lecture 15 - members.passnplex.com€¦ · © 2016 pass nplex chris habib prunus africanum •bph...
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© 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
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Image: Wmahan
Passiflora incarnata
• Anxiety, insomnia
• Helps you “Pass out”
• Fairly safe
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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?”
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Image: Becks
© 2016 Pass NPLEX Chris Habib
Phytolacca americana
• Lymphadenopathy, mastitis, BREAST STUFF
• Cancer?
• CI: Pregnancy
• Toxic: OD causes systemic toxicity (higher safety flags on this one)
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Piper methysticum
• Kava
• Anxiety, IC pain
• CI: antipsychotic, long-term use
• For the purpose of NPLEX, hepatotoxic (err on side of safety)
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Piscidia erythrina
• Anodyne, spasmolytic, sedative
• (Pain, Myalgia, neuralgia, headache)
• CI: Preg
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Plantago major
• Demulcent, vulnerary
• GI (gastritis, ulcer)
• CI: Wet cough (b/c increases fluid with demulcent property)
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Podophyllum peltatum
• Antineoplastic, anti-HPV
• Cancer, warts
• CI: Extremely toxic, not used as dry herb
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Prunus serotina
• Prunes – possibly a cough syrup flavour
• Anti-tussive
• Spasmodic cough
• DDX africanum (BPH)
• Safe
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© 2016 Pass NPLEX Chris Habib
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
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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
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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.
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Image: Neil Cummings
Rhamnus frangula/purshiana
• “Rhamming something up your @$$”
• Catharsis for constipation
• CI: Preg, lac, dependence
• AE: Abd cramp, diarrhea
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Rhodiola rosea
• Adaptogen, antidepressant
• Chronic stress, immunosuppresion
• Safe
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Image: Alpsdake
© 2016 Pass NPLEX Chris Habib
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
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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
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Rumex crispus
• Bitter, hepatoprotective (may want to lump all these herbs together, similar uses/safety)
• Alterative (chronic skin dz)
• AE: nausea
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Salix alba
• Like aspirin
• Pain, fever, myalgia, arthritis, HA
• CI: NOT FOR CHILD – VIRAL EXATHEM, some sources may mention it
• GI irritation
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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)
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© 2016 Pass NPLEX Chris Habib
Sambucus nigra
• Flower: Fever, conjunctivitis/rhinitis, pharyngitis
• Fruit: URI, influenza
• AE: diarrhea
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Sanguinaria canadensis
• Cervical dysplasia, escharotic, basal or squamous cell carcinoma
• Applied topically
• Topical CI: Painful ulceration, skin necrosis
• Toxic internally OD
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Schizandra chinensis
• Adaptogen + Hepatoprotective
• Expectorant/anti-tussive
• Depression, stress
• Cough
• CI: Preg
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Image: Tony Hisgett
Scutellaria lateriflora/baicalensis
• Insomnia, anxiety, pain
• Safe
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Selenicereus grandiflorus
• Arrhythmia, palpitation, CHF, angina
• Intx: MAO inhib
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Image: Amante Darmanin
Serenoa repens
• BPH
• (“inhibits activity of testosterone”)
• Acts as 5 alpha reductase inh, thus might also help with?
• Safe
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© 2016 Pass NPLEX Chris Habib
Silybum marianum
• Milk thistle
• LIVER - hepatoprotective
• (hepatitis, cirrhosis, fatty, cholelith)
• Safe
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Smilax spp.
• Male Tonic (low testosterone, andropause)
• PMS, menopause sx
• Alterative
• Hormonal imbalance
• “Smile, no more PMS”
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Image: Hans Hillewaert
Quiz
• Prunus serotina vs. Prunus africanum?
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Solidago spp.
