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A Head cold enters the Lungs

A patient recently came down with a head cold. She had the common presentation: nasal congestion, chills, fatigue, general malaise, and possibly a low fever.

After a few days of this, she contacted me because she simply couldn’t seem to shake the cold and it had started to enter her lungs. By the time I was able to see her, the symptoms had changed. Now, the illness had entered her lung. The symptoms were mainly a cough that might be categorized as “chesty” or a wet cough. While her nose had cleared up, ther lungs were now producing a yellow sticky phlegm that was moderately difficult to expectorate. The chills were gone, the cough was more frequent and kept the patient up all night. The fatigue was increasing, and the patient also developed a significantly painful sore throat.

Infectious type situations such as this, are better suited for treatment with herbal medicine than acupuncture. In this case, the patient was given a combination of two formulas plus one extra herb was added in. The herb formulas were Sang Ju Yin (aka Mulberry and Chrysanthemum Decoction) and Qing Qi Hua Tan Wan (aka Clear the QI and Transform Phlegm). The first formula is particularly indicated for sore throat with a cough. The herb ban lan gen (radix isatidis) was added in because it has excellent antiviral properties, and more specifically it is fantastic for treating sore throat. The other formula, Qing Qi Hua Tan Wan, is excellent for lung congestion and cough when there is yellow and/or green phlegm that is sticky and may be difficult to expectorate. It is said to treat the pattern of imbalance called phlegm heat in the lungs in Traditional Chinese medicine (TCM).

So, what actually happened? Within 24 hours the patient reported that her sore throat had completely resolved, and that the phlegm became much easier to expectorate ( ie cough up and spit out). Upon further questioning, she stated that her lungs felt much clearer, breathing was easy, and she said, “I’m still tired but its not that type of tired you get when you’re sick, but just the type of tired you feel when you havent slept enough”. She went on to say that she could tell her body had beat the “bug” and now just needed to rest and recuperate.

CASES OF EARS AND DIZZINESS

Ear problems often present with dizziness or vertigo as a common symptom. In the last couple years, a number of people have come here to the clinic with these types of cases. Over time, I have found that many of these patients respond very well to a combination of therapies we use here at New England Acupuncture. Lets look at a handful of these cases. (As always, many details are changed to fully protect the identity of patients).

Jonathan the MapMaker came in presenting with a previously diagnosed case of Benign Paroxysmal Positional Vertigo ( BPPV). This is a condition where a crystal in your ear breaks off, floating around, and causing vertigo. It is a temporary condition that eventually will resolve. The conventional therapy used by doctors and physical therapists, to treat this is the Epley maneuver. Even though it may be a self limiting condition, this makes it no less uncomfortable for patients.

In my experience, the Epley maneuver seems to perform poorly, as evidenced by the many patients who come here to the clinic after having gotten no relief from the Epley maneuver. Of course, this could be selection bias.

At any rate, Johnathan Map Maker, a 59 Swedish bodybuilder, had severe vertigo, had gotten no relief from Epley maneuver, and hoped I could give him some relief. On his first visit, he received acupuncture and craniosacral therapy. The acupuncture focused on treating both the channels (aka meridians) that ran through the ear area, as well as the kidney channel ( kidneys are said to govern hearing). Points used included TW 3(Triple Warmer 3), and empirical point known to treat ear problems, as well as GB41 and GB 40. These points are located on the gall bladder channel, which both connects with the Triple Warmer channel , which means that the two channels can help treat each other, and both run around the ear area. Also, the point GB 12, a point located near the mastoid process (behind and below the ear) was needled. Lastly, K3 and K2 were needled on the kidney channel.

When the needles were removed about 30 minutes later, acupressure and craniosacral therapy were applied. The very next day, the patient reported he felt 70% improved. One more treatment was given a few days later, the BPPV resolved and the patient has had no more symptoms. Other patients with BPPV have had similar success here with the same or very similar protocols.

