Soothing a sore throat while beating infection: Home Medicine Cycle 32

The immune system is our defense against infection. But it is not one monolithic shield. Instead it is a system that works together with the other systems of the body. And as such it has stronger and weaker points. There are often--in specific individuals--weak points that provide infections with an easy gateway to the body—a literal Achilles’ Heel. 

Image licensed under CC BY-SA 3.0 via Wikimedia Commons

For many the vulnerable place is some section of the respiratory pathways and infection creeps in through colds. Others have vulnerable inner ears. For me the weak point is my throat. 

Most viral illnesses begin with a sore throat, even if that isn’t among their primary symptoms. And if I am weakened by a viral infection, the chances are high that I may develop bacterial strep throat. Almost all antibiotics I have ever taken were for strep throat. 

As a result I’ve made a study of the herbs that are useful for sore throats and throat infections. And in the last few years, my throat troubles have largely evaporated. 

There is a difference in how I treat a tickling in the throat or a raging inflamed throat. And there are things I do to prevent sore throats when other illnesses are around. Here are the things that work for me, which have resulted in two years without any significant sore throat, despite my personal vulnerability. 

Prevention:

When there are viral infections around or particularly if others have an illness involving a sore throat, I am particularly careful. I use echinacea tincture (recipe here) and echinacea flower tea for general prevention. Beyond that I drink strongly brewed lemon balm tea. See this page on how to brew potent herbal teas. I personally like it without honey and I use honey for acute infections, but that’s optional.

A tickling in the throat

Whenever I get a tickling sensation in my throat and feel that something might be coming on, I do the same as with prevention—echinacea and lemon balm. Plus I take a dose of plantain syrup. You can find the recipe for that here. 

Acute sore throat

If an infection takes hold and the throat is inflamed and painful, I will make strong lemon balm tea with added raw honey and fresh lemon juice. This will often cut the pain very effectively. Another option is lemon balm popsicles. Simply brew a strong lemon balm tea with honey, add yogurt and lemon juice and freeze. While some infections do better with hot treatment, popsicles are sometimes the only way to get a child to take medicine and it may be worth it. 

In an acute situation I also take lemon balm tincture. New studies are showing some surprising results with lemon balm, which appears to be specifically active against the bacteria that is responsible for most bacterial infections in the throat.

A simple herbal antibiotic is fresh garlic, either eaten in food (without cooking) or drunk as juice. It works both topically and systemically so the more the garlic or its juice touches the inflamed parts of the throat the better. The difficulty with raw garlic is that many people cannot swallow enough of it for it to work as a systemic antibiotic. Even a small amount of raw garlic eaten in food can help to prevent or treat throat infections however.

Another effective treatment is propolis tincture. It's made with 80 proof alcohol and must be diluted in water. When treating a sore throat it is best to gargle with the water and propolis tincture solution for as long as possible. Those with bee allergies should be very careful of propolis, since it Is a bee product.

Some people may find gargling with propolis to be unpleasant due to its distinctive taste. I am not sure why I dislike the taste of propolis. It smells good to me but I find the tincture to be unpleasant and it is hard for me to gargle with it. Still I do it because the combination of propolis and lemon balm tinctures is the one way I know of to prevent the need for synthetic antibiotics for strep throat.

There are herbal antibiotics which may be effective against strep throat, however most of them are not available locally and I haven’t been able to grow them myself or gather them in the wild yet. Purchased herbs are highly variable in their effectiveness and strep throat can become very serious and lead to permanent health problems if left untreated. Therefore I would only rely on herbs to treat a bacterial throat infection if I could see a professional herbalist with reputable supplies.

A sore throat that continues for many days or is accompanied by a significant fever should be treated as a potentially serious illness. Medical and healing professionals should be consulted. 

Herbs to help you breeze through cold season: Home Medicine Cycle 28

In many places winter is already coming on. The weather is wet, cold and grayish. The season brings plenty of physical problems - from driving conditions to cutting wood - and then there is the chaos around family holidays. The last thing you need is a cold. 

It may not be the worst illness to have, but unlike a lot of illnesses you usually don't get to stay home in bed and watch reruns when you have a cold. You just feel worse, have less energy and have to deal with a runny nose, headaches, a sore throat and some coughing, while doing all the other things you normally do.  That make colds highly unpleasant and the lack of rest makes them hang on for weeks sometimes. 

