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The Academy of Healing Nutrition ASTHMA WHAT IS ASTHMA? Asthma means panting (breathlessness) in Greek. In reality, asthma is more then panting. For example, if you exert yourself with intense exercise, you start panting, but that is not asthma. Asthma means breathlessness due to the constriction of the respiratory tubes. People with asthma have sensitive airways in their lungs. When they are exposed to certain triggers, their airways narrow making it hard for them to breathe. When an asthma attack occurs, the muscles of the bronchial tree become tight and the lining of the air passages swells, reducing airflow and producing the characteristic wheezing sound. Two main factors that cause airways to become narrow: C the inside lining of the airway becomes red and swollen (inflammation) C extra mucus (sticky fluid) may be produced The muscles around the airways tightens. This is called bronchoconstriction. When allergens or irritants come into contact with the inflamed airways, the already sensitive airways tighten and narrow, making it difficult for the person to breathe. Progressively severe symptoms can lead to an asthma attack. In asthma attacks, the overproduction of mucus lining the airways further narrows the airways, limiting oxygen intake and making it more difficult to breathe. The symptoms associated with asthma differ from person to person. Many people experience severe coughing in the early morning hours or at night. The wheezing and tightening of the chest, other symptoms suffered by asthmatics, causes shortness of breath. Asthma can be triggered by allergens or induced by external irritants. Allergen-induced asthma normally appears in individuals before the age of 35. Non-allergic asthma occurs later, usually at middle age, and is triggered by exercise, weather changes, or viral infections. Asthma may also develop later in life, particularly after menopause, or after the birth of a child. Extrinsic asthma is the other form of asthma and is caused by allergies, pollutants, and irritants. Most people with asthma have periodic wheezing attacks separated by symptom-free periods. Some asthmatics have chronic shortness of breath with episodes of increased shortness of breath. Other asthmatics may have cough as their predominant symptom. Asthma attacks can last minutes to days, and can become dangerous if the airflow becomes severely restricted. Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role. Mast cells, eosinophils, T lymphocytes, macrophages, neutrophils, and epithelial cells in particular are involved. In susceptible individuals, this inflammation causes recurrent episodes of wheezing, breathlessness, chest tightness, and coughing. These episodes are usually associated with widespread but variable airflow obstruction that is often reversible either spontaneously or with treatment. The inflammation also causes an associated increase in the existing bronchial hyper-responsiveness to a variety of stimuli. WHY DO PEOPLE GET ASTHMA IN THE FIRST PLACE? The causes of asthma are not really understood by western medical science, but there is often a family history of asthma, eczema or hay fever. Asthma can begin at any age and change over time. Unborn babies whose mothers smoke during pregnancy, and children exposed to smoke in early childhood, have a higher risk of developing childhood asthma. The early exposure to allergens or irritants is thought to 1 be an important cause of asthma. Heredity also plays a role in predisposing certain groups of the population to the chronic condition. The allergens that can trigger an asthma attack include animal dander, pollen, mould, and dust. Irritants like cigarette smoke, air spray products and perfumes, and changes in the weather can also trigger attacks. The best way to minimize the symptoms is to avoid the triggers. Changing bed and pillow frequently, avoiding mould, staying away from pets, and avoiding the outdoors during windy days are some of the lifestyle changes a person can make to eliminate the triggers. MEDICATION Bronchilators are short-acting medications, often administered with inhalers. Bronchilators relax the airways so the person can breathe more freely. Long-term medications are used to control persistent cases of asthma include corticosteroids, beta agonists, leukotriene modifiers, Cromolyn, and Nedocromil. Depending on symptoms, doctors may prescribe various dosages to help control asthma symptoms. Children’s medications contain lighter dosages of the traditional asthma medications. TRIGGERS When an asthmatic responds to allergens or irritants, the mucous membranes of the lungs excrete excessive mucous and the smooth muscles that surround the smaller bronchi go into spasms. This narrows the passages so air has trouble moving in or out of the alveoli (small thin-walled sacs in the lungs that transport oxygen to the blood). Asthma is triggered by an allergic response and the immune system produces histamine so any type of allergen can precipitate an asthma attack. Asthma is caused, for the most part, by moulds, pollen, animal dander, pollution, food, other allergens, digestive problems, nutritional deficiencies, and a fatty acid and prostaglandin imbalance. There is also cardiac asthma, which is the result of a heart malfunction. Finding out what triggers an individual’s asthma or makes it worse is the first step in taking control of asthma. Every person can have different asthma triggers. In some people it can be difficult to know what triggers their asthma. The most common asthma triggers are: C exercise (this can be managed) C inhaled allergens (eg pollens, mildew, moulds, animal hair and dust mite) C cigarette smoke C changes in temperature and weather (most often cold weather) C certain drugs (eg aspirin and some blood pressure medications) C chemicals and strong smells C some foods and food preservatives, flavourings and colourings many asthmatics react to as little as five parts of sulphur dioxide per million. C MSG and excitoxins (often hidden ingredients in prepackaged and fast foods) C some occupations C dust C viral infections, such as the common cold and flu C animals (hair or dander) C strong emotions C dust mite’s excrement in bedding, upholstery, rugs, and drapes C cockroaches C pilot lights, poorly ventilated gas stoves, heaters, appliances emit nitrous oxides C poorly ventilated wood burning fireplaces C smog and pollution 2 C C C C C C C soot, smoke and other fine matter in the air cleaning solvents digestive problems nutritional deficiencies fatty acid and prostaglandin imbalance perfumes, chemicals and other irritants stress By knowing asthma trigger individuals can: C make sure that whenever triggers are likely to be present, medication is available C try to avoid your triggers altogether To determine individual triggers: C take some simple tests C monitor asthma C keep a symptom diary Allergens Allergens are substances that stimulate an immunological reaction in the body, and allergy is a frequent and important trigger of asthma. Taking a careful history to establish possible allergic triggers within the person’s home or work environment can be helpful. History alone may not be accurate in predicting sensitisation, therefore objective measures (skin prick tests or RASTs) may assist though are not foolproof. Some patients benefit from electrodermal intolerance/allergy testing. Food allergy and food additive intolerance Foods can trigger acute asthma attacks, either from IgE-mediated food allergy (usually nuts, shellfish, milk and eggs) or chemical intolerance. No single food, food chemical or additive (e.g. metabisulfite) acts as a trigger in all people with asthma, and not all people with asthma are sensitive to foods or additives. Consultation with a physician specialising in allergy may be helpful in: C asthma in conjunction with anaphylactic features C sudden unexplained episodes of asthma C known or suspected hypersensitivity to foods C cases where an allergic factor is suspected but not obvious C asthma in conjunction with other problems, especially hay fever and skin disorders C persistent unstable asthma with hospital presentation Infection Viral respiratory infections frequently trigger asthma. Steps to be taken when they occur should be included as part of an asthma action plan. Bacterial infection may also be present. Asthma itself can cause discoloured sputum, which does not necessarily indicate the presence of infection. Exercise At least 80% of people with asthma have symptoms triggered by vigorous exercise. In some people with asthma, exercise-induced symptoms may be the only manifestation of asthma. Exercise-induced asthma may also be an indication of undertreatment. Treatment should be adjusted to allow full participation in exercise programs. 