Dizzy Dan

Dan, an 80 year old cop originally from Ontario, came to the clinic already having been diagnosed with Meniere’s disease. He had relatively frequent attacks of dizziness even though he had been taking the medication meclizine. The treatment protocol overlapped with the one used for the aforementioned case of BPPV. Craniosacral was applied similarly, but the acupuncture points were somewhat different. In this case, the local point GB 12. located near the ear was used again. Additionally, points that treat the imbalance known as damp phlegm were also used (st40, st36, sp9,etc) as well as TW6 and other points that assist the bodies ability to transform damp and phlegm. After two visits the patient reported less frequent flare ups of dizziness. After about 4 treatments, the improvements were significant enough that the patient only came once per month for maintenance.

This year another patient came in with meniere’s. He received a very similar treatment and gained similar relief. Though I have not seen him in a few months, he seemed to be doing fairly well at last visit.

The final ear related case we will discuss is Myrtle with the utricle. Myrtle is an older woman who had been diagnosed with some type of issue involving the utricle, and organ in the ear. Her symptom was that the world felt tilted to her, not actual dizziness. She had already started therapy with a physical therapist, and was engaging in various specific exercises involving her head and eyes. After making no improvement two weeks into that therapy, she came in for acupuncture.

Overall, she was fairly healthy, with her only issues being mild hypertension, well controlled with medications, and back pain from arthritis. From the principles of traditional Chinese medicine, she suffered from kidney vacuity. It is said that , “the kidneys open into the ears”. So, i utilized acupuncture points on the kidney and urinary bladder channels ( both of which share an important connection). Utilizing the imaging system from Dr. Tan, I selected and needle the appropriate points. After three treatments the symptom had improved by 50%. Myrtle continued receiving two acupuncture treatments per week, and after a few weeks, she had hardly any of the tilting symptom left.

There are a variety of ear related disorders. Many respond quite well. One condition, tinnitus, does not respond well. So, if someone you know has meniere’s, BPPV, or some other ear related ailment, go ahead and make an appointment.

A Cancer Patient Rejuvenates

NOTE: SOME DETAILS CHANGED TO PROTECT PATIENT IDENTITY

Though Traditional Chinese Medicine is roughly 5000 years old, it has a lot it can offer patients who have cancer. In this case history, we will look at a patient who benefited greatly from some basic acupuncture, herbs, and moxibustion. This patient’s story is a really great example.

The patient, whom we will call Mr. C, had been in remission for some 2 years but was still getting chemotherapy twice a year. At that point, the patient was diagnosed with a bladder infection, and shortly after that, he contracted an intestinal infection known as c. diff, which can be life threatening. Additionally, he was informed that the cancer had returned and would need to begin undergoing regular scheduled chemo treatments as well as a new treatment of rituxin. By the time the proverbial smoke had cleared and the infections had resolved, the patient was quite “wiped out”. Furthermore, Mr C also suffered from loose stool (a side effect of chemo), weakness of the legs, and a general malaise and lack of his normal mental vibrancy.

How did we go about helping Mr C regain vitality, improved digestion, improved recovery time after chemo, and increased zest for life? We carried out what, in traditional Chinese Medicine, is referred to as ‘fu zheng therapy. The term means support the normal. Simply put, this means strengthening the normal functions of the body so that it can withstand the chemo and other treatments. Another way to think about it is that therapy is used to reduce side effects of the cancer treatmenent.

As was mentioned previously, Mr. C’s side effects included fatigue, weakness of the legs, unsteady gait/dizziness, loose stools, somewhat depressed affect and feeling cold. In fact, the abdomen and arms and legs on Mr. C were ice cold to the touch. Real improvement was made within even the first week. While acupuncture was used, the biggest contributors were moxibustion and herbal therapy. Moxibustion is a type of ancient heat therapy where a specific herb is burned safely and comfortably over certain acupuncture points to strengthen the body and is particularly indicated in cases such as this, where the body is very cold to the touch, significant fatigue is present, and the pulse is deep and forceless at the radial artery.

