1. An Herbal Approach to Fibromyalgia & Chronic Fatigue
A Holistic Approach to Working With
Chronic Conditions
Meg Turner, MH, HT, MA

2. Facts about Fibromyalgia:
It was once believed to be a “woman’s disorder”
Difficult to explain or identify due to its comparison/similarity to other diseases: arthritis, lupus, endocrine disorders, thyroid problems, infectious diseases, sleep deprivation, depression.
No two sufferers are alike in their symptoms
Primary symptoms:
Generalized body pain
Fatigue
Stiffness
Poor/interrupted sleep
“‘We look like very healthy people..so we suffer in silence [rather than] be labeled as hypochondriacs.’”

3. Pain Sites in the Body
Most common pain sites include the neck, back, shoulders, pelvic girdle, and extremities.
Those who have Fibromyalgia experience a range of symptoms of varying intensities that fluctuate in intensity and degree over time.
Due to varying degrees and locations, it can often take an average of five years for an accurate diagnosis to occur. Laboratory tests (basis for most diagnoses) frequently come back negative. Symptoms often mimic other diseases, making accurate diagnoses difficult, especially in light of the lack of training for many doctors.
Presence of RA or Lupus, does not rule out FM diagnosis.

4. Diagnostic Symptoms of FM
Multiple tender points in a constellation pattern for a minimum of three months.
Tenderness or pain in at least 11 of the 18 tender points when pressure is applied. (Chart Diagram)
Recent research shows FM is a disorder of neuro-endocrine function. Hence
patient experiences increased sensitivity to pain due to hyper function of the CNS.
Specific physical abnormalities (related to CNS dysfunction) include: high levels of substance P in the spinal cord, low blood flow to hypothalamus, HPA axis hypo-function, low levels of seratonin and tryptophan, and cytokine function disruption.
National Fibromyalgia Association,

5. Pain
“I hurt all over.”
Varies with each individual in degree or nature: may feel nagging, pricking, deep and aching, radiating, gnawing, stabbing, throbbing, burning.
Intensity varies from day to day, week to week, month to month.
Certain activities or factors may exacerbate the pain: activity, lack of exercise, extreme temperature/humidity, anxiety, stress, lack of sleep, illness.

6. Fatigue
Exhaustion that limits daily activities “What little I do takes me five times longer than most.”
May appear as decreased muscle endurance
May appear as totally drained of all energy

7. Sleep deprivation
Lack of deep, delta sleep (REM sleep) that allows for dreams to occur, and during which time the body is able to physically rebuild and restore itself. Thus, waking feeling more tired than when going to bed.
Sleep apnea resulting in difficulty maintaining regular breathing habits during sleep. May be life threatening when severe.
Restless leg syndrome: the “creepy crawlies” in the legs while trying to rest, creating the desire to get up and walk around or move.
Note: the recent medication is one that has been derived for treatment of Parkinson’s Disease, that blocks beta messages being sent from the brain~not necessarily the issue.

8. Associated Symptoms
“Fibro-fog” Inability to think clearly. Varies in degree and intensity from day to day. Effects short-term memory and ability to maintain attention and focus.
Believed to be related to rising/falling levels of hormones (particularly in women)
Occurs in women (predominantly) from age 25-40, especially when those women have early onset of menopause.
Not limited to women alone, now research shows it is occurring with men 30% (currently) as well.
Irritable Bowel Syndrome: crampy diarrhea, constipation, abdominal pain, abdominal gas, and nausea.
Depression: emotional history of depression before CFS, though not the cause of it, as previously believed.

9. FM and Depression
Both FM and depression are linked to dysregulation of neurotransmitters in the brain and CNS.
Too much Substance P, and too little seratonin.
Disorders of the endocrine system (thyroid, pancreas, and adrenals) lead to neurotransmitter disregulation and depression.
Glutamate and GABA control general sensitivity of CNS, and controlling these two substances in the body may also help with sleeping, pain relief, and muscle spasms.

