The meaning of the symbols of herminium, monorchis br seen in a dream.

A distinctly slow heartbeat, which may be a normal idiosyncrasy or with causes ranging from regular strenuous exercise to abnormally slow heart stimulus to the side-effects of medication. Bradycardia is usually defined as a pulse below sixty beats a minute, or seventy in children.... bradycardia

A zoonotic disease of humans contracted from goats, sheep, pigs or cattle. Can be caused by Brucella melitensis, B. abortus or B. suis Unpasteurised milk can be a source for human infection. Often presents as a PUO.... brucellosis

Inflammation of the mucus membranes on the bronchi, usually caused by an infection, sometimes by allergies or chemical irritations.... bronchitis

A condition characterised by dilatation of the bronchi (see BRONCHUS). As a rule, this is the result of infection of the bronchial tree leading to obstruction of the bronchi. Due to the obstruction, the affected individual cannot get rid of the secretions in the bronchi beyond the obstruction; these accumulate and become infected. The initial infection may be due to bacterial or viral pneumonia or to the infection of the lungs complicating measles or whooping-cough. Once a common disease, immunisation of infants against infectious diseases and the use of antibiotics have greatly reduced the incidence of bronchiectasis. (See CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD).)

Treatment consists of postural drainage of excessive lung secretions, and antibiotics.... bronchiectasis

A plasma polypeptide that tends to lower blood pressure and increase capillary permeability.... bradykinin

A system of printing or writing devised for blind people. Developed by the Frenchman Louis Braille, the system is based on six raised dots which can be organised in di?erent combinations within two grades. Each system in Grade I represents an individual letter or punctuation mark. Grade II’s symbols represent common combinations of letters or individual words. Braille is accepted for all written languages, mathematics, science and music, with Grade II the more popular type.... braille

The meal derived from the outer covering of a cereal grain. It contains little or no carbohydrate, and is mainly used to provide ROUGHAGE in the control of bowel function and the prevention of constipation.... bran

The brain and spinal cord together form the central nervous sytem (CNS). Twelve cranial nerves leave each side of the brain (see NERVES, below) and 31 spinal nerves from each side of the cord: together these nerves form the peripheral nervous system. Complex chains of nerves lying within the chest and abdomen, and acting largely independently of the peripheral system, though linked with it, comprise the AUTONOMIC NERVOUS SYSTEM and govern the activities of the VISCERA.

The control centre of the whole nervous system is the brain, which is located in the skull or cranium. As well as controlling the nervous system it is the organ of thought, speech and emotion. The central nervous system controls the body’s essential functions such as breathing, body temperature (see HOMEOSTASIS) and the heartbeat. The body’s various sensations, including sight, hearing, touch, pain, positioning and taste, are communicated to the CNS by nerves distributed throughout the relevant tissues. The information is then sorted and interpreted by specialised areas in the brain. In response these initiate and coordinate the motor output, triggering such ‘voluntary’ activities as movement, speech, eating and swallowing. Other activities – for example, breathing, digestion, heart contractions, maintenance of BLOOD PRESSURE, and ?ltration of waste products from blood passing through the kidneys – are subject to involuntary control via the autonomic system. There is, however, some overlap between voluntary and involuntary controls.... brain

See STERNUM.... breastbone

See RESPIRATION.... breathing

This is the natural way to feed a baby from birth to WEANING. Human milk is an ideal food, containing a proper balance of nutrients as well as an essential supply of antibodies to protect the infant against infections. Breast feeding also strengthens the physical bond between mother and child. For the ?rst few weeks, feeding should be on demand. Di?culties over breast feeding, discouragement from health-care providers and the pressures of modern life, especially for working mothers, can make it hard to continue breast feeding for more than a few weeks, or even to breast feed at all. Sometimes infections occur, producing soreness and even an abscess. Mothers should seek advice from their health visitor about breast feeding, especially if problems arise.... breast feeding

Breathlessness, or dyspnoea, may be due to any condition which renders the blood de?cient in oxygen, and which therefore produces excessive involuntary e?orts to gain more air. Exercise is a natural cause, and acute anxiety may provoke breathlessness in otherwise healthy people. Deprivation of oxygen – for example, in a building ?re – will also cause the victim to raise his or her breathing rate. Disorders of the lung may diminish the area available for breathing – for example, ASTHMA, PNEUMONIA, TUBERCULOSIS, EMPHYSEMA, BRONCHITIS, collections of ?uid in the pleural cavities, and pressure caused by a TUMOUR or ANEURYSM.

Pleurisy causes short, rapid breathing to avoid the pain of deep inspiration.

Narrowing of the air passages may produce sudden and alarming attacks of di?cult breathing, especially among children – for example, in CROUP, asthma and DIPHTHERIA.

Most cardiac disorders (see HEART, DISEASES OF) cause breathlessness, especially when the person undergoes any special exertion.

Anaemia is a frequent cause.

Obesity is often associated with shortness of breath. Mountain climbing may cause breathlessness

because, as altitude increases, the amount of oxygen in the air falls (see ALTITUDE SICKNESS). (See also LUNGS and RESPIRATION.)... breathlessness

Brittle Bone Disease is another name for OSTEOGENESIS IMPERFECTA.... brittle bone disease

A drug that stimulates DOPAMINE receptors in the brain. It inhibits production of the hormone PROLACTIN and is used to treat GALACTORRHOEA (excessive milk secretion) and also to suppress normal LACTATION. The drug is helpful in treating premenstrual breast engorgement and also ACROMEGALY.... bromocriptine

The name sometimes applied to bronchitis affecting the ?nest bronchial tubes, also known as capillary bronchitis. Major epidemics occur every winter in Northern Europe in babies under 18 months due to respiratory syncytial virus (RSV). Many are admitted to hospital; some need arti?cial ventilation for a time and a very small number die.... bronchiolitis

A radiographic procedure using a radio-opaque substance injected into the bronchial tree to show its outline. This is a simple procedure carried out under general anaesthesia and allows the accurate location of, for example, a lung ABSCESS, BRONCHIECTASIS, or a TUMOUR in the lung.... bronchography

Muscular contraction of the bronchi (air passages) in the LUNGS, causing narrowing. The cause is usually a stimulus, as in BRONCHITIS and ASTHMA. The result is that the patient can inhale air into the lungs but breathing out becomes di?cult and requires muscular e?ort of the chest. Exhalation is accompanied by audible noises in the airways which can be detected with a STETHOSCOPE. Reversible obstructive airways disease can be relieved with a BRONCHODILATOR drug; if the bronchospasm cannot be relieved by drugs it is called irreversible. (See CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD).)... bronchospasm

Bronchus, or bronchial tube, is the name applied to tubes into which the TRACHEA divides, one going to either lung. The name is also applied to the divisions of these tubes distributed throughout the lungs, the smallest being called bronchioles.... bronchus

Cytisus scoparius. N.O. Leguminosae.

Synonym: Irish Broom and Besom.

Habitat: Dry, hilly wastes.

Features ? The stem is angular, five-sided, dark green, and branches at an acute angle.

Yellow pea-like flowers appear in May and June. The lower leaves are on short stalks and consist of three small obovate leaflets, the upper leaves being stalkless and frequently single.

Part used ? Tops.

Action: Powerfully diuretic.

Broom tops are often used with Agrimony and Dandelion root for dropsy and liver disorders. For this purpose a decoction of 1 ounce each of Broom tops and Agrimony and 1/2 ounce Dandelion root to 3 pints of water simmered down to 1 quart is taken in wineglassful doses every four or five hours.

Coffin recommends us to ? "Take of broom-tops, juniper-berries and dandelion-roots, each half-an-ounce, water, a pint and a half, boil down to a pint, strain, and add half-a-teaspoonsful of cayenne pepper. Dose, half- a-wineglassful four times a day."... broom

Bruxism, or teeth-grinding, refers to a habit of grinding the teeth, usually while asleep and without being aware of it. The teeth may feel uncomfortable on wakening. It is common in children and is usually of no signi?cance. In adults it may be associated with stress or a mal-positioned or over?lled tooth. The underlying cause should be treated but, if unsuccessful, a plastic splint can be ?tted over the teeth.... bruxism

An abnormality of the conduction of electrical impulses through the ventricles of the HEART, resulting in delayed depolarisation of the ventricular muscle. The electrocardiograph (see ELECTROCARDIOGRAM (ECG)) shows characteristic widening of the QRS complexes. Abnormalities of the right and left bundle branches cause delayed contraction of the right and left ventricles respectively.... bundle branch block

A non-medical description of a variety of emotional crises ranging from an outburst of hysterical behaviour to a major neurotic illness that may have a lasting e?ect on an individual’s life. Sometimes the term is used to describe an overt psychotic illness – for example, SCHIZOPHRENIA (see also MENTAL ILLNESS; NEUROSIS).... nervous breakdown

A functional, semi-permeable membrane separating the brain and cerebrospinal ?uid from the blood. It allows small and lipid-soluble molecules to pass freely but is impermeable to large or ionised molecules and cells.... blood brain barrier

Brachial means ‘belonging to the upper arm’. There are, for example, a brachial artery, and a brachial plexus of nerves through which run all the nerves to the arm. The brachial plexus lies along the outer side of the armpit, and is liable to be damaged in dislocation at the shoulder.... brachial

(English) Resembling a large, coarse fern Braken, Braccan

... bracken

(Irish) A large-chested woman Bradey, Bradee, Bradi, Bradie, Bradea, Bradeah... brady

Bradykinesia refers to the slow, writhing movements of the body and limbs that may occur in various brain disorders (see ATHETOSIS).... bradykinesia

A cyst arising in the neck from remnants of the embryological branchial clefts. They are usually ?uid-?lled and will therefore transilluminate.... branchial cyst

See MAMMOPLASTY.... breast reconstruction

See MAMMOPLASTY.... breast reduction

The transmitted sounds of breathing, heard when a stethoscope is applied to the chest. Normal breath sounds are described as vesicular. Abnormal sounds may be heard when there is increased ?uid in the lungs or ?brosis (crepitation or crackles), when there is bronchospasm (rhonchi or wheezes), or when the lung is airless (consolidated – bronchial breathing). Breath sounds are absent in people with pleural e?usion, pneumothorax, or after pneumonectomy.... breath sounds

See BREECH PRESENTATION.... breech delivery

Breasts, or mammary glands, occur only in mammals and provide milk for feeding the young. These paired organs are usually fully developed only in adult females, but are present in rudimentary form in juveniles and males. In women, the two breasts over-lie the second to sixth ribs on the front of the chest. On the surface of each breast is a central pink disc called the areola, which surrounds the nipple. Inside, the breast consists of fat, supporting tissue and glandular tissue, which is the part that produces milk following childbirth. Each breast consists of 12–20 compartments arranged radially around the nipple: each compartment opens on to the tip of the nipple via its own duct through which the milk ?ows. The breast enlargement that occurs in pregnancy is due to development of the glandular part in preparation for lactation. In women beyond childbearing age, the glandular part of the breasts reduces (called involution) and the breasts become less ?rm and contain relatively more fat.

... breasts

By the 32nd week of pregnancy most babies are in a head-down position in the womb. Up to 4 per cent of them, however, have their buttocks (breech) presenting at the neck of the womb. If the baby is still a breech presentation at the 34th to 35th week the obstetrician may, by external manipulation, try to turn it to the head-down position. If this is not successful, the fetus is left in the breech position. Breech deliveries are more di?cult for mother and baby because the buttocks are less e?cient than the head at dilating the cervix and vagina. An EPISIOTOMY is usually necessary to assist delivery, and obstetric FORCEPS may also have to be applied to the baby’s head. If the infant and/or the mother become unduly distressed, the obstetrician may decide to deliver the baby by CAESAREAN SECTION; some obstetricians prefer to deliver most breech-presentation babies using this method. (See PREGNANCY AND LABOUR.)... breech presentation

A plant in the family which includes pineapples. They often have small collections of water at the base of the leaves and are favoured breeding places of Aedes aegypti and other mosquitoes.... bromeliad

A binary salt of bromine, formerly used as a simple sedative. Given so freely and with no intent of affecting a healing, it became synonymous with a useless treatment only meant to shut up the patient. Excessive bromide use can cause some pronounced neurologic disturbances... they disappear with cessation of the drug.... bromides

This type of drug reduces the tone of smooth muscle in the lungs’ BRONCHIOLES and therefore increases their diameter. Such drugs are used in the treatment of diseases that cause bronchoconstriction, such as ASTHMA and BRONCHITIS. As bronchiolar tone is a balance between sympathetic and parasympathetic activity, most bronchodilators are either B2 receptor agonists or cholinergic receptor antagonists – although theophyllines are also useful.... bronchodilator

An instrument constructed on the principle of the telescope, which on introduction into the mouth is passed down through the LARYNX and TRACHEA and enables the observer to see the interior of the larger bronchial tubes. The bronchoscope has largely been superseded by ?breoptic bronchoscopy. (See ENDOSCOPE.)... bronchoscope

The use of a bronchoscope to visualise the interior of the bronchial tubes.... bronchoscopy

Bruises, or contusions, result from injuries to the deeper layers of the skin or underlying tissues, with variable bleeding but without open wounds. Bruises range from a slight bluish discoloration, due to minimal trauma and haemorrhage, to a large black swelling in more severe cases. Diseases such as HAEMOPHILIA and SCURVY, which reduce COAGULATION, should be suspected when extensive bruises are produced by minor injuries. Bruises change colour from blue-black to brown to yellow, gradually fading as the blood pigment is broken down and absorbed. Bruising in the abdomen or in the back in the area of the kidneys should prompt the examining doctor to assess whether there has been any damage to internal tissues or organs. Bruising in children, especially repeated bruising, may be caused by physical abuse (see CHILD ABUSE and NON-ACCIDENTAL INJURY (NAI)). Adults, too, may be subjected to regular physical abuse.... bruises

A peculiar quality of the respiratory sounds heard on AUSCULTATION over a cavity in the lung.... cavernous breathing

Bryonia alba. N.O. Cucurbitaceae.

Synonym: Bryonia, English Mandrake, Mandragora, Wild Vine.

Habitat: Hedges and thickets.

Features ? Stem rough, hairy, freely branched, climbs several feet by numerous curling tendrils. Leaves vine-like, five- or seven-lobed, coarse and rough. Flowers (May to September), white, green-veined, in axillar panicles. Berries scarlet when ripe. Branched root one to two feet long, white internally and externally. Not to be confused with American Mandrake (q.v.).

Part used ? Root.

Action: Cathartic, hydragogue.

Cough, influenza, bronchitis. Cardiac disorders resulting from rheumatism and gout. Is also used in malarial and zymotic diseases. Dose of the fluid extract, 1/2 to 1 drachm. Large doses to be avoided.... bryony

(Lam.) Kurz. 103 stearic, palmitic, myristic, oleic and Bryonopsis laciniosa

(Linn.) Naud.

Synonym: Bryonia laciniosa Linn. Diplocyclos palmatus Jeff.

Family: Cucurbitaceae.

Habitat: Throughout India.

English: Bryony.

Ayurvedic: Lingini, Shivalingi, Chitraphalaa.

Siddha/Tamil: Iyaveli, Iyaviraali.

Folk: Lingadonda (Telugu).

Action: Seeds—anti-inflammatory, spasmolytic. Used for vaginal dysfunctions, as a fertility promoting drug. Powdered seeds, also roots, are given to help conception in women. Plant is also used in venereal diseases.... bryophyllum pinnatum

Also known as croup – see under LARYNX, DISORDERS OF.... laryngo-tracheo-bronchitis

The reverse of the normal movements of breathing (see RESPIRATION). The chest wall moves in instead of out when breathing in (inspiration), and out instead of in when breathing out (expiration). The spaces between the ribs are indrawn on inspiration – a symptom seen in children with respiratory distress, say, as a result of ASTHMA or lung infections. Patients with CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) often suffer from paradoxical breathing; and trauma to the rib cage, with fractured sternum and ribs, also cause the condition. Treatment is of the underlying cause.... paradoxical breathing

Normal breath sounds heard in the lung by means of a stethoscope. These are soft regular sounds which become altered by disease; the changed characteristics may help the physician to diagnose a disease in the lung.... vesicular breathing

See: ABSCESS. ... breast, abscess

See: FIBROCYSTIC BREAST DISEASE. ... breast, cyst

Aetiology: Infection of throat, lungs, gullet, or stomach. A common cause is bad teeth and gums. The rock-like scale (plaque) on or between teeth may be due to neglected mouth hygiene. Halitosis is the anti-social disease. Where stomach and intestines are at fault, charcoal biscuits have some reputation.

Bad breath is often indicative of toxaemia or defective elimination via liver, kidneys and skin which should be the focus of treatment. Palliatives such as Papaya fruit (or tablets), Peppermint or Chlorophyll may not reach the heart of the trouble which could demand deeper-acting agents.

Liver disorders (Blue Flag root); hyperacidity (Meadowsweet); excessive smoking and alcohol (Wormwood); bad teeth and septic tonsils (Poke root); diverticulitis (Fenugreek seeds); gastro-intestinal catarrh (Senna, Agrimony, Avens); smell of acetone as of diabetes (Goat’s Rue); constipation (Senna, Psyllium seed).

May be necessary for serious ear, nose and throat problems to be resolved by surgery. For blockage of respiratory channels, Olbas oil, Tea Tree oil or Garlic drops relieve congestion. Many cases have chronic gingivitis and arise from dental problems improved by 1 part Tea Tree oil to 20 parts water used as a spray. Alfalfa sprouts have a sweetening effect upon the breath. Chew Parsley or Peppermint. Alternatives. Teas. Dill seeds, Fennel seeds, Sage, Nettles, Mint, Liquorice root, Alfalfa, Wormwood. Dandelion (coffee). Parsley.

Tablets/capsules. Blue Flag root, Goldenseal, Echinacea. Wild Yam. Chlorophyll. Calamus.

Powders. Mix, parts: Blue Flag root 1; Myrrh half; Liquorice half. Dose: 250mg (one 00 capsule or one- sixth teaspoon) thrice daily before meals.

Gargle. 5 drops Tincture Myrrh to glass water, frequently.

Diet. Lacto-vegetarian. Lemon juice.

Supplements. Vitamins A, B-complex, B6, Niacin, C (500mg). ... bad breath

Inflammatory condition of the bronchial tubes caused by cold and damp or by a sudden change from a heated to a cold atmosphere. Other causes: viral or bacterial infection, irritating dust and fumes, colds which ‘go down to the chest’.

Symptoms: short dry cough, catarrh, wheezing, sensation of soreness in chest; temperature may be raised. Most cases run to a favourable conclusion but care is necessary with young children and the elderly. Repeated attacks may lead to a chronic condition.

Alternatives. Teas – Angelica, Holy Thistle, Elecampane leaves, Fenugreek seeds (decoction), Hyssop, Iceland Moss, Mouse Ear, Mullein, Nasturtium, Plantain, Wild Violet, Thyme, White Horehound, Wild Cherry bark (decoction), Lobelia, Liquorice, Boneset. With fever, add Elderflowers.

Tea. Formula. Equal parts: Wild Cherry bark, Mullein, Thyme. Mix. 1 heaped teaspoon to cup water simmered 5 minutes in closed vessel. 1 cup 2-3 times daily. A pinch of Cayenne assists action.

Irish Moss (Carragheen) – 1 teaspoon to cup water gently simmered 20 minutes. It gels into a viscous mass. Cannot be strained. Add honey and eat with a spoon, as desired.

Tablets/capsules. Iceland Moss. Lobelia. Garlic. Slippery Elm.

Prescription No 1. Morning and evening and when necessary. Thyme 2; Lungwort 2; Lobelia 1. OR Prescription No 2. Morning and evening and when necessary. Iceland Moss 2; Wild Cherry bark 1; Thyme 2.

Doses:– Powders: one-third teaspoon (500mg) or two 00 capsules. Liquid Extracts: 30-60 drops. Tinctures: 1-2 teaspoons.

Practitioner. Alternatives:–

(1) Tincture Ipecacuanha BP (1973). Dose, 0.25-1ml.

(2) Tincture Grindelia BPC (1949). Dose, 0.6-1.2ml.

(3) Tincture Belladonna BP (1980). Dose, 0.5-2ml.

Black Forest Tea (traditional). Equal parts: White Horehound, Elderflowers and Vervain. One teaspoon to each cup boiling water; infuse 5-15 minutes; drink freely.

Topical. Chest rub: Olbas oil, Camphorated oil. Aromatherapy oils:– Angelica, Elecampane, Mullein, Cajeput, Lemon, Eucalyptus, Lavender, Mint, Onion, Pine, Thyme.

Aromatherapy inhalants: Oils of Pine, Peppermint and Hyssop. 5 drops of each to bowl of hot water.

Inhale: head covered with a towel to trap steam.

Diet: Low salt, low fat, high fibre. Halibut liver oil. Wholefoods. Avoid all dairy products. Supplements. Vitamins A, C, D, E. ... bronchitis, acute

The artery that runs down the inner side of the upper arm, between the armpit and the elbow.... brachial artery

See interstitial radiotherapy.... brachytherapy

The irreversible cessation of all functions of the brain, including the brainstem. (See also death.)... brain death

The ‘English Disease’. The result of repeated attacks of the acute condition. Menace to the elderly when bronchi becomes thickened and narrowed. Inelastic walls secrete a thick purulent mucus of fetid odour which plugs tubes and arrests oxygen intake. Aggravated by cold and damp, hence the need of a warm house with warm bedroom. Causes are many: smoking, industrial pollution irritants, soot, fog, etc. Breathlessness and audible breathing sounds may present an alarming spectacle.

A steady herbal regime is required including agents which may coax sluggish liver or kidneys into action (Dandelion, Barberry). Sheer physical exhaustion may require Ginseng. For purulent sputum – Boneset, Elecampane, Pleurisy root. To increase resistance – Echinacea. Where due to tuberculosis – Iceland Moss. For blood-streaked mucus – Blood root. For fever – Elderflowers, Yarrow. To conserve cardiac energies – Hawthorn, Motherwort. A profuse sweat affords relief – Elderflowers.

Alternatives. Capsicum, Ephedra, Fenugreek, Garlic, Grindelia, Holy Thistle, Iceland Moss, Lobelia, Mullein, Pleurisy Root, Wild Cherry.

Tea. Formula. Iceland Moss 2; Mullein 1; Wild Cherry bark 1. 1 heaped teaspoon to each cup water gently simmered 10 minutes. Dose: 1 cup 2-3 times daily.

Powders. Pleurisy root 2; Echinacea 1; Holy Thistle 1. Pinch Ginger. Mix. Dose: 500mg (two 00 capsules or one-third teaspoon) 2-3 times daily.

Tinctures. Formula. Iceland Moss 2; Lobelia 2; Grindelia quarter; Capsicum quarter. Dose: 1-2 teaspoons two or more times daily.

Practitioner. Liquid Extract Ephedra BHP (1983), dose 1-3ml. Or: Tincture Ephedra BHP (1983), dose 6-8ml.

Topical. Same as for acute bronchitis.

Note: In a test at Trafford General Hospital, Manchester, blowing-up balloons proved of benefit to those with chronic bronchitis. Fourteen patients were asked to inflate balloons and 14 refrained from doing so. After 8 weeks, the balloon-blowers showed considerable improvement in walking and a sense of well- being. Breathlessness was reduced. Condition of the others was either unchanged or worse. ... bronchitis, chronic

A collection of large nerve trunks that are formed from nerve roots of the lower part of the cervical spine (in the neck) and the upper part of the thoracic spine (in the chest). These nerve trunks divide into the musculocutaneous, axillary, median, ulnar, and radial nerves, which control muscles in and receive sensation from the arm and hand. Injuries to this plexus can cause loss of movement and sensation in the arm.

In severe injuries, there may be damage to both the upper and the lower nerve roots of the brachial plexus, producing complete paralysis of the arm.

Paralysis may be temporary if the stretching was not severe enough to tear nerve fibres.

Nerve roots that have been torn can be repaired by nerve grafting, a microsurgery procedure.

If a nerve root has become separated from the spinal cord, surgical repair will not be successful.

Apart from injuries, the brachial plexus may be compressed by the presence of a cervical rib (extra rib).... brachial plexus

A tropical viral illness, also called dengue, that is spread by mosquitoes.... breakbone fever

An artificial structure surgically introduced into the breast to increase its size (see mammoplasty).... breast implant

Periods during which a toddler holds his or her breath, usually as an expression of pain, frustration, or anger.

The child usually becomes red or even blue in the face after a few seconds, and may faint.

Breathing quickly resumes as a natural reflex, ending the attack.

