EVALUATING BLOOD TESTS FROM A TCM PERSPECTIVE

[Guest guest]

Here is some additional information I thought I would pass your way.

Brian N Hardy, DC, LAc, CCN

 

EVALUATING BLOOD TESTS FROM A TCM PERSPECTIVE

 

The following is a list of common serological tests. The General Laboratory

Values are first listed. The ptimum values are what is preferred. In the left

hand column you will find the Western medical problem; in the right hand column

you will find the common syndrome most often found in combination with the

medical problem and the elevation or depression of the blood chemistry.

 

Key:

 

^ & > = increased; more, heightened; intensified

 

< = decreased; less, diminished

BLOOD

RED BLOOD COUNT (RBC)

 

The red blood cell is a carrier of oxygen through the hemoglobin it contains.

The RBC value measures the actual oxygen carrying ability of the blood.

 

General Laboratory Values:

 

Male: 4.4-6.2 million cu.MM

 

Female: 3.8-5.4 million cu.MM

 

Red Blood Cell Increased In:

 

B6 Anemia Sp, Kid Qi Xu

 

Emphysema (check HGB) Sp, Kid, Lu Zi Xu; Lu Yin Xu

 

Respiratory Distress (check total protein) Kid Qi Xu; Lu Qi Xu

 

Adrenal Hyperfunction (check potassium) Kid Damp Heat

 

Cystic Fibrosis Sp Qi Xu; Liv Stagnation

 

Damp Heat

 

Red Blood Cell Decreased in:

 

Iron Anemia (check HGB) Sp Qi Xu; Lu Qi Xu

 

Folic Acid Anemia (check MCV/MCH) Sp Qi Xu

 

Hereditary Anemia <Jing Qi; Sp Qi Xu

 

Liver Dysfunction (check SGPT) Li Stagnation; Li Heat

 

Renal Dysfunction (check creatinine) Kid Qi Xu

 

Free Radical Pathology <Wei Qi; Sp, Kid Qi Xu

 

General Picture of Toxic Metal Poisoning

 

Increased

 

Eosinophils, Bilirubin, BUN

 

Decreased

 

RBC, HCT, HGB, MCV, MCH

 

 

 

 

 

 

 

General Picture of Cadmium Poisoning (including toxic metal)

Increased

SGOT, SGPT, Calcium

 

Decreased

 

Phosphorous

 

General Picture of Mercury Poisoning (including toxic metal)

IncreasedSGOT, SGPT Decreased

CO 2

 

General Picture of Arsenic Poisoning (including toxic metal)

 

Increased

 

Alkaline Phosphatase

RX: Toxic Metal Poisoning

Methionine, L-Cysteine, L-Glutathione sulfur amino acids detoxify metals

 

Selenium/Vitamin E anti-oxidant

 

Zinc - <zinc associated with toxic metal >

 

Calcium/Magnesium prevents lead particularly from depositing in body (^EOS)

 

Vitamin C heat in bld; (^EOS; ^Uric Acid)

 

Garlic helps to bind and excrete toxic metals esp. lead

 

Milk Thistle Extract hepatoprotective; (^EOS; ^BUN; ^Uric Acid)

 

Isatis Formula w/ infx; toxic heat in liver; (^BUN; ^Uric Acid)

 

Fiber Combination removes toxic metabolites more quickly; broom effect

 

Siberian Ginseng Combination adaptogenic; reduces metal and radiation poisoning

 

NOTE: After detoxification is achieved use an adaptogen such as American

Ginseng, Siberian Ginseng, or Siberian Ginseng Combination one month per year is

an excellent prophylactic measure.

 

HEMATOCRIT (HTC)

 

Hematocrit represents the packed cell volume of red blood cells. It is the

percentage of the total volume occupied by packed red blood cells when a given

volume of whole blood is centrifuged at a constant speed for a constant period

of time. HCT is one of the most precise ways of measuring the degree of anemia.

Hematocrit combined with serum iron and hemoglobin is a diagnostic tool for

determining iron excess or deficiency.

 

General Laboratory Values:

 

Males: 39-54%

 

Females: 35-48%

Hematocrit Increased In:

Dehydration Kid Yin Xu; Lu Yin Xu; Ht Bld Xu

 

Asthma Spleen Qi Xu; Kid Qi Xu; Lu Qi Xu

 

Emphysema Spleen Qi Xu; Kid Qi Xu; Lu Qi Xu; Lu Yin Xu

 

Respiratory Distress Kid. Qi Xu; Lu Qi Xu

 

Adrenal Hyperfunction Kidney Damp Heat

 

Diarrhea Spleen Damp Heat; LI Damp Heat

Rx. Hematocrit Increased

Capilaris & Hoelen Formula Damp Heat (diarrhea; adrenal^)

 

Hoelen 5 Formula - Dampness (diarrhea; adrenal hyperfx)

Hematocrit Decreased In:

Parasites LI Stagnation; Liver Stagnation, Sp Qi Xu

 

Adrenal Hypofunction Kid Qi Xu

 

Anemias Spleen Qi Xu; Lu Zi Xu; LI Xu; Liver Bld. Def.

 

Digestive Inflammation Spleen Qi Xu; Damp Heat Spleen

 

Liver Dysfunction Liver Stagnation; Live Heat

 

Renal Dysfunction Kid Qi Xu

 

Rheumatoid Arthritis Spleen Qi Xu; Kid Qi Zu, <Wei Qi; Liv. Stag.

Rx. Hematocrit Decreased

Ginseng & Longan Formula - Qi/Blood Def (B 12 def; folic acid def; fe<)

 

Ginseng Nutritive Formula - Qi/Blood Def (B1 def; B12<; fe<)

 

Tang Kuei & Ginseng 8 Formula - Qi/Bld Def (B-12<; adrenal<)

 

Minor Bupleurum Formula - Liv Stag.; St Phlegm; (Liv dysfx; parasites)

 

Bupleurum & Cinnamon Formula - Liv Stag. w/Ht; (Liv dysfx; rheumatoid arthritis)

 

HEMOGLOBIN (HGB)

 

Hemoglobin is the circulating iron containing pigment, which carries oxygen from

the lungs to the tissues. It is a measurement of how earth feeds metal.

Hemoglobin ability to transport oxygen depends upon pH and the presence of

ferrous iron. Hemoglobin is the most abundant protein found within the red blood

cell. Hemoglobin level measures the amount of intracellular iron. Hemoglobin is

synthesized in most bodily tissues but the liver is the largest heme producing

organ. (The muscles being fed by iron as well as glucose liver). In the bone

marrow heme is transformed into hemoglobin. It is also a measurement of how the

metal manipulates the wood.

 

It is important to note that infants have a higher hemoglobin level than adults.

(growth/wood excess in infants). Hemoglobin is considered along with hematocrit,

red blood cells, MCV and MCH in determining anemia. Ideally serum iron and

ferritin will also be measured.

