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Case Report | DOI: https://doi.org/10.31579/2641-5194/026
Necmettin Erbakan University, GETAT CENTER, Konya, Turkey.
*Corresponding Author: Hayriye Alp, Necmettin Erbakan University, GETAT CENTER, Konya, Turkey.
Citation: Hayriye Alp (2021) Acupuncture and Phytotherapy Applications in Non-Alcoholic Fatty Liver J. Gastroenterology Pancreatology and Hepatobilary Disorders. 5(2) DOI: 10.31579/2641-5194/026
Copyright: © 2021, Hayriye Alp, This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 25 February 2021 | Accepted: 29 March 2021 | Published: 30 April 2021
Keywords: phytotherapy; liver enzyme; obesity
Phytotherapy, medicinal and aromatic plants, algae, fungi and lichens, or their extracts, such as gum, balsam and resin, extracts, essential oils, candles and fixed oils with herbal preparations prepared in various forms (tea, capsule, tablet, syrup, drop , lozenges, sachets, etc.) to be protected from diseases, to treat diseases or to support treatment.
Phytotherapy; It is based on scientific research and clinical studies. Historically, it has been the primary support of doctors in the treatment of diseases.
Objective:We offer here; In addition to the treatment of obesity with acupuncture and phytotherapeutically artichoke (Cynara scolymus L.) and thistle (Silybum marianum (L.) Gaertn.), dandelion (Taraxacum officinale FH Wigg.) using antidepressants for many years, the treatment of obesity with impaired obesity and elevated liver enzymes. It is a case where a positive decrease is achieved in liver enzymes by giving mix extract.
Methods: Yin-tan, Memory, Kid-3, Liv-3, St-36,24,25 in body acupuncture, Shen-men, stomach, larynx, jerome, kidney points were pinned in ear acupuncture.
When patients who apply to the outpatient clinic need phytotherapeutic support, liver enzymes are routinely checked.
Results:The patient lost both weight and liver enzymes.
Conclusions and Recommendations: The biggest disadvantage of these preparations is their uncontrolled and high-dose use. It is most appropriate to give this kind of support treatments by people who are trained and licensed in this regard, especially under the control of a doctor. For this purpose, the Department of Traditional Complementary Medicine provides the development of physicians and pharmacists who have received phytotherapy training.
There are 12.006 plant taxa (species, subspecies and variety) in our country(Turkey) and approximately 34% of them are endemic. Turkey; It includes the European-Siberian, Mediterranean and Iran-Turan phytogeographic regions and their transition zones. Our country has forest, mountain, steppe, wetland, coastal ecosystems and different forms of these ecosystems. For this reason, it has an important richness in plant diversity. While the total number of endemic plants in Europe is 2500, the number of endemic plants in our country is 3500. I can not rate in Turkey is quite high compared with other European countries. Turkey 34.4%; Spain 18.6%; Greece 14.9%; France is 2.9%. In other words, one of the three plants we see in our country is endemic to these lands. Endemic plants can constitute an important point of advantage especially in the realization of rural development and in the contribution of the country's biological resources to the economy. Herbal preparations (tea, capsule, tablet, syrup, drop, lozenge , sachet, etc.) to be protected from diseases, to treat diseases or to support treatment[1].
Hepatoprotective plants
Plants used as hepatoprotective include Cynara scolymus (artichoke), Curcuma longa (Turmeric-Indian saffron), Curcuma xantorrhiza (Turmeric-Java saffron), Silybum marianum (Camel thistle), Achillea millefolium (Yarrow). In addition, ‘Betaine, which is not included in the phytotherapeutic group in sugar beet, has hepatoprotective properties. It is used in hepatopathies and hepatosteatosis due to its antihepatotoxic potential. A decrease in elevated transaminase levels is observed[1,2].
In our case, we discussed a case who developed obesity by receiving antidepressant treatment for years. The liver enzymes of the patient had increased as a result of the consumption of foods containing high amounts of fat due to the appetite increase as a side effect of the drugs and the drugs he had used for years. In the GETAT (Traditional and Complementary Medicine Practices) center, the patient was provided with phytotherapeutic support as well as acupuncture, and a reduction in liver enzymes was achieved.
This study includes a phytotherapeutic support treatment plan in cases of continuous drug use and fatty liver.
A 34-year-old male patient was admitted to the GETAT center with complaints of obesity, forgetfulness, stress and fatigue. The patient, who was fed 3 meals a day, mostly consumed carbohydrate. He had arrhythmia, diabetes, pepticulcer, fatty liver, shortness of breath and sinusitis in his history. He had been using 100mg of Lustral® for a long time. SGOT: 55 u / l, SGPT: 93 u / l, D-vit: 11.82 ug / l, Hb: 15 g / dl, insulin: 13.4 µl / u / mL, blood pressure 110/70 mmHg His weight was 120 kg, height 1.78 m, BMI 37.9 fat ratio 39.6% fluid ratio was 55.4 BMR 2239 cal.
After 6 sessions, the patient's liver enzymes were SGOT 47 U / L, SGPT 82 U / L, D-vit 20.54 ng / dl. Liver enzymes decreased with the phytotherapeutics used.
Milk thistle, whose Latin name is Silybum marianum, is a plant that has been used for more than 2000 years worldwide for its protective and purifying properties against prostate, liver, gall bladder and liver diseases. The active ingredient in milk thistle is "silymarin." When the blood values of people who took high amounts of "silymarin" were examined, it was found that flavonoids named "silibin A" and "silibin B" were also high in these individuals[1,2,3].
Especially in its fruit, there are flavonoid gnans, the ratio of which is 1.5-3%. It should not be less than 1.5
In recent years, dizzying developments have been experienced in the field of pharmacognosy, food science and technology. Many natural substances that are beneficial to our body, the use of extracts in certain dosages as an aid in the treatment of certain diseases has revealed a wide range of products under the name of nutritional supplements in this field. With the regulation published on 27 October 2014, the Department of Traditional and Complementary Medicine was established and added these plants to a plant list. The production of the plants is carried out by the controls between the two ministries, whether the stages of harvesting are suitable or not. Food supplements, especially medicinal and aromatic plants, must be passed through commissions of scientists from the pharmacognosy and pharmaceutical botanical sciences of the universities, in which there is a systematic botanist. The biggest disadvantage of these preparations is their uncontrolled and high dosage usage. It is most appropriate to give such supportive treatments by trained and licensed persons, especially under the supervision of a doctor. For this purpose, the Department of Traditional Complementary Medicine ensures the development of physicians and pharmacists who receive Phytotherapy training.
Community age is increasing all over the world. As the population of the society increased, they started to be healthy, to be protected from diseases, to take preventive treatments, and to introduce medicinal and traditional herbs into their lives. Developed countries have begun to integrate traditional treatments into existing health systems, creating a large market. Increasing living standards of people creates the biggest market in this area. These products are put on the market under the name of "food supplement" by obtaining food support license from the Ministry of Food, Agriculture and Livestock. Since these types of products do not have drug status, their licensing and placing on the market may differ. Common problems with these products include contamination, additives, toxicity, and uniform manufacturing problems resulting from incorrect dosing and labeling.
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