Quiz Prescription Writing Answers

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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.

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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

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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.

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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

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Bitters

• Botanical Medicine 1
• Brandy Webb, ND

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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

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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

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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

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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

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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

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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

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Achillea millefolium
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Achillea millefolium

• Yarrow
• Asteraceae family
• Constituents
• Volatile oils
• Sesquiterpine lactones (bitter)
• Tannins
• Flavonoids
• Alkaloids
• Phenolic acids
• Coumarins

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Achillea millefolium

• Actions
• Bitter
• Astringent
• Antispasmodic
• Diaphoretic
• Diuretic
• Antimicrobial
• Hypotensive
• Anti-inflammatory
• Hepatic

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Gentian lutea
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Gentian lutea

• Gentian
• Gentianaceae family
• Constituents
• Iridoids (bitter)
• Amarogentian
• Gentamarin
• Xanthones
• Alkaloids
• Phenolic acids
• Sugars
• Volatile oils (trace)

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Gentian lutea

• Actions
• Bitter
• Sialagogue
• Cholagogue
• Hepatic
• Antimicrobial
• Antihelminthic
• Emmenagogue

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Iris versicolor
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Iris versicolor

• Blue flag
• Iridaceae family
• Constituents
• Volatile oils
• Glycoside iridin
• Acids
• Triterpenoids
• Gum
• Resins
• Sterols

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Iris versicolor

• Actions
• Cholagogue
• Hepatic
• Alterative
• Laxative
• Diuretic
• Anti-inflammatory

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Menyanthes trifoliata
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Menyanthes trifoliata

• Bog bean
• Menyanthaceae family
• Constituents
• Iridoids (bitter)
• Flavanoid glycosides
• Anthraquinones
• Coumarins
• Alkaloids
• Tannins

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Menyanthes trifoliata

• Actions
• Bitter
• Cholagogue
• Diuretic
• Antirheumatic

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Matricaria recutita
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Matricaria recutita

• Chamomile
• Asteraceae family
• Constituents
• Sesquiterpenes (bitter)
• Sesquiterpene lactones (bitter)
• Flavanoid glycosides

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Matricaria recutita

• Actions
• Bitter
• Carminative
• Antispasmodic
• Anti-inflammatory
• Antimicrobial
• Nervine
• Vulnerary