Stiffness Health Dictionary

Stiffness of the great toe due to injury by stubbing the toe, or to arthritic change. Formula. Prickly Ash bark 1; Celery 1; Bogbean 1; Guaiacum quarter. Dose: in a cup of Dandelion coffee. Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: half-1 teaspoon. Tinctures: 1-2 teaspoons. Thrice daily.

Bamboo gum.

Topical. Castor oil pack. Hot poultice of Lobelia and Comfrey. Gentle manipulation to induce a wider range of movement. Chamomile foot baths. ... hallux rigidus

A chronic inflammatory condition attacking joints of the spine and sacroiliac resulting in fixation by bony ankylosis. Intercostal joints also at risk. Bamboo spine. Poker spine. Genetic factor involved. Abnormal immune response to infection. Sometimes associated with anaemia, ulcerative colitis or psoriasis. Neglected symptoms degenerate into ‘an old man with a hoop’.

Symptoms. Persistent stiffness and pain in buttocks and low back. Poor chest expansion. Worse on rising and after inactivity. Rigidity develops over many years in neck and back.

The patient should be examined for bloodshot eyes. In the formative stages iritis is a classic diagnostic sign. An iritis which does not cause eyelids to be stuck down in the mornings is to be regarded with extreme caution. See: IRITIS.

Treatment. Anti-inflammatory analgesics: Guaiacum, White Willow bark, Wild Yam.

Teas. Bogbean, Celery seeds, Devil’s Claw root, German Chamomile, Meadowsweet, Prickly Ash bark, White Willow bark, Wild Yam.

Tablets/capsules. Black Cohosh, Devil’s Claw, Prickly Ash, Wild Yam, Bamboo gum.

Formula. White Willow 2; Celery 1; Black Cohosh half; Guaiacum quarter; Liquorice quarter. Mix. Dose: Powders – 500mg (two 00 capsules or one-third teaspoon). Liquid Extracts: 15-60 drops. Tinctures: 1-2 teaspoons. Thrice daily.

Topical. Liniment. Tincture Black Cohosh 2; Tincture Lobelia 2; Tincture Capsicum quarter; Alcohol to 20.

Cold packs: See entry.

Aromatherapy. Massage oil: 6 drops Oil Lavender in 2 teaspoons Almond oil. Jojoba, Aloe Vera, Thyme, Peanut oil.

Diet. See: GENERAL DIET. Avoid lemons and other citrus fruits.

Supplements. Daily. Pantothenic acid 10mg; Vitamin A 7500iu; Vitamin B6 25mg; Vitamin E 400iu; Zinc 25mg. Cod Liver oil: 1 dessertspoon.

General. Graduated exercises to promote good posture and free breathing. Swimming; walk-tall; sleep with board under mattress; hot baths. Gentle osteopathy to delay consolidation of vertebrae. ... ankylosing spondylitis

A poorly understood disorder causing generalized aching and stiffness of the muscles of the trunk, hips, and shoulders. Parts of the affected muscles (known as trigger points) are tender to the touch; common tender sites are the base of the skull and the muscles near the shoulderblades. Fibromyalgia commonly develops during periods of stress and may follow a chronic course. Treatment may consist of heat, massage, and drugs such as nonsteroidal anti-inflammatory drugs and, sometimes, antidepressant drugs, which may relieve the symptoms.... fibromyalgia

Pain and stiffness in the muscles. Because investigation usually fails to reveal any underlying cause, some doctors do not recognize fibrositis as a medical condition. However, tension and bad posture may contribute. Sometimes, an attack occurs after an infection or a new exercise.

Muscles most commonly affected are those in the neck, shoulders, chest, back, buttocks, and knees. There is usually no restriction of movement. Sometimes, attacks (which are generally worse in cold, damp weather) are accompanied by exhaustion and disturbed sleep.

Analgesic drugs, hot baths, and massage usually relieve pain and stiffness. Exercises to improve posture may help to prevent attacks. (See also back pain.)... fibrositis

Stiffness and pain in the shoulder that makes normal movement of the joint impossible. In severe cases, the shoulder may be completely rigid, and pain may be intense.

Frozen shoulder is caused by inflammation and thickening of the lining of the joint capsule. In some cases, it occurs following a minor injury to the shoulder or a stroke. The condition is more common in middle-aged people and those with diabetes mellitus.

Moderate symptoms of frozen shoulder can be eased by exercise, by taking analgesic drugs and nonsteroidal antiinflammatory drugs, and by applying ice-packs. In severe cases, injections of corticosteroid drugs into the joint may be used. Manipulation of the joint under a general anaesthetic can restore mobility, but this treatment carries the risk of increasing pain in the joint initially. Recovery is often slow but the shoulder is usually back to normal and pain free within 2 years.... frozen shoulder

An uncommon disease of elderly people, marked by pain and stiffness in the muscles of the hips, thighs, shoulders, and neck. Symptoms are worse in the mornings. The cause is unknown, but the condition may be associated with temporal arteritis. It is unusual before the age of 50.

The diagnosis is often difficult to confirm and is based on the patient’s history, a physical examination, and blood tests (including an ESR).

If temporal arteritis is suspected, a biopsy may be performed on an artery at the side of the scalp.

Corticosteroid drugs usually improve the condition within a few days.... polymyalgia rheumatica

A type of brain haemorrhage in which a blood vessel ruptures into the cerebrospinal fluid that surrounds the brain and spinal cord. It usually occurs spontaneously but may follow unaccustomed exercise. It is most common in people between 35 and 60. The most common cause is a burst aneurysm (see berry aneurysm).An attack may cause loss of consciousness, sometimes preceded by a sudden violent headache. If the person remains conscious, symptoms such as photophobia, nausea, drowsiness, and stiffness of the neck may develop. Even unconscious patients may recover, but further attacks are common and often fatal.

Diagnosis is by CT scanning and angiography.

Treatment includes life-support procedures and control of blood pressure to prevent recurrence.

Burst or leaking aneurysms are usually treated by surgery.

About half of those people affected survive, some recover completely, others have residual disability such as paralysis.... subarachnoid haemorrhage

A serious, sometimes fatal, disease of the central nervous system caused by infection of a wound with spores of the bacterium CLOSTRIDIUM TETANI. The spores live mainly in soil and manure but are also found elsewhere, including in the human intestine. When the spores infect poorly oxygenated tissues they multiply and produce a toxin that acts on the nerves controlling muscle activity. The most common symptom of this is trismus (commonly known as lockjaw). Other symptoms include stiffness of the abdominal and back muscles, and contraction of facial muscles, producing a fixed grimace. There may also be a fast pulse, slight fever, and profuse sweating. Painful muscle spasms then develop, and may result in asphyxia if they affect the larynx or chest wall. The spasms usually subside after 10 to 14 days.

About half a million cases of tetanus occur worldwide each year, but fewer than 20 occur in the. The diagnosis is made from the symptoms and signs, and a course of tetanus antitoxin injections is started. Most people recover completely if treated promptly.

Prevention of tetanus in the relies on the DPT vaccination being given routinely during childhood; booster shots are given every 10 years.... tetanus

An injury to the soft tissues, ligaments, and spinal joints of the neck caused by a forcible and violent bending of the neck backwards (hyperextension) and then forwards (flexion), or vice versa. Such injury most commonly results from sudden acceleration or deceleration, as occurs in a car collision.

Damage to the spine usually involves minor sprain of a neck ligament, or subluxation (partial dislocation) of a cervical joint. Occasionally, a ligament may rupture or a cervical vertebra may fracture (see spinal injury). Characteristically, pain and stiffness in the neck are much worse 24 hours after the injury.

Treatment may include immobilization in an orthopaedic collar, analgesic drugs, muscle-relaxant drugs, and physiotherapy. It may take a few weeks before full pain-free movement is possible.... whiplash injury

Linn.

Family: Umbelliferae; Apiaceae.

Habitat: The Himalayas from Kashmir to Bhutan and the Khasi Hills, at 1,000-4,000 m.

English: Hare's Ear.

Folk: Shingu (Himachal Pradesh), Sipil (Punjab), Thaanyo (Garhwal).

Action: Roots—anti-inflammatory, haemolytic, antipyretic. Used in inflammations, muscle stiffness, neurosis, pain and pyrexia. Roots resolve inflammations of costal margin and diaphragm.

Key application: Extracts have been used for the treatment of chronic hepatitis, nephrotic syndrome and auto-immune diseases (WHO.).

Therapeutic properties are attributed to saikoside or saikosaponins (yield from roots 2.06-3.02%), a complex mixture of triterpenic saponins. Saponin content varies with age. Saikos- aponins are analgesic, antipyretic as well as antitussive; anti-inflammatory on oral administration. In Japan and China, roots have been used traditionally in auto-immune diseases. Saikos- aponins form an ingredient of anti- tumour pharmaceuticals. A water- soluble crude polysaccharide fraction, prepared from the root, was reported to prevent HCl/ethanol-induced ulcero- genesis in mice significantly. Saiko- saponin-d, at a concentration of more than 5 ^m, inactivated measles virus and herpes simplex virus at room temperature.

Several sterols, possessing metabolic activities and plasma cholesterol- lowering activity, have also been isolated from the root.... bupleurum flacutum

Altough Cibotium tea is not very popular and sometimes hard to find within the United States, it is worth trying, as it has many health benefits. About Cibotium Tea Cibotium is a genus of fern tropical tree - subject to much confusion and revision. There are approximately eleven species distributed in South Eastern Asia, Central America, Hawaii and Mexico. Amoung them, Cibotium barometz is well known and used in Asian medicine as it is belived to be a very powerful tonifying agent for the lungs and kidneys. The fronds of this fern are lacy and have a light green color. The trunk of the fern usually develops orange to brown hairs over time. For their part, the rhizomes or roots have long, soft, golden-yellow hair coverings and these have given it its nicknames such as “golden hair dog” or “yellow dog hair”. The rhizomes are the most used parts in traditional Chinese medicine. The cibotium rhizomes containe tannins, pigments, cibotiumbarosides A and B, as well as cibotiglycerol. Cibotium tea benefits can be felt if you take one cup, 2 to 3 times per day. Cibotium Tea drink For a tasty Cibotium tea you can use 2 to 4 grams of powdered rhizomes and dissolve them in a cup of newly-boiled water. Let them infuse for about 5 minutes and drink. Benefits of Cibotium Tea The following are the cibotium tea benefits attributed to this brew: It is believed to help expel “wind” and moisture and ease weakness. This tea is believed to help strengthen the sinews and the bones of the lower back. Cibotium tea, in combination with other herbs such as cinnamon twigs, is believed to help ease aches, pains and stiffness in the back and in the knees. Cibotium tea may fight chronic rheumatism. It may also be helpful in dizziness, tinnitus and blurred vision caused by yin deficiency in the kidney and liver, according to traditional Chinese medicine. Side effects of Cibotium Tea Generally, there are no known side-effects or drug interactions associated with Cibotium tea. However, patients who are dehydrated, or have a dry mouth, dark yellow/brown urine, or a bitter taste in the mouth should not use this type of tea. As always, consult with a qualified health care provider before taking cibotium or any other dietary supplement.   Cibotium tea is mostly safe for health and if you keep your moderation you can easily enjoy its benefits.... cibotium tea

(L.) Gaertn.

Family: Verbenaceae.

Habitat: Throughout India in tidal forests, wild all over coastal areas; planted in gardens in Tamil Nadu.

English: Smooth Volkameria.

Ayurvedic: Putigandhaa, Kundali, Vanajai.

Siddha/Tamil: Peenaari, Sangan- kuppi.

Folk: Lanjai.

Action: Leaf—febrifuge, alterative. Used as a substitute for Swertia chirayita and quinine in remittent and intermittent fevers. The leaf juice is taken orally to relieve muscular pains and stiffness of legs (in tetanus).

The leaves and stem contain a number of triterpenes, neolignans, diter- penoids, sterols and flavones.

The roots are prescribed in venereal diseases. The methanolic extract of the roots contains verbascoside which exhibits analgesic and antimicrobial properties.... clerodendrum inerme

An increase in the number of eosinophils in the blood. May occur in a number of allergies, infections, and is sometimes responsible for leukaemia. Among other causes, food supplement tryptophan has been linked. See entry.

Symptoms. Stiffness and severe muscle pain.

Treatment. Formula. Echinacea 2; Burdock 1; Yarrow 1; Poke root quarter. Dose: Liquid Extracts: 1-2 teaspoons. Tinctures: 2-3 teaspoons. Powders: 750mg (three 00 capsules or half a teaspoon). Thrice daily. ... eosinophilic myalgia syndrome (ems)

Tablets: formulated in accordance with traditional and modern scientific phytotherapy to provide an over-the-counter (OTC) product for the symptomatic relief of rheumatic aches and pains as in lumbago, fibrositis, backache, stiffness of joints and other systemic connective tissue disorders. Formula: Guaiacum resin BHP (1983) (anti-inflammatory) 40mg. Black Cohosh BHP (1983) (soothing and sedative) 35mg. White Willow bark BHP (1983) (analgesic, anti-inflammatory) 100mg. Extract Sarsaparilla 4:1 (antiseptic) 25mg. Extract Poplar bark 7:1 (to reduce pain) 17mg. Product Licence No 1661/5016R. (Gerard House) ... ligvites

Linn.

Habitat: Cultivated mainly in Madhya Pradesh, Uttar Pradesh, Maharashtra, Bihar and Rajasthan.

English: Linseed, Flax.

