Thursday, February 21, 2008

Acupuncture Regulates Many Aspects of The Immune System as Measured in the Blood

Acupuncture Regulates Leukocyte Subpopulations in Human Peripheral Blood

Acupuncture has recently been attracting more and more people throughout the world as an alternative treatment, however little is known about its physiological activities (i.e. immune system). We examined acupuncture both quantitatively and qualitatively by measuring CD-positive cell counts and cytokine expression levels in the blood, to determine the activity of T cells, B cells, macrophages and natural killer (NK) cells. Fifteen milliliters of peripheral blood obtained from 17 healthy volunteers aged 21–51 years, were analyzed using flow cytometry before and after acupuncture treatment. There was a statistically significant increase in the number of CD2+, CD4+, CD8+, CD11b+, CD16+, CD19+, CD56+ cells as well as IL-4, IL-1β and IFN-{gamma} levels in the cells after acupuncture stimulation of meridian points. These observations indicate that acupuncture may regulate the immune system and promote the activities of humoral and cellular immunity as well as NK cell activity. In this article, we discussed how acupuncture regulated leukocyte numbers and functions since they are considered to be potential indicators for evaluating complementary and alternative medicine.

For the full text article click here

Acupuncture shines in this kind of basic research of objective changes. Acupuncture is amazing. Can sticking a needle in the skin really have all these effects? Apparently, Yes it can!

Tuesday, February 19, 2008

Cancer and the Bacterial Connection

A very interesting article. I have seen this phenomena in a patient of mine. Whenever she caught a cold her tumor burden would drop significantly.

Cancer and the bacterial connection

Lee Bloomquist / Associated Press
Exposure to high levels of manure dust is linked to decreased incidence of lung cancer among dairy farmers, Italian studies have found. The flip side: Respiratory problems are common.
Germs may actually help our bodies fight tumors -- which means an infection-free lifestyle comes at a price
By Brendan Borrell, Special to The Times
February 18, 2008
IN the 1890s, a New York surgeon named William Coley tested a radical cancer treatment. He took a hypodermic needle teeming with bacteria and plunged it into the flesh of patients.

After suffering through weeks of chills and fevers, many showed significant regression of their tumors, but even Coley himself could not explain the phenomenon.

His experiments were sparked by the observation that certain cancer patients improved after contracting infections. One patient experienced regression in a tumor in her arm after developing Saint Anthony's fire, a streptococcus skin infection.

Doctors at the time considered Coley's bacterial mixtures to be more black magic than medicine, and with the advent of radiation therapy, the well-meaning doctor was soon consigned to the annals of quackery.

But today, some scientists think Coley had it right: Germs can teach our bodies how to fight back against tumors. Dr. John Timmerman, a cancer immunotherapy expert at UCLA's Jonsson Cancer Center, says this revolution has produced "the most exciting sets of compounds in cancer immunology."

These scientists have not yet proved their case. But new studies are revealing that certain cancers may be reduced by exposure to disease-causing bacteria and viruses, and pharmaceutical companies are testing anticancer treatments that capitalize on the concept by using bacterial elements to boost the body's natural immunity.

The studies also imply that our cleaner, infection-free lifestyles may be contributing to the rise in certain cancers over the last 50 years, scientists say, because they make the immune system weaker or less mature. Germs cause disease but may also fortify the body, a notion summed up in a 2006 report by a team of Canadian researchers as "whatever does not kill me makes me stronger."

Almost a century after Coley, in the 1980s, dermatologists began noticing that patients with severe acne, which is caused by another type of bacterium, have reduced rates of skin cancer, lymphoma and leukemia. According to a paper by Dr. Mohammad Namazi at the Shiraz University of Medical Sciences in Iran, studies showed that these bacteria, when injected into animals, appear to stimulate the immune system and shrink tumors.

More recent evidence for this phenomenon comes from studies on cotton and livestock workers, who are constantly breathing endotoxins, a component of bacterial cell walls that causes swelling of lung tissue.

In reports published in the last two years, Harvey Checkoway, a University of Washington epidemiologist, has found that female cotton workers in Shanghai have a 40% to 60% lower risk of lung, breast, and pancreas cancer than other factory workers.

