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Spleen Therapy in Practice (Information published by the German Society for Thymus Therapy) store in the circulatory system. In stress reactions due, for example, to illness, work or worry, it releases more blood into the body. We now know that the spleen is also responsible for important functions in the body’s immune system. Whereas immature T lymphocytes from the bone marrow are matured into helper, suppressor and killer cells in the thymus, cell training in the spleen is directed more towards B lymphocytes and antibodies. The T lymphocytes pass on their information to B cells and mark them out for specific defence purposes. The B cells are then distributed within the body and settle in the wall of the gut, the lungs, lymph nodes and particularly in the bone marrow. Lymphocytes reacting to certain antigens (memory cells) are presumably distributed throughout the body and with them goes important defence information. The spleen The spleen is enveloped by a capsule and by the peritoneum and lies between the stomach and diaphragm below the left costal arch. It is shaped like a bean, is about 10 cm long and weighs about 150 to 200 grams. In infants it is involved in the construction of important cells. The older the individual, the less important the spleen becomes. At least, this was the received wisdom for a long time. The spleen was thought to have no function in later years and appeared not be vital for daily life. Therefore, in the event of injury due to an accident, for example, it was generally removed without further ado. In Germany approx. 10,000 spleens are removed every year and in about half of these cases the organ is healthy. It presents an obstacle to a surgical procedure or is damaged accidentally. There is almost no other human organ that is removed so often without being diseased in itself. In addition, the spleen is involved in the breakdown of defence cells that are no longer intact. It removes used red blood cells from the bloodstream and arranges their destruction. Life without a spleen? In the spleen of a healthy young adult there are about 70 times 109 lymphocytes. This is equivalent to about 15 % of all lymphocytes. Of these, about 55 % are B lymphocytes and 40 % T lymphocytes. The balanced distribution of the T cell subgroups is particularly important. If their ratio is disrupted, pathological processes can develop. In some diseases, such as Hodgkin’s disease and particularly AIDS, shifts are seen in the proportion of T helper and T suppressor cells. In fact, the consequences of removing the spleen can be considerable, as we are now aware. Even years later sometimes serious sequelae can develop. These include: - the absence of the spleen as a mechanical blood filter - reduction in the IgM level (antibodies) to 60% of the normal value - reduction in IgG production (antibodies) - reduction in T lymphocytes in the peripheral circulation - differentiation defects in B lymphocytes - disruptions to activation of the alternative complement system - impairment of the phagocytic characteristics of macrophages and granulocytes as an important component of antibacterial defence. Summary: The spleen undertakes important immune functions in the human organism. Its defensive reaction to microbial pathogens is particularly important in young children and the elderly and in chronically ill immunocompromised patients. After removal of the spleen, episodes of infection occur very often and even after a very long time. In particular, there is a risk of pneumonia, non-specific gastroenteritis, urinary tract infections and a frequent incidence of herpes infections, hepatitis and malaria. Attempts are therefore now being made to preserve the spleen by various surgical techniques. How do spleen peptides work? Spleen peptides (splenins) have a number of synergistic and also some antagonistic effects in relation to the thymic hormones contained in the thymus gland. Spleen peptides have similarities particularly to alpha-1 thymosins, although their function differs in that they inhibit excessive (autoimmunologically aggressive) reactions. Spleen peptides have a number of effects on the body. They improve the supply of oxygen to the cells, for example. Spleen therapy can increase this supply by up to 200 %. As a result an increase in the strength of the defences can be expected and the lymphatic system also receives considerable stimulation. This in turn is important for detoxification of the body, e.g. particularly when fighting cancer cells. Spleen peptides also activate and stabilise numerous psycho-neuro- Active splenic substances in the immune response Major developments have been seen in immunology in the last twenty years. Increasing knowledge of the complicated and complex defence functions have highlighted the importance of organs previously thought