3 Drugs A person who is started on any new medication for another medical problem should be asked to report any deterioration in his or her asthma. When purchasing any new medicine (prescription, non-prescription or complementary), people with asthma should check with their pharmacist or doctor about its safety in people with asthma. Examples of medications that may cause or worsen asthma: C beta-adrenergic blocking agents, either oral or in eye drops C aspirin and other non steroidal anti-inflammatory drugs (NSAID) C some complementary medicines – in particular, Royal Jelly and bee-pollen is contraindicated in people with asthma, and severe allergic reactions and exacerbations of asthma have been ascribed to echinacea Emotion Emotional triggers such as anxiety, stress and psychosocial dysfunction may aggravate existing symptoms. Gastro-oesophageal reflux Micro-aspiration of stomach acid, or reflux of stomach acid into an inflamed lower oesophagus, can lead to bronchospasm in some patients with asthma. Asthma control may improve in these patients if reflux is treated. Gastro-oesophageal reflux may be present in up to 40% of adult asthmatics and is made worse by high doses of beta2 agonists and theophylline. Gastro-oesophageal reflux (GOR) is common in asthma and may be asymptomatic. It is a common cause of cough and may be associated with poor asthma control. Resolving this condition is crucial to addressing the asthma symptoms. Irritants C people with asthma should not smoke, and friends and relatives should be asked to avoid smoking around them. This is especially important for parents of children with asthma. Smoking during pregnancy causes abnormal foetal lung development and increases bronchial hyper-responsiveness in the infant. C fumes from paint and household cleaners may precipitate an acute attack of asthma, as may some perfumes Occupational factors C asthma can be caused by exposure to agents in the work environment, such as wood dusts, laboratory animals, flour, industrial chemicals (particularly isocyanates and epoxy resins), or metal salts, e.g. platinum. As well, exposure to dusts and gases may cause a deterioration of pre-existing asthma C may predispose some workers to higher risk in specific occupations. Occupational factors to be addressed include substitution with a safer substance, good engineering and ventilation, and the use of respirators or air helmets when appropriate. C In adults with asthma the possibility of occupational exposure to inducers or triggers should be routinely considered. When an occupational cause has been established, the worker may need to be withdrawn from the work environment. Temperature changes C a drop in air temperature at night can trigger asthma and may be prevented by heating the bedroom at night. C cold air environments, whether at home or at work, may trigger asthma. 4 STATISTICS Asthma is found in 3-5% of adults and 7-10% of children. Half of the people with asthma develop it before age 10, and most develop it before age 30. Asthma symptoms can decrease over time, especially in children. Many people with asthma have an individual and or family history of allergies, such as hay fever (allergic rhinitis) or eczema. Others have no history of allergies or evidence of allergic problems. It is believed that there is a link between asthma and estrogen. The incidence of asthma in females increases at puberty and stays high until menopause. In some studies, menopausal women who had used estrogen were at a 49% greater risk of developing asthma than women who had never used the hormone. The longer the hormone where used, the greater the risk. In general some studies have noted that the occurrence of asthma rose 50% from 1982-1991. SYMPTOMS Symptoms and signs of asthma vary widely from person to person and the absence of typical symptoms does not exclude the diagnosis of asthma, however indications to consider asthma include symptoms that are: C recurrent C worse at night or in the early morning C obviously triggered by exercise, irritants, allergens C viral infections In children, a chronic or recurring cough, in the absence of any wheeze or associated atopic features, is unlikely to be asthma. Signs to indicate asthma in children include: C wheezing usually beginning suddenly, is episodic and may be worse at night or in early morning C aggravated by exposure to cold air C aggravated by exercise C aggravated by heartburn (reflux) C resolves spontaneously C relieved by bronchodilators (drugs that open the airways) C cough with or without sputum (phlegm) production C shortness of breath that is aggravated by exercise C breathing that requires increased work C intercostal retractions (pulling of the skin between the ribs when breathing) Emergency symptoms C extreme difficulty breathing C bluish color to the lips and face C severe anxiety due to shortness of breath C rapid pulse C sweating C decreased level of consciousness (severe drowsiness or confusion) during an asthma attack Additional symptoms that may be associated with this disease: C nasal flaring C chest pain C tightness in the chest 5 C abnormal breathing pattern, in which exhalation (breathing out) takes more than twice as long as inspiration (breathing in) C breathing which temporarily stops SIGNS AND TESTS Listening to the chest (auscultation) during an episode reveals wheezing. However, lung sounds are usually normal between episodes. Tests may include: C pulmonary function tests C peak flow measurements C chest X-ray C allergy testing by skin testing or serum tests C arterial blood gas C eosinophil (a type of white blood cell) count COMPLICATIONS C C C C respiratory fatigue pneumothorax death side effects of the medication used DIAGNOSIS A doctor usually can tell whether a person has a lung or airway disorder based on medical history and physical examination. Diagnostic procedures are used to confirm the diagnosis, determine the extent and severity of the disease, and help in planning treatment. Chest pain, shortness of breath (dyspnea), cough, coughing up of blood (hemoptysis), wheezing, and a crowing sound while breathing (stridor) suggest lung or airway disease. Other, more general symptoms, such as fever, weakness, fatigue, and a general feeling of illness or discomfort (malaise), may also point to lung or airway disease. During the physical examination, a doctor may ask a person to walk around or climb a flight of stairs to see if either activity causes shortness of breath. Assessing skin color is important because pallor or cyanosis may indicate anemia or poor blood flow. These findings can indicate that the skin is receiving inadequate oxygen from the blood because of lung or airway disease. Fingers are examined for evidence of clubbing. A doctor observes the chest to determine if the breathing rate and movements are normal. By tapping (percussing) the chest, a doctor can determine if the lungs are filled with air, which is normal, or if they contain fluid, which is abnormal. Using a stethoscope, a doctor also listens to the breath sounds to determine whether airflow is normal or obstructed and whether the lungs contain fluid as a result of respiratory failure or pneumonia. In addition to examination of the chest, a complete physical examination may be needed, because many disorders not related to the lungs first present with evidence of lung problems (for example, the presence of pleural fluid, which may represent metastasis from an abdominal tumor). Pulmonary function testing Tests for lung disease are designed to give an accurate assessment of how well the lungs are working. Each test assesses a different aspect of lung function. One group of tests, called pulmonary function tests, measure the lungs’ capacity to hold air, to move air in and out, and to exchange oxygen and carbon 6 dioxide. These tests are better at detecting the type and severity of lung disorders than at defining the specific cause of problems but can assist in an asthma diagnosis. Pulmonary function tests include lung volumes and flow rate measurements, flow volume testing, muscle strength assessment, and diffusing capacity measurement. Lung volume and flow rate measurements The assessment of lung disease often involves testing how much air the lungs can hold as well as how much and how quickly air can be exhaled. These measurements are made with a spirometer, which consists of a mouthpiece and tubing connected to a recording device. A person inhales deeply, then exhales forcefully as quickly as possible through the tubing while measurements are taken. The volume of air inhaled or exhaled and the length of time each breath takes are recorded and analyzed. Often, the tests are repeated after a person takes a drug that opens the airways of the lungs (bronchodilator). A simpler device for measuring how quickly air can be exhaled is the peak flow meter. After inhaling deeply, a person blows into a small, handheld device as hard as possible. This inexpensive device helps people who have asthma or other lung diseases monitor the severity of their disease and the effectiveness of treatment at home. Lung volume measurements reflect the stiffness or elasticity of the lungs and rib cage as well as the strength of respiratory muscles. Flow rate measurements reflect the degree of narrowing or obstruction of the airways. The measurements are abnormal in obstructive disorders, such as bronchitis, emphysema, and asthma. Flow volume testing Most newer spirometers can continuously display lung volumes and flow rates during a forced breathing manoeuver. These flow rates can be particularly helpful in detecting abnormalities that partially block the voice box (larynx) and windpipe (trachea). Muscle strength assessment The strength of the respiratory muscles can be measured by having the person forcibly inhale and exhale against a pressure gauge. Diffusing capacity measurement A diffusing capacity test can estimate how efficiently oxygen is transferred from the air sacs of the lungs (alveoli) to the bloodstream. Because the diffusing capacity of oxygen is difficult to measure directly, a person inhales a small amount of carbon monoxide, holds the breath for 10 seconds, and then exhales into a carbon monoxide detector. If the test shows that carbon monoxide is not well absorbed, oxygen will not be exchanged normally between the lungs and