Donnie Yance is an internationally known master herbalist and nutritionist. He is the author of the book, "Herbal Medicine, Healing and Cancer" and "Adaptogens in Medical Herbalism"
According to the United States Preventive Services Task Force (USPSTF) analysis of two major randomized clinical trials, routine Prostate-specific antigen (PSA) screening prevents approximately one prostate cancer-related death per 1,000 men screened.¹ This sobering statistic challenges the historical perception of PSA screening as an essential preventive measure. Moreover, recent studies suggest that the psychological burden and financial costs of widespread PSA screening may outweigh its limited mortality benefits. Many of these biopsies turn out to be unnecessary, causing anxiety and discomfort for patients that in some cases plagues a man for the rest of his life.
I am not of the opinion that men should not test their PSA. However, I do believe PSA testing should include more comprehensive testing methods, including PSA total and free percentage, along with several new urine tests that are considered even more accurate than a biopsy. Also keep in mind that healthy PSA ranges differ for each man. In other words, my healthy range may be different from your healthy range, and prostate enlargement and prostatitis both can cause elevated PSAs.
Have you ever wondered how life on Earth has managed to survive in the midst of volcanos, ice ages and asteroids? The answer is adaptation. Humans are remarkably adaptable. We’ve been able to adjust to almost any condition on the planet, while continuing to thrive as a civilization.
Think about this:
No other species lives in such a variety of places, including the Arctic, in deserts, in jungles, at sea, or in barren wastelands.
No other species has the ability to eat and digest such a wide variety of foods.
No other species is able to reconstruct their living environment to the degree that humans do.
Charles Darwin said it well: “It is not the strongest or the most intelligent of the species that survives. It is the one that is most adaptable to change.”
Hormesis: The Key to Adaptation
The biological phenomenon of this adaptogenic quality of life is called “hormesis.” The principal pillars of my approach to health are to enhance adaptation, energy transfer efficiency, protection, and reproduction (hormonal health). Perhaps the most important of these is adaptation, but really, they are all interconnected. Everything is networked. Thus, the best approach to health is to support the networks of the body as a whole, to enhance robustness and our ability to auto-regulate and auto-organize at the molecular, cellular, and organ system levels.
This is why adaptogenic formulas are the first step in building and enhancing robust health, and the most important supplemental support you can provide to your body. Every other supplement you take should be secondary to adaptogenic formulations.
Our approach to health and healing is not a fixed line, but a circle that is alive and in constant motion. It is not functional, but rather responsive, so although everything in our body has a function, ultimately what makes us alive and human is how our bodies respond. Response implies a life-force that activates and regulates all components of energy transfer. This life-force is capable of listening to the “orchestra” (ie; network) and providing direction while constantly adapting. To function is robotic and programmed, while response is connected to wisdom and is alive.
Medicine today continues to view the body in a fragmented way, including body systems, parts, genes, and microbiomes. Very few people, particularly in the medical profession, see the whole, but we have complex diseases that are characterized as polygenic and multifactorial. We are therefore best served with medicines—specifically plant medicines—that are pleotrophic, gentle, nourishing, strengthening, and assist in normalizing, or auto-regulating.
Thinking Outside the Current Medical Model
Herbal formulations contain multiple components that dock to multiple target sites and synergistically exert beneficial effects throughout a wide range of pathways. Through many years of clinical practice, I’ve realized that it is neither possible or appropriate to try and fit herbal medicine into or alongside the current conventional model. That is why I developed the Mederi Care model as a new way of thinking and combining various approaches that is inclusive of both holistic and allopathic medicine. The soul of this approach, however, is rooted in botanical medicine, combined with nutritional supplementation, food as medicine, life-style modifications, and spiritual care. Once this foundation is in place, then it is appropriate to evaluate if more specific, “heroic” (ie; pharmaceutical) medicine is needed, and if so, where it fits within the whole systems, unitive approach.
