-IBIS-1.7.6-
tx
mental/emotional
anxiety
Nutrition

dietary guidelines

therapeutic foods:
• Eliminate all stimulants: coffee, chocolate, cola, black tea
• increase foods that calm the Shen (Spirit), tonify the Heart, harmonize the Stomach and Spleen, clear Heat, invigorate the Liver Qi
• Longan, oyster, rice, rosemary, wheat, wheat germ, mushroom
• Oatmeal (Zeff)

fresh juices:
• One tsp. cherry concentrate, one tsp. chlorophyll, and one egg yolk
• Celery, carrot, and prune
• Lettuce and tomato
• Carrot
• Oatstraw juice or tea
• Lime juice and whey
• Radish, prune juice, and rice polishings
• Carrot and spinach (Walker, 146.)
• Carrot and celery (Walker, 146.)
• Spinach (Walker, 146.)

specific foods:
• Foods high in B-complex vitamins, oysters, celery, sesame seeds, tahini, calming foods, oatstraw juice and oats, collards, kelp, cherry, cucumber, corn, grapes, chicory, apples, kale, honey, mulberry, carrot

specific remedies:
• 2 oz. fresh walnuts, 2 oz. black sesame seeds, crush together and eat (Butt, Bloomfield, 149.)
• For nervous tension: 3 oz. fresh oysters, 3 oz. peanuts, 2 oz. celery. Boil in 2 pt. water until reduced to half. Divide into 2 halves and eat and drink twice daily for 7-14 days (Butt, Bloomfield, 149.)
• Eating a normal portion of boiled rice in one sitting (Butt, Bloomfield, 153.)
• Take 500 g longan fruit and 500 g sugar. Simmer in water until it reaches a thick consistency. Take one Tbsp. morning and evening (Yin-fang, Cheng-jun, 27.)

avoid:
Eliminate all stimulants, especially those containing caffeine: coffee, chocolate, cola, black tea
(Bruce M, et al. Arch Gen Psychiatry 1992;49:867-869.)
• Foods with malic acids: most apples (apples without malic acid: Astrachan, Belleflower, Jonathan, Delicious); coffee, tea, fried foods, sugar and sweet foods
• Meat, alcohol, hot sauces, spicy foods, fatty foods, rich foods, salty foods, food additives, tobacco


supplements

• Thiamine 100 mg per day.
Niacinamide: 500 mg - 3 g in divided doses, watch for nausea (Marz, 1997, 457.)
Vitamin B6 100 mg per day.
Vitamin B12: 1000 mcg twice daily, or IM injection 1-3 g, or consider as an IV vitamin cocktail (Marz, 1997, 457.)
Calcium 500-1500 mg per day. (Carlson, 1986, 529ff.)
Magnesium 250-750 mg per day, with Calcium.
• Inositol
L-tryptophan: 500 mg - 3 g per day on empty stomach (along with B6 100 mg)
(Hoes, et al, 1981, 7ff; Marz, 1997, 457.)
Kava Kava: can drink as tea or take in capsules
Hypericum/St. John's Wort: standardized extract especially if anxiety mixed with depression


footnotes

Benjamin J, Levine J, Fux M, et al. Double-blind, placebo-controlled, crossover trial of inositol treatment for panic disorder. Am J Psychiatry 1995;152:1084-1086.

Bruce M, Scott N, Shine P, Lader M. Anxiogenic effects of caffeine in patients with anxiety disorders. Arch Gen Psychiatry. 1992 Nov;49(11):867-869.
Abstract: The effects on measures of anxiety from two doses of oral caffeine (250 and 500 mg) and placebo were compared in 12 patients with generalized anxiety disorder (GAD), 12 patients with panic disorder, and 12 normal subjects. Caffeine produced significantly less decrease in electroencephalographic alpha wave activity, greater decrease in N1-P2 auditory evoked potential amplitude, and greater increased in skin conductance level, systolic and diastolic blood pressure, critical fusion flicker frequency, and self-ratings of anxiety and sweating in patients with GAD than in normal patients. Patients with panic disorder showed different reactivity than normal patients did with respect to electroencephalographic alpha waves, N2 latency, N2-P2 auditory evoked potential amplitude, and physical tiredness but were less reactive than patients with GAD on several variables. It is concluded that patients with GAD are abnormally sensitive to caffeine and that the data support the view that panic disorder is a separable disorder from GAD.

Bruce MS. The anxiogenic effects of caffeine. Postgrad Med J. 1990;66 Suppl 2:S18-24.

Bruce MS, Lader M. Caffeine abstention in the management of anxiety disorders. Psychol Med. 1989 Feb;19(1):211-214.

Lehmann EE, Kinzler J, Friedmann J. Efficacy of a special kava extract (Piper methysticum) in patients with states of anxiety, tension and excitedness of non-mental origin. A double-blind placebo-controlled study of four weeks treatment. Phytomedicine 1996;3:113-119.

Mohler H, Polc P, Cumin R, et al. Niacinamide is a brain constituent with benzodiazepine-like actions. Nature 1979;278:563-565.

Piscopo G. Kava kava: Gift of the islands. Alt Med Rev 1997;2:355-381. (Review)

Vescovi PP et al. Nicotinic acid effectiveness in the treatment of benzodiazepine withdrawal. Curr Ther Res 1987;41:1017.

Volz HP, Kieser M. Kava-kava extract WS 1490 vs. placebo in anxiety disorders. A randomized placebo-controlled 25-week outpatient trial. Pharmacopsychiatry 1997;30:1-5.

Weston PG et al. Magnesium sulfate as a sedative. Am J Med Sci 1923;165:431-433.

Witte B, Harrer G, Kaptan T, et al. Treatment of depressive symptoms with a high concentration Hypericum preparation. A multicenter placebo-controlled double-blind study. Fortschr Med 1995;113:404-408. [Article in German]

Woelk H, Kapoula S, Lehrl S, et al. Treatment of patients suffering from anxiety - double-blind study: Kava special extract versus benzodiazepines. Z Allegemeinmed 1993;69:271-277. [Article in German]