An herbal formula, known in Chinese as Shen Ling Bai zhu San was given. The herb formula immediately began to improve digestion and improve bowel movements so that they were no longer loose. Energy levels also began to improve within about a week. Additionally, after 3 treatments of moxibustion, the abdomen was no longer ice cold, but only very mildly cold, and the limbs also felt warmer to the touch. The radial pulse was improved, though not entirely. As of this writing, the patient has reported that he finally feels like his old self, with an enthusiasm for life returning. While no one can predict the future, we plan to keep helping Mr C, doing what we can, to feel the best he can feel under these difficult circumstances. Seeing him smiling and animated again is very satisfying

If you or a loved one is undergoing chemo or other conventional cancer treatments, it may be worth looking into complementary treatments to help improve quality of life and potentially have an even deeper positive impact. Always discuss these matters with your physician before trying anything new.

Success in 3 Cases of Knee Pain

In the last week, 2 different patients came in presenting with knee pain.  The first patient had pain on the medial side (inside of the leg) of their right knee. The pain was related to slipping on a hike.

In this first case, the knee pain was aggravated by both pressing on the area with even mild pressure, and also by going from a sitting to a standing position.  Acupuncture was given by using points in the lower leg as well as placing needles in points on the opposite arm near the elbow. After the needles were removed, there was still some soreness when the knee was pressed. At this point, I then employed a manual technique called PNT. This technique utilizes a very gentle pressing perpendicular to the muscles which run through the knee area. Immediately after, the patient tested the knee by sitting and moving to a standing position. She reported that all pain was completely gone, and the remaining soreness that occurred with pressure was also gone.

In the second patient with knee pain, there was significant soreness and pain just above the knee. Acupuncture needles were gently inserted into the opposite elbow area at points P3, Lu5, and LI11. The patient was then instructed to move the leg, flexing and extending the knee. She immediately reported that there was no longer any pain. Next she tested the knee by walking, and still no pain returned at all!

In both cases, I Ching/Balance Method style of acupuncture was used with good effect.  This is a particular type of acupuncture which typically gives instant pain relief for many types of pain.  As we mentioned, the first patient also needed some manual therapy. PNT is a simple manual technique which is very gentle, and utilizes the body’s own neurologic reflexes to ‘reset’ the muscles.

In many simple cases of knee pain, quick relief can be gained. When a patient has very advanced arthritis, such as when cartilage is completely worn away, and bone is rubbing on bone, then these techniques typically do not provide real relief. However, for mild to moderate arthritis, tendonitis, or bursitis, these techniques have been extremely effective in many patients who have come to New England Acupuncture.

For some people, simple nutritional therapies may also be helpful for joint pain, such as knee pain.  In a third patient who came in for bilateral knee pain (pain in both knees), and had a prior diagnosis of osteoarthritis from her doctor,  we have been able to almost completely eradicate her knee pain, even though she had been suffering pain for years before coming to the clinic.

In her case, we did a course of acupuncture treatment with excellent results. Still, there was a small flare up many months later. Along with a few more acupuncture treatments, it was suggested that she purchase some beef gelatin powder and take some daily. Recently, when the patient came in for a general ‘tune up’ treatment, she reported that the gelatin has been highly beneficial, and she is able to be active without pain in either knee, and also reported that the gelatin has improved her skin, hair, and nails.

These 3 cases of recent patients exemplify how simple and gentle treatments can significantly erase pain and return individuals to a more active lifestyle.