Attacks cause no damage and are usually outgrown.... breath-holding attacks

A stalk of nerve tissue that forms the lowest part of the brain and links with the spinal cord. The brainstem acts partly as a highway for messages travelling between other parts of the brain and spinal cord. It also connects with 10 of the 12 pairs of cranial nerves (which emerge directly from the underside of the brain) and controls basic functions such as breathing, vomiting, and eye reflexes. Brainstem activities are below the level of consciousness, and they operate mainly on an automatic basis.

The brainstem is composed of 3 main parts: the midbrain, pons, and medulla. The midbrain contains the nuclei (nervecell centres) of the 3rd and 4th cranial nerves. It also contains cell groups involved in smooth coordination of limb movements. The pons contains nerve fibres that connect with the cerebellum. It also houses the nuclei for the 5th–8th cranial nerves. The medulla contains the nuclei of the 9th–12th cranial nerves. It also contains the “vital centres” (groups of nerve cells that regulate the heartbeat, breathing, blood pressure, and digestion (information on which is relayed via the 10th cranial nerve (see vagus nerve). Nerve-cell groups in the brainstem, known collectively as the reticular formation, alert the higher brain centres to sensory stimuli that may require a conscious response. Our sleep/wake cycle is controlled by the reticular formation.

The brainstem is susceptible to the same disorders that afflict the rest of the central nervous system (see brain, disorders of). Damage to the medulla’s vital centres is rapidly fatal; damage to the reticular formation may cause coma. Damage to specific cranial nerve nuclei can sometimes lead to specific effects. For example, damage to the 7th cranial nerve (the facial nerve) leads to facial palsy. Degeneration of the substantia nigra in the midbrain is thought to be a cause of Parkinson’s disease.... brainstem

Another name for glomerulonephritis.... bright’s disease

An area of the cerebral cortex (the outer layer of the brain) that is responsible for speech origination.... broca’s area

One of many small airways of the lungs.

Bronchioles branch from larger airways (bronchi) and subdivide into progressively smaller tubes before reaching the alveoli (see alveolus, pulmonary), where gases are exchanged.... bronchiole

An abnormal growth in or on the brain. Tumours may be primary growths arising directly from tissues within the skull or metastases (secondary growths) that have spread from tumours elsewhere in the body. The cause of primary brain tumours is not known. About 60 per cent are gliomas (frequently cancerous), which arise from the brain tissue. Other primary tumours include meningiomas, acoustic neuromas, and pituitary tumours. Most of these tumours are noncancerous, but their size can cause local damage. Certain types of primary brain tumour mainly affect children. These include 2 types of glioma called medulloblastoma and cerebellar astrocytoma. Primary brain tumours virtually never spread (metastasize) outside the central nervous system.

Symptoms include muscle weakness, loss of vision, or other sensory disturbances, speech difficulties, and epileptic seizures. Increased pressure within the skull can cause headache, visual disturbances, vomiting, and impaired mental functioning. Hydrocephalus may occur.

When possible, primary tumours are removed by surgery after opening the skull (see craniotomy).

In cases where a tumour cannot be completely removed, as much as possible of it will be cut away to relieve pressure.

For primary and secondary tumours, radiotherapy or anticancer drugs may also be given.

Corticosteroid drugs are often prescribed temporarily to reduce the size of a tumour and associated brain swelling.... brain tumour

Either 1 of the 2 mammary glands, which, in women, provide milk to nourish a baby and are secondary sexual characteristics. In males, the breast is an immature version of the female breast. At puberty, a girl’s breasts begin to develop: the areola (the circular area of pigmented skin around the nipple) swells and the nipple enlarges. This is followed by an increase in glandular tissue and fat. The adult female breast consists of 15–20 lobes of milk-secreting glands embedded in fatty tissue. The ducts of these glands have their outlet in the nipple. Bands of fine ligaments determine the breast’s height and shape. The areolar skin contains sweat glands, sebaceous glands, and hair follicles.

The size and shape and general appearance of the breasts may vary during the menstrual cycle, during pregnancy and lactation, and after the menopause.

During pregnancy, oestrogen and progesterone, secreted by the ovary and placenta, cause the milkproducing glands to develop and become active and the nipple to become larger.

Just before and after

childbirth, the glands in the breast produce a watery fluid known as colostrum.

This fluid is replaced by milk a few days later.

Milk production and its release is stimulated by the hormone prolactin.... breast

A cancerous tumour of the breast. The incidence is raised in women whose menstrual periods began at an early age and whose menopause was late; in those who had no children or had their first child later in life; in those with mothers or sisters who had breast cancer; and in those who are obese. The disease is also more common in countries in which the typical diet contains a lot of fat. One form of breast cancer has a genetic component; 2 genes called BRAC1 and BRAC2 have been identified and appear to be involved in this type of breast cancer.

The first sign of breast cancer may be a painless lump. Other symptoms may include a dark discharge from the nipple, retraction (indentation) of the nipple, and an area of dimpled, creased skin over the lump. In 90 per cent of the cases, only 1 breast is affected. The cancer may be suspected after discovering a lump during breast self-examination or mammography. If a lump is detected, cells will be collected from it by needle aspiration or surgical biopsy. If the lump is cancerous, the treatment given depends on the woman’s age, the size of the tumour, whether or not there are signs of spread to the lymph nodes, and the sensitivity of the tumour cells to hormones, as assessed in the laboratory. A small tumour, with no evidence of having spread outside the breast, is removed surgically. Lymph nodes in the armpit are also commonly removed at the same time. Surgery may be combined with radiotherapy and/or anticancer drugs.

Secondary tumours in other parts of the body are treated with anticancer drugs and hormones. Regular check-ups are required to detect recurrence or the development of a new cancer in the other breast. If the cancer recurs, it can be controlled, in some cases, for years by drugs and/or radiotherapy.... breast cancer

A substance that causes constriction (narrowing) of the airways in the lungs. Bronchoconstrictors, such as histamine, are released during an allergic reaction. They may

provoke an asthma attack. The effect can be reversed by a bronchodilator drug.... bronchoconstrictor

The most common form of pneumonia; it differs from the other main type of pneumonia (lobar pneumonia) in that the inflammation is spread throughout the lungs in small patches around the airways, rather than being confined to one lobe.... bronchopneumonia

A special type of fat, found in infants and some animals.

Brown fat is located between and around the scapulae (shoulderblades) on the back.

It is a source of energy and helps infants to maintain a constant body temperature.... brown fat

A discoloured area under the skin caused by leakage of blood from damaged capillaries (tiny blood vessels). At first, the blood appears blue or black; then the breakdown of haemoglobin turns the bruise yellow. If a bruise does not fade after a week, or if bruises appear for no apparent reason or are severe after only minor injury, they may be indications of a bleeding disorder. (See also black eye; purpura.)... bruise

Wall. ex Benth.

Family: Labiatae Lamiaceae.

Habitat: The sub-Himalayan tract, plains of Punjab and the upper Gangetic plain.

Ayurvedic: Neelkanthi.

Folk: Ratapaati (Kumaon), Khur- banti (Punjab).

Action: Astringent, febrifugal (given in intermittent fever), stimulant, aperient, diuretic. Used for the treatment of gout and rheumatism; also for amenorrhoea. Juice of the leaves—blood purifier. The powder is used for burns and boils. The leaves are used in fever as a substitute for cinchona.

An aqueous extract of the leaves showed diuretic activity. An alkaloidal fraction showed stimulant action on the perfused frog heart. The plant exhibited anticancer activity.... ajuga bracteosa

Lam.

Synonym: A. bracteata Retz.

Family: Aristolochiaceae.

Habitat: Uttar Pradesh, Bengal, Madhya Pradesh and western peninsular India.

English: Bracteated Birthwort.

Ayurvedic: Kitamaari, Dhumrapa- traa, Naakuli.

Unani: Kiraamaar.

Siddha/Tamil: Aadutheendaappaalai, Kattusuragam.

Action: Oxytocic, abortifacient, emmenagogue.

Leaves and fruit contain ceryl alcohol, aristolochic acid and beta-sitos- terol. Aristolochic acid is insecticidal, poisonous, nephrotoxic. Leaf juice— vermifuge. Seeds—strong purgative. Products containing aristolochic acid are banned in the U.S., Canada, Great Britain, European countries and Japan.

The seed compounds, aristolochic acid and magnoflorine, induce contractions in the isolated uterus of pregnant rat and stimulate the isolated ileum of guinea pig. They also activate the muscarinic and serotoner- gic receptors in a variety of organs. Magnoflorine decreases arterial blood pressure in rabbits, and induces hypothermia in mice.

See also A. longa.... aristolochia bracteolata

Fixed dilated pupils of the eyes

Absent CORNEAL REFLEX

Absent VESTIBULO-OCULAR REFLEX

No cranial motor response to somatic (physical) stimulation

Absent gag and cough re?exes

No respiratory e?ort in response to APNOEA despite adequate concentrations of CARBON DIOXIDE in the arterial blood.... b nosed. the test for brain-stem death are:

(Hebrew) One who is blessed Brachah, Bracca, Braca, Bracka, Braka, Brakka... bracha

Making the heart beat slower... brachycardiac

Brachycephalic means short-headed and is a term applied to skulls the breadth of which is at least four-?fths of the length.... brachycephalic

The conditions in which the ?ngers or toes are abnormally short.... brachydactyly

Reduced or modified leaflets that are usually parts of flowers or an inflorescence, generally subtending or beneath the floral parts.... bracts

(Scottish) Resembling the salmon Bradanah, Bradanna, Bradan, Bradane, Bradann, Bradanne, Braydan, Braydana, Braydanne... bradana

(English) From the broad field Bradlea, Bradleah, Bradlee, Bradlei, Bradleigh, Bradli, Bradlia, Bradliah, Bradlie, Bradly, Bradlya... bradley

(African) Mother of multitudes Braimah, Brayma, Braema, Braymah, Braemah... braima

Bacopa monnieri

Scrophulariaceae

San: Brahmi, Sarasvati;

Hin: Barami, Jalnim;

Ben: Boihim-sak;

Mal: Brahmi , Nirbrahmi;

Tam: Nirpirami, Piramiyapundu; Kan, Mar: Nirbrahmi

Importance: Brahmi or Thyme leaved gratiola is an important drug in Ayurveda for the improvement of intelligence and memory and revitalisation of sense organs. It clears voice and improves digestion. It is suggested against dermatosis, anaemia, diabetes, cough, dropsy, fever, arthritis, anorexia, dyspepsia, emaciation, and insanity. It dispels poisonous affections, splenic disorders and impurity of blood. It is useful in vitiated conditions of kapha and vata, biliousness, neuralgia, ascites, flatulence, leprosy, leucoderma, syphilis, sterility and general debility. The whole plant is used in a variety of preparations like Brahmighrtam, Sarasvataristam., Brahmitailam, Misrakasneham, etc. In unani Majun Brahmi is considered as a brain tonic.

Distribution: The plant grows wild on damp places and marshy lands in the major part of the plains of India, Pakistan, Afghanistan, Nepal, Sri Lanka and other tropical countries.

Botany: Bacopa monnieri (Linn.) Pennell. syn. Monniera cuneifolia Michx., Herpestis monniera (Linn.) H.B. & K. belongs to the family Scrophulariaceae. It is a prostrate, juicy, succulent, glabrous annual herb rooting at the nodes with numerous ascending branches. Leaves are simple, opposite, decussate, sessile, obovate-oblong or spatulate, entire, fleshy, obscurely veined and punctate. Flowers are pale blue or whitish, axillary, solitary, arranged on long slender pedicels. Fruits are ovoid, acute, 2-celled, 2-valved capsules and tipped with style base. Seeds are minute and numerous (Warrier et al, 1993).

Agrotechnology: The plant grows throughout the warm humid tropics upto 1200m elevation. Brahmi gets established well in water logged fields. The plant is propagated vegetatively by stem cuttings. Land is prepared by ploughing 2 or 3 times. Two to three tonnes/ha of cowdung or compost is applied and the field is again ploughed and levelled. Stem cuttings, 10cm long are spread at a spacing of 20cm. Waterlogging to height of 30cm is always required. Rooting may start within 15-20 days. It will spread over the field within 6 months. Regular application of organic manure will take care of the manurial requirement. Weeding once in a month is required. Care should be taken to maintain water level at a height of 30cm during the growth period. No serious pests or diseases are noted in this crop. Harvesting commences from sixth months onwards. Brahmi leaves can be collected once a month. After 3 years, the whole crop is harvested and removed. Fresh cultivation can be carried out in the same field.

Properties and activity: Earlier workers have reported the isolation of the alkaloids brahmine and hespestine and a mixture of 3 alkaloids from the leaves. Mannitol and saponins were reported later. Subsequent work described isolation of some C27, C29, and C31 hydrocarbons and betulic acid from this plant material. A systematic examination has resulted in the isolation and identification of two saponins designated as bacosides A and B. Bacoside A has chemical structure represented as 3-(-L-arabinopyranosyl)-O- - D-glucopyranoside-10, 20-dihydroxy-16-ketodammar-24-ene. The mixture of bacosides A and B on hydrolysis give four sapogenins, glucose and arabinose. The constitution of bacogenin A, has been established as 3 -30-dihydroxy-20(5)-25-epoxy-22-methyl-24-nor-dammar-22-en-16-one. Bacogenin A2 has been shown to be an isomer of bacogenin A, differing in configuration at C-20. Bacogenin A4 has been identified as ebelin lactone.

The plant is reported to have shown barbiturate hypnosis potentiation effect. The plant is anticancerous and improves learning ability. It is used as a tranquilliser. The plant is astringent, bitter, sweet, cooling, laxative, intellect promoting, anodyne, carminative, digestive, antiinflammatory, anticonvulsant, depurative, cardiotonic, bronchodialator, diuretic, emmenagogue, sudorfic, febrifuge and tonic (Basu et al, 1947; Rastogi et al 1960).... brahmi

Brahmi Tea isbest known in Indian Ayurvedic medicine for its role against motor and nerve disorders. It possesses a pungent and bitter flavor, being a tonic, a mild sedative and a diuretic. Brahmi Tea description Brahmi is a perennial creeping herb, commonly found in India, Nepal, Sri Lanka, China, Vietnam and in the southern parts of the United States. It grows on wetlands and muddy shores. Brahmi is medicinally and culinary used. It is known as “food for the brain”, brahmi being used since the 6^th century in Ayurvedic medicine as a cognitive enhancer. In India, the herb is still used by students and schoolchildren to help their brain functions. Brahmi tea is the resulting beverage from brewing the abovementioned plant. Brahmi Tea brewing Brahmi tea can be made by immersing ½ teaspoon of dried brahmi herbs into one cup of boiling water. Let it soak and steep it for about 5 minutes. Drink it slowly. Brahmi Tea benefits Brahmi tea has proven its efficiency in:

• improving the memory and enhancing mental functions, agility and alertness (It is helpful in retention of new information)
• calming the mind and promoting relaxation
• improving motor learning ability
• promoting greater concentration and focus
• treating asthma
• treating epilepsy
• treating indigestion

Brahmi Tea side effects High doses of Brahmi tea may causeheadaches, nausea, dizziness and extreme drowsiness. Pregnant and nursing women should not intake this beverage. Brahmi tea is a medicinal beverage successfully used to enhance the memory processes and to promote relaxation. It is also efficient in dealing with indigestion, but not only.... brahmi tea or food for the brain

Cerebral hyperemia. See Poe, Edgar Allen... brain fever

(Welsh) A freckled young woman Braithe, Brayth, Braythe, Braeth, Braethe... braith

(English) A woman wielding a sword; an alcoholic drink Brandey, Brandi, Brandie, Brandee, Branda, Brande, Brandelyn, Brandilyn, Brandyn, Brandice, Brandyce, Brendy, Brendi, Brendi, Brendee, Brandea, Brandeah... brandy

Most blows to the head cause no loss of consciousness and no brain injury. If someone is knocked out for a minute or two, there has been a brief disturbance of the brain cells (concussion); usually there are no after-effects. Most patients so affected leave hospital within 1–3 days, have no organic signs, and recover and return quickly to work without further complaints.

Severe head injuries cause unconsciousness for hours or many days, followed by loss of memory before and after that period of unconsciousness. The skull may be fractured; there may be ?ts in the ?rst week; and there may develop a blood clot in the brain (intracerebral haematoma) or within the membranes covering the brain (extradural and subdural haematomata). These clots compress the brain, and the pressure inside the skull – intracranial pressure – rises with urgent, life-threatening consequences. They are identi?ed by neurologists and neurosurgeons, con?rmed by brain scans (see COMPUTED TOMOGRAPHY; MRI), and require urgent surgical removal. Recovery may be complete, or in very severe cases can be marred by physical disabilities, EPILEPSY, and by changes in intelligence, rational judgement and behaviour. Symptoms generally improve in the ?rst two years.

A minority of those with minor head injuries have complaints and disabilities which seem disproportionate to the injury sustained. Referred to as the post-traumatic syndrome, this is not a diagnostic entity. The complaints are headaches, forgetfulness, irritability, slowness, poor concentration, fatigue, dizziness (usually not vertigo), intolerance of alcohol, light and noise, loss of interests and initiative, DEPRESSION, anxiety, and impaired LIBIDO. Reassurance and return to light work help these symptoms to disappear, in most cases within three months. Psychological illness and unresolved compensation-claims feature in many with implacable complaints.

People who have had brain injuries, and their relatives, can obtain help and advice from Headwat and from www.neuro.pmr.vcu.edu and www.biausa.org... brain injuries

Brain damage, resulting in the irreversible loss of brain function, renders the individual incapable of life without the aid of a VENTILATOR. Criteria have been developed to recognise that ‘death’ has occurred and to allow ventilation to be stopped: in the UK, these criteria require the patient to be irreversibly unconscious and unable to regain the capacity to breathe spontaneously. (See also GLASGOW COMA SCALE and PERSISTENT VEGETATIVE STATE (PVS).)

All reversible pharmacological, metabolic, endocrine and physiological causes must be excluded, and there should be no doubt that irreversible brain damage has occurred. Two senior doctors carry out diagnostic tests to con?rm that brain-stem re?exes are absent. These tests must be repeated after a suitable interval before death can be declared. Imaging techniques are not required for death to be diag-... brain-stem death

(English) God is gracious Branyce, Branise, Branyse... branice

(Slowenian) Feminine form of Branislav; a glorious protector Brankah, Brancka, Branckah, Brancca, Branccah... branka

(Welsh) A ravenlike woman Branne, Bran... brann

(Welsh) A dark beauty; in mythology, goddess of love and beauty Branwenn, Branwenne, Branwyn, Branwynn, Branwynne, Brangwen, Brangwy, Bronwen, Bronwenn, Bronwenne, Bronwyn, Bronwynn, Bronwynne... branwen

(American) Woman filled with self- assurance Brazen... brasen

(Spanish) One who is glowing Brauliah, Braulea, Brauleah, Brauliya, Brauliyah... braulia

(Spanish) Of the ancient tree Brasil, Brazile, Brazille, Brasille, Bresil, Brezil, Bresille, Brezille... brazil

Love... brazil nut

See Brasil.... brazilwood

Nutritional Profile Energy value (calories per serving): Moderate Protein: Moderate Fat: Low to moderate Saturated fat: Low to high Cholesterol: Low to high Carbohydrates: High Fiber: Moderate to high Sodium: Moderate to high Major vitamin contribution: B vitamins Major mineral contribution: Calcium, iron, potassium

About the Nutrients in This Food All commercially made yeast breads are approximately equal in nutri- tional value. Enriched white bread contains virtually the same amounts of proteins, fats, and carbohydrates as whole wheat bread, although it may contain only half the dietary fiber (see flour). Bread is a high-carbohydrate food with lots of starch. The exact amount of fiber, fat, and cholesterol in the loaf varies with the recipe. Bread’s proteins, from grain, are low in the essential amino acid lysine. The most important carbohydrate in bread is starch; all breads contain some sugar. Depending on the recipe, the fats may be highly saturated (butter or hydrogenated vegetable fats) or primarily unsaturated (vegetable fat). All bread is a good source of B vitamins (thiamin, riboflavin, niacin), and in 1998, the Food and Drug Administration ordered food manufactur- ers to add folates—which protect against birth defects of the spinal cord and against heart disease—to flour, rice, and other grain products. One year later, data from the Framingham Heart Study, which has followed heart health among residents of a Boston suburb for nearly half a cen- tury, showed a dramatic increase in blood levels of folic acid. Before the fortification of foods, 22 percent of the study participants had a folic acid deficiency; after, the number fell to 2 percent. Bread is a moderately good source of calcium, magnesium, and phos- phorus. (Breads made with milk contain more calcium than breads made without milk.) Although bread is made from grains and grains contain phytic acid, a natural antinutrient that binds calcium ions into insoluble, indigestible compounds, the phytic acid is inactivated by enzyme action during leavening. Bread does not bind calcium. All commercially made breads are moderately high in sodium; some contain more sugar than others. Grains are not usually considered a good source of iodine, but commer- cially made breads often pick up iodine from the iodophors and iodates used to clean the plants and machines in which they are made. Homemade breads share the basic nutritional characteristics of commercially made breads, but you can vary the recipe to suit your own taste, lowering the salt, sugar, or fat and raising the fiber content, as you prefer.

The Most Nutritious Way to Serve This Food As sandwiches, with cheese, milk, eggs, meat, fish, or poultry. These foods supply the essen- tial amino acid lysine to “complete” the proteins in grains. With beans or peas. The proteins in grains are deficient in the essential amino acids lysine and isoleucine and rich in the essential amino acids tryptophan, methionine, and cystine. The proteins in legumes (beans and peas) are exactly the opposite.

Diets That May Restrict or Exclude This Food Gluten-free diet (excludes breads made with wheat, oats, rye, buckwheat and barley flour) Lactose-free diet Low-fiber diet (excludes coarse whole-grain breads) Low-sodium diet

Buying This Food Look for: Fresh bread. Check the date on closed packages of commercial bread.

Storing This Food Store bread at room temperature, in a tightly closed plastic bag (the best protection) or in a breadbox. How long bread stays fresh depends to a great extent on how much fat it contains. Bread made with some butter or other fat will keep for about three days at room tempera- ture. Bread made without fat (Italian bread, French bread) will dry out in just a few hours; for longer storage, wrap it in foil, put it inside a plastic bag, and freeze it. When you are ready to serve the French or Italian bread, you can remove it from the plastic bag and put the foil- wrapped loaf directly into the oven. Throw away moldy bread. The molds that grow on bread may produce carcinogenic toxins. Do not store fresh bread in the refrigerator; bread stales most quickly at temperatures just above freezing. The one exception: In warm, humid weather, refrigerating bread slows the growth of molds.

When You Are Ready to Serve This Food Use a serrated knife to cut bread easily.

What Happens When You Cook This Food Toasting is a chemical process that caramelizes sugars and amino acids (proteins) on the surface of the bread, turning the bread a golden brown. This chemical reaction, known both as the browning reaction and the Maillard reaction (after the French chemist who first identified it), alters the structure of the surface sugars, starches, and amino acids. The sugars become indigestible food fiber; the amino acids break into smaller fragments that are no longer nutritionally useful. Thus toast has more fiber and less protein than plain bread. How- ever, the role of heat-generated fibers in the human diet is poorly understood. Some experts consider them inert and harmless; others believe they may be hazardous.

How Other Kinds of Processing Affect This Food Freezing. Frozen bread releases moisture that collects inside the paper, foil, or plastic bag in which it is wrapped. If you unwrap the bread before defrosting it, the moisture will be lost and the bread will be dry. Always defrost bread in its wrappings so that it can reabsorb the moisture that keeps it tasting fresh. Drying. Since molds require moisture, the less moisture a food contains, the less likely it is support mold growth. That is why bread crumbs and Melba toast, which are relatively mois- ture-free, keep better than fresh bread. Both can be ground fine and used as a toasty-flavored thickener in place of flour or cornstarch.

Medical Uses and/or Benefits A lower risk of some kinds of cancer. In 1998, scientists at Wayne State University in Detroit conducted a meta-analysis of data from more than 30 well-designed animal studies mea- suring the anti-cancer effects of wheat bran, the part of grain with highest amount of the insoluble dietary fibers cellulose and lignin. They found a 32 percent reduction in the risk of colon cancer among animals fed wheat bran; now they plan to conduct a similar meta- analysis of human studies. Breads made with whole grain wheat are a good source of wheat bran. NOTE : The amount of fiber per serving listed on a food package label shows the total amount of fiber (insoluble and soluble). Early in 1999, however, new data from the long-running Nurses Health Study at Brigham Women’s Hospital/Harvard University School of Public Health showed that women who ate a high-fiber diet had a risk of colon cancer similar to that of women who ate a low fiber diet. Because this study contradicts literally hundreds of others conducted over the past 30 years, researchers are awaiting confirming evidence before changing dietary recommendations. Calming effect. Mood is affected by naturally occurring chemicals called neurotransmitters that facilitate transmission of impulses between brain cells. The amino acid tryptophan amino acid is the most important constituent of serotonin, a “calming” neurotransmitter. Foods such as bread, which are high in complex carbohydrates, help move tryptophan into your brain, increasing the availability of serotonin.