The molecular pathways that govern human disease consist of molecular circuits that coalesce into complex, overlapping networks. These network pathways are presumably regulated in a coordinated fashion, but such regulation has been difficult to decipher using only reductionistic principles. The emerging paradigm of “network medicine” proposes to utilize insights garnered from network topology (ie; the static position of molecules in relation to their neighbors) as well as network dynamics (ie; the unique flux of information through the network) to understand better the pathogenic behavior of complex molecular interconnections that traditional methods fail to recognize.[1]
Bioregulatory Systems Medicine
Bioregulatory Systems Medicine (BrSM) is a comprehensive, innovative approach in medicine. It embraces the complexity of diseases by supporting the general idea of autoregulation and addressing underlying dysregulating biological networks.
The objective of Bioregulatory Systems within the Mederi Care approach is to improve patient outcomes by supporting a patient’s autoregulatory capacity. This is accomplished through the Mederi Care toolboxes, specifically botanical and nutritional medicine, which is applied in a gentle, synergistic way. Botanical and nutritional medicine practiced within Mederi Care is primarily directed at enhancement of ‘Self-regulating Internal Community Networks,’ supporting and even directing, while allowing the freedom to improvise.
The poet and philosopher Mark Nepo says: “To be the best we can be, we have to meet the outer world with our inner world. I’ve always believed in the amazing resilience of the human spirit.” Nepo believed that life has been made just hard enough that we need one another. Through experiences of great suffering and great love, we are reduced to what is essential.
The most effective way to reduce the possibility of poor health and disease is to keep the root system healthy and robust. Adaptogenic herbs in combination have a synergistic and pleotropic effect.
Synergism Enhances the Actions of Plant Medicines
Synergistic plant medicines contain bioregulatory properties. Their actions are determined by both chemistry and synergy, as their biological activity often results from the additive or synergistic effects of their components.
“Synergy means behavior of whole systems unpredicted by the behavior of their parts.”
― Buckminster Fuller
These synergistic strategies can be much more comprehensive and broader in their scope of effects than single-component drugs[2]. This concept is not new to science. Synergy is an ubiquitous phenomenon in nature, and is widely used in numerous scientific disciplines, including thermodynamics, biophysics, biochemistry, molecular biology, and neurobiology.[3]
Herbal medicines are often combinations of botanical extracts that have additive or synergistic effects. For example, combining the four herbal (S. baicalensis, D. morifolium, G. uralensis and R. rubescens) extracts significantly enhanced their activity compared with extracts alone in a prostate cancer model.[4]
It is important not to confuse synergistic effect with additive effect. Synergy occurs when two or more drugs/compounds are combined to produce a total effect that is greater than the sum of the individual agents while an additive effect is an add up of individual effects where each individual agent is not affecting the other (no interactions).[5]
The synergy of biological effects of plants in medicine is well documented, and encompasses synergistic multitarget effects, physicochemical effects based on improved solubility, antagonization of resistance mechanisms, and elimination or neutralization of toxic substances.[6] As such, multi-combination and/or multi-system low dose medications, preferably of natural origin, are well suited for the bioregulatory medical approach and offer the potential for a graded response to treatment.[7]
Generally speaking, herbal and nutritional medicine within this model exhibits four fundamental advantages of a multicomponent, combinatorial strategy over a single-component strategy:
1. Synergistic effects target a wider range of information flow in disease-related biological networks;
2. Modest modulation allows for more efficient control of biological networks;
3. Low concentrations ensure higher safety of the whole combination;
According to Traditional Chinese medicine (TCM), every living thing is sustained by the balance of two opposing forces of energy, Yin and Yang. Together they make up Qi (pronounced ‘chee’), which is the vital energy that flows in, through and around the body.
Network Pharmacology: A New Way of Understanding Herbal Formulations
Network pharmacology stems from several pioneering works. The holistic theory and practice of TCM, as well as other herbal medicine systems, play a key role in the origin and rapid development of network pharmacology. The original hypothesis referring to the biological associations between TCM syndromes, herbal formula, and molecular networks was proposed in 1999 and 2002.[9]
Network pharmacology has been used to study multiple protein/gene target diseases. It describes the relationship between biological systems, drugs, and diseases from the perspective of the network. This is consistent with the holistic pattern differentiation theory of TCM[10] as well as Mederi medicine.
Mitochondrial Network Medicine
The mitochondrial network is constantly in a dynamic and regulated balance of fusion and fission processes, which is known as mitochondrial dynamics. Mitochondria make physical contact with almost every other membrane in the cell, thus impacting all cellular functions.[11]
“Qi,” as noted above, describes energy-dependent body functions. This can broadly be correlated with mitochondria-energy dynamics.