Other recent studies by Giuseppe Mastrangelo at the University of Padua in Italy found that dairy farmers exposed to high levels of manure dust are up to five times less likely to develop lung cancer than their colleagues who work in open fields.

For the dairy farmers and cotton workers, "it's good news and bad news," Checkoway says. They have lower rates of cancer but tend to have higher rates of other respiratory problems. Sniffing cotton dust or inducing pimples is never going to be a therapy, he says, but studying the body's reactions to bacteria could explain why cancer rates go down upon endotoxin exposure. And that might help in developing anticancer drugs.

Dr. Arthur Krieg, chief scientific officer of the Boston-based Coley Pharmaceutical Group, thinks the success of Coley's toxins comes largely from a difference between DNA of humans and bacteria and viruses.

In 1995, Krieg was at the University of Iowa working with strands of DNA created in the lab, hoping to find a way to turn off genes involved in the autoimmune disease lupus. To his surprise, this DNA stimulated the immune cells he was studying in lab dishes. "I got interested, and I got puzzled," he says.

His synthetic DNA contained several regions called CpGs. In humans, that region has a kind of chemical "cap" on it, but bacteria -- and Krieg's synthetic DNA -- lack that cap. Thus, in effect, exposure to that CpG makes the body "think" it's being assaulted by pathogens, and triggers the immune system to shift into attack mode -- and, in doing so, more effectively battle cancer cells.

Krieg saw medical potential: Maybe one could design small drugs with CpGs in them and use them as immunity boosters. After patenting the method, he left his university job and founded Coley Pharmaceutical Group, which was acquired by the New York-based drug company Pfizer in January.

Five years after his discovery, Krieg's first compound has proved safe in early trials but has not yet been proved effective. Last year, the injected compound failed to increase survival time in a trial of 1,600 lung cancer patients also undergoing chemotherapy. But Krieg thinks it will prove effective in other patients: "It's just a matter of finding the right way to use it," he says.

Timmerman is a strong believer in CpGs, and has been using them with the antibody drug Rituximab in his lab research on mice. Finding the right drug combination is key, he says: "It's very naive to think that a single off-the-shelf immune stimulant is going to magically treat cancer."

Krieg's CpG-based chemicals have proved useful in another arena. Because CpGs boost the immune system, they also can enhance certain vaccines. In a trial sponsored by the U.S. Defense Advanced Research Projects Agency, one of Krieg's chemicals, VaxImmune, accelerated the body's response to anthrax vaccine by a factor of two -- from 40 days to 20. Other collaborations are exploring using CpG-containing DNA to develop hepatitis B vaccines and anti-asthmatic drugs. (The company has many CpG compounds, four in clinical trials.)

But Don MacAdam, chief executive of MBVax Bioscience in Ancaster, Canada, is not sure that the healing properties of Coley's fluids are due to a short strand of DNA. "The immune system is very complicated," he says, "Any of these therapies that are doing one little thing are very likely to fail."

And so MacAdam wants to revive the formulation that Coley himself found most effective -- a mixture of two kinds of bacteria, Streptococcus and Serratia. Such an extract would contain naturally occurring CpGs, endotoxins and other bacterial components that may have therapeutic potential.

MacAdam has solved Coley's major difficulty: maintaining consistency of the brew from batch to batch. His preparation has been tested on terminal cancer patients outside the U.S. and Canada, and he contends that 24 in 38 patients have shown signs of tumor regression, although nothing is published yet. Dr. Vikas Sukhatme, a professor at Harvard Medical School, says he hopes to run clinical trials once the product has been manufactured according to Food and Drug Administration guidelines.

Other groups have been experimenting with injections of other types of heat-killed bacteria, including Myobacterium vaccae, a tuberculosis relative. In two studies in January's European Journal of Cancer, researchers report that these bacteria may help fight certain lung and renal cancers.

The first study is a reanalysis of a trial with 162 patients who received heat-killed bacteria (and chemotherapy). In the original study, the treatment didn't seem to improve survival and in 2004, the company developing the therapy, London-based Silence Therapeutics, gave up on Mycobacterium.

