Guest guest Posted May 6, 2001 Report Share Posted May 6, 2001 Again, my apologies for being so late with this and some other things. ******************************* In part 1 we learned what constitutes the classic allergic reaction. Immunoglobulin-E (IgE) hooks to a mast cell and when the IgE encounters an allergen it's programmed for, the mast cell releases a substance called histamine which is what causes the inflammation, itching, swelling, etc. (Simplified explanation.) However, there is a lot of debate among allergy specilists as to exactly what constitutes an allergic reaction. Some allergy specialists believe that there may be other mediators besides IgE, for example substance P which also has to do with pain. My personal opinion - based on having had allergies for years and managing to deal with them with some success - is that allergies and sensitivities are more complex than the IgE model alone can account for. For example, why are allergies more common in the spring than during other seasons? There are plenty of things pollinating in the summer and early fall. Grass continues to pollinate all through the growing season, and in many areas molds are present throughout the year. While it's true that more things tend to pollinate during the spring than during other seasons, this fact along is not enough to account for why so many more people tend to be allergic during the spring than at other times of the year, and the allergy attacks tend to be more severe in the spring than during other seasons. There are other questions as well that the IgE model alone does not answer. Why can a person be exposed to something s/he's allergic to and it doesn't affect him/her some days whereas it does on others? In some of these cases, the total allergy load is a factor, but this isn't always the case. Sometimes the total amount of allergens the person is exposed to can be the same, but one day the person reacts while on other days the person doesn't. What else is going on that can explain this? Why do people who move because of allergies tend to end up developing allergies to different plants in the new location - plants which are not in the same family or even similar to prior allergen plants? (This does happen unless the underlying tendency to develop allergies is addressed. Until that underlying tendency to develop allergies is addressed, the person just ends up developing allergies to plants and other things in the new environment.) A lot of times TCM will give insight into Western medicine, and Western medicine will give insight into TCM. I've found this to be especially true when it comes to allergies. Please remember that TCM healers diagnose TCM syndromes, not Western-defined medical conditions. But when it comes to allergies and allergy-like reactions and sensitivities, there is an amazing dovetailing between Western medicine and TCM, even including one of the diets which often gets recommended for allergy sufferers in the West. Some of the TCM information on symptoms which are called allergy or allergy-like symptoms in the West begin to make even more sense in view of some discoveries in alternative Western medicine. Likewise, some of discoveries about allergies and sensitivities in the West start to make more sense when also viewed from a TCM perspective. Some Western books on allergies and some allergy doctors talk about " targets " . What this means is that allergies tend to target some parts of the body more than other parts in some people. For example, some people react to allergens primarily in the nose and upper respiratory system - sneezing, runny nose, congested nose, and tickling in the throat. Other people are most sentitive in their lungs and may have breathing problems as a result. Still others are bothered most in their skin and develop rashes when exposed to an allergen. Others may be affected primarily in the digestive system. Some people may be affected in more than one target. The particular target can determine the best treatment in TCM as well as in Western medicine. In fact, the particular target is even more revealing in TCM than in Western medicine. For example, if the eyes are affected prominently - as in allergic conjunctivitis - suspect and rule in or rule out Liver imbalance. In TCM, the Liver " opens into the eyes. " Whenever the eyes or vision are affected in any way, suspect and rule in or rule out Liver imbalance. Skin as well as the upper respiratory tract suggests possible Lung imbalance. Marked problems with fatigue as well as digestive system involvement (including but not limited to food allergies and sensitivities) suggests Spleen involvement. Urinary tract involvement suggest Kidney imbalance. Heart palpitations and disturbed sleep suggests the possibility of Heart imbalance. A general rule when it comes to allergies (and to other problems as well) is that a person tends to get hit the hardest where there are preexisting or acquired weaknesses. For example, as bad as my allergies/ sensitivities to inhaled allergens were - sneezing, nasal congestion and discharge - my reaction to some foods was even worse. In my case, Spleen Deficiency is a far more severe problem than Lung imbalance. My lungs were more affected by certain foods than they were by inhaled allergens. (This doesn't mean that a person with upper respiratory problems doesn't have Spleen imbalance. Both or neither may exist. In TCM one goes by the TCM profile, not by one symptom. One other thing to consider when there is lung congestion due to allergies or infection or if the person has asthma is the alignment of the spine. There is an adjustment that chiropractors and DOs can give to the upper back that can help the lungs to decongest. There is an adjustment to the neck that these healthcare professtionals can give which will clear a stuffy head. One local DO here was very popular not only with patients but with staff at a local hospital because he could relieve their stuffy heads during allergy season without the side effects of many prescription drugs. Also, in the case of lung congestion and/or some cases of asthma, if you