Boosting White Blood Cell Count and Reducing Inflammation with Traditional Chinese Medicine

How to reduce inflammation and increase white blood cell count?

I have rheumatoid arthritis, and long-term use of immunosuppressants has led to a decrease in my white blood cell count.
From October 2021 to May 2022, my count fluctuated between 6,000 and 8,000, which was acceptable.
However, since June, it has dropped from 7,070 to 8,450, then to 5,710, and by September, it was only 4,830.
Therefore, I would like to consult on how to increase my white blood cell count.
A nutritionist suggested that traditional Chinese medicine herbs like Astragalus, American ginseng, Codonopsis, Goji berries, red dates, and Poria can also increase immunoglobulin levels.
I have a few questions:
1.
Is it true that American ginseng and Codonopsis are not suitable for individuals with rheumatoid arthritis?
2.
I plan to make a soup with Astragalus, Goji berries, red dates, and Poria to drink as tea.
Can this help increase my white blood cell count? Is there a specific ratio of herbs to water?
3.
Are there other Chinese herbs that can be made into soup or tea that may help increase white blood cell count?
4.
Do you have any other suggestions? For example, turmeric powder.
5.
What are some anti-inflammatory Chinese herbs? I am currently taking fish oil.

A Min, 50~59 year old female. Ask Date: 2022/10/04

Dr. Gao Peiyi reply Traditional Chinese Medicine

1.
Ginseng, including American ginseng and codonopsis, is generally not suitable for individuals with rheumatoid conditions, correct? It is relatively unsuitable; consuming nutritious foods is sufficient.
2.
I plan to make a soup with astragalus, goji berries, red dates, and poria to drink as tea.
Can this help increase white blood cell count? Is there a specific ratio of herbal ingredients to water? Currently, it is not recommended because it is not necessary; the white blood cell count is still at 4830.
Consider it only if it drops below 3000 or if the absolute neutrophil count (ANC) is less than 3000.
Long-term use of astragalus may lead to unstable control of autoimmune diseases.
Among these four herbs, astragalus (North astragalus) is the most effective; however, a sufficient quantity of astragalus is needed to see results, and tea preparations may not provide enough.
3.
Are there other herbal ingredients that can be made into soup for tea that can help increase white blood cell count? The most effective remains North astragalus, but it can increase the activity of immune diseases, so it is not recommended unless necessary.
If used long-term, regular blood tests by a Western medicine practitioner are required, and any abnormalities in blood tests should be addressed immediately.
These herbs are almost all double-edged swords and should be used with caution.
4.
Do you have any other suggestions? For example, turmeric powder? Long-term use of turmeric powder is not recommended for the same reasons as astragalus.
Currently, it is not at the level of needing medication; I only suggest maintaining a nutritious diet, regular sleep patterns, and moderate exercise.
Consume more high-nutritional-value foods such as eggs, liver, fish, meat, and nuts; there is still a chance for improvement.
5.
What are some anti-inflammatory herbal ingredients? Currently, fish oil is the most effective.
Bitter and cold herbs such as berberine, scutellaria, and phellodendron are also effective.
However, if Western medicine blood tests show no abnormalities in inflammation and there are no discomforts, there is no need to worry too much.

Reply Date: 2022/10/04

More Info

Boosting white blood cell (WBC) count and reducing inflammation through Traditional Chinese Medicine (TCM) can be a complex process, especially for individuals with rheumatoid arthritis (RA) who are on immunosuppressive therapy. Your concern about the drop in WBC count is valid, and it’s important to approach this situation with caution and informed decisions.

1. Regarding Ginseng (洋蔘, 黨蔘): Both American ginseng (洋蔘) and Chinese ginseng (黨蔘) are known for their immune-boosting properties. However, they can also have stimulating effects on the immune system, which may not be suitable for individuals with autoimmune conditions like RA. In some cases, ginseng can exacerbate symptoms or lead to an imbalance in the immune response. Therefore, it is generally advised to avoid ginseng if you have RA, particularly when on immunosuppressive medications.

2. Using Huangqi (黃耆), Goji Berries (枸杞), Red Dates (紅棗), and Fuling (伏苓): These ingredients are commonly used in TCM to support immune function and enhance vitality. Huangqi, in particular, is known for its ability to boost WBC counts and improve overall immune response. However, the effectiveness of these herbs can depend on the dosage and preparation method. When making a soup or tea, a common ratio is about 10-15 grams of dried herbs per liter of water, but this can vary based on personal tolerance and specific health needs. It’s crucial to monitor your body’s response and consult with a TCM practitioner for personalized advice.

3. Other TCM Herbs: In addition to the herbs you mentioned, there are others that may help boost WBC counts, such as Astragalus (黃耆), Cordyceps (冬蟲夏草), and Reishi mushroom (靈芝). These herbs can be prepared in soups or teas, but again, it’s essential to consult with a qualified TCM practitioner to ensure they are appropriate for your condition and won’t interfere with your current medications.

4. Additional Recommendations: Beyond herbal remedies, maintaining a balanced diet rich in nutrients is vital. Foods high in antioxidants, vitamins (especially Vitamin C and D), and minerals (like zinc) can support immune health. Incorporating lean proteins, whole grains, fruits, and vegetables into your diet can also be beneficial. Regular, moderate exercise and adequate sleep are crucial for overall health and can help improve immune function.

5. Anti-inflammatory TCM Herbs: For reducing inflammation, several TCM herbs can be effective. Turmeric (薑黃) is well-known for its anti-inflammatory properties, but it should be used cautiously, especially in high doses, as it can also stimulate the immune system. Other herbs like Bai Hu (白虎), Dan Shen (丹參), and Ginger (生薑) can help reduce inflammation. Fish oil, which you are currently taking, is also known for its anti-inflammatory effects, particularly in autoimmune conditions.

In conclusion, while TCM can offer supportive therapies for boosting WBC counts and reducing inflammation, it is essential to approach this treatment holistically and under the guidance of qualified practitioners. Regular monitoring of your blood counts and overall health is crucial, especially when managing RA and the effects of immunosuppressive therapy. Always discuss any new treatments or changes in your regimen with your healthcare provider to ensure safety and efficacy.

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