PRURITUS VULVAE, CAUSES & TREATMENT

Pruritus literally means a sensation of itching and vulva is the name given to the entrance to the vagina. It is a symptoms, not a disease in itself. Atleast 10 per cent of women all over the world suffer from this complaint.
Pruritus vulvae is generally relieved through scratching in the initial stages. At a later stage, the patient develops a burning sensation in this region. This can intensify to such an extent that women suffering from this complaint prefer to remain indoors and refuse to go out. This problem
occurs more during the night. The patient may scratch the area during sleep and wake to find that she has made herself bleed.

Causes
One of the main causes of pruritus vulvae is purulent and mucopurulent vaginal discharge. Due to this discharge, the vulva region chafes. The resulting tenderness causes pain. Over 80 per cent of these cases occur due to this cause. Prorates without vaginal discharge occurs in 15 to 20 per cent of the cases.
In some cases prorates vulvae may develop due to the presence of skin diseases not specific to the vulva such as psoriasis, seborrheic dermatitis and scabies. Other causes include animal and vegetable parasite infections which tend to cause pruritus public rather than prutitus vulvae, conditions of the urinary track like continence of urine and pyuria. Highly acidic urine sometime causes soreness which subsequently leads to pruritus. Glycosuria and diabetes also contribute to this condition.
Pruritus vulvae can result from skin sensitivity to various kinds of soaps, bath salts, deodorants and antiseptics which contain particular phenols and cresols and from certain drugs. These allergies may also be caused by nylons and tight-fitting clothes. In rare cases the disorders may develop as an offshoot of certain major problems like jaundice, uraemia, and other toxic conditions.
Many mental disturbances can affect the sexual bias and psychoneurosis results. The skin of the vulva region can also be a site of psychoneurosis, nervous fatigue and rough clotting Sexual frustration and guilt feelings can also lead to pruritus vulvae.

Treatments
There is always some underlying cause for the onset of purirtus, but scratching soon damages the skin and causes secondary changes which may obscure the primary cause. In addition, the skin may become sensitized to some local application. IN long standing cases, the diagnosis of both the initial cause and the reason for the maintenance of the irritation may become extremely
difficult, particularly when more than one factor is involved. Successfully treatment depends on two cardinal principles, namely, to remove any underlying cause and to stop further damage to the skin by scratching or by unsuitable application.
The most important factor in the treatment of pruritus vulvae caused by infections through fungus or parasites, is cleanliness. Bowels should be kept clean either through enemas or a natural diet. The patient must wear clean clothes to avoid this problem. After urination, the vagina should be thoroughly washed with plain cold water. IN case of severe pruritus, it is advisable to wash the vulva with neem leaves decoction and apply green light charged coconut oil.
Treatments like neem water vaginal douches help kill bacteria and fungus. The affect reaction should be exposed to green coloured light or rays of the sun through green coloured glass for 25 to 30 minutes. This will help reduce infections.
Purritus vulvae resulting from discharges from the uterus, cervix or vagina causes inflammations. This can be reduced by regular application of mud packs on the lower abdomen, twice or thrice a day. A cold hip bath may also be taken for 10 minutes. An alternate hot and cold hip bath is especially useful in reducing inflammation.
In cases of pruritus resulting from diabetes mellitus, glycosuria, uraemia, jaundice and other toxic states, specific diets and treatments for these complaints should be followed before pruritus
could be cured.
Skin diseases like psoriasis, scabies, fungal infections should be treated through nature cure methods. These include steam baths, mud baths, immersion baths, sun baths, spine baths and chromotherapy.
Diet plays an important role in the treatment of pruritus vulvae. Initially the patient should be put on a juice fast for a few days. She should drink fruit and vegetable juices, diluted with water on 50 : 50 basis. A warm water enema should be used daily during the period of fasting to cleanse the bowels.
Fasting helps relieve the toxic conditions not in just the affected region but also the entire body.
Thus inflammation is reduced. The diet after the juice fast could include seasonal fruits, salads,
sprouts, vegetables, soups or buttermilk. Cooked food should be included in the diet only much
later.
The patient should avoid all processed, refined and denatured foods such as white sugar, white flour and all products made from them as well a s coffee, tea, eggs, meat, spicy and oily foods. Alcohol and smoking are to be completely eliminated.
A natural mode of life will go a long way in overcoming pruritus vulvae. It will also lead to improvement in health in general.

VAGINITIS, SYMPTOMS, CAUSES & TREATMENT

Vaginitis can be described as an inflammation of the vagina and vulva. It is a fairly common problem with women. This can be avoided by taking proper treatment in the initial stages itself. But women usually tend to hide this problem.
Changes in the activity of the vaginal epithelium and in the vaginal secretion at different ages have a profound influence on the defense against vaginal infection. In the adult, the normal vaginal moisture or secretion consists of mucous and discarded vaginal cells. This discharge generally causes no irritation though the amount secreted and consistency vary. The variance is also due to the periodicity of the menstrual cycle and psychological conditions. Normal healthy women do not suffer from the sensations of the itching, burning, pain or irritation.
In unhealthy women and in abnormal conditions, the resident organisms (bacteria) multiply rapidly and produce excessive waste products. It causes tissue irritation in this region leading to itching, swelling, and burning. There is increase in the frequency or discharge of urine which is accompanied with an unpleasant order.

Symptoms
The symptoms of vaginitis are feeling of heat and fullness in the vagina, a dragging feeling in the groin, increased urinary frequency and vaginal discharge, that is, leucorrhoea. The clear or white secretion becomes purulent and yellow. The severity of leucorrhoea depends upon the degree of bacterial infection.

Causes
The main causes of vaginitis are irritation of vagina by external factors like cuts, abrasions in this region, constant wearing of tight-fitting clothes and wearing unclean clothes, using dirty or infected water and lack of hygiene.
Certain medications and treatments can increase susceptibility to infection. These include the use of antibiotics, hormones and excessive douching. Susceptibility is greater in cases of pregnancy, diabetes and certain psychological conditions as well as during the later half of the menstrual cycle. Irritation from contraceptive devices can also lead to this condition.
Unhygienic conditions combined with wrong dietary habits increase toxemia thereby lowering body resistance. According to the nature cure philosophy, whenever the body is loaded with toxins or morbid matter, it tried to eliminate it through the eliminative organs. In women, this elimination is established in the form of profused discharge, that is leucorrhoea, initially, in later stages, the discharge can become offensive in cases of chronic inflammation.

