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ALTERNATIVE MEDICINE<br />

A Never Ending Plague<br />

Chronic Sinusitis<br />

A flash light on alternative remedies<br />

A widespread disease<br />

About 15% of the population in<br />

Western industrialized countries suffer<br />

from a chronic inflammation of<br />

the sinuses. The symptoms include a<br />

headache, fever and a congested nose.<br />

Acute rhinosinusitis is defined as an<br />

inflammatory process within the nasal<br />

sinuses which takes a maximum of 12<br />

weeks to clear. The reason for the<br />

illness is due to a nasal infection<br />

which results in a concomitant blocking<br />

of the sinus drain and disturbed<br />

ventilation.<br />

With “chronic sinusitis” the symptoms<br />

last longer and can continue beyond<br />

the 12 week period. The creeping<br />

obstruction is due to an increased<br />

tissue growth inside the sinuses and a<br />

complete inflammation of the mucous<br />

membranes.<br />

Sinusitis should be seen in a systemic<br />

context and not as an isolated<br />

disease. 25 to 30 % of all allergic patients<br />

have sinusitis. 43% of Asthma<br />

patients suffer from sinusitis, 37% of<br />

organ transplant patients are affected<br />

and 54—68 % of all AIDS patients<br />

suffer from the condition.<br />

Antibiotics<br />

For many years the therapy of<br />

choice has been antibiotics, with the<br />

assumption that bacteria was the main<br />

cause of the infection. More recent<br />

research has shown that the “wrong<br />

criminals” may have been chased. The<br />

main reason for the infection now<br />

seems to be down to a virus and not<br />

bacteria.<br />

The first reaction of most doctors is to<br />

offer an antibiotic therapy to tackle<br />

sinusitis, without considering the fact<br />

that many germs have multiple resistances<br />

to this form of treatment. This<br />

results in many patients having no<br />

reaction to the first therapeutic approach.<br />

The second choice is then a<br />

combination of steroids: aminopenicillin<br />

plus a beta-lactamase-inhibitor.<br />

Decongestion<br />

Naphazolin, xylometazolin and other<br />

similar substances help to significantly<br />

alleviate the ventilation of the nose.<br />

The aim is to facilitate the decongestion<br />

between the nasal area and the<br />

throat. The secretion needs room to<br />

flow and the overloaded pressure in the<br />

sinuses needs to be released. Although<br />

this method aids the recovery and<br />

helps reduce the individual symptoms<br />

there is no proof that the course of the<br />

disease is actually shortened. It is important<br />

to remember that benzalkonium<br />

chloride should not be added as<br />

a preserving agent, as this dries the<br />

mucous membranes and can quickly<br />

damage the sensitive ciliated epithelium.<br />

This is an essential part of the<br />

mucous membrane and acts as an active<br />

draining system, so any damage<br />

caused to this system can result in prolonged<br />

problems.<br />

Plants beat chemistry<br />

Expectorants are an indispensable<br />

element of any sinusitis therapy. The<br />

therapeutic guidelines published in<br />

Germany found that substances such as<br />

ambroxole, bromhexin and acetyl cysteine<br />

do not shorten the duration, yet<br />

an efficacy is attributed to a botanical<br />

remedy (5 different ingredients): Myrtol<br />

is an effective expectorant.<br />

Orthomolecular<br />

infusion<br />

therapy<br />

A study of the Charité (Berlin University<br />

clinic) revealed that an intravenous<br />

high dose procaine therapy leads<br />

to a significant fall in the inflammation<br />

parameters of interleukin 6 and CRP.<br />

In combination with high dose of vitamin<br />

C, given intravenously, one can<br />

see an augmentation of the results.<br />

A strong duo<br />

A combination of Horseradish and<br />

pepper weed has been used for many<br />

years as a supportive therapy for infections<br />

of the urogenital and airways.<br />

The active agents are mustard oils<br />

(isothiocyanate), which are highly effective<br />

against many kinds of bacteria.<br />

Nasal douches<br />

Nasal douches—to be applied two<br />

times per day with salt added to the<br />

rinse water — this helps to dissolve<br />

dry mucus and leaves the membranes<br />

with the necessary humidity. This<br />

method is both cheap and effective,<br />

especially when applied regularly. It<br />

can also be used preventively.<br />

MICHAELA SEEBACHER<br />

20

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