthy and productive workforce.

Occupational health includes both mental and physical health. It is about compliance with health-and-safety-at-work legislation (and common law duties) and about best practice in providing work environments that reduce risks to health and safety to lowest practicable levels. It includes workers’ ?tness to work, as well as the management of the work environment to accommodate people with disabilities, and procedures to facilitate the return to work of those absent with long-term illness. Occupational health incorporates several professional groups, including occupational physicians, occupational health nurses, occupational hygienists, ergonomists, disability managers, workplace counsellors, health-and-safety practitioners, and workplace physiotherapists.

In the UK, two key statutes provide a framework for occupational health: the Health and Safety at Work, etc. Act 1974 (HSW Act); and the Disability Discrimination Act 1995 (DDA). The HSW Act states that employers have a duty to protect the health, safety and welfare of their employees and to conduct their business in a way that does not expose others to risks to their health and safety. Employees and self-employed people also have duties under the Act. Modern health-and-safety legislation focuses on assessing and controlling risk rather than prescribing speci?c actions in di?erent industrial settings. Various regulations made under the HSW Act, such as the Control of Substances Hazardous to Health Regulations, the Manual Handling Operations Regulations and the Noise at Work Regulations, set out duties with regard to di?erent risks, but apply to all employers and follow the general principles of risk assessment and control. Risks should be controlled principally by removing or reducing the hazard at source (for example, by substituting chemicals with safer alternatives, replacing noisy machinery, or automating tasks to avoid heavy lifting). Personal protective equipment, such as gloves and ear defenders, should be seen as a last line of defence after other control measures have been put in place.

The employment provisions of the DDA require employers to avoid discriminatory practice towards disabled people and to make reasonable adjustments to working arrangements where a disabled person is placed at a substantial disadvantage to a non-disabled person. Although the DDA does not require employers to provide access to rehabilitation services – even for those injured or made ill at work – occupational-health practitioners may become involved in programmes to help people get back to work after injury or long-term illness, and many businesses see the retention of valuable sta? as an attractive alternative to medical retirement or dismissal on health grounds.

Although a major part of occupational-health practice is concerned with statutory compliance, the workplace is also an important venue for health promotion. Many working people rarely see their general practitioner and, even when they do, there is little time to discuss wider health issues. Occupational-health advisers can ?ll in this gap by providing, for example, workplace initiatives on stopping smoking, cardiovascular health, diet and self-examination for breast and testicular cancers. Such initiatives are encouraged because of the perceived bene?ts to sta?, to the employing organisation and to the wider public-health agenda. Occupational psychologists recognise the need for the working population to achieve a ‘work-life balance’ and the promotion of this is an increasing part of occupational health strategies.

The law requires employers to consult with their sta? on health-and-safety matters. However, there is also a growing understanding that successful occupational-health management involves workers directly in the identi?cation of risks and in developing solutions in the workplace. Trade unions play an active role in promoting occupational health through local and national campaigns and by training and advising elected workplace safety representatives.

Occupational medicine The branch of medicine that deals with the control, prevention, diagnosis, treatment and management of ill-health and injuries caused or made worse by work, and with ensuring that workers are ?t for the work they do.

Occupational medicine includes: statutory surveillance of workers’ exposure to hazardous agents; advice to employers and employees on eliminating or reducing risks to health and safety at work; diagnosis and treatment/management of occupational illness; advice on adapting the working environment to suit the worker, particularly those with disabilities or long-term health problems; and advice on the return to work and, if necessary, rehabilitation of workers absent through illness. Occupational physicians may play a wider role in monitoring the health of workplace populations and in advising employers on controlling health hazards where ill-health trends are observed. They may also conduct epidemiological research (see EPIDEMIOLOGY) on workplace diseases.

Because of the occupational physician’s dual role as adviser to both employer and employee, he or she is required to be particularly diligent with regards to the individual worker’s medical CONFIDENTIALITY. Occupational physicians need to recognise in any given situation the context they are working in, and to make sure that all parties are aware of this.

Occupational medicine is a medical discipline and thus is only part of the broader ?eld of occupational health. Although there are some speci?c clinical duties associated with occupational medicine, such as diagnosis of occupational disease and medical screening, occupational physicians are frequently part of a multidisciplinary team that might include, for example, occupational-health nurses, healthand-safety advisers, ergonomists, counsellors and hygienists. Occupational physicians are medical practitioners with a post-registration quali?cation in occupational medicine. They will have completed a period of supervised in-post training. In the UK, the Faculty of Occupational Medicine of the Royal College of Physicians has three categories of membership, depending on quali?cations and experience: associateship (AFOM); membership (MFOM); and fellowship (FFOM).

Occupational diseases Occupational diseases are illnesses that are caused or made worse by work. In their widest sense, they include physical and mental ill-health conditions.

In diagnosing an occupational disease, the clinician will need to examine not just the signs and symptoms of ill-health, but also the occupational history of the patient. This is important not only in discovering the cause, or causes, of the disease (work may be one of a number of factors), but also in making recommendations on how the work should be modi?ed to prevent a recurrence – or, if necessary, in deciding whether or not the worker is able to return to that type of work. The occupational history will help in deciding whether or not other workers are also at risk of developing the condition. It will include information on:

the nature of the work.

how the tasks are performed in practice.

the likelihood of exposure to hazardous agents (physical, chemical, biological and psychosocial).

what control measures are in place and the extent to which these are adhered to.

previous occupational and non-occupational exposures.

whether or not others have reported similar symptoms in relation to the work. Some conditions – certain skin conditions,

for example – may show a close relationship to work, with symptoms appearing directly only after exposure to particular agents or possibly disappearing at weekends or with time away from work. Others, however, may be chronic and can have serious long-term implications for a person’s future health and employment.

Statistical information on the prevalence of occupational disease in the UK comes from a variety of sources, including o?cial ?gures from the Industrial Injuries Scheme (see below) and statutory reporting of occupational disease (also below). Neither of these o?cial schemes provides a representative picture, because the former is restricted to certain prescribed conditions and occupations, and the latter suffers from gross under-reporting. More useful are data from the various schemes that make up the Occupational Diseases Intelligence Network (ODIN) and from the Labour Force Survey (LFS). ODIN data is generated by the systematic reporting of work-related conditions by clinicians and includes several schemes. Under one scheme, more than 80 per cent of all reported diseases by occupational-health physicians fall into just six of the 42 clinical disease categories: upper-limb disorders; anxiety, depression and stress disorders; contact DERMATITIS; lower-back problems; hearing loss (see DEAFNESS); and ASTHMA. Information from the LFS yields a similar pattern in terms of disease frequency. Its most recent survey found that over 2 million people believed that, in the previous 12 months, they had suffered from an illness caused or made worse by work and that

19.5 million working days were lost as a result. The ten most frequently reported disease categories were:

stress and mental ill-health (see MENTAL ILLNESS): 515,000 cases.

back injuries: 508,000.

upper-limb and neck disorders: 375,000.

lower respiratory disease: 202,000.

deafness, TINNITUS or other ear conditions: 170,000.

lower-limb musculoskeletal conditions: 100,000.

skin disease: 66,000.

headache or ‘eyestrain’: 50,000.

traumatic injury (includes wounds and fractures from violent attacks at work): 34,000.

vibration white ?nger (hand-arm vibration syndrome): 36,000. A person who develops a chronic occu

pational disease may be able to sue his or her employer for damages if it can be shown that the employer was negligent in failing to take reasonable care of its employees, or had failed to provide a system of work that would have prevented harmful exposure to a known health hazard. There have been numerous successful claims (either awarded in court, or settled out of court) for damages for back and other musculoskeletal injuries, hand-arm vibration syndrome, noise-induced deafness, asthma, dermatitis, MESOTHELIOMA and ASBESTOSIS. Employers’ liability (workers’ compensation) insurers are predicting that the biggest future rise in damages claims will be for stress-related illness. In a recent study, funded by the Health and Safety Executive, about 20 per cent of all workers – more than 5 million people in the UK – claimed to be ‘very’ or ‘extremely’ stressed at work – a statistic that is likely to have a major impact on the long-term health of the working population.

While victims of occupational disease have the right to sue their employers for damages, many countries also operate a system of no-fault compensation for the victims of prescribed occupational diseases. In the UK, more than 60 diseases are prescribed under the Industrial Injuries Scheme and a person will automatically be entitled to state compensation for disability connected to one of these conditions, provided that he or she works in one of the occupations for which they are prescribed. The following short list gives an indication of the types of diseases and occupations prescribed under the scheme:

CARPAL TUNNEL SYNDROME connected to the use of hand-held vibrating tools.

hearing loss from (amongst others) use of pneumatic percussive tools and chainsaws, working in the vicinity of textile manufacturing or woodworking machines, and work in ships’ engine rooms.

LEPTOSPIROSIS – infection with Leptospira (various listed occupations).

viral HEPATITIS from contact with human blood, blood products or other sources of viral hepatitis.

LEAD POISONING, from any occupation causing exposure to fumes, dust and vapour from lead or lead products.

asthma caused by exposure to, among other listed substances, isocyanates, curing agents, solder ?ux fumes and insects reared for research.

mesothelioma from exposure to asbestos.

In the UK, employers and the self-employed have a duty to report all occupational injuries (if the employee is o? work for three days or more as a result), diseases or dangerous incidents to the relevant enforcing authority (the Health and Safety Executive or local-authority environmental-health department) under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 (RIDDOR). Despite this statutory duty, comparatively few diseases are reported so that ?gures generated from RIDDOR reports do not give a useful indication of the scale of occupational diseases in the UK. The statutory reporting of injuries is much better, presumably because of the clear and acute relationship between a workplace accident and the resultant injury. More than 160,000 injuries are reported under RIDDOR every year compared with just 2,500 or so occupational diseases, a gross underestimate of the true ?gure.

There are no precise ?gures for the number of people who die prematurely because of work-related ill-health, and it would be impossible to gauge the exact contribution that work has on, for example, cardiovascular disease and cancers where the causes are multifactorial. The toll would, however, dwarf the number of deaths caused by accidents at work. Around 250 people are killed by accidents at work in the UK each year – mesothelioma, from exposure to asbestos at work, alone kills more than 1,300 people annually.

The following is a sample list of occupational diseases, with brief descriptions of their aetiologies.

Inhaled materials

PNEUMOCONIOSIS covers a group of diseases which cause ?brotic lung disease following the inhalation of dust. Around 250–300 new cases receive bene?t each year – mostly due to coal dust with or without silica contamination. SILICOSIS is the more severe disease. The contraction in the size of the coal-mining industry as well as improved dust suppression in the mines have diminished the importance of this disease, whereas asbestos-related diseases now exceed 1,000 per year. Asbestos ?bres cause a restrictive lung disease but also are responsible for certain malignant conditions such as pleural and peritoneal mesothelioma and lung cancer. The lung-cancer risk is exacerbated by cigarette-smoking.

Even though the use of asbestos is virtually banned in the UK, many workers remain at risk of exposure because of the vast quantities present in buildings (much of which is not listed in building plans). Carpenters, electricians, plumbers, builders and demolition workers are all liable to exposure from work that disturbs existing asbestos. OCCUPATIONAL ASTHMA is of increasing importance – not only because of the recognition of new allergic agents (see ALLERGY), but also in the number of reported cases. The following eight substances are most frequently linked to occupational asthma (key occupations in brackets): isocyanates (spray painters, electrical processors); ?our and grain (bakers and farmers); wood dust (wood workers); glutaraldehyde (nurses, darkroom technicians); solder/colophony (welders, electronic assembly workers); laboratory animals (technicians, scientists); resins and glues (metal and electrical workers, construction, chemical processors); and latex (nurses, auxiliaries, laboratory technicians).

The disease develops after a short, symptomless period of exposure; symptoms are temporally related to work exposures and relieved by absences from work. Removal of the worker from exposure does not necessarily lead to complete cessation of symptoms. For many agents, there is no relationship with a previous history of ATOPY. Occupational asthma accounts for about 10 per cent of all asthma cases. DERMATITIS The risk of dermatitis caused by an allergic or irritant reaction to substances used or handled at work is present in a wide variety of jobs. About three-quarters of cases are irritant contact dermatitis due to such agents as acids, alkalis and solvents. Allergic contact dermatitis is a more speci?c response by susceptible individuals to a range of allergens (see ALLERGEN). The main occupational contact allergens include chromates, nickel, epoxy resins, rubber additives, germicidal agents, dyes, topical anaesthetics and antibiotics as well as certain plants and woods. Latex gloves are a particular cause of occupational dermatitis among health-care and laboratory sta? and have resulted in many workers being forced to leave their profession through ill-health. (See also SKIN, DISEASES OF.)

Musculoskeletal disorders Musculoskeletal injuries are by far the most common conditions related to work (see LFS ?gures, above) and the biggest cause of disability. Although not all work-related, musculoskeletal disorders account for 36.5 per cent of all disabilities among working-age people (compared with less than 4 per cent for sight and hearing impairment). Back pain (all causes – see BACKACHE) has been estimated to cause more than 50 million days lost every year in sickness absence and costs the UK economy up to £5 billion annually as a result of incapacity or disability. Back pain is a particular problem in the health-care sector because of the risk of injury from lifting and moving patients. While the emphasis should be on preventing injuries from occurring, it is now well established that the best way to manage most lower-back injuries is to encourage the patient to continue as normally as possible and to remain at work, or to return as soon as possible even if the patient has some residual back pain. Those who remain o? work on long-term sick leave are far less likely ever to return to work.