Treatment
Maintenance of hygienic conditions is the most important factor in the treatment of vaginitis. It is only after disease achieved that morbidity and consequent inflammation and discharge can be prevented.
Another important factor is diet. The patient should be made to fast for three or five days. Depending Ponte condition, the fasting period may be extended. During this period, she may take juices of lemon and other sub-acidic fruits. This will give the system an opportunity to divert its vital energies to check inflammation and infection.
After the juice fasting, the patient may adopt restricted diet, consisting of raw vegetable salads, fruits and sprouts. This will ensure minimal mucous secretions. This restricted diet should be continued for 10 to 15 days. It will help reduce inflammatory conditions. Boiled vegetables which are easily digestible and wheat chappatis may be added gradually to this diet. Later, rice,dal, vegetable soup or butter milk may be taken for lunch and an uncooked diet for dinner.
The patient should avoid coffee, tea and other stimulants as well as sugar, fried and refined foods.

Hydrotherapy
Treatment through water plays an important role in overcoming vaginitis. The patient should be given an enema with lukewarm neem water to cleanse the bowels and prevent the constipation which increases the toxemic condition, inflammation and infection in the genital organs. For general cleansing and elimination of purulent vaginal discharge, neem water vaginal douche at 35 o C - 40 o C followed by cold douche will be highly beneficial.
In persistent cases, cold vaginal irritation provides relief. This treatment is best administered with a fountain syringe, containing water. The syringe should be placed two or three feet above the patient and water injected into the vagina. The patient should lie upon her back , with hips elevated and water should flow out of the vaginal canal.
A decoction of the herb chebulic myrobalan has proved very useful for vaginal irritation and inflammation. It should be used as an external douche to wash the vulvar parts. When there is a thick white discharge, washing the part with decoction made with neem leaves and chebulic myrobalan fruits will greatly help.
A moderately prolonged cold hip bath accompanied with a hot foot bath is also helpful. The level of cold water must be 34 inches in height. The patient should sit in the tub in such a manner that
legs remain out of the tub. This bath can be given for 20 to 30 minutes.
Another mode of treatment considered beneficial is the wet girdle pack for about an hour. For this treatment, a thin cotton underwear and another thick or woolen underwear are required. The thin underwear should be wrung in cold water and worn by the patient. The thick dry underwear should be worn above the wet underwear. If the patient feels chill, she should be covered with a blanket. This treatment helps reduce inflammation.
A cold douche on the perennial region for 10 to 15 minutes twice a day helps reduce vaginitis. A mud pack on the abdomen for 10 minutes twice daily also helps reduce inflammation. Chromotherapy can also be used to treat this complaint. Blue light treatment given to the afflicted region for an hour accompanied with vaginal irrigation using green coloured charged water helps reduce the infection.
After recovery, it is essential to adopt correct eating habits and hygienic living conditions. Proper rest and exercise are also important.

INFLUENZA, SYMPTOMS, CAUSES & TREATMENT

Influenza, also known as flu, is the clinical condition that results from infection with influenza viruses. The main effects of the influenza viruses are on the upper respiratory tract, the nose and throat, with possible spread and involvement of the lungs and bronchi.
The disease is highly contagious and it has potential to cause wide spread epidemics affecting sizeable portion of a population at any time. Although it is more common during winter it may strike at any time. It affects people of all ages.

Symptoms
Influenza strikes suddenly. It usually begins with a chill, fever, headache and severe muscular pains. The patient feels miserable and weak. There is an inflammation in the nose and throat, which may spread down the windpipe to the lungs, resulting in a sore throat, cough, running of the nose and eyes. In milder case of influenza the temperature rises to 102 o F and lasts for two or three days. In severe cases, it may go upto 104 o F and last for four or five days. The consequent weakness and fatigue may continue for several weeks. This may be followed by a deep chest cough due to irritation in the windpipe.

Causes
Influenza is what is known as germ disease. It is, however, not caused primarily by the action of the germs as is generally believed, but develops due to a toxic and run-down condition of the system of the affected person. This condition is brought about by dietetic errors and a faulty style of living such as worry, over work, lack of proper exercise , living in stuffy rooms and keeping late hours. No disease germs can find lodgment and become active in the system of a person who is perfectly healthy in the true sense of the term. Influenza is passed on with ease from one affected person to an other especially to those who are also in an equally low vital stage. That is how an epidemic starts.

Treatment
Influenza , like all other acute diseases, is a natural attempt at self-cleansing and if rightly treated in a natural way, immense good can ensue so far as the future health of the patient is concerned. In the acute stage of influenza, a patient should abstain from all solid foods and only drink fruit and vegetable juices diluted with water, 50 - 50 for first three to five days, depending
on the severity of the disease. The juice fast should be continued till the temperature comes down to normal. The warm water enema should be taken daily during this period to cleanse the bowels.
After fever subsides the patient may adopt an all-fruit diet for two or three days. In this regimen, the patient should take three meals a day of fresh juicy fruits such as apples, pears, grapes, oranges, pineapple, peaches and melons at five-hourly intervals. Bananas or dried, stewed or tinned fruits however, should not be taken. No other food stuff should be added to the fruit meals, otherwise the value of the treatment will be lost. This may be followed by a further two or three days on fruits and milk diet. Thereafter, the patient may adopt a well-balanced diet of three basic food groups namely, (i) seeds, nuts and grains, (ii) vegetables, and (iii) fruits.
Spices and condiments , and pickles, which make food more palatal and lead to overeating, must be avoided. Lemon juice may be used in salad dressing. Alcohol, tobacco, strong tea and coffee, highly seasoned meats, over-boiled milk, pulses, potato, rice, cheese, refined, processed, stale and tinned foods should all be avoided.
Certain remedies have been found highly beneficial in the treatment of influenza. The most important of these is the use of long pepper. Half a teaspoonful of the powder of the long pepper with two teaspoonfuls of honey and half a teaspoonful of juice of ginger should be taken thrice a day. This will help greatly if taken in initial stages of the disease. It is especially useful in avoiding complications which follow the onset of the disease, namely, the involvement of the larynx and bronchial tube.
Another excellent remedy for influenza is the green leaves of basil or tulsi plant. About one gram of these leaves should be boiled along with some ginger n half a litre ofwater till about half the water is left. This decoction should be taken as tea. It gives immediate relief.
Garlic and turmeric are other effective food medicines for influenza. Garlic is useful as a general antiseptic and should be given as much as the patient can bear. Garlic juice may also be sucked up the nose. A teaspoonful of turmeric powder should be mixed in a cup of warm milk and taken three times in the day. It will prevent complications arising from influenza and also activate the liver which becomes sluggish during the attack.