 

General Laboratory Values:

 

Males: 13.0 18.0 G/DL Females 11.5 16.0 G/DL

Hemoglobin Increased In:

Asthma Spleen Qi Xu; Kid Qi Xu; Lu Qi Xu

 

Emphysema Spleen Qi Xu; Kid Qi Xu; Lu Qi/Yin XuAdrenal Dysfunction Kidney Damp

Heat

 

Diarrhea/Dehydration Spleen Damp Heat; LI Damp Heat

Serum Profile of Asthma

Increased

 

HGB, HCT

 

QBC, Eosinophils

 

Decreased

 

Lymph, Potassium

Rx: Asthma

Homeopathic Remedy - Arsenicum Album; Pulsatilla; Phosphorous

 

Antronex - Liver Stagnation

 

Pancreatic Enzyme - Sp Qi Xu

 

Adrenal Extract - Kid Qi Xu

 

Calcium/Magnesium - will alleviate wiry pulse

 

Minor Blue Dragon Formula - Phlegm/Damp; Lu Qi Zu; ^EOS

 

Pinellia X Formula - Phlegm/Damp Heat; sinus; ^LDH, ^EOS, <K

 

Pueraria Formula - Wind Cold; GB congestion; ^EOS, ^WBC

Hemoglobin Decreased In:

Parasites LI Stagnation; Li Stagnation; Sp Qi Xu

 

Adrenal Hypofunction Kid Qi Xu

 

Anemias <Wei Qi; Lu Qi Xu; Sp Qi Xu; Kid Xu; Jing Qi Xu

 

Digestive Inflammation Sp Qi Xu; Sp Damp Heat

 

Liver Dysfunction Li Stagnation; Li Heat; Li Heat Rising

 

Renal Dysfunction Kid Qi Xu]

 

Rheumatoid Arthritis Spleen Qi Xu; Kid Qi Xu; <Wei Qi

Serum Profile of Iron Anemia

Increased

 

B 12, Globulin above 2.8

 

Decreased

 

RBC, HCT, HGB, Iron, Bilirubin

 

MCV, MCH, MCHC

 

 

 

Rx: Iron Anemia

 

Alfalfa Extract - TID two weeks; BID two weeks

 

Liver Extract - TID (<HCT, <HGB, <Fe, <Bilirubin)

 

HCL - with meals (<Fe)

 

Floradix - TID (<HCT, <HGB)

 

Dong Quai Combination - Blood Def; w/Sp Qi Xu)

 

Tang Kuei Four Formula - Blood Def; anemia<aft. Mense; (<HCT, HGB, Fe, RBC)

Serum Profile of B12 Anemia

Increased

 

HGB, MCV, MCH, Iron

 

Decreased

 

WBC, Cholesterol

 

Eosinophils Potassium, B12, Albumin

Rx: B12 Anemia

Folic Acid/B12 400 mcg/500 mcg TID 2 weeks

 

400 mcg/500 mcg BID 2 months

 

Liquid B Complex one dose BID 2 months

 

]Thymus Extract two tablets TID 2 weeks

 

Tang Kuei & Ginseng Form. Sp & Liv Bld Def; fatigue (MCV^; MCH^, WBC<) following

mense or illness

 

Ginseng & Longan Formula Sp Qi Xu; calmative; insomnia

 

Ginseng Nutritive Formula Geriatric anemia (^MCV; ^MCH; <WBC)

 

Floradix Consider for vegetarians and Cold Sp/St

 

Dong Quai Combination Sp Qi Xu; thyroid imbalance

 

Serum Profile of Folic Acid Anemia

 

Increased

 

MCV; MCH; Iron; LDH

 

Decreased

 

RBC; HGB; HCT; Folate, Uric Acid, Potassium

Rx: Folic Acid Anemia

Folic Acid/B12 400 mcg/500 mcg TID 2 weeks

 

400 mcg/500 mcg BID 2 months

 

Liquid B Complex one dose BID 2 months

 

Alfalfa Extract dose TID / Tang Kuei & Peony Formula Bld Xu; Kid Qi Xu; (MCV>,

Folate<; HGB<; HTC<)

 

Ginseng & Astragalus Formula Sp Qi Xu; (Folate<, RBC<, MCV>)

 

Notations

 

It is difficult to differentiate between folic acid anemia and B-12 anemia. One

generalization: if the patient is suffering with a looser stool, supplement

first with folic acid. If the patient has leanings more toward constipation, use

B-12 first. With both anemias the Qi of the Stomach is diminished. Herbal Spleen

Qi enhancing formulas such as Ginseng and Astragalus as well as/or HCL should be

considered.

 

B-12 and Folic Acid should be considered when dealing with inflamed nerve tissue

or degeneration (myalgias), blood sugar disorders, vegetarians and pregnant

women. (Pregnancy/neural tube defect). Iron anemia could be the outcome of a

history of excessive aspirin use. If sclera of the eyes are blue, need for iron.

 

MEAN CORPUSCULAR VOLUME (MCV)

 

MCV indicates the volume in cubic microns occupied by an average single red

blood cell. MCV increases or decreases with an increase or decrease in MCH is a

finding for folic acid/B-12 deficiency (increase) or iron, copper or B-6

(decrease).

 

General Laboratory Values: 80 100 cuMM

MCV

Increased

 

Folic acid/B-12 anemia

 

Hereditary anemia

 

Decreased

 

Parasites (check eosinophils)

 

Iron anemia (check HGB)

 

Hypochlorhydria (check food allergies)

 

B-6 anemia; Vit. C anemia

 

Rheumatoid arthritis; Lead poisoning

MEAN CORPUSCULAR HEMOGLOBIN (MCH)

MCH indicates the weight of hemoglobin in a single red blood cell. When MCH >s

or <s with an > or < in MCV it is an indicator for folic acid and/or B-12

deficiency. A < in MCH with a < in MCV will point to an iron, B-6 or copper

deficiency.

 

General Laboratory Values: 27 33 micro micrograms

MCH

Increased

 

B-12/Folic Acid anemia

 

Hereditary anemia

 

Decreased

 

Parasites

 

Iron anemia, Copper deficiency

 

Rheumatoid Arthritis (check Alk Phos)

 

Toxic metal poisoning lead, etc.

 

MEAN CORPUSCULAR HEMOGLOBIN CONCENTRATE

 

Indicates the hemoglobin concentration per 100ml of packed red blood cells.

 

General Laboratory values: 31 36%

 

PLATELETS

 

Platelets, or thrombocytes, are tiny bits of cytoplasm, much smaller than the

red blood cells but lacking a nucleus. They are round or biconcave disks and are

normally about 30 to 40 times more numerous than the white blood cells. They are

produced as broken fragments of the cytoplasm of the giant cells of the bone

marrow the megakaryocytes. The platelets primary function is to stop bleeding,

with the help of certain clotting proteins in the plasma. When tissue is

damaged, the platelets aggregate in clumps to obstruct blood flow through the

smallest vessels, the capillaries. In the larger vessels, the clumps of

platelets form a site around which a blood clot forms, aided by a clot-promoting

factor freed by the platelets as they break down. In short, platelets are

responsible in the blood clotting mechanism.

 

General Laboratory Values: 150,00 450,00 CuMM

Platelets

Increased

 

Anemia / Rheumatoid Arthritis

 

Decreased

 

Anemia / Liver Dysfunction; Lupus

QI

WHITE BLOOD CELLS (TOTAL WHITE BLOOD CELL COUNT)

 

White Blood Cells are divided into two groups: 1) Granulocytes: neutrophils,

eosinophils and basophils, 2) Nongranulocytes: lymphocytes and monocytes.

 

General Laboratory Values: 4 11 Thous./cu.mm.

WBC

Increased

 

Measles, Mumps (onset)

 

Mono (2nd/3rd wk)

 

Parasites

 

Adrenal Dysfunction

 

Infection (abscess)

 

Flu w/additional infx.

 

Asthma

 

Decreased

 

Measles, Mumps (Late)

 

Mono (1st wk/chronic)

 

Parasites

 

Adrenal Dysfunction

 

Chronic Infection (viral/bacterial)

 

Flu (onset) / B-12, B-6, Folic Acid Anemia / Lupus Erythematosis (LDH^; SED^) /

Monos^; Cholest^; Albumin<; HCT/HGB<;

 

Lymphs<; Platelets<

RX: Elevated WBC

Week #1 Yin Qiao one dose QID first 48 hours

 

Echinacea Combination one dose TID/QID

 

Vitamin C mineral ascorbate 500-1000 MG QID

 

Thymus Extract 2 tablets TID

 

Proteolytic Enzymes dose TID betw. Meals

 

Consider stomach protective measurement

 

Week #2 Isatis Formula dose TID

 

Zinc Picolinate 15 mg. BID

 

Consider short course of pancreatic enzyme for Spleen Deficiency

 

Week #3 Minor Bupleurum Formula dose TID

 

Thymus Extract dose TID

 

NEUTROPHILS

 

Neutrophils are predominantly involved with phagocytosis. Neutrophil count is a

way of determining the strength of the immune system ability to fight infection.