Aside from back injuries, there are a whole range of conditions affecting the upper limbs, neck and lower limbs. Some have clear aetiologies and clinical signs, while others are less well de?ned and have multiple causation. Some conditions, such as carpal tunnel syndrome, are prescribed diseases in certain occupations; however, they are not always caused by work (pregnant and older women are more likely to report carpal tunnel syndrome irrespective of work) and clinicians need to be careful when assigning work as the cause without ?rst considering the evidence. Other conditions may be revealed or made worse by work – such as OSTEOARTHRITIS in the hand. Much attention has focused on injuries caused by repeated movement, excessive force, and awkward postures and these include tenosynovitis (in?ammation of a tendon) and epicondylitis. The greatest controversy surrounds upper-limb disorders that do not present obvious tissue or nerve damage but nevertheless give signi?cant pain and discomfort to the individual. These are sometimes referred to as ‘repetitive strain injury’ or ‘di?use RSI’. The diagnosis of such conditions is controversial, making it di?cult for sufferers to pursue claims for compensation through the courts. Psychosocial factors, such as high demands of the job, lack of control and poor social support at work, have been implicated in the development of many upper-limb disorders, and in prevention and management it is important to deal with the psychological as well as the physical risk factors. Occupations known to be at particular risk of work-related upper-limb disorders include poultry processors, packers, electronic assembly workers, data processors, supermarket check-out operators and telephonists. These jobs often contain a number of the relevant exposures of dynamic load, static load, a full or excessive range of movements and awkward postures. (See UPPER LIMB DISORDERS.)

Physical agents A number of physical agents cause occupational ill-health of which the most important is occupational deafness. Workplace noise exposures in excess of 85 decibels for a working day are likely to cause damage to hearing which is initially restricted to the vital frequencies associated with speech – around 3–4 kHz. Protection from such noise is imperative as hearing aids do nothing to ameliorate the neural damage once it has occurred.

Hand-arm vibration syndrome is a disorder of the vascular and/or neural endings in the hands leading to episodic blanching (‘white ?nger’) and numbness which is exacerbated by low temperature. The condition, which is caused by vibrating tools such as chain saws and pneumatic hammers, is akin to RAYNAUD’S DISEASE and can be disabling.

Decompression sickness is caused by a rapid change in ambient pressure and is a disease associated with deep-sea divers, tunnel workers and high-?ying aviators. Apart from the direct effects of pressure change such as ruptured tympanic membrane or sinus pain, the more serious damage is indirectly due to nitrogen bubbles appearing in the blood and blocking small vessels. Central and peripheral nervous-system damage and bone necrosis are the most dangerous sequelae.

Radiation Non-ionising radiation from lasers or microwaves can cause severe localised heating leading to tissue damage of which cataracts (see under EYE, DISORDERS OF) are a particular variety. Ionising radiation from radioactive sources can cause similar acute tissue damage to the eyes as well as cell damage to rapidly dividing cells in the gut and bone marrow. Longer-term effects include genetic damage and various malignant disorders of which LEUKAEMIA and aplastic ANAEMIA are notable. Particular radioactive isotopes may destroy or induce malignant change in target organs, for example, 131I (thyroid), 90Sr (bone). Outdoor workers may also be at risk of sunburn and skin cancers. OTHER OCCUPATIONAL CANCERS Occupation is directly responsible for about 5 per cent of all cancers and contributes to a further 5 per cent. Apart from the cancers caused by asbestos and ionising radiation, a number of other occupational exposures can cause human cancer. The International Agency for Research on Cancer regularly reviews the evidence for carcinogenicity of compounds and industrial processes, and its published list of carcinogens is widely accepted as the current state of knowledge. More than 50 agents and processes are listed as class 1 carcinogens. Important occupational carcinogens include asbestos (mesothelioma, lung cancer); polynuclear aromatic hydrocarbons such as mineral oils, soots, tars (skin and lung cancer); the aromatic amines in dyestu?s (bladder cancer); certain hexavalent chromates, arsenic and nickel re?ning (lung cancer); wood and leather dust (nasal sinus cancer); benzene (leukaemia); and vinyl chloride monomer (angiosarcoma of the liver). It has been estimated that elimination of all known occupational carcinogens, if possible, would lead to an annual saving of 5,000 premature deaths in Britain.

Infections Two broad categories of job carry an occupational risk. These are workers in contact with animals (farmers, veterinary surgeons and slaughtermen) and those in contact with human sources of infection (health-care sta? and sewage workers).

Occupational infections include various zoonoses (pathogens transmissible from animals to humans), such as ANTHRAX, Borrelia burgdorferi (LYME DISEASE), bovine TUBERCULOSIS, BRUCELLOSIS, Chlamydia psittaci, leptospirosis, ORF virus, Q fever, RINGWORM and Streptococcus suis. Human pathogens that may be transmissible at work include tuberculosis, and blood-borne pathogens such as viral hepatitis (B and C) and HIV (see AIDS/HIV). Health-care workers at risk of exposure to infected blood and body ?uids should be immunised against hapatitis B.

Poisoning The incidence of occupational poisonings has diminished with the substitution of noxious chemicals with safer alternatives, and with the advent of improved containment. However, poisonings owing to accidents at work are still reported, sometimes with fatal consequences. Workers involved in the application of pesticides are particularly at risk if safe procedures are not followed or if equipment is faulty. Exposure to organophosphate pesticides, for example, can lead to breathing diffculties, vomiting, diarrhoea and abdominal cramps, and to other neurological effects including confusion and dizziness. Severe poisonings can lead to death. Exposure can be through ingestion, inhalation and dermal (skin) contact.

Stress and mental health Stress is an adverse reaction to excessive pressures or demands and, in occupational-health terms, is di?erent from the motivational impact often associated with challenging work (some refer to this as ‘positive stress’). Stress at work is often linked to increasing demands on workers, although coping can often prevent the development of stress. The causes of occupational stress are multivariate and encompass job characteristics (e.g. long or unsocial working hours, high work demands, imbalance between e?ort and reward, poorly managed organisational change, lack of control over work, poor social support at work, fear of redundancy and bullying), as well as individual factors (such as personality type, personal circumstances, coping strategies, and availability of psychosocial support outside work). Stress may in?uence behaviours such as smoking, alcohol consumption, sleep and diet, which may in turn affect people’s health. Stress may also have direct effects on the immune system (see IMMUNITY) and lead to a decline in health. Stress may also alter the course and response to treatment of conditions such as cardiovascular disease. As well as these general effects of stress, speci?c types of disorder may be observed.

Exposure to extremely traumatic incidents at work – such as dealing with a major accident involving multiple loss of life and serious injury

(e.g. paramedics at the scene of an explosion or rail crash) – may result in a chronic condition known as post-traumatic stress disorder (PTSD). PTSD is an abnormal psychological reaction to a traumatic event and is characterised by extreme psychological discomfort, such as anxiety or panic when reminded of the causative event; sufferers may be plagued with uncontrollable memories and can feel as if they are going through the trauma again. PTSD is a clinically de?ned condition in terms of its symptoms and causes and should not be used to include normal short-term reactions to trauma.... occupational health, medicine and diseases

Roth.

Synonym: C. decidua Edgew.

Family: Capparidaceae.

Habitat: Rajasthan, Punjab and Sindh; southward to Karnataka and Tamil Nadu.

English: Caper Berry.

Ayurvedic: Karira, Krakar, Apatra, Granthila, Marubhoo-ruuha, Niguudhapatra, Karila.

Unani: Kabar, Kabar-ul-Hind, Kabar-e-Hindi; Tenti.

Siddha/Tamil: Chhengan.

Folk: Tenti.

Action: Anti-inflammatory (used for enlarged cervical glands, sciatica, rheumatoid arthritis; externally on swellings, skin eruptions, ringworm). Fruits and seeds—used for urinary purulent discharges and dysentery. Flowers and seeds— antimicrobial. The fruit is used as a pickle.

The root bark contains spermidine alkaloids, used for inflammations, asthma and gout.

Activity of the seed volatiles against vibro cholerae has been recorded.

Aqueous extract of the plant exhibits anthelmintic activity; seeds contain antibacterial principles—glucocapparin; isothiocynate aglycone of glucocap- parin.

The blanched fruits, when fed to rats at 10% dietary fibre level, showed a significant hypocholesterolaemic effect, which is attributed to its hemicel- lose content.

Pickled fruits are use for destroying intestinal worms.

Dosage: Leaf, root—50-125 mg (CCRAS.)

Folk: Hains, Kanthaar.

Action: Antiseptic, antipyretic. Used for eczema and scabies.

Leaves contain taraxasterol, alpha- and beta-amyrin and beta-sitosterol, erythrodiol and betulin.

Dosage: Root—5-10 g powder. (CCRAS.)... capparis aphylla

Linn.

Family: Caricaceae.

Habitat: Native to West Indies and Central America; now cultivated in Uttar Pradesh, Punjab, Rajasthan, Gujarat, Maharashtra and South India.

English: Papaya, Papaw.

Ayurvedic: Erand-karkati, Papitaa.

Unani: Papitaa Desi.

Siddha/Tamil: Pappaali, Pappayi.

Action: Ripe fruit—stomachic, digestive, carminative, diuretic, galactagogue. Useful in bleeding piles, haemoptysis, dysentery and chronic diarrhoea. Seeds— emmengagogue, abortifacient, vermifuge. Juice of seeds is administered in enlarged liver and spleen, and in bleeding piles.

Key application: Papain, the enzyme mixture extracted from raw papain (latex of Carica papaya), has been included among unapproved herbs by German Commission E. Experiment-based as well as clinical research indicate that papain may be effective (in the treatment of inflammations) in high doses (daily dose 1500 mg corresponding to 2520 FIP units).

Unripe fruit—emmengagogue and abortifacient. Latex—applied topically on eczema, ringworm, psoriasis, corns, warts, sloughing wounds, carbuncles and eschar of burns.

Green parts of the plant and seed contain an alkaloid carpaine. Seeds also contain carpasemine.

Latex contain enzymes—papain and chymopapain and alkaloids carpaine and pseudocarpaine. A proteinaceous material from latex showed anticoagulant activity; in higher doses it is heart depressant and as a spasmogen on smooth muscle of guinea pig ileum. An alkaloid solution showed depressant action on heart, blood pressure and intestine.

The anthelmintic action of seeds against Ascaris lumbricoides is due to carpasemine.

Papain, an enzyme mixture prepared from the fruit, seeds and leaf, hydrolyses polypeptides, amides and esters, particularly when used in an alkaline environment, and is used in digestive disorders.

Papain inhibits platelet aggregation, which may further increase the risk of bleeding in patients also taking anticoagulants. Concurrent administration of cyclophosphamide with papain caused sever damage to lung tissues in rats. (Sharon M. Herr.)

Chymopapin C is an immunosup- pressive enzyme from plant extract. Carpaine, extracted from the plant, exhibited anti-tubercular activity, also antitumour in vitro, and hypotensive.

Dosage: Leaf—40-80 ml infusion; latex—3-6 g (CCRAS.)... carica papaya

This is used as a shampoo in the treatment of dandru? and seborrhoeic DERMATITIS of the scalp. In view of its potential toxicity it should only be used under medical supervision. It must never be applied to in?amed areas of the scalp, and it must not be allowed to get into the eyes as it may cause conjunctivitis or keratitis. It is also used in the treatment of tinea versicolor (see RINGWORM).... selenium sulphide

(Barber’s itch.) A chronic staphylococcal folliculitis (infection of the hair follicles with staphylococci bacteria – see STAPHYLOCOCCUS) of the beard area in males, causing a papulopustular in?ammation clearly centred on hair follicles. It must be distinguished from RINGWORM infection of the face and hair follicles (tinea barbae) and from pseudo-folliculitis due to ingrowing hairs. Topical and oral antistaphyloccoccal antibiotics are e?ective.... sycosis barbae

An antifungal drug given systemically. Used in the treatment of dermatophyte infections of the nails and RINGWORM infections (tinea pedis, cruris and corporis) which have not responded to topical antifungal preparations.... terbinafine

A dermatomycosis; various skin fungus infections, such as ringworm, athlete’s foot, and so forth. It is generally slow to acquire and hard to get rid of.... tineas

Wight.

Family: Papilionaceae; Fabaceae.

Habitat: Grasslands and forest- glades from Uttar Pradesh to Assam and in Orissa, Andhra Pradesh and Karnataka.

Ayurvedic: Prishniparni (related species).

Action: Pods and roots—used against ringworm.... uraria alopecuroides

Linn.

Cassia absus Linn.

Family: Caesalpiniaceae.

Habitat: Throughout India.

Ayurvedic: Chakshushyaa, Aranya- kulathhikaa, Kataka.

Unani: Chaaksu.

Siddha/Tamil: Muulaipalyirai, Kaattukollu.

Folk: BanKulathi.

Action: Seed—bitter, blood-purifier, astringent, stimulant, diuretic. Used topically for leucoderma, ringworm, venereal ulcers and other skin diseases. Roots—purgative.

Seeds gave sitosterol-beta-D-gluco- side and alkaloids—chaksine and iso- chaksine. Chaksine is found to be antibacterial against Micrococcus pyo- genes var. aureus and Streptococcus haemolyticus. It stimulates contraction of different tissues of plain muscles, like uterus, intestine, bladder, and muscles in blood vessels. It depresses the parasympathetic nerve- endings of certain organs like intestine

Family: Caesalpiniaceae.

Habitat: Native to the West Indies. Found wild almost throughout India.

English: Ringworm Cassia.

Ayurvedic: Dadrughna, Dadrumar- dana.

Siddha: Malanthakerai, Seemai agathi (Tamil).

Folk: Daadmaari.

