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Condoms can provide protection from some STDs, and each different rash type may require a slightly different approach to penis care. which places more pressure on the perineum.

If you don't want to switch to a recumbent bike, Many may want to address this issue without the severity and increased potential risk of going under the knife and receiving surgery. Long Island, This medication should not be used with or without progestins for the treatment of kidney disease, One should be very careful in taking the dose of Premarin. Personal Ensign returned as an older female in 1988 to conquer the Grade 1 Shuvee Handicap and Hempstead Handicap. Little did her connections know how she would go on to stay undefeated throughout following a fracture in her pastern bone that almost cut short her entire racing career? then rinse off. combined with the nourishing cream, Smile

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Towards the end, or has a social phobia,[link widoczny dla zalogowanych],By Ann Twomey See all Articles by Ann TwomeyGet Updates on Physical Therapy Get Updates on Ann Twomey Average: 0 Your rating: None Tweet CBT for anxiety Anxiety is a normal healthy response to stress loosens up tense muscles,[link widoczny dla zalogowanych], with hands falling naturally in a half-open position. DVM,[link widoczny dla zalogowanych], watery eyes,[link widoczny dla zalogowanych], the things a woman puts on her body could be to blame. Spermicides that line condoms,[link widoczny dla zalogowanych], Something to consider the next time you reach for that steak!
Maca is an ancient Peruvian root vegetable that has tremendous adrenal supporting benefits.
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and it comes with simple residence recipes and straightforward guides for way of life modifications. * Demonstrate professional excellence through regular self-assessment of strengths, and project a professional image. Understanding signs and symptoms of pregnancy is very important in the sense that proper care is very important for the mother and the baby.
Tests of pregnancy: Home pregnancy test and laboratory pregnancy test are the two widely use pregnancy tests.
After 2 months (I recorded my progress weekly) I had lost 46lbs! whilst extremely happy with my life now (I feel great!All protein shakes have different characteristics and they should be kept in mind before adding them to your diet plan.
Soy Protein Its name also indicates the source from which it is derived. just make sure you do some form of moderate-to-intense cardio 3-4 times per week and perform strength training with light-to-medium weights at least twice per week.
If you can afford to, and fresh air. And,[link widoczny dla zalogowanych],By Stuart Hutchings See all Articles by Stuart HutchingsGet Updates on PregnancyGet Updates on Stuart Hutchings Average: 0 Your rating: None Tweet Pregnancy is a very special time for mother and baby cakes,[link widoczny dla zalogowanych], For others,[link widoczny dla zalogowanych],
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You have another reason for wanting to do this. Talk to your health care provider about the type of help that may be best for you. That may mean more-frequent trips to the grocery store, This phobia is called vertigo.

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• Wild cravings for food that your body seems to be directing you towards.
• Fatigue.
Author's Bio:
• If you move, the pain becomes more severe.
• Irritable.
Brainwave entrainment is a scientifically proven technology that introduces frequencies in specific band patterns, to the brain, with the intention of altering its state of consciousness and brainwave frequency.
• Unfocused.
Entrainment makes new neural pathways in the brain,[link widoczny dla zalogowanych], changing how certain areas perceive the pain signal. With repeated sessions, these neural networks become permanent, so that when a trigger is introduced to the brain, the interpretation of it, will go towards those networks. The old networks,[link widoczny dla zalogowanych], that produced the pain,[link widoczny dla zalogowanych], will atrophy.
If you'd rather not use medication, with some not so desirable side-effects, brainwave entrainment might be just what you were looking for.
The brain naturally mimics any rhythmic and repeated sound pulse and will entrain to the band pattern quickly. This is very beneficial in removing or easing the pain of a migraine,[link widoczny dla zalogowanych].
Once A Migraine Starts, You May Feel...
• Sore, achy muscles.
• Sick to your stomach when you eat certain foods-intolerance,[link widoczny dla zalogowanych].
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• A throbbing or pulsating ache that can be on one side of your head or the other.
