Causes The condition is usually due to faulty metabolism of fat, resulting in the production of beta-hydroxybutyric and acetoacetic acids. It occurs in DIABETES MELLITUS when this is either untreated or inadequately treated, as well as in starvation, persistent vomiting, and delayed anaesthetic vomiting. It also occurs in the terminal stages of glomerulonephritis (see KIDNEYS, DISEASES OF), when it is due to failure of the kidneys. A milder form of it may occur in severe fevers, particularly in children. (See also ACETONE.)
Symptoms General lassitude, vomiting, thirst, restlessness, and the presence of acetone in the urine form the earliest manifestations of the condition. In diabetes a state of COMA may ensue and the disease end fatally.
Treatment The underlying condition must always be treated: for example, if the acidosis is due to diabetes mellitus then insulin must be given. Sodium bicarbonate (see SODIUM) is rarely necessary for diabetic ketoacidosis; if it is used, it is invariably now given intravenously. Acidosis might be treated with oral sodium bicarbonate in cases of chronic renal failure. Anaesthetists dislike the administration of bicarbonate to acidotic patients, since there is some evidence that it can make intracellular acidosis worse. They almost always use HYPERVENTILATION of the arti?cially ventilated patient to correct acidosis.... acidosis
The patient may start as a food faddist with depressive tendencies. Some gorge huge meals (bulimia) and induce vomiting later. Such women are known to be oestrogen deficient; most have a low dietary intake of calcium, resulting in reduced bone density (osteoporosis). Lack of exercise has a worsening influence, often with severe loss of weight.
It is now established that one cause is a deficiency of zinc in the diet. Individuals suffering from the condition (with its depression) may recover when given 15mg zinc daily. Starvation causes increased urinary zinc secretion, thus further reducing body levels of the mineral. Most anorectics complain of loss of sense of taste and smell which is a symptom of zinc deficiency. Loss of these two senses reduces further the desire for food.
Symptoms. Excessive thinness. Anaemia. Poor haemoglobin levels. Absence of menses. Episodic hyperactivity. Slow pulse when resting. Teeth decay, brittle bones. Heart weakness. Low blood pressure, hormonal disorders, yellowing skin, blood disorders, abnormal drowsiness and weakness. Reduced bone density may develop during the illness, the subject being prone to bone fracture for years afterwards. Treatment. Correct anaemia with iron-bearing herbs, Vitamin B12, mineral supplements and nourishing food.
Angelica root, Barberry, Bogbean, Burdock root, Calamus, Centuary herb, Chamomile flowers, Condurango bark, Dandelion (coffee), Garden Sage, Gentian, Ginkgo, Helonias, Hops, Marshmallow root, Milk Thistle, Quassia chips, White Poplar.
Alternatives:– Tea. Formula. Equal parts, Centuary, Chamomile, Peppermint. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. Dose: 1 cup thrice daily, before meals.
Decoction. Formula. Combine Angelica root 1; Burdock root 1; Condurango bark half. 1 teaspoon to each cupful water simmered gently 20 minutes. Dose: Half-1 cup thrice daily before meals.
Powders. Formula. German Chamomile 2; Gotu Kola 1; Ginkgo 1. Dose: 500mg (two 00 capsules or one- third teaspoon) before meals thrice daily.
Tinctures. Formula. Combine: Condurango quarter; Burdock root half; White Poplar 1; Ginkgo 1; add 2- 10 drops Tincture Capsicum fort. 1-2 teaspoons in water thrice daily, before meals.
Tincture: Tincture Gentian Co BP. Dose: 2-4ml (30-60 drops).
Ginger, stem. Success reported.
Milk Thistle and Turmeric: popular in general herbal practice.
Diet. High protein, low fat, low salt. Dandelion coffee. Liver. Artichokes. 2-3 bananas (for potassium) daily.
Supplements. Daily. Vitamin B-complex. Vitamin C, 1g. Vitamin E, 200iu. Zinc, 15mg. Magnesium, 250mg morning and evening. ... anorexia nervosa
cachexia A condition of severe weight loss and decline in health caused by a serious underlying disease, such as cancer or tuberculosis, or by starvation.... byssinosis
Treatment includes keeping the child warm and giving a high-energy, proteinrich diet. Persistent marasmus can cause mental handicap and impaired growth. (See also kwashiorkor.)... marasmus
Anorexia nervosa Often called the slimmer’s disease, this is a syndrome characterised by the loss of at least a quarter of a person’s normal body weight; by fear of normal weight; and, in women, by AMENORRHOEA. An individual’s body image may be distorted so that the sufferer cannot judge real weight and wants to diet even when already very thin.
