Supplements
• Vitamin A     500,000 l.U. q.d. (TOXIC DOSE)
• Vitamin C     1 gm q1h; IV
• Zinc     50 mg
• Vitamin E          400-800 iu
• garlic
• patent products such as EHB, Echatin forte, Bio Vegetarian
• immungen
• viral / bacterial immune stimulator

Physical Medicine
Hydrotherapy
• hot leg pack: with ice bag to head
• fever treatments
• hot foot bath
• home constitutional tx
• warming socks
• warming T-shirt
• castor oil packs

Botanicals
Primary herbs
• Aconitum napellus (toxic): use with acute discrimination
• Atropa belladonna (toxic): meningeal inflammation
• Bryonia alba (toxic): spinal tenderness and pain on pressure
• Gelsemium sempervirens (toxic): acute cerebrospinal meningitis; do not use Iif effusion takes place
• Lobelia inflata (toxic)
• Passiflora incarnata: convulsion
• Physostigma venenosum (toxic)
• Rhus toxicodendron (toxic)
• Veratrum viride (toxic): convulsion

Complementary herbs
• Gelsemium sempervirens (toxic) + Echinacea angustifolia

Remedy differential
• Apis mellifica: indifferent, sudden onset; less advanced case than hell; apathy, > cold, no thirst, oversensitive to touch; onset of acute meningitis
• Bryonia: thirsty, shouts if moved; congested face; constipation due to dryness of mucosa
• Gelsemium: prostrated and stupid; face red, slow pulse, local paresis; no thirst; muscular weakness (esp. in limbs); very shaky
• Helleborus niger: marked general muscular weakness; rolls head from side to side; falling of lower jaw; wrinkled forehead; eyes opened and staring, torpor; very slow pulse, pale
• Iodoformium: rapid and feeble pulse; pupils dilate and contract unequally; tuberculous condition; very sensitive spine
• Zincum metallicum: very sensitive spine; lethargic, stupid, very weak, twitching, shaking of the limbs, esp. legs

Equal parts of Uva Ursi, marshmallow, nettles, plantain, dandelion leaf- 2tsp on 1 cup of water infused, q 2-4 hrs

Nux vomica- 30C and alternate with sasparilla 30 C q2hrs

D-Manose 1/4 tsp po q4hrs in 24 hours

If it does not resolve-Berberis 200C 1 drop in 2 oz w/H20 and Alch

althea cold infusion

AB

Cromolyn sodium 4% ophthalmic solution.

CascadeAnderson Geller’s conjunctivitis Formula for viral or bacterial Use powdered herb
Berberis V 2 parts, Hydrastis 1 part, Hamamelis 1 part, Whole Fennel seed 1 part.  In a separate bag 1-oz whole calendula flowers
Take 4 TBS/Quart, decoct 10 minutes, and remove from heat.  Infuse 1 TBS calendula flowers for 10 minutes.  Double strain, then filter with a coffee filter.  Store in a sterile jar.  Keeps in the refrigerator for 3 days.  Sig:  Instill 5 gtt, or Wipe eyes with a sterile cotton ball, every 2 hours until improved, then QID.
NCNM Eye drops:  (available by prescription at Lloyd Pharmacy) for viral or bacterial conjunctivitis.
Start with dry herb, 3 parts hydrastis, 1-part fennel seeds (ground in mortice & pestle), 1 part euphrasia, 1 part berberis
Decoct 1 tsp. Of the above with 80 ml water for 3 minutes, remove from heat and infuse for 10 more minutes.  Strain; add 10 gtt of specific extract of Echinacea.  Strain mixture (using a microporous filter), qsad to 180 ml with sterile saline in a sterile container.

For infants with mild cases of viral conjunctivitis associated with URI suggest breast milk in the eyes.
Antibiotics: Erythromycin ophthalmic ointment, Cochrane Review: antibiotics hastens clinical and microbiological remission of bacterial conjunctivitis  .
•    Cool compresses, using any of the above eyewashes
•    Treat any underlying imbalances; allergies, systemic weakness, poor diet
•    HOMEOPATHY

Arsenicum album 30 or 200
Much burning in eye, edema around eye D/C hot and excoriating Intense photo phobia  > external warmth
Allium cepa  30 or 200:
Streaming eyes and nose Associated with much sneezing
D/C makes nose sore

Euphrasia  30 or 200:
Catarrhal conjunctivitis
Eyes water all the time
DC burning and acrid
Burning and swelling of lids
Constant blinking

Pulsatilla 30 or 200:
Profuse yellow D/C
No excoriation
Itching and burning in eyes
< Warm room

Diet

Eliminate common antigenic foods especially dairy, bananas, wheat, and meat products.
•    Encourage small, frequent meals of vegetable broths, steamed vegetables, and fresh    fruit (especially pineapple and grapes).
•    Vitamin C (200 to 500 mg two times per day), zinc (10 to 15 mg per day), and beta-carotene (10,000 to 25,000 IU per day).