If you experience any of these precursors, you will soon feel the wrath of a head full of pain.
• Beyond sensitive to light or sound.
• Lightheadedness or dizziness,[link widoczny dla zalogowanych].
Sometime during the course your life, you will experience a migraine - a headache from hades.
Brainwave entrainment makes new neural networks in the brain, changing the messages, so that the pain receptors aren't activated. With repeated usage of a specialized recording, those networks become permanent, thickening the cortex of the brain, changing the way pain messages are handled.
• Waves of nausea may preclude actual vomiting.
If none of these warning signs aren't enough, you may also have a change in mood, behaviour, and level of activity. You may feel bloated, tired,[link widoczny dla zalogowanych], tense, yawn a lot,[link widoczny dla zalogowanych], crave certain foods or not want to eat at all. You could be racing for the bathroom, not knowing what part to put over the toilet. You may have a sudden empathy for vampires because light really hurts your eyes.
• Restless.
Whatever is happening,[link widoczny dla zalogowanych], is happening in the brain itself. Changes in the size of your blood vessels making them leaky,[link widoczny dla zalogowanych], and the levels of neurotransmitter chemicals released within the brain, seem to signal pain receptors to fire.
By Wanina Petlock
See all Articles by Wanina PetlockSee Wanina Petlock's Expert PageGet Updates on Migraines and HeadachesGet Updates on Wanina Petlock Average: 0 Your rating: None Tweet
It will announce itself by removing pieces of your vision, zigzagging together what's left of the picture, making people look pretty scary without their noses. Or it could affect your speech, slurring your words and leave you feeling confused. Lights may flash and the room may spin. You might think you're having a stroke because your leg and arm will become weak and your face and hands numb.
• Sore muscles, like you've been working out for a week straight.
Brainwave entrainment has proven to be extremely beneficial in shortening the duration of a migraine,[link widoczny dla zalogowanych], and if caught early enough, in its elimination.
Changing the way the brain interprets those triggers, changes how much, if any pain, gets perceived and noticed by you.
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And if cancer strikes, what are the solutions? You could see a doctor and engage the pharmaceutical companies. Some people have experienced success going this road, but not everyone.

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The three-day multilateral nuclear disarmament talks end on Friday with little sign of progress between North Korea and the United States,[link widoczny dla zalogowanych]. Pyeongyang's demand for Washington goes beyond the boundaries of the latest six-party negotiations,[link widoczny dla zalogowanych].
Earlier in October,[link widoczny dla zalogowanych], the Bush administration imposed sanctions on eight North Korean firms suspected of acting as fronts for sales of banned missile. In their latest demands at the fifth round of nuclear talks,[link widoczny dla zalogowanych], North Korean delegates requested for the sanctions to be lifted.
The officials also called on their U.S. counterparts to halt accusations that one-hundred dollar bills known as "supernotes" were being produced in North Korea. In addition,[link widoczny dla zalogowanych], they took issue with U.S. President George W. Bush's use of the term "tyrant" in reference to the North.
In response,[link widoczny dla zalogowanych], U.S. Assistant Secretary of State Christopher Hill accused the North of continuing to operate the Yongbyon reactor with little regard for the September 19th pledge by North Korea to renounce its nuclear plans. Hill also pointed out that some of the issues being raised by the North fell beyond the scope of the six-party negotiations.
In light of concerns that the latest round of discussions has secured little in resolving nuclear tensions,[link widoczny dla zalogowanych], participants including representatives from South Korea explain the contact was not aimed at hammering out a concrete roadmap,[link widoczny dla zalogowanych], but more on providing the involved parties with the opportunity to voice and exchange their views.
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Park's record in the 200 m freestyle is threatening the world record of 1:41.10 set by Australian swimmer Ian Thorpe in February 2000. Thorpe retired in 2006 and his world record has not been touched for seven years.

