The Treatment of Infection Without Antibiotics AANP Annual Conference August 2003 Jared L. Zeff, ND.
Post on 23-Dec-2015
216 Views
Preview:
Transcript
The Treatment of Infection The Treatment of Infection Without AntibioticsWithout Antibiotics
AANP Annual ConferenceAANP Annual Conference
August 2003August 2003
Jared L. Zeff, NDJared L. Zeff, ND
Goal: to present a system of effective Goal: to present a system of effective treatment for antibiotic-resistant infectionstreatment for antibiotic-resistant infections
Overview:Overview:
1. The scope of the problem1. The scope of the problem
2. Contrasting approaches to treatment2. Contrasting approaches to treatment
3. Principles of a naturopathic approach3. Principles of a naturopathic approach
4. Case illustrations 4. Case illustrations
Primary cause of death: 1900Primary cause of death: 1900
Infectious pneumoniaInfectious pneumonia
1929: Sir Alexander Fleming discovers penicillin.1929: Sir Alexander Fleming discovers penicillin.Penicillin is effective against Streptococcus Penicillin is effective against Streptococcus pneumoniae.pneumoniae.
1930’s: Howard Florey and Ernst Chain extract and 1930’s: Howard Florey and Ernst Chain extract and purify penicillin.purify penicillin.
1941: British policeman is first person treated with 1941: British policeman is first person treated with penicillin, dies: insufficient quantity.penicillin, dies: insufficient quantity.
1943: Selman Waksman discovers streptomycin.1943: Selman Waksman discovers streptomycin.Streptomycin is effective against Mycobacterium Streptomycin is effective against Mycobacterium tuberculosis.tuberculosis.
1940’s: penicillin available to armed forces.1940’s: penicillin available to armed forces.
1950’s: penicillin available to general public. 1950’s: penicillin available to general public.
More antibiotics are developed.More antibiotics are developed.
The age of miracle medicine has arrived!The age of miracle medicine has arrived!
By the end of the 20By the end of the 20thth century we will see the century we will see the “virtual elimination of infectious disease as a “virtual elimination of infectious disease as a significant factor in societal life.” significant factor in societal life.”
Sir F. MacFarlane Burnett, MD, Sir F. MacFarlane Burnett, MD, 19621962
Australian Nobel laureateAustralian Nobel laureate
“…“…it [is] time to close the book on infectious it [is] time to close the book on infectious diseases.”diseases.”
U.S. Surgeon General William StewartU.S. Surgeon General William Stewart
19691969
Causes of Death Causes of Death (2000)(2000)
1.1. Heart DiseaseHeart Disease 710,760710,760
2.2. CancerCancer 553,091553,091
3.3. StrokeStroke 167,661167,661
4.4. Chronic Lung DiseaseChronic Lung Disease 122,009122,009
5.5. AccidentsAccidents 97,900 97,900
Causes of Death Causes of Death (2000)(2000)
6.6. DiabetesDiabetes 69,301 69,3017.7. Influenza and PneumoniaInfluenza and Pneumonia 65,313 65,3138.8. Alzheimer’s diseaseAlzheimer’s disease 49,558 49,5589.9. Kidney diseaseKidney disease 37,251 37,25110.10. SepticemiaSepticemia 31,224 31,224
National Center for Health Statistics, CDC, 2002National Center for Health Statistics, CDC, 2002
Causes of DeathCauses of Death
2,000,000 nosocomial infections 2,000,000 nosocomial infections annually which kill 90,000 each year.annually which kill 90,000 each year.
William Jarvis, MD Director: CDC William Jarvis, MD Director: CDC
March 11, 1998March 11, 1998
Causes of Death Causes of Death
5. Accidents5. Accidents 97,90097,900
*6. Nosocomial infections*6. Nosocomial infections 90,00090,000
7. Diabetes7. Diabetes 67,30167,301
Causes of DeathCauses of Death
1.1. Heart DiseaseHeart Disease 710,760710,760
2.2. CancerCancer 553,091553,091
3.3. *Infection*Infection 150,000 – 200,000 150,000 – 200,000 (?)(?)
4.4. StrokeStroke 167,661167,661
5.5. Chronic Lung DiseaseChronic Lung Disease 122,009122,009
Antibiotic ResistanceAntibiotic Resistance
19451945 14% of Staph. a. penicillin resistant14% of Staph. a. penicillin resistant
19501950 59% of Staph. a. penicillin resistant59% of Staph. a. penicillin resistant
19951995 95% of Staph. a. penicillin resistant95% of Staph. a. penicillin resistant
Antibiotic ResistanceAntibiotic Resistance
WhyWhy1. bacteria reproduce every 20 minutes:1. bacteria reproduce every 20 minutes:
rapid mutation potentialrapid mutation potential2. significant antibiotic exposure:2. significant antibiotic exposure:
common and inappropriate usecommon and inappropriate useenvironmental presence: animal husbandryenvironmental presence: animal husbandry
3. hospitals concentrate the worst pathogens3. hospitals concentrate the worst pathogens4. reduction in hospital hygiene (fewer staff)4. reduction in hospital hygiene (fewer staff)
Antibiotic ResistanceAntibiotic Resistance
Streptococcus pneumoniaeStreptococcus pneumoniae(pneumococcus)(pneumococcus)
7,000,000 cases of otitis media7,000,000 cases of otitis media 100,000 – 135,000 hospitalizations/pneumonia100,000 – 135,000 hospitalizations/pneumonia 50,000 cases of septicemia50,000 cases of septicemia 3,000 cases of meningitis3,000 cases of meningitis
““Between 10% and 40% of pneumococcus infections are drug Between 10% and 40% of pneumococcus infections are drug resistant”resistant”
CDC, July 2002CDC, July 2002
Antibiotic ResistanceAntibiotic Resistance
200,000 nocosomial Staph. Aureus infections 200,000 nocosomial Staph. Aureus infections annually;annually;
80,000 are antibiotic resistant.80,000 are antibiotic resistant.CDC Fact Book, 2002CDC Fact Book, 2002
Antibiotic ResistanceAntibiotic Resistance
The newest problem:The newest problem:
““CAMRSA”CAMRSA”
Community Acquired Multiple Resistant Community Acquired Multiple Resistant
Staphlococcus aureusStaphlococcus aureus
Antibiotic ResistanceAntibiotic Resistance
The ProblemThe Problem
1. Antibiotic resistant infection is a significant 1. Antibiotic resistant infection is a significant and growing cause of morbidity and mortality;and growing cause of morbidity and mortality;
2. The medical profession is increasingly 2. The medical profession is increasingly concerned;concerned;
3. Vancomycin resistance has occurred: no new 3. Vancomycin resistance has occurred: no new antibiotics are available.antibiotics are available.
