Compiled By Dr Faeeza AbdullatiefCompiled By Dr Faeeza Abdullatief

Changes in temperament

Cold & Moist

Moist & Hot

Hot & Moist

In the journey from childbirth to puberty there is a gradual, almost imperceptible, change of temperament from moistness to heat:

Moist Hot Moist

Significance of qualitative changes� As moistness -growth of the brain

� During this period of growth there is intense metabolic activity, reflected as a high basal metabolic rate (BMR). Additional moistness, together metabolic rate (BMR). Additional moistness, together with heat, is required to facilitate this growth period.

� There is a correlation between this ideal moisture level and growth spurt, with the sleeping pattern of infants and children who require adequate rest and sleep.

� At the same time, however, the excessiveness of moistness is the basic underlying cause of most illnesses typically associated with children.

Conditions children are

predisposed to� As mentioned previously, most clinical conditions

covered in paediatrics are the result of excess accumulation of moisture. The temperament of infants and young children falls in the moist section (Cold & Moist, to Moist & Hot). Besides the disorders (Cold & Moist, to Moist & Hot). Besides the disorders associated with infection, such as mumps, chicken pox and measles, disorders such as vomiting, diarrhoea, and earache are all the result of phlegmatic accumulation. Constipation, another common complaint in children is the result of impaired digestion, which arises because of excess moistness & cold.

General guidelines of treatment

for paediatric conditions� Treatment of the conditions associated with

paediatrics will be addressing the temperamental imbalances, which are mostly excessive qualities of moistness and/or cold.moistness and/or cold.

Herbal Rx in children� Factors that play a role: safety-age and weight

� Mode of administration: more commonly orally of herbal teas or extracts, herbal baths for neonates and infants (larger skin surface area for absorption)and infants (larger skin surface area for absorption)

� Factors influencing GIT absorption: immature digestion, diarrhoea and malnutrition

� Gut flora: � Neonates form gut flora from mother’s microbes in the

vaginal canal at birth during delivery

� Exclusive Breastfeeding promotes growth of good gut flora which also affects therapeutic effect of meds

Dosage and Dosage forms� Considerable care and caution should be exercised in

infants under 12 months.

� Body weight, fast metabolism in children and age of child should be taken into account.

Alcoholic preparations should be heated at 80 degrees � Alcoholic preparations should be heated at 80 degrees celcius for evaporation to occur but could damage the activity of some of the herbs.

� Recommended calculation:

(1.5 x weight in kg + 10) yields the percentage of adult dose

e.g. if child weighs 20 kg, then that child should receive (1.5x20) + 10= 40% of the adult dose

Multi ingredient herbal formula

calculationFor children under 2 years old:

Age in months x adult dose = child’s dose

150

Taste compliance issues: masking a bitter tasting herb to increase compliance . • E.g. honey, maple syrup, other

better tasting herbs such as glycertracts- marshmallow root, Echinacea.

• Jelly preparations with herbal extracts or taken with fruit juice

Common neonatal conditions

Nappy Rash/ dermatitis:� Aetiological factors :due to friction, wetness, urine, faeces

� Rx: minimise aetiological factors, minimise intake of dairy products and pasteurised milk, adjust diet (wheat sugar and additives). Adequate cleansing is important.

� Barrier creams: Calendula or Chamomile (bit milder). Tea tree � Barrier creams: Calendula or Chamomile (bit milder). Tea tree is good for more fungal related candida albicans infections.

� Formula 1:Calendula 1:2 2.5ml 25% alcohol

Lavender essential oil 2 drops

Natural cream base 50g

� Formula 2:Calendula 1:2 2.5ml 25ml alcohol

Natural base cream (vegetable base cream/lanolin) 50g

Apply 3xdaily after nappy changes

Cradle cap: infantile seborrhoeic

dermatitis (ISD)Pathogenic organisms- pityrosporum ovalePossibly also due to a deficiency in the production of the metabolites of linoleic acid specifically GLA� Rx: topical application of borage oil 5ml BD,

containing 25% GLA are found to be containing 25% GLA are found to be beneficial.