One of the first things to do in cold season is to make sure you're getting enough rest and fresh air. Both will help to prevent and cure colds. Rest is the most important component of any strategy to boost your immune system and fresh outside air doesn't carry viruses as well as the air in buildings full of people. If the weather is actually freezing, your risk of catching a cold can go way down if you bundle up warmly and spend at least an hour outside each day. Viruses don't do well with frost. 

That said many of us live in climates where several months out of the year are more dank, cold and rainy than frosty and viruses love this weather. Beyond that, if you work or study in a crowded environment, your immune system would have to be spectacular to avoid the latest cold virus going around. So the chances are that most of us will get a cold at some point. 

Image by Arie Farnam

If you use pharmaceuticals to beat back the symptoms you will often prolong the cold and while your nose may not run, you will still have less energy. That will often cause you to drink more caffeinated drinks and that will disturb your sleep. And less sleep will mean more colds.

Beyond that, synthetic medicines often suppress the immune system over the long term and have other systemic side effects that aren't listed officially because they are caused by the overall intake of pharmaceuticals rather than by one specific drug. Colds are one area in which you can use herbs very effectively and thus reduce the need for harmful pharmaceuticals. 

Here are the basic steps to using herbs to deal with colds:

Prevention

The primary preventative herb today is still Echinacea. It stimulates white blood cells, which make up the best-understood part of the immune system. It also includes virus-fighting substances and boosts the ability of immune cells to engulf and destroy invaders. 

There is controversy in medical circles about Echinacea largely because there have been some studies conducted using commercially available pellets of freeze-dried Echinacea juice, which showed that the pellets were not very effective in preventing colds. There are studies showing the effectiveness of Echinacea in other forms, however. I took those freeze-dried pellets for a few years because I was traveling and I hoped to get some herbal medicine even when I couldn't grow my own or brew concoctions. And I have to say that I didn't notice any dramatic effect by taking the expensive Echinacea pills. Combine that with the problem that many commercially available Echinacea "supplements" contain only a tiny percentage of actual Echinacea (and sometimes none at all) when they are subjected to lab tests and you could become very skeptical about this herb.

However, none of these facts have any real bearing on the herb itself. Poor use of an herb doesn't make the herb itself ineffective. 

Image by Arie Farnam

The best way to use Echinacea is to grow your own or find a local supplier of fresh or freshly dried herbs. Then use dried Echinacea flowers (stored in an air-tight, non-metallic container) as a cold prevention tea for children and adults. It has a very pleasant, almost spicy taste reminiscent of the smell of bee hives.

For adults, Echinacea tincture is also excellent. It's best taken as needed the moment you notice a tingling of a cold in your throat or nose. I personally prefer Echinacea flower tincture and have found it most effective in cold prevention. If I can take a large spoonful of Echinacea flower tincture within an hour or two of the first signs of a cold or when other people around me have colds, I almost never end up with a real cold and if I don't take it my immunity to colds is not very good.  Here is a basic recipe for tincture.

I have read that many herbalists prefer Echinacea root tincture. However, in order to make a tincture with enough potency they must use several batches of Echinacea root for each batch of alcohol. This means soaking finely chopped roots in alcohol, then straining the alcohol after a few weeks and pouring it over another bunch of roots for several more weeks and repeating the process at least three times. The process is complicated but the results may be even better than Echinacea flower tincture. 

Echinacea works best if taken at specific times when immune support is needed. The immune system may become too accustomed to that support if it' s taken constantly. I use Echinacea flower tea when flu and cold season is in full swing on a regular basis and take Echinacea tincture as needed within hours when I can feel something coming on.

Treatment 

Even herbs don't provide an actual cure for colds. Once you have a cold, rest is the closest thing to a cure and often rest is hard to come by. Most herbs for colds treat specific symptoms and you can choose the best ones based on the symptoms you have. Treating symptoms is far from useless when it comes to curing a cold because many cold systems will interrupt your sleep and sleep is key.

Image by Arie Farnam

One general anti-viral herb to take after a cold has set in is St. John's wart. St. John's wart helps to fight a wide range of viruses and it gives the body energy needed in fighting an infection.

There is a myth that one should stop taking Echinacea once a cold has set in. I have found that this is bad advice. First of all your immune system doesn't just prevent infections, it also fights ongoing infections. So, the need for the immune support of Echinacea doesn't end simply because the cold temporarily got the upper hand. I have also experienced long-term colds and coughs that hung on tenaciously and would only recede when i took Echinacea tincture each day and for several days AFTER the symptoms disappeared. I stopped several times once the symptoms had disappeared and the infection returned, until I had the discipline to continue taking Echinacea tincture daily until about a week after the symptoms had cleared up. This has happened to me enough times that I consider it to be a pattern.

