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58 Cards in this Set

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What are the 5 primary areas of concern when prescribing herbs?
Diagnosis
Preparation
Dosage
Interaction
Inherent toxicity
What are the 3 types of Toxic reactions to herbs?
Drug poisoning, Allergic reactions, Idiosyncratic reactions.
What systems can be affected by adverse herbal reactions?
Neurologic, mood, gastrointestinal, urinary tract, visual, respiratory, new symptoms
What are the types of herbal toxicities?
Nephrotoxicity, Hepatotoxicity, Fetotoxicity.
What is a major nephrotoxicity from asitolochic acid?
Guang fang ji, han fang ji, guan mu tong.
What is notable about Guang fang ji?
It is in the aristolochia acid family and is toxic to kidney, liver and adrenals, it has been banned.
What are the contraindications for chuan xiong?
During pregnancy, excessive menstrual bleeding,
What are contraindications for Mo Yao?
during pregnancy, or uterine bleeding
What are contraindications for yi mu cao?
during pregnancy
What are contraindications for chuan niu xi?
Pregnancy or excessive menstruation
What are contras for dan shen?
ok during pregnancy, can have additive affect with warfarin, or with cancer patients using chemotherapy.
What are contras for tao ren and xing ren?
during pregnancy, or patients using narcotics becoming poisonous.
Huai niu xi
not during pregnancy, or for those taking potassium sparing diuretics.
Yu jin
ok during pregnancy
Hong hua
contra during preg
Chi shao
ok in pregnancy
San qi
use with caution in pregnancy
What blood activating herbs are contraindicated in pregnancy?
Hong hua, huai niu xi, tao ren, chuan niu xi, yi mu cao, mo yao, chuan xiong
What blood activaitng herbs are ok to use in pregnancy?
San qi, chi shao, yu jin, dan shen
Shi gao contains what mineral?
Clacium
Hua shi contains what minerals?
calcium and magnesium
What herbs contain amylase?
Mai ya, shen qu, shan yao, dan dou chi
What does dang gui interact with?
anti coagulants and anti platelet drugs and can have an additive effect. Can also effect estrogen levels.
What drugs can gan cao interact with?
spironolactone and reduce diuretic effect, can increase the risk of high blood pressure, especially when mixed with MAO inhibitors.
What do I need to know about ma huang?
It is banned by FDA in dietary supplements and poisons the central and sympathetic nervous system.
Da huang
contra indicated in pregnancy and intestinal obstruction, IBDS, and appendicitis and abdominal pain of unknown origin.
Ren shen
contraindicated in hypertension, and can lower blood sugar so use with caution in diabetics. Not recommended in large does during pregnancy or breast feeding. May reduce the anticoagulative effect of warfarin.
Huang lian
Has antibiotic function due to berberine
Zhi ke
Highly acidic, could passibly cause crystalluria and hematuria, can cause uv sensitivity in light skinned individuals.
Sheng ma
Can cause an increases risk of spontaneous abortion
Da huang
contra indicated in pregnancy and intestinal obstruction, IBDS, and appendicitis and abdominal pain of unknown origin.
Ren shen
contraindicated in hypertension, and can lower blood sugar so use with caution in diabetics. Not recommended in large does during pregnancy or breast feeding. May reduce the anticoagulative effect of warfarin.
Huang lian
Has antibiotic function due to berberine
Zhi ke
Highly acidic, could passibly cause crystalluria and hematuria, can cause uv sensitivity in light skinned individuals.
Sheng ma
Can cause an increases risk of spontaneous abortion, can decrease the response to estrogen
Mu dan pi
avoid use with garlic
What herbs should be used with caution with Mao inhibitors?
Gan cao, ma huang, ren shen
ren shen
can cause low blood sugar especially with patients taking blood sugar lowering drugs, potentially increased blood clotting due to reduced anticoagulant effect.
What herbs can effect the thyroid due to high iodine content?
Kun bu, hai dai, hai zao
They can all effect thyroid hormone replacement therapy.
Shan zha
can lower blood pressure be aware of using with hypertensive drugs, can increase the risk of bleeding
Fu zi
contra in pregers, very toxic in ingested in uncooked form. Antidote is atropine.
Shan zhu yu
contra in patients with difficult of painful urination, because it is stabilizing and binding
Fu ling
contra in patients with frequent copious urination, patients on diuretics
Huang bai
contains quercetin
Sheng jiangg
recommended safe dosage limit is 6 grams according to the PDR
What 2 herbs contain saponins?
It can cause diarrhea.
Mu tong and chai hu
Shan yao
increases estrogenic effect
What herbs are highly acidic?
Zhi shi, we wei zi, che qian zi, zhi ke, we mei,
What herbs are calcium containg?
Jie geng, zhen zhu, shi jue ming
What herbs can cause cyanophoric glycoside poisoning?
xing ren, tao ren bai guo
What herbs have a possible additive effect with warfarin?
Dan shen, dan gui, sheng jiang
What neprotoxic herbs are banned by the FDA?
Guang fang ji
Han fang ji
xi xin
wei ling xian
mu tong
guan mu tong
Yuan zhi
contraindicated in gastritis with gastric ulcers
Herbs that inhibit lactation?
Bo he, chuan jiao, dan dou chi
Huang qi
Can increase risk of bleeding with anticoagulants. Mya cause neurological dysfunction in high doses HA, dizziness
What herbs contain iron?
Mu li, long gu, dai zhe shi
xiong huang
contains arsenic sulfide, contra in pregnancy
zhu sha
contains mercury sulfide