Natural Remedies for Seasonal Allergies (Allergic Rhinitis)

If you are a sufferer of seasonal allergies, then you are familiar with itchy red eyes, stuffy nose, sneezing, and the fatigue that often goes with it. Fortunately, there are a great number of natural remedies available that can help manage. Once allergy symptoms have kicked in during a given season, treatment will focus first on getting immediate relief. However, during periods of ‘remission’, ie outside of allergy season, treatment can aim directly at treating some of the potential underlying causes of allergies. There is significant evidence to connect digestive issues with respiratory allergies (1)(2)(3) This is not surprising since the majority of our immune system is found within the gut, and seasonal allergies are generally an over reaction by the immune system. Therefore, in patients with poor digestive health such as IBS, bloating, gas, constipation, addressing these issues may also  help reduce and prevent allergy symptoms. Possible interventions for this could include herbal therapies, probiotics, supplementation with zinc, glutamine, or other supplements beneficial to the lining of the gut.

Other factors may also play a contributing  role in the development or worsening of allergies. According to research published by the Mayo Clinic,  individuals with chronic sinusitis are likely to have fungal infections in the sinuses (4). So, treatment to resolve this  issue could certainly play an integral role in improving sinus health for some patients.  Of course, there may be a wide variety of other factors contributing to a person’s seasonal allergies.  This can be determined more precisely during a patient visit.

Whether a person chooses to address these underlying issues or not, symptom relief during allergy season is something our patients always appreciate.  There are a number of herbal formulas which effectively reduce symptoms such as stuffy nose, sneezing, itchy eyes and fatigue. Which herbal product is best depends on the specifics of each individual. Some people may have significant itching and redness of the eyes, while another person may suffer more from sneezing and sinus pressure.

One of the most common products used for seasonal allergies is Pe Min Kan Wan (Nasal Allergy Pills). It contains herbs which are antihistaminic, anti-inflammatory, as well as herbs traditionally used for red irritated eyes. For individuals who experience not only stuffy nose, but also allergy headache, a classic time tested formula, Xin Yi San (Magnolia Flower Powder) often alleviates symptoms very effectively. A common supplement which research indicates can reduce allergy symptoms is quercetin, a commonly occurring bioflavonoid (5). Quercetin is actually plentiful in a healthy diet, as it occurs in foods such as onions, grapes, tea, and many vegetables such as broccoli; one more reason why eating plenty of fruits and vegetables is health promoting. Additionally, quercetin may be beneficial for those who suffer from allergy induced asthma (6). If you, or someone you know, deals with seasonal allergies, there are an abundance of natural therapies which may help. Simply call and set up an appointment here at the clinic to discuss which options will work best for you.

1)EBioMedicine. 2015 Nov 27;3:172-9. doi: 10.1016/j.ebiom.2015.11.038. eCollection 2016

2)Annals Am Thorac Soc. 2016 Mar;13 Suppl 1:S51-4. doi: 10.1513/AnnalsATS.201507-451MG

3)Curr Opin Rheumatol. 2015 Jul;27(4):373-80. doi: 10.1097/BOR.0000000000000191

4)Mayo Clinic. “Mayo Clinic Study Implicates Fungus As Cause Of Chronic Sinusitis.” ScienceDaily. ScienceDaily, 10 September 1999.

5)Molecules. 2016 May 12;21(5). pii: E623. doi: 10.3390/molecules21050623 6)Int Immunopharmacol. 2009 Mar;9(3):261-7. doi: 10.1016/j.intimp.2008.10.021. Epub 2008 Dec 4

6)Int Immunopharmacol. 2009 Mar;9(3):261-7. doi: 10.1016/j.intimp.2008.10.021. Epub 2008 Dec 4

 

Chinese Herbal Medicine: An Overview

OVERVIEW

Traditional Chinese Medicine (TCM) is the indigenous medicine of China, which developed over the last 5000 years.  It employs three main methods/therapies to restore health to patients: herbal medicine, acupuncture, tui na (massage).

While it is acupuncture that has usually grabbed the headlines here in the U.S., it is actually herbal medicine that is considered the primary method of treatment by the Chinese themselves; at least in so far as TCM is concerned.

