Squash Health Dictionary

A thick tendon that joins the calf muscles to the heel bone (calcaneus) and pulls up that bone. The tendon is prone to rupture in middle-aged people playing vigorous sports such as squash or tennis. Named after the classical Greek hero Achilles, who was reputedly vulnerable to his enemies only in his heel.... achilles tendon

Squash, pumpkin (Cucurbita pepo & C. moschata).

Plant Part Used: Seeds, fruit pulp, oil.

Dominican Medicinal Uses: The seeds are traditionally prepared as an infusion and taken orally for diarrhea, intestinal parasites and worms. The fruit pulp is traditionally prepared as an infusion or juice for the common cold and flu.

Safety: The fruit and seeds are commonly consumed and generally regarded as safe. In animal studies the fruit was shown to be relatively nontoxic.

Drug Interactions: Warfarin (increased clotting time – 1 case; based on a study using the multi-herb supplement Cucurbicin®).

Clinical Data: The following effects of the seed or seed extracts have been investigated in human clinical trials: improved urinary symptoms of benign prostatic hyperplasia and inhibited urolithiasis.

Laboratory & Preclinical Data: In animal studies the plant or seed extract has shown antiallergenic and hepatoprotective effects. In vitro, isolated compounds from the seed have shown antiproliferative activity. Nutritionally the fruit and flower are a significant source of pro-vitamin A and the seeds are a source of L-tryptophan.

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

Linn.

Family: Boraginaceae.

Habitat: The Mediteranean region, Europe and Asia.

English: Borage, Cow's Tongue Plant.

Unani: Gaozabaan (Onosma bracteatum Wall. has also been equated with Gaozabaan).

Action: Fresh herb (compounded with water)—refreshing, restorative and nervine tonic. Leaves and flowers—diuretic, febrifuge, expectorant, demulcent, emollient; promote the activity of kidneys; alleviate pulmonary affections.

The drug strengthens adrenal glands and is given for stress, mental exhau- sion and depression; provides support to stomach and intestines in cases of infection and toxicity. Used as a tonic to counteract the lingering effects of steroid therapy. Seeds relieve irritable bowel syndrome and regulate menstruation.

The leaves contain lycopsamine and supindine viridiflorate as the predominant unsaturated pyrrolizidine alkaloids. Due to low concentration of these alkaloids Borage is not toxic.

The drug contains potassium and calcium, combined with mineral acids. The fresh juice affords 30%, the dried herb 3% of nitrate of potash. The stems and leaves supply much saline mucilage. These saline qualities are mainly responsible for the wholesome invigorating properties of Borage.

Borage imparts pleasant flavour and cooling effect to beverages. In India, squashes and syrups, sold during summer, contain Borage extract.

Borage contains ascorbic acid (38 mg/100 g). Flowers contain cholin, glucose, fructose, amino acids, tannin (about 3%). Seeds contain protein (20.9%) and an oil (38.3%). The seed oil is one of the important sources of gamma-linoleic acid and linoleic acid. Borage oil, combined with Evening Primrose oil, is used in hypercholes- terolaemia.

Borage seed oil is used for rheumatoid arthritis, atopic eczema, infantile seborrhoeic dermatitis, neurodermati- tis, also for PMS and for preventing heart disease and stroke. Only UPA (unsaturated pyrrolizidine alkaloids) free oil is given internally.

Listed by German Commission E among unapproved herbs.

It has been suggested that borage not be used with drugs known to lower the seizure threshold such as tricyclic an- tidepressants and phenothiazines due to GLA content (only borage seed oil contains significant amounts of GLA). (Francis Brinker.)... borago officinalis

Duch. ex Poir.

Habitat: Native to Central America. Cultivated in warmer climate than that required for C. maxima.

English: Squash.

Ayurvedic: Kumshmaanda.

Action: Fruit—used in headache, bronchitis, asthma; as diuretic in genitourinary disorders; as anthelmintic against tapeworms. Dried pulp is administered in haemptysis.

The lipids isolated from the seeds included glycerides, sterol esters, phos- phatidylcholine and phosphatidylinos- itol. The aqueous extract of seeds showed potent gastroprotective activity against ethanol-induced gastric lesions in rats.

In Chinese medicine, Cucurbita mo- schata flower is used in jaundice, dysentery and cough; the root in jaundice, strangury, galactostasis and dysentery; the stem in irregular menstruation and scalds.... cucurbita moschata

a black area, sometimes called a ‘talon noir’, resulting from the rupture of capillaries in the skin in those who play basketball, squash, etc. It may be mistaken for malignant melanoma.... black heel

a congenital malformation of the bony structure (the *sella turcica) that houses the pituitary gland such that the space is largely filled with cerebrospinal fluid, which squashes the usually spherical gland into a flattened shape against the floor of the sella. It is usually associated with enlargement of the sella, which can be seen on lateral X-ray. Only 10% of cases of this condition have defective pituitary function.... empty sella syndrome

Victims of eye injuries are advised to seek prompt medical advice if the injury is at all serious or does not resolve with simple ?rst-aid measures – for example, by washing out a foreign body using an eye bath.