the bloodstream either. The diffusing capacity is characteristically abnormal in people with pulmonary fibrosis, emphysema, and disorders affecting the blood vessels of the lungs. PEDIATRIC ASTHMA Among children, asthma is a leading cause of hospitalization, chronic disease, and school absenteeism. Children with asthma may be able to breathe normally most of the time. When they encounter a trigger, however, an attack can occur. In recent years, there has been a worldwide increase in the number of children with asthma. This trend has been linked to environmental factors, including air pollution. However, it is important to understand that indoor triggers can play just as much of a role as outdoor triggers in bringing on an asthma attack. Children’s airways are narrower than those of adults. This means that triggers that may cause only a slight response in an adult can be much more serious in children and appear suddenly with severe symptoms. For this reason, it is important that asthma be diagnosed and treated correctly. For some children, this may mean taking daily medication even during 7 times when no asthma symptoms are present. With proper treatment and a team approach to managing asthma (including, most importantly, the family), most affected children can live a normal life. Asthma, however, can be a life-threatening disease. It is important for families to work together with health care professionals to develop a plan for the child with asthma in order to ensure proper treatment and to minimize the impact of this chronic condition. Childhood-onset asthma is closely linked with the presence of eczema, hay fever, urticaria and migraine in the patient or in close relatives. People with this kind of family history are called atopic. If both parents have a history of atopy then the chances of the child being affected is 50%; if one parent is affected, the chance is 30%; and if neither parent is affected, the chance is approximately 12%. Childhood asthma may very often be preceded for several months or even years by episodic coughing which later develops into wheezy bronchitis and then eventually into asthma. Such children often have a history of slow recovery from upper respiratory tract viral infections as well as a personal or family history of atopy. Complications: C chronic cough C lack of sleep from nighttime symptoms C decreased tolerance for exercise and other activity C missed school C missed work for parents C trouble breathing C need for emergency room visits C need for hospitalization C assisted ventilation C chronic lung disease (permanent changes in the function of the lungs) C death PREVENTION There is no fool-proof method to prevent asthma attacks. When families take control of their home environment, asthma symptoms and exacerbations can be significantly decreased. A severe attack can be prevented by a quick response. An asthma action plan can tell a family exactly what to do when symptoms start to increase. Following an asthma action plan can prevent severe exacerbations that otherwise might result in hospitalization. Asthma symptoms can be substantially reduced by avoiding known allergens and respiratory irritants. If someone with asthma is sensitive to dust mites, exposure can be reduced by encasing mattresses and pillows in allergen-impermeable covers, removing carpets from bedrooms, and by vacuuming regularly. Exposure to dust mites and mould can be reduced by lowering indoor humidity. If a person is allergic to an animal that cannot be removed from the home, the animal should be kept out of the patient’s bedroom. Filtering material can be placed over the heating outlets to trap animal dander. Exposure to cigarette smoke, air pollution, industrial dusts, and irritating fumes should also be avoided. Suggestions for healthy lungs: C avoid exposure to allergens C ventilate your house to control mould, formaldehyde and dust C don’t use scented air fresheners or perfumes C use mattress and pillow covers 380-count cotton to protect against dust mites C wash bedding often in hot water C avoid clutter that encourages mildew, cockroaches and dust mites C dehumidify 8 C C C C C C C C replace furnace filters monthly avoid gas stoves to avoid pet dander and avoid pets delayed onset asthma may be caused by chocolate, wheat, citrus fruit and food colorings like yellow dye #102. avoid outdoor activities when pollution is high avoid contact with cockroaches (use non toxic pest control) purify the air in your house (some asthmatics have a problem with ozone air cleaners) vacuum often and dust with a damp cloth. High-energy particulate air filters for your vacuum can trap finer particles. Exhaust from vacuums can also be a problem. Canisters have been shown to be the dustiest. NUTRICEUTICALS Essential fatty acids (EFAs) Asthma can be related to an omega-3 fatty acid deficiency. Children who eat fish regularly have about a third the risk of asthma when compared to whose who do not eat fish. Oily fish like salmon, tuna, mackerel, halibut, sardines and trout are rich in omega-3 fatty acids. Eating at least one fish meal a week can reduce the risk of asthma or exacerbation of its symptoms. This recommendation must be carefully considered since some asthmatics have food allergies which includeo seafood. Flax seed oil may also be used to correct this deficiency. Omega 6 rich sources should be minimised and trans fat sources eliminated. An essential fatty acid deficiency may weaken cell membranes and increase cell permeability and heighten allergic responses allowing environmental toxins and pathogens to permeate the mucosal lining of the airways, skin, and gastrointestinal tract more easily. When there are sufficient EFAs and the mucous barrier is strengthened, it can block unwanted substances, averting asthma attacks. Some good choices are evening primrose, black current, or borage oil capsules, hemp seed oil, flax oil, or carefully selected fish oil capsules that are certified to be free of pollutants. It is imperative to ensure all sources of essential fatty acids are fresh and not rancid. Methylsulfonylmethane (MSM) MSM has been shown to be helpful with asthma. It is effective against allergies and it softens lung tissue. The recommended dosage is 20 grams per day for 3 days or so until a difference is noticed and then 10 grams a day as a maintenance dose. Many asthmatics have allergies to sulphur dioxide and sulfa based medications and therefore shy away from MSM believing this nutrient will cause a similar reaction. It is actually a completely different substance. In addition to it being a naturally occurring component which is critical to the synthesis and utilisation of many vitamins and cofactors in the body, it assists in rebuilding the immune system, connective tissue and is a potent anti-inflammatory and often severely deficient in those dealing with asthma. Quercetin Quercetin 300mg of quercetin 3 times daily is recommended for asthma. It works over time to return the body to a non-reactive state where foods and environmental substances are concerned. Shark Liver Oil Shark Liver Oil contains Alkylglycerols which are potent immune-stimulating chemicals shown to be beneficial in asthma. 9 Colostrum Colostrum is a bovine product that contains powerful immune modulating chemicals produced by the mother to pass on crucial immune factors. Studies have shown these factors to be common to all mammals and to be helpful in severe allergies and reactivity. Coenzyme Q10 Coenzyme Q10 is a catalyst in mitochondrial energy production and may assist in cellular respiration. Q10 helps oxygen to be used at a cellular level. HERBAL THERAPY Phytotherapy has much to offer in the treatment, control and even cure of asthmatic problems, but will not replace emergency support. Pulmonary tonics are important in long term strengthening of the lungs, but will do little in short term relief of an attack. Expectorant remedies will be essential to ensure that there is the minimum of build up of sputum in the lungs. However, stimulant expectorants would potentially aggravate the breathing difficulties. Thus only using relaxing expectorants is recommended. Demulcent herbs will be soothing and support the relaxing expectorants. Anti-spasmodic plants will ease the spasm response in the muscles of the lungs. Anti-microbial support is called for if there is potential for secondary infection. Anti-catarrhals aid the body in dealing with overproduction of sputum in lungs or sinuses. Cardio-Tonic herbs will support the heart in the face of lung congestion or strain. Nervine support is always appropriate either because stress is a trigger or because the asthma becomes a source of stress & concern which then in turn triggers attacks. Tonic support of the systems most affected by asthma is often the key to successful treatments. Of primary importance is, of course, the respiratory system. In addition to this, consideration must also be given to the cardio-vascular, nervous, and digestive systems. The digestive system comes into play because of any dietary sensitivities, which often have an impact on the histological structure of the alimentary canal. Specific remedies Ephedra sinica (Ma Huang) is a strong stimulant that is used in as a bronchodilator for asthma, hay fever, and emphysema under very careful observation by a qualified practitioner. It relieves bronchial constriction. It is part of many herbal combinations for asthma and the lungs. This herb is restricted or banned in many countries. Ephedra sinica (Ma Huang) and some other species of oriental Ephedra have proven exceptionally