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Influenza
Integrative Medicine > Conditions > Influenza
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Influenza
Signs and Symptoms
What Causes It?
What to Expect at Your Provider's Office
Treatment Options
Drug Therapies
Complementary and Alternative Therapies
Following Up
Special Considerations
Supporting Research

  

Influenza, or "flu," is an infection of the respiratory tract (breathing passages) caused by a virus. Its symptoms are usually more severe than the common cold and are more likely to affect your whole body. While most cases run their course in one to two weeks, life-threatening complications such as pneumonia are possible, especially in the elderly or people with chronic illnesses.


Signs and Symptoms
  • Fever that comes on suddenly (101 to 104oF)
  • Chills
  • Headache
  • Muscle aches
  • Fatigue
  • Nonproductive cough
  • Sore throat
  • Sneezing, runny nose, stuffy nose
  • Loss of appetite
  • Nausea, vomiting, or diarrhea, especially in children

What Causes It?

Influenza is caused by viruses that are spread through the air by sneezes and coughs. Some of these viruses cause very mild illness, or none at all. Others mutate to cause serious, widespread illness. People most likely to get influenza are those whose immune systems are not working properly, or those whose lifestyle or work brings them into frequent contact with sick people.

Since there are many types of influenza virus, and because they change over time, a new flu vaccine is offered every fall. Getting vaccinated before the flu season starts reduces your chances of getting the flu, and reduces its severity if you do get it. You should not take the vaccine if you have chicken or egg allergies, as influenza viruses for the vaccines are grown in chick embryos.


What to Expect at Your Provider's Office

Your health care provider will probably be able to diagnose your case of flu from a physical examination and a description of your symptoms. He or she may take a chest X ray if there is concern about complications such as pneumonia.


Treatment Options

The faster you get to your healthcare provider after you start feeling the effects of the flu, the better. Specific medicines to fight the flu work best if begun within two days. You also may use over-the-counter medicines and other therapies to relieve your symptoms. The most important aspect of treatment is rest and fluids.


Drug Therapies
  • Antiviral medications—amantidine and rimantadine for prevention and treatment of certain types of flu; zanamivir and oseltamivir to reduce the symptoms and duration of flu
  • Acetaminophen—for fever reduction and relief of minor aches and pain
  • Cough suppressants and expectorants
  • Decongestants
  • Antibiotics—not effective against the viruses that cause influenza, but may be prescribed for patients vulnerable to bacterial pneumonia (a complication of influenza)

Never give aspirin to children who have a viral illness because of the risk of a life-threatening disease called Reye's syndrome.


Complementary and Alternative Therapies

A combination of herbs and nutrition may be quite effective at improving immune function,relieving symptoms, and speeding healing.


Nutrition
  • Vitamin C (250 to 500 mg two times per day), vitamin A (25,000 IU per day), or beta carotene (200,000 IU per day), and zinc (25 to 90 mg per day) are nutrients that support the immune system. Women who are or may become pregnant in the next three months should not take high doses of vitamin A. No one should use high doses of vitamin A and zinc for longer than two to six weeks.
  • Sugar may decrease immune system activity; therefore, reducing sugar consumption may be helpful.

Herbs

Herbs may be used as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, teas should be made with 1 tsp. herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day.

  • Coneflower (Echinacea purpurea)—helps immune system
  • Goldenseal (Hydrastis canadensis)—immune modulating, antimicrobial, bitter, astringent
  • Licorice (Glycyrrhiza glabra)—antiviral, anticolic, soothing
  • Yarrow (Achillea millefolium)—antibacterial, astringent
  • Elder (Sambucus nigra)—reduces swelling and irritation
  • St. John's wort (Hypericum perforatum)—antiviral, pain reliever

Mix a combination of coneflower and goldenseal with two to four of the other herbs listed. Drink 3 to 6 cups tea per day, or take 30 to 60 drops tincture three to six times per day.

A tea made of garlic and ginger (2 to 3 cloves of garlic and 2 to 3 slices of fresh ginger) keeps the lungs clear and acts as an antimicrobial. May be used in addition to above herbs.


Homeopathy

Although very few studies have examined the effectiveness of specific homeopathic therapies, professional homeopaths may consider the following remedies for the treatment of the flu based on their knowledge and experience. Before prescribing a remedy, homeopaths take into account a person's constitutional type. A constitutional type is defined as a person's physical, emotional, and psychological makeup. An experienced homeopath assesses all of these factors when determining the most appropriate treatment for each individual.

  • A combination remedy including Aconite, Gelsemium, Eucalyptus, Ipecacuanha, Phosphorus, Bryonia, and Eupatorium perfoliatum
  • A mixture of Anas barbarice hepatis and Cordis extractum
  • Gelsemium -- for chills, weakness, lack of energy, fever, and headaches in the back and top of the head; this is one of the most common homeopathic remedies for the flu
  • Eupatorium perfoliatum -- for deep aches, sneezing and coughing
  • Nux vomica -- for violent vomiting, irritability, dry cough, chills, and a stuffy nose that develops into a watery, irritating discharge

Acupuncture

May help you generally feel better and speed healing.


Following Up

In most cases flu symptoms will ease in one to five days, but they can last as long as two weeks. If you don't start to feel better within a few days, or if you begin having difficulty breathing, contact your healthcare provider.