HEADACHES @ MIGRAINE & TREATMENT

Headaches afflict almost everyone at some time or the other. Most headaches are functional, caused by temporary upsets and are not related to any organic changes in the brain. A headache is often nature’s warning that something is wrong somewhere in the body. The actual pain, however, arises from irritation to nerve endings in the shoulder, neck and scalp muscles and also in the smooth muscles encircling the blood vessels which serve these areas.
There are several types of headaches, with as many ways of treating them. Taking an aspirin or tranquiliser may provide temporary relief but it does not remove the cause. Moreover, the frequent use of pain-relievers causes nervous debility, weakens the heart and brings on other complications.
The common causes of headaches are allergy, emotional reasons, eyestrain, high blood pressure, hangover, infection, low blood sugar , nutritional deficiency, tension, the presence of poisons and toxins in the body, and migraine. Allergies, an often unsuspected cause of headache, vary in different individuals. The foods to which some people are allergic and which can trigger headaches are milk and milk products, chocolates, chicken liver, alcohol and strong cheese. Sneezing and diarrhoea are further indications of an allergy .
Intense emotions often cause headaches. Many people who outwardly appear to have a pleasant disposition may actually be simmering about a job, or may bear resentment towards a person or something. This hidden hostility may manifest itself as headache. It is important, therefore, that negative feelings should not be bottled up, but should find some safe means of expressions.
Eye-strain is a common cause of headache. IN such cases, an eye specialist should be consulted and proper treatment taken. Simple eye exercises such as moving the eyes up and down and from side to side, palming, rotating the head, with neck outstretched, forward and backward three times, then thrice clockwise and thrice anti-clockwise , can relieve eye-strain.
High blood pressure can cause pounding headaches. The headache usually starts at the back of the head on getting up in the morning. A safe method of treatment for this is to immerse your legs to calf-level in a tub of hot water for 15 to 20 minutes. This draws the blood away from the head and down to the feet, giving relief from the headache.
Many people get a severe headache after consuming alcohol in excess. Alcohol causes the blood vessels to swell, resulting in a painful headache. The best treatment for this is to avoid excessive consumption of alcohol. A hangover headache can be avoided by taking a vitamin B-1 (thiamine) tablet with the drink.
Headaches may occur if there is an infection, such as a cold, virus and fever . Here, it is the infection that should be tackled. Vitamin C therapy is the best all round method. For a cold, high doses of vitamin C should be taken at hourly intervals with the appearance of the first symptoms
like a sore throat, runny nose, etc. Vitamin C has worked miracles, and is considered a natural antibiotic.
Low blood sugar is one of the causes of irritability and headache. Sugar is not a cure for low blood sugar, though it may raise the blood sugar temporarily and make one feel better for a while. Low blood sugar is the result of an abused pancreas which over stimulates the production of insulin in the body. It can be controlled by eating smaller meals at short intervals rather than the standard three large meals daily. The intake of carbohydrates should be cut down to the minimum and coffee should be eliminated as it over stimulates the pancreas.
A lack of iron, resulting in anaemia, is a common cause of headache. The headache sometimes appears before the onset of anaemia, due to a chronic iron deficiency. Brewer’s yeast is an excellent source of iron and anaemia can easily be prevented by taking a few teaspoons daily.
Headache can also be brought on due to the deficiency of B vitamins , namely pantothenic acid, B-1 (thiamine) , B-12 and B-6 ( pyridoxine) and can be cured by taking these vitamins.
When taking any of the B-vitamin factors seperately, it is absolutely essential to add the entire B-complex range to one’s diet in some form such as Brewer’s yeats, liver,wheat germ, etc., otherwise too much of one factor can throw the other factors into imbalance, resulting in other problems. Actually, the entire B complex group itself serves as protection against headaches, including migraine.
Tension headaches are probably the most common of all, and are caused by emotional conflicts which result in stress. Stress causes the muscles of the shoulder, neck and scalp to tense unconsciously. Persons who are irritable, tense and lose their temper quickly usually get this type of headache. It increases gradually and passes off with the release of tension. One should try to relieve the stress which produces the headache. Poisons and toxins admitted into the body through food, beverages and water, as well as through breathing, polluted air, can cause any number of disturbances. A headache may be the first warning that a poison has entered the body. Additives in foods and in many cases, cosmetics, skin and hair products are also serious offenders in bringing on headaches. IN addition, there are toxic air contaminants which are too numerous to mention.

Migraine Headache
Migraine is an ancient and formidable malady. It bothered such distinguished persons as Caesar and Freud. It has assumed alarming proportions under modern conditions of living and is now believed to afflict about 10 per cent of the world’s population.
Migraine can be defined as a paroxysmal affection, accompanied by severe headache, generally on one side of the head and associated with disorders of the digestion, the liver and the vision. It usually occurs when a person is under great mental tension or has suddenly got over that state.
Migraine is also known as "sick headache" because nausea and vomiting occasionally accompany the excruciating pain which lasts for as long as three days. Migraine usually gives warning before it strikes : black spots or a brilliant zig-zag line appears before the eyes or the patient has blurring of vision or has part of his vision blanked out. When the headache occurs, the patient may feel tingling, numbness, or weakness in an arm or leg.
Migraine sufferers have what is known as a "migrainous personality ". They are compulsive workers and perfectionists, who feel that they have to do everything right away. When they complete a task, they are suddenly laid down from a state of temporary tension to a feeling of utmost relief. Then comes the migraine. It is a purely physiological process. The head and neck muscles, reacting to continuous stress, become overworked. The tightened muscles squeeze the arteries and reduce blood flow. When a person relaxes suddenly, the constricted muscles expand, stretching the walls of the blood-vessel. With every heart beat, the blood being pushed through this vessels expands them further and causes incredible pain. When a headache strikes, one should stay on one’s feet in the daytime and do simple chores which do not require too much concentration or walk, move around and get some fresh air.
The best remedy to prevent headaches is to build up physical resistance through proper nutrition, exercise and constructive thinking. As a first step, the patient should undertake a short Fast. During the fast, citrus fruit juices, diluted with water may be taken six times daily. By taking the load of digestion, the patient will at once save nervous energy which can be utilised for more important purposes. The blood and lymph will also be relieved of a great burden. After a short fast, the diet should be fixed in such a way as to put the least possible strain on the digestion.
Breakfast should consist of fruits, both fresh and dried. Lunch should consist largely of protein foods. Starchy foods such as whole wheat bread, cereals, rice or potatoes should be taken at dinner along with raw salads. Spices, tomatoes, sour buttermilk and oily foodstuffs should be avoided. Drinking a glass of water ( warm water in winter and cool water in summer) mixed with a teaspoonful of honey the first thing in the morning, is also a good remedy.

