Precautions to be taken while combing hair
Hair combing is a routine activity of almost all people.Some people keep a particular hair style throughout their life and some especially younger generation adopt new styles according to new trends and fashion.Hair styles has got close relation with the personality of a person.The hair of an unhygeinic person is usually tangled and dirty because of lack of washing and combing.To have a healthy scalp hair proper nutrition is needed.General health has got direct relation with the quality and quantity of hair.Regular washing,use of hair oil,proper combing ect are also needed to make the hair beautiful.General hints for combing is discussed here.
1) Different varieties of combs are available in the market.The best comb is selected by considering the nature of hair(hard or soft,long or short) ,style and convenience.
2) Combing should be done with utmost care and concentration.Some people especially gents think about some other matters and comb without any care which may be harmful to the hairs.
3) Combing should be gentle .A vigorous combing can increase hairfalling.
4) Do not comb if the hair is wet. First dry it with a towel and then put some oil and gently massage it.Now the combing will be easy and harmless.
5) Should not be combed in the opposite direction of hairs.This can increase hair falling.
6) Vigorous combing in backward direction can produce traction baldness.
7) Frequent combing can damage the scalp and the hair follicles.Those who carry pocket comb use it frequently and make it a habit.Combing two or three times in a day is sufficient.
8) The tooth of the comb should not be sharp and it should not be pressed too tightly on the scalp.
9) Always clean the comb before and after use because hair and dirt deposited in the gap will make combing diffucult and painful.
10) Others comb should not be used.This helps to prevent fungal and bacterial infections.Head lice can also spread from one person to other by sharing the combs.
11) Combing the tangled hair is difficult and painful.Hence use some shampoo for cleaning and after drying put oil and make the hairs free for an easy combing.
Friday, April 19, 2013
Wednesday, April 17, 2013
Homoeopathy for bad breath
Homoeopathy for bad breath
Offenssive smell from the mouth is a common complaint in the day to day medical practice.It mainly affects those who mingle with others very closely. Bad breath is noticed mainly by the friends & family members or some times person himself feel it and come to the doctor.Many badbreathers develop depression which forces them to be away from the society which in turn hampers their activities.
The protein in the food debris are degraded by the anaerobic bacteria present in the mouth.Offenssive odor is produced due to release of some gases like hydrogen sulphide,skatol ect due to bacterial activity.Formation of a thin sticky membrane on the tongue favoures bacterial growth.Bactrera are also seen in the crypts of tonsils ,dental caries,dental pockets ect.Bad breath is associated with oral hygiene,caries,gingivitis,tonsillitis,tonsillar plaques,food habits,water intake ,tobacco chewing,stomach and liver diseases and ect.
Homoeopathy is a system of medicine introduced by a german physician Dr Samuel Hahnemann.Homoeopathy treats the diseased individual as a whole rather than treating diseased parts or organs.The physical,mental,emotional,social spheres of a person is considered for a permanent cure.This system believes that the diseases are caused due to the derangement of vital force which is an invisible power in every individual.In a healthy state the vital force maintains the equilibrium of mind body and soul .During this man will have normal sensations and functions.When the vital force gets affected there will be external manifestations in the form of signs and symptoms.The imbalance in the body functions makes a shelter for forign organisms(bacteria,viruses,fungi,protozoa ect) and allow them to proliferate &produce so called diseases.Homoeopathy believes thet the real desease comes before the bacteria & viruses,hence the root cause of the disease has to be treated for a permenent cure.The antibacterial and antiviral agents only remove the secondary causes mentioned above.
Diseases are produced by noxious morbific agents called Miasms which are dynamic influences which affect the vital force.There are mainly three miasms PSORA ,SYPHILIS&SYCOSIS. These three causes are accepted by other schools of medicine but called by different names. Psora causes functional disturbances, syphilis cause structural changes in the form of destructions and sycosis causes changes in the form of overgrowth.These three miasms can act individually or in combined form producing different disease conditions.
To treat bad breath with homoeopathic medicine is easy if correct remedy in suitable dose is given. In the homoeopathic medical repertory by Dr Robin Murphy there are 140 homoeopathic drugs mentioned for bad breath.So just giving one drug for bad breath may not give good result.To come to a correct remedial diagnosis we should have the symptomatology of the person .It is the total symptoms of a person which includes mental generals,physical generals,particular symptoms ect.Bad breath is considered as a physical general symptom .Eventhough it comes only from a part of the body it affects the whole individual.
Symptoms related with appetite,thirst,bowels ect are included in physical generals.
All signs and symptoms (mental&physical)of the person is taken in detail.Knowledge about past illneses,family history of diseases,food & bowel habits,relation to climatic changes and constitution ect are noted down in a systematic order.
Mental symptoms:
example: fear,anxiety,depression,anger,jealousy and ect....
Physical symptoms:
example: Body makeup,appetite,thirst,desires,aversions,bowels,urination,sleep,taste, nature of smell,discharges any abnormal sensations like pain, burning ,climatic changes,thermal relations, and ect....
Peculiar uncommon symptoms:
This is the speciality of homoeopathic system of medicine.For the selection of a suitable remedy these symptoms are very important.common symptoms which are seen almost in all patients are least important.
particular/local signs&symptoms:
This include signs &symptoms related to body parts &organs.
example: Coating on the tongue,nature of mucus membrane of oral cavity, tonsils, gums, teeth, ulcers, discolourations ect are considered here.
Systemic & general physical examination:-
Bad breath can be due to various systemic and disorders.Hence all systems ( respiratory system ,digestive system,nervous system, cardio vascular system and ect )and parts from head to foot should be examined.
provisional disease diagnosis; Here probable diseases are diagnosed. In homoeopathy disease diagnosis is not that much important for the selection of a remedy,but needed for general management and to know the prognosis.
Investigations:
This includes lab investigations and other methods to find out any other major illnesses.
Final disease diagnosis:
After doing all investigations the disease is diagnosed.
Remedial diagnosis:
This is the most importnant part as far as homoeopathy is concerned. For this the selected symptoms are arranged in a systematic order on the basis of importance.
symptoms are analysed to find out the importance of each symptom for the selection of a remedy.Remedies are selected on the basis of similarity.[the basic principle of homoeopathy is 'similia similibus curenter' means like cures like.A medicine which can produce some symptoms in a healthy man can be used as a remedy to trea the similar symptoms in a diseased person.Each homoeopathic drug is proved on healthy human beings and the symptoms collected by this process(drug proving) is written in meteria medica.]
Suitable remedies are diagnosed by a process called repertorisation. Here books called repertories are used. Repertory is the index of symptoms of materia medica(books which contain the symptoms of drugs).Nowadays computer softwares are used for repertorisalion.By this process we will get the remedies covering maximum important symptom of the patient.
Amoung this group of remedies the most suitable remedy is selected by referring various books and history of the patient..The selected medicine is given in suitable potency & dose.
ANTI MIASMATIC TREATMENT:
The root cause of disease is miasms which should be eradicated using suitable anti miasmatic drugs.Every drug can eradicate the miasm if there is symptom similarity.there are anti psoric drugs,anti syphilitic drugs and anti sycotic drugs.After diagnosing the miasm suitable anti miasmatic drug has to be given to complete the cure.
[In homoeopathy medicines are prepared from different sources like minerals, plants, animals, toxins, diseased parts ect. Medicines are prepared from these substances by a special process called potentisation.Here the soluble substances are potentised by diluting with spirit and insoluble substances by grinding with sugar of milk.The crude drug substance is first mixed with a calculated quantity of spirit and water and kept for few days .From this mixture extract is taken and is called mother tincture(denoted as Q).From this mother tincture dilutions are prepared by potentisation.Potentisation is a mathematical process by which the quantity of original drug substance reduces but medicinal power increases. Depending upon the ratio of quantity of drug substance and vehicle(spirit or sugar of milk)there are different scales for this process.Each scale has got different potencies which indicate power of medicine.Example in decimal scale 3x,6x.12x ect.in centisimal scale there is 30c,200c ect,in LM poteny there are 0/1,0/2,0/3 ect.potency is written after the name of every medicine]
Same medicine is available in different potencies. Suitable potency is selected according to so many facters like sevearity,depth of disease,condition of the patient ,nature of disease ,type of symptoms,age of patient and ect.
Some useful homoeo drugs for bad breath.
Arnica montana, Antim crude, Ars alb, Asafoetida, Aurum met, Baptisia, Bryonia,Borax,Calc carb, Carbo veg, Cinchona, Chelidonium, Graphites, Kali bich ,Kreosotum, Lachesis, Lycopodium, Merc sol, Natrum mur, Nitricum acidum, Nux vomica, Plantago, Pulsatilla, Phos, Pyrogen, Sulphur etc.
1) Arnica montana:
This medicine is useful for fetid breath.Mouth is very dry with thirst for water.Bad breath associated with fever.There is bleeding from the gum,may be after tooth extraction or after injury.Offenssive gas pass upwards and downwards from stomach.Petient is very sensitive to touch with sore and bruised feeling allover the body.
2) Antim crude:
Useful for bad breath with gastric complaints and coated tongue.This medicine act mainly on filthy persons with aversion to bathing.Tongue is coated white like fur.Nostrils and lips are cracked .Eructations are putrid.Very useful for badbreath in children
3) Ars alb:
All discharges are having cadeveric smell.Saliva is bloody with bad odor.Thirst for warm water is well marked. This medicine act well in debilitated and emaciated persons.Bad breath associated with gastric disorders.Vomiting from slightest food or drink and intolerance of vegetables and watery fruits.Mentally these patients are fastidious with an insecurity feeling.They are having fear of death or serious disease with restlessness and anxiety.
4) Asafoetida:
Useful for bad breath associated with eructations.Great distension of abdomen with sensation of a ball rising in throat.All discharges are offenssive.Reverse peristalsis with loud eructations.This medicine act well on hysterical persons.
5) Aurum met:
Useful for bad breath in girls at puberty. There is ulceration in gums with putrid or bitter taste. Destruction in body tissues like bone is noticed in these patients.This medicine act well on persons who are tired of life with suicidal thoughts.They also have a feeling that they have done an unpardonable crime.
6) Baptisia:
Breath fetid with bitter taste.Gums sore and ulcerated.Yellowish brown coating on centre of tongue with glistening edges.Surface of the tongue is cracked.These patients feel difficult to swallow solid food.Tonsils are enlarged without pain.Useful for painless tonsillitis & pharyngitis with putrid smell.All discharges are offenssive.This medicine act well on persons having besoted look.There is a tendency for stupor and delirium in these persons.
7) Borax:
Useful for bad breath associated with apthous ulcer in the mouth.Also effective for fungal infection of the mouth.Mouth is very hot and tender.Ulcers bleed on touch.Very useful for bad breath in children with ulcers in the mouth.Child is having fear of doward motion.
8) Bryonia:
Irritable persons who always talk about business.Lips parched dry and cracked.Tongue coated dark brown with bitter taste in the mouth.Thirst for large quantity of cold water is well marked.Heaviness in abdomen after eating.Usually constipated with hard dry stools.
