Welcome To The Cold & Flu Season
The common cold is the leading reason children and adults stay home sick from
school or work, according to the National Institutes of Health. It's estimated that
one billion colds are caught and spread in the U.S. every year.1
During influenza season, 35 to 50 million Americans get the flu. Flu outbreaks
can sweep through entire communities, affecting up to half the population. For certain people (the elderly, newborns, and people with chronic illnesses) the flu
can cause serious and even life-threatening complications.2
Echinacea, (pronounced eck-in-AY-sha) a safe and highly effective natural
supplement, not only rapidly improves cold and flu symptoms, but can prevent
these diseases.3 Most importantly, when echinacea is combined with two other
herbs, white cedar and wild indigo, even greater health benefits can be achieved.4,5

What is the difference between a cold
and the flu?

While it's true a few of the symptoms are
similar, colds and the flu are quite different
in severity. The constant sneezing, watery
eyes, congestion, and runny nose of a cold
can make sufferers absolutely miserable. Colds
generally take a week or so to resolve.1,6
The flu, however, can really knock people
off their feet. Symptoms start suddenly and
escalate rapidly in both number and severity.
Fever, chills, headache, dry cough, sore
throat, runny or stuffy nose, severe fatigue,
weakness, body aches, and muscle pain are
classic flu symptoms. While the fever, body
aches, and sore throat may go away in a few
days, the fatigue and weakness may last for
two to three weeks.2,7
Despite mothers' admonitions that wet
heads and chills will cause a cold or the flu,
both illnesses are caused by viruses.1,2 More
than 200 different viruses are known to cause
the common cold.1 Influenza viruses are
classified as type A, B, or C. Within each
classification are many strains of viruses, all
capable of causing the flu.2

If colds are caused by viruses and not the
weather, why do people catch them more
frequently when it's cold and wet outside?

Most colds occur during the fall and winter,
seasons with cold and wet weather. Schools are in session and people are
indoors more during this time, increasing
the spread of colds from person to person.1,6
In the Northern Hemisphere, flu season
coincides with cold, wet weather, usually
November to April.2,7

Why hasn't a cure been found for colds
and the flu?

Viruses are extremely difficult to study.
To cure a cold, a remedy would need to kill
any one of the 200 different viruses. Flu
viruses continually evolve and mutate from
season to season.1,2 So far, no one has succeeded
at finding the magic formula for a
safe cold or flu cure.
The best research has been able to offer is
the development of over-the-counter (OTC)
medicines to treat cold and flu symptoms.
However, there is some consensus that
treating the symptoms of colds and flu
infections may actually prolong the duration
of the disease and prolong the misery.1,2 In
addition, some potentially serious side effects
have been associated with the use of OTC
cold and flu medications.8,9

What kind of side effects are associated
with OTC cold and flu medications?

A variety of OTC products are available.
Decongestants temporarily dry up runny
noses, stop sneezing, and relieve watery eyes.
Acetaminophen, aspirin, and ibuprofen
reduce body aches. Aspirin and ibuprofen
bring down fevers.1,2
All these medications can cause side
effects. Aspirin and ibuprofen can cause
gastrointestinal upset.10,11 Additionally,
aspirin should never be given to children
and adolescents with colds or the flu.
Several studies have linked the use of aspirin
to the development of Reye's syndrome,
a rare and potentially fatal illness.1,2
Taking acetaminophen over an extended
length of time can cause liver and kidney
damage so the daily dose should be limited
to no more than four grams.12,13 Decongestants
can cause high blood pressure,
heart palpitations, urinary retention,
nausea, vomiting, drowsiness, anxiety,
tremors, and insomnia.14 Decongestant
use can alter the normal tissue of the
nose and actually increase the duration
of nasal congestion.15,16
However, suffering with an untreated
cold or the flu can be very distressing
and quite uncomfortable. Thankfully,
there are natural supplements available
that can shorten the duration and
severity of both the common cold and
the flu. Echinacea, white cedar leaf,
and wild indigo root are some of the
most popular cold and flu herbs.

Are herbal extracts really effective
for colds and flu?

Echinacea is one of the most effective
herbal remedies available. Not only do
the extracts from this pretty purple
coneflower treat common cold symptoms
but prevent these infections after exposure
as well.3
Most importantly, echinacea extracts,
combined with wild indigo and white
cedar, can provide even greater cold and
flu protection.4,5

How was echinacea discovered to
relieve cold and flu symptoms?

Echinacea, a member of the sunflower
family, was first used by Native Americans to treat a variety of illnesses and injuries.
Knowledge of the herb's potent properties
was passed on to white settlers who
rapidly discovered its ability to relieve
cold symptoms. Echinacea was quickly
recognized as remarkably effective and,
by 1920, American doctors prescribed echinacea more than any
other medicinal plant
preparation.17
However, echinacea fell
out of favor in the 1930s in
the U.S. with the advent of
sulfa drugs. Physicians saw
little value in using a mere
flower to cure infectious disease when
stronger remedies were being discovered
every day.17
While echinacea slowly gave way to
antibiotics in the U.S., use of the herb
to treat colds and flu remained steady in
Europe, especially in Germany. German
scientists, physicians, pharmacists, and
chemists started to study echinacea's
properties and continue to do so today.
Presently, there are more than 280 commercial
preparations containing echinacea
in Germany.17
Additionally, the important discovery
that combining white cedar leaf, wild
indigo root, and echinacea for improved
immune system health was made in
Germany. These herbs have been in continuous
use together since 1928 and have
been studied in more than 15 clinical
trials. Formulations of echinacea, white
cedar leaf, and wild indigo root are
available in Germany as a prescription
drug as well as an OTC medication, and
in the U.S. as a nutritional supplement.4,5
Interest in herbal extracts re-emerged
in the U.S. in the 1960s and echinacea
soon gained a loyal following here. The
research behind echinacea has been and
continues to be impressive. Most importantly,
when echinacea, white cedar leaf,
and wild indigo root are combined for use
against colds and flu, they work quite well.
HEALTH FACT:
When echinacea extracts are combined with wild indigo and
white cedar, even greater cold and flu protection is provided.

