Transcript Bot Med 3: Urinary, Reproductive, & Thyroid Herbs
Bot Med 3: Urinary, Reproductive, & Thyroid Herbs
Jenn Dazey, N.D.
Winter 2010 Welcome back!!!!!
Quick Review… GI Liver/GB/Lymphogogue Musculoskeletal
Achillea millefolium
Althaea officinalis
Capsella bursa-pastoris
Foeniculum vulgare
Glycyrrhiza glabra
Hydrastis canadensis
Galium aparine
Arctium lappa
Silybum marianum
Rumex crispus
Piscidia piscipula
Salix alba
Stachys officinalis
*
Withania somnifera
Urinary Review
Aquaretics vs. Diuretics
• Aquaretics increase blood flow in the kidneys, which increases GFR, and urine output is increased. • This process increases the amount of water excreted through urination, but it does not increase elimination of electrolytes.
• Used for UTI, stones, gout, cleanses • Diuretics increase the excretion of electrolytes, and water follows, thereby increasing urine output. • Used in the management of hypertension, liver disease (ascites), and congestive heart failure (edema) • Diuretics do not treat the cause
Galium aparine
Juniperus communis
• Volatile oil (Terpinen-4-ol) is a kidney irritant
Equisetum arvense
• Harvest before leaflets are 90 degrees to the stem
Apium graveolens
• Diuretic AND sedative nervine
Petroselinum crispum
• Aquaretic and emmenagogue
Urtica dioica Lf.
Taraxacum officinale Lf.
Anti-lithics
Kidney stones are a result of supersaturated urine with high levels of calcium, uric acid, oxalate, and cystine.
7 Bark
Hydrangea arborescens
Eupatorium purpurea
Case Study
• 16 yo female returns with her 3rd “bladder infection” in 4 months. She has frequency and urgency and slight burning on urination x 2 days.
• Her urine is a dark, cloudy yellow-brown with a strong odor. Dipstick and microscopic analysis reveal mucus and lymphocytes, but no bacteria, RBC’s, crystals or casts. Specific gravity is high. All other findings are normal.
• There is no CVA tenderness, fever or nausea.
• She is under a lot of stress with regular track meets and honors classes.
What is your DDX?
More history…
• She notices the onset coincides with dining at the local Steakhouse. Whenever her track team celebrates after a meet, she drinks a large rootbeer float and orders the largest steak on the menu. • Her symptoms began at bedtime.
What is your plan?
• What is your most likely diagnosis given the new information?
• Is a diuretic appropriate for her?
• (Remember the therapeutic order.)
Her Treatment Plan
• Avoid soda -- consider hydrating with water and electrolytes before & after a meet • Keep steak portions to a minimum and include a large salad • Tea Formula: – Juniperus communis – Urtica dioica Lf – Petroselinum crispum Rt – Gallium aparine 2 parts 4 parts 2 parts 2 parts