Anorexia nervosa usually begins in adolescence, affecting about 1–2 per cent of teenagers and college students at any time. It is 20 times more common among women than men. Up to 10 per cent of sufferers’ sisters also have the syndrome. Anorexia may be linked with episodes of bulimia (see below).
The symptoms result from secretive self-starvation, usually with excessive exercise, self-induced vomiting, and misuse of laxatives. An anorexic (or anorectic) person may wear layers of baggy clothes to keep warm and to hide the ?gure. Starvation can cause serious problems such as ANAEMIA, low blood pressure, slow heart rate, swollen ankles, and osteoporosis. Sudden death from heart ARRHYTHMIA may occur, particularly if the sufferer misuses DIURETICS to lose weight and also depletes the body’s level of potassium.
There is probably no single cause of anorexia nervosa. Social pressure to be thin seems to be an important factor and has increased over the past 20–30 years, along with the incidence of the syndrome. Psychological theories include fear of adulthood and fear of losing parents’ attention.
Treatment should start with the general practitioner who should ?rst rule out other illnesses causing similar signs and symptoms. These include DEPRESSION and disorders of the bowel, PITUITARY GLAND, THYROID GLAND, and OVARIES.
If the diagnosis is clearly anorexia nervosa, the general practitioner may refer the sufferer to a psychiatrist or psychologist. Moderately ill sufferers can be treated by COGNITIVE BEHAVIOUR THERAPY. A simple form of this is to agree targets for daily calorie intake and for acceptable body weight. The sufferer and the therapist (the general practitioner or a member of the psychiatric team) then monitor progress towards both targets by keeping a diary of food intake and measuring weight regularly. Counselling or more intensely personal PSYCHOTHERAPY may help too. Severe life-threatening complications will need urgent medical treatment in hospital, including rehydration and feeding using a nasogastric tube or an intravenous drip.
About half of anorectic sufferers recover fully within four years, a quarter improve, and a quarter remain severely underweight with (in the case of women) menstrual abnormalities. Recovery after ten years is rare and about 3 per cent die within that period, half of them by suicide.
Bulimia nervosa is a syndrome characterised by binge eating, self-induced vomiting and laxative misuse, and fear of fatness. There is some overlap between anorexia nervosa and bulimia but, unlike the former, bulimia may start at any age from adolescence to 40 and is probably more directly linked with ordinary dieting. Bulimic sufferers say that, although they feel depressed and guilty after binges, the ‘buzz’ and relief after vomiting and purging are addictive. They often respond well to cognitive behaviour therapy.
Bulimia nervosa does not necessarily cause weight loss because the binges – for example of a loaf of bread, a packet of cereal, and several cans of cold baked beans at one sitting – are cancelled out by purging, by self-induced vomiting and by brief episodes of starvation. The full syndrome has been found in about 1 per cent of women but mild forms may be much more common. In one survey of female college students, 13 per cent admitted to having had bulimic symptoms.
Bulimia nervosa rarely leads to serious physical illness or death. However, repeated vomiting can cause oesophageal burns, salivary gland infections, small tears in the stomach, and occasionally dehydration and chemical imbalances in the blood. Inducing vomiting using ?ngers may produce two tell-tale signs – bite marks on the knuckles and rotten, pitted teeth.
Those suffering from this condition may obtain advice from the Eating Disorders Association.... eating disorders
In humans the ‘normal’ temperature is around 37 °C (98·4 °F). It may rise as high as 43 °C or fall to 32 °C in various conditions, but the risk to life is only serious above 41 °C or below 35 °C.
Fall in temperature may accompany major loss of blood, starvation, and the state of collapse (see SHOCK) which may occur in severe FEVER and other acute conditions. Certain chronic diseases, notably hypothyroidism (see THYROID GLAND, DISEASES OF), are generally accompanied by a subnormal temperature. Increased temperature is a characteristic of many acute diseases, particularly infections; indeed, many diseases have a characteristic pattern that enables a provisional diagnosis to be made or acts as a warning of possible complications. In most cases the temperature gradually abates as the patient recovers, but in others, such as PNEUMONIA and TYPHUS FEVER, the untreated disease ends rapidly by a CRISIS in which the temperature falls, perspiration breaks out, the pulse rate falls, and breathing becomes quieter. This crisis is often preceded by an increase in symptoms, including an epicritical rise in temperature.