Ayurvedic: Atasi, Umaa, Masrnaa, Nilapushpi, Kshumaa.

Unani: Kattan.

Siddha/Tamil: (Seed).

Action: Seed—demulcent, emollient, laxative, antilipidemic, antitussive, pectoral (used in bronchitis and cough). Flowers—used as nervine and cardiac tonic. Oil— used in burns, skin injuries and sores.

Key application: Internally, for chronic constipation, for colons damaged by abuse of laxatives, irritable bowel syndrome, diverticular disease, symptomatic short-term treatment of gastritis and enteritis. Externally, for painful skin inflammations. (German Commission E, ESCOP, The British Herbal Pharmacopoeia.)

The plant contains chlorogenic acid and its isomer. Also present are palmitic, stearic, oleic, linoleic acids, along with amino acids, and sugars. Linseed also contains mucilage (3-10%) in epidermis; fatty oil (30-40%); cyanogenic glycosides (0.05-00.1%) mainly linus- tatin, neolinustatin and linamarin; lig- nans; phenylpropane derivatives including linusitamarin. (Cyanogenic glycosides are not found toxic in therapeutic doses as these are broken down only to a limited extent in the body.)

The seeds are an excellent source of dietary alpha-linolenic acid for modifying plasma and tissue lipids. Flaxseed preparations reduced atherogenic risk in hyperlipemic patients. (Cited in Expanded Commission E Monographs.)

Human studies have indicated Flax- seed's use in atherosclerosis, hyperc- holesterolemia, lupus nephritis, chronic renal diseases and in cancer prevention (active principle: lignan precursor secoisolariciresinol diglycoside). (Sharon M. Herr. Also Am J Clin Nutr, 1999, 69, 395-402.)

The PP glucose response to a 50 g carbohydrate load given as Flaxseed bread was found to be 27% lower when compared with regular white bread.

Taking Flaxseed oil daily for 3 months did not improve symptoms of pain and stiffness in rheumatoid arthritis and no effect was observed on RA, such as C-reactive protein and ESR. (Natural Medicines Comprehensive Database, 2007.)

The water-binding capacity and rhe- ological properties of linseed mucilage resembled those of guar gum.

Dosage: Ripe seed—3-6 g powder. (API, Vol. I.) Flower-bud—3-6 g; oil—5-10 ml. (CCRAS.)... linum usitatissimum

(Linn.) Hallier. f.

Synonym: Convolvulus tridentatus Linn.

Ipomoea tridentata (L.) Roth.

Family: Convolvulaceae.

Habitat: Upper Gangetic Plain, Bihar, Orissa, West Bengal, South India and Gujarat.

Ayurvedic: Prasaarini (Kerala and Karnataka), Tala-nili.

Siddha/Tamil: Mudiyaakunthal.

Action: Laxative, astringent, anti-inflammatory. Used in piles, swellings, rheumatic affections, stiffness of the joints, hemiplegia and urinary affections.

The aerial parts contain the flavo- noids, diometin, luteolin and their 7- O-beta-D-glucosides.... merremia tridentata

Sarg.

Synonym: P. longifolia Roxb.

Family: Pinaceae.

Habitat: The Western and Eastern Himalayas.

English: Long-leaved Pine, Three- leaved Pine, Chir Pine.

Ayurvedic: Sarala, Pita-vriksha, Surabhidaaruka, Dhuupavriksha, Namasu. Oleo-resin—Shriveshtaka, Ghandh-Birojaa.

Unani: Sanobar-ul-Hindi. Oleoresin—Gandh-Bihrojaa, Qinn, Berzad.

Siddha/Tamil: Simaidevadaru.

Action: Needle, needle oil— decongestant, expectorant, antiseptic. Oil—used in cough and cold remedies, particularly inhalations and in rubefacients for rheumatism and muscle stiffness. Resin— expectorant, antiseptic, antipruritic.

The essential oil from oleoresin contains chiefly alpha-and beta-pinene; carene and longifoline.

Pinus pinaster Ait (Cluster Pine, Maritime Pine) has been successfully grown in Kulu, Manali and Rahini. German Commission E recognized the efficacy of the needle-oil in catarrhal diseases of the upper and lower respiratory tract (internally, as well as externally).

Dosage: Heartwood, root—1-3 g powder. (API, Vol. III.)... pinus roxburghii

A group of drugs used to treat rheumatoid arthritis and types of arthritis that are caused by other autoimmune disorders such as systemic lupus erythematosus.

Antirheumatic drugs affect the disease process and may limit joint damage, unlike nonsteroidal anti-inflammatory drugs, which only relieve pain and stiffness.

The main antirheumatic drugs are corticosteroid drugs, immunosuppressant drugs, chloroquine, gold, penicillamine, and sulfasalazine.

Many of these drugs can have serious side effects, and treatment must be under specialist supervision.... antirheumatic drugs

A muscle-relaxant drug that is used to relieve muscle spasm and stiffness due to brain or spinal cord injury, stroke, or neurological disorders such as multiple sclerosis. Adverse effects of baclofen include drowsiness and muscle weakness; these side effects can be limited, however, by increasing the dose of the drug gradually.... baclofen

A nonsteroidal anti-inflammatory drug that contains aspirin and paracetamol. Benorilate is mainly used to relieve joint pain and stiffness in osteoarthritis and rheumatoid arthritis. Side effects are not usually serious, but the aspirin in the drug may cause nausea or indigestion.... benorilate

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

Strychnos nux-vomica

Loganiaceae

San: Karaskara;

Hin: Kajra, Kuchila;

Mal: Kanjiram; ;

Tam: Itti, Kagodi, Kanjirai Mar:Jharkhatchura;

Kan: Hemmushti, Ittangi;

Tel: Mushti, Mushidi; Ori: Kora, Kachila

Importance: It is a large deciduous tree, with simple leaves and white fragrant flowers.

Strychnos is highly toxic to man and animals producing stiffness of muscles and convulsions, ultimately leading to death. However, in small doses it can also serve as efficacious cure forms of paralysis and other nervous disorders. The seeds are used as a remedy in intermittent fever, dyspepsia, chronic dysentery, paralytic and neuralgic affections, worms, epilepsy, chronic rheumatism, insomnia and colic. It is also useful in impotence, neuralgia of face, heart disease, spermatorrhoea, skin diseases, toxins, wounds, emaciation, cough and cholera. Leaves are applied as poultice in the treatment of chronic wounds and ulcers and the leaf decoction is useful in paralytic complaints. Root and root bark used in fever and dysentery (Nadkarni, 1982; Kurup et al, 1979).

Distribution: The plant is distributed throughout India in deciduous forests up to 1200m. It is also found in Sri Lanka, Siam, Indochina and Malaysia.

Botany: Strychnos nux-vomica Linn. is a large tree belonging to the family Loganiaceae. Leaves are simple, opposite, orbicular to ovate, 6-11.5x6-9.5cm, coriaceous, glabrous, 5 nerved, apex obtuse, acute or apiculate, transverse nerves irregular and inconspicuous. Inflorescence is many flowered terminal cymes, 2.5-5cm across. Bracts (5mm) and bracteoles (1.5mm) small. Flowers are white or greenish white and fragrant. Calyx 5 lobed, pubescent and small (2mm). Corolla salver shaped, tube cylindrical slightly hairy near the base within and greenish white, tube much elongate than the lobes. Tube 7mm and lobes 2.5mm long. Lobes 5 and valvate. Stamens 5, filaments short, 0.1mm long. Anthers 1.5mm subexerted, linear oblong. Ovary 1.5 mm, pubescent, 2 celled, ovules one to many. Style 9mm, stigma capitate. Fruit is a berry, 5-6cm diameter, globose, indehiscent, thick shelled, orange red when ripe with fleshy pulp enclosing the seeds. Seeds 1-many, discoid, compressed, coin like, concave on one side and convex on the other, covered with fine grey silky hairs.

The leaf fall is during December (do not shed all the leaves at a time) and new foliage appears in February. Flowering is during March - April and fruiting during May - December. Fruits take about 8-9 months to mature.

Properties and activity: Strychnine and brucine are the most important and toxic alkaloids present in the plant. They occur not only in the seeds but also in roots, wood, bark, fruit pulp and hard fruit shells. The minor alkaloids present in the plant are vomicine, -colubrine, -colubrine, pseudostrychnine and N-methyl-sec-pseudobrucine (novacine). Loganin a glycoside is also present (Warnat, 1932; Martin et al, 1953; Guggisberg et al, 1966; Bisset and Chaudhary, 1974). Chatterji and Basa (1967) reported vomicine as the major constituent alkaloid along with unidentified alkaloid in leaves and identified another alkaloid kajine (N-methyl pseudostrychnine) from the leaves of very young plants.

Root bark of S. nux-vomica yeilded 4-hydroxy-3-methoxy strychnine, 4 hydroxy strychine, nor-macusine, a new alkaloid 12 , 13 dihydro-12 -hydroxy isostrychnine named protostrychnine (Baser et al, 1979) methoxy strychnine, and mavacurine (Guggisberg et al, 1966). Leaves and root bark also yeilded 11 new alkaloids. 10-hydroxy strychnine, 3-12-dihydroxystrychnine, 12-hydroxy–11- methoxy strychnine, 3-12-dihydroxy- 11-methoxy strychnine,12-hydroxy strychnine-N- oxide 12-hydroxy-11-methoxy strychnine- N-oxide-19,20–dihydro isostrychnine, 16 , 17 dihydro-17 -hydroxy isostrychnine, O- methyl-macusine B, 16-epi-o-methyl–macusine B and normelinone B (Baser and Bisset, 1982).

De and Datta (1988) isolated 5 tertiary indole alkaloids viz. strychnine, brucine, vomicine, icajine and novacine from S.nux-vomica flowers. Bisset et al (1989) isolated and identified two phenolic glycosides salidroside and cuchiloside – a compound consisting of salidroside and an attached xylose unit, from the fruit of S.nux-vomica.

Rodriguez et al (1979) isolated an indole alkaloid from the seeds of S. nux- vomica and identified as a 3-methoxy icajine. A new alkaloid 15-hydroxy strychnine has been isolated from the seeds and the structure of the alkaloid established by spectroscopic data (Galeffi et al, 1979). Cai et al (1990a) isolated 4 new alkaloids isobrucine, isobrucine N-oxide, isostrychnine N-oxide and 2 hydroxy–3-methoxy strychnine from the heat treated seeds of S. nuxvomica and the structure of the alkaloids were determined by 13 CNMR (Cai et al, 1994). Cai et al (1990 b) studied the changes in the alkaloid composition of the seeds during drug processing. Saily et al (1994) determined the mineral elements in Strychnos nux-vomica. Corsaro et al (1995) reported polysaccharides from the seeds of Strychnos species.

Seeger and Neumann (1986) reviewed the physico-chemical characteristics, occurrence, identification, utilisation, poisoning, toxicity, kinetics, differential diagnosis and therapeutic uses of strychnine and brucine. Aspergillus niger, A. flavus and Pencillium citrinum showed regular association with Strychnos seeds and effectively deteriorated the alkaloid content of the seeds (Dutta, 1988; Dutta and Roy, 1992). Nicholson (1993) described the history, structure and synthesis of strychnine which occur in the seeds of S. nux-vomica. Rawal and Michoud (1991) developed a general solution for the synthesis of 2- azabicyclo (3.3.1) nonane substructure of Strychnos alkaloids.

Villar et al (1984) and Hayakawa et al (1984) developed HPLC method for the analysis of strychnine and brucine. Graf and Wittliner (1985), Kostennikova (1986) and Gaitonde and Joshi (1986) suggested different methods for the assay of strychnine and brucine. Biala et al, (1996) developed new method for the assay of alkaloids in S. nux- vomica.

The seeds are bitter, acrid, alexeteric, aphrodisiac, appetiser, antiperiodic, anthelmintic, digestive, febrifuge, emmenagogue, purgative, spinal, respiratory and cardiac stimulant and stomachic. The bark is bitter, and tonic and febrifuge (Nadkarni, 1954; Kurup et al, 1979; Warrier et al, 1996).

The quarternery alkaloid from the root bark of the Sri Lankan plant exhibited muscle-relaxant activity (Baser and Bisset, 1982). Antimicrobial activity of indole alkaloid isolated from the Strychnos nux-vomica was studied by Verpoorte et al, 1983. Shukla et al (1985) evaluated the efficacy of Rasnadigugglu compound consisting of S. nux-vomica, on rheumatoid arthritis and found to be effective in reducing inflammatory oedoma and rheumatoid arthritis. It also exhibited analgesic activity. A compound Unani formulation containing S. nux-vomica significantly attenuated withdrawal intensity in morphine dependent rats (Zatar et al, 1991). Shahana et al (1994) studied the effect of Unani drug combination (UDC) having Strychnos nux-vomica on the abstinence syndrome in moderately and severely morphine dependent rats. The UDC strikingly suppressed the abstinence syndrome was seen to possess central depressant and analgesic action.

Melone et al (1992) reported brucine-lethality in mice. Panda and Panda (1993) and Satyanarayanan et al (1994) reported antigastric ulcer activity of nux vomica in Shay rats. Banerjee and Pal (1994) reported the medicinal plants used by the tribals of plain land in India for hair and scalp preparation and S. nux-vomica being used to cure alopecia (baldness) by the tribals. Tripathi and Chaurasia (1996) studied the effect of S. nux-vomica alcohol extract on lipid peroxidation in rat liver.... strychnine tree

Leopard’s Bane. Wolf’s Bane. Arnica Montana L. German: Wolferlei, Arnika. French: Arnica, Aronique. Spanish: Arnica. Italian: Arnica, Polmonaria di Montagna. Dried flowerheads.