Adverse Effects Associated with This Food Allergic reactions and/or gastric distress. Bread contains several ingredients that may trigger allergic reactions, aggravate digestive problems, or upset a specific diet, among them gluten (prohibited on gluten-free diets); milk (prohibited on a lactose- and galactose-free diet or for people who are sensitive to milk proteins); sugar (prohibited on a sucrose-free diet); salt (controlled on a sodium-restricted diet); and fats (restricted or prohibited on a controlled-fat, low-cholesterol diet).... bread

A set of investigations aimed at the early detection of breast cancer. It includes self-screening by monthly examination of the breasts, and formal programmes of screening by palpation and mammography in special clinics. In the UK the NHS o?ers regular mammography examinations to all women between 50 and 64 years of age; in 1995–6, 1.1 million women were screened – 76 per cent of those invited. More than 5,500 cancers were detected – 5.3 per 1,000 women screened.... breast screening

These consist either of expanding masses (lumps or tumours), or of areas of shrinkage (atrophy) due to degeneration, or to loss of blood supply, usually from blockage of an artery.

Tumours All masses cause varying combinations of headache and vomiting – symptoms of raised pressure within the inexpansible bony box formed by the skull; general or localised epileptic ?ts; weakness of limbs or disordered speech; and varied mental changes. Tumours may be primary, arising in the brain, or secondary deposits from tumours arising in the lung, breast or other organs. Some brain tumours are benign and curable by surgery: examples include meningiomas and pituitary tumours. The symptoms depend on the size and situation of the mass. Abscesses or blood clots (see HAEMATOMA) on the surface or within the brain may resemble tumours; some are removable. Gliomas ( see GLIOMA) are primary malignant tumours arising in the glial tissue (see GLIA) which despite surgery, chemotherapy and radiotherapy usually have a bad prognosis, though some astrocytomas and oligodendronogliomas are of low-grade malignancy. A promising line of research in the US (in the animal-testing stage in 2000) suggests that the ability of stem cells from normal brain tissue to ‘home in’ on gliomal cells can be turned to advantage. The stem cells were chemically manipulated to carry a poisonous compound (5-?uorouracil) to the gliomal cells and kill them, without damaging normal cells. Around 80 per cent of the cancerous cells in the experiments were destroyed in this way.

Clinical examination and brain scanning (CT, or COMPUTED TOMOGRAPHY; magnetic resonance imaging (MRI) and functional MRI) are safe, accurate methods of demonstrating the tumour, its size, position and treatability.

Strokes When a blood vessel, usually an artery, is blocked by a clot, thrombus or embolism, the local area of the brain fed by that artery is damaged (see STROKE). The resulting infarct (softening) causes a stroke. The cells die and a patch of brain tissue shrinks. The obstruction in the blood vessel may be in a small artery in the brain, or in a larger artery in the neck. Aspirin and other anti-clotting drugs reduce recurrent attacks, and a small number of people bene?t if a narrowed neck artery is cleaned out by an operation – endarterectomy. Similar symptoms develop abruptly if a blood vessel bursts, causing a cerebral haemorrhage. The symptoms of a stroke are sudden weakness or paralysis of the arm and leg of the opposite side to the damaged area of brain (HEMIPARESIS), and sometimes loss of half of the ?eld of vision to one side (HEMIANOPIA). The speech area is in the left side of the brain controlling language in right-handed people. In 60 per cent of lefthanders the speech area is on the left side, and in 40 per cent on the right side. If the speech area is damaged, diffculties both in understanding words, and in saying them, develops (see DYSPHASIA).

Degenerations (atrophy) For reasons often unknown, various groups of nerve cells degenerate prematurely. The illness resulting is determined by which groups of nerve cells are affected. If those in the deep basal ganglia are affected, a movement disorder occurs, such as Parkinson’s disease, hereditary Huntington’s chorea, or, in children with birth defects of the brain, athetosis and dystonias. Modern drugs, such as DOPAMINE drugs in PARKINSONISM, and other treatments can improve the symptoms and reduce the disabilities of some of these diseases.

Drugs and injury Alcohol in excess, the abuse of many sedative drugs and arti?cial brain stimulants – such as cocaine, LSD and heroin (see DEPENDENCE) – can damage the brain; the effects can be reversible in early cases. Severe head injury can cause localised or di?use brain damage (see HEAD INJURY).

Cerebral palsy Damage to the brain in children can occur in the uterus during pregnancy, or can result from rare hereditary and genetic diseases, or can occur during labour and delivery. Severe neurological illness in the early months of life can also cause this condition in which sti? spastic limbs, movement disorders and speech defects are common. Some of these children are learning-disabled.

Dementias In older people a di?use loss of cells, mainly at the front of the brain, causes ALZHEIMER’S DISEASE – the main feature being loss of memory, attention and reasoned judgement (dementia). This affects about 5 per cent of the over-80s, but is not simply due to ageing processes. Most patients require routine tests and brain scanning to indicate other, treatable causes of dementia.

Response to current treatments is poor, but promising lines of treatment are under development. Like Parkinsonism, Alzheimer’s disease progresses slowly over many years. It is uncommon for these diseases to run in families. Multiple strokes can cause dementia, as can some organic disorders such as cirrhosis of the liver.

Infections in the brain are uncommon. Viruses such as measles, mumps, herpes, human immunode?ciency virus and enteroviruses may cause ENCEPHALITIS – a di?use in?ammation (see also AIDS/HIV).

Bacteria or viruses may infect the membrane covering the brain, causing MENINGITIS. Viral meningitis is normally a mild, self-limiting infection lasting only a few days; however, bacterial meningitis – caused by meningococcal groups B and C, pneumococcus, and (now rarely) haemophilus – is a life-threatening condition. Antibiotics have allowed a cure or good control of symptoms in most cases of meningitis, but early diagnosis is essential. Severe headaches, fever, vomiting and increasing sleepiness are the principal symptoms which demand urgent advice from the doctor, and usually admission to hospital. Group B meningococcus is the commonest of the bacterial infections, but Group C causes more deaths. A vaccine against the latter has been developed and has reduced the incidence of cases by 75 per cent.

If infection spreads from an unusually serious sinusitis or from a chronically infected middle ear, or from a penetrating injury of the skull, an abscess may slowly develop. Brain abscesses cause insidious drowsiness, headaches, and at a late stage, weakness of the limbs or loss of speech; a high temperature is seldom present. Early diagnosis, con?rmed by brain scanning, is followed by antibiotics and surgery in hospital, but the outcome is good in only half of affected patients.

Cerebral oedema Swelling of the brain can occur after injury, due to engorgement of blood vessels or an increase in the volume of the extravascular brain tissue due to abnormal uptake of water by the damaged grey (neurons) matter and white (nerve ?bres) matter. This latter phenomenon is called cerebral oedema and can seriously affect the functioning of the brain. It is a particularly dangerous complication following injury because sometimes an unconscious person whose brain is damaged may seem to be recovering after a few hours, only to have a major relapse. This may be the result of a slow haemorrhage from damaged blood vessels raising intracranial pressure, or because of oedema of the brain tissue in the area surrounding the injury. Such a development is potentially lethal and requires urgent specialist treatment to alleviate the rising intracranial pressure: osmotic agents (see OSMOSIS) such as mannitol or frusemide are given intravenously to remove the excess water from the brain and to lower intracranial pressure, buying time for de?nitive investigation of the cranial damage.... brain, diseases of

Brazilwood (Caesalpinia brasiliensis and related species).

Plant Part Used: Wood.

Dominican Medicinal Uses: The wood is traditionally prepared as a cold infusion and taken orally for diabetes, high blood pressure, kidney infections, women’s health conditions, menstrual disorders, poor circulation, uterine fibroids and cysts.

Safety: No studies on the safety of this plant in humans have been identified in the available literature. However, a related species has shown relatively low toxicity in animal studies.

Laboratory & Preclinical Data: The following activities have been reported in Caesalpinia species related to Brasil and may not reflect the bioactivity of Caesalpinia brasiliensis. In animal studies the seed kernel extract has shown antidiabetic and hypoglycemic activity and the leaf extract has shown muscle stimulant activity. In vitro, plant extracts have shown anticancer, antibacterial, antioxidant, antitumor and inhibition of nitric oxide formation, serine proteinase and xanthine oxidase effects.

* See entry for Brasil in “Part 3: Dominican Medicinal Plant Profiles” of this book for more information, including references.... brasil

(L.) Boiss.

Synonym: Sinapis alba L.

Family: Cruciferae; Brassicaceae.

Habitat: Native of Europe and West Asia. Cultivated in North India as a crop.

English: White Mustard.

Ayurvedic: Siddhaartha, Shveta Sarshapa, Sarshapa-Gaura.

Unani: Khardal Safed.

Siddha/Tamil: Venkadugu.

Folk: Safed Raai.

Action: Stimulant to gastric mucosa, increases pancreatic secretions; emetic (used in narcotic poisoning), diaphoretic, rubefacient. (As a counter-irritant it increases flow of blood to a specific area.) Used externally as a poultice in bronchitis, pleurisy, intercostal neuralgia, chilbains.

Seeds contain glucosinolates. Sinalbin in B. alba and sinigrin in B. juneja oil are toxic constituents. The oil with toxic constituents should be avoided in gastrointestinal ulcers and kidney disorders. When moistened, sinigrin in the seeds is degraded to allyl isothiocyanate, a potent irritant volatile oil. (Francis Brinker.)

Glucosinolates are goitrogenic. Excessive consumption of Brassica sp. vegetables may alter absorption of thyroid hormone in G2 tract. (Sharon M. Herr.)... brassica alba

Linn. var.

rapa (L.) Hartm.

Family: Cruciferae; Brassicaceae.

Habitat: Cultivated as an oil-yielding crop.

English: Field Mustard, Turnip Rape.

Ayurvedic: Sarshapa, Siddhaartha.

Unani: Sarson.

Siddha/Tamil: Kadugu.

Action: Stimulant, diuretic, emetic, rubefacient, counter-irritant. Used externally for bronchitis and rheumatic pains (increases flow of blood to a specific area). Powdered seeds are used as a tea for colds, influenza and fever.

The seeds contain glycosinolates (the derivatives are responsible for tox- icity). The concentration of the major glucosinolate, gluco-napin, varies from 0.64 to 1.8% in the oil-free meal of Indian brassicas. The glucosinolates in rapeseed meal split upon enzymatic hydrolysis to produce glucose, potassium, hydrogen sulphate and a sulphur- containing compound which undergoes intramolecular rearrangement to give rise to the antinutritional factors, isothiocyanates or thiocyanates.

The volatile oil of mustard is given internally in colic; in overdoses it is highly poisonous and produces gastro- enteric inflammations. It is employed externally as a liniment for rheumatic pains.

Adulteration of mustard oil with argemone oil (Argemone mexicana is frequently found growing in brassica fields), by accident or by design, has led to the widespread epidemics of dropsy and glaucoma due to an alkaloid sanguinarine.

Black mustard contains sinigrin, which on hydrolysis by enzyme my- rosin, produces allyisothiocynate; the white mustard contains sinalbin, which produces p-hydroxybenzyl isothiocy- nate. Mucilage contains sinapine.

Dosage: Seed—500 mg to 1 g paste. (API Vol. III.)... brassica campestris

(Irish) A freckled girl Brek, Brecken, Breckin, Breckan... breck

(Irish) From the fairy palace Brina, Bryna, Breen, Brenee, Breene, Breina, Briena, Breyna... breena

(English) An animated and light- hearted woman

Breezey, Breezi, Breezie, Breezee, Breezea, Breezeah... breezy

(Welsh) A frail woman... bregus

(Slavic) Crowned with laurel... brencis

(Irish) Feminine form of Brendan; a princess; wielding a sword Brynda, Brinda, Breandan, Brendalynn, Brendolyn, Brend, Brienda... brenda

(Welsh) A ravenlike woman Brinna, Brenn, Bren, Brennah, Brina, Brena, Brenah... brenna

(Linn.) Czern. & Coss.

Family: Cruciferae; Brassicaceae.

Habitat: Cultivated in Punjab, West Bengal, Uttar Pradesh and Gujarat.

English: Chinese Mustard, Brown Mustard.

Ayurvedic: Raajikaa, Aasuri Raai, Tikshnagandhaa.

Siddha/Tamil: Kadugu.

Folk: Raai

Action: Raai is a substitute for Mustard. Antidysenteric, stomachic, diaphoretic, anthelmintic. Increases pancreatic secretions. A decoction of seeds is given in indigestion, cough. Used externally as a counter-irritant in several complaints of nervous systems.... brassica juncea

Linn.

Family: Cruciferae; Brassicaceae.

Habitat: Cultivated in Punjab, Bengal and Bihar.

English: Mustard, Indian Rape.

Ayurvedic: Krishna-Sarshapa, Raajakshavaka, Kattaka, Katus- neha, Tantubha, Siddhaartha, Siddhaarthaka, Siddhaartha-sita, Rakshogna. (White variety of Sarshapa is also equated with Siddhaartha. Asita and Rakta seed varieties are reddish; Gaur and Siddhaartha are whitish.)

Unani: Kaali Sarson.

Action: Emollient, diuretic, anticatarrhal.

The oil gave brassino steroid—brasi- nolide. Seeds gave a antithyroid compound, 5-vinyl-2-oxazolidinethone; thioglucosides and thioglucosinolates. The seed oil is said to dissolves gallstone.... brassica napus

(Linn.) Koch.

Family: Cruciferae; Brassicaceae.

Habitat: Cultivated in Punjab, Uttar Pradesh and Tamil Nadu.

English: Black Mustard.

Ayurvedic: Banarasi Raai, Raajika (var.).

Unani: Khardal Siyah. Siddha/Tamil: Kadugu. Folk: Raai.

Action: Seeds are used for treating coryza with thin excoriating discharge with lacrimation, sneezing and hacking cough, nostril blockage and dry and hot feeling of pharyngitis.

The seeds contain glucosinolate sin- igrin, which produces allyl isothio- cyanate when mixed with warm water. Allyl isothiocynate acts as a counterir- ritant when diluted (1:50).

Brayera anthelmintica Kunth.

Synonym: Hagenia abyssinica (Bruce) J. F. Gmelin.

Family: Rosaceae.

Habitat: Indigenous to north-east Africa. Imported into Mumbai.

English: Cusso, Brayera.

Folk: Kusso.

Action: Anthelmintic. Administered in the form of an infusion for the expulsion of tapeworm (ineffective against hookworm, roundworm, whipworm). Irritant to mucous membrane; produces nausea, vomiting and colic in large doses.... brassica nigra

Artocarpus incisa

Description: This tree may grow up to 9 meters tall. It has dark green, deeply divided leaves that are 75 centimeters long and 30 centimeters wide. Its fruits are large, green, ball-like structures up to 30 centimeters across when mature.

Habitat and Distribution: Look for this tree at the margins of forests and homesites in the humid tropics. It is native to the South Pacific region but has been widely planted in the West Indies and parts of Polynesia.

Edible Parts: The fruit pulp is edible raw. The fruit can be sliced, dried, and ground into flour for later use. The seeds are edible cooked.

Other Uses: The thick sap can serve as glue and caulking material. You can also use it as birdlime (to entrap small birds by smearing the sap on twigs where they usually perch).... breadfruit

(English) Resembling a little raven Brennea, Brennen, Brennon, Brennyn... brennan

(English) Woman of Britain or Brittany Bret, Bretta, Breta, Brette, Brit, Brita, Britta, Brite... brett

(Dennst.) Alston.

Synonym: B. patens Benth.

Family: Euphorbiaceae.

Habitat: The tropical Himalayas and Deccan peninsula.

Ayurvedic: Bahuprajaa, Kaamboji (doubtful synonym).

Folk: Kaali Kamboi (Gujarat).

Action: Used as a galactagogue (as a supporting drug in herbal compound formulations). Spasmogenic.... breynia retusa

(Welsh) Resembling a primrose Briallen, Brialan, Brialen, Breeallan, Breeallen, Bryallan, Bryalan, Bryallen, Bryalen... briallan

(English) Resembling a thorny plant Brier, Bryar, Bryer... briar

(Welsh) One who is alert; ambitious Bryce

... brice

The presence of reddish brown sediment in the urine, indicating uric acid, hippuric acid and creatinine excess in the blood...an anabolic greaseball who needs more liquids and alkali and who has over-acidic urine. It can be symptomatic of more serious problems as well.... brick dust

(Irish) A strong and protective woman; in mythology, goddess of fire, wisdom, and poetry

Bridgett, Bridgette, Briget, Brigette, Bridgit, Bridgitte, Birgit, Birgitte, Birgitta, Berget, Bergitte, Bergit, Berit, Biddy, Bridie, Bride, Brid, Brigetta, Bridgetta, Brighid, Bidelia, Bidina, Breeda, Brigid, Brigida, Brigidia, Brigit, Brigitta, Brigitte, Brietta, Briette, Brigantia, Bryga, Brygida, Brygid... bridget

Breath-holding attacks are not uncommon in infants and toddlers. They are characterised by the child suddenly stopping breathing in the midst of a bout of crying evoked by pain, some emotional upset, or loss of temper. The breath may be held so long that the child goes blue in the face. The attack is never fatal and the condition disappears spontaneously after the age of 3–5 years, but once a child has acquired the habit it may recur quite often.

It is important for a paediatrician to determine that such events are not epileptic (see EPILEPSY). Generally they require no treatment other than reassurance, as recovery is spontaneous and rapid – although a small number of severely affected children have been helped by a PACEMAKER. Parents should avoid dramatising the attacks.... breath-holding

See KIDNEYS, DISEASES OF – Glomerulonephritis.... bright’s disease

(American) A dazzling and sparkling woman... brilliant

(Anglo-Saxon) From the seaway Brymlad, Brimlod, Brymlod... brimlad

Image Magic, Money, Protection... briony

(Greek) In mythology, the Trojan widow abducted by Achilles Brisys, Brisa, Brisia, Brisha, Brissa, Briza, Bryssa, Brysa... briseis

(Norse) In mythology, Freya’s charmed necklace... brisingamen

(Portuguese) One who has power... brites

The o?cially approved name for a medicinal substance used in the UK. A 1992 European Union directive required the use of a Recommended International Non-proprietary Name (rINN) for these substances. Usually the BAN and rINN were identical; where there was a difference, the rINN nomenclature is now used. An exception is adrenaline, which remains the o?cial name in Europe with the rINN – epinephrine – being a synonym.... british approved names (ban)

See APPENDIX 8: PROFESSIONAL ORGANISATIONS.... british dental association

See APPENDIX 8: PROFESSIONAL ORGANISATIONS.

British National Formulary (BNF)

A pocket-book for those concerned with the prescribing, dispensing and administration of medicines in Britain. It is produced jointly by the Royal Pharmaceutical Society and the British Medical Association, is revised twice yearly and is distributed to NHS doctors by the Health Departments. The BNF is also available in electronic form.... british medical association (bma)

The female breasts may be expected to undergo hormone-controlled enlargement at puberty, and later in pregnancy, and the glandular part of the breast undergoes evolution (shrinkage) after the menopause. The breast can also be affected by many di?erent diseases, with common symptoms being pain, nipple discharge or retraction, and the formation of a lump within the breast.

Benign disease is much more common than cancer, particularly in young women, and includes acute in?ammation of the breast (mastitis); abscess formation; and benign breast lumps, which may be ?broadenosis – di?use lumpiness also called chronic mastitis or ?brocystic disease – in which one or more ?uid-?lled sacs (cysts) develop.

Women who are breast feeding are particularly prone to mastitis, as infection may enter the breast via the nipple. The process may be arrested before a breast abscess forms by prompt treatment with antibiotics. Non-bacterial in?ammation may result from mammary duct ectasia (dilatation), in which abnormal or

blocked ducts may over?ow. Initial treatments should be with antibiotics, but if an abscess does form it should be surgically drained.

Duct ectasia, with or without local mastitis, is the usual benign cause of various nipple complaints, with common symptoms being nipple retraction, discharge and skin change.

Breast lumps form the chief potential danger and may be either solid or cystic. Simple examination may fail to distinguish the two types, but aspiration of a benign cyst usually results in its disappearance. If the ?uid is bloodstained, or if a lump still remains, malignancy is possible, and all solid lumps need histological (tissue examination) or cytological (cell examination) assessment. As well as having their medical and family history taken, any women with a breast lump should undergo triple assessment: a combination of clinical examination, imaging

– mammography for the over-35s and ultrasonagraphy for the under-35s – and ?ne-needle aspiration. The medical history should include details of any previous lumps, family history (up to 10 per cent of breast cancer in western countries is due to genetic disposition), pain, nipple discharge, change in size related to menstrual cycle and parous state, and any drugs being taken by the patient. Breasts should be inspected with the arms up and down, noting position, size, consistency, mobility, ?xity, and local lymphadenopathy (glandular swelling). Nipples should be examined for the presence of inversion or discharge. Skin involvement (peau d’orange) should be noted, and, in particular, how long changes have been present. Fine-needle aspiration and cytological examination of the ?uid are essential with ULTRASOUND, MAMMOGRAPHY and possible BIOPSY being considered, depending on the patient’s age and the extent of clinical suspicion that cancer may be present.

The commonest solid benign lump is a ?broadenoma, particularly in women of childbearing age, and is a painless, mobile lump. If small, it is usually safe to leave it alone, provided that the patient is warned to seek medical advice if its size or character changes or if the lump becomes painful. Fibroadenosis (di?use lumpiness often in the upper, outer quadrant) is a common (benign) lump. Others include periductal mastitis, fat NECROSIS, GALACTOCELE, ABSCESS, and non-breast-tissue lumps – for example, a LIPOMA (fatty tissue) or SEBACEOUS CYST. A woman with breast discharge should have a mammograph, ductograph, or total duct excision until the cause of any underlying duct ectasia is known. Appropriate treatment should then be given.

Malignant disease most commonly – but not exclusively – occurs in post-menopausal women, classically presenting as a slowly growing, painless, ?rm lump. A bloodstained nipple discharge or eczematous skin change may also be suggestive of cancer.

The most commonly used classi?cation of invasive cancers has split them into two types, ductal and lobular, but this is no longer suitable. There are also weaknesses in the tumour node metastases (TNM) system and the International Union Against Cancer (UICC) classi?cation.

The TNM system – which classi?es the lump by size, ?xity and presence of affected axillary glands and wider metastatic spread – is best combined with a pathological classi?cation, when assessing the seriousness of a possibly cancerous lump. Risk factors for cancer include nulliparity (see NULLIPARA), ?rst pregnancy over the age of 30 years, early MENARCHE, late MENOPAUSE and positive family history. The danger should be considered in women who are not breast feeding or with previous breast cancer, and must be carefully excluded if the woman is taking any contraceptive steroids or is on hormone-replacement therapy (see under MENOPAUSE).

Screening programmes involving mammography are well established, the aim being to detect more tumours at an early and curable stage. Pick-up rate is ?ve per 1,000 healthy women over 50 years. Yearly two-view mammograms could reduce mortality by 40 per cent but may cause alarm because there are ten false positive mammograms for each true positive result. In premenopausal women, breasts are denser, making mammograms harder to interpret, and screening appears not to save lives. About a quarter of women with a palpable breast lump turn out to have cancer.

Treatment This remains controversial, and all options should be carefully discussed with the patient and, where appropriate, with her partner. Locally contained disease may be treated by local excision of the lump, but sampling of the glands of the armpit of the same side should be performed to check for additional spread of the disease, and hence the need for CHEMOTHERAPY or RADIOTHERAPY. Depending on the extent of spread, simple mastectomy or modi?ed radical mastectomy (which removes the lymph nodes draining the breast) may be required. Follow-up chemotherapy, for example, with TAMOXIFEN (an oestrogen antagonist), much improves survival (it saves 12 lives over 100 women treated), though it may occasionally cause endometrial carcinoma. Analysis in the mid-1990s of large-scale international studies of breast-cancer treatments showed wide variations in their e?ectiveness. As a result the NHS has encouraged hospitals to set up breast-treatment teams containing all the relevant health professional experts and to use those treatments shown to be most e?ective.

As well as the physical treatments provided, women with suspected or proven breast cancer should be o?ered psychological support because up to 30 per cent of affected women develop an anxiety state or depressive illness within a year of diagnosis. Problems over body image and sexual diffculties occur in and around one-quarter of patients. Breast conservation and reconstructive surgery can improve the physical effects of mastectomy, and women should be advised on the prostheses and specially designed brassieres that are available. Specialist nurses and self-help groups are invaluable in supporting affected women and their partners with the problems caused by breast cancer and its treatment. Breast Cancer Care, British Association of Cancer United Patients (BACUP), Cancerlink, and Cancer Relief Macmillan Fund are among voluntary organisations providing support.... breasts, diseases of

Willd.

