2023-04-18

©1

Lung & Lung Diseases - A TalkMorwenna GivenBA MA (Oxon) BSC OHG BHG AHG RH

2023-04-18

©

2

WHO AM I ?I am a Medical Herbalist practising in downtown Toronto treating a variety of disorders/ disease from constipation to cancer

www.medicusherbis.com

2023-04-18

©

3

WHAT DO I DO?

I ASSESS THE CONDITION ( DIAGNOSE ) , EXAMINE THE PATIENT, TAKE A CASE HISTORY, COMPOUND ( PRESCRIBE ); IDENTIFY THE CAUSE OF THE PROBLEM WITH THE OBJECTIVE OF RESOLVING IT WITH PLANT DRUGS ON AN EVIDENCED BASED BASIS.

2023-04-18

©

4

LUNGS – WHAT ARE THEY?

2023-04-18

©

5

WHAT DO THEY DO? Inhale – oxygen Pump Exhale – carbon dioxide Pump Filter particles Defend Expel pathogens Defend Help you loose weight! Excretion The sole source of oxygen for our bodies

without which we could not live.

2023-04-18

©

6

WHERE DO THEY ORIGINATE?

In the developing fetus there are 3 layers of tissue one of which – the ectoderm develops into the lungs, vagus nerve, gastrointestinal tissues

The vagus nerve is the common pathway for all these tissues to communicate with the brain.

2023-04-18

©

7

Continued Think of the relationship of breathing and vomiting

as an example of the vagus nerve at work. The discovery of embryonic and induced pluripotent

stem cells has ushered in an exciting new era of regenerative medicine. Human pluripotent stem cells can be "directed" in vitro toward lung epithelium of growth factors that recapitulate the molecular mechanisms of respiratory development in animal models. Embryonic and induced pluripotent stem cells for lung regeneration.

Hawkins F, Kotton DN. Ann Am Thorac Soc. 2015 Mar;12

2023-04-18

©

8

Lung structure- Tree The Trachea ( breathing tube ) leads to the

bronchial tree which is divided into an arm for each lung with further subdivisions off it – ( bronchi ) this is further divided into broncioles supplied by arteries, veins, lymphatics.

At the end of the bronchiole is a special set of cells ( alveoli ) where oxygen and carbon dioxide diffuse out/in on pressure gradient. The pleural sac enables the in/out – up/down motion of breathing.

2023-04-18

©

9

RELATIONSHIP TO THE BODY The lungs oxygenate the arteries via the

heart The lungs provide vocalisation The lungs in conjunction with the

kidneys control blood pressure, and the acid base balance of the body

2023-04-18

©

10

HARMS TO THE LUNGS

Smoking Chemicals – air and occupation Low oxygen environments Infections, viral, bacterial, fungal Drugs

2023-04-18

©

11

DRUG INDUCED LUNG HARMS

Thrombolytics, aspirin, opiates in overdose

Amiodarone, methotrexate Anti microbials in excess, naproxene and

if eosinophilia Phenytoin, carbamazepine Beta blockers, NSAIDS Occasionally tamoxifen in asthma Chemo

2023-04-18

©

12

LUNG DEFENCES Fine hairs – nose ears Mucus – nose throat mouth lungs Glands Cough Innate and adaptive systems of

immunity Sense of smell

2023-04-18

©

13

LUNG DISEASE IN CANADA It is estimated that 3million peopleSuffer from chronic lung disease primarily caused by smoking - @ 10% of the population.

Asthma is the most common chronic disease in Canada

2023-04-18

©

14

LUNG DISEASES EXTERNAL INTERNAL GENETIC INTERSTITIAL BACTERIAL, FUNGAL VIRAL ALTERATION OF STRUCTURE

2023-04-18

©

15

EXTERNAL SMOKING Asthma - allergens - Aspergillus Acute bronchitis - vIruses Pneumonia Toxins – ammonia, smoke, chlorine,

asbestos, environmental work chemicals and minerals – farming, water, birds, animals, grains, wood, textiles, mining & chemicals.

2023-04-18

©

16

INTERNAL

Pernicious Anaemia Sickle Cell haematological diseases Loss of kidney function Loss of heart function Bones and tumours pressing on the

lungs - kyphosis, lymphoma etc

2023-04-1817

GENETIC ALPHA1 ANTI TRYPSIN DEFICIENCY CYSTIC FIBROSIS SICKLE CELL NIEMANN PICK GAUCHER’S

2023-04-18

©

18

INTERSTITIAL SARCOIDOSIS – CONNECTIVE TISSUES RHEUMATOID ARTHRITIS FIBROSING ALVEOLITIS MESOTHELIOMA – ENVIRONMENTAL CIRCULATORY DISORDERS TB AND VIRAL INFECTIONS All involve fibrosis and breathlessness