9) Calcarea fluor:
Plugs of mucus are continually forming in the crypts of the tonsils.Unnatural looseness of the teeth with or without pain.Prone to get caries with discolouration.Tonsils are enlarged with recurrent infection.
10) Carbo veg:
These patients are weak and debilitated .All body discharges are profuse with cadeveric smell.Gums are retracted and bleed easily.Frequent putrid eructations with distention of abdomen.Complaints ameliorted by passing flatus.Can't tolerate meat and fat.Involuntary diarrhoea at night.Wants to be fanned from a close distance.
11) Chelidonium:
Tongue yellow with imprint of teeth.Bad odor with bitter taste in the mouth.Useful for bad breath with liver complaints.Thirst for hot liquids.Patient feels better by eating. Constipation with hard round stools.Constipation alternating with diarrhoea.
12) Graphites:
This medicine act well on obese patients with skin troubles.Breath smells like urine.Rotten odor with salivation and blisters in the mouth.Sour eructations with gastric complaints.Skin complaints with sticky discharges.Gastric pain ameliorated by eating .
13) kali bich:
Bad breath with gastric ulcer.There are round ulcers in the mouth.Saliva viscid. Vomiting with bitter taste.Tongue is smooth .Craves bear.Gastric complaints alternating with rheumatism.
14) kreosotum:
Teeth dark and crumbly.Bitter taste in the mouth with putrid odour.Very rapid decay of teeth.All discharges are very offenssive.Gums spongy and bleed easily.Bad breath associated with caries and gastric complaints.
15) Lachesis:
This medicine act on dark restless patients with jelousy.Tongue is black coloured. Complaints are aggravated during sleep.Wants fanning from a long distance.Cannot tolerate tight cloathing around body.Complaints aggravated in hot climate.
16) Lycopodium:
Act well on intelligent people who are physically weak.They have lack of self confidence.Useful for badbreath associated with sour eructations with burning in throat. Teeth excessively painful to touch.There are blisters on the tongue.Wants warm food and drinks.These people are usually constipated .Craving for sweets well marked.
17) Merc sol:
Sweetish metallic taste in the mouth with bloody viscid saliva. Gum is spongy and bleed easily.Mouth is moist with increased thirst.Teeth indented. Crown of the teeth decay.Fetid odor from the mouth can be felt all over the room.Ulcerations in the mouth with bleeding.All body discharges are offenssive.All complaints are aggravated at night.
18) Nux vomica:
This medicine act well on people who lead a sedentery life.They are very short tempered and become angry very easily.They are very busy in their occupation and enjoy modern civilised life with all types of food and drink.Bad breath is more after meals and in the morning. Posterior part of the tongue is coated and anterior part is clean.Sour taste in the mouth with nausea in the morning.They have got frequent urge for stool.Heavy feeling in abdomen after food is noticed.
19) Plantago:
Dental caries with severe toothache.Pain better by eating.Salivation is better by eating. Toothache with swelling of gums.Gargling plantago Q is useful to get relief from toothache due to caries.
20) Pulsatilla:
Act well on mild and gentle ladies with a yielding disposition.Patient is very timid with a weeping tendency.Bad breath is noticed mainly in the morning.Mouth is very dry but dosn't want to drink water. Yellow or white tongue covered with a tenacious mucus.Taste is altered.Taste of food remains in the mouth for a long time.Patient wash the mouth frequently.
21) Psorinum:
Act well on unclean patients with bad odor. Hawking up of cheesy, pea like balls of disgusting smell and taste is the main cause for bad breath in these patients.Tonsils are swollen with profuse offenssive saliva.Quinsy with tough mucus in throat.All body secretions are filthy.Eructations taste like bad eggs.Very hungry and getup even at midnight for food.Swallowing is painful with pain in ears.
22) Pyrogen:
Bad breath of septic origin is cured with this medicine.Taste terribly fetid with horrible breath,tongue red ,dry ,smooth asif varnished.Bad breath associated with high fever and coffeground vomiting. In general patients body is very sensitive to touch,can't rest on bed because of bruinsed pain.All discharges are offenssive.
23) Sulphur:
This medicine act best on dirty & filthy people with offenssive odor and a tendecy for skin diseases.Lips dry bright red with burning sensation..Tongue white with red tip & borders.Bitter taste in the morning. Eructations are putrid.Burning in all parts of the body. Aversion to bathing is well marked.Not bothered about hygiene ,still they believe that they are having superhuman powers. These individuals are very selfish.
Some homoeo mother tinctures (Q) useful for bad breath.
[mother tincture should not be taken directly because it can produce burning sensation,hence 10 drops should be mixed in half glass of water and taken internally or used for gargling]
1) Cinnamon Q : This mother tincture can be used for gragling after diluting with water.Also useful for bleeding from gums.
2) Eucalyptus Q : This tincture can be used as a mouth wash after mixing with water.Internal use of this medicine can remove mucus from the respiratory tract.Also useful for cold and coryza.
3) Zingiber Q : Useful for bad breath associated with gastric complaints. This medicine can improve digestion.Also used for gargling.
4) Rhus glabra Q : Gargling of this tincture is very useful for ulcerative lesions in the mouth like aphthous ulcer.Internal use of this tincture can reduce the bad smell of stool & flatus.
5) Oleum caryophyllum Q : Gargling of this tincture can reduce toothache.Due to it's fregrant quality very useful to reduce bad breath.
6) Balsamum peru Q : This medicine can remove the mucus from respiratory tract hence very useful in chronic bronchitis and lung abscess.Can heal the ulcers in the mouth by gargling this tincture,it can also produce pleasent smell from the mouth.
7) Menthol Q : This is a main ingradient in tonics and syrups.Gargling of this tincture reduces bad breath.
Offenssive smell from the mouth is a common complaint in the day to day medical practice.It mainly affects those who mingle with others very closely. Bad breath is noticed mainly by the friends & family members or some times person himself feel it and come to the doctor.Many badbreathers develop depression which forces them to be away from the society which in turn hampers their activities.
The protein in the food debris are degraded by the anaerobic bacteria present in the mouth.Offenssive odor is produced due to release of some gases like hydrogen sulphide,skatol ect due to bacterial activity.Formation of a thin sticky membrane on the tongue favoures bacterial growth.Bactrera are also seen in the crypts of tonsils ,dental caries,dental pockets ect.Bad breath is associated with oral hygiene,caries,gingivitis,tonsillitis,tonsillar plaques,food habits,water intake ,tobacco chewing,stomach and liver diseases and ect.
Homoeopathy is a system of medicine introduced by a german physician Dr Samuel Hahnemann.Homoeopathy treats the diseased individual as a whole rather than treating diseased parts or organs.The physical,mental,emotional,social spheres of a person is considered for a permanent cure.This system believes that the diseases are caused due to the derangement of vital force which is an invisible power in every individual.In a healthy state the vital force maintains the equilibrium of mind body and soul .During this man will have normal sensations and functions.When the vital force gets affected there will be external manifestations in the form of signs and symptoms.The imbalance in the body functions makes a shelter for forign organisms(bacteria,viruses,fungi,protozoa ect) and allow them to proliferate &produce so called diseases.Homoeopathy believes thet the real desease comes before the bacteria & viruses,hence the root cause of the disease has to be treated for a permenent cure.The antibacterial and antiviral agents only remove the secondary causes mentioned above.
Diseases are produced by noxious morbific agents called Miasms which are dynamic influences which affect the vital force.There are mainly three miasms PSORA ,SYPHILIS&SYCOSIS. These three causes are accepted by other schools of medicine but called by different names. Psora causes functional disturbances, syphilis cause structural changes in the form of destructions and sycosis causes changes in the form of overgrowth.These three miasms can act individually or in combined form producing different disease conditions.
To treat bad breath with homoeopathic medicine is easy if correct remedy in suitable dose is given. In the homoeopathic medical repertory by Dr Robin Murphy there are 140 homoeopathic drugs mentioned for bad breath.So just giving one drug for bad breath may not give good result.To come to a correct remedial diagnosis we should have the symptomatology of the person .It is the total symptoms of a person which includes mental generals,physical generals,particular symptoms ect.Bad breath is considered as a physical general symptom .Eventhough it comes only from a part of the body it affects the whole individual.
Symptoms related with appetite,thirst,bowels ect are included in physical generals.
All signs and symptoms (mental&physical)of the person is taken in detail.Knowledge about past illneses,family history of diseases,food & bowel habits,relation to climatic changes and constitution ect are noted down in a systematic order.
Mental symptoms:
example: fear,anxiety,depression,anger,jealousy and ect....
Physical symptoms:
example: Body makeup,appetite,thirst,desires,aversions,bowels,urination,sleep,taste, nature of smell,discharges any abnormal sensations like pain, burning ,climatic changes,thermal relations, and ect....
Peculiar uncommon symptoms:
This is the speciality of homoeopathic system of medicine.For the selection of a suitable remedy these symptoms are very important.common symptoms which are seen almost in all patients are least important.
particular/local signs&symptoms:
This include signs &symptoms related to body parts &organs.
example: Coating on the tongue,nature of mucus membrane of oral cavity, tonsils, gums, teeth, ulcers, discolourations ect are considered here.
Systemic & general physical examination:-
Bad breath can be due to various systemic and disorders.Hence all systems ( respiratory system ,digestive system,nervous system, cardio vascular system and ect )and parts from head to foot should be examined.
provisional disease diagnosis; Here probable diseases are diagnosed. In homoeopathy disease diagnosis is not that much important for the selection of a remedy,but needed for general management and to know the prognosis.
Investigations:
This includes lab investigations and other methods to find out any other major illnesses.
Final disease diagnosis:
After doing all investigations the disease is diagnosed.
Remedial diagnosis:
This is the most importnant part as far as homoeopathy is concerned. For this the selected symptoms are arranged in a systematic order on the basis of importance.
symptoms are analysed to find out the importance of each symptom for the selection of a remedy.Remedies are selected on the basis of similarity.[the basic principle of homoeopathy is 'similia similibus curenter' means like cures like.A medicine which can produce some symptoms in a healthy man can be used as a remedy to trea the similar symptoms in a diseased person.Each homoeopathic drug is proved on healthy human beings and the symptoms collected by this process(drug proving) is written in meteria medica.]
Suitable remedies are diagnosed by a process called repertorisation. Here books called repertories are used. Repertory is the index of symptoms of materia medica(books which contain the symptoms of drugs).Nowadays computer softwares are used for repertorisalion.By this process we will get the remedies covering maximum important symptom of the patient.
Amoung this group of remedies the most suitable remedy is selected by referring various books and history of the patient..The selected medicine is given in suitable potency & dose.
ANTI MIASMATIC TREATMENT:
The root cause of disease is miasms which should be eradicated using suitable anti miasmatic drugs.Every drug can eradicate the miasm if there is symptom similarity.there are anti psoric drugs,anti syphilitic drugs and anti sycotic drugs.After diagnosing the miasm suitable anti miasmatic drug has to be given to complete the cure.
