Laser Hair Removal

In this method, a laser destroys hair follicles with heat. Lasers are prescription devices that should be used only under the direction of a licensed practitioner. If a topical anesthetic product is recommended before a laser hair removal procedure to minimize pain, FDA recommends that consumers discuss with a medical professional the circumstances under which the cream should be used, and whether the use is appropriate.
Those who decide to use a skin-numbing product should follow the directions of a health care provider and consider using a product that contains the lowest amount of anesthetic drugs possible. FDA’s Center for Drug Evaluation and Research has received reports of serious and life-threatening side effects after use of large
amounts of skin-numbing products for laser hair removal.
Side effects of laser hair removal can include blistering, discoloration after treatment, swelling, redness, and scarring. Sunlight should be avoided during healing after the procedure.

Fructus Hordei Germinatus

Resource: The germinant fruit of Hordeum vulgare L.,family Gramineae.
Characteristic: Fruit small shuttle-shaped,8-12 mm long,3-4 mm in diameter;surface covered by yellowish husk,with longitudinal veins;a long-lanceolate plumule and several fibrous roots appearing at one end.Sweet in taste,warm in nature,and attributive to spleen and stomach channels.
Pharmacodynamics: 1.Strengthen the stomach and improve digestion:For dyspepsia of starches,vomiting of milk in infants caused by improper feeding,and anorexia due to deficiency of spleen and stomach. 2.Lactifuge:For galactostasis and as lactifuge for breast-feeding women.
Pharmacological: Its decoction promotes the secretion of pepsin and gastric juice.
Usage: Decoction:10-15g;60-120g of fresh sample for lactifuge.

Radix Ephedrae

Resource: Root of Ephedra sinica Stapf and E.intermedia Schrenk et C.A.Mey.,family Ephedraceae.
Characteristic: Root terete,slightly curved,8-25 cm long,0.5-1.5 cm in diameter.Cortex surface grey-brown,coarse,easily separated,with olngitudinal wrinkles and fibrous root scars;apex sometimes with remained stem base.Cross section showing radial marks.Sweet in taste,mild in nature,and attributive to heart and lung channels.
Pharmacodynamics: Arrest sweating:For spontaneous perspiration,usually used together with Radix Astragali seu Hedysari and Radix Angelicae Sinensis,for night sweat,usually used together with Os Draconis,Concha Ostreae and Radix Rehmanniae;for postpartum sweating,prepared as powder with Concha Ostrae for external use.
Pharmacological: 1.Its extract and its components ephedradine A,B,C and ephedrannin A exert a hypotensive effect and cause Peripheral vasodilatation. 2.Inducing muscular contraction of intestines and uterus.
Usage: Decoction:3-10g.External use:Appropriate amount.

Semen Sojae Praeparatum

Resource: The fermented seeds of Glycine max(L.)Merr.,family Leguminosae.
Characteristic: The prepared seeds elliptical,somewhat compressed,shrunken,and black in colour,soft.Acrid,sweet and slightly bitter in taste,cold in nature,and attributive to lung and stomach channels.
Pharmacodynamics: 1.Expel the exogenous evils from the body surface:For common cold of wind-heat type,used together with Flos Lonicerae,Herba Menthae,etc.;and with Bulbus Allii Fistulosi for wind-cold type. 2.Get rid of vexation:For later stage of febrile diseases with chest upset and restlessness.
Pharmacological:
Usage: Decoction:10-15g.

Pumex

Resource: The rock from the volcano eruption or the skeleton of Costazia aculeata Canu et Bassler,family Celle
Characteristic: Volcano Rock:Irregular masses,1-7 cm in diameter,surface coarse,grey-white to grey-yellow-brown,occasionally reddish,with pores of unequal sizes.Light in texture,floating on the water.Skeleton:Irregular masses,branching like corals,1-4 cm long,grey-white to greyyellow,surface with small pores,floating on the water.Both are sour in taste,mild in nature,and attributive to lung channel.
Pharmacodynamics: 1.Clear away lung-heat and eliminate phlegm:For cough of phlegm-heat type with yellow and thick sputum,or chronic cough of lung-heat type with bloody sputum. 2.Soften and disperse the lumps:For subcutaneous nodule and scrofula. 3.Promote diuresis and relieve stranguria:For stranguria caused by urinary stone.
Pharmacological:
Usage: Decoction:6-9g.

