[ use of atrifel sagir and its components in obesity]

Itrifal -Saghir or Triphala [tri = three and phala = fruits] is one of the oldest and commonly used polyherbal preparation. It is a botanical preparation include equal parts of three herbal fruits: Phyllanthus emblica., Terminalia chebula Retz and Terminalia belerica Retz. This study focuses on the indiations and components of Atrifel Sagir in obesity. Research resources include important traditional medicine book such as Al-Qanoon Fel Teb, Kolasetol hekma, Makzan al adviyeh and databases such as Google Scholar, Pub Med, Web of Science, SID and Iran Medex. Search terms were "Triphala", "Atrifal -Saghir", "Itrifal -Saghir" and "obesity" without narrowing or limiting search elements, with any outcome in humans and animals. There are a variety of indications for Atrifal - Saghir as described in Al-Qanoon Fel Teb such as purifies stomach enabling it for better coction. It is good for expels the phlegm. Its oral intake is useful for treating cases melancholy and anti-obesity. It strengthens the stomach by improving its capacity of coction assimilation and in improving relaxity and moistness of the stomach

Localized myxedema of the toe: a rare presentation of Graves' dermopathy

Infiltrative dermopathy is an uncommon manifestation of Graves' disease. The most frequent location of infiltration is the lower extremities, especially the pretibial areas and on the dorsum of the foot. Rarely the hand, elbow, arm, and forearm are affected. We report a 66-year-old man with Graves' disease of nine years duration who presented with dermopathy and nonpitting edema of the toe with no involvement of the pretibial portion since four years ago. Radiologic studies of the foot were normal, without subperiosteal bone formation or reaction. Skin biopsy was consistent with pretibial myxedema. This presentation of myxedema and limitation to a localized area for several years is very unusual