Action: external use only.

Uses: Bruises and contusions where skin is unbroken. Severe bruising after surgical operation. Neuralgia, sprains, rheumatic joints, aches and pains after excessive use as in sports and gardening.

Combination, in general use: 1 part Tincture Arnica to 10 parts Witch Hazel water as a lotion. Contra- indications: broken or lacerated skin.

Preparations: Compress: handful flowerheads to 1 pint boiling water. Saturate handtowel or suitable material in mixture and apply.

Tincture. 1 handful (50g) flowerheads to 1 pint 70 per cent alcohol (say Vodka) in wide-necked bottle. Seal tight. Shake daily for 7 days. Filter. Use as a lotion or compress: 1 part tincture to 20 parts water. Weleda Lotion. First aid remedy to prevent bruise developing.

Nelson’s Arnica cream.

Ointment. Good for applying Arnica to parts of the body where tincture or lotion is unsuitable. 2oz flowers and 1oz leaves (shredded or powdered) in 16oz lard. Moisten with half its weight of distilled water. Heat together with the lard for 3-4 hours and strain. For wounds and varicose ulcers.

Wet Dressing. 2 tablespoons flowers to 2 litres boiling water. For muscular pain, stiffness and sprains. Tincture. Alternative dosage: a weak tincture can be used with good effect, acceptable internally: 5 drops tincture to 100ml water – 1 teaspoon hourly or two-hourly according to severity of the case.

Widely used in Homoeopathic Medicine.

First used by Swiss mountaineers who chewed the leaves to help prevent sore and aching limbs.

Note: Although no longer used internally in the UK, 5-10 drop doses of the tincture are still favoured by some European and American physicians for anginal pain and other acute heart conditions; (Hawthorn for chronic).

Pharmacy only sale. ... arnica

A form of arthritis running concurrently with a bowel disorder arising from intestinal irritation. Acute Crohn’s disease or colitis may be related. Joint stiffness and inflammation subside on disappearance of the bowel condition.

Chronic bowel conditions are frequently responsible for heavy drainage of vitamins and minerals via excessive stool. Calcium may be pillaged from the bones to make up blood calcium levels which, if prolonged, may lead to rigid spine.

Treatment. Treatment of arthritis would be secondary, the primary object being to normalise the bowel. Alternatives:–

Teas or decoctions. Comfrey leaves, Calamus, Chamomile, Avens, Agrimony, Marshmallow root, Meadowsweet, Slippery Elm bark, Wild Yam.

Tea. Formula. Equal parts: Agrimony, Balm, Chamomile. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes; 1 cup freely.

Fenugreek seeds. Decoction. 1 cup freely.

Tablets/capsules. Calamus, Fenugreek, Goldenseal, Wild Yam.

Formula. Fenugreek 2; Wild Yam 1; Goldenseal quarter; Ginger quarter. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid extracts: 1 teaspoon. Tinctures: 2 teaspoons.

Bamboo powder. Two 320mg capsules thrice daily. (Dr Max Rombi)

Biostrath Willow Formula.

Diet. Slippery Elm food. Vitamin B12. Low fat. Cider vinegar.

Supportive: high enemas. Natural lifestyle. Outlook good. ... arthritis – bowel related

A deformity of the hip in which the angle between the neck and head of the femur (thigh-bone) and the shaft of the femur is reduced, resulting in shortening of the leg, pain and stiffness in the hip, and a limp. The most common cause is a fracture to the neck of the femur or, during adolescence, injury to the developing part of the head of the bone. Coxa vara can also occur if the bone tissue in the neck of the femur is soft, a condition that may be congenital or the result of a bone disorder such as rickets or Paget’s disease. Treatment may include surgery (see osteotomy).... coxa vara

A nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and stiffness in arthritis and to hasten recovery following injury. Side effects may include nausea, abdominal pain, and peptic ulcer. ... diclofenac

A nonsteroidal anti-inflammatory drug (NSAID) used to relieve joint pain and stiffness in types of arthritis. The drug is also given for back pain, sprains, and strains. Side effects include nausea, diarrhoea, and a rash.... diflunisal

A group of rheumatoid conditions of unknown causation with onset before 16 years. Girls more than boys. Still’s disease being the form presenting with enlargement of spleen and lymph nodes, high temperature with macular rash comes and goes. Children usually ‘grow out of it’ although stiffness may continue. Deformities possible. Tardy bone growth of the mandibles giving the face a birdlike look. May progress to rheumatoid arthritis (girls) or ankylosing spondylitis (boys). So strong is psychosomatic evidence that sociologists believe it to be a sequel to broken families, divorce or bereavement. Few patients appear to come from a balanced environment or happy home.

Treatment. BHP (1983) recommends: Meadowsweet, Balm of Gilead, Poke root, Bogbean, Hart’s Tongue fern, Mountain Grape.

Teas: Singly or in combination (equal parts): Chamomile, Bogbean, Nettles, Yarrow. 1-2 teaspoons to each cup boiling water; infuse 5-10 minutes. 1 cup thrice daily before meals.

Tablets/capsules. Blue Flag root, Dandelion root, Poke root, Prickly Ash bark.

Formula. White Poplar bark 2; Black Cohosh half; Poke root quarter; Valerian quarter; Liquorice quarter. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon) (children 5-12 years: 250mg – one 00 capsule or one-sixth teaspoon). Liquid extracts: 1 teaspoon: (children 5-12: 3-10 drops). Tinctures: 2 teaspoons: (children 5-12: 5-20 drops).

Evening Primrose oil. Immune enhancer.

Topical. Hot poultice: Slippery Elm, Mullein or Lobelia.

Diet: Lacto vegetarian. Kelp. Comfrey tea. Molasses. Low fat.

General. Adequate rest, good nursing, gentle manipulation but no massage to inflamed joints. Natural lifestyle. Parental emotional support.

Oily fish. See entry. ... arthritis, juvenile, chronic

Joint stiffness of the menopause due to diminished output of progesterone and oestrogen. Not really a separate disease but one form in which rheumatoid arthritis may present.

Alternatives. Agnus Castus, Alfalfa, Black Cohosh, Blue Cohosh, Cramp bark, Hawthorn, Hops, Liquorice, Sage, Sarsaparilla, Wild Yam, Yarrow.

Tea. Formula. Equal parts: Alfalfa, Hops, Sage. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes; 1 cup freely.

Chinese medicine: Sage tea.

Formula. Agnus castus 2; Black Cohosh 1; Valerian half; Juniper quarter. Mix. Dose: Powders: 500mg (two 00 capsules or one-third teaspoon). Liquid Extracts: 1 teaspoon. Tinctures: 2 teaspoons, in water, or cup of Nettle tea.

Nettle tea. Favourable results reported.

Evening Primrose oil.

Diet. Oily fish. Low fat, Low salt. High fibre.

Supplements. Vitamins A, B6, B-complex, C, E. Calcium, Magnesium, Zinc. ... arthritis – menopausal

Osteo-arthritis. Erosion of cartilage of a joint with pain and stiffness. “Wear and tear” arthritis of the over 50s, affecting hands, knees, spine or hips. Biochemical changes in the cartilage stimulate overgrowth of bone cells (hyperplasia) which is an effort by the body to correct the disturbance.

Common in the elderly and menopausal women. Calcium salts may be laid down in a joint believed to be due to errors of diet. Small crystals of calcium hydroxyapatite have been observed to form in cartilage and synovial fluid. (Research group: St Bartholomew’s Hospital, London)

The aged sometimes suffer from diminished supply of hydrochloric acid in the stomach, and which is necessary for normal calcium metabolism. An effective substitute is 2 teaspoons cider vinegar in a glass of water sipped before or during meals.

Alte rnative s. Black Cohosh and Meadowsweet (natural sources of salicylic acid), Asafoetida (inflammation of connective tissue), Hawthorn (efficient circulation of the blood), Poke root, Bladderwrack, Guaiacum, Devil’s Claw, Bogbean, White Poplar bark, Yucca leaves.

Tea. Celery seeds. 1 teaspoon to each cup boiling water. Infuse 15 minutes. Half-1 cup, 2-3 times daily, before meals. Comfrey tea.

Alternative formulae:– Powders. White Willow 2; Devil’s Claw 1; Black Cohosh half; Guaiacum quarter. Mix. Dose: 500mg (two 00 capsules or one-third teaspoon). Thrice daily in water or Nettle tea. Liquid extracts. White Willow 2; Devil’s Claw 1; Bogbean 1; Fennel 1; Tincture Capsicum quarter. Mix. 1 teaspoon thrice daily in water or Nettle tea.

Tinctures. Bogbean 2; Meadowsweet 2; Black Cohosh 1; Guaiacum quarter; Peppermint quarter. Mix. Dose: 2 teaspoons thrice daily.

Tablets/capsules: Devil’s Claw, Wild Yam, Ligvites.

Cod liver oil. Chief of the iodised oils. Can reach and nourish cartilage by the process of osmosis. Its constituents filter into cartilage, imparting increased elasticity which prevents degeneration. Known to soften-up fibrous tissue. 2 teaspoons once daily. Also helps correct uric acid metabolism.

Topical. Physiotherapy. Osteopathy. Jojoba oil packs. Capsicum Cream. Hot and cold compresses twice daily – followed by a cold compress at night, leaving on when in bed. Hot Epsom salt bath twice weekly. Diet. Oily fish: see entry. Low fat. Low salt. High fibre. Avoid lemons and other citrus fruits. Lemon juice may remove some calculi from the body but later begins to remove calcium from the bones. Supplementation. Pantothenic acid 10mg; Vitamin A 7500iu; Vitamin B6 25mg; Vitamin E 400iu; Zinc 25mg.

General. Warm dry climate often relieves. Surgery may be necessary. Herbs Pleurisy root, Comfrey root and Bryonia, sustain the constitution and promote tissue healing after joint replacements with ceramic substitute after the famous Charnley operation. The condition is disabling but it is possible to manage successfully, maintaining normal activities with minimum difficulty. ... arthritis – osteo

A nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain and stiffness caused, for example, by rheumatoid arthritis, osteoarthritis, and gout. Fenbufen is also used to reduce pain and to help speed recovery following muscle and ligament sprains. In common with other NSAIDs, it can cause bleeding from the stomach and may also cause a rash.... fenbufen

A nonsteroidal anti-inflammatory drug (NSAID) that is used to relieve pain and stiffness caused, for example, by rheumatoid arthritis, osteoarthritis, and gout. Fenoprofen is also used to treat muscle and ligament sprains; it reduces pain and helps to speed recovery. In common with many NSAIDs, fenoprofen may cause irritation of the stomach.... fenoprofen

A systemic inflammatory disease of several joints together where erosive changes occur symmetrically, and which may arise from inflammation and thickening of the synovial membrane. Cartilage becomes eroded and fibrous or even bony fusion leads to permanent fixation of a joint, or joints. Polyarthritis. An auto-immune disease.

Symptoms. Morning stiffness and pain wearing off later. Easy fatigue and decline in health. Nodules on surface of bones (elbows, wrists, fingers). Joint fluids (synovia) appear to be the object of attack for which abundant Vitamin C is preventative. Anaemia and muscle wasting call attention to inadequate nutrition, possibly from faulty food habits for which liver and intestine herbs are indicated.

Treatment. Varies in accord with individual needs. May have to be changed many times before progress is made. Whatever treatment is prescribed, agents should have a beneficial effect upon the stomach and intestines to ensure proper absorption of active ingredients. (Meadowsweet)

It is a widely held opinion that the first cause of this condition is a bacterial pathogen. An anti- inflammatory herb should be included in each combination of agents at the onset of the disease. See: ANTI-INFLAMMATORY HERBS. Guaiacum (Lignum vitae) and Turmeric (Curcuma longa) have a powerful anti-inflammatory action and have no adverse effects upon bone marrow cells or suppress the body’s immune system. Breast feeding cuts RA death rate.

Of therapeutic value according to the case. Agrimony, Angelica root, Balmony, Black Cohosh (particularly in presence of low back pain and sciatica), Bogbean, Boldo, Burdock, Celery, Cramp bark, Devil’s Claw, Echinacea (to cleanse and stimulate lymphatic system), Ginseng (Korean), Ginseng (Siberian), Liquorice, Meadowsweet, Poke root, Prickly Ash bark, White Poplar bark, White Willow bark, Wild Yam.

Tea. Formula. Equal parts. Alfalfa, Bogbean, Nettles. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes, 1 cup thrice daily.

Decoction. Prickly Ash bark 1; Cramp bark 1; White Willow bark 2. Mix. 1oz to 1 pint water gently simmered 20 minutes. Dose: Half-1 cup thrice daily.

Tablets/capsules. Black Cohosh, Celery, Cramp bark, Devil’s Claw, Feverfew, Poke root, Prickly Ash, Wild Yam, Ligvites.

Alternative formulae:– Powders. White Willow bark 2; Devil’s Claw 1; Black Cohosh half; Ginger quarter. Mix. Dose: 750mg (three 00 capsules or half a teaspoon) thrice daily.

Liquid extracts. White Willow bark 2; Wild Yam half; Liquorice half; Guaiacum quarter. Mix. Dose: 1-2 teaspoons thrice daily.