Fructus Gardeniae

Resource: Fruit of Gardenia jasminoides Ellis var.radicans(Thunb.)Makino,family Rubiaceae.
Characteristic: Fruit elliptical,1.5-3.5 cm long,red-yellow,with six winged longitudinal angularities;remnant of sepal at the top;base acuminate and thin,with remnant of fruit stalk.Three pseudo-membranes seen when cut open.Seeds flat-ovate,depp red,numerous and gathering into masses.Bitter in taste,cold in nature,and attributive to liver,lung,stomach and triple-jiao channels.
Pharmacodynamics: 1.Purge sthenic fire to relieve vexation:For febrile diseases with irritability,insomnia,and even high fever,coma and delirium. 2.Clear away heat and promote diuresis:For jaundice and stranguria of dampness-heat type. 3.Clear away heat and toxic materials:For skin infection of intense heat type,erysipelas,burn and conjunctivitis. 4.Cool the blood and stop bleeding:For heat-syndrome with hematemesis,hemoptysis,epistaxis,hematuria,hemafecia,metrorrhagia,etc. 5.Remove blood stasis and alleviate pain:For trauma with local swelling and pain(external use).
Pharmacological: 1.The active components such as crocin,crocetin,genipin,or alcoholic extract protect the liver from carbon tetrachloride and increase biliary secretion.Oral use of its decoction in duce gallbaladder contraction. 2.Oral or intraperitoneal use of its decoction and alcoholic extract exerts a sustained hypotensive effect in anaesthetized and un-anaesthetized animals. 3.Hemostatic.
Usage: Decoction:3-9g.External use:Appropriate amount.

Radix Linderae

Resource: The root ruber of Lindera strychnifolia(Sieb.et Zucc.)Vill.,family Lauraceae.
Characteristic: Root tuber cambiform or catenulate,6-15 cm long,1-3 cm in diameter;cork yellow-brown with remains of fibrous roots or their scars.Prepared by crosscutting,section showing light brown and reddish,many annular striae and radial vascular bundles.Aromatic in odour.Acrid in taste,warm in nature,and attributive to stomach,kidney and urinary bladder channels.
Pharmacodynamics:
1.Activate vital energy circulation,expel cold and alleviate pain:For stagnation of cold and vital energy with fullness and pain in the chest and abdomen,dysmenorrhea and colic of cold type.
2.Warm the kidney and eliminate bladder-cold:For deficiency-cold of kidney and urinary bladder with frequency of micturition and discharge of whitish and turbid urine,usually used together with Rhizoma Dioscoreae,Fructus Alpiniae Oxyphyllae(Pill for Decreasing Urination).
Pharmacological: 1.Promoting the secretion of digestive fluid. 2.Accelerating blood coagulation.
Usage: Decoction:3-9g.

Common skin complaints

Sensitive skin
Women with sensitive skin may have itching, burning, stinging, or tightness after using products such as soaps or makeup. Women of color are more prone to sensitive skin. Look for products made for sensitive skin. Talk with your doctor if these products don’t help.

Pimples (acne)
Pimples form when hair follicles under your skin clog up. Although most common in the teen years, many women get pimples into their 50s. Acne also is common during pregnancy and menopause, when hormones are changing. Medicines, such as birth control pills, can also lead to breakouts.
The cause of acne is unclear. We do know that dirt, stress, and foods do not cause acne. But stress and certain foods, such as chocolate or greasy foods, can make acne worse. Acne also appears to run in some families.
To care for acne, use mild soaps, avoid touching your skin, and wear oil-free makeup. Your doctor may also suggest an acne medicine. If so, ask about the side effects. Do not take isotretinoin (eye-soh-trih-TIN-oh-in) (Accutane®) if you are pregnant or trying to get pregnant—it can hurt your baby.

