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By V. Garik. Kentucky Wesleyan College.

With respect to the origin of these three chronic maladies lopid 300 mg on-line symptoms 9 days after iui, as in the acute buy 300 mg lopid otc medications when pregnant, miasmatic eruptional diseases, three different important moments are to be more attentively considered than has hitherto been done: First, the time of infection; secondly, the period of time during which the whole organism is being penetrated by the disease infused, until it has developed within; and thirdly, the breaking out of the external ailment, whereby nature externally demonstrates the completion of the internal, development of the miasmatic malady throughout the whole organism. When the smallpox or the cowpox catches, this happens in the moment when in vaccination the morbid fluid in the bloody scratch of the skin comes in contact with the exposed nerve, which then, irrevocably, dynamically communicates the disease to the vital force (to the whole nervous system) in the same moment. After this moment of infection no ablution, cauterizing or burning, not even the cutting off of the part which has caught and received the infection, can again destroy or undo the development of the disease within. The same is the case, not to mention several other acute miasmas, also when the skin of man is contaminated with the blood of cattle affected with anthrax. If, as is frequently the case, the anthrax has infected and caught on, all ablutions of the skin are in vain; the black or gangrenous blister, nearly always fatal, nevertheless, always comes out after four or five days (usually in the affected spot); i. Does it not take three, four or five days after vaccination is effected, before the vaccinated spot becomes inflamed? Does not the sort of fever developed - the sign of the completion of the disease-appear even later, when the protecting pock has been fully formed; i. Does it not take ten to twelve days after infection with smallpox, before the inflammatory fever and the outbreak of the smallpox on the skin take place? What has nature been doing with the infection received in these ten or twelve days? Was it not necessary to first embody the disease in the whole organism before nature was enabled to kindle the fever, and to bring out the emption on the skin? Measles also require ten or twelve days after infection or inoculation before this eruption with its fever appears. After infection with scarlet fever seven days usually pass before the scarlet fever, with the redness of the skin, breaks out. What else but to incorporate the whole disease of measles or scarlet fever in the entire living organism before she had completed the work, so as to be enabled to produce the measles and the scarlet fever with their eruption. Among many persons bitten by mad dogs - thanks to the benign ruler of the world only few are infected, rarely the twelfth; often, as I myself have observed, only one out of twenty or thirty persons bitten. The others, even if ever so badly mangled by the mad dog, usually all recover, even if they are not treated by a physician or surgeon. Now if the venomous spittle of the mad dog has really taken effect, the infection usually has taken place irrevocably in the moment of contagion, for experience shows that even the immediate excision and amputation of the infected part does not protect from the progression of the disease within, nor from the breaking out of the hydrophobia - therefore, also, the many hundreds, of other much lauded external means for cleansing, cauterizing and suppurating the wound of the bite can protect just as little from the breaking out of the hydrophobia. From the progress of all these miasmatic diseases we may plainly see that, after the contagion from without, the malady connected with it in the interiors of the whole man must first be developed; i. A surgeon immediately, exsected the wound altogether, kept it suppurating and gave mercury until it produced a mild salivation, which was kept tip for two weeks; nevertheless hydrophobia broke out on the 27th of April and the patient died on the 29th of April. Of these chronic miasmata I shall for this purpose only adduce those two, which we know somewhat more exactly; namely, the venereal chancre and the itch. In impure coition there arises, most probably at the very moment in the spot which is touched and rubbed, the specific contagion. If this contagion has taken effect, then the whole living body is in consequence seized with it. Immediately after the moment of contagion the formation of the venereal disease in the whole of the interior begins. In that part of the sexual organs where the infection has taken place, nothing unnatural is noticed in the first days, nothing diseased, inflamed or corroded; so also all washing. The spot remains healthy according to appearance, only the internal organism is called into activity by the infection (which occurs usually in a moment), so as to incorporate the venereal miasma and to become thoroughly diseased with the venereal malady. On the other hand, are not the chronic miasmas disease- parasites which continue to live as long as the man seized by them is alive, and which have their fruit in the eruption originally produced by them (the itch-pustule, the chancre and the fig-wart, which in turn are capable of infecting others and which do not die off of themselves like the acute miasmas, but can only be exterminated and annihilated by a counter-infection, by means of the potency of a medicinal disease quite similar to it and stronger than it (the anti- psoric), so that the patient is delivered from them and recovers his health? This is therefore manifestly a chancre ulcer which acts vicariously for the internal malady, and which has been produced from within by the organism after it has become venereal through and through, and is able through its touch to communicate also to other men the same miasma; i. Now, if the entire disease thus arising is again extinguished through the internally given specific remedy, then the chancre also is healed and the man recovers. But if the chancre is destroyed through local applications* before the internal disease is healed, - and this is still a daily practise with physicians of the old school, - the miasmatic chronic venereal remains in the organism as syphilis, and it is aggravated, if not then cured internally, from year to year until the end of manÕs life, the most robust constitution being unable to annihilate it within itself. Only through the cure of the venereal disease, which pervades the whole internal of the body (as I have taught and practiced for many years), the chancre, its local symptom, will also simultaneously be cured in the most effective manner; and this is best without the use of any external application for its removal - while the merely local destruction of the chancre, without any previous general cure and deliverance of man from the internal disease, is followed by the most certain outbreak of syphilis with its sufferings. The itch disease is, however, also the most contagious of all chronic miasmata, far more infectious than the other two chronic miasmata, the venereal chancre disease and the figwart disease. To effect the infection with the latter there is required a certain amount of friction in the most tender parts of the body, which are the most rich in nerves and covered with the thinnest cuticle, as in the genital organs, unless the miasma should touch a wounded spot. But the miasma of the itch needs only to touch the general skin, especially with tender children.