Tinctures. Cramp bark 1; Bogbean 1; Prickly Ash half; Meadowsweet 1; Fennel half. Mix. Dose: 1-3 teaspoons thrice daily.

Ligvites. (Gerard House)

Cod Liver oil. Contains organic iodine, an important factor in softening-up fibrous tissue, to assist metabolism of uric-acid, help formation of haemoglobin, dilate blood vessels; all related to arthritics. The oil, taken internally, can reach and nourish cartilage by the process of osmosis; its constituents filter into cartilage and impart increased elasticity.

Topical. Evening Primrose oil, Wintergreen lotion, Comfrey poultice. Hydrotherapy: hot fomentations of Hops, Chamomile or Ragwort. Cold water packs: crushed ice or packet of frozen peas in a damp towel applied daily for 10 minutes for stiffness and pain. See: MASSAGE OIL.

Aromatherapy. Massage oils, any one: Cajeput, Juniper, Pine or Rosemary. 6 drops to 2 teaspoons Almond oil.

Supportives: under-water massage, brush baths, sweat packs, Rosemary baths, exposure of joints to sunlight.

Diet. Low salt, low fat, oily fish, Mate tea, Dandelion coffee. On exacerbation of the disease cut out all dairy products.

Supplements. Daily. Evening Primrose capsules: four 500mg; Vitamin C (1-3g); Bromelain 250mg between meals; Zinc 25mg.

General. Residence in a warm climate. Yoga. Disability and deformity may be avoided by a conscientious approach to the subject. ... arthritis – rheumatoid

Paralysis of the 7th (facial) nerve which controls muscles of the face. One-sided stiffness and distortion of the face which lacks expression. Inability to close eyes or whistle. Rarely painful.

Aetiology. Injury, virus infection, cold, stroke. Recovery usually spontaneous. Herpes Simp. Alternatives. Chamomile, Wood Betony, Bryonia, Black Cohosh, Barberry, Asafoetida, Lobelia, Rosemary, Valerian, Sage. Echinacea has been used with convincing results internally and externally.

Tea. Equal parts. Chamomile, Wood Betony. Sage. 1 heaped teaspoon to each cup boiling water; infuse 15 minutes. 1 cup 3 times daily.

Decoctions. Black Cohosh, Rosemary, Valerian, Echinacea.

Tablets/capsules. Black Cohosh. Ginseng. Echinacea. Valerian.

Powders. Formula. Rosemary 1; Echinacea 2; Valerian 1. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily.

Tinctures. Formula. Echinacea 2; Rosemary 1; Black Cohosh 1; Pinch Tincture Capsicum. 1-2 teaspoons 3 times daily.

Evening Primrose oil. 4 × 500mg capsules daily.

Aromatherapy. 10 drops Oil Juniper to eggcup Almond oil; gentle massage affected side of face. Diet. Lacto-vegetarian.

Vitamin E. (400iu daily). ... bell’s palsy

Bleeding into a joint, causing the capsule that encloses the joint to swell, and resulting in pain and stiffness. Haemarthrosis is usually the result of severe injury to a joint. Less common causes are bleeding disorders, such as haemophilia, and overuse of anticoagulant drugs.

Ice-packs may reduce swelling and pain. Fluid may be withdrawn for pain relief and for diagnosis. Haemophiliacsare given factor VIII to promote blood clotting. Resting the joint in an elevated position can prevent further bleeding.

Repeated haemarthrosis may damage joint surfaces, causing osteoarthritis.... haemarthrosis

A nonsteroidal anti-inflammatory drug (NSAID) used as a painkiller to treat conditions such as headache, menstrual pain, and injury to soft tissues (such as muscles and ligaments). The drug’s anti-inflammatory effect helps to reduce the joint pain and stiffness that occurs in types of arthritis. Side effects may include abdominal pain due to inflammation of the stomach lining, nausea, heartburn, and diarrhoea. ... ibuprofen

A nonsteroidal anti-inflammatory drug (NSAID) used to relieve pain, stiffness, and inflammation in disorders such as osteoarthritis, rheumatoid arthritis, and tendinitis. It is also prescribed to relieve pain caused by injury to soft tissues, such as muscles and ligaments. Side effects include abdominal pain, nausea, heartburn, headache, dizziness, and increased risk of peptic ulcer.... indometacin

Apium graveolens, L. French: Ache. German: Sellerie. Spanish: Apio. Italian: Sedano. Indian: Chanoo Rhadodni. Chinese: Han-ch’in. Dried seeds.

Contains apiol, coumarins. Minerals: iron, phosphorus, potassium, sodium.

Action: alkaline reaction on the blood. Antirheumatic, urinary antiseptic, diuretic, antispasmodic, carminative, tonic digestive, galactagogue, assists elimination of uric acid. Anti-gout, anti-inflammatory, hypotensor, aphrodisiac.

Uses: Rheumatic disorders, stiffness and muscular pain, rheumatoid arthritis. Inflammation of the urinary tract, cystitis. To increase milk flow in nursing mothers. Bad breath.

Preparations: Thrice daily.

Green Drink: fresh raw celery juice prepared in a liquidiser. Blends well with carrot or apple juice. Cooling drink for a sickroom.

Decoction. Quarter to half a teaspoon bruised dry seeds to each cup water, gently simmer 10 minutes in covered vessel. Half-1 cup.

Liquid extract, BHC Vol 1. 1:1, 90 per cent ethanol. Dose: 0.5 to 2ml.

Tincture, BHC Vol 1. 1:5, 90 per cent ethanol. Dose: 2 to 8ml.

Tablets/capsules. Powdered plant 120mg; seed BHP (1983) 5mg.

Home acid tincture. 1 part bruised celery seed to 20 parts Cider vinegar. Macerate 1 month. Filter. Dose: 2-3 teaspoons in water (rheumatic aches and pains).

Essential oil: 1-2 drops in water or honey.

Diet: The vegetable is low in calories: for weight-conscious. Non-fattening.

Not taken in pregnancy.

CELL PROLIFERANTS. Comfrey, Fenugreek, Calendula. ... celery seed

For relief of cramp, back and skeletal pain, constipation, insomnia or lift a mood. To stimulate the lymph circulation.

Massage oils. (1) Oil Eucalyptus 13 per cent; Oil Scots pine 9 per cent; Camphor 3 per cent; Sunflower oil 75 per cent. (Dr Alfred Vogel)

(2) Tincture Capsicum; essential oils of Camphor. Thyme, Cajeput, Terebinth, in a base of Sunflower seed oil. (David Williams)

(3) Rheumatism. 1 drop Oil Juniper; 2 drops Oil Rosemary; 1 drop Oil Sassafras. Two teaspoons Almond oil. Massage affected muscles and joints and cover with a moist hot towel 2-3 times daily.

(4) Backache. 30 drops Oil Rosemary; 20 drops Oil Peppermint; 10 drops Oil Eucalyptus; 10 drops Oil Mustard: 20 drops Oil Juniper; 50 drops Tincture Cayenne (Capsicum). Mix. Shake briskly; store in a cool place. Heat and apply warm. The old Golden Fire oil.

(5) Aromatherapy. It is usual practice to combine 6 drops essential oil to 10ml (2 teaspoons) Almond or other vegetable oil. Anti-inflammatory and pain-easing combination: Lavender, Thyme, Hypericum and Yarrow.

(6) European traditional. Oil Camphor 7; Oil Cloves 2; Oil Wintergreen 3; Oil Eucalyptus 3; Oil Origanum 3. Mix. General purposes: pain, stiffness, backache, sciatica, lumbago.

(7) Olbas oil.

(8) Weleda Massage oil (Arnica, Lavender and Rosemary).

Tonic. Gently thump the centre of the chest seven times with the closed fist to stimulate the thymus gland, activate the immune system and help loosen congestion in the lungs.

Note: Massage also has a beneficial effect upon the mind. The sense of touch helps release physical and emotional tensions and has a place in mental health and well-being.

Lymphatic massage. A specific form of massage concentrated on the lymph glands to stimulate their activity and assist expulsion of toxins from the body.

Massage should never be carried out on patients with thrombosis and blood-clotting problems, varicose veins or inflammation of the veins. ... massage

Inflammation of one or more joints, with pain, swelling, and stiffness. There are several different types of arthritis, each having different characteristics. The most common form is osteoarthritis, which most often involves the knees, hips, and hands and usually affects middle-aged and older people. Cervical osteoarthritis is a form of osteoarthritis that affects the joints in the neck. Rheumatoid arthritis is a damaging

condition that causes inflammation in the joints and other body tissues such as the membranous heart covering, lungs, and eyes. The disorder has different effects in children (see juvenile chronic arthritis). Ankylosing spondylitis is another persistent form of arthritis that initially affects the spine and the joints between the base of the spine and the pelvis. Other tissues, such as the eyes, may also be affected. Eventually, the disorder may cause the vertebrae (bones of the spine) to fuse. Reactive arthritis typically develops in susceptible people following an infection, most commonly of the genital tract or intestines. Gout and pseudogout are types of arthritis in which crystals are deposited in a joint, causing swelling and pain. Septic arthritis is a relatively rare condition that can develop when infection enters a joint either through a wound or from the bloodstream.

Diagnosis of particular types of arthritis is made from blood tests and, in some cases, microscopic examination of fluid from the affected joint. X-rays or MRI can indicate the type and extent of joint damage.

Physiotherapy and exercises can help to minimize the effects of arthritis, and there are specific treatments for some types, such as antibiotic drugs for septic arthritis.

In severe cases, one or more joints may need arthroplasty (replacement with an artificial substitute) or arthrodesis (fusion of the bones).... arthritis

A fracture of the jaw, most often caused by a direct blow. A minor fracture may cause tenderness, pain on biting, and stiffness. In more severe injuries, teeth may be loosened or damaged, jaw movement may be severely limited, and there may be loss of feeling in the lower lip. Minor fractures are normally left to heal on their own. For severe fractures with displacement of the bones, surgical treatment is necessary. To allow healing, the jaw is immobilized, usually by wiring the upper

and lower teeth together. The wires are removed after about 6 weeks.... jaw, fractured

A type of nonsteroidal antiinflammatory drug (NSAID) prescribed as an analgesic drug for injuries to soft tissues, such as muscles and ligaments. Ketoprofen also reduces joint pain and stiffness in arthritic conditions. It may cause abdominal pain, nausea, indigestion, and increased risk of peptic ulcer.... ketoprofen

A therapeutic technique involving the skilful use of the hands to move a part of the body, joint, or muscle to treat certain disorders. Manipulation is important in orthopaedics, physiotherapy, osteopathy, and chiropractic.

Manipulation may be used to treat deformity and stiffness caused by bone and joint disorders, to realign bones in a displaced fracture, to reposition a joint after a dislocation, or to stretch a contracture.

Occasionally, manipulation is used to help treat frozen shoulder.... manipulation

A disorder of posture and movement resulting from damage to a child’s developing brain before, during, or immediately after birth, or in early childhood. Cerebral palsy is nonprogressive and varies in degree from slight clumsiness of hand movement and gait to complete immobility.

A child with cerebral palsy may have spastic paralysis (abnormal stiffness of muscles), athetosis (involuntary writhing movements), or ataxia (loss of coordination and balance). Other nervous system disorders, such as hearing defects or epileptic seizures, may be present. About 70 per cent of affected children have mental impairment, but the remainder are of normal or high intelligence.

In most cases, damage occurs before or at birth, most commonly as a result of an inadequate supply of oxygen to the brain. More rarely, the cause is a maternal infection spreading to the baby in the uterus. In rare cases, cerebral palsy is due to kernicterus. Possible causes after birth include encephalitis, meningitis, head injury, or intracerebral haemorrhage. Cerebral palsy may not be recognized until well into the baby’s 1st year. Initially, the infant may have hypotonic (floppy) muscles, be difficult to feed, and show delay in sitting without support.

Although there is no cure for cerebral palsy, much can be done to help affected children using specialized physiotherapy, speech therapy, and techniques and devices for nonverbal communication.... cerebral palsy

A degenerative disorder, also known as cervical spondylitis, that affects the joints between the cervical vertebrae (bones in the neck). Cervical osteoarthritis mainly affects middle-aged and elderly people, but occasionally the degeneration begins earlier due to an injury.

Symptoms of cervical osteoarthritis may include pain and stiffness in the neck, pain in the arms and shoulders, numbness and tingling in the hands, and a weak grip. Other symptoms such as dizziness, unsteadiness, and double vision when turning the head may also occur. Rarely, pressure on the spinal cord can cause weakness or paralysis in the legs and loss of bladder control.

Treatments include heat treatment and analgesics.

Physiotherapy may improve neck posture and movement.

Pressure on the spinal cord may be relieved by surgery (see decompression, spinal canal).... cervical osteoarthritis

The symptoms, treatment, and possible complications of a fracture of the femur (thigh-bone) depend on whether the bone has broken across its neck (the short section between the top of the shaft and the hip joint) or across the shaft.Fracture of the neck of the femur, often called a broken hip, is very common in elderly people, especially in women with osteoporosis, and is usually associated with a fall. In a fracture of the neck of the femur, the broken bone ends are often considerably displaced; in such cases there is usually severe pain in the hip and groin, making standing impossible. Occasionally, the broken ends become impacted. In this case, there is less pain and walking may be possible. Diagnosis is confirmed by X-ray. If the bone ends are displaced, an operation under general anaesthesia is necessary, either to realign the bone ends and to fasten them together, or to replace the entire head and neck of the femur with an artificial substitute (see hip replacement). If the bone ends are impacted the fracture may heal naturally, but surgery may still be recommended to avoid the need for bed rest.

