Transcript Botanical Medicine II

Botanical Medicine 2
Sheila Kingsbury, ND, RH (AHG)
Fall 2009
Week 1 – Review & Purgatives
Review case # 1
• An 8 year old boy is brought in to see you by his
mother. The boy experiences abdominal pain
usually at night around bedtime. His mother
reports that he sometimes has stools that are
difficult to pass but other times they are loose.
He has some gas, usually before a bowel
movement and it is foul smelling. He
occasionally has undigested food in his stools
but no blood or mucus. He is an active child and
has a good appetite unless he is ill or has a
stomach ache. A stool culture was negative for
parasites or bacterial infection.
• What information would you like to have for this
case? What herbs that you have learned about
so far would be helpful to this patient? How
would you prescribe them (i.e., what
preparation, what dose)?
Review case #2
• A 30 year old female complains of “stomach
aches”. She feels nauseous and bloated after
she eats. Her abdomen becomes distended.
She has difficulty passing gas, but feels better
after she does so. She has one bowel
movement every day which is bulky and
requires straining to pass. She notices no
blood or mucus in her stool. Occasionally, she
notices some undigested food in her stool.
She has a very stressful job and a difficult
relationship with her family and is slightly
overweight. She gets colds and flus frequently
in the winter. She is currently experiencing a
congested URI.
• What is your assessment of her case – what underlying
issues might she have and what would you consider as a
diagnosis for her? Which herbs that you have learned
so far would prescribe for her? What preparations, what
dosage?
Review Case #3
• A 50 year old woman comes to see you
regarding her “diarrhea”. She has loose stools
with undigested food in them 1-2 times daily for
several months. She has tried over the counter
medications and bulking agents but nothing
has worked. Her stools are not watery and do
not contain any mucus or blood. She drinks
plenty of water and eats well. Her appetite has
been fine and a stool culture was negative for
parasites or bacterial infection.
• What do you think is the cause of her
condition? What herbs that you have learned
about might you consider prescribing for her
and in what form and dose?
Purgatives
Aperient/Laxative/Cathartic/Purgative
•
•
•
•
•
•
•
•
Plantago afra/ovatum/psyillium
Linum usitatissimum
Senna alexandrina
Frangula purshiana
Rheum palmatum
Juglans nigra
Aloe spp.
Ricinus (Castor oil)
Senna alexandrina
AKA:
Cassia senna
Cassia angustifolia
Frangula purshiana
AKA Rhamnus purshiana or Cascara sagrada
Frangula purshiana
Rheum
palmatum
Rheum palmatum
Cephaelis ipecacuahna
Cephaelis ipecacuahna