Vaginal Yeast Infections – Healthy.net

Nutritional Program for Yeast Syndrome

Elson M. Haas MD — Wed, 06 Dec 2000 13:28:02 +0000

Factors Common to Patients with Yeast Syndrome

Three-Faceted Approach to Treatment of the Yeast Syndrome

The “yeast” problem with Candida albicans is one of the new medical concerns of the 1980s that will continue into the next century. It has been described by many prominent physicians, including C. Orian Truss in The Missing Diagnosis, William Crook in The Yeast Connection, and Keith Sehnert in The Candidiasis Syndrome. It is a very common problem, one of the most frequent I see, and is to me a medical adventure, because I learn a great deal while working with people with this problem. Often the therapy for yeast, or candidiasis as it is commonly known, will positively and dramatically change lives. The somewhat complex, multilevel treatment program has been effective in a high percentage of the people I have treated, and I have worked with hundreds with this problem to date.

Factors Common to Patients with Yeast Syndrome

Frequent or long-term use of antibiotics, such as tetracycline for acne
Frequent use of broad-spectrum antibiotics for recurrent infections,
such as in the ears, bladder, vagina, or throat
Birth control pill use in women
Premenstrual symptoms
Recurrent vaginal yeast infections in women or prostate problems in men
Regular use of cortisone-type drugs
Cravings for sweets, breads, or alcohol
Sensitivity to molds, dampness, and smells
Mental symptoms such as depression, mood swings, or confusion
Chronic fatigue, indigestion, or food reactions
Recurrent skin fungus infections, such as ringworm, athlete’s foot, “jock itch,” or nail problems

The yeast syndrome is a controversial topic. Most traditional doctors do not want to hear about this condition and call it a “fad” disease, but those who will explore the possibility and look for it in their patients will be hard-pressed not to accept this problem as “real.” One of the reasons, I believe, for medicine not really accepting the “yeast syndrome” is because the problem arises predominantly as a side effect from the use of commonly prescribed drugs—antibiotics, birth control pills, and corticosteroids.

The problem originates when a common yeast, Candida albicans, begins to overgrow in the intestinal or genito-urinary tract. It may be contracted initially through sexual contact. When other normal body microflora are killed off by antibiotics, the yeasts will then proliferate and coexist with the useful germs. Mild mucocutaneous infections (of the skin, vagina, throat, or bladder, for example) may develop in the yeast phase of this dimorphic organism. This common yeast is usually noninvasive (that is, it remains localized) except in the severely debilitated patient. However, with long-term infestation or with the weakened immune state that can result from a reduction of normal colon bacteria, the yeast can shift into its fungal form, wherein it develops rhizoids, or roots, that can be implanted in the intestinal wall or other mucosal linings. This allows absorption into the body of by-products (toxins) of fermentation and other antigenic material generated by the fungus. The body will then make antibodies to the Candida albicans organisms. This can lead to an immunological or hypersensitivity reaction that is manifested as the polysystemic disease for which this syndrome is now known.

The yeast problem thus occurs at two levels—the localized infections, of which skin rashes and vaginitis are the most common (intestinal overgrowth is also common), and the secondary and more serious systemic reactions. This problem can then produce such symptoms as recurrent skin fungus infections, examples being ringworm, athlete’s foot, “jock itch,” or nail problems; headaches; fatigue; cystitis or prostatitis; mental symptoms such as mood swings, poor memory or concentration, depression, or confusion; premenstrual symptoms; recurrent herpes infection; joint pains; cravings for sweets, bread, or alcohol; indigestion or food reactions; and sensitivity to molds, dampness, environmental pollution, cigarettes, and various smells.

This yeast syndrome is much more common in women than in men and seems to affect the hormonal balance, initially causing mild premenstrual symptoms of irritability, depression, fatigue, and swelling, and leading to actually abnormal and/or painful menstrual periods. I would estimate that a significant number of women with PMS have a problem with Candida albicans, and probably more than half the women with candidiasis have some uncomfortable premenstrual symptoms.

Diagnosing polysystemic candidiasis may involve several tests. Most doctors who work with this problem use a questionnaire such as the one provided by Dr. Crook in his book, The Yeast Connection. The scores indicate the likelihood of a yeast problem, and while not exact, this is a pretty accurate tool. Many doctors suggest a trial treatment program merely on the basis of an interview, exam, and questionnaire score, as the response to therapy is often a good indication of the presence of the problem. However, I like to have more objective monitors, so I perform two main tests, both reasonably inexpensive. One is a culture of a stool specimen to quantify the amount of Candida albicans (or other yeast) organisms present. This can then be repeated to measure the effectiveness of the program. Also, a sensitivity test that finds what substances will actually kill the yeast (in the lab, at least) can be done after the organism is isolated. The other test measures the blood levels of three antibodies (IgA, IgM, IgG) to the Candida albicansorganism, performed by Immunodiagnostic Lab in San Leandro, California. If these antibodies are elevated, this suggests that some systemic reaction is occurring in the body (the stool reveals only an intestinal overgrowth), which may be correlated with more widespread symptoms. This test also gives us the opportunity to monitor the body’s status over time to measure treatment response. Reducing yeast organisms in the body and replacing friendly bacteria will usually reduce elevated antibody levels.

Other tests may be helpful in determining coexisting medical problems. A study of the stool for ova and parasites may show these to be more commonly present in yeast carriers than in the average population, as often the same predisposing factors, poor digestion and low stomach acid, are present. Treatment may also be needed to eliminate these parasites. Creating proper colon ecology is a crucial factor in health, disease resistance, and many important body functions. When normal colon bacteria are present in sufficient quantities (which they may not be when other invaders are taking their place), they will actually produce many vitamins using the nutrient fuel provided them. Vitamin K and most of the B complex vitamins—niacin, B12, pantothenic acid, B6, biotin, and folic acid—are among these. Intestinal bacteria also aid final digestion of food, such as proteins and milk. With low colon bacteria counts, poor digestion, and an unhealthy intestinal lining, more food allergies may develop. A blood test measuring specific antibodies to many commonly allergenic foods may be indicated in some people with candidiasis, especially when there is a real problem with food intolerance. Frequently found reactions, indicated by greatly elevated IgG antibody levels, include reactions to both baker’s and brewer’s yeasts, wheat, milk, cheeses, mushrooms, and eggs. Many others are possible, but those are the ones I have found to be most common and most strong.

Three-Faceted Approach to Treatment of the Yeast Syndrome

Do not feed the yeasts foods upon which they thrive.
Reduce yeast growth through natural and pharmaceutical agents.
Reestablish normal intestinal ecology.

The overall approach to treating the yeast problem is threefold. The first facet is to refrain from feeding those “yeastie beasties” what they like to eat so they can thrive and divide. They live on mostly simple sugars and yeast and fermented foods. These include fruits, fruit juices, and dried fruits, sugary foods, refined flour products, alcoholic beverages, cheese, vinegar, breads, and other yeasted fermented food products, such as soy sauce. All these foods are avoided on the yeast diet.

What to eat? There are many recommended foods—fish, poultry, meat, lots of vegetables, some whole grains, nuts, seeds, and occasional eggs. (The antiyeast diet is more difficult for vegetarians, but definitely possible.) Some yogurt, especially acidophilus culture, is all right if milk is tolerated. Oils are obtained from some butter and more cold-pressed vegetable oils, such as olive, flaxseed, sesame, and sunflower. Legumes are often limited because they add to intestinal gas.

Basic meals include proteins and vegetables or, occasionally, starch and vegetables. For the first few weeks, the carbohydrates, including pastas and especially breads, are limited, with only some whole grain cereals being used. This lowers fiber intake, but usually other aspects of the treatment help colon function. The Ideal Diet discussed in Part Three, with certain modifications, will make a good Candida diet. The rotation is a good way to reduce food reactions. Initially, the diet includes no fruit, or only one piece a day, and none of the sweeter fruits, such as grapes, bananas, and melons. The starches are limited to one portion a day, and the meals are oriented toward proteins and vegetables.

This is a special therapeutic diet, and not necessarily a lifelong one, though many people like the way they feel on it. Intestinal symptoms decrease, energy improves, and itchy or irritated skin may start to heal with a decrease in sugar and yeasty foods. Also, some weight can be shed easily on this diet. This may be a problem for the already trim person, and lighter people need to emphasize regular eating to prevent weight loss.

After a few weeks, we can test ourselves with fruit, bread, other grain products, or cheese—of course, one food at a time, and only one daily—to see how we handle them. If they seem to cause no problems, we can then bring these foods into our diet on a rotating basis. Eventually, adding more whole grains and fiber will provide what I believe is a healthier diet. Different degrees of strictness with the diet may be necessary, depending on the severity of the problem. A more stringent diet might exclude all fruits; whole grains, particularly the glutinous ones—wheat, barley, and oats; herb teas and spices, which may contain molds; and many nuts, which can also carry molds.

Anti-Yeast Diet Plan


Emphasize		Avoid
Vegetables—all	Beans	Sugar—all forms	Baked goods
Meats*	Nuts & Seeds	Alcoholic beverages	Vinegars
Poultry*	Butter	Fruit juices	Pickled vegetables
Eggs	Cold-pressed oils	Dried fruits	Cheese
Fish*	Lemon	Refined flours	Mushrooms
Whole grains	Fruit, fresh**	Breads

*Vegetarians will need to use more whole grains, beans, and nuts and seeds but this higher carbohydrate diet does not really curb yeast as well. Furthermore, vegetarians seem to be more prone to yeast overgrowth because their diet is more alkaline and sweet, which supports the yeast.

**Limited to two pieces daily.

The second facet of the treatment is to diminish the amount of yeast present. This is what Western medicine is so good at accomplishing. Nystatin powder is the most commonly used pharmaceutical for initial treatment of intestinal yeast. Nystatin itself is made from a culture of certain bacteria and it will actually kill yeast. It is not readily absorbed through the intestinal mucosa, so basically it just handles the gastrointestinal yeast. Since it is most often given as pure powder dissolved in water, it will also kill some of the yeast in the oral cavity when it is gargled. A solution can be used to wash the sinuses as well by dissolving nystatin in saline solution and using a dropper or inhaling the solution. For men with candidiasis and recurrent prostatitis or genital or skin symptoms of yeast, or for women with recurrent cystitis or other systemic symptoms, I may prescribe a stronger antifungal agent called ketoconizole, brand name Nizoral. This is effective for most yeast problems, but it can be irritating to the liver, so its use must be watched closely. For people who do not respond well to Nystatin or other natural remedies, Nizoral may be indicated. The usual dosage is one 200 mg. tablet daily for three to six weeks if it is well tolerated. A new Nizoral-related drug, fluconazole, or Diflucan, is now available and, though expensive, may be a slight improvement over Nizoral. Other “azole” drugs are available from many European countries and Canada. These include clotrimazole, miconazole, tinadazole, and econazole. They have similar systemic antifungal action (most are also mild amoebicides), are less expensive, and are also less toxic on the liver.

