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Ask the <strong>Herbal</strong>ist_questions on Herniated Disk<br />

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ASK THE<br />

HERBALIST<br />

We're posting some of the medicinal questions we get along with answers<br />

from our <strong>Herbal</strong>ist David Brill of The Rosemary House. Hopefully this may<br />

help you with some of your own questions.<br />

If you want to ask a new question there is a charge of $25 per question. Click<br />

here for new question The answer will be sent to you directly by David.<br />

Questions and answers may be posted on this site (names removed) to help<br />

other people with the same concerns.<br />

QUESTION: I'm a 42 yr. old male who has had a history of disc problems in the L-4, L-5area.<br />

I have used chiropractic care which has worked after one or two sessions. Recently, my discs herniated. The swelling<br />

was so great my Dr. couldn't adjust me. A friend of mine suggested seeing a retired back surgeon who has been using<br />

Colchicine injections with fantastic results. Even though this medicine has been used for gout, it has reduced swelling<br />

in discs. I went and after the first visit it began to work. I also take a low dosage orally twice a day. My question, to cut<br />

down on the costs can I go to my local health food store and get anything and get the same results?<br />

ANSWER: For thousands of years this plant has been used for gout pain, they did not have injectables then, look for<br />

a OTC preparation of the plant meadow saffron Latin named: Colchicum autumnale or other pain reliever such as<br />

California poppy, Jamaican Dogwood and anti-inflammatory herbs such as Turmeric and Sarsparilla.<br />

From the net<br />

Colchicine<br />

--------------------------------------------------------------------------------<br />

Matthew J. Dowd, Graduate Student<br />

Department of Medicinal Chemistry<br />

Medical College of Virginia Campus<br />

Virginia Commonwealth University<br />

"No other pain is more severe than this, not iron screws, nor cords, not the wound of a dagger, nor burning<br />

fire.&quot;[1] Imagine feeling this pain, as described by Aretaeus, the Greek physician of the second century. Thomas<br />

Sydenham, a 17th Century physician, described the pain as "a violent stretching and tearingof the ligaments - now it is<br />

a gnawing pain, like that of a dog."[1] The disease gout is the source of these vivid descriptions. Through the<br />

centuries, gout has been a debilitating affliction most associated with a decadentlifestyle, middle-aged men, and<br />

alcohol. The major symptom is an intense, burning pain of the joint of the big toe. Because of its long history, gout has<br />

been the target of a number of effective and some not-so-effective treatments. Some of the less beneficial treatments<br />

include rest and relaxation until the pain subsides, consumption of wine or alcoholic punch, and even<br />

vibration-generated heat from a glass boot. With the age of modern medicine came also more effective treatments for<br />

gout, such as the drugs probenecid,allopurinol, cortisone, and nonsteroidal anti-inflammatory drugs (NSAIDS) such as<br />

ibuprofen and indomethacin. Clearly, the anti-gout agent with the longest history is colchicine.<br />

(-)-Colchicine(1), which was first used over 2000 years ago in the form of preparations of the meadow saffron<br />

Colchicum autumnale (Fig. 1), is still one of the more effective treatments for the intense pain associated with a gout<br />

attack.Padanius Dioscorides, a Greek surgeon in the Roman Army during the rule of Nero(AD 54-68), first described<br />

the meadow saffron in his influential De Materia Medica, a pharmacopeia which systematically described about 600<br />

plants[2].Throughout the years, many historians, physicians, and pharmacopeias have noted the beneficial effects of<br />

Colchicum extracts for the treatment of gout.<br />

It was not until 1820 when (-)-colchicine, the pharmacologically activec onstituent of the plant, was isolated by the<br />

French chemists Pelletier and Caventon.[3] The absolute configuration was determined by Corrodi and Hardeggerin<br />

1955.[4] As can be seen, colchicine is a tricyclic alkaloid, the main features of which include a trimethoxyphenyl ring (A<br />

ring), a seven membered ring (Bring) with an acetamide at the seven position, and a tropolonic ring (C ring).<br />

Thegoal of most colchicine research is a more thorough understanding of the cause of gout, which is often thought of<br />

as a disease of rich living. However, as many victims will testify, the affliction does not limit itself to thislifestyle. Gout,<br />

from the Latin gutta, meaning drop, was used to describe the symptoms because physicians presumed the disease<br />

was caused by the dropping of phlegm into the big toe.[1] Hyperurecosia, or elevated blood levels of uric acid, causes<br />

the <strong>com</strong>mon symptoms of gout[5,6]. In humans and other primates,uric acid is the final metabolite in the breakdown of<br />

purines. When thismetabolic pathway be<strong>com</strong>es overwhelmed, from either an enzymatic deficiency or an increase in<br />

dietary purines, uric acid cannot be efficiently elimated from the body. The poorly soluble uric acid crystalizes, initiating<br />

a response frommacrophages and leukocytes. The phagocytosis of urate crystals by the macrogphages and<br />

http://www.herbnet.<strong>com</strong>/ask%20the%20herbalist/as...herbalist_questions%20on%20Herniated%20Disk.htm (1 of 3) [5/17/2004 9:07:49 AM]

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