10. Other related symptoms
Allergies
Anxiety
Bladder spasms
Blurred vision
Carpal tunnel syndrome
Chemical sensitivities
Cognitive impairment
Coldness of extremities
Cramps in abdomen or pelvic pain
Depression
Dizziness
Dry eyes and mouth
Feeling of swollen extremities
Fluid retention
Frequent eyeglass prescription changes
GI disturbances
Headaches
Impaired coordination
Intermittent hearing problems
Irritable bladder
Joint swelling
Memory impairment
Hives
TMJ pain

11. TMJ and Fibromyalgia
Studies appear to link both TMJ and FM together, with a wide occurrence of common symptoms to both.
Reactions to those who have TMJ often are the same as those with FM: “You look just fine.”
Ways to cope with TMJ and FM:
Education, networking, change perspective, record pain as it occurs, try to keep your mind off the pain, bodywork, alternative therapies such as biofeedback, cranio-electrical stimulation therapy (relaxes hypothalamus), meditation, electronic acupuncture, infrared therapy, etc.
Keep trying different modalities until you find something that works!!

12. Conventional/unconventional
Our bodies are complex
Expanded holistic model (diagram)
STRESS
Emotional:
Support group
Psychotherapy
Affirmations
Herbs
Yoga, music
Ecstatic dance
journaling
Environmental factors
Mental:
Biofeedback
Journaling
Support group
Meditation
EFT, music
herbs
Body changes
Spiritual:
Meditation
Prayer, music
Reiki, ecstatic dance
Conventional/unconventional
Religious groups
herbs
Physical:
Gardening
Walking, swimming
Yoga
Ecstatic dance, music
Accupuncture
EFT
herbs
Psychological Issues

13. Chronic Conditions are systemic
Pain receptors throughout the body are active simultaneously.
“Whole body” response(s)
Requires a “holistic approach” to improve severity of symptoms, and manage condition.
Rising numbers of chronic conditions suggest 1:2 by 2030 will have at least one.©
Che Parker, AHA News

14. Why adaptogenic herbs?
Siberian Ginseng is special because it balances all the many different types of cells in the body and therefore has an impressively wide and diverse range of positive effects on the body and its' well being.For this reason it is known as an 'adaptogen' because it heals and energises the whole body without any unpleasant side effects.  The term was introduced (because of this herb and subsequently others) by the Russian Professor A. P. Golikov.He suggested that an adaptogenic herb should meet three criteria, and cited Siberian Ginseng to set the standard because it:
Produces an overall normalising action on the body, irrespective of any particular illness or unbalanced state.
Produces a non-specific but positive action that ultimately increases resistance to a range of potentially adverse influences, whether these are of a physical, chemical or biochemical nature.
Causes no side effects - or at least only minimal disorder - in the physiological functioning of a human being or animal.
The claims for Siberian Ginseng are not exaggerated- this herb really is known as the 'King' of Adaptogens'. But it is usually seen more in terms of background support and is often added to patients herb programs, especially if they show signs of tiredness, immune system deficiency, hormonal complications, nervous system weakness or stress. Siberian Ginseng is the perfect tonic to help all of us in today's hectic world and can be complemented by other good food and helpful herbs.
 Siberian Ginseng increases resistance to any negative, stress-induced reactions - physically, chemically, biologically and psychologically. It reduces irritability, aids work capacity, lessons neurotic behaviour and alleviates general anxiety.
Siberian Ginseng increases anabolic activity and carbohydrate and protein metabolism, producing an increase in strength and endurance and providing protection against extreme external factors, e.g. heat and cold excesses, lack oxygen etc.