During yeast treatment, symptoms may arise secondary to killing the yeast. This occurs most with Nystatin, at times with the natural therapies, and only occasionally with the systemic medicines. The symptoms might include headache, fatigue, a mild flulike syndrome, or an exacerbation of already existing symptoms. It may be helpful during “die-off” periods to clear the colon every two or three days with a water enema or have a colonic irrigation every week or two for several treatments. Adding some Nystatin to the water to introduce it directly into the colon may help clear some more yeast.

Natural remedies that help to reduce yeast by killing it or by interfering with its growth include caprylic acid, fresh garlic and garlic extract, and the herb, pau d’arco, or taheebo. Caprylic acid is a natural fatty acid extracted from coconut oil. It interferes with the growing and duplicating process of the Candida albicans does not actually kill yeast, but it is effective in reducing intestinal yeast levels. It must be used for a fairly long period. I often prescribe the caprylates to follow a two to three month course of Nystatin and use a caprylic acid product such as Caprystatin or Capricin for a few months also. The length of treatment for yeast depends on the degree of the problem, the response to the treatment, and the results of tests.

Garlic has been shown to kill some yeast in sensitivity tests in the lab. It can be added to the treatment regimen and often helps. Two capsules several times daily is the usual dosage, though good garlic may have a blood-pressure-lowering effect at that amount, which may detrimentally affect some people. Goldenseal root also has some antifungal properties. Pau d’arco, a Brazilian tree bark, has become a very popular herb in the treatment of yeast, allergies, and other immune problems. It can be taken in capsules, or tea made from the bark can be drunk several times daily. It seems to tonify or strengthen the gastrointestinal tract and may help reduce yeast.

The third facet of the yeast treatment involves restoring the colon to its natural state, mainly by reimplanting lactobacillus bacteriae. Acidophilus primary products used. There are a couple of other bacteria that are also helpful in the gut and used in some formulae. Lactobacillus bifidus, a cousin to provide some colon support in the adult. Streptococcus faecium, a friendly form of strep bacteria, also adds a helpful function by replacing the once-present yeast.

A formula that contains all three of these bacteria is produced and marketed by Klaire Laboratories in Southern California. This high-quality, milk-free product called Vital-Plex can be taken as a supplement during the yeast treatment. Another product that has been well researched is DDS-1, produced by UAS Laboratories. It is available in powder, capsules, and tablets. Studies at the University of Nebraska and Michigan State University have shown acidophilus DDS-1 to have many positive effects, as described by Keith Sehnert, M.D., in “The Candidiasis Syndrome, Old Problem, New Mystery.” This acidophilus in the colon can produce acidophilin, which has an antibiotic effect on a number of potentially pathogenic colon bacteria. It also has been shown to inhibit growth of Candida albicans yeast. This product, as do most effective acidophilus cultures, helps restore bacteria that produce many B vitamins, including B2, B3, B6, B12, folic acid, biotin, and pantothenic acid. DDS-1 has also been shown to produce enzymes that help in digestion of proteins and milk sugar (lactose), and through its effect on fat metabolism, it has a mild cholesterol-lowering potential. Other research has revealed that DDS-1 and other lactobacilli may have antiviral effects with some viruses (herpes is one example) and anticancer effects, especially in the colon. I have seen lactobacillus treatment reduce the severity and recurrence of cold sores, genital herpes outbreaks, and canker sores, which may be a result of its correcting chemical or acid-base imbalance. By replacing putrefying bacteria in the mouth, throat, and upper intestinal tract, it has been seen to resolve bad breath as well as many symptoms of gastrointestinal upset, helping people’s guts “feel more settled.”

DDS-1 Lactobacillus acidophilus is discussed at such length here because it has been studied more extensively than others. However, there are other lactobacillus products that likely have similar effects, and these are being researched as well. Potency of the product is likely important. Many cultures now contain billions of live bacteria per dosage, rather than the few million that were once common. This should make them more effective, since the higher counts will allow a greater number of bacteria to actually reach the colon. Replacing the diminishing yeast with these physiologically active bacteria will help restore the colon’s normal functions. Yeasts in the colon use up nutrients, rather than making additional ones, and they ferment foods, often leading to gas, bloating, abdominal discomfort, and flatulence. Reimplanting the colon with friendly bacteria helps to reduce many of the intestinal and digestive symptoms of candidiasis.

There are a number of other supplements that can help in treating the yeast syndrome. Supplemental hydrochloric acid with meals followed by digestive enzymes after eating can often help us to better break down and utilize our protein, fats, and food in general to make available the amino acids, essential fatty acids, and mineral micronutrients we need for healing. And they help to relieve digestive symptoms and make it easier for us to obtain the energy from the food. Healing the intestinal wall is an important part of clearing the candidiasis symptoms and reducing food reactions. Flaxseed or evening primrose oil and certain herbs can help with this.

For nutrient supplementation, a general multiple is used as a base, with some additional antioxidants to help handle certain toxic by-products, avoid immune suppression, and improve immune function. Organic germanium may be used to aid in this immune support and to improve the gut mucosa. Vitamin A, beta-carotene, and vitamin C are useful in the regulation of the yeast and support of the immune function. Extra magnesium is also a part of the program. Less zinc is suggested than in other programs, at least initially, as it possibly stimulates the Candida growth. Extra B vitamins, including biotin, provide support by replacing some of those lost because of the diminished colon bacteria that produce them. Coenzyme Q10 has been shown to have positive effects in yeast treatment as well.

Some of the nutrient oils may be used in the treatment of the yeast problem. In addition to garlic oil and the caprylic acid formulas, essential fatty acids (EFA), fish oil (EPA), and evening primrose oil (EPO) may be helpful, along with vitamin E. A product I have used that incorporates all of these oils is Samolinic, made and distributed by the Key Company. I might suggest a product such as this or separate portions of some of these oils if there seem to be many inflammatory or allergic symptoms.

The type of herbal treatment suggested for the yeast condition depends mostly on the other, coexisting problems. If there are premenstrual symptoms, diuretic herbs or female tonifying herbs may help (see the Premenstrual Syndrome program later in this chapter). With intestinal symptoms or upset, soothing digestive herbs may be helpful. Peppermint or chamomile teas are beneficial; capsules containing slippery elm bark and comfrey root powder can help heal the intestinal lining. Goldenseal root powder in short courses (one or two weeks) strengthens the mucous membranes, but it also stimulates liver detoxification, which can cause an increase in symptoms. Pau d’arco is a tonic herb that is often used in yeast treatment. Thyme oil has also been claimed to reduce yeast growth, but I have no experience with that.

Evaluating and treating the yeast syndrome is a real challenge for both doctors and patients. It takes patience and can often require a very long therapy as the body uses its very sensitive biofeedback process to let us know what is working. Often, Nystatin or other antifungal products must be taken for years, but usually will produce, within a few months, a marked change in the symptoms and a reduction in colon yeast colonization and blood antibodies to the yeast. Many people experience a profound and positive change in their health with proper diagnosis and treatment of this condition. However, we must also be careful not to overtreat and turn this medical concern into nothing more than the latest “fad” of the 1980s, as the medical profession would like. Yeast awareness is here to stay, and doctors and patients must be even more careful in their use of antibiotics, birth control pills, and the immunesuppressive corticosteroids.

Yeast Syndrome Nutrient Program

Yeast-free diet	see text

Vitamin A	10,000 IUs		Magnesium
400–800 mg.
Beta-carotene
15,000 IUs		Manganese
5–10 mg.
Vitamin D
400 IUs		Molybdenum
500 mcg.
Vitamin E
800 IUs		Selenium	300 mcg.
Vitamin K
300 mcg.		Zinc	15 mg.
Thiamine (B1)
50 mg.
Riboflavin (B2)
25–50 mg.		Lactobacilli and other	4–10 billion
Niacinamide (B3)
100 mg.		helpful microorganisms	organisms
Pantothenic acid (B5)	500 mg.		Caprylic acid	300–600 mg.
Pyridoxine (B6)	50 mg.		Organic germanium
100 mg.
Pyridoxal-5-phosphate	50 mg.		Coenzyme Q10	20–40 mg.
Cobalamin (B12)	50 mcg.		Essential fatty acids*	4 capsules
Folic acid	800 mcg.		Gamma-linolenic acid* such as evening primrose oil	4 capsules
Biotin	1,000 mcg.		Hydrochloric acid (with meals)	1–2 tablets
Vitamin C	3,000 mg.		Digestive enzymes (after meals)	2–3 tablets
Bioflavonoids	250 mg.
			*Herbal Options:*
Calcium
600–1,000 mg.		Goldenseal	2–3 capsules
Chromium	500 mcg.		root powder	(2–3 weeks)
Copper	2 mg.		Pau d’arco	2–4 capsules or 2 cups tea
Iodine
150–225 mcg.
Iron
10–18 mg.		Garlic oil or garlic extract	4–6 capsules
			Echinacea freeze dried	2–4 capsules

*Flaxseed oil, 2–4 teaspoons daily, can replace these two products.

Intestinal Bacteria—Acidophilus and More

Elson M. Haas MD — Wed, 06 Dec 2000 13:28:02 +0000

Several “friendly” intestinal bacteria perform many important bodily functions. There are actually a great many lactobacillus and other bacteria that can inhabit the human colon, but I will mention the three that seem to be most important. These are Lactobacillus acidophilus (the most famous), Lactobacillus bifidus (more common to the baby colon), and Streptococcus faecium (not S. faecalis, a possible pathogenic bacteria).

Various cultures of acidophilus are available in many stores, particularly health food stores, as powders, capsules, tablets, and liquids and measured by the amount of viable bacteria per dosage. There are many claims for the use of acidophilus, though it is best known for reimplanting friendly bacteria into the colon to assure return of bodily functions after a course of antibiotic drugs. Actually, acidophilus itself acts as a mild antibiotic—that is, it has antibacterial activity. With regular use, it may even replace harmful bacteria in the colon or vaginal tract of women, where acidophilus is also commonly used to treat yeast infections. It is further employed as part of the treatment for intestinal yeast overgrowth and the many symptoms that this may generate. These bacteria also help in the production of some B vitamins and vitamin K and in the breakdown of various foods.

Yogurt or acidophilus milk, sometimes with L. bulgaricus as well, is often used to provide some stimulus to the colon, though the live bacteria count is not very high in these products. Yogurt can also be used by people with lactose intolerance due to lactase enzyme deficiency, because the bacteria change or ferment the lactose sugar and produce lactic acid. Many people have also described yogurt or, more important, acidophilus as helpful for stomach and digestive upset, for intestinal gas, and even for inflammatory problems of the gastrointestinal tract, but these reports are more anecdotal than proved by research. The further suggestions that acidophilus improves immunity, produces its own antibiotics, helps allergies (particularly to foods), improves skin health, is a benefit in herpes infections, reduces cholesterol levels, and lessens cancer risk (especially colon cancer) are also yet unproved, though current research at several universities for one product looks very promising in regard to these possibilities.