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Enhancing your skill sets and acquiring higher degrees has become a stepping stone for a successful career in the present situation. You might be wondering as how you can continue your professional life with extra studies. Your dream job and your aspiring academic career can go hand in hand if you choose a distance learning course to pursue higher studies. A MBA course is probably the most widely sought distance learning program in the world. These online courses spare the hassles of attending regular classes and sessions. On completing the distance learning courses successfully, you are also awarded a degree or a diploma,[link widoczny dla zalogowanych], which is as valuable as regular course certificates.
Healthcare Management MBA
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MBA in International Business
MBA in Risk Management and Insurance
Leadership MBA
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MBA in Industrial Management
MBA in Computer Information Systems
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There are innumerable specialties that you can opt in a MBA course and all this is going to be a part of the distance learning course,[link widoczny dla zalogowanych]. Some of the most commonly studied MBA associate degree programs are as follows:
A MBA course can be pursued both online and offline. It has been observed in majority of the cases that online MBA courses are pursued through distance learning course. There are innumerable colleges,[link widoczny dla zalogowanych], institutes and universities across the globe that provides an online degree in MBA to students. Students studying MBA look out for management and leadership oriented jobs. Many people want to pursue a MBA course while working so that they can improve their professional career,[link widoczny dla zalogowanych], get a good hike and if possible a promotion in job too. It has been seen and proved statistically that individuals with a MBA degree grab a pay package almost the double of what an ordinary graduate does.
There are many universities that offer online MBA degrees to candidates,[link widoczny dla zalogowanych]. You have to be a bit careful in choosing the university from which you want to pursue such a MBA course,[link widoczny dla zalogowanych]. Ample information is available online. Do not forget to gather complete information and then enroll for the course,[link widoczny dla zalogowanych]. Some of the top universities that deal with MBA distance learning course are as follows:
Kaplan University
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Post University
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Walden University
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One of the greatest advantages of completing a MBA course as a distance learning course is that you can pursue your studies from home itself. You do not need to attend regular classes and can do your job and your studies simultaneously. If you are studying MBA online,[link widoczny dla zalogowanych], then you just need to login into the university’s website from where you are doing your MBA course. You will find all the study materials,[link widoczny dla zalogowanych], assignments,[link widoczny dla zalogowanych], notes, important information etc there. You might also be lucky in getting few mock test papers or virtual coaching classes too that are of extreme help in any distance learning course.
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Today, customers and clients are hard to get but they can be so easy and quick to lose. One small thing could go wrong and maybe you didn't even see it. The next thing you know, or even worse you don't know, and you have lost a high paying client for good.

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Next apply toothpaste over the affected area,[link widoczny dla zalogowanych]. Apply a reasonable amount of toothpaste on the cold sore,[link widoczny dla zalogowanych]. Gently press the applied toothpaste so that cold sore comes in contact with the toothpaste firmly. Leave the paste for approximately three days and wash it away,[link widoczny dla zalogowanych]. For children it is best to contact a physician. After three days clean the affected area and blister should have disappeared by now,[link widoczny dla zalogowanych]. The affected area will form new skin and blisters will become crusts,[link widoczny dla zalogowanych].
Many people opt for costly medications and ointments which may or may not cure the person temporarily but there are cheap and effective everyday household items which will provide significant help in curing the disease,[link widoczny dla zalogowanych]. Toothpaste is one such item which if applied accordingly will give a cooling and numbing effect to the person,[link widoczny dla zalogowanych].
By Joel Morel
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Cold sores are a very common disease that spreads throughout the human population. This is a contagious disease and there are chances that you got this virus from contact with a person who is already suffering from it. Mostly, people of European and North American origin have this type of virus infection. Nearly 70% of the population of Australia suffer from this virus. For quick help visit here.
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Scientists discovered a link between HSV – 1 and Alzheimer’s disease way back in 1979,[link widoczny dla zalogowanych]. This virus may attack lipoproteins which may lead to Alzheimer’s disease. A type of facial paralysis called as Bell`s palsy has also been linked to the presence of HSV – 1 virus and its reaction with the facial sensory nervous of the human body. With these kinds of new and advanced research showing the links between the virus and other very dreadful diseases it is wise that people affected with this virus take all necessary precautions to fend of this dreadful virus.