Herbs high in vitamin C are also good for general treatment. Rose hip tea and even more so buck thorn syrup  contain vitamin C (as does homemade sauerkraut).

Treating congestion

Now we get into the nitty gritty of treating specific symptoms.

One of the best herbs for treating the congestion that comes with a common cold is elder, particularly the flowers. My family uses dried elder flowers for tea (which is quite pleasant). And the adults use elder flower tincture as a powerful decongestant. If you do have to continue working when you have a cold, elder flower tincture is essential. It will clear out congestion as effectively as many pharmaceutical cold medicines but without the negative health effects associated with those. 

If you don't pick all the elder flowers off of your local elder bushes in June, you can also make a syrup from the elder berries themselves. This contains many of the properties of the flowers plus vitamins that are helpful for recovering from colds.

Another way to deal with stubborn congestion is to put a drop of thyme or eucalyptus essential oil and a few table spoons of salt into a bowl of hot water and breathe in the steam from it. You can put a towel over your head to catch the steam and clear out built up congestion that keeps the infection inside and interferes with rest.

Treating sore throats 

Lemon balm leaves and linden flowers are both excellent for treating sore throats. Lemon balm has been recently found to specifically fight the bacteria that cause strep throat. This is essential when you have a cold because while a cold is minor by itself it will often weaken the body and allow a bacterial infection to set in. I drink lemon balm even if I don't have a sore throat with a cold in order to prevent strep. Making lemon balm syrup (with this recipe) is one excellent way to combat sore throats.

Raw honey is also good for a sore throat. Gargling with salt water or a bit of propolis tincture diluted in water are also useful methods. You can even chew a piece of propolis if you don't have propolis tincture although it will temporarily stain your teeth bright yellow. 

Treating coughs

I covered the treatment of coughs in another post which you can find here. In brief, the best herbs I have found for coughs are thyme, mullein, marshmallow, longwort and plantain. 

I love hearing about your experiences with herbs. Let's have some discussion on what really works in the comments section below.

The season of coughs looms but the herb cupboard is well-stocked: Home Medicine Cycle 25

Whether you've been busily flitting from wildflower to wildflower this past summer to gather your herbs or you are looking for a good local supplier of freshly dried and tinctured herbs, this is the time of year to take stock of your herbal supplies. The season of colds, coughs and flu brings infections, seasonal light deprivation, slumps in immune function and other problems that modern medicine has difficulty solving is at hand. 

Wild thyme - Creative Commons image by Summi of German Wikipedia

I dread taking my kids to a doctor for a checkup at this time of year because we're sure to catch something in the waiting room. And if someone in our family is sick with a viral infection, we're much better off staying home to rest with a cup of tea than we would be exposing ourselves (and others) to more problematic infections. As hard as doctors and nurses try (and they do try mightily) to combat bacteria, serious infections from antibiotic resistant bacteria are widespread in hospitals and spreading to all types of medical facilities. When you are already weakened by a virus, your chances of contracting a life-threatening resistant bacterial infection are higher.

As much as I love having a good doctor nearby, I would rather chat with her in line at the grocery story than visit her office. And one of the most important ways to avoid that office at this time of year is to know how to handle a cough on your own. Here are my tips:

Know your cough

There are two basic types of cough--a productive cough (where you are actually coughing up mucous) and a dry cough.  And these different types need different approaches. While most of the pharmaceuticals sold over the counter attempt to suppress a cough at all costs, this can actually lead to worse infection and often simply doesn't work. With a productive cough, you don't need to be hacking and coughing all the time to get the troublesome mucous out. If you can loosen up the mucous a productive cough doesn't have to be a too unpleasant or last more than a few days.

In these posts, I try to stay away from terms that aren't clear to lay people, but there are two herbalist terms that are really worth learning. The first is "expectorant." An herb or a chemical compound that is an expectorant has the property of helping to loosen mucous and make it easier to cough out. You may feel like your cough is suppressed after taking an expectorant herb because you will not have to cough so many times in order to release the mucus, but in reality this type of herb does nothing to suppress a cough. It does, however, make it easier to breathe, prevent further infection, hasten the end of the cough and often reduce the frequency of coughing.