Lactobacillus bifidus has become part of intestinal bioculture treatment, often along with acidophilus. The bifidus culture is more prevalent in infants, often as their first organism, but can also be an important part of the adult gastrointestinal tract. Like acidophilus, it helps in the synthesis of B vitamins, in food digestion, and in inhibiting the growth of the coliform bacteria and possibly more pathogenic colon bacteria, such as salmonellae.

Streptococcus faecium is another important colon bacterium that has received recent attention. Its actions are similar to those of acidophilus. It is important in B vitamin biosynthesis, aids the digestion of foods, likely by producing certain enzymes, and inhibits other, more toxic bacteria; thus supplementation with S. faecium may help in some cases of diarrhea. Strep faecalis, a potentially pathogenic bacterium, has been listed by mistake instead of S. faecium on some bacterial replacement products.

These three bacteria may be taken individually and alternated weekly or every couple of weeks. They can also be taken all together (there are some products that contain all three) on a regular basis when used to balance the effect of one or more courses of antibiotics. There is a possibility that the combination of bacteria works better to rebalance colon health than the individual organisms.

The count of live bacteria in products containing these bacteria is in the millions and billions daily per dose. There has been some question as to whether these bacteria are killed by the acidic stomach juices, but when taken in sufficient quantities, some organisms do make it down to the colon. I believe that these bacteria should not be taken regularly, but rather in specific courses to repopulate the colon with these “friendly” bacteria after antibiotic use or to treat intestinal yeast overgrowth; otherwise, I recommend them for one to two weeks once or twice a year, or when traveling to underdeveloped countries with higher risks of intestinal contamination from infectious organisms, for which the acidophilus bacteria offer some protection.

Herbal Primer Using the Healing Herbs

Christopher Hobbs LAc AHG — Wed, 06 Dec 2000 13:28:02 +0000

Introduction

The use of medicinal plants for the relief of the common ailments to which
the flesh is “heir” is of very ancient origin. In fact many of
the herbs we use so casually today, such as ginger, garlic and cardamon,
were recommended by physicians, and used by common people, for many of the
same health imbalances that we use them for today–over 5,000 years ago!
This safe history of use is reassuring in an age where dozens of new synthetic
drugs are coming on the market every year. Although a few of these drugs
may be of some use, and are thoroughly tested for safety, many herbalists
believe they are not energetically oriented to our human constitution, and
may later cause further imbalances, as well as use up vital energy–which
our body uses for its repair and healing process.

Today’s herbalism is an exciting re-discovery of our heritage of long acquaintance
with mother earth’s remedies. The energy of the chemical compounds in these
plants may be imbedded in our very DNA, for it is likely that we co-evolved
with them over many thousands of years. The use of medicinal herbs is also
prominently mentioned in most spiritual works throughout the world, such
as the Bible and the Rig Vedas. This is an indication that
herbs are not just a collection of active chemical compounds that simply
affect the dynamic biochemical balance of the body, but they can also play
an important part in our spiritual and emotional well-being as well. This
aspect of herbalism is often emphasized by today’s herbalist, who honors
the blessings of the herbal “green people.”

Today, herbalism is in the process of rediscovering its “roots.”
A new world herbalism is evolving from the various healing cultures, especially
Ayurveda, Traditional Chinese Medicine (TCM) and Traditional European Medicine
(TEM).

The following herbal prescriber comes from over 20 years and 3 generations
experience with herbs, and drawing on the collective experience of many
North American and European herbalists, which I honor as my teachers and
family members.

All the herbs mentioned can be found in natural food stores or herb stores
throughout the country, either in bulk form, liquid extract, extract tablets
or capsules or in powder form.

The common ailments mentioned are grouped according to body systems to make
the information more accessible.

Upper Respiratory Tract Conditions and their Complications

Colds

Colds are a natural part of the human life cycle and offer us valuable protection.
They are mediated by a number of viruses, such as Rhinovirus. The
average person has 2.4 colds/year in the U.S.–which adds up to a whopping
3/4 of a billion cold cases overall, throughout the country. Despite the
transitory misery, colds have a strong positive side–they increase elimination,
both by sweat and through the copious discharge of mucus from the nose;
they reduce our feeling of well-being, encouraging us to rest; and they
activate and exercise many immune functions–like a fire drill. Colds are
not considered serious in systems of traditional healing–for instance,
in Chinese Medicine they are considered “surface” phenomenon.
If we rest and drink cleansing teas and immune activators, the miserable
feelings should be minimal. In fact, our opportunity is to feel better after
the cold because of the excellent healing and environmental “adjustments”
our bodies have accomplished.

Colds are often characterized by an early-warning signal in the form of
a slight sore throat and can often be bypassed entirely by immediately taking
full dropper doses of echinacea tincture every two hours (if the sore throat
is particularly severe, a half dropperful of propolis or usnea tincture
should be added as well.) The echinacea is known to accomplish some of the
same beneficial activities as the cold itself, such as activation of our
phagocytes, or “garbage elimination” system.

Where runny noses are involved, golden seal is known to be useful for easing
excess secretions. A classic soothing tea for colds which aids the release
of heat from the body, and supports the body’s desire to eliminate accumulated
toxins, can be made by mixing equal parts of peppermint leaf, yarrow flowering
tops, and elder flowers. Use one teaspoonful per cup of the mixture and
steep 20 minutes. Drink several cups of the mixture throughout the day and
get plenty of rest. Further herbal remedies for this common ailment can
be found under Fevers, Coughs, Sore Throats and Sinus Infections.

Fevers

Besides the peppermint, yarrow, elder tea for reducing heat in the body,
try adding 4 drops of lavender oil to a bowl of tepid water and sponging
the hands, feet, and forehead with the mixture. Another excellent remedy:
steep common honeysuckle (Lonicera japonica) flowers (or fresh or
dried elder flowers) in hot water for 20 minutes, let cool, add the juice
of one-half lemon and a teaspoon of honey. Let the mixture cool and drink
several cups of it as needed.

Coughs

Coughs that produce white or clear sputum, especially when chronic, usually
result from a colder condition than yellow or green mucus which means there
is more heat.

For coughs accompanied by heat, to soothe and relax the upper respiratory
tract, make a tea of the following herbs: plantain leaves (1 part), coltsfoot
(1 part), thyme (1/2 part), marshmallow root (1/4 part), and licorice (1/4
part). Drink freely throughout the day. Full dropper doses of echinacea
can be taken in addition, every 2 hours, to activate macrophages in the
bronchial area.

My favorite cough remedy is a tea of 2 parts organic lemon peels, 1 part
garden sage (Salvia officinalis) and 1/2 part thyme. Add the herbs
to boiling water, remove from the heat, cover and steep for 15 minutes.
Add the juice of 1/2 lemon, 1 tsp honey and drink 2 or 3 cups during the
day as needed. Over the years, I have found this blend to be delicious and
effective.

For coughs due to coldness, or for chronic coughs of long-standing, expectorant
herbs are generally recommended. A good expectorant tincture product might
include herbs such as grindelia, yerba santa and balm of gilead. This mixture
can be used also be used as a tea, adding some of the herbs for coughs due
to heat above, as needed.

Sore throats

For painful sore throats, the natural antibiotic, usnea, works well either
singly or in formulations, both as a gargle and internally in tincture form–40
drops mixed with water. White sage tea, 1 teaspoon in 1 cup water steeped
for one minute, and mixed with lemon juice and honey, is very antiseptic.
Green tea is another option, as it contains tannins (polyphenols) which
are antibacterial and astringent, helping to eliminate mucus and reduce
the infection. Herbal immune activators and antiseptic herbs such as echinacea
or propolis are sometimes added, as well as soothing antiinflammatory herbs
such as licorice or marshmallow root tea. Antibiotic tinctures can be added
to this soothing tea base.

Flu

Influenza is a viral-based elimination syndrome that is more severe than
a cold–but it is often difficult to tell the two apart.

The aches and pains, fevers, and congestion which accompany flu are all
addressed in the following blend of herbs–boneset (2 parts), elder (1 part),
peppermint (1 part), echinacea (1 part), and yerba mansa (1 part). Drink
it warm and freely.

Other known flu herbs are garlic, which I sometimes take by cutting up a
clove or two into pill-size pieces and swallowing with tea, and anti-viral
herbs such as lemon balm, St. John’s wort, baptisia or thuja.

If digestive symptoms, such as diarrhea and abdominal tension or soreness
occur, add marshmallow root, lemon balm or black walnut in tincture or tea
form. If there is fever and nervousness, add lemon balm or blue vervain
in tea form.

Sinus Infections

For reducing heat and infection in the sinuses, echinacea (3 parts), usnea
(1 part) and golden seal (1 part) work well in combination, either in capsule
(2 every 4 hours) or tincture (40 drops of echinacea, 15 drops of usnea
and 15 drops of golden seal every 4 hours). A mild golden seal tea used
as a nasal wash can speed up the process. To help relieve stuffiness and
promote drainage, put 4 drops of eucalyptus oil in a bowl of boiled water,
put a towel over your head, lean over the bowl, and inhale for a few minutes.

Bronchitis

When mild upper respiratory tract ailments, such as colds or sinustis are
not treated and accompanied by rest, the infection may go deeper, leading
to bronchitis. At this stage, it is essential to rest, eat light, nourishing
food, and follow full courses of herbal treatment for at least a week. Usnea,
grindelia, yerba santa and echinacea are especially indicated.

Asthma

Teas or extracts of the following herbs can help alleviate the frightening
symptoms of breathlessness and wheezing common to asthma sufferers: grindelia
and yerba santa are more appropriate for asthma accompanied by heavy white
sputum, for their expectorant and antispasmodic effects on the bronchi;
coltsfoot, marshmallow root, mullein and licorice are better for dry types
of asthma for their soothing and moisturizing qualities, and ma huang (use
cautiously) for its brocho-dilating effects. It is sometimes beneficial
to eliminate dairy products for several months when one is experiencing
symptoms of asthma, and regular aerobic exercise is surprisingly effective.

Besides hereditary influence, asthma has emotional, immune, and stress components.
Emotional upset and depression is aided by St. John’s wort standardized
extract (1 tablet as needed), and anxiety by passion flower, California
poppy, and valerian (use the fresh plant tincture or extract). For immune
weakness, use an astragalus and reishi mixture and for stress, eleuthero
and licorice is helpful.

Women’s Imbalances

PMS

To help balance hormones, strengthen the generative organs, and lessen monthly
emotional ups and downs, any of the following herbs may be used in tea,
extract, or capsule form, though because of the strong taste, most people
usually prefer to take an extract or powder in tablet or capsule form: Vitex
(essential), black cohosh, false unicorn root, skullcap, and Dandelion.
Begin taking the herbs twice daily 10-12 days before the onset of menstruation
and continue until 3 days after. Because the health of the liver is considered
an important factor in PMS, dandelion root (tea or tincture) and milk thistle
(standardized extract or tincture) can be added for additional support.
In particularly difficult cases, the herbs should be taken as a tonic for
several months or until the condition improves.