Fur- thermore discount lopid 300 mg with amex treatment nail fungus, pain suppression of clonidine appeared to be independent of vasodepression and cardio inhibition (94) discount lopid 300mg on line medications varicose veins. When administered with pentazocine, clonidine caused a statistically signif- icant increase in pentazocine analgesia (95). Clonidine induced dose- and time-depen- dent suprasensitivity to norepinephrine, similar to that produced by morphine. Thus, clonidine and morphine possess comparable properties on the antagonism of chronic morphine tolerance; and this maybe the therapeutic basis for clonidine’s clinical appli- cation in the treatment of opiate addicts (96). Heroin and Alcohol There have been numerous reports of the enhancement of acute toxicity and fatal outcome of overdose of heroin by ethanol. There is evidence that systemic disease may be more preva- lent in users at greatest risk of overdose. It is suggested that pulmonary and hepatic dys- function resulting from such disease may increase susceptibility to both fatal and nonfatal overdose (97). In one study, at all ranges of free-morphine concentrations, there was a greater percentage of heroin deaths when ethanol was present (98). Toxicological evi- dence of infrequent heroin use was more common in decedents with blood ethanol con- centration greater than 1 µg/mL than in those with lower concentrations (99). Opioids and Opiates 141 Table 4 Drug Interactions of Some Opioids Object Precipitant Drug(s) Drug(s) Interaction Ref. Genotoxic Damage and Immunosuppression Opiate addicts have higher chromosome damage and sister chromatid exchange frequencies. These interactions of opiates with T lym- phocytes may regulate metabolism and could thereby be responsible for the sensitivity of cells from opiate addicts to both genotoxic damage and immunological effects (100). Before attributing death due to narcotism purely on the basis of circumstantial evidence, it is essential to exclude other natural or unnatural causes of death such as 142 Moallem, Balali-Mood, and Balali-Mood spontaneous intracranial hemorrhage, occult subdural hemorrhage, or evidence of non- narcotic drugs. Postmortem Appearances The appearances could be divided into external and internal: 1. The postmortem lividity is intense, almost black, and is better seen in a fair-skinned body. There is froth at the mouth and nose, but neither so fine nor as copious as in drowning. Internal: the stomach may show the presence of small, soft, brownish lumps of opium and the smell of drug may be perceived. The internal organs, especially the trachea, bronchi, lungs, and brain, exhibit a marked degree of venous congestion. In addition, the trachea and bronchi are covered with froth and the lungs are edematous. Associated with edema of the lungs, the intense lividity of the face almost approaching to blackness should make one suspicious of opium poisoning as the cause of death. At autopsy of an individual who has died of an overdose of heroin, the lungs are heavy and show congestion, though the classic pulmonary edema mentioned in some of the other textbooks is not always present. Microscopic examination of the lungs commonly reveals foreign-body granulomas with talc crystals and cotton fibers. Sam- ples of the venous blood, urine, stomach and contents, liver, and in some circum- stances, additional samples such as bile, cerebrospinal fluid and vitreous humor, kidney, and brain, may be taken. When the drug has been injected, an ellipse of skin around the injection mark extending down through the subcutaneous tissue to the muscle should be excised, along with control area of skin from another noninjected site (102). Toxicological Analyses Various analytical methods for the estimation of morphine and its derivatives have been reported. The most reliable methods are gas chromatography–mass spec- trometry and radioimmunoassay. Blood and urine as well as the other samples such as gastric contents and the organ tissue extracts may be analyzed. In order to identify a certain opiate or opioid, a highly specific method should be used to determine the parent drug as well as the metabolites.

