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Leaky gut syndrome by Dr Jake Fradkin ODM reviewed
Leaky gut syndrome by Dr Jake Fradkin ODM reviewed
Date: 11/29/2013 9:38:28 AM ( 11 y ) ... viewed 1978 times Leaky gut syndrome by Dr Jake Fradkin ODM reviewed
http://drjakefratkin.com/articles/leaky-gut-syndrome-a-modern-epidemic
Leaky Gut Syndrome is reaching epidemic proportions within the population. As a disease entity, it has not been discussed in classical or modern TCM literature. In fact, taking a strictly classical Chinese medicine approach to Leaky Gut Syndrome is often ineffective or only partially effective, because the disease is not addressed in all of its complexity.
In Leaky Gut Syndrome, the epithelium on the villi of the small intestine becomes inflamed and irritated, which allows metabolic and microbial toxins of the small intestines to flood into the blood stream. This event compromises the liver, the lymphatic system, and the immune response including the endocrine system. It is often the primary cause of the following common conditions: asthma, food allergies, chronic sinusitis, eczema, urticaria, migraine, irritable bowel, fungal disorders, fibromyalgia, and inflammatory joint disorders including rheumatoid arthritis. It also contributes to PMS, uterine fibroid, and breast fibroid. Leaky Gut Syndrome is often the real basis for chronic fatigue syndrome and pediatric immune deficiencies.
BILE
Antibiotics create their damage in two ways. The first is by destroying beneficial bacteria. The small intestine and large intestine host over five hundred different kinds of beneficial bacteria. These bacteria perform hundreds of functions required for healthy metabolism and immune response. Through enzyme secretions, bacteria transform metabolic and microbial wastes before they are discharged by the body. These wastes include cellular debris, hormones, chemical wastes, bile, pus accumulations, viral toxins, bacterial toxins, etc.
For example, the body creates bile not only as a lubricant to flush wastes out of the liver, but also, by its cold and bitter nature, to detoxify many of the poisons accumulating in the liver. Bile however is extremely caustic to large intestine epithelium. When bile enters the small intestine via the common bile duct, beneficial bacteria break the bile salts down into a less caustic compound, making it non-dangerous by the time it reaches the large intestine. When you take antibiotics you destroy these bacteria and the bile salts freely enter and damage the large intestine. I believe this contributes significantly to the high incidence of colon cancer plaguing today’s society.
Beneficial bacteria also break down hormone secretions that are discharged from the liver to the small intestine. If you lack the bacteria to break down estrogen and the intestinal permeability has been altered, the patient is now reabsorbing estrogens in their original state. The body will deposit these in estrogen sensitive areas such as the breast, uterus, or ovaries, contributing, if not causing, fibroids and tumors. The same scenario is responsible for premenstrual syndrome as well.
CANDIDA
Candida exudes an aldehyde secretion which causes small intestine epithelial cells to shrink. This allows intestinal toxins to infiltrate through the epithelium and into the blood. The secondary barrier – immune agents in the epithelial mucus -remain the sole agent for neutralization. Eventually, the immune system becomes exhausted rising to this challenge.
Many people have an erroneous belief that the Candida itself enters the blood stream, allowing it to be deposited elsewhere, such as the brain. Unless the immune response is completely depleted, as in AIDS, Candida is quickly destroyed in the blood. The real damage done by Candida is to the intestinal epithelial barrier, allowing the absorption of serious toxic agents and chemicals, which then enter the blood and affect numerous organs, including the brain.
Food Allergies: The Complicating Factor
When the integrity of the intestinal barrier has been compromised, intestinal toxins are not the only pathogens to be absorbed. The barrier, in a healthy state, selectively allows digested nutrients to enter the small intestine when all is ready. With leaky gut, nutrients can be absorbed before they are fully digested. The body’s immune response, through specific antigen-antibody markers, will tag some of these foods as foreign irritants. Every time that particular food touches the epithelia, an inflammatory immune response is mounted which further damages the epithelial lining. What started as a Candida irritation with shrinking of the cells has now been complicated with active inflammation every time a particular food is eaten. Food allergies are a common secondary problem to Candida, and if present, will maintain the leaky gut continuously, even if the Candida is eradicated.
The most common food allergies are dairy, eggs, gluten grains (wheat, oats, rye), corn, beans (especially soy), and nuts. There are seldom real allergies to meat, rice, millet, vegetables, or fruit, although an allergy to garlic is not uncommon. We have to distinguish a real allergy – that which causes a histamine inflammatory reaction at the site of the SI epithelia – from sensitivity, which may cause uncomfortable symptoms, but seldom is damaging. Sensitivities are usually due to low stomach acid or pancreatic enzyme secretion, that is, poor digestion.
In the healing of the intestinal lining, exposure to a significant allergy can sabotage the treatment. For example, one may be very good at restricting wheat, dairy and eggs, but then compromises the treatment by taking garlic tablets.
LIVER AND SWELLING OF LYMPH
The blood has sophisticated mechanisms for preserving chemical homeostasis, and will diffuse as much of the toxic chemicals and physical debris into the interstitial fluids as is possible. From here the lymphatic system will attempt to collect and neutralize the toxins, but unable to send the toxins to the liver, the body essentially becomes toxic. Microbes grow and develop, hence there can be chronic lymphatic swelling, especially in children. Over a period of time, toxins will be forced into distal connective tissue around muscles and joints, causing fibromyalgia, or into the cells, which can precipitate genetic mutation and ultimately cancer.
