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Epivir-HBV

By X. Yasmin. Landmark College. 2018.

Recently generic epivir-hbv 100mg medications you can give your cat, handheld electronic devices have been developed that provide a noninvasive means of measuring the bilirubin in the skin and subcutaneous tissues4 buy generic epivir-hbv 100mg on line symptoms hyperthyroidism. The American Academy of Pediatrics guidelines2 for the management of hyperbilirubine- mia in the newborn infant 35 or more weeks of gestation, emphasize certain key elements for the identification and management of jaundiced newborns and these are shown in ta- ble 7. Some factors increase, or decrease, the risk of severe hyperbilirubinemia2 and these are shown in table 8. Combining these risk factors, prior to discharge, with a serum or transcutaneous bilirubin measurement can improve the ability to predict which infants might or might not develop significant hyperbilirubinemia2. Recognize that visual diagnosis of jaundice is unreliable, particularly in darkly pigmented infants. Don’t treat a near-term (35-38 week) infant as you would a term infant —a near-term infant is at much higher risk of hyperbilirubinemia. Perform a predischarge, systematic assessment on all infants for the risk of severe hyperbilirubinemia. They are different from the risk levels used in figures 4 and 5 which relate to the risk of brain damage. These photons are absorbed by bilirubin molecules in the skin and subcutaneous tissue just as drug molecules bind to a receptor. The bilirubin then undergoes photochemi- cal reactions to form excretable isomers and breakdown products that can bypass the liver’s conjugating system and be excreted without further metabolism. Definitions used in phototherapy and factors affecting the dosage and the efficacy of pho- totherapy are listed in tables 9, 10 and 112, 6. Guidelines for the use of phototherapy and exchange transfusion in term and near term infants are provided in figures 4 and 52 and for low birth weight infants in tables 12 and 131. Quantity Dimensions Usual units of measure Irradiance (radiant power incident on a surface per unit W/m2 W/cm2 area of the surface). Spectral irradiance (irradiance in a certain wavelength W/m2 per nm mW/cm2 per nm band). Factor Technical terminology Rationale Clinical application Type of light Spectrum of light (nano- Blue-green spectrum is most Use special blue fluorescent tubes or light- source. Positioning special blue tubes 10-15 cm above infant will produce an irradiance of at least 35 mW/cm2/nm. For maximum exposu- re, line sides of bassinet, warmer bed, or incubator with aluminum foil or white re- flecting material. Note: These guidelines are based on limited evidence and the levels shown are approximations. Designation of «risk» refers to the increased risk of brain damage because of the potential negative effects of the conditions listed on albumin binding of bilirubin, the blood-brain barrier, and the susceptibility of the brain cells to damage by bilirubin. Note that irradiance measured below the center of the light source is much greater than that mea- sured at the periphery. Measurements should be made with a radiometer specified by the manufacturer of the phototherapy system. If total serum bilirubin levels approach or exceed the exchange transfusion line (figure 5) the sides of the bassinet, incubator, or warmer should be lined with aluminum foil or white material. This will increase the surface area of the infant exposed and increase the efficacy of phototherapy. If the total serum bilirubin does not decrease or continues to rise in an infant who is receiving intensive phototherapy, this strongly suggests the presence of hemolysis. Infants who receive phototherapy and have an elevated direct-reacting or conjugated bilirubin level (cholestatic jaundice) may develop the bronze-baby syndrome. Note: these guidelines are based on limited evidence and the levels shown are approximatiions. Designation of «risk» refers to the increased risk of brain damage because of the potential negative effects of the conditions listed on albumin binding of bilirubin, the blood-brain barrier, and the susceptibility of the brain cells to damage by bilirubin.