Complications include damage to the blood supply to the head of the femur, causing it to disintegrate. Osteoarthritis may develop in the hip joint after fracture of the femur neck itself. However, immobility and the need for surgery in the elderly may result in complications, such as pneumonia, that are not directly related to the fracture site.

Fracture of the bone shaft usually occurs when the femur is subjected to extreme force, such as that which occurs in a traffic accident. In most cases, the bone ends are considerably displaced, causing severe pain, tenderness, and swelling.

Diagnosis is confirmed by X-ray. With a fractured femoral shaft there is often substantial blood loss from the bone. In most cases, the fracture is repaired by surgery in which the ends of the bone are realigned and fastened together with a metal pin. Sometimes the bone ends can be realigned by manipulation, and surgery is not necessary. After realignment, the leg is supported with a splint and put in traction to hold the bone together while it heals.

Complications include failure of the bone ends to unite or fusion of the broken ends at the wrong angle, infection of the bone, or damage to a nerve or artery.

A fracture of the lower shaft can cause permanent stiffness of the knee.... femur, fracture of

A rare genetic disorder characterized by muscle stiffness and painful cramps that increase during exertion and afterwards. The cause is a deficiency of an enzyme in muscle cells that stimulates breakdown of the carbohydrate glycogen into the simple sugar glucose. The result is a build-up of glycogen and low levels of glucose in the muscles. Damage to the muscles occurs, causing myoglobinuria (muscle-cell pigment in the urine), which may lead to kidney failure. There is no treatment, but symptoms may be relieved by eating glucose or fructose before exercise.... mcardle’s disease

Inflammation of a single joint, causing pain and stiffness. Common causes of monoarthritis include osteoarthritis, gout, and infection.... monoarthritis

A nonsteroidal anti-inflammatory drug (NSAID). Naproxen is used to relieve joint pain and stiffness in arthritis; it is also prescribed to hasten recovery following injury to soft tissues, such as muscles or ligaments.

Possible adverse effects include nausea, abdominal pain, and peptic ulcer.... naproxen

Marked stiffness of the neck caused by spasm of the muscles in the neck and spine.

Neck rigidity is an important clinical sign of meningitis (inflammation of the membranes covering the brain and spinal cord).

Severe neck rigidity may cause the head to arch backwards, especially in babies.... neck rigidity

Treatment with physical methods or agents.

Physiotherapy is used to prevent or reduce joint stiffness; restore muscle strength; reduce pain; inflammation, and muscle spasm; and retrain joints and muscles after stroke or nerve injury.

Methods include heat treatment, exercises, massage, ice-packs, hydrotherapy, and TENS.

Physiotherapy is also used to maintain breathing in people with impaired lung function, and to prevent and treat pulmonary complications after surgery.

Techniques include breathing exercises, postural drainage, and administration of oxygen, drugs, or moisture through a nebulizer.... physiotherapy

A rare form of arthritis affecting children. Juvenile chronic arthritis occurs more often in girls, and usually develops between 2 and 4 years of age or around puberty. There are 3 main types. Still’s disease (systemic onset juvenile arthritis) starts with fever, rash, enlarged lymph nodes, abdominal pain, and weight loss. These symptoms last for a period of several weeks. Joint pain, swelling, and stiffness may develop after several months. Polyarticular juvenile arthritis causes pain, swelling, and stiffness in many joints. Pauciarticular juvenile arthritis affects 4 joints or fewer.

Possible complications include short stature, anaemia, pleurisy, pericarditis, and enlargement of the liver and spleen. Uveitis may develop, which, if untreated, may damage vision. Rarely, amyloidosis may occur or kidney failure may develop. Diagnosis is based on the symptoms, together with the results of X-rays and blood tests, and is only made if the condition lasts for longer than 3 months.

Treatment may include antirheumatic drugs, corticosteroid drugs, nonsteroidal anti-inflammatory drugs, or aspirin. Splints may be worn to rest inflamed joints and to reduce the risk of deformities. Physiotherapy reduces the risk of muscle wasting and deformities.

The arthritis usually clears up after several years. However, in some children, the condition remains active into adult life.

– kala-azar A form of leishmaniasis that is spread by insects. Kala-azar occurs in parts of Africa, India, the Mediterranean, and South America.... juvenile chronic arthritis

A group of disorders in which there is degeneration of the nerves in the central nervous system that control muscular activity. This causes weakness and wasting of the muscles. The cause is unknown.

The most common type of motor neuron disease is amyotrophic lateral sclerosis ( or Lou Gehrig’s disease). It usually affects people over the age of 50 and is more common in men. Some cases run in families. Usually, symptoms start with weakness in the hands and arms or legs, and muscle wasting. There may be irregular muscle contractions, and muscle cramps or stiffness. All four extremities are soon affected.

Progressive muscular atrophy and progressive bulbar palsy both start with patterns of muscle weakness different from but usually develop into.There are 2 types of motor neuron disease that first appear in childhood or adolescence. In most cases, these conditions are inherited. Werdnig–Hoffman disease affects infants at birth or soon afterwards. In almost all cases, progressive muscle weakness leads to death within several years. Chronic spinal muscular atrophy begins in childhood or adolescence, causing progressive weakness but not always serious disability.

There are no specific tests for motor neuron disease. Diagnosis is based on careful clinical examination by a neurologist. Tests including EMG, muscle biopsy, blood tests, myelography, CT scanning, or MRI may be performed.

The disease typically goes on to affect the muscles involved in breathing and swallowing, leading to death within 2–4 years. However, about 10 per cent of sufferers survive for 10 years.

Nerve degeneration cannot be slowed down, but physiotherapy and the use of various aids may help to reduce disability. The drug riluzole is used to extend life (or the time until mechanical ventilation is required).... motor neuron disease

A popular term for any disorder that causes pain and stiffness in muscles and joints.... rheumatism

A violent attack of shivering, often associated with a fever. Rigor may also refer to stiffness or rigidity of body tissues, as in rigor mortis.... rigor

The stiffening of muscles that starts 3–4 hours after death.

It is usually complete after about 12 hours; the stiffness then disappears over the next 48–60 hours.

Physical exertion before death makes rigor mortis begin sooner.

The sooner rigor mortis begins, the quicker it passes.

These facts are used to help assess the time of death.... rigor mortis

A group of rare inherited metabolic disorders (see metabolism, inborn errors of) of which Hurler’s syndrome is the best known. All mucopolysaccharidoses are genetic disorders in which there is an abnormality of a specific enzyme. This leads to the accumulation within body cells of substances called mucopolysaccharides.

Features may include abnormalities of the skeleton and/or the central nervous system, with learning difficulties and, in some cases, a characteristic facial appearance. There may also be clouding of the cornea, liver enlargement, and joint stiffness. No specific treatment is available. However, a bone marrow transplant may successfully be used to treat Hurler’s syndrome.

Mild forms of mucopolysaccharidoses allow a child to have a relatively normal life.

More severe types usually cause death during childhood or adolescence.... mucopolysaccharidosis

A common joint disease characterized by degeneration of the cartilage that lines joints or by formation of osteophytes, leading to pain, stiffness, and occasionally loss of function. Osteoarthritis is due to wear and tear on joints, weight-bearing joints being the most commonly affected. Weakness and shrinkage of surrounding muscles may occur if pain prevents the joint from being used regularly. Affected joints become enlarged and distorted by osteophytes. Osteoarthritis occurs in almost all people over 60, although not all have symptoms. Factors that lead to its earlier development include excessive wear of, or injury to, a joint; congenital deformity or misalignment of bones in a joint; obesity; or inflammation from a disease such as gout. Severe osteoarthritis affects 3 times as many women as men.

There is no cure for osteoarthritis. Symptoms can be relieved by nonsteroidal anti-inflammatory drugs, analgesics, injections of corticosteroid drugs into affected joints, and physiotherapy. In overweight people, weight loss often provides relief of symptoms. Surgery for severe osteoarthritis includes arthroplasty and arthrodesis.... osteoarthritis

Also called repetitive strain injury, a term, for any injury caused by repetitive movement of part of the body. Symptoms include pain and stiffness in the affected joints and muscles.

Examples include epicondylitis: painful inflammation of one of the bony prominences at the elbow, caused by the pull of the attached forearm muscles during strenuous activities (see golfer’s elbow; tennis elbow).

Overuse injuries of the fingers, thumb, and wrist joints may affect assembly-line and keyboard workers, and musicians; injuries of the neck may affect violinists.

Rest relieves the symptoms.

A change in the technique used during the activity may prevent recurrence.... overuse injury

A term that is used to indicate the number of pregnancies a womanhas undergone that have resulted in the birth of a baby capable of survival. parkinsonism Any neurological disorder characterized by a mask-like face, rigidity, and slow movements. The most common type is Parkinson’s disease.

Parkinson’s disease A neurological disorder that causes muscle tremor, stiffness, and weakness. The characteristic signs are trembling, rigid posture, slow movements, and a shuffling, unbalanced walk. The disease is caused by degeneration of, or damage to, cells in the basal ganglia of the brain, reducing the amount of dopamine (which is needed for control of movement). It occurs mainly in elderly people and is more common in men.

The disease usually begins as a slight tremor of 1 hand, arm, or leg, which is worse when the hand or limb is at rest. Later, both sides of the body are affected, causing a stiff, shuffling, walk; constant trembling of the hands, sometimes accompanied by shaking of the head; a permanent rigid stoop; and an unblinking, fixed expression. The intellect is unaffected until late in the disease.

There is no cure.

Drug treatment is used to minimize symptoms in later stages.

Levodopa, which the body converts into dopamine, is usually the most effective drug.

It may be used in combination with benserazide or carbidopa.

The effects of levodopa gradually wear off.

Drugs that may be used in conjunction with it, or as substitutes for it, include amantadine and bromocriptine.

Surgical operations on the brain are occasionally performed.

Untreated, the disease progresses over 10 to 15 years, leading to severe weakness and incapacity.

About one third of sufferers eventually develop dementia.... parity

Pain and stiffness affecting one shoulder and the hand on the same side; the hand may also become hot, sweaty, and swollen. Arm muscles may waste through lack of use (see Sudeck’s atrophy). The cause of shoulder–hand syndrome is unknown, but it may occur as a complication of myocardial infarction, stroke, herpes zoster, or shoulder injury. Recovery usually occurs in about 2 years. This period may be shortened by physiotherapy and corticosteroid drugs. In rare cases, a cervical sympathectomy is performed.... shoulder–hand syndrome

Increased rigidity in a group of muscles, causing stiffness and restriction of movement. Spasticity occurs in Parkinson’s disease, multiple sclerosis, cerebral palsy, and tetanus.... spasticity

A common symptom, usually due to spasm in muscles at the side or back of the neck. In most cases, it occurs suddenly and for no apparent reason. It may result from a neck injury, such as a ligament sprain, disc prolapse, or whiplash injury. A rare cause is meningitis.

Mild stiffness may be relieved by massage, warming, and use of a liniment. Severe or persistent stiffness requires medical attention. (See also torticollis.)... stiff neck

A nonsteroidal anti-inflammatory drug (NSAID) used to relieve joint pain and stiffness in various types of arthritis and acute gout. Side effects are as for other NSAIDs. ... sulindac

A feeling of mental and physical strain associated with anxiety. Muscle tension may cause headaches and stiffness in muscles. Persistent tension is related to generalized anxiety disorder.

(See also stress.)... tension

A type of heat treatment in which hot liquid wax is applied to a part of the body to relieve pain and stiffness in inflamed or injured joints. Wax baths may be used to treat the hands of people with rheumatoid arthritis.... wax bath

A common skin disease characterized by thickened patches of red, inflamed skin, often covered by silvery scales. It usually appears between ages 10 and 30, tends to run in families, and affects men and women equally.

The exact cause of psoriasis is unknown. New skin cells are made about 10 times faster than normal. The excess cells accumulate, forming thickened patches covered with dead, flaking skin. Sometimes, there is also a painful swelling and stiffness of the joints (see arthritis). Psoriasis tends to recur in attacks, which may be triggered by factors such as emotional stress, skin damage, and physical illness.

There are different forms of the disorder. The most common is discoid, or plaque, psoriasis, in which patches appear on the trunk, limbs, and scalp. Guttate psoriasis occurs most often in children, and consists of many small patches that develop over a wide area of skin. Pustular psoriasis is characterized by small pustules.

In most cases, the condition can be improved with topical treatments, such as those containing corticosteroid drugs and coal tar. Other treatments include dithranol ointment, PUVA, and drugs such as methotrexate. Psoriasis is usually a long-term condition.

psych- A prefix meaning mental processes or activities, as in psychology.... psoriasis

A type of arthritis in which the joints in the fingers, wrists, toes, or elsewhere in the body become painful, swollen, stiff, and, in severe cases, deformed. Tissues outside the joints, such as the heart, can also be affected. Rheumatoid arthritis is an autoimmune disorder that usually starts in early adulthood or middle age but can also develop in children (see juvenile chronic arthritis) or elderly people. Women are affected more often than men. There are usually recurrent attacks.

Symptoms are mild fever and aches followed by swelling, redness, pain, and stiffness in the joints. Ligaments, tendons, and muscles around the joint may also become inflamed. Raynaud’s phenomenon may occur in the fingers, and swelling of the wrist may cause carpal tunnel syndrome and tenosynovitis. Complications caused by severe rheumatoid arthritis include pericarditis, ulcers on the hands and feet, pleural effusion, pulmonary fibrosis, and Sjögren’s syndrome.

