Bo eyarnell startingherbalpharmacy
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Bo eyarnell startingherbalpharmacy Document Transcript

  • 1. Starting an Herbal Pharmacy 1For more details visit: http://www.ashwagandha.tk Starting an Herbal Pharmacy: Recommendations Eric Yarnell, NDUpdated April 2008. This document may be used for any non-commercial purpose as long as the author isclearly cited. Full Dispensary Option (Primary Care Practice)Simples:Achillea millefolium (yarrow) tinctureActaea racemosa (black cohosh) tinctureAllium sativum (garlic) tinctureAmmi visnaga (khella) tinctureAngelica sinensis (dong quai) tinctureArctium lappa (burdock) glyceriteArctostaphylos uva-ursi (uva-ursi) tinctureAstragalus membranaceus (astragalus) glyceriteAtropa belladonna (belladonna) leaf tincture [low-dose]Calendula creamCentella asiatica (gotu kola) glyceriteCommiphora molmol (myrrh) tinctureCrataegus monogyna (hawthorn) tinctureEchinacea angustifolia tinctureEleutherococcus senticosus (eleuthero) fluid extractEphedra sinica (ephedra, ma huang) tincture [low-dose]Equisetum arvense (horsetail) glyceriteEuphrasia stricta (eyebright) fluid extractFumaria officinalis (fumitory) tinctureGinkgo biloba tinctureGlycyrrhiza glabra (licorice) fluid extractGrindelia spp (gumweed) tinctureHypericum perforatum (St. John’s wort) tinctureLigusticum porteri (oshá) tinctureMahonia aquifolium (Oregon grape) tincturePanax quinquefolius (American ginseng) tincture (wild-simulated only)Phytolacca Americana (poke) tincturePiper methysticum (kava) tincturePueraria lobata var montana glyceriteWithania somniferum (ashwagandha) tinctureSchisandra chinensis (schisandra) glyceriteSerenoa repens (saw palmetto) tinctureSilybum marianum (milk thistle) fluid extractTaraxacum officinale (dandelion) leaf glyceriteValeriana sitchensis (Pacific valerian) tincture
  • 2. Starting an Herbal Pharmacy 2Viburnum opulus (cramp bark) tinctureVitex agnus-castus (chaste tree) tinctureFormulas:Dr. Heron’s Allerg-Ease Formula F463 (without Ephedra)Dr. Heron’s Bitters F625Dr. Heron’s Immune Strengthener Formula F739Dr. Heron’s Sleep-Ease Formula F950Dr. Heron’s Stronger Mense-Ease Formula F126Dr. Heron’s Stronger Uro-Biotic Formula F369Dr. Heron’s Sugar Balance Formula F628Beyond these general recommendations, you should choose 5-10 others that are tailoredto whatever areas you think you will most likely work. For example, if you think you willsee a lot of hypertensive patients, Rauvolfia serpentina fluid extract 9310 is a must have.If you will work with cancer patients, Dr. Yarnell’s CanAttack Formula F774 and Dr.Heron’s ChemTX Support Formula F770 are critical. We cannot make a complete set ofgeneric recommendations as there are always special decisions only you can make.
  • 3. Starting an Herbal Pharmacy 3 Low-Overhead OptionGenerally you will want to keep your overhead low. Stock some critical herbs and a fewthings for acute situations. Order all formulae for chronic problems from us and havethem shipped to you or drop shipped to your patients.Echinacea angustifolia tincture A must have for immune support.An immunomodulator; choose one of the following: Eleutherococcus senticosus (eleuthero) fluid extract Panax quinquefolius (American ginseng) tincture (wild-simulated only) Withania somniferum (ashwagandha) tincture (also relaxing) Schisandra chinensis (schisandra) glycerite (also supports the liver) Dr. Heron’s Immune Strengthener Formula F739A digestive tonic/bitter; choose one of the following: Mahonia aquifolium (Oregon grape) tincture (more antimicrobial) Taraxacum officinale (dandelion) leaf glycerite (milder taste, more for liver) Rumex crispus (yellow dock) glycerite (more laxative) Dr. Heron’s Bitters F625Hormone balancers: Vitex agnus-castus (chaste tree) tincture Actaea racemosa (black cohosh) tincture (also joint support) Many of our customers have a primarily women’s health practice. These two herbs may not be appropriate for your practice if this is not the case.Glycyrrhiza glabra (licorice) fluid extract Formula synergizer, flavor agent, phytoestrogen, immune support, etc.Valeriana sitchensis (Pacific valerian) tincture Anxiety relief, sleep support, etc. Also consider Dr. Heron’s Sleep-Ease FormulaF950.Viburnum opulus (cramp bark) tincture or V. prunifolium (blackhaw) tincture For smooth muscle relaxation.Achillea millefolium (yarrow) tincture GI support, anti-inflammatory, tannins, etc.Calendula cream For skin support.Crataegus monogyna (hawthorn) tincture