gently press along the spine, very often, one or more sore spots will be found. In some of these cases, if the person or a family member or friend gently massages the back until the sore point eases, the congestion and breathing problems also will ease. Be very careful and gentle because sometimes rubbing the sore spot can aggravate the breathing problems, especially if the massaging is too vigorous. Lung congestion can be a particular problem with some people who are Kidney Yang Deficient. One of the possible symptoms of Kidney Yang Deficiency is that the person tends to sleep curled up, in a fetal position. If there's also a problem with spinal misalignment, this sleeping position can tend to make lung congestion problems worse. (There may also be a Kidneys Refusing to Receive Qi imbalance in these cases.) If the person adopts a sleeping position in which the shoulders are more back instead of rounded, this often will improve lung congestion problems. Please note that I said " improve " instead of " cure " . Also, in general, when lung congestion problems and breathing problems are worse when a person is lying down than when sitting, this often points to Interior Dampness problems.) In cases where allegies tend to be worse in spring than at other seasons, suspect and rule in or rule out Protective Qi Deficiency. As far as I know, Protective Qi does not prevent allegens from being inhaled and triggering allergic reactions once in the body. But, Protective (Wei) Qi Deficiency does make the person more susceptible to External Pernicious Evils. We're talking Wind Chill and Wind Heat in particular here with an accent on Wind. If you go down the list of possible symptoms associated with Exterior Wind, Cold, and Heat, there are a number of allergy-like symptoms associated with these TCM syndromes - nasal congestion and discharge, scratchy or sore throat, red eyes, headache, muscle soreness, etc. Yes, allergies can trigger muscular pains though this is not the most probable cause of muscular pains. But if other, more well-known allergy-like symptoms are present, the muscular pains and soreness probably are allergy- and/or External Pernicious Evil linked. Allergy-like symptoms by themselves may not indicate weak Protective Qi. But if the person also is weather-sensitive and the person tends to have the most problems with allergies during windy times of the year, strongly suspect and rule in or rule out weak Protective Qi. If this is present, this is going to have to be addressed before the person's allergies/ sensitivities improve. Weak Protective Qi is an underlying Root and co-factor in some cases of allergies and allergy-like symptoms. It may take a while to correct this imbalance. In the meanwhile, the person needs immediate relief. Sometimes the person may need to see a doctor for an antihistamine or even prednisone for some of the most immediate relief of all. Sometimes certain herbs and acupunture or even acupressure can give some immediate relief. In general, what one wants to do is to release the Exterior. There is a class of herbs called Herbs for Relieving the Exterior that are affective in some cases of allergies - those which have a Root of or a co-factor of Exterior Wind. There is a class of herbs called Herbs for Expelling Wind Dampness. These are primarily herbs for arthritis and rheumatism. But, in some cases (not all), the herbs in this class can help with allergies or allergy-like symptoms. The cases in which these herbs may also help with allergies/ sensitivities are cases in which there is weather sensitivity, the person has a history of being particularly bothered by Wind, and there also may be some Interior Dampness problems and marked Spleen Deficiency. Such a person also will tend to have arthritic problems. In fact, the person may even say something along the lines of, " Not only are my allergies giving me fits, but my arthritis is acting up. " In addition there are acupoints which are helpful in countering Exterior Pernicious Evils. I will go into some of these in detail in another post. For now I want to mention Bladder 36, Bearing Support. This is one of the points in which Cold and Wind can enter the body. Bladder 36 is one of those points which not only can give increased resistence to colds and flu, it can give increased resistence to other problems associated with Wind and Cold. A regular program of acupressure can help to decrease tendencies to certain allergy-like symptoms and their severity. I call it " preventive maintenance. " Bladder 36 is a general point for increasing resistence to Cold and Wind. There are other points which will be more specific for specific individuals when it comes to reducing the tendency to allergy-like symptoms. Wind can trigger allergy-like symptoms all by itself in susceptible individuals. When the person is senstive to Wind AND has classic allergies, this is a one-two punch and the person will be even more miserable than s/he would be if just one factor was operating. The way that Wind can trigger allergy-like symptoms all by itself also is why more people tend to have allergies in the spring than at other times of the year and why allergies tend to be worse during the spring than at other times of the year. It's not just that the wind is blowing allergens around though this too is a factor. It's that the wind by itself is triggering allergic-like symptoms in people susceptible to Wind. If one's allergies or allergy-like symptoms are particularly bad when the wind blows - and especially if the person has not yet had time to build resistence - it's a good idea to stay inside with the windows closed and an air filter/ ionizer on during these days. Forget any outside work or sports no matter how much you may want to be outside. Sometimes avoidance is the best treatment - at least until the underlying imbalance has been corrected and/or resistence has built up. For example, this spring, I've improved to the point where I can do outside work as long as it's just breezy (and I don't allow myself to get exhausted). But if the wind is strong, I had better forego any outside work