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from salon.com

 

http://www.salon.com/food/food_allergies/index.html?story=/food/feature/2010/03/\

08/chinese_allergy_cure

 

 

As allergies surge, an ancient cure?

More Americans (20 to 30 percent) claim some form of allergy -- and a Chinese

herbal treatment may offer hope

 

 

We were in Hawaii five years ago, eating at the kind of fish restaurant where,

maybe, you'd want to wear a shirt with sleeves and shorts that didn't double as

a bathing suit. Once we were seated, our waiter got all poetic about the

nut-crusted opa and mom warned him—she had food allergies, just a few. From his

back pocket, the server immediately withdrew a deck of pink cards that looked

like a prescription pad, thumbed one off the top of the stack and placed it down

on the table. Bookended by triple asterisks, it read " GUEST ALLERGY CARD, " all

bold, all caps; its instructions: " List All Problem Foods. " The word " All " was

double-underlined for emphasis because double-underlining, it seemed, was the

top defense against anaphylactic shock.

 

It was a surprising intervention at the time, this card, but its presentation

had a clear antecedent. Even five years ago, benchmark publications like the

Journal of Allergy and Clinical Immunology and Current Opinion in Immunology

were releasing figures signaling an allergic surge. The number of people

reporting peanut allergy had doubled. Food allergy on the whole was escalating.

It now affects 6% of young children and 3-4 percent of adults in the United

States. Emergency rooms are seeing an estimated 125,000 patients annually for

food allergy, and 15,000 patients per year for food-induced anaphylaxis. Eager

to self-diagnose as we are, between twenty and thirty percent of Americans now

believe they have some kind of food allergy whether, in fact, they do or do not.

 

This spring, British researchers are embarking on what's said to be the largest

ever clinical trial having to do with peanut allergy. By administering low doses

of peanut to allergic patients, they're hoping to eliminate the allergy in three

years. But the answer to the problem of life-altering, even life-threatening

food allergies, may lie somewhere far from desensitization models and British

laboratories. The answer might, in fact, be Chinese and thousands of years old.

 

* Continue Reading

 

Doctor Xiu-Min Li, the Director of Mount Sinai Hospital's federally funded

Center for Chinese Herbal Therapy for Allergy and Asthma in Manhattan, has had

success treating asthma with Traditional (TCM) -- using an

herbal therapy of her own devising. About ten years ago, Doctor Li began

wondering whether TCM might also be applied to food allergies since allergic

asthma and allergic reactions to food have similar immunological blueprints.

While there's no actual mention of food allergy in Traditional ,

a complete medical system in which the taste of an herb helps determine its

therapeutic function, there is talk of symptoms like those experienced during an

allergic reaction.

 

" I found information about one formula in particular, " says Doctor Li. " It dealt

with parasites and was used when people got stomach problems, vomited, and lost

sensation after eating. It sounded like what we now call anaphylaxis. " The

formula, called Wu Mei Wan, dates back nearly 2000 years and was recorded in the

Shang Han Lun, one of the classic tomes of Traditional and a

basis for all of its future pharmacology. Li and her team of chemists,

biologists, and researchers modified this original formula by adding to its

preexisting mixture of ten botanical ingredients, an eleventh called, Ling Zhi,

or, " wooden mushroom, " so called for its ligneous appearance.

 

" It was like discovering an ancient treasure, " says Doctor Li. " But this formula

is really based on our advanced knowledge of chemical footprints, what we know

about the general principles of food allergies, and the critical knowledge we

have about drug manufacturing. " It melds together the ancient system of Chinese

healing, its emphasis on energy flow and systemic balance, with cutting edge

biochemistry. " We know all the molecules, " says Doctor Li. " It's not like we

just go into the woods, find a magic mushroom, and say, here's our medicine.