Action: Leaf—used in skin diseases like herpes, blotch, eczema, mycosis (washerman's itch). Dried leaves— in leprosy. A strong decoction is used for ringworm, eczema and herpes. Leaves are also used as a purgative.

Young pods contain rhein, emodin and aloe-emodin. The antibacterial activity of the leaves is reported to be due to rhein. The roots contain an- thraquinone. Emodin, aloe-emodin and anthraquinone contribute to the purgative activity of the leaves and roots. Crushed leaves or roots are rubbed on to the skin to cure ringworm and to control Tinea imbricata, a skin fungus.... cassia alata

Linn.

Family: Calsalpiniaceae.

Habitat: From Jammu and Himachal Pradesh to West Bengal, also in central and western India, up to an altitude of 1,200 m.

Ayurvedic: Chakramarda, Prapun- naada.

Folk: Chakondaa, Chakwar, Pumariaa.

Action: Pods—Antidysenteric, antibacterial, antifungal. Seeds— used for ringworm and skin diseases also for cough, cold, asthma, and as a mild purgative in liver complaints.... cassia obtusifolia

Linn.

Family: Calsalpiniaceae.

Habitat: Throughout India, up to an altitude of 1,500 m.

English: Coffee Senna, Foetid Cassia, Negro Coffee.

Ayurvedic: Kaasamarda, Kaasaari.

Unani: Kasondi.

Siddha/Tamil: Paeyaavarai, Thagarai.

Folk: Kasondi (bigger var.).

Action: Purgative, diuretic, febrifugal, expectorant, stomachic. Leaves—used internally and externally in scabies, ringworm and other skin diseases. A hot decoction is given as an antiperiodic. Seeds— used for cough, whooping cough and convulsions. Roasted seeds (roasting destroys the purgative property) are mixed with coffee for strength.

The pods contain sennosides and anthraquinones; seeds polysacchari- des, galactomannan; leaves dianthron- ic hetroside; pericarp apigenin; roots emodol; plant xanthone—cassiolin; seeds phytosterolin; flowers physcion and its glucosides, emodin and beta- sitosterol.

The volatile oil obtained from the leaves, roots and seeds showed antibacterial and antifungal activity.

The seeds, when fed to animals, resulted in weight loss and also were found to be toxic to experimental animals. Leaves are preferred to quinine as a tonic, seeds are considered as a hae- mateinic toxic and root is used as a hepatic tonic.

Dosage: Seed—3-6 g powder; leaf—10-20 ml juice; root bark— 50-100 ml decoction. (CCRAS.)... cassia occidentalis

R. Br.

Synonym: X. anceps HK. f.

Family: Xyridaceae.

Habitat: South India.

Folk: Kochelachi-pullu (Kerala).

Action: Herb—antiseptic. Bruised leaves and their juice, dried into powder and mixed with brandy, are used for ringworm, itches, leprosy and other skin diseases.... xyris commplanata

Animal diseases which can be transmitted to humans. There are more than 150 infections of domestic and wild vertebrates which can be transmitted in this way, including BOVINE SPONGIFORM ENCEPHALOPATHY (BSE), bovine tuberculosis, BRUCELLOSIS, HYDATID cysts, RINGWORM, TOXOCARIASIS, TOXOPLASMOSIS, LEPTOSPIROSIS, LISTERIOSIS, and RABIES.... zoonoses

A group of drugs used to treat infections caused by fungi. Antifungal drugs are commonly used to treat different types of tinea, including athlete’s foot and scalp ringworm. They are also used for candidiasis (thrush) and rare fungal infections, such as cryptococcosis, that affect internal organs.

Antifungal preparations are available in various forms including tablets, injection, creams, and pessaries. Prolonged treatment of serious fungal infections can result in side effects that include liver or kidney damage.... antifungal drugs

A group of common fungal infections affecting the skin, h air, and nails, also known as tinea and, popularly, as ringworm.... dermatophyte infections

Linn.

Family: Calsalpiniaceae.

Habitat: In gardens as hedge throughout India.

English: Sophera Senna.

Ayurvedic: Kaasamarda.

Unani: Kasondi.

Siddha/Tamil: Ponnaavaarai.

Action: Leaves, seeds, bark— cathartic; considered specific for ringworm and other skin diseases (bark may cause dermatitis); used for bronchitis and asthma.

A paste of leaves is used for treating piles. An infusion of fresh leaves, with sugar, is given in jaundice. Plant is spasmolytic. Alcoholic extract of leaves is intestinal and bronchial muscle relaxant.

The leaves contain a flavone glyco- side and sennoside. Root bark contains anthraquinones, chrysophanol, physcion and beta-sitosterol. Heart- wood gave isomeric derivatives, 1,2, 7-trihydroxy-3-methylanthraquinone, along with sopheranin, beta-sitosterol, chrysophanol, physcion, emodin, 1- octadecanol and quercetin.... cassia sophera

Linn.

Family: Calsalpiniaceae.

Habitat: Throughout India as a weed.

English: Sickle Senna, Ringworm Plant.

Ayurvedic: Chakramarda, Chakri, Prapunnaada, Dadrughna, Me- shalochana, Padmaata, Edagaja.

Unani: Penwaad Taarutaa.

Siddha/Tamil: Ushittgarai.

Folk: Chakavad, Daadamaari.

Action: Leaves—taken internally to prevent skin diseases; applied against eczema and ringworm; pounded and applied on cuts, act like tincture of iodine. Seeds, soaked in water, are taken for spermatorrhoea. A paste made of equal parts of leaves and seeds is given for jaundice. Pods are used in dysentery.

Along with other therapeutic applications, The Ayurvedic Pharmacopoeia of India indicated the use of the seed in paralysis and hemiplegia as a supporting drug.

The leaves contain chrysophanol, aloe-emodin, rhein and emodin. Mature leaves possess purgative properties and are sometimes utilized to adulterate the true senna; also used as an antiperiodic and anthelmintic.

The leaf extract exhibited antifungal activity against the ringworm fungus Microsporon nanum.

Seeds contain anthraquinone glyco- sides, naptho-pyrone glycosides, cas- siaside and rubrofusarin-6-beta-genti- obioside. These constituents showed significant hepatoprotective activity.

Thrachrysone, isolated from seeds, showed stronger antioxidant activity than tocopherol and BHA.

Chrysophanic acid-9-anthrone, extracted from the seed, was found to be active against ringworm fungi.

Dosage: Seed—1-3 g powder. (API Vol. III.)... cassia tora

Chaparral Tea was used in the past by American Indians as a medicine and it was put into question by FDA. However it was proven that chaparral tea has many benefits that you can read about below. About Chaparral tea Chaparral is a dwarf tree or shrub that grows in the desert regions of southwestern United States and Mexico. The name comes from the Spanish word chaparro which means short oak. Chaparral is also called “greasewood” and “creosote bush”. Leaves and twigs of the plant are used to make chaparral tea or infusion. It is often recommended to add honey and/or lemon into the tea in order to enhance the flavor. Chaparral contains many active components like alpha-pinene, beta-pinene, cobalt, limonene and zinc. Chaparral tea has a strong taste and smell. How to brew Chaparral tea Chaparral tea can be prepared using dried chaparral leaves and flowers into a cup with room temperature water. Let the mixture soak for a couple of minutes, then filter it. Always remember to use fresh cold water for the tea. Boiled water will make it lose its nutrients and become too strong. You can also use this cold tea as a base for a smoothie, elixir or tonic and even for mouthwash in spite of its unpleasant taste or even as an insect repellant. Benefits of Chaparral tea Chaparral tea boosts the immune system and helps keep the body in an alkaline state that allows it to naturally fight against infection, microbial invaders and many forms of disease.

• Chaparral tea, applied topically, may be effective against skin disorders such as eczema, herpes, athlete’s foot, ringworm, cold sores and dermatitis
• Chaparral tea can inhibit to certain types of cancer
• Chaparral tea steam, when inhaled, may help alleviate and relieve coughs, colds and other congestion problems
• Chaparral may be helpful in the treatment of blood poisoning and it is also a blood purifier
• The herb has anti-inflammatory properties and can relieve conditions such as arthritis
• An infusion of the chaparral herb can be used to treat and prevent dandruff
• Encourages hair growth and clear skin
• Chaparral tea can prevent cavities

Side effects of Chaparral tea At some point, the benefits of Chaparral tea were put into question by the American authorities because it was said that it has a toxic effect on the liver. However, Chaparral tea is an excellent detoxifier but if you ingest it it can create unpleasant side effects. Don’t underestimate the power of Chaparral tea but don’t exaggerate with the amount when drinking it and pay attention to any possible side effects.... chaparral tea - a controversial tea

An acute form of eczema in which itchy blisters form on the palms and/or soles. The condition, also called dyshydrotic eczema, is sometimes due to an allergic response. Rarely, it is associated with ringworm. Treatment is with an astringent or with topical application of a corticosteroid drug.... pompholyx

an antiseptic, active against fungi and bacteria, used as a preservative in foods and pharmaceutical preparations and, combined with salicylic acid, in the form of an ointment (Whitfield’s ointment) for the treatment of ringworm.... benzoic acid

(Linn.) Burm.f.

Family: Rutaceae.

Habitat: Cultivated all over India.

English: Lemon.

Ayurvedic: Jambira, Jambh, Jambhir, Jaamphal, Nimbu, Nimbuka, Naaranga, Limpaka, Dantashatha, Airaavata, Neebu (bigger var.).

Unani: Utraj.

Siddha/Tamil: Periya elumuchhai.

Action: Fruit—antiscorbutic, carminative, stomachic, antihistaminic, antibacterial. Used during coughs, colds, influenza and onset of fever (juice of roasted lemon), hiccoughs, biliousness. Fruit juice—used externally for ringworm (mixed with salt), erysipelas, also in the treatment of leprosy and white spots. Leaves and stems—antibacterial.

All parts of the plants of citrus sp. contain coumarins and psoralins. The fruits contain flavonoids and li- monoids. The flavonoids comprise three main groups—flavanones, fla- vones and 3-hydroxyflavylium (antho- cyanins); flavanones being predominantly followed by flavones and antho- cyanins. Bitter flavonoids do not occur in lemon and lime.

Lemon juice is a richer source of antiscorbutic vitamin (contains 4050 mg/100 g of vitamin C) than lime, and a fair source of carotene and vitamin B1. Volatile oil (about 2.5% of the peel) consists of about 75% limonene, alpha-and beta-pinenes, alpha-ter- pinene and citral. The fruit juice also contains coumarins and bioflavonoids.

The acid content of the fruit, once digested, provides an alkaline effect within the body and is found useful in conditions where acidity is a contributory factor (as in case of rheumatic conditions). The bioflavonoids strengthen the inner lining of blood vessels, especially veins and capillaries, and help counter varicose veins, arteriosclerosis, circulatory disorders and infections of liver, stomach and intestines.

Major flavonoid glycosides, isolated from citrus peels and juices, include hesperidin (with properties of vitamin P). Rutin and other flavanones, isolated from citrus fruits, form the principal components of vitamin P. Flavanone glycosides contained in lemon and lime juices are eriocitrin 47 and 94; hesperidin 84 and 196 mg/l, respectively.

The composition of cold pressed lime oil is quite similar to lemon oil, but citral content of lime oil is higher.

Monoterpene alcohols and their esters, aldehydes—geraniol, geranial and neral, contribute to the characteristic aroma of lemon and lime.

Dosage: Fruit—6-12 g (Juice—5- 10 ml). (API Vol. IV.)... citrus limon

Linn.

Synonym: C. viscosa Linn.

Family: Capparidaceae.

Habitat: Throughout India; Tripura, West Bengal and Gangetic valley, as a weed.

English: Wild Mustard.

Ayurvedic: Tilaparni, Hurhur (yellow var.), Aadityabhakta.

Unani: Panwaar, Hulhul.

Siddha/Tamil: Nayikkadugu, Nalvellai.

Action: Seed—carminative, antiseptic, anthelmintic (for round worms). Leaf—sudorific. Bark— externally rubefacient, vesicant. Root—vermifuge.

The aerial parts contain a macro- cyclic diterpene, cleomaldeic acid, and a bicyclic diterpene, cleomeolide. The seeds contain coumarino-lignans, cleomiscosin A,B,C and D. The leaf extract exhibited fungitoxicity against ringworm causing fungi with reported mycelian inhibitions.

The aqueous extract of seeds exhibited significant analgesic and local anaesthetic activities in mice and guinea pigs, respectively. It failed to protect rats against convulsions induced by picrotoxin, though it potentiated the barbiturate sleeping time.

The purple var. of Hurhur is equated with Cleome monophylla L. (Bihar, Orissa, Andhra Pradesh and Tamil Nadu).... cleome icosandra

Roxb. noncLinn.

Synonym: C. dichotoma Forst. f. C. obliqua Willd.

Family: Boraginaceae.

Habitat: Throughout India, wild and often planted.

English: Sabestan Plum.

Ayurvedic: Shleshmaataka, Shelu, Bahuvaara, Bahuvaaraka, Bhutvrk- shak, Uddaalaka Shita, Picchila, Lisodaa.

Unani: Sapistaan, Lasodaa.

Siddha/Tamil: Naruvili.

Action: Fruit—astringent, demulcent, expectorant, diuretic, anthelmintic, mucilaginous. Used in the diseases of the chest and urinary passage. Bark—used in dyspepsia and fevers. Kernels— externally applied to ringworm. Leaf—decoction used in cough and cold.

The fruits contain Ca 55, P 275, Zn 2, Fe 6, Mn 2, Cr 0.2 and Cu 1.6 mg/100 g (Chromium is of therapeutic value in diabetes).

