n~un 2

LTC1Ji5f.nWCUU1Dlm:R~Ulws fJ1Snl:JlnaUolnlSeJoOS=uUnloIOUOlI11S•

OUUlJu ~ CJ7llfJUQfI

GD i' CJ7llfJUQfI CJ7WD

QU/r1cllnFJ ~' CJ7WD

1;\77nfl7EJ!DS 'i' E./7/lfJUQfI U7/Do !lCi:EJ7/DoCjnnflou

msm:nn~uOlmSUO\)s:uUm\)ICiunltJ1D

vVinmuTDs ~ U7!1FJUQCi U7/Do l/fw7lDoQnnCiou

msnl:nn~UOlmSUO\)s:uuwJnu\)

l1')un ~ U7FJSU

wnJ7UO ~ EJ7fJ5U EJ7TCif)U C17SfI:fI7U ei7nsLJG7uU7n

mll3nltJuoneflnsuUSSlnlOlmSUJOIIC1:onlou

w5n ~ EJ7/Dfl

7wfl '~EJ7fJSU

nciuFi 2,

uryoe.llwruuli>lna4Ulws ~:iv ..l

f.l1Snl.tlnC;UOlnlsuoos=uunlOIOUOlt11S,

(JOUDU

~ ~ '" ~'f)£J1 'lJd--J'W"ll'W

'itJLL'U'U£J1 mllAtJ"Jl~ ~~e.J'll",.rl'lJrl''Wi'Wll~''l 250 n~~n1d--J 'IJ'"

,r'f) 1.i,tl"If mn'Vllmmm,j'W9m~tJV\, "lJU1lnLL~::::1fil"lf 1UtJd'~'Vll'WAf'l~~ 2-4 llAtJ"Jl~ (500 n~~n1d--J - 1

'IJ

nh.J) '"

r)'W~~ 4 A1"l "'~"lm"'lm~~n'tl'W'W'tl'W

~1~H1'Wer~vimfl~'tlV\~'W er~1'J[;)'tlm;f erlJ'JtJhA 'U 'I 'U 'U

U'JA'Jd'mn'Etlll~'Vl cl'ri 'tl 'W1i m

• A'Jn~iJV\J~r)'ln1d'1"lll'Wm1J"l~md'.n tJnvtwl1tJ

1" ...~md'V\Ll~'lJ'tl'lll ~'VltJ

'IJ

• mn:::iJv\j~r)"ln1j1"ll'w~n l,j'tl"l91nU'l1~~

-ll'tl ~~ r;11 'WtJ j~~'Vl fi e.J~ II~~ A'Jl d--J tJ ~ 'tl V\.ntJ 'U

'21

:u~

El1W'JU'f1fi vin~N~.,r1:U~ (~L~~) 250 iil'li1n11J LLI'l::•

500 iil'li1n1l-J

".. ell "'01 I V

1. m1Lvnmn11Y1'!l~tlf;l "nL'IIUf;l LLUUYl'!l~, 2. 11!l~nULLl'l:;UnLVI1mn111'1~u1~ t:11L9tJU "1n