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A useful drug is a drug molecule that is not only safe and efficacious trusted lopid 300 mg 897 treatment plant rd, but also one that can pass government regulations lopid 300mg for sale treatment jaundice, pass through multiple levels of human clinical trials, be economically produced in large quantities, be successfully marketed, and can ultimately help people with disease. Perhaps the greatest hurdle along the pathway of a molecule becoming a useful drug is the need to sequentially pass clinical trials. However, before a drug can be evaluated in human clinical trials, it must first successfully negotiate preclinical test- ing. This frequently involves five or six types of test, and is completed in non-human animals: 1. Acute toxicity — acute dose that is lethal in 50% of animals; usually two species, usually two routes of administration 2. Subacute toxicity — physiology, histology, autopsy studies; two species, sometimes with dosings over a 6 month time period 3. Mutagenic potential — effects on genetic stability of bacteria (Ames test) of mammalian cells in culture 5. Carcinogenic potential — required if drug is to be administered for prolonged periods of time 6. Reproductive performance effects — effects on animal progeny, production of birth defects Once a molecule successfully passes the preclinical testing, it is ready for human clin- ical trials. Phase 1 — the effects of the drug as a function of dose are measured in a small number (25–45) of healthy volunteers who do not have the disease under study; safety is primarily evaluated. Phase 2 — the drug is studied in a small number of people (20–150) who have the disease under study; both safety and efficacy are evaluated. The timeline for drug discovery and development is long, adding to the high cost of drug development. Phase 4 — once the drug has been approved for market, vigilant post-marketing sur- veillance is done to ascertain the possible appearance of previously undetected tox- icities or problems. During the drug development phases, toxicity is one of the most important hurdles to the success of a drug molecule. Toxicity can affect the person who is taking the medication (causing skin rashes, liver problems, bone marrow failure, etc. Toxicity problems have resulted in many drugs being withdrawn from the market, as shown in table 3. Successful completion of the four phases of human clinical trials enables a drug to be widely distributed for the treatment of human disease. However, a simple reality of drug discovery is that drugs are developed by industry. The lead compound may have been identified in an academic university-based laboratory, but the clinical trials are invariably completed by the industrial sector. Because of this, drug molecules tend to be developed only if they have a good prospect for being profitable. In order to be profitable, a drug molecule should be patented so that the vendor can enjoy exclusive rights to its marketing. Many drugs that are successful in the pharmacodynamic phase ultimately fail to become useful drugs. This pie-chart presents the reasons for failure at this stage of the development process. X-ray crystallography of drug molecule–macromolecule interactions as an aid to drug design. Toronto: Jones and Bartlett, (excel- lent description of syntheses of diazepam, ibuprofen, sertraline). Comparative study of lipophilicity versus topological molecular descriptors in biological correlations. Novel approaches to the design of safer drugs: soft drugs and site–specific delivery systems. Use of artificial intelligence in structure–activity relationships of anticonvulsant drugs. Quantitative structure–activity relationship methods: perspectives on drug discovery and toxicology.