Blunt injuries These may cause haemorrhage inside the eye, cataract, retinal detachment or even rupture of the eye (see also EYE, DISORDERS OF). Injuries from large blunt objects – for example, a squash ball – may also cause a ‘blow-out fracture’ of the orbital ?oor resulting in double vision. Surgical treatment may be required depending on the patient’s speci?c problems.

Chemical burns Most chemical splashes cause conjunctivitis and super?cial keratitis in the victim (see EYE, DISORDERS OF); both conditions are self-limiting. Alkalis are, however, more likely to penetrate deeper into the eye and cause permanent damage, particularly to the cornea. Prompt irrigation is important. Further treatment may involve testing the pH of the tears, topical antibiotics and CORTICOSTEROIDS, and vitamin C (drops or tablets – see APPENDIX 5: VITAMINS), depending on the nature of the injury.

Corneal abrasion Loss of corneal epithelium (outermost layer). Almost any sort of injury to the eye may cause this. The affected eye is usually very painful. In the absence of other problems, the epithelium heals rapidly: small defects may close within 24 hours. Treatment conventionally consists of antibiotic ointment and sometimes a pad over the injured eye.

Foreign bodies Most foreign bodies which hit the eye are small and are found in the conjunctival sac or on the cornea; most are super?cial and can be easily removed. A few foreign bodies penetrate deeper and may cause infection, cataract, retinal detachment or haemorrhage within the eye. The foreign body is usually removed and the damage repaired; nevertheless the victim’s sight may have been permanently damaged. Particularly dangerous activities include hammering or chiselling on metal or stone; people carrying out these activities (and others, such as hedge-cutting and grass-strimming) should wear protective goggles.... eye injuries

Carica papaya

Description: The papaya is a small tree 1.8 to 6 meters tall, with a soft, hollow trunk. When cut, the entire plant exudes a milky juice. The trunk is rough and the leaves are crowded at the trunk’s apex. The fruit grows directly from the trunk, among and below the leaves. The fruit is green before ripening. When ripe, it turns yellow or remains greenish with a squashlike appearance.

Habitat and Distribution: Papaya is found in rain forests and semievergreen seasonal forests in tropical regions and in some temperate regions as well. Look for it in moist areas near clearings and former habitations. It is also found in open, sunny places in uninhabited jungle areas.

Edible Parts: The ripe fruit is high in vitamin C. Eat it raw or cock it like squash. Place green fruit in the sun to make it ripen quickly. Cook the young papaya leaves, flowers, and stems carefully, changing the water as for taro.

CAUTION

Be careful not to get the milky sap from the unripe fruit into your eyes. It will cause intense pain and temporary--sometimes even permanent--blindness.

Other Uses: Use the milky juice of the unripe fruit to tenderize tough meat. Rub the juice on the meat.... papaya or pawpaw

A tendon – also known as sinew, or leader – is the cord of tissue that attaches the end of a muscle to the bone or other structure upon which the muscle acts when it contracts. Tendons are composed of bundles of white ?brous tissue arranged in a very dense manner, and are of great strength. Some are rounded, some ?attened bands, whilst others are very short – the muscle-?bres being attached almost directly to the bone. Most tendons are surrounded by sheaths lined with membrane similar to the SYNOVIAL MEMBRANE lining joint-cavities: in this sheath the tendon glides smoothly over surrounding parts. The ?bres of a tendon pass into the substance of the bone and blend with the ?bres composing it. One of the largest tendons in the body is the Achilles tendon, or tendo calcaneus, which attaches the muscle of the calf to the calcaneus or heel-bone.

Tendon injuries are one of the hazards of sports (see SPORTS MEDICINE). They usually result from indirect violence, or overuse, rather than direct violence.

Rupture usually results from the sudden application of an unbalanced load. Thus, complete rupture of the Achilles tendon is common in taking an awkward step backwards playing squash. There is sudden pain; the victim is often under the impression that he or she has received a blow. This is accompanied by loss of function, and a gap may be felt in the tendon.

Partial Rupture is also accompanied by pain, but there is no breach of continuity or complete loss of function. Treatment of a complete rupture usually means surgical repair followed by immobilisation of the tendon in plaster of Paris for six weeks. Partial rupture usually responds to physiotherapy and immobilisation, but healing is slow.... tendon

Scoliosis A condition where the spine is curved to one side (the spine is normally straight when seen from behind). The deformity may be mobile and reversible, or ?xed; if ?xed it is accompanied by vertebral rotation and does not disappear with changes in posture. Fixed scoliosis is idiopathic (of unknown cause) in 65–80 per cent of cases. There are three main types: the infantile type occurs in boys under three and in 90 per cent of cases resolves spontaneously; the juvenile type affects 4–9 year olds and tends to be progressive. The most common type is adolescent idiopathic scoliosis; girls are affected in 90 per cent of cases and the incidence is 4 per cent. Treatment may be conservative with a ?xed brace, or surgical fusion may be needed if the curve is greater than 45 degrees. Scoliosis can occur as a congenital condition and in neuromuscular diseases where there is muscle imbalance, such as in FRIEDREICH’S ATAXIA.