n11L1J11tl LIJ1L1tl

3. tl!l~nU!l1l111'1~u1~ m~9UU .,i~n1n.hiilf;l J " ......... .,. I

• qYlfiunLYllmn11V1tl~!l1i' 'lJUI'lIJ ,nL'IIUf;l L~UU

11!l~ i'UU1:;YllU 2-4 n1l-J~!l~U .£ .. 1~ ~

• qV1fiU11LV1ltlln111'1I'lU 'II mL"UU"lnn11LIJ11tl

LIJ1L1tl 1UU1::YllU~UI'l:: 1-2 n1l-J .£.~ ~ .. 1~ ~ - ,~

• qV1fiU!l~nUmn1H1I'lU \'I ll1L"UU 1,11'l~n11~1f;lf;l

1UU1::V11Ul'1f~l'l:;1 n11J ntlUn11~1ii1f;l1 i'lllJ~

,j'inhIJH u~1l.;n,ym.Jl'l•

,j'i) ~'lii::-1~ • l'1'ln::1~1 Un111UU1::V1lu:U~i'll-JnutJ11 umll-J,

anticoagulant

• ~thuhl'1ti'l1'1'l1mm~nLLViYl!fri'!lufUth::VI1u:U~•

• 1l.iLLU::U11muU1::YllU1uLliinm!J~1n~1 6 'lJ'lU

'!ll"Lii f;l tl1n11LL'IIU f'!l UU1~'l ru V1l~ ~ ~Um1.l11

m nl11::1'11ULR tl~U1L 'l ruU1nLLI'l:: 1'1'!l

"11~b~l?1bYWI q

tJ1tJ'l ~mU"11~b~l?1bYl~bb,x'l "11'e1'l~::: 3 nJ~ q

v U'i'nYll'e11n1'i'Yl'e1'ltJn

" JUl.!'i':::Yll'Wr1f'l~::: l -2 "11'e1'l (3-6 nJ~) "11'l1Wil

, n'e1'W'W'e1'W ~... rl d~ Q _

tJ u'J tI Yl~ III 'J :::Yll'lll?1 'W'e11 VII 'i''e1 l?1 (1i 'W " q

• 'i':::~l?1'i':::1'lnl'i'1"11''Wl~n'e11t1~ln~1 l2 tJ VI~'e11'Wq

~thtl inflammatory bowel di. ease

• nl'i'JUlh:::Yll'WtI11 'W"lJ'Wll?1~'l'e119Vhl,xlnl?11l?l"

~nL~U

• hjA'J'i'H~l?1~'e1n'WdJ'Wb'J~I'Wl'W l'V'ln:::9:::vhl,x

vl'e1'll~t1 ~'l~'l~,ml,xr1n1H'HUl~m<hLL~:::bn~'e1bbi" ~

~lnLn'Whj ll?1m'Uvn:::hJLL(1i~l~t1~

• Vd'e1-:J91nLl'e1'WYl'i'1A11'W'Wl 'Wlu1~l ~l?1l Yl~r1'lYlt m:::l?1'Wl,x~11~' Vlrur1n1'i'uu~'Jb~'e1iuchti nI'i' q ~

l.wil?1~'e1n'WdJ'Wd:::t1:::l'J~IUl't.V"l:::vhl ,x~11~' VlnJ

~U~'e1tJ1 vl1~liiOl:::hJnlt1L"liul~t1'JnUtJ1'i':;ulti d de< .,( '1/ 1~ , ,0

'e1'WYl~'lYlfim:::VJ'W~1 ~bVlClJ b"11'W ~:;']n~ll"lJn

• 'i':::~l?1'i':::1-:Jn1'i'1"11' 'WVlC1J'lvT'lA'i"i' .nlb~:;l ,x'W~U(1id~ q

'e119vhl,xbnl?1mnl'i'1J'Jl?1~'JUvl'e1'l bti'e1-:J91nnl'i'UU

~'J"lJ'e1'l~11~' m\J

L

Wln:Ct18fDS

:H'flm Y1'l'Vl~~ltJl"'l~

'iU bb'iJ 'iJ m mbbrlU"Il~ mbijVl m~nn~'il'W (e.J'l'vh~'l~mtJl"'lm,x'l.. 'lJ 'lJ

i'fl '!J -11.an

"lI'lJ1IP1bb~~~filan

250 i1~~nf:hl. 500 i1~~nf:hl)

'iJnL'Vllmn1:fvl'il'lL~tJ1:lJ~Vlb~'il

f'iJU~~'Vll'Wrl#'1~~ 500 i1~~nf:IJ -2 nf:IJ r)tJ~~ 4 l:. Q,; t

V'I~'1 VI~'1mVllm~~n'il'W'W'il'W

• ,xl:IJ1"IlL'Ww~~mn1:fbL ~Y1'l'Vl~mtJ liOl~ 'lJ

• ~Vl~~'1rlnJlbb~~1,x'W:IJ'iJm1:lJrl'J~1-nb'd'il'liOllnm"l, vhl,xLfl(;)'Vllm~nJ1vl

'lJ

• 'ill"lvhl,xLil Vl'ill m:fbb ~'1vl~'1 bbl9i'illm:f~'W~'W ., ~:IJ~M iOl'W[i'lmmnb~.jJ'W~'WbL:f'lbb'iJ'iJ anaphy­

lactic shock cll1V1i.VltJn1~~(;)VI~'ill'W"lJ'Wl(;)~'1 'lJ

• Vlln1"ll~(;)l9i'iln'WdJ'Wb'J~l'Wl'W miOlvhl,xLb"lJ'W"lJl

~mn1:f"IllV1~'ilre)'il'Wbb~..:J

• Vllnl-nY1'l'Vl:;~ltJliOl~~Vl~'iln'W 3 t)'Wbb~'J1:lJVlltJ d "" ~, 1'" 1'"

VI~'il:IJ'illmn'Wbb:f'l"lJ'W~:;VI'Jl'1 "lltJ1rl'J~VltJVl "ll, ,

bL'tl:;1u~'iJbb~'VlU

• b~'il'liOllni1rl'Jl:IJLU'W1tJlvl~iOl~bnVl anaphylactic

reaction "lJ'il'l~l~~nVlY1'l'Vl~~ltJl"l~ 9..:Jl:lJV'I'J~1-n

1 'W~tJbb'iJ'iJm'ii.Vl 'lJ

miOlvhl,xbnVlmm~~VltJn~"lJ'il'l'Vll'1b~'WmVll:f b"ll'W

U'JVlvl'il'l vl'il'lL~'W rl~'W1~ b;j'ilmVll~ VI~'ili1mn1:f

U'JVlb'il'J ~'1b~tJ'W~~M~ 1"l~'W bb~~'illiOlbnVl~:IJ~M1vl

••

wm:enufDS

~'1lm

.,t1uumnv

i'1l1..i~'l,j'

