APPENDIX I—DEFINITIONS

Abortifacient: an agent which causes expulsion of the foetus

Acetylcholinesterase: the enzyme that metabolises acetylcholine a neurotransmitter responsible for many biochemical activities. A deficit of the transmitter can reduce memory function and inhibiting its enzymic breakdown is one approach used to treat Alzheimer's disease

Adaptogen: an agent which helps the body accommodate to stress or change from any source

Aglycone: molecule after the glycoside or sugar group has been removed

Alterative: an agent used to improve elimination of metabolic waste and in so doing restores normal body functions

Analgesic: an agent used to relieve pain, it can be administered orally or topically

Anaphrodisiac: an agent used to lessen sexual function and desire

Angiogenesis: the growth of new blood vessels, apart from its natural occurrence as part of maturation it also occurs during wound healing and metastatic tumour growth

Anhidrotic: an agent that reduces sweating

Anodyne: an agent used to soothe or ease pain

Antacid: an agent used to neutralise acid in the stomach

Anthelmintic: an agent used to expel or destroy parasitic worms in the gastro-intestinal tract

Anti-arthritic: an agent used to relieve and heal arthritic conditions

Anticancer: an agent that reduces the viability of cancer cells

Anticarcinogenic: an agent that reduces the frequency of occurrence of spontaneous or induced cancers

Anticatarrhal: an agent which reduces catarrh or excessive mucus secretion

Anticoagulant: an agent which slows or prevents clotting of blood

Antidote: an agent which counteracts or neutralises poison

Antilithic: an agent used to prevent the formation of calculi (stones) or gravel which can occur in the urinary system or gall bladder

Antimitotic: an agent which inhibits the division of cells i.e. mitosis

Antineoplastic: an agent that inhibits or destroys tumours

Antipyretic: an agent which prevents or reduces fevers

Antiscorbutic: an agent which prevents or cures scurvy

Antioxidant: an agent that prevents oxidation a process believed to be the initiating factor in the development of many disease conditions such as cancer and heart disease

Antiproliferative: an agent that inhibits cell or tissue growth

Antiseptic: an agent used to prevent, resist and counteract infection

Antispasmodic: an agent used to reduce or prevent excessive involuntary muscular contractions or spasms

Antisudorific: an agent which stops or prevents sweating

Antitussive: an agent which relieves or reduces coughing

Aperient: an agent which acts as a mild laxative

Aphrodisiac: an agent used to stimulate sexual interest

Apoptosis: a process of programmed cell death that occurs naturally. If defective it can lead to disease conditions i.e. its failure to occur is associated with the development of cancer whereas if it occurs excessively it can cause hypotrophy

Aquaretic: an agent that increases urine output by increasing renal blood flow and glomerular filtration without the accompanying loss of electrolytes

Astringent: an agent that contracts tissue, making them firmer and reducing their discharges

Asthenospermia: loss of or reduced sperm motility

Bacteriostatic: an agent that inhibits the growth or proliferation of bacteria without necessarily killing them

Bitter: an agent that has a bitter taste but also promotes digestive function and improves appetite

Bronchodilator: an agent which increases the diameter of the respiratory airways

Cardio-active: an agent which acts on the heart

Cardiotonic: an agent which has a beneficial action on the heart

Carminative: an agent which improves digestion and relieves the discomfort of flatulence and/or colic

Cathartic: an agent which causes evacuation of the bowels

Cholagogue: an agent which stimulates or aids the release of bile from the gall bladder

Choleretic: an agent which stimulates the production of bile in the liver

Co-mutagen: an agent that is not mutagenic itself but may become so in conjunction with other agents

Counter-irritant: an agent which when applied topically increases local circulation. It is used for the temporary relief of a deep seated painful irritation

Creatine kinase: an enzyme involved in regulation of energy in cells, it uses creatine to store energy from ATP. Levels may be elevated in pathologies like cancer due to increased energy demand so that its inhibition may constitute a therapeutic approach to disease

Cytotoxic: an agent that is toxic to cells causing their death

Demulcent: an agent that is used internally to sooth and protect irritated tissues and surfaces

De-obstruent: an agent that removes obstructions from the body by improving the normal channels of elimination

Depurative: an agent which promotes the natural channels of elimination

Desmutagen: an agent that reduces the damage caused to DNA by a mutagen

Diaphoretic: an agent that increases perspiration and elimination through the skin, often used to reduce temperature in fevers

Diuretic: an agent that increases the production and flow of urine

Dyssomnia: sleep disorder affecting the ability to go to sleep or stay asleep

Dysthymia: defined as a chronic mood disorder, manifesting as depression alternating with feeling normal

Emetic: an agent that induces vomiting

Enterotoxin: an agent that is toxic in the gastrointestinal tract and may cause vomiting, abdominal pain and/or diarrhoea

Elastase: the enzyme responsible for breaking down elastic fibres, it is implicated in tissue damage associated with chronic inflammation

Emmenagogue: an agent that promotes menstruation

Emollient: an agent that softens, soothes and protects the skin

Enterohepatic cycling: the process in which metabolites that are initially absorbed from the intestine, pass to the liver for subsequent excretion in bile and are then re-absorbed for a second time from the gastro-intestinal tract. Such a process results in plasma levels for that substance showing two peaks separated by a time interval. It occurs regularly with respect to bile salts and can occur with extraneous metabolites