Evening primrose oil 1-2 capsulesNatural cream base 50gLicorice extract 1ml of 1:1

Pierce capsules with sterile instrument and blend evenly with a suitable cream and apply 3xdaily

Infantile colic (IC)� “Rule of 3”: crying for more than 3hrs a day, 3x week for

more than 3 weeks.

� Aetiology of gut spasmolytic activity

� Rx formulations for child:� Rx formulations for child:

Chamomile 1:2 20ml

Fennel 1:2 20ml Formula 1

Lemon balm 1:2 20ml

Calculate according to guidelines for age and weight. Administer 3x daily in water or juice

Chamomile 1:2 25ml Formula 2

Fennel 1:2 25ml

Dose: 8 drops blended into 10ml of breast milk- administer with syringe 3xday

� Rx formulation for mother:

Withania somnifera (ashwaghanda) 1:2 100ml

Dose: 2.5ml with water 3 x daily

Dermatology

Eczema

� Hot & Moist frame – excess/abnormal sanguinoushumour. Pathway 2.

� Background: Eczema is a common (one in six children) itchy skin disease, with symptoms of reddening (erythema) and vesicle formation, which may progress to crusting and and vesicle formation, which may progress to crusting and weeping. It is often associated with asthma and allergic rhinitis. When it occurs on the scalp and face, it is prevalent in people with HIV/AIDS. The usual symptoms, after an itchy skin, are scaling, dryness, redness, skin thickening and sometimes the eruption of small blisters. As the child gets older, the skin problems migrate from the face and scalp, to the elbow and knee bends.

Causes and risk factors

� The causes may arise from outside – exogenous – and include toxins associated with climate changes, central heating, dust mites, emotional stress, contact with particular chemicals and certain foods. Or the cause particular chemicals and certain foods. Or the cause may arise from within – endogenous – and be due to a genetic factor. Most often eczema in children is due to a physis response to reduce excess moisture.

Tibb medicinal ingredients/herbs

� The following ingredients are recommended, in simple or compound formulations, for the treatment of the above condition:

� Azadirachta indica; Smilax china; Nymphaea lotus; Swertia chirata;Tephrosia purpurea;

� Ocimum canum; Rosa damascena ; Cassia occidentalis. � Neem, silybam marianum, aloe vera juice, dandilion, calendula, � Neem, silybam marianum, aloe vera juice, dandilion, calendula,

senna, rheum palmatum, basil, henna (lawsonia intermis)� African healing clay, volcanic ash clay, paw paw leaves wrap

overnight� Oats and honey mixture as external application. � Tincture cream: Aqueous cream + Calendula

Tibb medicine� Livotibb Syrup; heamoclear Syrup; Hiknol Ointment; Calm Cream,

takzema ointment and tablets

External applications� Younger children: mix Epizone E and Rooibos tea- helpful in atopic dermatitis/eczema

Homemade Healing Salve For scars or blisters from eczema that take longer to heal, a homemade healing salve was helpful for us. Our son would get eczema on his face before we were able to heal his gut and we are still working on reversing the scars from that. One thing that is helping is this homemade healing salve- helpful on eczema as well as: cuts, bruises, stings, poison ivy and skin irritations. It also helps diaper rash and baby skin irritations- just don’t use with cloth diapers or line them first!

You Will Need:� 2 cups of olive or almond oil� 1 tsp echinacea root (optional)� 2 tablespoons comfrey leaf� 2 tablespoons of plantain leaf (herb-not banana!)� 1 tablespoon of calendula flowers (optional)� 1 teaspoon yarrow flowers (optional)� 1 teaspoon of rosemary leaf (optional)� 1/4 cup beeswax pastilles� 1/2 tsp grapefruit seed extract or vitamin E oil to preserve

How To Make Healing Salve:� Infuse the herbs into the olive oil. There are two ways to do this.

You can either combine the herbs and the olive oil in a jar with an airtight lid and leave 3-4 weeks, shaking daily OR heat the herbs and olive oil over low/low heat in a double boiler for 3 hours (low heat!) until the oil is very green.hours (low heat!) until the oil is very green.