 

General Laboratory Values: 45 75 percent of total WBC

NEUTROPHILS

Increased

 

Infection

 

Adrenal Dysfunction; Gout

 

Pregnancy Last Trimester

 

Decreased

 

Infection

 

Bone Marrow Depression

 

Iron, B-12, Folic Acid

 

BANDS OR NON-SEGMENTED NEUTROPHILS

 

Bands are the youngest form of neutrophils typically found in the peripheral

blood. They increase during acute infection with or without an increase in the

total WBC. BAND measurement is useful in determining an infectious process.

 

General Laboratory Values: 0 10% of total WBC

BANDS

Increased

 

Acute Infection

 

Decreased

 

Not considered a significant finding

 

LYMPHOCYTES

 

Lymphocytes help to destroy toxic metabolites of protein metabolism. They

originate from lymphoblasts in the spleen, lymph, glands, tonsils, bone marrow

and thymus. They help to determine the stage of infection: acute; recovery;

chronic. Generally when lymphs are high there is some systemic toxicity; when

lymphs are low there is often chronic viral infection.

 

General Laboratory Values: 18 46 percent

LYMPHOCYTES

Increased

 

Infection; Flu

 

Parasites

 

Anterior Pituitary Hypofunction

 

Adrenal Dysfunction

 

Hyperthyroidism

 

Decreased

 

Infection; Flu

 

Lupus

 

Late Pregnancy

 

Adrenal Dysfunction

 

Immune Deficiency RX: Acutely Increased Lymphocytes

 

Day #1: Aconite 200x one dose

 

Yin Qiao one dose QID

 

Curing Formula one dose TID

 

Days #2 5: Echinacea Combination one dose QID

 

Consider additional Echinacea

 

Vitamin C 1,000 MG QID

 

Wobenzyme one/two with meal

 

Consider proteolytic enzymes between meals

 

Days #6 10 Isatis Formula one dose QID

 

Acidophilus/Bifidus one dose BID

 

Wobenzyme one/two with meal

 

Zymex II 3 caps two times daily between meals

 

Jade Screen Formula dose BID

 

MONOCYTES

 

The monocyte is a young macrophage. The cells that line sinusoids in spleen,

liver and lymph notes derive from the same monocyte-macrophage pool. Normal

macrophages have enzyme systems capable of synthesizing and of degrading

sphingolipids, compounds important in biologic membranes and especially

prominent in the nervous system. Monocytes are of primary importance in

diagnosing mononucleosis. At the onset of illness the WBC may be low but by the

end of the first week the count will usually be between 10,000 - 30,000mm. There

is an increase in lymphocytes as well as monocytes which will often be over 15%.

 

General Laboratory Values: 0 - 10%

MONOCYTESIncreased

Parasites

 

Hepatitis (SGPT)

 

Benign Prostate Hypertrophy (Creatinine)

 

Acute Infection; Mumps

DecreasedNot Significant

RX: ELEVATED MONOCYTES

 

Addressing liver stagnation is most important. Simultaneously consider blood

cleansers, anti-virals and liver regulators.

EXAMPLE

Day #1: Echinacea Combination - 2 droppers 5x daily

 

Vitamin C - 1,000 mg. - 5x daily

 

Appropriate Homeopathic - 4x daily

 

(Oscillococinnum)

 

Days #2, 3, 4: Echinacea Combination - 2 droppers 3x daily

 

Isatis Formula (with stronger spleen) - 2 droppers 3x daily

 

Adrenal Extract and Vitamin C - QID

 

Days #5,6,7: Isatis Formula - 2 droppers 2x daily

 

Minor Bupleurum Formula - 2 droppers 3x daily

 

Merc. Sol, Merc. Viv, or Merc. Dulc. - dose 3x daily

 

EOSINOPHILS (EOS)

 

Eosinophils are the mediators in acute inflammation and increase with allergies,

some skin disease, after radiation exposure and parasites. EOS are involved with

the detoxification and removal of excess proteins. W/ elevation food

sensitivities are important to consider. Elevated eosinophils are decreased with

adrenal support. It is important when regulating EOS that urinary and saliva pH

is maintained between 6.0-6.5.

 

General Laboratory Values: 0-6%

EOSINOPHILSIncreased Decreased

Allergies (IgE) not significant

 

Asthma (IgE/HGB)

 

Rheumatoid Arthritis (Alk. Phos.)

 

Hayfever; Dermatological Disorders

 

Parasites (IgE/<Fe/MCH/MCV/HGB/HCT)

 

Hyperthyroidism (T3 Uptake)

 

Adrenal Cortical Hypofunction (K) / Anterior Pituitary Hypofunction (TSH)

 

RX: ELEVATED EOSINOPHILS

 

Week #1: Rule out need for HCL

 

Echinacea Extract - 2 droppers TID

 

Pancreatic Enzymes - dose w/ meals

 

Zymex - (for children) - dose BID

 

Thymus Extract - dose TID

 

Week #2: Pancreatic Enzymes

 

Adrenal Extract - dose TID

 

Vitamin C - dose TID

 

Symptom specific formula: Minor Bupleurum; Minor Blue Dragon; Du Huo and

Loranthus; Pueraria comb.; or Milk Thistle Extract

 

Calcium/Magnesium - dose BID

 

Week #3: Syndrome specific herbal formula

 

Thymus/Adrenal as needed

 

Vitamin C - BID

 

Zinc - BID

 

B-12 - BID

 

BASOPHILS (BASO)

 

Basophils contain enzymes called lysosomes. Lysosomes activate the release of

histamine and hyaluronic acid. Basophils release heparin essential to fighting

inflammation and preventing clotting of the blood in inflamed tissue.

Hyalouronic acid is an interstitial adhesive/protective factor whose production

is associated with cortisol output.

 

General Laboratory Values: 0 -2%

BASOPHILSIncreased

Parasites (EOS)

 

Chickenpox (WBC)

 

Flu; Inflammation

 

Hypothyroidism (T3/T4)

 

Chronic Hemolytic Anemia (RBC/HGB)

 

Decreased

 

not significant

FIRE: HEART/PERICARDIUM/SMALL INTESTINE

SEDIMENTATION RATE General Laboratory Values: Male - 0 - 15 MM/HR / Female -

0-20 MM/HR

 

The Sedimentation Rate helps to determine inflammation and/or destruction within

a disease process. It helps in following the course of an established condition

and also signals the onset of inflammation. Fibrogen increases the Sed. Rate,

while an increase in albumin decreases the Sed. Rate. The liver is the seat of

albumin synthesis. A damaged liver, therefore, can contribute to low albumin

with a corresponding increased Sed. Rate.

 

SEDIMENTATION RATE

Increased

Inflammation

 

Decreased

 

Not significant

 

THYROID

Thyroid Hormones

Control of oxygen consumption is the most conspicuous biologic effect of the

thyroid hormones, a physiologic variable measured in simplest fashion by the

basal metabolic rate. Thyroid hormones also influence carbohydrate and protein

metabolism, and the mobilization of electrolytes, and the conversion of carotene

to vitamin A. (wood/fire). Although the mechanism is not fully apparent, thyroid

hormones are essential for development of the CNS and the thyroid deficient

infant suffers irreversible mental damage. The thyroid deficient adult may have

slowed deep tendon reflexes.

 

Thyroid hormones affect synthesis and metabolism of fats. Abnormalities within

the endocrine system may be reflected in altered lipid levels. In

hyperthyroidism, degradation and excretion increase more than synthesis,

resulting in low levels of cholesterol and triglycerides. Hypothyroidism slows

catabolism more than it affects synthesis, and hypercholesterolemia and

hypertriglyceridemia. Hypothyroidism secondary to pituitary failure, however

does not cause lipids to rise. In an obviously hyypothyroid patient, a normal

serum cholesterol level should direct attention to the pituitary. (Is the

problem wood or water). Cholesterol levels will often drop within 3 weeks after

thyroid medication.

 

The thyroid gland synthesizes its hormones from iodine and the essential amino

acid tyrosine. Most of the body's iodine enters through the alimentary tract as

iodide, but under certain circumstances, the lungs and skin may be portals of

entry. Of the iodine that enters the body, approximately one third enters the

thyroid gland and two thirds leaves the body in urine.

