Therapeutics M&s

Front 1

M&S Red Flags

Back 1

• Chest pain extending into left arm, worse with exercise, better for rest. Angina.
• Severe chest pain extending into both arms. Myocardial infarction.
• Pain or tenderness in calf muscle with swelling of ankle. Deep Vein Thrombosis.
• Wrist, sore, red and swollen. Rheumatoid arthritis/ Rheumatic fever.
• Acute severe, one sided back pain may be radiating to groin. Pyelonephritis/ Movement of kidney stone.
• Severe back pain, if over 60. Osteoporotic fracture.

Front 2

Alterative M&S Herbs 3

Back 2

Urtica dioica - diuretic, alterative, antirheumatic, depurative.

Harpogophytum procumbens - antirheumatic, anti-inflammatory, analgesic, bitter tonic, cholagogue, liver tonic, detoxicant

Taraxicum off rad - Choleretic, cholagogue, hepatic, alterative, diuretic, bitter, aperiant, antirheumatic

Front 3

M&S Herbs 10

Back 3

Main M&S Herbs
1. Harpagophytum procumbens – anti-inflammatory
2. Filipendula ulmaria – analgesic
3. Salix Alba - analgesic
4. Urtica dioica - Diuretic
5. Cimifuga racemosa – Anti-spasmodic
6. Viburnam opulus - antispasmodic
7. Apium graveolens - diuretic
8. Valeriana off. - antispasmodic
9. Hypericum perforatum - anelgesic
10. Zingiber off. – circulatory stimulant

Front 4

Harpagophytum procumbens

Back 4

antirheumatic, anti-inflammatory, analgesic, bitter tonic, cholagogue, liver tonic

Front 5

Filipendula ulmaria

Back 5

anti-rheumatic, anti-inflammatory, analgesic,

astringent, diuretic, diaphoretic, mild urinary antiseptic, antimicrobial, antacid, stomachic

Front 6

Salix Alba

Back 6

anti-rheumatic, anti-inflammatory, analgesic,

astringent, tonic, anti-pyretic, antiseptic,

Front 7

Urtica dioica

Back 7

antirheumatic, depurative, alterative, diuretic

Anti-haemorrhagic, astringent, styptic, tonic, counter irritant, , antiallergic, galactogogue, hypoglycaemic, hypotensive,

Front 8

Cimifuga racemosa

Back 8

anti-rheumatic, emmenagogue, anti-spasmodic, alterative, sedative, relaxing nervine, tonic, mild analgesic,

oestrogenic, uterine tonic

spasm, muscular rheumatism, myalgia, lumbago, sciatica, hysteria, whooping cough, chorea, rheumatism, menopause, PMT, whooping cough, tinnitus
1. All musclo-skeletal problems – rheumatism, arthritis, sciatica / neuralgia, facial and intercostal neuralgia, cramps, lower back pain, stiffness and soreness after exercise.
2. Normalises female reproductive system, delayed or painful menstruation, secondary amenorrhoea, Dysmenorrhoea, ovarian pain, ovarian insufficiency, uterine cramps, breast pains, migraine of hormonal origin, menopausal symptoms, female infertility. Suppresses luteinising hormone LH.
3. Tinnitus. Cimicifuga has been shown to have anti-spasmodic and CNS depressant activities. It is also a peripheral vasodilator and can lower blood pressure.

NOT in pregnancy, except at birth

Front 9

Viburnam opulus

Back 9

antispasmodic, anti-inflammatory, mild sedative, analgesic, smooth and skeletal muscle relaxant

astringent, hypotensive, peripheral vasodilator, febrifuge, emetic, , cardiac tonic, uterine relaxant,

Front 10

Apium graveolens

Back 10

Antirhumatic, anti-inflammatory, diuretic, antispasmodic, nervine

main use is in the treatment of gout, rhumatism and arthristis.

Front 11

Valeriana off

Back 11

antispasmodic, nervine, analgesic, sedative, hypnotic,

carminative, , tonic, hvpotensive, anxiolytic, stimulant, hypotensive

Front 12

Hypericum perforatum

Back 12

analgesic, anti-inflammatory alterative, nervine, antidepressant,

sedative, antiviral, , vulnerary, astringent, local antimicrobial

P450 pathway

Front 13

Zingiber off

Back 13

peripheral circulatory stimulant, externally rubefascient, anti-inflammatory, antispasmotic, analgesic (not NSAID)

stimulant, carminative, diaphoretic, , anti-emetic, , aromatic digestive, anti-platelet, antimicrobial, cox inhibitor,

Avoid Blood thinning medication, heartburn,

.7 to 2ml TDS

Front 14

Sprain treatment

Back 14

RICE

Sprains are treated with rest, elevation of the affected joint and ice packs to
reduce the swelling. They are best treated with herbal antiinflammatories (horse
chestnut cream, St. John's wort, plantain), astringents (witch hazel), and trauma
herbs (arnica).

Front 15

Bursitis - what is and treatment

Back 15

inflammation of the bursa, tennis elbow, housemaids knee

Anodyne, anti-inflammatory, astringents, circulatory stimulants, emmenogogue.

Slippery Elm or Aloe inbetween as hard om stomach.

Front 16

Gout - what is and treatment

Back 16

excess levels of uric acid in the blood causing painful inflammation due to deposits. Big toe and ears.

Anti-inflammatory, Analgesic, Diuretic.

Naturopathic
Adequate water
Avoid Alcohol and purine rich foods - offal, anchovies, sardines, crab, mushrooms, peas, beans
Eat potassium rich foods - potato, avacado, melons, bananas, carrots
Quercetin
Cherries - proanthycyanidins - 250gms per day can lower uric acid levels in patients
Alkaline Diet
High fiber diet aids elmination by absorbing bile acids formed in the liver, the bile acids can act as a precursor to uric acid.

