1. Aperients Botanical Medicine I Brandy Webb, ND 6.9.09 Botanical Medicine I Brandy Webb, ND 6.9.09

2. Aperients Ulmus fulva/rubra Linum usitatissimum Plantago psyllium Ulmus fulva/rubra Linum usitatissimum Plantago psyllium

3. Ulmus fulva/rubra

4. Slippery elm Ulmaceae family Constituents Mucilage Actions Demulcent Emollient Aperient Nutrient Astringent Anti-inflammatory Slippery elm Ulmaceae family Constituents Mucilage Actions Demulcent Emollient Aperient Nutrient Astringent Anti-inflammatory

5. Linum usitatissimum

6. Linseed, flax Linaceae family Constituents Linolenic acid (30-40% Linoleic acid (23-24% Mucilage Protein Lignans Cyanogenic glycoside linamarin Linseed, flax Linaceae family Constituents Linolenic acid (30-40% Linoleic acid (23-24% Mucilage Protein Lignans Cyanogenic glycoside linamarin

7. Linum usitatissimum Actions Sooth mucous membranes Absorb fluids, toxins Drawing action Aperient, bulking laxative Phytoestrogenic Actions Sooth mucous membranes Absorb fluids, toxins Drawing action Aperient, bulking laxative Phytoestrogenic

8. Plantago psyllium

9. Psyllium Plantaginaceae family Constituents (seeds) Mucilage Fatty acids Iridoid monoterpenes Aucubin Actions Aperient Demulcent Anti-inflammatory Psyllium Plantaginaceae family Constituents (seeds) Mucilage Fatty acids Iridoid monoterpenes Aucubin Actions Aperient Demulcent Anti-inflammatory

10. Psyllium Seeds & Husks Plantago ovata Plantago afra Plantago ispaghula

11. Review Cases A 5 year old boy is brought in to see you by his mother. The boy experiences abdominal pain which his mother thinks is related to constipation. He has a bowel movement every day but he says it is hard to pass. He complains of a tummy ache several times a week and has flatulence daily. He is an active child and eats well. A stool culture was negative for parasites or bacterial infection. What herbs that you have learned about so far would be helpful to this patient? How would you prescribe them (i.e., what preparation, what dose)? A 5 year old boy is brought in to see you by his mother. The boy experiences abdominal pain which his mother thinks is related to constipation. He has a bowel movement every day but he says it is hard to pass. He complains of a tummy ache several times a week and has flatulence daily. He is an active child and eats well. A stool culture was negative for parasites or bacterial infection. What herbs that you have learned about so far would be helpful to this patient? How would you prescribe them (i.e., what preparation, what dose)?

12. Review Cases A mother brings her 3 month old daughter to you with a chief complaint of ‘colic’. The baby is fussy in mom’s arms and nurses briefly and then squirms and cries and repeats this several times. Mom says this has been going on throughout most of every day since she was 6 weeks old. The baby is solely breastfed. Her stools and urination patterns are all normal and she does not have a fever. The mom reports that her baby passes gas frequently and generally appears to feel better for a little while afterwards. She has tried some over the counter homeopathic medicines for colic but they did not appear to make a difference. What herbs that you have learned so far would you consider for this patient? What preparation and dose would you recommend? What would be your follow up request? A mother brings her 3 month old daughter to you with a chief complaint of ‘colic’. The baby is fussy in mom’s arms and nurses briefly and then squirms and cries and repeats this several times. Mom says this has been going on throughout most of every day since she was 6 weeks old. The baby is solely breastfed. Her stools and urination patterns are all normal and she does not have a fever. The mom reports that her baby passes gas frequently and generally appears to feel better for a little while afterwards. She has tried some over the counter homeopathic medicines for colic but they did not appear to make a difference. What herbs that you have learned so far would you consider for this patient? What preparation and dose would you recommend? What would be your follow up request?

13. Review Cases A 26 year old female complains of “stomach aches”. She feels nauseous and bloated after she eats anything. Her abdomen becomes distended. She has difficulty passing gas, but feels better after she does so. She has one bowel movement every day which is bulky and requires straining to pass. She notices no blood or mucus in her stool. Occasionally, she notices some undigested food in her stool. She leads a sedentary lifestyle and is slightly overweight but has no other health concerns. What are your possible assessments? Which herbs that you have learned so far would prescribe for her? What preparations, what dosage? A 26 year old female complains of “stomach aches”. She feels nauseous and bloated after she eats anything. Her abdomen becomes distended. She has difficulty passing gas, but feels better after she does so. She has one bowel movement every day which is bulky and requires straining to pass. She notices no blood or mucus in her stool. Occasionally, she notices some undigested food in her stool. She leads a sedentary lifestyle and is slightly overweight but has no other health concerns. What are your possible assessments? Which herbs that you have learned so far would prescribe for her? What preparations, what dosage?

14. Review Cases A 46 year old female comes to see you with a history of dysglycemia. She eats two meals a day, often forgetting to eat breakfast or lunch. She later binges on snacks or a large dinner. She is overweight and has a strong family history of Type II diabetes. She varies between loose stools and constipation and frequently gets stomach cramps. What herbs that you have learned about so far might be helpful to this patient? What preparation and dose would you choose? A 46 year old female comes to see you with a history of dysglycemia. She eats two meals a day, often forgetting to eat breakfast or lunch. She later binges on snacks or a large dinner. She is overweight and has a strong family history of Type II diabetes. She varies between loose stools and constipation and frequently gets stomach cramps. What herbs that you have learned about so far might be helpful to this patient? What preparation and dose would you choose?