صفحه 1:
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صفحه 2:
BAHSHE Luton. 2005
Western Herbal Medicine - An Overview
History of Herbal Medicine in Britain
®Ccurrent Legal Status of Herbal Medicine
in Britain
Herbal Medicine and Herb/Drug
Interactions
@Herbal Medicine and Student Health
صفحه 3:
Neanderthal Man. Pollen Found in
Gravesite
Marshmallow (A/thea spp) Soothing
healing mucilage for irritated throats & GI
tract.
Grape hyacinth (Muscari genus) Diuretic
Yarrow (Achillea millefolium)Diaphoretic,
diuretic, insect repellant.
Ephedra (Ephedra sinica) Asthma
remedy, cardiac stimulant.
صفحه 4:
Quacks Charter
Coens any subject Who has knowledge and
experience of the nature of herbs, roots
and waters should be allowed practice
their art without suit, vexation, trouble,
penalty or loss of their goods. ‘
صفحه 5:
Currently
Statutory Self Regulation.
Complementary and alternative medicine: House
of Lords Select Committee on Science and
Technology 6th report [session 1999-00]
2001. DOH produced document outlining steps
necessary for HM to achieve SSR.
Now -Joint Working Group being formed, which will
ultimately develop a shadow council, then an
General Herbal Council.
Issues currently debated = protection of title,
accreditation of courses (minimum standards),
grandparenting etc.
http://www.users.globalnet.co.uk/~ehpa/ For more
info.
صفحه 6:
National Institute of Medical
Herbalists
Established 1864
* Oldest & largest governing body for herbal
Medicine
* Runa yellow card reporting scheme in
conjunction with MHRA
* Members are recognised as being able to
diagnose
* Ability to sign people off work
* Impeccable safety record (No cases of
fatalities reported in 141 yrs )
۰ To contact tel 01392 426022
صفحه 7:
interactions
Difference between whole plant remedies & Standardised
extracts.
Whole plant remedies and synergy
Concept more widely accepted in field of nutrition.
Vitamins & — minerals. Whole food diets. Link between food
& medicine.
Pharmacodynamic synergy
Individually - sub therapeutic levels. Frank
pharmacological effect in combination. No one pathway
is saturated. (Hypericum perf - SSRI &MAOI)
Pharmacokinetic synergy
Bioavailability enhanced by presence of other
secondary metabolites.
(Lipo-solubility -of hepatoprotective lignan silybin is
enhanced. )
Both of above may be present (Kava kava)
صفحه 8:
Standardised extracts & OTC
products.
* Standardisation to ensure minimum quantity of
perceived active constituents. This concept may
result in conflict with orthodox medicines as high
concentrations of specific phytochemicals may
act to significantly affect certain biochemical
pathways (ie cytochrome P450).
* Problems highlighted in press etc in recent years
are almost exclusively related to OTC’s.
صفحه 9:
General public’s perceptions of OTC preparations as
herbal medicines which are natural & therefore safe
may lead to problems in this area, ie:-
Taking many times in excess of recommended
dosage
Not taking advice re pregnancy, hypertension,
medications etc.
Other problem areas include:-
Variability of quality OTC remedies.
Potential adulteration of herbal preparations.
صفحه 10:
As a practising herbalist, orthodox medicines
causing the most concern are relatively few in
number, and would include
medications which
a)Pose potential serious health implications if
levels are disturbed
b)Have a narrow therapeutic window.
Therefore - drugs requiring caution may
include:-
Warfarin
Anti-epileptic drugs
Immune suppressants
Lithium
صفحه 11:
Summary
Risks of Herb/drug interactions are minimal if
consulting qualified herbalist. (Where whole plant
remedies are used)
Low if choose recognised brand, follow
instructions.
®Take appropriate advice - Contact a Medical
Herbalist.
صفحه 12:
Case Study
Male Age 70s
Poor appetite. Ate next to nothing for approx six weeks - subsisting
on Cranberry juice & taking warfarin meds.
Admitted to hospital with INR >50 (Prev stable)
Died of GI and pericardial haemorrhage.
Warfarin = primarily metabolised by p450 CYP2C9 pathway
Cranberry juice contains flavonoids which may inhibit this pathway.
This man had no vitamin K intake from his food for 6 weeks.
Over anti-coagulated.
Broad spectrum anti-biotics had been used (cephalexin) which acts
to reduce non dietary vit K absn via its effects on gut flora.
صفحه 13:
Herbal Medicine and Student Health
Potential areas where Herbal Medicine can be of help
include:-
Stress. Calming and coping herbs. Reducing the
incidence of students on anti-depressants
Insomnia. Dietary & lifestyle advice. Simple coping
measures.
The herbal consultation as a therapeutic tool.
(Overcoming isolation, being listened to.)
Inexpensive source of medicines.