15. Why Adaptogens (con’t.)?
The glycosides - each of them individual in its behaviour - dominate the chemistry of Siberian Ginseng. Among many other functions, they help hormone and immune activity, pain control, inflammation processes, prevent damage by free radicals and aid the reduction of excess water in the body. Part of their role is to give the adrenal glands extra fuel to work with when in crisis, and then to prevent them from using up any more once the crisis, and then to prevent them from using up any more once the crisis is over. They enforce energy conservation, and the adrenal glands thus manufacture less energy, producing the same amount for better results.
The saponins (and other chemical components) affect the pituitary gland and will therefore balance all the hormonal functions of the human body in both males and females.
The steroid constituents of the glycosides provide vital components. They have pain killing capabilities, help endurance and enhance the ability of the human body to cope with difficult situations.
Everyday use - The adult standard dose is 1-2tsp (5-10ml) twice daily, diluted in water or fruit juice. When you re trying to resolve a situation rapidly, use a total of 4-8tsp (20-40ml) per day. This can be reduced to 1tsp (5ml) 3 times daily, a total of 3tsp (15ml) per day once the condition is calmer and symptoms are less severe. Long-term support is then the aim.
Long-term use - Adults can take 1-2tsp (5-10ml) daily for 6-9 months and it will continue to exert its' beneficial effects for a few months after this point. It may be necessary to begin use again after a break, should stress levels remain high, perhaps over years rather than months. Resuming in this way is perfectly acceptable and can protect the body from long-term damage and stress.
Children's dosages - Over 12 years, 1-2tsp (5-10ml) twice daily; 9-12 years, 30 drops 1-3 times daily; 1-9 years, 5 drops 2-3 times daily, younger than 1, 2 drops twice daily.

16. Why adaptogens? (con’t.)
Effects
Increases the body's ability to resist infection.
Helps to prevent cardiac pains and pains in and around the neck and head such as headache.
Improves cerebral corticoid (steroid hormone) function and the speed of the brain.
Alleviates neurodynamic disturbance and neurological movement and growth by helping neurotransmitters to function efficiently.
Enhances liver protection and lessens liver cell degeneration.
Increases semen output and heightens both male and female fertility.
Increases oxygen consumption and improves respiratory effectiveness.
Breaks down and clears the body of drug residues.
Helps the body resist and may even prevent tuberculosis.
Assists the body to maintain cellular homeostasis.
Helps the treatment of skin inflammations, dandruff, acne, hair falling out and all general hair and skin problems.
Aids the brain by helping neurological pathways to work better; useful for dyslexia, autism, cranial cerebral injury, fits, epilepsy and general memory retention. Also aids nerve centres and message conduction to the brain in general.
Improves hearing and sight.
Helps prevent aging.

17. Herbs that help Fibromyalgia
Immunoenhancers: Adaptogenic herbs that support the body when under stress: ginseng, (Siberian/American), Ashwaganda, Licorice, Reishi mushrooms, Cordyceps sinensis, Shitake mushrooms
Nervines (to help relax the body and promote deep, restful sleep): Hops, passion flower, valerian, kava kava, catnip, lemon balm.
Goldenseal, Motherwort, Black Cohash: anti-inflammatory
/antispasmodic (muscle cramps)
St. John’s Wort (Anti-depressants, anti-inflammatory, seratonin-uptake inhibitor~allowing more gentle, restful sleep)

18. Why anti-inflammatories?
it is concluded that I. racemosa protects heart from isoproterenol-induced myocardial injury by reducing oxidative stress and modulating hemodynamic and ventricular functions of the heart. Present study findings demonstrate the cardioprotective effect of I. racemosa and support the pharmacological relevance of its use and cardioprotection mechanism in ischemic heart disease as well as substantiate its traditional claim.
it is concluded that I. racemosa protects heart from isoproterenol-induced myocardial injury by reducing oxidative stress and modulating hemodynamic and ventricular functions of the heart. Present study findings demonstrate the cardioprotective effect of I. racemosa and support the pharmacological relevance of its use and cardioprotection mechanism in ischemic heart disease as well as substantiate its traditional claim.

19. Herbs (con’t.) Feverfew (Migraines/headaches)
Flax Seed Oil: helps relieve inflammation, nourish circulatory system, and support or safeguard body against nutritional deficiencies that may be a factor in depression.
Ginko biloba: helps increase circulation to the brain, allowing for optimal brain function; additional clinical research in AHG journal indicates it may also decrease cancer cell T-cell growth in colon and bladder.