useful as bronchodilators with is being the original source of the alkaloid l-ephedrine. The synthetic ephedrine is racemic and optically inactive because it has equal parts of dextro- and levorotatory forms. The natural form has advantages as it is better tolerated, causing fewer heart symptoms. Ephedrine stimulates the sympathetic nervous system, relieving the bronchial spasm that underlies the asthmatic state, as well other conditions that have a bronchospasm component such as emphysema. Allergic reactions respond well to Ephedra because of its action on the sympathetic nerves. It must only be used with extreme caution under close professional supervision. Of most importance within western Phytotherapy are the following herbs: C Ephedra sinica C Grindelia camporum C Euphorbia pilulifera C Drosera rotundifolia C Prunus serotina C Ammi visnaga 10 One possible prescription for asthma (dyspnoea mixture) Grindelia camporum 24 parts tincture Euphorbia pilulifera 24 parts tincture Lobelia inflata 12 parts tincture Prunus serotina 12 parts tincture Glycyrrhiza glabra 12 parts tincture Leonurus cardiaca 12 parts tincture Ephedra sinica 10 parts tincture Pimpinella anisum 1 parts e.o. 5ml of mixture taken 3 times a day If Euphorbia pilulifera proves difficult to obtain then double the amount of Grindelia to make up for it. This combination supplies the following actions: C pulmonaries (Lobelia inflata) C expectorant (Grindelia camporum, Euphorbia pilulifera, Lobelia inflata, Glycyrrhiza glabra) C demulcent (Glycyrrhiza glabra) C anti-spasmodic (Grindelia camporum, Euphorbia pilulifera, Lobelia inflata, Prunus serotina, Glycyrrhiza glabra, Pimpinella anisum, Ephedra sinica) C anti-microbial (Pimpinella anisum) C anti-inflammatories (Glycyrrhiza glabra, Pimpinella anisum) C anti-catarrhals (Pimpinella anisum, Ephedra sinica) C cardio-tonic (Leonurus cardiaca) C nervine (Lobelia inflata, Leonurus cardiaca) One possible prescription for Asthma/eczema (atopic asthma) in children Dyspnoea mixture 2 parts Galium aparine 1 part Trifolium pratense 1 part Urtica dioica 1 part Prepare equal parts of tincture to 5ml, take three times a day This combination supplies the following actions: C alterative (Galium aparine, Trifolium pratense, Urtica dioica ) C pulmonaries (Lobelia inflata) C expectorant (Grindelia camporum, Euphorbia pilulifera, Lobelia inflata, Glycyrrhiza glabra) C demulcent (Glycyrrhiza glabra) C anti-spasmodic (Grindelia camporum, Euphorbia pilulifera, Lobelia inflata, Prunus serotina, Glycyrrhiza glabra, Pimpinella anisum, Ephedra sinica) C anti-microbial (Pimpinella anisum) C anti-inflammatories (Glycyrrhiza glabra, Pimpinella anisum) C anti-catarrhals (Pimpinella anisum, Ephedra sinica) C cardio-tonic (Leonurus cardiaca) C nervine (Lobelia inflata, Leonurus cardiaca, Trifolium pratense) Astragalus Astragalus also known as huang-qi is a tonic herb for the adrenals, lungs, and digestive tract. It restores peripheral circulation and inhibits tumour growth. When combined with schizandra, it is an adaptogen for the adrenals. Astragalus is a very potent immune system enhancing herb that aids in interferon 11 production in the cells. It is often used with other herbs to strengthen immunity. It is taken before cold and flu season to fortify though it may take time to have this effect. Olive Leaf A potent, yet non toxic antimicrobial, antibacterial and antifungal agent that is safe to use for children and adults. It is also a lung and cardiac tonic and extremely useful in respiratory tract infections. Thyme Thyme is an expectorant used for asthma and bronchitis. It can also be taken as a tea. If the asthma attack is accompanied by acute bronchitis then drinking three or four cups of thymus vulgaris tea daily will not only help relieve the asthma attack but also soothe the bronchitis. Thyme contains salicylate and should be avoided if the asthmatic is allergic to salicylates. Blessed Thistle Blessed thistle is used for congestion and inflammation of the lungs and for asthma. Capsicum Capsicum is used to temporarily help asthma. It causes the bronchial tubes and lungs to release secretions, thus opening them up. Cat’s Claw Cat’s claw helps relieve asthma due to its anti-inflammatory properties. It is also a powerful antiviral, antibacterial and antifungal agent. Chickweed Chickweed fights inflammation and is used for asthma. Coleus forskohlii Coleus forskohlii relaxes the smooth muscles and blood vessels in the body. Forskolin, the active ingredient in coleus forskohlii has been shown to prevent bronchoconstriction in asthmatics and healthy subjects. Coltsfoot Coltsfoot is used for asthma and all kinds of respiratory problems. It is an expectorant and immune stimulant that helps with mucous and spasms. An extract of fresh leaves can be used for making cough drops and the dried leaves can be used for tea. Cordyceps Cordyceps is used for chronic coughs and asthma. Garlic Garlic may help reduce the asthmatic response to air-borne allergens. Suggested dosage: C children 6-12 years of age – 50mg fresh garlic with food morning and night C adults 400mg garlic just before food, each night 12 Ginkgo Biloba Ginkgo biloba leaves have a long history of use for coughs and asthma due to their antihistamine effect. They have been effective as a muscle relaxer to help with breathing. In traditional Chinese medicine, ginkgo seeds are used to stop asthma and as an astringent for the lungs. Green tea Green and black tea contain small amounts of theophylline. Theophylline is used in asthma medications to relax bronchial tubes. It is thought that for some people, drinking tea at the first sign of an attack may stop the attack from progressing. Elecampane Elecapane is an expectorant, anti-tussive, diaphoretic, hepatic, anti-microbial. It is indicated for irritating bronchial coughs, especially in children. It may be used wherever there is copious catarrh formed such as in bronchitis or emphysema. This remedy shows the complex and integrated ways in which herbs work. The mucilage has a relaxing effect accompanied by the stimulation of the essential oils. In this way expectoration is accompanied by a soothing action which in this herb is combined with an anti-bacterial effect. It may be used in asthma and bronchitic asthma. Elecampane has been used in the treatment of tuberculosis. The bitter principle makes it useful also to stimulate digestion and appetite. It is a gently stimulating tonic expectorant for chronic catarrhal conditions: warming, strengthening and cleansing to pulmonary mucous membranes. Indicated for chronic pectoral states with excessive catarrhal expectoration and/or a tubercular diathesis it is used for bronchial and gastric catarrh, chronic bronchitis, tuberculosis, pneumoconiosis, silicosis, pertussis, emphysematous conditions, chronic cough in the elderly. Some considered it to specifically act directly upon the nutritive functions of the body. In general debility from protracted disease or from overwork, or from age, its influence is plainly apparent. It imparts tone to the digestive and respiratory organs and to the urinary tract. In addition it is recommended for atonic conditions, night sweats, pulmonary tuberculosis, irritating cough and catarrhal discharges. Other traditional herbalists describe it as an aromatic stimulant and tonic and report its use as an expectorant, emmenagogue, diuretic, and diaphoretic. It is used in chronic pulmonary affections, weakness of the digestive organs, hepatic torpor, atonic dyspepsia with flatus, and internally and externally in cutaneous diseases. Night-sweats are relieved as are some cases of humid asthma, and by its tonic properties, it tends to sustain the strength of the patient in chronic disorders of the respiratory tract. It is accredited with a fatal action upon the tubercle bacillus. It can be somewhat slow in action, and should be used for quite a time to get its full action. That it is an important remedy in irritation of the trachea and bronchiae is now well established. It is adapted to cases with free and abundant expectoration, teasing cough and pain beneath the sternum, conditions frequent in la grippe and the severer forms of colds. Combinations: Elecampane combines well with White Horehound, Coltsfoot, Pleurisy Root, Lungwort and Yarrow for respiratory problems. Preparations and dosage: C infusion: pour a cup of cold water onto l teaspoonful of the shredded root. Let stand for 8 to l0 hours, heat up and take very hot three times a day C tincture: take l-2 ml of the tincture three times a day Horehound Horehound is a valuable plant in the treatment of bronchitis where there is a non-productive cough. It combines the action of relaxing the smooth muscles of the bronchus whilst promoting mucus production and thus expectoration. It is used with benefit in the treatment of whooping cough. The bitter action stimulates the flow and secretion of bile from the gall-bladder, aiding digestion. It is a gently 13 diffusive tonic expectorant, relieving hyperaemia, congestion, decreases discharge where secretion is too free. Useful for colds, bronchitis, catarrh; asthma with moist expectoration, aphonia and dyspnoea. Catarrhal dyspepsia. Horehound is a stimulant tonic, expectorant, and diuretic. Its stimulant action upon the laryngeal and bronchial mucous membranes is pronounced and it, undoubtedly, also influences the respiratory function. It is used in the form of a syrup, in coughs, colds, chronic catarrh, asthma and all pulmonary affections. The warm infusion will produce diaphoresis, and sometimes diuresis, and