Quiz 3

Front 1

what 3 herbs have a drug herb interaction with glucorticoids - hydrocortisone and how

Back 1

glycyrrhiza glabra
zizyphus spinosa
scuttelaria baicalensis
They may potentiate a reduction in liver clearance of corticoidsterioids and may diminish the requirement of the drugs

Front 2

what is the general adaptogen syndrome

Back 2

3 phases largely regulated by the adrenal glands. Alarm resistance and exhaustion.
The initial reaction is alarm - flight or fight response

Front 3

explain the fight or flight response

Back 3

the initial phase of the general adaptogen syndrome is the fight or flight response. THis happens as a result of reaction in the brain triggering the pituitary gland to release ACTH which results in the adrenal glands releasing adrenaline

Front 4

explain vitex agnus castus role in enhancing corpus luteal development

Back 4

it enhances corpus luteal development thereby correcting a relative progesterone deficiency via a dopaminergic activity on the anterior pituitary gland (which inhibits prolactin)
Normalise menstrual cycle
encourages ovulation

Front 5

how is vitex a gnus casts useful in pregnancy

Back 5

where there is low progesterone levels when high risk of miscarriage

Front 6

what are the actions of tribulus

Back 6

tonic aphrodisiac oestrogenic androgenic fertility agent

Front 7

therapeutic use of tribulus

Back 7

male infertility
poor libido
impotense
menopause
female infertility
enhancement physical performance
regulate blood sugar
chronic UTIs

Front 8

herbal treatment for adrenals

Back 8

rehmannia glutinosa
bupleurum falcatum
rhodiola rosea
panax ginseng
glycyrrhiza glabra

Front 9

explain vitex mechanism of action

Back 9

shown to alleviate symptoms of pms such as fluid retention, bloating, depression, irritability fatigue and headache. believed to inhibit prolactin by acting on dopamine D2 receptors in anterior pituitary

Front 10

why would vitex help in shortened luteal phase

Back 10

vitex inhibits prolactin - which inhibits corpus luteal deveopment therby regulating menstrual cycle

Front 11

explain metformins mode of action

Back 11

metformin is a biguanides which increases glucose uptake into the muscle and inhibits hepatic relase of glucose, increases insulin sensitivity but does not increase insulin release from pancreas.

Front 12

side effects of metformin

Back 12

GIT, mettalic taste
sometimes lactic acidosis in those with renal disorders, old age high doses

Front 13

indications for vitex

Back 13

menstruation disorders
secondary ammenorrhoea
metorrhagia
oligomenorrhoea (lengthened)
polymenorrhoea (shortened)
insufficient lactation
PMS except C
infertility
acne

Front 14

what are the causes if functional dysmennorrhea

Back 14

hypo-functioning liver
uterine retroversion
anxiety/stress
constipation
hormonal imbalance

Front 15

what are the causes of acquired dysmenorrhoea

Back 15

polyps or fibroids
endometriosis
PID
cervical opening too narrow
adhesions
and volume to great for cervical opening

Front 16

short term herbal treatments for dysmennorrhea and why

Back 16

the following herbs decrease prostaglandin
allium sativum
zingiber officionale
curcurma longa
salix alba
tanacetum parthenium

Front 17

what are the three herb interactions with OCP

Back 17

hypericum perforatum - may decrease drug effects due to induction of liver enzymes
trifolium pratense - theoretical interaction where phyto-oestrogens may complete for oestrogen binding sites reducing drug
vitex agnus castus - herbal action is reduced though still beneficial

Front 18

which herb can be taken for amennorheoa in women with PCOD - how does it work

Back 18

peonia lactiflora can be used to initiate menstruation -obese women weightless

Front 19

which two herbs are used in PCOD to decrease androgens

Back 19

paeonia lactiflora and glycyrrhiza glabra

Front 20

abnormal bleeding - if pain starts before bleeding and is accompanied by breast tenderness and bloating which herb is specific, its action and others.

Back 20

Blue cohosh, spasmolytic.
Also, cramp bark, corydalis, dioscera villosa

Front 21

what is cimifuga racemes indicated for (female repro) black cohosh

Back 21

is a antispasmodic and increases pelvic blood supply. Indicated for uterine crams, pelvic inflam, dymennorhoea and uterine discharge

Front 22

what is caullophylim thalictroid indicated for and MOA(blue cohosh)

Back 22

indicated: dysmennorhoea increases blood supply antispasmodic and tonic for repro system. MOA enhancing binding oestrodoil to oestrogen receptors and activity

Front 23

viburnum opulus actions and indications (cramp bark)

Back 23

relaxes smooth muscle and restores SNS and PNS balance. Specific for uterine/ovarian cramps

Front 24

difference between vitex and others

Back 24

vitex is indicated in more menstrual irregularities than dysmennorhoea - menorraghoea,polymennorhoea, oligomenorrhoa and amennorhoea.
- works of HPA axis to reduce prolactin release and regulate progesterone deficiency
- alleviates PMS (all but PMS-C)
- works on dopaminogenic activity (D2 Receptors) to regulate progesterone.