Medicinal Herbs in Primary Care. An Evidence-Guided Reference for Healthcare Providers

Preface

Acknowledgments

Introduction

Part I: Herbal Basics – The History, Terminology, and Unique Characteristics of Medicinal Herbs

• Chapter 1: History: Ancient Herbal Practice, Herbalism in the 20th Century: DSHEA and CGMP legislation, ESCOP and German Commission E
• Chapter 2: Making distinctions: The Herbal Niche in the Spectrum of Integrative Medicine
• Chapter 3: Herbal preparations: Teas, Tinctures, Encapsulations, Powders
• Chapter 4: Herbal Chemistry
• Chapter 5: Herb Safety
• Chapter 6: Finding the Evidence
• Chapter 7: The Practical Use of Herbs for Common Primary Care Conditions – The Good, the Bad and the Drugless

The Good: Advantages of Medicinal Herbs
  The Bad: Disadvantages of Medicinal Herbs
  The Drugless: Thinking Like an Herbalist

Part II: Disease Tables

Introduction to Disease Tables

System-based Tables

• Chapter 1. EENT non-infectious (see also Infectious Disease, Pulmonary: Asthma/allergy)
   1. A. Ophthalmological Disorders
   1. B. Oral/Dental Disorders
   1. C. Other ENT Disorders
• Chapter 2. Pulmonary
   2. A. Asthma/Allergy
   2. B. COPD/Chronic Bronchitis/PAH
• Chapter 3. Cardiovascular
   3. A. Hypertension
   3. B. Cardiometabolic:
   3. B. i. Atherosclerotic Cardiovascular Disease, CAD (IHD), Dyslipidemia, CHF
   3. B. ii. Diabetes/Obesity/Metabolic Syndrome
   3. C. Arrhythmia/Arterial insufficiency/ Venous Insufficiency/Varicose Veins/Hemorrhoids
• Chapter 4. Gastrointestinal
   4. A. Liver/GB disease
   4. B. GERD/Peptic Ulcer Disease/Gastroparesis/Dyspepsia/SIBO
   4. C. Diarrhea/Constipation/IBS/IBD/Colic
• Chapter 5. Genitourinary
   5. A. Renal (nephropathy, nephrosis, nephritis, fibrosis, urolithiasis, AKI)
   5. B. UTI/Recurrent UTI
   5. C. Overactive Bladder/Urge Incontinence/Stress Urinary Incontinence
• Chapter 6. Women’s Disorders
   6. A. Breast and Lactation Disorders
   6. B. PMS/Dysmenorrhea
   6. C. Vaginal Disorders (see also menopause)
   6. D. Abnormal uterine bleeding/Disorders of Cervix or Uterus/Endometrosis
   6. E. Ovarian: Menopause/ Female Sexual Dysfunction/PCOS/ Female Infertility
• Chapter 7. Men’s Disorders
   7. A. Benign Prostatic Hypertrophy/Chronic Prostatitis
   6. B. Male Sexual Dysfunction/Male Infertility/Hypogonadism
• Chapter 8. Musculoskeletal Disorders
   8. A. Osteoporosis
   8. B. Osteoarthritis/Gout/Myofascial Pain/Miscellaneous Chronic Pain Syndromes
• Chapter 9. Neurological Disorders
   9. A. Cerebrovascular Disease/Stroke
   9. B. Migraine Headache/Tension Headache/Seizures
   9. C. Dementia/Parkinson’s Disease/Neurodegenerative disease
   9. D. Neuropathy/RLS
• Chapter 10. Psychiatric Disorders
   10. A. Anxiety/Panic Disorder/Insomnia/OCD
   10. B. Depression
   10. C. Bipolar Mood Disorder
   10. D. ADHD/Cognitive performance
   10. E. Schizophrenia/Substance Abuse /Miscellaneous Psychiatric
• Chapter 11. Dermatologic Disorders
   11. A. Acne
   11. B. Psoriasis
   11. C. Dermatitis, Eczema, Miscellaneous Skin Conditions
   11. D. Wounds/Cosmetics
   (Wrinkles/Photo-aging/Hirsutism/Male-pattern alopecia/body odor)