But John Stanford, a shareholder in the company and a researcher at University College London, says these studies were poorly designed and analyzed. When he and collaborators re-analyzed the results, they found that Mycobacterium injections could increase survival of adenocarcinoma patients by four months. Stanford believes that part of the bacterial cell wall switches the body from producing ineffective antibodies to sending out cancer-killing blood cells.

In the second study, researchers reported that 60 renal cancer patients injected with Myobacterium survived just as long as those treated with standard chemotherapy.

Stanford has formed a company, Immodulon Therapeutics, and wants to run trials with a stricter and more intense injection regime, to repeat the results and, hopefully, extend patients' lives longer.

Although both Krieg and Timmerman are inspired by Coley's work, they question the philosophy behind reviving Coley's preparation and using other bacterial extracts. But, Krieg says, "as a physician you have to maintain a sense of humility and avoid being overly skeptical."

Dr. Revicis Approach to Cancer

The following comes from a newsletter written by Dr. Harold Kristal. He was a practicing dentist who became very interested in Metabollic nutrition. Dr. Kristal's book and work is not original but it synthesizes systems of metabolic typing. In other words, defining the right type of diet for the individual based upon their individualized metabolism.


Approximately twelve years ago, I had a chance to meet the late great Romanian physician Dr. Emanuel Revici at a gathering in San Francisco to honor his extraordinary research work. Dr. Revici, who developed the theory of anabolic and catabolic imbalances as a factor in disease progression, was a genius whose monumental contribution to medicine and to our understanding of the disease process has yet to be widely recognized. Recently I had a chance to meet with Dr. Revici’s niece, Elena Avram, who is proudly carrying on her uncle’s work at the Revici Metropolitan Center in New York City. She gave me a copy of The Doctor Who Cures Cancer by William Kelley Eidem, a book about Dr. Revici’s work, as well as a short monograph titled Cancer: Causes and Implications for Treatment that she herself had written summarizing Dr. Revici’s observations about the pathogenesis and progression of cancer. I will be drawing primarily on this short essay in the following discussion of Dr. Revici’s research, and how it dovetails with my own work on Metabolic Typing.

There is a widespread bias among alternative health practitioners favoring anabolic processes over catabolic ones. This, however, is an oversimplification that Dr. Revici went to great pains to clarify. Both processes are vital to the survival of the organism, and need to be in proper balance for optimal health to be maintained. A persistent anabolic imbalance is equally undesirable as a persistent catabolic imbalance. In fact, up until the shock or terminal phase, the progression of cancer is marked by an imbalance of anabolic factors, which push the cell in the direction of unregulated growth, beyond the original need of the body to heal itself from the damage caused by the initiating insult. It is only in the shock phase that the catabolic processes start to dominate the anabolic, and the organism begins to break down at a systemic level. However, even at this stage, the cancer process itself remains anabolic; but it has so deranged and destabilized the metabolism that the body systemically begins a downward catabolic spiral.

Conventional treatment focuses exclusively on destroying the cancerous cells, but in so doing it fails to address the underlying anabolic imbalance that set the stage for the development of the cancerous condition in the first place. It is well known that cancerous cells are found in most healthy middle aged or elderly people, but they are usually kept in check or destroyed by a well-functioning immune system. It is only where an anabolic imbalance persists, or when the various lines of defense between the different levels of bodily organizational are compromised, that cancer can take hold and spread. An effective treatment protocol must therefore address the underlying imbalances if it is to have a reliable success rate.

This bias in favor of the anabolic in alternative health circles parallels another widespread misunderstanding that I constantly encounter in teaching my own Metabolic Typing work to other health practitioners. There is a widespread belief abroad that most people are too acid and need to be alkalized. In point of fact, an overly alkaline condition (as measured at the level of the blood pH) is almost as common as an overly acid condition (acid and alkaline being here defined relative to the perceived ideal venous blood pH of 7.46, as defined by the groundbreaking work of George Watson, Ph.D.). Furthermore an overly alkaline condition can have equally dire consequences as an overly acid condition in terms of disease progression.

For the rest of the story click here.

I have used Dr. Revici's instrument to analyze anabolic vs. Catabolic metabolism and to metabolically type patients in the development of specific nutrition plans. This is another valuable piece.