 

Enzymes oxidize iodide to organic iodine, which is incorporated into

monoiodotyrosine and diiodotyrosine. These one and two iodine containing

compounds are building blocks for the active thyroid hormones T4 which has four

iodine molecules, and triiodothyronine T3, which has three.

T-3 UPTAKE

Useful to dx. Hyperthyroidism.

 

General Laboratory Values: .8 - 1.2

T-3 Increased

Hyperthyroidism

 

Protein Malnutrition

 

Renal Dysfunction

 

Decreased

 

Hypothyroidism; Pregnancy

 

Estrogens/Anti-Ovulatory Drugs

 

Triiodothyronine Rx. for Hypothyroidism

 

Propylthioouracil Rx. for Hyperthyroidism

 

T-4 THYROXINE General Laboratory Values: 4.5 - 12 mcg/100m.

 

T-4 is a product of the thyroid follicular cell. It influences the entire body's

metabolism. In primary hypothyroidism T-4 levels are usually low. In many cases

of sub-clinical hypothyroidism (chk. Daily temperature), T-4 levels may be low

normal.

 

T-4

Increased

Hyperthyroidism

 

Liver Cirrhosis

 

Pregnancy

 

Decreased

 

Hypothyroidism, Renal Dysfunction

 

Diabetes; Anterior Pituitary Dysfunction

 

Protein Malnutrition

 

THYROID STIMULATING HORMONE (TSH)

 

TSH is secreted from the pituitary gland. It regulates the uptake of iodine as

well as the synthesis and secretion of the thyroid hormones. TSH is influenced

by hypothalamic stimulation as well as T4 concentration.

 

General Laboratory Values: .4 - 6 mcIU/ml

 

TSH

Increased

Hypothyroidism

 

Liver Cirrhosis

 

Decreased

 

Hyperthyroidism

 

Anterior Pituitary Hypofunction

 

Hyperthyroidism

Increased

T4, T3 Uptake; Glucose; BUN

 

Alkaline Phos; Eosinophils

 

Decreased

 

Basophils; Albumin; Calcium

 

Total Protein; HCT; HGB; Iron

 

Magnesium; Cholesterol; Triglycerides

 

Hypothyroidism

Increased

LDH, Calcium, Magnesium

 

Basophils; Cholesterol; Triglycerides

 

Decreased

 

T3 Uptake; T4; HCT; HGB; Iron

 

Sodium

 

 

 

SYMPTOMATOLOGY

 

Hypothyroidism

 

>Cholesterol, Triglycerides

 

>Serum Carotene (yellow skin)

 

>Muscle Enzymes: CPK, AST, LDH

 

>Prolactin

 

Anemia; HGB @ 10g/dl

 

Capillary fragility

 

Spinal fluid protein

 

Hyperthyroidism

 

<cholesterol, triglycerides

 

>skin temp, pulse rat, pulse pressure

 

>Alkaline Phosphatase

 

Altered glucose/insulin relationship

 

>Proportion of lymphs in differential WBC

 

>Urinary calcium excretion

 

Pituitary/Hypothalmus

 

The thyroid produces hormones upon stimulation by the pituitary hormone

variously called thyrotropin or thyroid stimulating hormone (TSH). Pituitary

production of TSH (Kidney energy) follows stimulation by a hypothalamic protein

called thyrotropin releasing hormone (TRH), which responds to activity levels of

T3 and T4 in the blood passing through the hypothalamus. When hormone levels are

low TRH provokes TSH secretion, which then accelerates all aspects of thyroidal

iodine metabolism and hormone production.

EARTH: STOMACH/SPLEEN

GLUCOSE

 

This test is a useful indicator of glucose metabolism disorders.

 

Glucose represents the synthesis of carbohydrates and is the form in which

carbohydrate is supplied to the cell from body fluids. In other words, glucose

is the essence (yin) of carbohydrate metabolism. Insulin, of particular

importance in the transport of glucose into the fat cell, lowers serum glucose

while adrenal and pituitary hormones tend to elevate it through their effects on

the liver. The thyroid gland, on the other hand, by helping with the selective

activity of the intestinal tract for sugar, increases blood sugar if it is

overactive and decreases blood sugar if it is under-active.

 

Since brain cells cannot derive energy from anaerobic metabolism of glucose,

they are most vulnerable to hypoglycemia (enter brain fog General Laboratory

Values: 65-115 MG/DL

 

Glucose Increased

 

Diabetes Damp Heat in Spleen; Liv. Stag.

 

Acute/Chronic Pancreatitis Damp Heat in Spleen

 

Digestive Inflammation Damp Heat in Spleen

 

Digestive Inflammation Damp heat in Spleen

 

Hyperthyroidism Damp Heat in Spleen; Liv. Stag.

 

Pregnancy Damp Heat in Spleen

 

Adrenal Cortical Hyperfunction Damp Heat in Kidney

 

Chronic Renal Dysfunction Damp Heat in Kidney

 

Cardiac Dysfunction Damp Heat in Heart

Glucose Decreased

Hypothyroidism Spleen Qi Xu

 

Malnutrition Spleen Qi Xu

 

Pregnancy Spleen Qi Xu

 

Hypochlorhydria Spleen Qi Xu

 

Liver Dysfunction Spleen Qi Xu; Wind Attacking Earth

 

Hypoglycemia Spleen Qi Xu; Kidney Qi Xu

 

Anterior Pituitary Dysfunction Kidney Qi Xu

 

Adrenal Cortical Hypofunction Kidney Qi Xu

Diabetic Blood ProfileIncreased

Glucose; Basophiles; Creatinine

 

GGTP, Triglycerides; Cholesterol

 

BUN; Uric Acid; Alk. Phos & LDH normal -^

 

Decreased

 

Calcium; Insulin; Lymphocytes; T-cells

 

Blood pH; Phosphorous; Chloride

 

Albumin & Magnesium normal to <

 

It is interesting to note that with diabetes or pre-diabetic condition, the

serum triglycerides will often be higher than the serum cholesterol. In Oriental

Medicine this would relate to the predominant problem being Damp Heat in the

Spleen as opposed to ure Liver Stagnation.

RX: HYPERGLYCEMIA (HERBAL)

Astragalus & Ganoderma Formula Deficiency of Qi and Yin

 

Anem-Phello & Rhemannia Formula Heat w/ Yin Deficiency

 

Bitter Herb Combination Liv Stag.; Phlegm in Stomach/Sp.

 

Bupleurum/Dragon Bone Formula Diabetes w/ hypertension

 

Dandelion Extract Liver Stag.; ^Cholesterol/Trigs.

 

Goldenseal Extract Heat in St.; Dampness; infx.

 

Echinacea Combination if associated with infection

 

Garlic Hyperglycemia w/atherosclerosis

 

 

 

RX: HYPERGLYCEMIA (NUTRITIONAL)

 

Chromium 100 mcg. BID Stabilizes blood sugar

 

L-glutamine 500 mg. BID between meals or beg. meal; sustains blood sugar

 

Niacin/Niacinamide 100 mg. 2X daily every other week 3 months

 

Lipotropics (Choline, Methionine, Inositol) 350 mg. BID digest fats

 

Zinc (taste test) 15 mg. BID; slow healing; check nails; fungal infx.

 

Vit. A (emulsion or cap) 15,000 IU diabetics have difficulty converting

beta-carotene to Vit. A

 

Vit. C Mineral ascorbate 1,000 mg. TID

 

Vit. E Caution with hypertensive diabetic 200 IU BID TID

TEST WHICH CAN BE DONE IN THE CLINIC

Those who have an onset of diabetes with adulthood (type II diabetics) are not

able to perceive sweet tastes easily. The taste buds must be very stimulated

with a large amount of concentrated sweet for the taste to be perceive. It

almost as if the Spleen has lost some of its intelligence, discerning power or

Qi.

 

This patients inability to perceive sweet tastes makes it very difficult for

them to lose weight. WHY? They do not recognize sweet foods as such, and will

often consume large amounts of sugary type foods. This test will often detect an

impaired ability to taste sweets.