� Strain her herbs out of the oil by pouring through a cheesecloth. Let all the oil drip out and then squeeze the herbs to get the remaining oil out.

� Discard the herbs.� Heat the infused oil in a double boiler with the beeswax until

melted and mixed.� Pour into small tins, glass jars or lip chap tubes and use on bites,

stings, cuts, poison ivy, diaper rash or other wounds as needed.

Home remedies

1 Coconut Oil : a thin layer of coconut oil or a coconut oil lotion barhelps cool eczema itching and pain. For those sensitive to coconut oil, these hypoallergenic lotion bars work really well too.2. Sea Spray� For eczema that is wet/oozing, I’ve found that drying it works better

than trying to moisturize it and offers relief. For this, we use a homemade salt and magnesium spray. I’ve often heard people with skin problems say that they felt better at the beach, and it makes sense. Between the Vitamin D, the magnesium and the minerals in the water, the beach is great for skin health!.For those who don’t live near sense. Between the Vitamin D, the magnesium and the minerals in the water, the beach is great for skin health!.For those who don’t live near the ocean, this homemade spray can help achieve some of the same benefits at home.

3. Fermented Cod Liver Oil� Cod Liver Oil/High Vitamin Butter Oil are a great source of the fat-

soluble vitamins A,D, E and K and as such are supportive of hundreds or processes in the body. You can sneak the chocolate flavored gel into smoothies though

4. Magnesium Baths� For some people with eczema, soaking in water makes it worse. For those who tolerate it,

magnesium baths and other types of detox baths can be helpful in skin healing.� I regularly add a cup of epsom salts or magnesium flakes and a few tablespoons of Himalayan

salt to my kids baths. When I have the time, I take relaxing baths in this mixture also.� When I can’t take the time for a bath, magnesium oil also helps. Amazingly, I notice the

benefits of transdermal magnesium (baths or magnesium oil) much more quickly than when I take internal forms of magnesium.take internal forms of magnesium.

� Recipe for magnesium bath:1-2 cups of epsom salts or magnesium flakes(magnesium flakes are absorbed much more easily)1/2 cup Himalayan or Sea Salt1/2 tsp of natural vanilla extract10-15 drops of essential oil of choice (I love lavender and mint)5. Probiotics: Since gut bacteria is so important, probiotics are one supplement I always make sure to take. You can get some probiotics in fermented food and drinks

Infectious disease� Chicken pox (Varicella)

� Herpes Varicella Zoster (Shingles)

� Measles

Mumps� Mumps

� Helminthiasis (worms/ Parasites)

Measles� Hot & Moist frame – excess sanguinous humour. Pathway

2.

� Background

� Measles is a highly contagious childhood illness, with a characteristic symptom profile. Measles occurs throughout the characteristic symptom profile. Measles occurs throughout the world, and in developing countries it is a disorder of winter and spring. Infected children should be quarantined for 3 weeks.

� Adults are also susceptible to contracting measles. Measles usually runs its course in about ten days.

� In terms of temperament, measles is a Hot & Dry to Hot & Moist (associated with heat) due to an accumulation of the bilious humour at the vascular level that affects the respiratory tract, eyes and skin.

Clinical featuresThere are two phases to measles:� The prodromal or introductory phase: cold-like symptoms develop – fever,

coughing, sneezing, runny nose and red eyes (conjunctivitis) that may be sensitive to light.

� The characteristic rash phase: several days later, tiny red spots with white centres erupt in the mouth and throat (Koplik spots). The throat becomes sore, and a red, flat (maculopapular) rash erupts on the forehead and ears. The spots precede the rash by 2 to 3 days. Over a period of five to seven days the rash spreads over the entire body. It lasts (maculopapular) rash erupts on the forehead and ears. The spots precede the rash by 2 to 3 days. Over a period of five to seven days the rash spreads over the entire body. It lasts for about 5 days, with full recovery generally.

� Measles is most infectious during the prodromal phase.� Complications can arise due to incorrect treatment. These arise from over-enthusiastic

suppression of fever, an excessive cold diet and exposure to a cold environment.There are two groups of complications:� Non-neurological: middle ear infection, bronchitis, croup, pneumonia and encephalitis

or meningitis. � Neurological: convulsions due to fever and encephalitis.