Monday, February 11, 2008

Cancer Experts: Don't Look To Supplements For Cancer Protection

Experts at the American Institute for Cancer Research (AICR) said that whole foods, and not dietary supplements, play a role in lowering cancer risk. Citing a huge and comprehensive AICR report on cancer prevention, the panel of experts cautioned against relying on pills and powders as a means of protection.

"When the panel examined the accumulated evidence from almost 50 different supplement trials, cohort studies and case-control studies, the results were simply too inconsistent to justify using supplements to protect against cancer," said AICR Nutrition Advisor Karen Collins, MS, RD

Under certain conditions, some high-dose supplements seemed protective at specific doses, some did nothing, and some actually increased the risk of cancer. In contrast, the research was much more consistent when the AICR expert panel examined over 440 studies on cancer risk and foods that contained specific vitamins, minerals and phytochemicals. These widely different results led them to conclude: "Dietary supplements are not recommended for cancer prevention."

For the rest of the story click here

Friday, October 19, 2007

DO HERBS, VITAMINS, AND ANTIOXIDANTS ADVERSELY AFFECT CANCER THERAPIES?

preliminary report by Subhuti Dharmananda, Ph.D., Director, Institute for Traditional Medicine, Portland, Oregon

For more than 30 years now, Chinese herbs and materials derived from the herbs, such as long chain polysaccharides, have been used as adjunct therapies for cancer patients. This modern application was first developed clinically in China and Japan during the 1970s and was relayed to the rest of the world in 1983 through an international conference in Beijing which was followed up by press reports in English and other languages (see: Physiological responses to immunologically active polysaccharides). The Institute for Traditional Medicine (ITM) made an effort to alert practitioners of Chinese medicine in the U.S. to this promising role for Chinese herbs immediately after that conference, with updated information provided as available over the years. The utilization of Chinese roots, leaves, and fruits (e.g., astragalus, gynostemma, ligustrum, and lycium), and several mushrooms (e.g., coriolus, ganoderma, cordyceps, and lentinus) for cancer patients is now a routine procedure when these patients visit acupuncturists, naturopathic physicians, and others offering adjunctive cancer health care.

Within the past couple of years, however, an increasing number of patients have been told by their oncologists to avoid herbs, and to more generally avoid supplements (such as vitamins), or, even more broadly, simply avoid anything with antioxidant potential while they are undergoing cancer therapies. The admonition itself is difficult to interpret, since all foods contain antioxidants and vitamins, and they also contain most of the other substances offered in dietary supplements. Most fruits, vegetables, beans, and nuts differ only slightly from herbs. A more specific recommendation is needed. But first, the question arises: why are doctors giving these instructions? What kind of information is being released to the public?

For the rest of the article click on the title of the article

Thursday, October 18, 2007

Studies find acupuncture cuts post-surgical pain

Tue Oct 16, 2007 5:35pm EDT
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WASHINGTON (Reuters) - The use of acupuncture before and during surgery reduces patients' post-operative pain as well as the need for pain-killing medication, researchers said on Tuesday.

Researchers at Duke University Medical Center in North Carolina analyzed the results of 15 clinical trials on the effectiveness of acupuncture -- a practice that originated in China of inserting thin needles into specific body points.

They concluded that it is valuable for pain control in surgery patients.

The 15 trials showed that patients getting acupuncture before or during various types of operations had significantly less pain afterward than patients who did not get acupuncture.

These patients also required less morphine or other opioid pain medication after surgery, which reduced the side effects like nausea and vomiting from these types of drugs, the researchers said.

In terms of pain-drug side effects, the acupuncture patients experienced 1.5 times lower rates of nausea, 1.6 times fewer reports of dizziness and 3.5 times fewer cases of urinary retention compared to the other patients, the study found.

These findings augment a growing body of evidence on the value of acupuncture in improving the surgical experience for patients, the researchers said.

For instance, the National Institutes of Health says that acupuncture has also been shown to reduce nausea after chemotherapy and surgery.

"The use of acupuncture is still very under-appreciated," Dr. Tong-Joo Gan, vice chairman of Duke's anesthesiology department, said in a telephone interview.

"Western doctors are typically not trained (in acupuncture) and they really are not familiar with how it works," Gan said. "I think practitioners such as surgeons and anesthesiologists need to have an open mind."

