Week 2 - Alteratives Flashcards
What is an Alterative
- Nourishing tonics that have a broadly beneficial effect on the body, and that slowly and steadily support a return to a healthy state
- Not disease specific
- Differs from Adaptogens, which have more endocrine effects
What is a Depurative?
- Herbs with a more specific action of cleansing a particular organ or system (stimulating the emunctory)
Indications for Alteratives
- Generalized and chronic dysfunction
- Digestive, eliminatory, and circulatory hypofunction
- Maldigestion
- Hormonal imblanace
- “Toxemia”
- Acne
- Chronic infections
- Chronic inflammation
Alterative Botanicals
- Trifolium pratense - Red Clover
- Rumex spp. - Yellow Dock, Curly Dock
- Mahonia spp. - Oregon Grape, Barberry, Mahonia
- Smilax spp. - Sarsaparilla
- Arctium lappa - Burdock (Gobo Root)
- Curcuma longa - Turmeric
- Urtica dioica - Stinging Nettles
Trifolium pratense - Family
- Fabaceae (pea/legume family)
Trifolium pratense - Part Used
- Flower
Trifolium pratense - Energetics
- Cooling
- Moistening
Trifolium pratense - Indications
- Cancer
- Gout, arthritis
- Acne
- Spasmodic cough
- Cachexia
- Burns with poor healing
- Ulcers of the skin or mucous membranes
- TB or inflammation of the lungs
Trifolium pratense - Contraindications/Cautions
- Caution with blood thinners (but unlikely to be a problem)
- Caution with oral contraceptives and estrogen positive cancers
Trifolium pratense - Specificity of Seat
- Skin
Trifolium pratense - Preparation and Dosage
- Tincture: 2 - 6 mL per day of a 1:5 tincture of 25% EtOH
- Infusion/decoction: 1 to 2 tsp per cup, 2 - 4 cups per day
- Standardized extract to 25% isoflavones: 40 - 80 mg per day (Promensil)
Trifolium pratense - Other
- Part of Trifolium Compound (an Alterative formula)
- Part of Hoxsey Formula (similar to other, but water-based instead of alcohol-based): 5 mLs TID
Artium lappa - Family
- Asteraceae (thistle family)
Arctium lappa - Parts Used
- Root (primarily)
- Seed
- Leaf
Arctium lappa - Energetics
- Cooling
Arctium lappa - Indications
- Root > Dry and scaly skin conditions - psoriasis, eczema, dandruff > Rheumatic/arthritic conditions > Anorexia nervosa > Cystitis > Wounds and ulcers (as a poultice) - Leaves > Mastitis > Joint sprains (as a poultice) - Seeds > Cystitis > Skin conditions including exanthema
Arctium lappa - Specificity of Seat
- Skin
Arctium lappa - Preparations and Dosage
- Tincture (root): 2 - 4 mL (1:5, 40%) TID, fluid extract 2- 6 mL (1:1, 25%) TID
- Decoction (root): 1 tsp/cup, 3 cups per day
- Seeds: 3 - 9 g qd, infusion - 35 - 40 ground seeds per cup of water, 1/2 - 1 cup up to 6x/day
Mahonia spp. - Family
- Berberidaceae
Mahonia spp. - Parts Used
- Root bark
- Stem bark
Mahonia spp. - Energetics
- Cooling
- Drying
Mahonia spp. - Indications
- Skin conditions: psoriasis, eczema, herpes, pityriasis, acne, syphilis
- Poor gallbladder functions: nausea, fat malabsorption, digestive upset
- Infections: skin, eye, and intestinal tract (bacterial, fungal, protazoal)
Mahonia spp. - Contraindications/Cautions
- Pregnancy
Mahonia spp. - Specificity of Seat
- Liver
Mahonia spp. - Preparation and Dosage
- Tincture: 1 - 4 mL TID (1:5, 40%)
- Decoction: 1 - 2 tsp/cup, 1 cup TID
- Dried root bark: 1 - 2 g per day (if use just peeled bark, maybe 1/4 - 1/2 tsp)
Rumex crispus - Family
- Polygonaceae
Rumex crispus - Part Used
- Root
Rumex crispus - Energetics
- Cooling
Rumex crispus - Indications
- Skin conditions (often chronic): psoriasis, eczema, acne
- Lax bowels, constipation
- Liver congestion
Rumex crispus - Contraindications/Cautions
- Oxalate kidney stones
- Kidney disease
- Iron overload
- Pregnancy
- Don’t eat the leaves - very high in oxalic acid
Rumex crispus - Specificity of Seat
- Liver
- GI
- Larynx
Rumex crispus - Preparation and Dosage
- Tincture: 1 - 4 mL (1:5, 40%), 2 - 4.5 mL (1:2) daily in divided doses
- Decoction: 1 tsp/cup
- Fluid extract: 2 - 4 mL daily in divided doses
Urtica dioica - Family
- Urticaceae
Urtica dioica - Parts Used
- Leaf
- Root
- Seed
Urtica dioica - Energetics
- Drying
- Cooling
Urtica dioica - Indications
- Leaf
> Skin conditions (often chronic) - psoriasis, eczema, acne
> Allergic rhinitis (use freeze-dried leaf) - Root
> BPH, diarrhea
Urtica dioica - Contraindications/Cautions
- Allergy to nettle
- Long-term use may cause mucus membrane drying
Urtica dioica - Preparation and Dosage
- Leaf:
> Food - cooking or steaming fresh herbs will denature stinging trichomes and is safe for eating
> Dried herb - 8 - 12 g per day
> Tincture - 3 - 6 mL per day (1:2), 7 - 14 mL (1:5)
Smilax spp. - Family
- Liliaceae
Smilax spp. - Parts Used
- Root
- Rhizome
Smilax spp. - Energetics
- Drying
- Earthy
Smilax spp. - Indications
- Skin conditions
- Rheumatic pain
- Hormonal balance
- Increasing overall resistance to stress
Smilax spp. - Contraindications/Cautions
- May increase absorption of digitalis glycosides
- Pregnancy
- Toxicity: large doses may cause GI irritation or even ulceration due to the high saponin content
Smilax spp. - Specificity of Seat
- Endocrine balance
Smilax spp. - Preparation and Dosage
- Classically prepared as a syrup that was often used as a carrier for other ingredients
- Tincture: 1 - 2 mL (1:5, 60%) TID
- Decoction: 2 - 4 tsp per cup of water, simmer for 5 - 10 minutes
Curcuma longa - Family
- Zingiberaceae
Curcuma longa - Part Used
- Rhizome
Curcuma longa - Energetics
- Cooling (anti-inflammatory)
- Warming (tastes)
- Stimulating
- Moves stagnation
Curcuma longa - Indications
- Inflammations of all kinds
- Jaundice
- Liver disorders
- Chronic skin conditions
- Cardiovascular disease
Curcuma longa - Contraindications/Cautions
- Pregnancy (large doses)
- Bile duct obstruction
Curcuma longa - Specificity of Seat
- Liver
- Circulatory system