The plant material may be added several times during the process to manufacture a stronger oil buy 150 mg epivir-hbv symptoms your having a girl. This is the method by which you obtain products such as “garlic-infused olive oil” discount epivir-hbv 150mg mastercard medicine 54 357. Solvent Method: Alcohol and other solvents may be used on some plant parts, usually flowers, to release the essential oil in a multi-step process. As each essential oil has different chemical compounds in it, it stands to reason that the medicinal benefits of each are also different. As such, an entire alternative medical discipline has developed to find the appropriate oil for the condition that needs treatment. Add a few drops of the essential oil in a bowl of steaming water (distilled or sterilized), and inhale. This method is most effective when placing a towel over your head to catch the vapors. Many people will place essential oils in potpourri or use a “diffuser” to spread the aroma throughout the room; this technique probably dilutes any medicinal effects, however. Topical Application: The skin is an amazing absorbent surface, and using essential oils by direct application is a popular method of administration. The oil may be used as part of a massage, or directly placed on the skin to achieve a therapeutic effect on a rash or muscle. Before considering using an essential oil in this manner, always test for allergic reactions beforehand. Even though the chemical compounds in the oil are natural, that doesn’t mean that they couldn’t have an adverse effect on you (case in point: poison ivy). A simple test involves placing a couple of drops on the inside of your forearm with a cotton applicator. Mixing some of the essential oil with a fixed or “carrier” oil such as olive oil before use is a safer option for topical use. Another concern, mostly with topically-applied citrus oils, is “phototoxicity” (an exaggerated burn response to sun exposure). I have some reservations about whether applying an essential oil on the skin over a deep organ, such as the pancreas, will really have any specific effect on that organ. It is much more likely to work, however, on the skin itself or underlying muscle tissue. Ingestion: Direct ingestion is unwise for many essential oils, and this method should be used with caution. Most internal uses of an essential oil should be of a very small amount diluted in at least a tablespoon of a fixed oil such as olive oil. Essential oils have been used as medical treatment for a very long time, but it’s difficult to provide definitive evidence of their effectiveness for several reasons. Essential oils are difficult to standardize, due to variance in the quality of the product based on soil conditions, time of year, and other factors that we mentioned above. An essential oil of Eucalyptus, for example, may be obtained from Eucalyptus Globulus or Eucalyptus Radiata and have differing properties as a result. In most university experiments, a major effort is made to be certain that the substance tested caused the results obtained. As essential oils have a number of different chemicals and are often marketed as blends, which ingredient was the cause of the effect? If the oil is applied with massage, was the effect related to the oil itself or the therapeutic benefit of the physical therapy?

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L’aspect typique est hypo- et/ou anéchogène avec plus ou moins d’échos internes 100mg epivir-hbv symptoms lymphoma, coque échogène très épaisse buy generic epivir-hbv 100 mg on line treatment 4 ringworm. Mais chez nous, abcès hépatique d’origine amibien est responsable plus de 90% des cas, donc par apport de son coût, le sérodiagnostic n’est peut- être pas indispensable. Tout patient présentant des signes cliniques évocateurs d’un abcès hépatique ou amibiase hépatique doit être hospitalisé pour confirmation du diagnostic et prise en charge. En sachant que, l’abcès hépatique d’origine amibien est responsable de la majorité des cas chez nous. Association antibiotique n’a pas d’intérêt, cas absence de différence significative entre le groupe association et le groupe traité par métronidazole seul en termes d’amélioration clinique, la guérison et la duré d’hospitalisation. Médicaments disponibles : Les amoebicides tissulaires actuellement disponibles sont métronidazole, tinidazole, secnidazole et ornidazole, les trois dernies sont également efficaces, mais moins utilisés. La posologie de métronidazole est de 40 mg/kg/j en 3 fois par jour, durée 10 - 14 jours. La voie orale, son absorption est rapide, la voie intraveineuse est réservée aux formes graves ou mal tolérance digestive. Le traitement médical complété si besoin d’un geste complémentaire (ponction aspirative, drainage, chirurgie). La ponction sous anesthésie locale (par chirurgien) est indiqué en cas de diamètre d’abcès excède 10 cm pour bénéficier en terme de guérison et de la durée d’hospitalisation, d’autres circonstances parait souhaitable : doute diagnostique avec un abcès à pyogènes (sepsis sévère avec hyperthermie et hyperleucocytose), nécessité de soulager rapidement une douleur vive non calmée par les moyens habituels, absence de réponse ou aggravation du symptôme (douleur, fièvre) sous traitement médical dans un delà de 5jours, abcès à risque de rupture qui forment voussure à la surface du foie. Le traitement doit être complété secondairement par l’administration orale d’un ameobicide de contact pour éviter récidive. Le médicament conseillé est Tiliquinol 100mg + Tilbroquinol 200mg = (Intétrix ®) 2gélules matin et soir pendant 10jours. La sérologie diminue plus lentement et se négative en quelques semaines voire mois. La prophylaxie individuelle repose sur des mesures d’hygiène : • se laver les mains régulièrement, en particulier après avoir touché la terre • bien laver les crudités • Hygiène l’eau : filtrer ou bouillir 2. La prophylaxie collective a pour but d’éviter la dissémination des kystes à partir des selles humaines : • installation de latrines et de toilettes • traitement des eaux usées et de l’eau de boisson Remarque: Mélioidose doit on évoquer devant l’abcès hépatique chez terrain diabétique ou maladie systémique. Problems in recognition and diagnosis of amebiasis : estimation of the global magnitude of morbidity and mortality. Intrapericardial rupture of amebic liver abscess managed with percutaneous drainage of liver abscess alone. Pr K Pichith et al, aspects Cliniques et thérapeutiques de l’amibiase hépatique au Cambodge, 1995. Pathophysiology Fibrosis describes encapsulation or replacement of injured tissue by a collagenous scar. Cirrhosis is an advanced stage of liver fibrosis that is accompanied by distortion of the hepatic vasculature. It leads to shunting of the portal and arterial blood supply directly into the hepatic outflow (central veins), compromising exchange between hepatic sinusoids and the adjacent liver parenchyma, i. The general circulatory abnormalities in cirrhosis (splanchnic vasodilation, vasoconstriction and hypoperfusion of kidneys, water and salt retention, increased cardiac output) are intimately linked to the hepatic vascular alterations and the resulting portal hypertension. Cirrhosis and its associated vascular distortion are traditionally considered to be irreversible but recent data suggest that cirrhosis regression or even reversal is possible. Since compensated cirrhosis often goes undetected for prolonged periods of time, a reasonable estimate is that up to 1% of populations may have histological cirrhosis. Etiology The etiology of cirrhosis can usually be identified by the patient’s history combined with serologic evaluation. The most common causes is chronic hepatitis B, C and alcohol which represent almost 80%.

See Congestive heart Pralidoxime buy generic epivir-hbv 100mg symptoms 9 weeks pregnant, 406t generic epivir-hbv 100 mg free shipping medicine for uti, 565t, 567, 569 failure Prednisone Pulmonary embolism for anaphylaxis, 118, 118t clinical pearls, 194 for asthma exacerbation, 128-129 clinical presentation, 181-182, for Bell palsy, 270 186-187 for temporal arteritis, 450 definition, 183 Preeclampsia, 197, 199, 203 diagnosis, 187-189, 187t, 190f, Pregnancy 192-193 arterial blood gas findings in, 285t initial evaluation, 182 ectopic. See also clinical presentation, 303-304 Lacerations differential diagnosis, 307-309, 307t Scleritis, 309 Referred pain, 209 Scrotal pain Reflex-mediated syncope, 171. See Children, trauma in Thiosulfate, 405t clinical pearls, 90 Thoracoabdominal region, 95, 98 in elderly patients, 491-493, 492t Thoracotomy, resuscitative, 97 in extremities, 96t 3-2-2 rule, 544 facial, 137. See also Facial Thromboembolism lacerations atrial fibrillation and, 42, 47-48, hemorrhagic shock in. See also Trauma Vibrio cholerae, 237t, 241 animal bite; Animal bite Visceral pain, 209 closure, 139 Vision loss, acute, 307t, 309 irrigation, 137 Vital signs, by age group, 486t Vitamin K, 383, 410 X Vitamin K1, 406t Xanthochromia, 449, 452 Vomiting, in bowel obstruction, 229 Y W Yersinia enterocolitica, 472 Warfarin in atrial fibrillation, 47 Z in chronic atrial fibrillation, 48t Ziprasidone, 556 . Definition of Abdominal Pain Complaint of pain in the area between the ribcage and pelvis. Overview Abdominal pain is frequent symptom encountered by a large portion of the otherwise healthy population (in some studies more than 50%). Most commonly it is a benign complaint reflecting a disease process that can be treated symptomatically. However, it may be the presenting symptom to an acute life-threatening illness that requires rapid assessment and immediate triage to an acute care facility. Red Flags: Red flags are historical or physical findings that suggest a higher severity of illness, requiring further investigation. Associated symptoms, including fever, chills, weight loss or gain, nausea, vomiting, diarrhea, constipation, hematochezia, melena, jaundice, change in the color of urine or stool, change in the diameter of stool. Pain Duration Acute: Pain of less than a few days duration, that has worsened progressively until the time of presentation. Pain that does not clearly fit either category might be called subacute, and requires consideration of the differential diagnoses for both acute and chronic pain. As an example, the pain of biliary obstruction, renal colic, or mesenteric infarction is of high intensity, while the pain of gastroenteritis is less marked. Age, mental status, and general health may affect the patient’s clinical presentation. A patient taking corticosteroids may have significant masking of pain, and the elderly often present with less intense pain. Associated Symptoms Symptoms that occur in relation to abdominal pain may give important information. Women should be asked whether they are sexually active, the number of sexual partners, whether any sexual partners are new, and whether any sexual partners are experiencing symptoms suggestive of a sexually transmitted infection. Vital signs, including measurement of orthostatic changes in blood pressure and heart rate. Obstruction or peritonitis