Standard Medical AssumptionsStandard Medical Assumptions“Diagnosis and Treatment of Disease”
1. Diseases exist as discrete entities
2. Disease entities can be identified (diagnosis)
3. Disease entities can be eliminated through treatment
4. Evidence-based application of drugs or surgery constitutes appropriate and effective treatment
Standard Medical AssumptionsStandard Medical Assumptionsabout infectionabout infection
1. Infection is caused by pathogens1. Infection is caused by pathogens (bacteria, virus, parasite)(bacteria, virus, parasite)2. Pathogens overwhelm the immune system2. Pathogens overwhelm the immune system
a. excessive virulencea. excessive virulenceb. weakened immunity/host resistanceb. weakened immunity/host resistance
3. Antibiotics will reduce the pathogenic presence:3. Antibiotics will reduce the pathogenic presence:eliminating the infection, oreliminating the infection, or until the immune system can take over.until the immune system can take over.
4. Antibiotics are the only effective treatment for 4. Antibiotics are the only effective treatment for infectioninfection
A Naturopathic PerspectiveA Naturopathic Perspective“The Restoration of Health”
1. The universe is ordered, intelligent, wise, and benign
2. Health is the constant and natural state of being
3. Ill health is an adaptive response to disturbance in the organism
4. Removal of disturbing factors will result in the potential return of normal health
5. Intervention should involve the least force necessary to stimulate the self-healing mechanisms
Disease as ProcessDisease as Process
Normal Health
Disturbing DischargeFactors Process
Disturbance of Function
Reaction(fever, inflammation, etc.)
Chronic Reaction
Degeneration
Standard Medical Approach:Standard Medical Approach:directed against the reactiondirected against the reaction
Normal Health
Pathogens Discharge Process
Disturbance of Function
Reaction*(fever, inflammation, etc.)
Chronic Reaction
Degeneration
Classical Naturopathic Approach:Classical Naturopathic Approach:reduce the disturbing factors, stimulate the reduce the disturbing factors, stimulate the visvis
Normal Health
Disturbing DischargeFactors Process
Disturbance of Function
Reaction(fever, inflammation, etc.)
Chronic Reaction
Degeneration
General Medical ConceptGeneral Medical ConceptInfection is an interplay of several forcesInfection is an interplay of several forces
Virulence of pathogenVirulence of pathogen
Susceptibility factorsSusceptibility factors
Host resistance factorsHost resistance factors
Immune competenceImmune competence
Standard Medical ApproachStandard Medical Approach
(reduce) Virulence of pathogen(reduce) Virulence of pathogen
Susceptibility factorsSusceptibility factors
Host resistance factorsHost resistance factors
Immune competenceImmune competence
Naturopathic ModelNaturopathic Model
Virulence of pathogenVirulence of pathogen
(reduce) Susceptibility factors(reduce) Susceptibility factors
(strengthen) Host resistance factors(strengthen) Host resistance factors
(strengthen) Immune competence(strengthen) Immune competence
Reducing susceptibility factorsReducing susceptibility factorsDeterminants of healthDeterminants of health
What disturbs health?What disturbs health?
1. Spiritual life1. Spiritual lifeself-assessment/relationship to the larger universeself-assessment/relationship to the larger universe
basic sense of safety, etcbasic sense of safety, etc
2. Diet and digestion - toxemia2. Diet and digestion - toxemia3. Emotional stresses and traumas3. Emotional stresses and traumas4. Rest and exercise patterns4. Rest and exercise patterns
Reducing susceptibility factorsReducing susceptibility factors
6. Physical Stresses, Traumas, and Exposures7. Physical Strengths and Weaknesses8 Illnesses, Illness Sequelae, and Addictions9. Medical Interventions:
surgeriessuppressionsdrug effects
Naturopathic ModelNaturopathic Model
Virulence of pathogenVirulence of pathogen
(reduce) Susceptibility factors(reduce) Susceptibility factors
(strengthen) Host resistance factors(strengthen) Host resistance factors
(strengthen) Immune competence(strengthen) Immune competence
Clinical ModelsClinical Models
Standard Medical ModelStandard Medical Model
1. Diagnose infection1. Diagnose infection2. Identify pathogen (culture)2. Identify pathogen (culture)3. Apply appropriate antibiotic3. Apply appropriate antibiotic(4. Support vital functions)(4. Support vital functions)
i.e.: Attack pathogen (antibiotics)i.e.: Attack pathogen (antibiotics)
With antibiotic failure: no viable treatment!With antibiotic failure: no viable treatment!