[In homoeopathy medicines are prepared from different sources like minerals, plants, animals, toxins, diseased parts ect. Medicines are prepared from these substances by a special process called potentisation.Here the soluble substances are potentised by diluting with spirit and insoluble substances by grinding with sugar of milk.The crude drug substance is first mixed with a calculated quantity of spirit and water and kept for few days .From this mixture extract is taken and is called mother tincture(denoted as Q).From this mother tincture dilutions are prepared by potentisation.Potentisation is a mathematical process by which the quantity of original drug substance reduces but medicinal power increases. Depending upon the ratio of quantity of drug substance and vehicle(spirit or sugar of milk)there are different scales for this process.Each scale has got different potencies which indicate power of medicine.Example in decimal scale 3x,6x.12x ect.in centisimal scale there is 30c,200c ect,in LM poteny there are 0/1,0/2,0/3 ect.potency is written after the name of every medicine]
Same medicine is available in different potencies. Suitable potency is selected according to so many facters like sevearity,depth of disease,condition of the patient ,nature of disease ,type of symptoms,age of patient and ect.
Some useful homoeo drugs for bad breath.
Arnica montana, Antim crude, Ars alb, Asafoetida, Aurum met, Baptisia, Bryonia,Borax,Calc carb, Carbo veg, Cinchona, Chelidonium, Graphites, Kali bich ,Kreosotum, Lachesis, Lycopodium, Merc sol, Natrum mur, Nitricum acidum, Nux vomica, Plantago, Pulsatilla, Phos, Pyrogen, Sulphur etc.
1) Arnica montana:
This medicine is useful for fetid breath.Mouth is very dry with thirst for water.Bad breath associated with fever.There is bleeding from the gum,may be after tooth extraction or after injury.Offenssive gas pass upwards and downwards from stomach.Petient is very sensitive to touch with sore and bruised feeling allover the body.
2) Antim crude:
Useful for bad breath with gastric complaints and coated tongue.This medicine act mainly on filthy persons with aversion to bathing.Tongue is coated white like fur.Nostrils and lips are cracked .Eructations are putrid.Very useful for badbreath in children
3) Ars alb:
All discharges are having cadeveric smell.Saliva is bloody with bad odor.Thirst for warm water is well marked. This medicine act well in debilitated and emaciated persons.Bad breath associated with gastric disorders.Vomiting from slightest food or drink and intolerance of vegetables and watery fruits.Mentally these patients are fastidious with an insecurity feeling.They are having fear of death or serious disease with restlessness and anxiety.
4) Asafoetida:
Useful for bad breath associated with eructations.Great distension of abdomen with sensation of a ball rising in throat.All discharges are offenssive.Reverse peristalsis with loud eructations.This medicine act well on hysterical persons.
5) Aurum met:
Useful for bad breath in girls at puberty. There is ulceration in gums with putrid or bitter taste. Destruction in body tissues like bone is noticed in these patients.This medicine act well on persons who are tired of life with suicidal thoughts.They also have a feeling that they have done an unpardonable crime.
6) Baptisia:
Breath fetid with bitter taste.Gums sore and ulcerated.Yellowish brown coating on centre of tongue with glistening edges.Surface of the tongue is cracked.These patients feel difficult to swallow solid food.Tonsils are enlarged without pain.Useful for painless tonsillitis & pharyngitis with putrid smell.All discharges are offenssive.This medicine act well on persons having besoted look.There is a tendency for stupor and delirium in these persons.
7) Borax:
Useful for bad breath associated with apthous ulcer in the mouth.Also effective for fungal infection of the mouth.Mouth is very hot and tender.Ulcers bleed on touch.Very useful for bad breath in children with ulcers in the mouth.Child is having fear of doward motion.
8) Bryonia:
Irritable persons who always talk about business.Lips parched dry and cracked.Tongue coated dark brown with bitter taste in the mouth.Thirst for large quantity of cold water is well marked.Heaviness in abdomen after eating.Usually constipated with hard dry stools.
9) Calcarea fluor:
Plugs of mucus are continually forming in the crypts of the tonsils.Unnatural looseness of the teeth with or without pain.Prone to get caries with discolouration.Tonsils are enlarged with recurrent infection.
10) Carbo veg:
These patients are weak and debilitated .All body discharges are profuse with cadeveric smell.Gums are retracted and bleed easily.Frequent putrid eructations with distention of abdomen.Complaints ameliorted by passing flatus.Can't tolerate meat and fat.Involuntary diarrhoea at night.Wants to be fanned from a close distance.
11) Chelidonium:
Tongue yellow with imprint of teeth.Bad odor with bitter taste in the mouth.Useful for bad breath with liver complaints.Thirst for hot liquids.Patient feels better by eating. Constipation with hard round stools.Constipation alternating with diarrhoea.
12) Graphites:
This medicine act well on obese patients with skin troubles.Breath smells like urine.Rotten odor with salivation and blisters in the mouth.Sour eructations with gastric complaints.Skin complaints with sticky discharges.Gastric pain ameliorated by eating .
13) kali bich:
Bad breath with gastric ulcer.There are round ulcers in the mouth.Saliva viscid. Vomiting with bitter taste.Tongue is smooth .Craves bear.Gastric complaints alternating with rheumatism.
14) kreosotum:
Teeth dark and crumbly.Bitter taste in the mouth with putrid odour.Very rapid decay of teeth.All discharges are very offenssive.Gums spongy and bleed easily.Bad breath associated with caries and gastric complaints.
15) Lachesis:
This medicine act on dark restless patients with jelousy.Tongue is black coloured. Complaints are aggravated during sleep.Wants fanning from a long distance.Cannot tolerate tight cloathing around body.Complaints aggravated in hot climate.
16) Lycopodium:
Act well on intelligent people who are physically weak.They have lack of self confidence.Useful for badbreath associated with sour eructations with burning in throat. Teeth excessively painful to touch.There are blisters on the tongue.Wants warm food and drinks.These people are usually constipated .Craving for sweets well marked.
17) Merc sol:
Sweetish metallic taste in the mouth with bloody viscid saliva. Gum is spongy and bleed easily.Mouth is moist with increased thirst.Teeth indented. Crown of the teeth decay.Fetid odor from the mouth can be felt all over the room.Ulcerations in the mouth with bleeding.All body discharges are offenssive.All complaints are aggravated at night.
18) Nux vomica:
This medicine act well on people who lead a sedentery life.They are very short tempered and become angry very easily.They are very busy in their occupation and enjoy modern civilised life with all types of food and drink.Bad breath is more after meals and in the morning. Posterior part of the tongue is coated and anterior part is clean.Sour taste in the mouth with nausea in the morning.They have got frequent urge for stool.Heavy feeling in abdomen after food is noticed.
19) Plantago:
Dental caries with severe toothache.Pain better by eating.Salivation is better by eating. Toothache with swelling of gums.Gargling plantago Q is useful to get relief from toothache due to caries.
20) Pulsatilla:
Act well on mild and gentle ladies with a yielding disposition.Patient is very timid with a weeping tendency.Bad breath is noticed mainly in the morning.Mouth is very dry but dosn't want to drink water. Yellow or white tongue covered with a tenacious mucus.Taste is altered.Taste of food remains in the mouth for a long time.Patient wash the mouth frequently.
21) Psorinum:
Act well on unclean patients with bad odor. Hawking up of cheesy, pea like balls of disgusting smell and taste is the main cause for bad breath in these patients.Tonsils are swollen with profuse offenssive saliva.Quinsy with tough mucus in throat.All body secretions are filthy.Eructations taste like bad eggs.Very hungry and getup even at midnight for food.Swallowing is painful with pain in ears.
22) Pyrogen:
Bad breath of septic origin is cured with this medicine.Taste terribly fetid with horrible breath,tongue red ,dry ,smooth asif varnished.Bad breath associated with high fever and coffeground vomiting. In general patients body is very sensitive to touch,can't rest on bed because of bruinsed pain.All discharges are offenssive.
23) Sulphur:
This medicine act best on dirty & filthy people with offenssive odor and a tendecy for skin diseases.Lips dry bright red with burning sensation..Tongue white with red tip & borders.Bitter taste in the morning. Eructations are putrid.Burning in all parts of the body. Aversion to bathing is well marked.Not bothered about hygiene ,still they believe that they are having superhuman powers. These individuals are very selfish.
Some homoeo mother tinctures (Q) useful for bad breath.
[mother tincture should not be taken directly because it can produce burning sensation,hence 10 drops should be mixed in half glass of water and taken internally or used for gargling]
1) Cinnamon Q : This mother tincture can be used for gragling after diluting with water.Also useful for bleeding from gums.
2) Eucalyptus Q : This tincture can be used as a mouth wash after mixing with water.Internal use of this medicine can remove mucus from the respiratory tract.Also useful for cold and coryza.
3) Zingiber Q : Useful for bad breath associated with gastric complaints. This medicine can improve digestion.Also used for gargling.
4) Rhus glabra Q : Gargling of this tincture is very useful for ulcerative lesions in the mouth like aphthous ulcer.Internal use of this tincture can reduce the bad smell of stool & flatus.
5) Oleum caryophyllum Q : Gargling of this tincture can reduce toothache.Due to it's fregrant quality very useful to reduce bad breath.
6) Balsamum peru Q : This medicine can remove the mucus from respiratory tract hence very useful in chronic bronchitis and lung abscess.Can heal the ulcers in the mouth by gargling this tincture,it can also produce pleasent smell from the mouth.
7) Menthol Q : This is a main ingradient in tonics and syrups.Gargling of this tincture reduces bad breath.
Tuesday, April 16, 2013
CURE OF BAD BREATH
CURE OF BAD BREATH
Bad breath is a common health problem in the society.Offenssive smell from the mouth may be due to various reasons.The main reason is the presence of anaerobic bacteria in the biofilm formed on the tongue .These bacteria degrades the proteins present in the food resulting in the production of some offenssive gases like hydrogen sulphide,skatol ect.
Bad odor from the mouth in the early morning is seen in almost all individuals.This can be controlled by maintaining oral hygiene.Even after cleaning the mouth some individuals may suffer from bad breath due to some problem in the mouth or in the nearby areas.Some general disease condition can also produce bad breath.Exact cause has to be identified and should be treated accordingly.Some common measures to cure or reduce bad breath are discussed here.
1) Oral hygiene:
Mouth should be kept clean every time to reduce the bacterial action.After food gargling with lukewarm water is very essential.Even after small food articles like snacks,sweets,buscuits cleaning with water is needed.Brushing should be done twice daily.It is said that early morning brushing is for beauty and bed time brushing is for good health.
2) Brushing techniques:
Normal brushing technique should be followed for better result.Many people brush vigorously causing damage to the gums.Brushing after every food and drink can damage the enamel .Bristles of the tooth brush should be smooth but hard enough to remove the food particles from the gaps.The direction of brushing is the most important thing.The upper teeth should be brushed in a downward direction and the lower in upward direction.This is applicable to both inner and outer surfaces.Next comes the crown of the teeth;here brushing is done in anterior and posterior direction keeping the brush in same direction.This applicable to both upper and lower set of teeth.
3) Tongue cleaning:
White or yellowish coating on the tongue can cause bad breath.This is more well marked in the morning and should be removed twice daily with the healp of a tongue cleaner. Tongue cleaner must be used gently without damaging the taste buds on the tongue.