Generalized Systemic Disorders

• Chapter 12. Endocrine
   12. 1. Diabetes (see Cardiometabolic/Diabetes)
   12. 2. Adrenal (see also Chronic Fatigue)
   12. 3. Thyroid
• Chapter 13. Allergy/Immunology/Autoimmune (See also asthma/allergy)
   13. 1. Immune Function
   13. 2. Autoimmune Disease and Systemic Inflammation
• Chapter 14. Chronic Fatigue/Stress/Stamina/Athletic Performance
  Fibromyalgia (See myofascial pain, neuralgia, chronic fatigue, adrenal fatigue, insomnia)
• Chapter 15. Infectious Diseases
   16. 1. Upper Respiratory Tract Infections
   16. 2. Influenza and Pneumonia
   16. 3. Other Infectious Diseases ((HIV, HBV, HCV, HSV, TB, H. Pylori, miscellaneous bacteria, miscellaneous viral infections)
• Chapter 16 Hematology-Oncology
  16.1. Hematology
  16.2. Oncology

Part III: Herbal Monographs with references
 (listed by common names)

Introduction to Part III

Monographs
1. Aloe vera
2. Andrographis
3. Ashwagandha
4. Astragalus
5. Bacopa
6. Bilberry
7. Black cohosh
8. Burdock
9. Butterbur
10. Calendula
11. Chamomile
12. Chasteberry/Chaste tree
13. Coleus
14. Cranberry
15. Dandelion
16. Dong quai
17. Echinacea
18. Elder (berry/flower)
19. Fennel
20. Fenugreek
21. Frankincense
22. Ginger
23. Ginkgo
24. Ginsengs
             a) Korean
             b) American
             c) Siberian (Eleuthero)
25. Goji
26. Gymnema
27. Gynostemma
28. Hawthorn
29. Holy basil
30. Hops
31. Horsetail
32. Lemon Balm
33. Licorice
34. Maca
35. Milk Thistle
36. Motherwort
37. Nigella/black seed/black cumin
38. Passionflower
39. Peppermint
40. Rhodiola
41. Saffron
42. Saint John’s Wort
43. Saw palmetto
44. Schisandra
45. Skullcap
46. Stinging Nettle
47. Tribulus
48. Turmeric
49. Umckalaobo/South African geranium
50. Uva ursi
51. Valerian
52. Yarrow

Appendix I: Medical and Research Abbreviations and Terms
Appendix II: Resources

Index

Written specifically for the conventional medical healthcare provider, Medicinal Herbs in Primary Care forms an integral part of the primary care tool belt. Through a series of system-based disease tables, this unique title provides quick, authoritative guidance for the busy practitioner whose patient is requesting guidance on medicinal herbs. The disease tables are supported by herbal monographs that provide expanded details of the available preclinical and clinical evidence laid out in a system-based sequence. Together with the section on herbal basics, this practical reference contains the information today’s medical healthcare providers need to develop familiarity with and confidence in the prescription of medicinal herbs.

• Provides quick answers and evidence-based prescribing guidance for medicinal herbs while also addressing complexities and co-morbidities in patient care.
• Features 48 system-based disease tables that identify herbs based on strength of evidence and indicate the scope of potential benefits for other conditions the patient may have.
• Includes 55 monographs for the most common medicinal herbs, with safety and precaution guidelines, summaries of preclinical and clinical trials, chemical constituents and actions, and prescription options for each.
• Contains an introductory section on the basics of medicinal herbs that dispels common misconceptions regarding herbal medicine.
• Discusses key topics such as herb-drug interactions, and includes information on SARS-COV-2 where appropriate.
• Uses typical medical abbreviations throughout for ease of use, and provides a glossary of terms for non-medical and alternative health care providers.
• Helps conventional medical practitioners partner with patients to determine safe herbal options when appropriate, and ensure safety and efficacy of herbal use.
• Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

By Jean Marie Bokelmann, MD, Retired Assistant Professor of Family Medicine and Geriatrics, Adjunct Faculty, Idaho State University Family Medicine Residency Program Pocatello, ID