He said numerous studies have looked at acupuncture to reduce post-operative pain, but many of them were not very well done. Gan said his team identified a group of well-controlled studies to judge how well acupuncture worked.

"I do it all the time," Gan said. "You give patients the acupuncture about half an hour before surgery and continue during surgery. It can reduce post-operative pain."

According to the U.S. National Institutes of Health, scientists do not fully understand how acupuncture works, believing it might help the activity of the body's pain-killing chemicals or affect the regulation of blood pressure and flow.

"I think it is generally applicable to a number of different procedures," Gan said. "In the studies, we looked at abdominal procedures, orthopedic procedures, gynecological procedures."

The research was presented at a conference of the American Society for Anesthesiology in San Francisco.

Tuesday, August 07, 2007

Complementary Medicine and Cancer

WebMd.com seems to really like acupuncture based on the idea that it can do very little (to no) harm and has some positive research. The complex topic of herbs with cancer they do not look on favorably. This is not surprising given the fact that there is so much misinformation and fear/caution about herbal treatments with cancer patients. When I work with a cancer patient I am communicating with the patients' doctor so as not to interfere with conventional treatment and keep the Dr. apprised of what may be helping the patients. There are however, many "non-interfering" periods of cancer treatment where complimentary can be of use.


Acupuncture can be used nearly all the time. Although there is a theoretical caution about using acupuncture when white blood cell counts are low due to possible risk of infection.

Herbs, supplements can be used for a cancer patient safely when prescribed properly in all the following situations
  • Before and during intervals of conventional treatment
  • When a patient is not receiving treatment
  • During conventional treatment to relieve side effects. The research seems mostly weak describing ways to take supplements to improve chemotherapy treatment efficacy.
  • pre surgery preparation, recovery from surgery
  • Post treatment side effects
  • prevention
Treating a cancer patient with herbs and acupuncture is not just about treating cancer. By law I am not allowed to do this. However, within the diagnositic scope of my License as a California Acupuncturist I diagnose blood stagnation, phlegm accumulation, organ imbalances and other variations. The remarkable thing is that this approach to balancing the body that is germane to Chinese Medicine has tremendous benefit to patients and has for a very long time. While the oncologist tends to be focused on disease, I am focused on balancing the patient. Both have a place in the care of cancer patients. Alex


Also called alternative medicine, is the complementary approach a new model for Western medicine?
By R. Morgan Griffin
WebMD Feature
Reviewed by Louise Chang, MD

A few years ago, if you asked your oncologist for a referral to a masseuse, she'd think you were joking. But things have changed. Nowadays, your oncologist might be prescribing the massage -- along with acupuncture, herbs and other therapies.

It's a sign of a new trend: complementary medicine (also called integrative medicineintegrative medicine) is making its way into the mainstream, combining standard medical treatments with complementary ones. Some hospitals have even set up entire integrative medicine centers -- largely because of patient demand.

"Patients love it," says Simone Zappa, RN, an administrator in the Integrative Medicine Department at Memorial Sloan-Kettering Cancer Center in New York. "And they love it because it works."

Complementary treatments help many people with cancer. Massage, acupuncture, and hypnosis are being used along with radiation, chemotherapy, and surgery. These complementary therapies aren't usually intended to treat the cancer itself. But they can ease side effects and improve quality of life. They may even reduce the amount of medicine you need for treatment.

What's more, some of these treatments have been shown to work in scientific studies. The gulf between evidence-based Western medicine and traditional therapies is not as wide as it once was. And many people with cancer are benefiting.

Understanding Complementary Medicine

Complementary medicine includes dozens of treatments that have not been generally used in Western medicine. They extend from nutritional changes, to biofeedback, to yoga.

Experts stress that complementary or integrative medicine is not the same as "alternative medicine." Complementary medicine for cancer is a complement -- not a replacement -- for traditional treatments like radiation, chemotherapy, and surgery. It's an important distinction, since only conventional therapies have been shown to fight cancer.

People with cancer seek out complementary medicine for many reasons. Zappa says that, at Sloan-Kettering, she most often sees people suffering from pain, nausea, depressiondepression, anxiety, and fatiguefatigue. Some are wary of the unusual approach at first. But most are convinced after they try it, says Zappa. "What's great about the integrative approach is that it gives back a feeling of control."