Special Considerations

Studies suggest that pregnancy may increase the risk of serious influenza complications due to stresses on the body and changes in the immune system. Therefore the Centers for Disease Control and Prevention (CDC) has recommended vaccination for women who will be in the second or third trimester of pregnancy during the flu season.


Supporting Research

Amantadine (Systemic). National Library of Medicine. Accessed at http://www.nlm.nih.gov/medlineplus/druginfo/rimantadinesystemic202771.html on August 29, 2000.

Antiviral Drugs for Influenza. Centers for Disease Control and Prevention. Accessed at http://www.cdc.gov/ncidod/diseases/flu/fluviral.htm on August 29, 2000.

Baron S. Medical Microbiology. University of Texas Medical Branch; 1996:58.

Blumenthal M, Busse WR, Goldberg A, et al., eds. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Boston, Mass: Integrative Medicine Communications; 1998:446.

Br�unig B, Dorn M, Knick E. Echinacea purpurea radix for strengthening the immune response in flu-like infections. Z Phytotherapie. 1992;13:7-13.

Carr AC, Frei B. Toward a new recommended dietary allowance for vitamin C based on antioxidant and health effects in humans. Am J Clin Nutr. 1999;69(6):1086-1107.

Cummings S, Ullman D. Everybody's Guide to Homeopathic Medicines. 3rd ed. New York, NY: Penguin Putnam; 1997: 57, 69.

Dorn M. Mitigation of flu-like effects by means of a plant immunostimulant. Natur Ganzheitsmed. 1989;2:314-319.

FDA supplements associated with illnesses and injuries. U.S. Food and Drug Administration website. FDA Consumer (Sept.-Oct. 1998). Accessed at http://vm.cfsan.fda.gov/ on April 13, 2001.

Gruenwald J, Brendler T, Jaenicke C, et al., eds. PDR for Herbal Medicines. Montvale, NJ: Medical Economics Co; 1998:604-605.

Hoffman D. The New Holistic Herbal. New York, NY: Barnes & Noble Books; 1995:191.

Influenza. Centers for Disease Control and Prevention. Accessed at http://www.cdc.gov/ncidod/diseases/flu/fluinfo.htm on February 13, 1999.

JAMA Patient Page. How much vitamin C do you need? JAMA. 1999;281(15):1460.

Johnston CS. Recommendations for vitamin C intake. JAMA. 1999;282(22):2118-2119.

Jonas WB, Jacobs J. Healing with Homeopathy: The Doctors' Guide. New York, NY: Warner Books; 1996: 213.

Kennedy M. Influenza viral infections: presentation, prevention and treatment. Nurse Pract. September 1998.

Kruzel T. The Homeopathic Emergency Guide. Berkeley, Calif: North Atlantic Books; 1992:190-196.

Levine M, Rumsey SC, Daruwala R, Park JB, Wang Y. Criteria and recommendations for vitamin C intake. JAMA. 1999;281(15):1415-1453.

Murray MT, Pizzorno JE. Encyclopedia of Natural Medicine. 2nd ed. Rocklin, Calif: Prima Publishing; 1998:66-68.

Ody P. The Complete Medicinal Herbal. New York, NY: DK Publishing; 1993.

Relenza� Consumer Information. Food and Drug Administration. Accessed at www.fda.gov/cder/consumerinfo/druginfo/relenza.htm on August 29, 2000.

Rimantadine (Systemic). National Library of Medicine. Accessed at www.nlm.nih.gov/medlineplus/druginfo/rimantadinesystemic202771.html on August 29, 2000.

Roettger B. Homeopathy as an effective treatment for colds and flus. Nutrition Science News Magazine. August 1995.

Savtsova ZD, Zalesskii VN, Orlovskii AA. The immunocorrective effect of laser reflexotherapy in experimental influenza infection [in Russian]. Zh Mikrobiol Epidemiol Immunobiol. January 1990:75-80.

Scaglione, et al. Efficacy and safety of the standardized ginseng extract G115 for potentiating vaccination against common cold and/or influenza syndrome. Drugs Exp Clin Res. 1996;22:65-72.

Tamiflu� Consumer Information. Food and Drug Administration. Accessed at www.fda.gov/cder/consumerinfo/druginfo/tamiflu.htm on August 29, 2000.

Tan D. Treatment of fever due to exopathic wind-cold by rapid acupuncture. J Tradit Chin Med. 1992;12:267-271.

Ullman D. Homeopathic Medicine for Children and Infants. New York, NY: Penguin Putnam; 1992: 107.

Ullman D. The Consumer's Guide to Homeopathy. New York, NY: Penguin Putnam; 1995: 229.

Wagner H. Herbal immunostimulants for the prophylaxis and therapy of colds and influenza. Eur J Herbal Med. 1997;3(1).


Review Date: August 1999
Reviewed By: Participants in the review process include: Shiva Barton, ND, Wellspace, Cambridge, MA; Gary Guebert, DC, DACBR, Login Chiropractic College, Maryland Heights, MO; Richard A. Lippin, MD, President, The Lippin Group, Southampton, PA.October 2001

Copyright © 2002 A.D.A.M., Inc

  
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