has been used with benefit in jaundice, asthma, hoarseness, amenorrhoea, and hysteria; the cold infusion is an excellent tonic in some forms of dyspepsia, acts as a vermifuge. Combinations : Depending upon the specific indications it combines well with Coltsfoot, Lobelia, Elecampane, Wild Cherry Bark and Mullein. Preparations and dosage: C infusion: pour a cup of boiling water onto ½-l teaspoonful of the dried herb and leave to infuse for l0-l5 minutes. This should be drunk three times a day C tincture: l-2ml of the tincture 3 times a day Horseradish Horseradish is good for inflammation of respiratory passages. It has been used for asthma, coughs, and problems with catarrh. Hyssop Hyssop tea may help to relieve symptoms of asthma. Khella Khella Khella Khella is a safe alternative to ma huang or ephedra that is not stimulating and does not exhaust the adrenals. It is antispasmodic and is a bronchodilator that builds up in the blood over time. It is used toprevent attacks when taken on a regular basis. Because it builds up in the blood, the dosage is higher initially and then can be lowered. Mullein flower Mullein tea may help relieve some asthmatic and hay fever symptoms. It can be taken internally or inhaled as steam. Licorice root Licorice has a mild cortiosteroid and anti-inflammatory actions, and aids the adrenal glands, which produce cortisol and affects respiration. Licorice has long been used in herbal medicine for the treatment of many bronchial complaints. Suggested dosage: C children 6-12 years, 500mg twice daily just before meal C adults 1000mg of herb just before meals up to three times daily Lobelia Lobelia acts as a bronchodilator to open up airways. Nettles Nettles are particularly useful for asthma problems caused by allergies. 14 Passion Flower Passion flower is especially helpful for asthma associated with depression. It eases muscle spasms. Pau d’Arco Pau d’Arco is an antifungal South American herb that has a great affinity for relieving asthma symptoms. Schizandra Schizandra has been used by the Chinese for lung problems like asthma and tuberculosis. Yerba Mate Yerba mate is used for hay fever and asthma. It is often combined with LaPacho (Pau d’Arco) MINERALS Magnesium Magnesium relaxes bronchial smooth muscles to improve breathing. It protects bronchial tubes from spasms and constrictions. It also is involved with producing energy for chest wall muscles and the diaphragm. Asthma patients have been shown to be lacking in magnesium. Vitamin B6 is essential for magnesium metabolism. Calcium A reliable source of ionic calcium assists in maintaining smooth muscle function and cardiac rhythm. Selenium This trace element is critical for immune function. It is notoriously low in soil concentrations. A dose of 250mcg a day of organic selenium is recommended. Colloidal, ionic or selenium methione is the safest form to avoid toxicity. Avoid the toxic sodium selenite form. Sodium Sufficient unrefined sea salt is crucial to osmotic balance and to the adrenal function which is associated with breathing patterns and optimal hydration. Zinc This trace element important for immune function and many enzymatic functions in the body. Use an oral zinc challenge test to determine zinc status. Fulvic Acid This naturally occurring substance, an organic natural electrolyte that can balance and energize biological properties that come into contact with it, seems to be the alchemycal element that transforms minerals into a form that can be utilised by biological systems. It is one of the most complex structures ever discovered and is proving to be one of the missing elements in the evolutionary process. It is showing remarkable healing benefits including ailments such as asthma. 15 VITAMINS Vitamin A Vitamin A is used with C, D, zinc and fatty acids to sooth and heal fragile irritated lungs damaged by asthma attacks. Vitamin A helps strengthen the mucous membranes in the lungs. Vitamin B6 Pyridoxal phosphate, the active form of B6, has been shown to be lower in asthmatics. When B6 was given to asthma patients, there was lessening in the frequency and severity of attacks. B6 is an important factor in the synthesis of all major neurotransmitters, which may explain why it is so helpful. A dose of up to 200mg of B6 a day was found to reduce asthma attacks in children and result in less wheezing, coughing, tightness, and breathing difficulties. Vitamin B12 Vitamin B12 often works to alleviate symptoms of people who are sensitive to sulfites. Some asthma patients have shown improvements with an injection of 1mg of B12 weekly. Vitamin C People with asthma have lower amounts of C in blood serum and white blood cells. Vitamin C also lowers blood histamine levels and has been shown to block bronchial constriction. Buffered C powder mixed in water is recommended for quick results and more completely assimilation. A suggested does is 1-2 gram a day. FOOD THERAPY Suggested diet Some studies have shown that a vegetarian diet excluding all meat, dairy products, fish and eggs brought significant improvement in 92% of asthma suffers. This diet also excluded chlorinated tap water, sugar, coffee, salt, apples and citrus fruits because they are high in salicylates and may cause allergic reactions. That diet alters fatty acid metabolism favorably. Leukotrienes are associated with allergic and inflammatory reactions. Leukotrienes are derived from arachidonic acid. Arachidonic acid is found almost entirely in animal products and peanuts. A diet of fresh fruits and vegetables, nuts and seeds, whole grains, low fat, low sugar, no processed foods, and no dairy is recommended. Dairy foods are also arachidonic and may be mucous forming for certain individuals. Other allergic foods include eggs, fish, shellfish and peanuts are often problematic. Many asthmatics have multiple allergies and even the foods, medicine or herbs that could help prevent asthma may cause problems in certain individuals, so begin any changes slowly, introducing new medications or dietary changes one by one and noting the reactions is recommended. Apples In one study, people with asthma ate 5 or more apples a week and showed better lung function. It is thought the quercetin in apples helps protect lung tissue. However another study suggests eliminating apples because they are high in salicylates and may cause allergic reactions. Milk avoidance Many asthmatics are sensitive to dairy products. Try removing dairy from the diet and note the response. Then reintroduce it and see if the condition worsens. If so, avoid dairy. 16 Food additives Many asthmatics are acutely sensitive to additives in food. The worst offenders seem to be MSG and its often disguised mimickers which have come to be known as excito-toxins. These can rapidly affect respiration. They can often be found in almost all packaged and pre-prepared foods even pseudo health foods where they are often included in the ingredients as yeast extract, hydrolysed vegeatble protein or simply as natural flavours. Aspartame is another agent that can cause severe respiratory symptoms. Food dyes and colourings are also often suspect and the sulphur dioxide in dried fruits and wines can be extremely problematic. Some organically produced versions are now available that specify they are free of this preservative. Quinoa Although botanically a seed, Quinoa (pronounced keenwa) was used as a grain by the Inca civilization and is now enjoying a nutritional resurgence as a powerhouse of vitamins and minerals and a unique amino acid profile. The tiny seeds have a unique structure with an outer ring that becomes visible as the rest of the seeds takes on a translucent appearance when cooked. It has been likened to the structure of the alveoli in the lungs drawing on the ancient concept of healing by the law of similars. In addition to this aspect, the fact that it thrives when planted at high altitudes has led to the possibility that by importing some of this oxygen exchange potential to those who consume it, it could be regarded as a lung tonic. Chinese dietary theory considers it to tonify the kidney yang which could also be part of the explanation for it assisting individuals whose kidney yang is compromised which is one syndrome recognised to contribute to asthmatic patterns and results in a decreased ability to grasp lung energy. Other oriental staples recommended by Chinese dietary therapy include lotus root, white fungus, brown rice, daikon, ginger root, spring onions. The pungent flavour as part of a balanced energetic selection is associated with the metal energy which governs lung function. Juice Therapy Mustard oils and sulphurous compounds in onions aid in blocking the inflammatory response that leads to asthma attacks. It was found that drinking onion juice prior to exposure to irritants reduced asthma attacks by about fifty percent. asthma formula: C 2 ounces onion juice C 2 ounces carrot juice C 2 ounces parsley juice drink twice daily Other juice recipes for asthma C carrot and spinach C carrot and celery C carrot, celery, and radish C sunflower (7 day old greens) C carrot C cabbage C celery C scallion C turnip/turnip green C wheatgrass C radish/radish sprout C kohlrabi 17 C kale C parsnip C cranberry Traditional lemon and horseradish remedy Finely grate fresh horseradish and mix it with a little lemon juice. Take ½ tsp twice a day between meals. Dehydration It has been found that many asthmatics are severely dehydrated even without an obvious thirst response. This could be due to hidden allergies or infections or simply poor fluid and mineral metabolism. Adequate