Antinutritional factors are—phytic acid 355, phytate phosphorus 100 and oxalic acid 250 mg/100 g.

The seeds contain alpha-amyrin and taxifolin-3, 5-dirhamnoside, which showed significant anti-inflammatory activity. EtOH (50%) of leaves and stems—antimicrobial; aerial parts— diuretic and hypothermic.... cordia myxa

n. an antifungal drug used to treat all types of fungal skin infections (including ringworm), infection in otitis externa, and vaginal candidiasis (thrush). It is applied to the infected part and occasionally causes mild burning or irritation.... clotrimazole

n. an antifungal drug used to treat ringworm and candidiasis. Possible side-effects may include local irritation and burning.... econazole

n. a drug used to treat fungal skin infections, such as *ringworm of the scalp, body, and feet, and oral and vaginal candidiasis (see imidazole). Side-effects include itching, skin rash, and nausea and vomiting.... miconazole

Gaertn. f.

Synonym: D. indicus Bedd.

Family: Dipterocarpaceae.

Habitat: The Andamans and Assam.

English: Common Gurjun tree, Wood Oil tree.

Ayurvedic: Ajakarna, Chhaagakar- na, Ashwakarna.

Siddha/Tamil: Enney, Saara.

Folk: Gurjan.

Action: Oleo-resin (known as Gurjan Oil or Gurjan Balsam)— stimulant to genitourinary system, diuretic, spasmolytic; used externally on ulcers, ringworm and other cutaneous affections. Bark—a decoction is prescribed rheumatism.

Essential oil from oleo-resin contained humulene, beta-caryophyllene, a bicyclic sesquiterpene hydrocarbon and a sesquiterpene alcohol.

The twig bark contains 9% tannin and 7.3% soluble non-tans.

Dosage: Oil—3-5 ml. (CCRAS.)... dipterocarpus turbinatus

A streptococcal infection (see STREPTOCOCCUS) of the skin characterised by an acute onset with fever, malaise and a striking, usually unilateral, rash (see ERUPTION) almost always on a lower leg or the face. Shivering, local pain and tenderness are associated with a sharply de?ned, spreading, bright red swollen zone of skin in?ammation. On the leg, blistering and PURPURA may follow. The bacteria enter the skin through a ?ssure in a toe cleft (often associated with tinea pedis [RINGWORM]) or via a crack in the skin behind an ear or in a nostril.

Treatment PENICILLIN in full dosage should be given orally for ten days. In those allergic to penicillin, ERYTHROMYCIN can be substituted. Recurrent attacks are common and may cause progressive lymphatic damage leading to chronic OEDEMA. Such recurrences can be prevented by long-term prophylactic oral penicillin.... erysipelas

Linn.

Family: Euphorbiaceae.

Habitat: Smaller var., equated with E. thymifolia, is found in tropical plains and low hills of India, ascending to 1,750 m. Bigger var., E. pilulifera/E. hirta Linn. is found in warmer parts of India from Punjab eastwards, and southwards to Kanyakumari.

Ayurvedic: Dudhi (smaller var.), Dugdhikaa, Naagaarjuni, Swaaduparni.

Siddha/Tamil: Sittrapaladi.

Action: Plant—antispasmodic, bronchodilator, antiasthmat- ic (used in bronchial asthma), galactagogue (also used for spermatorrhoea). Root—used in amenorrhoea. Latex—used in ringworm, dandruff. Leaf, seed and latex—purgative. A decoction of the plant, with honey, is given to treat haematuria.

Aerial parts gave epitaraxerol, n- hexacosanol, euphorbol, two derivatives of deoxyphorbol-OAC, 24-meth- ylene cycloartenol and quercetin galactoside. Co-carcinogenic activity is due to phorbol derivatives. The plant exhibits antimicrobial activity due to alkaloids.

Dosage: Whole plant—10-20 g paste. (CCRAS.)

Family: Euphorbiaceae.

Habitat: Native to Africa; naturalized in the warmer parts of India.

English: Milk-Bush, Milk Hedge, Indian tree Spurge, Aveloz, Petroleum Plant

Ayurvedic: Saptalaa, Saatalaa.

Siddha/Tamil: Tirukalli.

Folk: Angulia-thuuhar.

Action: Purgative, emetic, antiasthmatic, bechic. Used for whooping cough, asthma, dyspepsia, biliousness, jaundice, enlargement of spleen, leucorrhoea. Latex—applied externally on warts.

Used as a purgative and for rheumatism and neuralgia. Stem bark—used for gastralgia, colic, asthma.

The latex contains an ingol ester besides triterpenoids, euphorbinol and cycloeuphordenol.

Presence of a number of ingenol and phorbol esters (diterpenoids), and tri- terpenoids are reported from the plant. The stem gave hentriacontane, hentri- acontanol, beta-sitosterol, Me-ellagic and ellagic acids and kaempferol glu- coside.

The latex is a weak tumour promoter.... euphorbia thymifolia

n. an antifungal drug used to treat infections of the nails and ringworm. Possible side-effects with oral treatment include nausea, abdominal pain, and allergic skin rashes.... terbinafine

n. a genus of fungi, parasitic in humans, that frequently infect the skin, nails, and hair and cause *ringworm. See also dermatophyte.... trichophyton

ultraviolet light filtered through a nickel oxide prism, which causes fluorescence in skin and hair affected by some fungal and bacterial infections and is therefore useful in diagnosis. For example, *erythrasma fluoresces coral pink, while scalp ringworm caused by Microsporum species fluoresces green. [R. W. Wood (1868–1955), US physician]... wood’s light

These infections, also called mycoses (see MYCOSIS), are common and particularly affect the skin or mucosal membranes in, for example, the mouth, anus or vagina. Fungi consist of threadlike hyphae which form tangled masses or mycelia – common mould. In what is called dermatophyte (multicellular fungi) fungal infection of the hair, nails and SKIN, these hyphae invade the KERATIN. This is usually described as ‘RINGWORM’, although no worm is present and the infection does not necessarily occur in rings. PITYRIASIS versicolor and candidosis (monoliasis – see CANDIDA), called thrush when it occurs in the vulva, vagina and mouth, are caused by unicellular fungi which reproduce by budding and are called yeasts. Other fungi, such as ACTINOMYCOSIS, may cause deep systemic infection but this is uncommon, occurring mainly in patients with immunosuppressive disorders or those receiving prolonged treatment with ANTIBIOTICS.

Diagnosis and treatment Any person with isolated, itching, dry and scaling lesions of the skin with no obvious cause – for example, no history of eczema (see DERMATITIS) – should be suspected of having a fungal infection. Such lesions are usually asymmetrical. Skin scrapings or nail clippings should be sent for laboratory analysis. If the lesions have been treated with topical steroids they may appear untypical. Ultraviolet light ?ltered through glass (Wood’s light) will show up microsporum infections, which produce a green-blue ?uorescence.

Fungal infections used to be treated quite e?ectively with benzoic-acid compound ointment; it has now been superseded by new IMIDAZOLES preparations, such as CLOTRIMAZOLE, MICONAZOLE and terbina?ne creams. The POLYENES, NYSTATIN and AMPHOTERICIN B, are e?ective against yeast infections. If the skin is macerated it can be treated with magenta (Castellani’s) paint or dusting powder to dry it out.

Refractory fungal infection can be treated systematically provided that the diagnosis of the infection has been con?rmed. Terbina?ne, imidazoles and GRISEOFULVIN can all be taken by mouth and are e?ective for yeast infections. (Griseofulvin should not be taken in pregnancy or by people with liver failure or porphyria.) (See also FUNGUS; MICROBIOLOGY.)... fungal and yeast infections

Planch.

Family: Ulmaceae.

Habitat: Throughout greater parts of India, also grown in gardens.

Ayurvedic: Chirbilva, Putika, Prakirya.

Siddha/Tamil: Avil thol, Ayil pattai (bark)

Action: Bark—internally and externally used in rheumatism. Stem bark paste—in scabies. Seeds—used topically on ringworm.

The Ayurvedic Pharmacopoeia of India recommends dried fruits in poly- uria and other urinary disorders.

The stem bark contains the triter- penoidal fatty acid esters, holoptelin-A (epi-friedelinol palmitate) and holop- telin-B (epi-friedelinol stearate), frie- delin and epi-friedelinol.

The powdered bark exhibited lipoly- tic action and mobilized fat from adipose tissues in rats and consequently helped in the reduction of obesity.

Dosage: Dried fruit—1-3 g. (API Vol. III.)... holoptelea integrifolia

Forsk.

Synonym: I. reptans Poir.

Family: Convolvulaceae.

Habitat: Throughout the greater part of India.

English: Swamp Cabbage.

Ayurvedic: Kalambi, Naalikaa.

Siddha/Tamil: Vellaikeerai, Koilan- gu.

Action: Emetic and purgative. Used as an antidote to arsenical or opium poisoning. Plant juice is used for liver complaints; buds for ringworm.

The leaves are a good source of minerals (2.1%), vitamins (especially, carotene and tocopherol). Plant is given for nervous and general debility. Whole plant gave beta-carotene, xan- thophyll, traces of taraxanthin, hentri- acontane, beta-sitosterol and its gluco- side.

The buds of pigmented variety are recommended as a food for diabetics. An insulin-like substance is reported from the buds.

The stems contain N-trans- and N- ris-feruloyltyramines, which have been found to be the inhibitors of in vitro prostaglandin synthesis.

The plant shows abundant growth in waste water and absorbs some organic and inorganic components, including heavy metals from waste water. The plant may be useful in the treatment of waste water by biogeofiltration.... ipomoea aquatica

Linn.

Synonym: J. humile auct. non L. J. bignoniaceum Wall ex G. Don.

Family: Oleaceae.

Habitat: Sub-tropical Himalayas from Kashmir to Nepal and in the Nilgiris, Palni Hills, Western Ghats and Kerala.

English: Yellow Jasmine, Nepal Jasmine, Italian Jasmine.

Ayurvedic: Svarna-yuuthikaa, Svarnajaati, Hemapushpikaa, Vaasanti.

Siddha/Tamil: Semmalligai.

Folk: Juuhi (yellow var.).

Action: Flower—astringent, cardiac tonic. Root—used in ringworm. The milky juice, exuded from incisions in the bark, is used for treating chronic fistulas. The plant is also used for treating hard lumps.

The leaves gave alpha-amyrin, be- tulin, friedelin, lupeol, betulinic, olea- nolic and ursolic acids; beta-sitosterol, 10-cinnamoyloxyoleoside-7-methyl- ester (jasminoside) and a secoiridoid glycoside.... jasminum humile

Linn.

Family: Euphorbiaceae.

Habitat: Native to tropical America. Now cultivated along with Cromandel Coast and in Travancore.

English: Physic Nut, Purging Nut.

Ayurvedic: Vyaaghrairanda (var.), Sthula-eranda, Kaanan-eranda.

Siddha/Tamil: Kattu Amanaku.

Folk: Bagharenda (var.).

Action: Seed—highly toxic. Nut— purgative. Plant—used for scabies, ringworm, eczema, whitlow, warts, syphilis. Stem bark—applied to wounds of animal bites; root bark to sores.

The protein of the seed contains the toxic albumin curcin (protein 18.0%, curcin 0.005%).

Seed and seed oil—more drastic purgative than castor seed oil and milder than Croton tiglium oil.

An aqueous (10%) infusion of leaves increased cardiac contraction is small doses. EtOH (50%) extract of aerial parts—diuretic and CNS depressant.

The seed contain phorbol derivatives. The plant also contains cur- cosones and lathyrane diterpenes.... jatropha curcas

Roxb.

Family: Euphorbiaceae.

Habitat: South India and Bengal.

Ayurvedic: Vyaaghrairanda.

Siddha/Tamil: Adalai, Eliya- manakku.

Folk: Bagharenda, Jangali-erandi.

Action: Root and oil from seed— purgative. Oil—antirheumatic, antiparalytic. Used externally on ringworm and chronic ulcers. Root—used for glandular swellings.

Latex—applied to warts and tumours.

The plant contain alkannins (iso- hexenylnaphthazarins). The presence of alkannins in this plant (a member of Euphorbiaceae) should be considered as an exception.

The root gave jatropholone A, frax- etin and a coumarinolignan.

Dosage: Seed—50-100 mg powder. (CCRAS.)... jatropha glandulifera

Linn.

Family: Euphorbiaceae.

Habitat: Native to South America. Naturalized in various parts of India.

English: Coral plant, Physic Nut.

Ayurvedic: Brihat-Danti (bigger var. of Danti, also equated with Baliospermum montanum).

Folk: Danti (var.).

Action: Seeds—purgative, emetic. Fruits—poisonous. Leaves—used for scabies. Latex—applied to wounds and ulcers.

The latex from the plant showed antibacterial activity against Staphylococ- cus aureus. It contains immunologi- cally active acylphloroglucinols, mul- tifidol, phloroglucinol and multifidol beta-D-glucopyranoside. The latex also contains an immunologically active, cyclic decapeptide, labaditin.

J. panduraefolia Andr. (native to America), widely grown in Indian gardens, is known as Fiddle-leaved Jat- ropha. The latex from the plant shows fungitoxic activity against ringworm fungus, Microsporum gypseum.... jatropha multifida

Plumbago spp.

Plumbaginaceae

The genus Plumbago belonging to the family Plumbaginaceae is a popular and medicinally very important group of medicinal plants. Three species, namely P. rosea, P. zeylanica and P. auriculata have been identified. Among these P. rosea and P. zeylanica are important ones.