Family: Euphorbiaceae.

Habitat: The sub-Himalayan tract from Kashmir eastwards to Assam, and in Bihar, Orissa and Andhra Pradesh.

Ayurvedic: Ekaviraa.

Siddha/Tamil: Venge-maram.

Folk: Gondni, Asaanaa (Maharashtra).

Action: Bark and Root—astringent, anthelmintic. Used in the treatment of bone fracture.

The root contains 5.7% tannins.

The leaves contain beta-sitosterol, its beta-D-glucoside and a triterpe- noid. Fructose, glucose and sucrose were identified as the components of the glycoside.... bridelia montana

(Linn.) Spreng.

Family: Euphorbiaceae.

Habitat: Throughout India up to an altitude of 1,000 m, except in very dry regions.

Ayurvedic: Mahaaviraa, Asana (Asana is equated with Pterocarpus marsupium Roxb., the Indian Kino tree.)

Siddha/Tamil: Mulluvengai.

Folk: Gondani, Gondui, Khaajaa.

Action: Bark—astringent, used in the form of a liniment in rheumatism. Paste of the stem bark is applied to wounds.

The bark contains 16-40% tannin. Presence of a triterpene ketone in the bark is reported. The bark exhibited hypotensive properties in pharmacological trials. The extract of the bark significantly increased the mean survival time of mice infected intracere- brally with vaccinia virus. Ripe fruit pulp contains beta-sitosterol and gallic and ellagic acids.... bridelia retusa

See PHARMACOPOEIA.... british pharmacopoeia

An o?cially recognised measurement of heat: a unit is equal to the quantity of heat needed to raise the temperature of one pound of water by 1°Fahrenheit. One BTU is equivalent to 1,055 joules (see JOULE).... british thermal unit (btu)

(English) A woman from Great Britain

Britany, Brittanie, Brittaney, Brittani, Brittanee, Britney, Britnee, Britny, Britni, Britnie, Brittania, Brittnee, Brittni, Brittnie, Brittney, Brittny, Brettany, Brettani, Brettanie, Brettaney, Brettanee, Britaine, Britaina, Britani, Britania, Brittanya... brittany

Nutritional Profile Energy value (calories per serving): Low Protein: High Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: Moderate Fiber: Very high Sodium: Low Major vitamin contribution: Vitamin A, folate, vitamin C Major mineral contribution: Calcium

About the Nutrients in This Food Broccoli is very high-fiber food, an excellent source of vitamin A, the B vitamin folate, and vitamin C. It also has some vitamin E and vitamin K, the blood-clotting vitamin manufactured primarily by bacteria living in our intestinal tract. One cooked, fresh broccoli spear has five grams of dietary fiber, 2,500 IU vitamin A (108 percent of the R DA for a woman, 85 percent of the R DA for a man), 90 mcg folate (23 percent of the R DA), and 130 mg vitamin C (178 percent of the R DA for a woman, 149 percent of the R DA for a man).

The Most Nutritious Way to Serve This Food Raw. Studies at the USDA Agricultural Research Center in Beltsville, Maryland, show that raw broccoli has up to 40 percent more vitamin C than broccoli that has been cooked or frozen.

Diets That May Restrict or Exclude This Food Antiflatulence diet Low-fiber diet

Buying This Food Look for: Broccoli with tightly closed buds. The stalk, leaves, and florets should be fresh, firm, and brightly colored. Broccoli is usually green; some varieties are tinged with purple. Avoid: Broccoli with woody stalk or florets that are open or turning yellow. When the green chlorophyll pigments fade enough to let the yellow carotenoids underneath show through, the buds are about to bloom and the broccoli is past its prime.

Storing This Food Pack broccoli in a plastic bag and store it in the refrigerator or in the vegetable crisper to protect its vitamin C. At 32°F, fresh broccoli can hold onto its vitamin C for as long as two weeks. Keep broccoli out of the light; like heat, light destroys vitamin C.

Preparing This Food First, rinse the broccoli under cool running water to wash off any dirt and debris clinging to the florets. Then put the broccoli, florets down, into a pan of salt water (1 tsp. salt to 1 qt. water) and soak for 15 to 30 minutes to drive out insects hiding in the florets. Then cut off the leaves and trim away woody section of stalks. For fast cooking, divide the broccoli up into small florets and cut the stalk into thin slices.

What Happens When You Cook This Food The broccoli stem contains a lot of cellulose and will stay firm for a long time even through the most vigorous cooking, but the cell walls of the florets are not so strongly fortified and will soften, eventually turning to mush if you cook the broccoli long enough. Like other cruciferous vegetables, broccoli contains mustard oils (isothiocyanates), natural chemicals that break down into a variety of smelly sulfur compounds (including hydrogen sulfide and ammonia) when the broccoli is heated. The reaction is more intense in aluminum pots. The longer you cook broccoli, the more smelly compounds there will be, although broccoli will never be as odorous as cabbage or cauliflower. Keeping a lid on the pot will stop the smelly molecules from floating off into the air but will also accelerate the chemical reaction that turns green broccoli olive-drab. Chlorophyll, the pigment that makes green vegetables green, is sensitive to acids. When you heat broccoli, the chlorophyll in its florets and stalk reacts chemically with acids in the broccoli or in the cooking water to form pheophytin, which is brown. The pheophytin turns cooked broccoli olive-drab or (since broccoli contains some yellow carotenes) bronze. To keep broccoli green, you must reduce the interaction between the chlorophyll and the acids. One way to do this is to cook the broccoli in a large quantity of water, so the acids will be diluted, but this increases the loss of vitamin C.* Another alternative is to leave the lid off the pot so that the hydrogen atoms can float off into the air, but this allows the smelly sulfur compounds to escape, too. The best way is probably to steam the broccoli quickly with very little water, so it holds onto its vitamin C and cooks before there is time for reac- tion between chlorophyll and hydrogen atoms to occur.

How Other Kinds of Processing Affect This Food Freezing. Frozen broccoli usually contains less vitamin C than fresh broccoli. The vitamin is lost when the broccoli is blanched to inactivate catalase and peroxidase, enzymes that would otherwise continue to ripen the broccoli in the freezer. On the other hand, according to researchers at Cornell University, blanching broccoli in a microwave oven—two cups of broccoli in three tablespoons of water for three minutes at 600 –700 watts—nearly doubles the amount of vitamin C retained. In experiments at Cornell, frozen broccoli blanched in a microwave kept 90 percent of its vitamin C, compared to 56 percent for broccoli blanched in a pot of boiling water on top of a stove.

Medical Uses and/or Benefits Protection against some cancers. Naturally occurring chemicals (indoles, isothiocyanates, glucosinolates, dithiolethiones, and phenols) in Brussels sprouts, broccoli, cabbage, cauli- flower, and other cruciferous vegetables appear to reduce the risk of some forms of cancer, perhaps by preventing the formation of carcinogens in your body or by blocking cancer- causing substances from reaching or reacting with sensitive body tissues or by inhibiting the transformation of healthy cells to malignant ones. All cruciferous vegetables contain sulforaphane, a member of a family of chemicals known as isothiocyanates. In experiments with laboratory rats, sulforaphane appears to increase the body’s production of phase-2 enzymes, naturally occurring substances that inacti- vate and help eliminate carcinogens. At the Johns Hopkins University in Baltimore, Maryland, 69 percent of the rats injected with a chemical known to cause mammary cancer developed tumors vs. only 26 percent of the rats given the carcinogenic chemical plus sulforaphane. To get a protective amount of sulforaphane from broccoli you would have to eat about two pounds a week. But in 1997, Johns Hopkins researchers discovered that broccoli seeds and three-day-old broccoli sprouts contain a compound converted to sulforaphane when the seed and sprout cells are crushed. Five grams of three-day-old sprouts contain as much sulphoraphane as 150 grams of mature broccoli. * Broccoli will lose large amounts of vitamin C if you cook it in water t hat is cold when you start. As it boils, water releases ox ygen t hat would ot her wise dest roy vitamin C, so you can cut t he vitamin loss dramat ically simply by lett ing t he water boil for 60 seconds before adding t he broccoli. Vision protection. In 2004, the Johns Hopkins researchers updated their findings on sulfora- phane to suggest that it may also protect cells in the eyes from damage due to ultraviolet light, thus reducing the risk of macular degeneration, the most common cause of age-related vision loss. Lower risk of some birth defects. Up to two or every 1,000 babies born in the United States each year may have cleft palate or a neural tube (spinal cord) defect due to their mothers’ not having gotten adequate amounts of folate during pregnancy. The current R DA for folate is 180 mcg for a woman, 200 mcg for a man, but the FDA now recommends 400 mcg for a woman who is or may become pregnant. Taking a folate supplement before becoming pregnant and continuing through the first two months of pregnancy reduces the risk of cleft palate; taking folate through the entire pregnancy reduces the risk of neural tube defects. Broccoli is a good source of folate. One raw broccoli spear has 107 mcg folate, more than 50 percent of the R DA for an adult. Possible lower risk of heart attack. In the spring of 1998, an analysis of data from the records for more than 80,000 women enrolled in the long-running Nurses’ Health Study at Harvard School of Public Health/Brigham and Women’s Hospital, in Boston, demonstrated that a diet providing more than 400 mcg folate and 3 mg vitamin B6 daily, either from food or supple- ments, might reduce a woman’s risk of heart attack by almost 50 percent. Although men were not included in the study, the results were assumed to apply to them as well. However, data from a meta-analysis published in the Journal of the American Medical Association in December 2006 called this theory into question. Researchers at Tulane Univer- sity examined the results of 12 controlled studies in which 16,958 patients with preexisting cardiovascular disease were given either folic acid supplements or placebos (“look-alike” pills with no folic acid) for at least six months. The scientists, who found no reduction in the risk of further heart disease or overall death rates among those taking folic acid, concluded that further studies will be required to ascertain whether taking folic acid supplements reduces the risk of cardiovascular disease. Possible inhibition of the herpes virus. Indoles, another group of chemicals in broccoli, may inhibit the growth of some herpes viruses. In 2003, at the 43rd annual Interscience Confer- ence on Antimicrobial Agents and Chemotherapy, in Chicago, researchers from Stockholm’s Huddinge University Hospital, the University of Virginia, and Northeastern Ohio University reported that indole-3-carbinol (I3C) in broccoli stops cells, including those of the herpes sim- plex virus, from reproducing. In tests on monkey and human cells, I3C was nearly 100 percent effective in blocking reproduction of the HSV-1 (oral and genital herpes) and HSV-2 (genital herpes), including one strain known to be resistant to the antiviral drug acyclovir (Zovirax).

Adverse Effects Associated with This Food Enlarged thyroid gland. Cruciferous vegetables, including broccoli, contain goitrin, thio- cyanate, and isothiocyanate, chemical compounds that inhibit the formation of thyroid hormones and cause the thyroid to enlarge in an attempt to produce more. These chemicals, known collectively as goitrogens, are not hazardous for healthy people who eat moderate amounts of cruciferous vegetables, but they may pose problems for people who have thyroid problems or are taking thyroid medication. False-positive test for occult blood in the stool. The guaiac slide test for hidden blood in feces relies on alphaguaiaconic acid, a chemical that turns blue in the presence of blood. Broccoli contains peroxidase, a natural chemical that also turns alphaguaiaconic acid blue and may produce a positive test in people who do not actually have blood in the stool.

Food/Drug Interactions Anticoagulants Broccoli is rich in vitamin K, the blood-clotting vitamin produced natu- rally by bacteria in the intestines. Consuming large quantities of this food may reduce the effectiveness of anticoagulants (blood thinners) such as warfarin (Coumadin). One cup of drained, boiled broccoli contains 220 mcg vitamin K, nearly four times the R DA for a healthy adult.... broccoli

(Irish) A sorrowful woman Bronah, Bronna, Bronnah... brona

See AIR PASSAGES; BRONCHUS; LUNGS.... bronchial tubes

The term applied to the ?nest divisions of the bronchial tubes of the LUNGS.... bronchioles

A rare disorder involving gradually increasing FIBROSIS and destruction of lung tissue following an attack of BRONCHIOLITIS.... bronchiolitis obliterans

See PNEUMONIA.... broncho-pneumonia

Any disease of the bronchi... bronchopathy

An abnormal communication between the tracheo-bronchial tree and the pleural cavity (see LUNGS). Most commonly occurring from breakdown of the bronchial stump following pneumonectomy, it may also be caused by trauma, neoplasia or in?ammation.... bronchopleural fistula

Excess mucus secretions by the bronchi; a runny nose of the lungs.... bronchorrhea

A small cyst attached to a germinal layer of the hydatid, containing many protoscolices.... brood capsule

(English) From the running stream Brook, Brookie... brooke

(American) Borough of New York City

Brooklin, Brooklynn, Brooklynne... brooklyn

A poisonous snake found on the mainland of Australia. It belongs to the family Elapidae and is extremely venomous, having a potent neurotoxin.... brown snake

(French) Feminine form of Bruce; from the brushwood thicket Brucina, Brucine, Brucy, Brucey, Brucea, Bruceah, Brucee, Bruci... brucie

Bercht. & Presl.

Synonym Datura suaveolens Humb. & Bonpl. ex Willd.

Habitat: Native to Mexico; grown in Indian gardens.

English: Angel's Trumpet.

Action: Leaf and flower—used to treat asthma; to induce hallucinations. Can cause severe toxicity.

All parts of the plant contain tropane alkaloids (concentration highest in the foliage and seeds), particularly atropine, hyoscyamine and hyoscine (scopolamine.)... brugmansia suaveolens

Abnormal sounds heard in connection with the heart, arteries and veins on AUSCULTATION.... bruit and murmur

(German) A dark-haired woman Brune, Brunella, Brunelle, Brunela, Brunele, Brunetta... bruna

(German / Norse) A dark and noble battlemaiden / in mythology, queen of the Valkyries

Brunhilde, Brunhilda, Brunnehild, Brunnehilde, Brunnehilda, Brynhild, Brynhilde, Brynhilda... brunhild

Nutritional Profile Energy value (calories per serving): Low Protein: High Fat: Low Saturated fat: Low Cholesterol: None Carbohydrates: High Fiber: High Sodium: Low Major vitamin contribution: Vitamin A, folate, vitamin C Major mineral contribution: Potassium, iron

About the Nutrients in This Food Brussels sprouts are high in dietary fiber, especially insoluble cellulose and lignan in the leaf ribs. They are also a good source of vitamin A and vitamin C. One-half cup cooked fresh brussels sprouts has three grams of dietary fiber, 1,110 IU vitamin A (48 percent of the R DA for a woman, 37 percent of the R DA for a man), 47 mcg folate (16 percent of the R DA), and 48 mg vitamin C (64 percent of the R DA for a woman, 53 percent of the R DA for a man). Brussels sprouts also contain an antinutrient, a natural chemical that splits the thiamin (vitamin B1) molecule so that it is no longer nutritionally useful. This thiamin inhibitor is inactivated by cooking.

The Most Nutritious Way to Serve This Food Fresh, lightly steamed to preserve the vitamin C and inactivate the antinutrient.

Diets That May Restrict or Exclude This Food Antiflatulence diet Low-fiber diet

Buying This Food Look for: Firm, compact heads with bright, dark-green leaves, sold loose so that you can choose the sprouts one at a time. Brussels sprouts are available all year round. Avoid: Puff y, soft sprouts with yellow or wilted leaves. The yellow carotenes in the leaves show through only when the leaves age and their green chlorophyll pigments fade. Wilting leaves and puff y, soft heads are also signs of aging. Avoid sprouts with tiny holes in the leaves through which insects have burrowed.

Storing This Food Store the brussels sprouts in the refrigerator. While they are most nutritious if used soon after harvesting, sprouts will keep their vitamins (including their heat-sensitive vitamin C) for several weeks in the refrigerator. Store the sprouts in a plastic bag or covered bowl to protect them from moisture loss.

Preparing This Food First, drop the sprouts into salted ice water to flush out any small bugs hiding inside. Next, trim them. Remove yellow leaves and leaves with dark spots or tiny holes, but keep as many of the darker, vitamin A–rich outer leaves as possible. Then, cut an X into the stem end of the sprouts to allow heat and water in so that the sprouts cook faster.

What Happens When You Cook This Food Brussels sprouts contain mustard oils (isothiocyanates), natural chemicals that break down into a variety of smelly sulfur compounds (including hydrogen sulfide and ammonia) when the sprouts are heated, a reaction that is intensified in aluminum pots. The longer you cook the sprouts, the more smelly compounds there will be. Adding a slice of bread to the cook- ing water may lessen the odor; keeping a lid on the pot will stop the smelly molecules from floating off into the air. But keeping the pot covered will also increase the chemical reaction that turns cooked brussels sprouts drab. Chlorophyll, the pigment that makes green vegetables green, is sensi- tive to acids. When you heat brussels sprouts, the chlorophyll in their green leaves reacts chemically with acids in the sprouts or in the cooking water to form pheophytin, which is brown. The pheophytin turns cooked brussels sprouts olive or, since they also contain yel- low carotenes, bronze. To keep cooked brussels sprouts green, you have to reduce the interaction between chlorophyll and acids. One way to do this is to cook the sprouts in a lot of water, so the acids will be diluted, but this increases the loss of vitamin C.* Another alternative is to leave the lid off the pot so that the hydrogen atoms can float off into the air, but this allows the smelly sulfur compounds to escape, too. The best solution is to steam the sprouts quickly in very little water, so they retain their vitamin C and cook before there is time for reaction between chlorophyll and hydrogen atoms to occur.

How Other Kinds of Processing Affect This Food Freezing. Frozen brussels sprouts contain virtually the same amounts of vitamins as fresh boiled sprouts.

Medical Uses and/or Benefits Protection against cancer. Naturally occurring chemicals (indoles, isothiocyanates, gluco- sinolates, dithiolethiones, and phenols) in brussels sprouts, broccoli, cabbage, cauliflower and other cruciferous vegetables appear to reduce the risk of some cancers, perhaps by pre- venting the formation of carcinogens in your body or by blocking cancer-causing substances from reaching or reacting with sensitive body tissues or by inhibiting the transformation of healthy cells to malignant ones. All cruciferous vegetables contain sulforaphane, a member of a family of chemicals known as isothiocyanates. In experiments with laboratory rats, sulforaphane appears to increase the body’s production of phase-2 enzymes, naturally occurring substances that inac- tivate and help eliminate carcinogens. At Johns Hopkins University in Baltimore, Maryland, 69 percent of the rats injected with a chemical known to cause mammary cancer developed tumors vs. only 26 percent of the rats given the carcinogenic chemical plus sulforaphane. In 1997, the Johns Hopkins researchers discovered that broccoli seeds and three- day-old broccoli sprouts contain a compound converted to sulforaphane when the seed and sprout cells are crushed. Five grams of three-day-old broccoli sprouts contain as much sulforaphane as 150 grams of mature broccoli. The sulforaphane levels in other cruciferous vegetables have not yet been calculated. Lower risk of some birth defects. Up to two or every 1,000 babies born in the United States each year may have cleft palate or a neural tube (spinal cord) defect due to their mothers’ not having gotten adequate amounts of folate during pregnancy. NOTE : The current R DA for folate is 180 mcg for a woman and 200 mcg for a man, but the FDA now recommends * Brussels sprouts will lose as much as 25 percent of their vitamin C if you cook them in water that is cold when you start. As it boils, water releases oxygen that would otherwise destroy vitamin C. You can cut the vitamin loss dramatically simply by letting the water boil for 60 seconds before adding the sprouts. 400 mcg for a woman who is or may become pregnant. Taking a folate supplement before becoming pregnant and continuing through the first two months of pregnancy reduces the risk of cleft palate; taking folate through the entire pregnancy reduces the risk of neural tube defects. Possible lower risk of heart attack. In the spring of 1998, an analysis of data from the records for more than 80,000 women enrolled in the long-running Nurses’ Health Study at Harvard School of Public Health/Brigham and Women’s Hospital, in Boston, demonstrated that a diet providing more than 400 mcg folate and 3 mg vitamin B6 daily, either from food or supple- ments, might reduce a woman’s risk of heart attack by almost 50 percent. Although men were not included in the study, the results were assumed to apply to them as well. However, data from a meta-analysis published in the Journal of the American Medical Association in December 2006 called this theory into question. Researchers at Tulane Univer- sity examined the results of 12 controlled studies in which 16,958 patients with preexisting cardiovascular disease were given either folic acid supplements or placebos (“look-alike” pills with no folic acid) for at least six months. The scientists, who found no reduction in the risk of further heart disease or overall death rates among those taking folic acid, concluded that further studies will be required to verif y whether taking folic acid supplements reduces the risk of cardiovascular disease. Vision protection. In 2004, the Johns Hopkins researchers updated their findings on sulfora- phane to suggest that it may also protect cells in the eyes from damage due to ultraviolet light, thus reducing the risk of macular degeneration, the most common cause of age-related vision loss.

Adverse Effects Associated with This Food Enlarged thyroid gland (goiter). Cruciferous vegetables, including brussels sprouts, contain goitrin, thiocyanate, and isothiocyanate. These chemicals, known collectively as goitrogens, inhibit the formation of thyroid hormones and cause the thyroid to enlarge in an attempt to produce more. Goitrogens are not hazardous for healthy people who eat moderate amounts of cruciferous vegetables, but they may pose problems for people who have a thyroid condi- tion or are taking thyroid medication. Intestinal gas. Bacteria that live naturally in the gut degrade the indigestible carbohydrates (food fiber) in brussels sprouts and produce gas that some people find distressing.

Food/Drug Interactions Anticoagulants Brussels sprouts are rich in vitamin K, the blood-clotting vitamin produced naturally by bacteria in the intestines. Consuming large quantities of this food may reduce the effectiveness of anticoagulants (blood thinners) such as warfarin (Coumadin). One cup of drained, boiled brussels sprouts contains 219 mcg vitamin K, nearly three times the R DA for a healthy adult.... brussels sprouts

National Formulary of UnaniMedicine, Part I, equated Jirjeer with Brucea sativa Mill. or Nasturtium officinale R. Br.

Nasturtium officinale, found in Europe, is known as watercress. Indian cress is cultivated in gardens as a creeper. Brucea is a totally different species (Simaroubaceae). Taraamirra of Unani medicine should be equated with Eru- ca sativa and not with Brucea sativa.

Action: Taraamiraa (Jirjeer)— used in Unani medicine as a spermatic tonic (powder of seeds is administered with a half-fried egg), also as a blood purifier, diuretic, emmenagogue and deobstruent. Leaf juice—used as a lotion for blotches, spots and blemishes.

Nasturtium officinale (Brassicaceae): Antiscorbutic and stimulant. A rich source of vitamins A and E, also of ascorbic acid. Seeds contain glucon- casturtin. Used for metabolic disorders, anaemia, strangury, kidney and bladder disorders and catarrh of the respiratory tract.

Eruca sativa Mill.: Cultivated in North India; known as Taraamiraa, Siddhaartha, Bhutaghna. Seeds are used like mustard. Seeds—antibacterial. Crude juice of the plant inhibited E. coli, S. typhi and B. subtlis. Seeds contain (4-Me-thio)-Bu-glucosinolate (glucoerucin) as K and tetra-Me-N salts. A composition is used in induration of liver.... brucea sativa

Life plant (Kalanchoe pinnata).

Note: this name can also refer to: Mala madre. Distinguishing feature: bruja leaves are shorter than those of mala madre.

Plant Part Used: Leaf.

Dominican Medicinal Uses: The leaves are traditionally heated until wilted and squeezed to extract the juice from inside the leaf which is applied topically for earache. The bruised, fresh leaves are also applied topically for headache, and the fresh leaves or leaf juice are taken orally for stomach ache and ulcers.

Safety: In a clinical case report, the leaf extract (30 g fresh leaves per day taken orally for 14 days) did not show any signs of toxicity or adverse effects in one adult female patient. The leaf orally administered to mice for 30 days did not show signs of toxicity to the liver, heart or kidney.

Contraindications: No information has been identified in the available literature on the safety of this plant in children or during pregnancy or lactation.

Clinical Data: In one clinical case report the leaf extract was investigated for its potential in treating leishmaniasis.

Laboratory & Preclinical Data: In animal studies the leaf extract has shown antitumor effects and the leaf juice has shown hepatoprotective activity. In vitro, the leaf extract or constituents have demonstrated antitumor and uterine stimulant effects.

* See entry for Bruja in “Part 3: Dominican Medicinal Plant Profiles” of this book for more information, including references.... bruja

Linn.

