Cystic+Fibrosis

IBIS:

Definition:
An inherited disease of the ecrine perspiration glands and the exocrine glands, causing problems mainly in the digestive and respiratory tracts. CF usually begins in infancy presenting as chronic respiratory infections, abnormally thick mucus secretions, pancreatic insufficiency, and susceptibility to extremes of heat.

Etiology:
CF is an inherited autosomal recessive gene, although the underlying metabolic defect is unknown. It is more common in white people (1:1600-2000), than black people (1:17,000), and is rare in Orientals. It is most common in descendants of European origin. In 90% of patients, diagnosis is made in infancy or childhood: 10% of patients with milder symptoms escape detection until adolescence or young adulthood.

Glandular involvement occurs in one of three ways: • Glands becoming clogged by viscid or solid eosinophilic material in the lumen (intestinal glands, pancreas, gallbladder, submaxillary glands and intrahepatic glands). • Glands that produce an marked increase in their normal histological secretions (tracheal, bronchial, Brunner's glands). • Glands that produce normal histological secretions, but exude excessive amounts of sodium and chloride (sweat, small salivary, and parotid glands).

Nutrition:
eating principles: • 60-75% complex carbohydrates • 10-15% fat mostly from Medium Chain Triglycerides (MCT), caprylic and capric fatty acids as a liquid fat used like vegetable oil • 15-30% protein

therapeutic foods: • foods rich in Vitamin A without fat • foods that rid Dampness and tonify the Lung • organic Sodium foods (celery) in hot summer months

avoid: • meat, alcohol, hot sauces, spicy foods, fried foods, fatty foods, rich foods, salty foods, coffee, caffeine, sweet foods and sugar

Chinese Formulae
• Platycodon and Fritillaria (Dharmananda) • Pinellia 16 (Dharmananda)

Acupuncture
after assessing the person and palpating, consider these patterns: Lung Obstructed by Damp-Phlegm; Lung Qi Xu (Deficiency); Heart Qi and/or Yin Xu (Deficiency); Kidney Xu (Deficiency)

» illustrative combinations: • CV-22 and CV-17 (+): ease difficult breathing; spread Lung Qi; resolve Phlegm (Ambrose); to treat dyspnea and cough (Ellis, et al, 1988, p. 360) • CV-12 and St-36 (+ and D): strengthen Spleen; warm Spleen Yang; transform Dampness • CV-4 and St-36 (+): tonify Qi, esp. Spleen and Kidney; nourish "source" • Lv-5, TW-6 and GB-34: loosen and disperse Qi in the intercostal region (Finkelstein, p. 74) • St-40 and PC-6: dissolve Phlegm, expand chest, harmonize the center, and relieve congestion (Finkelstein, p. 22) • Lu-7 and Kd-6: open and regulate the Ren Mai (Conception Vessel) for which Phlegm congestion as well as respiratory conditions are signs of dysfunction • PC-6 and Sp-4: open the Yin Wei Mai (Yin Linking Vessel) for which dyspnea and oppression in the chest are symptoms of Shi (Excess) • navel treatment a la Matsumoto for weak connective tissue and/or Xu (Deficiency) of the Kidney and/or Spleen due to birth trauma induced by improper severing of the umbilical cord causing damage to the ligamentum teres hepatis (Matsumoto)

Homeopathy
• Antimonium tartaricum: great rattling of mucus, but little expectorated; burning sensation in chest; must sit up; bronchial tubes overloaded with mucus • Arsenicum album: wheezing respiration; unable to lie down, fears suffocation; airways constricted; suffocative catarrh; profuse perspiration; asthmatic respiration • Carbo vegetabilis: spasmodic gagging and vomiting of mucus; wheezing and rattling of mucus in chest; spells of long coughing attacks < evening, open air, after eating and talking; profuse perspiration, cyanosis • Hepar sulphur: choking cough; suffocative attacks, has to rise up and bend head backwards; anxious wheezing; profuse expectoration • Ipecacuanha: cough incessant and violent, with every breath; chest full of phlegm but does not yield to cough; bubbling rales

also Calcarea fluorica as cell salt to address fluoric diathesis (Broadwell)