4) Tooth pick:
Tooth pick is a small strip of wood or plastic with a pointed end.This is used to remove food particles lodged between the gaps.Very useful after eating meat and fish.Should be used gently to avoid damage to gums.
5) Gargling:
After every meal gargling with lukewarm water is useful.For better result little common salt is dissolved in the lukewarm water .Different types of mouth wash is available in the market in different trade names.Gargling with mouth wash can also reduce bad breath.
6) Food habits:
Protein containing food articles are known to produce bad breath. Example; meat, milk, fish, egg etc. If these food articles are taken proper cleaning is essential.Some food articles are known to produce particular smell which may be unpleasent for others. Raw onion is the best example.It is said that an apple a day keeps the doctor away and a raw onion a day keep every body away.Small food articles taken in between can also cause bad smell(nuts,fried items etc).Maintaining regularity in food timing is the most important thing.
7) Water intake:
Dryness in the mouth can make a favourable condition for the bacterial activity resulting in bad odor.saliva is needed to keep the mouth moist and to reduce the bacterial proliferation.Production of saliva is closely related with water balance of the body and hence sufficient quantity of water should be taken to maintain the production of saliva.
8) Mouth freshners:
Natural and artificial mouth freshners can reduce the intensity of bad breath to some extent.Spicy articles are commonly used for this purpose.Chewing spices like clove,cumin seed,cardomom,cinnamon,ginger ect are useful. All citrus fruits can reduce bad odor.Mouth freshners and chewing gums are available in the market.these products are also helpful ,but some may cause damage hence should be used with caution.
If the above things doesn't work then what to do ?
Consider the following:-
1) Remove the cause:
Bad breath is common in some general and systemic diseases like diabetes,fevers,gastric disorders,liver diseases and ect.By removing or reducing the primary cause the bad breath will go automatically.
2) Modern medicine:
If bad breath is due to any infection suitable antibiotics,anti fungal or anti viral medicines will help.If it is due to any autoimmune or chronic inflamatory conditions steroids may also be used.Saliva producing tablets can also be used.
3) Dental cleaning:
Dental cleaning done by a dentist can remove the dental plaques and tartar. This can reduce the severity of bad breath.Visit your dentist atleast once in a year.
4) Filling of caries:
Since caries are one of the main cause for bad breath it should be filled by a dentist.Earlier silver amalgam was used ,nowadays it is replaced by synthetic materials.If the pulp cavity is affected by the caries root canal treatment can be done.
5) Tooth extraction:
If caries are deep with destruction of teeth with bad smell extraction is the better choice and a dental implant can be kept in the gap.
6) Tonsillectomy:
Patients with recurrent tonsillitis can have bad breath due to offenssive discharges and release of pasty materials from the crypts of tonsils.Such patients get great relief after tonsillectomy(removal of tonsils).
7) Psychological counselling:
Those who suffer from bad breath may be very much depressed and they be away from the public .This isolation hampers their daytoday activities.Such people should understand the fact that all humanbeings are having bad breath, but with slight differences in intensities.Mostly all people control it by taking personal care.Every human body has got it's own smell,that may or may not be tolerable for others.They should be adviced to do all hygienic meashures to reduce the intensity of smell.Improving the quality of life by all possible means can also help.Moral support from friends and family members are needed for such people.
Some individuals visit the doctor for bad breath without any real problem.It is included under somatisation disorder.They usually complain about pain, breathlessness,abdominal discomfort,bad smell ect.proper diagnosis is needed to rule out any real causes.These patients should be managed with a psychological approach.
8) Homoeopathy:
In Homoeopathy medicines are selected on the basis of physical ,mental,emotional,and social aspects of the diseased person.Considering the whole aspects a constitutional homoeopathic medicine is selected and given in suitable potency and dose.By this all health related problems including bad breath will be solved.On the basis of coating on the tongue,type of smell,cause for bad breath,and other associated complaints a medicine can be given to get relief from bad breath.In the homoeopathic medical repertory by Dr Robin Murphy there are 140 homoeopathic drugs mentioned for bad breath.On the basis of signs and symptoms of the individual a suitable medicine is given.Commonly used drugs are arnica, antim crud, pulsatilla, sulphur, psorinum, nux vomica, ars alb, merc sol, kreosot, hekla lava, silicea, asafoitida, graphites, kali bich, acid nitric etc.
Homoeopathic mother tinctures like cinnamon Q,kreosot Q,zingiber Q,rhus glabra Q,menthol Q and ect can be used for gargling after diluting in water.
[POINTS MENTIONED IN THIS ARTICLE IS FOR GENERAL AWARENESS. ANY BODY SUFFERING FROM BAD BREATH SHOULD CONSULT A DOCTOR.]
Bad breath is a common health problem in the society.Offenssive smell from the mouth may be due to various reasons.The main reason is the presence of anaerobic bacteria in the biofilm formed on the tongue .These bacteria degrades the proteins present in the food resulting in the production of some offenssive gases like hydrogen sulphide,skatol ect.
Bad odor from the mouth in the early morning is seen in almost all individuals.This can be controlled by maintaining oral hygiene.Even after cleaning the mouth some individuals may suffer from bad breath due to some problem in the mouth or in the nearby areas.Some general disease condition can also produce bad breath.Exact cause has to be identified and should be treated accordingly.Some common measures to cure or reduce bad breath are discussed here.
1) Oral hygiene:
Mouth should be kept clean every time to reduce the bacterial action.After food gargling with lukewarm water is very essential.Even after small food articles like snacks,sweets,buscuits cleaning with water is needed.Brushing should be done twice daily.It is said that early morning brushing is for beauty and bed time brushing is for good health.
2) Brushing techniques:
Normal brushing technique should be followed for better result.Many people brush vigorously causing damage to the gums.Brushing after every food and drink can damage the enamel .Bristles of the tooth brush should be smooth but hard enough to remove the food particles from the gaps.The direction of brushing is the most important thing.The upper teeth should be brushed in a downward direction and the lower in upward direction.This is applicable to both inner and outer surfaces.Next comes the crown of the teeth;here brushing is done in anterior and posterior direction keeping the brush in same direction.This applicable to both upper and lower set of teeth.
3) Tongue cleaning:
White or yellowish coating on the tongue can cause bad breath.This is more well marked in the morning and should be removed twice daily with the healp of a tongue cleaner. Tongue cleaner must be used gently without damaging the taste buds on the tongue.
4) Tooth pick:
Tooth pick is a small strip of wood or plastic with a pointed end.This is used to remove food particles lodged between the gaps.Very useful after eating meat and fish.Should be used gently to avoid damage to gums.
5) Gargling:
After every meal gargling with lukewarm water is useful.For better result little common salt is dissolved in the lukewarm water .Different types of mouth wash is available in the market in different trade names.Gargling with mouth wash can also reduce bad breath.
6) Food habits:
Protein containing food articles are known to produce bad breath. Example; meat, milk, fish, egg etc. If these food articles are taken proper cleaning is essential.Some food articles are known to produce particular smell which may be unpleasent for others. Raw onion is the best example.It is said that an apple a day keeps the doctor away and a raw onion a day keep every body away.Small food articles taken in between can also cause bad smell(nuts,fried items etc).Maintaining regularity in food timing is the most important thing.
7) Water intake:
Dryness in the mouth can make a favourable condition for the bacterial activity resulting in bad odor.saliva is needed to keep the mouth moist and to reduce the bacterial proliferation.Production of saliva is closely related with water balance of the body and hence sufficient quantity of water should be taken to maintain the production of saliva.
8) Mouth freshners:
Natural and artificial mouth freshners can reduce the intensity of bad breath to some extent.Spicy articles are commonly used for this purpose.Chewing spices like clove,cumin seed,cardomom,cinnamon,ginger ect are useful. All citrus fruits can reduce bad odor.Mouth freshners and chewing gums are available in the market.these products are also helpful ,but some may cause damage hence should be used with caution.
If the above things doesn't work then what to do ?
Consider the following:-
1) Remove the cause:
Bad breath is common in some general and systemic diseases like diabetes,fevers,gastric disorders,liver diseases and ect.By removing or reducing the primary cause the bad breath will go automatically.
2) Modern medicine:
If bad breath is due to any infection suitable antibiotics,anti fungal or anti viral medicines will help.If it is due to any autoimmune or chronic inflamatory conditions steroids may also be used.Saliva producing tablets can also be used.
3) Dental cleaning:
Dental cleaning done by a dentist can remove the dental plaques and tartar. This can reduce the severity of bad breath.Visit your dentist atleast once in a year.
4) Filling of caries:
Since caries are one of the main cause for bad breath it should be filled by a dentist.Earlier silver amalgam was used ,nowadays it is replaced by synthetic materials.If the pulp cavity is affected by the caries root canal treatment can be done.
5) Tooth extraction:
If caries are deep with destruction of teeth with bad smell extraction is the better choice and a dental implant can be kept in the gap.
6) Tonsillectomy:
Patients with recurrent tonsillitis can have bad breath due to offenssive discharges and release of pasty materials from the crypts of tonsils.Such patients get great relief after tonsillectomy(removal of tonsils).
7) Psychological counselling:
Those who suffer from bad breath may be very much depressed and they be away from the public .This isolation hampers their daytoday activities.Such people should understand the fact that all humanbeings are having bad breath, but with slight differences in intensities.Mostly all people control it by taking personal care.Every human body has got it's own smell,that may or may not be tolerable for others.They should be adviced to do all hygienic meashures to reduce the intensity of smell.Improving the quality of life by all possible means can also help.Moral support from friends and family members are needed for such people.
Some individuals visit the doctor for bad breath without any real problem.It is included under somatisation disorder.They usually complain about pain, breathlessness,abdominal discomfort,bad smell ect.proper diagnosis is needed to rule out any real causes.These patients should be managed with a psychological approach.
8) Homoeopathy:
In Homoeopathy medicines are selected on the basis of physical ,mental,emotional,and social aspects of the diseased person.Considering the whole aspects a constitutional homoeopathic medicine is selected and given in suitable potency and dose.By this all health related problems including bad breath will be solved.On the basis of coating on the tongue,type of smell,cause for bad breath,and other associated complaints a medicine can be given to get relief from bad breath.In the homoeopathic medical repertory by Dr Robin Murphy there are 140 homoeopathic drugs mentioned for bad breath.On the basis of signs and symptoms of the individual a suitable medicine is given.Commonly used drugs are arnica, antim crud, pulsatilla, sulphur, psorinum, nux vomica, ars alb, merc sol, kreosot, hekla lava, silicea, asafoitida, graphites, kali bich, acid nitric etc.
Homoeopathic mother tinctures like cinnamon Q,kreosot Q,zingiber Q,rhus glabra Q,menthol Q and ect can be used for gargling after diluting in water.
[POINTS MENTIONED IN THIS ARTICLE IS FOR GENERAL AWARENESS. ANY BODY SUFFERING FROM BAD BREATH SHOULD CONSULT A DOCTOR.]
Sunday, April 14, 2013
CAUSES OF LOW BACK PAIN.