to be superfluous. These include the actual functions of the thymus as well as those of the spleen. Both have attracted greater medical attention. It was already known that the spleen acts as a 1 endocrine regulatory mechanisms. They show molecular similarities to neuropeptides and, like them, act on a wide variety of metabolic areas via hormones and cell messengers. This harmonises and regulates the psycho-neuro-endocrine and defence-regulating functions. Improvement of T and B lymphocyte immune balance Hormone regulation Improved performance Pituitary More rapid substrate conversion (glucose-cATP) Neuropeptides Improvement of energy metabolism Effect on hypothalamus Activation of oxygen utilisation Hormone system Hormone system Colony stimulation in the bone marrow combination with vitamin D, calcium and fluoride are still undergoing research. Benefits to mental health Spleen peptides have a positive effect on depressive mood and reduced vitality. Moods lighten after administration of splenin, subjectively vitality increases. This is particularly the case at the time of both the male and female menopause. Stimulation of sex hormones Spleen peptides can have an effect on hypogonadism in childhood and even on anorexia nervosa in young girls and women. Extreme loss of appetite is reduced and the mood often shows pronounced lightening. Spleen peptides also have a positive effect on symptoms at and after the female menopause, e.g. on hot flushes, night sweats, palpitations, sleep disorders, depression, irritability and loss of drive. Disorders due to incipient or advanced ovarian insufficiency can be reduced with spleen peptides – without oestrogens – making an alternative treatment available. There may be potential effects on frigidity. Activation of phagocytosis Immune response Similar effects can be seen in the male menopause. A favourable effect can be achieved with spleen peptides on male impotence with disorders of erection phases and duration. The same applies to psychosomatic disorders of sexual function. Splenins Figure 1 – The action of spleen peptides on the organism Treatments with splenins have gone beyond the experimental stage. They are increasingly being used successfully by therapists in practice. Spleen peptides can be used in a variety of conditions. They are indicated in defective or decreasing function of psycho-neuro-endocrine immunological regulation, but particularly in diseases of old age, menopausal symptoms, allergy and atopy and in autoaggressive conditions. Research, as well as practical therapeutic experience, also shows that the regular use of spleen peptides assumes the regulatory action on body functions in numerous disorders. A very important concomitant effect of spleen therapy is that it is often possible, as a result of giving spleen peptides, to reduce considerably the doses of other forms of treatment and drugs that have more severe side effects. Limbic system Hypothalamus Pituitary Direct effects Spleen Epidermis, keratin system + Langerhans cells Thyroid gland + Possible uses of spleen peptides Pancreas Islet cell activation Bone marrow colony stimulation To assist with age-related symptoms Spleen peptides in long term treatment improve the general quality of life in many geriatric dysfunctions. They have a positive effect, for example, on appetite and quality of sleep and promote mental and intellectual activity. Adrenal cortex Cortisone + Promotion of endocrine and metabolic functions Promotion of bone growth Gonads, follicular hormone + Testosterone etc. + Spleen peptides, when used systematically in long term treatment and supported by dietary measures, improve lipid and HDL levels in the blood. Even circulatory disorders can be positively affected, for example conditions involving chronically cold extremities and the tendency to perspire. In the long term, favourable effects on arteriosclerotic processes can be expected. Promotion of bone growth in Figure 2 – The effects of spleen peptides on the endocrine system 2 Effects on allergies, atopy, autoaggressive conditions Publications on regulating effects of spleen peptides in allergies (pollinosis, asthma, eczema and neurodermatitis, food allergies with gastrointestinal signs and symptoms) and in rheumatoid arthritis, lupus erythematosus, Bekhterev’s disease, connective tissue disease, ulcerative colitis, Crohn’s disease and practical experience suggest that spleen therapy can be used in these conditions. With regular administration of spleen peptide injections the doses of cortisones and non-steroidal anti-inflammatory drugs can often be reduced more quickly. This is highly significant for the management of patients and their quality of life. weakness of body functions. Good results are achieved in endocrine and metabolic disorders associated with immune deficiency. Treatment must be intensified for use in breaks