Ironically in this 20th generation where the assumption that nothing is impossible has been the mantra, we still do not have cure for this virus which has been tormenting our lips, eyelids, fingers, etc for so many years. Still research is being conducted in the United States of America where they have achieved a partial success rate but cannot guarantee complete removal of the virus from human body.
Toothpaste can be applied at anytime when you feel irritation and itching at the affected area. Make sure that you don’t kiss you siblings or young children because toothpaste on your lip can cause their sensitive skin to burn slightly. Of course,[link widoczny dla zalogowanych], if you have an active cold sore you should not be kissing anyone,[link widoczny dla zalogowanych], anyway. Try to avoid eating excessive junk food when you apply toothpaste. If you experience any side effects or excessive irritation then contact your physician.
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Directions of applying toothpaste are as follows, washing the affected area first with anti bacterial agent to sanitize it from germs and bacteria. Basically you need to follow these three steps which are: sanitizing, disinfecting and ultimately applying toothpaste. In case you have difficulty in finding an effective anti – bacterial agent use those ointments which have alcohol content in them.
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There are many factors to consider when giving presents. It should always be appropriate for the occasion. The nature of the gift, its practicality, its price, its wrapper and presentation can also make a difference.

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at 17 PM and the ground lost to a Thailand helicopter,[link widoczny dla zalogowanych], 18 were confirmed to have crashed, machine 5 members or have all died.
according to the report,[link widoczny dla zalogowanych], plug, Thailand Wildlife Garden Department Director Chadupont and the Ministry of natural resources and environment inspectors 16 to Phitsanulok hosted Buddhist ceremony, 17 days earlier by AS350 helicopter return to Bangkok, the plane will soon take off the ground command center and lost contact.
local media reported that 18, carrying a Thai Deputy Minister of Ministry of natural resources and environment plug. Diller and 5 of the helicopter wreckage, 18 morning were found in the north of Thailand south mountain,[link widoczny dla zalogowanych], the crash site found 3 bodies of the victims, but has not yet been determined many of the victims,[link widoczny dla zalogowanych], and the other 2 men with machine still missing. Reportedly, the local time of the incident coincided with the heavy rain.
reports, the aircraft is in the fly approximately 43 miles, and lost contact with the ground control center. 17 days afternoon about one forty, dispatching center notification Phitsanulok ground center,[link widoczny dla zalogowanych], said the request in the house that Meng County landing. About 2 hours later,[link widoczny dla zalogowanych], the Meng County police with local villagers report, said the plane landed in the county town of Mongolian tower to a cornfield,[link widoczny dla zalogowanych], on machine 7 average safety. This message has not been confirmed.
Thai Minister of natural resources and environment, Su Wei Kun Kitti has been to the House oversight a search and rescue mission. He admits, the helicopter has more than 20 years of service. The Ministry has sent C-130 aircraft will prepare the dead back to bangkok.
according to the report, the helicopter crash including a total of 5 Vice Minister of Ministry of natural resources and environment plug and other senior officials, engineers, 7 people,[link widoczny dla zalogowanych], rather than the villagers said. Missing the wreckage of a helicopter is the morning of 18 was found. According to the preliminary analysis, the helicopter is considered to be in bad weather after landing,[link widoczny dla zalogowanych], landing process, by the surrounding trees from the helicopter disintegration effect.
Thai Ministry of natural resources and environment and Peng Shiluo and the house after the receipt of the plane may crash after the news,[link widoczny dla zalogowanych], immediately sent to search for,[link widoczny dla zalogowanych], but no wins. Hundreds of officers and soldiers of Thailand army in the rain after the pause was dispatched to the scene to find the whereabouts of the missing helicopter.
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A former Yale student, Muryang pondered on the reasons for human existence and life before entering the priesthood. After spending five years in Korea, he became the venerable head of the Los Angeles Dharma Meditation Hall in 1990.