Clinical Models Clinical Models
Naturopathic ModelNaturopathic Model
1. Reduce causes (disturbing factors)1. Reduce causes (disturbing factors) 2. Create a healthy regimen2. Create a healthy regimen 3. Stimulate self-healing mechanisms3. Stimulate self-healing mechanisms 4. Support affected systems4. Support affected systems 5. Correct structure5. Correct structure
i.e.: reduce susceptibility factors, strengthen host i.e.: reduce susceptibility factors, strengthen host resistance, and strengthen immune competenceresistance, and strengthen immune competence
A case of OsteomyelitisA case of Osteomyelitis
Female, Age 40Female, Age 40
May 11, 1999: Mandibular advancement surgeryMay 11, 1999: Mandibular advancement surgeryjaw surgically cut and held by plate.jaw surgically cut and held by plate.
September 1: plate removed; appeared healedSeptember 1: plate removed; appeared healed2 weeks later: xray shows infection/non-union 2 weeks later: xray shows infection/non-union
mouth wired shut, antibioticsmouth wired shut, antibioticsOctober: systemic infection: IV antibiotics in hospitalOctober: systemic infection: IV antibiotics in hospitalNovember: oral antibiotics, pain medicationsNovember: oral antibiotics, pain medications
A case of OsteomyelitisA case of Osteomyelitis
January 4, 2000: chief complaintsJanuary 4, 2000: chief complaints
1. Antibiotic-resistant osteomyelitis1. Antibiotic-resistant osteomyelitis
2. Constant pain2. Constant pain
3. Anxiety regarding healing3. Anxiety regarding healing
4. Anxiety regarding weight loss4. Anxiety regarding weight loss
5. Non-union of bone5. Non-union of bone
A case of OsteomyelitisA case of Osteomyelitis
Some significant aspects of historySome significant aspects of history
Many teeth problemsMany teeth problems
Difficulty with stomach and digestionDifficulty with stomach and digestion
Neck and back tensionNeck and back tension
hands go numbhands go numb
Excessive fatigueExcessive fatigue
Gonorrhea age 22, tx with antibiotics (suppression)Gonorrhea age 22, tx with antibiotics (suppression)
A case of OsteomyelitisA case of Osteomyelitis
Current Diet:Current Diet:
liquid only: wired jaw: 8 monthsliquid only: wired jaw: 8 months
blended soup, “boost” (caloric blended soup, “boost” (caloric drink),drink),
fruit juice, fruit smoothiesfruit juice, fruit smoothies
weight: 116, began at 141.weight: 116, began at 141.
A case of OsteomyelitisA case of Osteomyelitis
Psycho/spiritual factorsPsycho/spiritual factors
Sister died of measles encephalitis when patient Sister died of measles encephalitis when patient was 8 was 8
Father died of MI when patient was 13Father died of MI when patient was 13
A case of OsteomyelitisA case of Osteomyelitis
Pulse: Pulse:
digestive stress, acute disturbance, deficiencydigestive stress, acute disturbance, deficiency
BP: 110/70BP: 110/70
Sugar: 67Sugar: 67
Stomach reflex: 3+Stomach reflex: 3+
Arroyo: 2+ (adrenal fatigue)Arroyo: 2+ (adrenal fatigue)
A case of OsteomyelitisA case of Osteomyelitis
Assessment:Assessment:1. Severe digestive dysfunction1. Severe digestive dysfunction
2. Adrenal fatigue2. Adrenal fatigue
3. Osteomyelitis with non-union3. Osteomyelitis with non-union
4. Significant childhood traumas4. Significant childhood traumas
5. Suppressed gonorrhea5. Suppressed gonorrhea
6. Acute pain and anxiety6. Acute pain and anxiety
A case of OsteomyelitisA case of Osteomyelitis
Acute TreatmentAcute Treatment
Address pain and anxiety:Address pain and anxiety:
1. Arnica 10M: single dose1. Arnica 10M: single dose
2. Acupuncture: St 4,6, LI4, CV12, Liv 3, Gb 412. Acupuncture: St 4,6, LI4, CV12, Liv 3, Gb 41
(note: patient reports immediate reduction in pain, more (note: patient reports immediate reduction in pain, more calm and relaxed)calm and relaxed)
A Case of OsteomyelitisA Case of OsteomyelitisTreatment RegimenTreatment Regimen
1. Dietary change to reduce maldigestive toxemia: 1. Dietary change to reduce maldigestive toxemia: ““FIT” (Carroll method): Fruit IntoleranceFIT” (Carroll method): Fruit Intolerance
2. Daily Constitutional Hydrotherapy2. Daily Constitutional Hydrotherapy3. Medorrhinum 200c: one dose3. Medorrhinum 200c: one dose4. Gentiana/Scutellaria: gtt 15 tincture cc4. Gentiana/Scutellaria: gtt 15 tincture cc5. “Reishi Bupleurum”: (Gaia) gtt 40, tid5. “Reishi Bupleurum”: (Gaia) gtt 40, tid6. Avena/Glycerrhiza: tincture gtt 40 tid6. Avena/Glycerrhiza: tincture gtt 40 tid7. Calc. Phos. 3x: #5, tid7. Calc. Phos. 3x: #5, tid8. Daily exercise8. Daily exercise
(note: patient leaves office feeling better: reduced pain, more relaxed, sense of hope.)(note: patient leaves office feeling better: reduced pain, more relaxed, sense of hope.)