Every chemical is mapped, every component is tested. "

 

Researchers have yet to single out a cause for the surge in food allergy rates,

but are looking into a host of hypotheses. They involve things like: time of

exposure to popular allergens (how old we are when we first eat or touch certain

things), the way processing methods affect food proteins (for example, a dry

roasted peanut, the kind we eat, is far more allergenic than the boiled and

fried ones popular elsewhere in the world where peanut allergy is virtually

nonexistent), personal hygiene (we're so clean we're misprograming our immune

systems to attack the wrong things, like food proteins), genetics (there is a

link), and a host of environmental factors (air pollution, whether its better to

live on a farm).

 

In terms of finding a cure, human clinical trials have only been going on for

the last five years or so. If you are allergic to a food, clinical wisdom, just

like the " GUEST ALLERGY CARD, " holds you simply don't eat it. Hippocrates, in

ancient Greece, suggested ingesting small, incremental doses of the allergen --

this, an early stab at oral immunotherapy and thus the aforementioned

desensitization method -- until tolerance was established. " Most [food

allergies], " he said, " are curable by the same means as those by which they are

produced. " But his method ran the risk, as it still does now, of provoking a

reaction. Oral immunotherapy can be effective. A 2009 study at Duke University

has, in fact, demonstrated that children with peanut allergy can establish

tolerance after an eight to ten month course of treatment, during which they

ingest portions of peanut in doses starting as small as 1/1000 of a nut. The

problem with this method, however, is that no absolute guidelines for efficacy

or safety have yet been found.

 

Notably, Li's formula -- Food Allergy Herbal Formula 2, or, FAHF-2 -- which her

teams has simplified over the course of their research, is the only

investigatory oral food allergy treatment not to contain even a modicum of a

popular allergen. Its components are Chinese plum, Sichuan pepper, coptis

rhizome, philodendron bark, dried ginger rhizome, cinnamon twig, ginseng root,

Chinese Angelica root, and the potent wooden mushroom. There's no nut in it, no

shellfish, no milk. It goes another route entirely by, not, as Doctor Li, says

" targeting specific allergens. " Instead, it seeks to create a totally balanced

immunological response, in which all the relevant cells, chemicals, and

molecules respond to a perceived toxic situation by working in concert with the

drug to maintain equilibrium.

 

" It's the first immunotherapeutic approach to completely protect against

peanut-induced anaphylaxis in an animal model, " says Doctor Julie Wang, the

principal investigator for Li's herbal trials. And since it's uncommon to have

an allergy to just one food, FAHF-2 also works in a multiple-allergy food model,

meaning it's been shown to suppress allergic reactions in mice with coexisting

peanut, fish, and egg allergies. It also provides long term protection, keeping

allergies at bay for up to nine months in mice (a quarter of their lifespan)

after treatment ends.

 

Most recently, FAHF-2 completed an extended Phase I human trial with 18

participants, including children, taking the formula three times a day for a

period of six months. Plans are in place to start a larger Phase 2 trial this

spring with 60 participants, further exploring its safety and finally getting

into the all-important matter of efficacy in humans. Doctors Li and Wang believe

their herbal trials will conclude, if all goes well, with the backing of both

the federal government and a major pharmaceutical company in about two years

time -- a year ahead of the British study. " It's the trial I'm most curious

about, " says Dr. Hugh Sampson, one of the foremost leading figures in food

allergy research, the director of Mount Sinai's Jaffe Food Allergy Institute,

and a co-patent holder on the formula. " It's so different than anything I've

been brought up to do. In the animal model, it looks very promising. Then again,

scientists have cured mice of many diseases, so we'll see what happens "

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Funny,

You are quick. Just as you posted this I was about to send the link to this

same article. . . quite an attention getter.

 

 

On Mar 8, 2010, at 10:36 AM, wrote:

 

> from salon.com

>

>

http://www.salon.com/food/food_allergies/index.html?story=/food/feature/2010/03/\

08/chinese_allergy_cure

> ,___

>

 

 

Chair, Department of Herbal Medicine

Pacific College of Oriental Medicine

San Diego, Ca. 92122

 

 

 

 

 

 

 

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