Trunk Health Dictionary

This is a great reduction in the size of the proximal parts of the limbs. In extreme cases the hands and feet may spring directly from the trunk. A rare condition, it occurred most commonly in children whose mothers took THALIDOMIDE in early pregnancy.... phocomelia

The commonest form of inherited retarded growth. It is a dominant hereditary disorder of endochondral ossi?cation, caused by mutations of ?broblast growth factor receptor 3 genes.The long bones of the arms and legs fail to grow properly, while the trunk and head develop normally. Achondroplasia affects both sexes and, while many infants are stillborn or die soon after birth, those who survive have normal intelligence, a normal expectation of life and good health.... achondroplasia

A support device worn around the trunk to help in the treatment of backache and spinal injuries or disorders.... corset

The chest, or THORAX, is the upper part of the trunk. It is enclosed by the breastbone (sternum) and the 12 ribs which join the sternum by way of cartilages and are attached to the spine behind. At the top of the thorax, the opening in between the ?rst ribs admits the windpipe (TRACHEA), the gullet (OESOPHAGUS) and the large blood vessels. The bottom of the thorax is separated from the abdomen below by the muscular DIAPHRAGM which is the main muscle of breathing. Other muscles of respiration, the intercostal muscles, lie in between the ribs. Overlying the ribs are layers of muscle and soft tissue including the breast tissue.

Contents The trachea divides into right and left main bronchi which go to the two LUNGS. The left lung is slightly smaller than the right. The right has three lobes (upper, middle and lower) and the left lung has two lobes (upper and lower). Each lung is covered by two thin membranes lubricated by a thin layer of ?uid. These are the pleura; similar structures cover the heart (pericardium). The heart lies in the middle, displaced slightly to the left. The oesophagus passes right through the chest to enter the stomach just below the diaphragm. Various nerves, blood vessels and lymph channels run through the thorax. The thoracic duct is the main lymphatic drainage channel emptying into a vein on the left side of the root of the neck. (For diseases affecting the chest and its contents, see HEART, DISEASES OF; LUNGS, DISEASES OF; CHEST, DEFORMITIES OF.)... chest

An adjective applied to a body part that is further away from another part, with reference, for example, to the trunk.... distal

Ficus spp.

Moraceae

The genus Ficus constitutes an important group of trees with immense medicinal value. It is a sacred tree of Hindus and Buddhists. Among the varied number of species, the most important ones are the four trees that constitute the group “Nalpamaram”, namely, F. racemosa, F. microcarpa, F. benghalensis and F. religiosa (Athi, Ithi, Peral and Arayal respectively).

1. Ficus racemosa Linn. syn. F. glomerata Roxb.

Eng: Cluster fig, Country fig

San: Udumbarah, Sadaphalah

Hin: Gular, Umar

Ben: Jagya dumur

Mal, Tam,

Kan: Athi

Tel: Udambaramu, Paidi

Gular fig, Cluster fig or Country fig, which is considered sacred, has golden coloured exudate and black bark. It is distributed all over India. Its roots are useful in treating dysentery. The bark is useful as a wash for wounds, highly efficacious in threatened abortions and recommended in uropathy. Powdered leaves mixed with honey are given in vitiated condition of pitta. A decoction of the leaves is a good wash for wounds and ulcers. Tender fruits (figs) are used in vitiated conditions of pitta, diarrhoea, dyspepsia and haemorrhages. The latex is administered in haemorrhoids and diarrhoea (Warrier et al, 1995). The ripe fruits are sweet, cooling and are used in haemoptysis, thirst and vomiting (Nadkarni, 1954; Aiyer et al, 1957; Moos, 1976). Nalpamaradi coconut oil, Candanasava, Valiya Arimedastaila, Dinesavalyadi Kuzhambu, Abhrabhasma, Valiya candanaditaila, etc. are some important preparations using the drug (Sivarajan et al, 1994).

It is a moderate to large-sized spreading laticiferous, deciduous tree without many prominent aerial roots. Leaves are dark green and ovate or elliptic. Fruit receptacles are 2-5cm in diameter, sub- globose or pyriform arranged in large clusters on short leafless branches arising from main trunk or large branches. Figs are smooth or rarely covered with minute soft hairs. When ripe, they are orange, dull reddish or dark crimson. They have a pleasant smell resembling that of cedar apples. The bark is rusty brown with a fairly smooth and soft surface, the thickness varying from 0.5-2cm according to the age of the trunk or bark. Surface is with minute separating flakes of white tissue. Texture is homogeneously leathery (Warrier et al, 1995).

Stem-bark gives gluanol acetate, -sitosterol, leucocyanidin-3-O- -D-glucopyrancoside, leucopelargonidin-3-O- -D-glucopyranoside, leucopelargonidin -3-O- -L-rhamnopyranoside, lupeol, ceryl behenate, lupeol acetate and -amyrin acetate. Stem- bark is hypoglycaemic and anti-protozoal. Gall is CVS active. Bark is tonic and used in rinder pest diseases of cattle. Root is antidysenteric and antidiabetic. Leaf is antibilious. Latex is antidiarrhoeal and used in piles. Bark and syconium is astringent and used in menorrhagia (Husain et al, 1992).

2. Ficus microcarpa Linn. f. syn. F. retusa auct. Non. Linn.

San: Plaksah; Hin,

Ben: Kamarup;

Mal: Ithi, Ithiyal;

Tam: Kallicci, Icci;

Kan: Itti;

Tel: Plaksa

Plaksah is the Ficus species with few branches and many adventitious roots growing downward. It is widely distributed throughout India and in Sri Lanka, S. China, Ryuku Isles and Britain. Plakasah is one of the five ingredients of the group panchvalkala i.e, five barks, the decoction of which is extensively used to clear ulcers and a douche in leucorrhoea in children. This decoction is administered externally and internally with satisfactory results. Plaksah is acclaimed as cooling, astringent, and curative of raktapitta doshas, ulcers, skin diseases, burning sensation, inflammation and oedema. It is found to have good healing property and is used in preparation of oils and ointments for external application in the treatment of ulcers (Aiyer and Kolammal, 1957). The stem-bark is used to prepare Usirasava, Gandhataila, Nalpamaradi taila, Valiya marmagulika, etc. (Sivarajan et al, 1994). The bark and leaves are used in wounds, ulcers, bruises, flatulent colic, hepatopathy, diarrhoea, dysentery, diabetes, hyperdipsia, burning sensation, haemaorrhages, erysipelas, dropsy, ulcerative stomatitis, haemoptysis, psychopathy, leucorrhoea and coporrhagia (Warrier et al,1995) F. microcarpa is a large glabrous evergreen tree with few aerial roots. Leaves are short- petioled, 5-10cm long, 2-6cm wide and apex shortly and bluntly apiculate or slightly emarginate. Main lateral nerves are not very prominent and stipules are lanceolate. Fruit receptacles are sessile and globose occurring in axillary pairs. It is yellowish when ripe without any characteristic smell. Bark is dark grey or brown with a smooth surface except for the lenticels. Outer bark is corky and crustaceous thin and firmly adherent to inner tissue. Inner bark is light and flesh coloured with firbrous texture (Warrier et al, 1995). It is also equated with many other species of the genus. viz. F. Singh and Chunekar, 1972; Kapoor and Mitra, 1979; Sharma, 1983).

The bark contains tannin, wax and saponin. Bark is antibilious. Powdered leaves and bark is found very good in rheumatic headache. The bark and leaves are astringent, refrigerant, acrid and stomachic.

3. Ficus benghalensis Linn.

Eng: Banyan tree; San: Nyagrodhah, Vatah;

Hin: Bat, Bargad;

Ben: Bar, Bot; Mar: Vada; Mal: Peral, Vatavriksham;

Tam: Alamaram, Peral;

Kan: Ala;

Tel: Peddamarri;

Guj: Vad

Banyan tree is a laticiferous tree with reddish fruits, which is wound round by aerial adventitious roots that look like many legs. It is found in the Sub-Himalayan tract and Peninsular India. It is also grawn throughout India. It is widely used in treatment of skin diseases with pitta and rakta predominance. Stem-bark, root -bark, aerial roots, leaves, vegetative buds and milky exudate are used in medicine. It improves complexion, cures erysepelas, burning sensation and vaginal disorders, while an infusion of the bark cures dysentery, diarrhoea, leucorrhoea, menorrhagia, nervous disorders and reduces blood sugar in diabetes. A decoction of the vegetative buds in milk is beneficial in haemorrhages. A paste of the leaves is applied externally to abcesses and wounds to promote suppuration, while that of young aerial roots cure pimples. Young twigs when used as a tooth brush strengthen gum and teeth (Nadkarni, 1954; Aiyer and Kolammal, 1957; Mooss,1976). The drug forms an important constituent of formulations like Nalpamaradi Coconut oil, Saribadyasava, Kumkumadi taila, Khadi ra gulika, Valiyacandanadi taila, Candanasava, etc. (Sivarajan et al, 1994). The aerial roots are useful in obstinate vomiting and leucorrhoea and are used in osteomalacia of the limbs. The buds are useful in diarrhoea and dysentery. The latex is useful in neuralgia, rheumatism, lumbago, bruises, nasitis, ulorrhagia, ulitis, odontopathy, haemorrhoids, gonorrhoea, inflammations, cracks of the sole and skin diseases (Warrier et al, 1995).

It is a very large tree up to 30m in height with widely spreading branches bearing many aerial roots functioning as prop roots. Bark is greenish white. Leaves are simple, alternate, arranged often in clusters at the ends of branches. They are stipulate, 10-20cm long and 5-12.5cm broad, broadly elliptic to ovate, entire, coriaceous, strongly 3-7 ribbed from the base. The fruit receptacles are axillary, sessile, seen in pairs globose, brick red when ripe and enclosing male, female and gall flowers. Fruits are small, crustaceous, achenes, enclosed in the common fleshy receptacles. The young bark is somewhat smooth with longitudinal and transverse row of lenticels. In older bark, the lenticels are numerous and closely spaced; outer bark easily flakes off. The fresh cut surface is pink or flesh coloured and exudes plenty of latex. The inner most part of the bark adjoining the wood is nearly white and fibrous (Warrier et al, 1995).

The bark yields flavanoid compounds A, B and C; A and C are identified as different forms of a leucoanthocyanidin and compound B a leucoanthocyanin. All the 3 were effective as hypoglycaemic agents. Leaves give friedelin, -sitosterol, flavonoids- quercetin-3-galactoside and rutin. Heart wood give tiglic acid ester of taraxasterol. Bark is hypoglycemic, tonic, astringent, antidiarrhoeal and antidiabetic. Latex is antirheumatic. Seed is tonic. Leaf is diaphoretic. Root fibre is antigonorrhoeic. Aerial root is used in debility and anaemic dysentery (Husain et al, 1992).

.4. Ficus religiosa Linn.

Eng:Peepal tree, Sacred fig; San:Pippalah, Asvatthah; Hin:Pippal, Pipli, Pipar; Mal:Arayal

Ben: Asvatha;

Tam: Arasu, Asvattam;

Kan: Aswatha;

Tel: Ravi; Mar: Ashvata, Pimpala

Peepal tree or Sacred fig is a large deciduous tree with few or no aerial roots. It is common throughout India, often planted in the vicinity of the temples. An aqueous extract of the bark has an antibacterial activity against Staphylococcus aureus and Escherichia coli. It is used in the treatment of gonorrhoea, diarrhoea, dysentery, haemorrhoids and gastrohelcosis. A paste of the powdered bark is a good absorbent for inflammatory swellings. It is also good for burns. Leaves and tender shoots have purgative properties and are also recommended for wounds and skin diseases. Fruits are laxative and digestive. The dried fruit pulverized and taken in water cures asthma. Seeds are refrigerant and laxative. The latex is good for neuralgia, inflammations and haemorrhages (Warrier et al, 1995). Decoction of the bark if taken in honey subdues vatarakta (Nadkarni, 1954; Aiyer and Kolammal, 1957; Mooss, 1976; Kurup et al, 1979). The important preparations using the drug are Nalpamaradi taila, Saribadyasava, Candanasava, Karnasulantaka, Valiyamarma gulika etc (Sivarajan et al, 1994). branches bearing long petioled, ovate, cordate shiny leaves. Leaves are bright green, the apex produced into a linear-lanceolate tail about half as long as the main portion of the blade. The receptacles occurring in pairs and are axillary, depressed globose, smooth and purplish when ripe. The bark is grey or ash coloured with thin or membranous flakes and is often covered with crustose lichen patches. The outer bark is not of uniform thickness, the middle bark in sections appear as brownish or light reddish brown. The inner part consists of layers of light yellowish or orange brown granular tissue (Warrier et al, 1995).

Bark gives -sitosterol and its glucoside. Bark is hypoglycaemic. Stem bark is antiprotozoal, anthelmintic and antiviral. Bark is astringent, antigonorrheic, febrifuge, aphrodisiac and antidysenteric. Syconium, leaf and young shoot is purgative (Husain et al, 1992).

Agrotechnology: Ficus species can be cultivated in rocky areas, unused lands, or other wastelands of the farmyard. The plant is vegetatively propagated by stem cuttings. A few species are also seed propagated. Stem cuttings of pencil thickness taken from the branches are to be kept for rooting. Rooted cuttings are to be transplanted to prepared pits. No regular manuring is required. Irrigation is not a must as a plant is hardy. The plant is not attacked by any serious pests or diseases. Bark can be collected after 15 years. Ficus species generally has an economic life span of more than hundred years. Hence bark can be regularly collected from the tree. Root, bark, leaves, fruits and latex form the economic parts (Prasad et al,1995).... ficus

A disorder or injury of the NERVOUS SYSTEM in which the affected individual suffers from weakness in both legs and sometimes of the muscles in the lower trunk.... paraparesis

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

A regular nodding movement of the head that sometimes involves the trunk. The term can also refer to a staggering or reeling condition, especially due to disease of the SPINAL CORD or cerebellum (see BRAIN).... titubation

Paralysis, or PALSY, is loss of muscular power due to some disorder of the NERVOUS SYSTEM. Weakness – rather than total movement loss – is sometimes described as paresis. Paralysis may be temporary or permanent and may be accompanied by loss of feeling.

Paralysis due to brain disease The most common form is unilateral palsy, or HEMIPLEGIA, generally arising from cerebral HAEMORRHAGE, THROMBOSIS or EMBOLISM affecting the opposite side of the BRAIN. If all four limbs and trunk are affected, the paralysis is called quadraplegia; if both legs and part of the trunk are affected, it is called paraplegia. Paralysis may also be divided into ?accid (?oppy limbs) or spastic (rigid).

In hemiplegia the cause may be an abscess, haemorrhage, thrombosis or TUMOUR in the brain. CEREBRAL PALSY or ENCEPHALITIS are other possible causes. Sometimes damage occurs in the parts of the nervous system responsible for the ?ne control of muscle movements: the cerebellum and basal ganglion are such areas, and lack of DOPAMINE in the latter causes PARKINSONISM.

Damage or injury Damage to or pressure on the SPINAL CORD may paralyse muscles supplied by nerves below the site of damage. A fractured spine or pressure from a tumour may have this e?ect. Disorders affecting the cord which can cause paralysis include osteoarthritis of the cervical vertebrae (see BONE, DISORDERS OF), MULTIPLE SCLEROSIS (MS), MYELITIS, POLIOMYELITIS and MENINGITIS. Vitamin B12 de?ciency (see APPENDIX 5: VITAMINS) may also cause deterioration in the spinal cord (see also SPINE AND SPINAL CORD, DISEASES AND INJURIES OF).

Neuropathies are a group of disorders, some inherited, that damage the peripheral nerves, thus affecting their ability to conduct electrical impulses. This, in turn, causes muscle weakness or paralysis. Among the causes of neuropathies are cancers, DIABETES MELLITUS, liver disease, and the toxic consequences of some drugs or metals – lead being one example.

Disorders of the muscles themselves – for example, muscular dystrophy (see MUSCLES, DISORDERS OF – Myopathy) – can disturb their normal working and so cause partial or complete paralysis of the part(s) affected.

Treatment The aim of treatment should be to remedy the underlying cause – for example, surgical removal of a displaced intervertebral

disc or treating diabetes mellitus. Sometimes the cause cannot be recti?ed but, whether treatable or not, physiotherapy is essential to prevent joints from seizing up and to try to maintain some tone in muscles that may be only partly affected. With temporary paralysis, such as can occur after a STROKE, physiotherapy can retrain the sufferers to use their muscles and joints to ensure mobility during and after recovery. Patients with permanent hemiplegia, paraplegia or quadraplegia need highly skilled nursing care, rehabilitative support and resources, and expert help to allow them, if possible, to live at home.... paralysis

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

A skin growth caused by an overproduction of keratin.

Keratoses occur mainly in elderly people.

Seborrhoeic keratoses are harmless growths that occur mainly on the trunk.

The growths range in appearance from flat, dark-brown patches to small, wart-like protrusions.

They do not need treating unless they are unsightly.

Solar keratoses are small, wart-like, red or flesh-coloured growths that appear on exposed parts of the body as a result of overexposure to the sun over many years.

Rarely, they may develop into skin cancer, usually squamous cell carcinoma, and must be surgically removed.... keratosis

A glandular disorder occurring mostly in females, aged 30 to 50.

