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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.
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.
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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.
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C soot, smoke and other fine matter in the air
C cleaning solvents
C digestive problems
C nutritional deficiencies
C fatty acid and prostaglandin imbalance
C perfumes, chemicals and other irritants
C stress
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.
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.
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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-pre-
scription or complementary), people with asthma should check with their pharmacist or doctor about
its safety in people with asthma.
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.
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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.
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
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C abnormal breathing pattern, in which exhalation (breathing out) takes more than twice as long as
inspiration (breathing in)
C breathing which temporarily stops
COMPLICATIONS
C respiratory fatigue
C pneumothorax
C death
C 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).
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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.
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
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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.
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C replace furnace filters monthly
C avoid gas stoves
C to avoid pet dander and avoid pets
C delayed onset asthma may be caused by chocolate, wheat, citrus fruit and food colorings like
yellow dye #102.
C avoid outdoor activities when pollution is high
C avoid contact with cockroaches (use non toxic pest control)
C purify the air in your house (some asthmatics have a problem with ozone air cleaners)
C 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
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.
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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.
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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.
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
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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
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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.
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
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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.
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.
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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.
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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.
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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
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C kale
C parsnip
C cranberry
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.
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
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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.
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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
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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.
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.
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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.
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.
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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.
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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.
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C helps clean the lungs of phlegm, mucous and debris of viruses and bacteria from past infections
C uses the diaphragm more efficiently while by fully engaging the lower part of the lungs
C increases metabolism
C exercises diaphragm
C 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
C increases general endurance
C regulates the immune system
C has been shown to reduce reliance on asthma medication
C regular breathing exercise improve many concurrent health problems. Correct breathing provides
energy for the body to repair organs and tissues.
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
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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%.
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.
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Resources and reading
ABC of asthma, allergies and lupus by F. Batmanghelidj, M.D
www.watercure.com
www.fulvic.com
(www.scientiapress.com/findings/ht.htm)
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