Synonym: Prunella vulgaris Linn.

Family: Labiatae; Lamiaceae.

Habitat: The Himalayas from Kashmir to Bhutan at altitudes of 1,400-4,000 m, in Khasi Hills and hills of South India.

English: Self-heal.

Unani: Substitute for Ustukhudduus. (Lavandula stoechas Linn.)

Folk: Dhaaru.

Action: Wound healing, expectorant, antiseptic, astringent, haemostatic, antispasmodic. Leaf- used in piles; and as a cooling herb for fevers.

The herb contains vitamins A, B, C and K; flavonoids; rutin. Flower spikes are liver-restorative, hypotensive, an- tioxidant.

Lupeol, stigmasterol and beta-sitos- terol are obtained from the unsapo- nifiable fraction from the leaves, the saponifiable fraction gave lauric,... brunella vulgaris

(Lour.) Merr.

Synonym: C. integerrima DC. C. lucida Roxb. ex Kurz.

Habitat: Throughout India, up to an altitude of 1,300 m, and in the Andamans.

Folk: Karalli, Kierpa. Varanga (Malyalam).

Action: Leaves—used in the treatment of sapraemia. Bark—used for treating oral ulcers, stomatitis, inflammation of the throat.

The leaves contain alkaloids (0.2% dry basis), the major being (+)-hygro- line.... carallia brachiata

A type of breathing which gets very faint for a short time, then gradually deepens until full inspirations are taken for a few seconds, and then gradually dies away to another quiet period, again increasing in depth after a few seconds and so on in cycles. It is seen in some serious neurological disorders, such as brain tumours and stroke, and also in the case of persons with advanced disease of the heart or kidneys. When well marked it is a sign that death is impending, though milder degrees of it do not carry such a serious implication in elderly patients.... cheyne-stokes breathing

Vahl ex DC.

Synonym: C. vahliana Farsen.

Family: Capparidaceae.

Habitat: Northwestern Rajasthan, Punjab plains and Delhi.

Unani: Panwaar.

Folk: Madhio (Rajasthan).

Action: Anti-inflammatory, antirheumatic, antidermatosis (used in scabies, also in leucoderma).

The plant contains trinortriterpe- noids and cabralealactone, besides ur- solic acid.... cleome brachycarpa

See BRAIN INJURIES.... concussion of the brain

Royle.

Family: Ranunculaceae.

Habitat: Native to China; distributed in West Himalayas.

English: Musk Larkspur.

Ayurvedic: Sprikkaa. (Melilotus officinalis, known as Aspurka or Naakhunaa, is also equated with Sprikkaa.) Used as a substitute for Tagara (valerian).

Action: Himalayan species act as cardiac and respiratory depressant. All the species of Delphinium are poisonous; find use in indigenous medicine for destroying maggots in wounds, particularly in sheep. The flowers are considered acrid, bitter and astringent; seeds are cathartic, anthelmintic, emetic and insecticidal.... delphinium brunonianum

Love... dutchmans breeches

Love... indian paint brush

I. Olfactory, to the nose (smell).

II. Optic, to the eye (sight).

III. Oculomotor

Trochlear, to eye-muscles.

Abducent

VI. Trigeminal, to skin of face.

VII. Facial, to muscles of face.

VIII. Vestibulocochlear, to ear (hearing and balancing).

IX. Glossopharyngeal, to tongue (taste).

X. Vagus, to heart, larynx, lungs, and stomach.

XI. Spinal accessory, to muscles in neck.

XII. Hypoglossal, to muscles of tongue.... nerves twelve nerves come off the brain:

Wight.

Family: Amaranthaceae.

Habitat: Distributed in tropical Africa and Asia; found throughout the plains of India.

Folk: Dhaulaa-findauri (Rajasthan).

Action: Used as a substitute for Paashaanabheda (Aerva lanata Juss. ex Schult., Amaranthaceae) for its diuretic and lithotriptic properties.... nothosaerva brachiata

It is well-known that tea should be avoided both during and after pregnancy. After you give birth, the tea you drink can affect the baby through breastfeeding. This is why you should be careful with the types of tea you drink if you are breastfeeding. Check teas for breastfeeding women Herbal teas are mostly considered safe for women who are breastfeeding. Still, there are some things you need to be careful with and check, before you start drinking an herbal tea while nursing. Make sure the herbal tea you drink does not contain caffeine. While it might not affect you, the caffeine found in tea can affect the baby. Also check if the herbal tea contains plants you are allergic to. It is not the baby you have to worry about in this case, but your own health, as it could prove to be harmful for you. It is best to speak with your doctor as well, before you drink a type of tea, even herbal ones. Check to see if the tea you have chosen is safe to take when you are breastfeeding, or if it does not decrease the breast milk supply. Make sure you choose the proper tea for breastfeeding. Teas for breastfeeding women There are many herbal teas which are recommended for breastfeeding women. Most of them help increase the breast milk supply. Organic mother’s milk tea is known to be useful, because of its ingredients (fennel, aniseed, and coriander help with the milk supply). Other herbal teas include raspberry leaf tea, nettle tea, or alfalfa tea. Also, you can drink blessed thistle tea and fennel tea in small amounts. Chamomile tea can also be consumed if you are breastfeeding. It will help you relax and have a peaceful sleep. Motherwort tea also helps you relax, as well as reduces the risk of getting post partum depression. Ginger tea can help with an upset stomach, as well as increase blood circulation. Teas you should avoid while breastfeeding During nursing periods, you should not drink teas that contain caffeine. This means you should avoid teas made from the Camellia Sinensis plant: white tea, black tea, green tea, and oolong tea. There are several types of tea which can reduce your breast milk supply. These include oregano tea, sage tea, spearmint tea, peppermint tea, borage tea, comfrey tea, yarrow tea, chickweed tea, parsley tea or thyme tea. Make sure you do not consume any of these teas while breastfeeding. Topically applied teas for breastfeeding Teas can be used topically, as well. There are some which help during breastfeeding periods when they are applied on the skin. Partridge tea can help in this way. When applied topically, it relieves the soreness you might get from breastfeeding. The tea you drink can affect both you and the baby even during nursing. Because of this, make sure you check to see if what you are drinking is safe. Choose one of these teas for breastfeeding and you will not have to worry about any side effects!... discover the teas for breastfeeding women

English Breakfast Tea is a mixture of black teas originating from Assam, Ceylon and Kenya and was invented in Scotland in the 19th century. This blend is an established breakfast custom in England, having an invigorating and energizing aroma which is the perfect way to start the day. English Breakfast Tea - when and how to drink it As the name suggests, the tea is associated with a particular moment of the day, but it is generally consumed on any occasion. It can be served with milk or other additives in order to suit your personal preference. Do not pour the milk first; this could result in an unpleasant aroma. How to brew English Breakfast Tea Before pouring boiling water into your cup to make the infusion, the pot should ideally be already warmed with hot water. Allow your English Breakfast Tea brewing three to five minutes in order to attain the desired results, according to the preferred taste. Do not steep it for too long, because it will turn slightly bitter. If you want a stronger aroma, add more tea leaves. Health benefits of English Breakfast Tea English breakfast Tea contains high amounts of beneficial nutrients which can prevent cardiovascular diseases, improve oral health by reducing dental caries and lower the risk of cancer. It can be used as a replacement for coffee because it contains a sufficient amount of caffeine to provide the daily necessary dose. Furthermore, it contains no calories and it can be extremely effective in the weight loss process if you are on a diet because the beverage reduces the cholesterol levels. English Breakfast Tea side effects The only reported side effects of English Breakfast Tea consumption are those associated with caffeine consumption, such as anxiety. For people who find it hard to tolerate the caffeine, there are a number of decaffeinated alternatives. The strong and smooth taste of English Breakfast Tea, sweetened or not, will complement your meal at any moment throughout the day! The refreshing aroma of this extremely popular black tea is guaranteed to turn it into a personal favourite for any tea lover.... english breakfast tea

See CHEST, DEFORMITIES OF.... pigeon breast

Sites suitable for egg-laying and satisfactory for all aquatic stages of development.... preferred breeding sites

Roxb.

Family: Chenopodiaceae.

Habitat: Sea coast from Bengal to Gujarat.

Folk: Kohlu (Andhra Pradesh).

Action: Ash—used in mange and itch.

Air-dried plant contains 8.97% ash; a high percentage of sodium and chloride ions (sodium 5.68, chloride 10.02%). The plant is a source of alkaline earth (called Sajji), used for extracting sodium carbonate.... salicornia brachiata

Black tea is popular since ancient times when it was used even for meditation. Irish Breakfast black tea has lots of benefits if you drink it moderately and follow the storage instructions. Short description of Irish Breakfast tea Irish breakfast tea is a mixture of strong Indian black teas grown in Assam region. As a black tea, it has a strong flavour and higher caffeine content than green teas but considerably less than coffee. This type of tea is obtained allowing the tea leaves to fully oxidize naturally before being dried. The leaves are left to dry in wooden boxes, then rolled and stretched damp and cold. This process gives black leaves. In Chinese tradition it is also named Hongcha. This type of black tea keeps its flavor better and longer than green tea. Infusion color goes from dark red to brown and may have many intense flavors like almonds, wild flowers, fruits or malt. Due to its strength, Irish breakfast tea is usually served with milk, but may also be consumed plain or with lemon or sugar. This type of tea is often drunk in the morning. When it comes to storage, it is advisable to keep Irish Breakfast tea in ceramic, porcelain containers or in metal airtight boxes in a clean dry air light place. Don’t keep the tea in the refrigerator as it will lose its flavor because of too much moisture. Ingredients of Irish Breakfast tea Like most teas, the Irish breakfast tea version contains flavanoids, which contain anti-oxidative properties when consumed. Recent studies have shown that this type of tea also contains more caffeine than other teas. How to prepare the Irish Breakfast tea If you are using tea bags, usually use 1 tea bag per cup of water. Pour boiling water, in order to cover the leaves. Allow the Irish Breakfast tea to infuse for 3-5 minutes allowing the steam to release the leaves’ flavor. After that, remove the leaves, blend, let it cool for a few moments and enjoy. Your specific tea may come with a recommendation for preparation and brewing as well. Benefits of Irish Breakfast tea Like other black teas, consumption of Irish Breakfast tea has many health benefits. Drinking Irish Breakfast tea strengthens teeth and bones and helps boost the immune system keeping the viruses away. It also prevents tooth decay. It blocks LDL (bad) cholesterol and increase HDL (good) cholesterol, which improves artery function. The essential oils in tea leaves help digestion. Caffeine contained in this type of tea has many positive functions like relieving headaches, improving mood and helping concentration. It is also considered an old remedy for asthma symptoms. It also eliminates tiredness. Irish Breakfast tea reduces tumor growth. Some studies showed that TF-2 substance contained in tea, cause destruction of colon and rectum cancer cells, contributing to tumor reduction. Researchers also found that the benefits of black tea may include lowering the risk of heart attack and stroke. According to their findings, certain compounds found in the tea help relax and expand the arteries, thus increasing blood flow to the heart and minimizing clogging of the arteries. It is said that 4 cups of Irish Breakfast tea daily lower with 50% the risk of heart attack. Side effects of Irish Breakfast tea The side effect of Irish Breakfast tea may arise if you drink too much. They are mostly associated with caffeine may cause restlessness, palpitations, difficulty sleeping, anxiety, irritability, increased heart rate, and elevated blood pressure. Caffeine is also diuretic. Due to its interesting flavors and benefits, Irish Breakfast teas are suitable for regular consumption, but always remember to keep your moderation when you drink it.... irish breakfast - a well known type of black tea

Wall.

Family: Boraginaceae.

Habitat: Kashmir and Kumaon.

English: Borage.

Ayurvedic: Gojihvaa, Kharpatraa, Darvipatraa, Vrishjihvaa.

Unani: Gaozabaan (related species).

Siddha/Tamil: Ununjil.

Action: Cooling, astringent, diuretic, cardiac tonic. Used for cold, cough, bronchial affections; insomnia, depression, mental exhaustion; constipation, misperistalsis, jaundice; dysuria, urethral discharges; fevers.

The name Gaozaban is applied to six different plants, belonging to five genera. According to The Wealth ofIn- dia, Gaozaban is derived not from this plant but from Anchusa strigosa Labill, which occurs in Iran. Kashmiri Gaoz- aban is derived from Macrotomia ben- thamii. Coccinia glauca is also used as Gojihvaa.

Borage has been equated with Bora- go officinalis Linn. (Boraginacea.).

Dosage: Dried leaves and stems, flowers—3-6 g powder.... onosma bracteatum

Musician’s breast.

Alternatives:– External treatment. Lotion – few drops Tincture Arnica in eggcup of water. Aloe Vera or Comfrey cream. Marshmallow and Slippery Elm ointment. ... breast, guitar nipple

To soften. Creams: Calendula, Chickweed, Aloe Vera, Evening Primrose. Castor oil (cold compress). ... breasts, hard

To reduce.

Tea. Rosemary. 1 teaspoon to each cup boiling water; infuse 15 minutes; dose – half-1 cup thrice daily. Tea. Sage. 2 teaspoons to each cup boiling water; infuse 15 minutes; dose – half-1 cup thrice daily. Old hospital remedy: Epsom’s salts. ... breasts, milk excessive

Bathe nipple with Vodka or gin. ... breasts, nipple – to harden

To reduce.

Internal:– Nettles, Agnus Castus, Poke root, Pipsissewa leaves. Teas, powders or tinctures thrice daily. External:– Engorgement from breast-feeding – massage with Calendula cream or Almond oil. ... breasts, over large

Oolong tea, literally meaning “Black Dragon”, is a traditional Chinese beverage which undergoes a unique preparation process resulting in a reddish drink with a slightly sweet delicate flavour. Oolong tea is partially fermented, unlike black tea, which is fully fermented, or green tea, which is unfermented. Oolong Tea Brewing Oolong tea requires a higher brewingtemperature in order to extract the complex aromas of the tea leaves. It is recommended to use spring or filtered water heated at a temperature of approximately 90 degrees Celsius. The steeping process for most Oolong teas should last no longer than five minutes. If this period is extended for too long, it may ruin the delicate aromas and turn your cup of tea unpleasantly bitter. Oolong teas are best served plain, but you can add milk, sugar, honey or lemon according to your taste. Oolong Tea Health Benefits Oolong tea, a hybrid between black and green tea, has numerous health benefits, especially if consumed regularly. Drinking Oolong tea stimulates brain activity and relieves mental and physical stress. Oolong tea has the potential of reducing high blood pressure, lowering blood sugar levels and preventing serious afflictions like obesity, osteoporosis, tooth decay, cancer or heart disease. Oolong tea accelerates the metabolism and promotes weight loss. Another health benefit of Oolong tea is its effectiveness in treating skin problems such as eczema and rashes and combating skin aging. Oolong Tea Side Effects Although drinking Oolong tea is extremely beneficial for the body, it can also lead to unpleasant side effects when consumed in large quantities, therefore moderation is required. These side effects include sleeping difficulties, anxiety or irritability, most of them related to excessive caffeine intake. It is not recommended for pregnant women and people suffering from kidney disorders. Furthermore, oolong tea has been proven to interact with certain medications; therefore, people who undertake treatment are advised to consult a health care provider first. Oolong tea is extremely effective in keeping your energy levels up, due to its caffeine content, and it also increases brain function, helping you maintain active and aware throughout the day.... oolong tea health benefits, side effects and brewing

Plantago species

Description: The broad leaf plantain has leaves over 2.5 centimeters across that grow close to the ground. The flowers are on a spike that rises from the middle of the cluster of leaves. The narrow leaf plantain has leaves up to 12 centimeters long and 2.5 centimeters wide, covered with hairs. The leaves form a rosette. The flowers are small and inconspicuous.

Habitat and Distribution: Look for these plants in lawns and along roads in the North Temperate Zone. This plant is a common weed throughout much of the world.

Edible Parts: The young tender leaves are edible raw. Older leaves should be cooked. Seeds are edible raw or roasted.

Other Uses: To relieve pain from wounds and sores, wash and soak the entire plant for a short time and apply it to the injured area. To treat diarrhea, drink tea made from 28 grams (1 ounce) of the plant leaves boiled in 0.5 liter of water. The seeds and seed husks act as laxatives.... plantain, broad and narrow leaf

W. & A.

Synonym: S. acidum Voigt.

Family: Asclepiadaceae.

Habitat: Dry places in West Bengal, Bihar and Peninsular India.

English: Moon Plant, Soma Plant.

Ayurvedic: Somavalli, Somalataa, Somakshiri, Saumyaa, Dwijpriyaa. (Not to be confused with Soma of the Vedas.) (Substitute: Ephedra gerardiana.)

Siddha/Tamil: Somamum, Kodi- Kalli.

Action: Dried stems—emetic. Plant—insecticidal.

The plant contains malic acid, suc- cinic acid, reducing sugar, surcosa, traces of tannin, an alkaloid, a phytos- terol, alpha-and beta-amyrins, lupeol and lupeol acetate and beta-sitosterol. The milky exudate from the stem contains 4.1% of caoutchouc. Coagulum contains: caoutchouc 16, resins 68.1 and insolubles 15.9%.

Related species, Sarcostemma bru- nonianum W. & A. (South India), known as Perumaattaan kodi in Tamil Nadu; S. intermedium Decne (Peninsular India), and S. stocksii Hk. f. (Peninsular India), are also said to have similar uses as those of S. acidum.

Sarcostemma secamone (L.) Bennet, synonym S. esculentum (L. f.) Holm. (throughout the plains in semi marshy places) is known as Dughdhikaa or Duudhilataa in Northern India and Usippalai in Tamil Nadu. Whole plant is depurative, galactagogue and antiseptic (used as a gargle in sore throat and stomatitis; fresh root is prescribed in jaundice. A pregnane triglycoside, esculentin and cardenolide tetraglyco- sides have been isolated from the root.

Dosage: Milky exudate from stem— 1-3 drops. (CCRAS.)... sarcostemma brevistigma

To increase size and firm, native women of Costa Rica use Saw Palmetto berries. The traditional combination of Saw Palmetto, Kola and Damiana are available in tablet or capsule form.

Peruvian bark. Liquid Extract, BPC (1954), 0.3-1ml in water, thrice daily.

Diet. Adequate protein is essential for a healthy-looking bust. Fenugreek seed tea. Favourable results reported. ... breasts, underdeveloped

 Aloe Vera. From time immemorial women of Northern Ethiopia have applied to their nipples raw juice of Aloe Vera to discourage the child from suckling. European tradition favours Rosemary, internally and externally. ... breasts, weaning

Accelerated inspiration, followed by slow expiration is usually not serious. May accompany fevers and certain nervous disorders for which no specific treatment is necessary. Where condition is chronic the causal factor should be investigated. Any underlying condition should be treated. For transient irregularity:–

Teas: Balm, Motherwort, Mistletoe, Lime flowers. Tablets/capsules. Lobelia, Hawthorn, Motherwort, Valerian. ... breathing irregularities

Strawberry tea is a refreshing summertime fruity beverage. The fruit is nutritious, tasty and low in calories, having an uplifting effect. Some of the most important strawberry ingredients include antioxidants, vitamins C, K, B5 and B6, magnesium and potassium, all of which bring numerousbenefits for the organism and strengthen our metabolism. Strawberry Tea Brewing Use fresh water heated at a temperature of 100 degrees Celsius and steep it for at least too or three minutes in order to extract the beneficial compounds and to attain the full flavour of delicious juicy strawberries. Strawberry tea is a tasty drink that can be consumed plain, but you may also add sugar or honey according to personal preferences. Strawberry Tea Health Benefits Strawberry tea consumption can bring many health benefits for the human body. Strawberries have an important nutritional value, containing vitamin C and folic acid, which enhances the production of healthy red blood cells. Another strawberry tea compound is calcium, which enhances the production of milk; therefore the drink is highly beneficial for nursing or pregnant women. Strawberry tea is effective in relieving the symptoms of certain skin conditions such as eczema. The tea made from strawberry leaves has been traditionally used in the treatment of dysentery and diarrhea. There is evidence that shows some strawberry tea compounds might aid in the lowering of cardiovascular disease and cancer risk. Strawberry Tea Side Effects Strawberry tea is not known to have any seriousadverse effects, but it may cause allergic reactions in people who are sensitive to the fruit. It is also advisable to consult a specialist if you are taking any blood-thinning medications, as their effectiveness may be increased by some strawberry compounds which can lead to more unpleasant side effects such as bleeding. You can enjoy a delightful cup of strawberry tea at any point throughout your day, but this enticing, fresh and aromatic drink goes well on your breakfast tray or along a delicious dessert.... strawberry tea benefits and brewing

Tea is the perfect choice for a breakfast beverage. Even if coffee might help you sober up, tea is healthier and much more natural. Find out more about teas for breakfast! Why drink tea for breakfast During winter, starting your day with a hot beverage is the best solution. Tea is a better choice than coffee; even teas that are made from the Camellia sinensis plant (which contains caffeine) have smaller caffeine content than a normal cup of coffee. With so many flavors, you are bound to find something that will suit your taste. You can choose the tea you want to drink based on possible health problems, as well. Also, during summer, you can start the day with a cool, refreshing glass of iced tea. Proper teas for breakfast Considering the many varieties of tea that exist all around the world, it’s hard to choose just one and say it is the best for breakfast. Tea choice differs from one person to another, based on each of our preferences. There are various blends which are often recommended during breakfast. Two of them are English Breakfast tea and Irish Breakfast tea. They are both black tea blends with quite high caffeine content. Generally, teas made from the Camellia Sinensis plant (black tea, green tea, oolong tea, and white tea) are often drunk during breakfast. They count as a natural replacement for coffee, thanks to their caffeine content. These teas for breakfast include Rooibos tea, Bai Hao oolong tea, Earl Grey tea, Assam tea, Ceylon tea, or Japanese green teas (sencha tea or matcha tea). It is recommended that children should not drink teas with caffeine content. In their case, fruit-flavored teas are the best choice for a hot, morning beverage. Benefits of teas for breakfast Each type of tea comes with its own health benefits, which should encourage you to enjoy a cup of warm tea every morning. Health benefits of teas for breakfast which have caffeine content include mental alertness. The caffeine found in tea helps us wake up and focus even during the early hours of the morning. Other health benefits of teas with caffeine content (made from the Camellia sinensis plant) are: reducing the risk of getting cancer, lowering high blood pressure, helping us lose weight. Side effects of teas for breakfast Just like health benefits, side effects also vary from one type of tea to another. However, the main ones are related to the caffeine content found in teas for breakfast made from the Camellia sinensis plant. Caffeine content can lead to headaches, nervousness, sleep problems, vomiting, diarrhea, irritability, irregular heartbeats, tremors, dizziness, ringing in the ears, or convulsions. Don’t drink any of these teas (black tea, green tea, white tea, oolong tea) if you know caffeine is not good for you. Also, it is recommended not to give any of these teas to children, pregnant women or those who are breastfeeding. In this case, choose an herbal or fruit-flavored tea. Though even in this case, make sure you talk to a doctor first, as they can have their own side effects, as well. Tea is definitely a must when taking breakfast. Whether cold during summer or hot during winter, it is the ideal beverage. No matter the flavor, enjoy your tea for breakfast!... tea for breakfast

Equal parts: Agrimony, Great Burnet, Meadowsweet, Raspberry leaves, Wood Betony. Infuse as domestic tea, as strong and as frequently as desired. ... british herb tea

World-accepted work. New edition published: 1990, fully revised and updated. Over 80 monographs. Official publication of the British Herbal Medicine Association to set and maintain standards of herbal medicine. Does not contain Therapeutic Section and index that appear in the 1983 edition, but describes macroscopical and microscopical characteristics. Quantitative standards, methods of identification, commercial form and source and description of the powdered form. BHP 1990 vol 1 is available from BHMA Publications, PO Box 304, Bournemouth, Dorset, England BH7 6JZ (£35). Abbreviation: BHP. ... british herbal pharmacopoeia

Published six-monthly by the School of Phytotherapy (Herbal Medicine), edited by Hein Zeylstra. Scientific journal for the professional. Enquiries: School of Phytotherapy, Bucksteep Manor, Bodle Street Green, near Hailsham, East Sussex BN27 4RJ, UK. ... british journal of phytotherapy

(Lam.) Viogt.

Synonym: T. palmata Roxb. T. lepiniana (Naud.) Cogn. Involucraria lepiniana Naud.

Family: Cucurbitaceae.

Habitat: Throughout India, in moist places.

Ayurvedic: Indravaaruni (red var.), Vishaalaa, Mahaakaala, Mahendra-vaaruni.

Folk: Mahkaar, Maakaal, Laal Indraayana, Kondal.