Water Treatment
There are certain water applications which help relieve headaches. Copious drinking of water can help , as do the cleansing enema with water temperature at 98.6 o F, the hot foot bath, a cold throat pack, frequent applications of towels wrung out from very hot water to the back of the neck, a cold compress at 40 o to 60o F applied to the head and face or an alternate spinal compress. Hot fomentations over the abdominal region just before retiring relieve headaches due to stomach and liver upsets.
Yogic kriyas like jalneti and kunjal, pranayamas like anuloma-viloma, shitali and sitkari and asanas such as uttanapadasana, sarvangasana, paschimottanasana, halasana and shavasana are useful in the treatment of headaches.

GASTRITIS, SYMPTOMS, CAUSES & TREATMENT

Gastritis is an inflammation of the lining of the stomach. It is a troublesome condition which may lead to many complications including ulcers if not treated in time. Constipation aggravates the condition more than any other disorder.
The inflammatory lesions may be either acute erosive gastritis or chronic atrophic gastritis. The latter type has been found to be present in half the patients suffering from severe iron deficiency anaemia.

Symptoms
The main symptoms of gastritis are loss of appetite, nausea, vomiting, headache and dizziness.
There is also pain and a feeling of discomfort in the region of the stomach. In more chronic cases, there is a feeling of fullness in the abdomen, especially after meals. The patient complains of heartburn. Prolonged illness often results in the loss of weight, anaemia and occassional haemorrhage from the stomach. There may be an outpouring of mucus and a reduction in the secretion of hydrochloric acid during acute attacks and also in most cases of chronic gastritis.

Causes
The most frequent cause of gastritis is a dietetic indiscretion such as habitual overeating, eating of badly combined or improperly cooked foods, excessive intake of strong tea, coffee or alcoholic drinks, habitual use of large quantities of condiments, sauces, etc. It may sometimes follow certain diseases such as measles, diptheria, influenza, virus pneumonia, etc. Most often it also results from worry, anxiety, grief and prolonged tension. Use of certain drugs, strong acids and caustic substances may also give rise to gastritis.

Treatment
The patient should undertake a fast in both acute and chronic cases of gastritis. In acute cases, the patient will usually recover after a short fast of two or three days. In chronic condition, the fast may have to be continued for a longer period of seven days or so. In the alternative, short fasts may be repeated at an interval of one or two months, depending on the progress being made.
The fast may be conducted on fruit juices. By fasting, the intake of irritants is at once effectively stopped, the stomach is rested and the toxic condition, causing the inflammation, is allowed to subside. Elimination is increased by fasting and the excess of toxic matter accumulated in the system is thrown out.
After the acute symptoms subside, the patient should adopt an all-fruit diet for further three days.
Juicy fruits such as apple, pear, grapes, grapefruit, orange, pineapple, peach and melon may be taken during this period at five-hourly intervals. The patient can thereafter gradually embark upon a well-balanced diet of three basic food groups, namely : (i) seeds, nuts and grains, (ii) vegetables, and (iii) fruits on the following lines :
Upon arising : A glass of lukewarm water with freshly squeezed lemon and spoonful of honey.
Breakfast : Fresh fruits , such as apples, orange, banana, grapes, grapefruit or any available berries, a handful of raw nuts and a glass of milk.
Mid-morning snack : One apple, banana, or any other fruit.
Lunch : Steamed vegetables, two or three slices of whole meal bread or whole wheat chappatis, according to the appetite and a glass of butter milk.
Mid-afternoon : A glass of fresh fruit or vegetable juice or sugarcane juice.
Dinner : A large bowl of fresh salad of green vegetables such as tomatoes, carrots, red beets, cabbage, cucumber with dressing of lemon juice and cold-pressed vegetable oil, all available sprouts such as alfalfa seeds mung beans, fresh butter and fresh home-made cottage cheese.
Bed time snacks : A glass of fresh milk or one apple.
The patient should avoid the use of alcohol, nicotine, spices, and condiments, flesh foods, chillies, sour things, pickles, strong tea and coffee. He should also avoid sweets, pastries, rich cakes and aerated waters. Curds and cottage cheese should be used freely.
Carrot juice in combination with the juice of spinach is considered highly beneficial in the treatment of gastritis. 200 ml. of spinach juice should be mixed with 300 ml. of carrot juice in this combination. Too many different foods should not be mixed at the same meal. Meals should be taken at least two hours before going to bed at night. Eight to 10 glasses of water should be taken daily but water should not be taken with meals as it dilutes the digestive juices and delays digestion. And above all, haste should be avoided while eating and meals should be served in a pleasing and relaxed atmosphere.
Coconut water is an excellent food remedy for gastritis. It gives the stomach necessary rest and provides vitamins and minerals. The stomach will be greatly helped in returning to its normal condition if nothing except coconut water is given during the first 24 hours.
Rice gruel is another effective remedy in acute cases of gastritis. In chronic cases where the flow of gastric juice is meagre, such foods as require prolonged vigorous mastication will be beneficial as this induces a greater flow of gastric juices.
From the commencement of the treatment , a warm water enema should be used daily, for about a week, to cleanse the bowels. If constipation is habitual, all steps should be taken for its eradication. The patient should be given daily a dry friction and sponge bath. Application of heat, through hot compressor or hot water bottle twice in the day either on an empty stomach or two hours after meals , should also prove beneficial.
The patient should not undertake any hard physical and mental work. He should , however, undertake breathing and other light exercises like walking, swimming, and golf. He should avoid worries and mental tension.