A diagnosis can be confirmed through X-rays and blood tests. Treatments include non-steroidal anti-inflammatory drugs (NSAIDs); antirheumatic drugs, such as gold, penicillamine, or sulfasalazine; and immunosuppressants, such as azathioprine or corticosteroids. Corticosteroid drugs may also be injected into the joints.

Physiotherapy is needed to prevent or limit deformity or to help relieve symptoms and maintain mobility. People who are disabled by arthritis can be helped to cope with everyday tasks through occupational therapy.

In severe cases, surgery may be performed to replace damaged joints with artificial ones (see arthroplasty).

Most sufferers must take drugs for life, but many can achieve a near-normal level of activity with effective control of symptoms.... rheumatoid arthritis

Strychnine is a poisonous chemical found in the seeds of Strychnos species (tropical trees and shrubs). Its main use is as an ingredient in some rodent poisons; most cases of strychnine poisoning occur in children who accidentally eat such poisons.

Symptoms begin soon after ingestion and include restlessness, stiffness of the face and neck, increased sensitivity of hearing, taste, and smell, and photosensitivity, followed by alternating episodes of seizures and floppiness. Death may occur from respiratory arrest.

The victim is given intravenous injections of a tranquillizer or a barbiturate, with a muscle-relaxant drug if needed.

Breathing may be maintained by a ventilator.

With prompt treatment, recovery usually occurs in about 24 hours.... strychnine poisoning

n. congenital limitation of joint movement due to *contractures affecting two or more joints. This is accompanied by joint stiffness, cylindrical limbs, and absence of skin creases. The most common of such syndromes is arthrogryposis multiplex congenita, a congenital condition of multiple contractures in which muscles are replaced by fibrous tissue, resulting in narrow limbs. Treatment, which begins soon after birth, consists initially of manipulation and splintage of deformed joints followed by contracture release and osteotomies.... arthrogryposis

impairment of heart function due to increased stiffness of the left *ventricle, which results in reduced capacity of the heart to fill with blood during diastole. The clinical effects of this are described as heart failure with normal ejection fraction (HEFNEF). Compare systolic dysfunction.... diastolic dysfunction

n. wire used as a guide to insert a catheter during interventional procedures, particularly in the *Seldinger technique. Guidewires often have multiple cores and a variety of coverings, depending on their functions, and they vary in stiffness and thickness. Their ends may be curved, to get past tight strictures, or J-shaped, to avoid accidentally puncturing a vessel wall or other structure while being pushed forward.... guidewire

necrosis of the *lunate bone of the wrist caused by interruption of its blood supply (see osteochondritis; osteonecrosis). It usually follows chronic stress or injury to the wrist and presents with pain and stiffness, with reduced grip strength. Initially, X-rays may show no abnormality; if the disease is suspected, a bone scan or MRI is indicated. Treatment is with rest, splintage, and *NSAIDs, but some cases require surgical shortening of the radius or *arthrodesis of the wrist. [R. Kienböck (1871–1953), Austrian radiologist]... kienböck’s disease

Twisting of the neck, causing the head to be tilted and fixed in an abnormal position (wry neck). There is often neck pain and stiffness. The cause is usually a minor neck injury that irritates cervical nerves, leading to muscle spasm. Other causes are sleeping in an awkward position, a neck-muscle injury at birth, and a burn or injury that has caused heavy scarring.

Torticollis due to muscle spasm may be treated by use of an orthopaedic collar (see collar, orthopaedic), heat treatment, ultrasound treatment, physiotherapy, or injections of the toxin that causes botulism. When the cause is an injury arising from birth, the muscle is gently stretched several times each day; occasionally, an operation is required.... torticollis

Inflammation of the vulva and vagina. Vulvovaginitis is often provoked as a result of the infections candidiasis or trichomoniasis. (See also vaginitis; vulvitis.)

walking Movement of the body by lifting the feet alternately and bringing 1 foot into contact with the ground before the other starts to leave it. A person’s gait is determined by body shape, size, and posture. The age at which children first walk varies enormously.

Walking is controlled by nerve signals from the brain’s motor cortex (see cerebrum), basal ganglia, and cerebellum that travel via the spinal cord to the muscles. Abnormal gait may be caused by joint stiffness, muscle weakness (sometimes due to conditions such as poliomyelitis or muscular dystrophy), or skeletal abnormalities (see, for example, talipes; hip, congenital dislocation of; scoliosis; bone tumour; arthritis). Children may develop knock-knee or bowleg; synovitis of the hip and Perthes’ disease are also common. Adolescents may develop a painful limp due to a slipped epiphysis (see femoral epiphysis, slipped) or to fracture or disease of the tibia, fibula or femur.

Abnormal gait may also be the result of neurological disorders such as stroke (commonly resulting in hemiplegia), parkinsonism, peripheral neuritis, multiple sclerosis, various forms of myelitis, and chorea.

Ménière’s disease may cause severe loss of balance and instability.... vulvovaginitis

a fracture of the distal end of the *radius, which is displaced backwards and upwards to produce a ‘dinner fork’ deformity. *Avulsion of the ulnar styloid process (see ulna) usually takes place as well. It is usually caused by a fall on the outstretched hand. The bone is restored to its normal position under anaesthesia, and a plaster cast is applied for about six weeks. Complications are residual deformity and stiffness of the wrist. If the fall occurs from less than standing height, it is considered an insufficiency fracture and its presence, in the absence of any other underlying cause, suggests *osteoporosis. Early evaluation and treatment for osteoporosis is needed to prevent future fractures. Colles’ fractures are more common in women immediately after menopause. [A. Colles (1773–1843), Irish surgeon]... colles’ fracture

n. stiffness of the neck that is found in *meningitis.... meningism

the formation of bone within a *muscle, which most commonly occurs after dislocations or severe muscle bruising, especially around the elbow, shoulder, hip, or knee. Initial symptoms of pain, swelling, and tenderness are followed by joint stiffness; if this persists, surgery may be required to remove the bone once it has stopped growing.... myositis ossificans

the development of a small area of avascular bone on the surface of a joint, most commonly the knee, which typically occurs in males aged between 10 to 20 years. Sometimes the area with its overlying articular cartilage can become loose and may eventually detach. Symptoms include activity-related pain, localized tenderness, stiffness, and swelling. In children, spontaneous healing may occur, but adults usually require surgery to reattach or remove the fragment.... osteochondritis dissecans

n. inflammation of tissues around a joint capsule, including tendons and *bursae. Chronic periarthritis, which may be spontaneous or follow injury, is a common cause of pain and stiffness of the shoulder; it usually responds to local steroid injections or physiotherapy.... periarthritis

(CRPS, reflex sympathetic dystrophy, RSD, Sudek’s atrophy) neurological dysfunction in a limb following trauma, surgery, or disease, characterized by intense burning pain, swelling, stiffness, and sweaty shiny mottled skin. It is caused by overactivity of the sympathetic nervous system. The *ESR is often elevated, X-rays may reveal some patchy osteoporosis, and a bone scan usually demonstrates increased blood flow. Early treatment with splinting and physiotherapy are essential, in combination with *sympatholytic drugs, corticosteroids, and regional sympathetic blocks; *sympathectomy may be required in chronic cases.... complex regional pain syndrome

a disease caused by a spirochaete, Borrelia burgdorferi, and transmitted by certain ticks of the genus Ixodes. Following a 3–32-day incubation period, a slowly extending red rash develops in approximately 75% of cases; intermittent systemic symptoms include fever, malaise, headache and neck stiffness, and muscle and joint pains. Later, 60% of patients suffer intermittent attacks of arthritis, especially of the knees, each attack lasting months and recurring over several years. The spirochaete has been identified in synovium and synovial fluid. Neurological and cardiac involvement occurs in a smaller percentage of cases. Treatment is with doxycycline or a penicillin.... lyme disease

n. a nonsteroidal anti-inflammatory drug (see NSAID) used to relieve pain and stiffness in osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. Side-effects, which can be severe, include skin rash and gastrointestinal symptoms.... piroxicam

(infantile paralysis, polio) n. an infectious virus disease affecting the central nervous system. The virus is excreted in the faeces of an infected person and the disease is therefore most common where sanitation is poor. However, epidemics may occur in more hygienic conditions, where individuals have not acquired immunity to the disease during infancy. Symptoms commence 7–12 days after infection. In most cases paralysis does not occur: in abortive poliomyelitis only the throat and intestines are infected and the symptoms are those of a stomach upset or influenza; in nonparalytic poliomyelitis these symptoms are accompanied by muscle stiffness, particularly in the neck and back. Paralytic poliomyelitis is much less common. The symptoms of the milder forms of the disease are followed by weakness and eventual paralysis of the muscles: in bulbar poliomyelitis the muscles of the respiratory system are involved and breathing is affected. See also post-polio syndrome.

There is no specific treatment, apart from measures to relieve the symptoms: cases of bulbar polio may require the use of a *ventilator. Immunization, using the *Sabin vaccine (taken orally) or the *Salk vaccine (injected), is highly effective.... poliomyelitis

n. disease involving several to many joints, either together or in sequence, causing pain, stiffness, swelling, tenderness, and loss of function. *Rheumatoid arthritis is the most common cause.... polyarthritis

n. any one of a group of drugs derived from vitamin A. They bind to one or more of six specific receptors that are found on many cells. On the skin they act to cause drying and peeling and a reduction in oil (sebum) production. These effects can be useful in the treatment of severe *acne, *psoriasis, *ichthyosis, and other skin disorders. Retinoids include *isotretinoin, *tretinoin, acitretin, tazarotene, and alitretinoin, which is particularly effective for hyperkeratotic hand eczema. Possible side-effects, which may be serious, include severe fetal abnormalities (if taken by pregnant women), toxic effects on babies (if taken by breastfeeding mothers), liver and kidney damage, excessive drying, redness and itching of the skin, and muscle pain and stiffness.... retinoid

n. inflammation of the sacroiliac joint. Involvement of both joints is a common feature of ankylosing *spondylitis and associated rheumatic diseases, including *reactive arthritis and *psoriatic arthritis. The resultant low back pain and stiffness may be alleviated by rest, anti-inflammatory analgesics, or biological *disease-modifying antirheumatic drugs.... sacroiliitis

n. the use of heat to alleviate pain and stiffness in joints and muscles and to promote an increase in circulation. *Diathermy provides a means of generating heat within the tissues themselves.... thermotherapy

(trichiniasis) n. a disease of cold and temperate regions caused by the larvae of the nematode worm *Trichinella spiralis. Humans contract trichinosis after eating imperfectly cooked meat infected with the parasite’s larval cysts. Larvae, released by females in the intestine, penetrate the intestinal wall and cause diarrhoea and nausea. They migrate around the body and may cause fever, vertigo, delirium, and pains in the limbs. The larvae eventually settle within cysts in the muscles, and this may result in pain and stiffness. The intestinal phase of the disease is treated with anthelmintics.... trichinosis

n. inflammation of the synovial joints of the backbone. Ankylosing spondylitis is a *sero-negative arthritis; 90% of cases carry the tissue-type antigen HLA-B27 (see HLA system). Ankylosing spondylitis predominantly affects young adult Caucasian males and the inflammation affects the joint capsules and their attached ligaments and tendons, principally the intervertebral joints and sacroiliac joints (see sacroiliitis). The resultant pain and stiffness are treated by analgesics (including *NSAIDs), physiotherapy, and biological *disease-modifying antirheumatic drugs. The disorder can lead to severe deformities of the spine (see kyphosis; ankylosis) and the hip joint, in which case surgical correction or *arthroplasty may be required.... spondylitis

Pimenta dioica

FAMILY: Myrtaceae

SYNONYMS: P. officinalis, pimento, pimenta, Jamaica pepper.

GENERAL DESCRIPTION: An evergreen tree which reaches about 10 metres high and begins to produce fruit in its third year. Each fruit contains two kidney-shaped green seeds which turn glossy black upon ripening.

DISTRIBUTION: Indigenous to the West Indies and South America, it is cultivated extensively in Jamaica, Cuba and, to a lesser degree, in Central America. Imported berries are distilled in Europe and America.

OTHER SPECIES: Four other varieties of pimento are found in Venezuela, Guyana and the West Indies which are used locally as spices.

HERBAL/FOLK TRADITION: Used for flatulent indigestion and externally for neuralgic or rheumatic pain. Pimento water is used as a vehicle for medicines which ease dyspepsia and constipation since it helps prevent griping pains. It is used extensively as a domestic spice – allspice is so called because it tastes like a combination of cloves, juniper berries, cinnamon and pepper.

ACTIONS: Anaesthetic, analgesic, anti-oxidant, antiseptic, carminative, muscle relaxant, rubefacient, stimulant, tonic.

EXTRACTION: Essential oil by steam distillation from 1. the leaves, and 2. the fruit. The green unripe berries contain more oil than the ripe berries, but the largest percentage of oil is contained in the shell of the fruit. An oleoresin from the berries is also produced in small quantities.

CHARACTERISTICS: 1. Pimenta leaf oil is a yellowish-red or brownish liquid with a powerful sweet-spicy scent, similar to cloves. 2. Pimenta berry oil is a pale yellow liquid with a sweet warm balsamic-spicy bodynote (middle note) and fresh, clean top note. It blends well with ginger, geranium, lavender, opopanax, labdanum, ylang ylang, patchouli, neroli, oriental and spicy bases.