Kyphosis is a backward curvature of the spine causing a hump back. It may be postural and reversible in obese people and tall adolescent girls who stoop, but it may also be ?xed. Scheuermann’s disease is the term applied to adolescent kyphosis. It is more common in girls. Senile kyphosis occurs in elderly people who probably have osteoporosis (bone weakening) and vertebral collapse.

Disc degeneration is a normal consequence of AGEING. The disc loses its resiliance and becomes unable to withstand pressure. Rupture (prolapse) of the disc may occur with physical stress. The disc between the fourth and ?fth lumbar vertebrae is most commonly involved. The jelly-like central nucleus pulposus is usually pushed out backwards, forcing the annulus ?brosus to put pressure on the nerves as they leave the spinal canal. (See PROLAPSED INTERVERTEBRAL DISC.)

Ankylosing spondylitis is an arthritic disorder of the spine in young adults, mostly men. It is a familial condition which starts with lumbar pain and sti?ness which progresses to involve the whole spine. The discs and ligaments are replaced by ?brous tissue, making the spine rigid. Treatment is physiotherapy and anti-in?ammatory drugs to try to keep the spine supple for as long as possible.

A National Association for Ankylosing Spondylitis has been formed which is open to those with the disease, their families, friends and doctors.

Spondylosis is a term which covers disc degeneration and joint degeneration in the back. OSTEOARTHRITIS is usually implicated. Pain is commonly felt in the neck and lumbar regions and in these areas the joints may become unstable. This may put pressure on the nerves leaving the spinal canal, and in the lumbar region, pain is generally felt in the distribution of the sciatic nerve – down the back of the leg. In the neck the pain may be felt down the arm. Treatment is physiotherapy; often a neck collar or lumbar support helps. Rarely surgery is needed to remove the pressure from the nerves.

Spondylolisthesis means that the spine is shifted forward. This is nearly always in the lower lumbar region and may be familial, or due to degeneration in the joints. Pressure may be put on the cauda equina. The usual complaint is of pain after exercise. Treatment is bed rest in a bad attack with surgery indicated only if there are worrying signs of cord compression.

Spinal stenosis is due to a narrowing of the spinal canal which means that the nerves become squashed together. This causes numbness with pins and needles (paraesthia) in the legs. COMPUTED TOMOGRAPHY and nuclear magnetic resonance imaging scans can show the amount of cord compression. If improving posture does not help, surgical decompression may be needed.

Whiplash injuries occur to the neck, usually as the result of a car accident when the head and neck are thrown backwards and then forwards rapidly. This causes pain and sti?ness in the neck; the arm and shoulder may feel numb. Often a support collar relieves the pain but recovery commonly takes between 18 months to three years.

Transection of the cord occurs usually as a result of trauma when the vertebral column protecting the spinal cord is fractured and becomes unstable. The cord may be concussed or it may have become sheared by the trauma and not recover (transected). Spinal concussion usually recovers after 12 hours. If the cord is transected the patient remains paralysed. (See PARALYSIS.)... spine and spinal cord, diseases and injuries of

(1) The name given to a gastric-function test, involving injection of HISTAMINE – a powerful stimulator of gastric juice, or pentagastin. After the stimulant has been injected, the digestive juices are withdrawn through a stomach tube (inserted through the nose and throat) and their volume and chemistry measured. A similar test is used to assess the working of the PANCREAS.

(2) The second meaning (also called test feed) applies to a diagnostic procedure for congenital PYLORIC STENOSIS, whereby a paediatrician feels over the baby’s abdomen while he or she is feeding. The pyloric mass can be felt as a ?rm swelling with the consistency of a squash ball, which comes and goes under the examiner’s ?ngers.... test meal

Luffa cylindrica

Description: The luffa sponge is widely distributed and fairly typical of a wild squash. There are several dozen kinds of wild squashes in tropical regions. Like most squashes, the luffa is a vine with leaves 7.5 to 20 centimeters across having 3 lobes.

Some squashes have leaves twice this size. Luffa fruits are oblong or cylindrical, smooth, and many-seeded. Luffa flowers are bright yellow. The luffa fruit, when mature, is brown and resembles the cucumber.

Habitat and Distribution: A member of the squash family, which also includes the watermelon, cantaloupe, and cucumber, the luffa sponge is widely cultivated throughout the Tropical Zone. It may be found in a semiwild state in old clearings and abandoned gardens in rain forests and semievergreen seasonal forests.

Edible Parts: You can boil the young green (half-ripe) fruit and eat them as a vegetable. Adding coconut milk will improve the flavor. After ripening, the luffa sponge develops an inedible spongelike texture in the interior of the fruit. You can also eat the tender shoots, flowers, and young leaves after cooking them. Roast the mature seeds a little and eat them like peanuts.... wild gourd or luffa sponge