Measles

Home remedies for measles:

� Drink orange or lemon juice at regular intervals during the day. The citrus flavor of these fruits can offset the loss of appetite brought on by the infection. Lemon and orange juices also help reduce dehydration and boost immunity with their vitamin C content.with their vitamin C content.

� Turmeric powder mixed with honey or milk can aid recovery from measles and boost immunity.

� Children can be given powdered licorice mixed with honey to reduce coughs and sore throats.

� Barley water can offer relief against dry, heavy coughs during measles

� A barley/oatmeal bath can also soothe irritated skin and make the rash less itchy.

Chicken pox (Varicella) � Moist & Hot frame – excess/abnormal phlegmatic humour.

Pathway 2. Background� Chicken pox is a common, usually mild but highly infectious illness of

childhood, featuring an itchy rash. Most children contract this childhood disease before the age of nine.childhood disease before the age of nine.

� In terms of temperament, chicken pox is a Moist & Hot imbalance due to an accumulation of the phlegmatic humour at the vascular level.

Causes and risk factorsChicken pox is the body’s response to infection with a type of herpes virus (varicella zoster), which is transmitted from person to person either by droplets from coughing and sneezing, or by touching the rash or clothes in which it has come into contact . It can be transmitted from people who have shingles.

Clinical features

� Chicken pox is infectious from one to two days before the rash develops. The rash appears as numerous small round “pimples” on both face and body. These are filled with fluid, and look like water blisters. The fluid leaks (erupts) fluid, and look like water blisters. The fluid leaks (erupts) from the swollen areas of the skin, forming a crust. These eruptions continue in cycles lasting from three days to one week. The blisters and crusts are infectious and itchy, and scratching them usually leads to infection and scarring. The chickenpox rash can last for up to two weeks.

� In children, chicken pox is usually mild in severity, but in babies it can be severe, even life- threatening.

Difference between measles and

chicken pox

Herbal formulations for varicella� Diaphoretic formula:

Yarrow 1:2 40mlElder Flowers 1:2 40mlPeppermint 1:2 20ml

Calculate dosage for age and wt. taken with warm water 3-5x daily if fever is present

� Topical Rx for rash:Licorice 1:1 2mlRhubarb root or cats claw 1:2 2mlRhubarb root or cats claw 1:2 2mlEchinacea angustifolia 1:2 2mlNatural cream base 50g

Calendula and lavender can be added. Distilled water can be added to produce the consistency of a lotion. Apply 2xdaily

� Antiviral formulation:Echinacea angustifolia root 1:2 50mlSt. Johns wart high in hypericin 1:2 50ml

Calculate dose appropriate for child. Take 3-4 doses daily.

Topical remedies� Calendula cream

� Cool/lukewarm baths in which you can add 2 ounces (60 ml) baking soda per tub

� Calamine Lotion: apply lotion to the chickenpox that � Calamine Lotion: apply lotion to the chickenpox that itch the most or massage them with an ice cube for 10 minutes

� Other options: Tea Tree Oil, oatmeal baths, Aloe Vera gel

� Oatmeal Lotion: Colloidal silver and oatmeal to soothe the discomfort from both the eczema and chicken pox.

Diet considerations for boosting

immunity� A diet rich in whole foods, with plenty of vegetables and fruits in a variety of colors. This

“rainbow diet” has been shown to provide the phyto-nutrients needed to strengthen the immune system.

� Juices rich in vitamin A and C, such as fresh carrot juice or fresh squeezed lemon juice with water and honey

� Chicken soup (chicken should be organic or at least antibiotic and hormone free)� Vegetable broth with shiitake mushrooms� Vegetable broth with shiitake mushrooms� Smoothies with kale, cabbage, beet, broccoli� Acerola cherries� Blackberries� Elderberries� For painful mouth and throat ulcers, a soft diet should be used. Infants should receive

fluids by cup, spoon, or syringe rather than bottle because the nipple can cause increased pain.