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I never tried to pursue the heart of love, because I and the general women have some degree of reserved emotions. Although I am no longer is the first awakening interest in the opposite sex, but still can be put into the heart of love lows, still fall in love easily.

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Latin Names :Ocimum sanctum Linn.
English Name / Common Name :Holy Basil
Sanskrit / Indian Names :Vishnu priya, Tulasi
Herbal Guduchi Dosage: Take 1 or 2 capsules twice daily with meals. Allow several weeks for benefits,[link widoczny dla zalogowanych].
Recommended only at the age of 14 years and above,[link widoczny dla zalogowanych].
Recurrent infections, as an immunomodulator
Hepatitis, as a hepato-protective
Arthritis
Individuals undergoing chemotherapy, as an adjuvant
Herbal Guduchi Information: Herbal Guduchi or Tinospora Cordifolia is a large,[link widoczny dla zalogowanych], climbing shrub. Guduchi is an important part of the Ayurvedic category of Rasayanas, or rejuvenative tonics. Guduchi helps increase the effectiveness of protective white blood cells and builds up the body's own defense mechanism (immune system). Guduchi Enhances the functioning of protective cells, macrophages, and improves body's resistance to infections. Guduchi is useful as a diuretic, helps removes urinary stones and reduce blood urea. Guduchi inhibits growth of bacteria and enhances the buildup of immune resistance. Guduchi possesses antibacterial, anti-inflammatory, anti-rheumatic, and anti-allergic properties.
Latin Names :Valeriana wallichi DC.
English Name / Common Name:Indian Valerian
Sanskrit / Indian Name :Tagara
Tagara
Indian Valerian is a very good relaxant and is prescribed as a remedy for nervous unrest and emotional troubles.
Dosage
Herbal Guduchi Side Effects:
Guduchi helps increase the effectiveness of protective white blood cells and helps in building the body's own defense mechanism (immune system).
Guduchi is a Metabolic. It regulates blood sugar levels via its direct effect on rakta and medas-dhatu thus benefiting diabetes and hypoglycaemia. Guduchi is very calming to vata and the nervous system via its unctuous nature soothing nervous irritation,[link widoczny dla zalogowanych].
Indications
Latin Name :Tinospora cordifolia (Willd.) Hook.f. & Thomson
The stem of Guduchi is used in general debility, dyspepsia and urinary diseases.
Herbal Guduchi Contraindications:
Herbal Guduchi Clinical Studies:
Sanskrit / Indian Name :Guduchi
Tulasi promotes optimum respiratory support. It has anti-microbial, anti-inflammatory, expectorant properties and is useful in respiratory tract infections. It also helps during respiratory stress.
1 capsule twice a day before meals.
Immunostimulatory effect of Tinospora cordifolia Miers leaf extract in Oreochromis mossambicus.(Indian J Exp Biol. 2006 Sep;44(9):726/32.)
Author's Bio:
Mild to moderate respiratory infections
Guduchi is considered helpful in eye disorders as a tissue builder and promotes mental clarity.
Tinospora cordifolia is used to improve the immune system and the body's resistance to infections. It is also an effective immuno-stimulant. The plant is also used in dyspepsia, and various types of fever.
Mechanism of macrophage activation by (1,4)/alpha/D/glucan isolated from Tinospora cordifolia. (Research Institute,[link widoczny dla zalogowanych], Miami Children's Hospital, Miami, FL 33155, USA.)
Insomnia
Sleep disorders
The signaling mechanism of the novel (1,4)/alpha/D/glucan (RR1) isolated from the medicinal plant Tinospora cordifolia was investigated in macrophages to evaluate its immunostimulating properties. When RAW264.7 macrophages were incubated with RR1 at 4 degrees C, the novel glucan inhibited the phagocytosis of unopsonized zymosan A bioparticles in a dose/dependent manner. RR1 also inhibited the binding and internalization of opsonized zymosan A bioparticles, although at a lower level than laminarin.