Complementary Medicine's New Converts

For hardened skeptics, phrases like "traditional healing techniques" and "alternative medicine" conjure up images of magic crystals and the smell of incense. But in fact, the people researching complementary medicine -- and sometimes even practicing it -- are likely to be wearing lab coats.

"The people doing this work are not crackpots," says Heather S. Shaw, MD, co-director of the Integrative Oncology Program at Duke University. "I'm an oncologist and I spend a lot of my time parked on a laboratory bench doing research."

Indeed, hospitals with complementary medicine divisions are spearheading research. Experts are using the same rigor in evaluating complementary therapies that they would in testing drugs or surgery. It's not enough to assume that a treatment works just because it's been used for thousands of years. Doctors want evidence.

After seeing the benefits of complementary medicine, many doubting oncologists have been convinced.

"My colleagues used to think I was nuts," Shaw says. "They teased me about prescribing so-called 'herbs and spices'." But now her fellow doctors are always asking her advice on new ways to help their patients.

The Integrative Approach: Is It Proven?

Of course, here's the big question: do we know if complementary medicine really works?

The answer: It depends on the specific treatment. Acupuncture and massage -- which not so long ago were considered pretty far-out -- have been shown to help. Many studies have shown that acupuncture eases chemotherapy nausea, while other studies suggest acupuncture and massage may reduce pain from cancercancer or its treatment.

"A lot of oncologists don't see acupuncture or massage as 'alternative medicine' anymore," says Shaw. "These therapies are so well established that they've become standard."

Other complementary techniques aren't as well researched. So when a treatment is unproven, the question is whether its potential benefits outweigh its risks. If it's risky, it isn't used. But if the risks are very, very low, doctors may be more open.

"If a treatment is safe but unproven, why not give it a try if the patient is interested?" says David S. Rosenthal, MD, medical director of the Center for Integrated Therapies at the Dana Farber Cancer Institute.

Things get trickier with herbal and botanical supplements. Despite their wide popularity, few have been shown to be either safe or effective against cancer. On the other hand, some have been shown to be both ineffective and unsafe. One example is laetrile, which contains a substance found in the pits of some fruits. The active ingredient seems to be cyanide, and it has resulted in symptoms of cyanide poisoning. Some common supplements -- like St. John's wort and high doses of vitamin C -- can interact with chemotherapy and radiation.

"You have to be very careful with botanical and herbal supplements," says Zappa. "They are real drugs and we just don't know a lot about them." She hopes future research will show benefits. But for now, she and other experts urge caution. Given the risks, your doctor must know about all of the herbs, botanicals, and supplements you use.

Will My Insurance Pay for Complementary Medicine?

By and large, insurance companies don't cover complementary care. Specifics vary with each insurer and from state to state. For instance, acupuncture is covered in some states but not others, says Rosenthal.

For now, most complementary medicine is provided on a fee-for-service basis. But advocates of integrative medicineintegrative medicine say this is likely to change.

"A lot of us are doing research now that, we hope, will show the benefits of these therapies," says Rosenthal. "Once we have the evidence, we can make a case to the insurance companies."

Shaw agrees. "We're hoping to show that these treatments will actually save insurers money," she says. "They may reduce hospitalizations and drug costs."

Finding a Complementary Medicine Caregiver

A lot of people may offer "complementary medicine." But how do you know if they're reputable? It's hard to be sure.

You're lucky if you live near a teaching hospital with a complementary or integrative medicine center. Many offer complementary services right in the hospital. If you're not close to such a center, talk to your doctor. He or she may know of people practicing complementary medicine in your area.

You should also look for credentials. For instance, acupuncturists should either have an LAc or be a Doctor of Oriental Medicine, says Shaw. You can see if your state licenses acupuncturists and other providers. The National Center for Complementary and Alternative Medicine has tips for finding qualified caregivers.

Shaw has two rules of thumb when judging good complementary medicine providers. First, they will not make any claims to cure cancercancer. Second, they will not try to convince you to stop conventional therapy. If a practitioner does either, you should find someone else.

There's also the flip side. If you are interested in complementary therapies, it's important your oncologist be open to them. Not every doctor is. Some flat out demand that their patients stop using all complementary therapies, since they don't know enough about them, says Shaw.