� Limit sugar and processed foods. No corn syrup. No sodas. Limit dairy, especially if mouth sores are present. Fermented dairy is OK (yogurt or kefir).

Home Remedies for Chickenpox1. Baking Soda� Baking soda can help control the itchiness and irritation from chickenpox.� Stir one-half tablespoon of baking soda in a glass of water.� Use a sponge to put the solution on the affected parts of the body. Allow the mixture to dry on

the body.2. Indian Lilac� Indian lilac, also known as margosa or neem is useful in the treatment of chicken pox as it has

antiviral properties. Furthermore, it helps dry out the blisters and relieves itching to a great extent. Take a handful of neem leaves, crush them and apply the paste on the affected areas. Adding neem leaves in bath water is also beneficial.

3. Carrot and Coriander3. Carrot and Coriander� A soup made of carrots and coriander is highly beneficial in the treatment of chickenpox.� Cut 100 grams of carrots to get about a cup of chopped carrots and chop 60 grams or one and a

half cup of fresh coriander leaves and boil them in water for a few minutes. Strain the solution and allow it to cool down.

� Drink the soup once a day for about a month. You can also eat the boiled carrots and coriander leaves for added strength.

� 4One of the most effective remedies for treating chicken pox is brown vinegar. It will relieve skin irritation and help heal the lesions and prevent scarring. Simply add one-half cup of brown vinegar to lukewarm bathwater, and soak in the bath for some time.

6. Honey� Honey will provide relief from itchiness and help heal the chickenpox within a few days.� Get a good quality, pure honey and coat the affected area with it.� Repeat the process two to three times a day until the scars are gone.

Tibb medicinal ingredients � The following ingredients are recommended, in simple or

compound formulations, for the treatment of the above conditions:

� Andrographis paniculata ; Aconitum heterophyllum ;Picrorrhiza kurrooa ; Tinospora cordifolia ;Picrorrhiza kurrooa ; Tinospora cordifolia ;Balsamodendron mukul;

� Echinacea; Goldenseal; - boost immunity� Chamomile: soothing externally� Yellow raisins; Dried figs.Tibb medicine� Flu-relief Syrup; Tibb-septogard Tablets/Syrup; Livotibb

syrup, immunocare

Immune boosting � Increase the dose of Vitamin D3 for the first 3 days to ‘boost’

the immune system. The daily winter dose is usually 1000-2000 IU per day, but depends on child’s age and their vitamin D status.

� Other immune boosters that I like to use are Probiotics, Omega 3′s and Elderberry syrupOmega 3′s and Elderberry syrup

� immuno-stimulants: in adults are olive leaf, Astragalus and Lysine (Lysine has been shown to help with herpes viruses, which are, as mentioned above, related to the chickenpox virus)

� Adequate water intake is very important, in addition to any smoothies and fresh juices that are consumed. The daily target of water intake (in fluid ounces) can be calculated by dividing your child’s weight by 2 (for example, for a 30 lb child, the goal would be 15 oz). This amount needs to be increased if fever is present.

Home remedies and herbal

medicine� Neem/daun semambu (Azadirachta

indica) has been researched to assist in the treatment of chicken pox. When brewed together chrysanthemum as a herbal tea it can be used for acne, measles and chicken pox. It contains blood chicken pox. It contains blood purifying properties as well as hepatoprotective constituents.

� It helps to reduce itching, fever and reduce the severity of the rash.

� Neem leaves could be used on the bedding to aid in recovery of chicken pox. It has antiviral and antipruritic properties

� Bathing in neem leaves also assists chicken pox recovery.

Home remedies� Oatmeal Bath

� Eases itching and helps with sleep

� Method: put oats in a mesh bag or an old pair of tights and let them soak in the tub or Before the bath, blend and let them soak in the tub or Before the bath, blend some oats (just plain cooking oats) in the blender or food processor until they turn into a powder. Then start running just hot water into the tub. Add the oats and swirl around. The water will get a milky color and softer feeling. Then add cooler water as needed to get the right temperature for the bath.

