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Health and Medical Information

Promoting Liver Health

Introduction

The human body is amazingly resilient. It can recover from devastating trauma and disease. It continues to function with missing or malfunctioning limbs. The body even adapts to the loss of particular organs and the severely limited function of others. However, the human body cannot survive for more than 24 hours without a liver. The liver is an incredibly complex organ. It is involved in more than 500 body functions. Your liver is responsible for such things as detoxifying drugs and alcohol, making vital substances such as proteins, and processing nearly every class of nutrient.

Many things we do or are exposed to can increase the work our livers must do to keep us healthy and alive. Alcohol, environmental pollutants, food preservatives and additives, drugs, and other toxic substances can challenge the liver's ability to function effectively. Hepatitis C infection makes these challenges even more difficult for the liver.

One way to help your liver perform its best despite being infected with the hepatitis C virus (HCV) is to reduce other challenges to the liver. This chapter discusses some ways to accomplish this in your own life.

A Positive Attitude

How do you meet the demands of a disease like hepatitis C and live a full life? A positive, healing attitude helps many people meet this challenge head-on.

Negative feelings may drain your body of the energy needed for healing. Without qualities such as endurance, integrity, honor, and self-esteem, healing the physical body is a difficult task. It has been said, "If you believe you can, you probably can. If you believe you won't, you most assuredly won't. Belief is the ignition switch that gets you off the launching pad."¹

For many people with a life-changing illness, a positive attitude is not just a cliché, it is what gets them through the day. Consider positive thinking as the process of creating thoughts that produce and focus energy, which in turn, brings about positive outcomes. Positive thinking is a powerful tool. We all have access to it, but few of us put it into full use.

One research study of cancer patients who had a spontaneous remission found only one factor common to each person they examined. Everyone in the study had changed his or her attitude prior to remission and, in some way, had found hope. Each had become more positive in his or her approach to the disease.² Acceptance of reality is the first step toward taking responsibility for and controlling one's life. Each of our lives is influenced by a number of outside factors, many of which we cannot control. Your attitude, however, reflects the ways in which you respond to what is happening to you. And your attitude is completely within your control. How you adapt to situations and the actions you take can affect your health and may influence your recovery.

Some believe that every thought you have produces a reaction in each cell in your body, from the top of your head to the tips of your toes. They believe the body is constantly reacting to thoughts, whether those thoughts are based on real situations or your imagination. According to this belief, your body becomes an obedient servant of your mind, reacting with the emotional intensity that you associate with your thoughts. Pleasant thoughts produce pleasant feelings; unpleasant thoughts produce unpleasant feelings.

How do you begin to practice having a positive attitude? Every time your life is not going according to plan or presents you with a challenge, try thinking of it as an opportunity. Challenges and disappointments can be opportunities to try new approaches, to amass more know-how, and to exercise your brainpower.

There is so much we do not yet know about the human body and how it works. We are only beginning to discover the powerful interactions between our minds and bodies. When you consider the miracle of the human body, it is not hard to believe that it is capable of contributing to its own healing.

Ayurvedic Medicine and Hepatitis C

Introduction

Ayurveda is a natural system of medicine that has been practiced in India for more than 5,000 years. It was developed by the seers (rishis) through centuries of observation, experiments, discussion, and meditation. For several thousand years, Ayurvedic teachings were passed down orally from teacher to student. The origins of Ayurvedic medicine are recorded in the Atharva Veda, one of the four Vedic scriptures.¹ The first summary of these teachings was put into writing around 1500 B.C. The main sources of knowledge are the three Vedic classics Charaka Samhita, Susruta Samhita, and Ashtanga Hridaya.²