CAUSES OF LOW BACK PAIN.
Low back pain is a usual symptom amoung the modern civilised people.It affects mainly the middle aged and young adults of both sexes.People who work on the chair with out exercise and those who carry heavy loads regularly are prone to get this complaint.We can hardly find a person who has not suffered from back pain atleast once in life.The causes of low backpain ranges from simple reasons like muscular strain to cancer of spine and hence backache should not be ignored.The pain is felt in lumbar and sacral region and may radiate to nearby sites.
The following are some causes for backache.
1) Backache due to diseases in the back.
2) Backache due to gynaecological problems.
3) Backache due to problems in other parts of the body.
1) Backache due to diseases in the back:--
a) Injuries :-
1) Compression fracture of the vertebral column.
2) Rupture of intervertebral discs.
3) Injuries to ligaments and muscles of back.
4) Lumbosacral strain.
5) Intervertebral joint injuries.
6) Fracture of processes of vertebra.
b) Functional backache due to imbalance:-
1) During pregnancy.
2) Pot belly.
3) Diseases of the hip joint.
4) Curvature in the spine due to congenital defect.
5) Short leg in one side.
c) Backache due to inflammatory conditions:-
1) Infection of the bone due to bacteria.
2) Tuberculosis of the spine.
3) Arthritis.
4) Brucellosis.
5) Lumbago or fibrositis.
6) Inflamation of the muscles.
7) Anchylosing spondylitis.
d) Backache due to degenerative diseases in the back.
1) Osteoarthritis.
2) Osteoporosis in old people.
3) Degenaration of the intervertebral disc.
e) Tumour in the spine:--
1) Primory tumour of the bones in the spine.
2) Metastatic tumours from other sites like prostate,lungs,kidneys,intestine ect.
2) Backache due to gynaecological problems:-
a) After childbirth.
b) After gynaecological operations.
c) Prolapse of the uterus.
d) Pelvic inflammatory diseases.
e) Cancerous lesions of the pelvic organs.
f) Endometriosis.
3) Backache due to problems in other parts of the body.
a) Renal stones.
b) Ureteric stone.
c) Cancer of prostate.
d) Pancreatitis.
e) Biliary stones.
f) Peptic ulcer.
g) Inflammations of pelvic organs.
h) Occlusion of aorta and illiac arteries.
Investigation of a case of backache:-
1) Complete blood count.
2) Routine urine examination.
3) Ultrasonography of the abdomen and pelvis.
4) X-ray of the lumbar and sacral region.
5) MRI of the spine.
5) CT scan of abdomen and pelvic region.
6) Examination of rectum,prostate,genito urinary organs.
Treatment of back ache:-
1) Removing the cause for backache.
2) Symptomatic treatement.
2) Back exercises.
3) Traction.
3) Yoga.
5) Surgery.
7) Homoeopathy.
Low back pain is a usual symptom amoung the modern civilised people.It affects mainly the middle aged and young adults of both sexes.People who work on the chair with out exercise and those who carry heavy loads regularly are prone to get this complaint.We can hardly find a person who has not suffered from back pain atleast once in life.The causes of low backpain ranges from simple reasons like muscular strain to cancer of spine and hence backache should not be ignored.The pain is felt in lumbar and sacral region and may radiate to nearby sites.
The following are some causes for backache.
1) Backache due to diseases in the back.
2) Backache due to gynaecological problems.
3) Backache due to problems in other parts of the body.
1) Backache due to diseases in the back:--
a) Injuries :-
1) Compression fracture of the vertebral column.
2) Rupture of intervertebral discs.
3) Injuries to ligaments and muscles of back.
4) Lumbosacral strain.
5) Intervertebral joint injuries.
6) Fracture of processes of vertebra.
b) Functional backache due to imbalance:-
1) During pregnancy.
2) Pot belly.
3) Diseases of the hip joint.
4) Curvature in the spine due to congenital defect.
5) Short leg in one side.
c) Backache due to inflammatory conditions:-
1) Infection of the bone due to bacteria.
2) Tuberculosis of the spine.
3) Arthritis.
4) Brucellosis.
5) Lumbago or fibrositis.
6) Inflamation of the muscles.
7) Anchylosing spondylitis.
d) Backache due to degenerative diseases in the back.
1) Osteoarthritis.
2) Osteoporosis in old people.
3) Degenaration of the intervertebral disc.
e) Tumour in the spine:--
1) Primory tumour of the bones in the spine.
2) Metastatic tumours from other sites like prostate,lungs,kidneys,intestine ect.
2) Backache due to gynaecological problems:-
a) After childbirth.
b) After gynaecological operations.
c) Prolapse of the uterus.
d) Pelvic inflammatory diseases.
e) Cancerous lesions of the pelvic organs.
f) Endometriosis.
3) Backache due to problems in other parts of the body.
a) Renal stones.
b) Ureteric stone.
c) Cancer of prostate.
d) Pancreatitis.
e) Biliary stones.
f) Peptic ulcer.
g) Inflammations of pelvic organs.
h) Occlusion of aorta and illiac arteries.
Investigation of a case of backache:-
1) Complete blood count.
2) Routine urine examination.
3) Ultrasonography of the abdomen and pelvis.
4) X-ray of the lumbar and sacral region.
5) MRI of the spine.
5) CT scan of abdomen and pelvic region.
6) Examination of rectum,prostate,genito urinary organs.
Treatment of back ache:-
1) Removing the cause for backache.
2) Symptomatic treatement.
2) Back exercises.
3) Traction.
3) Yoga.
5) Surgery.
7) Homoeopathy.
Saturday, April 13, 2013
ALCOHOL HAS NO FOOD VALUE.
ALCOHOL HAS NO FOOD VALUE.
Alcohol has no food value and is exceedingly limited in its action as a remedial agent. Dr. Henry Monroe says, "every kind of substance employed by man as food consists of sugar, starch, oil and glutinous matter mingled together in various proportions. These are designed for the support of the animal frame. The glutinous principles of food fibrine, albumen and casein are employed to build up the structure while the oil, starch and sugar are chiefly used to generate heat in the body".
Now it is clear that if alcohol is a food, it will be found to contain one or more of these substances. There must be in it either the nitrogenous elements found chiefly in meats, eggs, milk, vegetables and seeds, out of which animal tissue is built and waste repaired or the carbonaceous elements found in fat, starch and sugar, in the consumption of which heat and force are evolved.
"The distinctness of these groups of foods," says Dr. Hunt, "and their relations to the tissue-producing and heat-evolving capacities of man, are so definite and so confirmed by experiments on animals and by manifold tests of scientific, physiological and clinical experience, that no attempt to discard the classification has prevailed. To draw so straight a line of demarcation as to limit the one entirely to tissue or cell production and the other to heat and force production through ordinary combustion and to deny any power of interchangeability under special demands or amid defective supply of one variety is, indeed, untenable. This does not in the least invalidate the fact that we are able to use these as ascertained landmarks".
How these substances when taken into the body, are assimilated and how they generate force, are well known to the chemist and physiologist, who is able, in the light of well-ascertained laws, to determine whether alcohol does or does not possess a food value. For years, the ablest men in the medical profession have given this subject the most careful study, and have subjected alcohol to every known test and experiment, and the result is that it has been, by common consent, excluded from the class of tissue-building foods. "We have never," says Dr. Hunt, "seen but a single suggestion that it could so act, and this a promiscuous guess. One writer (Hammond) thinks it possible that it may 'somehow' enter into combination with the products of decay in tissues, and 'under certain circumstances might yield their nitrogen to the construction of new tissues.' No parallel in organic chemistry, nor any evidence in animal chemistry, can be found to surround this guess with the areola of a possible hypothesis".
Dr. Richardson says: "Alcohol contains no nitrogen; it has none of the qualities of structure-building foods; it is incapable of being transformed into any of them; it is, therefore, not a food in any sense of its being a constructive agent in building up the body." Dr. W.B. Carpenter says: "Alcohol cannot supply anything which is essential to the true nutrition of the tissues." Dr. Liebig says: "Beer, wine, spirits, etc., furnish no element capable of entering into the composition of the blood, muscular fibre, or any part which is the seat of the principle of life." Dr. Hammond, in his Tribune Lectures, in which he advocates the use of alcohol in certain cases, says: "It is not demonstrable that alcohol undergoes conversion into tissue." Cameron, in his Manuel of Hygiene, says: "There is nothing in alcohol with which any part of the body can be nourished." Dr. E. Smith, F.R.S., says: "Alcohol is not a true food. It interferes with alimentation." Dr. T.K. Chambers says: "It is clear that we must cease to regard alcohol, as in any sense, a food".
"Not detecting in this substance," says Dr. Hunt, "any tissue-making ingredients, nor in its breaking up any combinations, such as we are able to trace in the cell foods, nor any evidence either in the experience of physiologists or the trials of alimentarians, it is not wonderful that in it we should find neither the expectancy nor the realization of constructive power."
Not finding in alcohol anything out of which the body can be built up or its waste supplied, it is next to be examined as to its heat-producing quality.
Production of heat.
------------------
"The first usual test for a force-producing food," says Dr. Hunt, "and that to which other foods of that class respond, is the production of heat in the combination of oxygen therewith. This heat means vital force, and is, in no small degree, a measure of the comparative value of the so-called respiratory foods. If we examine the fats, the starches and the sugars, we can trace and estimate the processes by which they evolve heat and are changed into vital force, and can weigh the capacities of different foods. We find that the consumption of carbon by union with oxygen is the law, that heat is the product, and that the legitimate result is force, while the result of the union of the hydrogen of the foods with oxygen is water. If alcohol comes at all under this class of foods, we rightly expect to find some of the evidences which attach to the hydrocarbons."
What, then, is the result of experiments in this direction? They have been conducted through long periods and with the greatest care, by men of the highest attainments in chemistry and physiology, and the result is given in these few words, by Dr. H.R. Wood, Jr., in his Materia Medica. "No one has been able to detect in the blood any of the ordinary results of its oxidation." That is, no one has been able to find that alcohol has undergone combustion, like fat, or starch, or sugar, and so given heat to the body.
Alcohol and reduction of temperature.
------------------------------------
instead of increasing it; and it has even been used in fevers as an anti-pyretic. So uniform has been the testimony of physicians in Europe and America as to the cooling effects of alcohol, that Dr. Wood says, in his Materia Medica, "that it does not seem worth while to occupy space with a discussion of the subject." Liebermeister, one of the most learned contributors to Zeimssen's Cyclopaedia of the Practice of Medicine, 1875, says: "I long since convinced myself, by direct experiments, that alcohol, even in comparatively large doses, does not elevate the temperature of the body in either well or sick people." So well had this become known to Arctic voyagers, that, even before physiologists had demonstrated the fact that alcohol reduced, instead of increasing, the temperature of the body, they had learned that spirits lessened their power to withstand extreme cold. "In the Northern regions," says Edward Smith, "it was proved that the entire exclusion of spirits was necessary, in order to retain heat under these unfavorable conditions."
Alcohol does not make you strong.