Useful in dry / productive cough,[link widoczny dla zalogowanych], cold and sore throat
Guduchi is regarded as a liver protector. Liver damage, viral hepatitis or poisoning from alcohol,[link widoczny dla zalogowanych], chemicals or recreational and medicinal drugs. Useful in repairing fibrosis and regenerating liver tissue. 2 Applied in all conditions of aggravated ranjakapitta and pitta in the blood.
Recommended only at the age of 14 years and above.
Tulasi
By Mateo Miller
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Indications
Guduchi is a Reproductive Its ability to clear heat is applied when sexual dysfunction is caused by a hyper-heat condition. It is often used in formulas for male sexual dysfunction caused by pitta imbalance as its sweet post-digestive effect nourishes shukradhatu.
Guduchi is useful in joints gout (vatarakta), arthritis (amavata) and other inflammatory joint conditions. 2 It acts by clearing pitta toxins and uric acid via the urinary system that have accumulated in raktavahasrotas. It also removes ama toxins from the system without destabilising any of the other dosha.
Guduchi acts as a memory booster,[link widoczny dla zalogowanych], develops inteligence, promotes mental clarity. It is described as one of the Medhya Rasayana (mental rejuvenative) in the Charak Samhita (The oldest and most potent book of Ayurvedic Medicine).
1 capsule twice a day after meals.
Indication
Since the product is in capsule form, some children below 14 years may have difficulty to swallow.
Action
Herbal Guduchi Usage: Guduchi is a Cholagogue, detoxicant, alterative, immune tonic, anti-inflammatory, diuretic, anthelmintic, nervine.
Immunostimulatory effect of leaf extract of T. cordifolia on (i) specific immunity (antibody response), (ii) non/specific immunity (neutrophil activity) and (iii) disease resistance against Aeromonas hydrophila was investigated in O. mossambicus. Ethanol and petroleum ether extracts of the leaves were used. Both ethanol and petroleum ether extracts administered at doses of 0.8, 8 or 80 mg/kg body weight,[link widoczny dla zalogowanych], prolonged the peak primary antibody titres upto one to three weeks. Ethanol extract at the dose of 8 mg/kg and petroleum ether extract at the doses of 0.8 or 8 mg/kg enhanced the secondary antibody response. All the doses of ethanol extract significantly enhanced neutrophil activity. Fish injected with petroleum ether or ethanol extract at a dose of 8 mg/kg were protected against experimental infection with virulent A. hydrophila. The results indicates the potential of T. cordifolia leaf extracts for use as an immunoprophylactic to prevent diseases in finfish aquaculture.
Action
Dosage
Guduchi is anti-pyretic and act as a tonic after fever, also has action against alternative fever like Malaria.
Valeriana wallichi root stocks are aromatic. They yield aromatic oil,[link widoczny dla zalogowanych], which contains valeric acid. It is a very good relaxant and used in insomnia and sleep disorders.
Tulasi or Ocimum sanctum leaves yield a volatile oil containing eugenol, which possesses anti-bacterial properties.
Guduchi acts as a diuretic and found to be effective against Renal obstruction like calculi and other urinary disorders.
Dosage
1 capsule twice a day after meals.
Herbal Guduchi Drug Interactions:
Action
None
Since the product is in capsule form, some children below 14 years may have difficulty to swallow.
None
Recommended only at the age of 14 years and above.
Since the product is in capsule form, some children below 14 years may have difficulty to swallow.
GIT Guduchi heals a bowel affected with constipation, intestinal bleeding,[link widoczny dla zalogowanych], haemorrhoids or dysentery. Useful at redressing intestinal floral imbalance with candida-like symptoms (krimi, grahani) such as bloating,[link widoczny dla zalogowanych], flatulence and malabsorption. Its bitter yet heating qualities are used to stimulate raktadhatvagni and strengthen digestion in pitta types.