Causes: a tumour on the adrenal glands or excessive medication with large doses of corticosteroid drugs to make up for adrenal insufficiency. There is diminished resistance to infection. (Echinacea)

Symptoms. Fat plethoric ‘moon’ face. Limbs thin, trunk obese. Skin easily bruises (Arnica). Fatigue, weakness, pink streaks on skin. Cessation of menstruation. Loss of sex drive in men. High blood pressure and sugar in the urine are common. Bone softening leads to pain. Acne (Agnus Castus). Excess body hair. Personality change.

Treatment. Adrenal stimulants may obviate surgery or irradiation to the adrenal glands: they include Ginseng, Liquorice, Sarsaparilla, Holy Thistle (Hyde), Samphire (Hyde).

Men. Tinctures. Formula. Ginseng 3; Sarsaparilla 2; Liquorice 1. One to two teaspoons in water thrice daily.

Women. Tinctures. Formula. Agnus Castus 2; Helonias 2; Pulsatilla 1. One to two teaspoons in water thrice daily.

Good responses have been observed from Pulsatilla and Black Cohosh. ... cushing’s syndrome

The lower part of the trunk. Above, and separated from it by the diaphragm, lies the thorax or chest, and below lies the PELVIS, generally described as a separate cavity though continuous with that of the abdomen. Behind are the SPINAL COLUMN and lower ribs, which come within a few inches of the iliac bones. At the sides the contained organs are protected by the iliac bones and down-sloping ribs, but in front the whole extent is protected only by soft tissues. The latter consist of the skin, a varying amount of fat, three layers of broad, ?at muscle, another layer of fat, and ?nally the smooth, thin PERITONEUM which lines the whole cavity. These soft tissues allow the necessary distension when food is taken into the STOMACH, and the various important movements of the organs associated with digestion. The shape of the abdomen varies; in children it may protrude considerably, though if this is too marked it may indicate disease. In healthy young adults it should be either slightly prominent or slightly indrawn, and should show the outline of the muscular layer, especially of the pair of muscles running vertically (recti), which are divided into four or ?ve sections by transverse lines. In older people fat is usually deposited on and inside the abdomen. In pregnancy the abdomen enlarges from the 12th week after conception as the FETUS in the UTERUS grows (see PREGNANCY AND LABOUR; ANTENATAL CARE).

Contents The principal contents of the abdominal cavity are the digestive organs, i.e. the stomach and INTESTINE, and the associated glands, the LIVER and PANCREAS. The position

of the stomach is above and to the left when the individual is lying down, but may be much lower when standing. The liver lies above and to the right, largely under cover of the ribs, and occupying the hollow of the diaphragm. The two KIDNEYS lie against the back wall on either side, protected by the last two ribs. From the kidneys run the URETERS, or urinary ducts, down along the back wall to the URINARY BLADDER in the pelvis. The pancreas lies across the spine between the kidneys, and on the upper end of each kidney is a suprarenal gland

(see ADRENAL GLANDS). The SPLEEN is positioned high up on the left and partly behind the stomach. The great blood vessels and nerves lie on the back wall, and the remainder of the space is taken up by the intestines or bowels (see INTESTINE). The large intestine lies in the ?anks on either side in front of the kidneys, crossing below the stomach from right to left, while the small intestine hangs from the back wall in coils which ?ll up the spaces between the other organs. Hanging down from the stomach in front of the bowels is the OMENTUM, or apron, containing much fat and helping to protect the bowels. In pregnancy the UTERUS, or womb, rises up from the pelvis into the abdomen as it increases in size, lifting the coils of the small intestine above it.

The PELVIS is the part of the abdomen within the bony pelvis (see BONE), and contains the rectum or end part of the intestine, the bladder, and in the male the PROSTATE GLAND; in the female the uterus, OVARIES, and FALLOPIAN TUBES.... abdomen

A common skin condition starting after puberty, and which may persist for many years. It involves plugged pores (blackheads and whiteheads), pimples and deeper nodules on the face, neck, trunk and even the upper arms. It arises from pilosebaceous glands (relating to hair follicles and associated SEBACEOUS GLANDS). SEBUM production is increased and bacterial proliferation causes in?ammation with PAPULE and PUSTULE formation. Plugs of sebum and epidermal cells form blackheads (comedones); the colour is not due to dirt but to dried oil and shed skin cells in the hair-follicle openings.

Treatment Twice-daily washing with a salicylic-acid cleanser can help remove the pore-blocking debris, as can daily shampooing. Use only oil-free cosmetics and hide blackheads with a ?esh-tinted acne lotion containing benzoyl peroxide, acid or sulphur. Never squeeze blackheads, however tempting; ask a skin specialist how to do this properly. Other treatments include microdermabrasion, and the antibiotic lotions erythromycin and clindamycin may be e?ective. Tretinoin and adapilene can be used on the skin but are not permitted in pregnancy and may cause problems such as hypersensitivity to sunlight, so medical advice is essential. In resistant cases, long-term suppressive oral therapy with one of the TETRACYCLINES or with ERYTHROMYCIN may be necessary. In females a combined oestrogenantiandrogen ‘pill’ is an alternative. Severe resistant acne can be cleared by a 16- to 24week course of oral isotretinoin, but this drug is teratogenic (see TERATOGENESIS) and can cause many side-effects including depression, so its use requires specialist supervision.

See www.skincarephysicians.com/acnenet/... acne

Arachnodactyly, or MARFAN’S SYNDROME, is a congenital condition characterised by extreme length and slenderness of the ?ngers and toes – and, to a lesser extent, of the limbs and trunk; laxity of the ligaments; and dislocation of the lens of the eye. The antero-posterior diameter of the skull is abnormally long, and the jaw is prominent. There may also be abnormalities of the heart.... arachnodactyly

Bone is not an inert sca?olding for the human body. It is a living, dynamic organ, being continuously remodelled in response to external mechanical and chemical in?uences and acting as a large reservoir for calcium and phosphate. It is as susceptible to disease as any other organ, but responds in a way rather di?erent from the rest of the body.

Bone fractures These occur when there is a break in the continuity of the bone. This happens either as a result of violence or because the bone is unhealthy and unable to withstand normal stresses.

SIMPLE FRACTURES Fractures where the skin remains intact or merely grazed. COMPOUND FRACTURES have at least one wound which is in communication with the fracture, meaning that bacteria can enter the fracture site and cause infection. A compound fracture is also more serious than a simple fracture because there is greater potential for blood loss. Compound fractures usually need hospital admission, antibiotics and careful reduction of the fracture. Debridement (cleaning and excising dead tissue) in a sterile theatre may also be necessary.

The type of fracture depends on the force which has caused it. Direct violence occurs when an object hits the bone, often causing a transverse break – which means the break runs horizontally across the bone. Indirect violence occurs when a twisting injury to the ankle, for example, breaks the calf-bone (the tibia) higher up. The break may be more oblique. A fall on the outstretched hand may cause a break at the wrist, in the humerus or at the collar-bone depending on the force of impact and age of the person. FATIGUE FRACTURES These occur after the bone has been under recurrent stress. A typical example is the march fracture of the second toe, from which army recruits suffer after long marches. PATHOLOGICAL FRACTURES These occur in bone which is already diseased – for example, by osteoporosis (see below) in post-menopausal women. Such fractures are typically crush fractures of the vertebrae, fractures of the neck of the femur, and COLLES’ FRACTURE (of the wrist). Pathological fractures also occur in bone which has secondary-tumour deposits. GREENSTICK FRACTURES These occur in young children whose bones are soft and bend, rather than break, in response to stress. The bone tends to buckle on the side opposite to the force. Greenstick fractures heal quickly but still need any deformity corrected and plaster of Paris to maintain the correction. COMPLICATED FRACTURES These involve damage to important soft tissue such as nerves, blood vessels or internal organs. In these cases the soft-tissue damage needs as much attention as the fracture site. COMMINUTED FRACTURES A fracture with more than two fragments. It usually means that the injury was more violent and that there is more risk of damage to vessels and nerves. These fractures are unstable and take longer to unite. Rehabilitation tends to be protracted. DEPRESSED FRACTURES Most commonly found in skull fractures. A fragment of bone is forced inwards so that it lies lower than the level of the bone surrounding it. It may damage the brain beneath it.

HAIR-LINE FRACTURES These occur when the bone is broken but the force has not been severe enough to cause visible displacement. These fractures may be easily missed. Symptoms and signs The fracture site is usually painful, swollen and deformed. There is asymmetry of contour between limbs. The limb is held uselessly. If the fracture is in the upper

limb, the arm is usually supported by the patient; if it is in the lower limb then the patient is not able to bear weight on it. The limb may appear short because of muscle spasm.

Examination may reveal crepitus – a bony grating – at the fracture site. The diagnosis is con?rmed by radiography.

Treatment Healing of fractures (union) begins with the bruise around the fracture being resorbed and new bone-producing cells and blood vessels migrating into the area. Within a couple of days they form a bridge of primitive bone across the fracture. This is called callus.

The callus is replaced by woven bone which gradually matures as the new bone remodels itself. Treatment of fractures is designed to ensure that this process occurs with minimal residual deformity to the bone involved.

Treatment is initially to relieve pain and may involve temporary splinting of the fracture site. Reducing the fracture means restoring the bones to their normal position; this is particularly important at the site of joints where any small displacement may limit movement considerably.

with plaster of Paris. If closed traction does not work, then open reduction of the fracture may

be needed. This may involve ?xing the fracture with internal-?xation methods, using metal plates, wires or screws to hold the fracture site in a rigid position with the two ends closely opposed. This allows early mobilisation after fractures and speeds return to normal use.

External ?xators are usually metal devices applied to the outside of the limb to support the fracture site. They are useful in compound fractures where internal ?xators are at risk of becoming infected.

Consolidation of a fracture means that repair is complete. The time taken for this depends on the age of the patient, the bone and the type of fracture. A wrist fracture may take six weeks, a femoral fracture three to six months in an adult.

Complications of fractures are fairly common. In non-union, the fracture does not unite

– usually because there has been too much mobility around the fracture site. Treatment may involve internal ?xation (see above). Malunion means that the bone has healed with a persistent deformity and the adjacent joint may then develop early osteoarthritis.

Myositis ossi?cans may occur at the elbow after a fracture. A big mass of calci?ed material develops around the fracture site which restricts elbow movements. Late surgical removal (after 6–12 months) is recommended.

Fractured neck of FEMUR typically affects elderly women after a trivial injury. The bone is usually osteoporotic. The leg appears short and is rotated outwards. Usually the patient is unable to put any weight on the affected leg and is in extreme pain. The fractures are classi?ed according to where they occur:

subcapital where the neck joins the head of the femur.

intertrochanteric through the trochanter.

subtrochanteric transversely through the upper end of the femur (rare). Most of these fractures of the neck of femur

need ?xing by metal plates or hip replacements, as immobility in this age group has a mortality of nearly 100 per cent. Fractures of the femur shaft are usually the result of severe trauma such as a road accident. Treatment may be conservative or operative.

In fractures of the SPINAL COLUMN, mere damage to the bone – as in the case of the so-called compression fracture, in which there is no damage to the spinal cord – is not necessarily serious. If, however, the spinal cord is damaged, as in the so-called fracture dislocation, the accident may be a very serious one, the usual result being paralysis of the parts of the body below the level of the injury. Therefore the higher up the spine is fractured, the more serious the consequences. The injured person should not be moved until skilled assistance is at hand; or, if he or she must be removed, this should be done on a rigid shutter or door, not on a canvas stretcher or rug, and there should be no lifting which necessitates bending of the back. In such an injury an operation designed to remove a displaced piece of bone and free the spinal cord from pressure is often necessary and successful in relieving the paralysis. DISLOCATIONS or SUBLUXATION of the spine are not uncommon in certain sports, particularly rugby. Anyone who has had such an injury in the cervical spine (i.e. in the neck) should be strongly advised not to return to any form of body-contact or vehicular sport.

Simple ?ssured fractures and depressed fractures of the skull often follow blows or falls on the head, and may not be serious, though there is always a risk of damage which is potentially serious to the brain at the same time.

Compound fractures may result in infection within the skull, and if the skull is extensively broken and depressed, surgery is usually required to check any intercranial bleeding or to relieve pressure on the brain.

The lower jaw is often fractured by a blow on the face. There is generally bleeding from the mouth, the gum being torn. Also there are pain and grating sensations on chewing, and unevenness in the line of the teeth. The treatment is simple, the line of teeth in the upper jaw forming a splint against which the lower jaw is bound, with the mouth closed.

Congenital diseases These are rare but may produce certain types of dwar?sm or a susceptibility to fractures (osteogenesis imperfecta).

Infection of bone (osteomyelitis) may occur after an open fracture, or in newborn babies with SEPTICAEMIA. Once established it is very di?cult to eradicate. The bacteria appear capable of lying dormant in the bone and are not easily destroyed with antibiotics so that prolonged treatment is required, as might be surgical drainage, exploration or removal of dead bone. The infection may become chronic or recur.

Osteomalacia (rickets) is the loss of mineralisation of the bone rather than simple loss of bone mass. It is caused by vitamin D de?ciency and is probably the most important bone disease in the developing world. In sunlight the skin can synthesise vitamin D (see APPENDIX 5: VITAMINS), but normally rickets is caused by a poor diet, or by a failure to absorb food normally (malabsorbtion). In rare cases vitamin D cannot be converted to its active state due to the congenital lack of the speci?c enzymes and the rickets will fail to respond to treatment with vitamin D. Malfunction of the parathyroid gland or of the kidneys can disturb the dynamic equilibrium of calcium and phosphate in the body and severely deplete the bone of its stores of both calcium and phosphate.

Osteoporosis A metabolic bone disease resulting from low bone mass (osteopenia) due to excessive bone resorption. Su?erers are prone to bone fractures from relatively minor trauma. With bone densitometry it is now possible to determine individuals’ risk of osteoporosis and monitor their response to treatment.

By the age of 90 one in two women and one in six men are likely to sustain an osteoporosis-related fracture. The incidence of fractures is increasing more than would be expected from the ageing of the population, which may re?ect changing patterns of exercise or diet.

Osteoporosis may be classi?ed as primary or secondary. Primary consists of type 1 osteoporosis, due to accelerated trabecular bone loss, probably as a result of OESTROGENS de?ciency. This typically leads to crush fractures of vertebral bodies and fractures of the distal forearm in women in their 60s and 70s. Type 2 osteoporosis, by contrast, results from the slower age-related cortical and travecular bone loss that occurs in both sexes. It typically leads to fractures of the proximal femur in elderly people.

Secondary osteoporosis accounts for about 20 per cent of cases in women and 40 per cent of cases in men. Subgroups include endocrine (thyrotoxicosis – see under THYROID GLAND, DISEASES OF, primary HYPERPARATHYROIDISM, CUSHING’S SYNDROME and HYPOGONADISM); gastrointestinal (malabsorption syndrome, e.g. COELIAC DISEASE, or liver disease, e.g. primary biliary CIRRHOSIS); rheumatological (RHEUMATOID ARTHRITIS or ANKYLOSING SPONDYLITIS); malignancy (multiple MYELOMA or metastatic CARCINOMA); and drugs (CORTICOSTEROIDS, HEPARIN). Additional risk factors for osteoporosis include smoking, high alcohol intake, physical inactivity, thin body-type and heredity.

Individuals at risk of osteopenia, or with an osteoporosis-related fracture, need investigation with spinal radiography and bone densitometry. A small fall in bone density results in a large increase in the risk of fracture, which has important implications for preventing and treating osteoporosis.

Treatment Antiresorptive drugs: hormone replacement therapy – also valuable in treating menopausal symptoms; treatment for at least ?ve years is necessary, and prolonged use may increase risk of breast cancer. Cyclical oral administration of disodium etidronate – one of the bisphosphonate group of drugs – with calcium carbonate is also used (poor absorption means the etidronate must be taken on an empty stomach). Calcitonin – currently available as a subcutaneous injection; a nasal preparation with better tolerance is being developed. Calcium (1,000 mg daily) seems useful in older patients, although probably ine?ective in perimenopausal women, and it is a safe preparation. Vitamin D and calcium – recent evidence suggests value for elderly patients. Anabolic steroids, though androgenic side-effects (masculinisation) make these unacceptable for most women.

With established osteoporosis, the aim of treatment is to relieve pain (with analgesics and physical measures, e.g. lumbar support) and reduce the risk of further fractures: improvement of bone mass, the prevention of falls, and general physiotherapy, encouraging a healthier lifestyle with more daily exercise.

Further information is available from the National Osteoporosis Society.

Paget’s disease (see also separate entry) is a common disease of bone in the elderly, caused by overactivity of the osteoclasts (cells concerned with removal of old bone, before new bone is laid down by osteoblasts). The bone affected thickens and bows and may become painful. Treatment with calcitonin and bisphosphonates may slow down the osteoclasts, and so hinder the course of the disease, but there is no cure.

If bone loses its blood supply (avascular necrosis) it eventually fractures or collapses. If the blood supply does not return, bone’s normal capacity for healing is severely impaired.

For the following diseases see separate articles: RICKETS; ACROMEGALY; OSTEOMALACIA; OSTEOGENESIS IMPERFECTA.