All three therapies in TCM (herbal medicine, acupuncture, tui na) are based on the same fundamental theories.  It is this sophisticated theory that helps make Chinese herbal medicine so successful.

Pattern Discrimination: What is it?

Most people who want to take an herbal remedy ask a question something like this: What herb can help my X (x being whatever problem they have)? This implies a single remedy for a single problem. For example, if you have gout, get some sour cherry juice. If you have a urinary tract infection, take a cranberry pill.  If you have inflammation take curcumin, for liver problems take milk thistle and artichoke. Its not that this is bad per se. But it could be better.  How so? Ah, that is where pattern discrimination comes in.

Let’s say you go to your doctor because of headaches. It is his/her job to figure out the cause of the headache. If you had neck tension that is severe, maybe a muscle relaxer helps.  If you had migraine, maybe Imitrex helps. But what if the problem is bacterial meningitis? You can’t treat that with a muscle relaxer or migraine medicine; you need antibiotics instead.  The point is that there is not ONLY ONE remedy for headache. Rather, there are many. And finding the right one will depend on getting the correct diagnosis.

A pattern discrimination is a similar thing. When you come into our clinic for a visit, we must determine which ‘pattern of imbalance’ is specifically causing your symptom.  Only after this is done can a Chinese herbal remedy be chosen. Let’s look at an example to make it easy for you to really grasp. Once you have this example stored in your memory, then you will be able to know about Chinese medicine on a deeper level.

Two patients come in complaining of low back pain. Let’s call them Larry and Sally.  Larry has pain that came on suddenly. He thinks it started when he did some extra yard work a couple days ago.  Now it aches and he notes that it improves once he gets moving. But pressing on the area or massaging it aggravate it.  Sally on the other hand has low back pain that came on slowly over time.  It started as a mild little ache, but in the last two years it has slowly gotten worse. It seems better when she rests, and she notices that it is worse by the end of the day.  Sally says that her back ‘feels weak’.

Obviously Larry and Sally are experiencing two very different sets of symptoms. In fact, two patients like this came into the clinic. And, as you might guess, they received two different treatments.

The point is that to treat a patient, we look at more that just the chief complaint.   In fact, the chief complaint is only meaningful when it is seen in the context of all the other signs and symptoms the patient has.  When all this information is woven together, it forms a ‘pattern’, and this pattern will direct the practitioner to the correct herbal formula.

CAN HERBS REALLY BE EFFECTIVE?

Chinese herbs can be VERY effective.  Just like anything else, they will not work 100% of the time, nor can they cure every disease known to man.  But they often can have a significant beneficial impact, sometimes even when other therapies have failed.  And the effects can be quite noticeable to the patient.  A few months ago, a woman came into the clinic because she had a severe yeast infection with vaginal itching, discharge, and was constantly feeling uncomfortable.  She had taken prescription drugs for some time, and they had given no relief.  The herbs we gave her began to give relief within a day, and 3 days later she felt about 75% better.  By the end of one week the yeast infection was eradicated.  Another great example is a patient who came in with significant fatigue.  After one week of herbs the fatigue had vanished.

Not all cases are that simple however.  People with more signifcant problems such as fibromyalgia, CFIDS(chronic fatigue syndrome), or conditions like lupus, may take longer to get reasonable results.

Chinese herbs do not work by magic. They take time and care.  And, in some cases, even the best crafted formula can fail.