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Empirically it has been used in a few cases of nephritic colic with the most marked results buy generic lopid 300 mg line symptoms 4 weeks 3 days pregnant. Apiol—This is a yellowish discount lopid 300mg otc treatment zoster ophthalmicus, oily liquid, not volatile, heavier than water, odor peculiar and distinct from that of the plant, taste acrid, Ellingwood’s American Materia Medica, Therapeutics and Pharmacognosy - Page 99 pungent. Therapy—An infusion of parsley is beneficial when, with nephritis or cystitis, the specific gravity of the urine is high, and the urination painful and irritating to the mucous membranes. It is useful in gonorrhea and strangury, with great irritation of the parts, with heat, or a scalding sensation on passage of urine, and can be given during the inflammatory stage. Five or six minims in a capsule, three times daily, for six or eight days before the menstrual epoch will restore the flow in many stubborn cases. It controls excessive night sweats, either from phthisis, or following protracted malarial disease. Cascara Amarga, sometimes known as Honduras Bark, is advised in syphilis as an active alterative. The line of its action is where there is chronic skin affection or where the pustular variety of the syphiloderm prevails, the conditions being induced by debility, thus needing a specific tonic influence. It soothes the stomach, overcomes sensitiveness or ready irritability of this organ, increases the appetite, and improves general tonicity. Therapy—Senna is an efficient remedy, mild, kindly, certain and uniform in its action. It is a constituent of the larger number of the proprietary laxative or cathartic compounds, syrups, cordials or elixirs. It produces normal evacuations of the bowels and if used carefully there is but little griping. It is used after surgical operations, after confinement, in the constipation of the feeble, and. It is not used where a powerful derivative is needed, or where active cholagogue or hydragogue influence is demanded. Co-operatives—In combination with ginger, capsicum or black pepper, it is useful in atonic conditions with inactivity of the bowels. With magnesium sulphate, or potassium bitartrate, it will induce more of a hydragogue effect. In combination with leptandra it acts more specifically upon the liver; with jalap, and ginger it was long known as antibilious physic and was given whenever “biliousness” was diagnosed; with rhubarb and peppermint it is a tonic, laxative and carminative of greatly improved value. It is the active constituent of the well known and popular, Compound liquorice powder. The composition of this powder is, as follows: Senna and liquorice in fine powder, of each two ounces; fennel fruit, sublimed sulphur, of each one ounce; refined sugar, six ounces. Ellingwood’s American Materia Medica, Therapeutics and Pharmacognosy - Page 101 The following is an excellent, simple laxative: A strong, infusion of senna leaves is made and strained. One of these three or four times daily will overcome many cases of constipation, especially when the tendency is only temporary, or due perhaps to other conditions, temporary in their character, as during tedious convalescence. Figs and senna leaves, chopped together, finely, have been long in use for laxative purposes. The evidence adduced would lead to the conclusion that certain conditions not yet determined, must be present if it exercises curative powers. It should receive thorough investigation to determine the specific conditions in which it will exercise a curative influence. If it proves curative in whooping-cough it should be found of service in other bronchial coughs with free secretion. Ellingwood’s American Materia Medica, Therapeutics and Pharmacognosy - Page 102 It is often necessary to continue this remedy, in whatever form given, over a considerable period of time in order to obtain its best results. Specific Symptomatology—Felter and Lloyd give the following indications: Uterine pain, with fullness, weight and pain in the legs-, fullness of tissues, as if congested; debility of the nervous system, with impaired muscular power; spasmodic muscular pains, articular pain, rheumatic pains of asthenic plethora, epigastric and umbilical colicky pains, dull frontal headache, great thirst; as an oxytocic; to relieve false pains and uterine irritability; sexual debility, with excitability; spas- modic uterine contractions, dysmenorrhea, irregular menstruation, cramp-like pains in the stomach and bowels after eating, pain in the toes and fingers not due to tissue changes. Therapy—In chronic uterine disorders, in broken down constitutions with various reflex symptoms, the remedy is a specific. In the amenorrhea of young women, at the commencement of the menstrual period, it may be given with confidence.

She has a heart murmur buy 300 mg lopid overnight delivery 7r medications, occasional pain in knees and wrists generic lopid 300mg mastercard treatment for shingles, and a long history of period-related problems. A case must be further advanced for the virus to be so prevalent that the virus is in the blood serum. Thallium is to the body what termites are to a wood frame house—just a question of time before health collapses. He is instructed to put a hot, wet towel under his armpit daily to draw it to the surface. He may begin readiness program (07, peroxy) for liver cleanse to clear his bursitis. He had no further episodes of passing out but was unable to recover from a recent flu. The cancer test, ortho-phospho- tyrosine, was positive, and tungsten was showing its presence in all his body tissues. He soon got rid of his cancer and by changing his water sources and doing dental work he got rid of the tungsten problem. We saw him again a half year later for frequent burping and diffi- culty swallowing. He was put on a high dose parasite killing program and dental repair was recommended. A half year later he became ill again with prolonged flu and pressure on his chest. He was to switch off commercial beverages and will take Milk Thistle capsules temporarily, to assist the liver. And he will return to a high dose parasite killing program followed by a maintenance program. I sus- pect tapeworm heads have been released in his liver by the solvents; they are shedding eggs. If he had accepted the tranquilizer a few years ago, without pursuing the true cause of his illness, namely parasites and solvents, he would be a permanent invalid today. When it was found, he was told it was inoperable and untreatable so he is not on chemotherapy or radiation. He feels this is the end for him, but I assured him he had a lot of life left, so he had better quit smoking again. No other parasites or solvents were tested for at this time since his appointment time was extra short. He will start on a parasite killing program and avoid picking up new parasites in undercooked meats. He will increase the digestive enzymes we started him on to double the amount and see if he gets some relief from abdominal pains. Remainder of elements were not tested, since this is as much as he can cope with in the next week. Two weeks later He missed an appointment due to transportation problems; this is very unfortunate. Hopefully, he can clean them up before his lungs are completely out of commission: 88 Mick Gammon Myelo Monocytic Leukemia This is an elderly man with some slowness of movement and thought. At this point, I omitted testing other metals often found in tooth metal to save time. Gammon appeared healthier today, in better command of his communication; he spoke for himself instead of letting his wife do it for him. He will get new plastic dentures at home in Nebraska after calling the Huggins Institute for the name of a dentist. He will start on thioctic acid, 100 mg, taken twice daily for 6 months to remove metal from his tissues. Gammon experi- enced a quantum leap of improved health after the metal was removed from his mouth. Steven Aust Synovial Cell Sarcoma Steve is 24 years old and is here from Detroit for a sarcoma (Synovial Cell Sarcoma) on the outer thigh of his left leg. Hopefully, he has carried out his instructions and will surprise us with a visit soon. With this critically ill person here from so far away, I made a second office visit possible for him 7 hours later in the same day. He went off all benzene products and propanol products and took a shower in the meanwhile.