A Case of OsteomyelitisA Case of Osteomyelitis
January 9: (Day 5)January 9: (Day 5) “ “doing much better, reduced swelling and pain.” doing much better, reduced swelling and pain.”
reduced pain medsreduced pain medscontinue regimen continue regimen add acupuncture treatment:add acupuncture treatment:
Liv 3, GB 41, St 36, 30, 25, 6, 4, Lu 2, LI 4, CV 12 Liv 3, GB 41, St 36, 30, 25, 6, 4, Lu 2, LI 4, CV 12
January 11: (day 7)January 11: (day 7)““doing better: no more pain meds needed”doing better: no more pain meds needed”
continue regimencontinue regimenacupuncture as aboveacupuncture as above
A Case of OsteomyelitisA Case of Osteomyelitis
January 16: (Day 12)January 16: (Day 12)significant pain reductionsignificant pain reductionsignificant reduction in swellingsignificant reduction in swellingsignificant increase in jaw openingsignificant increase in jaw opening
d/c immune tonicd/c immune tonicd/c avena/glycerrhizad/c avena/glycerrhizaacupuncture: acupuncture: Lv 3, CV 12, LI 4 Lv 3, CV 12, LI 4
St 36, 30, 25, 6St 36, 30, 25, 6
A Case of OsteomyelitisA Case of Osteomyelitis
January 23: (Day 19)January 23: (Day 19)much bettermuch betteracupuncture as aboveacupuncture as above
January 30: (Day 26)January 30: (Day 26)antibiotics cut in half by MDantibiotics cut in half by MDjaw opens more, feels betterjaw opens more, feels betterenergy level significantly better: 75%energy level significantly better: 75%
February: vacation to VeniceFebruary: vacation to Venice
A Case of OsteomyelitisA Case of Osteomyelitis
March 3: (2 months) March 3: (2 months) doing well physically; jaw has knit (!)doing well physically; jaw has knit (!)
March 23: March 23: doing quite welldoing quite well*reports a bit of jaw pain and swelling after *reports a bit of jaw pain and swelling after
dietary violation (ate some fruit)dietary violation (ate some fruit)
May 3: doing well; reports jaw mal-alignmentMay 3: doing well; reports jaw mal-alignmentmouth opens to 27 mm (needs 28 to remove wires)mouth opens to 27 mm (needs 28 to remove wires)needs neck manipulation: performedneeds neck manipulation: performed
A Case of OsteomyelitisA Case of Osteomyelitis
May 10: May 10: continuing improvement: continuing improvement: date set to remove wiringdate set to remove wiringrepeat manipulationrepeat manipulation
May 24: May 24: feeling goodfeeling good
June 19: June 19: MD reports well healed; MD reports well healed; feeling generally better than before surgeryfeeling generally better than before surgery
Principles of TreatmentPrinciples of Treatment(A Therapeutic Hierarchy)(A Therapeutic Hierarchy)
1. Address acute symptoms1. Address acute symptoms2. Reduce disturbing factors2. Reduce disturbing factors3. Create a healthy regimen3. Create a healthy regimen4. Stimulate self-healing mechanisms4. Stimulate self-healing mechanisms5. Support affected systems5. Support affected systems6. Correct structure6. Correct structure7. Treat pathology7. Treat pathology8. Suppress pathology8. Suppress pathology
A Case of OsteomyelitisA Case of Osteomyelitis
Mechanisms of TreatmentMechanisms of Treatment
1. Address acute symptoms: do not suppress!1. Address acute symptoms: do not suppress!
a. Relieve paina. Relieve pain
hydrotherapy, homeopathy, acupuncture,hydrotherapy, homeopathy, acupuncture,
manipulationmanipulation
b. Relieve anxietyb. Relieve anxiety
homeopathy, botanicals, confidence of doctorhomeopathy, botanicals, confidence of doctor
A Case of OsteomyelitisA Case of Osteomyelitis
Mechanisms of TreatmentMechanisms of Treatment
2. Reduce causes2. Reduce causesa. toxemia: a. toxemia:
dietary changes: no fruitdietary changes: no fruitdigestiondigestion
hydrotherapyhydrotherapybotanical stomach tonicbotanical stomach tonic
b. “suppression”: medorrhinum 200c single b. “suppression”: medorrhinum 200c single dose dose
A Case of OsteomyelitisA Case of Osteomyelitis
Mechanisms of TreatmentMechanisms of Treatment
3. Create a healthy regimen3. Create a healthy regimena. appropriate dietary changesa. appropriate dietary changesb. appropriate rest and exercise b. appropriate rest and exercise c. stress reductionc. stress reductiond. spiritual exercised. spiritual exercisee. “air, water, sunshine”e. “air, water, sunshine”
A Case of OsteomyelitisA Case of Osteomyelitis
Mechanisms of TreatmentMechanisms of Treatment
4. Stimulate self-healing mechanisms4. Stimulate self-healing mechanisms
a. constitutional hydrotherapya. constitutional hydrotherapy
daily treatmentdaily treatment
b. homeopathy – as indicatedb. homeopathy – as indicated
c. acupuncture – once or twice a weekc. acupuncture – once or twice a week
A Case of OsteomyelitisA Case of Osteomyelitis
Mechanisms of TreatmentMechanisms of Treatment
5. Support affected systems5. Support affected systemsa. digestion: hydrotherapy, stomach tonica. digestion: hydrotherapy, stomach tonicb. immune system: hydrotherapy, immune b. immune system: hydrotherapy, immune
tonictonicc. nervous system: nerve tonic, homeopathicsc. nervous system: nerve tonic, homeopathicsd. adrenal system: adrenal tonicd. adrenal system: adrenal tonice. bone system: calc phos. 3xe. bone system: calc phos. 3x
A Case of OsteomyelitisA Case of Osteomyelitis
Mechanisms of TreatmentMechanisms of Treatment
6. Correct structural integrity6. Correct structural integrity
manipulationmanipulation
non-force: ease neck stiffness non-force: ease neck stiffness
force - wait until bone healing can force - wait until bone healing can support thissupport this
A Case of OsteomyelitisA Case of Osteomyelitis
Mechanisms of TreatmentMechanisms of Treatment
7. Treat pathology7. Treat pathology
often not necessaryoften not necessary
8. Suppress pathology:8. Suppress pathology:
done for eight month with no effect.done for eight month with no effect.