can cause large amounts of third spacing of fluid and intravascular volume depletion or overt shock. Percussion is also used to identify ascites, liver span, and bladder and splenic enlargement. Muscular rigidity or ―guarding‖ is an important and early sign of peritoneal inflammation. Rectal and Pelvic Exam A rectal is generally required in all patients with acute abdominal pain. Fecal impaction might be the explanation for signs and symptoms of obstruction in the elderly. A pelvic exam is generally required in all women with acute lower abdominal pain, and is critical for determining whether abdominal pain is due to pelvic inflammatory disease, an adnexal mass or cyst, uterine pathology, or an ectopic pregnancy. Only after the clinician is satisfied that the abdominal presentation is not an acute surgical emergency can consideration of other diagnostic possibilities begin. Patients should not eat or drink while a diagnosis of a surgical abdomen remains under consideration.

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It is thought to occur by a simi- Syncope lar mechanism to orthopnoea coupled to a decreased sensory response whilst asleep purchase epivir-hbv 100 mg online lanza ultimate treatment. Patients awake breath- Syncope is defined as a transient loss of conscious- less and anxious purchase epivir-hbv 150 mg mastercard treatment as prevention, they often describe having to sit up ness due to inadequate cerebral blood flow. Cerebral Chapter 2: Clinical 25 perfusion is dependent on the heart rate, the arterial cases the pain causes the patient to limp, hence the term blood pressure as well as the resistance of the whole vas- claudication and the pain characteristically disappears culature. There may be no warning, or patients may describe feel- The distance a patient can usually walk on the flat be- ing faint, cold and clammy prior to the onset. Asthenarrowing tend to be flushed and sweaty but not confused (unless ofthearteriesbecomesmoresignificant,theclaudication prolonged hypoxia leads to a tonic-clonic seizure). Eventually rest pain may occur, this r Vasovagal syncope is very common and occurs in the often precedes ischaemia and gangrene of the affected absence of cardiac pathology. The heart contracts force- fully, which may lead to a reflex bradycardia via vagal Oedema stimulation and hence a loss of consciousness. A number of mechanisms tion, hypovolaemia or due to certain drugs especially arethoughttobeinvolvedinthedevelopmentofoedema. Normally tissue fluid is formed by a balance of hydro- r Cardiac arrhythmias may result in syncope if there is a static and osmotic pressure. This may oc- Hydrostatic pressure is the pressure within the blood cur in bradycardias or tachycardias (inadequate ven- vessel (high in arteries, low in veins). The loss of consciousness occurs produced by the large molecules within the blood (albu- irrespective of the patient’s posture. A Stokes–Adams min, haemoglobin) and draws water osmotically back attack is a loss of consciousness related to a sudden into the vessel. The hydrostatic pressure is high at the loss of ventricular contraction particularly seen dur- arterial end of a capillary bed hence fluid is forced out of ing the progression from second to third degree heart the vasculature (see Fig. The colloid osmotic pressure then draws fluid back in r Carotid sinus syncope is a rare condition mainly seen at the venous end of the capillary bed as the hydrostatic in the elderly. As a result of hypersensitivity of the carotid sinus, light pressure, such as that exerted by atight collar, causes a severe reflex bradycardia and hence syncope. The syncope results from an inability of the heart to increase cardiac output in response to in- Hydrostatic Oncotic 0ncotic Hydrostatic creased demand. Intermittent claudication Artery Vein Claudication describes a cramp-like pain felt in one or both calves, thighs or buttocks on exertion. This may be a result of blood bypassing fluid is then returned to the circulation via the lymphatic the lungs (right to left shunting) or due to severe lung system. Mechanismsofcardiovascularoedemaincludethefol- lowing: r The arterial pulse Raised venous pressure raising the hydrostatic pres- sure at the venous end of the capillary bed (right ven- The pulse should be palpated at the radial and carotid tricularfailure,pericardialconstriction,venacavalob- artery looking for the following features: struction). The normal pulse is defined as a rate be- which increases the circulating blood volume with tween 60 and 100 beats per minute. Outside this range pooling on the venous side again raising the hydro- it is described as either a bradycardia or a tachycardia. Albumin is the major factor respon- r The character and volume of the pulse are normally sible for the generation of the colloid osmotic pressure assessedatthebrachialorcarotidartery. A drop volume felt at the carotid may be described according in albumin therefore results in an accumulation of to the waveform palpated (see Fig. Radio-femoral delay is suggestive of coarcta- is left after pressing with a thumb for several seconds) tion of the aorta, the lesion being just distal to the or nonpitting. Cardiac oedema is pitting unless long origin of the subclavian artery (at the point where the standing when secondary changes in the lymphatics may ductus arteriosus joined the aorta). Distribution is dependent lay suggests arterial occlusion due to an aneurysm or on the patient. Pleural effusions and Jugular venous pressure ascites may develop in severe failure.