Menopause

One dropperful of vitex (chaste tree) tincture taken each morning is the
most frequently prescribed natural remedy in Europe to relieve hot flashes,
night sweats, emotional swings, and other symptoms of menopause. Vitex works
through the pituitary gland to balance all the reproductive hormones. Dong
Quai, though not hormonal, is also considered an important herb for menopause.
It is the premier builder for any blood-deficient condition, and is especially
recommended for anemia, or as an addition to other female tonic herbs.

Vaginal Yeast Infections

Many women have found near-miraculous relief from the burning and itching
of yeast infections by taking 1/2 teaspoon of tea tree oil, adding it to
a quart of water and douching. Experience shows that this mixture does not
cause further irritation. Some women have found it helpful to use capsules
of acidophilus as vaginal suppositories, and research clearly documents
the benefits of oral supplementation with a good probiotic formula, which
usually includes Lactobacillus acidophilus or other beneficial bacteria.

If the condition is chronic and difficult to heal, it is very important
to strictly avoid hot, spicy foods and caffeine-containing or refined sugar
products.

Men’s Imbalances

Prostatitis

As men pass the age of 50 or 55, testosterone levels start to decline, which
can lead to an irritation or enlargement of the prostate gland, as well
as lowered sex drive.

Inflammation of the prostate gland can be treated by drinking a tea 3 times
daily made with equal parts of the following herbs: saw palmetto (tonifies
bladder and prostate), echinacea, nettle and horsetail (antiinflammatory,
diuretic), buchu (urinary antiseptic and tonic), and corn silk (soothing
diuretic and tonic). A new herb, Pygeum africanum, is gaining in
popularity as more clinical experience and scientific support accumulates.
This herb is taken in extract form (follow the instructions on the product
label.

Pumpkin seeds, which are rich in zinc, are usually added to the diet, to
accompany the herbal program.

Low sexual drive

A lack of sexual energy can sometimes be addressed by tonifying the body
with these herbs–damiana, a stimulating nerve tonic, ginger, a popular
herb for increasing warmth and circulation, ginseng, probably the most documented
herb (by a long history of use and much laboratory work) for stimulating
the production of testosterone in the body, saw palmetto, a nourishing tonic
for the sex organs, and wild oats, an excellent nerve tonic, especially
recommended for supporting sexual energy. Eleuthero is highly beneficial
for supporting the adrenal system and increasing overall energy production
in the body. Make a tea of equal parts of the herbs and drink 2 cups per
day. A number of commercial products which contain some or all of these
herbs are widely available in natural food stores.

Note: a number of herbs are often sold as sexual tonics and testosterone
stimulants, including damiana, saw palmetto, sarsaparilla, and wild yam.
These herbs, though they have their place in herbal therapy, are not
documented either by history of use or scientific testing, to replace testosterone
or increase the production of testosterone in the body. Yohimbe, the African
plant widely known as an aphrodisiac has been documented medically for its
ability to relieve certain types of functional impotence, and yohimbine
hydrochloride, an alkaloid derivative from the plant, is prescribed by doctors
for this condition. Although yohimbe extract and powder can be purchased
in natural food stores, it should be noted that the herb is a central nervous
system stimulant and in its concentrated extract form can cause such side-effects
as nervousness, anxiety and sleeplessness. Use the herb cautiously.

Digestive Disorders

Stomach Ache

Stomach aches brought on by nervous tension or overeating can often be relieved
by drinking a cup of tea made from 1 part chamomile, 1 part catnip, 1/4
part ginger, and 1/4 part licorice. For a fast kitchen medicine remedy,
fill one 00 capsule with ginger powder, one with cinnamon powder, and a
third with golden seal powder in the larger part of the capsule and cayenne
in the smaller part and take with tea or other suitable liquid.

Other important digestive herbs, many of which are best taken in tea form,
are fennel, caraway, peppermint, artichoke leaves, and gentian. A little
experimentation will determine which herbs and combinations work best for
you.

Nausea

Nausea, whether caused by overeating, motion sickness, hormonal imbalances,
overindulgence in alcoholic beverages, or other factors, can by relieved
by a combination of ginger (either 2 capsules or 1 dropperful of the tincture
in a little water) and 2 drops of lavender oil in a cup of water. Great
things have been said about a combination of kudzu and umeboshi plum. Mix
1/2 teaspoon of kudzu in a little cool water, then add the mixture to 1
cup of warm water to which an umeboshi plum has been added.

Constipation

This is often a chronic condition brought on by a combination of heredity,
nervousness and stress, overwork, lack of vigorous physical activity and
lack of fiber in the diet. Herbal laxatives, such as senna or aloe, which
add more moisture to the stools or stimulate peristalsis are popular, but
should not be depended on for long-term use. This can lead to habituation
and further dissipation of vital energy in the bowels.

Even the most intractable constipation is easy to remedy when a high-fiber
diet is followed, along with a good program of physical exercise, coupled
with stress-relief techniques. It is also wise to massage the abdominal
area with a little flax seed oil (or castor oil if more stimulation is desired)
in a clockwise direction for 10 minutes, morning and evening. Go in deep
and try to work out any tender spots. Give the intestines a rest by not
eating past 7 pm or in the morning until one is active for at least 30-60
minutes.

Safe herbal bowel tonics that can be used for up to a month or two, in tea,
powder or extract form, include the following, (in order of potency from
least to most potent):

dandelion

burdock

yellow dock

cascara sagrada

Chinese rhubarb (caution, use small amounts, for not more than 2 weeks)

Intestinal Gas (Flatulence)

A very effective, practical and fast-acting remedy is 1-3 drops of peppermint
oil added to a cup of water–or take 1/2-1 teaspoon of fennel or anise seeds,
chew them up thoroughly and swallow with water or tea, a little at a time.
A useful tea blend can be made using 1 part chamomile, 1/2 part ginger,
1/2 part wild yam, and 1/4 part lavender. A strong tea of chamomile flowers
is the universal remedy for bowel irritation and colic, with or without
gas, both in children and adults.

Sluggish liver, poor fat digestion

The liver is a vital organ for proper immune and digestive function, and
plays a crucial role in energy storage and supply, as well as being the
major organ of detoxification.

To help the liver function more efficiently, make a tea or take an extract
of one or more of the following herbs, chosen for their bitter, tonifying
and bile-promoting properties: milk thistle (extract only), dandelion, skullcap,
artichoke leaf, oregon grape, gentian, cardamon, orange peel or ginger.
Drink a cup of the tea or 30 drops of the extract in water fifteen minutes
to 1/2 hour before each meal. Many commercial preparations of these herbs
are available under the general name “bitters.” They promote proper
liver function and help restore weakened digestive power.

Cardiovascular Problems

High cholesterol

Blood cholesterol is considered an important risk factor for heart attacks,
stroke and other cardiovascular diseases. While a few important herbs are
considered useful for lowering blood cholesterol, they work slowly and must
be persisted in over a period of months or years, and ideally, are coupled
with a low-fat, high fiber diet and proper vigorous exercise.

Garlic is by far the most widely-documented and clinically useful herb and
home remedy for lowering blood cholesterol. Cook with it, eat it raw (if
you don’t mind the odor) and take garlic supplements, many of which offer
high quality and potency, thanks to modern analytical methods.

Other useful herbs include green tea extract, dandelion root (unroasted)
taken daily as a tea or extract, alfalfa powder, shepherd’s purse, the Chinese
herb eucommia, and the “medicinal high-fiber foods,” oat bran
and wheat bran.

Bruising

A combination of arnica, calendula and St. John’s wort oils is very effective
for bruising. Apply the preparation as soon as possible to increase its
effectiveness.

Immune Disorders

Hay Fever

To effectively combat the common symptoms of hay fever–itchy eyes, runny
nose and sneezing–it is important to begin herb treatment at least a month
before the allergy season begins in earnest. The following Chinese herb
blend for symptomatic relief of hay fever has turned many allergy sufferers
into believers: 1/2 oz pinelia, 1/2 oz astragalus, 1/4 oz ma huang, 1/4
oz licorice, and 1/8 oz ginger. Simmer the herbs gently in 4 cups of water
for 45 minutes; drink one cup morning and evening. Because ma huang contains
the stimulating alkaloid, ephedrine, it is not recommended for those with
high blood pressure or weak digestion.

Other excellent hay fever herbs include stinging nettles (antiinflammatory,
antihistamine activity), eyebright (mild antihistamine), dong quai (immune
modulator), and golden seal (antiinflammatory, mucous membrane tonic).

When one has extremely severe allergies, it is good to add adaptogenic herbs,
such as Siberian ginseng, licorice, reishi or schizandra, to help support
the adrenals, a weakness of which is often associated with hay fever. Avoiding
dairy products, and possibly wheat, during these times of seasonal discomfort
can also be helpful.

Candidiasis

This common ailment is best treated by herbs that support immune function,
retard the growth of Candida albicans, support proper digestion,
and that support the adrenal-vital energy functions of the body. Proper
rest, diet and how stress is handled makes a major difference, in my experience.
I have found the most effective herbal program to include astragalus and
reishi for the immune system, eleuthero and rehmannia for the adrenals,
pau d’arco, garlic, black walnut and usnea for inhibiting the growth of
Candida albicans, and ginger powder or tea or bitter tonics to aid
digestion and assimilation of nutrients.

Chronic Fatigue Syndrome

This increasingly common ailment is probably a non-specific viral syndrome
brought on by environmental and emotional stress and aggravated by poor
nutrition, overwork, too much headwork, and lack of proper exercise. It
is often a disease of mismanagement of our personal vital energy resources.
Use the same herbs as for candidiasis, but add licorice, St. John’s wort,
lemon balm and Lomatium as anti-virals.

Kidney bladder imbalances

Bladder infections (Cystitis)

To soothe the burning sensation which accompanies bladder infections, make
a cold-water infusion of marshmallow root by soaking 4 teaspoons of the
herb in a quart of water and letting it sit overnight. Drink the preparation
freely. One or more of the tinctures of usnea, sandalwood, golden seal,
or echinacea can be added in severe cases, for their antiseptic and antibiotic
qualities. Where there is suppressed urination, pipsissewa, dandelion leaf,
and parsley root tea should be added.

Bladder infections are another instance where one should avoid cold drinks,
spicy foods, products containing refined sugar, caffeine, and alcohol. Soothing
sitz baths are helpful for bladder infections, as they bring blood to the
area and help flush out the infection. Alternate the bath by sitting in
hot water for three minutes, followed by one minute of cold water. Do three
rounds in the evening.

Unsweetened cranberry juice powder or liquid is a classic remedy to accompany
the herbal treatments, and is even recommended by doctors, recently being
written up in the American Medical Journal.

Skin Ailments

Poison Oak

Grindelia tincture used externally and internally is very helpful for stopping
the itching and burning of poison oak. This sticky plant contains resins
and when applied externally, reduces the irritation and can keep the rash
from spreading to other parts of the body. If one gets poison oak around
the eyes, it is good to use aloe vera in this sensitive area for cooling
and drying up the rash.