Tumours of bone These can be benign (non-cancerous) or malignant (cancerous). Primary bone tumours are rare, but secondaries from carcinoma of the breast, prostate and kidneys are relatively common. They may form cavities in a bone, weakening it until it breaks under normal load (a pathological fracture). The bone eroded away by the tumour may also cause problems by causing high levels of calcium in the plasma.

EWING’S TUMOUR is a malignant growth affecting long bones, particularly the tibia (calfbone). The presenting symptoms are a throbbing pain in the limb and a high temperature. Treatment is combined surgery, radiotherapy and chemotherapy.

MYELOMA is a generalised malignant disease of blood cells which produces tumours in bones which have red bone marrow, such as the skull and trunk bones. These tumours can cause pathological fractures.

OSTEOID OSTEOMA is a harmless small growth which can occur in any bone. Its pain is typically removed by aspirin.

OSTEOSARCOMA is a malignant tumour of bone with a peak incidence between the ages of ten and 20. It typically involves the knees, causing a warm tender swelling. Removal of the growth with bone conservation techniques can often replace amputation as the de?nitive treatment. Chemotherapy can improve long-term survival.... bone, disorders of

Corypha elata

Description: This tree may reach 18 meters in height. It has large, fan -shaped leaves up to 3 meters long and split into about 100 narrow segments. It bears flowers in huge dusters at the top of the tree. The tree dies after flowering.

Habitat and Distribution: This tree grows in coastal areas of the East Indies.

Edible Parts: The trunk contains starch that is edible raw. The very tip of the trunk is also edible raw or cooked. You can get large quantities of liquid by bruising the flowering stalk. The kernels of the nuts are edible.

CAUTION

The seed covering may cause dermatitis in some individuals.

Other Uses: You can use the leaves as weaving material.... burl palm

DC.

Synonym: A. triphysa (Dennst.) Alston.

Family: Simaroubaceae.

Habitat: The evergreen forests of western Ghats from Konkan southwards.

Siddha: Perumaram.

Folk: Guggul-dhuupa. (Maharashtra.)

Action: Bark—febrifuge, carminative (given in typhoid, dyspepsia and constipation). Oleo resin— used for dysentery and bronchitis.

The bark and roots give a number of beta-carboline alkaloids. The resin- uous exudates from trunk give several triterpenoids, including malabaricol and malabaricanediol.... ailanthus malabarica

The large vessel which opens out of the left ventricle of the HEART and carries blood to all of the body. It is about 45 cm (1••• feet) long and 2·5 cm (1 inch) wide. Like other arteries it possesses three coats, of which the middle one is much the thickest. This consists partly of muscle ?bre, but is mainly composed of an elastic substance called elastin. The aorta passes ?rst to the right, and lies nearest the surface behind the end of the second right rib-cartilage; then it curves backwards and to the left, passes down behind the left lung close to the backbone, and through an opening in the diaphragm into the abdomen. There it divides, at the level of the navel, into the two common iliac arteries, which carry blood to the lower limbs.

Its branches, in order, are: two coronary arteries to the heart wall; the brachiocephalic, left common carotid, and left subclavian arteries to the head, neck and upper limbs; several small branches to the oesophagus, bronchi, and other organs of the chest; nine pairs of intercostal arteries which run around the body between the ribs; one pair of subcostal arteries which is in series with the intercostal arteries; four (or ?ve) lumbar arteries to the muscles of the loins; coeliac trunk to the stomach, liver and pancreas; two mesenteric arteries to the bowels; and suprarenal, renal and testicular arteries to the suprarenal body, kidney, and testicle on each side. From the termination of the aorta rises a small branch, the median sacral artery, which runs down into the pelvis. In the female the ovarian arteries replace the testicular.

The chief diseases of the aorta are ATHEROMA

and ANEURYSM. (See ARTERIES, DISEASES OF; COARCTATION OF THE AORTA.)... aorta

Adansonia digitata

Description: The baobab tree may grow as high as 18 meters and may have a trunk 9 meters in diameter. The tree has short, stubby branches and a gray, thick bark. Its leaves are compound and their segments are arranged like the palm of a hand. Its flowers, which are white and several centimeters across, hang from the higher branches. Its fruit is shaped like a football, measures up to 45 centimeters long, and is covered with short dense hair.

Habitat and Distribution: These trees grow in savannas. They are found in Africa, in parts of Australia, and on the island of Madagascar.

Edible Parts: You can use the young leaves as a soup vegetable. The tender root of the young baobab tree is edible. The pulp and seeds of the fruit are also edible. Use one handful of pulp to about one cup of water for a refreshing drink. To obtain flour, roast the seeds, then grind them.

Other Uses: Drinking a mixture of pulp and water will help cure diarrhea. Often the hollow trunks are good sources of fresh water. The bark can be cut into strips and pounded to obtain a strong fiber for making rope.... baobab

(Syn. “Breakbone fever”) A flavivirus, dengue virus types 1-4, transmitted by infected specific Aedes spp mosquitoes. Sudden abrupt onset of high fever, headache, retrobulbar pain and lumbosacral pain. Fever lasts 6-7 days and may be ‘saddleback’. Initial symptoms followed by generalised myalgia, bone pain, anorexia, nausea, vomiting and weakness. A transient mottled rash may appear on 1st/2nd day and a second rash appears with resolution of fever - at first on trunk, spreading outward. WCC and platelet count depressed. Mild haemorrhagic phenomena in a few.... dengue fever

Pain, muscular sti?ness and in?ammation affecting the soft tissues of the arm, legs and trunk. The cause is unknown but may include immunological factors, muscular strain and psychological stress. Treatment is usually palliative.... fibrositis

Hard lumpy nodule of the skin due to overgrowth of ?brous tissue in the dermis. It usually follows surgical or accidental trauma or burns, but, rarely, may complicate acne on the upper trunk. Most commonly seen in the skin over the sternum, shoulders and upper back; coloured people are particularly prone. Injection of corticosteroid into the keloid may cause partial resolution. Excision should be avoided.... keloid

Choking is the process which results from an obstruction to breathing situated in the larynx (see AIR PASSAGES). It may occur as the result of disease causing swelling round the glottis (the entrance to the larynx), or of some nervous disorders that interfere with the regulation of the muscles which open and shut the larynx. Generally, however, it is due to the irritation of a piece of food or other substance introduced by the mouth, which provokes coughing but only partly interferes with breathing. As the mucous membrane lining the upper part of the latter is especially sensitive, coughing results in order to expel the cause of irritation. At the same time, if the foreign body is of any size, lividity of the face appears, due to partial su?ocation (see ASPHYXIA).

Treatment The choking person should take slow, deep inspirations, which do not force the particle further in (as sudden catchings of the breath between the coughs do), and which produce more powerful coughs. If the coughing is weak, one or two strong blows with the palm of the hand over either shoulder blade, timed to coincide with coughs, aid the e?ect of the coughing. If this is ine?ective, the Heimlich manoeuvre may be used. This involves hugging the person from behind with one’s hands just under the diaphragm. A sudden upward compressive movement is made which serves to dislodge any foreign body. In the case of a baby, sit down with left forearm resting on thigh. Place the baby chest-down along the forearm, holding its head and jaw with the ?ngers and thumb. The infant’s head should be lower than its trunk. Gently deliver three or four blows between the shoulder blades with the free hand. The resuscitator should not attempt blind ?nger-sweeps at the back of the mouth; these can impact a foreign body in the larynx.

If normal breathing (in adult or child) cannot be quickly restored, seek urgent medical help. Sometimes an emergency TRACHEOSTOMY is necessary to restore the air supply to the lungs. (See APPENDIX 1: BASIC FIRST AID.)... choking

Altough Cibotium tea is not very popular and sometimes hard to find within the United States, it is worth trying, as it has many health benefits. About Cibotium Tea Cibotium is a genus of fern tropical tree - subject to much confusion and revision. There are approximately eleven species distributed in South Eastern Asia, Central America, Hawaii and Mexico. Amoung them, Cibotium barometz is well known and used in Asian medicine as it is belived to be a very powerful tonifying agent for the lungs and kidneys. The fronds of this fern are lacy and have a light green color. The trunk of the fern usually develops orange to brown hairs over time. For their part, the rhizomes or roots have long, soft, golden-yellow hair coverings and these have given it its nicknames such as “golden hair dog” or “yellow dog hair”. The rhizomes are the most used parts in traditional Chinese medicine. The cibotium rhizomes containe tannins, pigments, cibotiumbarosides A and B, as well as cibotiglycerol. Cibotium tea benefits can be felt if you take one cup, 2 to 3 times per day. Cibotium Tea drink For a tasty Cibotium tea you can use 2 to 4 grams of powdered rhizomes and dissolve them in a cup of newly-boiled water. Let them infuse for about 5 minutes and drink. Benefits of Cibotium Tea The following are the cibotium tea benefits attributed to this brew: It is believed to help expel “wind” and moisture and ease weakness. This tea is believed to help strengthen the sinews and the bones of the lower back. Cibotium tea, in combination with other herbs such as cinnamon twigs, is believed to help ease aches, pains and stiffness in the back and in the knees. Cibotium tea may fight chronic rheumatism. It may also be helpful in dizziness, tinnitus and blurred vision caused by yin deficiency in the kidney and liver, according to traditional Chinese medicine. Side effects of Cibotium Tea Generally, there are no known side-effects or drug interactions associated with Cibotium tea. However, patients who are dehydrated, or have a dry mouth, dark yellow/brown urine, or a bitter taste in the mouth should not use this type of tea. As always, consult with a qualified health care provider before taking cibotium or any other dietary supplement.   Cibotium tea is mostly safe for health and if you keep your moderation you can easily enjoy its benefits.... cibotium tea

The course of the circulation is as follows: the veins pour their blood, coming from the head, trunk, limbs and abdominal organs, into the right atrium of the HEART. This contracts and drives the blood into the right ventricle, which then forces the blood into the LUNGS by way of the pulmonary artery. Here it is contained in thin-walled capillaries, over which the air plays freely, and through which gases pass readily out and in. The blood gives o? carbon dioxide (CO2) and takes up oxygen (see RESPIRATION), and passes on by the pulmonary veins to the left atrium of the heart. The left atrium expels it into the left ventricle, which forces it on into the aorta, by which it is distributed all over the body. Passing through capillaries in the various tissues, it enters venules, then veins, which ultimately unite into two great veins, the superior and the inferior vena cava, these emptying into the right atrium. This complete circle is accomplished by any particular drop of blood in about half a minute.

In one part of the body there is a further complication. The veins coming from the bowels, charged with food material and other products, split up, and their blood undergoes a second capillary circulation through the liver. Here it is relieved of some food material and puri?ed, and then passes into the inferior vena cava, and so to the right atrium. This is known as the portal circulation.

The circle is maintained always in one direction by four valves, situated one at the outlet from each cavity of the heart.

The blood in the arteries going to the body generally is bright red, that in the veins dull red in colour, owing to the former being charged with oxygen and the latter with carbon dioxide (see RESPIRATION). For the same reason the blood in the pulmonary artery is dark, that in the pulmonary veins is bright. There is no direct communication between the right and left sides of the heart, the blood passing from the right ventricle to the left atrium through the lungs.

In the embryo, before birth, the course of circulation is somewhat di?erent, owing to the fact that no nourishment comes from the bowels nor air into the lungs. Accordingly, two large arteries pass out of the navel, and convey blood to be changed by contact with maternal blood (see PLACENTA), while a large vein brings this blood back again. There are also communications between the right and left atria, and between pulmonary artery and aorta. The latter is known as the ductus arteriosus. At birth all these extra vessels and connections close and rapidly shrivel up.... circulatory system of the blood

Cocos nucifera

Description: This tree has a single, narrow, tall trunk with a cluster of very large leaves at the top. Each leaf may be over 6 meters long with over 100 pairs of leaflets.

Habitat and Distribution: Coconut palms are found throughout the tropics. They are most abundant near coastal regions.

Edible Parts: The nut is a valuable source of food. The milk of the young coconut is rich in sugar and vitamins and is an excellent source of liquid. The nut meat is also nutritious but is rich in oil. To preserve the meat, spread it in the sun until it is completely dry.

Other Uses: Use coconut oil to cook and to protect metal objects from corrosion. Also use the oil to treat saltwater sores, sunburn, and dry skin. Use the oil in improvised torches. Use the tree trunk as building material and the leaves as thatch. Hollow out the large stump for use as a food container. The coconut husks are good flotation devices and the husk’s fibers are used to weave ropes and other items. Use the gauzelike fibers at the leaf bases as strainers or use them to weave a bug net or to make a pad to use on wounds. The husk makes a good abrasive. Dried husk fiber is an excellent tinder. A smoldering husk helps to repel mosquitoes. Smoke caused by dripping coconut oil in a fire also repels mosquitoes. To render coconut oil, put the coconut meat in the sun, heat it over a slow fire, or boil it in a pot of water. Coconuts washed out to sea are a good source of fresh liquid for the sea survivor.... coconut

Phoenix dactylifera

Description: The date palm is a tall, unbranched tree with a crown of huge, compound leaves. Its fruit is yellow when ripe.

Habitat and Distribution: This tree grows in arid semitropical regions. It is native to North Africa and the Middle East but has been planted in the arid semitropics in other parts of the world.

Edible Parts: Its fruit is edible fresh but is very bitter if eaten before it is ripe. You can dry the fruits in the sun and preserve them for a long time.

Other Uses: The trunks provide valuable building material in desert regions where few other treelike plants are found. The leaves are durable and you can use them for thatching and as weaving material. The base of the leaves resembles coarse cloth that you can use for scrubbing and cleaning.... date palm

Rafin.

Synonym: Poinciana regai Bojer ex Hook.

Family: Caesalpiniaceae.

Habitat: Native to Madagascar; grown in gardens and avenues for ornamental purposes and for shade.

English: Flamboyant Flame tree, Gold Mohur.

Ayurvedic: Gulmohar (var.) White Gold Mohur is equated with Delonix elata Gamble, synonym Poinciana elata Linn.

Siddha: Vadanarayana, Pe- rungondrai, Mayarum. White Gulmohar. (Tamil)

Action: Bark—antiperiodic, febrifuge. Plant—antirheumatic, spasmogenic. Flowers (aqueous and alcoholic extract)—active against roundworm.

White Gulmohar trunk-bark yielded asparagine and aspartic acid. Flowers gave iso-quercetin.

Delonix regia bark gave leucocyani- din; bark and leaves contain tannin, lu- peol and beta-sitosterol, and free OH- proline as major amino acid. Flower anthers are a rich source of zeaxanthin.... delonix regia

Drinking sassafras tea has both its pros and cons. The health benefits tempt you to give it a try. However, you should be aware of its side effects, as well. Find out more about both the health benefits and the side effects of sassafras tea. About Sassafras Tea Sassafras tea is made from the roots or leaves of the sassafras tree. This tree can be found in eastern North America and eastern Asia. The tree’s height varies between 9m and 18m. It has a thick trunk, with many thin branches and a smooth, orange-brown bark. The leaves have three distinct patterns (unlobed, bilobed, trilobed); they have smooth margins and can be 7-20cm long. The trees have small, yellow flowers with five petals, and a blue-black, egg-shaped fruit. The leaves are often used to season dishes. Also, rootbeer got its name from the oil extracted from sassafras tree root. How to make Sassafras Tea Both sassafras tree root and leaves can be used to make a cup of sassafras tea. Add a handful of either root or leaves to a pot of boiling water. Cover and let it steep for about 20 minutes. Once the steeping time is done, strain to clear the liquid. Sassafras Tea Benefits Sassafras tea gets many active constituents from either the root or the leaves of the sassafras tree. Some of them include safrole, tannins, mucilage, asarone, and alpha-pinene. This leads to the tea having many health benefits. Sassafras tea works both as a blood thinner and as a blood purifier. Drinking it also promotes the process of extracting toxins from your body. Drinking sassafras tea can help if you’ve got a cold or the flu. Also, it can be used in the treatment for bronchitis and gonorrhea. With sassafras tea, you can also treat liver and kidney problems, urinary tract problems, arthritis and rheumatism. Drinking it will also help reduce menstrual cramps. Sassafras Tea Side Effects Among its active constituents, sassafras tea contains saffron, which is considered to trigger liver cancer. More researches are being done, though until it is known for sure, its trade has been restricted. This is why it is recommended that you not drink sassafras tea for a long period of time. The amount of tea you drink matters, as well. Don’t drink more than 3-4 cups of sassafras tea a day. If you drink too much, you might get hallucinations, heart palpitations, headaches, or you might feel nauseous. Pregnant and breastfeeding women shouldn’t drink sassafras tea, either. It can affect the baby, and even lead to miscarriages during pregnancy. Sassafras tea has both health benefits and side effects. Before you start consuming it, it’s considered best to talk to your doctor and balance the pros and cons, based on your health. If you’re safe to drink it, then enjoy your cup of sassafras tea!... drink sassafras tea!