• Goldenrod
• Diuretic, renal (nephritis, urinary, etc)
• Pulmonary herb
• Safe
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Symphytum officinale
• Wounds, dermatitis, fractures
• Inflammation in respiratory system or GI
• CI: preg, lac – has P.A., hepatotoxic
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Tanacetum parthenium
• Migraines
• Safe
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Image: Zeynel Cebeci
© 2016 Pass NPLEX Chris Habib
Tanacetum vulgare
• Intestinal parasites (VULGAR PARASITES!)
• CI: Preg (abortifacient), GI sx
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Taraxacum officinale
• LEAF: Bitter, UTI, kidney stones
• ROOT: Bitter, hepatic
• CI: Ulcer
• AE: Nausea
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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.
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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
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Tilea europa
• Circulatory tonic
• Diaphoretic (infx, colds, flus) + hypertension
• Safe
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© 2016 Pass NPLEX Chris Habib
Tribulus terrestris
• Testosterone boosting
• Libido, fertility
• Stimulant, performance
• Most likely CI Preg
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Image: Carlosgraal
Trifolium pratense
• “For TENSE women”
• Phytoestrogen (menopause, hot flash, preg)
• Safe
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Tussilago farfara
• Dry cough, dermatitis
• AE: Hepatotoxic, but with different type of PA (Saturated instead of unsaturated – which are always hepatotoxic)
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Ulmus rubra
• GI demulcent (slippery elm)
• Gastritis, GERD, ulcer
• CI: Wet cough (makes wetter)
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Image: Cary Bass
Urtica dioica
• Leaf/seed: Lower UTI, urolith
• Root: BPH
• CI: Topical application causes stinging (can be used for rheumatic conditions)
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Image: Tintazul
Usnea barbata
• (Old Man’s Beard)
• Anti-microbial, anti-fungal
• Toxic: Hepatotoxic (like many anti-fungals)
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© 2016 Pass NPLEX Chris Habib
Vaccinium myrtillus
• FRUIT: Vision (diabetic retinopathy), Veins, UTI
• LEAF: Diabetes (because you don’t want to eat the sugary fruit)
• Safe
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Valeriana officinalis
• Insomnia, anxiety, smooth muscle spasms
• AE: Sedation
• CI: May prolong GABA drugs
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Veratrum alba
• Hypertension, Cholera (gushing bowels)
• TOXIC – Red flags for safety
• Teratogenic
• Very rarely used
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Verbascum thapsus
• Asthma, COPD, any cough
• Safe
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Image: Patrick J. Lynch
Verbena officinalis
• Alterative, female-specific
• Menopause, nervine (anxious women)
• CI: Gastric stim
• Safe, a/e: nausea
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Viburnum opulus/prunifolium
• Spasmolytic, smooth muscle (anywhere)
• Dysmen, endometriosis, PMS, spasm, myalgia
• Safe
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© 2016 Pass NPLEX Chris Habib
Vinca major/minor
• Periwinkle
• Circulatory stimulant
• Headache, vertigo, hypertension, memory
• BRAIN STUFF
• CI: Preg
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Viscum album/flavescens
• Subcutaneously for cancer
• (Iscador, Helixor)
• Hypertension (not used for this)
• Toxic: overdose from berries
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Vitex agnus-castus
• PMS, acne, amenorrhea, ovarian cyst
• Increase progest (or normalizer of hormones)
• CI: Preg
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Image: Sten Porse
Quiz
• Usnea barbata function?
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Withania somnifera
• Stress, infx
• CI: Autoimmune, preg
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Zingiber officinale
• GInger
• Anti-emetic, anti-atherosclerosis, anti-infx
• CI: Gastric Stim
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Image: Nataraja
© 2016 Pass NPLEX Chris Habib
Quiz
• Gelsemium for?
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• Harpagophytum procumbens for?
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• Tribulus for?
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• Ulmus rubra CI in?
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• Lomatium dissectum does what?
• What’s the adverse reaction?
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• 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
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© 2016 Pass NPLEX Chris Habib
• 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
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• 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
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• 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
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• 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
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In the next section…
• Section 5: Orthopedic Tests and Devices
• Lecture 16: Individual Tests
• Lecture 17: Individual Devices