Clinical Considerations of anorexia nervosa
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– Appetite is defined as an natural desire for food. It has a unique control mechanism that is mostly localized in the hypothalamus and an unspecific manage mechanism in the limbic system. Hence, appetite is basically subject to psychological command.
– The gustatory nerves (vagus nerve) in the mouth induce the production of saliva and gastric juices.
Herbal and general treatment measures: Pleasant-tasting bitters can be used to induce the appetite and the production of gastrointestinal juices. The patients usually become comfortable to the approved herbs or herb formulations within a few weeks, so the herbal remedies soon lose their initial efficiency. This makes it necessary to periodically replace to various natural formulations to keep treatment effectively.
➤ Medical benefit of natural treatment: Bitters used to activate the appetite are a best example of the effectiveness of natural and organic treatments simply because, in this case, no comparable man-made solutions are out there.
Natural Appetite Suppresant
Distinction: Bitters are separated into the following four groups: tonic bitters (tonic substances), astringent bitters (tannins), aromatic bitters (essential oils), and acrid bitters (pungent substances).
➤ Tonic bitters (amara tonica): Centaury leaf (Centaurii herba); artichoke leaf (Cynarae folium); cinchona bark; gentian root (Gentianae radix); horehound herb (Marrubii herba); bogbean leaf (Menyanthidis folium); dandelion root and herb (Taraxaci radix cum herba); chicory leaf and root (Cichorii herba et radix).
➤ Astringent bitters (amara adstringentia): Condurango bark (Condurango cortex—use only in combination with other herbal remedies); cinchona bark (Cinchona cortex).
➤ Aromatic bitters (amara aromatica): Wormwood herb (Absinthii herba); bitter orange peel (Aurantii pericarpium—use only in combination with other herbal remedies); calamus root (Calami rhizoma); angelica root (Angelicae radix); blessed thistle (Cnici benedicti herba); yarrow herb and flower (Millefolii herba et flos).
➤ Acrid bitters (amara acria): Cinnamon bark (Cinnamomi cassiae or ceylanicicortex); galangal root (Galangae rhizoma); ginger root (Zingiberis rhizoma).
➤ Contraindication to natural treatment
– Gentian: Must not be employed by persons with gastric or duodenal ulcers.
– Wormwood: Should not be used while in maternity.
– Calamus (sweetflag): Should not be used for the duration of maternity or by youngsters below 12 years old.
➤ Measures
– Bitters initially induce the release of saliva. Once they reach the stomach, they stimulate the release of gastrin, thus enhancing upper gastrointestinal mobility. Bitters also stimulate the release of bile, pancreatic juices, and pepsinogen.
– Bitters stimulate the appetite of patients who lack gastric juices (achylia) owing, for example, to chronic atrophic gastritis.
– Bitters do not stimulate the appetite of healthy individuals.
– Overdosage can lead to a digestion-suppressive effect.
– Bitters are usually not effective in treating cancer-related anorexia. However, one should try the different formulations.
➤ Adverse reactions
– Although rare, head aches may happen in vulnerable persons.
– Angelica root can trigger photosensitivity. Persons using it should prevent extensive sun exposure.
➤ Dosage and administration
– Bitters should be taken 15 to 30 minutes just before meals and implemented at doses large enough to be efficient.
– Bitters should be temporarily retained in the mouth before ingesting.
Variety of Applications
To Stimulate the Appetite in Useful Achylia (lack of gastric juices) Secondary to an Acute Infection
➤ Gentian root; centaury herb; bogbean.
– Dosage and administration
• Gentian root: Steep 1 teaspoon of the carefully sliced natural herb in 1 cup of water for 5 minutes.
• Centaury herb: Steep 1 to 2 tsp in 1 cup of boiled water for 15 minutes.
• Tea Rx: Centaurii herba, Menyanthidis folium, Calami rhizoma, aa 20.0. Simmer 1 tbsp in 1 litre of water for 15 mins. Single dose: 1 cupful. Heat before use.
• Gentian extract: 0.5–2.0 g herbal preparation , 2 times a day, e. g., in pill form.
• Centaury extract: 1–2 g, several times a day, e. g., in pill form.
• Bogbean leaf tincture: 20 to 40 drops in 1⁄2 glass of water; sip slowly.
• Gentian tincture: 20 to 40 drops in 1 glass of water before each meal (very potent).
Note: Bitter teas, extracts, and tinctures should be taken before each meal.
– Medical benefit: There are no man-made drugs with similar results. Bogbean tea has an particularly effective result. Swallowing bitter preparations in capsules is less efficient than use of preparations where the bitter taste is tasted in the mouth.
Anorexia in General Tiredness or Exhaustion
➤ Additional sign: For common roborant and stimulant effects after medical procedures.
– Tincture Rx: Tinct. Cinchonae comp. Tinct. Rhei vinosae, aa 25.0.
– Dosage and administration: 1 teaspoon, 30 minutes before meals, 3 times a day.
– Medical advantage: Comparably pleasant tastes, low-potency solution.
Anorexia in Vegetative and Constitutional Weakness
➤ Combined Cinchona Tincture containing 6 parts cinchona bark, 2 parts bitter orange peel, 2 parts gentian root, and 1 part cinnamon.
– Dosage and administration: 20 drops in a glass of lukewarm water, 30 minutes before each meal. Long-term use is recommended.
– Clinical value: Easy to use, comparatively good taste. Gastric Anacidity, Achylia, and Anorexia (in the elderly)
➤ Tea Rx: Absinthii herba, Menthae piperitae folium, aa 30.0.
– Dosage and administration: Steep 1 teaspoon in 1 cup of water for 10 minutes and strain. Take 1 cup, just before meals, 2 times a day. Sip slowly and gradually.
– Medical benefit: This is an alternatively efficient solution, but is soon rejected by many patients due to the fact of its bitter taste. Anorexia (early stages)
➤ Yarrow herb; peppermint leaf; centaury herb; calamus root.
– Dosage and administration: Take 30 mins just before meals.
– Tea Rx: Centaurii herba, Millefolii herba, Menthae piperitae folium, aa 20.0. Steep 1 tsp . in 1 cup of boiled water. Take in, cold or lukewarm, just before meals.
– Calamus tincture: 5 to 10 drops in a glass of water, thrice a day.
– Medical benefit: The efficiency of these uses has not been recorded in medical studies. Calamus tincture should not be administered to youngsters, or while in maternity. Lack of Appetite and Functional Upper Abdominal Problems (in situations where carminative, cholagogue, and mild antispasmodic results are desired.
Lack of Appetite and Insufficient Peristalsis
➤ Ginger root
– Dosage and administration: Ginger tea or tincture should be taken 15 to 30 mins just before meals.
– Dried ginger root: Pour 1 cup of hot water onto 1 tsp . of the coarsely powdered herb, then cover and steep for 5 to 10 mins.
– Ginger tincture (1 : 5): 10 to 20 drops in 1⁄2 to 1 glass of water.
Helpful substitute solution.
Medical benefit: Instead of well accepted. Big inter individual differences in the effectiveness of these treatments can be noticed. Anorexia in Severe Organic Diseases (Cancer)
➤ Calamus root.
– Dosage and administration: Calamus tincture: 20 to 30 drops in a glass of water, 15 to 30 minutes before meals, 3 times a day.
– Clinical value: Herbs that induce the appetite are not very efficient for this sign.
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