Action: Same as that of Citrullus colocynthis. The fruits are poisonous. The seed extract show haemagglutinating activity. Fruit— cathartic, antiasthmatic (the fruit is smoked in asthma and lung diseases), anti-inflammatory (used for rheumatic affections, weakness of limbs, dental diseases, hemicrania).

The root gave tetrahydroxypenta- cyclic triterpenoid, trichotetrol. Cy- clotrichosantol and cycloeucalenol have been isolated from the leaves.... trichosanthes bracteata

Uva Ursi Tea has been known to practitioners around the globe for many centuries thanks to its active constituents that bring relief in case of liver malfunction. Uva Ursi, also known as bearberry (because the bears seem to be very fond of these berries), is a shrub with wide branches, pale green leaves and pink flowers. The fruits are usually round and red, with black seeds. It’s not very tall: usually, it doesn’t grow taller than 3 to 6 inches and you can find it mainly in the rocky areas. Uva Ursi Tea Properties Uva Ursi Tea is a well known treatment for internal conditions of both the digestive and the respiratory system. The parts used to make tea are the leaves and sometimes the stem fragments which contain phenolic glycoside or arbutin, a strong astringent with antiseptic effects. The pharmaceutical companies used the Uva Ursi extract to facial cleansers and acne treatments. Thanks to its other important ingredients, hydroquinone, tannins, hyperoside, monotropein and triterpenes, Uva Ursi Tea became more popular every year, being used many times as a panacea. Uva Ursi Tea Benefits Aside from its antimicrobial and antibacterial properties, Uva Ursi Tea is a great remedy in case you are suffering from one of the following conditions: - Urinary tract infections or vaginitis, by disinfecting the affected area and enhancing the alkaline level. - Kidney infections caused by accumulations of uric acid that may also lead to kidney stones and other related problems. - Bronchitis and nephritis, by calming the inflammations and inhibiting the mucus and phlegm production. - Back pains, thanks to its elevated vitamin C level that refreshes the entire system and helps you maintain a good general health. - Lithuria, cystitis, dysuria, pyelitis and other internal problems. How to make Uva Ursi Tea Infusion When you are preparing Uva Ursi Tea, there’s one thing you need to keep in mind: Uva Ursi leaves are slightly impervious to water, so what you want to do is soak them in hot water first. Use one teaspoon of leaves for every cup of tea you want to make. Put the herbs in a teapot, add water and let it boil for 15 or 20 minutes. Uva Ursi leaves are quite woody so you need to wait a little longer for the active ingredients to be released. Drink it hot or cold, but not more than 2 cups per day. Uva Ursi Tea has a gentle, aromatic and citric flavor. Uva Ursi Tea Side Effects When taken properly, Uva Ursi Tea is safe. However, high dosages may lead to a number of allergic reactions or problems, such as nausea, vomiting, discoloration of the urine, liver damage, convulsions and even death. If you are experiencing an unusual episode after taking Uva Ursi Tea, ask a specialist and don’t try to treat it yourself at home! Uva Ursi Tea Contraindications Pregnant and breastfeeding women should avoid taking Uva Ursi Tea. Also, if you are allergic to vitamin C, don’t start a treatment based on Uva Ursi Tea under no circumstances! It may cause you irreparable damages. Before taking any kind of herbal treatment, talk to a herbalist or just ask your doctor. If he says it’s ok, add Uva Ursi Tea to your shopping list and give it a try! Enjoy the wonderful benefits of this tea responsibly!... uva ursi tea - bronchitis treatment

Provides authoritative standards for the quality of many substances, preparations and articles used in medicine and pharmacy, and includes the monographs of the European Pharmacopoeias. A legally enforceable document throughout the UK, most of the Commonwealth and many other countries, and is an indispensable laboratory handbook for all concerned with the quality of medicines. Published on the recommendation of the Medicines Commission pursuant to the Medicines Act 1968. Published by Her Majesty’s Stationery Office, London. The most useful BPC for the herbal practitioner is the BPC 1934. ... british pharmacopoeia, the

(Vivia faba), leguminosae.

Contain natural L-dopa which penetrates the intestinal epithelial cells and is transported through the blood stream to the brain capillaries where it is converted into dopamine, of value in the nutrition of Parkinson patients.

Beans should be eaten, not when fully mature, but when young, with a thin skin and easy to digest. Ninety per cent afflicted with Parkinson’s disease at an early age respond quickly. It is easily oxidised two or three days after harvest and vanishes completely as the plant stops growing and begins to dry. Patients report a marked improvement each time they eat a meal of fresh broad beans and may not require drug treatment “for many hours”. The young beans are immersed in boiling water for three minutes, and may be eaten as a preventative. ... beans, broad

Usually associated with some loss of sensation and power in another part of the body. Taste, smell, hearing, sight and movement may be affected. The following are some of the disorders that may affect the brain. Each has a separate entry in this book.

Abscess, Alzheimer’s Disease, anoxia (oxygen starvation), coma, concussion, haemorrhage, Down’s syndrome, epilepsy, tumour, hydrocephalus (water on the brain), meningitis, multiple sclerosis, stroke (rupture of blood vessel), spina bifida, syphilis (general paralysis of the insane), sleepy sickness.

Poor circulation through the brain due to hardening of the arteries: Ginkgo, Ginseng. Ginseng stimulates the hypothalmic/pituitary axis of the brain and favourably influences its relationship with the adrenal glands.

Congestion of the brain – Cowslip (Boerwicke). Irritability of brain and spine – Hops. Oats. Inflammation of the brain (encephalitis) as in viral infection, poliomyelitis, rabies, sleepy sickness, etc: Echinacea, Passion flower, Skullcap and Lobelia. Gelsemium acts as a powerful relaxant in the hands of a practitioner: Tincture BPC (1973): dose 0.3ml.

Brain storm from hysteria, locomotor ataxia, etc – Liquid Extract Lobelia: 5ml teaspoon in water when necessary (Dr Jentzsch, 1915, Ellingwood) Supplement with Zinc, Vitamins C and E.

Blood clot, thrombosis: Yarrow. Neurasthenia: Oats, Basil, Hops.

Brain fag and jet-lag: Chamomile, Skullcap, Oats, Ginseng, Ginkgo.

Tumour may be present years before manifesting: Goldenseal.

Mental state: depression, anxiety, schizophrenia.

Tea. Formula. Skullcap, Gotu Kola and German Chamomile; equal parts. 1 heaped teaspoon to each cup water gently simmered 10 minutes. Strain. 1 cup thrice daily.

Unspecified tensive state. Formula. Tinctures. Hops 1; Passion flower 2; Valerian 2. Dose: 2 teaspoons thrice daily until diagnosis is concluded.

Unspecified torpor. Formula. Tinctures. Ginseng 1; Kola 1; Capsicum quarter. 2 teaspoons in water thrice daily until diagnosis is concluded.

Brain weakness in the elderly: Ginkgo. See: ALZHEIMER’S DISEASE.

Fluid on the brain: see HYDROCEPHALUS.

Abscess of the brain: see ABSCESS.

Brain restoratives. Black Haw, True Unicorn root, Galangal, Oats, Oatstraw, False Unicorn root, Kola, Hops. Vitamin B6. Magnesium.

Cerebral thrombosis. See entry.

Note: Cold water may help victims to survive: rapid loss of body heat protects the brain. (Child Health Department, University of Wales)

Treatment by or in liaison with general medical practitioner or hospital specialist. ... brain disorders

Surgical operation for removal of the breast. Follow-up treatment to promote healing with minimum scarring. Marigold, St John’s Wort (Hypericum), Oil of Evening Primrose. Vitamin E. Fenugreek seeds.

Alternatives. Tea. Equal parts: Marigold petals, St John’s Wort, Mullein. 2 teaspoons to each cup boiling water; infuse 15 minutes. 1 cup 3 or more times daily.

Tissue regeneration. Fenugreek tea.

Capsules. Oil of Evening Primrose: 2 × 250mg, 3 times daily.

Liquid Extract Blue Cohosh BHP (1983) 7-15 drops (0.5-1ml).

Topical. Oil of Evening Primrose. Comfrey dusting powder. Aloe Vera juice. Vitamin E cream. Diet. Lacto-vegetarian.

Information. BCC, Free Help Line. UK telephone: 0500 245345. ... breasts, mastectomy

Inflammation of the breast. Maybe of the new born, of puberty; associated with mumps, abscess; or occurs during breastfeeding when a milk duct may become blocked and infected by bacteria – usually Staphylococcus aureus. Mothers should suckle the baby until the breast is completely empty. Chronic mastitis is known as fibro adenosis. Should acute mastitis get out of hand, abscess may form requiring more drastic treatment such as incision to release pus.

Symptoms. Local tenderness, feverishness, general agitation. Pain following mumps. Nipple discharge. Alternatives. Where there is feverishness add Elderflowers (one part).

Tea. Combine equal parts: Comfrey leaves. Wild Thyme. German Chamomile. Red Clover. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. Drink freely.

Tablets/capsules. Poke root. Red Clover. Echinacea.

Powders. Formula: Echinacea 2; Red Clover 1; Poke root 1. Mix. Dose: 500mg (two 00 capsules or one- third teaspoon) thrice daily.

Tinctures. Formula. Echinacea 2; Marigold 1; Agnus Castus 2; Poke root 1. Dose: 1-2 teaspoons thrice daily, in water.

Poultice: (1) Fresh Plantain leaves beaten in pestle and mortar, applied cold. (2) Comfrey powder or Slippery Elm powder (or both) sprinkled on suitable material wrung out in boiling water and applied. (3) German Chamomile and Comfrey leaves. (Arthur Hyde, MNIMH) (4) Bring to boil, equal parts Chamomile flowers and Marshmallow leaves in milk and water. Remove when boiling point is reached. Saturate linen or suitable material. Apply every 12 hours. (Rev. John Wesley) (6) Bathe with juice of Houseleek. (Traditional, Norfolk villages)

Evening Primrose oil: internally and externally.

Poke root. An important ingredient of prescription for acute condition. ... breasts, mastitis

A fetid sweat caused by chemical change and the action of bacteria, usually in the armpit or on the feet. See: SWEATING, EXCESSIVE. ... bromidrosis

Herbs that expand the clear space within the bronchial tubes, thus opening-up airways and relieving obstruction. Effective for asthma, bronchitis, emphysema. May help cystic fibrosis, bronchiectasis and relieve cough. Ephedra, Euphorbia hirta, Lobelia, Mouse Ear, Sundew, White Horehound, White Squills, Wild Thyme. ... bronchodilators

To promote milk production: Alfalfa, Aniseed, Borage, Caraway, Centuary, Balm, Dill, Fennel, Goat’s Rue, Holy Thistle, Nettles, Burnet Saxifrage, Bitter Milkwort, Marshmallow root, Raspberry leaves, Vervain. John Parkinson (1640) recommended Agnus Castus. Formula (1). Fenugreek seeds 2; Aniseeds 1. Mix. 2 teaspoons to each cup water gently simmered 2 minutes in a covered vessel. Dose: 1 cup 3 or more times daily. Consume seeds.

Formula (2). Equal parts: Goat’s Rue, Raspberry leaves. Mix. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. Dose: 1 cup 3 or more times daily.

Tablets/capsules. Agnus Castus, Fenugreek, Borage. ... breasts, milk scanty

Due to a number of causes. Unlike colostrum secreted during breast-feeding after delivery. A pathological nipple discharge is non-milky, recurs from time to time, and is usually only from one nipple. It may be watery or a sticky yellow, staining being detected on bra or pyjamas. When blood-flecked it should be promptly investigated by a competent authority.

When the discharge is yellow, indicating pus, an infection is suspected which may develop into an abscess. Herbal treatment can be effective but if, after a week, the condition has not improved surgical exploration may be necessary to remove the affected duct.

Alternatives. Clivers, Goldenseal, Fenugreek, Marigold, Poke root, Queen’s Delight, Wild Indigo. Taken as tea, powder, liquid extract or decoction.

Tea. Formula. Equal parts: Red Clover, Clivers, Gotu Kola. 2 teaspoons to each cup boiling water; infuse 15 minutes. Half-1 cup thrice daily.

Powders. Formula. Wild Indigo 1; Echinacea 2; Poke root 1. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.

Tinctures. Formula. Echinacea 2; Goldenseal 1; Poke root 1. Dose: 30-60 drops thrice daily.

Topical – for sore nipples. Wheatgerm oil, Evening Primrose oil. Lotions: Goldenseal, Marigold, distilled extract of Witch Hazel. Nipples to be washed before a child is again put to the breast. Cracked nipples: Comfrey – pulp from fresh plant, or equal parts powder and milk as a paste.

Minerals: magnesium, zinc. ... breasts, nipples, discharge

Inability to cope with incessant demands of the child. Heaviness of shoulders and back. Headache, pains, possible anaemia, lack of energy, insomnia, mental depression. Usually a combination of invigorating herb teas suffices. Alcohol-based tinctures, liquid extracts, etc, are contra-indicated. Bananas, to counter potassium deficiency. Oatmeal porridge. Alternatives. Teas. Oats. Raspberry leaves. Ginseng, Wood Betony, Vervain.

Gerard tea. Equal parts: Raspberry leaves, Lemon Balm leaves, Agrimony leaves. Mix. Made as ordinary tea: 2-3 teaspoons to small teapot; infuse few minutes. Drink freely.

Fenugreek tea: consume seeds as well as liquor.

Gentian root. 2 teaspoons to cup cold water left to steep overnight. Half-1 cup before meals.

Pollen..

Diet. Oatmeal porridge. Honey.

Supplements. Multivitamins, B-complex, B6, B12. ... breasts, nursing mother exhaustion

May be from hormonal imbalance for which Agnus Castus is almost specific.

Rosemary. 1 teaspoon leaves to cup boiling water; infuse 15 minutes. Half-1 cup 2-3 times daily.

Tea. Formula. Equal parts leaves, Agnus Castus, Rosemary, Balm. 1-2 teaspoons to each cup boiling water; infuse 15 minutes; 1 cup 2-3 times daily.

Evening Primrose oil. 10 drops (or 2 × 250ml capsules) 3 times daily.

Poke root. Internally and externally.

Yorkshire gypsy device: fix a cabbage or a rhubarb leaf beneath brassiere.

Liquid Extract Blue Cohosh BHP (1983): 0.5-1ml, Thrice daily. Alternative: Liquid Extract Rosemary BHP (1983): 2-4ml. Thrice daily.

Vitamins. All-round multivitamin and mineral supplement. Vitamin C (1g daily). Vitamin E (400iu daily). ... breast (female) tenderness, pain

Glomerulonephritis. Recognised by slight puffiness of the eyes and a dropsical accumulation of fluid in body cavities. Blood pressure rises. Appetite disappears. Digestion is deranged, urine may be blood-stained and a variety of symptoms present as dizziness, headache, nausea. Commonly caused by post streptococcal throat infection circulating in the blood, yet it is now known that the condition may arise from exposure to common garden insecticides and toxic substances of commercial importance that alter the body’s immune system and affect kidney function.

Acute toxic nephritis is possible in the convalescent stage of scarlet and other infectious fevers, even influenza. Causes are legion, including septic conditions in the ear, nose, throat, tonsils, teeth or elsewhere. Resistance to other infections will be low because of accumulation of toxins awaiting elimination. When protein escapes from the body through faulty kidneys general health suffers.

This condition should be treated by or in liaison with a qualified medical practitioner.

Treatment. Bedrest essential, with electric blanket or hot water bottle. Attention to bowels; a timely laxative also assists elimination of excessive fluid. Diuretics. Diaphoretics. Abundant drinks of bottled water or herb teas (3-5 pints daily). Alkaline drinks have a healing effect upon the kidneys. Juniper is never given for active inflammation.

Useful teas. Buchu, Cornsilk, Couchgrass, Clivers, Bearberry, Elderflowers, Marshmallow, Mullein, Marigold flowers, Wild Carrot, Yarrow.

Greece: traditional tea: equal parts, Agrimony, Bearberry, Couchgrass, Pellitory.

Powders. Equal parts: Dandelion, Cornsilk, Mullein. Dose: 750mg (three 00 capsules or half teaspoon) every 2 hours. In water or cup of Cornsilk tea.

Tinctures. Equal parts: Buchu, Elderflowers, Yarrow. Mix. Dose: 1-2 teaspoons in water or cup of Cornsilk tea, every two hours.

Topical. Hot poultices to small of the back; flannel or other suitable material saturated with an infusion of Elderflowers, Goldenrod, Horsetail or Yarrow. Herbal treatment offers a supportive role. ... bright’s disease (acute)

Ruscus aculeatus, L. Rhizome.

Action: diuretic, diaphoretic, laxative, deobstruent, anti-inflammatory, veinous tonic. Action similar to Wild Yam: used in synthesis of steroid hormones. Antispasmodic. Haemostatic.

Uses: Varicose veins, piles, jaundice, obstructed menstruation, sluggish circulation, oedema. To arrest haemorrhage.

Decoction: half an ounce fine-cut herb to 1 pint water simmered gently 20 minutes. Dose: half-1 cup thrice daily.

Powder, capsules: 270mg. 3 capsules twice daily during meals. (Arkocaps)

Endopharm capsules for piles. ... butcher’s broom

Chronic glomerulonephritis. The final stage. May follow the sub- acute stage or repeated attacks of the acute stage. Kidneys small and white due to scar tissue. Amount of urine passed is considerably increased, pale and low specific gravity. Kidneys ‘leak’ protein in large quantities of water passed, their efficiency as filters greatly impaired. Tissues of eyelids and ankles waterlogged. Symptoms include loin pain, anaemia, loss of weight, progressive kidney damage.

A constant fear is the onset of uraemia caused by accumulation in the blood of waste by-products of protein digestion, therefore the patient should reject meat in favour of fish. Eggs and dairy products taken in strict moderation.

Where urea accumulates in the circulation ‘sustaining’ diuretics are indicated; these favour excretion of solids without forcing the discharge of more urine: including Shepherd’s Purse, Gravel root, or Uva Ursi when an astringent diuretic is needed for a show of blood in the urine. According to the case, other agents in common practice: Dandelion root, Yarrow, Hawthorn, Marigold, Stone root, Hydrangea. Parsley Piert, Buchu, Hawthorn, Golden Rod.

The patient will feel the cold intensely and always be tired. Warm clothing and ample rest are essential. Heart symptoms require treatment with Lily of the Valley or Broom.

This condition should be treated by or in liaison with a qualified medical practitioner.

Treatment. As kidney damage would be established, treatment would be palliative; efforts being to relieve strain and obtain maximum efficiency. There may be days of total bed-rest, raw foods and quiet. Consumption of fluids may not be as abundant as formerly. Soothing herb teas promote well-being and facilitate elimination. Oil of Juniper is avoided.

Efforts should be made to promote a rapid absorption – to restore the balance between the circulation and the lymphatics. For this purpose Mullein is effective. A few grains of Cayenne or drops of Tincture Capsicum enhances action.

Indicated. Antimicrobials, urinary antiseptics, diuretics, anti-hypertensives. For septic conditions add Echinacea.

Of Therapeutic Value. Alfalfa, Broom, Buchu, Couchgrass, Cornsilk, Dandelion, Lime flowers, Marigold, Mullein, Marshmallow, Parsley Piert, Periwinkle (major), Wild Carrot, Water Melon seed tea. Tea. Combine equal parts: Couchgrass, Dandelion, Mullein. 2 teaspoons to each cup boiling water. Infuse 5-15 minutes. 1 cup freely.

Powders. Combine equal parts: Stone root, Hydrangea, Hawthorn. Dose: 500mg (two 00 capsules or one-third teaspoon) 3 or more times daily in water or cup Cornsilk tea. A few grains Cayenne enhances action. Formula. Buchu 2; Mullein 2; Echinacea 1; Senna leaves half. Mix. Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. In water or cup Cornsilk tea 3 or more times daily. 2-3 drops Tincture Capsicum to each dose enhances action.

Diffusive stimulant for the lymphatic vessels. Onion milk is an effective potassium-conserving diuretic and diaphoretic. Onions are simmered gently in milk for 2 hours and drunk when thirsty or as desired – a welcome alternative to water. May be eaten uncooked.

Diet. Salt-free, low fat, high protein. Spring water. Raw goat’s milk, potassium broth. Fish oils. Avoid eggs and dairy products. No alcohol.

Supplements. Vitamins A, B-complex, C plus bioflavonoids, B6, D, E, Magnesium, Lecithin. Herbal treatment offers a supportive role. ... bright’s disease (chronic)

1990 provides data complementary to each monograph in the British Herbal Pharmacopoeia 1990. Sections on constituents and regulatory status, therapeutic action and indications for use. A valuable text for the practitioner, manufacturer and all involved in herbal medicine. Therapeutic Section records observations and clinical experience of senior practitioners (members of the National Institute of Medical Herbalists). Compiled by the British Herbal Medicine Association Pharmacopoeia Commission which includes scientists, university pharmacognosists, pharmacologists, botanists, consulting medical herbalists, and medical practitioners in an advisory capacity. See abbreviation BHC under preparations. ... british herbal compendium

Before the Medicine’s Bill proceeded to the Statute book to become the Medicine’s Act 1968, so great was the threat to the practice of herbal medicine and sale of herbal preparations, that the profession and trade were galvanised into mobilising opposition. Thus, the British Herbal Medicine Association was formed in 1964. In the ensuing struggle, important concessions were won that ensured survival.

The BHMA is recognised by the Medicines Control Agency as the official representative of the profession and the trade. Its objects are (a) to defend the right of the public to choose herbal remedies and be able to obtain them; (b) to foster research in herbal medicine and establish standards of safety which are a safeguard to the user; (c) to encourage the dissemination of knowledge about herbal remedies, and (d) do everything possible to advance the science and practice of herbal medicine, and to further recognition at all levels.

Membership is open to all interested in the future of herbal medicine, including herbal practitioners, herbal retailers, health food stores, wholesalers, importers, manufacturers, pharmacists, doctors and research workers.

The BHMA produces the British Herbal Pharmacopoeia. Its Scientific Committee is made up of senior herbal practitioners, university pharmacologists and pharmacognosists. Other publications include: BHMA Advertising Code (1978), Medicines Act Advertising guidelines (1979), the Herbal Practitioner’s Guide to the Medicine’s Act (F. Fletcher Hyde), and miscellaneous leaflets on ‘Herbs and Their Uses’.

The BHMA does not train students for examination but works in close co-operation with the National Institute of Medical Herbalists, and with the European Scientific Co-operative on Phytotherapy.

Chairmen since its inception: Frank Power, 1964-1969; Fred Fletcher-Hyde, 1969-1977; Hugh Mitchell 1977-1986; James Chappelle 1986-1990; Victor Perfitt 1990-.

During the years the association has secured important advantages for its membership, particularly continuity of sale of herbal medicines in health food shops. It continues to maintain vigilance in matterss British and European as they affect manufacturing, wholesaling, retailing, prescribing and dispensing.

See: BRITISH HERBAL PHARMACOPOEIA and BRITISH HERBAL COMPENDIUM. ... british herbal medicine association

Commonest form of cancer in women. Overall mortality remains about 50 per cent at five years. Appears to run in families. Strikes hard unmarried women. Married women who have no children. Those who do not nurse their babies, or who are infertile and have no child before thirty. Eight out of ten chest lumps are benign.

Symptoms. A small lump comes to light while washing, a discharge from the nipple, change in nipple size and colour, irregular contour of the breast surface. Though tissue change is likely to be a cyst, speedy diagnosis and treatment are necessary. Some hospital physicians and surgeons are known to view favourably supportive herbal aids, and do not always think in terms of radical mastectomy. Dr Finlay Ellingwood, Chicago physician (1916) cured a case by injection of one dram Echinacea root extract twice a week into the surrounding tissues.

The condition is believed to be due to a number of causes including suppression of ovulation and oestrogen secretion in pregnant and lactating women. A high fat diet is suspected of interference with the production of oestrogen. Some women are constitutionally disposed to the condition which may be triggered by trauma or emotional shock. Increase in incidence in older women has been linked with excessive sugar consumption. “Consumption overwhelms the pancreas which has to ‘push it out’ to all parts of the body (when broken down by the digestive process) whether they need it or not. The vital organs are rationed according to their requirements of nutrients from the diet. What is left over has to ‘go into store elsewhere’. And the breast is forced to take its share and store it. If it gets too much, for too long, it may rebel!” (Stephen Seely, Department of Bacteriology and Virology, Manchester)

“Women who nurse their babies less than one month are at an increased risk for breast cancer. The longer a woman breast-feeds – no matter what her age – the more the risk decreases. (Marion Tompson, co-founder, The La Leche League, in the American Journal of Epidemiology)

Lactation reduces the risk of pre-menopausal breast cancer. (Newcomb P.A. et al New England Journal of Medicine, 330 1994)

There is currently no treatment to cure metastatic breast cancer. In spite of chemotherapy, surgery and radiotherapy survival rate has not diminished. Herbs not only have a palliative effect but, through their action on hormone function offer a positive contribution towards overcoming the condition. Their activity has been widely recorded in medical literature. Unlike cytotoxic drugs, few have been known to cause alopecia, nausea, vomiting or inflammation of the stomach.