Herbs for a phlegmy, mucousy cough: 

• Mullein leaf (good as tincture, syrup and tea and it's soothing as well)
• Thyme (my all-time favorite--makes a delicious tea and a good tincture as well)
• Ginger (a tasty and helpful addition to any cough tea)
• Eucalyptus (use one drop of essential oil in a steam bath to clear up congestion)
• Hyssop (a pleasant tea)
• Horehound (extremely bitter as a tea but can be made into taste cough drops)
• Garlic (fresh garlic is good sprinkled on soups and salads whenever you're sick)
• Horseradish root (It's possible that just smelling the fresh root will cure what ails you! Caution!)
• Elecampane flowers (good for cough syrups)
• Anise Seed
• Black Cohosh root
• Colt's Foot

For a dry, irritating cough

The other important term is "demulcent." An herb or compound that is demulcent will sooth mucous membranes and help get rid of irritations that cause dry, hacking coughs. This second type of cough--the dry cough--is the kind you do want to suppress. The cough itself doesn't do much to rid your body of mucous or infection. It simply serves to further irritate already inflamed places in your throat and airways. That's why this type of cough can go on for months and become chronic. It is often self-perpetuating and it disrupts sleep, further harming the body's ability to heal. 

My husband has battled dry, chronic coughs in the winter for years and the remedie that has finally brought some relief is a combination of thyme, mullein and ground ivy tinctures along with syrup made from mullein leaves, plantain leaves, elecampane flowers and marshmallow flowers. You may have to experiment to find the right combination for a chronic cough but the most common demulcent herbs are:  

• Mullein (For chronic coughs I find regular tincture to work best but if you can ensure that you drink the tea every day, that could work as well)
• Marshmallow flowers (not made into candy but rather into syrup)
• Plantain (helps to sooth whatever it can physically touch, so it is good for irritations close to the throat)
• Coltsfoot (another good tea)
• Lungwort (the flowers particularly make a nice tea)
• Liquorice
• Slippery Elm
• Wild cherry bark (It's said to be a strong cough suppressant but I don't have personal experience with it.)
• Lemon, and honey (Drink a warm lemonade made with honey. It may only provide temporary relief but sometimes temporarily relief is all your body needs to recover.)
• Onion (you can make a syrup from cooked onion that is used widely for coughs in some parts of Eastern Europe.)
• Sage, peppermint and rose hips are good additions to many of these teas and syrups for the nutrients they provide when you are dealing with a chronic cough.

Whooping cough

Another kind of cough is whooping cough and this is quite different from a the two other kinds of coughs. True whooping cough (pertussis) is a dangerous bacterial infection that can sometimes be fatal in infants. The signature sound of whooping cough is a cough followed by a whooping noise. The noise comes from the sick person (usually a small child) trying desperately to pull air in through swollen tissue. You can see the hollow at the base of the throat depress as the child strives to take a breath and this is a critical sign of danger.

My son had a cough like this when he was two and again last winter, although he wasn't treated with antibiotics at the time. Sometimes a whooping-type cough comes even when a child has been vaccinated against pertussis and it is frightening and possibly very dangerous. One of the ways that whooping cough is treated in an emergency room is to put the child into a cool steam tent. The reason is that the cool steam soothes the swollen tissue that makes it so difficult to breathe. This is also why many people start out to bring a child with a terrible whooping cough to an emergency room, only to have it disappear by the time they arrive, because of the exposure to the cool, damp air (given that most attacks of whooping cough occur at around 10:00 pm to midnight). 

I learned this the first time my son had such a coughing attack and couldn't breathe. After trying several things that work with other types of cough (to no good effect), I took him out at night and the cough subsided within a half an hour. I didn't get much sleep the rest of the night but he did. The second time it happened, I didn't wait but immediately bundled him up and went outside, where I held him until the attack stopped. Interestingly enough, as a child of barely four, he cried and insisted that he didn't like the cold air. The cough was so powerful, he though he would vomit but couldn't and within ten minutes it passed. 

Please be aware that I'm not a doctor and this isn't medical advice for any specific ailment. My experience shows that the only thing you can do at home for something resembling whooping cough is cool steam or night air. Otherwise, I would seek out professional medical attention.

Other times to seek out professional help with a cough

Coughs can be a symptom of a number of bacterial infections or other breathing problems. Beyond whooping cough, there are times to leave the home herb cupboard and find professional medical help, particularly if...

• There is a fever for more than several days,
• A fever, wheezing or headaches are severe or get worse rapidly,
• you develop fast breathing or chest pain,
• it is difficult to get a breath,
• you cough up blood or rusty-colored phlegm,
• you become sleepy or confused,
• a cough lasts for longer than four weeks or keeps coming back.

Please feel free to add your comments and experiences with herbal cough remedies in the comments.