Lupus is Latin for “wolf” - an apt name for a disease that may maul your skin and inner organs relentlessly. Lupus is a group of autoimmune diseases that can affect skin, joints, blood, brain lungs, heart, and in its most feared form the kidneys, leading to kidney failure. One interesting picture produced by SLE (Systemic Lupus Erythematosus) of the brain can be an obsessive-compulsive-like disorder.
Autoimmune diseases – with all our scientific advances – are still not thoroughly understood. From experience and the literature I would consider the following steps if I were afflicted with lupus – which I am not.
1. Eliminate all dairy because casein seems to be hurting badly in lupus. Do not eat butter, cream, milk, yogurt, cheese, or any food with dried milk ingredients. For instance, “milk-free” cheese still usually contains casein. Since lupus is basically a disease of chronic inflammation in the body, it is wise to throw out all foods that contribute to inflammation – and dairy is the worse in that respect. Sugar and artificial molecules come in second. And food items you already know don’t agree with you (allergies and intolerances). Of all those, dairy has been consistently been linked with lupus and other autoimmune diseases.
2. Fish oil. Take good-quality fish oil capsules daily, about three times three. Make sure you don’t have a bleeding problem because fish oil slightly thins the blood. Also eat small ocean fish.
3. Flaxseed. If you don’t have a nut-and-seed problem, flaxseeds have a healing quality in lupus. Use olive oil for cooking.
4. Vitamin D or sunlight is beneficial in lupus, but photosensitivity (skin reactions to sun) is a prominent feature of lupus. What is a person to do? If you can’t tolerate light, take a vitamin D preparation or eat cod liver once a month.
5. Eliminate soy unless fermented. The reports about soy are not clear – sometimes soy hurts, sometimes it helps. This might have to do with two facts, namely that unfermented soy is not better than any other bean, and might even be worse as soy is one of the new mono-crops of gene-manipulated seeds. GMO are linked to lupus by some authors. On the other hand, fermented soy has done well in all studies. Miso, a good soy-sauce and tempeh are fermented soy products; tofu and the “nutritional” bars are not.
6. Caloric restriction has been shown to delay the onset of lupus. That does not mean you should starve yourself. But if you are overweight – even if ever so slightly – you should seriously focus on losing the extra pounds – which might actually happen all by itself if you eliminate dairy, sugar and other junk foods.
7. Herbs. There is a long list of herbs and plants helpful in lupus. I would not recommend any one over any others. And obviously, there might be other herbs and pants beneficial. For me it means that plant material – the way we should nourish ourselves naturally – is the way to go. So, eat a variety of vegetables. And from the list below chose food items, herbs and spices freely in your cooking. For medicinal herbs, chose one at a time and take it according to directions, until the bottle is empty, then choose another one:
Alfalfa sprouts
Antrodia camphorata (a medicinal mushroom)
Apples
Astragalus
Basil
Brussels sprouts
Bupleurum chinense (and other Buleurum species)
Celery
Chamomile (Chamomilla recutita)
Cilantro
Clover
Cordyceps sinensis (a medicinal mushroom)
Curcumin (in turmeric and curries)
Gentiana macrophylla
Green tea
Legumes (beans, peas, lentils, garbanzo)
Lotus flower (Nelumbo nucifera)
Mugwort (Artemisia vulgaris)
Oregano
Parsley
Pycnogenol (French Maritime Pine bark extract)
Rheum emodi
Royal jelly (a honey bee secretion)
Sophora flavenscens
Spinach
Tarragon
Tripterygium wilfordii
Wormwood (Artemisia absinthium, notoriously bad for the brain – absinth! So consult an herbalist for this)
8. Vitamin E and DHEA have been beneficial in lupus, but I would not take them without consulting a physician because both may have side-effects.
9. Avoid mineral oils (lipstick, lotions, creams, etc.) as mineral oils have been implicated in the development of lupus.
10. Certain vaccinations, especially hepatitis B, have been brought in connection with lupus. The jury is still out on that – but think twice before you get an unnecessary vaccination.
11. Exercise moderately.
12. Do sauna regularly for detoxification. Take a cold shower after a hot one to regulate your immune system.
13. Get enough sleep. Your body needs to repair during sleep.
Lupus might be what I like to call the canary diseases: Certain foods and lifestyles hurt all of us. But in some – the canaries – the damage shows earlier. Read More
Blog: On Health. On Writing. On Life. On Everything.
Varicose Veins - Phlebitis - Thrombosis
July 29, 2011
Varicose veins are thought to be ugly, and in a way, they are. But as a doctor, I am less concerned with beauty, more with health problems – and varicose veins are not always as harmless as they seem.
Thrombosis is a clot that blocks a vein, usually in one leg. Thrombosis may lead to pulmonary embolus and, in rare cases, to a stroke; both can be fatal. The symptoms are swelling and pain and warmth of the affected limb. Physicians order a Doppler scan, to make sure the patient does not have the feared clotting situation. If it is a clot, the patient will be admitted to a hospital and a severe thinning of the blood will be administered with heparin, Coumadin and other anti-coagulants, until the clot is gone or at least stabilized.
Often the Doppler test comes back negative – no clot, good news! The patient has “only” phlebitis, an inflammation of the wall of a vein. The symptoms are exactly the same: pain, swelling, warmth. In German phlebitis is generally called “cramping veins” because cramps are also a feature of phlebitis/thrombosis. What can you do against inflamed veins?