Body temperature is usually measured on the Celsius scale, on a thermometer reading from 35 °C to 43·3 °C. Measurement may be taken in the mouth (under the tongue), in the armpit, the external ear canal or (occasionally in infants) in the rectum. (See also THERMOMETER.)
Treatment Abnormally low temperatures may be treated by application of external heat, or reduction of heat loss from the body surface. High temperature may be treated in various ways, apart from the primary treatment of the underlying condition. Treatment of hyperthermia or hypothermia should ensure a gradual return to normal temperature (see ANTIPYRETICS.... temperature
Aetiology: heavy menstrual loss, feeble constitution from hereditary weakness, poor diet, hidden or known blood loss from gastric ulcer, pregnancy, bleeding piles or insufficient food minerals: iron, copper, calcium, etc, chronic liver or kidney disease, worms, anorexia nervosa, rheumatoid arthritis, tuberculosis. Symptoms. Tiredness, dizziness, breathlessness, palpitations, pale face and mucous membranes. White of eyes may be blue. Enlarged flabby tongue often bears impression of teeth marks. Hair lifeless, fingernails brittle and ridged. There may be angina, tinnitus and general reduced efficiency.
Treatment. The object is to achieve absorption of iron to raise normal haemoglobin levels and increase red cells. Echinacea has a reputation for regeneration of red cells. Herbs used with success: Echinacea, Gentian, Motherwort, Mugwort, Barberry, Hops, Nettles, Saw Palmetto, Chaparral, Red Clover, Dandelion.
Bitter herbs stimulate absorption of vital nutrients from the stomach, toning liver and pancreas, increasing the appetite; usually given half hour before meals. See: BITTERS.
Gentian. 1 teaspoon fine-cut chips to 2 cups cold water steeped 8 hours (overnight). Dose: Half-1 cup thrice daily before meals.
Tea. Formula. Combine: Agrimony 1; Barberry bark 1; Nettles 2; White Poplar bark half. Place 1oz (30g) in 1 pint (500ml) cold water and bring to boil. Simmer 10 minutes. Drink cold: Half-1 cup thrice daily, before meals.
Powders. Formula. Echinacea 2; Gentian 1; Kelp 1; pinch Red Pepper. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily, before meals.
Liquid extracts. Formula: Echinacea 1; Queen’s Delight 1; Ginseng 1; Ginger quarter. Dose: 30-60 drops in water, thrice daily, before meals.
Infusion Gentian Co Conc BP (1949). Dose: 30-60 drops.
Diet. Dandelion coffee, as desired. Molasses. Desiccated liver.
Floradix. A pre-digested iron preparation. Readily assimilable by the body. Compounded by Dr Otto Greither (Salus Haus). Iron is fed onto yeast which breaks down the metal and absorbs its cells. Other tonic ingredients include extracts of nettles, carrots, spinach, fennel, Vitamin C plus supplements;
Angelica root, Mallow, Horsetail, Yarrow, Juniper and Rosehips. Not chemically preserved.
Avoid chocolate, egg yolk, tea, coffee, wheat bran.
Supplements. Daily. Vitamin C (1g morning and evening). Vitamin B12, Folic acid 400mcg. Vitamin C is the most potent enhancer of iron absorption. Multivitamin containing iron.
Note: Iron absorption is decreased by antacids, tetracyclines, phosphates, phytates (phytic acid from excessive intake of wholewheat bread), and excessive calcium supplements. Lack of stomach hydrochloric acid impairs iron absorption, especially in the elderly. ... anaemia: iron deficiency
Abscess, Alzheimer’s Disease, anoxia (oxygen starvation), coma, concussion, haemorrhage, Down’s syndrome, epilepsy, tumour, hydrocephalus (water on the brain), meningitis, multiple sclerosis, stroke (rupture of blood vessel), spina bifida, syphilis (general paralysis of the insane), sleepy sickness.
Poor circulation through the brain due to hardening of the arteries: Ginkgo, Ginseng. Ginseng stimulates the hypothalmic/pituitary axis of the brain and favourably influences its relationship with the adrenal glands.
Congestion of the brain – Cowslip (Boerwicke). Irritability of brain and spine – Hops. Oats. Inflammation of the brain (encephalitis) as in viral infection, poliomyelitis, rabies, sleepy sickness, etc: Echinacea, Passion flower, Skullcap and Lobelia. Gelsemium acts as a powerful relaxant in the hands of a practitioner: Tincture BPC (1973): dose 0.3ml.