"If you want complementary therapies and your oncologist is adamantly opposed to them, you might want to find someone else," says Shaw. "There are a lot of open-minded oncologists out there who will help you."

But Zappa predicts that opposition to integrative medicine will become more and more rare.

"People in medicine are scientists, and scientists rightly need proof that treatments work," she tells WebMD. "But now we finally have a lot of good research coming out. Once the research is out there, no one can ignore it. These treatments really do help people feel better."

WebMD Feature

Published Oct. 23, 2006.SOURCES: American Cancer Society web site, "Complementary and Alternative Therapies." Corbin, L. Cancer Control, July 2005; vol 12: pp 158-164. Memorial Sloan-Kettering Cancer Center web site, "Individual Therapies." National Cancer Institute, "Acupuncture PDQ," "Complementary and Alternative Medicine in Cancer Treatment: Questions and Answers." David S. Rosenthal, MD, professor of medicine, Harvard Medical School; medical director, Leonard P. Zakim Center for Integrated Therapies at the Dana Farber Cancer Institute, Boston. Heather S. Shaw, MD, assistant professor of medicine, Multidisciplinary Breast Program, Duke University Medical Center. Simone Zappa, RN, administrator, Integrative Medicine Department, Memorial Sloan-Kettering Cancer Center, New York. U.S. Department of Health and Human Services, "Thinking about Complementary and Alternative Medicine."
©2005-2007 WebMD, Inc. All rights reserved.
WebMD does not provide medical advice, diagnosis or treatment.

Monday, July 23, 2007

Classic Chinese Herbal Formula Increases Hematopoietic Stem Cells In a Mouse Model

This study demonstrates that the classic chinese herbal formula Xue Fu Zhu Yu Tang (Remove Stasis from the blood mansion) increases hematopoietic stem cells. In TCM terms this formula activates blood and has many uses for patterns of blood stagnation. Modifications of this formula could really be of use for folks that are suffering from bone marrow suppressed anemias. Good to know. Alex

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Jun;27(6):527-30.LinkOut

[Experimental study on effect of xuefu zhuyu decoction on bone marrow hematopoietic stem cells of mice]

[Article in Chinese]

Fujian College of Traditional Chinese Medicine, Fuzhou.

OBJECTIVE: To investigate the effect of Xuefu Zhuyu Decoction (XFZYD) on the number, phenotype, cell cycle and colony formation of bone marrow hematopoietic stem cells (HSC) in mice. METHODS: Kunming mice were randomly divided into 4 groups: the control group, the low- (3.25 g/kg), middle- (6.5 g/kg) and high-dose (13.0 g/kg) XFZYD groups. After they were medicated by gastrogavage respectively with saline or corresponding dose of XFZYD for 7 days, their bone marrow HSC were separated and counted. The phenotype Sca and cell cycle of HSC were detected by flow cytometer, and the colony formation was determined with semisolid methyl media culture. RESULTS: No obvious difference in the number of mononuclear cell, suspended cell and colony production was found among all the groups (P > 0.05); while the expression of CD34 and Sca-1 increased in the low-dose XFZYD group, but in the middle-dose XFZYD group increase only showed in Sca-1 expression. CONCLUSION: XFZYD plays a role of removing blood stasis and promoting regeneration through improving hematopoietic function by means of increasing the number and enhancing the function of premature HSC.

PMID: 17633366 [PubMed - in process]

Classic Chinese Herbal Formula increases Hematopoietic tem cells in a rat model

This study demonstrates that the classic chinese herbal formula Xue Fu Zhu Yu Tang (Remove Stasis from the blood mansion) has a good effect on the


