Herbal Support for Painful IC Flares

The use of herbal preparations in the treatment of the IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, GERD, IBS, and fibromyalgia) can be effective if we understand the world of herbology

Herbs have their medicinal effects on multiple systems and go where they are most needed in the physiology unlike their pharma counterparts who are made to have specific molecular physiologic effects  However herbs are similar to the effects antibiotics have in that they support the system in correcting the disruption  Antibiotics don’t eradicate the infection as much as they support the immune response to the invading organisms  For example, if someone develops pneumococcal pneumonia, the immune system is not up to the challenge to clear the organism  In that case the antibiotics help the immune system in clearing the pneumococcus from the lungs and in actuality do not eradicate the organisms completely

Similarly herbs due to their specific energetics help support the physiology to clear energetic imbalances that are created by unconscious choices  Even though herbs are thought of as molecules by nutraceutical companies and are marketed as such, the proper use of herbs will not be done effectively until we use them as healing energetics

Understanding the Origin of the Imbalance Being Treated

Probably the most important aspect in the energetic use of herbs is understanding the imbalance that has been created  Any healer whether allopathic or Ayurvedic would admit that you have to know what you’re treating before you decide on the direction of therapy  In the allopathic discipline the physician  through the course of testing comes up a disease label such as cancer, hypertension, autoimmune disease  At times not much testing is required and at other times a lot of testing is needed

Similarly in the energy science of Ayurveda a precise understanding of the energetic imbalance is required in order so that a successful herbal protocol is prescribed  It requires more than taking a pill conjured up by some nutraceutical company but rather an in depth analysis of what is going on energetically based on what is being reported by the patient

It may be surprising to you to hear this but no two cases of the IC bladder pain syndrome are alike  So as we are each uniquely different from one another so we are uniquely different in the way we create our diseases

Absorption of Herbs

An important aspect of the use of herbs is their digestion, absorption, and assimilation  Healthy agni is required for this to occur or they are excreted through stool or urine  The unfortunate problem for most is that the agni is not healthy  What’s more is that if the herbs are attempted to be digested they will be turned into ama which is undigested unprocessed food

This is a serious problem even though as a unsophisticated audience we don’t understand what deleterious effects we are physiologically creating We merrily go along our way popping nutraceuticals hoping we’ll get better when in actuality we are making ourselves sick by our actions

This specific problem can be averted by taking advantage of the agni in our skin through the use of transdermal herbal creams  Also through the use of submucosal delivery of herbs we can avoid the digestive system altogether  Using both types of delivery systems we can physiologically herbs into the system where they are needed for healing

Real Healing Takes Time

Healing is subtle not gross  That is to say, healing using an energetic approach requires observing for subtle changes in the body’s reporting of symptoms and noticing how improvement is occurring  Otherwise we miss the signs of healing and sooner rather than later we say “this isn’t working”So any healing whether allopathic or energy science requires patience and discipline when using a herbal approach otherwise we lose in the end

Another aspect to real healing is to understand that as we get better we reverse our disease process  What this means is that we have apparent aggravation of symptoms as the imbalance is corrected  We hate to hear this but it’s a fact  As we gently release the excess energy that we have created by unconscious choices in the past the net result is gentle symptoms of release

Herbs and Painful IC Flares

The use of herbal preparations in the treatment of the IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, GERD, IBS, and fibromyalgia) can be effective if we understand the world of herbology

Herbs have their medicinal effects on multiple systems and go where they are most needed in the physiology unlike their pharma counterparts who are made to have specific molecular physiologic effects  However herbs are similar to the effects antibiotics have in that they support the system in correcting the disruption  Antibiotics don’t eradicate the infection as much as they support the immune response to the invading organisms  For example, if someone develops pneumococcal pneumonia, the immune system is not up to the challenge to clear the organism  In that case the antibiotics help the immune system in clearing the pneumococcus from the lungs and in actuality do not eradicate the organisms completely

Similarly herbs due to their specific energetics help support the physiology to clear energetic imbalances that are created by unconscious choices  Even though herbs are thought of as molecules by nutraceutical companies and are marketed as such, the proper use of herbs will not be done effectively until we use them as healing energetics

Understanding the Origin of the Imbalance Being Treated

Probably the most important aspect in the energetic use of herbs is understanding the imbalance that has been created  Any healer whether allopathic or Ayurvedic would admit that you have to know what you’re treating before you decide on the direction of therapy  In the allopathic discipline the physician  through the course of testing comes up a disease label such as cancer, hypertension, autoimmune disease  At times not much testing is required and at other times a lot of testing is needed

Similarly in the energy science of Ayurveda a precise understanding of the energetic imbalance is required in order so that a successful herbal protocol is prescribed  It requires more than taking a pill conjured up by some nutraceutical company but rather an in depth analysis of what is going on energetically based on what is being reported by the patient

It may be surprising to you to hear this but no two cases of the IC bladder pain syndrome are alike  So as we are each uniquely different from one another so we are uniquely different in the way we create our diseases

Absorption of Herbs

An important aspect of the use of herbs is their digestion, absorption, and assimilation  Healthy agni is required for this to occur or they are excreted through stool or urine  The unfortunate problem for most is that the agni is not healthy  What’s more is that if the herbs are attempted to be digested they will be turned into ama which is undigested unprocessed food

This is a serious problem even though as a unsophisticated audience we don’t understand what deleterious effects we are physiologically creating We merrily go along our way popping nutraceuticals hoping we’ll get better when in actuality we are making ourselves sick by our actions

This specific problem can be averted by taking advantage of the agni in our skin through the use of transdermal herbal creams  Also through the use of submucosal delivery of herbs we can avoid the digestive system altogether  Using both types of delivery systems we can physiologically herbs into the system where they are needed for healing

Real Healing Takes Time

Healing is subtle not gross  That is to say, healing using an energetic approach requires observing for subtle changes in the body’s reporting of symptoms and noticing how improvement is occurring  Otherwise we miss the signs of healing and sooner rather than later we say “this isn’t working”So any healing whether allopathic or energy science requires patience and discipline when using a herbal approach otherwise we lose in the end

Another aspect to real healing is to understand that as we get better we reverse our disease process  What this means is that we have apparent aggravation of symptoms as the imbalance is corrected  We hate to hear this but it’s a fact  As we gently release the excess energy that we have created by unconscious choices in the past the net result is gentle symptoms of release

IC and Dementia

Many commonly used OTC(over the counter drugs) have been linked with dementia(goo.gl/ihYhgc) according to a recent study from the University of Washington  Among these are commonly used drugs used in urology and in particular with the IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, IBS, GERD, and fibromyalgia)

Oxybutynin (Ditropan) and tolterodine (Detrol) have been used for overactive bladder have been linked with dementia in a recent study from the University of Washington These drugs share a common feature with other OTC drugs in that they affect levels of acetylcholine(ACh), a common neurotransmitter in the body  The short term changes such as confusion and loss of mental clarity are well known to prescribing physicians but these long term consequences of dementia are not recognized

Alzheimer’s disease is a one of early senility or poor brain function and is associated with very low levels of ACh  There is also evidence now that these changes may be irreversible because they produce permanent neurological changes

The relationship to poor brain function and dementia and drugs that control symptoms by lowering levels of ACh should be disturbing to those who rely on these anticholinergic drugs to control their symptoms of the IC bladder pain syndrome

The Study

To evaluate whether cumulative anticholinergic use is associated with a higher risk for incident dementia, researchers examined medical records from 3,434 participants 65 years or older with no dementia at study entry  Initial recruitment occurred from 1994 through 1996 and from 2000 through 2003 and data through September 30, 2012 were also included in these analyses

Exposure to anticholinergic was determined from computerized pharmacy records  Cumulative exposure was updated as participants were followed up over a 10-year period. About 20% of the population was found to be using anticholinergic drugs

During the evaluation period, 797 participants (23.2%) developed dementia with 637 of these (80%) developing Alzheimer disease  A 10-year cumulative dose-response relationship was observed for dementia and Alzheimer disease. In other words, the higher the cumulative anticholinergic use, the greater the increased risk for dementia  The highest risk threshold was taking the minimum daily effective dose of one the anticholinergic agents every day for 3 years

Based upon these results, the authors of the study propose efforts to increase awareness among health care professionals and older adults about the risk of the use of these drugs over time  Even at low dosage or recommended levels chronic use of these drugs should be avoided

The Message

It seems self evident that anticholinergic use that is so prevalent in the IC population keep the use of anticholinergics reduced in treating their symptoms, looking for more alternative ways of managing their symptoms

The Inflammatory Tastes

The sour, salty, and pungent taste provoke painful IC flares in the IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, GERD, IBS, and fibromyalgia)  The reason for this energetically is that all three tastes carry the hot quality

And the hot quality translates in the matter science world to acidity which is hidden away in matter science dietary recommendations   It’s also widely known that cultural diets that favor a more alkaline nature tend to promote within cultures greater longevity (eg Asian diets)

Animal based protein diets  which are high in acidity(fatty acids) demonstrate decreased longevity   From an energy science perspective this is not about vegetarianism; it’s about what increasing amounts of acid loading does to person   Not only does increased dietary sour decrease longevity, but it can provoke painful IC flares

Energetically the sour taste is the acid taste in Nature so from an energy science nutritional view meats rich in fatty acids are not the only culprits

Any acid in food carries energetically the sour taste  Even though we consider sour fruits acidic due to the citric acid(eg grapefruit), we don’t think of tomato(primarily in the seeds), banana, nuts, mayonnaise, red meat(dark chicken, dark turkey, beef, duck, lamb, and pork) and egg yolk as sour   Even though they don’t taste sour, energetically they physiologically produce the effects of sour   For more guidance you can go to icdiet.com or foodsheal.com for a more complete list

The salty taste needs no explanation but using Soma salt which is not heating like other salts makes this the best way to avoid heating 

We get the pungent taste in hot chiles and cayenne pepper, chili pepper, and black pepper  All of these types of seasonings and foods will provoke as many already know

From an energy science view all six tastes should be present at a meal for it to be balancing so a wee bit of sour is not a problem as experienced say in a churan

For Pitta Vata(PV) some the sour taste is important in moderation – not all the time but 1-2x per week

For a Pitta Kapha(PK) energy makeup the sour taste should be kept to a minimum

What happens when the physiology sees too much of the sour taste?  Energetically we find inflammation such as seen in IC, chronic prostatitis, vulvodynia, IBS, GERD, and fibromyalgia in the body and psychologically there is judgement, criticality, jealousy, and hate

As we can see the sour taste can lead to degenerative changes even in PV due to the inflammatory nature of the taste if it becomes excessive for that particular physiological pattern

A simple rule:  Eat according to your specific mindbody energy pattern

Cumin Coriander Fennel Tea: An Antiinflammatory Drink

From an energy science view painful IC flares and bladder pain are a result of inflammation in the urinary channel(UT)  since too much of hot produces inflammation.  Interesting isn’t it that the words burning and flare are used to describe what is physically going on?  I wrote a while ago about the use of the antiinflammatory cocktail using pomegranite juice and aloe vera gel and several of you have contacted me to tell me how helpful this has been.

So here’s another antiinflammatory drink!   This time a tea made from cumin coriander and fennel(CCF) seeds   Due to the cold energy of these herbs they also can be benefiicial in dealing with excess hot in the UT   Create a stash of seeds by placing equal amounts of cumin, coriander and fennel into a ziploc bag and shake it so it’s well mixed   From your stash you can draw one teaspoon and steep in cup of hot water   Or if making a thermos to carry with you during the day placing enough in the thermos for the amount of hot water that will be placed   The tea may need diluting if it gets too strong at the end of the day

Spices = Herbs = Medicinal Effects

Your kitchen’s spice drawer is a medicine cabinet and using spices skillfully over time can produce positive medicinal and physiologic effects  But the converse is also true   If you are using spices randomly and for flavor alone there can be adverse consequences   For example, most spices are heating so they can be provoking if you have IC   Or another example is the use of salt – too much leads to water retention

In general the value of spices is that they buck up our digestive fire or enzyme system responsible for digestion, absorption, and elimination  This is why for us in the northern hemisphere at this time of year the use of spices is important because our digestive strength gets diminished

Cumin coriander and fennel uniquely have an energetically cold effect to the physiology when using them and so are particularly useful in dis-eases with lots of inflammation with poor or impaired digestive strength   Cumin(not to be confused with curcumin from tumeric) is a unique digestant in that it bucks up digestive strength but brings balance to the GI tract   Coriander seeds come from the plant we get cilantro   The use of the fennel bulbs in the fresh vegetable section can give you a double whammy if you cook with it as a vegetable

Another interesting aspect of CCF is that all 3 herbs resonate with the UT   They are specific to the UT channel and therefore bring their cold quality to the UT mucosa

What’s Hot and What’s Not?

