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Автор: apollon Категория: Изкуство   
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Vol. II, No. 1 Herbal Transitions 1 A botanical newsletter for health care practitioners Volume II • Number 1 Fall 1997 Varicosities by Sharol Tilgner, N.D. Inside this Issue DEFINITION OF VARICOSITIES Varicosities are enlarged, twisted, swollen veins which may be located anywhere in the body. Most commonly they are found on the legs (varicose veins) or on the anus (hemorrhoids). They may be asymptomatic or may cause aching, a feeling of heaviness or pain. Edema may be associated with them as well as pigmentation over the area and ulceration. Women are affected 4 times more than men. This disease is common in countries such as the US where people eat a diet lacking dietary fiber and are sedentary. When varicose veins are near the surface they are cosmetically unappealing but are usually not dangerous. Deeper varicose veins of the leg are serious and can lead to thrombophlebitis, pulmonary embolism, myocardial infarction and stroke. ANATOMY & PHYSIOLOGY OF VEINS The blood is pumped around the body in vessels called arteries and veins. The arteries carry oxygenated blood away from the heart to the body’s tissues while the veins carry deoxygenated blood from the tissues back to the heart. The blood is under more pressure as it flows away from the heart than it is when it returns to the heart. It is quite easy for the arterial blood to move towards the legs since it is assisted by both the pumping action of the heart and the pull of gravity. The blood returning from the legs by way of the venous system has less force behind its flow and is additionally faced with the feat of overcoming gravity. Because of this, the venous system has valves in it to assist the blood in it"s movement towards the heart. The valves are like unidirectional swinging doors attached on HERBAL TRANSITIONS Varicosities..................................................... p. 1 Varicosity Case Studies............................... p. 15 Market Quality Commentary..................... p. 17 Research Reviews ......................................... p.18 Calendar ........................................................ p. 19 Pacific NW Herbal Symposium 98............ p. 20
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Vol. II, No. 1 Herbal Transitions 2 AGGRAVATING FACTORS Genetic predisposition, chronic constipation, tight clothing, sedentariness or lack of exercise, pregnancy, obesity and aging all contribute. Sedentariness: Standing in one place for extended periods or sitting for long periods of time can cause venous pooling in the lower legs since the flow of blood is not being assisted by the muscular pump. In addition, the weight of your legs pressing your veins against the chair can impede the flow of blood and crossing your legs while sitting will add to the problem. Tight clothing: Constrictive clothing can block the flow of blood in the venous system adding to the venous distention. Chronic constipation: This can lead to hemorrhoids although it can also be a factor in varicose veins of the legs and groin area. While most veins have valves to prevent back flow of blood, the veins extending from the anus to the liver lack them. Gravity imposes a constant burden and any abdominal pressure makes it worse. Straining during the lifting of a heavy object, coughing or straining at stool can cause pressure build up in the rectal area. Since chronic constipation causes straining at stool, it can lead to hemorrhoids. Liver dysfunction: The rectal veins lead to the portal vein of the liver via the mesenteric vein; liver dysfunction can cause a blockage in the flow of blood from the rectal veins to the portal vein which, in turn, can cause a back flow with possible venous distention. Since hemorrhoids often accompany sluggish livers, it is common in oriental medicine and naturopathic medicine to treat the liver while treating an individual with varicosities. Pregnancy: Pregnant women are often plagued by varicose veins, edema and hemorrhoids since the woman’s legs are bearing greater weight than ever before. At later stages of pregnancy, there also can be compression of veins, depending on the position of the fetus. Her blood volume will increase by 30- 40% placing an added stress on her veins and there is an increase in the hormone, progesterone, which will slow down her gastrointestinal tract, thereby leading to constipation. Decreased exercise will also add to the problem. Herbal Transitions Published by Wise Acres P.O. Box 1168 Creswell, Oregon 97426 Sharol Tilgner, N.D., Editor Lynn Buckman, Associate Editor Deborah Fratz, Art Design opposite sides of the vein that open solely in the direction of the heart. This allows the blood to progress forward while creating a tight seal blocking the reverse blood flow. Nature has also provided the venous system with the assistance of powerful leg muscles and the contractions of these strong muscles actually massage the blood back towards the heart. Individuals who stand or sit for a long period of time in one position are not using this muscular pump to aid the flow of blood, causing an increase of venous blood to remain in the veins of the legs. If this excess venous pressure is maintained for prolonged periods of time, the veins can become over-stretched which prevents the valves from reaching each other to make a tight seal. When this happens, there is nothing to keep the blood from flowing backwards through the open valve. Incompetent valves will allow more blood to build up in the veins of the legs, causing the veins to stretch even further with eventual valve destruction. Incompetent or destroyed valves lead to bulbous protrusions of the veins, especially in the lower leg. These protrusions are known as varicose veins. If the individual with varicose veins stands for more than a few minutes, the venous and capillary pressure become very high and fluid leaks from the capillary blood into the tissues, causing edema (fluid retention in the tissues). The edema prevents adequate diffusion of nutritional materials from the blood to the muscle and skin which causes pain and weakness in the muscles. The skin may become gangrenous and ulcerated. Luckily, most people do not reach this stage of ulceration. Indeed, no one ever should if they take preventative measures.