Gao D, Lin JM, Zheng LP. [Experimental study on effect of xue fu zhu yu
decoction on bone marrow hematopoietic stem cells of mice] [Article in
Chinese] Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Jun;27(6):527-
30.
Fujian College of Traditional Chinese Medicine, Fuzhou. OBJECTIVE: To
investigate the effect of Xuefu Zhuyu Decoction (XFZYD) on the number,
phenotype, cell cycle and colony formation of bone marrow hematopoietic
stem cells (HSC) in mice. METHODS: Kunming mice were randomly divided
into 4 groups: the control group, the low- (3.25 g/kg), middle- (6.5 g/kg) and
high-dose (13.0 g/kg) XFZYD groups. After they were medicated by
gastrogavage respectively with saline or corresponding dose of XFZYD for 7
days, their bone marrow HSC were separated and counted. The phenotype
Sca and cell cycle of HSC were detected by flow cytometer, and the colony
formation was determined with semisolid methyl media culture. RESULTS:
No obvious difference in the number of mononuclear cell, suspended cell
and colony production was found among all the groups (P > 0.05); while the
expression of CD34 and Sca-1 increased in the low-dose XFZYD group, but
in the middle-dose XFZYD group increase only showed in Sca-1 expression.
CONCLUSION: XFZYD plays a role of removing blood stasis and promoting
regeneration through improving hematopoietic function by means of
increasing the number and enhancing the function of premature HSC. PMID:
17633366 [PubMed - in process]

Sunday, July 22, 2007

Herbal Aids for Cancer Review of 7 Herbs That Act As Biological Response Modifiers

The way I make an herbal formulas for a cancer patient is to integrate Western biochemical knowledge about herbs combined with traditional understandings of the herbs. This is done for at least 2 reasons. First it is not enough to just use a single herb or group of herbs for their effects on a certain chemical messenger or part of the immune system. This is incomplete. What happens if that herb is very warm propertied and the patient has a lot of heat to start with so to give that kind of herb would be making a bad situation worse. TCM's (traditional Chinese Mediicne) goal is to balance the body, by nudging the body towards balance the homeostatic mechanisms of the body - all of them - stand a better chance of working more effectively and efficiently. There are exceptions to this where an imbalanced formula can be of benefit. Second, in Chinese Medicine herbs work synergestically together. Chinese medicine's approach is to create harmony within the body systems. Good Chinese medicine is not about reducing herbs to an active ingredient and then extracting that. This inherently leads to imbalances or said another way strong effects and strong side-effects

Also TCM formulas take into account the dynamic balance of the individual. So even if there are strong and possibly toxic anti-cancer herbs there will also be herbs to support assimilation, combat the toxicity and regulate the dynamic balance of the body. The proof of this strategy being effective for a cancer patient can be measured in many ways depending on the situation. The main ways I think about it are quality of life, increase in longevity, less side effects from conventional treatment and better response to conventional treatment. This really is my message about treating cancer patients.

Alex

Herbal Aids for Cancer Review of 7 Herbs That Act As Biological Response Modifiers

Cancer treatments are a paradox, on one hand delivering powerful toxicity to a tumor, but on the other spreading toxicity to the rest of the body. The side effects of such treatments may cause death even before the cancer does. Biological response modifiers (BRMs) are compounds that have a unique effect on physiology and can reduce the side effects of cancer treatments, while at the same time increasing their effectiveness.

A BRM repairs damage to the body rather than targeting a pathogenic agent such as cancer. It typically acts by stimulating the immune system to restore optimal function. Many diseases and infections as well as AIDS result from immune surveillance failure. Because chemotherapy compromises the immune system, people receiving cancer treatments run an especially high risk of contracting and dying of infections.

Cytokines, hormones naturally produced in the body, promote immunity and are often used clinically as BRMs—to treat disease, fight viral infections and augment chemotherapy. Three pharmaceutical cytokines currently in use include colony-stimulating factors that reduce the chance of infection and thus the need for antibiotics by stimulating bone marrow to produce more white blood cells; interferons that stimulate macrophages to ingest foreign particles and help the body produce antiviral chemicals; and interleukins that stimulate growth and activation of white blood cells. The therapeutic use of these cytokines, called immunotherapy, as a cancer treatment both with and without standard anti-cancer drugs is marginally successful. Side effects such as depression, nausea and chest pain, however, can limit the effectiveness of some pharmaceutical cytokines.

Many herbs have long been known to affect the immune system, but only recently have scientists considered them as possible BRMs and adjunct cancer therapies. Such herbs often prompt the body's cells to secrete cytokines, which then enhance the immune response. The most promising of these herbs include black cumin, mistletoe, ginseng, astragalus, green tea, echinacea and garlic.