Dry skin

Skin can dry out and become rough, scaly, and itchy for a number of reasons. Dry skin (xerosis, zih-ROH-suhss) can be caused by:
l dry air
l overuse of soaps, antiperspirants, and perfumes
l not drinking enough water
l stress
l smoking
l the sun
Doctors report a higher rate of dry skin in African Americans. Try the skin care routine on pages 305 and 306. If dry skin does not improve, talk to your doc-tor. Sometimes, dry skin signals a health problem, such as diabetes or kidney disease.

Cellulite
Cellulite is fat that collects just below the surface of your skin, giving it a dimpled look. Women of all sizes can get it. Once formed, you cannot get rid
of cellulite. No amount of weight loss, exercise, or massage reduces cellulite. Spa wraps, creams, and vitamins also do not help. Liposuction can make it look even worse. To prevent cellulite, try eating well, being active, and not smoking.

Stretch marks
Rapid growth and weight gain, such as with puberty and pregnancy, can stretch your skin, leaving pink, red, or brown streaks on your breasts, stomach, hips, buttocks, or thighs. Medicines, such as cortisones, and health problems, like diabetes or Cushing’s syndrome, also can cause stretch marks. Creams that claim to prevent stretch marks are of little value. Yet stretch marks often fade over time.

Cosmetic Practices for Healthy Hair and Skin

Good skin care is the foundation of beauty. But many women enjoy us-ing makeup (cosmetics) too. If you use makeup, follow these tips:
l Read the labels for product content and safety information.
l Wash your hands before applying makeup.
l Throw out products if the color chang-es or they get an odor.
l Throw out mascara after 3 months.
l Keep product containers tightly closed when not in use.
l Don’t share your makeup.
l Call your doctor if a product causes skin changes like itching and rash—you may be having an allergic reaction.

Tattoos and permanent makeup
Tattoos are colored inks inserted under your skin. Permanent makeup is a tat-too made to look like eyebrow, lip, and eye liner. If you like tattoos, keep these health risks in mind: Needles that are not properly cleaned can pass infections— even HIV—from person to person. Al-lergic reactions to tattoo ink are rare but can happen. Also, poorly applied tattoos can be costly to remove. Temporary tat-toos and other skin-staining products, including henna dyes, can cause allergic reactions. Henna is approved by the U.S. Food and Drug Administration (FDA) only for use as a hair dye.

Hair removal
Cultural norms often affect a woman’s choice to remove body hair. Many women shave their legs and underarms. Wet hair first, then shave in the direc-tion that your hair grows. Chemicals called depilatories dissolve unwanted hair. Depilatories can irritate, so always test on a small area of skin before using. Never use chemicals around your eyes or on broken skin. For laser, epilator (elec-trolysis), waxing, sugaring, or threading treatments, find a licensed technician. Serious side effects of hair removal can include swelling, blistering, scarring, and infection.

Body piercing
Before piercing—poking a hole and inserting jewelry in—any part of your body, learn about the health risks. Piercings in your tongue, cheeks, and lips may cause gum disease. Infection is common in mouth and nose piercings, so talk with your doctor about signs of infection as well as allergies. Also ask if your shots, especially hepatitis and teta-nus, are up to date. And make sure the shop follows safety and sanitary steps as set by the law.

Cosmetic Procedures and Surgery
Some women choose to have cosmetic proce-dures to improve appearance and self-esteem. But the decision to have a cosmetic procedure should not be made lightly. If you are thinking about having a cosmetic procedure, ask your doctor:
• How is the procedure done?
• Am I good candidate for the procedure?
• How does my health history affect my risk of problems?
• What results and side effects can I expect?
• What are the risks?
• When can I restart normal activities?
• How much will the procedure cost? (Cosmetic procedures usually are not covered by insurance.)
• What is your training and experience?
• Can you provide references from patients you have treated?