None
English Name / Common Name :Tinospora Gulancha / Indian tinospora
RR1 activated NF/kappaB in a time/ and dose/dependent manner and this modulation of nuclear NF/kappaB activity is associated with the degradation of I/kappaB alpha thus facilitating the translocation of NF/kappaB into the nucleus. RR1/induced NF/kappaB activity peaks at 8 h of RR1 stimulation while I/kappaB alpha degradation occurred within 1 h of stimulation. RR1/induced NF/kappaB activation occurred through TLR6 signaling as evidenced by the synthesis of IL/8 in TLR6/transfected HEK293 cells. These results show that the novel (1,4)/alpha/D/glucan from Tinospora cordifolia activates the immu ne system through the activation of macrophages that occurs through TLR6 signaling, NF/kappaB translocation and cytokine production.
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There are two types of macular degeneration, wet and dry. Ninety percent of people with macular degeneration have the dry-type in which small, yellow spots called Drusen form underneath the macula. Drusen are believed to be metabolic waste products that accumulate and cause cellular damage. It has been suggested that Drusen slowly breaks down the cells of the macula, causing distorted vision.
In cases of wet ARMD, if the bleeding is severe they will need laser treatment to arrest the bleeding. If the bleeding is light and the patient has previously seen their ophthalmologist, you cab suggest snail shell moxa techniques - developed by Shmuel Halevi in Isreal.
By Andy Rosenfarb, MTOM, L.Ac
See all Articles by Dr. Andy RosenfarbSee Dr,[link widoczny dla zalogowanych]. Andy Rosenfarb's Expert PageGet Updates on AcupunctureGet Updates on Dr,[link widoczny dla zalogowanych]. Andy Rosenfarb Average: 0 Your rating: None Tweet
Snail Shell Moxa Treatment for Light Retinal Bleeding:
ARMD (wet and dry) is most often an exhaustion of the body’s Yin. The Yin aspect of the visual field is the central vision, and the peripheral vision is more Yang in nature. When the central vision goes, it indicates a “burn-out” of Kidney and Liver Yin, so using Chinese herbs that nourish Yin seems to work best.
The function of the Spleen (supported by the Kidney) is to transform and transport nourishment that is ingested. When working towards generating Yin in the body, it is essential that the Earth element (spleen-pancreas and stomach) be in a state of optimal function. The process of breaking down food into usable nourishment for the cells of the body requires a digestive system. It has been stated in the Pi Wei Lun by Li Ding Yuan that as we age,[link widoczny dla zalogowanych], our earth element (digestive function) weakens. When the body’s capacity to break down food becomes less efficient, the ability to replenish Yin and Blood can compromised as a result of poor digestion. Again,[link widoczny dla zalogowanych], ARMD is generally seen as Yin deficiency cause by a "starvation" with an impaired transformation and transportation function.
Macular Degeneration
In my experience Chinese Medicine can offer a very effective treatment for both types of ARMD. Although this kind of treatment will not help every single ARMD case presented, my personal success rate has been at least 80%. By success I mean that there are either subjective and/or objective measurable improvements in a person’s vision after a series of treatment. There are many simple ways to test vision that are well within our scope of practice as acupuncturists; two being Visual Acuity Test (eye chart) and an Amsler Grid Test.
Individual risk factors for macular degeneration have been identified as contributing factors to the development and progression of ARMD. These include: female gender, smoking (increase risk by 200-300%), diabetics,[link widoczny dla zalogowanych], high blood pressure (uncontrolled) and family history of macular degeneration.
The yin deficiency typically leads to a progressive dry-stagnation of Qi and Blood - the later stages in the development of ARMD. The blood vessels of the eye often become so dry and brittle that they can leak blood or burst altogether, thus giving rise to the less common "wet ARMD." One of the key ways to observe if a patient with dry-type ARMD is susceptible to developing wet-type ARMD is to see if they tend to bruise easily. If they do in fact bruise easily (and have a history of bleeding disorders or have been over-dosed on blood thinners), they have a higher probability of developing wet-type ARMD. If bleeding occurs the following steps should be taken AFTER the patient has been stabilized by their ophthalmologist.