A Case of OsteomyelitisA Case of Osteomyelitis
SummarySummary
1. Address acute complaints: (pain and fear)1. Address acute complaints: (pain and fear)immediate reliefimmediate reliefpromise of continued improvement (hope)promise of continued improvement (hope)
2. Gradual and obvious improvement noted from first 2. Gradual and obvious improvement noted from first intervention (infection, non-union)intervention (infection, non-union)
3. Case resolved:3. Case resolved:75% improvement within four weeks75% improvement within four weeks total resolution within five monthstotal resolution within five monthspatient health fundamentally improvedpatient health fundamentally improved
General PrinciplesGeneral Principles
II. Stimulate and support immune function
Stimulate and Support Immune Function
1. Hydrotherapy1. Hydrotherapy
a. constitutional hydrotherapya. constitutional hydrotherapy
b. specific hydrotherapy to affected partsb. specific hydrotherapy to affected parts
c. sine current to affected partsc. sine current to affected parts
Stimulate and Support Immune Function
2. Homeopathya. etiologic remedy
miasm, suppression, injury,emotional trauma, etc.
b. constitutional remedyc. systemic remedies (drainage)d. specific or acute remedies
Stimulate and Support Immune Function
3. Botanicals
a. botanicals to support or repair damaged
or weakened systems
b. botanicals to stimulate immune function
c. botanicals with antibiotic properties*c. botanicals with antibiotic properties*
Stimulate and Support Immune Function
4. Acupuncture
5. Specific nutrients to support immune function
6. UV light and other specific therapies
7. Prayer and spiritual medicine
Botanical SupportBotanical Support
1. Antibiotic activity1. Antibiotic activityAnti-bacterialAnti-bacterialAnti-viralAnti-viralAnti-parasiticAnti-parasitic
2. Immune tonic activity2. Immune tonic activity
Antibiotic ResistanceAntibiotic Resistancemost common antibiotic resistant bacteriamost common antibiotic resistant bacteria
EnterococcusEnterococcus septicemia, surgical,septicemia, surgical,UTIUTI
Haemophilus infl.Haemophilus infl. meningitis, otitis,meningitis, otitis,pneumonia, etc.pneumonia, etc.
Myco. tub.Myco. tub. TuberculosisTuberculosis
Neisseria gonorrheaNeisseria gonorrhea gonorrheagonorrhea
Antibiotic ResistanceAntibiotic Resistancemost common antibiotic resistant bacteriamost common antibiotic resistant bacteria
Streptococcus pneu.Streptococcus pneu. Meningitis, pneumonia,Meningitis, pneumonia,
otitisotitis
Klebsiella pneu.Klebsiella pneu. Septicemia,pneumonia,Septicemia,pneumonia,
UTI, post-surg. InfectionUTI, post-surg. Infection
E. coli.E. coli. Severe diarrheaSevere diarrhea
SalmonellaSalmonella severe diarrheasevere diarrhea
Antibiotic ResistanceAntibiotic Resistancemost common antibiotic resistant bacteriamost common antibiotic resistant bacteria
Plasmodium spp.Plasmodium spp. malariamalaria
Pseudomonas aer.Pseudomonas aer. septicemia, UTI, septicemia, UTI, pneumoniapneumonia
Shigella dysen.Shigella dysen. diarrheadiarrhea
Staph. aur.Staph. aur. septicemia,pneumonia,septicemia,pneumonia,post-surgical infectionpost-surgical infection
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Anti-Staphylococcus aureusAnti-Staphylococcus aureus
Allium sat.Allium sat.Anthemis nob.Anthemis nob.Arctium lappaArctium lappaArctostaphylosArctostaphylosAstragalus memb.Astragalus memb.
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Anti-Staphylococcus aureusAnti-Staphylococcus aureus
Eucalyptus glob.Eucalyptus glob.Eupatorium perf.Eupatorium perf.HoneyHoneyHydrastis can.Hydrastis can.Hypericum perf.Hypericum perf.Hyssopus off.Hyssopus off.
..
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Anti-Staphylococcus aureusAnti-Staphylococcus aureus
LomatiumLomatium
PeoniaPeonia
PlantaigoPlantaigo
Salvia off.Salvia off.
Trifolium prae.Trifolium prae.
Usnea barbUsnea barb
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Anti-StreptococcusAnti-Streptococcus
Allium sat.Allium sat.
HoneyHoney
HydrastisHydrastis
PlantaigoPlantaigo
LomatiumLomatium
Salvia spp.Salvia spp.
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Anti-PseudomonasAnti-Pseudomonas
Allium sat.Allium sat.