Flare up first aid
RICE
Castor oil pack
Apple cider vinegar foot soak.

Front 17

Sciatica - what is and treatment

Back 17

any kind of pain that is caused by irritation or compression of the sciatic nerve.

Nervines, analgesic's, anti-inflammatory, anti - spasmodics, support digestive system.

Hypericum is a specific - internally and externally

Heat pack or lavender essential oil on back.

Natural Anti-inflammatory in food - ginger, turmeric, rosemary.

Front 18

Osteoarthritis - signs & symptoms and nutrition

Back 18

Signs and symptoms:
Onset is gradual, with pain increasing over month to years.
Movements become restricted, joints become stiff
Joints like the hip demonstrate deformity in later stages.
Not usually associated with inflammatory symptoms.

Supplements for both types of Arthritis:
• Glucosamine sulfate
• Glucosamine hydrochloride
• Chondroitin sulfate

• Vitamin B6 assists with tissue oxygenation
• Antioxidants slow the rate of joint deterioration (A, C, E, Selenium, red, purple and blue fruits / veg.)
• Calcium is essential throughout all ages in order to build and maintain to build healthy bones, which is the best way to prevent osteoarthritis
• Vitamin D (sunlight) is required in adequate amounts too aid the absorption of calcium
• Magnesium assist in the maintenance of healthy bones
• Zinc for regeneration of connective tissue
• Boron positively affects calcium levels by activating vit. D in the kidney (but may affect hormone levels, increases testosterone and oestradiol) found in bee pollen and kelp, and in multi mineral supplements.

Front 19

Anti-Inflammatory Diet

Back 19

Avoid / eliminate
• Alcohol (especially beer), sugars, simple CHOs additives, saturated fats, margarine etc
• Fizzy drinks as they contain phosphates that deplete calcium levels.
• Eliminate citrus fruit
• Reduce red meat intake, avoid organ meats such as liver, kidney, heart, brain, etc. Avoid game meat i.e. venison, pigeon, goose, etc.
• Refined/ processed foods
• All yeast – containing foods such as extracts (Bovril, Marmite, Vegemite), essence of chicken, brewers and baker's yeast, canned / powdered soups & stock cubes, consommé, gravies, sauces, etc.
• Solanacea vegetables i.e. tomatoes, white potatoes, aubergine, peppers
• Avoid eating foods high in purines
• Food allergies, esp- gluten or wheat


Recommended foods
Eat a diet which is based on organic, fresh ingredients:
• Drink plenty of water and other fluids. Increase water to 2L per day.
• Nettle tea, high mineral content
• Green tea: Contains polyphenols that fight oxidation in arthritic joints.
• Rosehip tea: drink 2-3cups per day
• High in complex carbohydrates (fibre-rich whole grains, fruits, and vegetables), Good grains include millet, oats, rice and buckwheat
• Good quality protein such as soy, fish, eggs or poultry
• No more than 20% of calories in fat (with only 10% animal fats). Low-fat dairy products
• Bananas, artichokes for FOS
• Fresh cherries, strawberries, blueberries, and other red-blue berries have antioxidant compounds that protect cartilage, tendons and joints. At least 10 fresh cherries and berries daily
• Celery and celery seeds are a traditional food-based remedy that has been observed to help halt inflammatory flare-ups as they are natural diuretics, decreasing uric acid
• Vegetables including kale, cabbage, parsley, green-leafy vegetables, okra, fresh veggie juices
• Foods high in bromelain (pineapple)
• Foods high in vitamin C (red cabbage, kiwi fruit, acerola)
• Ginger and Turmeric: Inhibits pain-producing prostaglandins. Garlic: Acts as an antibiotic and anti-inflammatory. Add fennel, caraway seeds, alfalfa, garlic and fresh herbs to cooking
• Essential fatty acids from cold water fish such as tuna and salmon, and from good quality oils such as flax, walnut, olive, etc. Oils like walnut, flaxseed, and grape seed can actually decrease pain and swelling, so pour over salads, and veg.
• Increase antioxidant containing foods i.e. sweet potatoes, apricots, carrots, mangoes, broccoli, avocado, onions
• Shiitake mushroom: Boosts immunity. Add to soups, casseroles, stir-fries and salads regularly.

Front 20

RA Treatment principles

Back 20

Treatment principles
Heat and Cold applications
Exercise, swimming, yoga, Tai chi, refer to physiotherapy, acupuncture, Craniosacral therapy, Hydrotherapy, relaxation therapies like gentle massage,
Treat gut dysbiosis and heal leaky gut
Alkaline pH of the body should be maintained
Address elimination channels- digestive system, urinary system, lymphatic system, elimination through the skin- sweating therapy
Support immune system

Supplements:
• The most commonly observed vitamin and mineral deficiencies in patients with R.A. are folic acid, vitamin C, vitamin D, vitamin B6, vitamin B12, vitamin E, folic acid, calcium, magnesium, zinc and selenium.
• B complex vitamins, are often lacking in people with any arthritis
• Increased intake of antioxidants such as A, C, Zinc, selenium and vitamin E may decrease free-radical damage to joint linings, which diminish swelling and pain.
• Bromelain / Papain
• Turmeric
• EFAs
• Glucosamine, chrondroitin, MSM
• Apple cider vinegar: externally for bee, jelly fish stings, to soak gouty toe, internally- to alkaline the system in any acute rheumatic- arthritic condition flare up to help with pain, stiffness and inflammation (take 2 teaspoons in water with meals).