'llUl61Ua:;:jii'l,j'

rhVl:;alU1'l1

U1LLI'lU'lIl'l I'J1LiJ~ I'J1Ljj~l'lnnl'l~U (tJ~W1V1:;l'llU-

1'l1LL,x~ 250 jjl'l~n1lJ, 500 jjl'l~n1lJ)

1. UmVl1mnl1L~UI'l'1l

2. umVl1mmj"IJ~~hl'l'vl-1~ L'liU L~UI'l~ ti'ilULV'liiu d "d' 11""ttI~~LlJ~U nl'lllJLU'1l UllJn 'vll'l LuU~U•

• U11LVllmm1L~UI'l~ 1UU1:;VI1Ul'lf~l'l:; 3-6 . n1l.l -1Ul'l:; d 1'l1~ 'vlll~m'vll1LLl'l:;ri'ilUU~U

• umVI1'il1m1'vl-1~ ~Utl1:;VllUl'lf~l'l:;1 ,5 - 3 n1lJ. -1ua:; d I'lf~ 'vlll~'il1'vll1LL!'l:;ri~uu~u

• ,x,lJ1'lI'1w1'~jJmn"1LL W'W1V1:;l'llU1"1• • l'l~r~~1'l11nlLl'l:;1,xulJu~11~1'l~1HLct~~'llnm'l•

vi11,x,i'i ~VI"m"iJ~t.I1.r

• ,x'lJ1'11'rhV':;mu1'mi,,,,fuLLnL~1.J1'l'1l1 unnu

~~Iii'illt1,j'

1 ..-' d..,. .. "" Q oJ''" UtJU ~ UYllJ 'Ell nl1L'l1.J I'lm U'El~''i'll1l11~lL 'lI '1l•

Streptococcus group A

", 1ut1'u~u~jJtl1:;'imLi'JuhI'l1~'1i'ml'lu Lct'1l~'lln•

____---'_b

llUAV1L~tJ ll~~ij'f:nmn'WlL1'l l'll'W ij~:J.,JVI'W'fl'l q q

'1 'WA'fl mi~'l VI'W'l,)~'W

• 'fl'l"'lvh1oXLil (;l 'fl'l n'l1Ll Y-ll ~~'l Llvl 'fll n'l j~ 'W ~'W ~ ~ ~~ "

m,JY-l~ "'l'WCl'l'fllmnlWlJ'Wt'WLLj'lLLUU anaphy­

lactic shock nl'lVl'1(;ltJmjoU(?lVl1''fl'l'W"lJU'l(;l~'l

• VI'ln'l".Oll(;l~'fln'WdJ'Wl,)~I'Wl'W 'fll"'lvh'1,xll'lJ'W'lJl

ijmm1".01V11''fl'El'fl'Wll j'l

• Vlln1iyh'Vl~~ltJl"'lj~(;l~'fln'W 3 (J\.\ll~')hJVlltJ ~ Q J 161'" 'ltV

Vlj'fl:J.,J'fllmn'Wllj'l'lJ'W1~VI,)'l'lb".Om A')1V1tJl?1b"Ilq q

II~ ~hIY-l U lL Y-l 'Vl tJ • l'ij'fl'l"'l'lnijA'"Jl:J.,JLu'WhJl~~"'l~ln(;l anaphylactic

reaction 'lJ'fl'l~lj~n(;lYf'l'Vl~~'ltJl"'l1 ~'113JA'J1'li

'1 'Wn.JLLuUmoU(;l'lJ

m"'lVh'1,xln(?l'fllm1~t?lUn~'lJ'fN'Vll'll~'WmVlljl'll'W

J')(;lvl'fl'l vl'fl'll~'W A~'Wl; l~'fl'fl'lVllj Vl1''flijmmj

U'Jt?ll'fl,) ~'1l~tJ'Wfih~~ 'l"'l-t'W ll~~m"'lln(?l~:J.,J~~l~

VI'l n ij 'fl'l n'l1~'l n'l'l'l,) A'J1V1tJ, (?)'1 iYfl'Vl ~~'l tJ1"'l1ll~~

lu~tJ'WhJlim~ULl 'Vl'W

UJun

~'flm

'iULL'U'lJm <u

-ll'flU ~1."Jf "lJ'U1(9lLL~~1fi1."Jf

Wf1J1EJO

~'flm

nhL'lJ'lJm <u

U'Jun

(plhJ ~J'J~ln'Hl~91nluu'J~~:rtltJ~~ 7 w/w

1i~d-JTWLLe.J~ o 'V ,et,

Vl1 '"I'Jld-J~~tll ~ LLC-J~ ~'J tJ m"J.Jl L'lltlntl'WVl1 m

liVl1U1'L'Jru~dluLLe.J~t)'W~~ 1-3 '"If'l ~rtl[Plld-J .. '" LL YrVltJ~'l

,xld-Jl'll'1WrtJ'JtJ~LLilr~d-J'W1 Y'lJl'W'J'l~ Umbelliferae 'lJ ,

(Apiaceae)