Plumbago, in general is an esteemed remedy for leucoderma and other skin diseases. The synonyms of fire like agnih, vahnih, etc. are attributed to this drug to indicate the very burning action of the root, causing blisters on the skin (daranah). The drug is used only after adequate curing and purification. Root is the officinal part and it enters into the composition of preparations like Citrakasavam, Dasamularista, Gulgulutiktaka kasaya, Yogarajachurna, etc.

1. P. rosea Linn. syn. P. indica Linn.

Eng: Rosy-flowered Leadwort; San: Citrakah, Dhahanah;

Hin: Lalcitra, Raktacitra;

Ben: Lalchita;

Mal: Kotuveli, Chettikkoduveli, Chuvannakotuveli;

Tam: Chenkotuveli, Cittiramulam;

Kan: Kempacitramula;

Tel: Yerracitramulam

Rosy-flowered leadwort or Fire plant is a native of Coromandel Coast. It is found throughout India, in moist situations as well as cultivated. The roots are useful in dyspepsia, colic, inflammations, cough, bronchitis, helmenthiasis, haemorrhoids, elephantiasis, chronic and intermittent fever, leprosy, leucoderma, ringworm, scabies, hepatosplenomegaly, amenorrhoea, odontalgia, vitiated conditions of vata, kapha and anaemia. It is a pretty subscandent perennial shrub with semi -woody striate stems and flexible branches. Leaves are simple, alternate oblong, short cuneate at the base passing into a very short amplexicaul, exauriculate, and reddish petiole. Flowers are bright red, arranged in long terminal spikes. The calyx ribs are covered with stipitate, bifarious and subsessile gland. Corolla tube is slender and four times as long as the calyx. The stout roots are cylindrical, irregularly bent, light yellowish brown with smooth surface having short transverse shallow fissures at the regions of the bents. A light yellowish juice excudes from the cut surface. A healthy plant may produce 18-20 stout roots (Warrier et al, 1995).

The chemical constituents include plumbagin and sitosterol glucoside. Clinical trials have demonstrated that plumbagin oil from P. indica is useful in common wart (Satyavati et al, 1987). The roots are acrid, astringent, thermogenic, anthelmintic, constipating, expectorant, antiinflammmatory, abortifacient, alterant, anti-periodic, carminative, digestive, sudorific, narcotic, gastric, nervous stimulant and rejuvenating. Root is a powerful sialogogue and vesicant.

2. P. zeylanica Linn.

Eng:White flowered Leadwort; San:Chitraka;

Hin, Ben:Chitarak, Chitra; Mal:Vellakotuveli

Tam: Sittragam, Chittiramoolam;

Kan: Vahini; Mar: Chitraka;

Tel: Chitramulam

White flowered Leadwort or Chitarak is found wild in peninsular India and mostly in West Bengal. Root is used externally in leprosy and other skin diseases or obstinate character, aphthae, abscesses, influenza, piles and anasarca. Juice is used externally in scabies and ulcers. One of the important preparations of Chitrak is “Yograjguggal”, prescribed for arthritis, rheumatism, etc. The other well known preparations are “Chitrak Adivati” and “ Chitraka Haritaki”. In Unani system it is an ingredient of “Aqaruva-i- Kabir”, “Hab Ashkhar”, “Ma’jun Baladur”, “Ma’jun Raig Mahi”, etc. It is a branched undershrub. Roots are long and tuberous. Stem is striate. Leaves are simple, alternate, short petioled, ovate or ovate-oblong, acute with entire or wavy margin, 7x3.8cm and glabrous. Flowers are white, arranged in terminal spikes. Calyx is tubular, glandular-hairy. Corolla tube is slender; limb rotate and 5 lobbed. Stamens are 5 on a disc. Style is slender with 5 stigmatic branches. Fruit is membranous capsule enclosed within the persistent calyx.

The roots of P. zeylanica have been exhaustively studied and naphthaquinones have been isolated, namely, plumbagin, 3-chlroplumbagin, droserone (Sidhu et al, 1971; Padhye et al, 1973), 3,3’-biplumbagin(Chitranone), zeylanone and iso-zeylanone and a coumarin, elliptinone (Sankaram et al, 1976, 1979). It also contains 1,2(3)-tetrahydro-3,3’-biplumbagin and plumbazeylanone. The leaf is antirheumatic. Root is appetiser, sudorific, relieves pain, vasicant, diuretic, caustic, antidiarrhoeal and expellent of phlegmatic tumours. Root is uterine stimulant. Root and fruits have antiimplantation activity. Plumbagin induces antiimplantation, has abortifacient and antiovulatory activity and causes selective testicular lesions in dogs. It is also a mitotic inhibitor. In lower concentration it behaves like a spindle, poison but in higher concentration it exhibits radiomimetic, nucleotoxic and cyclotoxic effects. It also has antibacterial, antifungal and anticoagulant activities and shows antagonism to amphetamine hyperactivity in mice.

3. P. auriculata Lam. syn. P. capensis

Eng: Blue flowered Leadwort;

Mal: Neelakotuveli

The blue flowered Leadwort is often grown in gardens throughout India (Moos, 1976; Chunekar, 1982; Sharma, 1983). It is a native of Cape Province in South Africa. It is a constituent of many Ayurvedic drugs (KAU, 1991). The plant is a subshrub growing to a height of 1-1.5m. Leaves are elliptic to obovate, 3-4 x 1.5-2cm. Inflorescence is a raceme of length 3-4cm. Corolla is blue to violet. Stamens are 5 in number. Flowers and fruits may be upto 12 in number (Matthew, 1995).

Agrotechnology: The plant is grown in tropical to subtropical ecosystems. Warm humid tropical climate is most suited. They come up well in almost all types of deep and well drained soils. It is propagated vegetatively by stem cuttings. Three stem cuttings of size 15cm long are planted in polybags of size 14x10cm. IAA and IBA treatments will improve rooting of cuttings. The land is to be ploughed well. About 4 tonnes of FYM are to be applied, mixed thoroughly and seed bed of size 50cm breadth, 1.5cm height and convenient length are to be prepared. On these beds pits are taken at a distance of 25cm and the rooted plants are transplanted from the polybags. Regular irrigation and weeding are to be carried out. In the second year with the onset of monsoon, seedbeds are again refreshed after adding about 4 tonnes of FYM. At the end of second year tubers are collected. Care should be taken to wear gloves, else the chemical plumbagin present in the roots will cause burning sensation. The collected tubers are washed, tied into bundles and marketed. Plumbago yields about 7-10t tubers/ha with good management (Prasad et al, 1997).... leadwort

Linn.

Leonotis nepetaefolia (L.) R. Br.

Family: Labiatae; Lamiaceae.

Habitat: Throughout the warmer parts of India.

Ayurvedic: Granthiparni, Kaaka- puchha.

Folk: Gathivan, Deepamaal (Maharashtra).

Action: Leaves—spasmolytic. Ash of flower head—applied to burns and scalds, in ringworm and other skin diseases.

The Ayurvedic Pharmacopoeia ofIn- dia recommends the root in cough, bronchitis and dyspnoea.

The root contains n-octacosanol, n-octacosanoic acid, quercetin, 4,6,7- trimethoxy-5-methylchromene-2-one, campesterol and beta-sitosterol-beta- D-glucopyranoside.

The plant contains 4,6,7-trimethoxy- 5-methyl-chromene-2-one.

The leaves contain neptaefolin, nep- taefuran, neptaefuranol, neptaefolinol, leonitin, neptaefolinin and (-)-55, 6- octadecadienoic acid.

The seed oil contains oleic, linoleic, palmitic and stearic acids. The fatty

Family: Labiatae; Lamiaceae.

Habitat: Native to Europe; also distributed in Himalayas from Kashmir to Kumaon.

English: Common Motherwort, Lion's Tail.

Unani: Baranjaasif. (Also equated with Artemesia vulgaris Linn; and Achillea millifolium Linn.)

Action: Stomachic, laxative, antispasmodic, diaphoretic, em- menagogue (used in absent or painful menstruation, premenstrual tension, menopausal flushes). Hypnotic, sedative. Used as a cardiac tonic. (Studies in China have shown that Motherwort extracts show antiplatelet aggregation actions and decrease the levels of blood lipids.)

Key application: In nervous cardiac disorders and as adjuvant for thyroid hyperfunction. (German Commission E.) As antispasmodic. (The British Herbal Pharmacopoeia.) The British Herbal Compendium indicated its use for patients who have neuropathic cardiac disorders and cardiac complaints of nervous origin.

The plant contains diterpene bitter principles, iridoid monoterpenes, flavonoids including rutin and querci- trin, leonurin, betaine, caffeic acid derivatives, tannins and traces of a volatile oil.

The herb is a slow acting adjuvant in functional and neurogenic heart diseases. Its sedative and spasmolytic properties combine well with Valeriana officinalis or other cardioactive substances.

The herb contains several components with sedative effects—alpha- pinene, benzaldehyde, caryophyllene, limonene and oleanolic acid. (Sharon M. Herr.)

Habitat: Western Europe. Seeds are imported into India from Persia.

English: Pepper-Grass.

Unani: Bazr-ul-khumkhum, Todari (white var.).

Action: Seeds—blood purifier; prescribed in bronchitis.

The fatty acid of the oil are: oleic 12.9, linoleic 47.87, linolenic 5.43, erucic 31.97, stearic 0.54 and palmitic 1.22%.

The seed mucilage on hydrolysis gave galactose, arabinose, rhamnose and galacturonic acid.

Flowering tops and seeds contain a bitter principle, lepidin.

The plant yield a sulphur-containing volatile oil.... leonurus cardiaca

(Lam.) Druce.

Synonym: L. gratissima Blume.

Family: Scrophulariaceae.

Habitat: South Bihar, Orissa, Assam, Western parts of South India, up to 600 m, also in back waters.

Folk: Aamragandha Karpuur (non-classical); Karpuur (Bengal); Ambuli (Maharashtra); Manganari (Kerala). Kuttra.

Action: Plant—galactagogue, aperient, antiseptic. Juice given in fever and to nursing mothers when milk is sour. Oil—antiseptic.

The plant gave an essential oil (0.1%), containing d-limolene and d-perillal- dehyde as principal constituents. The essential oil showed significant antimicrobial activity against Bacillus subtilis, Candida albicans, Aspergillus niger and Rhizopus oryzae.

The plant, made into a liniment with coconut oil, is used in elephantiasis.

L. conferia Benth., known as Munga- nari in Kerala, contains flavonoids showing anti-inflammatory activity, quercetin showed significant activity only at a dose of 150 mg/kg, while wogonin, nevadensin and quercetin- pentamethyl ether at 75 mg/kg. The essential oil from the plant exhibited antifungal activity against ringworm fungi.... limnophila aromatica

Mill.

Family: Altingiaceae; Hamameli- daceae.

Habitat: Native to Asia Minor.

English: Storax, Oriental Sweet Gum.

Ayurvedic: Turushka, Silhaka, Kapitaila.

Unani: Ambar Saayil, Silaaras.

Siddha/Tamil: Neri-arishippal.

Action: Balsam—anti-inflammatory, stimulating expectorant, antipara- sitic, antiseptic, antimicrobial. Used externally in scabies, ringworm and other skin diseases. Used for coughs and bronchitis as an inhalation.

Storax contained cinnamic acid up to 30%—cinnamin acid esters, cin- namyl cinnamate (styracin), phenyl- propyl cinnamate; triterpene acids; vanillin; styrene; aromatic alcohols. Pentacyclic triterpene aldehydes—liq- uidambronal and ambronal—have been isolated from nonvolatile part of resin along with bornyl trans-cinna- mate.

Dosage: Gum—1-3 g. (CCRAS.)... liquidambar orientalis

Muell.-Arg.

Family: Euphorbiaceae.

Habitat: Throughout tropical regions of India.

English: Kamala tree, Monkey Face tree.

Ayurvedic: Kampillaka, Kampilla, Karkash, Raktaanga, Rechan, Chandra.

Unani: Kamilla, Kambilaa.

Siddha/Tamil: Kapli, Kalupatti.

Action: Gland and hair of fruit— purgative, anthelmintic, styptic. Used for the treatment of tapeworm infestation; in scabies, ringworm, herpes. Fruit—hypoglycaemic, spasmolytic, antibacterial.

Capsule hair and glands gave phlo- roglucinol derivatives; rottlerin, isorot- tlerin, iso-allorottlerin (the "red compound") and methylene-b¿s-methyl- phloroacetophenone (the "yellow compound"). The red powder, obtained from capsules, containing largely resinous matter, had lithotropic effect in rats, comparable to drugs used commonly against urinary calculi. Two more compounds designated as kama- lins 1 and 2 have been isolated.

The stem bark contains kamaladiol- 3-acetate and friedelin.

Dosage: Glands and hairs of the fruit—0.5-1.0 g powder. (API, Vol.I.)... mallotus philippensis

Harms.

Synonym: M. Toluiferum H. B. & K.

Family: Leguminosae.

Habitat: Indigenous To Venezuela, Columbia And Peru;. Grown In Lal Bagh Botanic Garden (Bangalore) And Kallar (Nilgiris).

English: Tolu Balsam Tree.

Action: Balsam—Antiseptic, Stimulant And Expectorant. Used As An Ingredient In Cough Mixtures, Also Used As An Inhalant In Cases Of Obstinate Catarrh.

Key Application ? Externally For Poorly Healing Wounds, For Burns, Decubitus Ulcers, Frost Bite, Ulcus Cruris, Bruises Caused By Prostheses, Haemorrhoids; As Antibacterial, Antiseptic And Antiparasitic (Especially For Scabies). (German Commission E.)

Balsam Contains Cinnamic Acid, Benzoic Acid And Their Esters.

