Herbal Medicine 3

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sally89
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22364
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Herbal Medicine 3
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2010-06-06 20:10:13
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Herbal Medicine
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Session 4
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  1. GIT Actions
    • Laxatives - bulking & anthraquinone
    • Demulcent
    • Bitter
    • Sialagogue
    • Carminative
    • Choleric
    • Cholagogue
    • Hepatoprotective
    • Mucous-membrane tropho-restorative
  2. Specific Digestive System Herbs
    • Matricaria recutita
    • – Chamomile
    • – Anti-inflammatory, spasmolytic, carminative, sedative (mild),
    • anti-ulcer, vulnerary, diaphoretic (Bone 2003:493)
    • • Chelidonium majus
    • – Greater Celandine
    • – Cholertic, cholagogue, spamolytic, mild laxative, antiinflammatory,
    • anti-viral (topical), vulnerary. (Mills & Bone
    • 2000:335)
    • Cynara scolymus
    • – Globe Artichoke
    • – Hepatoprotective, hepatic trophorestorative, choleretic,
    • chologue, bitter tonic, hypocholesterolaemic, antiemetic,
    • diuretic, depurative.
  3. Glycyrrhiza glabra
    – Licorice
    • Anti-inflammatory, mucoprotective, demulcent, anti-ulcer (peptic),
    mild laxative. (Mills & Bone 2000:465)
    Silybum marianum
    – St.Mary’s Thistle
    • Hepatoprotective, hepatotrophorestorative, antioxidant,
    choleretic. (Mills & Bone 2000:553)
    Schisandra chinensis
    • Hepatoprotective. (Bone 2003:405)
    • • Gentian luteum
    • – Bitter tonic, gastric stimulant, sialogogue, cholagogue.
    • (Bone 2003:224)
    • Rhamnus purshiana
    • – Cascara
    • • Laxative (Bone 2003:127)
    • • Aloe vera
    • • Immune enhancing, antiviral, vulnerary, anti-inflammatory, antitumour
    • (Bone 2003:61)
  4. Taraxacum officinale
    – Dandeion (Bone 2003:173)
    • Bitter tonic, choleretic (root), diuretic (leaf), mild laxative.
    Foeniculum vulgare
    – Fennel
    • Carminative, appetite stimulating, spasmolytic, antimicrobial.
    (Mills & Bone 2000:378)
    Althea officinalis
    – Marshmallow
    • Demulcent., Mucilage (Bone 2003:321)
  5. Filipendula ulmaria
    • – Meadowsweet
    • • Antiulcerogenic, antacid, anti-inflammatory, mild antiseptic, astringent.
    • (Mills & Bone 2000:479)
    • Ulmus fulva
    • – Slippery Elm (Braun & Cohen 2007:584)
    • • Demulcent, emollient, nutrient, bulk laxative (larger doses).
    • Geranium maculatum
    • – Cranesbill (Bone 2003:166)
    • • Astringent, antidiarrhoeal, antihaemorrhagic
  6. Mentha piperita
    – Peppermint
    • Spasmolytic, carminative, cholagogue, anti-emetic, diaphoretic.
    (Bone 2003:507)
    • Gastro-oesophageal Reflux Disease (GORD)
    • • Pathophysiology (Haslett et al 2002:775)
    • – In health the lower oesophageal sphincter is tonically
    • contracted, relaxing only during swallowing
    • – Occasional episodes of Gastro-oesophageal reflux are
    • common in health. However, normal oesophageal
    • functioning corrects this with alkaline saliva
  7. GORD develops when the oesophageal mucosa is exposed to
    gastric contents for prolonged periods of time. This can be
    related to:
    – Reduced overall gastro-oesophageal sphincter tone
    – Normal tone but with frequent episodes of inappropriate sphincter
    relaxation; permitting reflux when intra-abdominal pressure rises.
    (Haslett et al 2002:775)
    – This raised intra-abdominal pressure can be caused by something as
    simple as overeating or obesity (Murray & Pizzorno 2006:661)
    – Decreased oesophageal tone can be related to; coffee, chocolate, fatty
    foods, mints, cigarette smoking, carbonated beverages and alcohol
    (Murray & Pizzorno 2006:661)
    • • Common Medical Treatment:
    • – Antacids and histamine (H2) receptor antagonists
    • – These significantly alkalise the gastric juice inhibiting the action of
    • pepsin, the enzyme most likely to irritate the stomach. (Murray &
    • Pizzorno 2006:661)
    • – While this can reduce the symptoms, it also significantly impairs
    • protein digestion and mineral disassociation, as well as adversely
    • affect gut microflora. (Murray & Pizzorno 2006:661)
    • – The production of gastric HCL is energy dependant (Barrie 2006:217)
    • which ties in with the naturopathic philosophy that emotional stress is
    • related to underproduction of HCL rather than over production.
  8. Gastro-oesophageal Reflux Disease (GORD)
    • Herbal actions required:
    – Demulcent (Mills & Bone 2000:174)
    – Bitter (Mills & Bone 2000:174)
    – Anti-inflammatory (Mills & Bone 2000:174)
    – Carminative (Mills & Bone 2000:174)
  9. Demulcents
    • – Assist mucoprotection
    • – Best taken after meals and before bed
    • – eg.Licorice, Slippery Elm, Marshmallow (Mills & Bone 2000:174)
  10. • Bitters
    – At low doses can increase oesphogeal sphincter tone and improve gastric
    emptying
    – They can increase gastric acidity – use cautiously
    – eg.Gentian, Wormwood
    – Generally considered cooling so often advised to combine with a warming
    herb like Ginger (Mills & Bone 2000:174)
    • • Carminatives
    • – Indicated for functional dyspepsia and in low doses can improve GIT motility
    • – Can aggravate reflux by reducing sphincter tone – use cautiously
    • – eg. Peppermint, (Mills & Bone 2000:174)
    • – Chamomile (Szelenyi, Isaac & Thiemer 1979:218)
  11. • Anti-inflammatory
    – Relieve symptoms and improve healing
    – eg. Meadowsweet, Chickweed, Chamomile
    • GORD May be linked to stress, so it is important to consider
    • the following herbal actions (Mills & Bone 2000:174)
    • Sedative
    • • eg. Valerian (Mills & Bone 2000:175)
    • Nervine tonic
    • • eg. Skullcap (Mills & Bone 2000:175)

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