intake of high quality filtered or spring water and adequate unrefined salt and mineral intake is of primary importance in correcting the imbalance. Other considerations Our lungs are connected to our emotions in an obvious way - think about laughing or crying. If a person with asthma has difficulty in expressing his or her feelings, it is worth exploring why this should be. Bach Flower Remedies or other vibrational essences can be useful. Imagery Meditation It has been suggested that during an attack you picture a comforting image. Of patients who used imagery, 47% needed less or no medication during an attack. Most people with asthma don’t have trouble breathing in enough air; they have trouble releasing enough air. It has been suggested that during an attack, imagining a weight being removed from the chest, expanding the lungs and exhaling easily is a helpful focus. AIR PURIFICATION Negative ions Negative ions can improve asthma and hay fever. Serotonin released as a result of positive ions, acts as a bronchial constrictor. In an environment of positive ions, some hay fever suffers can get attacks even though there is not any pollen to aggregate them. Negative ions reverse the negative effects of positive ions. Negative ion generators put negative ions in the air that have a positive effect on our energy, health and mental outlook. Negative ions remove pollution by colliding with airborne particles including pollen, bacteria, and even viruses. The negative ion gives up its negative charge to the particle. The new, negatively charged particles are then attracted to the surrounding positive particles and accumulate until they are heavy enough to fall out of the air you breathe. Ozone air cleaners These devices kill the germs, fungus and viruses in the air and oxidize organic chemicals from the air. The air smells clean and fresh. Ozone can break down pollutant molecules into harmless natural chemicals. Air cleaners Electronic air cleaners use static electricity to collect pollution and reduce levels of smoke, pollen, dust mites, moulds, and bacteria. They have an ionizing section and a collection section. In the ionizing section, dirty air particles pass between ionizing wires, which gives them an intense positive electrical charge. These ionized particles then go to a collection section of closely spaced collector plates. The particles are repelled by positive collector plates and attracted to negative collector plates where they 18 stick. The filters can be washed and reused. Whole house dehumidifiers are now available to lower humidity and they work independent of air conditioning and heating systems. Maintaining a relative humidity below 50% prevents dust mite infestations, mold and mildew growth, and inhibits bacteria. This lower relative humidity also reduces the out-gassing of chemicals. In colder climates, wintertime humidity levels must be even lower, generally 30-40%, to prevent condensation on windows and other surfaces. Plants Common indoor plants can help remove toxins from the air. The plant leaves, roots, and soil bacteria all play a part in air purification. The plants that were best at removing formaldehyde, benzene and carbon monoxide from the air were: C bamboo palm C Chinese evergreen C English ivy C gerbera daisy C dracaena Janet Craig C dracaena Marginata C corn plant C mother in law’s tongue C pot mum C peace lily C rubber plants C spider plants C warneckii To maximize the effect, mix activated carbon in the soil. The plant roots degrade the chemicals absorbed in the carbon. Then place a fan by the plant for air distribution. Oxygen Therapies Several hundred years ago, the earth’s atmosphere was comprised of 38-50% oxygen, now it is about 21%. Our bodies were designed to run on 35% oxygen. Life cannot exist below 7%. We live in an oxygen deficient environment, particularly in cities. Adequate oxygen is required for proper functioning of all body systems. Oxygen gives our body the building blocks to repair itself. Toxicity and invasion of microbes, germs, fungus, and pathogens in the body trigger disease. But it is not just the toxin that is to blame. The body terrain is just as important. These pathogens in the blood use undigested proteins from low enzyme diets as food and excrete their toxic waste into our bodies. This can buildup and overpower our immune system. The buildup of toxicity is directly related to our lack of oxygen. Oxygen oxidizes or burns up the toxicity through oxidation. Oxidation breaks toxins down into carbon dioxide and water and eliminates them from the body. Toxicity and invasion of micro organisms is the cause of all disease - The colon gets impacted, the arteries get filled with plaque, cancer develops, and chemical sensitivity develops all due to the buildup of toxicity and stimulates the immune system. It is compatible with all other therapies. Almost all microorganisms are anaerobic for at least part of their lifetime. Anaerobic microorganisms get energy from fermentation. Anaerobic microorganisms cannot live when you keep them surrounded with oxygen over a period of time. Oxygen binds with toxins and carries them out of your body. How does oxygen kill anaerobic bacteria and pathogens? An oxygen molecule is missing an electron on its outer orbit so it hunts down infectious or putrefying bacteria and pulls an electron away from the bacteria’s outer protective membrane to complete itself. This kills the bacteria. At the same time, oxygen stimulates the growth of normal flora that require oxygen. 19 How to oxygenate the body: C exercise C breathing exercises C fresh fruit and vegetables C breath ozonated air in your home. C take stabilized oxygen products C take colloidal oxygen products C Q10 helps us use oxygen at a cellular level. C ozone therapy Stabilized Oxygen (SO) There are liquid forms of oxygen like stabilized oxygen that allow you to drink your oxygen. Stabilized oxygen is stabilized electrolytes of oxygen. It has a pH of 12.6-13, which is very alkaline due to its high concentration of positive oxygen ions. When we breathe oxygen, it is changed into oxygen molecules and absorbed into our blood. Stabilized oxygen is in this same form. When in the blood, the molecules move to the iron atoms on the red blood cells and on to the cells of the body providing energy. They kill viruses, fungi, bacteria, and may act as a free radical scavenger as well. Stabilized oxygen increases efficiency of peroxidase enzymes, which are involved in oxidizing foreign material. Stabilized oxygen is usually taken as drops in distilled water but it can be used externally or added to distilled water for enemas, colonics, and douches. Colloidal liquid oxygen is based on the idea that all body fluids are colloidal in nature and have a negative charge. Our lungs convert oxygen we breathe into colloidal liquid. Colloidal oxygen is stabilized oxygen that is ionically bonded for better absorption and less free radical potential. It is absorbed through the mouth, esophagus and upper stomach without need of digestion. It raises oxygen levels in the blood. Colloidal oxygen is usually taken as drops in distilled water but it can be used externally or added to distilled water for enemas, colonics, douches. Ozone is a gas, an energized form of oxygen with extra electrons, which split off easily. When it comes in contact with water, H2O, the water becomes hydrogen peroxide, H2O2. Many cities in Europe use ozone to purify drinking water. Licensed doctors in Germany have used ozone therapy since 1960 but many doctors in the US do not know it. Ozone’s extra oxygen electron combines with toxins in the body and they are washed out of the body. It kills viruses, cancer cells. Ozone is the strongest oxygen therapy and involves repeated treatments, usually daily or every other day, to flood the body with oxygen. There are a number of ways ozone is administered. It needs to be done by a doctor who is trained in how to administer it and knows the right protocols to follow. Some ozone procedures are: C direct IV – ozone is slowly injected into the vein C major autohemotherapy – remove ½ pint of blood, carefully mix with ozone and put back in using an IV C minor autohemotherapy – take 10cc of blood, mix with ozone and reinject. This stimulates the immune system. C rectal insufflation – ozone is administered as a rectal enema C bagging - an airtight bag is put around the area to be treated, ozone is pumped into the bag and absorbed through the skin C drinking ozonated water C bathing in ozonated water Obstacles to optimal oxygen levels: C polluted air holds less oxygen C moist air holds less oxygen 20 C poor breathing habits and lack of exercise C Processed foods void of oxygen and nutrients cause oxygen depletion in the blood as the body builds up lactic acid Physical therapies Spinal subluxations have been shown to be associated with asthma. Compromised nerve function due to vertebral impingement on spinal nerves and resultant reduced or increased diaphragmatic reflexes or lung and cardiac function are thought to be involved. Compromised lung function can also affect vertebral alignment and muscle tonicity. Physical interventions such as therapeutic massage, chiropractic and/or osteopathatic, cranio-sacral, shaitsu, physiotherapy can be helpful. Postural education techniques such as feldenkrais and the Alexander technique can also be of assistance. The Alexander technique Practicing this awareness technique when no acute symptoms are present is helpful. The ‘whispered ah breath’ C lie on your back with your knees bent and feet flat on