The term adaptogen was first proposed in 1940 by a scientist from the USSR. Lazarev described Schisandra chinensis and other herbs as plant-derived adaptogens that non-specifically enhance human physiology.[13]
Adaptogens are the material basis of the bodily response to the external environment and can act on the immune system and the stress response system, as shown below.
The non-specific response mode, especially the hormone response mode, occurs when homeostasis is not the driving force.[14]
Schisandra Fortifies Mitochondrial (Qi) Antioxidant Status
Schisandra
Schisandra berry or Wu-Wei-Zi, meaning the “the fruit of five tastes” in Chinese, is a commonly used herb in TCM. Ancient Chinese herbalists noted the berry’s beneficial effect on the “Qi” of the five visceral organs. Schisandra is one of the main researched primary adaptogens that I use in adaptogenic formulations. It is perhaps my favorite adaptogen, but I believe combination formulas have many advantages over single herbs.
Schisandra berry is well-known for it’s “Qi-invigorating” properties. The herb has been shown to fortify mitochondrial antioxidant status, thereby offering the body generalized protection against noxious challenges, both of internal and external origin. Given the indispensable role of the mitochondrion in generating cellular energy, the linking of Schisandra chinensis berry extract (SCBE) to the safeguarding of mitochondrial function provides a biochemical explanation for its “Qi-invigorating” action.[15]
SCBE is a potent adaptogen, and has been shown to improve disease and stress tolerance, while increasing energy, endurance, and physical performance.
SCBE is helpful in the treatment of neurological, cardiovascular, and gastrointestinal disorders. It has been shown to decrease fatigue, relieve insomnia, reduce obesity, and provide protection from mitochondrial dysfunction. SCBE stimulates immunity, acts as a tonic, and exerts antioxidant, anti-inflammatory, antiviral, anticancer, anti-aging, anti- diabetic, and liver- and skin-protecting activities.
Effects of Schisandra chinensis fruit extracts and their bioactive compounds in mitochondria.
SCBE has been shown to restore impaired mitochondrial function, acting as a mitoprotective agent. Studies show that schisandrin, the identified active ingredient in SCBE, restored cytochrome c oxidase activity, and protected the opening of mitochondrial permeability transition. Furthermore, schisandrin improved ATP production, citrate synthase activity, and the process of mitochondrial fusion and fission.[17]
Recent studies investigating the various active compounds within schisandra identified a total of 78 compounds consisting of 13 prototype lignans and 65 metabolites (including isomers).[18]
Combining schisandra extract with other adaptogens and tonic herbs provides hundreds to thousands of active compounds swimming together, bathing the cells and molecules throughout the body. Complex formulas no longer act like the single herb, but in an entirely new way. Think of an orchestra, and perhaps what a single member playing an instrument might sound like. Then consider the entire orchestra, and all of the instruments working in harmony. As a jazz musician and an herbalist with an interest in network pharmacology, this is a perfect analogy for the way that herbs work together when combined in appropriate formulations.
On Pubmed alone, there are now 30 articles illustrating the increasing interest in network pharmacology and traditional herbal medicine.[19] Understanding network pharmacology and Bioregulatory Systems Medicineis the foundation of Mederi Care. I am grateful that this comprehensive, harmonious system of healing is gaining the recognition it deserves.
“The greater the suffering, the greater God’s love is bestowed onto you.” Padre Pio
People have been increasingly distancing themselves from each other, even before this horrific pandemic hit. Years ago, in an interview with Self magazine, I was asked what I thought the number one contributor was to our poor health. My answer then was the same as it is now—a lack of intimacy. We’re losing the quality and ability to relate, not just to each other, but to our environment and Nature. For example, people go for walks, but instead of quietly connecting with nature, many are focused on their phones. People at my gym walk around with earbuds in and don’t make eye contact with each other. We are lonely, and most of us don’t even know it. With the sudden onset of COVID-19, we’ve isolated even more. Meanwhile, the opportunity to be present and in tune with our surroundings and each other exists every day. Even if we are physically distant, the importance our deep presence can make even the briefest or seemingly small encounters more lasting and meaningful.