Myroxylon Pereirae Kolotzsch (Lal Bagh Botanic Garden, Bangalore), Is The Source Of Peru Balsam. Used Externally In The Form Of An Ointment Or Tincture, As A Parasiticide In Scabies, Ringworm And Pediculosis And For Bed Sores And Chilblains. It Enters Into Suppositories Used In Hemorrhoids.... myroxylon balsamum

Linn.

Family: Myrsinaceae.

Habitat: Outer Himalayas from Kashmir to Nepal and in Khasi Hills at 300-2,700 m.

Ayurvedic: Vaayavidanga (substitute). (Embelia ribes is the authentic source of Vidanga.)

Folk: Bebrang (Punjab), Kakhum, Shamshaad (according to Unani reference books, Shamshaad is obtained from a Pinaceae tree).

Action: Fruit—anthelmintic (used for the expulsion of tape worms; also as a substitute for Emblia ribes); antispasmodic, purgative; used externally against ringworm and other skin affections. Aerial parts—antifertility, abortifacient. (According to Unani medicine, the fruits of Shamshaad show antifertility activity in females.)

Berries and seeds contain embelic acid and quercitol (1%). Embelin (3%) is present in the dried fruit. Seeds also contain embelin.

Seeds of M. semiserrata Wall. contain embelin (0.4%) and quercitol (0.8%).

Seeds of M. capitellata Wall. contain 1.6% embelin.

These related species are found in Nepal, Bhutan, Assam and North Bengal.... myrsine africana

Neem tea is a refreshing herbal tea, with origins in South Asia. Despite its bitter taste, it is often recommended as a beverage thanks to its many health benefits. Read this article to find out more about neem tea! About Neem Tea Neem tea is made from the leaves of the Neem tree. The tree can be found in India, Bangladesh and Pakistan. It is an evergreen tree which can grow up to twenty feet in just three years, and it starts bearing fruit after 3-5 years. However, during periods of severe drought, it may shed most or even all of its leaves. The green leaves are 20-40cm long, with medium to dark green leaflets about 3-8cm long; the terminal leaflet is usually missing. The tree’s flowers are small, white and fragrant, arranged axillary. The fruit has an olive-like form, with a thin skin and a yellow-white, fibrous and bittersweet pulp. How to prepare Neem Tea To brew a cup of neem tea, you have to follow a few simple steps. First, boil the necessary amount of water. Then, pour it over a cup with includes a few neem leaves. Let it steep for about 5 minutes. Lastly, remove the leaves and, if you think it is needed, flavor it with honey and/or lemon. You can make your own stack of neem leaves for neem tea. If you’ve got neem trees around, gather leaves and leave them to dry. You can use fresh neem leaves, as well. In both cases though, you have to wash the leaves well before you use them. Once you’ve got the leaves ready, whether dry or fresh, just follow the earlier-mentioned steps. You can also make a cup of neem tea by using powdered neem leaf. Neem Tea Benefits Neem leaves have many antibacterial and antiviral properties. Thanks to this, neem tea is full of health benefits. Indians chew on neem twigs to have a good oral hygiene. However, a cup of neem tea can also help you maintain a good oral hygiene. It is useful in treating bad breath and gum disease, and it fights against cavities. Neem tea is also useful in treating fungal infections, such as yeast infections, jock itch, thrush, and ringworm. Neem tea can help you treat both indigestion and constipation. It is also useful when it comes to reducing swelling of the stomach and intestinal tract, and it can be used to counter ulcers and gout. Neem tea, when combined with neem cream, has anti-viral uses. It can help speed up the healing time and pain associated with herpes simplex 1, herpes zoster and warts. Neem tea is also used in the treatment of malaria and other similar diseases. It helps purify and cleanse the blood, as well; therefore, it increases liver function. Other important benefits that are related to consumption of neem tea are: treating pneumonia, treating diabetes, treating hypertension and heart diseases. Also, neem tea doesn’t have to be used only as a beverage. Because of its anti-parasitic use, you can bathe in it. This way, the tea acts as an antiseptic, killing the parasites. Neem Tea Side Effects While we can say that neem tea has plenty of important health benefits, don’t forget that there are a few side effects, as well. First of all, neem oil can be incredibly toxic for infants. Even a small amount of neem oil can cause death. Check to see if the neem tea you drink has neem oil among its ingredients. Or, just to be on the safe side, don’t give infants neem tea to drink. You shouldn’t drink neem tea if you have a history of stomach, liver or kidney problems. Some of its active ingredients can cause you harm in this case. Although rare, neem tea can also lead to allergic reactions. Symptoms in this case include difficulty in breathing, rashes, itching, or swelling of the throat or mouth. If you get any of these, stop drinking neem teaand contact your doctor. Drinking neem tea is a big no if you’re trying to conceive, or you’re already pregnant. In the first case, neem tea can work as a contraceptive, therefore lessening the chances of you getting pregnant. In the second case, consumption of neem tea can lead to miscarriages. Also, don’t drink more than six cups of neem teaa day - or any other type of tea. It won’t do you well, despite its many health benefits. Some of the symptoms you might get are: headaches, dizziness, insomnia, irregular heartbeats, vomiting, diarrhea and loss of appetite. If you get any of these symptoms, reduce the amount of neem tea you drink. As a herbal tea, neem tea is definitely good for your health. Still, despite its many health benefits, there are a few side effects as well. Keep them both in mind when drinking neem tea.... neem tea - an indian herbal tea

Gaertn.

Nelumbium speciosum

Family: Nymphaeaceae.

Habitat: Throughout warmer parts of India, up to 1,800 m.

English: East Indian Lotus, Sacred Lotus.

Ayurvedic: Kamala, Padma, Nalina, Aravinda, Jalaja, Raajeeva, Pushkara, Ambuja, Abja, Pankaja. Pundarika (whitish), kokanada (red), Indivara (Bluish).

Unani: Used as a substitute for Nilofar.

Siddha/Tamil: Thaamarai, Ambel.

Action: Filament—astringent and haemostatic. Prescribed for bleeding piles and menorrhagia. Flowers—a decoction is given in cholera, fever, strangury, palpitation of heart. Rhizomes—given in piles, chronic dyspepsia and dysentery; applied externally to cutaneous eruptions, scabies and ringworm. Rhizome-arrowroot— given to children in diarrhoea and dysentery. Root—astringent, diuretic, antiemetic, cooling. Used for dysentery, dyspepsia, piles, skin affections and for its anticoagulant properties.

The Ayurvedic Pharmacopoeia ofIn- dia recommends dried rhizomes, with roots attached at nodes, in syncope and vertigo.

Flowers yielded quercetin, luteolin and their glycosides and kaempferol glycosides. Leaves gave quercetin, iso- quercitrin and leucoanthocyanidin.

Isoquinoline alkaloid, nuciferin, is neuroleptic. Active agents in the leaves are the alkaloids, nelumbin and roe- merin.

Dosage: Dried flower—12-24 g for decoction (API, Vol. II); rhizomes— 5-10 m powder; 10-20 ml juice (API, Vol. III). Seed—3-6 g powder; flower—10-20 ml juice. (CCRAS.)... nelumbo nucifera

Mill.

Synonym: N. odorum Soland.

Family: Apocynaceae.

Habitat: Native of Mediterranean region; grown in Indian gardens.

English: Indian oleander, White oleander.

Ayurvedic: Karavira, Viraka, Ashva- maaraka, Hayamaaraka, Gauripush- pa, Divyapushpa, Shatakumbha, Siddhapushpa (white-flowered var.). Raktapushpa, Raktaprasava, Ravipriya (red-flowered var.)

Unani: Kaner Safed, Diflaa, Samm-ul-maar, Khar-zaharah.

Siddha/Tamil: Arali, Alari, Aatrulari, Karaviram.

Action: Root—resolvent and attenuant. A paste of the root is externally applied to haemorrhoids and ulcerations in leprosy. Paste of the root bark and leaves is used in ringworm and other skin diseases. An oil extracted from the root bark is used in skin diseases of scaly nature. Leaves—cardioactive (digitalis-like effect) and diuretic, anti-inflammatory, antifungal, insecticidal. Toxic.

The leaves contain several glyco- sides including glycosides of 8 beta- hydroxy-digitoxigenin. Cardenolide glycosides and pregnanolone glyco- sides have been isolated from roots.

The ethanolic extract of the flowers inhibits the growth of dermatophytes.

The plant shows antifungal activity against ringworm fungus, Microspo- rum nanum.

Dosage: Detoxified leaves—30— 125 mg powder (API, Vol. I); root— 30 mg—125 mg powder (API, Vol. III).... nerium indicum

Linn. var. cuneata Engl.

Family: Araceae.

Habitat: Tropical and sub-tropical Asia, Africa and America.

English: Water Lettuce, Tropical Duckweed.

Ayurvedic: Jalakumbhi, Vaariparni, Vaarimuuli.

Siddha/Tamil: Agasatamarai.

Action: Whole plant and root— diuretic, used for dysuria. Leaf—an- titussive, demulcent, antidysenteric, externally applied to haemorrhoids, ulcers, skin diseases. Ash—applied to ringworm of the scalp.

The plant gave 2-di-C-glycosylfla- vones of vicenin and lucenin type, anthocyanin-cyanidin-3-glucoside, lu- teolin-7-glycoside and mono-C-glyco- sylflavones— vitexin and orientin.

Dosage: Plant—10-20 ml juice. (CCRAS.)... pistia stratiotes

A skin disorder typi?ed by a bran-like desquamation (?aking). There are several varieties including P. alba, rosea, versicolor (fungal caused) and rubra (exfoliative dermatitis).

Pityriasis alba is a mild form of chronic eczema (see DERMATITIS) occurring mainly in children on the face and in young adults on the upper arms. It is characterised by round or oval ?aky patches which are paler than the surrounding skin due to partial loss of MELANIN pigment. The appearance is more dramatic in dark-skinned or suntanned subjects. Moisturising cream often su?ces, but 1 per cent HYDROCORTISONE cream is more e?ective.

Pityriasis rosea is a common self-limiting eruption seen mainly in young adults. It usually begins as a solitary red ?aky patch (often misdiagnosed as ringworm). Within a week this ‘herald patch’ is followed by a profuse symmetrical eruption of smaller rose-pink, ?aky, oval lesions on the trunk and neck but largely sparing the limbs and face. Itching is variable. The eruption usually peaks within 3 weeks and fades away leaving collarettes of scale, disappearing within 6–7 weeks. It rarely recurs and a viral cause is suspected but not proved. It is not contagious and there is no speci?c treatment, but crotamiton cream (Eurax) may relieve discomfort.... pityriasis

(L.) Kurz.

Synonym: R. communis Nees. Justicia nasuta L.

Family: Acanthaceae.

Habitat: Throughout the greater part of India.

English: Snake Jasmine.

Ayurvedic: Yuuthiparni, Yuuthika- parni. Paalaka-Juuhi.

Unani: Gul-baglaa.

Siddha/Tamil: Nagamalli.

Action: Leaf, seed and root—used for skin diseases. A paste of the root, with lime juice, is applied externally to eczema, ringworm and Dhobi's itch.

The roots are reported to contain an antiseptic and antiparasitic active principle, rhinacanthin (1.9%). The plant is rich in potassium salts; also contains oxymethyl anthraquinones. The flowers contain rutin.

Dosage: Leaf, seed, root—5-10 ml juice; 3-5 g powder. (CCRAS.)... rhinacanthus nasutus

W. f. Wight.

Synonym: S. aculeata (Willd.) Poir.

Family: Papilionaceae; Fabaceae.

Habitat: Western Himalayas and plains, southwards to Peninsular India.

English: Prickly Sesban, Dhaincha.

Ayurvedic: Jayanti (var.), Itkata (var.).

Siddha/Tamil: Mudchembai.

Action: Seeds—used externally in ringworm and skin diseases. Plant—used for treating wounds.

The leaf, stem and fruit gave positive test for alkaloids. A mixture of saponins, reported to be present in the seeds, yields on hydrolysis oleanolic acid and neutral sapogenin. Colloidal substances similar to those of marine algae, locust bean gum, guar gum and gum tragacanth are reported in the seeds.... sesbania bispinosa

Linn.

Family: Compositae; Asteraceae.

Habitat: Throughout India up to 2,000 m.

English: The Holy Herb, Siegesbeckia.

Siddha/Tamil: Katampam, Kadambu.

Folk: Pili-badkadi (Gujarat), Lat- latiaa (Bihar), Lichkuraa (Garhwal).

Action: Plant—antiscorbutic, sial- agogue, cardiotonic, diaphoretic. Used for the treatment of rheumatism, renal colic and ague. Also used as a lotion for gangrenous ulcers and sores, syphilis, leprosy, ringworm.

The aerial parts contain sesquiter- pene lactone, orientin; melampolides including orientolide; diterpene, dru- tigenol and the corresponding gluco- side darutoside. The whole plant, in addition, gave 3,7-dimethylquercetin.

