Introduction:
[These are my notes – they are a refresher for the workshop attendants. But might also be useful to look something up when one needs it]
What happens through the winter: A depletion of reserves leads to increased susceptibility to infections. Decreased movement. Holiday foods – not healthy.
It takes two to get sick: A virus and a run-down immune system.
“Huge outbreak” of Swine flu in Great Britain: 24 deaths as of 1/29/11 – compared to the more than 35,000 deaths annually from “normal” flu in the US (which is nothing).
Cold and flu:
• Prepare: Get your immune system into perfect shape
• Protect: Shield yourself during an actual outbreak
People are less prone to respiratory infections if they have more contact with people, and hug more. Exception: Little kids – they schlep everything home. But in the long run, it might be beneficial. But in a flu outbreak: Stay away from people as much as you can. Wash hands often. Don’t be sneezed at. Avoid public transportation. Don’t hug and kiss. Avoid touching public doorknobs, telephones and similar surfaces with unprotected hands.
• Pull through: Survive even if you come down with it.
• Water
• Cold stimulus – compare to anti-oxidant stimulus – good stress and bad stress
• Warm rooms: More obesity, more colds
• Cold Shower/cold wash/cold dunk for babies older than four months
• Cold sitzbath
• Sauna
• Sleeping with windows open
• Drink enough warm or hot fluids – hot herbal teas are perfect. Juices are not.
• Don’t do cold applications with an acute cold/flu, uncontrolled hypertension, arterial disease (Raynaud’s)
• Movement
The only thing for increasing qi and against cold is movement. But excess is as detrimental as laziness.
• Yoga, of course
• Daily outside walk – importance to get sun light and vitamin D
• Hiking, bicycling, games on weekends
• Snow shoveling:
Break down the task
Take small loads
No abrupt movements
Cherish twisting movements – but they also can be the source of strained muscles.
• Yoga ball (back)
• Small heavy ball (arms)
• Getting to the ground once a day (strength)
• Knee bends (strength)
• Hanging out (back)
• Standing on one leg (pelvic health)
• Food
• Fresh foods – home cooking: Vegetables, legumes, small portions of fish and meat (lamb!), fresh (or dried) herbs. No microwaving.
• Vegetarian/vegan against omnivore
• No dairy, sugars, white starches, sweeteners, artificial molecules: colorings, flavorings, enhancers, preservatives, etc
• Predominantly cooked – more so in the winter
• Fats: More is better – but they have to be vegetal: Olive oil, coconut oil, ??butter
• Organic: Good but fresh is more important
• If you have a cold/flu: You should always force hot liquids on a sick person but never food: Respect if there is no appetite, and respect if there is. Just nothing sugary. Fruit – fresh or as compotes – is probably the best. Or hot elderberry/blueberry soup (also good for acute stomach flu and urinary tract infections). Blueberries are much cheaper.
• Herbs
Herbs have been with us throughout evolution. Their mechanism fit into our ancient physiology like a key into a lock. We always ate herbs from the wild, and now that we have for the most part stopped, a little bitter green, cabbages or strong root might just be what your body needs to find back to balance.
Bacteria and viruses do not easily develop resistance against herbs. That is because a single herb contains hundreds or more of compounds, and many of these compounds work on killing off the germs - not only one. Since point mutations in bacteria can only develop one by one, it is less likely that an herb becomes ineffective against a pathogen because there will be other compounds to destroy the microbes first.
Synergy is the reason why I recommend whole herbs (tinctures or so-called phyto-caps with extracts of the whole plant) instead of “taking the best” from several pants, and making a patented medicine. Patent medicines exist because natural plants can’t be patented, and so firms try to make money by taking single compounds from a plant, combining it with other single compound, thus producing a “new” medicine that allegedly is better. The truth is, mostly it is not better because you cannot improve on nature
• Prepare: During cold and flu season, take tonic herbs like stinging nettle, astragalus, ashwaganda, or eleuthero (formerly named Siberian ginseng) to strengthen your immune system. Rotate them every three weeks.
• Spice up your food with herbs and spices because they kill microbes (the plants developed the strong-tasting compounds to protect themselves against the invasion of bacteria, viruses and fungi). Pregnant and breast-feeding women as well as little children should go easy on herbs and spices.