IMMUNE SYSTEM
The immune system is stressed in three major ways. First is at the site of the intestinal mucosa. As toxins and food antigens brush up against the mucosa, the immune system mobilizes to neutralize the toxins.
EXHAUSTION
The most important organ in the production of immune agents seems to be the adrenal gland, and Leaky Gut Syndrome slowly diminishes adrenal function. In the early and middle stages, there is actually an adrenal excess, as measured by excess cortisol output. Eventually, cortisol levels drop, and one now has exhaustion.
The Role of the Digestive Tract
MALNOURISHED
Also, antacids and chronic illness reduce stomach acid production, contributing to the alkalinity, and also allowing poor digestive absorption. In fact, many people with Leaky Gut Syndrome are malnourished, no matter how healthy the food is that they eat.
[[[[ this is why AminiActiv helps me so, according to my LAc doctors I saw. i can absorb the AMINO ACIDS I CAN'T GET OTHERWISE ))))
Organizing the Therapy
Leaky Gut Syndrome has various components, all of which need to be evaluated and addressed. First, ongoing irritants to the small intestine mucosal lining (fungus, food allergies, and NSAIDs) need to be identified and neutralized. Second, nutrients and herbs are required to promote healing of the epithelial lining. Third, and perhaps the key link, the liver needs to be regulated. Fourth, the lymphatics and interstitial fluids need to be detoxified. Fifth, the immune and endocrine systems need to be regulated and supported. And sixth, the stomach and pancreas needs to be regulated, if necessary.
The therapy takes between four and eight months. Patients need to be vigilant about their diet in avoiding food allergies and minimizing the growth of Candida.
REHAB TCM
Successful rehabilitation requires that the ying and wei be restored to normal levels, through regulation of the spleen and kidney. This tonification of the wei qi will help regenerate tissue on the surface of the small intestine. Again, it is required that the blockage and congestion at the liver be allowed to open up again, or, in terms of TCM, dredged.
Underlying the susceptibility to Leaky Gut Syndrome is the probability that the qi is deficient to start with. This goes back to a modern lifestyle of poor eating habits and poor food choices which injures the spleen, and the various stresses of modern life (lifestyle, chemicals, electromagnetic) that depletes kidney qi. Within the acupuncture network, this contributes to a weakened dantian, or hara. The small intestine lies over and around the dantian. This is one of the most important energy centers in the body, the place where food is converted to qi and blood. When the dantian becomes weakened, it creates a terrain that allows Leaky Gut Syndrome to take place. And it indicates that a successful adjunct to therapy would include dantian qi gong.
For levels of +3 or below, many natural products will work. The key is to change any anti-fungal product every month, to avoid tolerance and adaptation. Herbally, Huang Lian Jie Du Pian seems to do the trick. I can also recommend my own formula:
FRATKIN’S CANDIDA FORMULA
Atractylodes Bai Zhu 6 %
Codonopsis Dang Shen 9
Pinellia Ban Xia 9
Coptis Huang Lian 9
Phellodendron Huang Bai 9
Houttuynia Yu Xing Cao 9
Isatis Ban Lan Gen 6
Cinnamomum Rou Gui 6
Amomum Sha Ren 4
Coix Yi Yi Ren 6
Artemisia Yin Chen Hao 6
Poria Fu Ling 9
Melia Chuan Lian Zi 6
Mume Wu Mei 6
Naturopathic products that work include those made with grapefruit seed extract, oregano oil, undecylenate acid, and berberine herbs. Again, talk to the reps of the various companies (listed at the end of the article) for ideas. For children there are a number of homeopathic nosode products that are quite effective from Professional Health Products (PHP), NutriWest, and others.
JAKE PAUL FRATKIN, OMD is a Doctor of Oriental Medicine in practice since 1978. After seven years basic training in Japanese acupuncture and Chinese herbal medicine in this country, he went to Beijing for one year to do advanced hospital training in herbal internal medicine, pediatrics and medical qi gong. He is the author of CHINESE HERBAL PATENT MEDICINES, (2001), a respected reference work of 1200 Chinese herbal products available in this country. In 1999 he received the national award, Acupuncturist of the Year, from the American Association of Oriental Medicine, and 2006 he received the award as Acupuncture Teacher of the Year. He is a recognized expert in the treatment of leaky gut syndrome, chronic respiratory and digestive disorders. Jake lives and practices in Boulder, Colorado
© Copyright 2010 Jake Paul Fratkin. All Rights Reserved.
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December 6-7, 2013. Lousiville, CO. 16 CEU/PDA.
Treatment of Leaky Gut, GERDS and IBS.
January 25-26, 2014. American College of TCM. San Francisco, CA. 15 hrs CEU/PDA
Treatment of Complex Liver Disorders.
March 1-2, 2014. Oregon College of Oriental Medicine, Portland, OR.
Treatment of Pediatric and Adult Respiratory Conditions.
March 14, 2014. Canadian Oriental Medicine Symposium. 4 hrs CEU/PDA
Clinical Case Presentations.
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Formules de La Pharmacopée Chinoise:
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May 24-25, 2014. Montreal, Quebec
Using Blood Tests in a TCM Practice. 3 hours.
Treatment of Leaky Gut Syndrome. 6 hours.
May 28-30, 2014. TCM Kongress, Rothenburg, Germany.
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