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Une attitude thérapeutique minimale : antipyrétiques (Acétaminophène 0 (Paracétamol*) 1g 3 fois par jour si la temperature supérieur à 38 C) purchase epivir-hbv 100mg without prescription medicine 7767, lavage des fosses nasals (par le serum sale physiologique 0 purchase 150 mg epivir-hbv fast delivery medications may be administered in which of the following ways,9% 3 – 4 fois/jour), parfois traitements locaux, est le plus souvent suffisante. Au moment le syndrome soit présent, il ne faut pas trop inquiéte et rester au lit, limiter de déplacer, si la fièvre présente, utilisé paracétamol, car la rhinopharygite aiguë est la forme bénigne et guérison spontanné. Recommandations et Pratique: strategies thérapeutique, 1er Edition: Octobre 2005 2. Physiopathologie Les fosses nasales et les sinus sont tapissés par la même muqueuse respiratoire ciliée et perméable. Les rhinopharyngites sont des infections virales très fréquentes qui touchent souvent la muqueuse des sinus, en plus de la muqueuse nasale ou pharyngée. L’agression virale de l’épithélium respiratoire qui tapisse les fosses nasales et les sinus entraine une modification des rapports entre les bactéries résidentes (pneumocoque, Haemophilus influenzae, Branhamella catarrhalis) et la muqueuse. La disparition du mouvement mucociliaire contribue à favoriser l’adhésion des bactéries et leur multiplication. Epidémiologie Elle fait généralement suite à une rhinite ou à une rhinopharyngite virale. Allergie, mucoviscidose, polypose, dyskinésie ciliaire, corps étranger, traumatisme nasal direct ou barotraumatisme peuvent également être des causes de sinusite aiguë. Complication : La complication bactérienne est rare La sinusite, qui dure généralement plus longtemps qu’un rhume, peut être très douloureuse et entraîner des complications graves (cellulite orbitaire, ostéomyélite, thrombose du sinus caverneux). Les arguments en faveur d’une surinfection bactérienne responsable de sinusite aiguë maxillaire purulente sont : (il faut avoir 2 critères majeurs ou 1critère majeur avec 2 critères mineurs) • Les critères majeurs : 1. Examen biologique La numération de formule sanguine n’est pas nécessaire en car de sinusite aiguë virale. La prescription peut se faire lorsqu’il est en suspicion de sinusite aiguë purulente ou présence de complication d’infection orbitaire ou ostéomyélite ou méningite bactérienne ou origine dentaire. Examen radiologique L’examen radiographique standard n’est pas recommandé en routine. Les décongestionnants pris par voie orale occasionnent moins de problèmes à la muqueuse nasale, mais peuvent avoir des effets secondaires gênants (aggravation de l’hypertension artérielle, par exemple), car leur efficacité est contestée. Recommandations et Pratique: strategies thérapeutique, 1er Edition: Octobre 2005 2. Use of symptoms, signs, and blood tests to diagnose acute sinus infections in primary care: comparison with computed tomography. Comparison of cefuroxime axetil and amoxicillin/clavulanate in the treatment of acute bacterial sinusitis. Définition: L’hémoptysie correspond à une expectoration de sang rouge vif, aéré, spumeux provenant des voies respiratoires sous-glottiques suite à une toux. Les pièges sont épistasie avec jetage postérieure, gingivorragie et hématémèse : sang d’origine digestive, effort de vomissement. Physiopathologie d’origine de l’hémoptysie: o 90% des cas: de la vascularisation systémique à haute pression, artère bronchique nourricière provenant de l’aorte. Vasculaire • La radiographie thoracique • Avec hypertension veineuse identifie les cavernes pulmonaire (rétrécissement mitral, ii. La malformation vasculaire • Aspergillome (image en grelot systémique: séquestre pulmonaire dans ce contexte = Aspergillome) C’est une portion du parenchyme • Cancer sur cicatrice, pulmonaire vascularisée par une artère broncholithiase anormale (provient de l’aorte, plus b. Cancer bronchique • Connectivite • Première crainte chez le fumeur en cas • Syndrome des antiphospholipides. Soit de façon rétrospective : o < 50 ml/24h (striés de sang ou <1/2 verre) = faible abondance o 50 – 500 ml/24h = moyenne abondance o 500 ml/h = grande abondance b. Soit de façon dynamique pour les hémoptysies de grande abondance: o 100 ml/h sur poumon sain (un verre) o 50 ml/h si insuffisance respiratoire chronique o 60 ml/h malgré l’administration de vasoconstriction 2. Description clinique: L’hémoptysie de moyenne abondance est la plus fréquente et peut survenir suite à un effort ou une poussée hypertensive.