RESEARCH

While Traditional Chinese medical theory is sophisticated and beautiful, how about some research.  Can herbs really affect the body? Consider for one moment that 25% of prescription drugs are actually directly derived from natural substances.  AN example is Digitalis, a heart medication which come from the flowering plant foxglove.  How about the antibiotic penicillin? It comes from a common mold.  Therefore it should be no surprise that Chinese herbal medicines can have very real benefits that have been studied and researched.  Here are a few examples:

The Chinese herb jin yin hua (lonicera flower) has shown to be able to inhibit the growth of 73.9% of oral pathogens, and also has a strong ability to inhibit influenza and HIV viruses.  This info is from the following references

Sun Y. et al. Antimicrobial properties of flos lonicera against oral pathogens. China Journal of Materia Medica. 21(4):242-3 Inside Back cover, Apr 1996

Chang W. et al. Antiviral Research. August 1995

The Chinese herb yan hu suo (rhizoma corydalis) exerts strong anti-inflammatory effects and can help with both acute and chronic inflammation.  It also has analgesic(i.e. pain killing) properties. The references are below

Kubo, M. et al. Biol Pharm Bulletin. February 1994

Zhu, XZ. Development of natural products as drugs acting on central nervous system. Memorias do Instituto Oswaldo Cruz. 86 2:173-5, 1991

Suffice it to say, Chinese herbs offer people a multitude of opportunities to improve health and well-being through real mechanisms of action on the body.

Accessory Techniques:The Other Part of Acupuncture

The Chinese word for acupuncture is zhen jiu, and translates as ‘needle and fire’, or as ‘acumoxa therapy‘. Where does the fire come from? Well, there is a technique that has been employed by acupuncturists over the ages, and it is called ‘moxibustion’.  It is a special form of heat therapy. Below, we will describe this and some of the other techniques which, while lesser known here in the U.S., are quite valuable.  They are commonly used by acupuncturists all over the world, and we at New England Acupuncture & Herb Clinic utlizie them whenever they can be of value to the patient, offering another way to move closer to the desired therapeutic outcome and achieve success.

Moxibustion

As alluded to above, moxibustion is a special form of heat therapy commonly used as part of acupuncture. Not every patient will receive moxibustion. But when it is used, its effects can sometimes be remarkable.

Essentially, the practice of moxibustion involves the burning of various substances near the acupuncture points on the body. While there are some forms of direct moxibustion (i.e. burning it right on the skin), we do NOT use the direct method here at the clinic. Instead we use the indirect method, which means the moxa is comfortably held at a distance from the body while the heat gently penetrates the body and benefits the patient.  Patients find this therapy very enjoyable.

The most common substance used for moxibustion is artemisia vulgaris, an herb. Wen it is ground up and prepared for use in the clinic, it can resemble brown cotton, or ground up twigs. Other substances can be used for various therapeutic reason. Indications for the use of moxa include pain worse with cold and better with heat, a tendency to feel cold all the time, fatigue, conditions which in chinese medicine would be termed, ‘damp conditions’, and others. It may even be indicated in breech presentations in pregnant women.

The moxibustion is said to increase the yang energy of the body, dispel cold, promote cirulation of qi and blood, and transform damp. One of the wonderful uses I have found for moxa, is its use in helping older women who experience a feeling of distention and discomfort in their urinary bladder, but who have no infection. They often also have a feeling of  incomplete voiding of urine when they go to the bathroom. Another specific example of the use of moxi is cases of arthritis where the joint pain is worsened by cold weather. For more examples of real life cases treated here at the clinic please go to our case history page. There we have posted some of the cases we have treated, in order to illustrate some of the principles of how Chinese medicine works and the results that can be attained.

Cupping

Cupping is pretty straight forward. It is the application of ‘suction cups’ to specific areas of the body, most often the back and shoulders. This technique can be combined with others, or used by itself. It can be very effective for relieving muscle tension. This is its most common use. Sometimes the cup(s) is placed in a particular spot and left for a few minutes. Other times hypoallergenic massage oil may be rubbed into a broad area and the cup can be moved back and forth over this area. That is termed ‘moving cupping’, or ‘sliding cupping’. There are some people who may be sensitive to the pressure, but most patients seem to find it fine, and even quite pleasant.

Tui Na (no, its not pronounced “tuna”.  It is “tway na” or “twee na”, depending on who you ask).