Azadirachta indica

Meliaceae

San: Nimbah, Prabhadrah Hin,

Ben: Nim, Nim Mal: Aryaveppu

Tel: Vepa Ori: Nimba

Tam: Vembu, Veppu Pun: Bakam,Bukhain

Guj: Limba

Kan: Bevu Mar: Limbu

Importance: Neem or margose tree, also known as Indian lilac is a highly exploited medicinal plant of Indian origin, widely grown and cultivated throughout India. Every part of the tree, namely root, bark, wood, twig, leaf, flower, fruit, seed, kernel and oil has been in use from time immemorial in the Ayurvedic and Unani systems of medicine. Nimbarishta, nimbadi churna and nimbharidra khand are well known preparations. It is valuable as an antiseptic, used in the treatment of small pox. Small twigs are used as tooth brushes and as a prophylactic for mouth and teeth complaints. Extract from the leaves are useful for sores, eczema and skin diseases. Boiled and smashed leaves serve as excellent antiseptic. Decoction of leaves is used for purifying blood. Neem oil is used in soaps, toothpaste and as a hair tonic to kill lice. Seed is used in snake bite. The fruits and leaves being renewable, provide sustainable returns. Different parts of the fruit are separated into components and each one produces derivatives of varying chemical nature and utility. Neem derivatives are now used in agriculture, public health, human and veterinary medicines, toiletries, cosmetics and livestock production. Applications as pesticides, allied agrochemicals, plant nutrients and adjuvants for improving nitrogen use efficiency are of much importance. Neem kernel suspension (1%) is a house hold insecticide. Pesticide formulations containing azadirachtin are now commercially available in India, USA, Canada, Australia and Germany. Neem cake is rich in N, P, K, Ca and S. Neem Meliacins like epinimbin and nimbidin are commercially exploited for the preparation of slow and extended release of nutrients including nitrification inhibitors (Eg. Nimin). Extracts of neem seed oil and bark check the activity of male reproductive cells and prevents sperm production. Neem seed oil is more effective than the bark for birth control. Neem based commercial products are also available for diabetes treatment (Nimbola, JK-22), contraceptive effect (Sensal, Nim-76) and mosquito/ insect repelling (Srivastava, 1989; Tewari, 1992; Parmer and Katkar, 1993; Pushpangadan et al, 1993; Mariappan, 1995).

Distribution: Neem is a native of the Siwalik deccan parts of South India. It grows wild in the dry forests of Andra Pradesh, Tamil Nadu and Karnataka. It has spread to Pakistan, Bangladesh , Sri Lanka, Malaysia, Indonesia, Thailand, Middle East Sudan and Niger. It is now grown in Australia, Africa, Fiji, Mauritious, Central and South America, the Carribeans, Puerto Rico and Haiti. The largest known plantation of nearly 50,000 trees is at Arafat plains en route to Mecca in Saudi Arabia for providing shade to Haj pilgrims (Ahmed, 1988).

Botany: The genus Azadirachta of family Meliaceae comprises two species: A. indica A. Juss syn. Melia azadirachta Linn. and A. excelsa (Jack) Jacobs syn. A. integrifolia Mers., the latter being found in Philippines, Sumatra, Malaya, Borneo and New Guinea. Neem is a hardy medium to large, mostly evergreen tree attaining 20m height and 2.5m girth. It has a short bole with wide spreading branches and glabrous twigs forming a round to oval crown. The bark is thick, dark-gray with numerous longitudinal furrows and transverse cracks. Leaves are imparipinnately compound, alternate, exstipulate and 20-38cm long. Inflorescence is long, slender, axillary or terminal panicle. Flowers are white or pale yellow, small, bisexual, pentamerous and bracteate. Stamens 10; filaments unite to form a moniliform tube. Gynoecium is tricarpellary and syncarpous, ovary superior, trilocular. Each carpel bears two collateral ovules on parietal placentation. Fruit is one seeded drupe with woody endocarp, greenish yellow when ripe. Seed ellipsoid, cotyledons thick fleshy and oily. Neem has chromosome number 2n = 28. Neem trees tend to become deciduous for a brief period in dry ecology. Ecotypes, exhibiting morphological variation in root growth, leaf size, contents, bole length , canopy, inflorescence, fruit bearing, seed size, shape and quality exist in natural populations.

Agrotechnology: Neem grows in tropical arid regions with high temperatures, altitudes between 50m and 1000m, as little rainfall as 130mm/yr and long stretches of drought. Well drained sunny hill places are ideal. It grows on most kinds of soils including dry, stony, shallow, nutrient deficient soils with scanty vegetation, moderately saline and alkali soils, black cotton, compact clays and laterite crusts. However, silty flats, clayey depressions and land prone to inundation are not conducive for its growth (Chaturvedi, 1993). Soil pH of 5.0 to 10.0 is ideal. It brings surface soil to neutral pH by its leaf litter. It has extensive and deeply penetrating root system capable of extracting moisture and nutrients even from highly leached poor sandy soils.

Neem propagates easily by seed without any pretreatment, though it can be regenerated by vegetative means like root and shoot cuttings. Seeds are collected from June to August. These remain viable for 3-5 weeks only which necessitates sowing within this short time. Seeds may be depulped and soaked in water for 6 hours before sowing. Seeds are sown on nursery beds at 15x5cm spacing, covered with rotten straw and irrigated. Germination takes 15-30 days. Seedlings can be transplanted after two months of growth onwards either to polybags or to mainfield. Neem can be grown along with agricultural crops like groundnut, bean, millets, sorghum and wheat. It is also suitable for planting in roadsides, for afforestation of wastelands and under agroforestry system. For field planting, pits of size 50-75 cm cube are dug 5-6m apart, filled with top soil and well rotten manure, formed into a heap, and seedling is planted at the centre of the heap. FYM is applied at 10-20 kg/plant every year. Chemical fertilizers are not generally applied. Irrigation and weeding are required during the first year for quick establishment.

More than 38 insect pests are reported on Neem which may become serious at times. The important ones are seed and flower insect (Scirtothrips dorsalis Hood), defoliators (Boarmia variegata Moore and Eurema sp.), sap suckers (Helopeltes antonii Signoret and Pulvinaria maxima Green) , root feeders (Hototrichia consanguinea Blanchard), mealy bug (Pseudococus gilbertensis), scale insect (Parlatoria orientalis) and a leaf webber (Loboschiza Koenigiana)(Beeson, 1941, Bhasin et al, 1958, Parmar, 1995). They can be controlled by the application of 0.01-0.02% monocrotophos or dimethoate. No serious diseases are reported in Neem. Flowering starts after 5 years. In India flowering is during January-May and fruits mature from May-August. The leaves are shed during February- March and a full grown tree produces about 350 kg dry leaves and 40-50 kg berries per annum. Fresh fruits give 60% dry fruits which yield 10% kernel which contains 45% fixed oil, on an average. After 10 years of growth the wood can be cut and used as timber.

Properties and Activity: Dry Neem leaves contain carbohydrates 47-51%, crude protein 14-19%, crude fiber 11-24%, fat 2-7%, ash 7-9%, Ca 0.8-2.5% and P 0.1-0.2%. Leaves also contain the flavanoid quercetin, nimbosterol (-sitosterol), kaempferol and myricetin. Seed and oil contains desacetylnimbin, azadirachtin (C35H44O16), nimbidol, meliantriol ,tannic acid, S and amino acids. Neem cake contain the highest sulphur content of 1.07% among all the oil cakes. Trunk bark contains nimbin 0.04%, nimbinin 0.001%, nimbidin 0.4%, nimbosterol 0.03%, essential oil 0.02%, tannins 6.0 %, margosine and desacetylnimbin (Atal and Kapur, 1982; Thakur et al 1989).

Neem bark is bitter, astringent, acrid, refrigerant, depurative, antiperiodic, vulnerary, demulcent, insecticidal, liver tonic, expectorant and anthelmintic. Leaves are bitter, astringent, acrid, depurative, antiseptic, ophthalmic, anthelmintic, alexeteric, appetizer, insecticidal, demulcent and refrigerant. Seed and oil are bitter, acrid, thermogenic, purgative, emollient, anodyne, anthelmintic depurative, vulnerary, uterine stimulant, urinary astringent, pesticidal and antimicrobial (Warrier et al, 1993).... neem

Sabal palmetto

Description: The palmetto palm is a tall, unbranched tree with persistent leaf bases on most of the trunk. The leaves are large, simple, and palmately lobed. Its fruits are dark blue or black with a hard seed.

Habitat and Distribution: The palmetto palm is found throughout the coastal regions of the southeastern United States.

Edible Parts: The fruits are edible raw. The hard seeds may be ground into flour. The heart of the palm is a nutritious food source at any time. Cut off the top of the tree to obtain the palm heart.... palmetto palm

Get a taste of South America by drinking pau d’arco tea. It has a pleasant, earthy taste, astringent and just a bit bitter. Find out more about its health benefits and side effects! About Pau D’Arco Tea Pau D’Arco tea uses the inner bark of the Pink Ipê tree, also known as Pink Lapacho. The tree can be found in many South American countries. The Pink Lapacho is a large tree which can grow up to 30m tall. Usually, the trunk represents a third of that height, while the rest is used by the tree’s branches. The bark is dark brown, tough and hard to peel, and its branches spring up with opposite and petiolate leaves, and large, tubular-shaped pink flowers which bloom between July and September. How to make Pau D’Arco Tea To enjoy some pau d’arco tea, add 3 tablespoons to a pot containing 1 liter of water and bring it to boiling point. Once it reaches boiling point, lower the heat to medium-low and leave it like this for about 20 minutes. Once that’s done, strain the tea and pour it into cups. Pau d’arco tea can be served both hot and cold. If you want to, you can sweeten it with honey, stevia or fruit juice. Pau D’Arco Tea Benefits The inner bark of the Pink Lapacho tea has important active constituents, such as lapachol, lapachone and isolapachone, as well as various flavonoids and tannins. They are transferred to the pau d’arco tea; this way, the beverage helps us stay healthy. Pau d’arco tea plays an important role in the help against cancer. Cancer patients who have consumed this tea have shown progress, from alleviation of chemotherapy symptoms to complete remission of the cancerous tumors. Pau d’arco tea is also useful in the treatment of other diseases, such as diabetes, fibromyalgia, and lupus. Drinking pau d’arco tea can help if you’ve got a cold or the flu. It is also useful as a remedy for smoker’s cough, and acts as an expectorant, stimulating coughing in order to get rid of mucus. It was also discovered that pau d’arco tea increases the production of red blood cells. Although researches are still being made in this area, it is recommended in the treatment for leukemia, anemia and other blood disorders. Pau d’arco tea is also useful in fighting fungi. It is used to treat yeast infection and candida, due to its antifungal nature. It can help in the treatment for stomach ulcers, tuberculosis, pneumonia, and dysentery. It also protects you against tropical diseases (malaria, schistosomiasis). Pau D’Arco Tea Side Effects Pau d’arco tea may act like a blood thinner. Don’t drink this tea at least two weeks before a surgery, otherwise it might increase the risk of bleeding both during and after the surgery, and can decrease the blood clotting speed. You also shouldn’t drink pau d’arco tea if you’ve got a bleeding disorder (hemophilia) or if you’re taking anticoagulants. If you’re taking any medication, talk to your doctor first before drinking pau d’arco tea. It may interfere with various medications, for example aspirin, enoxaparin, warfarin, and dalteparin. It is also recommended that you not drink pau d’arco tea if you’re pregnant or breastfeeding. During pregnancy, it can lead to child defects or even death of the baby. It can also affect the baby during breastfeeding. Be careful with the amount of pau d’arco tea you drink a day. The maximum amount of tea you can drink a day is 1 liter. If you drink more, it might lead to nausea, vomiting or bleeding (in which case you should consult a doctor). Other symptoms include headaches, dizziness and diarrhea. Pau d’arco tea has lots of important health benefits, but it also has a few side effects which you should remember. If you make sure it’s safe to drink this tea, you can enjoy it with no worries!... drink pau d’arco tea from south america

Caryota urens

Description: Fishtail palms are large trees, at least 18 meters tall. Their leaves are unlike those of any other palm; the leaflets are irregular and toothed on the upper margins. All other palms have either fan-shaped or featherlike leaves. Its massive flowering shoot is borne at the top of the tree and hangs downward.

Habitat and Distribution: The fishtail palm is native to the tropics of India, Assam, and Burma. Several related species also exist in Southeast Asia and the Philippines. These palms are found in open hill country and jungle areas.

Edible Parts: The chief food in this palm is the starch stored in large quantities in its trunk. The juice from the fishtail palm is very nourishing and you have to drink it shortly after getting it from the palm flower shoot. Boil the juice down to get a rich sugar syrup. Use the same method as for the sugar palm to get the juice. The palm cabbage may be eaten raw or cooked.... fishtail palm

The appearance in labour of some particular part of the child’s body at the mouth of the uterus (see PREGNANCY AND LABOUR). This is a head presentation in 96 per cent of cases, but in a certain number the breech (or buttocks) may present, or the face, or foot, or even a part of the trunk in cases of cross-birth.

The term is also used for the symptoms or signs with which a patient ?rst brings to a doctor.... presentation

A rare autoimmune disease. Scleroderma circumscriptum (morphoea) affects the skin, usually of the trunk, producing indurated plaques which resolve over many years. The more serious systemic form of scleroderma usually begins with RAYNAUD’S DISEASE, eventually producing a deforming hardening and clawing of the hands. Later the face and sometimes the internal organs, particularly the gastrointestinal tract and kidneys, may be affected.... scleroderma

Also called Herpes zoster. It is caused by the chickenpox virus, and usually occurs in middle-age, beginning as inflammation, sharp pain and finally vesicles, erupting at the edges of posterior ganglia of the trunk or face. Usually lasting two or three weeks, it is often triggered by stress or a concurrent viral infection, and can return again in some individuals.... shingles

Enteric fever is caused by bacterial infection with either Salmonella typhi or Salmonella paratyphi A, B or C. These infections are called typhoid fever, or paratyphoid fever respectively. Transmission usually occurs by ingestion of water or food that has been contaminated with human faeces – for example, by drinking water contaminated with sewage, or eating foods prepared by a cook infected with or carrying the organisms. Enteric fever is ENDEMIC in many areas of the world, including Africa, Central and South America, the Indian subcontinent and south-east Asia. Infection occasionally occurs in southern and eastern Europe, particularly with S. paratyphi B. However, in northern and western Europe and North America, most cases are imported.

Clinical course The incubation period of enteric fever is 7–21 days. Early symptoms include headache, malaise, dry cough, constipation and a slowly rising fever. Despite the fever, the patient’s pulse rate is often slow and he or she may have an enlarged SPLEEN. In the second week of illness, organisms invade the bloodstream again and symptoms progress. In general, symptoms of typhoid fever are more severe than those of paratyphoid fever: increasing mental slowness and confusion are common, and a more sustained high fever is present. In some individuals, discrete red spots appear on the upper trunk (rose spots). By the third week of illness the patient may become severely toxic, with marked confusion and delirium, abdominal distension, MYOCARDITIS, and occasionally intestinal haemorrage and/or perforation. Such complications may be fatal, although they are unusual if prompt treatment is given. Symptoms improve slowly into the fourth and ?fth weeks, although relapse may occur.

Diagnosis Enteric fever should be considered in any traveller or resident in an ENDEMIC area presenting with a febrile illness. The most common di?erential diagnosis is MALARIA. Diagnosis is usually made by isolation of the organism from cultures of blood in the ?rst two weeks of illness. Later the organisms are found in the stools and urine. Serological tests for ANTIBODIES against Salmonella typhi antigens (see ANTIGEN) (the Widal test) are less useful due to cross-reactions with antigens on other bacteria, and diffculties with interpretation in individuals immunised with typhoid vaccines.

Treatment Where facilities are available, hospital admission is required. Antibiotic therapy with chloramphenicol or amoxyacillin is e?ective. However, the potential toxicity of the former and the widespread resistance that has developed to both these antibiotics has led to the use of QUINOLONES such as CIPROFLOXACIN as the initial therapy for enteric fever in the UK and in areas where resistant organisms are common. A few individuals become chronic carriers of the organisms after they have recovered from the symptoms. These people are a potential source of spread to others and should be excluded from occupations that involve handling food or drinking-water.

Prolonged courses of antibiotic therapy may be required to eradicate carriage.

Prevention Worldwide, the most important preventive measure is improvement of sanitation and maintenance of clean water supplies. Vaccination is available for travellers to endemic areas.... enteric fever

(Lour.) C. B. Robinson.

Synonym: L. sebifera Pers. L. chinensis Lam.

Family: Lauraceae.

Habitat: Punjab, Khasi Hills, Bengal, Assam and South India.

English: Common Tallow Lowrel.

Ayurvedic: Medaasaka.

Unani: Maidaa-lakdi, MaghaaseHindi.

Siddha/Tamil: Mushaippeyetti, Elumpurukki, Uralli.

Action: Leaf—antispasmodic and emollient. Bark—demulcent, emollient, astringent, antidiarrhoeal, anodyne. Root—decoction is used as an emmenagogue. Oil from berries—used in rheumatism. Essential oil—antibacterial, antifungal.

The bark is mucilaginous. The plant contains a polysaccharide. Leaves and stem contain aporphine al- kaloids—boldine, laurotetanine, acti- nodaphnine and their derivatives. The trunk bark gave sebiferine and litsefer- ine.

Boldine produced dose-dependent inhibition of induced microsomal peroxidation in experimental studies.

Dosage: Bark—3-5 g powder. (CCRAS.)... litsea glutinosa

Terminalia spp.

Combretaceae

The genus Terminalia includes a large group of medicinally valuable trees. They belong to the family Combretaceae.