Expectorant: an agent which promotes the removal of excess mucus from the lungs and air passages

Febrifuge: an agent that reduces fever (antipyretic)

Fibronectin: an adhesive molecule, synthesised in fibroblasts, which binds collagen to the cell

Functional dyspepsia: persistent or recurrent pain or discomfort centred in the upper abdomen present for at least 12 weeks in the preceding 12 months

Galactagogue: an agent which increases or promotes the flow of breast milk

Glucosidase or α-glucosidase: enzyme that cleaves disaccharides and allows the ready absorption of glucose from the gastro-intestinal tract

Glutathione: a tripeptide containing sulphur and derived from cysteine that acts as an anti-oxidant, protecting cells from free radical damage

Glycation: non-enzyme addition of sugar units to proteins or lipids, a process that occurs in diabetes and old age, resulting in damage to these molecules and changes in their normal function

Haemorrheology: the various aspects of blood flow and blood cell behaviour measured in haematology

Haemostatic: an agent which reduces or stops bleeding

Hepatic: an agent used to strengthen, tone and stimulate bile secretions, improving liver function

Hirsutism: excessive hairiness

Hypolipidaemic: an agent that lowers blood lipid levels

Hypotensive: an agent that lowers blood pressure

Hypnotic: an agent that induces sleep

Menometrorrhagia: A cycle where bleeding occurs with both a short interval and heavy flow

Mutagen: an agent that alters the integrity of DNA

Mydriasis: excessive or prolonged dilation of pupil

Nervine: an agent that tones and strengthens the nervous system

Nitric oxide: a gas able to influence a great many biological functions. It is generated in vivo where it has a signalling function that can be positive e.g. dilation of blood vessels or negative e.g. escalation of inflammatory processes, depending on its site of production, level and duration

Nutritive: an agent that nourishes the body

Osteoclastogenesis: the production of osteoclasts, the cells responsible for the resorption and remodelling of bone

Oxytocic: an agent that stimulates uterine contraction i.e. has the same action as oxytocin

Parasiticide: an agent which destroys parasites

Parturient: an agent used to facilitate childbirth

Pectoral: an agent that strengthens and improves the function of the respiratory tract

Phenolic: an aromatic ring bearing an hydroxyl group. Within the context of plant constituents can include simple phenolics, phenolic acids, flavonoids, stilbenes, coumarins, tannins and lignans. They are epidemiologically associated with positive health benefits

Phospholipases: a class of enzymes responsible for metabolising phospholipids. There are 4 major groups which vary in their point of cleavage. Intracellular phospholipase A2 is involved in cell signalling and inflammatory processes by producing arachidonic acid from phospholipids

Pleurodynia: Severe paroxysms of intercostal pain believed to be of rheumatic origin

Properidin: a serum protein capable of inactivating bacteria and viruses

Refrigerant: an agent which has cooling properties, lowers body temperature and relieves thirst

Roehmheld's syndrome: a rose-coloured rash associated with some diseases

Rubefacient: an agent that, when applied locally, stimulates capillary dilation and causes reddening of the skin, thus relieves congestion and inflammation of deeper tissues

Sedative: an agent that relaxes and reduces nerve conduction

Sialagogue: an agent that promotes the secretion and flow of saliva

Soporific: an agent that promotes sleep

Spasmolytic: an agent that counteracts or relieves convulsions or spasmodic pains

Sternutatory: an agent which promotes sneezing by irritating the mucous membrane in the nasal passages

Stimulant: an agent that increases functional activity and energy in the body

Stomachic: an agent that relieves stomach pain

Styptic: an agent that stops external bleeding when applied topically

Sudorific: an agent which induces sweating

Superoxide dismutase: an enzyme present in nearly all cells, in mitochondria and extracellularly. It converts superoxides into oxygen and hydrogen peroxide and in doing so protects biochemicals from damage by reactive oxygen species

Tachyphylaxis: a fall off in effectiveness of a therapeutic agent with its continuous or frequently repeated use

Thromboxane: thromboxane A2 is produced from arachidonic acid via cyclo-oxygenase activity. In platelets it is responsible for blood clot formation via platelet aggregation and vasoconstriction. It is degraded to thromboxane B2

Thymoleptic: an agent that acts as a tonic or restorative to the nervous system and at the same time is stimulating, engendering a feeling of well-being

Topoisomerase I and II: enzymes involved in making breaks and links in DNA strands, used in the process of cell replication, transcription or viral insinuation

Tonic: an agent that improves function, energises and tones the body or particular tissues or organs

Tyrosinase: the enzyme that catalyses the production of the skin pigment melanin, its inhibition may represent a treatment approach for hyperpigmentation disorders

Vasoconstrictor: an agent that causes constriction of blood vessels

Vasodilator: an agent that causes dilation of blood vessels

Vermifuge: an agent which expels or destroys worms

Vulnerary: an agent used to hasten the healing of wounds

Xanthine oxidase: the enzyme responsible for converting purines to uric acid. Excessive uric acid can result in gout and kidney stones