Lecture 15 - members.passnplex.com€¦ · © 2016 Pass NPLEX Chris Habib Prunus africanum •BPH •DDX Serotina (cough) •Safe •Perhaps the africanumhas BPH 13 Image: Superruss

© 2016 Pass NPLEX Chris Habib

Lecture 15 Individual Herbs Part 3 (P-Z)

Section 4: Botanical Medicine

• 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)

Panax ginseng Panax quinquefolium

• Immune • Diabetes possibly • Fatigue (adaptogen) • Phytoestrogen • Ginseng: strong stim, stimulating adaptogen

(not immune) • Quinqu: immune stim

• CI: preg

4

Image: Wmahan

Passiflora incarnata

• Anxiety, insomnia

• Helps you “Pass out”

• Fairly safe

5

Pausinystalia yohimbe

• 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?”

6

Image: Becks


Phytolacca americana

• Lymphadenopathy, mastitis, BREAST STUFF

• Cancer?

• CI: Pregnancy

• Toxic: OD causes systemic toxicity (higher safety flags on this one)

7

Piper methysticum

• Kava

• Anxiety, IC pain

• CI: antipsychotic, long-term use

• For the purpose of NPLEX, hepatotoxic (err on side of safety)

8

Piscidia erythrina

• Anodyne, spasmolytic, sedative

• (Pain, Myalgia, neuralgia, headache)

• CI: Preg

9

Plantago major

• Demulcent, vulnerary

• GI (gastritis, ulcer)

• CI: Wet cough (b/c increases fluid with demulcent property)

10

Podophyllum peltatum

• Antineoplastic, anti-HPV

• Cancer, warts

• CI: Extremely toxic, not used as dry herb

11

Prunus serotina

• Prunes – possibly a cough syrup flavour

• Anti-tussive

• Spasmodic cough

• DDX africanum (BPH)

• Safe

12


Prunus africanum

• BPH

• DDX Serotina (cough)

• Safe

• Perhaps the africanum has BPH

13 Image: Superruss at the English language Wikipedia

Pulsatilla vulgaris

• Anodyne, sedative • Pain, dysmenorrhea, endometriosis pain, PMS pain (female health

conditions)

• AE: abd pain

• Not commonly used internally

14

Quercus rubra (newer)

• Astringent, anti-inflam, anti-septic

• Strong

GI: Diarrhea, dysentery, hemorrhoids

Safety: Use only short-term due to reduced nutrient absorption, CI on externally damaged skin

15

Rauwolfia serpentina

• Hypertension

• Anti-arythmic (leads to systemic vasodilation, like a serpent is in your circulatory system)

• CI: depression (b/c causes catelcholamine depletion)

• Drug Intx: BP meds, MAO inhib.

16

Image: Neil Cummings

Rhamnus frangula/purshiana

• “Rhamming something up your @$$”

• Catharsis for constipation

• CI: Preg, lac, dependence

• AE: Abd cramp, diarrhea

17

Rhodiola rosea

• Adaptogen, antidepressant

• Chronic stress, immunosuppresion

• Safe

18

Image: Alpsdake


Ricinis communis

• TOPICAL – Anodyne, anti-inflam

• Pain, dysmen, ovarian cyst, PMS, myalgia

• Orally – causes catharsis/emesis

• Toxic OD internally, do not use not long-term

19

Rosmarinus officinalis

• Cerebrovascular insufficiency (hypotension, dementia, poor memory)

• Anti-microbial (volatile oil, topical)

• Smell it to do better on NPLEX to increase memory

• Safe 20

Image: CostaPPPR

Rubus idaeus

• “Rubus rubs the uterus” • Red raspberry • Prepare labour, uterine tonic

• VERY VERY Safe, throughout preg

• MR CC

21

Rumex crispus

• Bitter, hepatoprotective (may want to lump all these herbs together, similar uses/safety)

• Alterative (chronic skin dz)

• AE: nausea

22

Salix alba

• Like aspirin

• Pain, fever, myalgia, arthritis, HA

• CI: NOT FOR CHILD – VIRAL EXATHEM, some sources may mention it

• GI irritation

23

Salvia officinalis

• (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)

24


Sambucus nigra

• Flower: Fever, conjunctivitis/rhinitis, pharyngitis

• Fruit: URI, influenza

• AE: diarrhea

25

Sanguinaria canadensis

• Cervical dysplasia, escharotic, basal or squamous cell carcinoma

• Applied topically

• Topical CI: Painful ulceration, skin necrosis

• Toxic internally OD

26

Schizandra chinensis

• Adaptogen + Hepatoprotective

• Expectorant/anti-tussive

• Depression, stress

• Cough

• CI: Preg

27

Image: Tony Hisgett

Scutellaria lateriflora/baicalensis

• Insomnia, anxiety, pain

• Safe

28

Selenicereus grandiflorus

• Arrhythmia, palpitation, CHF, angina

• Intx: MAO inhib

29

Image: Amante Darmanin

Serenoa repens

• BPH

• (“inhibits activity of testosterone”)

• Acts as 5 alpha reductase inh, thus might also help with?

• Safe

30


Silybum marianum

• Milk thistle

• LIVER - hepatoprotective

• (hepatitis, cirrhosis, fatty, cholelith)

• Safe

31

Smilax spp.