• When you go out, use an Echinacea spray every hour or two to protect your throat, the entry port of viruses. Again, GAIA makes a good one
• Mushrooms boost your the immune system – eat them often, or take a mushroom preparation; Whole Body Defense by Gaia is one.
• Protect: (if you had exposure, or suspect you had): If there is a bad flu epidemic: Chew a raw garlic clove, several times a day
• Take a lick of unheated honey (Manuka is the best) every hour or so – kills germs (not for children under three years – danger of botulism!)
• Rinse your nose prophylacticly with saltwater to kill germs (carefully rinse mouth afterward with clear water if you have blood pressure issues)
• Prophylactic and curing: Hot elderberry tea, hot blueberry soup
• Importance to wash hands and cover sneezes and coughs, preferably with a sleeve cough – not your hands
• Take as supplements: A probiotic (I like PrimalDefense), fish oil and cod liver oil
• Pull through: In cold and flu: Immediately when you come down with the flu: REST!
• Fever over 104 F in children, and a cold lingering more than a week should be seen by a physician. Also if you have unusual symptoms like stiff neck, enormous headaches, breathing difficulties, and so on.
• Against cold: Easiest, most expensive: GAIA Quick Defense. It contains Anagraphis paniculata – best cold medication I know (hard to find as a single extract)
• Against cold and flu: Echinacea, olive leaf, osha, pau d’arco, licorice – all as extracts in a bottle. Mix together in hot water like a tea.
• Other herbs that have been found beneficial in colds and flu: bayberry, boneset (Eupatorium perfoliatum), calendula, goldenseal, Oregon grape, juniper berry (chew a dried berry every few hours, not more than five a day, and not for longer than a week), umckaloaba (Pelargonium sidoides)
• A ready-made anti-viral concoction is the Chinese Yin Qiao Jie Du Pian, also called Honeysuckle-Forsythia Detoxifier. It might be a good idea to have some of those pills at hand when you get sick (get them from a reputable source).
• Lingering (more than a week) colds and bacterial infections: GSE extract (but consult your physician to make sure it is not pneumonia)
• Sore throat: Swish a few drops of oregano extract (nips whatever is coming in the bud, if you take it early enough) in your mouth and swallow, or zinc lozenges (science is a bit wobbly on zinc)
• Sore throat: Gargle with saltwater or warm water with one drop of sage, myrrh, oreganol, neem or tea tree oil. Not for children under six.
• Stuffed nose/Sinusitis: Rinsing nose with saltwater – frequently, if necessary
• Stuffed nose/Sinusitis: Eat mustard, horseradish.
• Stuffed nose/Sinusitis: Steam inhalation helps with a running or stuffed nose. You can add chamomile, thyme, eucalyptus or a pea-sized piece of Vick’s. You can also use Vick’s on older children (check the label).
• Cough: Gan Mao Dan Chinese pills (20 per day in divided doses), or make a tea of peppermint, honeysuckle, ginger, cloves and/or horehound, slippery elm, violets, fennel, anis, marshmallow root (the real one!), Iceland moss (Cetraria islandica), ribwort plantain
• Fever is mostly good – it kills the germs. Therefore, no aspirin or Tylenol. In children, do cold wraps or dunk babies in tepid water
• If you get the flu, start Ginkgo biloba will start repair damaged cells
• Also: No decongestants as they tend to dry out mucosa and increase stuffiness in the long run
• Increase hot fluids: hot water, hot broth (chicken soup has been researched – and it really works!), hot herbal teas (linden flowers, elderberry flowers, honeysuckle, fennel or thyme, sage, green or black tea, thyme, ginger, rose hips, mullein, lemon balm, peppermint - in all combinations) are good – but so are many other. Hot lemonade is also beneficial if made with fresh lemons and preferably with unheated honey
• If you use vitamin C, use a low-dose kind – and only in the first few days of a cold
• Don’t use all the herbs at once – get familiar with a few, one after the other.