that day. If you use an air ionizer, make sure the filters have a layer of charcoal as air ionizers without this charcoal layer in the filter can do more harm than good. If a person is allergic to a lot of different things and is " miserable year round " , suspect and rule in or rule out possible Kidney Deficiency. This is a person who not only is miserable year round because something's always present that the person is allergic to, this is a person who has a tendency to develop new allergies. It does no good in the long-run (only the short-run) for the person to move away from the things s/he is allergic to because if the tendency to develop allergies is not addressed, the person will end up developing new allergies to the plants in the new environment. Arizona is full of allergy sufferers who developed allergies to mesquite, Russian thistle (tumble weed), Palo Verde, etc. after they moved to Arizona to get away from all the plants they're bothered by back home. One of the approaches of Western herbalism to treating allergies is the use of adaptogen herbs in order to strenghten the adrenals and improve the response to stress. The best adaptogen herbs tend to be immune system regulators instead of immune system boosters. Immune system response tends to become more appropriate to circumstances - stepped up when it needs to be stepped up but toned down when it needs to be. Stinging nettles is an example of an herb with adaptogen properties. Stinging nettles is effective for some allergy sufferers. Any vitamins or minerals or supplements which help the immune system and adrenals by giving them what they need to work appropriately can help in many cases of allergies and allergy-like symptoms. This includes vitamins C & A, the B vitamins, zinc, magnesium, etc. Mg plays some key roles in immune system response and is sometimes used to treat allergies. The herb echinacea has helped many people with allergies because of its immune system regulating properties. Fennel seed is another herb which gets used in the treatment of allergies. I'm forwarding in an article which list other herbs often used to treat allergies. There is no " one size fits all " herb when it comes to treating allergies. Some herbs work better than others for different individuals. Cat's Claw did nothing for me, but it has helped a lot of people with allergies. Sometimes it's a matter of cautiously try and see what helps. As more information is discovered, healers are able to predict more reliably exactly which herb will help which allegy sufferer. For example, in TCM, fennel seed primarily is classified as an herb for Warming the Interior. It also circulates Qi. It specifically targets the Spleen, Stomach, Liver, and Kidneys, and as would be expected, its thermal energy is warming. This herb would tend to be more effective for allergy sufferers with Interior Cold problems and with Spleen and Kidney Deficiency than for those who don't have these particular problems. There is no TCM syndrome which corresponds to allergies. Instead, there are several different TCM syndromes which may have allergies or allergic-like symptoms as symptoms. For this reason, what helps one person with allergies from a TCM standpoint may do nothing for another allergy sufferer and may even make another sicker. What gets treated in TCM are TCM imbalances. As Bob Flaws often points it, two people can have the same Western-defined medical condition, but the TCM treatments will be different because the TCM imbalances are different. Likewise, two people can have different Western-defined medical conditions but the TCM treatments will be the same because both have the same TCM imbalances. I want to say a few words specifically about allergies and CFIDS. PWCs (People With CFIDS) are especially prone to allergies. Some doctors won't diagnose CFIDS unless allergies also are present. Many PWCs report going through periods in which existing allergies get worse and they start to develop allergies/ sensitivities to a lot of other things. What many PWCs and their doctors are discovering is that very low dosages of thyroid replacement hormone and prednisone for a very short period of time often will reverse this problem with worsening existing allergies and the development of new ones. These are much lower dosages than the usual dosages and a much shorter time of treatment than is usual with these medicines. This is NOT an appropriate treatment during all phases of CFIDS, only when existing allergies are worsening and new allergies/ sensitivities are developing rapidly. This will not cure the CFIDS; it can stop the downward allegy spiral in some PWCs. Part 3 will go into digestive system problems and allegies. Very often digestive system problems are what lead to people developing allergies. Victoria _______________ Get your FREE download of MSN Explorer at http://explorer.msn.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 6, 2001 Report Share Posted May 6, 2001 Judy Fitzgerald wrote: > Also, in the case of lung > congestion and/or some cases of asthma, if you gently press along the spine, > very often, one or more sore spots will be found. In some of these cases, > if the person or a family member or friend gently massages the back until > the sore point eases, the congestion and breathing problems also will ease. > Be very careful and gentle because sometimes rubbing the sore spot can > aggravate the breathing problems, especially if the massaging is too > vigorous. To present another point of view: I've been dealing with lung congestion for over a week now, and acupuncture and herbs were not having as much impact as we expected. So, for the last 2 days, very painful massage/acupressure was done on a number of points. Gentle is the last thing that it was...but it's been very effective. This approach certainly is not to be undertaken by someone who is not well trained, but was the right thing to do in this case.... Jeri kurvenal http://www.ameritech.net/users/kurvenal/kurvenal2.html Quote Link to comment Share on other sites More sharing options...
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