St. John's Wort Extract (Hypericum perforatum)

St. John's Wort Extract (Hypericum perforatum)

Hypericins 0.3% by UV

General Description: A shrubby perennial plant with yellow flowers, native to Europe but now grows in many parts of the world.

Parts Used: Flower

Uses:
mild to moderate depression (not major)
2nd & 3rd degree burns
AIDS (inhibiting the spread)
anti-viral against herpes 1& 2
antibacterial against gram positive and negative
pain associated with arthritis and sciatica
mood swings
insomnia
MS, fibromyalgia and neuromuscular inflammations

Action: Active ingredient is hypericin. Acts as a SSRI, keeps serotonin active in the brain. Suppresses interleukin 6, releasing affecting mood through neurohormonal pathways. Also produces, antiviral, anti-inflammatory anti-microbial and astringent properties.
Dosage: 300mg 3 times/day with meals, no more than 8 weeks.
Tincture: 1:2, 2-4 mls 3 times/day For wounds: use a tincture and cover with gauze or bandage.
Precautions/Adverse Effects: Photoxicity, headache, nervousness, fatigue, restlessness, mania and SSRI syndrome
Interactions with other Drugs: Antidepressants (SSRIs, tricyclics, MAOI's), Caffeine, Theophylline, concurrent use of antibiotics, Dopamine agonists, OTC cough and cold remedies, sleep aids, AIDS medicine - Indinavir by decreasing the effectiveness.
Interactions with other herbs: yohimbe, feverfew, ma haung, ginseng.
Contraindications: Fair skin with sun exposure, severe depression, mania, seizures, migraines, and Pregnancy/Lactation/Children.

Nursing Considerations:
Individuals should consult a health care provider to be evaluated for depression.
Wear sunscreen due to phototoxicity.
Do not use OTC medications with alcohol and St. John's Wort.
Do not use prior to surgery.

Current Research: In 1998, the National Institutes of Health began a 3-year study to investigate the efficacy of St. John's wort for the treatment of major depressive disorders. This study compares the extract of St. John's wort with a SSRI and placebo. In 1999, another study was started. This study is currently recruiting patients. It is entitled "Drug Interaction Study of Tegretol (Carbamazepine) and St John's Wort in Normal Volunteers".

Echinacea Purpurea Extract (Echinacea Purpurea L.)

Echinacea Purpurea Extract (Echinacea Purpurea L.)

Cichoric Acid 4% BY HPLC

Polyphenols 4% BY UV

General Description: Perennial herb of the daisy family.

Part Used: aerial portion and root

Uses:
treat infections
common cold
wound healing
may increase WBC’s in persons undergoing chemotherapy
eczema
burns
lower urinary tract infection.

Action: Immunomodulators (positive and negative clinical trials). Cytotoxic activity against tumor cells, antioxidant, stimulates bone marrow macrophages, and WBC production. Mild antibacterial properties. Little of no effect on normal immune response in healthy patients.
Dosage: 6-9 mls of juice
2-5 g of dried root used for no more than 6-8 weeks.
Precautions: Minimal side effects have been reported. Can produce nausea. May cause liver toxicity with other liver toxic drugs

Contraindications: Immunosusppressed patients, infectious or autoimmune diseases; Lupus, HIV, TB. Also, diabetics and those who have allergies to the daisy family of plants. Safety during pregnancy has not been studied.

Nursing Considerations:
Instruct patients not to use more than 6-8 weeks
Any form of Echinacea, dried roots, freeze-dried plants can be effective
Do not use concurrently with antibiotics

Black Cohosh Extract (Cimicifuga Racemosa)

Black Cohosh Extract (Cimicifuga Racemosa)

Triterpene Glycoside 2.5% HPLC

General Description: A member of the buttercup family, producing small white flowers.

Part Used: Rhizome

Uses:
stress incontinence
excessive menstrual bleeding
hot flashes
depression
irritability
fatigue
headaches
vaginal dryness
antipyretic
painful menstruation
muscle spasms
arthritis
general pain
anti-inflammatory

Action: Suppressing luteinizing hormone, anti-inflammatory and mimetics estrogen.

Dosage:
Tincture 10-60 drops/day
Powdered root or tea: 1-2 grams
40-200 mg daily, use no more than 6 months

Precautions/Adverse Reactions: Hypertension, increased bleeding during menopause, headaches and rare stomach upset.

Contraindications: Do not use in pregnancy during 1st two trimesters. Do not give to children May or may not be safe with use of estrogen, more research is needed. No adverse reactions have been reported. The German Commission E does not contraindicate its use during lactation.
Nursing Considerations:
Black cohosh can potentate antihypertensive drugs thus increasing hypotension if both are used.
If women are on estrogen replacement, black cohosh may interfere with replacement therapy.
Maximum effect may take up to 4 weeks.
Black cohash is sometimes used by herbalist with blue cohash.
A recent report sites after the use of black and blue cohash together, a baby was born with asphyxia, leading to brain damage. The German Commission E recommends that black cohosh only be used for 6 months, until further testing.

Astragalus Extract (Astragalus membranaceus)

Astragalus Extract (Astragalus membranaceus)

Polysaccharides 40% UV & Astragalosides0.3% HPLC
分子式：C41H68O14
分子量：784
CAS：84687-43-4

Astragalus (Astragalus membranaceus) has been used to promote the discharge of urine, lower blood pressure, and increase endurance. Traditional uses include the treatment of the following: Anemia Chronic Fatigue Syndrome Common Cold Diarrhea Fibromyalgia Gastritis Hepatitis, Viral Influenza Peptic Ulcer

Angelica Root Extract （Angelica sinensis）

Angelica Root Extract （Angelica sinensis）

Ligustilide 1% HPLC
CAS#： 8015-64-3

General Description: An aromatic root used in Oriental Medicine. It is considered in Chinese medicine as the yin. Most all-purpose herb for women.

Part Used: Root and rhizomes

Uses:
hot flashes
high blood pressure
emotional discord
GI upset

Action: Produces antispasmodic effects, vasodilation, pain relief, anti-inflammatory, relaxes smooth muscle and estrogen effects ( some studies refute).

Dosage:
Tincture of fresh or dried roots, 10-40 drops, 1-3/day
Dried roots as infusion up to 250ml/day
Precautions/Adverse Reactions: Can be photosensitizing . May experience a laxative effect or bloating. Can cause breast tenderness.

Contraindications: Do not use in pregnancy or during lactation. The essential oil contains safrole that is carcinogenic in animals and has been banned by the FDA.

Nursing Considerations:
Do not use with Coumadin.
Watch for bleeding and fever.
Limit sun exposure due to photosensitizing properties
Use cautiously with ASA.

Alfalfa Extract(Medicago sativa L.)

Alfalfa Extract(Medicago sativa L.)
Extract ratio: 5：1
Saponins≥5% UV;
Flavones≥5% UV

Properties/Actions:Tonic, Antifungal, Laxative, Diuretic, Detoxifier, Anti-inflammatory, Febrifuge, Hepatoprotective, Digestive, Nutritive, Anodyne, Anti-Arthritic

Cinnamon Bark Extract ( Cinnamomum cassia Presl)

Cinnamon Bark Extract( Cinnamomum cassia Presl )
1．Flavnones 20% UV
2．Polyphenols 20% UV
3. Polyphenols 5% ( Water-soluble,in Beverages )，coumarin nmt 800ppm
4. MHCP 2% HPLC

Cinnamon Bark Extract is extracted with water, evidence based effective ingredient for type 2 diabetesa. Supporting healthy glucose managementb. Helping optimize healthy cholesterol levelsc. Bolsters healthy blood pressure