HydrastisHydrastis
LomatiumLomatium
SalviaSalvia
UsneaUsnea
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Anti E.coliAnti E.coli
Allium sat.Allium sat.
Eupatorium perf.Eupatorium perf.
HydrastisHydrastis
HypericumHypericum
LomatiumLomatium
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Anti-E. coliAnti-E. coli
PeoniaPeonia
UsneaUsnea
Uva UrsiUva Ursi
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Anti Myco. TuberculosisAnti Myco. Tuberculosis
Allium sat.Allium sat.
Usnea barb.Usnea barb.
Botanical SupportBotanical Support Antibiotic Activity Antibiotic Activity
Hydrastis can.Hydrastis can.
Staph. aureus Strep. spp.Staph. aureus Strep. spp.
Pseudomonas SyphilisPseudomonas Syphilis
Gonorrhea Vibrio choleraGonorrhea Vibrio cholera
Botanical SupportBotanical Support Anti-viral Activity Anti-viral Activity
Allium sativaAllium sativaGlycerrhizaGlycerrhizaHypericumHypericumHyssopusHyssopus
Tabebuia impet.Tabebuia impet.(“Taheebo”, “Pau’Darco”)(“Taheebo”, “Pau’Darco”)
Melissa offMelissa offCamellia sinensisCamellia sinensis
Lentinus, GanodermaLentinus, Ganoderma(“Shitake”, “Reishi”)(“Shitake”, “Reishi”)
Botanical SupportBotanical Support Anti-parasitic Activity Anti-parasitic Activity
Artemesia annuaArtemesia annua
Cinchona off.Cinchona off.
Gentiana luteaGentiana lutea
Inula helen.Inula helen.
Spigelia anth.Spigelia anth.
(etc.)(etc.)
Botanical ReferencesBotanical References
1. 1. Plant Medicine in PracticePlant Medicine in Practice, Mitchell, Wm. A.,ND, , Mitchell, Wm. A.,ND, Churchill Livingstone, 2003Churchill Livingstone, 2003
2. 2. Herbal Medicine From the Heart of the EarthHerbal Medicine From the Heart of the Earth,, Tilgner, Sharol, ND, Wise Acres Press, Inc., 1999Tilgner, Sharol, ND, Wise Acres Press, Inc., 1999
3. 3. The Book of Herbal WisdomThe Book of Herbal Wisdom, Wood, Matthew, , Wood, Matthew, Matthew, North Atlantic Books, 1997Matthew, North Atlantic Books, 1997
4. 4. Herbal AntibioticsHerbal Antibiotics, Buhner, Stephen Harrod, Storey , Buhner, Stephen Harrod, Storey Publications, Vt. 1998Publications, Vt. 1998
Botanical SupportBotanical Support Immune tonification Immune tonification
Echinacea: large doses work best; Bastyr used 10-30 Echinacea: large doses work best; Bastyr used 10-30 drop dosesdrop doses
Baptesia: 1-5 drops dosesBaptesia: 1-5 drops dosesPhytolacca: 1 – 10 drop dosesPhytolacca: 1 – 10 drop dosesLomatium: 1/10 – 2 drops dosesLomatium: 1/10 – 2 drops dosesLigusticum: 5 – 20 drop dosesLigusticum: 5 – 20 drop dosesAstragalus: 5 – 30 drops dosesAstragalus: 5 – 30 drops dosesEtc.Etc.
A Case of Chronic ProstatitisA Case of Chronic Prostatitis
Male, age 48Male, age 48
Prostatitis began 1992Prostatitis began 1992
7 episodes of kidney stones7 episodes of kidney stones
88thth “episode”: pain is different “episode”: pain is different
dx: acute prostatitisdx: acute prostatitis
put on antibiotic regimen: no changeput on antibiotic regimen: no change
put on anti-inflammatoriesput on anti-inflammatories
A Case of Chronic ProstatitisA Case of Chronic Prostatitis
6 months later: no change6 months later: no change
put on new antibioticsput on new antibiotics
5 subsequent antibiotic regimens: no change.5 subsequent antibiotic regimens: no change.
constant pain, intermittent spasmsconstant pain, intermittent spasms
better: Imiprimine (symptomatic)better: Imiprimine (symptomatic)
fatigue and depression due to painfatigue and depression due to pain
needs to nap dailyneeds to nap daily
A Case of Chronic ProstatitisA Case of Chronic Prostatitis
Chlamydia: ’96: tx with antibioticsChlamydia: ’96: tx with antibioticsGonorrhea age 22, tx with antibioticsGonorrhea age 22, tx with antibioticsarthritis in back, anklesarthritis in back, anklesmedicated for hypertensionmedicated for hypertension
BP: 90/60BP: 90/60Stomach reflex: 3+Stomach reflex: 3+Pulse: weak, smallPulse: weak, small
A Case of Chronic ProstatitisA Case of Chronic Prostatitis
Acute TreatmentAcute Treatment
1. Thuja 30 c: single dose1. Thuja 30 c: single dose
2. Acupuncture: Liv 3, Ki 3, St 30, Li 4, CV 1.2. Acupuncture: Liv 3, Ki 3, St 30, Li 4, CV 1.
(note: patient leaves office without pain.)(note: patient leaves office without pain.)
