Lecture 15 Individual Herbs Part 3 (P-Z)
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1 Lecture 15 Individual Herbs Part 3 (P-Z) Section 4: Botanical Medicine Panax ginseng Panax quinquefolium Lecture 12: Botanical Safety Lecture 13: Individual Herbs Part 1 (A-D) Lecture 14: Individual Herbs Part 2 (E-O) Lecture 15: Individual Herbs Part 3 (P-Z) Immune Diabetes possibly Fatigue (adaptogen) Phytoestrogen Ginseng: strong stim, stimulating adaptogen (not immune) Quinqu: immune stim Image: Wmahan CI: preg 4 Passiflora incarnata Pausinystalia yohimbe Anxiety, insomnia Helps you Pass out Fairly safe Main use: ED CI: anxiety (b/c alpha-2 adrenergic antagonist) If patient on viagra, etc do not use. Part used is the bark. Got wood? Image: Becks 5 6
2 Phytolacca americana Piper methysticum Lymphadenopathy, mastitis, BREAST STUFF Cancer? Kava Anxiety, IC pain CI: Pregnancy Toxic: OD causes systemic toxicity (higher safety flags on this one) CI: antipsychotic, long-term use For the purpose of NPLEX, hepatotoxic (err on side of safety) 7 8 Piscidia erythrina Plantago major Anodyne, spasmolytic, sedative (Pain, Myalgia, neuralgia, headache) Demulcent, vulnerary GI (gastritis, ulcer) CI: Preg CI: Wet cough (b/c increases fluid with demulcent property) 9 10 Podophyllum peltatum Prunus serotina Antineoplastic, anti-hpv Cancer, warts CI: Extremely toxic, not used as dry herb Prunes possibly a cough syrup flavour Anti-tussive Spasmodic cough DDX africanum (BPH) 11 12
3 Prunus africanum Pulsatilla vulgaris BPH DDX Serotina (cough) Anodyne, sedative Pain, dysmenorrhea, endometriosis pain, PMS pain (female health conditions) AE: abd pain Perhaps the africanum has BPH Not commonly used internally Image: Superruss at the English language Wikipedia Quercus rubra (newer) Rauwolfia serpentina Astringent, anti-inflam, anti-septic Strong GI: Diarrhea, dysentery, hemorrhoids Hypertension Anti-arythmic (leads to systemic vasodilation, like a serpent is in your circulatory system) Safety: Use only short-term due to reduced nutrient absorption, CI on externally damaged skin CI: depression (b/c causes catelcholamine depletion) Drug Intx: BP meds, MAO inhib. Image: Neil Cummings Rhamnus frangula/purshiana Rhodiola rosea Rhamming something up Catharsis for constipation Adaptogen, antidepressant Chronic stress, immunosuppresion CI: Preg, lac, dependence AE: Abd cramp, diarrhea Image: Alpsdake 17 18
4 Ricinis communis Rosmarinus officinalis TOPICAL Anodyne, anti-inflam Pain, dysmen, ovarian cyst, PMS, myalgia Orally causes catharsis/emesis Toxic OD internally, do not use not long-term Cerebrovascular insufficiency (hypotension, dementia, poor memory) Anti-microbial (volatile oil, topical) Smell it to do better on NPLEX to increase memory Image: CostaPPPR Rubus idaeus Rumex crispus Rubus rubs the uterus Red raspberry Prepare labour, uterine tonic Bitter, hepatoprotective (may want to lump all these herbs together, similar uses/safety) Alterative (chronic skin dz) VERY VERY Safe, throughout preg AE: nausea MR CC Salix alba Salvia officinalis Like aspirin Pain, fever, myalgia, arthritis, HA CI: NOT FOR CHILD VIRAL EXATHEM, some sources may mention it GI irritation (Sage) Need a salve for your skin, b/c of infx Think of 50 year old menopausal hot flash woman with an infection Anti-secretory, anti-bacterial CI: lactation (b/c dries up flow) 23 24
5 Sambucus nigra Sanguinaria canadensis Flower: Fever, conjunctivitis/rhinitis, pharyngitis Fruit: URI, influenza Cervical dysplasia, escharotic, basal or squamous cell carcinoma Applied topically AE: diarrhea Topical CI: Painful ulceration, skin necrosis Toxic internally OD Schizandra chinensis Scutellaria lateriflora/baicalensis Adaptogen + Hepatoprotective Expectorant/anti-tussive Depression, stress Cough Insomnia, anxiety, pain CI: Preg Image: Tony Hisgett Selenicereus grandiflorus Serenoa repens Arrhythmia, palpitation, CHF, angina Intx: MAO inhib BPH ( inhibits activity of testosterone ) Acts as 5 alpha reductase inh, thus might also help with? Image: Amante Darmanin 29 30
6 Silybum marianum Smilax spp. Milk thistle LIVER - hepatoprotective (hepatitis, cirrhosis, fatty, cholelith) Male Tonic (low testosterone, andropause) PMS, menopause sx Alterative Hormonal imbalance Smile, no more PMS Image: Hans Hillewaert Quiz Solidago spp. Prunus serotina vs. Prunus africanum? Goldenrod Diuretic, renal (nephritis, urinary, etc) Pulmonary herb Symphytum officinale Tanacetum parthenium Wounds, dermatitis, fractures Inflammation in respiratory system or GI CI: preg, lac has P.A., hepatotoxic Migraines Image: Zeynel Cebeci 35 36