 

STEP #1: Make sure the patient has not consumed caffeinated stimulants within

the last three hours.

 

STEP #2: Label seven glasses as: 1: No sugar; 2: tsp. sugar; 3: tsp. sugar; 4: 1

tsp. sugar, 5: 1 tsp. sugar; 6: 2 tsp. sugar; 7: 3 tsp. sugar. Place these

amounts of sugar in eight ounces of water.

 

STEP #3: Have the patient sip with a straw from each glass. After each taste

have them rinse their mouth with water. Most people without a sugar disorder

will be able to perceive a sweet taste with only one teaspoon or less of sugar

in the eight ounces of water. Most individuals with a sugar disorder will need 2

to 3 teaspoons of sugar present in the eight ounces to perceive sweetness.

THE HYPOGLYCEMIC BLOOD PROFILEIncreased

Growth Hormone^

 

Insulin^

 

Decreased

 

Glucose <

 

LDH normal to <

 

A hypoglycemic may display any or all of the following symptoms: fatigue,

dizziness, headache, irritability, depression, anxiety, tightness in the chest,

sweet cravings, confusion, night sweats, weakness in the legs, nervous habits,

insomnia and an assortment of pains. These symptoms relate to various syndromes,

the most obvious being Spleen Qi Xu, Kid. Qi Xu and Liver Stag.

NOTATIONS:

A low normal glucose combined with a low normal LDH is reason to suspect

hypoglycemia. In Oriental Medicine this would be associated with Spleen Qi Xu.

Hypochlorhydria (St. Def.) and biliary stasis (Liver Stagnation) are prominent

syndromes in most cases of hypoglycemia. Low blood pressure (Kid. Qi Xu) is also

common amongst hypoglycemics.

 

With blood sugar problems, a craving for sweets is common. Bile salts for a

short period of time 2 weeks, along with chromium, is an effective way to

diminish this sweet craving. Ginseng & Astragalus and/or Ginseng & Atractylodes

Formulas will enhance digestion and help to take the extreme dip out of the

blood sugar curve. Homeopathics: Pulsatilla; Arg. Nit.

 

Headaches associated with chronic low glucose: Ginseng & Astragalus Formula

 

Hypoglycemia prior to menstruation is often due to a poor diet of excess sugar

and fats. Harmonizing the liver/gallbladder with Bupleurum and Tang Kuei Formula

(for the more Blood Def.) of Bupleurum and Paeonia Formula (for the more Liver

Stag. wiry pulse) will assist in controlling the blood sugar before menses.

 

A flat glucose curve is common with learning disabilities and ersonality

disorders or disturbed Shen. Heavy metals may also be the culprit here.

 

Food allergies, especially gluten and milk, may often cause blood sugar

fluctuations.

 

If LDH and glucose are low and such symptoms as hypochlorhydria, (Sp. Qi Xu)

hypotension and adrenal fatigue, (Kid. Qi Xu); and acidic urine and saliva

(Stagnation) one must rule our food allergies. Avoidance of allergens, simple

sugars and over-cooked fats is a must.

RX: HYPOGLYCEMIA (HERBAL)

Ginseng & Astragalus Formula Sp. Qi Xu; prolapse; taken between. Meals will help

to control blood sugar; taken w/ meals assists digestion.

 

Saussurea & Cardamon Formula Sp. Qi Xu; Damp; St. Stagnation; gas; w/meals to

resolve digestive symptoms

 

Ginger Extract Cold; Stagnant St.; w/ meals for digestion; between meals for

nausea, morning sickness

 

Echinacea Extract low grade infx. (5 days 2x each month 3 months)

 

Licorice Extract may be added to Ginseng and Astragalus Formula. By itself

effective as a Kid. Qi tonic for one week at a time. Administer at 11 AM and 3

PM. (do not use with hypertensives or individuals with sodium retention. Used

historically in the treatment of Addison Dx (exaggerated Kid. Qi Xu). Licorice

Extract enhances endogenous activity of mineralocorticoids via inhibition of

degradation by the liver. Glycyrrhizin suppresses 5-beta-reductase, the main

enzyme responsible for inactivating cortisol, aldosterone and progesterone.

Glycyrrhiza also has significant anti-inflammatory and anti-allergic activity.

Glycyrrhetinic acid was the first drug shown to treat peptic ulcers.

Glycyrrhetinic acid also effective in speeding the healing of oral and genital

herpes.

RX: HYPOGLYCEMIA (NUTRITIONAL)

Chromium

 

Bile Salts

 

Adrenal Extract

 

Liquid B Complex p 50 mg. 2x daily imperative in carbohydrate metabolism.

Augments Spleen Qi. Will create heat and is therefore not as effective in

diabetes as in hypoglycemia.

 

B-12 500 mcg. As needed (may be given IM 1 cc. Every 5 days for 4 doses. Will

assist in bowel absorption of nutrients. Enhances communication or feeding from

the earth to metal. Assists in resolution of diarrhea/constipation associated

with food allergies/hypoglycemic symptoms.

 

Note: a useful injection: B complex (1 cc) plus pyridoxine (1/2 cc) once per

week for one month has shown to be very effective in the beginning stages of

treatment for hypoglycemia. This is a relatively mild treatment and can be

combined with any of the herbal formulas. ACE injections in small amounts will

also assist in initial stages of tx.

 

Pantothenic Acid 350 mg. BID/TID magnesium is important in sugar metabolism.

 

Lipotrophics (Choline, Methionine, Inositol) Liv. Stag.; ^lipids

 

Fiber Combination (Guar Gum, Psyllium, etc.) LI Stag.; may create a problem w/

Sp Qi Xu. Begin with small amounts.

METAL: LUNG/LARGE INTESTINE

CARBON DIOXIDE (CO2) General Laboratory Values: 22-32 mEq/L

 

In the combustion of food, oxygen is used and carbon dioxide is given off. The

rate of oxygen consumption indicates the energy expenditure of an organism, or

its metabolic rate. The metabolic rate of any given animal at any given time is

highly variable and is influenced by many diverse factors, including amount of

muscular activity; quality of diet; presence or absence of digestion, lactation

or pregnancy; time of day or year; period of the menstrual cycle and emotional

state. Although most CO@ is lost through the lungs, some is converted to

bicarbonate. This bicarbonate is part of the alkaline reserve available for

neutralization of acids. Arterial blood has a lower total CO2 than venous blood.

 

CO2

Increased

Fever; Respiratory Distress/Alkalosis

 

Adrenal Hyperfunction

 

Decreased

 

Dehydration; Acidosis

 

Renal Dysfunction

 

TOTAL IRON

 

Iron is largely absorbed across the mucosa of the duodenum and proximal jejunum.

Gastric juice plays an important but not thoroughly understood role in promoting

absorption. The low pH of gastric juice makes iron more available from iron-rich

foods.

 

General Laboratory Values: 40 170 mcg/mL

IRON Increased

Pernicious Anemia/B-12

 

Liver/Kidney Dysfunction

 

Decreased

 

Iron Anemia; Parasitic Infection

 

Liver/Kidney Dysfunction;

 

Gastrointestinal Dx. (peptic ulcer; diverticulitis)

 

CALCIUM General Laboratory Values: 8.5 10.5 mg/dl

 

Calcium is absorbed from the upper part of the small intestine. Absorption

depends upon the relative acidity of the intestinal contents and the amount of

phosphate present. Calcium absorption is influenced by parathyroid hormone,

calcitonin and Vitamin D.

 

Calcium

Increased

Hyperparathyroidism

 

Ovarian Hyperfunction

 

Epilepsy

 

Decreased

 

Hypoparathyroidism

 

Osteoporosis; Acidosis; Hypochlorydria

 

Ovarian Hypofunction

 

PHOSPHOROUS

 

Phosphorous plays an important role in the hemostasis of calcium and in

reactions involving carbohydrates, lipids, and proteins. The chemical energy of

the body is stored in igh energy phosphate: compounds. Calcium and phosphorous

dynamics are largely regulated by the effects of parathyroid hormone on bone and

on urinary excretion and the effects of vitamin D metabolites on intestinal

absorption and on bone. Parathyroid hormone causes increased resorption of both

calcium and phosphorous from bone; it suppresses urinary calcium, causing serum

calcium levels to rise and serum phosphate levels to fall. Vitamin D stimulates

absorption of calcium and phosphorous from intestinal contents, and accelerates

the turnover of both minerals in the bone.