• There is no such thing as” That herb does not work in me!” There is only “That herb does not work against this or that germ”
• Order
• Cherish the season – don’t fight it
• Preventing: GET ENOUGH SLEEP! In a flu outbreak, be in bed by nine pm every night – no TV, no computer. The body repairs itself during about two hours the time around midnight — if you are asleep then, that is.
• During a bad flu season, consider wearing a mask over nose and mouth
The causes of death in influenza are of two different origins: Older people die of the virus and its consequences like pneumonia; their weakened immune system cannot fight the virus anymore. Young people succumb to an overreaction of their still exuberant immune system – they produce what we call a cytokine storm, and usually die within the first two days. Consequently, both groups should be treated differently. In young people (older teenagers and young adults) I therefore would add an herbal anti-inflammatory, namely Zyflamend as soon as the young person gets sick. Read More
Blog: On Health. On Writing. On Life. On Everything.
What’s In A Diagnosis?
January 23, 2011
Sometimes a patient is desperate for a diagnosis: If she has been going from doctor to doctor, and has been told uncountable times that nothing is wrong, it's all in her head - she might be relieved if she finally gets told she has "chronic fatigue." At least, now she can deal with it.
Sometimes a diagnosis can save a life: If your belly hurts, and the diagnosis is “appendicitis”, a surgeon will operate on you, and your life is saved in all likelihood. When my son, a few years ago, had high fever, stiff neck and the worst headaches of his life, only the diagnosis of a physician turned the course of the disease around. The physician thought it likely was a tick-borne disease and probably tularemia: With the right antibiotic, my son recovered quickly.
Sometimes a diagnosis is just and word: Say, your doctor tells you that you have hypertension - high blood pressure. That doesn’t help you much. It helps the doctor to know what pill to prescribe you – for the rest of your days. Now you are a patient.
High blood pressure is a typical modern-day stress disease. Only about five percent of people who are diagnosed with high blood pressure, have an underlying medical condition. The rest – ninety-five percent! – have a wrong lifestyle. But interestingly, the diagnosis doesn’t tell you that there might be a difference – or that something else than a pill might help you.
If you have an especially astute doctor, he will tell you that you have “essential hypertension”, “essential” here meaning no real reason he knows of. With other words, the diagnosis is a medical throwing up his arms in the air, declaring nothing can be done. Except for a few pills, of course.
You have stress because your boss is unreasonable, or your spouse is the nagging kind, or your gambling debts are threatening to destroy your family life – again, you might not be able to do much. On the other hand, you might be starting thinking about what can be done. Getting more sleep every night? Eating more vegetables? Going into therapy? Returning to school, training for another line of work? Divorcing your spouse, or going to marriage counseling together? Enrolling in a course of ballroom dancing together? Changing jobs? Taking up tennis to get a handle on your stress and work some of the anger off physically?
No – you have a diagnosis, and now you get a pill. That’s all. Your doctor didn’t even tell you to drink more water, I bet.
You were probably told to go easy on salt. That is nice advice – if you were also told that most processed and restaurant foods contain too much salt, even your breakfast cereals and the “nutritional” bar. And that the salt problem is really big in black people but less of an issue in Caucasian people.
Chances are that your doctor also gives you a diagnosis of too high cholesterol – hypercholesterolemia. That’s another pill, right away.
Your doctor didn’t tell you that high blood pressure and high cholesterol aren’t two different diseases. They are one bad lifestyle. More often than not they go together.
And, oh, now you got diabetes! Your sugars are too high and this new diabetes really needs good management. Your doctor might even give you a new name for the three diseases above: Syndrome X. He will wiggle his head in concern, because having all three makes it really dangerous. One has to be treated extra-extra carefully – with many pills.
Some (or all) of those pills have side effects. Liver failure, depression, impotence, muscle inflammation, fatigue, upset stomach, and so on – which will require more pills and more monitoring.
None of the pills will buy you real health – glowing, sweaty, happy health as you might experience when you play a round of pick-up Frisbee or swim in the ocean.
I am not saying here you should throw away all the pills your doctor gave you. I am just saying you should strive for health, not for diagnoses and an assortment of pills, so that, one by one – and with the supervision of your physician – you might be able to drop the pills.