• Male Tonic (low testosterone, andropause)

• PMS, menopause sx

• Alterative

• Hormonal imbalance

• “Smile, no more PMS”

32

Image: Hans Hillewaert

Quiz

• Prunus serotina vs. Prunus africanum?

33

Solidago spp.

• Goldenrod

• Diuretic, renal (nephritis, urinary, etc)

• Pulmonary herb

• Safe

34

Symphytum officinale

• Wounds, dermatitis, fractures

• Inflammation in respiratory system or GI

• CI: preg, lac – has P.A., hepatotoxic

35

Tanacetum parthenium

• Migraines

• Safe

36

Image: Zeynel Cebeci


Tanacetum vulgare

• Intestinal parasites (VULGAR PARASITES!)

• CI: Preg (abortifacient), GI sx

37

Taraxacum officinale

• LEAF: Bitter, UTI, kidney stones

• ROOT: Bitter, hepatic

• CI: Ulcer

• AE: Nausea

38

Image: Pollo

Theobroma cacao

• Cocoa

• Anti-oxidant, nursing the health of the skin (protects from UV rays)

• Stimulant

• Safety? Restlessness maybe. Contains theobromine and caffeine.

39

Image: Hindrik

Thuja occidentalis

• Warts, infections like pharyngitis

• Anti-microbial

• Toxic: Neurotoxic, preg

40 Image: en:User:MPF

Thymus vulgaris

• Anti-microbial (h pylori, viral, fungal, GI)

• Topical for myalgia

• Toxic: neurotoxic

41

Tilea europa

• Circulatory tonic

• Diaphoretic (infx, colds, flus) + hypertension

• Safe

42


Tribulus terrestris

• Testosterone boosting

• Libido, fertility

• Stimulant, performance

• Most likely CI Preg

43

Image: Carlosgraal

Trifolium pratense

• “For TENSE women”

• Phytoestrogen (menopause, hot flash, preg)

• Safe

44

Tussilago farfara

• Dry cough, dermatitis

• AE: Hepatotoxic, but with different type of PA (Saturated instead of unsaturated – which are always hepatotoxic)

45

Ulmus rubra

• GI demulcent (slippery elm)

• Gastritis, GERD, ulcer

• CI: Wet cough (makes wetter)

46

Image: Cary Bass

Urtica dioica

• Leaf/seed: Lower UTI, urolith

• Root: BPH

• CI: Topical application causes stinging (can be used for rheumatic conditions)

47

Image: Tintazul

Usnea barbata

• (Old Man’s Beard)

• Anti-microbial, anti-fungal

• Toxic: Hepatotoxic (like many anti-fungals)

48


Vaccinium myrtillus

• FRUIT: Vision (diabetic retinopathy), Veins, UTI

• LEAF: Diabetes (because you don’t want to eat the sugary fruit)

• Safe

49

Valeriana officinalis

• Insomnia, anxiety, smooth muscle spasms

• AE: Sedation

• CI: May prolong GABA drugs

50

Veratrum alba

• Hypertension, Cholera (gushing bowels)

• TOXIC – Red flags for safety

• Teratogenic

• Very rarely used

51

Verbascum thapsus

• Asthma, COPD, any cough

• Safe

52

Image: Patrick J. Lynch

Verbena officinalis

• Alterative, female-specific

• Menopause, nervine (anxious women)

• CI: Gastric stim

• Safe, a/e: nausea

53

Viburnum opulus/prunifolium

• Spasmolytic, smooth muscle (anywhere)

• Dysmen, endometriosis, PMS, spasm, myalgia

• Safe

54


Vinca major/minor

• Periwinkle

• Circulatory stimulant

• Headache, vertigo, hypertension, memory

• BRAIN STUFF

• CI: Preg

55

Viscum album/flavescens

• Subcutaneously for cancer

• (Iscador, Helixor)

• Hypertension (not used for this)

• Toxic: overdose from berries

56

Vitex agnus-castus

• PMS, acne, amenorrhea, ovarian cyst

• Increase progest (or normalizer of hormones)

• CI: Preg

57

Image: Sten Porse

Quiz

• Usnea barbata function?

58

Withania somnifera

• Stress, infx

• CI: Autoimmune, preg

59

Zingiber officinale

• GInger

• Anti-emetic, anti-atherosclerosis, anti-infx

• CI: Gastric Stim

60

Image: Nataraja


Quiz

• Gelsemium for?

61

• Harpagophytum procumbens for?

62

• Tribulus for?

63

• Ulmus rubra CI in?

64

• Lomatium dissectum does what?

• What’s the adverse reaction?

65

• Pulmonary Embolism

• Which is most effective for the calf pain?

A) Crataegus

B) Viburnum

C) Gelsemium

D) None of the above, bot med would only mask symptoms and would not address the cause

66


• 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

67

• 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

68

• 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

69

• 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

70

In the next section…

• Section 5: Orthopedic Tests and Devices

• Lecture 16: Individual Tests

• Lecture 17: Individual Devices

Documents

Lecture 15 - members.passnplex.com€¦ · © 2016 Pass NPLEX Chris Habib Prunus africanum •BPH •DDX Serotina (cough) •Safe •Perhaps the africanumhas BPH 13 Image: Superruss