 

General Laboratory Values: 2.5 4.5 mg/dl

PHOSPHOROUSIncreased

Renal/Liver Dysfx.

 

Ovarian Hyperfunction

 

Fractures; Increased Vit. D levels

 

Decreased

 

Digestive Dysfx; <HCL

 

Ovarian Hypofunction

 

Diabetes; Decreased Vit. D. levels

 

WATER: KIDNEY/BLADDER

 

SODIUM

 

Sodium levels alone are of limited diagnostic use. It is important to compare

the relative measurement of sodium vs. potassium. Excessive sodium levels

implies heat in the kidney. Low levels of serum sodium imply Kidney Qi

Deficiency.

 

General Laboratory Values: 135 147 mEq/L

SODIUMIncreased Decreased

Adrenal Cortical Hyperfunction Adrenal Cortical Hypofunction

 

Congestive Heart Failure Diabetes; Diarrhea

 

Diabetes; Water softeners Excessive perspiration following exercise

 

POTASSIUM

 

Potassium levels can indicate in which general direction the body pH is going.

Increased levels of potassium are indicative of acidosis while decreased levels

are indicative of alkalosis. With chronic potassium elevation one has to

consider immunodepression and/or inflammation.

 

General Laboratory Values: 3.5 5.3 mEq. per liter

POTASSIUMIncreased

Adrenal Hypofunction

 

Asthma, Emphysema

 

Renal Dysfunction

 

Decreased

 

Adrenal Hyperfunction

 

Vomiting; Diuretics; Diarrhea

 

Hypertension

 

CHLORIDES

 

Sodium, potassium and chloride ions surround the cell plasma membrane. Comparing

the measurements of these three ions one can get general information on the

basic functioning of the kidney and the relationship of the water and the earth

elements. Generally, elevated chlorides will represent Heat and decreased

chlorides will represent Deficiency within the water elements.

 

General Laboratory Values: 96 109 mEq/L

CHLORIDESIncreased

CO2 deficiency

 

Adrenal Hyperfunction

 

Hyperaparathyroidism

 

Dehydration

 

Salicylate toxicity Renal Dysfunction

 

Decreased

 

CO2 excess

 

Adrenal Hypofunction

 

Respiratory distress

 

Diabetes

 

BLOOD UREA NITROGEN (BUN)

 

Urea is formed almost entirely by the liver from protein metabolism in the

tissues. The rate of urea production is accelerated by a diet high in animal

proteins and chronic tissue damage. It is believed that more than 50% of the

kidney must be destroyed before serum urea levels are significantly elevated.

Elevated BUN with normal creatinine usually signals a non-renal cause for

uremia.

 

General Laboratory Values: 7 25 mg/dl

BUNIncreased

Renal Dysfx; Gout; Heart Failure

 

Liv/Biliary Dysfx; Rheum. Arthritis

 

Decreased

 

Celiac Sprue; Advanced Acidosis

 

CREATININE

 

Creatinine clearance is a good measurement of glomerular function. It measures

the rate of excretion by the kidneys of metabolically produced creatinine. Blood

Creatinine rises when renal function declines. With severe renal impairment,

urea levels continue to climb, but creatinine values plateau.

 

General Laboratory Values: .6 1.5 mg/dl

CREATININEIncreased

Reduced blood flow to kidney

 

Urethral obstruction/stones

 

Shock, Blood Loss, Dehydration, Burns

 

Muscle trauma; Flu; Late pregnancy

 

Decreased

 

not significant

 

URIC ACID

 

Uric Acid is the chief end product of purine metabolism. Purines are

constituents of nucleic acids. Most uric acid is synthesized in the liver, in a

reaction requiring the enzyme xanthine oxidase. Uric acid travels through the

blood to the kidneys, where filtration, absorption and secretion will affect

uric acid excretion. Organ meats, legumes and yeast are especially high in

purines.

 

Uremia can be described as symptoms and physical abnormalities that result from

the kidneys failure to remove nitrogenous waste products normally excreted in

the urine. The toxic effects of uremia affect virtually all human organs. The

most common symptoms are high blood pressure, swelling (edema) of the ankles,

nausea, vomiting and weight loss. Anemia is almost always present because high

blood levels of urea, one of the nitrogenous substances, shortens the life span

of red blood cells. Other symptoms may include irritation of the heart sac

(pericarditis), bleeding, muscle twitches and itching (pruritus). In the later

stages, uremia causes agitation alternating with stupor, convulsions, coma, and

ultimately death. Analysis of blood chemistries show elevated levels of urea,

creatinine, uric acid, phosphorus and hydrogen ion.

 

General Laboratory Values:

 

Males: 3.0 9.0 mg/dl

 

Females: 2.2 7.7 mg/dl

URIC ACIDIncreased Decreased

Gout, Liv/Kid Dysfx. Pregnancy

 

Rheumatoid Arthritis Anemia B-12

 

Arteriosclerosis; Heart Disease

 

PROGESTERONE

 

Progesterone is secreted by the corpus luteum of the ovaries and to a lesser

extent by the adrenal cortex in both males and females. It prepares the

endometrium to received a fertilized ovum and is necessary for the maintenance

of early pregnancy.

 

General Laboratory Values: Follicular Phase under 150ng/100ml

 

Luteal Phase: at least 300ng/100ml

PROGESTERONEIncreased

Benign Prostatic Hypertrophy

 

Pregnancy

 

Decreased

 

Ovarian Tumor/Hypofunction

 

Anterior Pituitary Hypofunction (TSH)

 

OVARIAN HYPOFUNCTION

Increased

Sodium; Chloride; Cholesterol

 

Decreased

 

Calcium; Phosphorous; Thyroid Binding Globulin

 

FOLLICLE STIMULATING HORMONE (FSH)

 

The ovary secretes estrogens and progesterone under the influence of FSH, which

is controlled by hypothalamic releasing factors and stimulated by the pituitary

hormones. Estrogens are secreted by ovarian follicular cells in the first half

of the menstrual cycle, and by the corpus luteum during the luteal phase and

pregnancy.

 

General Laboratory Values:

 

Males: 4 25 mlU/ml

 

Females: 4 30 mlU/ml

FSHIncreased

Menopause/Post Menopause

 

Decreased

 

Anterior Pituitary Hypofx. (TSH)

 

LUTEINIZING HORMONE (LH)

 

LH and FSH control the function of the hormones of the ovaries and testis. High

LH levels inhibit estrogen and stimulate progesterone secretion.

 

General Laboratory Values:

 

Males: 7 24 mlU/ml

 

Females: 6 30 mlU/ml

LHIncreased

Hyperthyroidism.

 

Polycystic Ovaries

 

Menopause/Perimenopause

 

Decreased

 

Anterior Pituitary Hypofx

 

Benign Prostate Hypertrophy

 

WOOD: LIVER/GALLBLADDER

 

The liver contains complex parenchymal cells which perform multiple diverse

functions essential to life. Hepatocytes have the unique ability to regenerate

as well as the capacity to respond to increased metabolic demands. The liver

directly receives, processes and stores materials absorbed from the digestive

tract such as amino acids, carbohydrates, fatty acids, cholesterol and vitamins

and is able to release metabolites of these compounds on demand. The liver

synthesizes plasma proteins such as albumin, globulin, clotting factors and

transport proteins. These factors influence homeostasis, since binding proteins

modulate the circulating total concentrations of calcium and magnesium while

albumin concentrations regulate osmotic pressure and thus influence the fluid

dynamics between the blood and the tissues. The liver is the main organ of

detoxification and is the site of metabolic conversion of endogenous and

exogenous compounds. The liver also synthesizes bile acids from

cholesterol and secretes these compounds from the hepatocytes into the

intestine. This generates bile flow and facilitates the emulsification and

absorption of fats. The liver is also a major site of catabolism of thyroid,

steroid and other hormones. The liver helps to regulate plasma hormone levels.