PRINCIPAL CONSTITUENTS: Mainly eugenol, less in the fruit (60–80 per cent) than in the leaves (up to 96 per cent), also methyl eugenol, cineol, phellandrene and cryophyllene among others.

SAFETY DATA: Eugenol irritates the mucous membranes, and has been found to cause dermal irritation. Pimenta leaf and berry oil should therefore be used with care in low dilutions only.

AROMATHERAPY/HOME: USE:

Circulation, muscles and joints: Arthritis, fatigue, muscle cramp, rheumatism, stiffness etc. ‘Used in tiny amounts … in a massage oil for chest infections, for severe muscle spasm to restore mobility quickly, or where extreme cold is experienced.’1

Respiratory System: Chills, congested coughs, bronchitis.

Digestive System: Cramp, flatulence, indigestion, nausea.

Nervous System: Depression, nervous exhaustion, neuralgia, tension and stress.

OTHER USES: Used in aromatic carminative medicines; as a fragrance component in cosmetics and perfumes, especially soaps, aftershaves, spicy and oriental fragrances. Both leaf and berry oil are used extensively for flavouring foods, especially savoury and frozen foods, as well as alcoholic and soft drinks.... allspice

Coriandrum sativum

FAMILY: Apiaceae (Umbelliferae)

SYNONYMS: Coriander seed, Chinese parsley.

GENERAL DESCRIPTION: A strongly aromatic annual herb about 1 metre high with bright green delicate leaves, umbels of lacelike white flowers, followed by a mass of green (turning brown) round seeds.

DISTRIBUTION: Native to Europe and western Asia; naturalized in North America. Cultivated throughout the world, the oil is mainly produced in the USSR, Yugoslavia and Romania.

OTHER SPECIES: Various chemotypes of the same species are found according to geographical location.

HERBAL/FOLK TRADITION: A herb with a long history of use the seeds were found in the ancient Egyptian tomb of Rameses 11. The seeds and leaves are widely used as a garnish and domestic spice, especially in curries. It has been used therapeutically, mainly in the form of an infusion for children’s diarrhoea, digestive upsets, griping pains, anorexia and flatulence.

In Chinese medicine the whole herb is used for dysentery, piles, measles, nausea, toothache and for painful hernia.

ACTIONS: Analgesic, aperitif, aphrodisiac, antioxidant, antirheumatic, antispasmodic, bactericidal, depurative, digestive, carminative, cytotoxic, fungicidal, larvicidal, lipolytic, revitalizing, stimulant (cardiac, circulatory, nervous system), stomachic.

EXTRACTION: Essential oil by steam distillation from the crushed ripe seeds. (An essential oil is also produced by steam distillation from the fresh and dried leaves, which contains a high proportion of decylaldehyde.)

CHARACTERISTICS: A colourless to pale yellow liquid with a sweet, woody-spicy, slightly musky fragrance. It blends well with clary sage, bergamot, jasmine, olibanum, neroli, petitgrain, citronella, sandalwood, cypress, pine, ginger, cinnamon and other spice oils.

PRINCIPAL CONSTITUENTS: Mainly linalol (55–75 per cent), decylaldehyde, borneol, geraniol, carvone, anethole, among others; constituents; vary according to source.

SAFETY DATA: Generally non-toxic, non irritant, non-sensitizing. Stupefying in large doses – use in moderation.

AROMATHERAPY/HOME: USE

Circulation, Muscles And Joints:

Accumulation of fluids or toxins, arthritis, gout, muscular aches and pains, poor circulation, rheumatism, stiffness.

Digestive System: Anorexia, colic, diarrhoea, dyspepsia, flatulence, nausea, piles, spasm.

Immune System: Colds, ’flu, infections (general), measles.

Nervous System: Debility, migraine, neuralgia, nervous exhaustion.

OTHER USES: Used as a flavouring agent in pharmaceutical preparations, especially digestive remedies. Used as a fragrance component in soaps, toiletries and perfumes. Employed by the food industry especially in meat products and to flavour liqueurs such as Chartreuse and Benedictine; also used for flavouring tobacco.... coriander

Citrus x paradisi

FAMILY: Rutaceae

SYNONYMS: C. racemosa, C. maxima var. racemosa, shaddock (oil).

GENERAL DESCRIPTION: A cultivated tree, often over 10 metres high with glossy leaves and large yellow fruits, believed to have derived from the shaddock (C. grandis).

DISTRIBUTION: Native to tropical Asia, and the West Indies; cultivated in California, Florida, Brazil and Israel. The oil is mainly produced in California.

OTHER SPECIES: C. paradisi is a recent hybrid of C. maxima and C. sinesis. There are many different cultivars; for example, ‘Duncan’ is standard in Florida.

HERBAL/FOLK TRADITION: It shares the nutritional qualities of other citrus species, being high in Vitamin C and a valuable protection against infectious illness.

ACTIONS: Antiseptic, antitoxic, astringent, bactericidal, diuretic, depurative, stimulant (lymphatic, digestive), tonic.

EXTRACTION: Essential oil by cold expression from the fresh peel. (Some oil is distilled from the peel and remains of the fruit after the juice has been utilized, but this is of inferior quality.)

CHARACTERISTICS: A yellow or greenish mobile liquid with a fresh, sweet citrus aroma. It blends well with lemon, palmarosa, bergamot, neroli, rosemary, cypress, lavender, geranium, cardomon and other spice oils.

PRINCIPAL CONSTITUENTS: Limonene (90 per cent), cadinene, paradisiol, neral, geraniol, citronellal, sinensal, as well as esters, coumarins and furocoumarins.

SAFETY DATA: Non-toxic, non-irritant, non-sensitizing, non-phototoxic. It has a short shelf life – it oxidizes quickly.

AROMATHERAPY/HOME: USE

SKIN CARE: Acne, congested and oily skin, promotes hair growth, tones the skin and tissues.

Circulation Muscles And Joints: Cellulitis, exercise preparation, muscle fatigue, obesity, stiffness, water retention.

Immune System: Chills, colds, ’flu.

Nervous System: Depression, headaches, nervous exhaustion, performance stress.

OTHER USES: Employed as a fragrance component in soaps, detergents, cosmetics and perfumes. Extensively used in desserts, soft drinks and alcoholic beverages.... grapefruit

Leptospermum scoparium

FAMILY: Myrtaceae

SYNONYMS: New Zealand tea tree, kahikatoa, red manuka, manex.

GENERAL DESCRIPTION: The Manuka plant is an elegant, bushy evergreen shrub with deep green small spiky leaves that bears small flowers of white to pink in colour. The blossom is produced from September to February and most profusely in the later months. Its size ranges from a creeping plant to a small tree – trees can reach heights of up to 8 metres, especially when found within dense woodland. The leaves and flowers are strongly aromatic.

DISTRIBUTION: Manuka is the only Leptospermum species native to New Zealand, where it is widely distributed in various climatic and altitudinal zones. The physical characteristics, such as flower and leaf colour, leaf size and shape, branching habit, and foliage density vary considerably among populations. The plant can now be found in Australia where it seems to acclimatize well to varied terrain from marshland to dry mountain slopes. The essential oil is generally harvested from wild plants, as little farming of Manuka is currently undertaken.

OTHER SPECIES: The family Myrtaceae yields many valuable essential oils including eucalyptus, myrtle and tea tree. Another native tree of New Zealand called kanuka (Kunzea ericoides), sometimes called white or tree manuka, although superficially similar to L. scoparium in that both are collectively known as ‘tea trees’, is actually genetically a very distinct species. Kanuka in its typical form can grow into a tree up to 30 metres tall. It is also used to produce an essential oil.

HERBAL/FOLK TRADITION: For centuries, New Zealand Maori have used manuka to treat a wide range of complaints. Early New Zealand records indicate that the plant’s bark, leaves, sap and seed capsules were used in beverages and medicinal preparations. A decoction of the leaves was drunk for urinary complaints and as a febrifuge. The steam from leaves boiled in water was inhaled for head colds. A decoction was prepared from the leaves and bark and the warm liquid was rubbed on stiff muscles and aching joints. The emollient white gum, called ‘pai manuka’, was given to nursing babies and also used to treat scalds and burns. Chewing the bark is said to have a relaxing effect and enhance sleep. It is said that Captain James Cook used the leaves of the plant as a tea to combat scurvy during long explorations of the southern hemisphere; later, early European settlers of New Zealand adopted Captain Cook’s use of the plant as a tea.

Recently, scientists have confirmed that manuka oil is up to 33 times stronger than tea tree essential oil for protecting against specific strains of bacteria; it is also effective against the MRSA (Methicillin-Resistant Staph. Aureus) bacteria, which is resistant to normal antibiotics.

ACTIONS: Analgesic, antibacterial, antibiotic, antifungal, antihistamine, anti-inflammatory, anti-infectious, antimicrobial, antiseptic, astringent, deodorant, digestive, expectorant, immune stimulant, insecticide, sedative, vulnerary.

EXTRACTION: Steam distilled from the leaves, twigs and branches.

CHARACTERISTICS: A mobile liquid with a distinctive fresh, spicy, herbaceous aroma with a honey-like sweetness. It blends well with bay leaf, bergamot, black pepper, cajuput, cedarwood atlas, cinnamon, clove bud, elemi, ginger, juniper, lavender, nutmeg, peppermint, rose, rosemary, sandalwood, thyme, vetiver and ylang ylang.

PRINCIPAL CONSTITUENTS: The main active constituents of manuka oil are isoleptospermone, ?-pinene, ?-pinene, myrcene, ?-cymene, 1,8-cineole, linalol, methylcinnamate, ?-farnesine, isoleptospermone, leptospermone, sesquiterpenes such as cadina-3, 5-diene and ?-amorphene, and triketones. However, within the species of manuka there are at least nine different chemotypes: oil which contains high levels of triketones, found in the East Cape area of North Island in New Zealand appears to possess the greatest antimicrobial potential. Other chemotypes however are thought to reveal greater anti-inflammatory and analgesic tendencies. It is important to be aware of these various chemotypes when selecting an oil for therapeutic purposes.

SAFETY DATA: Generally it is thought to be non-sensitizing, non-toxic, and non-irritant. It can in some individuals, produce mild irritation but has a low irritancy compared to Australian tea tree oil. Avoid use during pregnancy because of spasmolytic activity.

AROMATHERAPY/HOME: USE

Skin care: Acne, abscesses, athlete’s foot skin, bed sores, blisters, boils, burns, carbuncles, cold sores, cracked skin, dandruff, dermatitis, eczema, fungal infections, insect bites and stings, lice, nail infections, oily skin, pimples, ringworm, sores, sunburn, tinea and ulcers.

Circulation, muscles and joints: Aches and pains, muscular tension, sprains and stiffness in joints, rheumatism.

Respiratory system: Coughs, cold, ’flu congestion, as well as asthma and hayfever.

Immune system: Tonic

Nervous system: Nervous debility.

OTHER USES: The essential oil is much used in phyto-cosmetic and pharmaceutical preparations mainly for its potent antimicrobial properties. Commercial development of the essential oil has led to a range of products for the topical treatment of various conditions including joint pain, eczema and psoriasis. The oil is also used in perfumes and soaps. The scented flowers of the shrub attract bees, which are used for making the popular manuka honey.... manuka

Origanum majorana

FAMILY: Lamiaceae (Labiatae)

SYNONYMS: Marjorana hortensis, knotted marjoram.

GENERAL DESCRIPTION: A tender bushy perennial plant (cultivated as an annual in colder climates), up to 60 cms high with a hairy stem, dark green oval leaves and small greyish white flowers in clusters or ‘knots’. The whole plant is strongly aromatic.

DISTRIBUTION: Native to the Mediterranean region, Egypt and North Africa. Major oil-producing countries include France, Tunisia, Morocco, Egypt, Bulgaria, Hungary and Germany.

ACTIONS: Analgesic, anaphrodisiac, antioxidant, antiseptic, antispasmodic, antiviral, bactericidal, carminative, cephalic, cordial, diaphoretic, digestive, diuretic, emmenagogue, expectorant, fungicidal, hypotensive, laxative, nervine, sedative, stomachic, tonic, vasodilator, vulnerary.

EXTRACTION: Essential oil by steam distillation of the dried flowering herb. An oleoresin is also produced in smaller quantities.

CHARACTERISTICS: A pale yellow or amber coloured mobile liquid with a warm, woody, spicy camphoraceous odour. It blends well with lavender, rosemary, bergamot, chamomile, cypress, cedarwood, tea tree and eucalyptus.

OTHER SPECIES: There is a great deal of confusion regarding the various species of marjoram or oregano. The most common types are the pot or French marjoram (Origanum onites or Marjorana onites), which is a hardier plant than the sweet marjoram and of a spreading nature; the Spanish marjoram or oregano (Thymus mastichina) and the wild or common marjoram or oregano (Origanum vulgare) which is used to produce the so-called ‘oregano oil’. See entries on common oregano, Spanish oregano and also the Botanical Classification section.

HERBAL/FOLK TRADITION: A traditional culinary herb and folk remedy. It was used by the ancient Greeks in their fragrances, cosmetics and medicines; the name oregano derives from a Greek word meaning ‘joy of the mountains’. lt is a versatile herb which has a soothing, fortifying and warming effect; it aids digestive and menstrual problems, as well as nervous and respiratory complaints.

