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Lung & Lung
Diseases -
A Talk
Morwenna Given
BA MA (Oxon) BSC
OHG BHG AHG RH
©1
2015-04-13
WHO AM I ?
2015-04-13
©
2
I am a Medical Herbalist practising in
downtown Toronto treating a variety
of disorders/ disease...
WHAT DO I DO?
I ASSESS THE CONDITION ( DIAGNOSE ) , EXAMINE THE
PATIENT, TAKE A CASE HISTORY, COMPOUND (
PRESCRIBE ); IDEN...
LUNGS – WHAT ARE THEY?
2015-04-13
©
4
WHAT DO THEY DO?
 Inhale – oxygen Pump
 Exhale – carbon dioxide Pump
 Filter particles Defend
 Expel pathogens Defend
...
WHERE DO THEY ORIGINATE?
 In the developing fetus there are 3 layers
of tissue one of which – the ectoderm
develops into ...
Continued
 Think of the relationship of breathing and vomiting
as an example of the vagus nerve at work.
 The discovery ...
Lung structure- Tree
 The Trachea ( breathing tube ) leads to the
bronchial tree which is divided into an arm for
each lu...
RELATIONSHIP TO THE BODY
 The lungs oxygenate the arteries via the
heart
 The lungs provide vocalisation
 The lungs in ...
HARMS TO THE LUNGS
 Smoking
 Chemicals – air and occupation
 Low oxygen environments
 Infections, viral, bacterial, fu...
DRUG INDUCED LUNG
HARMS
 Thrombolytics, aspirin, opiates in overdose
 Amiodarone, methotrexate
 Anti microbials in exce...
LUNG DEFENCES
 Fine hairs – nose ears
 Mucus – nose throat mouth lungs
 Glands
 Cough
 Innate and adaptive systems of...
LUNG DISEASE IN CANADA
 It is estimated that 3million people
Suffer from chronic lung disease primarily
caused by smoking...
LUNG DISEASES
 EXTERNAL
 INTERNAL
 GENETIC
 INTERSTITIAL
 BACTERIAL, FUNGAL VIRAL
 ALTERATION OF STRUCTURE
©
14 2015...
EXTERNAL
 SMOKING
 Asthma - allergens - Aspergillus
 Acute bronchitis - vIruses
 Pneumonia
 Toxins – ammonia, smoke, ...
INTERNAL
 Pernicious Anaemia
 Sickle Cell haematological diseases
 Loss of kidney function
 Loss of heart function
 B...
GENETIC
 ALPHA1 ANTI TRYPSIN DEFICIENCY
 CYSTIC FIBROSIS
 SICKLE CELL
 NIEMANN PICK
 GAUCHER’S
17 2015-04-13
INTERSTITIAL
 SARCOIDOSIS – CONNECTIVE TISSUES
 RHEUMATOID ARTHRITIS
 FIBROSING ALVEOLITIS
 MESOTHELIOMA – ENVIRONMENT...
BACTERIAL FUNGAL VIRAL
 MYCO BACTERIUMS
 AEROBIC BACTERIA STAPHYLCOCCUS
AUREUS
 ANEROBIC BACTERIA – CLOSTRIDIUM
 FUNGI...
ALTERATION OF STRUCTURE
 ACUTE BRONCHITIS
 CHRONIC BRONCHITIS
 BROCHOLITIS
 BRONCHIECTASIS
 COPD
 EMPHYSEMA
 CANCER...
Conflicting names
 THESE FIVE NAMES REFLECT A
PROGRESSIVE ALTERATION OF STRUCTURE
 THEY MADE NOT BE DUE TO THE SAME
CAUS...
BRONCHIOLITIS
 Continuous chronic hyper secretion with a
productive cough for 3 months in 2
successive years
©
22 2015-04...
BRONCHIECTASIS
 Chronic cough / coughing up blood
 Produces thick tenacious sputum
 Breathlessness and wheezing
 Low g...
24 2015-04-13
25 2015-04-13
COPD
 The lungs have chronic obstructive
pulmonary disease usually with
 Signs of emphysema – hyper resonance
 Yrs to d...
Pathophysiology
 30% patients have bacterial pathogens in
the lungs
 Airflow obstruction caused by mucus
plugging and hy...
Emphysema & Cancer
 Emphysema is a chronic lung disease
where the lung parenchyma has been
destroyed following COPD in mo...
Lung Cancer results - (Broffman &
McCulloch, et al. Integrative Cancer Therapies, Aug
2011)!
©
29 2015-04-13
(Kaiser Registry,
CCR = California Cancer Registry)!
©
30 2015-04-13
STALE NEWS!
 “The use of immunotherapy that
harnesses and enhances the innate
powers of the immune system to fight
cancer...
Wake up symptoms to check
the lungs
 Unexplained coughs
 High level of sputum
 History of bronchial infection
 Blood i...
prevention
 Hygiene – childhood history of bronchial
disease
 No smoking
 Exercise
 Low body weight - increase
 Air q...
Bronchiectasis case study
 Female Teacher aged 63yrs
 Hx of childhood pneumonia & bronchitis
 Father carpenter worked i...
Protocol
 Compound tincture includes:
Eccinachea, Elecampane, Western
Cedar, Thyme, Milk thistle, Licorice, Mullein
 Giv...
Result: Huge improvement!
 Sleep good, no coughing no sputum
 No pins and needles No palpitations
 Normal zinc
 Consol...
Cancer – case study
Male aged 68 yrs. Non smoker. Engineer
with exposure to airfields. Chose only to do
partial lobectomy ...
Protocol
Extensive pill protocol including zinc, vitamin
D, etc
Herbal compound includes:
Wild indigo, Salvia milithorriza...