What is the difference between this diagnosis and that diagnosis? My son’s illness had nothing to do with lifestyle, and all to do with a nasty bug. Most diseases like high blood pressure, diabetes, high blood fats, and many cases of depression, arthritis and cancer have a whole lot to do with lifestyle. If you break a bone, only a good cast will help mending it – and good food will speed up the healing process.
Once you have a cancer, of course, a bit of lifestyle change is not enough to save your life – you need surgery, radiation, chemotherapy. Once the cancer is diagnosed, eating more fresh vegetables and going for a daily walk in sunlight might help you recover – but better would have been you would have started on a healthy path many years ago.
The uncomfortable truth is: Health does not come out of a pill bottle. And a diagnosis is just a name. What you do with your life counts for your health. Read More
1 Comments
Quackery
July 30, 2010
On the British "Quackometer" site, I have been negatively reviewed: http://www.quackometer.net/.
This is what I answered:
Dear Mr. Andy Lewis,
Basically, I like the idea of a quackometer. On the other hand, I am not tickled that I received all those ducks. They are cute, though.
In my books and health blog, I use easy language while being informed about science. I use some new-agey terms so that people understand me – that explains “This web site is using lots of alternative medicine terms.”
At the same time, you accuse me of the opposite: “It is full of scientific jargon that is out of place and probably doesn't know the meaning of any of the terms.” You don’t want to argue with degrees - but here I have to: I was a teacher of mathematics and statistics, and have a master’s degree in philosophy, especially in epistemology (which is the science of what we can know, and where we better shut up – as Wittgenstein put it). That all before I studied medicine and finished with board-certification here in the U.S.A. in internal medicine. And I hold a degree in “Natural Medicine.” So, in all likelihood, I do understand the medical and scientific terms I use.
“It shows little or no critical thought and so should be treated with caution!” You might have overlooked my blog that states that homeopathy has no scientific basis – therefore I don’t use it with patients. But I did two courses of homeopathy to make sure I did not throw out a valuable tool unexamined. Then again, barely anybody dies of sugar pills – and here in the U.S.A. (unfortunately, I don’t have British numbers) about 100,000 people die per year of allopathic drugs. Only on your website today I found the information of this anti-malaria homeopathic concoction; that indeed is murderous, and I strongly oppose it.
However, since many ailments heal with time and better lifestyle, homeopathy (which is often combined with compassionate care and good advice for exercise and healthy eating) might be less of a safety problem than conventional medicine. I have practiced medicine for thirty years and have become skeptical of profit-driven, procedure-oriented, drug-dispensing allopathic medicine. But I would never discard good conventional medicine where it is needed and useful: When my son came home from camp with high fever, stiff neck and the worst headache of his life, I did not think for a second that “alternatives” were the answer. I drove him straight to the Emergency Room of a famous Boston Teaching Hospital (where they promptly misdiagnosed his tularemia – but that is another story…). – Appendicitis needs a good surgeon. And one doesn’t treat a heart attack by holding hands. – Guess we agree here.
Also, I am very critical of indiscriminate use of vitamins and other supplements without proven value and without documented deficiencies. You might also have noticed that I don’t sell anything – only my books which is the way to disperse ideas and knowledge). Not even a mug or a t-shirt.
There are bad genes and unfortunate accidents. But apart from that, health is a simple proposition, in my opinion: Eat well, sleep well, move a bit, drink fresh water, get your relationships and priorities right – and automatically, you will be healthier. Common sense, not more. But it is so much easier to pop a pill (allopathic, homeopathic, naturopathic) than do something yourself - that’s probably why my books sell so poorly.
Alexa Fleckenstein M.D.
P.S. I forgot two arguments:
1. Using language as the sole indicator for quackery might not work because – as you somewhere noticed yourself – language is ambiguous.
2. Writing on a rather “quackery” website should not constitute quackery itself – I often just bring arguments which might be enlightening – and lure readers to my blog. Also, if writing on a “quackery” site makes me guilty of quackery – then writing on the “Quackometer” redeems me??
Last thought: Homeopathy fills a void that conventional medicine leaves: Homeopathic practitioners care and listen. If we want to persuade patients with our scientific arguments, we first have to return to caring and listening.
Update 1/2/2011:
They took me off the list, after all!! Read More