This translates as ‘pushing and grasping’. While it sounds a bit rough, it is not. Actually, it is a sophisticated and ancient form of massage developed in China. It has been imported to other coutries where it was modified to fit their needs and cultures. The prime example that comes to mind is Shiatsu, which is what tui na became after it was imported to Japan.

Tui Na, sometimes called Anmo, or amma, is based on the same theories and principles as all of Chinese medicine. Thus, it too works to stimulate or relax the acupuncture points and channels that lay on the surface of the body. It also works directly on the muscles, ligaments and tendons. Some patients have described it as a ‘complex form of acupressure’.

In summary, Chinese medicine offers many therapeutic techniques. Each one brings with it a good deal of value and benefit. They are non-invasive, quite safe, and often highly enjoyable.

What is Acupuncture?

Acupuncture is a highly effective therapeutic technique that has been developed and refined over thousands of years.  This was done by the brightest and best scholars of China, during each era, as well as in other countries around the world, and continues even to this day.

Acupuncture therapy works by tapping  directly into the body’s natural innate healing ability.  It does this through the comfortable insertion of  hair thin needles at certain points.  As the needle is gently and safely inserted into your body, healthy signals are conducted which essentially redirect your body’s energy.  This initiates a process by which therapeutic benefits, enhanced higher level functioning of the body and mind, and resolution of health issues can be achieved.

A concrete example will help you to get an even crisper clearer understanding.  To grasp the intriguing concepts behind the acupuncture technique, you can take a look in our case study section.  There you will find real life examples of how patients here at New England Acupuncture & Herb Clinic have gained success through acupuncture.

Swine Flu Prevention (H1N1)

The following message from Dr. Vinay Goyal is sound advice for preventing H1N1 infection as well as avoiding many contagious illnesses.

The only portals of entry are the ears, nostrils, and mouth/throat. In a global epidemic of this nature, it’s almost impossible to avoid coming into contact with H1N1 in spite of all precautions. Contact with H1N1 is not so much of a problem as proliferation is.

While you are still healthy and not showing any symptoms of H1N1 infection, in order to prevent proliferation, aggravation of symptoms and development of secondary infections, some very simple steps, not fully highlighted in most official communications, can be practiced (instead of focusing on how to stock N95 or Tamiflu):

Wash hands with soap1. Frequent hand-washing (well highlighted in all official communications) .

2. “Hands-off-the- face” approach. Resist all temptations to touch any part of face (unless you want to eat, bathe or slap).

3. *Gargle twice a day with warm salt water (use Listerine if you don’t trust salt). *H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation.  In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected one.   Don’t underestimate this simple, inexpensive and powerful preventative method.

Neti pot4. Similar to 3 above, *clean your nostrils at least once every day with warm salt water. *Not everybody may be good at Jala Neti or Sutra Neti (very good Yoga asanas to clean nasal cavities), but *blowing the nose hard once a day and swabbing both nostrils with cotton buds dipped in warm salt water is very effective in bringing down viral populations. *

5. *Boost your natural immunity with foods that are rich in Vitamin C (Amla and other citrus fruits). *If you have to supplement with Vitamin C tablets, make sure that it also has Zinc to boost absorption.Vitamin rich foods

6. *Drink as much of warm liquids (tea, coffee, etc) as you can. *Drinking warm liquids has the same effect as gargling, but in the reverse direction. They wash off proliferating viruses from the throat into the stomach where they cannot survive, proliferate or do any harm.

I suggest you pass this on to those you love. You never know who might pay attention to it – and STAY ALIVE because of it.

— Dr. Vinay Goyal is an MBBS, DRM, DNB (Intensivist and Thyroid specialist) having clinical experience of over 20 years. He has worked in institutions like Hinduja Hospital , Bombay Hospital , Saifee Hospital , Tata Memorial etc.. Presently, he is heading our Nuclear Medicine Department and Thyroid clinic at Riddhivinayak Cardiac and Critical Centre, Malad (W).