the floor C place your arms at your sides C say ‘ah’ while you exhale deeply, your jaw should be open and relaxed C let your lips close and inhale slowly C repeat breathing cycle until symptoms improve C stay relaxed and keep your back on the floor Yoga Yoga techniques may be beneficial as part of the overall management of asthma. Yoga has been shown to help with relaxation of voluntary respiratory muscles as well as energetic integration. One study showed the effects of 2 pranayama yoga breathing exercises on airway reactivity in 18 patients with mild asthma. They practiced slow deep breathing for 15 minutes 2 times a day for 2 consecutive 2-week periods. A significantly greater dose of histamine was needed to provoke a 20% reduction in forced expiratory volume during pranayama breathing. Physical therapy A physical therapy exercise to help strengthen ability to exhale C sit in a chair with your back straight C breathe through your nose, pulling air to the back of the throat C push the stomach out as you breathe in C relax your chest C gradually lean forward as you exhale C as you lean forward, pull in your stomach muscles C lean forward to your knees C make a hissing sound when you end your exhale C slowly inhale through your mouth as you return to a sitting position C when you are upright, suddenly suck your stomach in as if someone hit you and force air through your mouth with a hissing sound like a balloon deflating Perform this exercise twice a day. Massage The whole thoracic area (back and chest) should be massaged, with particular emphasis on strokes which open the chest and shoulders and relax the diaphragm, solar plexus and abdomen. 21 Aromatherapy The choice of essential oils will depend on many factors, such as whether or not there is infection present, whether the asthma is known to be an allergic response, or whether emotional factors are involved. During an actual crisis, inhaling an antispasmodic oil is the only practical herbal help, and direct sniffing from the oil bottle, or some drops put on a tissue, will be safer than a steam inhalation, as the heat of the latter will increase any inflammation of the mucous membranes and make the congestion even worse. Put drops of eucalyptus, lavender or peppermint in a vaporizer for easier breathing. Some helpful essential oils include: C hyssop – hyssopus officinalis C aniseed – pimpinella anisum C lavender – lavandula officinalis C pine – pinus sylvestris C rosemary – rosemarinus officinalis Salt pipe therapy – halotherapy Salt Therapy has also been known and accepted in Eastern an Central Europe for generations. It has been known as Halotherapy (Halo = Salt) and Speleotherapy (Speleo = Cave). It uses the benefit of salt properties to treat respiratory illnesses. This is not a new a new concept. Inhaling the salt airsteam from heating a salt solution was recommended by Hippocrates. A great deal of research from Eastern Europe reports the benefit of Halo/Speleo therapy, including that it can improve the condition of people suffering chronic and allergic diseases of the respiratory system such as asthma, allergy, rhinitis, bronchitis and chronic obstructive pulmonary disease. Skulimowski (1965) reports an improvement of salt therapy with the group of 100 COPD and asthma patients after applying the treatment of speleotherapy 4 hours a day for 6-8 weeks. Hovarths (1986) conducted research showing successful results in salt therapy in a group of more than 4000 patients in a 10-year period in a hospital-cave complex in Tapolca, Hungary. Even though there has been much research conducted in Halo/Speleo Therapy over the years, salt therapy has not yet become well known in the West. The cavern therapies are so successful because therapeutic mineral substances are inhaled with healing effects. However cavern therapies are very expensive, time-consuming and non-portable. The benefits derived from ancient salt-cave therapies can be now be more easily accessed with a portable device that replicates the benefits of this therapy. There is now a patented, hand held instrument, the Cisca Saltpipe which is able to provide the healing effects of the salt crystals, but under domestic conditions. The active substances of the Saltpipe are taken from the therapeutic caverns of Europe in which 90% of patients suffering from asthmatic and respiratory problems have benefited. Inhaled, the therapeutic properties of the crystals are transported to every part of the respiratory system by the Saltpipe, healing even the most irritated parts. This solution is effective and highly economical. The instrument contains Halite mineral salts from the caverns of Hungary fitted between ceramic filters. Breathing through the Saltpipe for just 15-20 minutes daily draws air across the 20-22 million year old minerals with the beneficial effects permeating to every microscopic aspect of the respiratory system and having beneficial effects for the whole body. Buteyko breathing The Buteyko method is one of the most effective drug-free approach to the management of asthma and other breathing related health problems. It can be applied to asthmatics of any age, any severity and gives quick and consistent results. The Buteyko method postulates that many diseases result from abnormal breathing pattern. To be more specific, such diseases as asthma, high blood pressure, arthritis, panic disorder etc. are body’s responses to hidden ‘hyperventilation’ or in simple terms: over-breathing. 22 Moreover, in some cases Buteyko considers a disease not as purely pathological mechanism, but as a ‘defence mechanism’ of the body against ‘breathing too much’. The Buteyko method is scientifically based in its approach to the management of chronic diseases. It is not a medical treatment nor procedure. It does not involve any medication, homoeopathy or herbs. It is series of lectures on breathing which enables people to understand a concept of ‘normal breathing’ according to physiological norms. It contains simple breathing techniques and logical instructions to follow. It also gives the means of controlling breathing parameters without any technical appliances. The Buteyko method brings physiological parameters of the body to the norm and can be easily incorporated into the daily life of any contemporary person. The concept of the method can be tapped into at any time and any situation. People with asthma or emphysema often believe that they cannot get enough air into their lungs However due to the Verigo-Bohr effect, if there is insufficient carbon dioxide available due to hidden hyperventilation, then less oxygen than is available for physiological use. The oxygen stays bonded to the haemoglobin and is unavailable for the necessary reactions in the body. Just think of how you felt the last time you had to blow up a few balloons. Perhaps breathless despite, or because of, breathing deeply. Now consider, have you ever brought on symptoms or made them worse by: C laughing C coughing C running C huffing and puffing your way up a hill or stairs C using a peak flow meter C having a cold or an infection All the above activities will increase your breathing rate. Breathing more than you need is called hyperventilation. When you have an underlying respiratory disorder such as asthma or emphysema your resting breathing rate is likely to be elevated by as much as three times what is normal (and you may be totally unaware of this). By then doing an activity that raises it further, symptoms of hyperventilation start to become more evident. There are self help Buteyko videos and an excellent book Breathing Free by Theresa Hale. However for more serious cases it is advised to learn the method from a trained Buteyko teacher. There are many in various locations worldwide. Another innovative approach from Russia – Frolov Named after one of its Russian inventors, Vladimir Frolov, this lightweight plastic breathing tool is easy to use and does not entail taking any other medicine. The Frolov breath training device is the newest means of discovering a human body’s inner reserves and is the result of many years of investigation into human physiology. Its users say the device-aided breathing resembles that of sea mammals such as whales and dolphins. A Russian doctor and physicist Gennady Petrakovich initially postulated this new hypothesis of breathing. According to his theory, oxygen that we breathe in, is used only in the lungs, while our body cells produce oxygen by means of saturated fatty acid oxidation. By studying the effects and applications of this device which he developed, this Moscow based biochemistry expert has learned more about the endogenous (inner) breathing. In the course of the device-aided training, one breathes through a tube, the end of which is submerged in water, gradually increasing exhalation time. As a result, the oxygen content goes down and carbonic acid content increases. Breathing with the device facilitates Endogenic Breathing and allows one to create and maintain a state of positive pressure during exhalation. This energises erythrocytes and improves the quantity of oxygen in the blood which then spreads throughout the body. The positive lung action also reduces degeneration of the lungs. The development of the improved breathing action takes 2-4 months and can be maintained without the device or with support periodically after this period. 