The plant exhibited antiviral, CVS active, spasmolytic and hypoglycaemic activity.... siegesbeckia orientalis

Tea Tree Essential Oil

Tea tree oil is often referred to as “medicine cabinet in a bottle,” as it’s remedies are seemingly endless. Check out these 79 uses for the ultimate survival remedy:

1. Abrasions and minor cuts
2. Acne
3. Air freshener
4. Allergies
5. Arthritus
6. Asthma
7. Athletes foot
8. Baby care
9. Bacterial infections
10. Bad breath
11. Bladder infection
12. Blisters
13. Boils
14. Bronchial congestion
15. Bronchitus
16. Bruises
17. Bunions
18. Burns
19. Calluses/corns
20. Canker sores
21. Carbuncies
22. Chapped lips
23. Chicken pox
24. Chigger bite
25. Cold sores
26. Coughs
27. Dandruff
28. Dermatitus
29. Dry skin
30. Eczema
31. Emphysema
32. Flea bites
33. Gout
34. Gum disease
35. Head lice
36. Hives
37. Homemade mouthwash
38. Household cleaning
39. Immune system
40. Infected wounds
41. Inflammation
42. Ingrown hair
43. Insect repellant
44. Jock itch
45. Laryngitis
46. Laundry helper
47. Mildew/mold remover
48. Mosquito bites
49. Muscle aches/pains
50. Mumps
51. Nail fungus
52. Pest control
53. Plantar warts
54. Psoriasis
55. Rashes
56. Rheumatism
57. Ringworm
58. Rubella
59. Scabies
60. Sciatica
61. Seborrhea
62. Shingles
63. Shock
64. Sinusitis
65. Sore muscles
66. Sore throat
67. Staph infection
68. Stye
69. Sunburn
70. Tattoos
71. Thrush
72. Ticks
73. Toenail fungus
74. Toothbrush cleaner
75. Tonsillitus
76. Vaginal infection
77. Viral infections
78. Warts
79. Wounds

 ... tea tree essential oil

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

They may be local to the SKIN, or a manifestation of systemic disorders – inherited or acquired. Some major types are described below.

Others appear under their appropriate alphabetical headings: ACNE; ALBINISM; ALOPECIA; ALOPECIA AREATA; APHTHOUS ULCER; BASAL CELL CARCINOMA; BOILS (FURUNCULOSIS); BOWEN’S DISEASE; CALLOSITIES; CANDIDA; CHEILOSIS; CHEIRAPOMPHOLYX; DANDRUFF; DERMATOFIBROMA; DERMATOMYOSITIS; DERMATOPHYTES; DERMOGRAPHISM; ECTHYMA; ERYSIPELAS; ERYTHEMA; ERYTHRASMA; ERYTHRODERMA; ESCHAR; EXANTHEM; FUNGAL AND YEAST INFECTIONS; HAND, FOOT AND MOUTH DISEASE; HERPES GENITALIS; HERPES SIMPLEX; HERPES ZOSTER; IMPETIGO; INTERTRIGO; KELOID; KERATOSIS; LARVA MIGRANS; LICHEN; LUPUS; MADURA FOOT; MELANOMA; MILIARIA; MOLLUSCUM CONTAGIOSUM; MOLE; MYCOSIS FUNGOIDES; NAEVUS; ORF; PEDICULOSIS; PEMPHIGUS; PHOTOCHEMOTHERAPY; PHOTODERMATOSES; PITYRIASIS; PORPHYRIAS; PRURITUS; PSORIASIS; RINGWORM; ROSACEA; SARCOIDOSIS; SCABIES; SCLERODERMA; URTICARIA; VITILIGO; WARTS; XANTHOMATA.

Skin cancer Primary cancer is common and chronic exposure to ultraviolet light is the most important cause. BASAL CELL CARCINOMA is the most common form; squamous cell carcinoma is less common and presents as a growing, usually painless nodule which may ulcerate. Squamous cancer may spread to regional lymph glands and metastasise, unlike basal cell cancer. Occupational exposure to chemical carcinogens may cause squamous carcinoma – for example, cancer from pitch warts or the scrotal carcinoma of chimney sweeps exposed to coal dust in earlier centuries. Squamous carcinoma of the lip is associated with clay-pipe smoking.

Cancer may arise from the population of melanocytes of the skin (see MELANOCYTE; MELANOMA).

Apart from these three most frequent forms of skin cancer, various forms of cancer can arise from cells of the dermis, of which LYMPHOMA is the most important (see also MYCOSIS FUNGOIDES).

Lastly, secondary deposits from internal cancer, particularly from the breast, may metastasise to the skin.

Dermatitis and eczema These are broadly synonymous, and the terms are frequently interchangeable. Eczema is a pattern of in?ammation with many potential causes. Dermatitis is commonly used to suggest an eczema caused by external factors; it is a common pattern of in?ammation of the skin characterised by redness and swelling, vesiculation (see VESICLE), and scaling with intense itching and often exudation (weeping). Fissuring, thickening (licheni?cation – see LICHEN) and secondary bacterial infection may follow. Dermatitis can affect any part of the body. It may be genetically detemined or due to other ‘internal’ factors, such as venous HYPERTENSION in a leg, or stress. Often it is ‘external’ in origin – due to strong irritants or chemical allergens. (See also ALLERGY; ALLERGEN.) ATOPIC DERMATITIS is genetic in origin and usually begins in infancy. It may persist for years, and ASTHMA, allergic RHINITIS and conjunctivitis (see under EYE, DISORDERS OF) – ‘hay fever’ – may be associated. Atopic children tend to have multiple allergies, especially to inhaled allergens such as house-dust mite, cat and dog dander and pollens. Allergy to foods is less common but potentially more dangerous, especially if to nuts, when it can cause acute URTICARIA or even ANAPHYLAXIS. Atopic subjects are particularly prone to persistent and multiple verrucae (see WARTS) and mollusca (see MOLLUSCUM CONTAGIOSUM) and to severe HERPES SIMPLEX infections. (See also ATOPY.)

EXFOLIATE DERMATITIS (PITYRIASIS RUBRA)

Generalised exfoliation and scaling of the skin, commonly with ERYTHEMA. Drugs may cause it, or the disorder may be linked with other skin diseases such as benign dermatoses and lupus erythematosus (see under LUPUS). SUMMER POMPHOLYX is an acute vesicular eczema of the palms and soles recurring every summer. Inhaled allergens are a frequent cause. VENOUS (STASIS) DERMATITIS begins on a lower calf, often in association with PURPURA, swelling and sometimes ulceration. Chronic venous hypertension in the leg, consequent on valvular incompetence in the deep leg veins owing to previous deep vein thrombosis (see VEINS, DISEASES OF), is the usual cause. NEURODERMATITIS A pattern of well-de?ned plaques of licheni?ed eczema particularly seen on the neck, ulnar forearms or sides of the calves in subjects under emotional stress. IRRITANT CONTACT DERMATITIS Most often seen in an industrial setting (occupational dermatitis), it is due to damage by strong chemicals such as cutting oils, cement, detergents and solvents. In almost all cases the hands are most severely affected. ALLERGIC CONTACT DERMATITIS, in contrast, can affect any part of the body depending on the cause – for example, the face (cosmetics), hands (plants, occupational allergens) or soles (rubber boots). Particularly common allergens include metals (nickel and chromate), rubber addititives, and adhesives (epoxy resins).

Treatment Avoidance of irritants and contact allergens, liberal use of EMOLLIENTS, and topical application of corticosteroid creams and ointments (see CORTICOSTEROIDS) are central.... skin, diseases of

Linn.

Synonym: X. robusta Mart.

Family: Xyridaceae.

Habitat: West Bengal, Assam and Western Peninsula, generally on sandy soils and salt marshes.

Ayurvedic: Daadmaari, Dhobi Deeb.

Folk: Haabiduuba (Bengal), Kochelachi-pullu (Malayalam).

Action: Plant—used for ringworm, itches and leprosy.

Xyris pauciflora Willd. (marshy areas in Bihar, West Bengal and Tamil Nadu) is prescribed as a sedative for... xyris indica

A metal, several salts of which are used in medicine for external application. It is essential for growth and development in animals and plants. The average human body contains a total of 1– 2 grams, and most human diets contain 10–15 mg. In human beings, de?ciency of zinc results in lack of growth, slow sexual development and ANAEMIA. De?ciency is also associated with a skin disorder known as acrodermatitis enteropathica.

Uses Zinc chloride is a powerful caustic and astringent which, combined with zinc sulphate, is used as an astringent mouthwash. Zinc sulphate is also used in the form of eyedrops in the treatment of certain forms of conjunctivitis (see under EYE, DISORDERS OF).

Zinc oxide, zinc stearate, and zinc carbonate are made up in dusting powders, in ointments, in paste bandages or suspended in water as lotions for the astringent action they exert upon abraded surfaces of the skin. Zinc and castor oil ointment of the British Pharmacopoeia is a well-tried treatment for nappy rash.

Zinc undecenoate is used as an ointment and as a dusting-powder in the treatment of RINGWORM.... zinc

Aloe barbadensis and others. Aloe Vera gel. Spiky cactus-like plant of the lily family. The gel is present under the outer surface of the leaf. French: Aloes. Italian: Aloe ordinario. German: Achter Aloe.

Action. Bactericidal against staphylococcus aureus, streptococcus viridans and five strains of streptococcus mutans – the cause of dental plaque. Antibiotic, Demulcent, Coagulant, Analgesic for mild degree pain. Antiviral.

Astringent, Vitamin B12 precursor, growth stimulator, vulnerary. Contains 18 amino acids and vitamins. Helps eliminate toxic minerals from the body. Neutralises free radicals created by toxic substances.

Uses: An important use: protection against radiation burns. Sunburn. A segment of the fresh leaf rubbed on the skin was a centuries-old sun-screen used by desert Arabs against sunburn, and who regarded the plant as a natural medicine chest. Internal: indigestion, stomach ulceration.

External. Ulceration (leg ulcer, etc.), acne, chapped skin, nappy rash. To allay the itching of dry skin conditions including shingles, eczema, poison ivy and other plant allergies, detergent dermatitis, ulcers on cornea of eye, purulent ophthalmia. Dry scalp, poor hair (shampoo), ringworm. Stretch marks of pregnancy, age lines and liver spots.

Dentistry. “In 12 years of dental practice I have not found any one item which is so versatile for the healing needs of the mouth . . . an ancient plant for modern dentistry”. (Dr B. Wolfe, “Health Consciousness”, Vol 6. No 1) Increasing use as a dental anaesthetic, and for oral infections. Uses include gel on new dentures, rinsing every 4 hours. In canal filling the gel is used as a lubricant.

Combines with Vitamin E for allergies; with Eucalyptus oil for sinus and nasal congestion; with Comfrey for healing of fractures. Combines with Jojoba oil as an invigorating body lotion. Combines with Chamomile or Henna for hair conditioner.

Preparations: Part of fresh leaf cut and thick sap-juice squeezed on affected area for sunburn, burns, injury, wounds. Pulp leaves for use as a poultice for inflamed joints, arthritis. (East Africa). Tablets: Combined with papaya, pineapple, apricot or acerola fruits.

Tincture: 4oz pulped leaf to 8oz Vodka. Shake bottle daily for one week. Filter. Dosage: 1 teaspoon in water, thrice daily, for internal conditions.

Aloe gel. Many preparations on the market contain pure Aloe Vera, cold-pressed to preserve its moisturising and healing properties. Most are free from artificial fragrance and colour being made without lanolin or mineral oil.

Undiluted juice. 1-2 tablespoons (20-40ml) on empty stomach. (Internal) Pregnancy. Not used during. ... aloe vera

Felonwort. Solanum dulcamara L. German: Bittersu?ss. French. Douce ame?re. Italian: Dulcamara. Spanish: Delcamara. Indian: Ruba barik. Twigs and root-bark.

Action: stimulating expectorant, diuretic, hepatic, anti-rheumatic, anti-fungal, alterative. Contains saponin glycoside Dulcamarin.

Uses: Chronic bronchitis. Chronic eczema with itching. Gout. Mild analgesic for rheumatism. Warts, tumours, (external).

Preparations: Thrice daily.

Decoction: half-2g twigs to each cup water simmer 10 minutes. Dose: half a cup.

Liquid extract: 2-4ml in water.

French traditional: wives boiled handful of twigs or root-bark in lard for ulcers, warts and ringworm. Contra-indication: pregnancy and lactation. ... bittersweet

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

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

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

Topical. Anti-fungal, emollient, anodyne.

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

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

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

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

Apple cider vinegar. Rich in potassium and other associated trace minerals. What calcium is to the bones, so is potassium to the soft tissues.

Action: detoxifier, antiseptic, anti-catarrhal, bitter, stomachic, antimicrobial.

Uses: Often successful against staphylococcal and streptococcal infection (impetigo, etc). High blood pressure, dizziness, overweight, chronic headache, chronic fatigue, chronic lack of stomach acid in old age, diarrhoea, mucous colitis, diverticulosis, Crohn’s disease, nausea, vomiting, red-brick deposit in the urine. For shingles, to alleviate itching and burning: apply neat to skin, two-hourly day or night. The neat vinegar applied, freely, for ringworm, varicose veins, and burns to remove smarting. To prevent night sweats, wipe down with neat vinegar.

Dosage is an individual matter. 1, 2 or 3 teaspoons to glass of water at each meal is helpful for destroying harmful bacteria in the digestive tract and to maintain good general health. ... cider vinegar

Alopecia. Baldness. Shedding of the hair in patches leaving glossy bald areas. It is normal to lose about one hundred hairs a day, but severe stress such as unemployment, divorce or death in a family may considerably increase hair loss. Losses of long-standing are seldom recovered.

Causes: hormone deficiency (Agnus Castus) in females, where it may be associated with failing thyroid or ovarian function. In such cases, other agents include: Helonias, Motherwort, Black Haw bark. Other causes may be pregnancy, the menopause, or simply discontinuing The Pill. Certain skin diseases predispose: ringworm (Thuja), eczema (Yellow Dock), from thyroid disorder (Kelp, Blue Flag root).

Exposure to some cosmetics, excessive sunlight, strong chemicals and treatment of cancer with cytotoxic drugs may interfere with nutrition of the hair follicles. To ensure a healthy scalp a correct mineral balance is essential calling for supplementation of the diet with vitamins, selenium, zinc and silica. Yellow Dock is believed to counter toxicity of chemicals; Pleurisy root opens the pores to promote sweat and action of surface capillaries.