HIGH BLOOD PRESSURE, SYMPTOMS, CAUSES & THE CURE

High blood pressure or hypertension - to give it the correct medical term - is regarded as the silent killer. It is a disease of the modern age. The fast pace of life and the mental and physical pressures caused by the industrial and metropolitan environments give rise to psychological tensions. Worry and mental tension increases the adrenaline in the blood stream and this, in turn, causes the pressure of the blood to rise.
The blood which circulates through the arteries within the body supplies every cell with nourishment and oxygen. The force exert by the heart as it pumps the blood into the large arteries creates a pressure within them and this is called blood pressure. A certain level of blood pressure is thus essential to keep the blood circulating in the body. But when the pressure becomes too high, it results in hypertension which is caused by spasm or narrowing of the small blood vessels, known as capillaries, throughout the body. This narrowing puts more stress on the heart to pump blood through the blood vessels. Hence, the pressure of the blood to get through rises in proportion to the pressure on the heart.
The blood pressure is measured with the instrument called sphygmomanometer in millimeters of mercury. The highest pressure reached during each heart beat is called systolic pressure and the lowest between the two beats is known as diastolic pressure. The first gives the pressure of the contraction of the heart as it pushes the blood on its journey through the body and indicates the activity of the heart. The second represents the pressure present in the artery when the heart is relaxed and shows the condition of the blood vessels. The blood pressure level considered normal is 120/70, but may go up to 140 /90 and still be normal. Within this range, the lower the reading, the better. Blood pressure between 140/90 and 160/95 is considered border line area.
From 160/96 to 180/114 , it is classed as moderate hypertension, while 180/115 and upward is considered severe. A raised diastolic pressure is considered more serious than the raised systolic pressure as it has a serious long-term effect. The higher the pressure the greater the danger it causes to the wall.

Symptoms
Mild and moderate hypertension may not produce any symptoms for years. The first symptoms may appear in the form of pain toward the back of the head and neck on waking in the morning, which soon disappears. Some of the other usual symptoms of hypertension are dizziness, aches and pains in the arms, shoulder region, leg, back, etc., palpitations, pain in the heart region, frequent urination, nervous tension and fatigue, crossness, emotional upset, tiredness and wakefulness.
A person suffering from high blood pressure cannot do any serious work, feels tired and out of sorts all the time. He may experience difficulty in breathing and suffer from dyspepsia.
Hypertension, if not eliminated, may cause heart attacks or strokes or other disability conditions such as detachment of the terina.

Causes
The most important causes of hypertension are stress and a faulty style of living. People who are usually tense suffer from high blood pressure, especially when under stress. If the stress continues for a longperiod, the pressure may become permanently raised and may not become even after removal of the stress. An irregular life style, smoking and an excessive intake of intoxicants, tea, coffee, cola drinks, refined foods, destroy the natural pace of life. The expulsion of waste and poisonous matter from the body is prevented and the arteries and the veins become slack. hardening of the arteries , obesity, diabetes and severe constipation also lead to hypertension. Other causes of high blood pressure are excessive intake of pain killers, common table salt, food allergies and eating a high fat, low fibre diet, processed foods deficient in essential nutrients.
The kidneys play an important role in controlling blood pressure through secretion of rennin, a natural chemical. If increased rennin is secreted by the kidneys, more salts are retained in the body, which leads to an increase in the volume of circulating blood and consequently to an increase in the blood pressure. Repeated infections and inflammation in the kidneys can also give rise to hypertension.

The Cure
The modern medical treatment of high blood pressure is highly unscientific as it brings down the pressure by drugs without making any effort to remove the underlying causes. Drugs may temporarily reduce blood pressure,but they do not cure the condition and are harmful in the ultimate analysis. All drugs against hypertension without exception, are toxic and have distressing side effects. The safest way to cure hypertension is to remove the real cause. The natural way of dealing with it is to eliminate the poisons from the system which cause it. Persons with high blood pressure should always follow a well-balanced routine of proper diet, exercise and rest. Diet is of primary importance. Meat and eggs cause the blood pressure to rise more than any other food. The pressure is lowered and blood clotting diminished by partaking of a higher fruit content, lower protein and non-flesh diet. A natural diet consisting of fresh fruits and vegetables, instead of a traditional diet, is helpful in getting rid of the poisons from the body. A hypertension patient should start the process of healing by living on an exclusive fruit-diet for at least a week, and take fruits at five-hourly intervals thrice in the day. Oranges, apples, pears, mangoes, guava, pineapples, raspberry, water-melon are the best diet in such cases. Bananas and jack fruit should not be taken. Milk may be taken after a week of ‘fruits only’ diet. The milk should be fresh and should be boiled only once. The patient can be permitted cereals in his food after two weeks.
Vegetables are also good for the patient of hypertension. They should preferably be taken raw. If they are cooked, it should be ensured that their natural juices are not burnt in the process of cooking. Vegetables like cucumber, carrot, tomatoes, onion, radish, cabbage and spinach are best taken in their raw form. They may be cut into small pieces and sprinkled with a little salt and the juice of a lemon added to them so as to make them more palatable.
Garlic is regarded as one of the most effective remedies to lower blood pressure. The pressure and tension are reduced because it has the power to ease the spasms of the small arteries.
Garlic also slows the pulse and modifies the heart rhythm besides relieving the symptoms of dizziness, numbness, shortness of breath and the formation of gas within the digestive tract. The
average dosage should be two to three capsules a day to make a dent in the blood pressure. Indian gooseberry (amla) is another effective food remedy for high blood pressure. A tablespoonful each of fresh amla juice and honey mixed together should be taken every morning in this condition. Lemon is also regarded as a valuable food to control high blood pressure. It is a rich source of vitamin P which is found both in the juice and peel of the fruit. This vitamin is essential for preventing capillary fragility.
Watermelon is another valuable safeguard against high blood pressure. It was proved in recent experiments that a substance extracted from watermelon seeds has a definite action in dilating the blood vessels, which results in lowering the blood pressure.
Recent studies have revealed an important link between dietary calcium and potassium and hypertension. Researchers have found that people who take potassium-rich diets have a low incidence of hypertension even if they do not control their salt-intake. They have also found that people with hypertension do not seem to get much calcium in the form of dairy products. The two essential nutrients seem to help the body throw off excess sodium and are involved in important functions which control the working of the vascular system. Potassium is found in abundance in fruits and vegetables and calcium in dairy products.
Exercise plays an important role in curing hypertension. Walking is an excellent form of exercise.
It helps to relieve tension, builds up the muscles and aids in the circulation of blood. As the blood pressure shows signs of abating, more exercise like bicycling, swimming, jogging should be taken. Yogic asanas such as surya namaskar, makrasana,matsyasana, vajrasana, ardhapadmasana, pavan-muktasana, shavasana and simple pranayama like anuloma-viloma and abdominal breathing are beneficial. All asanas should, however, be discontinued except shavasana if the blood pressure is above 200 milimeters.