--------------------------------
If alcohol does not contain tissue-building material, nor give heat to the body, it cannot possibly add to its strength. "Every kind of power an animal can generate," says Dr. G. Budd, F.R.S., "the mechanical power of the muscles, the chemical (or digestive) power of the stomach, the intellectual power of the brain accumulates through the nutrition of the organ on which it depends." Dr. F.R. Lees, of Edinburgh, after discussing the question, and educing evidence, remarks: "From the very nature of things, it will now be seen how impossible it is that alcohol can be strengthening food of either kind. Since it cannot become a part of the body, it cannot consequently contribute to its cohesive, organic strength, or fixed power; and, since it comes out of the body just as it went in, it cannot, by its decomposition, generate heat force."
Sir Benjamin Brodie says: "Stimulants do not create nervous power; they merely enable you, as it were, to use up that which is left, and then they leave you more in need of rest than before."
Baron Liebig, so far back as 1843, in his "Animal Chemistry," pointed out the fallacy of alcohol generating power. He says: "The circulation will appear accelerated at the expense of the force available for voluntary motion, but without the production of a greater amount of mechanical force." In his later "Letters," he again says: "Wine is quite superfluous to man, it is constantly followed by the expenditure of power" whereas, the real function of food is to give power. He adds: "These drinks promote the change of matter in the body, and are, consequently, attended by an inward loss of power, which ceases to be productive, because it is not employed in overcoming outward difficulties i.e., in working." In other words, this great chemist asserts that alcohol abstracts the power of the system from doing useful work in the field or workshop, in order to cleanse the house from the defilement of alcohol itself.
The late Dr. W. Brinton, Physician to St. Thomas', in his great work on Dietetics, says: "Careful observation leaves little doubt that a moderate dose of beer or wine would, in most cases, at once diminish the maximum weight which a healthy person could lift. Mental acuteness, accuracy of perception and delicacy of the senses are all so far opposed by alcohol, as that the maximum efforts of each are incompatible with the ingestion of any moderate quantity of fermented liquid. A single glass will often suffice to take the edge off both mind and body, and to reduce their capacity to something below their perfection of work."
Dr. F.R. Lees, F.S.A., writing on the subject of alcohol as a food, makes the following quotation from an essay on "Stimulating Drinks," published by Dr. H.R. Madden, as long ago as 1847: "Alcohol is not the natural stimulus to any of our organs, and hence, functions performed in consequence of its application, tend to debilitate the organ acted upon.
Alcohol is incapable of being assimilated or converted into any organic proximate principle, and hence, cannot be considered nutritious.
The strength experienced after the use of alcohol is not new strength added to the system, but is manifested by calling into exercise the nervous energy pre-existing.
The ultimate exhausting effects of alcohol, owing to its stimulant properties, produce an unnatural susceptibility to morbid action in all the organs, and this, with the plethora superinduced, becomes a fertile source of disease.
A person who habitually exerts himself to such an extent as to require the daily use of stimulants to ward off exhaustion, may be compared to a machine working under high pressure. He will become much more obnoxious to the causes of disease, and will certainly break down sooner than he would have done under more favorable circumstances.
The more frequently alcohol is had recourse to for the purpose of overcoming feelings of debility, the more it will be required, and by constant repetition a period is at length reached when it cannot be foregone, unless reaction is simultaneously brought about by a temporary total change of the habits of life.
Driven to the wall.
------------------
Not finding that alcohol possesses any direct alimentary value, the medical advocates of its use have been driven to the assumption that it is a kind of secondary food, in that it has the power to delay the metamorphosis of tissue. "By the metamorphosis of tissue is meant," says Dr. Hunt, "that change which is constantly going on in the system which involves a constant disintegration of material; a breaking up and avoiding of that which is no longer aliment, making room for that new supply which is to sustain life." Another medical writer, in referring to this metamorphosis, says: "The importance of this process to the maintenance of life is readily shown by the injurious effects which follow upon its disturbance. If the discharge of the excrementitious substances be in any way impeded or suspended, these substances accumulate either in the blood or tissues, or both. In consequence of this retention and accumulation they become poisonous, and rapidly produce a derangement of the vital functions. Their influence is principally exerted upon the nervous system, through which they produce most frequent irritability, disturbance of the special senses, delirium, insensibility, coma, and finally, death."
"This description," remarks Dr. Hunt, "seems almost intended for alcohol." He then says: "To claim alcohol as a food because it delays the metamorphosis of tissue, is to claim that it in some way suspends the normal conduct of the laws of assimilation and nutrition, of waste and repair. A leading advocate of alcohol (Hammond) thus illustrates it: 'Alcohol retards the destruction of the tissues. By this destruction, force is generated, muscles contract, thoughts are developed, organs secrete and excrete.' In other words, alcohol interferes with all these. No wonder the author 'is not clear' how it does this, and we are not clear how such delayed metamorphosis recuperates.
Not an originator of vital force.
--------------------------------
which is not known to have any of the usual power of foods, and use it on the double assumption that it delays metamorphosis of tissue, and that such delay is conservative of health, is to pass outside of the bounds of science into the land of remote possibilities, and confer the title of adjuster upon an agent whose agency is itself doubtful.
Having failed to identify alcohol as a nitrogenous or non-nitrogenous food, not having found it amenable to any of the evidences by which the food-force of aliments is generally measured, it will not do for us to talk of benefit by delay of regressive metamorphosis unless such process is accompanied with something evidential of the fact something scientifically descriptive of its mode of accomplishment in the case at hand, and unless it is shown to be practically desirable for alimentation.
There can be no doubt that alcohol does cause defects in the processes of elimination which are natural to the healthy body and which even in disease are often conservative of health.
Alcohol has no food value and is exceedingly limited in its action as a remedial agent. Dr. Henry Monroe says, "every kind of substance employed by man as food consists of sugar, starch, oil and glutinous matter mingled together in various proportions. These are designed for the support of the animal frame. The glutinous principles of food fibrine, albumen and casein are employed to build up the structure while the oil, starch and sugar are chiefly used to generate heat in the body".
Now it is clear that if alcohol is a food, it will be found to contain one or more of these substances. There must be in it either the nitrogenous elements found chiefly in meats, eggs, milk, vegetables and seeds, out of which animal tissue is built and waste repaired or the carbonaceous elements found in fat, starch and sugar, in the consumption of which heat and force are evolved.
"The distinctness of these groups of foods," says Dr. Hunt, "and their relations to the tissue-producing and heat-evolving capacities of man, are so definite and so confirmed by experiments on animals and by manifold tests of scientific, physiological and clinical experience, that no attempt to discard the classification has prevailed. To draw so straight a line of demarcation as to limit the one entirely to tissue or cell production and the other to heat and force production through ordinary combustion and to deny any power of interchangeability under special demands or amid defective supply of one variety is, indeed, untenable. This does not in the least invalidate the fact that we are able to use these as ascertained landmarks".
How these substances when taken into the body, are assimilated and how they generate force, are well known to the chemist and physiologist, who is able, in the light of well-ascertained laws, to determine whether alcohol does or does not possess a food value. For years, the ablest men in the medical profession have given this subject the most careful study, and have subjected alcohol to every known test and experiment, and the result is that it has been, by common consent, excluded from the class of tissue-building foods. "We have never," says Dr. Hunt, "seen but a single suggestion that it could so act, and this a promiscuous guess. One writer (Hammond) thinks it possible that it may 'somehow' enter into combination with the products of decay in tissues, and 'under certain circumstances might yield their nitrogen to the construction of new tissues.' No parallel in organic chemistry, nor any evidence in animal chemistry, can be found to surround this guess with the areola of a possible hypothesis".
Dr. Richardson says: "Alcohol contains no nitrogen; it has none of the qualities of structure-building foods; it is incapable of being transformed into any of them; it is, therefore, not a food in any sense of its being a constructive agent in building up the body." Dr. W.B. Carpenter says: "Alcohol cannot supply anything which is essential to the true nutrition of the tissues." Dr. Liebig says: "Beer, wine, spirits, etc., furnish no element capable of entering into the composition of the blood, muscular fibre, or any part which is the seat of the principle of life." Dr. Hammond, in his Tribune Lectures, in which he advocates the use of alcohol in certain cases, says: "It is not demonstrable that alcohol undergoes conversion into tissue." Cameron, in his Manuel of Hygiene, says: "There is nothing in alcohol with which any part of the body can be nourished." Dr. E. Smith, F.R.S., says: "Alcohol is not a true food. It interferes with alimentation." Dr. T.K. Chambers says: "It is clear that we must cease to regard alcohol, as in any sense, a food".
"Not detecting in this substance," says Dr. Hunt, "any tissue-making ingredients, nor in its breaking up any combinations, such as we are able to trace in the cell foods, nor any evidence either in the experience of physiologists or the trials of alimentarians, it is not wonderful that in it we should find neither the expectancy nor the realization of constructive power."
Not finding in alcohol anything out of which the body can be built up or its waste supplied, it is next to be examined as to its heat-producing quality.
Production of heat.
------------------
"The first usual test for a force-producing food," says Dr. Hunt, "and that to which other foods of that class respond, is the production of heat in the combination of oxygen therewith. This heat means vital force, and is, in no small degree, a measure of the comparative value of the so-called respiratory foods. If we examine the fats, the starches and the sugars, we can trace and estimate the processes by which they evolve heat and are changed into vital force, and can weigh the capacities of different foods. We find that the consumption of carbon by union with oxygen is the law, that heat is the product, and that the legitimate result is force, while the result of the union of the hydrogen of the foods with oxygen is water. If alcohol comes at all under this class of foods, we rightly expect to find some of the evidences which attach to the hydrocarbons."
What, then, is the result of experiments in this direction? They have been conducted through long periods and with the greatest care, by men of the highest attainments in chemistry and physiology, and the result is given in these few words, by Dr. H.R. Wood, Jr., in his Materia Medica. "No one has been able to detect in the blood any of the ordinary results of its oxidation." That is, no one has been able to find that alcohol has undergone combustion, like fat, or starch, or sugar, and so given heat to the body.
Alcohol and reduction of temperature.
------------------------------------
instead of increasing it; and it has even been used in fevers as an anti-pyretic. So uniform has been the testimony of physicians in Europe and America as to the cooling effects of alcohol, that Dr. Wood says, in his Materia Medica, "that it does not seem worth while to occupy space with a discussion of the subject." Liebermeister, one of the most learned contributors to Zeimssen's Cyclopaedia of the Practice of Medicine, 1875, says: "I long since convinced myself, by direct experiments, that alcohol, even in comparatively large doses, does not elevate the temperature of the body in either well or sick people." So well had this become known to Arctic voyagers, that, even before physiologists had demonstrated the fact that alcohol reduced, instead of increasing, the temperature of the body, they had learned that spirits lessened their power to withstand extreme cold. "In the Northern regions," says Edward Smith, "it was proved that the entire exclusion of spirits was necessary, in order to retain heat under these unfavorable conditions."
Alcohol does not make you strong.