The most important medicinal species of the genus Terminalia are the following.

1) T. arjuna (Roxb.ex DC) Wight & Arn.

San: Arjunah, Kakubhah;

Hin: Arjun, Kahu, Kahua;

Mal: Marutu, Nirmarutu, Venmarutu, Attumarutu, Pulamatti;

Tam: Attumarutu, Nirmarutu, Vellaimarutu, Marutu;

Kan: Maddi.

It is a large evergreen tree commonly found in Madhya Pradesh, Bihar and Peninsular and India. It has buttressed trunk and spreading crown with drooping branches. Bark is smooth, grey outside and flesh coloured inside, flaking off in large flat pieces. Leaves are simple, sub-opposite, oblong or elliptic, coriaceous, crenulate, pale dull green above, pale brown beneath, often unequal sided, nerves 10-15 pairs and reticulate. Flowers are white, arranged in panicles of spikes with linear bracteoles. Fruits are ovoid or oblong with 5-7 short, hard angles or wings, the lines on the wings oblique and curving upward (Warrier et al 1996).

The bark is useful in fractures, ulcers, urethrorrhoea, leucorrhoea, diabetes, vitiated conditions of pitta, anaemia, cardiopathy, fatigue, asthma, bronchitis, tumours, internal and external haemorrhages, cirrhosis of the lever and hypertension. It is used in fractures and the powdered bark is taken with milk. The bark powder is diuretic and has a general tonic effect in cases of cirrhosis of liver. The bark has been considered by the ayurvedic physicians as well as by modern practitioners as a cardiac tonic. It is given as a decoction with milk (NRF, 1998). In Ayurveda, “Arjunaghrita” and “Arjunarishta” are two important cardiotonic preparations of this drug.

Fruits contain flavanones - arjunone and 5,7,2’, 4’ - tetramethoxy flavone and a chalcone - cerasidin. Other constituents are -sitosterol, friedelin, methyloleanolate, gallic acid, ellagic acid and arjunic acid. Bark gave a triterpene arjungenin, triterpene glucosides I, II and III. Stem bark gave flavones - baicalein and arjunolone characterised as 6,4’ - dihydraxy - 7-methoxy flavone. Stem bark yields oxalic acid and tannins besides complex glycosides (Bhatra et al, 1980). Bark is alexertic, styptic, antidysenteric, astringent, antiasthmatic, febrifuge, expectorant, cardiotonic aphrodisiac and diuretic. Fruit is deobstruent. Stem-bark is CVS and CNS active, diuretic and abortifacient. Aerial part is CNS depressant and semen coagulant.

2) T. alata Heyne ex Roth. Syn. T. tomentosa (Roxb. Ex. Dc.) W & A.

San: Dharaphala, Saradru, Sajada;

Hin. Ain;

Ben: Asan, Paishal;

Mal: Tehmbara;

Tam: Karramarda, Karu Murutha, Marudam, Pudavam.

This tree is distributed in Himalaya from Kangra eastwords to Goalpara in Assam and southwards throughout the Peninsular India, upto 1200 m. The bark of the tree is widely used in ulcers, fractures, bronchitis and diarrhoea. Hydrolysis of the gum gives oligosaccharides, disaccharides and monosaccharides. Leaves and fruits give -sitosterol. Bark is diuretic, antihaemorrhagic, styptic, cardiotonic and semen coagulant.

3) T. bellirica (Craertn.) Roxb.

San: Aksha, Anilaghanaka, Baheduka, Harya, Kalinda;

Hin: Bulla, Sagona;

Ben: Bahera, Baheri;

Tam: Akkam, Kalanduri, Tani;

Tel: Bhutavasamu Tadi, Tandra, Vibhutakamu.

Belliric Myrobalan is distributed throughout India, upto 900 m. Its bark is used in anaemia and leucoderma. The fruit is used in bronchitis, strangury, sore throat, diseases of eye, nose, heart and bladder, hoarseness and piles. It forms an important constituent of the ayurvedic drug ‘triphala’. Furits contain -sitosterol, gallic and ellagic acids, ethyl gallate, galloyl glucose, chebulagic acid and a cardiac glucoside bellaricanin. Alcoholic extract of the fruit possesses bile-stimulating activity. Alcoholic extract, 30 mg/kg does not affect blood pressure and respiration, but a higher dose of 60 mg/kg produces a fall in blood pressure. Furit has anticancerous and flower has spermicidal activity. Bark is mild diuretic. Fruit is astringent, antidropsical, antileprotic, antiinflammatory, antidiarrhoeal, antibilious, stomachic, antiasthmatic, tonic, anticephalgic, bechic, anthelmintic and attenuant. Kernel is narcotic. Semi -ripe fruit is purgative. Gum is demulcent (Husain et al, 1992)

4) T. bialata steud.

White Chugalam or silver grey wood is a common tree of Andaman Islands. Its bark is used as a cardiac stimulant.

5) T. Catappa Linn.

San: Grahadruma;

Hin: Badam;

Ben: Bangla Badam:

Tam: Natuvdom, Vadhamkottai;

Tel: Vedam, Voda Movettilla; Mar: Jangli Badama, Nat Badam.

Indian Almond or Tropical Almond is a popular tree cultivated throughout the warmer parts of India including Andaman Islands and other adjacent island. Oil from the kernel is a substitute for almond oil. The leaf is used in scabies and colic. Husk and endocarp contain tannins and pentosans. Oil from kernel contains oleic, linoleic, palmitic and stearic acids. Heart wood and stem bark contains -sitosterol and its palmitate. Heartwood in addition contains terminolic acid and triterpenic methyl esters. The aerial part of the plant is diuretic. The bark is astringent, mild diuretic, cardiotonic and antidysenteric. Leaf is sudorific, antirheumatic, antileprotic and anticephalalgic.

6) T. Coriacea (Roxb.) syn. T. tomentosa (Roxb. ex. DC.) W. & A. var. coriacea (Roxb.) C. B. Clarke

Tam: Anaimikkuvam, Sadagam;

Kan: Banapu;

Tel: Tani.

Leathery Murdah is a tree commonly used as a cardiac stimulant. It is widely distributed in the drier and warmer parts of Andhra Pradesh and Tamil Nadu upto 1350 m and in Central India. Its bark is mainly used as a cardiac stimulant and in atonic diarrhoea and callous ulcer. It is also CVS active.

7) T. myriocarpa Heurck. & Muell. Arg.

Ben: Panisaj; Ass: Hollock, Jhalna.

Hollock is a tree of the Himalayas widely distributed from Nepal to Arunachal Pradesh and in Assam at 1000 m. The bark is cardiac stimulant and mild diuretic. Bark give -sitosterol, fructose and 4,4’,5,5’,6,6’ - hexadydroxy diphenic acid dilactone. Bark also contains tannis - ellagic, gallic, chebulinic and chebulagic acids.

8) T. Pallida Brandis.

Tam: Vellai Kadukkay;

Tel: Tella Karaka, Velama Karka.

The plant is distributed throughout south India, upto 600m. Its bark is a mild diuretic.

9) T. Paniculata Roth.

Mal: Marutu, Pe Marutu, Ven Marutu;

Tam: Pei Kadukai, Ven Maruthu, Ilai Kadukkay, Marudu, Pullatti;

Tel: Nimiri, Pulamaddi, Putamanu, Pulanallamanu;

Kan: Maruva, Matti.

Flowering Murdah is a tree which is widely used in opium poisoning. It is distributed in the Western and Eastern Ghats, upto 1200m. The bark is used in parotitis and flowers in opium poisioning. Heart wood give 3, 3’-0-di-methylellagic acid and 3,4,3’0-trimethyl flavellagic acid, -sitosterol, an uncharacterized triterpene carboxylic acid; a glycoside -3,3’ di-0 - methyl ellagic acid - 4 - monoglucoside and 0 - penta methyl flavellogic acid. The stem bark is anticancerous, diuretic, cardiotonic CVS active and shows antagonism of amphetamine hyperactivity. Flower is anticholerin (Husain et al, 1992)

10) Terminalia chebula Retz. Syn. Myrobalanus chebula (Retz.) Gaertner

Eng: Chebulic myrobalan;

San,

Ben: Haritaki;

Hindi:Harara, Harir,

Har; Mal:Kadukka; Ass:Hilikha; Kan:Alale;

Mar:Habra,

Hirada;

Ori:Harida;

Guj: Hirdo;

Pun:Helela;

Tam:Amagola;

Tel: Karaka

Chebulic myrobalan is a medium deciduous tree, the fruit of which is a common constituent of “Triphala” capable of imparting youthful vitality and receptivity of mind and sense. It is a major constituent in the ayurvedic preparations like Abhayarishta, Abhaya modak, Haritaki khand, Triphaladi churnam and Agastya rasayanam. In allopathy it is used in astringent ointments. In unani system, it is used as a blood purifier. The pulp of the fruit is given in piles, chronic diarrhoea, dysentery, costiveness, flatulence, asthma, urinary disorders, vomiting, hiccup, intestinal worms, ascites and enlarged spleen and liver. Powder of the fruit is used in chronic ulcers and wounds, carious teeth and bleeding ulceration of the gums. The bark is a good cardiac tonic. The fruit is valuable for its tannins and dyes. The wood is used for building purposes, agricultural implements, plywood and match box industries. It is also grown as a shade tree.

The plant is found throughout India chiefly in deciduous forests, on dry slopes upto 900m especially in Bengal, Tamil Nadu, West coast and Western Ghats. The plant is also reported in Sri Lanka, Nepal and Burma.

Terminalia chebula Retz. syn. Myrobalanus chebula (Retz.) Gaertner comes under family Combretaceae. It is a medium sized deciduous tree with a cylindrical bole, rounded crown, spreading branches with dark brown bark and brownish gray heartwood. Leaves are simple, alternate or subopposite, ovate or elliptic ovate with short petioles bearing 2 glands below the blades. Flowers pale yellow or white in 4-10cm long axillary spikes. Calyx tube hairy pale yellow and 5 lobed; no petals. Stamens consist of 10 filaments subulate, anthers small; ovary inferior, 1-celled with 2-3 pendulous ovule. Fruit is a drupe, ovoid glossy, glabrous, faintly angled and yellow to orange brown in colour. Seeds are hard and pale yellow.

Kernel oil of Chebulic myrobalan contains 6 fatty acids viz. Palmitic, stearic, oleic, linoleic, arachidic and behenic acid. The fruits contain chebulinic acid, tannic acid, gallic acid, chebulin and tannin. Leaves contain terpenes and saponins and -sitosterol is present in the bark (Beri, 1970; Khalique and Nizamuddin, 1972; Miglani and Chawla, 1974). Fruits are astringent, purgative, tonic, carminative, alternative and antispasmodic. Flowers and fruits are antiviral and hypoglycaemic. Wood is oxytocic and hypothermic (Husain et al, 1992).

Agrotechnology: Terminalia species are, in general, subtropical trees. Young plants prefer shade while the matured plants tolerate light frost and drought. It grows well in hilly areas. This is propagated by seeds. Natural multiplication happens rarely due to the poor seeds germination. Seeds soaked in water for 48 hours before sowing in seedbeds which should be covered with straw after sowing. It is watered immediately. Usually it takes 3-5 months to germinate. It can be transferred to polybags at two-leaf stage. One-year-old seedlings are ready for transplanting. For transplanting, pits are made of 50cm cube at a spacing of 4m. Organic manure, added regularly, promotes growth. Irrigation is required during first year. Weeds should be removed regularly. This plant grows slowly. It fruits within 6-7 years. This is continued for many years. It is coppiced well. Fruits are collected immediately after falling down or covered with soil to protect it from pests. Fruits dried well in sun and used or stored. The hard seed coat is removed before sowing.... terminalia

Various genera

Description: Tree ferns are tall trees with long, slender trunks that often have a very rough, barklike covering. Large, lacy leaves uncoil from the top of the trunk.

Habitat and Distribution: Tree ferns are found in wet, tropical forests.

Edible Parts: The young leaves and the soft inner portion of the trunk are edible. Boil the young leaves and eat as greens. Eat the inner portion of the trunk raw or bake it.... tree fern

Blemishes that appear on the skin with increasing age.

Most common are seborrhoeic keratoses, which are brown or yellow, slightly raised spots that can occur at any site.

Also common in elderly people are freckles, solar keratoses (small blemishes caused by overexposure to the sun), and De Morgan’s spots, which are red, pinpoint blemishes on the trunk.

Treatment is usually unnecessary for any of these, apart from solar keratoses, which may eventually progress to skin cancer.... age spots

J. F. Gmel.

Madhuca butyracea Macr.

Synonym: Aisandra butyracea (Roxb.) Baehni.

Family: Sapotaceae.

Habitat: Found in sub-Himalayan tract from Kumaon to Bhutan.

Ayurvedic: Madhuuka (related species).

Synonym: M. longifolia (Koen.) Macb. var. latifolia (Roxb.) Cheval. Bassia latifolia Roxb.

Family: Sapotaceae.

Habitat: A large tree, cultivated mainly in Uttar Pradesh, Bihar.

English: Mahua tree, Moha.

Ayurvedic: Madhuuka, Madhu- pushpa, Madhusrav, Gudapushpa.

Unani: Mahuaa.

Siddha/Tamil: Ieluppai.

Action: Flowers—stimulant, demulcent, laxative, anthelmintic, bechic. Seed oil—galactogenic, anticephalgic, emetic. Used in pneumonia, skin diseases, piles. Bark—astringent, emollient. Used for tonsilitis, gum troubles, diabetes, ulcers. Bark, seed oil and gum— antirheumatic.

The Ayurvedic Pharmacopoeia of India recommends the flower without stalk or calyx in asthma and pthisis.

The fruit pulp yielded a number of triterpenoids (including alpha- and beta-amyrin acetate); also n-hexaco- sanol, beta-D-glucoside of beta-sitos- terol and free sitosterol.

Nut shell gave beta-sitosterol gluco- side, quercetin and dihydroquercetin.

The carollas are rich source of sugars, vitamins, phosphorus, calcium and iron; magnesium and copper are also present. The sugars identified are sucrose, maltose, glucose, fructose, ara- binose and rhamnose.

The seeds yielded saponins—2,3- di-O-glucopyranoside of bassic acid (saponin A and saponin B). Mixture of saponins from seeds exhibits spermi- cidal activity.

Trunkbarkcontainedlupeol acetate, beta-amyrin acetate, alpha-spinasterol, erythrodiol monocaprylate, betulinic acid and oleanolic acid caprylates.

Dosage: Flower—10-15 g (API, Vol. II.); flower-juice—10-20 ml; bark— 50-100 ml decoction. (CCRAS.)... madhuca indica

Nipa fruticans

Description: This palm has a short, mainly underground trunk and very large, erect leaves up to 6 meters tall. The leaves are divided into leaflets. A flowering head forms on a short erect stern that rises among the palm leaves. The fruiting (seed) head is dark brown and may be 30 centimeters in diameter.

Habitat and Distribution: This palm is common on muddy shores in coastal regions throughout eastern Asia.

Edible Parts: The young flower stalk and the seeds provide a good source of water and food. Cut the flower stalk and collect the juice. The juice is rich in sugar. The seeds are hard but edible.

Other Uses: The leaves are excellent as thatch and coarse weaving material.... nipa palm

Carica papaya

Description: The papaya is a small tree 1.8 to 6 meters tall, with a soft, hollow trunk. When cut, the entire plant exudes a milky juice. The trunk is rough and the leaves are crowded at the trunk’s apex. The fruit grows directly from the trunk, among and below the leaves. The fruit is green before ripening. When ripe, it turns yellow or remains greenish with a squashlike appearance.

Habitat and Distribution: Papaya is found in rain forests and semievergreen seasonal forests in tropical regions and in some temperate regions as well. Look for it in moist areas near clearings and former habitations. It is also found in open, sunny places in uninhabited jungle areas.

Edible Parts: The ripe fruit is high in vitamin C. Eat it raw or cock it like squash. Place green fruit in the sun to make it ripen quickly. Cook the young papaya leaves, flowers, and stems carefully, changing the water as for taro.

CAUTION

Be careful not to get the milky sap from the unripe fruit into your eyes. It will cause intense pain and temporary--sometimes even permanent--blindness.

Other Uses: Use the milky juice of the unripe fruit to tenderize tough meat. Rub the juice on the meat.... papaya or pawpaw

Fries

Family: Polyporaceae.

Habitat: On the old trunks of various coniferous trees.

English: White Agaric.

Unani: Ghaariqoon.

Action: Used in the treatment of sweats in wasting diseases such as phthisis (it checks profuse sweats); also as an expectorant and diuretic.

The drug contains agaric acid (agari- cin). The resinous extract, when burnt, yields not more than 2% of a white ash, rich in phosphates. The drug gives 46% soft resin.

