Bot Med III FINAL: Khalsa Flashcards
What are the three most common energetic herbal classifications and their physiological effects?
Weight: Heavy/Light
Temperature: Cold/Hot
Moisture: Moist/Dry
What is the most commonly used herbal preparation methods for Western, Chinese, Aryuveda?
Western: tincture
Chinese: decoction
Aryurveda: powder
What is the difference between bell curve and individual formulation?
Bell curve: designed to tx large groups of people, not effective for everyone. addresses specific dz or organ system.
Individual: designed to specifically tx one person. Takes into account - dz state, pathophys, constitution, patien’t goals, and individual manifestations
Describe the basic concept of chinese medicine formulation.
1 part Chief (ruler, emperor) ½ supporting (minister) ¼ assisting (adjutant) 1/8 carrying (conducting, emissary) 1/16 antagonistic (anti-assisting)
Describe the basic concept of western formulation.
2-3 parts active against the condition
1 soothing/relaxing affected organ or nervine
1 organ/general tonic
1 eliminative/alterative/depurative (purifying)
Describe the basic concept of aryuvedic formulation.
ID areas to focus on: inflammation, deficiency/excess, circulation, digestion, elimination
Assign 2 herbs for each area; Full medicinal dose of each; Possible harmonizer
Look for positive/negative response in first week
Adjust as needed
What is the standard aryurvedic dose used when prescribing pharmacologically? The western dose?
60g decocted daily (divided bid-tid)
15-30g
Define the role of a female tonic/adaptogen herb. What are the qualities?
General hormone balancer.
Mild, food-like, used in low dose over a long time.
What herbs are indicated for amenorrhea?
Blue cohosh (Caulophyllum thalictroides)
Pennyroyal (Mentha pelugium)
Parsley (Petroselinum crispum)
Partridgeberry (Mitchella repens)
In what condition, are emmenagogues strictly contraindicated?
Pregnancy!
What is the regulatory controversy over Red Raspberry Leaf?
In vitro studies showed possible harm. However, it is the most widely used herb in pregnancy.
List some herbs for dysmenorrhea.
Red raspberry leaf (Rubus idaeus) Sheperd's purse (Capsella bursa-pastoris) Cinnamon (Cinnamomum) Cramp bark (Viburnum opulum) Black haw (Viburnum prunifolium) Ginger (Zingiber officianalis) Jamaican Dogwood (Piscidia piscipula) Chaste berry (Vitex agnus-castus)
What are some herbs indicated for vascular instability of menopause?
Estrogenic: Alfalfa (Medicago sativa), chaste berry (Vitex agnus-castus), parsley, garlic, soy, wheat, rice dates, cherries, apples, coffee, wine
Licorice (Glycerrhiza glabra) Burdock (Articum lappa) Dong quai (Angelica sinensis) Shatavari (Asparagus racemosus) Wild yam (Dioscorea villosa)
Hot Flashes:
Black cohosh (Actaea racemosa)
Sage (Salvia officinalis)
Ox Knee (Radix Achyranthis)
What are some galactagogue herbs?
Fennel (Foeniculum vulgare) Caraway Anise Dill Fenugreek (Trigonella foenum-graecum) Shatavari (Asparagus racemosus) Milk thistle (Silybum marianum) Rice
What herbs are “general skin botanicals?”
Wild pansy (Viola tricolor)
Gotu kola (Centella asiatica)
Brahmi (Bacopa monnieri)
Apiaceae - celery, carrot, parsley family
What herbs are indicated for liver in skin dz?
Articum lappa Taraxicum Rumex crispus Berberis Root vegetables
What are some topical herbs for wounds?
Aloe Comfrey root (Symphytum) Plantain leaf (Musa paradisiaca) Mullein leaf (Verbascum thapsus) Calendula flower (Calendula officianalis)
What are the steps (5) for the treatment of inflammatory skin dz?