Outcomes
 Prepped herbally for op – optimum result
and recovery
 Normal blood work - thyroid normal
 Latest check up vi...
PROTECT YOUR LUNGS!
 NO SMOKING
 EXERCISE
 BMI
 EAT A BALANCED DIET
 LIMIT YOUR EXPOSURE TO CARCINOGENS
AND USE A FAC...
Caveats !
 The compounds that I give do not come from
over the counter products
 Only registered herbalists may compound...
References
 Nearly all references can be found on
Pubmed.
©
42 2015-04-13
Thank you

 MORWENNA GIVEN
 BA MA BSC M.OHA BHG AHG RH
 MEDICAL HERBALIST www.medicusherbis.com ©
43 2015-04-13
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  1. 1. Lung & Lung Diseases - A Talk Morwenna Given BA MA (Oxon) BSC OHG BHG AHG RH ©1 2015-04-13
  2. 2. WHO AM I ? 2015-04-13 © 2 I am a Medical Herbalist practising in downtown Toronto treating a variety of disorders/ disease from constipation to cancer www.medicusherbis.com
  3. 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. © 3 2015-04-13
  4. 4. LUNGS – WHAT ARE THEY? 2015-04-13 © 4
  5. 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. © 5 2015-04-13
  6. 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. © 6 2015-04-13
  7. 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 © 7 2015-04-13
  8. 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. © 8 2015-04-13
  9. 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 © 9 2015-04-13
  10. 10. HARMS TO THE LUNGS  Smoking  Chemicals – air and occupation  Low oxygen environments  Infections, viral, bacterial, fungal  Drugs © 10 2015-04-13
  11. 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 © 11 2015-04-13
  12. 12. LUNG DEFENCES  Fine hairs – nose ears  Mucus – nose throat mouth lungs  Glands  Cough  Innate and adaptive systems of immunity  Sense of smell © 12 2015-04-13
  13. 13. LUNG DISEASE IN CANADA  It is estimated that 3million people Suffer from chronic lung disease primarily caused by smoking - @ 10% of the population. Asthma is the most common chronic disease in Canada © 13 2015-04-13
  14. 14. LUNG DISEASES  EXTERNAL  INTERNAL  GENETIC  INTERSTITIAL  BACTERIAL, FUNGAL VIRAL  ALTERATION OF STRUCTURE © 14 2015-04-13
  15. 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. © 15 2015-04-13
  16. 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 © 16 2015-04-13
  17. 17. GENETIC  ALPHA1 ANTI TRYPSIN DEFICIENCY  CYSTIC FIBROSIS  SICKLE CELL  NIEMANN PICK  GAUCHER’S 17 2015-04-13
  18. 18. INTERSTITIAL  SARCOIDOSIS – CONNECTIVE TISSUES  RHEUMATOID ARTHRITIS  FIBROSING ALVEOLITIS  MESOTHELIOMA – ENVIRONMENTAL  CIRCULATORY DISORDERS  TB AND VIRAL INFECTIONS  All involve fibrosis and breathlessness © 18 2015-04-13
  19. 19. BACTERIAL FUNGAL VIRAL  MYCO BACTERIUMS  AEROBIC BACTERIA STAPHYLCOCCUS AUREUS  ANEROBIC BACTERIA – CLOSTRIDIUM  FUNGI  PARASITES - AMOEBAS © 19 2015-04-13
  20. 20. ALTERATION OF STRUCTURE  ACUTE BRONCHITIS  CHRONIC BRONCHITIS  BROCHOLITIS  BRONCHIECTASIS  COPD  EMPHYSEMA  CANCER © 20 2015-04-13
  21. 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 © 21 2015-04-13
  22. 22. BRONCHIOLITIS  Continuous chronic hyper secretion with a productive cough for 3 months in 2 successive years © 22 2015-04-13
  23. 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 © 23 2015-04-13
  24. 24. 24 2015-04-13
  25. 25. 25 2015-04-13
  26. 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 © 26 2015-04-13
  27. 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 © 27 2015-04-13
  28. 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 © 28 2015-04-13
  29. 29. Lung Cancer results - (Broffman & McCulloch, et al. Integrative Cancer Therapies, Aug 2011)! © 29 2015-04-13
  30. 30. (Kaiser Registry, CCR = California Cancer Registry)! © 30 2015-04-13
  31. 31. 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 31 2015-04-13
  32. 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 © 32 2015-04-13
  33. 33. prevention  Hygiene – childhood history of bronchial disease  No smoking  Exercise  Low body weight - increase  Air quality  Occupation 33 2015-04-13
  34. 34. 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 34 2015-04-13
  35. 35. 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 35 2015-04-13
  36. 36. 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 36 2015-04-13
  37. 37. Cancer – case study Male 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 emphysema Initial bloodwork – vitamin D, very low, TSH very low, low zinc, high fibrinogen Predisone Huge stress in lifestyle © 37 2015-04-13
  38. 38. Protocol Extensive pill protocol including zinc, vitamin D, etc Herbal compound includes: Wild indigo, Salvia milithorriza, Blood root, withania, lobelia, skullcap, innula, birch, black cohorsh Mayapple Exercise Stress management Diet © 38 2015-04-13
  39. 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% © 39 2015-04-13
  40. 40. PROTECT YOUR LUNGS!  NO SMOKING  EXERCISE  BMI  EAT A BALANCED DIET  LIMIT YOUR EXPOSURE TO CARCINOGENS AND USE A FACE MASK when renovating © 40 2015-04-13
  41. 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 © 41 2015-04-13
  42. 42. References  Nearly all references can be found on Pubmed. © 42 2015-04-13
  43. 43. Thank you   MORWENNA GIVEN  BA MA BSC M.OHA BHG AHG RH  MEDICAL HERBALIST www.medicusherbis.com © 43 2015-04-13

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