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Vol. II, No. 1 Herbal Transitions 3 PREVENTION OF VARICOSITIES & TREATMENT To assist the body’s circulation, exercise is vital. Aerobic exercise such as walking, running, bike riding, or cross country skiing would be best, but a brisk 20 minute walk daily is a simple and easy exercise. Dietis also important. Eat simple nourishing meals. Keep your bowels regulated by the food you eat. A diet with 75% complex carbohydrates, 15% protein and 10% oil is necessary for optimal health. Include a daily minimum of one serving of green leafy vegetables and one uncooked fruit or vegetable. Vitamins and minerals: The following nutrients are known to be beneficial to the structure and integrity of the blood vessels. It is best to get nutrients from food and use supplements as a last resort. Foods high in that particular nutrient are listed below. Vitamin A (10,000 IU) Carrots, dandelion greens, spinach, parsley, plantain, nettles, your basic green foods and yellow-orange vegetables, liver. Vitamin B complex (10-100 mg) Yeast, grains, organ meats, nuts, legumes. Vitamin C (500-3,000 mg) Currants, broccoli, rose hips, hawthorne berries, parsley, brussel sprouts, green veggies. Vitamin E (200-600 IU) Extra virgin vegetable oils, leafy greens and watercress, nuts in general, egg yolks, wheat germ. Zinc (15-30 mg) Oysters, whole grains, brewer"s yeast, spinach, sunflower seeds, pumpkin seeds. Bromelain (500-750 mg TID at 1,500 MCU) Breaks down fibrin. Found in pineapple. Bioflavonoids (100-1000 mg) Especially rutin, which is found in buckwheat, Ruta (Ruta is toxic in large amounts or with chronic use) and hesperidin. Other fruits or herbs high in bioflavonoids are cherries, blueberries, hawthorne berries (and other berries which are blue-red), Saint John’s wort, Calendula, lemons, oranges and rosehips. The bioflavonoids in these foods reduce capillary fragility and increase the integrity of the venous walls. Other foods which aid the circulatory system are okra, oats, beets, artichokes, wheat germ, green leafy vegetables, raw garlic, onions and foods high in lecithin, such as soybeans. These last three are good to eat daily as they help regain and retain elasticity in the blood vessels. CONSTIPATION Fiber, Fiber, and more Fiber Remember that little saying “An apple a day keeps the doctor away?” It applies in the case of hemorrhoids. Psyllium seeds 1 teaspoon seeds in 1/2 cup water, let sit 15 minutes, drink and follow with one cup water. Use a few times per day or as often as necessary. Can also use Pectin, Guar gum, Slippery elm, etc. Warm lemon water Drink a cup in the morning before breakfast. Ginger tea Drink one cup warm water with 1 teaspoon The name says it all! available in powder or convenient capsules Contains: • Psyllium husk and seed • Oat bran • Bentonite clay • Fenugreek • Slippery Elm • Yellow Dock • Oregon grape root • Marshmallow FIBER FLOW 1-800-532-5219 Wise Woman Herbals Inc.