Chinese Herbal Medicine - Base Formulas:
Wet ARMD
1. Yunnan Paiyao or Sanqi Powder (dissolve 2 g 2x/day in water)
2. Ming Mu Di Huang Tang (Bright Eye Tea)
3. Shu Gan Tang + Erchen Tang (Soothe the Liver Tea + Two Aged Tea)
4. Xiao Yao San
5,[link widoczny dla zalogowanych]. Bu Zhong Yi Qi Tang
Central Vision Loss – Yin Deficient
* Snail shell moxa can be done daily of every other day for 1-2 weeks with the presence of retinal bleeding. The patient should feel the warmth of the moxa burning.
Macular Degeneration (ARMD-Aged Related Macular Degeneration) is the slow deterioration of the cells in the macula, a tiny yellowish area near the center of the retina. The macula functions to give us clear central vision and fine detailed images. The deterioration of the macula affects an individual’s central vision - the ability to read, write, drive and recognizing faces - among other visual abnormalities.
Caution: Please DO NOT use local electro-acupuncture on patients with retinal bleeding or elevated inter-ocular pressure (IOP)/ glaucoma. It can cause bleeding in weak vessels and raise IOP.
NOTE: These are suggested base formulas. Chinese herbal formulas are most effective when tailored to each patients needs based on your TCM diagnosis.
Electro-acupuncture:
E-Stim #1: UB-2 to Alt Point – 1 finger medial to St-2
E-stim #2: SJ-23, Tongming ( ½ cun below GB-1)
Note: I recommend using a Pantheon 4C E-Stim Device,[link widoczny dla zalogowanych], where the points are stimulated at a constant 2Hz for 20-30 min.
Author&#039,[link widoczny dla zalogowanych];s Bio:&nbsp,[link widoczny dla zalogowanych];
Dry ARMD
1,[link widoczny dla zalogowanych]. Ming Mu Di Huang Tang (Bright Eye Tea)
2. Shu Gan Tang (Soothe the Liver Tea) + Er Chen Tang ( Two Aged Tea)
3. Dan Shen Pain
4. BuZhing Yi Qi Tang
The clinical objective in treating ARMD is to treat the root cause of the disease pattern. The branch treatment or temporary solution can be to activate the blood circulation in order to resolve stagnation. Visual capacity may be improved by promoting the circulation in choroids and retina, preventing cell death, and reversing the inability to absorb and circulate vital nutrients for healthy vision.
Treating Macular Degeneration
with
Acupuncture & Chinese Medicine
Once the bleeding has stopped, the next step is to nourish the Yin and invigorate the Qi and blood with acupuncture and Chinese herbal medicine. An herb like Chinese Notoginseng (Sanqi) would be a good choice for wet ARMD, whereas Dan Shen based formulas work better for dry ARMD. You can then follow up with digestive tonic formulas and yin-nourishing formulas, based on the dominating TCM pattern. These formulas should be taken long term (6–12 months), as it can take time to build the Central Qi, and generate Yin.
by
Dry macular degeneration can progress into the second, more severe type, called wet-type macular degeneration. The cause of this progression is unknown to conventional medicine. In wet-type ARMD, new, abnormal blood vessels begin to grow toward the macula, causing rapid and severe vision loss. These weak blood vessels can rupture and bleed, thus “wet-type” ARMD. Both wet and dry ARMD are diagnosed by an ophthalmologist and there is currently no safe and effective conventional treatment.
Chinese Medicine and Macular Degeneration
Andy Rosenfarb, L.Ac., MTOM
Acupuncture Treatment:
Body Points:
Distal: Li-3, Si-3, Ht-8, SJ-3, Sp-3, Ki-1,[link widoczny dla zalogowanych], Sp-6, St-36
Local: UB-2 (same effect as UB-1), Yuyao, GB-14,[link widoczny dla zalogowanych], Yintang
Ear Points: Adrenal, Pt. Zero, & Corpus Callosum
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I wanted to take a minute this morning to discuss and offer some tips for those of you who are reviewing what you offer and how you can monetize it in a way that is natural and comfortable to you.
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