23 Breathing physiology according to Frolov The primary role of breathing is to provide Oxygen (O2) for metabolic needs and to excrete Carbon Dioxide (CO2). The parts of the body involved in respiration are the airways, alveoli, blood vessels and red cells. Airways consist of the mouth, nose, trachea, bronchi and bronchioles. Alveoli are small hollow inflated sacs at the end of the bronchioles. Alveoli are larger in the upper part of the lungs and there they trap more air. In the lower part of the lungs, alveoli are smaller and the exchange of O2 and CO2 is more efficient. These alveoli are covered with tiny blood vessels (alveoli capillaries) where the gas exchange takes place between the airways and the red blood cells. The oxygen is a gas and can be compared to bubbles. One oxygen bubble activates one red cell (erythrocyte). The red cells take the oxygen and deliver it to the rest of the body. Smaller and more numerous oxygen bubbles in the lower part of the lungs activate more erythrocytes and provide better oxygen supply to the body than larger bubbles in the upper part of the lungs. Prolonged contact with alveoli with large volumes of oxygen causes more progressive wear and tear of lungs, because oxygen is a powerful oxidiser. This complete breathing process consists of external (inhalation and exhalation) and internal breathing. The internal breathing involves biochemical reactions which are the utilisation of 02 by red blood cells and delivery to each body cell. While inhaling, air moves through the airway into the alveoli driven by negative pressure. A positive pressure occurs in exhalation driving air out. The differences in pressure are produced by the work of intercostals (thoracic muscles) and the diaphragm muscles. Research shows that the most efficient breathing is produced by the work of the diaphragm. People with shallow breathing and asthma predominantly use the intercostals muscles and neglect the diaphragm during respiration, as a result they breath mainly through the upper part of the lungs. Endogenic breathing according to Frolov Research into the nature of Internal breathing hypothesises that O2 in air is used only in the lungs and that the cells of our body make O2 during free radical oxidation of lipid membranes. This phenomenon was named Endogenic breathing. Other organisms that use Endogenic breathing use from 2-10% of O2 from usual consumption and optimise production and distribution of energy to cells. From this discovery it has become clearer why some people live longer than we might expect. In the animal kingdom a sea turtle lives 120-200 years. It may be that the environments where these animals live facilitate the full development and use of Endogenic breathing. Everyone can develop this efficient way of breathing with high-energy production and economical O2 consumption by creating appropriate breathing conditions. The Frolov device facilitates the development of endogenic breathing during breathing exercises. The exercises retrain lungs to use less Oxygen more efficiently. During exercises more erythrocytes are able, while moving through the alveoli capillaries, to obtain an energy released from the reaction between carbohydrates and O2 molecules in the alveoli of the lungs. The energy of nutrients (carbohydrates, fats, proteins) turns into high energy adenosine trisophate (ATP). However research shows that the function of mitochondria (the battery of cells) in human energy supply is not enough on its own (energy deficits of 30-50% at low physical loads). Often people with breathing problems suffer from fatigue and poor health (probably due to energy deficits). The energy derived during a complete breathing process is probably compensating for some of that deficit. How the device helps: C improve quantity and quality of oxygen in the blood, facilitating rejuvenation of the whole body C helps with correct inhalation and full exhalation C helps shortness of breath, and accompanying panic C improves sleep C reduce volume of air trapped in lungs after exhaling C reduce the ‘wear and tear’ of lungs by decreasing the size of oxygen bubbles while increasing the numbers of these bubbles 24 C C C C C C C C C helps clean the lungs of phlegm, mucous and debris of viruses and bacteria from past infections uses the diaphragm more efficiently while by fully engaging the lower part of the lungs increases metabolism exercises diaphragm lessen the work of your heart by improving the quality and quantity of oxygen in the blood and by gently ‘massaging’ the heart created by rhythmical pressure changes in the breathing pattern during respiration driven by proper diaphragm use increases general endurance regulates the immune system has been shown to reduce reliance on asthma medication regular breathing exercise improve many concurrent health problems. Correct breathing provides energy for the body to repair organs and tissues. People who can benefit from Frolov’s device: C asthmatics C people who are suffering from shortness of breath after exercises and walking C individuals who are susceptible to respiratory infection C children from the age of 5 with the above problems C smokers who are unable to breathe properly C people who unable to do physical exercise C overweight people C athletes and sports people who want to improve their performance C people who are looking for a universal health improvement technique Advantages of Frolov’s device: C Well known breathing methods such as Buteyko, physiotherapy, yoga and Frolov’s device all train the diaphragm to work properly during respiration. Breathing with Frolov's Device helps with other aspects of health as well. By creating an end positive pressure during exhalation less air is trapped in the lungs after each breath and smaller, more numerous oxygen bubbles are produced in the alveolar sacs for easier access to body cells. Each O2 bubble activates one erythrocyte. The more that are activated the more efficient rejuvenation and regeneration of tissues and systemic health improvement can occur. As the lungs handle Oxygen more effectively there is less ‘wear and tear’. Too much O2 is not necessarily good because it is an oxidant. This oxidation process is more aggressive in people with asthma. Endogenic breathing creates smaller bubbles and reduces oxidative damage to the lungs. Homeopathy Homeopathy firmly believes in enhancing body’s own defense mechanism to maintain the healthy status. The homeopathic treatment is aimed at enhancing body’s own healing capacity so that the human system does not react adversely to the allergens which are considered external factors affecting asthma. As a rule, homeopathy never looks at asthma as a local disease. Asthma has been considered as a local expression of a system disturbance. As per the classical homeopathy, there is constitutional prescribing. This calls for individual case study in every case of asthma. There is no single specific remedy for all the cases of asthma. The exact treatment is determined only on in-depth evaluation of individual case. When homeopaths hear the medical fraternity declaring childhood asthma as a incurable entity they often cite many cases where correct homeopathic treatment has shown otherwise. Children suffering from asthma, when treated with homeopathy, not only their asthma is cured or well controlled, but also they become stronger individuals with enhanced immune function. This is because homeopathy does not just treat asthma but the patient as a whole. One centre had over 500 documented cases with three years of follow up supporting this. Over 80% of the children they treated showed a reduction in frequency of 25 attacks within four months and over 80% of the sufferers settled with one attack of asthma once in a year or less within one year of treatment. The success rate was close to 85%. Treatment of acute attacks of asthma It is possible to treat an acute attack of asthma in children with correctly chosen homeopathic medicine. However, it requires careful study of every episode to evaluate the factors which may have precipitated the attack, the exact symptoms, the factors which make the attack worse or better, etc. However, in some cases, if medicines such as broncho-dilators or antiallergenic drugs are administered during the severe attack, when the child is on homeopathic medication, it does not interfere with the homeopathic treatment. Holistic treatment Going back to the causes of asthma, let us recall that asthma is not just a disease of the lungs. Asthma is a multi-factorial, deep level disorder involving the immunological system of the body, having symptomatic expressions at the level of the lungs. With this understanding of the disease, it may be clearly perceived that the any treatment targeted simply at the level of lung symptoms will have little help. Just to relieve the symptoms of breathlessness and cough will prove too superficial an approach, when we are looking at the long term goal of treating the disease at a root level. 26 Resources and reading ABC of asthma, allergies and lupus by F. Batmanghelidj, M.D www.watercure.com Breathing free by Theresa Hale Endogenous respiration – medicine of the third millennium by Vladimir Frolov Healthy breathing: advanced techniques by S. N. Zinatulin www.intellectbreathing.com Every breath you take by Dr Paul J. Ameisen Breath better, feel better by Howard Kent The Tao of natural breathing by Dannis Lewis Conscious breathing by Gay Hendricks The yoga of breath by Richard Rosen Yoga – The spirit and practise of moving into stillness by Erich Schiffmann Tri-Breath, a guide for walkers and runner to vitality, health and balance by Brett J. Hayes www.fulvic.com (www.scientiapress.com/findings/ht.htm) Copyright © 2005 The Academy of Healing Nutrition. All rights reserved. 27