A Case of Chronic ProstatitisA Case of Chronic Prostatitis
TreatmentTreatment
1. discontinue anti-hypertensives1. discontinue anti-hypertensives2. remove dietary intolerances (potato)2. remove dietary intolerances (potato)3. daily constitutional hydrotherapy3. daily constitutional hydrotherapy4. Medorrhinum 1M: single dose (note: instant relief 4. Medorrhinum 1M: single dose (note: instant relief
of neck and back tension, headache pain; eases of neck and back tension, headache pain; eases pelvic tension)pelvic tension)
A Case of Chronic ProstatitisA Case of Chronic Prostatitis
TreatmentTreatment
5. stomach tonic: Gentiana/Scutellaria5. stomach tonic: Gentiana/Scutellaria
6. adrenal support: 6. adrenal support: Glycerrhiza/EluthrococcusGlycerrhiza/Eluthrococcus7. Immune tonic/antibiotic formula:7. Immune tonic/antibiotic formula:
Hydrastis, Phytolacca, Baptesia, Urtica, Hydrastis, Phytolacca, Baptesia, Urtica, Taraxicum: A:, gtt. 60, t.i.d.Taraxicum: A:, gtt. 60, t.i.d.
8. Thuja 30c: prn for prostate pain.8. Thuja 30c: prn for prostate pain.
A Case of Chronic ProstatitisA Case of Chronic Prostatitis
Treatment ResultsTreatment Results
1. pain of prostate intermittent, low level, gradually 1. pain of prostate intermittent, low level, gradually decreases: improves with thuja 30cdecreases: improves with thuja 30c
2. energy gradually returns over four months,2. energy gradually returns over four months, no more fatigueno more fatigue
A Case of Nosocomial Staph InfectionA Case of Nosocomial Staph Infection
Female, 81Female, 81
Hospitalized for surgery, Hospitalized for surgery, contracts Staph infection, contracts Staph infection, on antibiotics for 8 weeks without on antibiotics for 8 weeks without improvement,improvement,developing CHF symptomsdeveloping CHF symptoms
A Case of Nosocomial Staph InfectionA Case of Nosocomial Staph Infection
TreatmentTreatment
1. daily constitutional hydrotherapy1. daily constitutional hydrotherapy
2. diet of soup2. diet of soup
3. colonic hydrotherapy3. colonic hydrotherapy
4. Hydrastis tincture4. Hydrastis tincture
A Case of Nosocomial Staph InfectionA Case of Nosocomial Staph Infection
Treatment resultsTreatment results
Mother urinates (!)Mother urinates (!)
Mother improves daily.Mother improves daily.
CHF symptoms recede.CHF symptoms recede.
Infection is cleared in three weeks.Infection is cleared in three weeks.
Mother currently working in garden.Mother currently working in garden.
A Case of LymphedemaA Case of Lymphedemawith infectionwith infection
Female, age 49Female, age 49
Presents with very swollen, Presents with very swollen,
painful legs, red feet, painful legs, red feet,
inflammation beginning to spread up legs.inflammation beginning to spread up legs.
A Case of LymphedemaA Case of Lymphedemawith infectionwith infection
Patient has multiple pathologies, Patient has multiple pathologies,
multiple surgeries to legs and feet as childmultiple surgeries to legs and feet as child
She is very afraid. She is very afraid.
Oral antibiotics have not worked.Oral antibiotics have not worked.
Multiple pain drugs including methadoneMultiple pain drugs including methadone
One med causing kidney inflammationOne med causing kidney inflammation
A Case of LymphedemaA Case of Lymphedemawith infectionwith infection
TreatmentTreatment
1. Homeopathic Staphisagria 1M: significant child abuse1. Homeopathic Staphisagria 1M: significant child abuse2. Constitutional hydrotherapy with sine to feet.2. Constitutional hydrotherapy with sine to feet.3. Acupuncture to legs and feet3. Acupuncture to legs and feet4. Homeopathic Belladonna and Phytolacca4. Homeopathic Belladonna and Phytolacca5. Botanical immune tonic 5. Botanical immune tonic 6. Botanical lymphagogues and diuretics6. Botanical lymphagogues and diuretics7. Diet based upon “FIT” (no milk products)7. Diet based upon “FIT” (no milk products)8. Discontinue offending medication8. Discontinue offending medication9. Stomach, kidney, and adrenal support: botanical9. Stomach, kidney, and adrenal support: botanical
A Case of LymphedemaA Case of Lymphedemawith infectionwith infection
Effects of TreatmentEffects of Treatment
1. Immediate pain relief: walks without pain1. Immediate pain relief: walks without pain
2. Feels significantly less anxiety2. Feels significantly less anxiety
A Case of LymphedemaA Case of Lymphedemawith infectionwith infection
Effects of TreatmentEffects of Treatment
1. Rapid reduction of redness over two weeks1. Rapid reduction of redness over two weeks
2. Gradual reduction of swelling over one month2. Gradual reduction of swelling over one month
3. Significant reduction of pain medications over 3. Significant reduction of pain medications over one monthone month
4. Total resolution of edema and leg pain after 4. Total resolution of edema and leg pain after two monthstwo months
Treatment of InfectionTreatment of Infection
Principles of TreatmentPrinciples of Treatment1. assess whole patient1. assess whole patient
a) spirituala) spiritualb) psycho-emotionalb) psycho-emotionalc) physicalc) physical
current - all systemscurrent - all systemshistorical – illnesses, historical – illnesses,
suppressions, interventionssuppressions, interventions
Treatment of InfectionTreatment of Infection
““Therapeutic Hierarchy”Therapeutic Hierarchy”a. identify and remove causes, with special a. identify and remove causes, with special attention attention to toxemia, determinants of healthto toxemia, determinants of healthb. create a healthy regimenb. create a healthy regimenc. stimulate the self healing mechanismsc. stimulate the self healing mechanismsd. support weakened/damaged systemsd. support weakened/damaged systemse. correct structural integritye. correct structural integrityf. address pathology if necessarayf. address pathology if necessarayg. suppress pathology to preserve life or functiong. suppress pathology to preserve life or function
Treatment of InfectionTreatment of Infection
Principles appliedPrinciples applied
90 minute first visit:90 minute first visit:
A. chief complaint detailsA. chief complaint detailslet the patient tell their storylet the patient tell their storyget as much detail as you can get as much detail as you can
B. dietary historyB. dietary history
1. daily dietary details1. daily dietary details
2. presence of common intolerant foods2. presence of common intolerant foods
3. reactions to foods3. reactions to foods
4. cravings and aversions4. cravings and aversions
Dietary historyDietary history
1. Adequacy: calories, nutrients1. Adequacy: calories, nutrients
2. Balance: excesses2. Balance: excesses
3. Reactivity:3. Reactivity:
Intolerance vs. allergy vs. sensitivityIntolerance vs. allergy vs. sensitivity
4. Supplementary needs4. Supplementary needs
C. Review of systemsC. Review of systems
1. Patient has filled out a comprehensive form 1. Patient has filled out a comprehensive form
2. I inquire regarding all marked areas2. I inquire regarding all marked areas
3. I ask whether I’ve missed anything 3. I ask whether I’ve missed anything
Past medical historyPast medical history
1. 1. InfancyInfancy
1-5, 5-10, 10-15, etc.1-5, 5-10, 10-15, etc.