Agaric acid acts as a counter-irritant when applied to abraded surfaces or mucous membrane.... polyporus officinalis

Punica granatum

Punicaceae

San: Dadimah;

Hin: Anar, Dhalim;

Ben: Dalim;

Tam: Madalai, Madalam;

Mal: Urumampazham, Matalam, Talimatala m, Matalanarakam; Kan :Dalimbe;

Tel: Dadima; Mar: Dalimba;

Guj: Dadam; Ass: Dalin

Importance: Pomegranate has long been esteemed as food and medicine and as a diet in convalescence after diarrhoea. The rind of the fruit is highly effective in chronic diarrhoea and dysentery, dyspepsia, colitis, piles and uterine disorders. The powdered drug boiled with buttermilk is an efficacious reme dy for infantile diarrohoea. The root and stem bark are good for tapeworm and for strengthening the gums. The flowers are useful in vomiting, vitiated conditions of pitta, ophthalmodynia, ulcers, pharyngodynia and hydrocele. An extract of the flowers is very specific for epistaxis. The fruits are useful in anaemia, hyperdipsia, pharyngodynia, ophthalmodynia, pectoral diseases, splenopathy, bronchitis and otalgia. The fruit rind is good for dysentery, diarrhoea and gastralgia. Seeds are good for scabies, hepatopathy and splenopathy. The important preparations using the drug are Dadimadighrtam, Dadimastaka churnam, Hinguvacadi churnam, Hingvadi gulika, etc (Sivarajan et al, 1994, Warrier et al, 1995).

Distribution: Pomegranate is a native of Iran, Afghanistan and Baluchistan. It is found growing wild in the warm valleys and outer hills of the Himalaya between 900m and 1800m altitude. It is cultivated throughout India, the largest area being in Maharastra.

Botany: Punica granatum Linn. belongs to the family Punicaceace. It is a large deciduous shrub up to 10m in height with smooth dark grey bark and often spinescent branchlets. Leaves are opposite, glabrous, minutely pellucid-punctuate, shining above and bright green beneath. Flowers are scarlet red or sometime yellow, mostly solitary, sometimes 2-4 held together. Stamens are numerous and inserted on the calyx below the petals at various levels. Fruits are globose, crowned by the persistent calyx. Rind is coriaceous and woody, interior septate with membraneous walls containing numerous seeds. Seeds are angular with red, pink or whitish, fleshy testa (Warrier et al, 1995).

Agrotechnology: Pomegranate is of deciduous nature in areas where winters are cold, but on the plains it is evergreen. A hot dry summer aids in the production of best fruits. Plants are grown from seeds as well as cuttings. Mature wood pieces cut into lengths of about 30cm are planted for rooting. The rooted plants are planted 4.5-6m apart. When planted close, they form a hedge which also yields fruits. Normal cultivation and irrigation practices are satisfactory for the pomegranate. An application of 30-45kg of FYM annually to each tree helps to produce superior quality fruits. The pomegranate may be trained as a tree with a single stem for 30-45cm or as a bush with 3 or 4 main stems. In either case suckers arising from the roots and similar growths from the trunk and main branches are removed once a year. Shortening of long slender branches and occasional thinning of branches should be done. The fruit has a tough rind and hence transportation loss is minimum (ICAR, 1966).

Properties and activity: Pomegranate fruit rind gives an ellagitannin named granatin B, punicalagin, punicalin and ellagic acid. Bark contains the alkaloids such as iso-pelletierine, pseudopelletierine, methyl isopelletierine, methyl pelletierine, pelletierine as well as iso-quercetin, friedelin, D- mannitol and estrone. Flowers give pelargonidin-3, 5-diglucoside apart from sitosterol, ursolic acid, maslinic acid, asiatic acid, sitosterol- -D-glucoside and gallic acid. Seeds give malvidin pentose glycoside. Rind gives pentose glycosides of malvidin and pentunidin. Fluoride, calcium, magnesium, vitamin C and phosphate are also reported from fruits. Leaves give elligatannins-granatins A and B and punicafolin.

Rind of fruit is astringent, fruit is laxative. Bark of stem and root is anthelmintic, and febrifuge. Rind of fruit and bark of stem and root is antidiarrhoeal. Pericarp possesses antifertility effect. Fixed oil from seeds are antibacterial. Bark, fruit pulp, flower and leaf are antifungal. Aerial part is CNS depressant, diuretic and hypothermic. The flower buds of pomegranate in combination with other plants showed excellent response to the patients of Giardiasis (Mayer et al, 1977; Singhal et al, 1983).... pomegranate

A condition characterized by irregular, rapid, jerky movements, usually affecting the face, limbs, and trunk.

It is a feature of Huntington’s disease and Sydenham’s chorea, and may occur in pregnancy.

Chorea may also be a side effect of certain drugs, including oral contraceptives; certain drugs for psychiatric disorders; and drugs for treating Parkinson’s disease.

Symptoms usually disappear when the drug is withdrawn.

Underlying causes of chorea are treated with drugs that inhibit nerve pathways concerned with movement.... chorea

So-called because of the characteristic temperature chart showing recurring bouts of fever, this is an infectious disease caused by SPIROCHAETE. There are two main forms of the disease.

Louse-borne relapsing fever is an EPIDEMIC disease, usually associated with wars and famines, which has occurred in practically every country in the world. For long confused with TYPHUS FEVER and typhoid fever (see ENTERIC FEVER), it was not until the 1870s that the causal organism was described by Obermeier. It is now known as the Borrelia recurrentis, a motile spiral organism 10–20 micrometres in length. The organism is transmitted from person to person by the louse, Pediculus humanus.

Symptoms The incubation period is up to 12 days (but usually seven). The onset is sudden, with high temperature, generalised aches and pains, and nose-bleeding. In about half of cases, a rash appears at an early stage, beginning in the neck and spreading down over the trunk and arms. JAUNDICE may occur; and both the LIVER and the SPLEEN are enlarged. The temperature subsides after ?ve or six days, to rise again in about a week. There may be up to four such relapses (see the introductory paragraph above).

Treatment Preventive measures are the same as those for typhus. Rest in bed is essential, as are good nursing and a light, nourishing diet. There is usually a quick response to PENICILLIN; the TETRACYCLINES and CHLORAMPHENICOL are also e?ective. Following such treatment the incidence of relapse is about 15 per cent. The mortality rate is low, except in a starved population.

Tick-borne relapsing fever is an ENDEMIC disease which occurs in most tropical and sub-tropical countries. The causative organism is Borrelia duttoni, which is transmitted by a tick, Ornithodorus moubata. David Livingstone suggested that it was a tick-borne disease, but it was not until 1905 that Dutton and Todd produced the de?nitive evidence.

Symptoms The main di?erences from the louse-borne disease are: (a) the incubation period is usually shorter, 3–6 days (but may be as short as two days or as long as 12); (b) the febrile period is usually shorter, and the afebrile periods are more variable in duration, sometimes only lasting for a day or two; (c) relapses are much more numerous.

Treatment Preventive measures are more di?cult to carry out than in the case of the louse-borne infection. Protective clothing should always be worn in ‘tick country’, and old, heavily infected houses should be destroyed. Curative treatment is the same as for the louse-borne infection.... relapsing fever

The general term given to a group of microorganisms which are intermediate between BACTERIA and viruses (see VIRUS). They are the causal agents of TYPHUS FEVER and a number of typhus-like diseases, such as ROCKY MOUNTAIN SPOTTED FEVER, Japanese River fever, and scrub typhus. These micro-organisms are usually conveyed to man by lice, ?eas, ticks, and mites.

Visceral rickettsia is a disease transmitted by mites from an infected house mouse, which occurs in the USA, South Africa, Korea and the former Soviet Union. The causal organism is Rickettsia akari. The incubation period is 7–14 days and the characteristic features are fever, headache, and a non-irritating rash on the face, trunk and extremities. The disease is non-fatal and responds rapidly to TETRACYCLINES.... rickettsia

Ringworm, or tinea, is the name given to in?ammatory rashes caused by DERMATOPHYTES of the genera microsporum, epidermophyton and trichophyton. These fungi can infect skin, hair and nails. The important clinical patterns are:

Tinea capitis Usually seen in children in Britain and caused by microsporum species of human or animal (frequently a kitten) origin. Typically, patches of ALOPECIA are seen with broken-o? hair stumps which ?uoresce bright green under an ultraviolet (Wood’s) lamp. In Asia a chronic, scarring alopecia may be caused by a speci?c trichophyton (favus).

Tinea corporis is usually due to trichophyton species and forms ringed (hence ‘ringworm’) patches of redness and scaling on the trunk or limbs.

Tinea pedis (athlete’s foot) is caused by epidermophyton or trichophyton species. Its minor form manifests as itching, scaling or blistering in the lateral toe clefts. More severe forms can be extensive on the sole. Trichophyton rubrum can cause a chronic, dry, scaling in?ammation of the foot, eventually extending into the nails and on to the soles and top of the foot which may persist for years if untreated.

Tinea cruris typically causes a ‘butter?y’ rash on the upper inner thighs in young adult males. It is usually caused by spread from the feet.

Tinea unguium (onychomycosis) Affecting the nails, especially of the toes, T. rubrum is the usual cause and may persist for decades.

Tinea barbae This rash of the face and beard is rare. It may be very in?ammatory and is usually contracted from cattle by farm workers.

Treatment Tinea of the toe clefts and groin will usually respond to an antifungal cream containing terbina?ne or an azole. Tinea capitis, barbae, extensive tinea corporis and all nail infections require oral treatment with terbina?ne or itraconazole (a triazole antifungal agent taken orally and used for candidiasis of the mouth, throat and vulgovaginal area as well as for ringworm) which have largely superseded the earlier treatment with the antiobiotic griseofulvin. (See FUNGAL AND YEAST INFECTIONS.)... ringworm

An operation to divide bundles of nerve fibres within the spinal cord to relieve persistent pain that has not responded to other treatment.

Cordotomy is most frequently performed for pain in the lower trunk and legs, especially in people with cancer.... cordotomy

A poorly understood disorder causing generalized aching and stiffness of the muscles of the trunk, hips, and shoulders. Parts of the affected muscles (known as trigger points) are tender to the touch; common tender sites are the base of the skull and the muscles near the shoulderblades. Fibromyalgia commonly develops during periods of stress and may follow a chronic course. Treatment may consist of heat, massage, and drugs such as nonsteroidal anti-inflammatory drugs and, sometimes, antidepressant drugs, which may relieve the symptoms.... fibromyalgia

Excessive hairiness, particularly in women. The additional hair is coarse and grows in a male pattern on the face, trunk, and limbs. Hirsutism is a symptom of certain conditions, such as polycystic ovary syndrome (see ovary, polycystic) and congenital adrenal hyperplasia, in which the level of male hormones in the blood is abnormally high. Hirsutism can also be a result of taking anabolic steroids (see steroids, anabolic). More commonly, however, hirsutism is not a sign of any disorder; it occurs in many normal women, especially after the menopause. (See also hypertrichosis.)... hirsutism

Metroxylon sagu

Description: These palms are low trees, rarely over 9 meters tall, with a stout, spiny trunk. The outer rind is about 5 centimeters thick and hard as bamboo. The rind encloses a spongy inner pith containing a high proportion of starch. It has typical palmlike leaves clustered at the tip.

Habitat and Distribution: Sago palm is found in tropical rain forests. It flourishes in damp lowlands in the Malay Peninsula, New Guinea, Indonesia, the Philippines, and adjacent islands. It is found mainly in swamps and along streams, lakes, and rivers.

Edible Parts: These palms, when available, are of great use to the survivor. One trunk, cut just before it flowers, will yield enough sago to feed a person for 1 year. Obtain sago starch from nonflowering palms. To extract the edible sage, cut away the bark lengthwise from one half of the trunk, and pound the soft, whitish inner part (pith) as fine as possible. Knead the pith in water and strain it through a coarse cloth into a container. The fine, white sago will settle in the container. Once the sago settles, it is ready for use. Squeeze off the excess water and let it dry. Cook it as pancakes or oatmeal. Two kilograms of sago is the nutritional equivalent of 1.5 kilograms of rice. The upper part of the trunk’s core does not yield sage, but you can roast it in lumps over a fire. You can also eat the young sago nuts and the growing shoots or palm cabbage.

Other Uses: Use the stems of tall sorghums as thatching materials.... sago palm

Also called a FIT, this is a sudden burst of uncontrolled electrical activity in the BRAIN. A seizure may be generalised or partial: in the former, abnormal electrical activity may affect the whole brain, resulting in unconsciousness and characteristic of EPILEPSY; in partial seizures, abnormal electrical activity occurs in one part of the brain. HALLUCINATIONS may occur and localised symptoms include muscular twitching or a tingling sensation in a small area of the face, arm, leg or trunk. Di?erent neurological or medical disorders may cause seizures: for example, STROKE, brain tumour, head injury, infection or metabolic disturbance (see METABOLISM; METABOLIC DISORDERS). People dependent on alcohol may suffer seizures if they stop drinking. Treatment is of the underlying condition coupled with antiepileptic drgus such as CARBAMAZEPINE, lamotrigine, SODIUM VALPROATE or PHENYTOIN SODIUM.... seizure

This is one of the most common of the congenital (present at birth) malformations. It is one of the three types of neural-tube anomaly, the other two being ANENCEPHALY and cranium bi?dum. It takes two main forms – spina bi?da occulta being much the commoner. There is a de?cit in the posterior part of the SPINAL COLUMN, usually in the LUMBAR region, and it is generally asymptomatic unless the underlying spinal cord is affected. Occasionally it is associated with a hairy patch or birthmark on the back, and a few children develop a mild spastic gait or bladder problems.

Much more serious is spina bi?da cystica, in which the spinal-wall defect is accompanied by a protrusion of the spinal cord. This may take two forms: a meningocele, in which the MENINGES, containing CEREBROSPINAL FLUID, protrude through the defect; and a meningomyelocele, in which the protrusion contains spinal cord and nerves.

Meningocele is less common and has a good prognosis. HYDROCEPHALUS and neurological problems affecting the legs are rare, although the bladder may be affected. Treatment consists of surgery which may be in the ?rst few days of life or much later depending upon the precise situation; long-term follow-up is necessary to pick up any neurological problems that may develop during subsequent growth of the spine.

Meningomyelocele is much more serious and more common, accounting for 90 per cent of all cases. Usually affecting the lumbo-sacral region, the range of severity may vary considerably and, while early surgery with careful attention in a minor case may achieve good mobility, normal bladder function and intellect, a more extensive protrusion may cause complete ANAESTHESIA of the skin, with increased risk of trauma; extensive paralysis of the trunk and limbs, with severe deformities; and paralysis and insensitivity of the bladder and bowel. Involuntary movements may be present, and hydrocephalus occurs in 80 per cent of cases. The decision to operate can only be made after a full examination of the infant to determine the extent of the defect and any co-existent congenital abnormalities. The child’s potential can then be estimated, and appropriate treatment discussed with the parents. Carefully selected patients should receive long-term treatment in a special centre, where full attention can be paid to all their various problems.

There is growing evidence of the value of vitamin supplements before and during pregnancy in reducing the incidence of spina bi?da. Parents of affected infants may obtain help, advice, and encouragement from the Association for Spina Bi?da and Hydrocephalus which has branches throughout the country, or the Scottish Spina Bi?da Association.... spina bifida

Temporary reddening of the face, neck, and upper trunk that is accompanied by a sensation of heat and is often followed by sweating. Hot flushes are usually caused by decreased oestrogen production during or after the menopause, and they sometimes occur following removal of the ovaries (see oophorectomy). Hot flushes can often be alleviated by treatment with hormone replacement therapy (HRT).

’S

housemaid’s knee Inflammation of the bursa that acts as a cushion over the kneecap. The inflammation is usually caused by prolonged kneeling but may develop after a blow to the front of the knee. (See also bursitis.)... hot flushes

An uncommon disease in which degeneration of the basal ganglia results in chorea and dementia. Symptoms of Huntington’s disease do not usually appear until age 35–50. The disease is due to a defective gene and is inherited in an autosomal dominant manner (see genetic disorders).

The chorea usually affects the face, arms, and trunk, resulting in random grimaces and twitches, and clumsiness. Dementia takes the form of irritability, personality and behavioural changes, memory loss, and apathy.

At present, there is no cure for Huntington’s disease, and treatment is aimed at reducing symptoms with drugs.... huntington’s disease

Linn.f.

Family: Loganiaceae; Strychnaceae.

Habitat: Forests of West Bengal, Central and South India, up to 1,200 m.

English: Clearing Nut tree.

Ayurvedic: Kataka, Katakaphala, Payah-prasaadi, Chakshushya, Nirmali.

Unani: Nirmali.

Siddha/Tamil: Thettran, Thetrankot- tai.

Action: Seed—antidiabetic, antidysenteric, emetic.

Mannogalactan from seeds reduces cholesterol and triglycerides (one-tenth and one-fifth when compared to clofi- brate). Seeds are also applied to abscesses, and venereal sores (internally in gonorrhoea). Fruits—antidiabet- ic; antidysenteric, expectorant. (Pulp is used as a substitute for ipecacuanha.)

The Ayurvedic Pharmacopoeia ofIn- dia recommends the seed in dysuria, polyuria, urolithiasis, also in epilepsy.

The seeds, leaves and trunk bark gave diabolin (major alkaloid) and acetyldiabolin. Seeds also gavebrucine, strychnine, novacine, icajine, oleanolic acid and its glycoside. Leaves and bark gave isomotiol, stigmasterol, campes- terol and sitosterol. Diabolin exhibits hypotensive activity.

A decoction of seeds is given to treat stammering.

The seeds resemble those of Nux- vomica but are non-poisonous. The ripe seeds are used for clearing muddy water.