One of the best-tested and near-miraculous remedies I’ve ever found (I usually
throw caution to the winds, wading through poison oak in the fall looking
for edible mushrooms) is the following mixture. Dissolve 1 teaspoon of salt
in 1/2 cup of water, blending in 2 or 3 teaspoons of a fine cosmetic clay
(preferably skin-colored). When the consistency is that of a thick paste,
but is still spreadable, beat in 5-15 drops of peppermint oil. The salt
and clay draw and dry and the peppermint oil (due to its menthol) lowers
inflammation and cools by stimulating the skin’s “cool” receptors.

Burns

Keeping peppermint or lavender oil in a handy place in the kitchen is excellent
burn insurance. Both of these oils, when applied promptly, work quickly
to alleviate the pain of burns and facilitate healing. With any first or
second-degree burn of localized extent, it is essential to immerse the affected
area (where possible) in cool water for 10-20 minutes. For more serious
burns, it is often necessary to seek medical support.

Another tried and true remedy for burns is the application of oils or salves
containing St. John’s wort or calendula, the latter for its strong antiinflammatory
and immune-activating virtues and the former for its antiinflammatory effect
on the skin.

Cuts, Bites, Stings

Small cuts can be easily cared for by washing the area with an herbal soap
(containing echinacea or calendula) and then applying moist compresses of
echinacea tincture, which can accelerate wound healing and protect healthy
cells from invasion by bacteria or fungus. Tea tree oil, a strong antiseptic,
also works well and does not sting when applied. For more serious cuts,
apply cayenne or yarrow leaf powder directly to the wound to staunch bleeding;
this sounds like “heroic” herbalism, but the cayenne does not
cause burning when used in this way.

The most time-honored remedy recommended by herbalists for cuts, as well
as any kind of spider bites or bee stings is plantain. Plantain is always
available as a garden weed or waste-lot plant. There are two methods for
its preparation: the blender method or the saliva method. Use the saliva
method by chewing one leaf up thoroughly to make a mucilaginous paste and
apply to the spot. This method is excellent for kids (who love the attention),
for oneself or family members. The blender method works for the more fastidious,
but it takes longer and requires more equipment. I recently watched a plantain
“poultice” heal a severe staph infection, where the whole forearm
was swollen bright red. The whole program consisted of a plantain poultice
on the focal point of the infection (in this case, the knuckle), with the
addition of 20 drops of echinacea tincture and 10 drops of usnea tincture.
The poultice was changed every few hours and usnea and echinacea was taken
internally, 1 dropperful of each every 3 hours. By the next day, the swelling
and redness had mostly subsided, and antibiotics were avoided.

The use of fresh plantain for any kind of infection has been supported by
the discovery in its leaves of the antibiotic substance aucubin.

Sports Herbs

Strains, sprains

Sprains are best treated initially with cold water, followed by arnica compresses
(30 drops of liquid extract in a bowl of water) to help reduce inflammation.
(Caution: Do not use arnica if the skin is broken.) Repeat every 2 hours.
After the first 24 hours, warm arnica compresses should be used. Arnica,
in homeopathic doses, can be used internally, taken as directed.

Energy

Herbs known for their potential energizing effects include damiana, Panax
ginseng, eleuthero, wild oats, and rosemary (in either tea or extract
form). These herbs are safe, do not contain stimulating alkaloids (such
as caffeine or ephedrine) and can be taken as needed, though ginseng might
be too stimulating for some people and should be used moderately.

Herbs that are stimulating to the nervous system, but are known to have
side-effects such as nervousness, restlessness possibly raising the blood-pressure,
include coffee, black tea, guarana, kola nut, chocolate, and ma huang (Ephedra
sinensis). Although the latest figures show that over 120 million people
drink coffee in this country, this and the other stimulant drugs should
be used cautiously, as they are possible risk factors for heart disease
and nervous disorders, at the very least.

Nervous System

Stress relief

Stress is apt to weaken or imbalance our nervous system, leading to symptoms
such as anxiety, tension or depression. It can also impact our immune and
hormonal systems (which work together closely), accompanied by such symptoms
as lowered resistance to infections, or eventually, such ailments as Chronic
Fatigue Syndrome or Candidiasis. Constant or long-term stress can also affect
our digestion, leading to ulcers, constipation or irritable bowel syndromes.

For helping to relax a tense mind or body, a flavorful, relaxing tea can
be made by steeping one part each of chamomile, lavender, linden, and lemon
balm and 1/2 part orange peel. This stress-reducing tea is excellent after
dinner and has the added benefit of aiding digestion. For extra-strength
stress relief, add equal parts of valerian (tincture or powdered extract
from the fresh plant is best, in my experience), passion flower and California
poppy to the above mixture–or take in capsule or extract form, as the taste
is not as pleasant.

For adrenal weakness, herbs such as euleuthero, licorice, rehmannia and
reishi can be found in many commercial preparations.

For immune weakness, astragalus, ligustrum, reishi and shiitake are widely
recommended for their powerful deep immune supportive properties. The bulk
herbs can be purchased in Chinese herb stores or many natural food stores.
These can be added to soups and stews. My recipe for “Wei Qi”
(protective vitality) soup:

**Recipe**

Fill a soup pot with water (about 1 gallon) and add 5-10 sticks of astragalus,
1-2 medium sized reishi mushrooms, one quarter cup of ligustrum fruits and
5-8 small to medium shiitake mushrooms (available from most markets). Simmer
the herbs for 30 minutes, then add an assortment of your favorite vegetables
(such as carrots, beets, potatoes, yams, parsley and celery). The addition
of a quarter cup of barley will make the soup thicker, and is very strengthening
and soothing to the digestion. When the soup is done, drink the broth and
eat the vegetables. Store in the refrigerator for several day’s use. The
more fibrous herbs such as astragalus are too tough to eat, so simply put
them aside. The shiitake mushrooms are delicious and fine-textured, however.

Sleep disturbances

Drinking a cup of the following herb mixture can often ensure a restful
night’s sleep–passion flower, skullcap, valerian, hops, and California
poppy. Steep 2 teaspoons of the mixture in one cup of water. These herbs
can also be taken in extract form, 1 dropperful 1/2 hour before bedtime.
For children who don’t sleep well at night, try giving them a bath before
bedtime to which a handful of linden tied up in a muslin bag has been added.

Anxiety

A combination of hops, California poppy and hawthorn, either in tea or tincture
form, effectively allays anxiety, having a quieting effect on the central
nervous system.

Depression

Herbs which can help lift depression include St. John’s wort, rosemary,
lavender, wild oats, and damiana. Steep 2 teaspoons of the mixture in a
cup of water and drink 3 times daily. An mood-elevating bath can be made
by adding a few drops of lavender, rose, or orange oil to the water. The
same oils can be added to sweet almond or apricot kernel oil to be used
for massage. St. John’s wort is the most commonly prescribed natural remedy
in Europe for mild depression. Take 1-2 tablets of the standardized extract
as needed, but not more than 4 in a day.

Addiction

For symptoms of drug withdrawal, whether from nicotine or alcohol, wild
oats have been shown to be useful for their strengthening effect on the
nervous system, as well as their anti-addictive properties. A tea can be
made, steeping 1 teaspoon of herb in 1 cup of water, or a liquid extract
can be used–40 drops 3 times per day.

Headaches

For headaches, try this “aspirin replacement” herbal blend (no
side-effects)–passion flower, periwinkle herb (Vinca major), wood
betony, white willow bark (1 part each), and lavender (1/2 part). Steep
2 teaspoons of the mixture in 1 cup of water and drink 1 cup as needed.
Various commercial preparations are available which contain one or more
of these herbs.

For migraine headaches, feverfew is the herb of choice, and it has 2 double-blind
studies demonstrating its effectiveness to its credit. Take 1-2 tablets
of the powder, or 1-2 dropperfuls of the tincture morning and evening. Experience
shows that it may take up to 3-6 months before its full effects are felt.
Some people have experienced relief where nothing else has worked. The herb
must be taken on an on-going basis.

Smart Herbs: memory and brain herbs

Ginkgo has a positive effect on cerebral circulation, glucose metabolism,
and neurotransmitter balance, all of which can have a strengthening effect
on the memory, as well as improving mental vigor. Take 1-2 tablets (of the
standardized extract) or dropperfuls of the tincture morning and evening.
The traditional Ayurvedic herb, gotu kola, is also recommended by herbalists,
especially as a fresh plant tincture, for maintaining strong mental vigor.

Herbs for Daily Use

Arnica, oil–One of the best-known trauma herbs, used externally as an oil
or liniment. Use homeopathic product for internal use.

Astragalus–The premier deep toning immune herb, used as a tea, tincture
or powdered extract.

Calendula oil–An excellent skin remedy, applied locally for burns, bites,
stings and other trauma.

California poppy–The extract (tincture or tablet form) is helpful for relieving
tension, sleeplessness and anxiety; safe for children.

Chamomile–A world-renowned digestive and relaxing herb for colic, bowel
irritation, relaxation; safe for children.

Echinacea–One of the best studied and clinically proven herbs for immune
stimulation. Best taken in up to three 10-day cycles, then discontinued.
Use only when needed in large amounts (1-2 droppersful several times daily).
Small doses (5-15 drops daily) can be useful as a mild immune tonic for
longer-tern use.

Elder Flowers–The flowering tops of blue or black elders makes an excellent
tea for reducing fevers and increasing elimination of wastes for colds and
flus.

Eleuthero–The best-researched “adaptogen,” which helps us to
adapt to stress by supporting adrenal function, and increasing energy efficiency.
Often used by weight-trainers and other sports enthusiasts.

Eucalyptus oil–The oil has strong antiseptic properties and is useful in
steams for sinus problems to relieve congestion.

Ginger–The best herb for supporting digestion, relieving nausea (from any
cause) and generally stimulating circulation. Taken as a tea, extract or
as a powder in capsules.

Ginkgo–One of the most interesting herbs of the last few years. Improves
brain function, including memory and alertness. Protects blood vessels,
improves circulation and is a powerful antioxidant. Best herb for ringing
in the ears (tinnitis).

Ginseng–The panacea herb of ancient China. Excellent for people over 50,
to improve vital energy, sexual energy and enhance digestive powers. Often
blended with other herbs in formulas.

Golden Seal–This North American native herb is widely known and used for
colds, flus and sinus infections. Lowers inflammation, helps cool infections
of the mucous membranes. Useful when blended with echinacea (1:3).

Gotu kola–The ancient Ayurvedic herb, thought to improve memory and mental
vigor and act as an adaptogen. Preliminary research supports this view.
The herb should be used fresh, as the dried herb rapidly loses its potency.

Grindelia–A native of North America, this sticky yellow-flowered plant
from the daisy family was a favorite Native American remedy for poison oak
and other rashes. It was official in the United States Pharmacopoeia as
an internal remedy for asthma, bronchitis and other upper respiratory tract
ailments.