Are different varieties of echinacea
available?

Three varieties of echinacea are currently
used in nutritional supplements.
These are Echinacea angustifolia, Echinacea
purpurea, and Echinacea pallida the
most studied varieties (and therefore, the varieties with documented beneficial
effects) are E. purpurea and E. pallida.18-23

How do echinacea, white cedar, and
wild indigo work?

Because echinacea is so popular and
effective, quite a bit of research has
been performed to understand how this
herb actually works. Simply stated,
while antibiotics kill the disease-causing
microbes, echinacea enhances the body's
own ability to fight off infections.3
Research has discovered echinacea
stimulates the production of important
immune cells.24,25
These cells…quot;known as
macrophages…quot;engulf bacteria, viruses,
and cellular debris, essentially acting as
garbage collectors for the body. They are
responsible for the body's initial attack
against invading viruses. Echinacea also
helps macrophages work more effectively.26
In addition, echinacea enhances the
function of monocytes, special blood
cells that mature into macrophages.27
Echinacea increases both the numbers
of natural killer (NK) cells as well as NK
cell activity.28,29 These specialized immune
cells are programmed to automatically kill
cells infected with viruses.30
Echinacea also increases the release of
some important immune proteins, "tumor
necrosis factor"(TNF), and the interferons.3
TNF regulates immune responses, mediates
inflammation, and kills certain cancer cells.
Interferons are produced in response to
an attack by a virus.30 White cedar
increases TNF production 31,32 and both
wild indigo and white cedar increase
macrophages and interferons.33-37

Are there any safety concerns with
echinacea, white cedar, or wild indigo?

The German Commission E notes that
because of possible overactivation of the
immune system, echinacea should not be
taken by persons who have multiple
sclerosis, lupus or other autoimmune
diseases, tuberculosis, HIV, or AIDS. It
should not be taken during pregnancy or
by individuals who are allergic to plants
of the sunflower (Asteraceae) family. The
Commission E further recommends that
echinacea should not be taken longer than
eight weeks.38,39
To date, there are no
concerns for white cedar or wild indigo.
The 1999 American Herbal Products
International Echinacea Symposium
addressed issues regarding the safe use
of echinacea preparations. An expert
panel discussed the lack of evidence substantiating
such caution. Much of the
early echinacea research was performed
on the European variety, E. angustifolia.
Results from this variety may not have
application in other varieties. The consensus
of the expert panel was that these
warnings are based more on theoretical
concerns than on specific scientific data
and urged the continuation of controlled
studies to confirm clinical efficacy.40

How much echinacea, white cedar,
and wild indigo should be taken?

For adults and children over 12 years
of age, studies have shown the most
effective dose of echinacea is 7.5 mg of
a one-to-one (1:1) mixture of E. purpurea
and E. pallida taken three times per
day.38,39 The most effective dose of white
cedar leaf is 2 mg taken three times per
day and wild indigo root is 10 mg taken
three times per day.3
If family members or co-workers have
an active cold or the flu and individuals
hope to prevent infection, this same
regimen can be followed. This dosing can
continue for several days even if no
signs of illness develop.3,38,39

How long should echinacea, white
cedar, and wild indigo be taken?

Experts' opinions vary; most recommend
taking them for three to five days.
If symptoms persist or recur then take
them for another three to five days.3,4,38,39
The best advice is to take the herbs for
different amounts of time when the
immune system needs extra support.

Can children use echinacea and the
other herbs for cold symptoms?

Yes, children ages 1 and older can
safely benefit from these herbs. Doses
for children should be adjusted to age
and weight.3,38,39

What else can be done for colds
and flu?

Supplementing with elderberry during
the flu may reduce its symptoms.41 Elderberry
is an herb that causes an increase in
viral antibodies. While elderberry is available
as an individual supplement, it is also
frequently combined with other vitamins,
minerals, glandular extracts, or herbs for
maximum cold and flu symptom relief.
If you also have an irritated throat,
English ivy extract has been shown to
provide natural and effective relief. English
ivy soothes and quiets coughs due to colds
and flu without the side effects often found
in some products containing synthetic
ingredients.42-44
Getting lots of rest and drinking lots of
fluids (a minimum of 64 ounces of water
and juice a day) are also very important.
Drinking hot beverages such as tea and
eating chicken soup are not only comforting,
but they can open up stuffy noses.
Gargling with salt water may help reduce
painful sore throats.1,2
Individuals should seek care from a
licensed health care practitioner if they
have a fever that lasts longer than three
days, are coughing up yellow-green mucus,
or have chest pain that occurs with
breathing. These symptoms may signal
more serious conditions.1,2
With colds and flu, an ounce of prevention
is truly worth a pound of cure. Frequent
hand washing and sneezing into facial
tissues (that are promptly thrown away)
are the easiest and most effective ways to
prevent the spread of colds and flu.1,2
Conclusion
Echinacea is the most widely used
herbal supplement in the United States for
good reason: it works. Combining echinacea
with white cedar and wild indigo greatly
improves the herb's effectiveness. While
a cure for colds and the flu may be years
away, herbs such as echinacea, white cedar,
wild indigo, elderberry, and English ivy
extract can make this wait much more
bearable. Together, these herbs can prevent,
treat, and reduce the duration of
these common viral illnesses.
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Thanks,
Dr. Weiss
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