Water Treatment
Prolonged neutral bath daily for an hour or so at 90 o to 95 o will be beneficial. Cold compress should be kept on the head during this bath. Other water treatments include hot foot or leg bath for 10 minutes, hot compress over the heart replacing it as bath cools down.
Persons suffering from hypertension must ensure at least eight hours of restful sleep, because proper rest is an important aspect of the treatment. Most important of all, the patient must avoid
over-straining, worries, tension, anger and haste. He must try to be cheerful and develop a contented mind. The natural treatment may take sometime but it is the safest and best way to get rid of this disease.

OBESITY, CAUSES & TREATMENT

Obesity may be described as a bodily condition characterised by excessive deposition or storage of fat in adipose tissue. It usually results from consumption of food in excess of physiological needs. Obesity is common among people in Western countries and among the higher income groups in India and other developing countries.
Obesity can occur at any age in either sex. Its incidence is higher inpersons who consume more food and lead sedentary leaves. Among women, obesity is liable to occur after pregnancy and at menopause. A woman usually gains about 12 kgs. weight during pregnancy. Part of this is an increase in the adipose tissue which serves as a store against the demands of lactation. Many women gain more and retain part of this weight. They become progressively obese with each succeeding child.
Obesity is a serious health hazard as the extra fats puts a strain on the heart, kidneys and liver as well as the large weight-bearing joints such as the hips, knees and ankles, which ultimately shortens the life span. It has been truly said, ‘ the longer the belt, the short the life. ‘ Overweight persons are susceptible to several diseases like coronary thrombosis, heart failure, high blood pressure, diabetes, arthritis, gout and liver and gall-bladder disorders.

Causes
The chief cause of obesity , most often, is overeating - that is, the intake of calories beyond the body’s energy requirement. Some people are habituated to eating too much while others may be in the habit of consuming high-calorie foods. These people gain weight continuously as they fail to adjust their appetite to reduce energy requirements. There has, in recent times, been an increase in awareness of psychological aspects of obesity. Persons who are generally bored , unhappy, lonely or unloved, those who are discontented with their families, or social or financial standing usually tend to overeat as eating is a pleasure and solace to them.
Obesity is sometimes also the result of disturbances of the thyroid or pituitary glands. But glandular disorders account for only about two per cent of the total incidence of obesity. In such persons, the basal metabolism rate is low and they keep gaining weight unless they take a low-calorie diet.

Treatment
A suitably planned course of dietetic treatment, in conjunction with suitable exercise and other measures for promoting elimination is the only scientific way of dealing with obesity. The chief consideration in this treatment should be the balanced selection of foods which provide the maximum essential nutrients with the least number of calories.
To begin with, the patient should undertake a juice fast for seven to ten days. Juices of lemon, grape fruit, orange, pineapple, cabbage, celery, may be taken during this period. Long juice fast up to 40 days can also be undertaken, but only under expert guidance and supervision. In the alternative, short juice fasts should be repeated at regular intervals of two months or so till the desired reduction in weight is achieved.
After the juice fast, the patient should spend a further four or five days on an all-fruit diet, taking three meals of fresh juicy fruits such as oranges, grapefruit, pineapple and papaya. Thereafter, he may gradually embark upon a low-calorie well- balanced diet of three basic food groups, namely (i) seeds, nuts and grains , (ii) vegetables and (iii)fruits, with emphasis on raw fruits, vegetables, and fresh juices.
The foods which should be drastically curtailed or altogether avoided are high-fat foods such as butter, cheese, chocolates, cream, ice-cream, fat meats, fried foods, and gravies ; high carbohydrated foods like bread, candy, cake, cookies, cereal products, legumes, potatoes, honey, sugar, syrup and rich puddings beverages such as all-fountain drinks and alcoholic drinks.
One sure method of reducing weight is by practicising what is known as "Fletcherism". It was discovered in 1898 by Horace Fletcher of the U.S.A.. Fletlcher, at 40, considered himself an old man. He was 50 pounds overweight, contracted flu every six months and constantly complained of indigestion and a tired feeling. After a deep study, he made some important discoveries and prescribed the rules for "Fletcherism" which are as follows :

1. Chew your food to a pulp or milky liquid until it practically swallows itself.
2. Never eat until hungry.
3. Enjoy every bite or morsel, savouring the flavour until it is swallowed.

Do not eat when tired, angry, worried, and at meal-time refuse to think or talk about unpleasant subjects.

Horace Fletcher followed these rules for five months. As a result he lost more than 60 pounds and felt better than he had for 20 years. A weight reducing programme built on Fletcherism works wonders and is worth a trial.

Ingestion of honey is an excellent home remedy for obesity. It mobilises the extra deposited fat in the body and puts it into circulation which is utilised as energy for normal functions. One should start with small quantity of about 10 grams to be taken with hot water. The dose can be gradually increased.
Fasting on honey -lime juice water is highly beneficial in the treatment of obesity without the loss of energy and appetite. In this mode of treatment, one spoon of fresh honey should be mixed with a juice of half a lime in a glass of lukewarm water and taken at regularly intervals.
Another effective remedy for obesity is an exclusive lemon juice diet. On the first day the patient
should be given nothing but plenty of water. On the second day juice of three lemons mixed with equal amount of water should be given. One lemon should be subsequently increased each day until the juice of 12 lemons is consumed per day. Then the number of lemons should be decreased in the same order until three lemons are taken in a day. The patient may feel weak and hungry on the first two days, but afterwards the condition will be stabilised by itself.
Cabbage is considered to be an effective home remedy for obesity. Recent research has discovered in this vegetable a valuable content called tartroric acid which inhibits the conversion
of sugar and other carbohydrates into fat. Hence, it is of great value in weight reduction. A helping of cabbage salad would be the simplest way to stay slim, a painless way of dieting.
A hundred grams of cabbage yields only 27 kilo calories of energy while the same quantity of wheat bread will yield about 240 calories. Cabbage is found to possess the maximum biological value with minimum calorific value. Moreover, it gives a lasting feeling of fullness in the stomach and is easily digestible.
Along with dietetic treatment, the patient should adopt all other natural methods of reducing weight. Exercise is an important part of weight reduction plan. It helps to use up calories stored in body fat and relieves tension, besides toning up the muscles of the body. Walking is the best exercise to begin with and may be followed by running, swimming, rowing and other outdoor sports.
Certain yogi asanas are highly beneficial. Not only do they break up or re-distribute fatty deposits and help slimming, but they also strengthen the flabby areas. Sarvangasana, halasana, bhujangasana, shalabhasana, dhanurasana, chakrasana, naukasana, ardh-matsyendrasana, paschimottanasana, vajrasana, yogamudra and trikonasana are recommended. These asanas work on the glands, improve circulation, strengthen many weak areas and induce deep breathing which helps to melt off excess fat gradually. Yogic kriyas like kunjal and jalneti and pranayamas such as kapalbhati and bhastrika are also helpful in normalising body weight.
The patient should also adopt measures which bring on excessive perspiration such as sauna baths, steam bath and heavy massage. They help to reduce weight. Above all, obese persons should make every effort to avoid negative motions such as anxiety, fear, hostility and insecurity and develop a positive outlook on life.

