Natural Treatments for Chronic Fatigue Syndrome pdf

Natural Treatments for Chronic Fatigue Syndrom e Daivati Bharadvaj, N.D. Praeger P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 Natural Treatments for Chronic Fatigue Syndrome P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 Recent Titles in Complementary and Alternative Medicine Herbs and Nutrients for the Mind: A Guide to Natural Brain Enhancers Chris Demetrois Meletis, N.D. and Jason E. Barker, N.D. Asperger Syndrome: Natural Steps toward a Better Life Suzanne C. Lawton, N.D. P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 Natural Treatments for Chronic Fatigue Syndrome Daivati Bharadvaj, N.D. Complementary and Alternative Medicine Chris D. Meletis, Series Editor P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 Library of Congress Cataloging-in-Publication Data Bharadvaj, Daivati. Natural treatments for chronic fatigue syndrome / Daivati Bharadvaj. p. ; cm. – (Complementary and alternative medicine, ISSN 1549–084X) Includes bibliographical references and index. ISBN 978–0–275–99374–0 (alk. paper) 1. Chronic fatigue syndrome—Alternative treatment. I. Title. II. Series: Complementary and alternative medicine (Westport, Conn.) [DNLM: 1. Fatigue Syndrome, Chronic—therapy. 2. Naturopathy. WB 146 B575n 2007] RB150.F37B52 2008 616  .0478–dc22 2007038901 British Library Cataloguing in Publication Data is available. Copyright C  2008 by Daivati Bharadvaj All rights reserved. No portion of this book may be reproduced, by any process or technique, without the express written consent of the publisher. Library of Congress Catalog Card Number: 2007038901 ISBN: 0–275–99374–4 ISSN: 1549–084X First published in 2008 Praeger Publishers, 88 Post Road West, Westport, CT 06881 An imprint of Greenwood Publishing Group, Inc. www.praeger.com Printed in the United States of America The paper used in this book complies with the Permanent Paper Standard issued by the National Information Standards Organization (Z39.48–1984). 10987654321 P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 To my teachers and mentors, who have taught me the art of medicine; and to my patients, who teach me everyday how to be a better doctor. P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 Contents Series Foreword ix Acknowledgments xi Introduction xiii Part I: What Is Chronic Fatigue Syndrome? Chapter 1 Concepts, Controversies, and Conventional Medicine 3 Chapter 2 Etiologies 15 Chapter 3 Stress, Adrenal Fatigue, and Cognitive Disorder 33 Part II: How Is Chronic Fatigue Syndrome Diagnosed? Chapter 4 Standard Diagnosis 49 Chapter 5 Alternative Testing Strategies 55 Part III: Natural Treatments for Chronic Fatigue Syndrome Chapter 6 Nature Cures—Alternative Medicine Modalities 65 Chapter 7 Mind, Body, and Lifestyle 79 Chapter 8 Nutrients 93 Chapter 9 Botanical Medicines 113 Resources 145 References 149 Index 185 P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 Series Foreword More than 1 million people suffer from chronic fatigue syndrome, meeting all the diagnostic criteria. In addition, some 10 million people in the United States suffer some but not all the symptoms, with their lives just as dramatically impacted and compromised. And chronic fatigue is an equal opportunity condition, affecting people of every age, gender, ethnicity, and socioeconomic group. Women face a higher incidence than men, and this condition is more prevalent in people in their 40s and 50s, though it can affect people of all ages, young and old alike. Dr. Daivati Bharadvaj and the growing number of physicians that embrace health care from a truly integrative approach are pioneering the way for the next quantum leap in significant advances in both academic and clinical medicine. With the support of the National Institutes of Health (NIH) and National Center for Complementary and Alternative Medicine (NCCAM), and funding from both private and public sectors, the appreciation for the integration of health- care education and delivery is becoming greater. This is a pivotal time for all health-care providers to embrace the concept of “individualized patient oriented wellness.” Thanks to the work of Dr. David Eisenberg and similar researchers, we now know that Americans are allocating billions of discretionary dollars to seek out what used to be termed as “alterna- tive medicine” approaches. Yet what was once considered fully “alternative” is becoming integrated, as evidence grows, into the mainstream. This book on Chronic Fatigue Syndrome is an important contribution that provides a platform for health-care provider and patient alike to proceed with a heightened level of awareness and insight. It offers a head start in establishing a working foundation to meet the unique needs of patients as they participate in the lifelong health-care journey, which should be, with the advent of an integrated approach, more accurately termed “wellness care.” We must applaud [...]