Brain storm from hysteria, locomotor ataxia, etc – Liquid Extract Lobelia: 5ml teaspoon in water when necessary (Dr Jentzsch, 1915, Ellingwood) Supplement with Zinc, Vitamins C and E.
Blood clot, thrombosis: Yarrow. Neurasthenia: Oats, Basil, Hops.
Brain fag and jet-lag: Chamomile, Skullcap, Oats, Ginseng, Ginkgo.
Tumour may be present years before manifesting: Goldenseal.
Mental state: depression, anxiety, schizophrenia.
Tea. Formula. Skullcap, Gotu Kola and German Chamomile; equal parts. 1 heaped teaspoon to each cup water gently simmered 10 minutes. Strain. 1 cup thrice daily.
Unspecified tensive state. Formula. Tinctures. Hops 1; Passion flower 2; Valerian 2. Dose: 2 teaspoons thrice daily until diagnosis is concluded.
Unspecified torpor. Formula. Tinctures. Ginseng 1; Kola 1; Capsicum quarter. 2 teaspoons in water thrice daily until diagnosis is concluded.
Brain weakness in the elderly: Ginkgo. See: ALZHEIMER’S DISEASE.
Fluid on the brain: see HYDROCEPHALUS.
Abscess of the brain: see ABSCESS.
Brain restoratives. Black Haw, True Unicorn root, Galangal, Oats, Oatstraw, False Unicorn root, Kola, Hops. Vitamin B6. Magnesium.
Cerebral thrombosis. See entry.
Note: Cold water may help victims to survive: rapid loss of body heat protects the brain. (Child Health Department, University of Wales)
Treatment by or in liaison with general medical practitioner or hospital specialist. ... brain disorders
Causes: oxygen starvation, lactic acid build-up. A common cause is depletion of salt from excessive sweating. Night cramps may be due to impaired blood supply or mineral deficiency: Calcium, Iron, Magnesium. Spasm takes many forms: writer’s, swimmer’s, pianist’s, harpist’s, trumpeter’s, hornplayer’s or emotional stress due to tightening of the facial muscles (German Chamomile). Athlete’s cramp from mechanical stress may be relieved by Cramp Bark as well as manipulation. Repetitive strain injury (RSI).
Cramp of the heart muscle is known as angina (Cramp Bark, Motherwort). Where due to spasm of blood vessels from atherosclerosis it may take the form of intermittent claudication (Prickly Ash bark, Cramp bark, Nettles, Vitamin E). For cramp in the back (Cramp bark, Ligvites); stomach (Fennel, Cardamoms, Turkey Rhubarb); womb (Squaw vine, Wild Yam, Cramp bark); kidney and bladder (Horsetail); muscles (Devil’s Claw).
Alternatives. Teas. Mild cases. Any one: German Chamomile, Lime flowers, Holy Thistle, Motherwort, Silverweed, Skullcap, St John’s Wort, Betony.
Combination: equal parts, Skullcap, German Chamomile, Motherwort. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. 1 cup thrice daily or as necessary.
Decoction. More severe cases. Any one: Cramp bark, Valerian, Peruvian bark, Wild Yam, Prickly Ash bark.
Tablets/capsules. Black Cohosh, Cramp bark, Prickly Ash bark, Devil’s Claw, Wild Yam, Ligvites. Combination. Equal parts, Butterburr and Cramp bark. Dose: powders 500mg (two 00 capsules or one- third teaspoon thrice daily); Liquid extracts: one 5ml teaspoon. Tinctures: 1-2 teaspoons. Thrice daily or as necessary.
John William Fyfe MD. “After 20 years broken sleep from leg cramps a patient found relief with 15 drops Liquid Extract Black Haw, thrice daily for 3-4 days.” This was used successfully in his practice for over 30 years.
Aromatherapy. Massage oil. 3 drops Marjoram, 3 drops Basil, in 2 teaspoons Almond or other vegetable oil. Or: Cypress oil, Mustard bath for feet.
Diet. See food sources of Calcium, Iron and Magnesium.
Supplements. Daily. B-complex 100mg; B6 100mg; Dolomite tablets (1000mg); Vitamin E (400iu); Vitamin C (2g); Calcium ascorbate (800mg); Magnesium 300mg (450mg, pregnancy). Zinc (25mg).
For cramp of pregnancy – see PREGNANCY. ... cramp