GUOT, SYMPTOMS, CAUSES & TREATMENT

Gout refers to a certain form of inflammation of the joints and swellings of a recurrent type.
Although chronic in character, it breaks in acute attacks. It is a disease of the wealthy and chiefly
affects middle-aged men. Women, after menopause, are also sometimes affected by this disease.
Gout was known to the physicians of ancient Greece and Rome. The classical description was written in 1663 by Sydenham, himself a life-long sufferer , who clearly differentiated it from other joint disorders. It was recognised in the 18th century that large enjoyable meals and the consumption of alcoholic drinks were often the prelude to an attack of gout. This disease affected many famous men in history, including Alexander the Great, Luther, Newton, Milton, Dr. Johnson, Franklin and Louis XIV.

Symptoms
An attack of gout is usually accompanied by acute pain in the big toe, which becomes tender, hot and swollen in a few hours. Usually, it is almost impossible to put any weight on the affected foot during the acute stage of the disease. It may also similarly affect other joints such as the knees, and the wrists, and sometimes more than one joint may be affected at a time. The attack usually occurs at midnight or in the early hours of the morning, when the patient is suddenly awakened. The acute attack generally lasts for a week or so. During this period the patient may run a slight fever, and feel disinclined to eat. His general health generally remains unaffected.
The attack may occur again after several weeks or months. The interval becomes shorter if the disease is not treated properly. The joint generally becomes damaged by arthritis. This is chronic
gout, in which chalky lumps of uric acid crystals remain in the joint and also form under the skin.
Another serious complication of gout is kidney stones containing uric acid, causing severe colic pains in the stomach.
In some cases the kidneys become damaged and do not function properly. This is a serious condition as the poisonous waste products which are normally removed by the kidneys accumulate in the blood.

Causes
The chief cause of gout is the formation of uric acid crystals in the joints, skin and kidneys. Uric acid is an end product of the body’s chemical processes. Those affected by gout have a higher level of uric acid than the normal, due either to the formation of increased or reduced amounts of
acid being passed out by the kidneys in the urine. This uric acid usually remains dissolved in the blood. But when the blood becomes too full of it, the uric acid forms needle-shaped crystals in the joints which bring about attacks of gout.
Heredity is an important factor in causing this disease and certain races are prone to gout. Other causes include excessive intake of alcoholic drinks, regular eating of foods rich in protein and carbohydrates and lack of proper exercise. Stress is also regarded as an important cause of gout. During the alarm reaction, millions of body cells are destroyed and large quantities of uric acid freed from these cells enter the tissues after being neutralised by sodium.

Treatment
For an acute attack, there is no better remedy than a fast. The patient should undertake a fast for five to seven days on orange juice and water. Sometimes the condition may worsen in the early stages of fasting when uric acid, dissolved by juices, is thrown into the bloodstream for elimination. This usually clears up if fasting is continued. In severe cases, it is advisable to undertake a series of short fasts for three days or so rather than one long fast. A warm water enema should be used daily during the period of fasting to cleanse the bowels.
After the acute symptoms of gout have subsided, the patient may adopt an all-fruit diet for a furter three or four days. In this regimen, he should have three meals a day of juicy fruits such as grapes, apples, pears, peaches, oranges and pineapple. After the all-fruit diet, the patient may
gradually embark upon the following diet :

Breakfast : Fruits such as oranges, apples, figs, apricot, mangoes, whole wheat bread or dalia and milk or butter-milk.

Lunch : Steamed vegetables such as lettuce, beets, celery, water-cress, turnips, squash, carrots, tomatoes, cabbage and potatoes, chappatis of whole wheat flour, cottage cheese and butter-milk.

Dinner : Sprouts such as alfalfa and mung beans, a good-sized salad of raw vegetables such as carrots, cabbage, tomatoes, whole wheat bread and butter.

The patient should avoid all purine and uric acid producing foods such as all meats, eggs, and fish. Glandular meats are especially harmful. He should also avoid all intoxicating liquors, tea, coffee, sugar, white flour and its products and all canned and processed foods. Spices and salts should be used as little as possible.
The cherry, sweet or sour, is considered an effective remedy for gout. This was discovered by Ludwig W. Blan Ph.D. some 35 years ago. Himself a gout sufferer, Blan Ph.D. some cherries to be miraculously effective in his own case and published his own experience in a medical journal.
Subsequently, many people with gout used this simple therapy with great success. To start with, the patient should consume about 15 to 25 cherries a day. Thereafter, about 10 cherries a day will keep the ailment under control. While fresh cherries are best, canned cherries can also be used with success.
Foods high in potassium such as potatoes, bananas, leafy green vegetables, beans and raw vegetable juices are protective against gout. Carrot juice in combination with juices of beet and cucumber, is especially valuable. 100 ml. each of beet and cucumber juices should be mixed in 300 ml. of carrot juice to make 500 ml. of combined juice.
The juice of French or string beans has also proved effective in the treatment of gout. About 150 ml. of this juice should be taken by the patient suffering from this disease. Raw potato juice and fresh pineapple juices are also beneficial.
The feet should be bathed in Epsom salt foot bath twice daily. Half a pound to one pound of salt may be added to a foot bath of hot water. Full Empsom salt baths should also be taken three times a week. The baths may be reduced to two per week later. Cold packs at night, applied to the affected joints, will be beneficial. Fresh air and outdoor exercise are also essential. The patient should eliminate as much stress from his life as possible.