Fever Treatment:� Hydrotheraphy and “warming socks” (see next slide)

� Never use aspirin because of the risk of Reye’s syndrome

� Ibuprofen is also not recommended because it � Ibuprofen is also not recommended because it might increase the risk of severe streptotoccal skin infections

Helminthiasis (intestinal)� Description: infestation of the intestine with adult

worms. The following are the species most commonly found:

� Ascaris lumbricoides (round worm)� Ascaris lumbricoides (round worm)

� Enterobius vermicularis (pin worm)

� Trichuris trichiura (whipworm)

� Ankylostoma duodenale and Necetor americanus(hookworm)

� Taenia saginatum and Solium (beef and pork tapeworm)

Diagnostic criteria

� Most infections are asymtomatic and become apparent with the passage of a worm rectally or orally

� Signs and symptoms:

� Vague abdominal pains

� Diarrhoea� Diarrhoea

� Rectal prolapse

� Protein losing enteropathy

� Perinanal itch

� Vaginitis

� Iron deficiency anaemia

� Surgical complications of mechanical effects in the bowel, pancreatic duct or biliary tree

complications� Migration of the worm lavae may cause cutaneous,

pulmonary or cerebral symptoms or proglottids in stool

� Definitive diagnosis is based on recognition of the � Definitive diagnosis is based on recognition of the worm or identification of worm eggs or proglottids in stool

Prevention� Practice good hygiene by washing hands to prevent infestation� Careful preparation of food by adequate washing and cooking

and by wearing shoes (hookworm)� Improved sanitation will protect the environment from

contaminationcontamination� To minimise risk of infection avoid pork, shellfish,

raw/undercooked beef or sushi� Separate meat cutting board from vegatables� Avoid coffee, sugar, milk and dairy products� Fruit, honey and tofu should be avoided if parasite infestation is

present� Wash fruit, veg and utensils thoroughly, preferably using food

grade hydrogen peroxide

treatment� Allopathic: antihelminthics specific for age of patient and

causative organism� Natural Rx and Therapies:

� Regular consumption of raw garlic� Blackseed (Nigella sativa) is also antihelmintic� Blackseed (Nigella sativa) is also antihelmintic� Goldenseal contain berberine that has antiparasitic effects

but not as effective as garlic when used for more than 1 month� Several drops of Green black walnut tincture, Western

wormweed, cloves, capsicum, mullein leaf, cascara sagradaaged bark, quassi chips, thyme sweet Annie, cinchana, and elecampane root added to purified water can effectively eliminate parasites from the body

� Artemisia afra, colloidal silver, garlic

Formulations � Formula 1- herbal liquid/tincture

Echinacea root blend 1:2 30ml (immune response)Wormwood 1:5 15ml (antihelmintic)Black Walnut hulls 1:10 20ml (antihelmintic)Cranesbill or Yellow dock 1:2 25ml (tannins burst

larvae+laxative)

thyme or Cats claw 1:2 25ml (antimicrobial, thyme or Cats claw 1:2 25ml (antimicrobial, astringent and immune support)

Calculate appropriate dosage. Taken on an emty stomach4-6xdaily for 10 days,break for 10 days and repeat for another 10days.

� Formula 2- tabletWormwood 100mgStemona 1gBlack walnut hulls 100mgEssential oil of cloves 20mg

� Chinese herbs: Baibu added to a cloth of alcohol and worn at night can eliminate pinworms

� Nutritional supplements:� Nutritional supplements:

� Consumption of Raw garlic, onions, horseradish, and raw pumpkin seeds can help prevent contraction of parasitic infection

� Magnesium, Vitamin B12, Capsicum, and calcium can aid the body in the elimination of parasites

� Probiotic supplements to regulate gut flora

Other therapies� Keep colon clear by regular intake of fiber and water-

cleansing bowels eliminates potential of breeding ground for microorganisms

Paeds GIT Complaints� Carminative and Spasmolytic herbs relieve gastric spasm:

chamomile, lemon balm and peppermint

� Antacid herbs reduce gastric iritation: meadowsweet

� Demulcent herbs to soothe the gut mucous membranes: slippery elm, marshmallow rootDemulcent herbs to soothe the gut mucous membranes: slippery elm, marshmallow root

� Appetite stimulants: fennel and fenugreek

� Antinausea herbs: chamomile, peppermint and meadowsweet as well as ginger

� Antiemetic herbs: ginger (mild doses), peppermint

� Sedative herbs: chamomile, lemon balm, passionflower and peppermint.

