1. Bot Med 3: Urinary, Reproductive, & Thyroid Herbs Jenn Dazey, N.D. Winter 2010 Welcome back!!!!!

2. Quick Review… GI Liver/GB/Lymphogogue Musculoskeletal

3. Achillea millefolium

4. Althaea officinalis

5. Capsella bursa-pastoris

6. Foeniculum vulgare

7. Glycyrrhiza glabra

8. Hydrastis canadensis

9. Galium aparine

10. Arctium lappa

11. Silybum marianum

12. Rumex crispus

13. Piscidia piscipula

14. Salix alba

15. Stachys officinalis *

16. Withania somnifera

17. Urinary Review

18. Aquaretics vs. Diuretics Aquaretics increase blood flow in the kidneys, which increases GFR, and urine output is increased. This process increases the amount of water excreted through urination, but it does not increase elimination of electrolytes. Used for UTI, stones, gout, cleanses Diuretics increase the excretion of electrolytes, and water follows, thereby increasing urine output. Used in the management of hypertension, liver disease (ascites), and congestive heart failure (edema) Diuretics do not treat the cause

19. Galium aparine

20. Juniperus communis Volatile oil (Terpinen-4-ol) is a kidney irritant

21. Equisetum arvense Harvest before leaflets are 90 degrees to the stem

22. Apium graveolens Diuretic AND sedative nervine

23. Petroselinum crispum Aquaretic and emmenagogue

24. Urtica dioica Lf.

25. Taraxacum officinale Lf.

26. Anti-lithics Kidney stones are a result of supersaturated urine with high levels of calcium, uric acid, oxalate, and cystine.

27. Hydrangea arborescens 7 Bark

28. Eupatorium purpurea

29. Case Study 16 yo female returns with her 3rd “bladder infection” in 4 months. She has frequency and urgency and slight burning on urination x 2 days. Her urine is a dark, cloudy yellow-brown with a strong odor. Dipstick and microscopic analysis reveal mucus and lymphocytes, but no bacteria, RBC’s, crystals or casts. Specific gravity is high. All other findings are normal. There is no CVA tenderness, fever or nausea. She is under a lot of stress with regular track meets and honors classes.

30. What is your DDX?

31. More history… She notices the onset coincides with dining at the local Steakhouse. Whenever her track team celebrates after a meet, she drinks a large rootbeer float and orders the largest steak on the menu. Her symptoms began at bedtime.

32. What is your plan? What is your most likely diagnosis given the new information? Is a diuretic appropriate for her? (Remember the therapeutic order.)

33. Her Treatment Plan Avoid soda -- consider hydrating with water and electrolytes before & after a meet Keep steak portions to a minimum and include a large salad Tea Formula: –Juniperus communis 2 parts –Urtica dioica Lf4 parts –Petroselinum crispum Rt2 parts –Gallium aparine2 parts