--------------------------------
If alcohol does not contain tissue-building material, nor give heat to the body, it cannot possibly add to its strength. "Every kind of power an animal can generate," says Dr. G. Budd, F.R.S., "the mechanical power of the muscles, the chemical (or digestive) power of the stomach, the intellectual power of the brain accumulates through the nutrition of the organ on which it depends." Dr. F.R. Lees, of Edinburgh, after discussing the question, and educing evidence, remarks: "From the very nature of things, it will now be seen how impossible it is that alcohol can be strengthening food of either kind. Since it cannot become a part of the body, it cannot consequently contribute to its cohesive, organic strength, or fixed power; and, since it comes out of the body just as it went in, it cannot, by its decomposition, generate heat force."
Sir Benjamin Brodie says: "Stimulants do not create nervous power; they merely enable you, as it were, to use up that which is left, and then they leave you more in need of rest than before."
Baron Liebig, so far back as 1843, in his "Animal Chemistry," pointed out the fallacy of alcohol generating power. He says: "The circulation will appear accelerated at the expense of the force available for voluntary motion, but without the production of a greater amount of mechanical force." In his later "Letters," he again says: "Wine is quite superfluous to man, it is constantly followed by the expenditure of power" whereas, the real function of food is to give power. He adds: "These drinks promote the change of matter in the body, and are, consequently, attended by an inward loss of power, which ceases to be productive, because it is not employed in overcoming outward difficulties i.e., in working." In other words, this great chemist asserts that alcohol abstracts the power of the system from doing useful work in the field or workshop, in order to cleanse the house from the defilement of alcohol itself.
The late Dr. W. Brinton, Physician to St. Thomas', in his great work on Dietetics, says: "Careful observation leaves little doubt that a moderate dose of beer or wine would, in most cases, at once diminish the maximum weight which a healthy person could lift. Mental acuteness, accuracy of perception and delicacy of the senses are all so far opposed by alcohol, as that the maximum efforts of each are incompatible with the ingestion of any moderate quantity of fermented liquid. A single glass will often suffice to take the edge off both mind and body, and to reduce their capacity to something below their perfection of work."
Dr. F.R. Lees, F.S.A., writing on the subject of alcohol as a food, makes the following quotation from an essay on "Stimulating Drinks," published by Dr. H.R. Madden, as long ago as 1847: "Alcohol is not the natural stimulus to any of our organs, and hence, functions performed in consequence of its application, tend to debilitate the organ acted upon.
Alcohol is incapable of being assimilated or converted into any organic proximate principle, and hence, cannot be considered nutritious.
The strength experienced after the use of alcohol is not new strength added to the system, but is manifested by calling into exercise the nervous energy pre-existing.
The ultimate exhausting effects of alcohol, owing to its stimulant properties, produce an unnatural susceptibility to morbid action in all the organs, and this, with the plethora superinduced, becomes a fertile source of disease.
A person who habitually exerts himself to such an extent as to require the daily use of stimulants to ward off exhaustion, may be compared to a machine working under high pressure. He will become much more obnoxious to the causes of disease, and will certainly break down sooner than he would have done under more favorable circumstances.
The more frequently alcohol is had recourse to for the purpose of overcoming feelings of debility, the more it will be required, and by constant repetition a period is at length reached when it cannot be foregone, unless reaction is simultaneously brought about by a temporary total change of the habits of life.
Driven to the wall.
------------------
Not finding that alcohol possesses any direct alimentary value, the medical advocates of its use have been driven to the assumption that it is a kind of secondary food, in that it has the power to delay the metamorphosis of tissue. "By the metamorphosis of tissue is meant," says Dr. Hunt, "that change which is constantly going on in the system which involves a constant disintegration of material; a breaking up and avoiding of that which is no longer aliment, making room for that new supply which is to sustain life." Another medical writer, in referring to this metamorphosis, says: "The importance of this process to the maintenance of life is readily shown by the injurious effects which follow upon its disturbance. If the discharge of the excrementitious substances be in any way impeded or suspended, these substances accumulate either in the blood or tissues, or both. In consequence of this retention and accumulation they become poisonous, and rapidly produce a derangement of the vital functions. Their influence is principally exerted upon the nervous system, through which they produce most frequent irritability, disturbance of the special senses, delirium, insensibility, coma, and finally, death."
"This description," remarks Dr. Hunt, "seems almost intended for alcohol." He then says: "To claim alcohol as a food because it delays the metamorphosis of tissue, is to claim that it in some way suspends the normal conduct of the laws of assimilation and nutrition, of waste and repair. A leading advocate of alcohol (Hammond) thus illustrates it: 'Alcohol retards the destruction of the tissues. By this destruction, force is generated, muscles contract, thoughts are developed, organs secrete and excrete.' In other words, alcohol interferes with all these. No wonder the author 'is not clear' how it does this, and we are not clear how such delayed metamorphosis recuperates.
Not an originator of vital force.
--------------------------------
which is not known to have any of the usual power of foods, and use it on the double assumption that it delays metamorphosis of tissue, and that such delay is conservative of health, is to pass outside of the bounds of science into the land of remote possibilities, and confer the title of adjuster upon an agent whose agency is itself doubtful.
Having failed to identify alcohol as a nitrogenous or non-nitrogenous food, not having found it amenable to any of the evidences by which the food-force of aliments is generally measured, it will not do for us to talk of benefit by delay of regressive metamorphosis unless such process is accompanied with something evidential of the fact something scientifically descriptive of its mode of accomplishment in the case at hand, and unless it is shown to be practically desirable for alimentation.
There can be no doubt that alcohol does cause defects in the processes of elimination which are natural to the healthy body and which even in disease are often conservative of health.
Friday, April 12, 2013
NAILS IN HEALTH AND DISEASE.
NAILS IN HEALTH AND DISEASE.
Introduction:
The nails are present at the end of each finger tip on the dorsal surface.The main function of nail is protection and it also helps for a firm grip for holding articles.It consists of a strong relatively flexible keratinous nail plate originating from the nail matrix. Under the nail plate there is a soft tissue called nail bed.Between the skin and nail plate there is a nail fold or cuticle.Normal healthy nail is slight pink in colour and the surface is convex from side to side.Finger nails grow 1 cm in three months and toe nails take 24 months for the same.
Importance of nails in disease diagnosis:
The colour ,appearance,shape and nature of the nails give some information about the general health and hygiene of a person . Nails are examined as a routine by all doctors to get some clues about underlying diseases.Just looking at nails we can makeout the hygiene of a person.The abnormal nail may be congenital or due to some diseases.The cause for changes in the nail extend from simple reasons to life threatening diseases.Hence the examination by a doctor is essential for diagnosis .Some abnormal findings with probable causes are discussed here for general awareness.
1) Hygiene:-
We can make out an unhygienic nail very easily .Deposition of dirt under the distal end of nail plate can make a chance for ingestion of pathogens while eating.If nail cutting is not done properly it can result in worm troubles in children.When the worms crawl in the anal orifice children will scratch which lodges the ova of worms under the nails and will be taken in while eating.Prominent nail can also complicate a skin disease by habitual scratching.Sharp nails in small kids cause small wounds when they do feet kicking or hand waving.
2) Colour of the nails:-
a) Nails become pale in anaemia.
b) Opaque white discolouration(leuconychia) is seen in chronic renal failure and nephrotic syndrome.
c) Whitening is also seen in hypoalbuminaemia as in cirrhosis and kidney disorders.
d) Drugs like sulpha group,anti malarial and antibiotics ect can produce discolouration in the nails.
e) Fungal infection causes black discolouration.
f) In pseudomonas infection nails become black or green.
g) Nail bed infarction occures in vasculitis especially in SLE and polyarteritis.
h) Red dots are seen in nails due to splinter haemorrhages in subacute bacterial endo carditis, rheumatoid arthritis, trauma, collagen vascular diseases.
i) Blunt injury produces haemorrhage and causes blue/black discolouration.
j) Nails become brown in kidney diseases and in decreased adrenal activity.
k) In wilsons disease blue colour in semicircle appears in the nail.
l) When the blood supply decreases nail become yellow .In jaundice and psoriasis also nail become yellowish.
m) In yellow nail syndrome all nails become yellowish with pleural effusion.
3) Shape of nails:-
a) Clubbing: Here tissues at the base of nails are thickened and the angle between the nail base and the skin is obliterated. The nail becomes more convex and the finger tip becomes bulbous and looks like an end of a drumstick. When the condition becomes worse the nail looks like a parrot beak.
Causes of clubbing:-
Congenital Injuries
Severe chronic cyanosis
Lung diseases like empyema,bronchiactesis,carcinoma of bronchus and pulmonary tuberculosis.
Abdominal diseases like crohn's disease,polyposis of colon,ulcerative colitis,liver cirrhosis ect...
Heart diseases like fallot's tetralogy,subacute bacterial endocarditis and ect..
b) Koilonychia:-
Here the nails become concave like a spoon.This condition is seen in iron deficiency anaemia.In this condition the nails become thin,soft and brittle.The normal convexity will be replaced by concavity.
c) Longitudinal ridging is seen in raynaud's disease.
d) Cuticle becomes ragged in dermatomyositis.
e) Nail fold telangiectasia is a sign in dermatomyositis ,systemic sclerosis and SLE.
4) Structure and consistancy:-
a) Fungal infection of nail causes discolouration,deformity,hypertrophy and abnormal brittleness.
b) Thimble pitting of nail is charecteristic of psoriasis ,acute eczema and alopecia aereata.
c) The inflamation of cuticle or nail fold is called paronychia.
d) Onycholysis is the seperation of nail bed seen in psoriasis,infection and after taking tetracyclines.
e) Destruction of nail is seen in lichen planus,epidermolysis bullosa.
f) Missing nail is seen in nail patella syndrome.It is a hereditary disease.
g) Nails become brittle in raynauds disease and gangrene.
h) Falling of nail is seen in fungal infection,psoriasis and thyroid diseases.
5) Growth:-
Reduction in blood supply affects the growth of nails. Nail growth is also affected in severe ilness. when the disease disappears the growth starts again resulting in formation of transverse ridges.These lines are called Beau's lines and are healpful to date the onset of illness.
Introduction:
The nails are present at the end of each finger tip on the dorsal surface.The main function of nail is protection and it also helps for a firm grip for holding articles.It consists of a strong relatively flexible keratinous nail plate originating from the nail matrix. Under the nail plate there is a soft tissue called nail bed.Between the skin and nail plate there is a nail fold or cuticle.Normal healthy nail is slight pink in colour and the surface is convex from side to side.Finger nails grow 1 cm in three months and toe nails take 24 months for the same.
Importance of nails in disease diagnosis:
The colour ,appearance,shape and nature of the nails give some information about the general health and hygiene of a person . Nails are examined as a routine by all doctors to get some clues about underlying diseases.Just looking at nails we can makeout the hygiene of a person.The abnormal nail may be congenital or due to some diseases.The cause for changes in the nail extend from simple reasons to life threatening diseases.Hence the examination by a doctor is essential for diagnosis .Some abnormal findings with probable causes are discussed here for general awareness.
1) Hygiene:-
We can make out an unhygienic nail very easily .Deposition of dirt under the distal end of nail plate can make a chance for ingestion of pathogens while eating.If nail cutting is not done properly it can result in worm troubles in children.When the worms crawl in the anal orifice children will scratch which lodges the ova of worms under the nails and will be taken in while eating.Prominent nail can also complicate a skin disease by habitual scratching.Sharp nails in small kids cause small wounds when they do feet kicking or hand waving.
