Sunday, October 09, 2016

Common Rheumatoid Arthritis Remedies

The cold and damp are descending. If Miguel de Quintana were alive, he would be dreading the onset of winter. He was living in a simple adobe house. One can assume it had a dirt floor, a single wood fire, and a poorly sealed entry opening. Once the summer heat retained in the walls was drained, keeping warm must have been difficult.

Many arthritis and rheumatism sufferers believe their suffering gets worse with wet or cold weather. Scientists have found independent evidence rheumatoid arthritis pain increases with the low atmospheric pressure that accompanies cloudy weather. They hypothesize it’s a function of the relative weight of dense or thin air pressing on joints. The comments on high humidity and low temperature are too common to be dismissed, but no one has found a similar link yet.

His treatments would have followed from the then current assumptions that his problems developed when the spleen produced too much black bile that then sank into his joints.

The four humors defined the spleen as a cold and dry organ related to the earth. To bring it back into balance, one used heat and moisture, which were related to air. Rather then bleeding, which was associated with a different humor, David Osborn said conditions of the spleen required increasing circulation.

He added the best herbs were pungent or bitter. Many had "a musky or earthy aroma to them, which resonates with the humors associated Earth element."
The examples Osborn gave were from Europe. I went through the local herbal collections hoping to discover which had been used in this area. Leonora Curtin collected medicinal plant uses in the 1940s. In 1972, José Ortiz y Pino noted which of her cures had been used in the Galisteo area when he was a child, and added some of his own.

They made their notes 200 years after Quintana lived. I eliminated those that used ingredients introduced to the area since 1750. I also discounted those that came from the mountains. The Utes, Apache, and Comanche were making so many raids in those years that people simply didn’t go beyond settled areas. At least some of the plants had to be available in the winter.

Many of the modern cures involved baths. I eliminated those because I found no evidence people had the necessary utensils. Quintana’s daughter died a year after him. She said she owned an old round-bottomed pot, an old saucepan, three dishes, a new gourd dish, and white mesh for a sieve. Juana Roybal was much wealthier when she died in 1770. Still she only declared a copper kettle, a chocolate pot, some Puebla chinaware, two barrels and a jug in her will.

How ever people were keeping themselves and their clothing clean, it wasn’t with the large tubs or pots we see in artists’ reconstructions. They must have been introduced in trade later.

As I read through the remedies I realized the specific herbs were less important than their applications. People crushed leaves or roots over painful areas, thereby releasing essential chemicals. If that didn’t work, they boiled them in small containers, then dipped cloths in the liquids. They often bound the herbs or soaked fabrics around the affected areas. They also drank the same liquids they used in their compresses.

While they boiled the leaves, roots and stems, no one said if they applied the extracts while they were warm, or if they waited until they cooled. Contemporary medicine recommends applying cold to sore joints to decrease inflamation. It suggests using heat to stimulate the flow of blood.

One plant Curtin and Ortiz y Pino mentioned I know was available was chile. Quintana’s daughter left "seven ristras of chile, two in an old bunch" when she dictated her will in May. Curtin was told a pepper was split, then soaked in warm vinegar for a day. Next, "a cloth is steeped in the liquid and applied to the afflicted part." Ortiz y Pino echoed her comment.

Modern scientists have determined chile, in fact, would have been effective. The important ingredient, capsaicin, binds with the neurotransmitter in the skin that sends pain messages to the brain, and thus reduces its power. An Italian team even found capsaicin, when used in large doses, might also affect the chemicals within the synovial tissue. However, they considered their results preliminary.

Some capsaicin tests have yielded contradictory results. I suspect it’s because the experimenters used different pepper species. Anyone here now knows there are great differences even within Capsicum frutescens.

Notes:
The post for 3 July 2010 outline evidence Quintana may have been suffering from rheumatoid arthritis.

Christmas, Henrietta Martínez. "Juana Roybal - Will 1770," posted 1 June 2014 on her 1598 New Mexico website.

Curtin, Leonora Scott Muse. Healing Herbs of the Upper Rio Grande, 1947, republished 1997, with revisions by Michael Moore.

Lomelí, Francisco A. and Clark A. Colahan. Defying the Inquisition in Colonial New Mexico, 2006; contains Spanish and English versions of Lugardia Quintana’s will.

Mason, Lorna, R Andrew Moore, Sheena Derry, Jayne E Edwards, and Henry J McQuay. "Systematic Review of Topical Capsaicin for the Treatment of Chronic Pain," British Medical Journal 328:991:2004.

Matucci-Cerinic, M., S. Marabini, S. Jantsch, M. Cagnoni, and G. Partsch. "Effects of Capsaicin on the Metabolism of Rheumatoid Arthritis Synoviocytes in Vitro," Annals of the Rheumatic Diseases 49:598-602:1990.

Ortiz y Pino III, José. The Herbs of Galisteo and Their Powers, 1971.

Osborn, David K. "Pathologies of Black Bile" and "Adjusting and Regulating Black Bile and the Nervous Humor," Greek Medicine website.

Terao, Chikashi, et alia. "Inverse Association between Air Pressure and Rheumatoid Arthritis Synovitis," Plos One, 15 January 2014.

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