Medical Herbalism: Clinical Articles and Case Studies |
Respiratory - Bronchitis case study
by Paul Bergner
Medical Herbalism 09-30-93 5(3): 8-9
(From case files, National College of Naturopathic Medicine)
Patient: Twenty-one year-old female, 5’4", 115 lbs
History: smoker; allergies to pollen; history of chronic bronchitis.
Botanical treatment:
Tussilago farfara (coltsfoot), Verbascum thapsus (mullein), Glycrrhiza glabra (licorice).
Signature: Take 1 tbls in a cup of warm water four times a day for 5 days.
Other Treatment: hot fomentation to chest
Follow up: three days after initial treatment.
The patient has a lot of mucous, difficulty expectorating, and a dry cough.
Botanical treatment
Tincture: Echinacea spp. (Echinacea). 2 parts Eryiodictyon (yerba santa), 1 part Usnea barbata (old man’s beard), 2 parts Glycyrrhiza glabra (licorice)
Signature: 25 drops four times a day for two days, then 30 drops a day until gone.
Follow up: six days after initial treatment.
Patient responded well. No return visit scheduled.
Comments:
It
is no small feat to abort a respiratory infection in six days in a patient
with a history of chronic bronchitis. The first formula is a combination
of plants with expectorant, demulcent, and anti-inflammatory properties.
The second formula is more interesting, being tailored exactly to the patient’s
symptoms. The antibiotic and immune-stimulating herbs (usnea and echinacea)
are important as it becomes evident the cough is not clearing up on its
own. Yerba santa, a stimulating expectorant, is given for the lack of expectoration
(despite plenty of mucous elsewhere), but in a smaller proportion than
the other herbs. Stimulating expectorants must be used with caution in
a dry cough because they stimulate mucous secretion by irritating the tissues.
If the tissues are already irritated, these plants may make the inflammation
worse. Thus glycyrrhiza, which is demulcent and anti-inflammatory, is also
included, in twice the amount of the yerba santa.
Copyright
2001 Paul Bergner 354
|
Medical Herbalism: Clinical Articles and Case Studies |
Copyright
2001 Paul Bergner 355
|