MAKING WELLNESS WORK FOR YOU

2013 Juvenile Arthritis Conference

Dayna K. Kowata N.D., L.Ac.Susan Samueli Center for Integrative Medicine

University of California, Irvine19 July 2013

Integrative Medicine Enhance & Balance Immune Function Inflammation & Oxidation Diet & Nutrition Adrenal Health Treatment Options Summary

OBJECTIVES

Conventional Medicine

Alternative Medicine◦ Acupuncture &

Traditional Oriental Medicine

◦ Botanical Medicine◦ Homeopathy ◦ Naturopathic

Medicine

INTEGRATIVE MEDICINE

A strong immune system is critical to good health and good health is critical to promoting a strong immune system.

The immune system is truly “wholistic.” It is closely associated and synergistically interacts with other body systems including psychological, neurological, nutritional, environmental, and endocrinological pathways.

IMMUNE FUNCTION

Whole Foods Diet◦Reduce sugar

Lifestyle◦Sleep

Stress Movement Nutrition

IMMUNE HEALTH

Prolonged inflammation creates chaos resulting in tissue damage.

Causes◦ Environmental ◦ Infection◦ Stress

Oxidation◦ Free radicals

Antioxidant Response ◦ Diet, sleep, relaxation

INFLAMMATION

EAT COLORFUL FOODS Whole foods, preferably organic Avoid processed, refined and packaged food Essential Fatty Acids Avoid Nightshade Family Antioxidant Foods

◦ Curcumin – Turmeric◦ Carnosol - Rosemary◦ Resveratrol – Grapes◦ Quercetin - Citrus fruits and onions ◦ Epigallocatechin gallate (EGCG) – Green tea◦ Sulforaphane – Broccoli

ANTI-INFLAMMATORY FOODS

THE “S.A.D.” DIET

Abnormal Intestinal Permeability Small Intestine Bacterial Overgrowth Dysbiosis Secretory IgA Functional Medicine Tests

DIGESTIVE FUNCTION

Lactobacillus species – small intestine◦ L.acidophilus, L. brevis, L bulgaricus, L casei, L.

crispatus, L. fermentum, L. gasseri, L. helveticus, L. jensenii, L. johnsonii, L paracasei, L. plantarum, L. reuteri, L. rhamnosus, L. salivarius

Escherichia Coli (E.Coli) – non-pathogenic species

Streptococcus thermophilus Bifidobacteria species – large intestine

◦ B. adolescentis, B. animalis, B. bifidum, B. breve, B. infantis, B. lactis, B. longim, B. thermophilum

Saccharomyces boulardii

BENEFICIAL BACTERIA

INTESTINAL PERMEABILITY

LEAKY GUT GLUTEN INFLAMMATION

Eat a predominately plant-based diet Reduce the intake of saturated fats Eliminate refined sugars and foods Reduce exposure to pesticides and

herbicides Eliminate the intake of food additives and

dyes Keep salt intake low and potassium high Drink 1 quart of water per 50 pounds of

weight Identify and address food allergies

DIET & NUTRITION

DO NOT SKIP MEALS Breakfast within 1 hour of waking Eat every 3-4 hours Protein with every meal and snacks No more than 12 hours between dinner and

breakfast Exercise

◦ Reduces fat content in muscles, improves skeletal muscle tone and increases blood flow.

HEALTHY EATING HABITS

MINDFULNESS EATING

Adrenal related disorders are the most common functional disorder in our society today.

Americans are culturally inclined to eat a diet high in refined carbohydrates, synthetic sweeteners, artificially flavored foods, synthetic additives, and partially hydrogenated fats.

A poor diet places tremendous stress on the body. Our fast-paced society places great demand on

deadlines and social pressures.

ADRENAL STRESS

Elevated cortisol suppresses SIgA in the gastrointestinal tract, delays mucosal cell regeneration and promotes an inflammatory environment.

Elevated cortisol decreases white blood cells, induces thymus gland atrophy and decreases IL-2 production.

Increased cortisol down-regulates insulin receptors and creates insulin receptor insensitivity.

Decreased cortisol will lead to hypoglycemia due to the body’s inability to stabilize glucose levels.

ADRENAL FUNCTION

EMOTIONS & SECRETORY IgA

Find a comfortable, quiet place to lie or sit down. Place your feet slightly apart. Place one hand on your

abdomen near your navel and one hand on your chest. You will be inhaling through your nose and exhaling through

your mouth. Concentrate on your breathing. Note which hand is rising and

falling with each breath. Gently exhale most of the air in your lungs. Inhale while slowly counting to 4. As you inhale, slightly

extend your abdomen, causing it to rise 1 inch. Do not move your chest or shoulders.

As you breathe in, imagine the warmed air flowing in. Imagine this warmth flowing to all areas of your body.

Pause for 1 second, then slowly exhale to a count of 4. As you exhale your abdomen should move inward.

As the air flows out imagine all your tension and stress leaving your body.

Repeat process until a sense of relaxation is achieved.

STRESS MANAGEMENT- DIAPHRAGMATIC BREATHING

SUPPORTIVE TREATMENT

Rescue Remedy Cherry Plum: fear of losing control Clematis: lack of interest in present

circumstances Impatiens: impatience Rock Rose: terror Star of Bethlehem: after effects of shock

‘Health depends on being in harmony with our souls.’ -Dr. Edward Bach, M.D. (1886-1936)

“ANTI-STRESS IN A BOTTLE”

Boron Zinc Vitamin C Pantothenic Acid – Vitamin B5 Copper Manganese Niacinamide Curcumin Bromelain Ginger

NUTRITIONAL SUPPLEMENTATION

ACUPUNCTURE

Cayenne-Vinegar Liniment◦ 1 tablespoon cayenne pepper◦ 1 pint apple cider or rice wine vinegar

Simmer cayenne pepper in apple-cider vinegar or rice wine vinegar for 10 minutes in a covered pot.

Apply to painful site with minimal rubbing.

TCM HERBS

Cabbage – eaten and poultice, provides sulphur

Celery – clears digestive fermentation (damp) and acidic blood (tissue inflammation)

Cherry – warms, reduces acid & increases Qi.

Chives – cold & damp Scallions & Grapes – treats cold Oranges – moistens, tonifies digestion &

appetite

TCM MEDICINAL FOODS

Promote immune health

Decrease inflammation and oxidation

Eat a healthy, whole foods diet

Optimize Digestion Adrenal Health Supplement when

necessary

SUMMARY

Dayna K. Kowata, N.D., L.Ac.Susan Samueli Center for Integrative Medicine

University of California, Irvine714.424.9001

www.sscim.uci.edudkowata@uci.edu

CONTACT