Calendula reduces pain and heals minor burns cheap 150mg epivir-hbv amex medications ending in lol, cuts order 100mg epivir-hbv overnight delivery symptoms synonym, rashes, ringworm and athlete’s foot. Cool, weak tea compresses may heal an eye infection; apply to the affected eye three times daily. Cayenne (Capsicum frutescens)- the pepper (fruit) is used dried and powdered, infused in oil, as a tincture or mixed in a salve or cream. Good externally for arthritic pain as a salve, cream or infused oil, and may be useful to stop mild to moderate bleeding in a wound if direct pressure is not working. Cayenne can be taken internally as a tincture or as a pinch of powder in a tea for to treat intestinal infections, sore throat pain or gas. Chamomile, German (Matricaria recutita)- the flowers are used in teas, salves and creams. Internally taken, the tea is known to be relaxing and is used as an antispasmodic (relaxes muscle tension and cramps). It also helps with insomnia, calms an upset stomach, and may also reduce the inflammation of joints. Applied to painful rashes, itchy skin, or sore nipples, a poultice (a mass of warmed crushed flowers), cream or salve may relieve and heal skin conditions. Comfrey (Symphytum officinale)- the leaves, aerial parts, and root are used in creams, salves, infused oils, ointments, poultices and tinctures. Common uses for comfrey externally are to help heal broken bones, sprains, strains and bruises. Echinachea (Echinacea purpurea, augustifolia or pallida)- the flowers and roots are used to produce tinctures, teas, capsules, and pills. It is known to be a strong antibacterial and antiviral due to its immune stimulating effects. Elder (Sambucus nigra)- this tree produces two parts used medicinally: the fresh or dried flowering tops and the berries. A tea, tincture or syrup made of the flowering tops are good for coughs, colds, flu and reducing allergies. Cooking is needed to prevent poisoning from elderberries, which can be used for the same ailments as the flowering tops but are not considered as effective. Witch Hazel (Hamamelis virginiana)- tincture of the bark is used as an astringent to reduce hemorrhoids, stop itching from insect stings. Feverfew (Tanacetum parthenium)- the fresh or dried aerial parts (stems, leaves and flowers) are used to produce a tea, tincture, capsules or pills. Use the leaves to produce a tea or tincture for the treatment or prevention of migraine headaches and also to reduce fevers. Garlic (Allium sativum)- the fresh cloves are used (crushed) to make a tea, tincture, syrup, or capsules. Garlic may help lower blood pressure, reduce cholesterol, thin the blood to help protect against blood clots, and lower blood sugar levels. It has antibacterial and antiviral properties, which makes it effective for treating both digestive and respiratory infections. Ginger (Zingiber officinale)- the rhizomes are used to make a tea, essential oil, capsule or tincture. Ginkgo (Ginkgo biloba)- the leaves are the most commonly used part in Western medicine; the dehusked seed, however, is occasionally used in Chinese medicine. Gingko also has anti- allergenic properties, which makes it helpful to relieve wheezing in asthmatics. Ginseng, Siberian (Eleutherococcus seticosus)- the roots are used to make a tea, tincture or incorporated into capsules. It stimulates the immune system to help the body fight viruses and bacterial infections.

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