... more than 24 hours Both 1 and 2 are required conditions for a diagnosis of CFS 15:59 P1: 000 GGBD173C01 C9374/Bharadvaj 8 Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 NATURAL TREATMENTS FOR CHRONIC FATIGUE SYNDROME Table 1.3 Conditions that Exclude the Diagnosis of CFS • Any active medical condition that may explain the presence of chronic fatigue (e.g., untreated hypothyroidism, sleep apnea,... lymph nodes 4 muscle weakness 5 muscle pain 6 prolonged fatigue after exercise 7 recurrent headache 15:59 P1: 000 GGBD173C01 C9374/Bharadvaj 6 Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 NATURAL TREATMENTS FOR CHRONIC FATIGUE SYNDROME 8 migratory joint pain 9 neurological or psychological complains such as sensitivity to bright light, forgetfulness, confusion, inability to concentrate, excessive... condition, never bothering to question or evaluate their fatigue Providers are challenged with finding ways to support people in any of these scenarios, juggling a delicate balance between 15:59 P1: 000 GGBD173C01 C9374/Bharadvaj 12 Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 NATURAL TREATMENTS FOR CHRONIC FATIGUE SYNDROME dismissing the fatigue altogether and overplaying a symptom that may... 3/4in October 16, 2007 NATURAL TREATMENTS FOR CHRONIC FATIGUE SYNDROME Viruses and Other Microorganisms Over the last two decades, scientists have been pursuing various reasons for the complex changes in immunology of people with CFS Many of these immune dysfunctions appear very similar to those changes occurring during infections due to viruses Research groups have been searching for evidence of a viral... C9374/Bharadvaj 10 Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 NATURAL TREATMENTS FOR CHRONIC FATIGUE SYNDROME estimates of 522 women and 291 men per 100,000 may still be conservative,23 and future research may find that more than 2.2 million Americans are affected with CFS FACTORS THAT CONTRIBUTE TO DEVELOPMENT OF CFS For a long time, the majority of studies focused on physical causes of CFS... this time, despite our definitions, the Centers for Disease Control (CDC) had concluded that “no pathognomonic tests have been validated in scientific studies”6 to diagnose CFS This meant that we did not have a surefire 15:59 P1: 000 GGBD173C01 C9374/Bharadvaj 4 Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 NATURAL TREATMENTS FOR CHRONIC FATIGUE SYNDROME way to figure out if someone truly had... improvements in depression with nonpharmacological 15:29 P1: 000 GGBD173C02 C9374/Bharadvaj 18 Top Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 NATURAL TREATMENTS FOR CHRONIC FATIGUE SYNDROME therapies, the NK cells and lymphocytes remained about the same as before In this case, clinical outcomes from treatment of this mental aspect of CFS may not be linked to immune dysfunction.19 In both these studies,... Margin: 3/4in CONCEPTS, CONTROVERSIES, AND CONVENTIONAL MEDICINE October 16, 2007 5 Table 1.1 CDC & P Diagnostic Criteria for Chronic Fatigue Syndrome Major Criteria r New onset of fatigue causing 50% reduction in activity for at least 6 months r Exclusion of other illnesses that can cause fatigue Minor Criteria Presence of eight of the eleven symptoms listed below, or six of the eleven symptoms and two... Apparently, CFS is not just about chronic fatigue In fact, some of these other mental, emotional, or physical complaints may be just as prominent as fatigue In addition to the already-mentioned symptoms, patients may also report concomitant issues such as gastrointestinal disturbances, dizziness, nausea, change of appetite, and night sweats.8 Naming chronic fatigue a syndrome allows these complexities... Current research reveals connections to allergies and atopic conditions,9 immune 15:29 P1: 000 GGBD173C02 C9374/Bharadvaj Top Margin: 5/8in Gutter Margin: 3/4in 16 October 16, 2007 NATURAL TREATMENTS FOR CHRONIC FATIGUE SYNDROME Table 2.1 Pathogenesis of CFS Predisposing factors that increase likelihood of acquiring CFS Precipitating factors that trigger the onset of CFS Perpetuating factors that worsen . Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 Natural Treatments for Chronic Fatigue Syndrome P1: 000 GGBD173FM C9374/Bharadvaj Top Margin: 5/8in. Margin: 5/8in Gutter Margin: 3/4in October 16, 2007 15:57 Natural Treatments for Chronic Fatigue Syndrome Daivati Bharadvaj, N.D. Complementary and Alternative