Ayurveda is a Sanskrit word made up of two components, ayush meaning life, and veda meaning knowledge or science. Hence, Ayurveda is the 'science of life'. The teachings of this ancient system of medicine are written in Sanskrit, the ancient language of India and Hinduism. It is based on Indian (Vedic) philosophy. Ayurveda was the first holistic system of diagnosis and treatment integrating nutrition, hygiene, rejuvenation, and herbal medicine. Ayurvedic medicine considers the human body to be in balance with nature. The body is believed to be a dynamic and resilient system that can cope with all stresses from its environment while maintaining the ability to heal itself. ^3,4

The main objectives of Ayurveda are:

• to maintain and promote health by preventing physical, mental, and spiritual ailments

• to cure disease through natural medicine, diet, and a regulated lifestyle
  

Ayurveda tries to help us live a long and healthy life, achieve our fullest potential, and express our true inner nature on a daily basis.⁴ The Ayurvedic classic Charaka Samhita defines Ayurveda as, "the knowledge that indicates the appropriate and inappropriate, happy or sorrowful conditions of living, what is auspicious or inauspicious for longevity, as well as the measure of life itself."

Ayurvedic Medicine and Hepatitis C

The liver is called yakrit in Ayurveda. Pitta is the predominant humor of the liver. Most liver disorders are aggravated conditions of pitta. Excessive bile production or a blockage in the flow of bile usually indicates high pitta, which in turn affects the agni or enzyme activities responsible for absorption, digestion, and metabolism.

Diet and lifestyle activities that aggravate pitta include:

• alcohol abuse
• red meat
• spicy, oily, heavy foods
• lack of sleep
• too much direct exposure to the sun
• smoking
  

Aggravation of the pitta causes such liver diseases as fatty liver, cirrhosis, and hepatitis. All types of viral hepatitis are of relatively recent discovery, so there is obviously no mention of them in the classic Ayurvedic texts. Nevertheless, one can find similar symptoms described under kaamala.^26,27

Ayurveda describes two basic types of kaamala (hepatitis or jaundice).

• Shakhasrita is caused by the minimal aggravation of pitta and kapha, and is easily curable.
  

• Kumbha kaamala results from very high pitta and is difficult to cure. It can become incurable if not attended to immediately.

Panaki and haleemaka are two other types of hepatitis or jaundice that are explained in Ayurvedic texts. Panaki is late stage kaamala. Haleemaka is an advanced stage of anemia that occurs when both the vata and pitta are out of balance.²⁶
Pathogenesis

Excessive intake of alcohol, and hot, spicy, sour, or contaminated food or water aggravate pitta. When pitta is out of balance, the liver causes disease in the blood, muscle tissue, and biliary system. This manifests as kaamala or jaundice. It is believed that an anemic and/or immunocompromised person is more prone to this ailment.

Symptoms of kaamala include:

• loss of appetite and taste
• generalized weakness
• yellowish discoloration of the eyes, nails, oral cavity, and urine
• vague body pains
• burning sensation
• weakness in all sensory organs
  

In extreme cases, emaciation (extreme thinness) is also seen. All these symptoms signify the involvement of the immune system in infectious hepatitis. Ayurveda teaches that hepatitis involves the gastrointestinal system, cardiovascular system, musculoskeletal system, and the skin.^26-28

Symptoms such as generalized edema (shotha), excessive thirst (atitrishna), bloody stools (krishna varna mala mutra), vomiting blood (rakta yukta chardi), red eyes (rakta netra), dizziness (bhrama), drowsiness (tandra), total loss of appetite (teevra agni mandya), and hepatic coma (nashta sanjna) indicate that the liver disease is at an incurable stage, and the patient is believed to be terminally ill.²⁹

Naturopathic Treatment for Hepatitis C

Introduction

The philosophy of naturopathic medicine can best be described as the utilization of the healing power of nature. Several basic thoughts are at the core of this philosophy. Naturopathic health care providers approach health with prevention and education foremost in their minds. If disease enters the picture, the approach is to treat the whole person so that the natural healing powers of the body can rid it of the root cause of the illness.