Baldness sometimes happens suddenly; eye-lashes or beard may be affected. Though emotional stress and a run-down condition is a frequent cause, most cases are not permanent, returning to normal with adequate treatment.

Baldness of the eyebrows alerts us to a lowered function of the thyroid gland, being an early outward sign of myxoedema. A pony-tail hair style or the wearing of a crash helmet may cause what is known as traction alopecia. Heavy coffee drinkers invariably lose hair lustre.

Soviet Research favours silica-rich plants internally and as a lotion: Horsetail, Burdock, Nettles, Bamboo gum.

Growth of hair is assisted by improving surface circulation of the scalp which is beneficial for conveying nutrients to the hair roots and facilitating drainage. Herbal vasodilators stimulate hair follicle nutrition and encourage growth: Cayenne, Pleurisy root, Black Cohosh and Prickly Ash, taken internally. A convenient way of taking Cayenne is the use of a pepper-shaker at table.

Topical. Hair rinse. 2-3 times weekly. Infusion: equal parts Yarrow, Sage and Rosemary. 1oz (30g) to 1 pint (500ml) water. Simmer gently five minutes. Allow to cool. Strain before use.

Cider vinegar – minimal success reported.

Day lotion. Liquid Extract Jaborandi half an ounce; Tincture Cantharides half an ounce; Oil Jojoba to 4oz. Shake well before use.

Oily lotion. Equal parts Olive and Eucalyptus oils.

Bay Rhum Lotion. Oil of Bay 50 drops; Olive oil half an ounce; Rum (Jamaica or other) to 4oz. Shake well before use.

Oil Rosemary: rub into hair roots.

Russian Traditional. Castor oil half an ounce; Almond oil 1oz; Oil Geranium 15 drops; Vodka to 6oz. Rub into hair roots.

Aromatherapy. To 1oz Castor oil and 1oz Olive oil add, 10 drops each – Oils Neroli, Lavender and Rosemary.

Gentian plant extract. Japanese scalp massage with extract from roots to thicken thinning hair. Some success reported.

Supplements. B-vitamins, Kelp, Silicea Biochemic salt. Zinc. Low levels of iron and zinc can cause the condition.

Note: Studies show that male occipital baldness confers a risk of heart disease, being associated with a higher total cholesterol and diastolic blood pressure than men with a full head of hair. Frontal baldness has not been found to be associated with increased risk of coronary heart disease and myocardial infarct. “It seems prudent for bald men to be specially vigorous in controlling risk factors for such conditions.” (S.M. Lesko, Journal of the American Medical Association, Feb 24, 1993, 269: 998-1003) ... hair loss

Wild Pansy. Viola tricolor L. French: Pensee. German: Dreifarbiges Veilchen. Spanish: Pensamiento. Italian: Pensiero. Leaves and flowers. Keynotes: skin and mucous membranes. Constituents: mucilage, gum, saponin, flavonoids.

Action: anti-inflammatory, antirheumatic, expectorant, diuretic. Alterative. Depurative. Laxative. Rich in zinc. Anti-allergic. Anti-acne.

Uses: Chronic skin disorders with purulent sticky discharge. Moist eczema, milk crust, ringworm. Some success reported by Dr Schlegel, Moscow, for sexually transmitted diseases generally, with ulceration. A daily tea made from the herb is still taken in Russia by those with a tendency to tuberculosis, scrofula. Capillary fragility BHP (1983). To prevent capillary haemorrhage when under corticosteroid therapy. Rheumatism. Acute bronchitis, whooping cough and respiratory distress in children.

Action is enhanced with Mouse Ear (equal parts) for whooping cough; and with Red Clover (equal parts) for skin disorders.

Preparations: Average dose: 2-4 grams. Thrice daily. Chiefly used as a tea made from the dried or fresh herb: 2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup. Liquid Extract BHP (1983). 2-4ml.

Tablets/capsules. Two 250mg. ... heartsease

Nail loss. Paronychia. Clubbing. Brittle nails. Deformity (koilonychia). Spoon-shaped, as from iron-deficiency anaemia. A wide range of diseases affect the nails which, themselves, provide useful clues to underlying constitutional disturbance. Brittle and malformed nails are usually due to mineral deficiency. Ridging and grooving show altered nutrition and damage to the nail bed. Psoriasis nails are pitted.

Infections include candidiasis (monilia), ringworm, staphylococcal or streptococcal bacteria. Biting of fingernails reveals anxiety. Colour change and atrophy of nails may be caused by antibiotics, antimalarials, betablockers, gold and arsenic medicines, steroids, “The Pill”; requiring Eliminatives, liver, kidney and possibly Lymphatic agents.

For in-growing toenail – see entry.

Alternatives. General, internal. For antifungals, see: WHITLOW. Mineral-rich herbs for nutrition.

Teas: Alfalfa, Carragheen, Horsetail, Gotu Kola, Red Clover, Oats (for silicon salts), Plantain, Silverweed, Clivers, Dandelion.

Decoctions: Yellow Dock, Burdock, Sarsaparilla, Queen’s Delight.

Tablets or capsules: Alfalfa. Kelp. Bamboo gum.

Formula. Horsetail 2; Gotu Kola 1; Thuja quarter. Dose: Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Powders: 500mg (two 00 capsules or one-third teaspoon). Thrice daily.

Cider Vinegar, See entry. Efficacy recorded.

Topical. Alternatives:– Apply to the nail:

(1) Liquid Extract or Tincture Thuja. (Ellingwood)

(2) Blood root. (J.T Kent MD)

(3) Evening Primrose oil.

(4) Contents of a Vitamin E capsule.

(5) Tincture Myrrh.

Diet. Nails are almost wholly protein. High protein. Onions, Garlic, Soya products, Carrot juice, Cod Liver oil, Kelp.

Vitamins. A. B-complex. B6. B12. Folic acid.

Minerals. Calcium. Dolomite. Copper. Iron. Silica. Stannum, Zinc. ... nails

Various parasites and infectious organisms can spread from cats to humans. The most serious disease is rabies. Cat-scratch fever is an uncommon illness caused by infection with the bacterium ROCHALIMAEA HENDELAE following a cat scratch or bite. Cats commonly carry the protozoan TOXOPLASMA GONDII, which causes toxoplasmosis.

Infection, usually from contact with cat’s faeces, is not generally serious but has serious consequences if a woman is infected during pregnancy.

Cat faeces may also carry eggs of the cat roundworm, a possible cause of toxocariasis.

Rarely, a larva from an ingested roundworm egg migrates to and lodges in an eye, causing deterioration of vision or even blindness.

Children who have been playing in sand or soil contaminated by cat faeces are most commonly affected.

Other cat-related disorders in humans include tinea (ringworm), fungal infections of the skin, bites from cat fleas, and allergic reactions to dander that may cause asthma or urticaria.

Diseases from cats can be avoided by good hygiene, veterinary care for animals that are ill, and regular worming and flea treatment of cats.... cats, diseases from

An inflammation of the skin, usually causing itching and sometimes scaling or blisters. There are several different types of eczema; some forms are known as dermatitis.

Atopic eczema is a chronic, superficial inflammation that occurs in people with an inherited tendency towards allergy. The condition is common in babies. An intensely itchy rash occurs, usually on the face, in the elbow creases, and behind the knees. The skin often scales, and small red pimples may appear. For mild cases, emollients help keep the skin soft. In severe cases, corticosteroid ointments may be used. Antihistamine drugs may reduce itching. Excluding certain foods from the diet may be helpful. Atopic eczema often clears up on its own as a child grows older.

Nummular eczema usually occurs in adults. The cause is unknown. It produces circular, itchy, scaling patches anywhere on the skin, similar to those of tinea (ringworm). Topical corticosteroids may reduce the inflammation, but the disorder is often persistent.

Hand eczema is usually caused by irritant substances such as detergents, but may occur for no apparent reason. Itchy blisters develop, usually on the palms, and the skin may become scaly and cracked. Hand eczema usually improves if emollients are used and cotton gloves with rubber gloves over them are wornwhen coming into contact with irritants. If the eczema is severe, corticosteroids may be prescribed.

Stasis eczema occurs in people with varicose veins. The skin on the legs may become irritated, inflamed, and discoloured. The most important factor is swelling of the legs, which may be controlled with compression bandages or stockings. Ointments containing corticosteroids may give temporary relief.... eczema

Diseases that are caused by the multiplication and spread of fungi. Some fungi are harmlessly present all the time in areas of the body such as the mouth, skin, intestines, and vagina. However, they are prevented from multiplying by competition from bacteria. Other fungi are dealt with by the body’s immune system.

Fungal infections are therefore more common and serious in people taking long-term antibiotic drugs (which destroy the bacterial competition) and in those whose immune systems are suppressed by immunosuppressant drugs, corticosteroid drugs, or by a disorder such as AIDS. Such serious fungal infections are described as opportunistic infections. Some fungal infections are more common in people with diabetes mellitus.

Fungal infections can be classified into superficial (affecting skin, hair, nails, inside of the mouth, and genital organs); subcutaneous (beneath the skin); and deep (affecting internal organs).

The main superficial infections are tinea (including ringworm and athlete’s foot) and candidiasis (thrush), both of which are common. Subcutaneous infections, which are rare, include sporotrichosis and mycetoma. Deep infections are uncommon but can be serious and include aspergillosis, histoplasmosis, cryptococcosis, and blastomycosis. The fungal spores enter the body by inhalation.

Treatment of fungal infections is with antifungal drugs, either used topically on the infected area or given by mouth for generalized infections.... fungal infections

Eucalyptus globulus var. globulus

FAMILY: Myrtaceae

SYNONYMS: Gum tree, southern blue gum, Tasmanian blue gum, fever tree, stringy bark.

GENERAL DESCRIPTION: A beautiful, tall, evergreen tree, up to 90 metres high. The young trees have bluish-green oval leaves while the mature trees develop long, narrow, yellowish leaves, creamy-white flowers and a smooth, pale grey bark often covered in a white powder.

DISTRIBUTION: Native to Tasmania and Australia. Mainly cultivated in Spain and Portugal, also Brazil, California, Russia and China. Very little of this oil now comes from its native countries.

OTHER SPECIES: There are over 700 different species of eucalyptus, of which at least 500 produce a type of essential oil. Many have been extracted simply for experimental purposes, and research is still being carried out with regard to the different constituents of each oil. In general, they can be divided into three categories. 1. The medicinal oils containing large amounts of cineol (or eucalyptol), such as the blue gum, but increasingly the blue malee (E. polybractea), the narrow-leaved peppermint (E. radiata var. australiana) and the gully gum (E. smithii). 2. The industrial oils containing mainly piperitone and phellandrene, such as the peppermint eucalyptus (E. piperita), grey peppermint (E. radiata var. phellandra) and increasingly the broad-leaved peppermint (E. dives var. Type). 3. The perfumery oils containing mainly citronellal, such as the lemon-scented eucalyptus (E. citriodora). See also Botanical Classification section.

HERBAL/FOLK TRADITION: A traditional household remedy in Australia, the leaves and oil are especially used for respiratory ailments such as bronchitis and croup, and the dried leaves are smoked like tobacco for asthma. It is also used for feverish conditions (malaria, typhoid, cholera, etc.) and skin problems like burns, ulcers and wounds. Aqueous extracts are used for aching joints, bacterial dysentery, ringworms, tuberculosis, etc. and employed for similar reasons in western and eastern medicine. The wood is also used for timber production in Spain.

ACTIONS: Analgesic, antineuralgic, antirheumatic, antiseptic, antispasmodic, antiviral, balsamic, cicatrisant, decongestant, deodorant, depurative, diuretic, expectorant, febrifuge, hypoglycaemic, parasiticide, prophylactic, rubefacient, stimulant, vermifuge, vulnerary.

EXTRACTION: Essential oil by steam distillation from the fresh or partially dried leaves and young twigs.

CHARACTERISTICS: A colourless mobile liquid (yellows on ageing), with a somewhat harsh camphoraceous odour and woody-sweet undertone. It blends well with thyme, rosemary, lavender, marjoram, pine, cedarwood and lemon. (The narrow-leaved eucalyptus (E. radiata var. australiana) is often used in preference to the blue gum in aromatherapy work, being rich in cineol but with a sweeter and less harsh odour.)

PRINCIPAL CONSTITUENTS: Cineol (70–85 per cent), pinene, limonene, cymene, phellandrene, terpinene, aromadendrene, among others.

SAFETY DATA: Externally non-toxic, non-irritant (in dilution), non-sensitizing. ‘When taken internally eucalyptus oil is toxic and as little as 3.5ml has been reported as fatal’..

AROMATHERAPY/HOME: USE

Skin Care: Burns, blisters, cuts, herpes, insect bites, insect repellent, lice, skin infections, wounds.

Circulation Muscles And Joints: Muscular aches and pains, poor circulation, rheumatoid arthritis, sprains, etc.

Respiratory System: Asthma, bronchitis, catarrh, coughs, sinusitis, throat infections.

Genito-Urinary System: Cystitis, leucorrhoea.

Immune System: Chickenpox, colds, epidemics, ’flu, measles.

Nervous System: Debility, headaches, neuralgia.

OTHER USES: The oil and cineol are largely employed in the preparation of liniments, inhalants, cough syrups, ointments, toothpaste and as pharmaceutical flavourings also used in veterinary practise and dentistry. Used as a fragrance component in soaps, detergents and toiletries – little used in perfumes. Used for the isolation of cineol and employed as a flavour ingredient in most major food categories.... eucalyptus, blue gum