20. Why Ginko biloba?
Therapeutic Uses, Benefits and Claims of Ginkgo Biloba
Ginkgo is most commonly used to improve memory, reduce vertigo, and stop tinnitus (ear-ringing) through its effects on the vascular system.
It increases blood flow to the brain, and other organs of the body. Ginkgo Biloba  (Ginkgo Biloba)
Ginkgo reduces the platelet activity factor (PAF) in the blood, similar to the action of aspirin on blood thinning. Excessive PAF has been linked to cardiovascular disease, brain damage, hearing disorders and other immune and inflammatory diseases.
It may also increase metabolism, regulate neurotransmitters, and boost oxygen transport to the brain.
Ginkgo has potential antioxidant properties reducing oxidative cell damage andnaturally slowing the aging effects.
Clinical trials have been promsing to test the effectiveness of ginkgo biloba as a medicinal herb for treating Alzheimer’s disease.
It was originally used in ancient Chinese medicine as a treatment for asthma.
Ginkgo has been reported to improve short- and long-term memory. It increases mental clarity and focus which explains it´s uses as amedicinal herb for ADHD and ADD.
It may also relax constricted blood vessels and inhibit the transformation of cholesterol to plaque in the arteries.
Ginkgo has also been used to fight the gradual loss of energy brought on by aging.

21. Why Ginko biloba?
Ginkgo has potential antioxidant properties reducing oxidative cell damage andnaturally slowing the aging effects.
Clinical trials have been promsing to test the effectiveness of ginkgo biloba as a medicinal herb for treating Alzheimer’s disease.
It was originally used in ancient Chinese medicine as a treatment for asthma.
Ginkgo has been reported to improve short- and long-term memory. It increases mental clarity and focus which explains it´s uses as amedicinal herb for ADHD and ADD.
It may also relax constricted blood vessels and inhibit the transformation of cholesterol to plaque in the arteries.
Ginkgo has also been used to fight the gradual loss of energy brought on by aging.
When using the seeds as a method of treatment, it is important not to exceed recommended daily allowances and doses because this could lead to the development of skin disorders and headaches. When making your own home remedies, it is important to avoid skin contact with the fruit pulp because it has been known to create dermatitis. Using ginkgo biloba excessively or for a long time may possibly create spontaneous hemorrhaging, as well as increased bleeding times.
If you are taking a blood thinner, such as Warfarin, you may want to consult your physician before adding a ginkgo biloba supplement to your diet. Aspirin may also interact with ginkgo biloba. It is also important not to utilize any unprocessed form of the ginkgo biloba tree leaves. For some, they could trigger major allergy attacks [3].

22. Recognizing “What is” is the first step towards a new lifestyle:
Habits, lifestyle behaviors that no longer work
STRESS as change agent
What works for me now?
How can I make the changes I need in my life?

23. Psychological Support
Helps face the emotional challenges of dealing with FM day to day.
Increase communication between family and friends.
Find a support group in your area if possible, or start your own.
Trained counselor or therapist who can help improve healthy communication between family and/friends.

24. Complimentary Therapies
May include any of the following:
Physical therapy
Therapeutic massage
Myofascial release therapy
Hydrotherapy
Light aerobics
Acupressure
Application of heat and cold
Acupuncture
Yoga
Relaxation exercises, breathing techniques, aromatherapy, cognitive therapy, biofeedback
Nutritional supplements/herbs
Osteopathic/chiropractic manipulation

25. Reiki Therapy and Fibromyalgia
A form of energy transfer via hands-on from the practitioner to the client.
Hands are placed over the body’s seven major chakras (energy sites) on the body, and energy is transmitted from the practitioner to the client through the chakras.
Enhanced reception of life-force “prana”/”chi” leads to enhanced ability of the body to respond naturally to disease and illness.
Chakras are centers of organization for the reception, assimilation, and expression of life-force energy.
Reiki is non-invasive and gentle, leading to total relaxation, less tense muscles, and improved ROM.

26. Bowen Therapy and FM
Neuromuscular re-patterning that creates new neural pathways for messages sent from the brain to the pain receptors in the body.
Non-invasive, gentle, and allows for complete body relaxation, lymphatic drainage, and muscle loosening/softening.
Gentle rolling motions that “vibrate” the muscles tissue, allowing it to relax independently at specific receptor sites in the body.
Helps improve ROM, decrease pain levels, and improve circulation (both lymphatic and blood) in the entire body.
Improves the body’s ability to sleep, and helps regulate normal body function.
Decreases headaches, and pain sensitivity throughout the body.