Poor appetite and weak digestion� 5 major groups:

� Simple bitters: gentian, wormwood(low doses)

� Aromatic digestives: Angelica, Chen pi, cinnamon, Coleus- incr gastric secretionsColeus- incr gastric secretions

� Pungent herbs: ginger, cayenne- use only in older children

� Choleric herbs: barberry, milk thistle, and dandelion(*more for children) root= improve bile production

� Chologogue herbs: Peppermint improves gallbladder function

Formulation Wormwood 1:5 2ml

Dandelion root 1:2 50ml

Peppermint 1:2 25ml

Cinnamon 1:2 25mlCinnamon 1:2 25ml

Dose calculated according to child. Taken before meals with juice or water.

Constipation� I cup of boiling water into 2 tsp of linseeds/flaxseeds- saok and

strain after 10min. Child should drink 1-2 cups in evening and morning if neccesary

� Slippery elm caps (1-2caps 3xdaily) can be taken with meals and a glass of water. Alt. empty capsule into water to drink.glass of water. Alt. empty capsule into water to drink.

� For stubborn cases:

Dandelion root 1:2 20ml (mild laxative and choleretic)

Butternut 1:2 25ml (mild laxative)

Yellow dock 1:2 20ml (anthraquinone mild laxative)

Chamomile 1:2 25ml (antispasmodic)

Licorice 1:1 15ml (demulcent-soothe)

Extra yellow dock and dandelion can be added if not butternut.

ADHDherbal rx:� Cognitive enhancing herbs: Schsandra, white peony, Bacopa, gotu kola, Gingko

and rosemary� Nerve and adrenal tonics and adaptogens: locorice, Rehmannia, rhodiola,

siberian ginseng, withania, St.johns wart, Korean ginseng and skullcap� Anxiolytic: valerian pref in evening� Anxiolytic: valerian pref in evening� Improve digestionand nutritional absorption: chamomile, meadowsweet, St.

mary’s thislt, and chen pi� Treat allergies if present: eybright, golden rod, echinacea, tumeric and gingko� Rx sleep disturbances: valerian, skullcap, lemon balm and lavender� Antooxidant: pine bark, tumeric, grapeseed, rosemary and green tea� Chelate heavy metals: milk thistle, garlic, Shisandra, rosemary and tumeric� Evening primrose oil as a source of EFA’s

� Herbal Rx for the morning and during the day:gingko 2:1 20mlBacopa 1:2 30mlSt.John’s wart 1:2 25mlKorean ginseng 1:2 15mlKorean ginseng 1:2 15mlGotu kola 1:1 20ml

Calculate doage with adult dose being 8ml. To be taken with water 2xdaily� Herbal Rx for the evening:

Valerian 1:2 25mlskullcap 1:2 25mlSt.Johns wart 1:2 25mlBacopa 1:2 25ml

Calculate doage with adult dose being 8ml. To be taken with water before supper and 1hr before bedtime.

Nocturnal enuresis or bedwetting� Formulation:

St. John’s wart 1:2 40ml

Cramp bark 1:2 40ml

Flavouring mix 20mlFlavouring mix 20ml

Calculate dosage based on 5ml adult dose. Taken beofremeals with water or juice

For bladder dysfunction: add corn cilk or Crataeva

UTI� Formulation for childhood cystitis:

Echinacea root blend 1:2 35ml (immune modulatory)

Buchu or Uva ursi 1:2 25ml (diuretic, antiseptic

Licorice 1:1 15ml (soothing)Licorice 1:1 15ml (soothing)

Golden rod 1:2 or (antiinflammatory)

Marshmallow 1:5 25ml (demulcent)

� Formula for tablet prep:

cranberry, bearberry, buchu essential oil mix

Reference books� Phytotherapy essentials: healthy children by Rob

Santich & Kerry bone

ISBN: 978-0-646-48616-1