Botanical Medicines

Immune-stimulating herbs:
•     Echinacea purpurea
•    Usnea spp
•     Allium sativum
•    Astragalus membranaceus
•    Sambucus nigra
•    Baptisia
•    Phytolacca
Expectorants:
•     Glycyrrhiza glabra
•     Inula helenium
•     Verbascum densiflorum
Antiseptics:
•    Thymus vulgaris
•    Hyssopus officinalis
•    Pimpinella anisum
•    Ledum latifolium
Antispasmodics:
•    Lobelia inflata
•    Matricaria recutita
•    Viburnum opulus

Physical Medicine

Chest rubs. Use 3 to 6 drops of essential oil (camphor, thyme, eucalyptus, rosemary) with 1 tbsp. food-grade oil (almond, flax, or olive).
Castor oil pack. Apply oil directly to chest, cover with a clean soft cloth and plastic wrap. Place a heat source over the pack and let sit for 30 to 60 minutes. Use daily.
Use a humidifier at night
Alternating hot and cold applications to the chest or back. Alternate three minutes hot with one minute cold.
Warming sock treatment. Before bed, place cold, damp socks on warmed feet and cover with dry wool socks overnight.

Homeopathy

Aconite — should be taken during the first 24 hours that symptoms appear, particularly if they develop following exposure to cold weather; this remedy is most appropriate for individuals with a hoarse, dry, cough who complain of dry mouth, thirst, restlessness, worsened symptoms from cold air and/or lying on the side, and being awakened from the cough
Drosera — for dry, spasmodic cough with sharp chest pain and a tickling sensation in the throat that may cause the individual to gag, choke or vomit; this remedy is most appropriate for individuals who tend to be hoarse, become worse when lying down, and perspire during the night
Hepar sulphuricum — for later stages of pertussis with wheezing, little mucus production, and coughing that comes on when any part of the body gets cold
Ipecacuanha — spasmodic cough and gagging or vomiting; this remedy is commonly prescribed for infants
Phosphorus — for several different types of cough, most particularly a dry, harsh cough described as a persistent tickle with sharp chest pain signified by the individual clutching his or her painful chest; this remedy is most appropriate for individuals who are often worn out and exhausted, have undue anxiety, even fear of death and require a lot of reassurance
Spongia — for harsh, barking cough that produces no mucus and is associated with a tickling in the throat or chest that worsens when lying down improves when the individual eats or drinks warm liquids; this remedy is often used if Aconite was not successful

The volatile oil of salvia contains alpha and beta thujones, cineole and camphor.  Other constituents include rosemarinic acid, flavonoids and tannins.   In vitro anti-viral effects have been documented.

Physical medicine – same as for Strep Pharyngitis
Have patient take necktie off; wear scarves, turtlenecks to keep neck warm.
Homeopathy
Rubric – Throat, inflammation, follicular – Kent p. 454

Belladonna – dull expressionless face which is red; dilated pupils; throbbing pain (congestive)
DOSE – 30 gtt in 1 oz tincture

Bryonia  – sharp cutting pain, < pressure
< Movement; hard pulse;
DOSE – 5-10 gtt in 1 oz tincture
Aconite – small and fast pulse; very red and dry throat; fast onset with fever; etiology – EPI;
DOSE – 5-10 gtt in diluted in 1 oz tincture
 

Throat Coat© tea can give symptomatic relief for pain.

Physical Medicine and Hydrotherapy for Strep Throat
1.  Saline gargles 1/4 teaspoon of salt per 8-ounce glass of warm water.  May aid with hygiene of the pharynx and provide analgesia.  Saline gargles have not undergone clinical trials, but are frequently recommended in conventional and naturopathic practice guidelines.

2.  Warming throat compress
This is a variation on the heating compress.  This treatment acts to reflexively increase the circulation and decrease congestion in the throat and head.  It has a sedating action and may help with sleep.  This treatment is also effective for analgesia.
3.  Lymphatic massage
4.  Cervical manipulation
5.  Have patient wear scarves around neck - if frequent sore throats

 Homeopathy
Throat, inflammation, erysipelatous – Kent p. 454
Mouth, papillae, erect and red – Kent p. 414