'"I'JJ~~ n L~ tJ'I n1J1'111i rn [P\tl n'WL U'WL'J~1'W1'W

L'"ItJijJ1tJ'l1'W~1 n1J'VI1~1J~ n rn1 uU'Jun'llu~~~'l

~1tl e.J'lUl'l'llUrnm9Vh1,xLi'l ~~'WLL vr~~ ~~1r;]

q dC!ll ~ ".flm 'VI~~1J~n~Y'lb)JltJmtltJ~~4-5

rllm::W7rJ (~I~rU111m.hn) ~ij~IJ~nrnY'lb)JltJtl "" "" ....1'Wnm'llm'WJtltJ~::; 2.5-4

Ifl';U ~ij~IJ~nrnY'lb)Jlm];tltJ~::; 1.25

1. '"I1~ 1JJn'VIlmnlJ'lJtl'llhJLL~::;'1~t)~ 'lJ

2. m111tl1.hn rm~ILLe.J~l'Wthn

3. l~i'W UJn'VIlmn1Je.Jrn~'WA'W ~~yh~ ~~A'W q

tI'IhJiJireu-J~ 'lJ

tI'IhJiJim,J~ 'lJ

f.n115nlfJUOnc11I1SUUSSlnlOlnlSUJOIICl:onlou

wsn =~'flm Y1m

'iU bb'U'Um V"l~ ~iJ~1r~n~91nt:,J~Y11n l~tliJtJhJ1bl.mrliJh-... = '" enu'J'tltl't."l:; 0.025

"ll'fl tJ \11.i UrrL'Vl1mmnh~i'tl U'J~n~1~Ld'tl "'''=!''l IV

"lI'I..l1IPlbb~:::'"Jfib"l1 'Vl1u1L'Jru~U'J~ 3-4 rA~'1~'tl'1U

"ll'fltr13.l1.i • ,x1~1"lllu~u'Jtl~LL~LLAu1en;nu 'lJ

~ I ~ ~ d d ~

• r:;'J'I'tl m'Vl1 L9't."lUrL'J rut:,J'J'VlU'tlUU1'1~r'tlUn 'J ru

~'JVlU'l~LLl?ImU'tl'l91nvh1,xLn~mn1r'J:;AltlL~'tl'l

• mr1ii'Jl-JnumfmnhA,x'J19 91Y1'Jn angio­

tensin-converting enzyme inhibitor (ACE

inhibitor) m9vh1,xLn~mmJ1'tlL~:t.J~U

• m9Lyj:lJmr~Vl~l-J'llJ'tl'lmhAVl'tlU~Vl ~'tl "llilVl ~d .,,;

'tl'tlnll'Vlfi'VlLUUU1U

• rl'Jn:;'1'1L~'tl1 iL9~Y11ni'J:lJnumn~:lJ~'tl1uif,

* Angiotensin converting enzyme inhibitors

* Anticoagulants

lwo

~'fl!J1

7''I.hb1J1J!J1.. on'flU.:l1.i' "lI'U1lPlbb'Cl::1fili'

on'fl '!X13.J1.i'

* Barbiturates

* Low molecular weight heparins

* Theophylline

* Thrombolytic agents

C'3'JVlU'I LLl?I'I l.h l?I LL ~iJr1.lU

1'V'l~

rlhJ (J1JJu1'V'l~rmJ~:; 14)

iJ'JHVl1mm'JiJ'J:J..J ~n..ff1 Lf01~l?Itl1.ln Q. dod _ ~

Vl1LL~~tJLiJ11 iJH'JruVl:J..Jmm'J'JU~:; 2-3 fOlJ'I lj,.f 4:::10 4 d I

• Vl1:J..JVl1iJH'Jru"lJ1.liJ I?l1 LL~:;L U1.l Lt11.l1.l1.lU

• ,x1:J..JVl1iJrL'JruC'3'JVlU'l~iiiJ1l?1LL~~Vl~1.liiLL~~LtJ l?I

hJLLu~1l11 VlL.ji'niJ~l?l1iif01n.n Vl~m~Vl~1'11 ,xU:J..JiJl?l'J.