Phlebitis and thrombosis can have several causes, sometimes combined: A genetic disposition plays a role. Longtime immobility - like sitting on a long trans-Atlantic flight without getting up, or being bed-ridden, especially after surgery – is known to cause clots. Hormone therapy can lead to clotting. Less well known reasons are cancer and food sensitivities, or even just plain food that is not healthy.
Nutrition that is less than optimal is known to promote inflammation. That inflammation can show up as different diseases in the body; one is phlebitis/thrombosis. Junk foods with high sugar content, white starches, trans-fats and particularly dairy are highly inflammatory for everybody. Food sensitivities, on the other hand, specific for individuals, can also inflame, but the causative foods are sometimes hard to pinpoint. I have seen reactions to banana, avocado, nuts, beef (it might be more what the cattle ate than the cows themselves) and cherries – but there are endless possibilities; a food diary might help in recurrent cases.
Varicose veins frequently occur in people with unrecognized gluten intolerance. Slowly, over the years, the varicosities grow, which is often thought as being just another sign of aging. However, varicosities can be viewed as a sign of chronic inflammation of the body. Pregnancies and much standing can aggravate the condition.
What to do in phlebitis:
1. Eliminate all offending foods.
2. Move moderately every day. Don’t sit for prolonged times. Go for a walk every day.
3. Don’t sit with legs crossed – that clamps down of the veinous blood flow.
4. Elevate legs as often as possible.
5. High-dosed fish oil, three capsules three times a day. Fish oil is a mild blood thinner (and could be contra-advised in some conditions) and a strong anti-inflammatory agent.
6. Cold washings and gushes of the legs, cold sitzbaths and barefoot walking in the ocean all are beneficial.
7. In the acute situation, an icepack (not longer than 16 minutes at a time) might bring relief.
8. Wear support panty hose. It prevents the veins to bulge out bigger and bigger. On very hot days cut out the crotch of the panty hose. Wear the support hose also after you are better.
9. Don’t rush into surgery. Phlebitis is often not just a mechanical problem – think about the food connection first.
10. If symptoms get worse with fish oil therapy, you better return to your physician – soon! Read More
Watermelon And Terracotta Soldiers
July 22, 2011
In Traditional Chinese Medicine, there are two different kind of heat afflictions: “red” and “white”. Red is what we call a heat stroke - when one is extremely overheated; white is when one has what in Western medicine would be called an electrolyte imbalance. Potassium depletion seems to play a major role.
In Dunhuang, I suffered a heat collapse. Visiting Mogaoku – the Buddhist caves - at around one hundred degrees, was a bit much for my system. In the evening, I refused to eat – which alarmed everybody. At that point, I could barely walk, and in a restaurant they built a make-shift bed for me from several chairs. While they were dining, I waited for them – for about fifteen minutes, or so I thought. In reality, one and a half hour had passed; I lost time (but not consciousness) – a weird feeling.
A few years earlier, after a visit in hot, hot Wuhan – another little dot on the Chinese map; turned out it has twelve million inhabitants – in July, I had a similar collapse in Beijing. That one was worse: I could not lift my head from the pillow anymore.
In both cases, my friend Hong was with me, and she gave me freshly pressed watermelon juice. Within ten minutes, in the Beijing case, I could lift my head, and from there I started eating and drinking again. This time, with the watermelon juice and a good night’s sleep, I woke revived the next morning.
The watermelon juice advice may come just in time for the heat wave in the USA.
Meanwhile, we traveled from dry Dunhuang to rainy Xian – the city that starts the Silk Road. The rain does the land good, and me, too.
Xian is famous for the Army of Terracotta Soldiers – which I have wanted to see for such a long time. It’s magnificent – but also scary because ancient records show that about 700.000 people had to die helping one megalomaniac emperor build his tomb. He, more than 2000 years ago, unified China and became the first Emperor.
Before, the regions had suffered many fiefdoms. The First Emperor of China (of the Qin dynasty) built roads, unified money, measurements and language, and built at his tomb for 38 year; it has the form of a grassy pyramid and is the largest grave installation in the world. When he died unexpectedly at age fifty – speculation goes he was afraid that any one doctor might kill him, so he had several and probably took too many Chinese herbs from too many doctors simultaneously – his son buried him in a pompous ceremony, walked out of the tomb and banged the door shut – leaving all the wives and concubines and court people including 450 Confucian scholars locked in; they died of suffocation. The son then had the tomb entrance camouflaged and killed the people who did the camouflaging. This son was the second and last emperor of the Qin dynasty and hung on only for three more years, then the farmers rebelled against the unimaginable exploitation and killed him. After fierce fights between two rivaling farmer bands, the Han dynasty was established.
Everybody has seen photos of the life-sized terracotta army – but to stand there and look into the faces is amazing. They were built after living models, and we know that each soldier sculpted here had to die for the Emperor. Each face is different. The faces look modern – one sees similar faces now on China's streets. To me it feels less like an army, more like a photo gallery of ancestors. Each gown and uniform has different adornments; even their postures are individual. All look serious and serene, as with a higher purpose.
China’s greatness does not lie in her past only. Every single American owes China about 6,000 dollars. For many years we lived above our means (and was it worthwhile???). Clearly, we can’t put the blame on our Government alone; we were in this together. Only hard work and frugality will get us out now.
I am not saying that everything is better in China than in America – we know that's not true – but I am in awe of the Chinese people who got themselves out of the mess Mao Zedong had put them in. Read More