Treatment by a general medical practitioner or oncologist.

Special investigations. Low radiation X-ray mammography to confirm diagnosis. Test for detection of oestrogen receptor protein.

Treatment. Surgery may be necessary. Some patients may opt out from strong personal conviction, choosing a rigid self-disciplined approach – the Gentle Way. Every effort is made to build up the body’s natural defences (immune system).

An older generation of herbalists believed tissue change could follow a bruise on the breast, which should not be neglected but immediately painted with Tincture Arnica or Tincture Bellis perennis.

Vincristine, an alkaloid from Vinca rosea (Catharanthus roseus) is used by the medical profession as an anti-neoplastic and anti-mitotic agent to inhibit cell division.

Of possible therapeutic value. Blue Flag root, Burdock root, Chaparral, Clivers, Comfrey root, Echinacea, Figwort, Gotu Kola, Marshmallow root, Mistletoe, Myrrh, Prickly Ash bark, Red Clover, Thuja, Wild Violet, Yellow Dock.

Tea. Equal parts: Red Clover, Clivers, Gotu Kola, Wild Violet. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. 3 or more cups daily.

Decoctions. Echinacea, Blue Flag root, Queen’s Delight, Yellow Dock.

Tablets/capsules. Blue Flag root, Echinacea, Poke root, Mistletoe.

Formula. Echinacea 2; Gotu Kola 1; Poke root 1; Mistletoe 1; Vinca rosea 1. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons. Thrice daily and at bedtime. According to progress of the disease, increase dosage as tolerated.

Maria Treben’s tea. Parts: Marigold (3), Yarrow 1; Nettles 1. Mix. 2 teaspoons to each cup boiling water. 1 cup as many times daily as tolerated.

William Boericke, M.D. recommends Houseleek. E.H. Ruddock M.D. favours Figwort.

Topical. Treatments believed to be of therapeutic value or for use as a soothing application.

(1) Cold poultice: Comfrey root.

(2) Poultice of fresh Marshmallow root pulped in juicer.

(3) Injection of Extract Greater Celandine (Chelidonium), locally, gained a reputation in the Eclectic school.

(4) The action of Blood root (Sanguinaria) is well known as a paint or injection.

(5) Ragwort poultice: 2oz Ragwort boiled in half a pint potato water for 15 minutes. See: POULTICE.

(6) Popular Russian traditional remedy: Badiaga (Spongilla fluviatilis), fresh water sponge gathered in the autumn; dried plant rubbed to a powder. Poultice.

(7) Maria Treben’s Poultice: Carefully washed fresh Plantain leaves, pulped, and applied direct to the lesion.

(8) If lymph glands are affected, apply Plantain poultice to glands.

(9) Dr Brandini’s treatment. Dr Brandini, Florence, used 4 grains Citric Acid (prepared from lemons) in 1oz (30ml) water for ulcerated cancer of the breast considered incurable. “The woman’s torments were so distressing that neither she nor other patients could get any rest. Applying lint soaked in the solution, relief was instantaneous. Repeated, it was successful.”

(10) Circuta leaves. Simmered till soft and mixed with Slippery Elm bark powder as a poultice morning and night.

(11) Decoction. Simmer gently Yellow Dock roots, fine cut or powdered, 1oz to 1 pint, 20 minutes. Saturate lint or suitable material and apply.

(12) Yellow Dock ointment. Half ounce Lobelia seed, half ounce Yellow Dock root powder. Baste into an ointment base. See: OINTMENT BASE.

(13) Infusion, for use as a wash. Equal parts: Horsetail, Red Clover, Raspberry leaves. 1oz to 1 pint boiling water infuse 15 minutes.

(14) Dr Christopher’s Ointment. Half an ounce White Oak, half an ounce Garden Sage, half an ounce Tormentil, half an ounce Horsetail, half an ounce Lemon Balm. Method: Boil gently half an hour in quart water, strain. Reduce to half a pint by simmering. Add half a pound honey. Bring to boil. Skim off scum. Allow cool. Apply: twice daily on sores.

(15) Dr Finlay Ellingwood. Poke root juice. “Fresh juice from the stems, leaves and roots applied directly to diseased tissue. Exercises a selective action; induces liquefaction and promotes removal, sometimes healing the open wound and encouraging scar formation. Masses of such tissue have been known to be destroyed in a few weeks with only a scar, with no other application but the fresh juice. Produces pain at first, but is otherwise harmless.”

(16) Lesion painted with Mandrake resin. (American Podophyllum)

(17) Dust affected parts with Comfrey powder. Mucilage from Comfrey powder or crushed root with the aid of a little milk. See: COMFREY.

(18) Dr Samuel Thomson’s Cancer Plaster. “Take heads of Red Clover and fill a kettle. Boil in water for one hour. Remove and fill kettle with fresh flower heads. Boil as before in the same liquor. Strain and press heads to express all the liquor. Simmer over a low fire till of the consistency of tar. It must not burn. Spread over a piece of suitable material.”

(19) Wipe affected area with cut Houseleek. (Dr Wm Boericke)

(20) Chinese Herbalism. Take 1-2 Liang pulverised liao-ko-wang (Wickstroemia indica), mix with cold boiled water or rice wine for local compress. Also good for mastitis.

(21) Italian women once used an old traditional remedy – Fenugreek tea.

(22) A clinical trial of Vitamin D provided encouraging results. Patients with locally advanced breast cancer were given a highly active Vitamin D analogue cream to rub on their tumours. “It was effective in one third of the tumours,” said Professor Charles Coombes, clinical oncologist, Charing Cross Hospital, London.

Diet. “A diet rich in cereal products (high in dietary fibre) and green leafy vegetables (antioxidants) would appear to offer women some protection against breast cancer due to the relation between fibre and oestrogen metabolism. Meat-free diet. In a study of 75 adolescent girls, vegetarians were found to have higher levels of a hormone that women suffering from breast cancer often lack. (Cancer Research) Supplements. Daily. Chromium. Selenium (600mcg). Zinc chelate (100mg morning and evening). Beta carotene. “Low levels of Selenium and Vitamins A and E are shown in breast cancer cases.” (British Journal of Cancer 49: 321-324, 1984).

Vitamins A and D inhibit virus penetration in healthy cell walls. Multivitamin combinations should not include Vitamin B12, production of which in the body is much increased in cancerous conditions. Vitamins B-complex and C especially required.

Note: A link between sugar consumption and breast cancer has been reported by some authorities who suggest that countries at the top of the mortality table are the highest also in sugar consumption; the operative factor believed to be insulin.

Screening. Breast screening should be annual from the age of forty.

General. Mothers are encouraged to breast-feed children for the protection it offers against mammary malignancy. (Am.J. Obstet. Gyn. 15/9/1984. 150.)

Avoidance of stress situations by singing, playing an instrument. Adopt relaxation techniques, spiritual healing and purposeful meditation to arouse the immune system; intensive visualisation. Avoid the carcinogens: smoking, alcohol.

Information. Breast Cancer Care. Free Help Line. UK Telephone: 0500 245345. ... cancer - breast

See orthodontic appliances.... brace, dental

Peter R. Bradley MSc CChem FRSC (Chairman). Whitehall Laboratories.

Sheila E. Drew BPharm PhD MRPharms. Deputy Head of Technical Services, William Ransom & Son plc.

Fred Fletcher-Hyde BSc FNIMH. President Emeritus, British Herbal Medicine Association. President Emeritus, National Institute of Medical Herbalists.

Simon Y. Mills MA FNIMH. Director, Centre for Complementary Health Studies, University of Exeter. Hugh W. Mitchell MNIMH (Hon). President, British Herbal Medicine Association. Managing Director, Mitchfield Botanics Ltd.

Edward J. Shellard BPharm PhD DSc(Hon) (Warsaw Medical Academy) FRPharmS CChem FRSC FLS. Emeritus Professor of Pharmacognosy, University of London.

Arnold Webster CChem MRSC. Technical Director, English Grains Ltd.

Peter Wetton BSc LRSC. G.R. Lane Health Products Ltd.

Hein Zeylstra FNIMH. Principal. School of Phytotherapy, Sussex. ... british herbal medicine association, scientific committee, 1995

Ananassa sativa, Ananas comosus. Proteolytic enzyme derived from the stem of the pineapple plant.

Action. Anti-inflammatory, smooth muscle relaxant, digestant, anti-oedema. Stimulates production of prostaglandin El-like compounds. Inhibitor of blood platelet aggregation thus preserving the normal consistency of the blood.

Uses: Cellulitis, to remove layers of fat. Has some reputation as a digestant in terminal disease. Sinusitis, weak digestion in the elderly, oedema following surgical operation, to promote postoperative healing. Used by natives of the Far East for quinsy. Part of the Bristol Cancer Diet to promote digestion of proteins.

“It is of value in modulating tumour growth, blood coagulation and inflammatory changes in the de?bridement of third degree burns. As an inflammatory it has been used for rheumatoid arthritis, thrombophlebitis, haematomas, oral inflammation, diabetic ulcers, rectal and perirectal inflammation, athletic injuries and general oral and plastic surgery.” (Kay van Rietschoten, British Journal of Phytotherapy, Vol 1, Nos 3/4)

Preparations: 1-2 200mg Bromelain tablets/capsules between meals thrice daily. Patient preference: vegetarian hypoallergenic yeast-free: as an aid to digestion, 250-500mg at meals. ... bromelain

An appliance worn to support part of the body or hold it in a fixed position. It may be used to correct or halt the development of a deformity, to aid mobility, or to relieve pain. (See also caliper splint; corset; splint.)... brace, orthopaedic

Pain or stiffness in the arm that is often accompanied by pain, tingling and/or numbness of the hands or fingers, and weak hand grip. It may be a symptom of underlying disorders such as frozen shoulder or nerve compression from cervical osteoarthritis.... brachialgia

See brain syndrome, organic.... brain failure

Bleeding within or around the brain that is caused either by injury or by spontaneous rupture of a blood vessel. There are 4 possible types of brain haemorrhage: subdural, extradural, subarachnoid, and intracerebral. Extradural and subdural haemorrhages are usually the result of a blow to the head (see head injury). Subarachnoid and intracerebral haemorrhages usually occur spontaneously due to rupture of aneurysms or small blood vessels in the brain.... brain haemorrhage

Blackeye root. Tamus communis L. French: Bryone douce a? fruits et a? racine noirs. German: Schwarzwurzel. Italian: Tamarro. Root. Not used internally.

Contains steroidal spirostane glycosides.

Action: rubefacient, bruise-healer. Resolvent.

Uses: Traditional: scraped root used externally as a rub for gout, rheumatism, and painful joints; and as a cold poultice for blackeye and bruises generally. Steeped in strong wine (teaspoon to 8oz wine) for 8 days – a lotion for chilblains. Berries steeped in gin used for the same purpose.

Preparations: Tincture: 1 part pulp to 5 parts alcohol. Macerate 8 days, strain, for external use.

Cream: Tamus cream or ointment. (Weleda, Nelson)

Pulped fresh root: as a poultice for chilblains or gout. ... bryony, black

Wild vine. Bryonia alba L. French: Bryone blanche. German: Zaunru?be. Spanish: Brionia. Italian: Briona bianca. Contains cucurbitacins. Sliced dried root.

Action: diaphoretic, expectorant, powerful hydragogue, emetic, cathartic, anti-tumour, anti-rheumatic. Externally: as a rubefacient. Internal use, practitioner only.

Uses: Rheumatism worse from movement, rheumatic fever, acute arthritis. Heart disorder following rheumatic fever. For absorption of serous fluid as in pleurisy. Congested bronchi and lungs. Synovitis, malaria and zymotic diseases.

Combinations: With Black Cohosh for muscular pain. Also for tenderness of the spinal vertebre (an important indication). With Poke root for inflammation of the breast or testicles.

Preparations: Owing to difficulty of the layman to dispense accurately dosage of powder or decoction, use is best confined to liquid extract or tincture; small doses frequently repeated; large doses avoided. Liquid Extract: 10 drops in 4oz water; dose 1 teaspoon every half hour.

Tincture: dose; 2 teaspoons every half hour (acute) cases; thrice daily (chronic).

External. Tincture used as a lotion.

Note: Not used in pregnancy, lactation or in presence of piles. ... bryony, white

The most common form of cancer throughout the world. Five year survival: 10 per cent. Its association with cigarette smoking is now established beyond doubt. Other causes include such occupational poisons as asbestos, arsenic, chromium, diesel fumes, etc. The squamous cell carcinoma is the most common of the four types.

Diagnosis is confirmed by sputum test, chest X-ray, bronchoscopy or biopsy. Earliest symptoms are persistent cough, pain in the chest, hoarseness of voice and difficulty of breathing. Physical examination is likely to reveal sensitivity and swelling of lymph nodes under arms.

Symptoms. Tiredness, lack of energy, possible pains in bones and over liver area. Clubbing of finger-tips indicate congestion of the lungs. Swelling of arms, neck and face may be obvious. A haematologist may find calcium salts in the blood. The supportive action of alteratives, eliminatives and lymphatic agents often alleviate symptoms where the act of swallowing has not been impaired.

Broncho-dilators (Lobelia, Ephedra, etc) assist breathing. Mullein has some reputation for pain relief. To arrest bleeding from the lesion (Blood root).

According to Dr Madaus, Germany, Rupturewort is specific on lung tissue. To disperse sputum (Elecampane, Red Clover). In advanced cases there may be swollen ankles and kidney breakdown for which Parsley root, Parsley Piert or Buchu may be indicated. Cough (Sundew, Irish Moss). Soft cough with much sputum (Iceland Moss). To increase resistance (Echinacea).

Alternatives. Secondary to primary treatment. Of possible value.

Teas. Violet leaves, Mullein leaves, Yarrow leaves, Gotu Kola leaves, White Horehound leaves. Flavour with a little Liquorice if unpalatable.

Tablets/capsules. Lobelia, Iceland Moss, Echinacea, Poke root.

Formula. Equal parts: Violet, Red Clover, Garden Thyme, Yarrow, Liquorice. Dose: Powders: 750mg (three 00 capsules or half a teaspoon. Liquid Extracts: 1-2 teaspoons. Tinctures: 1-3 teaspoons. Thrice daily, and during the night if relief is sought.

Practitioner. Tinctures BHP (1983). Ephedra 4; Red Clover 4, Yellow Dock 2; Bugleweed 2; Blood root quarter; Liquorice quarter (liquid extract). Mix. Start low: 30-60 drops in water before meals and at bedtime increasing to maximum tolerance level.

Aromatherapy. Oils: Eucalyptus or Thyme on tissue to assist breathing. Inhale.

Diet. See: DIET – CANCER.

Treatment by a general medical practitioner or hospital specialist. ... cancer - bronchial carcinoma

Most lumps are harmless, including cysts (adenosis) and benign tumours. Not forerunners of cancer. Largely due to hormone imbalance. Fluid may be aspirated from a cyst. Thickened patches of fibrous tissue are freely movable and occur chiefly during years of menstruation depending upon the presence of oestrogen. An accurate diagnosis is necessary by a competent authority. Excessive sugar consumption suspected.

Prominent cyst formations have been reduced, even eliminated by Poke root, internally and externally, though surgery is sometimes indicated. Diuretics influence the kidneys to expel more body fluids and are sometimes helpful to reduce size. Cold water packs may be applied to the affected area two or more times daily, as practical.

Alternatives. Tea. Formula. Equal parts: Ground Ivy, Clivers, Horsetail. One heaped teaspoon to each cup boiling water; infuse 15 minutes. 1 cup morning and evening.

Poke root. Tablets, powders. Tincture. 5-10 drops in water 3 times daily.

Evening Primrose oil. Two 500mg capsules, 3 times daily. Trials carried out by departments of Surgery at the University of Wales and the University of Dundee found Evening Primrose oil effective and safe. Poultice. Poke root. Horsetail.

Diet. As salt favours retention of fluid in cystic tissue it should be restricted.

Supplements. Daily. Beta carotene; B-complex; B6, Vitamin C 1g; Zinc. Vitamin E contra-indicated.

Treatment by or in liaison with a general medical practitioner. ... fibrocystic breast disease (fbd)

A collection of pus, surrounded by inflamed tissues, within the brain or on its surface. The most common sites are the frontal and temporal lobes of the cerebrum in the forebrain.

Brain abscesses may occur after a head injury, but most cases result from the spread of infection from elsewhere in the body, such as the middle ear or sinuses.

Another cause is an infection following a penetrating brain injury.

Multiple brain abscesses may occur as a result of blood-borne infection, most commonly in patients with a heart-valve infection (see endocarditis).

Symptoms include headache, drowsiness, vomiting, visual disturbances, fever, seizures, and symptoms, such as speech disturbances, that are due to local pressure.

Treatment is with antibiotic drugs and surgery.

A craniotomy may be needed to open and drain the abscess.

Untreated, brain abscesses can cause permanent damage or can be fatal.

Despite treatment, scarring can cause epilepsy in some cases.... brain abscess

Degeneration or death of nerve cells and tracts within the brain that may be localized to a particular area of the brain or diffuse. Diffuse damage most commonly results from prolonged cerebral hypoxia (which may occur in a baby during a difficult birth), cardiac arrest, respiratory arrest, or causes such as poisoning or status epilepticus (prolonged convulsions). The damage may also occur gradually due to environmental pollutants such as lead or mercury compounds (see Minamata disease) or if nerve-cell poisons build up in the brain, as in untreated phenylketonuria. Other possible causes include brain infections such as encephalitis.

Localized brain damage may occur as a result of a head injury, stroke, brain tumour, or brain abscess. At birth, a raised blood level of bilirubin (in haemolytic disease of the newborn) causes local damage to the basal ganglia deep within the brain. This leads to a condition called kernicterus. Brain damage that occurs before, during, or after birth may result in cerebral palsy.

Damage to the brain may result in disabilities such as learning difficulties or disturbances of movement or speech.

Nerve cells and tracts in the brain and spinal cord cannot repair themselves once they have been damaged, but some return of function may be possible.... brain damage

See waterbrash.... brash, water

Short relatively painless contractions of the uterus during pregnancy.

They may be felt in late pregnancy and are sometimes mistaken for labour pains.... braxton hicks’ contractions

Bleeding or staining (“spotting”) from the vagina between periods in women taking an oral contraceptive. The bleeding is most common during the first few months of taking the pill and is caused by incomplete suppression of the endometrium.

(See also vaginal bleeding.)... breakthrough bleeding

A type of mammoplasty.... breast enlargement surgery

A device used to draw milk from the breasts in order to relieve overfull breasts during lactation, to express milk for future use, or to feed a baby who is unable to suckle.... breast pump

Defects and disorders of the brain, which may have one of numerous causes including infection, injury, brain tumour, or a lack of blood or oxygen (hypoxia). Because the brain is encased in the skull, any space-occupying tumour, brain abscess, or haematoma creates raised pressure, which impairs the function of the whole brain. Brain disorders that are localized in a small region may affect a specific function such as speech (see aphasia). More often, damage is more diffuse and the symptoms can be varied and numerous. Some brain disorders are congenital due to genetic or chromosomal disorders, as in Down’s syndrome. Structural defects that arise during the development of the fetus in the womb include hydrocephalus and anencephaly.

Reduced oxygen supply may occur at birth, causing cerebral palsy. Later in life, cerebral hypoxia can result from choking or from arrest of breathing and heartbeat. From middle age onwards, cerebrovascular disease is the most important cause of brain disorder. If an artery within the brain becomes blocked or ruptures, leading to haemorrhage, the result is a stroke. The brain may also be damaged by a blow to the head see head injury).

Infection within the brain (encephalitis) may be due to viral infection. Infection of the membranes surrounding the brain (meningitis) is generally due to bacterial infection. Creutzfeldt–Jakob disease is a rare, fatal brain disease associated with an infective agent called a prion which, in some cases, has been linked with (bovine spongiform encephalopathy), a disease in cattle.

Multiple sclerosis is a progressive disease of the brain and spinal cord. Degenerative brain diseases include Alzheimer’s disease and Parkinson’s disease. Emotional or behavioural disorders are generally described as psychiatric illnesses; but the distinction between neurological and psychiatric disorders is now much less clear.... brain, disorders of

Techniques that provide pictures of the brain; they are used to detect injury or disease and include X-rays, angiography, CT scanning, MRI, PET (positron emission tomography) scanning, and SPECT (single photon emission ). X-ray films can show changes in the skull caused by a fracture or, rarely, by a brain tumour or aneurysm. Angiography shows up the blood vessels in the brain, and is used to investigate subarachnoid haemorrhage, aneurysms, abnormalities of the blood vessels, and other circulatory disorders.

scanning gives images of the brain substance; it gives clear pictures of the ventricles (fluid-filled cavities) and can reveal tumours, blood clots, strokes, aneurysms, and abscesses. is especially helpful in showing tumours of the posterior fossa (back of the skull). and scanning are specialized forms of radionuclide scanning that use small amounts of radioactive material to give information about brain function as well as structure. They enable

blood flow and metabolic activity in the brain to be measured.

Ultrasound scanning is used only in premature or very young babies since ultrasound waves cannot penetrate the bones of a mature skull.... brain imaging

False teeth that are attached to natural teeth on either side of a gap left by a missing tooth or teeth. (See also denture.)... bridge, dental

Bones with an increased tendency to fracture. They are a feature of osteoporosis and may occur in people who are taking corticosteroid drugs, are immobile, or have certain hormonal disorders. In osteomalacia, the bones are soft and have an increased tendency both to become deformed and to fracture. The inherited disorder osteogenesis imperfecta is a rare cause of brittle bones and frequent fractures and is usually detected in infancy.... brittle bones

See fracture, dental.... broken tooth

See telangiectasia.... broken veins

Disorder of consciousness, intellect, or mental functioning that is of organic (physical), as opposed to psychiatric, origin. Causes include degenerative diseases, such as Alzheimer’s disease; infections; certain drugs; or the effects of injury, stroke, or tumour. Symptoms range from mild confusion to stupor or coma. They may also include disorientation, memory loss, hallucinations, and delusions (see delirium). In the chronic form, there is a progressive decline in intellect, memory, and behaviour (see dementia). Treatment is more likely to be successful with the acute form. In chronic cases, irreversible brain damage may already have occurred. (See also psychosis.)... brain syndrome, organic

Disorders due to abnormal development, in an embryo, of the branchial arches (paired segmented ridges of tissue in each side of the throat).

They include branchial cyst and branchial fistula.

A branchial cyst is a soft swelling, containing a pus-like or clear fluid, that appears on the side of the neck in early adulthood.

Treatment is by surgical removal.

A branchial fistula occurs between the back of the throat and the external surface of the neck, where it appears as a small hole, usually noted at birth.

A hole in the neck that does not extend to the back of the throat is a branchial cleft sinus.

A branchial fistula or cleft sinus may discharge mucus or pus and may be removed surgically.... branchial disorders

Disorders affecting the breast that are mostly minor and respond readily to treatment. The most important causes of problems are infection, such as mastitis, tumours, and hormonal changes. Breast cysts, fibroadenomas, other noncancerous tumours, or, more rarely, breast cancer may occur. Breast pain and tenderness is common just before menstruation or when a woman is taking hormones. Before menstruation, breasts may become bigger and lumpy. Such lumps shrink when menstruation is over. Hormonal disorders may, rarely, cause galactorrhoea (abnormal milk production). In men, gynaecomastia may result from hormonal disturbance or treatment with certain drugs.... breast, disorders of the

Any mass, swelling, or cyst that can be felt in the breast tissue.

At least 90 per cent of lumps are noncancerous; the rest are breast cancer.

Many women have generally lumpy breasts, with the lumps more obvious in the days before a period.

Once known as fibrocystic disease or fibroadenosis, this is now considered to be a variation of normal.

Lumpy breasts do not increase the risk of developing breast cancer.

However, any new, distinct, or separate lump should be assessed by a doctor.

In a young woman, a single lump is most likely to be a fibroadenoma.

This noncancerous growth is usually round, firm, and rubbery, causes no pain, and can be moved about beneath the skin using the fingertips.

In an older woman, a lump is more likely to be a noncancerous, fluid-filled breast cyst.

Regular breast self-examination may detect any changes.

Treatment depends on the cause and type of lump.

Cysts can be drained in a simple outpatient procedure.