Hawthorn–The extract is well-researched and has a long history of use as
the herb of choice for strengthening and protecting the cardiovascular system,
especially the heart. To be used in extract form long-term, even over a
number of years.

Hops–One of the major flavor components of beer. An excellent digestive
bitter herb which has good relaxing properties.

Lavender oil–The distilled oil from lavender is used in aromatherapy and
as an internal medicine to lift the spirits and allay nausea.

Licorice–Licorice root is an important herb for flavoring and harmonizing
herbal blends. It has proven anti-viral and anti-inflammatory properties
and is commonly used for upper respiratory tract, digestive tract and urinary
tract irritation or infections. The herb has also shown benefit for healing
ulcers and is considered an important adrenal support herb.

Marshmallow root–This mucilaginous herb is used as a tea or liquid extract
to soothe mucous membranes in the digestive, upper respiratory and urinary
tracts. Marshmallow has recently shown some immune-stimulating properties.

Milk Thistle–The great liver protector and healer. Well-researched and
clinically-proven for hepatitis, cirrhosis or for extra nutritional support
for people who drink alcoholic beverages or use pharmaceutical or recreational
drugs.

Nettles–An excellent nutrient herb which has also shown anti-allergic properties
for hay fever, and antiinflammatory activity for enlarged or irritated prostate
glands.

Peppermint, oil–One of the best home remedies for relieving intestinal
gas, bowel inflammation or irritation. A tea of the leaf is also widely
used.

Plantain–The ubiquitous weed that every herbalist loves. It has a high
percentage of mucilage to soothe, allantoin to speed wound-healing and aucubin
as a strong anti-microbial substance to prevent infections. Use fresh
as a poultice, tea, or tincture, or the fresh juice internally or externally.

Reishi–An herb renowned for its powerful deep immune-strengthening activity.
It has also shown blood-sugar regulating properties and may help lower cholesterol.
Use as a tea, tincture or powdered extract.

Rosemary–This common garden herb contains natural camphor, which helps
energize the nervous system, without over-stimulating. It also contains
powerful natural anti-oxidant properties and is a good digestive herb.

Shiitake–This common mushroom is as delicious as it is medicinal. One of
its active constituents, lentinan, has shown anti-tumor, anti-viral and
immune-strengthening properties. It is used in soups, stews, stir-frys and
as a tea or extract.

St. John’s wort extract, oil–The extract of this common European and American
weedy plant shows great promise as an anti-viral (against the AIDS virus),
anti-inflammatory and remedy for mild depression. The standardized extract
is used internally, and the oil is applied externally for burns and nerve
pain or trauma due to tension or accidents.

Tea Tree oil–An Australian import emerging as an important herb for fungal
infections of the skin or nails, vaginal yeast infections and gum inflammation
or sores.

Usnea–Called the herbal antibiotic, this common lichen has shown powerful
inhibitory activity against strep, staph and pneumonia infections. Excellent
in combination with echinacea for strep throat or staph infections (such
as impetigo).

Valerian–A traditional herb with a wealth of clinical evidence to support
its use as a sleep-aid, nerve tonic and relaxing herb.

Vitex–One of the best-known women’s herbs, it was recommended by Hippocrates
(450 B.C.) for the same purposes as today: menstrual imbalances, hormonal
difficulties (PMS, menopause), and to bring on mother’s milk.

Herbal Contraindications

A Note of Caution

Although the charge is often made that herbalists say that all herbs are
safe, no responsible herbalist would ever make such a claim.

Herbs are often very safe–usually much safer than synthetic drugs, both
on the person taking them and on our environment and energy resources. But
they are complex mixtures of chemical compounds that can heal, change different
body processes, and sometimes cause side-effects, especially when overused
or used unconsciously.

Below is a list of the best-documented possible side-effects of the herbs
mentioned in this article. Contraindications can be further researched in
the books listed in the resource section.

Arnica–taking the herb, tea or tincture internally may lead to severe gastrointestinal
irritation. Using the tincture or oil on open wounds or scrapes might increase
inflammation. Arnica in homeopathic dilution is not toxic.

Essential oils (lavender, tea tree, peppermint, eucalyptus)–these plant
essences are highly concentrated and should be used cautiously–reduce dose
if any irritation develops, either externally or internally.

Golden seal–People with weak, cold digestion should use this herb sparingly.
Do not use continuously for more than 10 days or 2 weeks–large doses (more
than 2 “00” caps 3 x daily) is not recommended. Because it stimulates
the uterus, it is not to be taken during pregnancy.

Laxatives (aloe, senna, cascara, rhubarb)–long-term use (over 2 weeks)
might lead to dependency, loss of bowel tone and intestinal irritation.

Licorice–for people with high blood pressure, edema or electrolyte imbalance:
long-term use of licorice root or its products (more than 2 weeks) can lead
to sodium retention, excessive potassium excretion, and water retention.
Moderate use is not considered problematic.

Red Clover–it contains small amounts of coumarin derivatives, which, when
taken in excessive amounts, might potentiate blood-thinning drugs, such
as warfarin. Red clover may be mildly estrogenic.

St. John’s wort–large amounts might make the skin more sensitive to sunlight.
For people whose skin is already sensitive, take extra precautions when
using the herb therapeutically.

Valerian–very large amounts of the tea (over 2 cups at a time) or powdered
extract might cause headaches in some people. Some people who take valerian
are stimulated rather than calmed by the herb, but this paradoxical effect
is rare with the fresh plant tincture, tea or extract.

Vitex–Not to be taken concurrently with birth-control pills.

**Sidebar**

The Shelf Life of Herbs and Herb Products

The overall effectiveness of any herb or herb product is determined not
only by the quality of the herbs that went into them, but how long they
have been sitting on the shelf. Most herbs are best stored in their whole
form, kept in amber glass jars packed as close to the top as possible, and
stored in a cool place out of direct sunlight. Under normal circumstances,
most powdered herbs will only retain their full potency for a matter of
2 or 3 months. If they are encapsulated and in plastic bottles, as many
herb products are, one should not count on any more than a one-year shelf-life.
Whole herbs, if stored correctly may retain a fair quality for up to 3 years.
Tinctures, according to recent studies, may hold much of their activity
for up to 3 years, if stored in a cool, dark place. Extracts in tablet or
capsule form will last longer in amber glass jars than in plastic bottles,
which will allow oxygen and moisture to enter.

Sidebar
The Importance of Herb Quality and Organic Herbs

All herbalists agree that herb quality is a number one priority. We are
not satisfied with the quality when herbs are poorly grown, improperly harvested,
dried or stored. Fortunately, the proper techniques for insuring the highest
quality herbs are becoming better known and more closely followed. However,
there are still some very good quality and some very poor quality herbs
and products on the market. National organizations like the American Herbal
Products Association (AHPA) and the American Herbalists Guild (AHG) are
working hard to educate manufacturers and consumers about the importance
of herb quality. For more information, write and support the efforts of
these organizations by becoming a member of the AHG, or ask your manufacturer
if they are a member of AHPA–if not, encourage them to join.

The best assurance today that you are getting the very best quality herbs
is to look for “certified organic” products. When a company cares
enough to pay more for these herbs, it will usually take more trouble in
the manufacturing process. Of special concern is the rapidly dwindling resources
of some native plants, such as echinacea and golden seal. We cannot afford
to take these plants from the wild for much longer–so support organically
cultivated herb products and insure the continuation of our wild heritage.

Visiting Your DoctorGynecologist Checklist

American Institute for Preventive Medicine — Wed, 06 Dec 2000 13:28:02 +0000

First:

Be ready to give your doctor information about your health history. Make a list of these things:

Health conditions that run in your family (examples: breast or other cancers, diabetes, high blood pressure, alcoholism).
Past illnesses and what medical treatment you had for each.
Past hospitalizations and any surgery you have had.
Medications you take, have taken (names, doses, side effects, if any).
Number of pregnancies, their outcomes and any problems you had.
Birth control method(s) you have used and use now and side effects, if any.
Menstrual history, when you started your periods, if they’ve been regular or not and if you have or have had any problems.
Take the list with you when you go to the doctor’s office.

Second:

It’s easy to forget to ask your doctor all your questions and express all your concerns. The following checklist helps to identify what things you might forget to ask and discuss. Jot down the questions from the list that you want to ask your doctor. Take the list with you.

Sample questions to ask your doctor:

Diagnosis (What’s wrong?)
Why do I have this problem? Ask the doctor to explain any medical terms you don’t know.
Do I need more testing? If so, what? How much do these tests cost? Will my insurance cover them? Where do I get the information?
Prognosis (What will happen?)
How will this problem affect me in the future?
Treatment (What should I do?)
What treatment should I follow? This could include medical treatment or changes to diet or lifestyle.
What will happen if I don’t treat it now?
How do I get ready for any tests that I need?
How often should I have a mammogram, pelvic exam, pap smear and professional breast exam? Should I have any tests for STDs?
What other tests should I have and when?
Do I call to schedule the test or does your office do it for me?
When and how will I get the test results?
Should I call you?
When do you want to see me again?
What else should I know?
Can I get any more information about this problem?
Are there any local or national health organizations that I can call or write to for more information? Do you have their numbers and addresses?
Where should I go if I need emergency care?
Specialists (What about seeing another doctor?)
Should I see a specialist?
Does this specialist work out of more than one office?
Whom should I see? Can you write this down for me?
Is this person board certified?
How soon should I be seen by this specialist?
What if I can’t get an appointment for a month or more? Can you help me get in sooner or should I try to see someone else?
Doctor Fees (How much will this cost me?)
What will this office visit cost me today?
What will the fees be for other services? Ask this before you get the services.
What does my health insurance cover?
Medications (What will the medicine do?)
Why do I need this medicine?
What is the name of the drug?
How and when should I take it?
Are there any foods, drinks or things I should avoid when taking this medicine?
What should I do if I forget to take it?
Should I expect side effects?
Is this drug known to cause birth defects? (For women who are pregnant or planning a future pregnancy.)
Will I have to take this medicine for a short time or from now on?
Is there a generic equivalent of this medicine?
Will this medicine be okay to take with other medicine I’m already taking?
Could any non-drug measures work as well?
Surgery (What if I need an operation?)
Do I need surgery at this time?
Who will do the surgery? How many times has this surgeon done it?
Is there a certain time of the month I should have this surgery?
What are my choices with surgery? Ask about minor procedures vs.. major ones.
Do I have any choices instead of surgery?
What are the benefits? What are the risks?
Where will I have this surgery?
Can I have the surgery as an outpatient?
Where can I get a second opinion? Know if your insurance company needs a second opinion for surgery. Find out what their rules are. Your insurance company may want you to call a certain number and use certain doctors for second opinions.

HIV/AIDS

American Institute for Preventive Medicine — Wed, 06 Dec 2000 13:28:02 +0000

AIDS stands for Acquired Immune Deficiency Syndrome. It is thought to be caused by the human immunodeficiency virus (HIV). This virus destroys the body’s immune system, leaving the person unable to fight certain types of infection or cancer. The AIDS virus also attacks the central nervous system, causing mental and neurological problems.

