-IBIS-1.7.6-
tx
cutaneous system
urticaria
Nutrition
dietary guidelines
eating principles:
if on a regular diet, try a vegetarian diet high in vegetables and complex carbohydrates. If on a vegetarian diet, try a fruit and vegetable diet or a short fast
elimination/rotation diet, rotation diet, rotation diet expanded
therapeutic foods
» Xue Xu (Blood Deficiency):
increase foods that nourish Xue (Blood) and tonify the Spleen and Stomach; bland foods
therapeutic foods
» Xue (Blood) Heat:
increase foods that cool the Xue (Blood) and clear Heat
foods rich in Vitamins A, B-complex, C, Zinc
black bass, rye, avocados, sea vegetables, whey, apple, cucumbers, millet, rice polishings, rice bran, sprouts (Jensen, p. 63)
mung beans, daikon radish, carrots
fresh juices:
lemon juice in water on empty stomach in morning (Shefi)
carrot
celery (Shefi)
apple (Shefi)
lettuce and dandelion (Ni, p. 39)
parsley (Ni, p. 43)
carrot, celery, lemon (Jensen, p. 63)
cucumber, endive, pineapple (Jensen, p. 63)
carrot and spinach (Walker, p. 144)
carrot, beet, and cucumber (Walker, p. 144)
cucumber
avoid:
food intolerances (Henz BM, et al. Exp Dermatol 1998 Aug;7(4):139-142.)
In one study of sixty-four patients a diet free of chemical additives and foods high in salicylates completely cleared or greatly reduced symptoms of chronic hives or angioedema within two weeks. (Zuberbier T, et al. Acta Derm Venereol 1995:75:484-487.)
meat, alcohol, hot sauces, spicy foods, fried foods, fatty foods, rich foods, salty foods, stimulating foods, coffee, caffeine, processed foods, refined foods, food additives
supplements
beta carotene (Pollitt, 1975)
Vitamin B12 1000 mcg weekly IM (Simon,1951)
Vitamin C 2 g buffered every hour
hesperidin
quercetin
Vitamin E 400 IU twice daily.
Selenium 200 mcg per day.
L-tyrosine, vitamin B6 and niacinamide combination: One study from 1952 tested a combination of L-tyrosine (200 mg), vitamin B6 (2.5 mg) and niacinamide (10 mg) for the treatment of hay fever, hives, allergic headaches and poison oak dermatitis. Significant symptomatic relief was usually obtained by taking one to three tablets four times per day in milder cases or up to six tablets four to six times per day in more severe cases. In some cases characterized by more chronic disorders, such as chronic sinusitis, an exacerbation of symptoms often occurred during the first few days of treatment. This study found that treatment with each the nutrients individually, or with any two in combination, was ineffective.
(Widmann RR, Keye JD. Northwest Med 1952:51:588-590.)
footnotes
Henz BM, Zuberbier T. Most chronic urticaria is food-dependent, and not idiopathic. Exp Dermatol 1998 Aug;7(4):139-142.
Abstract: Although chronic urticaria is generally thought to be mostly idiopathic, we have recently provided convincing evidence that in the majority of patients, food ingredients provoke the symptoms and sustain the disease. On a diet largely avoiding preservatives, dyes and natural pseudoallergens, 73% of patients experienced remission of more than 6 months duration, starting within the first 3 weeks after initiation of the diet. This response rate is clearly higher than the reported 24% spontaneous remission rate over the same time period. The specificity of the dietary effect was proven 1) by double-blind provocation with pureed pseudoallergen-low versus -rich food and 2) by induction of a clinical response to a 3-week diet low in pseudoallergens, but not to a standard diabetes diet in 3 patients studied in a double-blind crossover design. On double-blind, placebo controlled oral provocation, only 18% of diet-responsive patients reacted to known food preservatives and dyes, but 71% to pureed tomatoes and 44% to their steam extracts. These findings identify naturally occurring pseudoallergens in food as major elicitors of chronic urticaria. In contrast, autoantibodies against Fc epsilonRIalpha have been identified in only about 30% of chronic urticaria patients, and evidence for their truly causative role is still lacking since therapeutic measures work in patients irrespective of the presence or absence of the autoantibodies. For both food intolerance and Fc epsilonRIalpha-autoantibodies in chronic urticaria, the associated pathomechanisms are however still in need of clarification. Meanwhile, the diet-responsiveness in the majority of patients opens new perspectives for the management of chronic urticaria.
Widmann RR, Keye JD Epinephrine precursors an control of allergy. Northwest Med 1952:51:588-590.
Abstract: Some 492 patients with symptoms of allergies were treated with tablets containing L-tyrosine (200 mg), vitamin B6 (2.5 mg) and niacinamide (10 mg). In milder cases, symptoms were usually relieved by taking one to three tablets four times per day. In more severe cases, as many as six tablets four to six times per day were needed to control symptoms. Treatment with each the nutrients individually, or with any two in combination, was ineffective. Individuals with hay fever, hives, allergic headaches and poison oak dermatitis generally obtained relief within two to five days. When itching was present, it was usually relieved within four to 16 hours. No side effects of any type were seen. However, in some of the more chronic disorders, such as chronic sinusitis, an increase in symptoms occurred during the first few days of treatment. (Special thanks to Alan Gaby, M.D., for this citation and abstract)
Zuberbier T, Chantraine-Hess S, Hartmann K, Czarnetzki BM. Pseudoallergen-free diet in the treatment of chronic urticaria. A prospective study. Acta Derm Venereol 1995 Nov;75(6):484-487.
Abstract: In chronic urticaria, the possible pathogenetic role of pseudoallergic reactions to food has been repeatedly discussed, but stringent prospective studies regarding their clinical significance are not available. All patients with chronic urticaria and/or angioedema hospitalized at the department of dermatology during a period of 2 years were therefore included in a prospective study. Patients (n = 64) were screened for common causes of urticaria and then evaluated for possible benefits of a stringently controlled pseudoallergen-free diet. Double-blind, placebo-controlled oral provocation tests with food additives were performed on those patients benefitting from diet. In 73% of patients, symptoms ceased or were greatly reduced within 2 weeks on diet, although only 19% of them responded to individual pseudoallergens on provocation tests. Of the remaining patients, 11% responded to treatment of an associated inflammatory disease, and in 16%, no cause of the urticaria was ascertained. Follow-up at 6 months after hospitalization showed complete remission on diet in 46% and lasting improvement in all but one of the remaining patients on diet. An additive-free, stringently controlled diet thus provides a simple means of diagnosing and treating the majority of patients with chronic urticaria.