Last, but not least, the liver responds to multiple hormonal and neural stimuli

to regulate the blood glucose concentration and contributes to steadying the

body immune system. The liver is truly THE GENERAL.

 

LACTIC DEHYDROGENASE (LDH)

 

LDH is found in the blood as well as in all tissues. It represents a group of

enzymes involved in carbohydrate metabolism. LDH is an enzyme which assists in

the conversion of Pyruvate (pyruvic acid) to lactate or lactic acid in the

anaerobic glycolysis of glucose. Lactic acid can be reconverted to pyruvate with

the enzymatic assistance of LDH, enter into the mitochondrion and be transformed

to ATP for cellular energy. LDH is widely distributed with high concentrations

in the heart, musculoskeletal system, liver, kidney, brain and red blood cells.

The measurement of total LDH is therefore a non-specific index of cellular

damage.

 

General Laboratory Values:

 

Males: 120 240 IU/ml

 

Females: 120 220 IU/ml

 

There are laboratories which do an electrophoresis process which will assess the

5 different isoenzymes of LDH

 

#1 measures heart tissue damage 10 34% of total LDH

 

#2 measures heart, lymph and erythrocyte damage 3 - 45% of total LDH

 

#3 measures pulmonary, spleen, adrenal and kidney 13 27% of total LDH

 

#4 measures hepatic and prostate and uterus 2 14% of total LDH

 

#5 measures hepatic tissue damage 3 15% of total LDH

NOTES ABOUT LDH ISOENZYMES:

LDH Isoenzyme #1 with an infection and an elevation of total WBC this will be

elevated.

 

LDH Isoenzyme #1 with a decreased TSH (associated with thyroid medication) will

be mildly elevated (fire/thyroid correlation)

 

LDH Isoenzyme #5 if decreased to less than 6% of the total LDH there may be a

history of long term exposure to toxic gases such as leaking gas stoves, etc. A

lowered LDH #5 may also be indicative of toxic metal poisoning.

LDH INCREASED IN:

Any increase in LDH is an implication that there is some tissue damage somewhere

in the body. If one chooses to do an electrophoresis Isoenzyme test one can

determine which tissue is undergoing a destructive process.

LDH DECREASED IN:

Sometimes with Hypoglycemia

 

Generally it is believed that increased LDH is representative of excessive

acidity and decreased LDH is representative of excessive alkalinity.

 

TOTAL PROTEIN

 

All cells manufacture proteins, different proteins characterizing different cell

types. All human proteins are constructed from a mere 20 amino acids, but

variations in chain length, amino acid sequence and incorporated constituents

combine to make possible an almost infinite number of different protein

molecules. Amino acids enter the body from dietary sources. These amino acids

are rapidly distributed to tissue cells, which promptly incorporate them into

proteins. Protein synthesis and degradation occur continuously, at a rate of

approximately 400g. daily. Each day about 20-30g of protein is irreversibly

degraded; this is the minimum amount of protein that must be ingested to

maintain a metabolic nitrogen balance.

 

General Laboratory Values: 6.0 8.5 g/dl

PROTEINIncreased

Acidosis; Low HCL

 

Dehydration

 

Amino Acid Def.

 

Decreased

 

Gastritis; Colitis, etc.; Malnutrition

 

Hyperthyroidism

 

ALBUMIN

 

A globular protein which contributes to approximately 60% of the total plasma

proteins. It is produced in the liver and is dependent on the intake of amino

acids. Albumin binds Bilirubin, free fatty acids and transports and stores

numerous metabolic constituents such as thyroxine, cortisol, calcium, magnesium

and amino acids. Albumin is responsible for about 80% of the colloid-osmotic

pressure between blood and tissue fluids. When albumin is diminished, osmotic

pressure is disturbed. A low albumin combined with elevated SGPT and GGTP

indicates significant liver dysfunction.

 

General Laboratory Values: 3.5 5.5 g/dl

ALBUMINIncreased

Hypothyroidism

 

Dehydration

 

Decreased

 

Hyperthyroidism

 

Liver/Kidney Dysfunction; Pregnancy

 

Digestive inflammation; Hypochlorhydria

 

Benign Hypertension; Congestive Heart Failure

NOTATIONS:

An albumin below 3.5 combined with a lymph count below 20 is indicative of a

Free Radical problem.

 

GLOBULIN

 

A globulin is a protein that is insoluble in pure water, in contrast to an

albumin which is soluble. Human blood serum contains several globulins that

differ in molecular size, amino acid composition, solubility. Total serum

globulin increases during recovery from infection. Such beta-globulins as

transferring transport iron, heme, and less often, copper and zinc throughout

the body.

 

General Laboratory Values: 2.0 3.5 g/dl

GLOBULINIncreased

Decreased

 

Malnutrition/ Burns; Cirrhosis; Pregnancy

 

Acute Hepatitis/Liver Dysfx.; Congestive Heart Failure

 

SERUM GLUTAMIC OXALOACETIC (SGOT)

TRANSAMINASEASPARTATE AMINOTRANSFERASE (AST)

SGOT is an enzyme found in the cytoplasm of liver, kidney, myocardial and

skeletal muscle cells. Following in injury, infection, inflammation,

concentrations of SGOT will > within 10 hours. Within 4-6 days, SGOT levels

should resume normal levels. SGOT measurements give information on liver/heart

relationship.

 

General Laboratory Values: 1 40 U/l

SGOTIncreased

Hepatitis/Alcoholism (SGPT, GGTP)

 

Mononucleosis; Flu (WBC)

 

Hypertension; Diabetes (Glucose)

 

Congestive Heart Failure (BUN^ /SGPT^; MCV^; All. Phos^; CO2<; Albumin<)

 

Liver, Kidney, Pancreatic Dysfunction

 

Rheumatoid Arthritis

 

Pericarditis; Myocarditis (LDH>; EOS>/ Neutrophils<)

 

Decreased: B-6 deficiency

 

 

 

RX: ELEVATED SGOT

 

Days 1 3: Echinacea Combination dose QID

 

Yin Qiao dose QID

 

Vitamin C dose QID

 

Days 4 7: Echinacea Combination dose BID

 

Isatis Formula dose QID

 

Days 8 15: Minor Bupleurum Formula dose BID

 

Isatis Formula dose BID

 

SERUM GLUTAMIC PYRUVIC TRANSAMINANSEALANINE (SGPT) AMINOTRANSVERASE (ALT)

 

Most concentrated in the liver and in lesser amounts in the kidney, heart and

skeletal system. Increased exercise can increase SGOT while SGPT will remain

stable. SGPT is principally used to measure liver damage. SGPT is more reliable

to measure chronic cellular damage whereas SGOT is more sensitive to acute

damage. An individual with viral hepatitis will have a considerably higher

SGPT/SGOT than one who has recently had an MI or cancer. (This is in general a

measurement of heat and/or stagnation). When using SGPT to dx. Gallbladder

problems, remember to test urine and Bilirubin. Often SGPT and SGOT will be

normal yet the GGTP will be elevated in gallbladder dx.

 

General Laboratory Values: 2 45 U/l

SGPTIncreased

Mononucleosis/Influenza

 

Hepatitis (GGTP^; Alk. Phos^; Bilirubin^

 

Globulin^; Cholesterol<; Mb.<;

 

Platelets<; Albumin<)

 

Alcoholism; Biliary Obstruction (GGTP)

 

Choleycystitis (SED^; WBC^; WBC^; Alk. Phos^

 

LDH^; Protein^; Bilirubin^; Iron<; Cholesterol<;

 

RBC<; HCT/HGB<;Uric Acid<; Phos.<; Mg.<

 

Acute MI; Myocarditis

 

Renal Dysfunction; Rheumatoid Arthritis

 

Decreased

 

B-6 deficiency

 

 

 

 

 

 

 

 

 

 

 

ALKALINE PHOSPHATASE

 

A high content of alkaline phosphatase is found in the intestinal mucosa, liver

and bone. An elevation of Alk. Phos. is found in both hepatic dysfunction and

osteoblastic bone lesions. It is therefore useful in determining relationship

between water and wood. An elevated Alk. Phos. in children is most often due to

excessive bone growth activity. It is most commonly elevated in Liver Stagnation

with biliary tract congestion. Exceedingly low levels of Alk. Phos. are most

commonly found in patients with depressed zinc levels. Patients with

liver/gallbladder stagnation/obstruction often have higher serum Alk. Phos. than

the individual with hepatocellular disorders such as simple Liver Heat.