It is ‘comforting in cold diseases of the head, stomach, sinews and other parts, taken inwardly or outwardly applied ... helps diseases of the chest, obstructions of the liver and spleen.’. It is also very helpful for muscular and rheumatic pain, sprains, strains, stiff joints, bruises, etc.

PRINCIPAL CONSTITUENTS: Terpinenes, terpineol, sabinenes, linalol, carvacrol, linalyl acetate, ocimene, cadinene, geranyl acetate, citral, eugenol, among others.

SAFETY DATA: Non-toxic, non-irritant, non-sensitizing. Not to be used during pregnancy.

AROMATHERAPY/HOME: USE

Skin care: Chilblains, bruises, ticks.

Circulation muscles and joints: Arthritis, lumbago, muscular aches and stiffness, rheumatism, sprains, strains.

Respiratory system: Asthma, bronchitis, coughs.

Digestive system: Colic, constipation, dyspepsia, flatulence.

Genito-urinary system: Amenorrhoea, dysmenorrhoea, leucorrhoea, PMT.

Immune system: Colds.

Nervous system: Headache, hypertension, insomnia, migraine, nervous tension and stress-related conditions.

OTHER USES: The oil and oleoresin are used as fragrance components in soaps, detergents, cosmetics and perfumes. Employed in most major food categories, especially meats, seasonings and sauces, as well as soft drinks and alcoholic beverages such as vermouths and bitters.... marjoram, sweet

Pinus palustris

FAMILY: Pinaceae

SYNONYMS: Longleaf yellow pine, southern yellow pine, pitch pine, pine (oil).

GENERAL DESCRIPTION: A tall evergreen tree with long needles and a straight trunk, grown extensively for its timber. It exudes a natural oleoresin from the trunk, which provides the largest source for the production of turpentine in America – see also entry on turpentine.

DISTRIBUTION: Native to south eastern USA, where the oil is largely produced.

OTHER SPECIES: There are numerous other species of pine all over the world which are used to produce pine oil, as well as pine needle and turpentine oil – see Botanical Classification section.

HERBAL/FOLK TRADITION: Pine sawdust has been used for centuries as a highly esteemed household remedy for a variety of ailments. ‘It is a grand, gentle, although powerful external antiseptic remedy, applied as a poultice in rheumatism when localised, hard cancerous tumours, tuberculosis in the knee or ankle joints, disease of the bone, in short, all sluggish morbid deposits ... I have used it behind the head for failing sight, down the spine for general debility, on the loins for lumbago, etc. all with the best results.’.

ACTIONS: Analgesic (mild), antirheumatic, antiseptic, bactericidal, expectorant, insecticidal, stimulant.

EXTRACTION: The crude oil is obtained by steam distillation from the sawdust and wood chips from the heartwood and roots of the tree (wastage from the timber mills), and then submitted to fractional distillation under atmospheric pressure to produce pine essential oil.

CHARACTERISTICS: A water-white or pale yellow liquid with a sweet-balsamic, pinewood scent. It blends well with rosemary, pine needle, cedarwood, citronella, rosewood, ho leaf and oakmoss.

PRINCIPAL CONSTITUENTS: Terpineol, estragole, fenchone, fenchyl alcohol and borneol, among others.

SAFETY DATA: Non-toxic; non-irritant (except in concentration); possible sensitization in some individuals.

AROMATHERAPY/HOME: USE

Circulation muscles and joints: Arthritis, debility, lumbago, muscular aches and pains, poor circulation, rheumatism, stiffness, etc.

Respiratory system: Asthma, bronchitis, catarrh, sinusitis.

OTHER USES: Used extensively in medicine, particularly in veterinary antiseptic sprays, disinfectants, detergents and insecticides (as a solvent carrier). Employed as a fragrance component in soaps, toiletries, bath products and perfumes. Also used in paint manufacture although it is increasingly being replaced by synthetic ‘pine oil’.... pine, longleaf

Piper nigrum

FAMILY: Piperaceae

SYNONYMS: Piper, pepper.

GENERAL DESCRIPTION: A perennial woody vine up to 5 metres high with heart-shaped leaves and small white flowers. The berries turn from red to black as they mature – black pepper is the dried fully grown unripe fruit.

DISTRIBUTION: Native to south west India; cultivated extensively in tropical countries. Major producers are India, Indonesia, Malaysia, China and Madagascar. It is also distilled in Europe and America from the imported dried fruits.

OTHER SPECIES: The so-called white pepper is the dried ripe fruit with the outer pericarp removed. Not to be confused with cayenne pepper or paprika from the capsicum species, which are used to make an oleoresin.

HERBAL/FOLK TRADITION: Both black and white pepper have been used in the East for over 4000 years for medicinal and culinary purposes. In Chinese medicine, white pepper is used to treat malaria, cholera, dysentery, diarrhoea, stomach ache and other digestive problems. In Greece it is used for intermittent fever and to fortify the stomach. ‘The mendicant monks of India who cover daily considerable distances on foot, swallow 7–9 grains of pepper a day. This gives them remarkable endurance.’.

ACTIONS: Analgesic, antimicrobial, antiseptic, antispasmodic, antitoxic, aperitif, aphrodisiac, bactericidal, carminative, diaphoretic, digestive, diuretic, febrifuge, laxative, rubefacient, stimulant (nervous, circulatory, digestive), stomachic, tonic.

EXTRACTION: Essential oil by steam distillation from the black peppercorns, dried and crushed. (‘Light’ and ‘heavy’ oils are produced by the extraction of the low or high boiling fractions respectively.) An oleoresin is also produced by solvent extraction, mainly for flavour use.

CHARACTERISTICS: A water-white to pale olive mobile liquid with a fresh, dry-woody, warm, spicy scent. It blends well with frankincense, sandalwood, lavender, rosemary, marjoram, spices and florals (in minute quantities).

PRINCIPAL CONSTITUENTS: Mainly monoterpenes (70–80 per cent): thujene, pinene, camphene, sabinene, carene, myrcene, limonene, phellandrene, and sesquiterpenes (20–30 per cent) and oxygenated compounds.

SAFETY DATA: Non-toxic, non-sensitizing, irritant in high concentration due to rubefacient properties. Use in moderation only.

AROMATHERAPY/HOME: USE

Skin care: Chilblains.

Circulation muscles and joints: Anaemia, arthritis, muscular aches and pains, neuralgia, poor circulation, poor muscle tone (muscular atonia), rheumatic pain, sprains, stiffness.

Respiratory system: Catarrh, chills.

Digestive system: Colic, constipation, diarrhoea, flatulence, heartburn, loss of appetite, nausea.

Immune system: Colds, ’flu, infections and viruses.

OTHER USES: Used in certain tonic and rubefacient preparations. Used for unusual effects in perfumery work; for example, with rose or carnation in oriental or floral fragrances. The oil and oleoresin are used extensively in the food industry, as well as in alcoholic drinks.... pepper, black

Vetiveria zizanoides

FAMILY: Poaceae (Gramineae)

SYNONYMS: Andropogon muricatus, vetivert, khus khus.

GENERAL DESCRIPTION: A tall, tufted, perennial, scented grass, with a straight stem, long narrow leaves and an abundant complex lacework of undergound white rootlets.

DISTRIBUTION: Native to south India, Indonesia and Sri Lanka. Also cultivated in Reunion, the Philippines, the Comoro Islands, Japan, West Africa and South America. The oil is mainly produced in Java, Haiti and Reunion; some is distilled in Europe and the USA.

OTHER SPECIES: Botanically related to lemongrass, citronella, litsea cubeba and flouve oil (also from the roots of a tropical grass).

HERBAL/FOLK TRADITION: The rootlets have been used in the East for their fine fragrance since antiquity. They are used by the locals to protect domestic animals from vermin, and the fibres of the grass are woven into aromatic matting. It is grown in India to protect against soil erosion during the tropical rainy season.

In India and Sri Lanka the essence is known as ‘the oil of tranquillity’.

ACTIONS: Antiseptic, antispasmodic, depurative, rubefacient, sedative (nervous system), stimulant (circulatory, production of red corpuscles), tonic, vermifuge.

EXTRACTION: Essential oil by steam distillation from the roots and rootlets washed, chopped, dried and soaked. (A resinoid is also produced by solvent extraction for perfumery work.)

CHARACTERISTICS: A dark brown, olive or amber viscous oil with a deep smoky, earthy woody odour with a sweet persistent undertone. The colour and scent can vary according to the source – Angola produces a very pale oil with a dry-woody odour. It blends well with sandalwood, rose, violet, jasmine, opopanax, patchouli, oakmoss, lavender, clary sage, mimosa, cassie and ylang ylang.

PRINCIPAL CONSTITUENTS: Vetiverol, vitivone, terpenes, e.g. vetivenes, among others.

SAFETY DATA: Non-toxic, non-irritant, non-sensitizing.

AROMATHERAPY/HOME: USE

Skin care: Acne, cuts, oily skin, wounds.

Circulation muscles and joints: Arthritis, muscular aches and pains, rheumatism, sprains, stiffness.

Nervous system: Debility, depression, insomnia, nervous tension – ‘Vetiver is deeply relaxing, so valuable in massage and baths for anybody experiencing stress.’.

OTHER USES: Employed as a fixative and fragrance ingredient in soaps, cosmetics and perfumes, especially oriental types. The oil is used in food preservatives, especially for asparagus.... vetiver

Accumulation of toxins (M,S,B):

Angelica, white birch, carrot seed, celery seed, coriander, cumin, sweet fennel, grapefruit, juniper, lovage, parsley.

Aches and pains (M,C,B):

Ambrette, star anise, aniseed, French basil, West Indian bay, cajeput, calamintha, camphor (white), chamomile (German & Roman), coriander, eucalyptus (blue gum & peppermint), silver fir, galbanum, ginger, immortelle, lavandin, lavender (spike & true), lemongrass, sweet marjoram, mastic, mint (peppermint & spearmint), niaouli, nutmeg, black pepper, pine (longleaf & Scotch), rosemary, sage (clary & Spanish), hemlock spruce, thyme, turmeric, turpentine, vetiver.

Arthritis (M,S,C,B):

Allspice, angelica, benzoin, white birch, cajeput, camphor (white), carrot seed, cedarwood (Atlas, Texas & Virginian), celery seed, chamomile (German & Roman), clove bud, coriander, eucalyptus (blue gum & peppermint), silver fir, ginger, guaiacwood, juniper, lemon, sweet marjoram, mastic, myrrh, nutmeg, parsley, black pepper, pine (longleaf & Scotch), rosemary, Spanish sage, thyme, tumeric, turpentine, vetiver, yarrow.

Cellulitis (M,S,B):

White birch, cypress, sweet fennel, geranium, grapefruit, juniper, lemon, parsley, rosemary, thyme.

Debility/poor muscle tone (M,S,B):

Allspice, ambrette, borneol, ginger, grapefruit, sweet marjoram, black pepper, pine (longleaf & Scotch), rosemary, Spanish sage.

Gout (M,S,B):

Angelica, French basil, benzoin, carrot seed, celery seed, coriander, guaiacwood, juniper, lovage, mastic, pine (longleaf & Scotch), rosemary, thyme, turpentine.

High blood pressure & hypertension (M,B,V):

cananga, garlic, true lavender, lemon, sweet marjoram, melissa, clary sage, yarrow, ylang ylang.

Muscular cramp & stiffness (M,C,B):

Allspice, ambrette, coriander, cypress, grapefruit, jasmine, lavandin, lavender (spike & true), sweet marjoram, black pepper, pine (longleaf & Scotch), rosemary, thyme, vetiver.

Obesity (M,B):

White birch, sweet fennel, juniper, lemon, mandarin, orange (bitter & sweet).

Oedema & water retention (M,B):

Angelica, white birch, carrot seed, cypress, sweet fennel, geranium, grapefruit, juniper, lavage, mandarin, orange (bitter & sweet), rosemary, Spanish sage.

Palpitations (M):

Neroli, orange (bitter & sweet), rose (cabbage & damask), ylang ylang.

Poor circulation & low blood pressure (M,B):

Ambrette, Peru balsam, West Indian bay, benzoin, white birch, borneol, cinnamon leaf, coriander, cumin, cypress, eucalyptus blue gum, galbanum, geranium, ginger, lemon, lemongrass, lovage, neroli, niaouli, nutmeg, black pepper, pine (longleaf & Scotch), rose (cabbage & damask), rosemary, Spanish sage, hemlock spruce, thyme, violet.

Rheumatism (M,C,B):

Allspice, angelica, star anise, aniseed, Peru balsam, French basil, West Indian bay, benzoin, white birch, borneol, cajeput, calamintha, camphor (white), carrot seed, cedarwood (Atlas, Texas & Virginian), celery seed, chamomile (German & Roman), cinnamon leaf, clove bud, coriander, cypress, eucalyptus (blue gum & peppermint), sweet fennel, silver fir, galbanum, ginger, immortelle, juniper, lavandin, lavender (spike & true), lemon, lovage, sweet marjoram, mastic, niaouli, nutmeg, parsley, black pepper, pine (longleaf & Scotch), rosemary, Spanish sage, hemlock spruce, thyme, turmeric, turpentine, vetiver, violet, yarrow.

Sprains & strains (C):

West Indian bay, borneol, camphor (white), chamomile (German & Roman), clove bud, eucalyptus (blue gum & peppermint), ginger, immortelle, jasmine, lavandin, lavender (spike & true), sweet marjoram, black pepper, pine (longleaf & Scotch), rosemary, thyme, turmeric, vetiver.... circulation, muscles and joints: