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4. Digestive enzymes, amylase, lipase and protease 25 units of each with meals t.i.d.


5. Lacobacillus acidophilus 4 to 8 billion per mil q.d.


Step #3 Botanicals 1. Garlic (Allicin) 1,000 mcg q.d. 2. Echinacea 150 mg q.d. 3. Goldenseal 200 mg q.d. 4. Green tea 2 cups b.i.d. 5. Cranberry 2 cups (100% juice) t.i.d. 6. Reishi mushrooms (Lentinan) 12 mg q.d.


Pharyngitis


History 


Bacterial  Sudden onset  Symptoms include sore throat, malaise, nausea, headache, and fever


 Smoking, allergies, chemical exposure, chronic sinusitis, poor hygiene, and immune-compromised individuals are more susceptible


Evaluation  Rapid Strep Test  Positive detection of streptococcal antigen


 Lab culture  Group A streptococci 


 Diathermy  Plenty of bed rest Gargle salt water


Botanicals


 Heterophile antibody test (Mono spot exam)  Rule out mononucleosis


Diphtheria  Gray membrane in throat


Treatment Overview  Diet and supplementation 


Step #1


Diet and Nutrition 1. Maintain proper hydration 2. Avoid alcohol, caffeine and smoking 3. Avoid food allergens 4. Avoid rened foods and simple sugar 5. Increase fruits and vegetables 6. Increase chicken and cold water sh


Step #2


Supplements 1. Antioxidants a. Vitamin A 10,000 I.U. q.d.


76


 Viral  More common  Most often caused by inuenza  Sore throat accompanied by fever, sneezing, rhinitis, or general body aches


 Cervical lymph nodes swollen and tender  Sequela can be non-suppurative post-strep- tococcal syndrome, rheumatic fever, or glumer- ulonephritis


cough,


 Red, edematous throat  May have exudation


b. Vitamin C 1,000 mg q.d. c. Vitamin E 600-800 I.U. q.d. d. Zinc 100 mg q.d. e. Selenium 100 mcg q.d. 2. Glyconutrients (bioavonoids) 400 mg q.d. 3. N-Acetylcysteine 500 b.i.d.


Step #3 Botanicals 1. Echinacea 150 mg q.d. 2. Goldenseal 120 mg q.d. 3. Astragulus 200 mg q.d. 4. Licorice (DGL) 150 mg q.d. 5. Quercetin 200 mg q.d. 6. Garlic (Allicin) 1,000 mcg q.d. 7. Marshmallow 800 mg q.d. 8. Aloe (Acemannon, glyconutrients) 500 mg q.d. 9. Spleen extract 120 mg q.d. 10. Thymus extract 120 mg q.d 11. Chamomile tea 2 cups b.i.d. 12. Slippery elm 1-1.5 g q.d.


Pneumonia


History  High risk: elderly patients (older than 65), chronic illness, impaired immune system (drug and alcohol abusers), and infants


 History of exposure to dust, chemicals or other irritants, recent hospitalization, aspiration of foreign objects into lungs, and smoking


 Nosocomial transmission is on the rise  Exposure to highly contagious forms of pneumonia (ex. SARS)


 Symptoms include:


 Susceptible to hematogenous spread of infection  Lung abscess, emhyema (accumulation of uid) or acute respiratory distress syndrome can occur


breath, sweating, chills, pleurisy, headache, muscle pain, and fatigue  Elderly and immune-compromised may have fewer symptoms and a lower than normal body temperature


 Mycoplasma  Mostly in children and young adults  Most common community acquired pneumonia  Nonproductive cough, headache, fever and malaise


 Pneumococcal (Streptococcal) Pneumonia  Preceded by upper respiratory tract infection  Nosocomial transmission


 WBC count is normal or slightly elevated  -ray shows patchy inltration


 Sudden onset of shaking, chills, fever and chest pain


 Viral Pneumonia  Onset typical of inuenza


 -ray shows lobar consolidation  Leukocytosis


fever, cough, shortness of


 Rusty colored sputum  Gram-positive diplococcic  Reduced chest expansion and rales with auscultation


(Continued on next page) THE ORIGINAL INTERNIST JUNE 2016


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