2023-04-18

©

19

BACTERIAL FUNGAL VIRAL MYCO BACTERIUMS AEROBIC BACTERIA STAPHYLCOCCUS

AUREUS ANEROBIC BACTERIA – CLOSTRIDIUM FUNGI PARASITES - AMOEBAS

2023-04-18

©

20

ALTERATION OF STRUCTURE

ACUTE BRONCHITIS CHRONIC BRONCHITIS BROCHOLITIS BRONCHIECTASIS COPD EMPHYSEMA CANCER

2023-04-18

©

21

Conflicting names THESE FIVE NAMES REFLECT A

PROGRESSIVE ALTERATION OF STRUCTURE THEY MADE NOT BE DUE TO THE SAME

CAUSE IT IS NOT NECESSARY FOR DISEASE TO

FOLLOW A SEQUENTIAL PATH BUT THEY CAN USUALLY BE IDENTIFIED AS

HAVING AN EXTERNAL CAUSE. ALL INFLAMMATORY DISEASES

2023-04-18

©

22

BRONCHIOLITIS Continuous chronic hyper secretion with

a productive cough for 3 months in 2 successive years

2023-04-18

©

23

BRONCHIECTASIS Chronic cough / coughing up blood Produces thick tenacious sputum Breathlessness and wheezing Low grade fever Honeycombing of the lungs with mucous

plugs, cysts and structural abnormalities Reduced FEV Superimposed infections e.g MBAC

2023-04-1824

2023-04-1825

2023-04-18

©

26

COPD The lungs have chronic obstructive

pulmonary disease usually with Signs of emphysema – hyper resonance Yrs to develop Wheezing Barrel chest Lack of breath/oxygen low FEV

2023-04-18

©

27

Pathophysiology 30% patients have bacterial pathogens

in the lungs Airflow obstruction caused by mucus

plugging and hypersecretion Bronchospasm Inrease effort of breathing causes a

ventilation mis match – hypoxia Pulmonary hypertension

2023-04-18

©

28

Emphysema & Cancer Emphysema is a chronic lung disease

where the lung parenchyma has been destroyed following COPD in most cases

Cancer develops from an inappropriate lifestyle /smoking in 90% of cases leading to a formation of a tumour in the lungs and is a systemic disease leading to alteration of lung structure - NSCLC

2023-04-18

©

29

Lung Cancer results - (Broffman & McCulloch, et al. Integrative Cancer Therapies, Aug 2011)!

2023-04-18

©

30

(Kaiser Registry,CCR = California Cancer Registry)!

2023-04-1831

STALE NEWS! “The use of immunotherapy that

harnesses and enhances the innate powers of the immune system to fight cancer cells represents the most promising new cancer treatment “

Targeting the immune system to treat lung cancer: rationale and clinical experience. Guibert N, Delaunay M, Mazières J. Ther Adv Respir Dis. 2015 Mar 31

2023-04-18

©

32

Wake up symptoms to check the lungs

Unexplained coughs High level of sputum History of bronchial infection Blood in mucus from airways Breathlessness Fatigue Pain – and pain in kidneys Clubbing

2023-04-1833

prevention Hygiene – childhood history of bronchial

disease No smoking Exercise Low body weight - increase Air quality Occupation

2023-04-1834

Bronchiectasis case study

Female Teacher aged 63yrs Hx of childhood pneumonia & bronchitis Father carpenter worked in his studio Brochiectasis ddx 12 yrs ago – provided

with ‘pink puffer’ no other drugs Sx persistent cough , rashes, anaemia,

pins & needles, hot flushes, significant consolidation to 6th rib FEV: 200 thick sputum

2023-04-1835

Protocol Compound tincture includes:

Eccinachea, Elecampane, Western Cedar, Thyme, Milk thistle, Licorice, Mullein

Given zinc, vitamin D, garlic, fish oils, selenium, Floravit

Over 1 year the protocol has changed to reflect the improvement

2023-04-1836

Result: Huge improvement! Sleep good, no coughing no sputum No pins and needles No palpitations Normal zinc Consolidation reduced to T8 Reduced hot flushes by 75% Good energy No colds, flu or infections No itching No breathlessness

2023-04-18

©

37

Cancer – case studyMale aged 68 yrs. Non smoker. Engineer with exposure to airfields. Chose only to do partial lobectomy no chemo no radiation.Co-morbidity temporal arteritis, RA, loss of eye, mild emphysemaInitial bloodwork – vitamin D, very low, TSH very low, low zinc, high fibrinogenPredisoneHuge stress in lifestyle

2023-04-18

©

38

ProtocolExtensive pill protocol including zinc, vitamin D, etcHerbal compound includes:Wild indigo, Salvia milithorriza, Blood root, withania, lobelia, skullcap, innula, birch, black cohorsh MayappleExerciseStress managementDiet

2023-04-18

©

39

Outcomes Prepped herbally for op – optimum

result and recovery Normal blood work - thyroid normal Latest check up via CT / Ultra sound all

clear March 2015 No SX normal life Now into 2 years past diagnosis Px has just gone on holiday Beaten the conventional odds by 80%

2023-04-18

©

40

PROTECT YOUR LUNGS! NO SMOKING EXERCISE BMI EAT A BALANCED DIET LIMIT YOUR EXPOSURE TO

CARCINOGENS AND USE A FACE MASK when renovating

2023-04-18

©

41

Caveats ! The compounds that I give do not come from

over the counter products Only registered herbalists may compound and

use these products which are made under the same regulations as drugs

If you self treat, you may cause further problems Please do not confuse these plants/medicine with

supplements which by law cannot have medically therapeutic effects

2023-04-18

©

42

References

Nearly all references can be found on Pubmed.

2023-04-18

©

43

Thank you

MORWENNA GIVEN BA MA BSC M.OHA BHG AHG RH

MEDICAL HERBALIST www.medicusherbis.com