Dosage: Seed—3-6 g. (API, Vol. IV.)... strychnos potatorum

An infective disease of worldwide distribution, the manifestations of which vary in di?erent localities. The causative organisms of all forms of typhus fever belong to the genus RICKETTSIA. These are organisms which are intermediate between bacteria and viruses in their properties, and measure 0·5 micrometre or less in diameter.

Louse typhus, in which the infecting rickettsia is transmitted by the louse, is of worldwide distribution. More human deaths have been attributed to the louse via typhus, louse-borne RELAPSING FEVER and trench fever, than to any other insect with the exception of the MALARIA mosquito. Louse typhus includes epidemic typhus, Brill’s disease – which is a recrudescent form of epidemic typhus – and TRENCH FEVER.

Epidemic typhus fever, also known as exanthematic typhus, classical typhus, and louse-borne typhus, is an acute infection of abrupt onset which, in the absence of treatment, persists for 14 days. It is of worldwide distribution, but is largely con?ned today to parts of Africa. The causative organism is the Rickettsia prowazeki, so-called after Ricketts and Prowazek, two brilliant investigators of typhus, both of whom died of the disease. It is transmitted by the human louse, Pediculus humanus. The rickettsiae can survive in the dried faeces of lice for 60 days, and these infected faeces are probably the main source of human infection.

Symptoms The incubation period is usually 10–14 days. The onset is preceded by headache, pain in the back and limbs and rigors. On the third day the temperature rises, the headache worsens, and the patient is drowsy or delirious. Subsequently a characteristic rash appears on the abdomen and inner aspect of the arms, to spread over the chest, back and trunk. Death may occur from SEPTICAEMIA, heart or kidney failure, or PNEUMONIA about the 14th day. In those who recover, the temperature falls by CRISIS at about this time. The death rate is variable, ranging from nearly 100 per cent in epidemics among debilitated refugees to about 10 per cent.

Murine typhus fever, also known as ?ea typhus, is worldwide in its distribution and is found wherever individuals are crowded together in insanitary, rat-infested areas (hence the old names of jail-fever and ship typhus). The causative organism, Rickettsia mooseri, which is closely related to R. prowazeki, is transmitted to humans by the rat-?ea, Xenopsyalla cheopis. The rat is the main reservoir of infection; once humans are infected, the human louse may act as a transmitter of the rickettsia from person to person. This explains how the disease may become epidemic under insanitary, crowded conditions. As a rule, however, the disease is only acquired when humans come into close contact with infected rats.

Symptoms These are similar to those of louse-borne typhus, but the disease is usually milder, and the mortality rate is very low (about 1·5 per cent).

Tick typhus, in which the infecting rickettsia is transmitted by ticks, occurs in various parts of the world. The three best-known conditions in this group are ROCKY MOUNTAIN SPOTTED FEVER, ?èvre boutonneuse and tick-bite fever.

Mite typhus, in which the infecting rickettsia is transmitted by mites, includes scrub typhus, or tsutsugamushi disease, and rickettsialpox.

Rickettsialpox is a mild disease caused by Rickettsia akari, which is transmitted to humans from infected mice by the common mouse mite, Allodermanyssus sanguineus. It occurs in the United States, West and South Africa and the former Soviet Union.

Treatment The general principles of treatment are the same in all forms of typhus. PROPHYLAXIS consists of either avoidance or destruction of the vector. In the case of louse typhus and ?ea typhus, the outlook has been revolutionised by the introduction of e?cient insecticides such as DICHLORODIPHENYL TRICHLOROETHANE (DDT) and GAMMEXANE.

The value of the former was well shown by its use after World War II: this resulted in almost complete freedom from the epidemics of typhus which ravaged Eastern Europe after World War I, being responsible for 30 million cases with a mortality of 10 per cent. Now only 10,000–20,000 cases occur a year, with around a few hundred deaths. E?cient rat control is another measure which reduces the risk of typhus very considerably. In areas such as Malaysia, where the mites are infected from a wide variety of rodents scattered over large areas, the wearing of protective clothing is the most practical method of prophylaxis. CURATIVE TREATMENT was revolutionised by the introduction of CHLORAMPHENICOL and the TETRACYCLINES. These antibiotics altered the prognosis in typhus fever very considerably.... typhus fever

Incomplete development of one or more limbs at birth.

Limb defects are rare and may be inherited or form part of a syndrome.

In a condition called phocomelia, hands, feet, or tiny finger- or toe-buds are attached to limb stumps or grow directly from the trunk.

The sedative drug thalidomide, when taken by pregnant women, is known to have caused phocomelia in fetuses.... limb defects

A common noncancerous tumour of fatty tissue. Lipomas are slow-growing, soft swellings that may occur anywhere on the body, most commonly on the thigh, trunk, or shoulder. They are painless and harmless, but may be surgically removed for cosmetic reasons.... lipoma

(Blume) Rolfe.

Synonym: Orchipeda foetida Blume.

Family: Apocynaceae.

Habitat: Indonesia; cultivated in Indian gardens.

Action: Latex—used for treating fistula, pustules and tumours.

The bark contains a bitter alkaloid (yield 0.25%).

A related species, V. grandifolia (Miq.) Rolfe has been introduced into the Indian Botanic Garden, Kolkata. All parts of the plant contain alkaloids which vary seasonally. The trunk bark contains as high as 2.72% of alkaloids on dry basis in November. The leaves contain a mixture of alkaloids (yield up to 1.23% on dry weight basis) containing vobtusine, vobtusine lactone and deoxyvobtusine.... vocanga foetida

Walnut Bark Tea has been known for years thanks to its curative properties. This tea is astringent, purgative, laxative, a good vermifuge and it has many other styptic properties. This tea can be from the leaves of the Walnut Bark tree, also known as juglans regia, that grows almost everywhere, from the south of China to the Balkans. The tree grows up to 25-30 meters long (75-90 feet) and it has a rather short trunk, with a 2 meters diameter (6 feet). It has big green leaves (about 30- 40 cm/ 1-1.3 feet) and yellow flowers that turn into fruits in the fall. The fruits are also green, with a thin brown layer covering the hard seeds. Walnut Bark Tea Properties The main properties of Walnut Bark Tea involve the ability to treat many health conditions, such as gingivitis, mouth infections, bad breath, constipation, cough, inflammation and impotency. Also, the Walnut bark leaves, applied topically, are a great remedy for damaged hair. The entire tree is used in many areas of interest: the wood is considered as being reliable and long lasting, thanks to its vermifuge property, the fruits are a great nutritional source, offering support in almost any type of diet and the seeds are used to treat some affections of the digestive track. Walnut Bark Tea Benefits Aside from its digestive system benefits, Walnut Bark Tea proves to be a good choice when it comes to: - Detoxification and bowel movements, thanks to its acids and amino-acids - Flushing out worms and other parasites out of your system - Diarrhea and dysentery (as an adjuvant to your traditional treatment) - Treating your sore throat, an inflammation in your tonsils or other conditions of the respiratory system - Treating mouth soreness, herpes or some skin conditions, such as eczema or irritation. How to make Walnut Bark Tea Infusion If you want to make Walnut Bark Tea, you’ll need Walnut Bark leaves. You can also use the fruits, but the tea will have a very unpleasant taste (the amino-acids are much more concentrated in the fruits). Use a teaspoon of freshly picked or dried leaves for every cup of tea you want to make, put it in a teapot and add boiling water. Wait for 15-20 minutes (the leaves are quite woody, so they need more time to release their natural benefits), take out the leaves and drink it hot or cold. If you’re thinking about keeping it in your refrigerator, don’t let it stay there for too long. Make a new bottle of tea every 3 or 4 days. Walnut Bark Tea Side Effects When taken properly, Walnut Bark Tea has no side effects. However, taking too much tea can cause rashes, irritated skin and hives. If you’ve been drinking Walnut Bark Tea for a while and are experiencing some of the symptoms mentioned above, see a doctor as soon as possible and don’t try to cure it yourself! Walnut Bark Tea Contraindications If you’re pregnant or breastfeeding, it’s better to avoid taking Walnut Bark Tea. There isn’t enough information that could lead you in the right direction when it comes to these situations. However, keep in mind that Walnut Bark Tea has purgative and laxative properties and these may interfere with your pregnancy. If you still want to start a treatment based on Walnut Bark Tea, talk to your doctor first. If your general health is good, there’s no reason to avoid Walnut Bark Tea. Save yourself a lot of money by treating your bad breath or your mouth soreness at home. Natural remedies, natural health. Try Walnut Bark Tea and enjoy the wonderful benefits of this tea!... walnut bark tea diarrhea treatment

An unusual condition in which itchy, irregular, yellow or orangebrown swellings occur on the skin, most commonly on the trunk. Mastocytosis may also affect body organs, including the liver, spleen, and intestine, and it may cause symptoms such as diarrhoea, vomiting, and fainting. Very rarely, the condition leads to anaphylactic shock, which can be fatal. The condition usually begins in the 1st year of life and clears up by adolescence. Antihistamine drugs may be helpful in relieving symptoms of mastocytosis. ... mastocytosis

Weakness or paralysis of both legs and sometimes of part of the trunk, often accompanied by loss of feeling and by loss of urinary control. Paraplegia is a result of nerve damage in the brain or spinal cord.... paraplegia

The ring of bones in the lower trunk consisting of 2 innominate (hip) bones, which are joined to the sacrum at the back and the pubic symphysis at the front. Each hip bone consists of 3 fused bones: the ilium (the largest and uppermost), ischium (which bears much of the body weight when sitting), and pubis (the smallest).

In women, the pelvis is generally shallow and broad, and the pubic symphysis joint is less rigid than a man’s. These differences facilitate childbirth. In men, the greater body weight needs a larger and more heavily built pelvis.... pelvis

A term describing a part of the body nearer to a central point of reference, such as the trunk.... proximal

Small, wingless insects (PHTHIRUS PUBIS) that live in the pubic hair and feed on blood. Also called crab lice or crabs, they are usually spread by sexual contact. A louse has a flattened body, up to 2 mm across. Female lice lay eggs (nits) on the hair, where they hatch about 8 days later. On men, the lice may also be found in hair around the anus, on the legs, on the trunk, and even in facial hair. The bites sometimes cause itching. Children can become infested by transmission from parents, and the lice may live on the eyelids. An insecticide lotion kills the lice and eggs.... pubic lice

For thousands of years, White Oak Tea has been a great homeopathic remedy. White Oak is a tree found mostly in Northern America, from Quebec to Texas. It usually reaches 100 feet height, it has a grey trunk and deep green wavy leaves. White Oak Tea’s main use involves general heath and treating localized pain, such as inflammations and sore throat. White Oak Tea Properties White Oak Tea is well known for both its external and internal use. The active ingredients of this tea are tannins, resins, calcium oxalate, quillaic acid and starch. Some of these substances can also be found in the trunk and branches, but extracting them from these parts is not an easy job. Thanks to its endurance and its unique wood color, White Oak has also a good reputation among craftsmen. White Oak Tea Benefits Aside from improving your general health, White Oak Tea can also come in hand in case of many other diseases. The most popular uses of this tea are: - White Oak can successfully be used to treat kidney stones - Thanks to its active ingredients, White Oak Tea is a great remedy for inflammation - White Oak Tea can treat diarrhea and flush hemorrhoids out of your systems - If you suffer from gout or dysentery, White Oak Tea can bring relief to your body - White Oak Tea treats gingivitis, stops hemorrhages and prevents your gums from swelling. How to make White Oak Tea Infusion When preparing White Oak Tea, you can either use dry powder from the specialized shops or the freshly picked leaves. The only difference is that the powder may have a stronger taste thanks to its higher acids concentration. Use a teaspoon of powder or leaves for every cup of tea you want to make, add boiling water and wait 10 minutes, if you’re using powder, or 15 minutes, if you’re using leaves. You can drink it hot or cold. If you’re keeping it in the refrigerator, make a new bottle of tea every 3 or 4 days. White Oak Tea Side Effects Taken properly, White Oak Tea has no side effects. A high dosage may cause deviations of the nervous system and other conditions. If you’ve taken it for a while and are experiencing some unusual episodes, talk to a doctor as soon as possible. White Oak Tea Contraindications White Oak Tea may interfere with birth control pills and cause internal bleedings. Also, if you’re pregnant or breastfeeding, you should not take White Oak Tea. The same advice if you’re suffering from severe kidney problems or chronic heart diseases. However, if you’re suffering from one of these conditions and are still determined to start a White Oak Tea treatment, talk to your doctor and find out what is the best solution for you and your health. If you feel confident and your doctor gives you the green light, add White Oak Tea to your medicine cabinet and enjoy responsibly the wonderful benefits of this tea!... white oak tea - gingivitis treatment

Wall. ex DC.

Synonym: Z. limonella (Dennst.) Alston. Z. rhetsa DC. Fagara budrunga Roxb. F. rhetsa Roxb.

Family: Rutaceae.

Habitat: Meghalaya, foothills of Assam and Peninsular India.

Ayurvedic: Tumburu (Kerala), Ashvaghra, Tejabala.

Siddha/Tamil: Tratechai.

Action: Fruits—used for diarrhoea, dyspepsia; asthma, bronchitis; rheumatism; diseases of the mouth and teeth. Pericarp—astringent, digestive, stimulant. Essential oil—disinfectant, used in infective dermatosis. Bark—cholinergic, diuretic, hypoglycaemic, spasmolytic. Root—emmenagogue, febrifuge.

The trunk-bark from Assam gave alkaloids—chelerythrine (0.014%), evodiamine (0.03%) and hydoxyevodi- amine (0.05%). The essential oil from the fruit contains l-sabinene, alpha- terpinene, beta-phellandrene, 1,4-cine- ole, decanal, octanal, terpinen-4-ol, dihydrocarveol, l-cryptone and cumi- naldehyde.

The essential oil exhibits anti-inflammatory, anaesthetic and antago- nisic activity.

Z. nitidum (Roxb.) DC. (Bihar eastwards to Sikkim and Assam) is known as Tezmul in Assam. The root is used in toothache and stomachache.

The plant is used as one of the ingredients in the preparation of pharmaceutical tablets given to drug addicts for the treatment of withdrawl symptoms.

Methanolic extract of the roots gave nitidine, chelerythrine and isogari- dine. The extract showed antitumour property.

Z. ovalifolium Wight (Eastern Himalayas, Meghalaya, the Western Ghats of South Kanara and Kerala) is known as Armadalu in Karnataka and Diang-shih in Meghalaya (Khasi Hills). The leaf contains diosmetin and the heartwood contains flavonoids of dihydrofisetin and cinnamaldehyde. The bark and fruit possess properties similar to other species of the genus.... zanthoxylum budrunga

Weakness of the muscles in all 4 limbs and the trunk. (See also quadriplegia.)... quadriparesis

Paralysis of all 4 limbs and the trunk. (See also paraplegia.)... quadriplegia

A common infectious disease, probably viral, that mainly affects children aged 6 months to 2 years.

There is an abrupt onset of irritability and fever.

The temperature drops to normal after 4 or 5 days.

About the same time, a rash appears on the trunk, often spreading to the neck, face, and limbs, before clearing up within 1–2 days.

Other symptoms may include a sore throat and enlargement of lymph nodes in the neck.

Convulsions (see convulsion, febrile) may occur during the fever, but there are no serious effects.

The only treatment is to keep the child cool and give paracetamol.... roseola infantum

A skin infestation caused by the mite SARCOPTES SCABIEI, which burrows into the skin to lay eggs. Scabies is highly contagious by close physical contact and is most common in infants, children, and young adults.

The mite’s burrows appear on the skin as grey, scaly swellings, usually between the fingers, on the wrists and genitals, and in the armpits.

Later, reddish lumps may appear on the limbs and trunk.

The infestation causes intense itching, particularly at night.

Treatment is with an insecticide lotion.... scabies

The area of the body where the arm attaches to the trunk.Three bones meet here: the scapula, clavicle, and humerus. The ball-and-socket joint at the shoulder has a wide range of movement.

Common injuries include dislocation (see shoulder, dislocation of) and fractures of the clavicle or upper humerus. The shoulder may be affected by any joint disorder, which in severe cases may lead to frozen shoulder. Inflammation of a tendon or a bursa around a shoulder joint can cause painful arc syndrome.... shoulder

Catnep. Nepeta cataria L. Leaves and flowers. German: Katzenkraut. French: Cataire. Spanish: Ne?beda. Italian: Cataria. Chinese: Chi-hsueh-ts’ao.

Action: anti-diarrhoeal, antispasmodic, emmenagogue, diaphoretic, carminative, gentle nerve relaxant for release of tension. To reduce temperature in simple fevers by inducing a free perspiration thus sweating- out toxins via the skin.

Keynote: crises of childhood.

Uses: Children: colic, restlessness, hyperactivity, convulsions, early stages of fever, hysteria with crying and violent twisting of the trunk, middle ear infection, sinuses. Colds, influenza, congestion of respiratory organs. Physical results of emotional disturbance.

Preparations: Two-hourly in acute cases, otherwise thrice daily.

Tea: (popular method) One heaped teaspoon to each cup boiling water; infuse 10 minutes. Half-1 cup. In its absence use Chamomile.

Liquid Extract: 30 drops to 1 teaspoon in water.

Enema: 2oz to 2 pints boiling water; for elimination of toxic wastes from colon.