2) Colour of the nails:-
a) Nails become pale in anaemia.
b) Opaque white discolouration(leuconychia) is seen in chronic renal failure and nephrotic syndrome.
c) Whitening is also seen in hypoalbuminaemia as in cirrhosis and kidney disorders.
d) Drugs like sulpha group,anti malarial and antibiotics ect can produce discolouration in the nails.
e) Fungal infection causes black discolouration.
f) In pseudomonas infection nails become black or green.
g) Nail bed infarction occures in vasculitis especially in SLE and polyarteritis.
h) Red dots are seen in nails due to splinter haemorrhages in subacute bacterial endo carditis, rheumatoid arthritis, trauma, collagen vascular diseases.
i) Blunt injury produces haemorrhage and causes blue/black discolouration.
j) Nails become brown in kidney diseases and in decreased adrenal activity.
k) In wilsons disease blue colour in semicircle appears in the nail.
l) When the blood supply decreases nail become yellow .In jaundice and psoriasis also nail become yellowish.
m) In yellow nail syndrome all nails become yellowish with pleural effusion.
3) Shape of nails:-
a) Clubbing: Here tissues at the base of nails are thickened and the angle between the nail base and the skin is obliterated. The nail becomes more convex and the finger tip becomes bulbous and looks like an end of a drumstick. When the condition becomes worse the nail looks like a parrot beak.
Causes of clubbing:-
Congenital Injuries
Severe chronic cyanosis
Lung diseases like empyema,bronchiactesis,carcinoma of bronchus and pulmonary tuberculosis.
Abdominal diseases like crohn's disease,polyposis of colon,ulcerative colitis,liver cirrhosis ect...
Heart diseases like fallot's tetralogy,subacute bacterial endocarditis and ect..
b) Koilonychia:-
Here the nails become concave like a spoon.This condition is seen in iron deficiency anaemia.In this condition the nails become thin,soft and brittle.The normal convexity will be replaced by concavity.
c) Longitudinal ridging is seen in raynaud's disease.
d) Cuticle becomes ragged in dermatomyositis.
e) Nail fold telangiectasia is a sign in dermatomyositis ,systemic sclerosis and SLE.
4) Structure and consistancy:-
a) Fungal infection of nail causes discolouration,deformity,hypertrophy and abnormal brittleness.
b) Thimble pitting of nail is charecteristic of psoriasis ,acute eczema and alopecia aereata.
c) The inflamation of cuticle or nail fold is called paronychia.
d) Onycholysis is the seperation of nail bed seen in psoriasis,infection and after taking tetracyclines.
e) Destruction of nail is seen in lichen planus,epidermolysis bullosa.
f) Missing nail is seen in nail patella syndrome.It is a hereditary disease.
g) Nails become brittle in raynauds disease and gangrene.
h) Falling of nail is seen in fungal infection,psoriasis and thyroid diseases.
5) Growth:-
Reduction in blood supply affects the growth of nails. Nail growth is also affected in severe ilness. when the disease disappears the growth starts again resulting in formation of transverse ridges.These lines are called Beau's lines and are healpful to date the onset of illness.
EFFECT OF ALCOHOL ON THE MEMBRANES.
EFFECT OF ALCOHOL ON THE MEMBRANES.
The parts which first suffer from alcohol are those expansions of the body which the anatomists call the membranes. "The skin is a membranous envelope. Through the whole of the alimentary surface, from the lips downward, and through the bronchial passages to their minutest ramifications, extends the mucous membrane. The lungs, the heart, the liver, the kidneys are folded in delicate membranes, which can be stripped easily from these parts. If you take a portion of bone, you will find it easy to strip off from it a membranous sheath or covering; if you examine a joint, you will find both the head and the socket lined with membranes. The whole of the intestines are enveloped in a fine membrane called peritoneum . All the muscles are enveloped in membranes, and the fasciculi, or bundles and fibres of muscles, have their membranous sheathing. The brain and spinal cord are enveloped in three membranes; one nearest to themselves, a pure vascular structure, a network of blood-vessels; another, a thin serous structure; a third, a strong fibrous structure. The eyeball is a structure of colloidal humors and membranes, and of nothing else. To complete the description, the minute structures of the vital organs are enrolled in membranous matter."
These membranes are the filters of the body. "In their absence there could be no building of structure, no solidification of tissue, nor organic mechanism. Passive themselves, they, nevertheless, separate all structures into their respective positions and adaptations."
Membranous deteriorations.
-------------------------
In order to make perfectly clear to your mind the action and use of these membranous expansions, and the way in which alcohol deteriorates them, and obstructs their work, we quote again from Dr. Richardson:
"The animal receives from the vegetable world and from the earth the food and drink it requires for its sustenance and motion. It receives colloidal food for its muscles: combustible food for its motion; water for the solution of its various parts; salt for constructive and other physical purposes. These have all to be arranged in the body; and they are arranged by means of the membranous envelopes. Through these membranes nothing can pass that is not, for the time, in a state of aqueous solution, like water or soluble salts. Water passes freely through them, salts pass freely through them, but the constructive matter of the active parts that is colloidal does not pass; it is retained in them until it is chemically decomposed into the soluble type of matter. When we take for our food a portion of animal flesh, it is first resolved, in digestion, into a soluble fluid before it can be absorbed; in the blood it is resolved into the fluid colloidal condition; in the solids it is laid down within the membranes into new structure, and when it has played its part, it is digested again, if I may so say, into a crystalloidal soluble substance, ready to be carried away and replaced by addition of new matter, then it is dialysed or passed through, the membranes into the blood, and is disposed of in the excretions.
"See, then, what an all-important part these membranous structures play in the animal life. Upon their integrity all the silent work of the building up of the body depends. If these membranes are rendered too porous, and let out the colloidal fluids of the blood the albumen, for example the body so circumstanced, dies; dies as if it were slowly bled to death. If, on the contrary, they become condensed or thickened, or loaded with foreign material, then they fail to allow the natural fluids to pass through them. They fail to dialyse, and the result is, either an accumulation of the fluid in a closed cavity, or contraction of the substance inclosed within the membrane, or dryness of membrane in surfaces that ought to be freely lubricated and kept apart. In old age we see the effects of modification of membrane naturally induced; we see the fixed joint, the shrunken and feeble muscle, the dimmed eye, the deaf ear, the enfeebled nervous function.
"It may possibly seem, at first sight, that I am leading immediately away from the subject of the secondary action of alcohol. It is not so. I am leading directly to it. Upon all these membranous structures alcohol exerts a direct perversion of action. It produces in them a thickening, a shrinking and an inactivity that reduces their functional power. That they may work rapidly and equally, they require to be at all times charged with water to saturation. If, into contact with them, any agent is brought that deprives them of water, then is their work interfered with; they cease to separate the saline constituents properly; and, if the evil that is thus started, be allowed to continue, they contract upon their contained matter in whatever organ it may be situated, and condense it.
"In brief, under the prolonged influence of alcohol those changes which take place from it in the blood corpuscles, extend to the other organic parts, involving them in structural deteriorations, which are always dangerous, and are often ultimately fatal."
The parts which first suffer from alcohol are those expansions of the body which the anatomists call the membranes. "The skin is a membranous envelope. Through the whole of the alimentary surface, from the lips downward, and through the bronchial passages to their minutest ramifications, extends the mucous membrane. The lungs, the heart, the liver, the kidneys are folded in delicate membranes, which can be stripped easily from these parts. If you take a portion of bone, you will find it easy to strip off from it a membranous sheath or covering; if you examine a joint, you will find both the head and the socket lined with membranes. The whole of the intestines are enveloped in a fine membrane called peritoneum . All the muscles are enveloped in membranes, and the fasciculi, or bundles and fibres of muscles, have their membranous sheathing. The brain and spinal cord are enveloped in three membranes; one nearest to themselves, a pure vascular structure, a network of blood-vessels; another, a thin serous structure; a third, a strong fibrous structure. The eyeball is a structure of colloidal humors and membranes, and of nothing else. To complete the description, the minute structures of the vital organs are enrolled in membranous matter."
These membranes are the filters of the body. "In their absence there could be no building of structure, no solidification of tissue, nor organic mechanism. Passive themselves, they, nevertheless, separate all structures into their respective positions and adaptations."
Membranous deteriorations.
-------------------------
In order to make perfectly clear to your mind the action and use of these membranous expansions, and the way in which alcohol deteriorates them, and obstructs their work, we quote again from Dr. Richardson:
"The animal receives from the vegetable world and from the earth the food and drink it requires for its sustenance and motion. It receives colloidal food for its muscles: combustible food for its motion; water for the solution of its various parts; salt for constructive and other physical purposes. These have all to be arranged in the body; and they are arranged by means of the membranous envelopes. Through these membranes nothing can pass that is not, for the time, in a state of aqueous solution, like water or soluble salts. Water passes freely through them, salts pass freely through them, but the constructive matter of the active parts that is colloidal does not pass; it is retained in them until it is chemically decomposed into the soluble type of matter. When we take for our food a portion of animal flesh, it is first resolved, in digestion, into a soluble fluid before it can be absorbed; in the blood it is resolved into the fluid colloidal condition; in the solids it is laid down within the membranes into new structure, and when it has played its part, it is digested again, if I may so say, into a crystalloidal soluble substance, ready to be carried away and replaced by addition of new matter, then it is dialysed or passed through, the membranes into the blood, and is disposed of in the excretions.
"See, then, what an all-important part these membranous structures play in the animal life. Upon their integrity all the silent work of the building up of the body depends. If these membranes are rendered too porous, and let out the colloidal fluids of the blood the albumen, for example the body so circumstanced, dies; dies as if it were slowly bled to death. If, on the contrary, they become condensed or thickened, or loaded with foreign material, then they fail to allow the natural fluids to pass through them. They fail to dialyse, and the result is, either an accumulation of the fluid in a closed cavity, or contraction of the substance inclosed within the membrane, or dryness of membrane in surfaces that ought to be freely lubricated and kept apart. In old age we see the effects of modification of membrane naturally induced; we see the fixed joint, the shrunken and feeble muscle, the dimmed eye, the deaf ear, the enfeebled nervous function.
"It may possibly seem, at first sight, that I am leading immediately away from the subject of the secondary action of alcohol. It is not so. I am leading directly to it. Upon all these membranous structures alcohol exerts a direct perversion of action. It produces in them a thickening, a shrinking and an inactivity that reduces their functional power. That they may work rapidly and equally, they require to be at all times charged with water to saturation. If, into contact with them, any agent is brought that deprives them of water, then is their work interfered with; they cease to separate the saline constituents properly; and, if the evil that is thus started, be allowed to continue, they contract upon their contained matter in whatever organ it may be situated, and condense it.
"In brief, under the prolonged influence of alcohol those changes which take place from it in the blood corpuscles, extend to the other organic parts, involving them in structural deteriorations, which are always dangerous, and are often ultimately fatal."
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