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Vol. II, No. 1 Herbal Transitions 4 ginger before bed. Laxatives For herbs to really get the bowels going: Yellow dock (milder), Oregon grape, Rhubarb, Cascara, Buckthorn, Senna, Aloe. Most bitter herbs will stimulate the bowels to move. Hot baths, hot water bottles and abdominal massage can also relieve constipation. FIRST AID FOR HEMORRHOIDS AND VARICOSE VEINS Baking soda Can be applied externally, wet or dry, to take the itch away. It may burn or feel hot for a short time. Grated raw potatoes or apples Can be applied to ease swelling and pain. Witch hazel, Oak bark or other astringent herbs Can be applied to reduce swelling and curb bleeding. Red rose petals Can be made into a poultice and applied to reduce swelling and bleeding. An herbal sitz bath Use one of each of the following: 1. An astringent herb 2. A vulnerary herb Apple cider vinegar Can also be used as a wash to ease the pain of varicosities. ( I have been told, I have not tried it.) Poultices, fomentations, sup- positories Use astringent and vulnerary herbs. • Achillea (Yarrow) • Aesculus (Horse Chestnut) • Cinnamomum (Cinnamon) • Collinsonia (Stone root) • Corydalis (Yellow Bleeding Heart) • Hamamelis (Witch Hazel) • Glycyrrhiza (Licorice) • Ruscus (Butcher"s Broom) Bottoms Up Compound Liquid Extract (Available to physicians only) • Achillea (Yarrow) • Hamamelis (Witch Hazel) • Hypericum (St. John"s Wort) • Ruscus (Butcher"s Broom) • Symphytum (Comfrey) • Vitamin E • A base of extra virgin olive oil and beeswax Bottoms Up Balm Bottoms Up Capsules • Achillea (Yarrow) • Aesculus (Horse Chestnut) • Cinnamomum (Cinnamon) • Collinsonia (Stone root) • Corydalis (Yellow Bleeding Heart) • Hamamelis (Witch Hazel) • Ruscus (Butcher"s Broom) Wise Woman Herbals Inc. provides a complete line of Bottoms Up products
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Vol. II, No. 1 Herbal Transitions 5 TO BE AVOIDED Obesity, tight clothing, crossing legs, sitting or standing for long periods, high heeled shoes (they do not allow full natural contraction of leg muscles), knee high stockings, constipating food, lifting heavy objects incorrectly and straining at the toilet. HERBS FOR VARICOSITIES External applications The following herbs can be used as poultices, sitz baths, oils, suppositories or fomentations. Witch hazel, Geranium, Oak bark, Yarrow These plants are largely effective because of their astringent action which causes tissue constriction, including the veins. See astringent herbs below. Saint John’s wort, Calendula, Ruta, Arnica These herbs support normal venous tissue integrity and are anti-inflammatory. Comfrey, Slippery elm, Plantain These plants are mucilaginous and have a demulcent effect thereby soothing and healing irritated mucous membranes. All three of these plants are well known for their ability to speed the healing process when applied to irritated tissue. Butcher’s broom Ruscogenins in this plant have been shown to inhibit inflammation and induce venous constriction. Internal applications(detailed descriptions of these herbs follow this list) Stone root, Butcher’s broom, Cinnamon, Gotu kola, Witch hazel, Geranium, Oak bark, Yarrow, Saint John’s wort, Calendula, Horse chestnut, Liver herbs (see below), Cayenne, Garlic, Onion, Ginger. Herbs Specific For Varicose Veins Butcher’s broom - Ruscus aculeatusin the Liliaceae or Lily family Part used: root Taste/smell: soapy taste Dosage: 1 heaping teaspoon per cup water (decocted) or 5-30 drops 1:5 dry liquid extract, 1-3 times per day in a little water. Use: Anti-inflammatory, vasoconstrictor, anti- hemorrhagic. Butcher’s broom acts upon the venous system and is used for varicosities, especially hemorrhoids. It causes the swelling of hemorrhoidal varices to go down and has a tonic effect on the rectal blood vessels. Constituents: Contains ruscogenin and neoruscogenin which have been shown to have anti-inflammatory and vasoconstrictive activities. Contraindications: Information not available. Gotu kola - Centella asiaticain the Umbelliferae or Parsley family Part used: whole plant Taste/Smell: spicy, fragrant Dosage: 1 tablespoon per cup water (infused) or 20- 60 drops of 1:1 fresh liquid extract, 1-4 times per day. Use: Anti-inflammatory, diuretic, laxative, vulnerary, antiseptic, circulatory stimulant, increases endurance and energy. Ingestion helps prevent scarring. Gotu kola is used externally and internally to accelerate the healing time in wounds and ulcers. It is also used for sluggish digestion, to MORE TIDBITS OF ADVICE Support Stockings Go all the way up to the hips, raise legs high for 10 minutes prior to putting them on. Leg Massage A 5-10 minute daily massage, working with the flow of blood, will improve circulation. Inverted yoga postures The head stand, plow or shoulder stand. Cold morning bath Vigorously rub your entire body with a cold wet towel, then a dry one, to improve circulation. Sitz baths for hemorrhoids Hot and cold alternating sitz baths. Sit in a pan of hot water for 3 minutes, then a cold pan for 30 seconds. The water needs to cover your entire pelvic area. Do this for 10-20 minutes, 3 times per day. Always end with the cold treatment.
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Vol. II, No. 1 Herbal Transitions 6 improve memory, high blood pressure, abscesses, rheumatism, fever, ulcers, leprosy, general skin eruptions, varicose veins, nervous disorders and jaundice. It has a calming and supportive effect on the nervous system. Centella normalizes the metabolism of connective tissue and enhances connective tissue by stimulating glycosaminoglycan synthesis without



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Автор: apollon
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