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A 69-year-old female patient presented with chief concerns of hypertension, hypercholesterolemia, low immunity, and osteoarthritis in June 2006. It was hypothesized that the patient was suffering from dysbiosis based on her presenting symptoms and past medical history. The patient was treated with dietary interventions — specifically, the Eubiotic diet — in order to repair her gut tissues and function, and restore beneficial intestinal flora. After approximately six months on the diet, her symptoms of dysbiosis such as sinus congestion, bitter taste in the mouth, hypochondriac pain, and feeling gassy and bloated, all disappeared and her blood pressure stabilized, resulting in a dramatic reduction in prescription blood pressure medication use. The following report discusses how a naturopathic approach employing the Eubiotic diet is hypothesized to be the major intervention responsible for improving the patient’s hypertension. In this report, the potential physiological mechanisms and rationale are discussed with respect to this novel approach of care with an emphasis given to issues of gastrointestinal health and terrain.
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The term “dysbiosis” was first introduced by Dr. Elie Metchnikoff, a Russian scientist, to describe altered pathogenic bacteria in the gut. Intestinal flora consists of the microorganisms normally living in the digestive tract, which serve many necessary functions, such as providing energy, synthesis of vitamins (B group and K), enhancement of gastrointestinal (GI) tract motility and function, stimulation of the immune system, digestion and absorption of food, metabolism of plant compounds and drugs, production of short-chain fatty acids and polyamines, and inhibition of growth of exogenous and harmful bacteria within the host. The GI tract contains approximately 100 trillion viable bacteria. About 99% of the bacteria come from 30 to 40 species. Concentrated in the mucosa are 60-90% of all measured immune parameters, such as mast cells, dendritic cells and macrophages. When the host is healthy and the intestinal microbial population is in a state of balance there is a symbiotic relationship established between the intestinal flora and the host to optimize intestinal and immune function. However, when there is an overgrowth of harmful pathogens, such as Clostridium perfringens and E. coli in the intestines, and decreased concentrations of Bifidobacteria species, ratios activities of the bowel flora can be altered, resulting in dysbiosis. This is often the result of poor diet and lifestyle, antibiotic use, psychological, physical, environmental and emotional stressors, radiation, change in GI peristalsis, surgical trauma, hypochlorhydria, and decreased mucosal immunity. It is believed that the growth of these harmful bacteria in the intestine can produce harmful substances that may play a role in chronic diseases, such as hypertension in this case.