Poria

Resource: The sclerotium of Poria cocos(Schw.)Wolf,family Polyporaceae.(Cortex Ilicis Rotundae)
Characteristic: The sample appearing as irregular large masses with a dark brown cortex,varying in size;the surface of broken fragments granular,reddish in the outer portion and white in the middle.Prepared as rectangular or square pieces or slices which are white,fine and smooth.Cortex with darkbrown outer surface and white to brownish inner surface.Soft and elastic in texture.Sweet and bland in taste,mild in nature,and attributive to spleen,heart,lung and urinary bladder channels.
Pharmacodynamics: 1.Promote diuresis to eliminate dampness from the lower-jiao,invigorate the spleen and the middle-jiao:For dampness-retention syndrome with or without spleen-deficiency such as edema,dysuria,leucorrhagia,cough of phlegm-retention type,and dizziness,usually used together with Rhizoma Alismatis,Rhizoma Atractylodis Macrocephalae,Polyporus Umbellatus,and Ramulus Cinnamomi;for diarrhea of dampness type due to spleen-deficiency,used together with Atractylodis Macrocephalae,Semen Coicis,etc.;for jaundice due to the excess of dampness,used together with Herba Artemisiae Scopariae and Alismatis. 2.Tranquilize the mind:For deficiency of the heart and spleen of phlegmretention manifested as palpitation and insomnia.In addition,single use is effective for chronic schizophrenia.
Pharmacological: 1.An active component pachyman promotes macrophage phagocytosis in mice,and enhances lymphocyte-blastogensis rate in vitro. 2.Preventing the formation of gastric ulcer under stress in rats. 3.Diuretic and liver-protective.
Usage: Decoction:10-20g.

the super bowl can make you die

reports on a study where researchers looked at the 1980 Super Bowl, where the (then) Los Angeles Rams lost to the Pittsburgh Steelers. The game was "high-intensity, [where] the lead changed hands seven times. The game was played in nearby Pasadena, and the Rams had been in Los Angeles for many years. They were also underdogs and went into the fourth quarter with the lead before ultimately losing."
After the game, there was an increase in both all-cause and cardiovascular mortality in the Los Angeles area two weeks following the game.
They also looked at the Super Bowl four years later, where another Los Angeles team won the game. Soon after, there was a slight decrease in mortality.
The effect is similar to major sporting events in Europe, where the outcome of big soccer matches can influence mortality.
Patients love their sport teams. And when it comes to NFL football, sometimes to the detriment of their health.
I agree it.we should take good care of us.

the hair disorders

It is possible that it has disorders in anything.hair,too.
Living with a hair disorder can be hard, especially in a culture that views hair as a feature of beauty. To cope, try to value yourself for who you are—not by how you look. Also, play up your best fea-tures, which can boost self-esteem. Many women with hair disorders also find that talking to others with the same problem is helpful.
Hair loss
It’s normal to shed about 100 hairs each day as old hairs are replaced by new onesBut some women have hair loss—called alopecia (AL-uh-PEE-shuh). Hair loss can happen for many reasons: l Female-pattern baldness causes hair tothin, but rarely leads to total baldness. It tends to run in families. l Alopecia areata (AR-ee-AYT-uh) is an autoimmune disease that causes patchy hair loss on the scalp, face, or other areas of your body. l Hormone changes during and after pregnancy.l Underlying health problems, such as polycystic ovary syndrome (PCOS) or thyroid disease.
l Certain medicines, such as birth con-trol pills or those to treat cancer, ar-thritis, depression, or heart problems.l Extreme stress, such as from a major illness.l Hairstyles that twist or pull hair.Whether or not hair will grow back depends on the cause of hair loss. Some medicines can help speed up the growth of new hair. If hair loss is permanent, you can try hair weaving or changing your hairstyle. Or talk with your doctor about other options, such as a hair transplant.
Hirsutism
When dark, thick hair grows on a wom-an’s face, chest, belly, or back, the condi-tion is called hirsutism (HUR-suh-TIZ-uhm). Health problems and family genes can cause high levels of male hormones, which can result in hirsutism. If you are overweight, try losing weight, which reduces male hormone levels. Consider methods for removal of unwanted hair. (See page 312 for more information.) Also, ask your doctor about medicines to slow or reduce hair growth.
Trichotillomania
People with trichotillomania (TRIH-koh-TIL-uh-MAY-nee-uh) have a strong urge to pull out their hair, which leads to visible hair loss. Some people with this hair-pulling disorder also pluck their eyebrows, eyelashes, and body hair. Hair pulling gives people with this dis-order a sense of relief or pleasure. But it also is a source of distress and shame. Behavioral therapy and medicines can help a person stop hair pulling.