between sessions of chemotherapy. The GSTT* combination regime for spleen + thymus therapy Mon Treatment recommendations Spleen peptides should if possible be given as long term therapy. Only in this way can the effects be achieved and maintained over a long period. After an intensive initial course of 20 injections over 6 weeks, booster intervals are fixed depending on the patient’s condition (see treatment regime). The GSTT* regime for spleen peptide treatment Tue Wed Thu Fri Week 1 Week 2 M M T T M M T T Week 3 Week 4 M M T T M M T T Week 5 Week 6 M M T T M M T T Week 7 Week 8 M M T T M M T T Week 9 Week10 M M T T M M T T *GSTT = German Society for Thymus Therapy Mon Tue Wed Thu Fri Week 1 Week 2 M M M M M M M M M/T = 20 spleen and 20 thymic peptide injections in 10 weeks, followed by a booster twice or once a week, depending on the status of the illness. Week 3 Week 4 M M M M M M M M Combination with other forms of treatment Week 5 Week 6 M M M M *GSTT = German Society for Thymus Therapy M = injection of 5 ml spleen peptides, total of 20 spleen peptide injections in 6 weeks, followed by transition to 1 injection per week every 14 days or once a month, depending on the status of the illness. Booster injections every 2 weeks have proved successful in chronic and geriatric conditions. The basic regime can be intensified in severe illness or extended for general preventive purposes. Synergetic effects of thymic and spleen peptides The combination of thymic peptides (thymosin) and spleen peptides (splenin) is useful in general immune deficiencies and reduced resistance. While thymic peptides regulate T lymphocytes and recruit new T cells from the bone marrow, spleen peptides have a greater influence on the B lymphocytic defences. These limit the overproduction of immunoglobulins. Indications for combined thymus and spleen therapy There are no restrictions with regard to other conventional drugs or treatment methods. Additional measures in the form of comprehensive order therapy are recommended. These include mental and physical activities and relaxation, heat/ cold therapy, whole food diet (possibly with supplements of vitamins A, C, E, liver enzymes and calcium, magnesium, zinc, selenium etc.), multistage oxygen therapy or intravenous oxygen administration, neural therapy, etc. Contraindications Gynaecological and androgenic tumours should not be treated with splenin. In pregnant women caution is appropriate, as spleen peptides act on the hormonal system. In some diseases the dosage of other drugs can be reduced in the course of spleen therapy. In diabetics the blood sugar level should be monitored to recognise possible reductions of insulin etc. in good time. The same applies to patients with a tendency to overactive thyroid or goitre. Doses of thyrostatic agents or thyroid hormones may possibly need to be reduced. Patients receiving cortisone or non-steroidal antiinflammatory drugs can gradually be placed on lower doses. For patients being treated for gout, uric acid values should be monitored. Combinations of the two extracts are desirable in cases of increased susceptibility to infections with age-related general 3 Unwanted effects Publishers As with all medicines, hypersensitivity reactions can occur in predisposed individuals. They are almost never seen in patients receiving intramuscular injection of spleen peptides. However, to rule out the possibility of such a situation, a preliminary test should be performed with 0.1 ml spleen peptides before starting the course of injections. Hypersensitivity may be prevented with H1 blockers such as Lisino (loratadine) or after the event (e.g. urticaria) respond well to treatment, for example with Tagamet (cimetidine) or Teldane (terfenadine). As a safety precaution, intravenous cortisone preparations should be kept to hand (e.g. Urbason solubile (methylprednisolone) and Volon (triamcinolone) for injection). German Society for Thymus Therapy Harvestehuder Weg 65 20149 Hamburg Germany Tel.: +49-(0) 1805 - THYMUS ( 849 687 ) E-mail: [email protected] Homepage: www.thymus-therapie.org References - - - - - - E. von Herrath, Bau und Funktion der normalen Milz. De Gruyter, Berlin 1958 A. Hittmair, Normale und pathologische Milzfunktionen, Bibl. Haemat. 3, 1-3, S. Karger, Basel/ New York 1955 U. J. Jovanovic, Über die Wirksamkeit eines Milzdialysates (M40, 4123) bei Potenzstörungen. In: Arzneimittel-Forschung, 26, p. 457-462 (1976) G. Kellner, Die Blut- und Lymphwege der menschlichen Milz. In: Wiener Klin. Wschr. 75, p. 616-620 (1963) Ch. Lauritzen, Kalbsmilz gegen Beschwerden der Wechseljahre; eine Diskussion. In: Zschr. gyne., P. 246 (1985) H. Porcher, Theurer, K., Organo- und Immuntherapie. Neue Perspektiven in der Medizin. F. Enke Verlag, Stuttgart 1979 F. Sauerbruch et al., Über Beziehungen zwischen Milz- und Hypophysenvorderlappen. Klin. Wschr., p. 1268-1270 (1937). 4