Respiratory System Disorders and Therapy From a New - Louis Bolk ...

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1. Introduction This Companion for the Practice of Medicine studies asthmatic disease and pneumonia as representative examples of airway disorders using the Goethean phenomenological method (Bartoft, 1986). This method is described in the Preface. In Chapter 2, we will first describe some of our own patients with asthma and pneumonia to be able to study the signs and symptoms of these diseases. What do these diseases have in common and where do they differ? We will place our findings alongside of the pathophysiology of asthma and pneumonia to learn how these diseases divert from a normal healing process. Chapter 3 places the features of asthma and pneumonia in context. When we look at their symptoms in the respiratory tract, we find that these diseases have characteristics that are similar to physiological processes elsewhere in the organism. This makes it possible to give meaning to the characteristic qualities of these diseases and it will allow us to develop a dynamic concept of disease in the respiratory tract. Asthma and pneumonia appear to have polar opposite dynamics from this point of view. In the series BOLK’S Companions for the Practice of Medicine we discussed anatomy, physiology, biochemistry, pharmacology, immunology, and embryology from this viewpoint. Specifically, what can be learned from the Companions on Anatomy (Bie 2002), Physiology (Tellingen 2008), and Immunology (Bie 2006) is used in this Companion for the Practice of Medicine. The first Practice Companion: The Healing Process is also an important reference (Bie et al 2008). In Chapter 4, we look at other inflammatory airway diseases comparing them to characteristic features of asthma and pneumonia. We will demonstrate that a dynamic perception of physiology and disease can uncover the relation between these diseases that, at first sight, may not seem to be connected. It leads to the insight that disease is a deviation from normal physiological processes in one or more of three ways: in intensity, in place, or in time. This is elaborated upon in Chapter 5. Chapter 6 presents a fresh look at the therapy for airway disease in light of what we have found. We will discuss
therapy from the standpoint of integrative medicine: safe and effective treatments used in regular medicine, homeopathy, anthroposophic medicine, traditional Chinese medicine, and acupuncture will be described. This gives a better understanding of their application as well as of how the different treatment modalities can complement each other. We close by looking at non-inflammatory respiratory illness and at the importance of rhythms in the human organism in health and disease, in Chapter 7. Rhythms are essential not only in rhythmic functioning organs such as the airways, but also in the whole human organism. Respiratory disease, studied phenomenologically, can teach us about rhythmic functions. In the appendix, the methods of the different treatment modalities — regular medicine, homeopathy, anthroposophic medicine, traditional Chinese medicine, and acupuncture — are presented. We hope that this Companion will enhance the insight of medical students and interns — as well as of practicing physicians and therapists — when treating patients with respiratory disease. Fig. 1.1. The upper and lower respiratory tract (from Guyton 2000) Bolk’s Companions RespiRatoRy system DisoRDeRs anD theRapy - 9
Page 1 and 2: I N S T I T U T E Respiratory Syste
Page 3: Respiratory System Disorders and Th
Page 6 and 7: Contents Acknowledgments 6 Preface
Page 8 and 9: Acknowledgments This Companion was
Page 12 and 13: 2. Clinical Signs and Symptoms in P
Page 14 and 15: c. Her muscle tone is increased thr
Page 16 and 17: Conclusion: In the acute asthma att
Page 18 and 19: 2.3. The Third Patient: Acute Airsp
Page 20 and 21: 2.3.2. Pathophysiology of Bacterial
Page 22 and 23: 2.4.1. The Physiological Healing Pr
Page 24 and 25: dissolution. These diversions can l
Page 26 and 27: Table 2.1. Pathophysiological chara
Page 28 and 29: 3. Characterization of Asthma and P
Page 30 and 31: 3.1.2. Breathing Problems The time
Page 32 and 33: Cough Sometimes, a persistent, dry,
Page 34 and 35: Muscle Ache The increased muscle to
Page 36 and 37: 3.1.4. Metabolic Changes Acidosis C
Page 38 and 39: Seasonal Influences The relation be
Page 40 and 41: it were, dynamically poisoned by th
Page 42 and 43: ut is normally different in the liv
Page 44 and 45: Abrogated Inhalation A patient with
Page 46 and 47: 3.2.4. Changed Awareness Sleepiness
Page 48 and 49: for years, if not a lifetime (fig.2
Page 50 and 51: Just think of the interface between
Page 52 and 53: Jetlag Who does not know the phenom
Page 54 and 55: Dissolving tendency Fig. 3.5. The d
Page 56 and 57: 4. Other Inflammatory Disease of th
Page 58 and 59: 4.3. Hay Fever Hay fever is accompa
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Lung fibrosis can be seen as an “
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developed acute asthma attacks as a
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factors: anxiety to meet certain pe
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In asthma, • There is an intensif
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from the mesoderm in the yolk sac v
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Fig. 5.2. Relation between ventilat
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5.4. A Dynamic Concept of Disease M
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complementary medications and thera
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Classical, individual homeopathy is
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Infection/Injury Acute Fase Reactio
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document the different methods of h
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them rhythmically. Normally, the in
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6.1.2. Therapy for the Hyperreactiv
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we may consider Pulsatilla. Sulphur
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If the patient is exhausted, bother
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In fig. 6.2., a dynamic diagram sho
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6.2.1. Therapy for the Dissolving D
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c. Treatment of the rising fever by
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d. Excess exudate is secreted in pn
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6.2.3. Therapy for the Decreased Re
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The various treatment modalities th
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Sarcoidosis of the lung is a diseas
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Fig. 7.2. Rhythm in nature: sand an
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already observed in fever. This als
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Appendix Therapeutic Methods The me
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2009; Chernyshov et al 2000; Kienle
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systematically noted and which can
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Study of Medicine. Louis Bolk Insti
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10.1186/1472-6882-7-10. Hamre HJ, W
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Nishijo K, Mori H, Yosikawa K, Yaza
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BOLK’S COMPANIONS FOR THE STUDY O
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The Healing Process I N S T I T U T
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