take good care of Your Hair

if you love beautifull,you will love you hair.
Your hair is one of the first things that others notice about you. The shape and structure of your hair depend on your race. For instance, African hair is typically flat with tight curls.Asian hair is typically round and thick. Caucasian hair may be fine and straight or thick and wavy. Natural oils from hair glands also affect the look and feel of your hair.
Basic hair care involves a healthy lifestyle and proper care. Wash oily hair daily and limit how much you touch your hair. For dry hair, keep blow-drying time short and avoid overstyling, which can lead to dryness and breakage. Protecting your hair from wind, sun, and chlorine in water also will help to keep it from drying out and breaking.
If you color or relax your hair, carefully read the product label. Hair dyes and relaxers can harm both your skin and hair. Talk with your doctor if your skin or scalp swells or gets itchy after using any hair product. Even natural products, such as henna dye, can cause an allergic reaction.
caring for you hair as you body,please!

In Treatments but not effect

Evidence-based medicine is an important advance, although it can be a double-edged sword.When the evidence base applies, we should use it, and it reasonable for Medicare and other payers to insist on it. It is critical, however, to appreciate that there will always be patients for whom there is no evidence. They may so differ demographically from study participants from which the guidelines derive that it is doubtful as to whether guidelines are relevant. Or they may have conditions, such as rare diseases, for which there is no evidence band likely never will be.
In the early throes of a heart attack,the stunned heart often beats quickly and forcefully. For decades doctors have administered “beta-blockers” as a remedy, to reduce consumption of limited oxygen supplies by calming and slowing the straining heart.Giving these drugs in the early stages of a heart attack represents elegant medical ideology.
But it doesn’t work.
Include with these the common medical “wisdom” surrounding childbirth. Standard hospital practice gives you MORE of a chance of complications and ultimately a c-section.We should be thinking about our own medical care, doing our own research, and not just trusting some doctor to know best.
We must avoid the trap of those patients being shut out of care for lack of evidence.

How to connecte the primary care doctor?

It's a problem that many patients don't know how to connecte the primary care doctor,60 percent in fact.
As someone who lives with and works with individuals with lupus, the primary care physician is less likely to be able to provide necessary 'support' due to the increased specialized care we need.
In addition, for those of us without insurance coverage, the primary care physician means more money towards medical and less for living expenses. We save cash for specialists, meds and food.they felt appropriately "connected" to their primary care physician.However, that leaves a significant 40 percent who were not.
According to a recent study, patients who were not connected were less likely to received recommended preventive care and other screening tests.
Which all comes as no surprise. Not only is it increasingly difficult to find a new primary care doctor in the first place, but those who accept new patients are part of larger groups, work part time, or are mid-level providers who work in concert with physicians.Furthermore, with the proliferation of retail clinics and the worsening crowding in emergency departments, more patients are obtaining primary care from multiple providers.
Which means that as we move forward, it is less likely that patients can identify with a single person they can call their primary care provider.And, if this study is to be believed, that means that more preventive care measures will fall by the wayside.
I can not stress enough how important preventive care is! The only thing I can do is give you my personal experience...I had my preventive visit last fall. Found out I had positive fecal occult blood test and my blood work showed that I was anemic (that explains why I was so tired!). Obviously, I had some bleeding going on somewhere, but nothing that showed up with any subjective symptoms. I went for further testing and my colonoscopy showed that I had diverticulitis; however, I also had one pre-cancerous polyp removed.

Patients can't Understand Doctors Talk

most patients most of the time understand what the doctor wants them to do.However, they often don’t understand why.There is much for a patient to absorb during a visit. Not all of it is communicated appropriately, but on the other hand, not all of it is recalled by the patient when he goes to take his treatment.
That’s the issue explored by Dr. Pauline Chen in today’s Doctor and Patient column. She begins with the moving story of “Jack,” a former professional athlete with serious health problems:That’s the issue explored by Dr. Pauline Chen in today’s Doctor and Patient column. She begins with the moving story of “Jack,” a former professional athlete with serious health problems:
so,The best medical advice in the world won’t do patients much good if they can’t understand it.If unforseen problems arise from the treatment itself, CALL THE DOCTOR before you stop the treatment, unless the adverse effects are severe.
If you feel the treatment isn’t working, don’t stop it until you discuss it with your doctor.I think we’d get a lot further in our communications with patients if we as physicians asked, “Did I explain that clearly enough?” rather than “Do you understand?” The first leaves people feeling brave enough to ask more questions, as opposed to the second that implies that our patients are stupid if they answer anything but ‘yes.’