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Note that the test showed fluke stages at the cervix and uterus when these had been removed! She had a mastectomy 11 years ago but now the cancer is back generic lopid 300mg on line treatment magazine, under the same breast and armpit buy cheap lopid 300mg online medications nurses. She will stop essential oil products immediately since I know they have benzene pollution in them. Phosphates high (over 4) dissolving bones - reduce phosphate in diet, increase milk, fruit, and vege- tables) 4. She will start on a 5 day high dose parasite program and then continue on maintenance as before. Also, her recent plastic fillings can not be ruled out (remember all dental composites contain barium to enable them to show up on X-ray). I believe they were started when she began to get benzene in the new essential oil product. They will probably recur each time she is indiscreet and allows herself commercial beverages or goes off the parasite maintenance program. In this way, the shingles will serve as a watch dog for her and remind her to clean-up before a cancer would return. Since bone cancer is seldom the primary cancer, they searched for the primary source and found it in the lung. Go off all commercial cosmetics and shampoo and the whole isopropyl alcohol pollution list. Summary: Beth planned to do everything perfectly; her lower back pain was gone, and she did not need to return. Her cancer was ready to burst out at her breast and pancreas, but she got it all stopped and was enjoying planning her future again. Her entire colon has been removed surgically for colitis; there is no rectum or anus. But her eyes light up at the mention of cats, as if they had nothing to do with her condition. She has extreme allergies - to almost everything; I would suspect Sheep liver flukes as well as Strongyloides. Summary: Susan came to the office for migraines, never suspecting that this could be due to a tiny parasite, threadworm, that cats could bring her. Her chances of recovering from migraines are zero, but maybe she can reduce them a lot by treating her pets daily with a parasite program designed for them. Indeed, she did have the Sheep liver fluke; this causes terrible obstruction in the liver bile ducts; how can the liver detoxify food chemicals with such a severe handicap? Together, these two flukes are probably keeping the pancreatic fluke out of the liver, relegating it to bladder and kidney, besides pancreas. The other solvents may have their favorite target organs, too, causing parasitism there. The antimony may be in her hand cream, she will switch to our skin softener and apricot kernel oil. But the arsenic is a real problem because she needs to treat the house and cats with pesticide frequently. Four weeks later (5 weeks after first visit) She is still complaining about memory lapses. After 3 weeks she will be on the usual maintenance program of twice a week treatment, including Rascal. Carol Masters Intestinal Cancer Carol was accompanying another client of ours and after seeing what our diagnostic system could do, she wanted to be tested for cancer before leaving. She will not eat beef; turkey, or chicken in restaurants, and will cook them as if they were pork at home. Dan Hudgins Prostate Cancer Dan is a youngish man brought in by his sister in great secrecy. His sister said he was diagnosed with prostate cancer a few weeks ago, al- though he was given a clean bill of health at a different clinic. His sister discreetly pointed out, here, that Dan is not likely to come in for a follow up; the implication was that we must do all we can in one visit. Summary: What a blessing it is for some of us to have a sister or brother, so truly interested in our welfare that idiosyncrasies are overlooked. Notice that the two big flukes were thriving in his body, but the pancreatic fluke which he must be picking up frequently, too, had not gotten established.

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