Cinchona another fever remedy. The bark of cinchona can be harvested in a number of ways. One approach was to cut the tree but this and girdling are equally destructive and unsustainable so small strips were cut and various techniques such as "mossing", the application of moss to the cut areas, were used to allow the tree to heal. Other approaches involved coppicing and chopping of side branches which were then stripped of bark. The bark was dried into what were called quills and then powdered for medicinal uses. The bark contains alkaloids, including quinine and quinidine. Cinchona is the only
Analgesic nephropathy of paracetamol into "N"-acetyl-"p"-benzoquinoneimine (NAPQI). NAPQI depletes glutathione via non-enzymatic conjugation with glutathione, a naturally occurring antioxidant. With depletion of glutathione, cells of the kidney become particularly sensitive to oxidative damage. Diagnosis is traditionally based on the clinical findings above in combination with excessive analgesic use. It is estimated that between 2 and 3 kg each of phenacetin or aspirin must be consumed before evidence of analgesic nephropathy becomes clinically apparent. Once suspected, analgesic nephropathy can be confirmed with relative accuracy using computed tomography (CT) imaging without contrast. One trial demonstrated that the appearance of papillary calcifications on CT imaging