Monday, February 23, 2009

Systemic lupus erythematosus

Systemic lupus erythematosus is a chronic, often life-long, 
autoimmune disease that ranges from mild to severe and afflicts 
mostly women. The primary characteristics of the disease are fatigue, 
joint pain, and recurrent injuries in the vessels that course through 
the body. Systemic lupus erythematosus (SLE) may affect widespread 
sites, but it often manifests in the skin, joints, blood, and 
kidneys. SLE was first described in 1828. Its name includes "lupus," 
from the Latin term for wolf, because the disease often produces a 
rash that extends across the bridge of the nose and upper cheekbones 
and was thought to resemble a wolf bite. The term erythematosus (from 
the Greek word for red) refers to the color of the rash, and the term 
systemic is used because the disease can affect organs and tissue 
throughout the body. 

Lupus is a chronic, often life-long, autoimmune disease that ranges 
from mild to severe and afflicts mostly women. The primary 
characteristics of the disease are fatigue, joint pain, and recurrent 
injuries in the vessels that course through the body. Systemic lupus 
erythematosus (SLE) may affect widespread sites, but it often 
manifests in the skin, joints, blood, and kidneys. SLE was first 
described in 1828. Its name includes "lupus," from the Latin term for 
wolf, because the disease often produces a rash that extends across 
the bridge of the nose and upper cheekbones and was thought to 
resemble a wolf bite. 

The term erythematosus (from the Greek word for red) refers to the 
color of the rash, and the term systemic is used because the disease 
can affect organs and tissue throughout the body. 

Treatment of SLE varies depending on the extent and severity of the 
disease. Many therapies can suppress symptoms and relieve discomfort. 
Milder treatments are usually effective for symptoms such as fever, 
arthritis, pleurisy, mild kidney involvement, inflammation of the 
tissue surrounding the heart, headaches, and rash. More aggressive 
treatment is needed if there is serious disease progression, 
evidenced by the following: hemolytic anemia, low platelet count with 
an accompanying rash (thrombocytopenic purpura), major involvement in 
the lungs or heart, significant kidney damage, acute inflammation of 
the small blood vessels in the extremities or gastrointestinal tract, 
or severe central nervous system symptoms. 

Consider this: 

Patients have reported benefits from certain herbs, such as Essiac 
Tea (used in tea and other preparations) . 

White Willow Bark is a good anti-inflammatory that works like aspirin 
(it is an ingredient in aspirin) with out side effects to the stomach 
or gastrointestinal tract. 

Cat's claw, black walnut, omega-3 fatty acids and flaxseed oil are 
helpful to lessen inflammation. Colloidal silver may be used as an 
antibacterial, antifungal, and anti-arthritic remedy. 

NOTE: many lupus patients are on several different Western 
medications. Before starting any herbal regime, please consider 
consulting an herbalist with experience in this disorder. Herbal 
medicine can be taken safely when used two hours before or after 
Western medicine to avoid side effects.

Cultivating a healthy diet low in saturated fats and high in whole 
grains and fresh vegetables and fruits is essential. Obtaining most 
proteins from vegetables, particularly soy, and avoiding dairy and 
meat products may help protect the kidneys. 

Patients should take extra calcium (1500 mg in divided doses, 
a.m./p.m.) and vitamin D, particularly if they are on 
corticosteroids. Supplements of vitamins B12, B6, and folate may be 
necessary, especially in people whose blood tests show high levels of 
homocysteine. According to some studies, a diet rich in fruits and 
vegetables can lower homocysteine levels. Homocysteines are a by 
product of protein digestion. A normal level of homocysteine is 
9mg/dl or less. 800 micrograms a day of the B vitamin, folate, lowers 
homocysteine to normal levels. 

Exercise is safe. Take it slow and at your own pace. 

Certain Chinese herbal formulas and acupuncture have been very 
effective in treating symptoms and regulating the immune system.
In a 1997 meta-analysis of 17 studies on acupuncture and lupus 
discovered that acupuncture seems to lessen and even relieve the 
pain associated with inflammatory diseases such as lupus, rheumatoid 
arthritis, and local and progressive systemic scleroderma. 
Seek out a qualified herbalist/acupunctu rist in your area. 

Studies on foods containing omega-3 fatty acids, including fish oil 
and flax seed, have been showing benefits for SLE patients. Take 
1,000 mg of flaxseed or fish oil 2 times a day. 

Researchers are also investigating compounds called indoles, also 
known as mustard oil, which are found in broccoli, cabbage, Brussels 
sprouts, cauliflower, kale, kohlrabi, collard and mustard greens, 
rutabaga, turnips, and bok choy. Indoles stimulate enzymes that 
convert estrogen to a more benign type. Eating vegetables certainly 
will not cure SLE, but they offer many health benefits in general. 

Patients should minimize their exposure to crowds or people with 
contagious illnesses. Immunizations against influenza and 
pneumococcal pneumonia are usually recommended, although flu shots 
can cause flares. Careful dental hygiene is also important. 

Simple preventative measures include avoiding overexposure to 
ultraviolet rays and wearing protective clothing and sun blocks. 

Allergy shots, which increase certain SLE antibodies, should be 
avoided. In general, SLE patients should use only hypoallergenic 
cosmetics or hair products. 

Chronic stress has profound physical effects and influences the 
progression of SLE. Patients should try to avoid undue emotional or 
physical stress. Getting adequate rest of at least 8 hours and 
possibly a nap during the day may be helpful. Maintaining social 
relationships and healthy activities help prevent the depression and 
anxiety associated with the disease. 

Consider diffusing essential oils into the air such as Lavender, 
Clary Sage or Chamomile when stressed. 

Yoga breath exercises, deep breathing, makes a great difference in 
any stressful situation. 

Andrew Pacholyk, MS, L.Ac
Therapies for healing
mind, body, spirit

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