- Tx infx (1 wk)
- ↓ inflammatiomn (1 mo)
- “detox the blood” with alteratives (1 mo)
- Liver cleansing (mb long process) (9 mos)
- “detox the colon” tissue; restore normal bowel function (1 mo)
What herbs might be indicated for acne caused by propionibacterium?
Guggul (Commiphora wightii)
Articum lappa
Tea tree oil
What herbs might be indicated for psoriasis?
Berberine herbs (Coptis chinensis, Mahonia, Berberis) Fish oil
Topical: Aloe, Hamamelis
What herbs might be indicated for herpes?
Curcumina longa Ginko biloba Panax Melissa Capsaicin
What herbs might be indicated for shingles?
Glycerrhiza, Melissa, Hamamelis, Hydrastis, Lomatium, Echinacea, Avena, Calamine, Capsaicin
What herbs might be indicated for tinea?
Clove, cinnamon, or tea tree oil
What are the major herbs used in DM management?
Trigonella, Gymnema, Momordica charantia, and Panax
What are some minor herbs used in DM management?
Aloe, onion, garlic, green tea, blueberry, huckleberry leaf, cranberry, ginger, Ocimum, myrrh, black pepper, gingko
What are some anti-diabetic foods?
Prickly pear (nopal), garbanzo beans (lowest GI), olive oil, millet, okra
Also, artichoke, cinnamon, bay leaf, pumpkin, yam, snow peas, spinach, tofu, squash, burdock root, celery, cabbage, coriander seed, coconut, sunflower seed, lettuce (bitter)
How would you manage a DM patient acutely?
Sx/short term: insulin inj, chromium picolinate, vanadyl sulfate
Acute: fenugreek, gymnema, dandelion juice, bitter melon
How would you manage a chronic DM patient?
Long-term Healing: balance BG & lipids, control bw, adjust diet, tx affected organs (pancreas, LV, adrenal), tx complications
♣ Direct competitive antagonism with insulin
♣ Stimulation of insulin secretion
♣ Stimulation of glycogenesis and hepatic glycolysis
♣ Adrenomimeticism
♣ Pancreatic beta cell potassium channel blockers
♣ Mg, Vit D, fish oil, evening primrose oil, ALA,
♣ Adaptogens: normalize endocrine fxn over time
Define an adaptogen.
Nontoxic and relatively free of side effects
Nonspecific action w overall increase resistance to physical, chemical, biological stressors
Normalizing action irrespective of direction of pathologic state
Food-like, low toxicity, slow & broad action, ↑stamina, immune support, normalize
Low dose
Name some adaptogens.
Schisandra, Eleuthro, Withania, Ho shou wu, Panax ginseng, Dang shen, Sarsaparilla, Gokshura, Rhodiola, Red date, Bala, Maca, Codonopsis
What are some sx of actaea racemosa toxicity?
Loose stools and nausea
Use low-dose 20-40mg for 6mo
What are the actions of Ricinus communis?
heating, external analgesic, nervine
castor oil
What herbs can be indicated in derm dz but focus on circulation?
Hypericum - general skin tonic
Ginko
What is nopal?
Prickly pear
Which herb is offered as 2 preparations; white for unprocessed, red for steamed?
Panax
Which is a good tasting fruit, synergistic with a methlxanthine?
Red Date
What is commiphora mukul?
Guggul
What is Polygonum multiflorum? What are the actions?
Ho shou wu
liver & kidney tonic; Nourishes blood & semen, Strengthens heart, Demulcent, laxative, Longevity tonic, ↓cholesterol/lipids/plaque, Blood deficiency
What is Commiphora mukul? What is it’s indication?
Guggul
Acne, DM
What is the dose for Trigonella foenum-graecum in a diabetic patient?
5-100g soaked or ground
In which herb would you find asiatic acid along with triterpenoid saponins, sapogenins, triterpene glycosides, free acids, minerals, Vit B and C?
Centella asiatica/Gotu Kola/Indian pennywort
Which herbs would be indicated for PMS?
Taraxicum, vitex, discorea, evening primrose oil, rumex crispus, glycerrhiza