The Naturopathic Approach

Naturopathic health care providers use many different tools in the care and treatment of patients. These include botanical medicines (herbs), acupuncture, nutritional supplements, traditional Chinese medicine, homeopathic remedies, nutrition counseling and diet therapy, massage and/or spinal manipulation, exercise, and other forms of therapy.

There are four accredited naturopathic medical colleges in the United States. If you choose to include naturopathic medicine in your treatment of hepatitis C, it is important that you see a licensed naturopathic doctor. The American Association of Naturopathic Physicians provides information on well-trained, naturopathic doctors in the United States (see the Resource Directory).

The Principles of Naturopathic Treatment for Hepatitis C

The following is a discussion of the naturopathic approach to treating hepatitis C and the options a naturopathic doctor might consider when treating someone with hepatitis C.

The Liver as an Organ of Detoxification

The liver is a large organ; it weighs about 3½ pounds. It requires approximately one-third of the heart’s output of blood to do its many jobs. The liver filters almost two quarts of blood every minute. This filtration is essential to the body’s survival because the liver receives blood directly from the intestines. The liver filters proteins and other nutrients and chemicals from the food we eat. The liver regulates blood sugar levels, stores fat soluble vitamins, activates and breaks down hormones and drugs, and aids in the elimination of pollutants and toxins from disease causing microorganisms. The liver also manufactures nutrients, enzymes, and hormones.

For the liver to function well, it needs certain nutrients for the detoxification system and immune cells. The liver requires B vitamins (B2, B3, B6, B12, and folic acid), magnesium, zinc, copper, choline, betaine, and the amino acids methionine, taurine, and cysteine to break down medications, pollutants, and chemicals found in air, water, and food.¹

Liver Detox Diet

The liver is an amazing organ. Tasked with removing toxins from the body, the liver acts as a natural filter. However, with today’s poor, overly processed dietary habits and overindulgence, it is easy for your liver to become overwhelmed and “clogged”.

The liver filters the toxins from the bloodstream, chemically changing them into harmless substances that can be excreted easily. As one of the largest and most important organs in the body, the liver’s efficiency is vital to overall health.

If the liver is unable to remove all of the harmful substances from the bloodstream, the toxins build up in our tissues and cause numerous health problems, including elevated cholesterol (and all of the problems related to high cholesterol), digestive problems including constipation, nausea and irritable bowel syndrome, allergies, depression and disruption of sugar levels within the bloodstream. Chronic fatigue and pain are often signs of a liver that is not functioning efficiently.

There are many herbal supplement plans on the market to help with liver detoxification. Many of them have great testimonials and are not too uncomfortable to use. Try to avoid the harsh colon cleansers and complete fasts, as these tend to “shock” your system and release a large volume of harmful substances into the bloodstream at one time.

You should always start with a simple less stressful plan for liver detox. Make a lifestyle change that will allow your liver to function more efficiently. First, have a liver detox diet that eliminate toxins from your diet and flush your system with filtered water. Eat organic foods and wash your fruits and vegetables carefully. Substitute organic, lean meats and fruits and vegetables in their natural form for processed foods. Switch to “liver healthy” foods that will support liver function: beats, artichokes, broccoli and cabbage, seaweed and radishes. Add a good multi-vitamin and support liver function with milk thistle, shown to regenerate liver cells.

Liver detoxification may be the answer if you are feeling achy and tired. Support your body’s natural filter and eat a liver healthy detox diet. You may be surprised at how much better you’ll feel.

Alternate Therapies

Alternative Medicine for Chronic Liver Disease.

Leonard B. Seeff, MD, from the National Institute of Health (NIH) in Bethesda, Maryland, gave a report on the recent NIH Symposium focusing on the issue of botanical preparations and herbal preparations available to treat chronic liver diseases. He spoke at the postgraduate course in Dallas held in conjunction with the annual meeting of the American Association for the Study of Liver Disease (AASLD).