  • 4. Starting an Herbal Pharmacy 4 For cardiovascular support.Mahonia aquifolium (Oregon grape) or Berberis haematocarpa (desert barberry) tincture General antimicrobial.Ligusticum porteri (oshá) tincture General antiviral.Piper methysticum (kava) tinctureHypericum perforatum (St. John’s wort) tincture Both for mood support.Serenoa repens (saw palmetto) tinctureDr. Heron’s Stronger Mense-Ease Formula F126 (for women’s health practices)Dr. Heron’s Stronger Uro-Biotic Formula F369Dr. Heron’s Allerg-Ease Formula F463 (without Ephedra)Dr. Heron’s AcheAway Formula F949 (for heavy physical medicine practices)For More Advanced Prescribers:Ephedra sinica (ephedra, ma huang) tincture [low-dose] Great for immediate respiratory relief.Atropa belladonna (belladonna) leaf tincture [low-dose]
  • 5. Starting an Herbal Pharmacy 5 Acute-Focused StartupOften times what makes the most sense is to have only those herbs on hand that you arelikely to need to dispense immediately, and then to order formulas or herbs for chronicproblems after each visit occurs. This can be a more cost-effective way to start a practice,and also to find out what herbs you really will use without committing to a hugedispensary up front.Basic categories you’ll want: Analgesic: Piper methysticum root tincture, Aconitum spp processed root tincture[very low dose] Antimicrobials: Mahonia aquifolium root tincture, Ligusticum spp root tincture,Thuja plicata leaf tincture (these vary a lot from bioregion-to-bioregion) Immune stimulant: Echinacea angustifolia root tincture Inflammation modulator: Salix spp bark tincture (musculoskeletal), Grindelia sppflower bud tincture (lung) Nervine: Valeriana sitchensis root tinctureAnxiety: Valeriana, Piper methysticumInsomnia: ValerianaMusculoskeletal strain/sprain/inflammation: SalixOtitis media: Ear glycerite or ear oilPain: Valeriana, Piper methysticum, Aconitum [very low dose]URI/bronchitis: Echinacea, Ligusticum, Grindelia (Tilia or Sambucus flower is you seekids)UTI: Juniperus spp, Echinacea
  • 6. Starting an Herbal Pharmacy 6 Mostly Pediatric PracticeEchinacea angustifolia glyceriteSchisandra chinensis glycerite or Astragalus membranaceus glyceriteNepeta cataria (catnip) glycerite For relaxation and lung support. Also consider Avena sativa (oat seed) glycerite ifADD/ADHD problems are common in your patients. A less tasty but moderately morelung tonifying herb is Verbascum thapsus (mullein) flower glycerite.Viburnum opulus (cramp bark) tincture or V. prunifolium (blackhaw) tincture or V.opulus glyceriteGlycyrrhiza glabra (licorice) glycerite Formula synergizer, flavor agent, phytoestrogen, immune support, etc.Calendula officinalis glycerite General anti-inflammatory.Calendula creamA bitter antimicrobial—not the easiest thing to get kids to take, but add plenty of wildcherry syrup, catnip glycerite, licorice, and/or lemon juice and they might. Mahonia aquifolium glycerite Hydrastis canadensis glyceriteDr. Heron’s BronchImmune Formula F481 Developed in consultation with a busy pediatric nurse practitioner who swears by this during the winter months, particularly to support the Eustachian tubes.Dr. Heron’s Ear Glycerite F492 Preferred over oil as it does not obscure the tympanic membrane.
  • 7. Starting an Herbal Pharmacy 7 Mostly Women’s Health Practice(In addition to some of the generic herbs listed at the start of this document.)Actaea racemosa (black cohosh) root tinctureAlchemilla spp (lady’s mantle) leaf tinctureAngelica sinensis (danggui) processed root tinctureCapsella bursa-pastoris (shepherd’s purse) herb tinctureChamaelirium luteum (false unicorn) root tincture—use sparinglyCinnamomum zeylanicum (cinnamon) bark tinctureDioscorea villosa (wild yam) root tinctureFouquieria splendens (ocotillo) bark tinctureGlycyrrhiza glabra (licorice) root fluid extractLeonurus cardiaca (motherwort) herb glyceriteMedicago sativa (alfalfa) herb glyceriteMitchella repens (partridge berry) herb tincturePhytolacca americana (poke) root tincturePulsatilla vulgaris (anemone) herb tinctureSerenoa repens (saw palmetto) fruit tinctureTrifolium pratense (red clover) flower tincture or glyceriteTrigonella foenum-graecum (fenugreek) seed tinctureTrillium spp (beth root) tincture or glycerite—use sparinglyVaccinium macrocarpon (cranberry) fruit capsuleVerbena spp (vervain) leaf tinctureViburnum prunifolium (blackhaw) bark tinctureVitex agnus-castus (chaste berry) fruit tinctureA diuretic (Solidago canadensis [goldenrod] is great)A liver tonic (Taraxacum officinale or Silybum marianum)Formulas to consider:Dr. Heron’s EndometRid Follicular and Luteal Formulas F105, F106Dr. Heron’s FibrAway Follicular and Luteal Formulas F152, F153Dr. Heron’s Follicular Support Formula F107Dr. Heron’s Luteal Support Formula F108Dr. Heron’s Stronger Mense-Ease Formula F126Dr. Heron’s Stronger Uro-Biotic Formula F369