Treatment of Asthma Using Alternative Medicines - A Review
Chaitanya M1* and Arpita P2
1Department of Pharmaceutics, JNTU, Hyderabad, AP, India
2Department of Pharmacy, VNSGU, Gujarat, India
- *Corresponding Author:
- Chaitanya M
Department of Pharmaceutics, JNTU, Hyderabad, AP, India.
Received date: 02/07/2016 Revised date: 20/07/2016 Accepted date: 28/08/2016
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There is sufficient published evidence to suggest that some forms of alternative medicine have measurable therapeutic effects for the treatment of Asthma. There is also widespread enthusiasm among the public for alternatives to traditional medical treatment" and sufficient interest from clinicians, especially general practitioners, to make it important for the subject to be examined critically. Alternative medicines like Acupuncture, Herbal medicines and Supplements, Yoga and Breathing Techniques, Regular exercise and Relaxation, Homeopathic Remedies, Diet/ Nutritional therapies, Naturopathy, Psychological Therapies, Hypnosis and Osteopathy can no longer be ignored by academia. Some studies with evidences prove the potential of Alternative Medicine in treatment of Asthma. Whereas some of them require the more investigation and studies. With the ability to relieve the symptoms of Asthma, Alternative Medicine have risk of side-effects ranging from mild, moderate and sometime sever to life threatening. Public awareness for the possibility of side effects of Alternative medicines should be enhanced.
Alternative medicine, Asthma, Acupuncture, Hypnosis, Herbal medicines, Homeopathy.
Asthma is a chronic inflammatory disease. It is a disease characterized by reversible airflow obstruction in respiratory airways, chest tightness, wheezing, shortness of breath, bronchospasm, mutable and periodic symptoms. Genetic factor or environmental factor or others plays the significant role in the incidence of Asthma. Mostly the asthma patients rely on traditional medical treatment to prevent and relieve symptoms but certain alternative medicines or treatments also may help to relieve asthma symptoms. Increasing numbers of Asthma patients are attracted towards Alternative medicine. Alternative medicine can no longer be ignored by academia [1-10].
Alternative Medicines are used as a substitute for traditional medical therapy. There are several alternative medicines which can be used in the treatment of Asthma
Acupuncture involves the stimulation of certain points on the body, often with needles or electrodes, to improve health and well-being. Some of the studies support the acupuncture treatment for Asthma and most others demonstrating no benefit. In one study the benefit of acupuncture was short lived and unimpressive and failed to find any long term benefit [11-16]. In China it is often used as additional treatment in acute asthma when response to traditional medicines has proved disappointing. Acupuncture treatment in asthma has no clear conclusion as there is minimal scientific evidence to support its efficacy [17-22].
Herbal Medicines and Supplements
Herbal Medicines includes herbs and herbal preparation used to maintain the health and to treat the medical condition. There are many over-the-counter herbs and dietary supplements have been shown to relieve asthma symptoms [23-29]. Khella and Lobelia are the herbs for asthma. Khella, usually known as bishop’s weed, is a vasodilator and a bronchial dilator. It is useful to use Khella daily as recommended for preventing or minimizing acute attacks. Lobelia has the ability to give immediate relief during the periods of excess congestion and breathing difficulties normally associated with asthma. Ginkgo extract has been shown to reduce inflammation [30-39].
Yoga and Breathing Techniques
Yoga is an ancient Hindu discipline. It increases the mental and physical control of the body. Pranayama is one of the aspects of Yoga [40-46]. It is helpful in asthma because it deals with control of respiratory rate and rhythm. Breathing techniques like Pranayama and Buteyko are aimed at reducing hyperventilation and regulating breathing. It may help asthma patients by teaching them to expand the lungs, promote deep breathing and reduce stress. In some studies, people who did breathing exercises reported improvement in symptoms.
Regular Exercise and Relaxation
Few years ago, the practice of exercises by asthma patients was strongly discouraged, because asthmatics could present bronchospasm induced by exercise. On the other hand now a day asthmatic patients are strongly encouraged to do aerobic exercise [47-50]. The growing number of clinical and experimental studies showing that the regular practice of aerobic exercises in appropriate manner and frequency results in several physical and psychological benefits to asthmatic patients. Some patients reported the decrease in daily use of inhaled steroids. It shows an anti-inflammatory effect of exercise on asthmatic lungs. The type of exercise, the amount of time spent exercising and the intensity of exercise are important. This is an exciting research field for more investigation regarding the effects of aerobic exercise for asthma. A recent review published on relaxation therapies with evidence that muscular relaxation improves the lung function of patients with asthma. But there is no evidence available for any other relaxation technique. Regular exercise and muscular relaxation may have some potential in Asthma but more investigations and studies require for firm conclusion [51-54].
Homeopathy is one of the most extensive and debatable therapy of Alternative medicine. The best known homoeopathic approach is “like cured like” (Isopathy). Traditional homeopathy uses unusual drugs, such as bryony, sabadilla, spikenard, and burnt sponge for asthma [55-59]. In a meta-analysis combining data from two studies on asthma isopathy showed a significant effect on asthma. The currently available evidence is insufficient to reliably assess the possible role of homeopathy in the treatment of asthma.