Mind/Body
• A thick belief that life won't work; self-pity. (Hay, 1984, p. 161)

• Lung ~ Fei is the home of the Po (Corporeal Soul); governs the Qi; facilitates the immune function by assisting the dispersal of the Wei (Protective) Qi; regulates the rhythm of respiration, the pulse, and all bodily processes; relates to strength and sustainability; moves and adjusts fluid metabolism. » Healthy expressions are righteousness and courage. » Weakness, dysfunction, and illness are associated with excessive grief, sadness, worry, and depression. Worry depletes the Lung Qi. » Lung Xu (Deficiency) signs include cold shoulder and back; changing complexion; inability to sleep (Seem, p. 28); shortness of breath; changes in urine color; rumbling in the bowels with loose bowel movements; pallor; malar flush; chills; sniffles; sneezing; light cough; and sensitivity to cold. Lung Qi Xu (Deficiency) can lead to Lung Shi (Excess) with Phlegm accumulation. » Lung Shi (Excess) signs include panting; yawning; sneezing (Seem, p. 28); pain in the upper back, shoulder, and chest; colds with stuffed nose; hoarseness; wheezing respiration; frequent urination with small amounts; heavy chest; reduced lung capacity; coughing; and nasal discharge. Chronic Damp-Phlegm Shi (Excess) is usually associated with deficiency of Lung Qi.
 * Chinese psychophysiology:**

• Spleen ~ Pi resolves Dampness and Phlegm and relates to the ability to assimilate, stabilize, and feel balanced and centered. » Healthy expressions are fairness, openness, deep thinking, and reminiscence. » Spleen Shi (Excess) signs include heaviness (excess "form"); large abdomen; great sighing; sadness; obsessions and nightmares (Seem, p. 28); abdominal pain; irregular appetite; stickiness in the mouth and on lips; red lips; chest congestion; fatigue; and constipation. Phlegm Shi (Excess) usually derives from Xu (Deficiency) of Spleen Yang and/or Qi. » Spleen Xu (Deficiency) signs include slightness (deficient "form"); abundant elimination; morning fatigue; cold, wet feet (Seem, p. 28); abdomen taut and distended like a drum; craving for sweets; flatulence; nausea; mild edema; memory failure; heavy feeling in legs; easy bruising; pale lips; loose stools; muscular weakness; and, indirectly, obesity. » The excessive use of the mind in thinking, studying, concentrating, and memorizing over a long period of time tends to weaken the Spleen. This also includes excessive pensiveness and constant brooding. (Maciocia, p. 241) Likewise, inadequate physical exercise, overexposure to external Dampness, and excess consumption of sweet and/or Cold foods will also deplete the Spleen.

• Kidney ~ Shen stores Jing (Essence) and governs birth, growth, reproduction, development, and aging; houses the Zhi (Will); expresses ambition and focus; governs Water to regulate body fluids; and relates particularly to congenital conditions because it carries the constitutional endowment from the parents. » Healthy expressions are gentleness, groundedness, and endurance. » Kidney Xu (Deficiency) signs include indecisiveness; confused speech; dreams of trees submerged under water; cold feet and legs; abundant sweating (Seem, p. 28); hearing loss; fearfulness; apathy; chronic fatigue; discouragement; scatteredness; lack of will; negativity; impatience; difficult inhalation; low sex drive; lumbago; sciatica; and musculoskeletal irritation and inflammation, especially when worse from touch. » Intense or prolonged fear depletes the Kidney. Overwork, parenting, simple aging, and a sedentary or excessively indulgent lifestyle all contribute significantly to Kidney Xu (Deficiency). The state of health of the parents' Kidneys, particularly deficiency, establishes the parameters of their child's health through the energetic transmission of the Jing.