Plants and the Digestive System
Digestion takes place in the alimentary canal by means of enzymes secreted mostly by the stomach, pancreas and small intestine. Mechanical movements such as chewing initially break down food before mixing it in the stomach and intestine. Besides enzymes,
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		    255
 
 Stomatitis, Gingivitis, Glossitis
 
 256 256 256 258 259 259
 
 Clinical Picture Stomatic Plants Marshmallow, Propolis Other Stomatic Drugs Myrrh Aloe gel
 
 Dyspepsia Clinical Picture Phytotherapy of Dyspepsia
 
 Chili Emblic myrobalan Bitter Drugs Gentian Other Bitter Drugs Centaury, Quassia Wormwood. Blessed thistle, Bitter-orange peel
 
 F. Capasso et al., Phytotherapy © Springer-Verlag Berlin Heidelberg 2003
 
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 Flatulence Clinical Picture Carminatives
 
 267 267 268
 
 ~~~
 
 B
 
 Other ~rminative Herbs Anise, Fennel Herbal formula (Peppermint, ~raway, German chamomile, liquorice, Lemmon balm, Bitter candytuft) (Iberogas ) ••
 
 269 269 270
 
 Gastritis and Peptic Ulcer Disease Clinical Picture Phytotherapy of Gastritis and Peptic Ulcer Disease Ulcer-healing Plants Antacids liquorice Other Anti-ulcer Drugs Chamomile, Chili, Mucilages and gums
 
 270 270 271 271 271 272 274 274
 
 Kinetosis Clinical Picture Antikinetosics Ginger
 
 275 275 275 275
 
 Constipation Clinical Picture Laxatives Anthraquinones Senna Other Anthraquinone-containing Laxatives
 
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 ~scara
 
 Frangula, Rhubarb Bulk-forming Laxatives Psyllium Agar, Bran, Tragacanth Other Laxative Herbs and Fruit Tamarind, Cassia, Plums
 
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 Diarrhea Clinical Picture Antidiarrheal Drugs Antidiarrheal Activity ofTannin-eontaining Herbs Agrimony, Oak bark, Blackberry, Lady's mantle Tea Other Antidiarrheal Herbs Uzara, Coffee charcoal, Green banana
 
 285 285 286
 
 Irritable Bowel Syndrome Clinical Picture Phytotherapy of IBS Peppermint oil
 
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 Further Reading
 
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 Introduction
 
 Digestion takes place in the alimentary canal by means of enzymes secreted mostly by the stomach, pancreas and small intestine. Mechanical movements such as chewing initially break down food before mixing it in the stomach and intestine. Besides enzymes, some glands in the intestine produce a mucus which lubricates and protects the digestive tract, but which can also interact with and reduce the absorption of herbal medicines. Digestion is facilitated by peristalsis, a wave of muscle contractions that begins in the duodenum and spreads towards the colon. In the mouth, chewing initiates digestion through the action of ptylin (to digest starch). The stomach stores ingested food and subjects it to further digestion through the action of hydrochloric acid secreted by parietal cells and pepsin (a protease) secreted by the chief cells. In the small intestine proteases, Iipases and amylases complete the digestion of most foods. The stomach lining is well protected by a layer of mucus against the corrosive action of gastric juice. In the small intestine most drugs, sugars and minerals are absorbed, while in the large intestine mostly water and mineral salts are absorbed. Transit of intralumenal contents depends upon the coordination of intestinallongitudinal and circular muscle contractions. Contrary to common belief, transit through the intestinal tract may be decreased when circular muscle c		
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