From the different studies, correlations have been observed between fresh fruit consumption and lung function, and between antioxidant vitamin intake and ventilator function of patient. Lower incidences of wheezing and bronchial hyperresponsiveness associated with intake of Vitamin C. Epidemiological studies recommend that marine fatty acids (fish oil) rich diet may have beneficial effects on inflammatory conditions [60-63].
Caffeine is chemically related to theophylline and shows weak bronchodilator effects. It is being found in coffee, tea and flavoured soft drinks. Caffeine is extensively consumed throughout the world. Hence, interest has been raised in the potential of caffeine as an asthma treatment. However all physicians dealing with asthmatic patients should have a working knowledge of food allergy and intolerance [64-69].
Naturopathy is a system that relies on healthy living to enhance the body's natural ability to resist disease and recover from illness. In the specific case of asthma, Naturopathic therapies focus on defining which allergens might be triggering the asthmatic condition and instantaneously restoring the balance of the immune system. Naturopathic treatment of asthma to be designed individually based upon a thorough analysis of a physical exam, personal health history, current health problems and current medications. These treatments may include ozone therapy, diet supplements, herbal products, nutritive supplements, soft tissue work, ultraviolet blood irradiation, joint manipulation and injection therapies. Naturopathic Medicine helps the body to overcome functional health disturbances, reinstate health and eliminate disease. Naturopathic medicines approach in a way to decrease asthma’s impact on day to day activities and increase quality of life. However there is no strong evidence available for the use of these approaches in Asthma [70-74].
A number of studies have checked the efficacy of psychological therapies at improving various aspects of asthma control or quality of life. Psychological therapies include behavioral therapies, cognitive therapy, relaxation techniques, psychodynamic psychotherapies, counseling, family therapy, breathing retraining and many more. Such therapy experiences may be expected to increase patients’ tolerance to disease and to help them to control unfavorable psychological reactions that might contribute to the escalation of the symptomatic reactions that result from exposure to stress [75-78]. In spite of the studies of various psychological approaches in asthma, there are no adequately powered studies of one therapy to pull conclusions regarding the utility of these approaches for improving asthma condition [79-84].
Hypnosis is an artificially induced trance like dream state where susceptible persons become more alert, attentive and open to suggestion. Hypnosis has been used clinically to treat a variety of conditions that are refractive to traditional medical based therapies. Asthma is often but not always a response to triggers such as weather conditions, pollen, mites, animals, dust, fumes or certain foods. Sometimes the condition asthma is when the trigger is anything except an allergy – factors such as stress, arguments, social occasions even laughter [85-92]. In such situation self-meditation helps the persons to remain calm and be able respond and deal with it appropriately. Existing data shows that people with asthma who are highly susceptible to hypnotherapy are likely to see significant benefits from hypnosis. Children respond very positively to using hypnosis to treat asthma.
Osteopathy works on the aspects of breathing mechanism, including the ribs, spine, diaphragm and other muscles of breathing. A totally effective respiratory cycle can be achieved by increasing the flexibility of the thoracic cage and thoracic spine to allow for full excursion of the rib cage and lungs.
Osteopathy also helps in the nerve control of the chest as well as blood and fluid supply to the bronchi and lungs. It can also play an important preventative role in the care of Asthma Patient [93-96].
Osteopathy works with the body’s structure, to enhance and improve the breathing mechanism by releasing restrictions of the chest and ribs, relaxing the respiratory muscles. It improves lymphatic draining from the lungs and air passages and enhances blood supply to the chest region.
Osteopathy benefits have been endorsed to several factors including an autonomic nervous system changes that relax the airways, smooth muscle tone and decrease in anxiety which automatically improve chest wall biomechanics.
Side-effects of Alternative Medicine
Alternative medicine may lead to considerable risk of side effects some time sever to life-threatening events.
The potential sensitizing capacity of numerous herbal remedies may
Lead to allergic contact dermatitis.
Adverse clinical effects for herbal drugs are ranging from photosensitization, allergic skin reactions and the Stevens–Johnson syndrome to toxic dermatitis.
Many of the children receiving strict alternative diets suffer from atopic dermatitis.
Organ toxicity has been observed in liver, kidneys, and the heart associated with various herbal preparations.
Mechanical injuries may be observed following acupuncture leading spinal injury or cardiac tamponade.
Infectious complications after acupuncture include hepatitis and bacterial endocarditis.
Typically, vigorous physical activity for more time in cold, dry air is more likely to trigger asthma.
Public awareness about the possibility of adverse/side effects of Alternative medicines should be enhanced. Hence caution is necessary when using Alternative medicine. Choose the method only if the benefit of a therapy is proven, the side-effects are established and the benefit outweighs the risks [97-100].
Numerous alternative therapies have been used in asthma. This review has tried to show the different alternative medicines available in the treatment of Asthma. Some techniques like acupuncture, Herbal medicines, Yoga and hypnosis are having evidences from studies to be effective in the treatment of Asthma. However, the lack of evidence for other alternative medicines does not signify that treatment is ineffective, but it could mean that effectiveness has not been investigated by appropriate Methods or more investigation and research is desirable.
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