Of course not all spices are created equally   For the easiest way to find which spices are safe to use go to icdiet.com   There are grades or shades of hot within each herb so within the Favor list there are those asterisked    These are spices that should be used in moderation

Notice the positioning of fresh basil and fresh ginger   These are both beautiful spices to use on a consistent basis to bring about balance in the GI tract and improve digestion

Lifestyle Behaviors to Reduce Inflammation

From an energy science view the symptoms of interstitial cystitis(IC) are related to the hot quality among others   The burning on urination that feels like razor blades, the suprapubic or vaginal pain, the perineal pain of prostatitis are all related to this energetic quality that is in excess

At this blog I have discussed extensively how the nutritional format is fundamental in clearing symptoms   From my research 91% of patients doing aloe and a nutritional format that reduces this hot quality get 50% relief of symptoms in 6 weeks

But what else can you do from an energy science view to reduce symptoms?  This is one of many unique contributions of Ayurveda in helping us not only understand disease but also how to ameliorate symptoms

The Lifestyle of Over the Top and Inflammation

Let’s feel ourselves next to the stove and feeling the hot quality from the stove top   The hot quality is intense and you can’t stand it for very long without having to pull away  What would it look like if you live an intense lifestyle, that is, the energy pattern of Pitta is in excess and has localized somewhere in your body, let’s say the bladder?   You would be focused, driven and have a tendency for overworking, overeating, overexercising, and overachieving   And have a painful bladder that flares every so often or the bladder is always painful

There is no rest for the weary when Pitta is in excess   And this also becomes stressful for the body maintaining the symptoms of IC

Now for some this driven lifestyle doesn’t fit    Your Pitta excess as seen in the hot quality may have come in other legitimate ways such as types of foods eaten but one thing I can say is that if you have IC with burning on urination then the you have found some way to accumulate this quality

It is now known that DNA is very malleable and changes with our choice making   Inflammation is a phenomenon of DNA and so you can change inflammation and hence your IC by changing your behavior patterns that produce inflammation

Some Observations About Over

A friend once said to me, “The work will always be there tomorrow”   So avoiding burning the midnight oils for deadlines is an important step in helping control overwork   But this business of overworking is at times difficult in the corporate world   Setting times for bed is helpful:  Vata needs the most rest so in bed by 10p and up 630-7a; Pitta 1030p and up 6a; Kapha in bed by 11p and up 5 to 530a   If you don’t know your energy pattern you can do a questionnaire here

There is a  tendency for Pitta to overeat due to hot quality and what it does to the appetite   If you don’t eat your biggest meal of the day at noon you risk having an appetite that can get out of control due to the hot quality

Exercising in the hot midday sun is very provoking to Pitta   Not only are you not taking advantage of the metabolic fire ready to digest your foods but you’re overheating the body in the hottest part of the day

Finally you’re familiar with the hot mental patterns of behavior such as anger, hostility, judgement, criticism, and impatience   Interestingly if you do the nutritional work and pay attention to the behavioral guidelines these mental patterns will subside   That is, if you find yourself being critical and judgmental it will lessen with time

7 Guidelines To Curb the OVER and Resultant Inflammation

1  Get proper rest as noted above according to the time schedules  It’s common for the Pitta energy pattern to demand too much of the Vata pattern which is delicate like a flower and needs rest

2 Eat the biggest meal between 11a and 2p and make this a important part of the day for yourself

3  Eat a alkalinizing nutritional format(google misra and green composite recipe)

4 Use churans in your cooking to improve digestion(see foodsheal.com)

5  lf overheating in your environment, stop and figure out how to cool off

6  A  harried lifestyle of Vata with the above makes the hot quality worse since the movement fans the intensity and heat of Pitta so slowing down by doing contemplative practices such as yoga for exercise or meditation can be helpful

7   Use the evening to wind down but try reducing the alcohol because this provokes the hot quality

In summary it’s not just one thing that you do that will bring your IC symptoms under control but it’s building on top of things  It’s a cumulative effect that pays dividends in reducing symptoms over time   The key is to be aware of the things that can provoke the hot quality to lifestyle behavior choices