Beloved by cats, making them frolicsome, amorous and full of fun. Not given in pregnancy. ... catmint

R. infantum. ‘Rash of Roses’ consists of small separate irregular rose-pink spots with a pale halo which appears after feverishness has abated. Spots that fade on pressure first appear on trunk and neck, spreading to the face and buttocks, remaining for a short duration – half to 2 days. This is the commonest cause of high fever in children under three. Causal agent: herpes virus, human, HH6. Differential diagnosis: from German Measles where rash accompanies fever. Internally: German Chamomile tea freely. See: SKIN, above entry.

Teething. Teas: Spearmint, Roman Chamomile, Peppermint. 1 heaped teaspoon to cup boiling water; infuse 15 minutes; frequent teaspoon doses. Alternative: place one Chamomile flower in feeding bottle. Essential oils: rub gums with diluted oils: Spearmint, German Chamomile, Peppermint or Mullein. Urinary Tract Infection, Cystitis or urethritis.

Teas: Horsetail, Couch Grass, Golden Rod, Rosehip. Dandelion coffee. For pus in the urine: 1-5 drops Tincture Myrrh in cup of warm water: Dose: 1-2 teaspoons thrice daily. Fullness under the eyes may indicate Bright’s Disease for which specialist opinion should be obtained without delay.

Diet. Wholegrain cereals, wholemeal bread, pasta, two servings fresh fruit and vegetables daily. Little lean meat, poultry, fish. Dairy products: yoghurt, cheese, milk in moderation. Fresh orange juice, raw fresh vegetable salads. Oatmeal (porridge oats) is sustaining to the nervous system.

Avoid: crisps, fizzy drinks, hamburgers, biscuits, chocolate, sugar-filled snacks, alcohol, strong tea and coffee.

Supplement. Most children may benefit from one zinc tablet weekly.

Medicine doses. See: DOSAGE.

Fish oils. As well as to help children guard against winter illnesses, Cod Liver oil supplements may help them later in life against arthritis, heart disease, psoriasis, eczema and other inflammatory disorders.

Aspirin. It is clear that a link exists between Reye’s syndrome and aspirin. Aspirin is not advised for minor viral illness in children. ... roseola

Balsam copaiva. Copaifera langsdorffi, Desf. Oleoresin obtained by cutting deeply into trunk of the Copaiva tree.

Constituents: volatile oil, terpenic acids, resins.

Action. Antiseptic (urinary), carminative, alterative, diuretic, stimulant, cathartic.

Uses: Chronic inflammation of the genito-urinary tract, mild STD attacks, for its antiseptic effect. Chronic catarrh of the bladder, vagina and of the respiratory organs. Pruritus of anus and genitals. Irritable bladder of old women. Leucorrhoea.

Preparations: Because of its disagreeable taste it is usually given in capsules. Oil of Copaib: dose, 5 drops, thrice daily. Combined with alkali diuretics.

Lotion: oil of Copaiva 1 part, Glycerine 10 parts. ... copaiba

A set of 31 pairs of nerves that connect to the spinal cord. Spinal nerves emerge in 2 rows from either side of the spinal cord and leave the spine through gaps between adjacent vertebrae. The nerves then branch out to supply all parts of the trunk, arms, and legs with sensory and motor nerve fibres.

Disc prolapse may lead to pressure on a spinal nerve, causing pain. Injury to a nerve may lead to loss of sensation or movement in the area supplied by the nerve. (See also nerve injury; neuropathy.)... spinal nerves

Chest pain localized to an area on the front of the chest wall, usually made worse by movement of the arms or trunk or by pressure on the chest wall. The syndrome is caused by inflammation of 1 or several rib cartilages and symptoms may persist for months. Treatment is with analgesics, nonsteroidal anti-inflammatory drugs, or local injections of corticosteroid drugs into the cartilage.... tietze’s syndrome

The longer of the 2 bones of the forearm; the other is the radius. With the arms straight at the sides, palm forwards, the ulna is the inner bone (that is, nearer the trunk) running down the forearm on the side of the little finger.The upper end of the ulna articulates with the radius and extends into a rounded projection (known as the olecranon process) that fits around the lower end of the humerus to form part of the elbow joint.

The lower end of the ulna articulates with the carpals (wrist bones) and lower part of the radius.... ulna

Olibanum. Boswellia thurifera.

A milk-like sap from the trunk of the tree hardens into resinous tears. The chlorophyll of the ancient world, with power to neutralise offensive odours. Used as incense in religious ceremonies. Modern use chiefly external.

Action: mild expectorant, carminative, diuretic, urinary antiseptic, stimulant.

Uses: bronchitis and congested nasal passages (inhalant). Leprosy (China). Avicenna (10th century physician) advised it for ulceration and tumours. Used in embalming of bodies, and as a preservative in pharmacy.

Preparations: In the ancient world it was steeped in strong wine for use in drop doses for the pestilence and as an antiseptic wash for infections.

Modern use: throat pastilles.

Inhalant. 1 teaspoon, tincture, is added to a bowl of boiling water and the steam inhaled. ... frankincense

An inflammatory skin eruption with small shiny pimples starting from the wrists and spreading towards the trunk. Associated with lesions on mucous surfaces – vulva, penis, mouth. Cause is unknown but sometimes related to tuberculosis or drug poisoning. Usually over front of wrists, trunk and shins.

Symptoms: Severe itching. Thickened skin with shiny red patches which later become brown and scaly. Distinguish from psoriasis. Nails ridged and split.

Alternatives. Relief from itching by use of antihistamines: Garlic, Goldenseal, Ephedra, Lobelia.

Teas. Nettles, Boneset, Chickweed, Heartsease, Yucca.

Decoctions. (1) Combine: equal parts: Burdock, Sarsaparilla, Passion flower. OR (2) Combine: equal parts: Echinacea, Blue Flag root, Sarsaparilla. Half an ounce (14g) to 1 pint (500ml) water gently simmered 20 minutes. Dose: half-1 cup thrice daily.

Cold infusion. One heaped teaspoon Barberry (Berberis Vul) to cup cold water. Steep overnight. Half-1 cup thrice daily.

Powders, Liquid Extracts or Tinctures. Equal parts: Wild Yam, Blue Flag root, Fringe Tree bark. Powders: 500mg. Liquid Extracts: 30-60 drops in water. Tinctures: 1-2 teaspoons in water. Thrice daily before meals.

Mouth ulcers: Rinse mouth with Goldenseal and Myrrh drops, in water.

Topical. Ointment or pulp from any one: Aloe Vera, Comfrey, Chickweed, Houseleek, Marshmallow. Vaginal lesion. Aloe Vera pulp or gel.

Diet. Avoid citrus fruits and milk.

Vitamins. A. B-complex, B12, C. E. F. PABA.

Minerals. Dolomite. Zinc. Cod Liver oil: one dessertspoon daily. ... lichen planus

Hives. A rash resembling the sting of a nettle. Itchy red or red-white patches appear chiefly on face and trunk. A transient eruption or watery swelling may appear by release of histamine due to allergy. May be a reaction to environmental irritants from plants, insect stings, chemicals or certain foods as after eating strawberries, lobster. Numerous allergens include food additives, acid fruits, pork, bacon, ham, eggs.

Alte rnative s. Oral anti-histamines include: Burdock, Goldenseal, Juniper berries, Marshmallow, Lobelia, Myrrh, Echinacea, Nettles, Parsley root.

Teas. Betony, Boneset, Celery seed, Chamomile, Chickweed, Elderflowers, Hops, Meadowsweet, Motherwort, Red Clover, Sarsaparilla, Skullcap, Yarrow.

Tea, formula. Equal parts: Meadowsweet, Nettles, Red Clover. 1 heaped teaspoon to each cup boiling water; infuse 15 minutes; 1 cup thrice daily.

Decoction (cold). One teaspoon Barberry bark to each cup cold water steeped overnight. Half-1 cup thrice the following day.

Tablets/capsules. Blue Flag. Echinacea.

Formula. Echinacea 2; Blue Flag 1; Valerian 1. Dose – Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Thrice daily.

Practitioner’s prescription. Tinctures: Echinacea ang. 20ml; Ephedra sinica, 20ml; Urtica dioica, 10ml.

Aqua et 100ml. Sig: 5ml (3i) tds Aq cal. pc.

Alternative:– Liquid extract Echinacea ang. 1 fl oz (30ml). Liquid extract Urtica dioica. 1 fl oz. Liquid extract Humulus lupulus. Half fl oz (15ml). Syrup Senna. 2 fl oz (60ml). Aqua et 8 fl oz (240ml). Sig: 8ml (3i) tds aq cal. pc. (Arthur Barker, FNIMH)

Topical. Wash with infusion of Chickweed, Elderflowers, Mullein, Chamomile or Eucalyptus leaves.

Oil of Evening Primrose. Aloe Vera gel.

Creams: Vitamin E, Chickweed, Elderflowers, Comfrey, Plantain. Diet. See: DIET – SKIN DISEASES.

Supplements. Daily. Vitamin A (7500iu). Vitamin C (2g). ... nettlerash

A nutritional disorder resulting from a lack of thiamine (vitamin B1) in the diet. Without thiamine, the brain, nerves, and muscles (including the heart muscle) are unable to function properly. In developed countries, the illness is seen only in people who are starving or on an extremely restricted diet, such as alcoholics. There are 2 forms of the illness. In dry beriberi, thiamine deficiency mainly affects the nerves and skeletal muscles. Symptoms include numbness, a burning sensation in the legs, and muscle wasting. In severe cases, the patient becomes virtually paralysed, emaciated, and bedridden. In wet beriberi, the main problem is heart failure, which leads to oedema (swelling caused by fluid accumulation) in the legs, and sometimes also in the trunk and face. Other symptoms of wet beriberi include poor appetite, rapid pulse, and breathlessness.

Beriberi is treated with thiamine, given orally or by injection.... beriberi

Either of 2 large veins into which all circulating (deoxygenated) blood drains. The venae cavae (superior and inferior) deliver blood to the right atrium of the heart for pumping to the lungs.

The superior vena cava starts at the top of the chest, close to the sternum, and passes down through the pericardium before connecting to the right atrium. It collects blood from the upper trunk, head, neck, and arms. The inferior vena cava starts in the lower abdomen and travels upwards in front of the spine, behind the liver, and through the diaphragm before joining the right atrium. It collects blood from the legs, pelvic organs, liver, and kidneys.... vena cava

n. massive swelling of the legs, trunk, and genitalia due to retention of fluid (*oedema): found in congestive heart failure and some forms of renal failure.... anasarca

adj. describing impulses travelling ‘the wrong way’ in a nerve fibre. This is rare but may happen in shingles, when the irritation caused by the virus in the spinal canal initiates impulses that travel outwards in normally afferent nerves. The area of skin that the sensory nerves supply (usually a strip on the trunk) becomes painfully blistered. Antidromic impulses cannot pass *synapses, which work in one direction only.... antidromic

(PD). Paralysis agitans. First described by James Parkinson, 1817. His description is as apt today as when it appeared in his book “Essay on the Shaking Palsy”. He wrote: “It is characterised by involuntary tremulous motion, with lessened muscular power in parts not in action and even when supported. There is a tendency to bend the trunk forward and to pass from a walking to a running pace. The senses and intellect are uninjured.”

Added to the above are:– muscular rigidity, loss of reflexes, drooling – escape of saliva from the mouth. Muscles of the face are stiff giving a fixed expression, the back presents a bowed posture. The skin is excessively greasy and the patient is unable to express emotional feelings. Loss of blinking. Pin- rolling movement of thumb and forefinger.

Causes: degeneration of groups of nerve cells deep within the brain which causes a lack of neurotransmitting chemical, dopamine. Chemicals such as sulphur used by agriculture, drugs and the food industry are suspected. Researchers have found an increase in the disease in patients born during influenza pandemics.

Treatment. While cure is not possible, a patient may be better able to combat the condition with the help of agents that strengthen the brain and nervous system.

Tea. Equal parts: Valerian, Passion flower, Mistletoe. 1 heaped teaspoon to each cup water; bring to boil; simmer 1 minute; dose: half-1 cup 2-3 times daily.

Gotu Kola tea. (CNS stimulant).

Tablets/capsules. Black Cohosh, Cramp bark, Ginseng, Prickly Ash, Valerian.

Formula. Ginkgo 2; Black Cohosh 1; Motherwort 2; Ginger 1. Mix. Dose. Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 1-3 teaspoons in water or honey. Fava Bean Tea.

Case report. Two patients unresponsive to Levodopa treatment reported improvement following meals of fresh broad beans. (Vicia faba) The beans contain levodopa in large amounts. (Parkinson Disease Update Vol 8, No 66, p186, Medical Publications, PO Box 24622-H, Philadelphia, USA) See also: BROAD BEANS. L-DOPA.

Nacuna Pruriens. Appropriate. Essential active constituent: L-dopa. (Medicinal plants and Traditional Medicine in Africa, by Abayomi Sofowora, Pub: John Wiley)

Practitioner. To reduce tremor: Tincture Hyoscyamus BP. To reduce spasm: Tincture Belladonna BP. To arrest drooling: Tincture Stramonium BP.

Diet. It is known that people who work in manganese factories in Chile may develop Parkinson’s disease after the age of 30. Progress of the disease is arrested on leaving the factory. Two items of diet highest in manganese are wheat and liver which should be avoided, carbohydrates in place of wheat taking the form of rice and potatoes.

Supplements. Daily: B-complex, B2, B6, niacin. C 200mg to reduce side-effects of Levodopa. Vitamin E 400iu to possibly reduce rigidity, tremors and loss of balance.

Treatment of severe nerve conditions should be supervised by neurologists and practitioners whose training prepares them to recognise serious illness and to integrate herbal and supplementary intervention safely into the treatment plan.

Antioxidants. Evidence has been advanced showing how nutritional antioxidants, high doses of Vitamin C and E, can retard onset of the disease, delaying the use of Levodopa for an average of 2 and a half years. (Fahn S., High Dose Alpha-tocopherol and ascorbate in Early Parkinson’s Disease – Annals of Neurology, 32-S pp128-132 1992)

For support and advice: The Parkinson’s Disease Society, 22 Upper Woburn Place, London WC1H 0RA, UK. Send SAE. ... parkinson’s disease

A collection of large nerve trunks that are formed from nerve roots of the lower part of the cervical spine (in the neck) and the upper part of the thoracic spine (in the chest). These nerve trunks divide into the musculocutaneous, axillary, median, ulnar, and radial nerves, which control muscles in and receive sensation from the arm and hand. Injuries to this plexus can cause loss of movement and sensation in the arm.

In severe injuries, there may be damage to both the upper and the lower nerve roots of the brachial plexus, producing complete paralysis of the arm.

Paralysis may be temporary if the stretching was not severe enough to tear nerve fibres.

Nerve roots that have been torn can be repaired by nerve grafting, a microsurgery procedure.

If a nerve root has become separated from the spinal cord, surgical repair will not be successful.

Apart from injuries, the brachial plexus may be compressed by the presence of a cervical rib (extra rib).... brachial plexus

A diagnostic technique in which the combined use of a computer and X-rays passed through the body at different angles produces cross-sectional images of tissues. (computed tomography) scanning has revolutionized the diagnosis and treatment of tumours, abscesses, and haemorrhages in the brain, as well as head injuries and strokes. scanning is also used to locate and image tumours, investigate diseases, and aid needle biopsy in organs of the trunk.

Newer types of scanners use a spiral technique: the scanner rotates around the body as the patient is moved slowly forwards on a bed, causing the X-ray beams to follow a spiral course. The computer produces 3-D images. Injected or swallowed contrast media (chemicals opaque to X-rays) may be used to make certain tissues more visible.... ct scanning

n. 1. an entire animal organism. 2. the trunk of an individual, excluding the limbs. 3. the main or largest part of an organ (such as the stomach or uterus). 4. a solid discrete mass of tissue; e.g. the carotid body. See also corpus.... body

a manoeuvre used during an assisted *breech presentation. The baby’s legs and trunk should be allowed to hang until the nape of the neck is visible at the mother’s perineum so that its weight exerts gentle downwards and backwards traction to promote flexion of the head. The fetal trunk is then swept in a wide arc over the maternal abdomen by grasping both the feet and maintaining gentle traction; the aftercoming head is slowly born in this process.

burr n. see bur.... burns–marshall manoeuvre

two pairs of veins in the embryo that carry blood from the head (anterior cardinal veins) and trunk (posterior cardinal veins); they unite to form the common cardinal vein, which drains into the sinus venosus of the heart.... cardinal veins

adj. of or relating to the abdominal region. The coeliac axis (or trunk) is a branch of the abdominal *aorta supplying the stomach, spleen, liver, and gall bladder.... coeliac

An infectious disease that causes a widespread rash. Also known as slapped cheek disease or erythema infectiosum, fifth disease mainly affects children and is caused by a virus called parvovirus. The rash starts on the cheeks as separate, rose-red, raised spots, which subsequently converge to give the characteristic appearance. Within a few days, the rash spreads in a lacy pattern over the limbs but only sparsely on the trunk. It is often accompanied by mild fever. The rash usually clears after about 10 days. Adults, who contract the disease only rarely, may have joint pain and swelling lasting for up to 2 years. The incubation period is 7 to 14 days, and the only treatment is drugs to reduce the fever.... fifth disease