The virus is carried in body fluids such as semen, vaginal secretions, breast milk and blood (including menstrual blood). More than half of the women in the U.S. who get AIDS do so through heterosexual sex. In fact, women in the U.S. are 10 times more likely to get AIDS from men than vice versa. This may be because semen contains more of the virus than does vaginal fluid. Semen can also remain in the vagina for days which raises the risk for contracting the virus. Certain activities are likely to promote contracting the AIDS virus.
High-risk activities include:

Unprotected* anal, oral and/or vaginal sex except in a monogamous relationship in which neither partner is infected with HIV. Particularly high risk situations are having sex:
- When drunk or high.
- With multiple or casual sex partners.
- With a partner who has had multiple or casual sex partners.
- With a partner who has used drugs by injection or is bisexual.
- When you or your partner has signs and symptoms of a genital tract infection.
- Sharing needles and/or “the works” when injecting any kind of drugs.
- Pregnancy and delivery if the mother is infected with HIV. This can put the child at risk.
- Having had blood transfusions, especially before 1985, unless tested negative for HIV.

* Unprotected means without using latex condoms alone or with other latex or polyurethane barriers. When used correctly, every time and for every sex act these provide protection from HIV. Though not 100% effective, they will reduce the risk. Male condoms with a spermicidal gel is preferred. The Reality female condom also offers protection, especially when used with a male condom.

There is some concern about the risk of getting AIDS from an infected doctor, dentist or patient. There are almost no cases of health professionals passing HIV to a patient. Patient to health professional transmission has been more noted. Measures are being proposed and required by medical and dental associations to decrease these possible risks, even though they are extremely low.

Blood screening tests are also done on donated blood which makes it highly unlikely that you’d get AIDS from current blood transfusions. You cannot get AIDS from:

Donating blood.
Casual contact such as touching, holding hands or hugging.
A cough, sneeze, tears or sweat.
An animal or insect bite.
A toilet seat.
Using a hot tub or swimming.

Screening tests for AIDS are available through doctors’ offices, clinics and health departments. A small sample of your blood is tested for antibodies to the HIV virus. If these antibodies are present, you test positive for and are considered infected with HIV. It could take as long as six months from exposure to the virus for these antibodies to show up. The most common reason for a false negative test is when a person gets tested before HIV antibodies have formed. If you test positive for HIV, a second type of blood test is done to confirm it. HIV/AIDS symptoms may not show up for as long as eight to eleven years after a person is infected with the virus.

Signs and Symptoms

Symptoms of HIV/AIDS in women can differ from those in men. These may include:

Chronic vaginal yeast infections. (See page 66).
Abnormal pap smear.
Cervical cancer. (See page 13).
Pelvic inflammatory disease (PID). (See page 50).

Some sexually transmitted diseases such as the human papilloma virus (HPV) and certain genital warts. [Note: The above conditions can be present without HIV. The only way to confirm the presence of HIV is to be tested.]

Symptoms that may come before full-blown AIDS:

Fatigue.
Loss of appetite.
Chronic diarrhea.
Weight loss.
Persistent dry cough.
Fever.
Night sweats.
Swollen lymph nodes.

Persons with full blown AIDS fall prey to many diseases such as skin infections, fungal infections, tuberculosis, pneumonia and cancer. These “opportunistic” infections are what lead to death in an AIDS victim, not the AIDS virus itself. When the virus invades the brain cells, it leads to forgetfulness, impaired speech, trembling and seizures.

Treatment

At present, there is no cure for AIDS. A person infected with AIDS has it for life.
Current treatment for AIDS include:

The drugs AZT, DDI and DDC. These are approved for use in the United States to treat AIDS. They slow the virus, but do not destroy it. They may delay the onset and slow the progress of AIDS, but may have only short term effects.
Taking measures to reduce the risk of getting infections and diseases. Get adequate rest, proper nutrition and take vitamin supplements as suggested by your doctor.
Emotional Support.
Treating the “opportunistic” infections that occur, for example:
Antibiotics such as Bactrim or Septra for pneumonia.
Chemotherapy drugs for cancer, such as lymphoma or Kaposi’s Sarcoma, a rare form of skin cancer which is identified by purplish sores on the skin.
Radiation therapy and surgery have been used in the treatment of some patients.

AIDS is under intensive study and research. Better forms of treatment and a vaccine are being researched worldwide. A single vaccine to protect against AIDS is not very likely, though, because the HIV virus quickly creates new strains of the virus.

Questions to Ask

Have you tested positive for HIV?

Do you have: A sexually transmitted disease (STD)? A persistent yeast infections in the mouth (thrush) or vagina?

Have you been told that a present or past sexual partner with whom you have had sexual relations without using condoms has AIDS or the AIDS virus?

Do you engage in high risk activities for getting infected with HIV? either; Sex without latex condoms or with multiple partners or with a partner who is a drug user and/or has had multiple partners, and/or when drinking alcohol except in a monogamous relationship in which neither you or your sex partner are HIV positive? or; Sharing needles and/or “the works” when injecting any kind of drug?

Prevention/Self-Care Procedures

Someday, a cure for AIDS may exist. For now, prevention is the only protection. Take these steps to avoid contracting the AIDS virus:

Unless you are in a monogamous relationship in which you and your partner are HIV free, use latex condoms and/or Reality female condoms during sexual intercourse, treated with or along with a spermicide containing Nonoxynol-9. Studies suggest this spermicide may inactivate the AIDS virus. (You may need to avoid spermicide if it causes irritation).
Don’t have sex with people who are at high risk for contracting AIDS. These have been noted to be:
- Homosexual or bisexual men especially with multiple sex partners.
- Persons who use illegal intravenous drugs.
- Heterosexual partners of persons infected or exposed to HIV.
- Persons who have had multiple blood transfusions, especially before 1985, unless tested negative for HIV.
- Persons who have sex with more than one partner.
Ask specific questions about your partner’s sexual past, i.e., have they had many partners or unprotected (no condom) sex? Do not be afraid to ask if they have been tested for HIV and if the results were positive or negative. Be aware, though, that the response may not be an honest one. You need to protect yourself! Take charge. Get tested for HIV. Ask your partner to get tested, too. Use prevention measures or avoid sex until you get tested for HIV if you have been exposed to it.
Don’t have sex with anyone who you know or suspect has had multiple partners. If you’ve had sex with someone you suspect is HIV positive, see your doctor.
Don’t share needles and/or “the works” with anyone. This includes not only illegal drugs such as heroin, but steroids, insulin, etc.
Don’t share personal items that have blood on them such as razors.
Plan ahead for safe sex.
Decide what you’ll say and be willing to do ahead of time with a potential sex partner.
Keep a supply of condoms handy, i.e., in your purse, by the bed, in your pocket, etc. Know the correct way to use them.
Putting the condom on your partner can be a part of foreplay.
Don’t have sex while under the influence of drugs or alcohol.
Avoid sex if either partner has signs and symptoms of a genital tract infection.

Vaginal Yeast Infections

American Institute for Preventive Medicine — Wed, 06 Dec 2000 13:28:02 +0000

Yeast infections are the most common type of vaginal infections. Other names for this are Monila, Candida or fungus infection. Vaginal yeast infections result from the overgrowth of Candida albicans which is normally present in harmless amounts in the vagina, the digestive tract and the mouth. Some women rarely have a yeast infection. Others have them regularly. Certain things may trigger them such as:

Hormonal changes that come with pregnancy or even before monthly periods.
Taking hormones or birth control pills.
Taking antibiotics especially “broad spectrum” ones.
Taking steroid medicines such as prednisone.
Having elevated blood sugar such as found in uncontrolled diabetes.
Vaginal intercourse, especially with inadequate lubrication.
Douching.

Symptoms can range from mild to severe. They include:

Itching and irritation and redness around the external genitalia.
A thick, white discharge that looks like cottage cheese and may smell like yeast.
Burning and/or pain when you urinate or have sex.

Prevention

To help prevent yeast infections:

Practice good hygiene. Wash regularly to clean the inside folds of the vulva where germs are likely to grow. Dry the vaginal area thoroughly after you shower or bathe.
Wipe from front to back after using the toilet.
Wear all-cotton underpants and panty hose with cotton crotches.
Don’t wear slacks and shorts that are tight in the crotch and thighs or other tight fitting clothing such as panty girdles.
Change underwear and workout clothes right away after exercising.
Use unscented tampons or sanitary pads and change tampons and sanitary pads frequently.
Don’t use bath oils, bubble baths, feminine hygiene sprays, perfumed or deodorant soaps.
Don’t sit around in a wet bathing suit.
Shower after you swim in a pool to remove the chlorine from your skin. Dry the vaginal area thoroughly.
Take antibiotics, especially broad spectrum ones such as Keflex, Ceclor, Bactrim, Septra, amoxicillin, ampicillin, etc. only when necessary to treat bacterial (not viral) infections. These promote the growth of yeast.
If you tend to get yeast infections whenever you take an antibiotic, ask your doctor to prescribe a vaginal antifungal agent as well or use an over-the-counter one.
Eat well and include food products such as yogurt that contain live cultures of “lactobacillus acidophilus”.
Get plenty of rest to make it easier for your body to fight infections.

Treatment

Treatment for vaginal yeast infections are:

Vaginal creams or suppositories that get rid of the Candida overgrowth. These can be over-the-counter ones. Examples are Monistat, Gyne-Lotrimin, etc. or ones prescribed by your doctor such as Terazol or Vagistat, etc. They should be inserted right before you go to bed.
Oral medicines which include Diflucan (a pill taken once per episode of infection), Sporanox, Nystatin and Nizoral.
Gentian violet, a purple-colored solution applied to the vaginal area.

It is important, though, to make sure that you have the right problem diagnosed. A burning sensation could be a symptom of a urinary tract infection caused by bacteria which requires an antibiotic. Antibiotics will not help a yeast infection. They make them worse.

Trichomoniasis mimics yeast infections.

You should check with your doctor if:

This is the first time you have symptoms of a yeast infection.
You are not sure that your problem is a yeast infection.
If the infection you treat comes back within two months.
If the infection does not respond to treatment.

Chronic vaginal infections can be one of the first signs of diabetes, sexually transmitted diseases or HIV/AIDS in women.

Self-Care Tips

To get rid of a yeast infection, try the following:

Use an over-the-counter vaginal cream medicine or suppositories, such as Monistat, as directed. These used to be available only with a prescription. Women who have had yeast infections whenever they have taken antibiotics in the past should use this during the period of antibiotic treatment.
Douche with a mild solution of 1 to 3 tablespoons of vinegar diluted in a quart of warm water. Repeat only once a day until the symptoms subside, but not longer than a week. Too much douching can lead to a flare up of the infection.
Limit your intake of sugar and foods that contain sugar since sugar promotes the growth of yeast.
Eat yogurt and other food items that contain live cultures of lactobacillus acidophilus several times daily especially when taking an antibiotic. If you can’t tolerate yogurt, ask your pharmacist for an over-the-counter product that contains this beneficial bacteria (lactobacillus acidophilus).