SEXUAL IMPOTENCE, SYMPTOMS, CAUSES & TREATMENT

Sex is now regarded as a basic instinct like hunger. Sexual activity, however, demands complete concentration and relaxation. It cannot be performed in haste and tension. Persons who are usually tense and over-occupied are unable to follow these norms. Many persons, therefore, suffer from sexual dysfunctions. The most common male sexual dysfunction is impotence or loss
of sexual power.

Symptoms
Impotence takes three forms. There is primary impotence When the man’s erectile dysfunction is there from the very beginning of sexual activity and he simply cannot have an erection. This is a rare manifestation of the problem. Secondary impotence is the commonest and this implies that the man can normally attain an erection but fails on one or more occasions in between normal activity. The third form is associated with age and is a continuous and serious form with poor prognosis.

Causes
Since erection is the result of erotic excitement, intact nervous pathways and adequate hormonal functioning, the pathological causes of impotence are numerous. It may occur as a result of psychological illness such as depression, which lowers both sexual drive and erectile function, tiredness, alcohol abuse, the therapeutic use of oestrogens, paralysis of parasympathetic nerves by drugs or permanent damage to them and diabetes. Other causes of impotence are abuse or misuse of the sexual organism over a long period and a devitalised condition of the system in general.

However, the main problem of secondary impotence is the apprehension created by failure which generates a good deal of anxiety for the next time round regarding the likelihood of failure. If, in fact, intercourse is attempted again and the same failure results, then a vicious circle is established. Anxiety of failure is established as an anticipatory reflex which in turn impairs the capacity of the penis.

Treatment
Taking of drugs or so called "remedies" in case of impotence is not only useless but dangerous. Diet is an important factor in these conditions. To begin with, the patient should adopt an exclusive fresh fruit diet from five to seven days. In this regimen, he can have three meals a day,
at five hourly intervals, of fresh juicy fruits such as grapes, oranges, apples, pears, peaches, pineapple and melon. The bowels should be cleansed daily during this period with a warm-water enema.
After the all-fruit diet, the patient may gradually embark upon a balanced diet of seeds, nuts and
grains, vegetables and fruits, with generous use of special rejuvenative foods such as whey, soured milks, particularly made from goat’s milk, millet, garlic, honey, cold-pressed vegetable oils and brewer’s yeast. The patient should avoid smoking,alcohol, tea, coffee and all processed, canned, refined and denatured foods, especially white sugar and white flour and products made from them.
Certain foods are considered highly beneficial in the treatment of impotence. The most important of these is garlic. It is a natural and harmless aphrodisiac. According to Dr. Robinson, an eminent sexologist of America ,garlic has a pronounced aphrodisiac effect. It is a tonic for loss of sexual power from any cause and for sexual debility and impotence resulting from sexual over-indulgence and nervous exhaustion.
Onion is another important aphrodisiac food. It stands second only to garlic. It increases libido and strengthens the reproductory organs. The white variety of onion, is however, more useful for this purpose.
Carrot is also considered useful in impotence. For better results, carrot should be taken with a half-boiled egg dipped in a tablespoonful of honey once daily for a month or two. This recipe increases sex stamina by releasing sex hormones and strengthens the sexual plexus. It is for this reason that carrot halwa, prepared according to Unani specifications is considered a very effective tonic to improve sexual strength.
The lady’s finger is another great tonic for improving sexual vigour. It has been mentioned in ancient Indian literature that the persons who take five to 10 grms of root powder of this vegetable with milk and ‘misri’ daily will never lose sexual vigour.
Dried dates, known as chhuhara in the vernacular, is a highly strengthening food. Pounded and mixed with almonds, pistachio nuts and quince seeds, it forms an effective remedy for increasing sexual power.
Black raisins are also useful for restoration of sexual vigour. They should be boiled with milk after washing them thoroughly in tepid water. This will make them swollen and sweet. Eating of such raisins should be followed by the use of milk. Starting with 30 grams of raising with 200 ml.
of milk, three times daily, the quantity of raising should be gradually increased to 50 grams each
time.
A vigorous massage all over the body is highly beneficial in the treatment of impotence as it will revive the muscular vigour which is essential for nervous energy. The nerves of the genital organs are controlled by the pelvic region. Hence a cold hip bath for 10 minutes in the morning or evening will be very effective.
Every effort should be made to build up the general health level to the highest degree and fresh air and outdoor exercise are essential to the success of the treatment. Yogasanas such as dhanurasana, sarvangasana and halasana are also highly beneficial.
The scheme of treatment outlined above will go a long way in restoring sexual vigour, but of course the results achieved will depend upon the age and condition of the sufferer. Longstanding cases will obviously not get such good results from the treatment as comparatively early cases ; and younger men will naturally tend to do better than older men.
Where the trouble is of psychological origin, treatment should be just the same , but in these cases advice from a qualified psychotherapist would be desirable. The patient also requires gentle handling by a willing partner.

STROKE IDENTIFICATION

During a BBQ a friend stumbled and took a little fall - she assured everyone that she was fine (they offered to call paramedics) and just tripped over a brick because of her new shoes. They got her cleaned up and got her a new plate of food - while she appeared a bit shaken up, Ingrid went about enjoying herself the rest of the evening. Ingrid's husband called later telling everyone that his wife had been taken to the hospital (at 6:00pm, Ingrid passed away.)

She had suffered a stroke at the BBQ - had they known how to identify the signs of a stroke perhaps Ingrid would be with us today. It only takes a minute to read this - Recognizing a Stroke ----- A neurologist says that if
he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke... totally. He said the trick was getting a stroke recognized, diagnosed and getting to the patient within 3 hours which is tough.

RECOGNIZING A STROKE
Thank God for the sense to remember the "3" steps. Read and Learn! Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer brain damage when people nearby fail to recognize the symptoms of a stroke Now doctors say a bystander can recognize a stroke by asking three simple questions:

1. *Ask the individual to SMILE.
2. *Ask him or her to RAISE BOTH ARMS.
3. *Ask the person to SAY A SIMPLE SENTENCE (Coherently) (example:
"It is sunny today")

If he or she has trouble with any of these tasks, call 9-1-1 immediately and describe the symptoms to the dispatcher.
After discovering that a group of non-medical volunteers could identify facial weakness, arm weakness and speech problems, researchers urged the general public to learn the three questions.
They presented their conclusions at the American Stroke Association's annual meeting last February. Widespread use of this test could result in prompt diagnosis and treatment of the stroke and prevent brain damage.
A cardiologist says if everyone who gets this e-mail sends it to 10 people; you can bet that at least one life will be saved.