Quiz Prescription Writing Answers Case 1: You are prescribing a tea for a patient who has a history...
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Transcript of Quiz Prescription Writing Answers Case 1: You are prescribing a tea for a patient who has a history...
Quiz Prescription Writing Answers
Case 1: You are prescribing a tea for a patient who has a history of heartburn. Your tea prescription includes 1 ounce of Peppermint leaf, 1 ounce of Chamomile flowers and ½ ounce of Yarrow flowering tops. This should last the patient about 3 weeks. You tell your patient to take 1 Tbsp. of the mix in one cup of hot water and to let it steep for 15 minutes and then strain and drink 1 cup with each meal. You would like her to have 4 refills.
Quiz Prescription Writing Answers
Rx and Qty: Disp. 1 oz. Mentha x piperita, 1 oz.
Matricaria recutita, ½ oz. Achillea millefolium
Sig: 1 Tbsp. per cup hot aq, steep 15 min., strain and drink 1 cup cc
Refills 1 2 3 4 prn x____months
Quiz Prescription Writing Answers
Case 2: You see a female patient who is experiencing gas and bloating almost daily within an hour after every meal. Her vitals and physical exam are all within normal limits. You investigate her dietary intake and begin looking for possible dietary allergens. In the meantime, you prescribe a 1 oz. tincture with Matricaria recutita and Foeniculum vulgare equal parts. You would like her to take 15 drops of this tincture 15 minutes before each meal daily for the next 2 weeks with 3 refills.
Quiz Prescription Writing Answers
Rx: Matricaria recutita tinc. And Foeniculum vulgare tinc. aa (or ss)
Sig: 15 gtts 15 min ac qd x 2 weeks Qty: 1 oz. Refills 1 2 3 4 prn x ____months
Western Herbal Perspective
The energy of bitter is cooling and drying
Bitters move us out of a sympathetic-dominated state into parasympathetic-dominated state
Bitter herbs stimulate the bitter taste buds causing secretion of gastric fluids, which aids digestion
Ayurvedic Perspective
Ayurvedic medicine is a form of holistic medicine that started in India thousands of years ago and focuses on treating people constitutionally rather than based on their symptoms
Bitter is the coldest, most drying, and most depleting of the 6 tastes (others are sweet, sour, salty, pungent, and astringent)
Helpful for reducing fever, promoting digestion, relieving burning and itch
Promote elimination of toxins, detoxification, and proper circulation
Ayurvedic Perspective
Other uses for bitters: Liver conditions (including jaundice and liver
congestion) As an antibacterial, antiviral, or antiparasitic To promote proper sugar metabolism To reduce body fat For anti-tumor properties
Bitter herbs can deplete overall vitality and depress sexual energy
Use of Bitters According to Western Herbalism
Stimulate digestion Enhance absorption of nutrients Used as tonics/strengthen the body Tonify muscles, tissues and organs Promote elimination of toxins and
metabolic waste products Purify the blood/eradicate infection
Additional Considerations for Use of Bitter Herbs
Stimulate digestion when dosed in small amounts at appropriate time; however, in higher doses can actually suppress digestion
Think of bitters with patients with heat conditions and high Pitta constitution Pitta is the dosha characterized as hot
and eruptive, having high metabolism and strong appetite
Additional Considerations for Use of Bitter Herbs
Treatment of fever: Best reserved for fevers in the core of the body
or in the blood, or when the liver is hot For more “surface” fevers, meaning those
associated with colds and flus, use diaphoretics Bitters can be helpful for lingering and recurrent
fevers Commonly given with carminative herbs Best therapeutic effects achieved when
used over an extended period of time
Achillea millefolium
Yarrow Asteraceae family Constituents
Volatile oils Sesquiterpine lactones (bitter) Tannins Flavonoids Alkaloids Phenolic acids Coumarins
Achillea millefolium
Actions Bitter Astringent Antispasmodic Diaphoretic Diuretic Antimicrobial Hypotensive Anti-inflammatory Hepatic
Gentian lutea
Gentian Gentianaceae family Constituents
Iridoids (bitter) Amarogentian Gentamarin
Xanthones Alkaloids Phenolic acids Sugars Volatile oils (trace)
Iris versicolor
Blue flag Iridaceae family Constituents
Volatile oils Glycoside iridin Acids Triterpenoids Gum Resins Sterols
Menyanthes trifoliata
Bog bean Menyanthaceae family Constituents
Iridoids (bitter) Flavanoid glycosides Anthraquinones Coumarins Alkaloids Tannins
Matricaria recutita
Chamomile Asteraceae family Constituents
Sesquiterpenes (bitter) Sesquiterpene lactones (bitter) Flavanoid glycosides