Cortex Ilicis Rotundae

Name: Cortex Ilicis Rotundae (Herba Patriniae)
Resource: The bark of Ilex rotunda Thunb.,family Aquifoliaceae.
Characteristic: Crude drugs somewhat curved in pieces,varying in size,0.3-1.0 cm thick,crustaceous,epidermis grey-white to grey-yellow,coarse;endodermis brown,with longitudinal striae;section showing flat and granular,green periderm seen when the cork is stripped of,slightly aromatic in odour.Bitter in taste and cold in nature.
Pharmacodynamics: 1.Purge the sthenic fire and detoxify:For common cold with high fever,sorethroat,conjunctival congestion,skin infection,cholecystitis,etc.External use for burns. 2.Clear away heat and dampness:For diarrhea and dysentery of dampnessheat type. 3.Cool the blood and stop bleeding:For hematemesis,hemoptysis,and hematochezia due to blood-heat. 4.Alleviate pain:For abdominal pain due to dampness-heat or stomachheat,also for arthralgia of wind-dampness-heat type.
Pharmacological: 1.Hemostatic.Ilexanin B shortens the blood coagulation time in vitro. 2.Causing vasoconstriction in experimental animals.
Usage: Decoction:6-15g.External application:30-50% solution.

Herba Patriniae

Name: Herba Patriniae(Herba Patriniae)
Resource: Herb of Patrinia villosa Juss.or P.scabiosaefolia Fisch.,family Valerianaceae.
Characteristic: Herb,over l meter tall.Rhizome with numerous stout roots.Basal leaves numerous,clustered,long-elliptical,with 1-4 pairs of pinnate lobes and winged petiole;stem leaves opposite,elliptical,entire;the leaves of P.scabiosaefolia pinnately lobed.The commodities usually without flowers,those with flowers are corymb,white or yellow.With a peculiar smell.Both are acrid and bitter in taste,cool in nature,and attributive to stomach,large intestine and liver channels.
Pharmacodynamics: 1.Clear away heat and toxic material,relieve abscess and promote pus drainage:For acute appendicitis,pulmonary abscess and skin infection.Recently also for pancreatitis,tonsillitis;P.vilosa also used for influenza,while P.scabiosaefolia for snake bite. 2.Remove blood stasis and alleviate pain:For postpartum abdominal pain and menorrhalgia due to blood stasis,chest pain,etc.
Pharmacological: 3.Tranquilizing:For vexation,insomia,insanity.
Usage: 1.Two active components,patrinene and isopatrinene,possess sedative effect. 2.Promote regeneration of hepatic cells and portal circulation,protect hepatic cells from degeneration and improve hepatic

Angioplasty Declining, Helped or Harmed?

As Angioplasty Declines, this is Helped or Harmed for Patients?this is a quistion for many people,because it is associated with human's health.
from the reporting of hospitals’ mortality data can be a healthy way to boost quality of care.That’s the crux of the dilemma at Massachusetts General Hospital in Boston and Saint Vincent Hospital in Worcester, Mass., which have had higher-than-average death rates in patients undergoing angioplasty, a procedure in which stents are placed into the arteries to open them up. Here’s the story in the Boston Globe.
Mass General has acknowledged performing the procedure on “a relatively large number of patients with little hope of survival,” and has cut down on using it in some very sick patients, such as those with advanced cancer who could die within weeks, the Globe reports. But the risk is that some patients who should get the procedure will now be overlooked, as hospitals try to avoid ugly mortality numbers in the future.
But it can also have a side effect: discouraging hospitals from taking on the toughest cases for fear that failure will bring bad publicity.