Questions to Ask

Urinary Tract Infections (UTIs)

American Institute for Preventive Medicine — Wed, 06 Dec 2000 13:28:02 +0000

About 1 out of 5 women will get a urinary tract infection (UTI) in her life. Some women get lots of UTIs. Men get UTIs, too, but not as often.

What is the urinary tract? Your urinary tract is made up of these parts:

Kidneys.
Bladder.
Ureters (tubes that connect the kidneys to the bladder).
Urethra (the opening where urine comes out).

How do we get UTIs? Usually, bacteria get in the urethra and go to the bladder. They grow in the bladder and move to other parts of the urinary tract.

Bacteria can get into a woman’s urethra during sex. You should go to the bathroom right after sex to flush the bacteria out. Women who use a diaphragm for birth control have twice the risk of getting a UTI. Changes that happen when you get pregnant and after menopause can also make you prone to UTIs.

Also, any irritation to the opening of the urethra can lead to bladder infections. If you have signs of a vaginal infection, (a discharge, foul odor, etc.) get treatment for it to help prevent a bladder infection.

Some people are born with urinary tract problems that help them get UTIs. Anything that keeps you from passing urine freely can lead to UTIs. Kidney stones or an enlarged prostate gland are two examples. You are also more likely to get a UTI if you have had UTIs before.

Sometimes you don’t even know you have a UTI. Most often you will have symptoms, though. They come suddenly, with no warning. Here are some of them:

A strong need to go to the bathroom.
Going to the bathroom more often than usual.
A sharp pain or burning in the urethra when you pass urine.
Blood in the urine.
Feeling like your bladder is still full after you pass urine.
Soreness in your belly, back, or sides.
Chills, fever, sick stomach, throwing up.

See a doctor if you have any of these symptoms. A UTI can be serious if you don’t treat it. The doctor will test a sample of your urine to find the problem. An antibiotic to treat the infection and pain relievers (if necessary) are the usual course of treatment.

Prevention

Here are some things you can do to keep from getting UTIs:

If you’re a woman, wipe from front to back after using the toilet. This keeps bacteria away from the urethra.
Drink plenty of liquids to flush bacteria out of your system. Drink fruit juices, especially cranberry juice.
Empty your bladder as soon as you feel the urge. Don’t give bacteria a chance to grow.
Drink a glass of water before you have sex. Go to the bathroom as soon as you can after sex, even if you don’t feel the urge to.
If you use a lubricant when you have sex, use a water-soluble lubricant like K-Y Jelly
Wear cotton underpants. Bacteria like a warm, wet place. Cotton helps keep you cool and dry because it lets air flow through.
Don’t take bubble baths if you have had UTIs before. Take showers instead of baths.
Don’t wear tight-fitting under garments, jeans and/or slacks.
If you use a diaphragm, clean it after each use.
Have your doctor check your diaphragm periodically to make sure it still fits properly. The size may need to be changed if you gain or lose weight or if you have a baby. Replace your diaphragm according to your doctor’s advice.

Self-Care Tips

Avoid alcohol, spicy foods, and coffee.
Drink at least 8 glasses of water a day. Cranberry juice is good, too. Liquids help wash out the infection.
Get plenty of rest.
Check for fever twice a day. Take your temperature in the morning and then in the afternoon or evening.
Take aspirin, acetaminophen, ibuprofen, or naproxen sodium. [Note: Do not give aspirin or any medication containing salicylates to anyone 19 years of age or younger, unless directed by a physician, due to its association with Reye’s Syndrome, a potentially fatal condition.]
Go to the bathroom as soon as you feel the need. Empty your bladder completely, every time you pass urine.
- If you have a condition that keeps you from doing this, such as that which occurs in some persons with multiple sclerosis, ask your doctor about using intermittent self-catheters.
Empty your bladder after sex.

[Note: See your doctor if you don’t feel better in 3 days.]

Questions to Ask

Do you have any other symptoms such as vaginal swelling and/or unusual bleeding? Does the discharge have a foul smelling odor?

Do symptoms of a vaginal yeast infection worsen or continue one week or longer despite using self-care tips or do they come back within 2 months after treatment?

Yeast Infections

American Institute for Preventive Medicine — Wed, 06 Dec 2000 13:28:02 +0000

Hormonal changes that come with pregnancy or even before monthly periods.
Taking hormones or birth control pills.
Taking antibiotics, especially “broad spectrum” ones.
Taking steroid medicines such as prednisone.
Having elevated blood sugar such as found in uncontrolled diabetes.
Vaginal intercourse especially with inadequate lubrication.
Douching.
Symptoms can range from mild to severe. They include:
Itching and irritation and redness around the external genitalia.
A thick, white discharge that looks like cottage cheese and may smell like yeast.
Burning and/or pain when you urinate or have sex.

Prevention

To help prevent yeast infections:
Practice good hygiene. Wash regularly to clean the inside folds of the vulva where germs are likely to grow. Dry the vaginal area thoroughly after you shower or bathe.
Wipe from front to back after using the toilet.
Wear all-cotton underpants and panty hose with cotton crotches.
Don’t wear slacks and shorts that are tight in the crotch and thighs or other tight fitting clothing such as panty girdles.
Change underwear and workout clothes right away after exercising.
Use unscented tampons or sanitary pads and change tampons and sanitary pads frequently.
Don’t use bath oils, bubble baths, feminine hygiene sprays, perfumed or deodorant soaps.
Don’t sit around in a wet bathing suit.
Shower after you swim in a pool to remove the chlorine from your skin. Dry the vaginal area thoroughly.
Take antibiotics, especially broad spectrum ones such as Keflex, Ceclor, Bactrim, Septra, amoxicillin, ampicillin, etc. only when necessary to treat bacterial (not viral) infections. These promote the growth of yeast.
If you tend to get yeast infections whenever you take an antibiotic, ask your doctor to prescribe a vaginal antifungal agent as well, or use an over-the-counter one.
Eat well and include food products such as yogurt that contain live cultures of “lactobacillus acidophilus”.
Get plenty of rest to make it easier for your body to fight infections.
Vaginal Yeast Infections, continued
Treatment
Treatment for vaginal yeast infections are:
Vaginal creams or suppositories that get rid of the Candida overgrowth. These can be over-the-counter ones Examples are Monistat, Gyne-Lotrimin, etc. or ones prescribed by your doctor such as Terazol or Vagistat, etc. They should be inserted right before you go to bed.
Oral medicines; Diflucan, (a pill taken once per episode of infection); Sporanox, Nystatin or Nizoral. Oral medicines are used for chronic yeast infections.
Gentian violet, a purple-colored solution applied to the vaginal area.
It is important, though, to make sure that you have the right problem diagnosed. A burning sensation could be a symptom of a urinary tract infection caused by bacteria which requires an antibiotic. Antibiotics will not help a yeast infection. They make them worse.

Trichomoniasis mimics yeast infections. You should check with your doctor if:

This is the first time you have symptoms of a yeast infection.
You are not sure that your problem is a yeast infection.
If the infection you treat comes back within two months.
If the infection does not respond to treatment.
Chronic vaginal infections can be one of the first signs of diabetes, sexually transmitted diseases or AIDS in women.

Questions to Ask

Do you have these symptoms? Fever and shaking chills Pain in one or both sides of your lower back Vomiting and nausea

Do you have these problems? Burning or stinging feeling when you pass urine Passing urine a lot more often than usual Bloody or cloudy urine Pain in your abdomen or over your bladder Sick to your stomach or feeling like you’re going to throw up

Do you have any of these problems? You feel like you have to go to the bathroom very badly or do you feel like your bladder is still full after you go to the bathroom? Your urine smell bad? It hurts to have sex?

Have you had symptoms for more than 3 days, without getting better? Did medication the doctor prescribed give you side effects such as a skin rash or make you sick?

Do you get UTIs a lot?

Do you have any other symptoms such as vaginal swelling and/or unusual bleeding? Does the discharge have a foul smelling odor?

Do symptoms of a vaginal yeast infection worsen or continue one week or longer despite using self-care procedures or do they come back within 2 months after treatment?

Self-Care Procedures

To get rid of a yeast infection, try the following:

Use an over-the-counter vaginal cream medicine or suppositories, such as Monistat as directed. These used to be available only with a prescription. Women who have had yeast infections whenever they have taken antibiotics in the past, should use this during the period of antibiotic treatment.
Douche with a mild solution of 1 to 3 tablespoons of vinegar diluted in a quart of warm water. Repeat only once a day until the symptoms subside, but not longer than a week. Too much douching can lead to a flare up of the infection.
Limit your intake of sugar and foods that contain sugar, since sugar promotes the growth of yeast.
Eat yogurt and other food items that contain live cultures of lactobacillus acidophilus several times daily, especially when taking an antibiotic. If you can’t tolerate yogurt, ask your pharmacist for an over-the-counter product that contains this beneficial bacteria (lactobacillus acidophilus).

Nutritional Program for Candidiasis

Michael Janson MD — Wed, 06 Dec 2000 13:28:02 +0000

The overgrowth of yeast in the intestinal tract was mentioned in the section on grapefruit seed extract. It can lead to a variety of symptoms as a result of the toxins that yeasts produce (mycotoxins). These symptoms are the result of allergy or toxins, not yeast in the blood stream or organs. It is sometimes difficult to reduce the intestinal yeast population but there are several dietary supplements that can help.

In addition to the supplements, it is important to reduce dietary and medical sources of yeast growth stimulants, such as antibiotics, hormones, and a high intake of sugar. Hormones or antibiotics may be necessary for medical reasons, but the resulting yeast overgrowth needs to be controlled. Of course, refined, white sugar is always avoidable, with a little determination, if you really want to keep it out of your diet.

Although they may be combined with medications when indicated, the following supplements are commonly used to help control the yeast overgrowth:

	AM	PM
Grapefruit seed extract	2	2
Lactobacillus acidophilus capsules	2	2
Garlic (deodorized) 500 mg	2	2
GLA 240 mg (as borage oil)	1	1

I often recommend a mixture of Lactobacillus acidophilus with the Bifidobacterium bifidum, either in capsule or powder form. This combination helps both the large and small intestines. The dose of powder is usually ½ tsp twice per day at the start of treatment and ¼ tsp twice per day after some improvement. In addition to these specifics, I would recommend that you take the usual general health supplements and immune enhancers such as the following:

	AM	PM
Basic Multiple Formula	3	3
Vitamin C 1000 mg	3	3
Pyridoxine (B6) 250 mg	1
Magnesium aspartate 200 mg	1	1
Vitamin E 400 IU	1
Echinacea 250 mg	2	2

These supplements and several others may be indicated for the management of various symptoms that people with candidiasis often experience. It is important to have a proper diagnosis, in case your symptoms are from other causes.