7 Tanacetum vulgare Taraxacum officinale Intestinal parasites (VULGAR PARASITES!) CI: Preg (abortifacient), GI sx LEAF: Bitter, UTI, kidney stones ROOT: Bitter, hepatic CI: Ulcer AE: Nausea Image: Pollo Theobroma cacao Thuja occidentalis Cocoa Anti-oxidant, nursing the health of the skin (protects from UV rays) Stimulant Warts, infections like pharyngitis Anti-microbial Toxic: Neurotoxic, preg ty? Restlessness maybe. Contains theobromine and caffeine. Image: Hindrik 39 Image: en:user:mpf 40 Thymus vulgaris Tilea europa Anti-microbial (h pylori, viral, fungal, GI) Topical for myalgia Circulatory tonic Diaphoretic (infx, colds, flus) + hypertension Toxic: neurotoxic 41 42
8 Tribulus terrestris Trifolium pratense Testosterone boosting Libido, fertility Stimulant, performance Most likely CI Preg For TENSE women Phytoestrogen (menopause, hot flash, preg) Image: Carlosgraal Tussilago farfara Ulmus rubra Dry cough, dermatitis AE: Hepatotoxic, but with different type of PA (Saturated instead of unsaturated which are always hepatotoxic) GI demulcent (slippery elm) Gastritis, GERD, ulcer CI: Wet cough (makes wetter) Image: Cary Bass Urtica dioica Usnea barbata Leaf/seed: Lower UTI, urolith Root: BPH (Old Man s Beard) Anti-microbial, anti-fungal CI: Topical application causes stinging (can be used for rheumatic conditions) Image: Tintazul Toxic: Hepatotoxic (like many anti-fungals) 47 48
9 Vaccinium myrtillus Valeriana officinalis FRUIT: Vision (diabetic retinopathy), Veins, UTI LEAF: Diabetes (because you don t want to eat the sugary fruit) Insomnia, anxiety, smooth muscle spasms AE: Sedation CI: May prolong GABA drugs Veratrum alba Verbascum thapsus Hypertension, Cholera (gushing bowels) TOXIC Red flags for safety Teratogenic Very rarely used Asthma, COPD, any cough Image: Patrick J. Lynch Verbena officinalis Viburnum opulus/prunifolium Alterative, female-specific Menopause, nervine (anxious women) Spasmolytic, smooth muscle (anywhere) Dysmen, endometriosis, PMS, spasm, myalgia CI: Gastric stim, a/e: nausea 53 54
10 Vinca major/minor Viscum album/flavescens Periwinkle Circulatory stimulant Headache, vertigo, hypertension, memory BRAIN STUFF CI: Preg Subcutaneously for cancer (Iscador, Helixor) Hypertension (not used for this) Toxic: overdose from berries Vitex agnus-castus Quiz PMS, acne, amenorrhea, ovarian cyst Increase progest (or normalizer of hormones) Usnea barbata function? CI: Preg Image: Sten Porse Withania somnifera Zingiber officinale Stress, infx CI: Autoimmune, preg GInger Anti-emetic, anti-atherosclerosis, anti-infx CI: Gastric Stim Image: Nataraja 59 60
11 Quiz Gelsemium for? Harpagophytum procumbens for? Tribulus for? Ulmus rubra CI in? Pulmonary Embolism Which is most effective for the calf pain? Lomatium dissectum does what? What s the adverse reaction? A) Crataegus B) Viburnum C) Gelsemium D) None of the above, bot med would only mask symptoms and would not address the cause 65 66
12 You prescribe, it would improve immune function within 2 days, but excessive dosage could. A) Curcuma; cause rash B) Curcuma; exacerbate malaise C) Lomatium; cause rash D) Lomatium; exacerbate malaise Abdominal pain, nausea, vomiting (due to Meckel diverticulum, possibly intussuception or appendicitis) Which of the following most effectively help prevent esophageal irritation caused by vomiting? A) Aloe vera sap, due to anti-inflam B) Zingiber tincture, due to anti-nausea C) Mentha infusion, due to anti-spasm D) None of the above, he should not receive anything by mouth Abdominal pain, nausea, vomiting (due to Meckel diverticulum, possibly intussuception or appendicitis) Would Aloe be an appropriate tincture to treat the condition, what part should be used? A) Yes, gel, due to vulnerary B) Yes, saponins, due to laxative C) Yes, sap, due to anti-inflam D) No, all forms CI Histrionic personality disorder Nervine prescribed, Scuttelaria, Passiflora, Melissa, Verbena (1:1:1:1), 1tsp tid. After 2 weeks, feeling great, sleeping well, but fatigued in afternoon. Next best course of action? A) Add Panax B) Recommend only take the formula hs C) Decrease dose to 1/2tsp tid D) Continue same dose for another 2 weeks In the next section Section 5: Orthopedic Tests and Devices Lecture 16: Individual Tests Lecture 17: Individual Devices
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