2. 2. Suppressions, significant events, Suppressions, significant events, illnesses, illnesses, injuries, medications, surgeriesinjuries, medications, surgeries
Social historySocial history
1. How’s life?1. How’s life?
2. Relationships2. Relationships
3. Childhood3. Childhood
4. Work and exposures4. Work and exposures
5. Spiritual life5. Spiritual life
Treatment of InfectionTreatment of Infection
Physical examinationPhysical examination
1. standard exam1. standard exam2. functional exam2. functional exam
pulsepulse, tongue, reflexes, etc., tongue, reflexes, etc.
Goal: Goal: a. assessment of functiona. assessment of functionb. discovery or verification of pathologyb. discovery or verification of pathology
ToxemiaToxemia
Fundamental Concept:Fundamental Concept:
maldigestive processes foster a dysbiotic maldigestive processes foster a dysbiotic intestinal population which generate toxic intestinal population which generate toxic products through inappropriate degradation of products through inappropriate degradation of poorly digested foods. These toxins enter the poorly digested foods. These toxins enter the blood and become the basis for chronic blood and become the basis for chronic inflammatory processes, autoimmune processes, inflammatory processes, autoimmune processes, etc. This process promotes infection.etc. This process promotes infection.
ToxemiaToxemia
For example: as early as 1879, Baumann For example: as early as 1879, Baumann demonstrated that Tyrosine is metabolized by demonstrated that Tyrosine is metabolized by gut bacterial to generate phenols and p-cresol. gut bacterial to generate phenols and p-cresol. (Baumann, E. (1879). (Baumann, E. (1879). Ber. Dtsch. Chem. Ges.Ber. Dtsch. Chem. Ges. 1212, 1450.), 1450.)
Phenols and p-cresol are implicated in Phenols and p-cresol are implicated in tumor formation in mice. Certain phenols are tumor formation in mice. Certain phenols are demonstrated convulsant agents in humans.demonstrated convulsant agents in humans.
ToxemiaToxemia
1924, Harke and Koessler demonstrated the generation 1924, Harke and Koessler demonstrated the generation of histamine by gut bacterial action on dietary amino of histamine by gut bacterial action on dietary amino acids. (Urbach, K.F. (1949). acids. (Urbach, K.F. (1949). Proc. Soc. Exp. Biol.Proc. Soc. Exp. Biol. (NY), (NY), 7070, 146.), 146.)
Perry demonstrated the generation of the body burden Perry demonstrated the generation of the body burden of tyramine is entirely by gut flora. (Perry, T. L., et. of tyramine is entirely by gut flora. (Perry, T. L., et. al. (1966). al. (1966). Clin Chem. ActaClin Chem. Acta 1414, 116., 116.
Both histamine and tyramine are implicated in Both histamine and tyramine are implicated in hypertension, suggesting that essential hypertension hypertension, suggesting that essential hypertension may be the result of “toxemia”.may be the result of “toxemia”.
SuppressionSuppression
Spiritual Aspect of Treating InfectionSpiritual Aspect of Treating Infection
1. “Tell me about your spiritual life”.1. “Tell me about your spiritual life”.
2. Discuss the patient’s fears and concerns.2. Discuss the patient’s fears and concerns.
3. Discuss patients beliefs about healing3. Discuss patients beliefs about healing
ReviewReview
I. Treat the person, not the infection
1. evaluate/improve the general state of health2. evaluate/improve the diet and digestion, with
special attention to intestinal toxemia:a. recommend appropriate dietary changesb. improve digestive functionc. facilitate toxin elimination
3. evaluate and treat to normalize all major systems and functions
4. Stimulate and support immune function5. evaluate the psycho-spiritual patient: treat as
indicated
““How to treat infection How to treat infection without antibiotics”without antibiotics”
Thank you!Thank you!
Jared L. Zeff, NDJared L. Zeff, NDDrZeff@AOL.comDrZeff@AOL.com
360-823-8121360-823-8121
top related