Steroidal drugs and birth control pills will often increase Alk. Phos.

 

General Laboratory Values:

 

1-9 years: 114-300 U/l

 

10-14 years 105-350 (M); 58-293 (F)

 

15-19 years 47-144 (M); 35-109 (F)

 

19 and above 35-115 U/l

ALKALINE PHOSPHATASEIncreased

Biliary/liver congestion (SGPT, GGTP)

 

Hepatitis; Mono; Parasites (EOS)

 

Herpes Zoster; Hyperthyroidism

 

Osteoporosis; Rheumatoid Arthritis

 

Congestive Heart Failure (SGOT/LDH); Phlebitis

DecreasedHypothyroidism; HypoparathyroidismDigestive Incompetence

(protein/fat)Zinc Deficiency; Folic Acid AnemiaHERPES ZOSTERIncreased

Alk. Phos.; LDH/ BUN

 

Monocytes; Creatinine

DecreasedAlbumin; CholesterolPHLEPITISIncreased DecreasedAlk. Phos; SGOT; WBC

Lymphs

Eosinophils; Neutrophils

RHEUMATOID ARTHRITISIncreased

Alk. Phos.

 

Sed. Rate

 

Decreased

 

HCT/HGB

 

WBC

 

GAMMA GLUTAMYL TRANSPEPTIDE (GGPT)

 

GGPT is often the first enzyme to be elevated with liver dysfunction. The

elevation continues for as long as hepatic cellular damage persists. It is a

sensitive indicator of biliary obstruction. It is interesting to note that

elevated Bilirubin in the urine will be evident long before SGOT , SGPT or Alk.

Phosphatase become elevated. GGPT is often high with severe alcoholism and

correlates with six or more alcoholic drinks daily.

 

General Laboratory Values:

 

0-65 (M) U/L

 

0-45 (F) U/L

GGPTIncreased

Biliary Obstruction; Alcoholism (SGOT;SGPT)

Decreasednot significantBILIARY OBSTRUCTIONIncreased

GGPT; SGPT; SGOT; Alk. Phos.; WBC

 

Bilirubin; Triglycerides; Cholesterol; LDH

 

Decreased

 

Vitamin A & K levels

 

BILIRUBIN

 

Bilirubin is the end product of the breakdown of hemoglobin by the liver, spleen

and bone marrow. The liver transforms Bilirubin to a form that is then excreted

through the biliary system or the kidneys. An increase in Bilirubin is

responsible for various types of jaundice. Bilirubin helps to rule biliary

obstruction in or out. When direct Bilirubin is simultaneously elevated with

GGTP and SGPT biliary obstruction is likely. Total Bilirubin is a combination of

direct and indirect Bilirubin.

 

General Laboratory Values: Total Bilirubin - .1-1.2 MG/DL

TOTAL BILIRUBINIncreased

Hepatitis; Mononucleosis

 

Liver/Biliary Dysfunction

 

Decreased

 

Iron Anemia

 

RX: ELEVATED BILIRUBIN

 

Milk Thistle Extract

 

Cholacol

 

Choline

 

Dandelion Extract; Chelidonium Extract; Chionanthus Extract

 

Beet tops; Black Radish

 

TRIGLYCERIDES

 

Triglycerides are esters of glycerol and fatty acids. Elevated triglycerides

will often indicate poor utilization of fatty acids. Decreased triglycerides

will indicate poor release of fatty acids. Typically, when the triglycerides are

elevated there is primarily Damp Heat in the Spleen. When cholesterol is

elevated there is more commonly Liver Stagnation.

 

General Laboratory Values: 30-200 MG/DL

TRIGLYCERIDESIncreased

Liver-Biliary dysfunction

 

Pregnancy; diet ^ in simple sugars/fats

 

Free Radical Pathology

 

Decreased

 

Auto immune dysfunction

 

Protein malnutrition

 

NOTE: When cholesterol and triglycerides are elevated, the possibility of a diet

high in simple sugars and fats is most likely. Red meat, alcohol and simple

sugars should be restricted when attempting to lower triglycerides. Treatment

principle in lowering triglycerides is most often: Harmonize the wood and remove

Dampness from the Spleen. The treatment to increase triglycerides is most often:

strengthen the Spleen and Wei Qi.

RX: TRIGLYCERIDES INCREASED

Salvia Combination

 

Wobenzym

 

Burdock Root Extract

 

Guan Jie Formula (w/rheumatoid arthritis)

 

Coptis & Scute Formula followed by Citrus & Crataegus Formula

 

Cardamon & Fennel Formula (w/ stomach pain/ulcer)

 

CHOLESTEROL

 

Cholesterol is a steroid found in all cells in the body. It is synthesized by

the liver and often increased in the blood through fat intake. Lipid levels are

controlled by several organ systems: kidney; thyroid; adrenals, pituitary and

pancreas. Depressed thyroxin levels can crate an increased blood cholesterol by

preventing the formation of bile to reduce cholesterol. When the thyroxin level

is low with an increased cholesterol, it is important to rule out a pituitary

problem. When the pituitary is not secreting sufficient TSH, the thyroid will

not be able to produce enough T3 or T4, nor will T3 and T4 be released from the

thyroid gland to the blood where these hormones can be activated by estrogen,

testosterone and micronutrients.

 

General Laboratory Values: 125 200 mg/dL

CHOLESTEROLIncreased

Live/Biliary Dysfx.

 

Gout; Lupus; Multiple Sclerosis

 

Diabetes; Arteriosclerosis; Endocrine Dysfx.

 

Chronic Benign Prostate Hypertrophy

 

Pancreatic/Renal/Cardiac Dysfx.

 

Free Radical Pathology

 

Decreased

 

Infection; Hepatitis; Mono

 

Herpes Zoster

 

Protein Malnutrition

 

Immune Deficiency

 

Mental Retardation

 

HDL

 

The only known carrier of cholesterol from peripheral tissue to the liver is

HDL. HDL, synthesized by the liver, passes into the bloodstream and takes up

excess cholesterol from the cells. A relatively high HDL protects tissue from

becoming inundated by cholesterol.

 

General Laboratory Values:

 

30-75 mg/dL (M)

 

40-90 mg/dL (F)

 

 

Musiclear wrote:

The liver is responsible for taking potentially harmful compounds and

breaking them down into less harmful compounds. It will allow some to reenter

the blood, others to be expelled through bile and in some situations, the liver

will store them in fat.

This is part of the normal process of the liver.

Bile flow is an important aspect of the " detox " process otherwise, the

liver has trouble getting rid of the compounds and is forced to either allow

them back to the blood or store them in fat.

If a person has had liver Qi stag, it is my belief that the liver will be

holding on to more toxins than if the Qi was moving freely.

If a person improves bile and Qi flow or biochemistry, then the liver is

more able to resume the job of getting rid of toxins. If there has been an

abundance of toxin stored, there may be a lot of toxins dumped into bile or

blood

which could give a person symptoms that many would call a " Healing Crisis " .

 

IMHO,

 

Chris

 

 

In a message dated 8/11/2004 3:16:18 AM Eastern Daylight Time,

writes:

I ran across this post. I hate to be a jerk but what do others think a liver

detox is? I'm not

coming down on Chris, it's just I hear this all the time and i realized I

don't know what it

means.

 

doug

 

 

 

> Methylation is a key process in helping the liver detox, so given Sam-e

> adds some key ingredients to the methylation cycle, it could improve liver

> detox function if it has been over worked with toxins and the methylation

cycle

> has been diminished.

>

> IMHO,

>

> Chris