Other lumps can be removed surgically.... breast lump

Visual and manual examination of the breasts carried out by a woman to detect lumps

and other changes that might be an indication of early breast cancer. To carry out self-examination, the breasts should be checked in a mirror for any dimpling of the skin or changes in the nipples or breast size and shape. Then, with one arm behind the head, and using small circular movements, the breast should be gently but firmly pressed. The entire breast, armpit area, and nipple should be examined. Regular self-examination helps a woman to become familiar with the appearance and feel of her breasts; any changes should be reported to a doctor without delay.... breast self-examination

Soreness or tenderness of the breasts, often with a feeling of fullness. Breast tenderness is an extremely common problem. In most women it is cyclical, varying in severity in response to the hormonal changes of the menstrual cycle. It is usually most severe before a period (see premenstrual syndrome). It tends to affect both breasts and may be aggravated by stress or caffeine in drinks. Breast tenderness can also be noncyclical and may be caused by muscle strain or mastitis. During lactation, it may be due to engorgement with milk. Rarely, tenderness may be due to a breast cyst or breast cancer. However, examination by a doctor will exclude any underlying problems. Women with large breasts are more likely to suffer from both cyclical and noncyclical breast tenderness.

Cyclical tenderness may be relieved by reduced caffeine intake, relaxation

exercises for stress, a well-fitting bra, or weight loss to reduce breast size.

If these measures do not work, hormonal treatment may be recommended.... breast tenderness

Techniques for learning to control the rate and depth of breathing. They aim to teach people to inhale through the nose, while expanding the chest, and then to exhale fully through the mouth, while contracting the abdominal muscles. They are used after chest surgery and for people with chronic obstructive pulmonary disease (see pulmonary disease, chronic obstructive). Breathing exercises can also help people with anxiety disorders and may help to relieve symptoms in some people with asthma.

In yoga, deep rhythmic breathing is used to achieve a state of relaxation. During childbirth, breathing exercises relax the mother and also help to control contractions and reduce pain. (See also physiotherapy.)... breathing exercises

A group of drugs that widen the bronchioles (small airways in the lungs) to increase air flow and improve breathing, especially in the treatment of asthma and chronic obstructive pulmonary disease (see pulmonary disease, chronic obstructive). There are 3 main types of bronchodilator: sympathomimetic drugs (such as salbutamol), anticholinergic drugs, and xanthine drugs (such as aminophylline). Sympathomimetic drugs are used primarily for the rapid relief of breathing difficulty. Anticholinergic and xanthine drugs are more often used for the long-term prevention of attacks of breathing difficulty. Drugs can be given by inhaler, in tablet form, or, in severe cases, by nebulizer or injection.

The main side effects of sympathomimetics are palpitations and trembling.

Anticholinergics may cause dry mouth, blurred vision, and, rarely, difficulty in passing urine.

Xanthines may cause headaches, nausea and palpitations.... bronchodilator drugs

See lung cancer.... bronchus, cancer of

The sounds made in the heart, arteries, or veins when blood circulation becomes turbulent or flows at an abnormal speed. This happens when blood vessels become narrowed by disease (as in arteriosclerosis), when heart valves are narrowed or damaged (as in endocarditis), or if blood vessels dilate (as in an aneurysm). Bruits are usually heard through a stethoscope.... bruits

Another name for haemochromatosis, a rare genetic disease in which excessive amounts of iron are deposited in tissues.

It causes a bronze skin coloration, and sufferers often develop diabetes mellitus.... diabetes, bronze

A bronchodilator drug used to treat breathing difficulties.... ipratropium bromide

See femur, fracture of; fibula; tibia.... leg, broken

A hypothetical condition thought to account for behavioural and other problems in children for which no physical cause is found. It may be a cause of some learning difficulties, difficulty in concentrating, impulsiveness, and hyperactivity.... minimal brain dysfunction

Fracture of the nasal bones or dislocation of the cartilage that forms the bridge of the nose. The fracture is usually accompanied by severe swelling of overlying soft tissue. A fractured nose is painful and remains tender for about 3 weeks after injury.

Resetting is usually carried out either before the swelling has started, or when it has subsided, usually about 10 days after the injury. Occasionally, a displaced bridge can be manipulated into position under a local anaesthetic, but, usually, a general anaesthetic is needed. A plaster splint is sometimes required during healing.... nose, broken

See brain syndrome, organic.... organic brain syndrome

A slow, but regular heart-rate (less than 60 beats per minute) caused by reduced electrical activity in the sinoatrial node. Sinus bradycardia is normal in athletes, but in others it may be caused by hypothyroidism, a myocardial infarction, or by drugs such as beta-blockers or digoxin.... sinus bradycardia

A nonmedical term for hydrocephalus.... water on the brain

see breath sounds.... amphoric breath sounds

a device similar to a *cochlear implant except that the electrode stimulates the auditory parts of the *brainstem rather than the cochlea. It is used to restore hearing of profoundly deaf people who have had damage to both auditory nerves and are hence unsuitable for cochlear implantation. It consists of an electrode that is permanently implanted on the surface of the brainstem. An external device with a microphone and an electronic processing unit pass information to the electrode using radio-frequency waves. The implant is powered by batteries in the external part of the device. It is most commonly used in patients with *neurofibromatosis type II who have had bilateral *vestibular schwannomas.... auditory brainstem implant

(ABR audiometry, brainstem evoked response audiometry, BSER) an objective test of hearing that measures the electrical activity in the auditory nerve and *brainstem following sound stimulation using repeated clicks or brief tones.... auditory brainstem response audiometry

a basic aniline dye used for staining and counterstaining histological and bacterial specimens. [O. von Bismarck (1815–98), German statesman]... bismarck brown

a technique in which a compression suture is applied to the uterus, which can be used in cases of severe *postpartum haemorrhage as an alternative to an emergency hysterectomy. A pair of vertical sutures are inserted around the uterus to appose the anterior and posterior walls and to apply continuous compression, which stems the bleeding. [C. Balogun-Lynch (21st century), British obstetrician and gynaecologist]... b-lynch brace suture

(brachio-) combining form denoting the arm. Example: brachialgia (pain in).... brachi

n. a muscle that is situated at the front of the upper arm and contracts to flex the forearm (see illustration). It works against the triceps brachii.... brachialis

see innominate artery.... brachiocephalic artery

n. (pl. brachia) the arm, especially the part of the arm between the shoulder and the elbow.... brachium

combining form denoting shortness. Example: brachydactylia (shortness of the fingers or toes).... brachy

n. shortness of the skull, with a *cephalic index of about 80. —brachycephalic adj.... brachycephaly

n. (in dentistry) the component of a fixed *orthodontic appliance that is bonded to the tooth.... bracket

n. see arrhythmia.... bradyarrhythmia

(BNP) see natriuretic peptide.... brain natriuretic peptide

see auditory brainstem response audiometry.... brainstem evoked response audiometry

see pharyngeal arch.... branchial arch

see pharyngeal cleft.... branchial cleft

see pharyngeal pouch.... branchial pouch

a technique for expelling the placenta from the uterus. Upward pressure is applied to the uterus through the abdominal wall while holding the umbilical cord taut. When the uterus is elevated in this way, the placenta will be in the cervix or upper vagina and is then expelled by applying pressure below the base of the uterus. [T. Brandt (1819–95), Swedish obstetrician; H. R. Andrews (1872–1942), British gynaecologist]... brandt–andrews method

a sequence of exercises used in the treatment of *benign paroxysmal positional vertigo. Patients are taught how to perform the exercises and then continue the programme at home.... brandt–daroff exercises

irregular painless contractions of the uterus that occur during pregnancy and may become stronger towards term. [J. Braxton Hicks (1825–97), British obstetrician]

BRCA1 and BRCA2 genes associated with susceptibility to breast and ovarian cancer. Women with mutations in either of these genes have a 56–85% risk of developing breast cancer, and this form of the cancer tends to develop at a relatively young age. The risk of ovarian cancer is 36–66% in women with BRCA1 mutations and 10–20% with BRCA2. Targeted therapy specific to these mutations using a *PARP inhibitor is undergoing investigation.... braxton hicks contractions

prolonged jaundice lasting several weeks after birth in breast-fed babies for which no other cause can be found. It improves with time and is not an indication to stop breast-feeding.... breast-milk jaundice

n. the point on the top of the skull at which the coronal and sagittal *sutures meet. In a young infant this is an opening, the anterior *fontanelle.... bregma

a monoclonal antibody–drug conjugate used in the treatment of relapsed or refractory Hodgkin’s disease and anaplastic large-cell lymphoma.... brentuximab vedotin

the distance (in millimetres) between the surface and the deepest extent of a malignant *melanoma. The measurement is the best prognostic indicator in melanoma; tumours that are less than 0.76 mm thick have a 5-year survival in well over 90% of patients. [A. Breslow (1928–80), US pathologist]... breslow thickness

n. (in dentistry) a fixed replacement for missing teeth. The artificial tooth is attached to one or more natural teeth, usually by a crown. Bridges may also be fitted on dental *implants. The supporting teeth (or implants) are referred to as abutments, and the artificial teeth that fit over them are referred to as retainers. The replacements of missing teeth are known as pontics. Adhesive bridges are attached to one or more adjacent teeth by a metal plate that adheres to the enamel on the tooth surface prepared by the *acid-etch technique; these bridges require minimal tooth preparation compared with conventional types of bridges.

brief resolved unexplained episode (BRUE) a sudden, brief (less than 30 to 60 seconds), and resolved episode in an infant that includes one or more of the following: decreased or irregular breathing; change in muscle tone; pallor or cyanosis or altered responsiveness. The episode is frightening for the person caring for the infant. BRUE is a description rather than a diagnosis and the term is used only when there is no explanation for the event after a thorough history and examination.... bridge

n. an alpha agonist (see sympathomimetic) used in the form of eye drops in the treatment of *glaucoma and ocular hypertension. The drug reduces the production of aqueous humour and increases its outflow from the eye; it may be used when beta-blocker eye drops are medically undesirable or are ineffective in controlling the glaucoma.... brimonidine

n. a *carbonic anhydrase inhibitor used to reduce intraocular pressure in the treatment of *glaucoma when beta blockers are not effective or appropriate: it decreases the production of aqueous humour. It may cause local irritation and taste disturbance.... brinzolamide

(BMA) a professional body for doctors and also an independent trade union dedicated to protecting individual members and the collective interests of doctors. It has a complex structure that allows representation both by geographical area of work and through various committees, including the General Practice Committee (GPC), Central Consultants and Specialists Committee, Junior Doctors Committee, and the Medical Students Committee.... british medical association

(BNF) a reference source published by the Royal Pharmaceutical Society of Great Britain and the British Medical Journal (BMJ) Group twice a year (in March and September). It contains comprehensive information on medications from various sources, including the manufacturer as well as regulatory and professional bodies, resulting in information that is relevant to practice and takes into account national guidelines.... british national formulary

(BSL) see sign language.... british sign language

a unit of heat equal to the quantity of heat required to raise the temperature of 1 pound of water by 1° Fahrenheit. 1 British thermal unit = 1055 joules. Abbrev.: Btu.... british thermal unit

type 1 *diabetes mellitus that constantly causes disruption of lifestyle due to recurrent attacks of hypo- or hyperglycaemia from whatever cause. The most common reasons are therapeutic errors, emotional disorders, intercurrent illnesses, and self- or carer-induced episodes.... brittle diabetes

a chronic abscess of bone that develops from acute bacterial *osteomyelitis. The classic appearance on X-ray is a small walled-off cavity in the bone with little or no periosteal reaction. Treatment is by surgical drainage and antibiotics. [Sir B. C. Brodie (1783–1862), British surgeon]... brodie’s abscess

the numbered areas (1–47) into which a map of the *cerebral cortex may conveniently be divided for descriptive purposes, based upon the arrangement of neurons seen in stained sections under the microscope. On the map area 4, for example, corresponds to primary motor cortex, while the primary visual cortex comes into area 17. [K. Brodmann (1868–1918), German neurologist]... brodmann areas

n. a group of symptoms caused by excessive intake of bromides, formerly widely used as sedatives. Overuse for long periods leads to mental dullness, weakness, drowsiness, loss of sensation, slurred speech, and sometimes coma. A form of acne may also develop.... bromism

a mixture of alcohol, morphine, and cocaine sometimes given to control severe pain in terminally ill people, especially those dying of cancer. The mixture was first tried at the Brompton Hospital, London.... brompton cocktail

n. a blue dye used in tests of liver function. A small quantity of the dye is injected into the bloodstream, and its concentration in the blood is measured after 5 and then 45 minutes. The presence of more than 10% of the dose in the circulation after 45 minutes indicates that the liver is not functioning normally.... bromsulphthalein

(broncho-) combining form denoting the bronchial tree. Examples: bronchoalveolar (relating to the bronchi and alveoli); bronchopulmonary (relating to the bronchi and lungs).... bronch

cancer of the bronchus, one of the commonest causes of death in smokers. See also lung cancer; small-cell lung cancer.... bronchial carcinoma

a branching system of tubes conducting air from the trachea (windpipe) to the lungs: includes the bronchi (see bronchus) and their subdivisions and the *bronchioles.... bronchial tree

(BOOP) a disease entity characterized clinically by a flulike illness with cough, fever, shortness of breath, and late inspiratory crackles; there are specific histological features and patchy infiltrates on X-ray. It is sometimes the result of a viral infection, but may follow medication with certain drugs or be associated with connective-tissue disease, such as rheumatoid arthritis. The condition usually responds to oral corticosteroids; however, if a drug is implicated, it must be withdrawn.... bronchiolitis obliterans organizing pneumonia

(BAL) a method of obtaining cellular material from the lungs that is used particularly in the investigation and monitoring of interstitial lung disease and in the investigation of pulmonary infiltrates in immunosuppressed patients. A saline solution is infused into the lung, via a bronchoscope, and immediately removed. Examination of the cells in the lavage fluid may help to identify the cause of interstitial lung disease. The combination of cytological and microbiological examination can lead to a very high rate of diagnostic accuracy in such conditions as *Pneumocystis jiroveci pneumonia.... bronchoalveolar lavage

n. see vocal resonance.... bronchophony

a condition, seen usually in premature babies as a result of *respiratory distress syndrome, requiring prolonged treatment with oxygen beyond the age of 28 days. The babies have overexpanded lungs, which on X-rays show characteristic changes. Management consists of oxygen support and treating infections. Recovery is slow, sometimes over several years, but most babies do recover.... bronchopulmonary dysplasia

see haemochromatosis.... bronze diabetes

the neurological condition resulting when the spinal cord has been damaged. In those parts of the body supplied by the damaged segment there is a flaccid weakness and loss of feeling in the skin. Below the lesion there is a spastic paralysis on the same side and a loss of pain and temperature sensation on the opposite side. The causes include trauma and multiple sclerosis. [C. E. Brown-Séquard (1818–94), French physiologist]... brown-séquard syndrome

a condition, usually congenital, in which the tendon sheath of the superior oblique muscle of the *eye does not relax, thus limiting the elevation of the eye, especially in adduction. [H. W. Brown (20th century), US ophthalmologist]... brown’s syndrome

n. a genus of Gram-negative aerobic spherical or rodlike parasitic bacteria responsible for *brucellosis (undulant fever) in humans and contagious abortion in cattle, pigs, sheep, and goats. The principal species are B. abortus and B. melitensis. Brucella ring test is a diagnostic test for brucellosis involving the clumping together of a standard Brucella strain by antibodies in an infected person’s serum.... brucella

the transparent innermost layer of the *choroid, which is in contact with the retinal pigment epithelium (see retina). [K. W. L. Bruch (1819–84), German anatomist]... bruch’s membrane

a sign present when there is irritation of the meninges (the membranes covering the brain); it is present in meningitis. As the neck is pulled forward, the hips and knees bend involuntarily. [J. von Brudzinski (1874–1917), Polish physician]... brudzinski sign

see brief resolved unexplained episode.... brue

n. see ibuprofen.... brufen

n. a genus of threadlike parasitic worms (see filaria). B. malayi infects humans throughout southeast Asia, causing *filariasis and *elephantiasis (especially of the feet and legs). B. pahangi, a parasite of wild cats and domestic animals, produces an allergic condition in humans, with coughing, breathing difficulty, and an increase in the number of *eosinophils in the blood. Brugia undergoes part of its development in mosquitoes of the genera Anopheles and Mansonia, which transmit the parasite from host to host.... brugia

n. a sharp or harsh systolic sound, heard on *auscultation, that is due to turbulent blood flow in a peripheral artery, usually the carotid or iliofemoral artery. Bruits can also be heard over arteriovenous *fistulae or malformations.... bruit

compound glands of the small intestine, found in the *duodenum and the upper part of the jejunum. They are embedded in the submucosa and secrete mucus. [J. C. Brunner (1856–1927), Swiss anatomist]... brunner’s glands

see microvillus.... brush border

greyish-brown spots seen in the iris of the eye. They can be found in normal individuals but are usually associated with *Down’s syndrome. [T. Brushfield (1858–1937), British physician]... brushfield spots

(DBS) a surgical treatment involving the implantation of a medical device that sends electrical impulses to specific parts of the brain. DBS in selected brain regions can provide benefits for treatment-resistant movement disorders, such as Parkinson’s disease, tremor, and *dystonia.... deep brain stimulation

an *antimuscarinic drug used as a maintenance bronchodilator to relieve symptoms in adults with COPD. It is administered by inhalation; side-effects include dry mouth. Trade name: Seebri Breezhaler.... glycopyrrhonium bromide

the normal physiological reflex to breathe out when the breath is held in inspiration and to breathe in when it is held in exhalation. [H. E. Hering (1866–1948), German physiologist; J. Breuer (1842–1925), German physician]... hering–breuer reflex

(House–Brackmann score, House–Brackmann scale, House–Brackmann facial weakness scale) a six-point grading system for patients with *Bell’s palsy or other forms of facial nerve palsy. Grade I is normal function; grade VI is a total palsy. [J. W. House and D. E. Brackmann (21st century), US otorhinolarygologists]... house–brackmann facial nerve grading system

the slow deep respiration associated with acidosis. [A. Kussmaul (1822–1902), German physician]

kV symbol for *kilovolt.... kussmaul breathing

a defect of *mucopolysaccharide metabolism (see inborn error of metabolism) that causes dwarfism with a *kyphosis, a short neck, *knock-knee, and an angulated sternum in affected children. Intelligence is normal. [L. Morquio (1865–1935), Uruguayan physician; J. F. Brailsford (1888–1961), British radiologist]... morquio–brailsford disease

a fixation device to prevent patients pulling out *nasogastric (NG) tubes. Two tiny catheter-mounted magnets are inserted either side of the nasal septum to meet in the nasopharyngeal space. This leaves tapes exiting from each nostril. A clip then secures the tapes and NG tube together.... nasal bridle

see Gardner–Diamond syndrome.... painful bruising syndrome

a pattern of breathing seen in complete (or almost complete) airway obstruction. As the patient attempts to breathe, the diaphragm descends, causing the abdomen to lift and the chest to sink. The reverse happens as the diaphragm relaxes. It is almost always associated with use of the *accessory muscles of respiration and drawing in (recession) of the *intercostal muscles of the chest wall.... see-saw breathing

(SDB) abnormal patterns of respiration seen during sleep. *Obstructive sleep apnoea is the most common SDB; other types include central *sleep apnoea, such as *Cheyne–Stokes respiration.... sleep disordered breathing

a symptom of psychosis in which the patient feels that his or her thoughts are being distributed into other people’s thoughts. It must be differentiated from a mere idea that others can read one’s mind, which is common. Thought broadcast requires the conviction of an active transmission of thoughts. This is a *Schneiderian first-rank symptom, highly indicative of schizophrenia.... thought broadcast

(TBI) injury to the brain due to external force, such as occurs following falls, road traffic accidents, and violence. It is a major cause of death and chronic disability worldwide, especially in young males.... traumatic brain injury

Spartium junceum

FAMILY: Fabaceae (Leguminosae).

SYNONYMS: Genista juncea, genista, weavers broom, broom (absolute), genet (absolute).

GENERAL DESCRIPTION: A decorative plant, often cultivated as an ornamental shrub, up to 3 metres high with upright woody branches and tough flexible stems. It has bright green leaves and large, yellow, pea-like fragrant flowers, also bearing its seeds in pods or legumes.

DISTRIBUTION: Native to southern Europe, especially southern Spain and southern France; mainly cultivated in Spain, France, Italy and USA (as a garden shrub). The absolute is produced in Southern France.

OTHER SPECIES: Closely related to dyer’s greenweed (Genista tinctoria) and the common or green broom (Sarothamnus scoparius or Cytisus scoparius). There are also several other related species of broom, which are rich in their folk tradition.

HERBAL/FOLK TRADITION: The twigs and bark have been used since ancient times to produce a strong fibre which can be made into cord or a coarse cloth. The branches were also used for thatching, basketwork, fencing and, of course, for making brooms. Spanish broom has similar therapeutic properties to the common broom, which is still current in the British Herbal Pharmacopoeia for cardiac dropsy, myocardial weakness, tachycardia and profuse menstruation. However, the Spanish broom is said to be five to six times more active than the common broom, and even that must be used with caution by professional herbalists due to the strength of the active ingredients: ‘A number of cases of poisoning have occurred from the substitution of the dried flowers of Spartium for those of true Broom.’.

ACTIONS: Antihaemorrhagic, cardioactive, diuretic, cathartic, emmenagogue, narcotic, vasoconstrictor.

EXTRACTION: An absolute is obtained by solvent extraction from the dried flowers.

CHARACTERISTICS: A dark brown, viscous liquid with an intensely sweet, floral, hay-like scent with a herbaceous undertone. It blends well with rose, tuberose, cassie, mimosa, violet, vetiver and herbaceous-type fragrances.

PRINCIPAL CONSTITUENTS: The absolute contains capryllic acid, phenols, aliphatics, terpenes, esters, scoparin and sparteine, as well as wax, etc.

SAFETY DATA: Sparteine, which is contained in the flowers as the main active constituent, is toxic. In large doses, it causes vomiting, renal irritation, weakens the heart, depresses the nerve cells and lowers the blood pressure, and in extreme cases causes death.

AROMATHERAPY/HOME: USE None.

OTHER USES: Used in soaps, cosmetics and high-class perfumery; also as a flavour ingredient in sweet rich ‘preserves’, alcoholic and soft drinks.... broom, spanish

Eucalyptus dives var. Type

FAMILY: Myrtaceae

SYNONYMS: Broad-leaf peppermint, blue peppermint, menthol-scented gum.

GENERAL DESCRIPTION: A robust, medium-sized eucalyptus tree, with a short trunk, spreading branches and fibrous grey bark. The young leaves are blue and heart-shaped, the mature leaves are very aromatic, thick and tapering at both ends.

DISTRIBUTION: Native to Tasmania and Australia, especially New South Wales and Victoria. Oil is also produced in South Africa.

OTHER SPECIES: There are two types of broad-leaved peppermint although they look identical – one is rich in cineol (E. dives var. C.) and one is rich in ‘piperitone’ (E. dives var. Type). It is also similar to the peppermint eucalyptus (E. piperita) and the grey or narrow-leaved peppermint (E. radiata var. phellandra). See also entry on Eucalyptus, blue gum and Botanical Classification section.

HERBAL/FOLK TRADITION: The aborigines used the burning leaves in the form of a fumigation for the relief of fever; ‘heat went out of sick man and into fire’.

ACTIONS: See Eucalyptus, blue gum.

EXTRACTION: Essential oil by steam distillation from the leaves and twigs.

CHARACTERISTICS: A colourless or pale yellow mobile liquid with a fresh, camphoraceous, spicy-minty odour.

PRINCIPAL CONSTITUENTS: Piperitone (40–50 per cent), phellandrene (20–30 per cent), camphene, cymene, terpinene and thujene, among others. It is sold as Grades A, B or C according to the exact balance of constituents.

SAFETY DATA: Non-toxic, non-irritant (in dilution), non-sensitizing. Eucalyptus oil is toxic if taken internally (see entry on eucalyptus blue gum).

AROMATHERAPY/HOME: USE

Skin Care: Cuts, sores, ulcers etc.

Circulation muscles and joints: Arthritis, muscular aches and pains, rheumatism, sports injuries, sprains, etc.

Respiratory System: Asthma, bronchitis, catarrh, coughs, throat and mouth infections, etc.

Immune System: Colds, fevers, ’flu, infectious illness, e.g. measles.

Nervous System: Headaches, nervous exhaustion, neuralgia, sciatica.

OTHER USES: Little used medicinally these days except in deodorants, disinfectants, mouthwashes, gargles and in veterinary practice. ‘Piperitone’ rich oils are used in solvents. Employed for the manufacture of thymol and menthol (from piperitone).

EUCALYPTUS, ... eucalyptus, broad-leaved peppermint