Herbal Medicine

Like their predecessors, the ancient Greeks and Romans made medicinal use of plants. Greek and Roman medicinal practices, as preserved in the writings of Hippocrates and - especially - Galen, provided the patterns for later western medicine. Hippocrates advocated the use of a few simple herbal drugs - along with fresh air, rest, and proper diet. Galen, on the other had, recommended large doses of more or less complicated drug mixtures - including plant, animal, and mineral ingredients. The Greek physician compiled the first European treatise on the properties and uses of medicinal plants, De Materia Medica. In the first century AD, Dioscorides wrote a compendium of more that 500 plants that remained an authoritative reference into the seventeenth century. Similarly important for herbalists and botanists of later centuries was the Greek book that founded the science of botany, Theophrastus’ Historia Plantarum, written in the fourth century B.C.The uses of plants for medicine and other purposes changed little during the Middle Ages. The early Christian church discouraged the formal practice of medicine, preferring faith healing; but many Greek and Roman writings on medicine, as on other subjects, were preserved by diligent hand copying of manuscripts in monasteries. The monasteries thus tended to become local centers of medical knowledge, and their herb gardens provided the raw materials for simple treatment of common disorders. At the same time, folk medicine in the home and village continues uninterrupted, supporting numerous wandering and settled herbalists. Among these were the “wise-women,” who prescribed herbal remedies often along with spells and enchantments. It was not until the later Middle Ages that women who were knowledgeable in herb lore became the targets of the witch hysteria. One of the most famous women in the herbal tradition was

Medical schools began to return in the eleventh century, teaching Galen’s system. At the time, the Arabic world was more advanced in science than Europe. As a trading culture, the Arabs had access to plant material from distant places such as China and India. Herbals, medical texts and translations of the classics of antiquity filtered in from east to west.[17] Alongside the university system, folk medicine continued to thrive. Plants were burdened with a mass of both pagan and Christian superstition that often was more important than their actual properties. The continuing importance of herbs for the centuries following the Middle Ages is indicated by the hundreds of herbals published after the invention of printing in the fifteenth century. Theophrastus’ Historia Plantarum was one of the first books to be printed, and Dioscorides’ De Materia Medica was not far behind.

The fifteenth, sixteenth, and seventeenth centuries were the great age of herbals, many of them available for the first time in English and other languages rather than Latin or Greek. The first herbal to be published in English was the anonymous Grete Herball of 1526. The two best-known herbals in English wereThe Herball or General History of Plants (1597) by John Gerard and The English Physician Enlarged (1653) by Nicholas Culpeper. Gerard’s text was basically a pirated translation of a book by the Belgian herbalist Dodoens and his illustrations came from a German botanical work. The original edition contained many errors due to faulty matching of the two parts. Culpeper’s blend of traditional medicine with astrology, magic, and folklore was ridiculed by the physicians of his day yet his book - like Gerard’s and other herbals - enjoyed phenomenal popularity. The Age of Exploration and the Columbian Exchange introduced new medicinal plants to Europe. The Badianus Manuscript was an illustrated Aztec herbal translated into Latin in the 16th century.

The second millenium, however, also saw the beginning of a slow erosion of the pre-eminent position held by plants as sources of therapeutic effects. This began with the introduction of the physician, the introduction of active chemical drugs (like arsenic, copper sulfate, iron, mercury, and sulfur), followed by the rapid development of chemistry and the other physical sciences, led increasingly to the dominance of chemotherapy - chemical medicine - as the orthodox system of the twentieth century.

The first generally accepted use of plants as healing agents was depicted in the cave paintings discovered in the Lascaux caves in France, which have been radiocarbon-dated to between 13,000-25,000 BCE. Medicinal herbs were found in the personal effects of an "Ice man," whose body was frozen in the Swiss Alps for more than 5,300 years, which appear to have been used to treat the parasites found in his intestines.Anthropologists theorize that animals evolved a tendency to seek out bitter plant parts in response to illness. This behavior arose because bitterness is an indicator of secondary

Indigenous healers often claim to have learned by observing that sick animals change their food preferences to nibble at bitter herbs they would normally reject[citation needed]. Field biologists have provided corroborating evidence based on observation of diverse species, such as chimpanzees, chickens, sheep and butterflies. Lowland gorillas take 90% of their diet from the fruits of Aframomum melegueta, a relative of the ginger plant, that is a potent antimicrobial and apparently keeps shigellosis and similar infections at bay.Researchers from Ohio

Some animals have digestive systems especially adapted to cope with certain plant toxins. For example, the koala can live on the leaves and shoots of the eucalyptus, a plant that is dangerous to most animals. A plant that is harmless to a particular animal may not be safe for humans to ingest. A reasonable conjecture is that these discoveries were traditionally collected by the medicine people of indigenous tribes, who then passed on safety information and cautions.

The use of herbs to treat disease is almost universal among non-industrialized societies. A number of traditions came to dominate the practice of herbal medicine at the end of the twentieth century:

The herbal medicine system, based on Greek and Roman sources

Chinese herbal medicine (Chinese herbology)

Unani-Tibb medicine

Many of the pharmaceuticals currently available to physicians have a long history of use as herbal remedies, including opium, aspirin, digitalis, and quinine. The World Health Organization (WHO) estimates that 80 percent of the world's population presently uses herbal medicine for some aspect of primary health care. Herbal medicine is a major component in all traditional medicine systems, and a common element in Ayurvedic, homeopathic, naturopathic, traditional Chinese medicine, and Native American medicine.

The use of, and search for, drugs and dietary supplements derived from plants have accelerated in recent years. Pharmacologists, microbiologists, botanists, and natural-products chemists are combing the Earth for phytochemicals and leads that could be developed for treatment of various diseases. In fact, approximately 25% of modern drugs used in the United States have been derived from plants.

Many plants synthesize substances that are useful to the maintenance of health in humans and other animals. These include aromatic substances, most of which are phenols or their oxygen-substituted derivatives such as tannins. Many are secondary metabolites, of which at least 12,000 have been isolated — a number estimated to be less than 10% of the total. In many cases, these substances (particularly the alkaloids) serve as plant defense mechanisms against predation by microorganisms, insects, and herbivores. Many of the herbs and spices used by humans to season food yield useful medicinal compounds.

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Damiana Leaf: Damiana is a small shrub high in phytochemicals such as alpha-pinene, beta-carotene, beta-pinene and beta-sisterol. Damiana is primarily used for treating female hormone imbalances.

Mother's Wort Herb: Mother's Wort is native to many parts of Europe on river banks and under hedges. Mother's Wort contains, Leonurine which is a uterine stimulant. Black

Blessed Thistle Herb: Blessed Thistle has long been used around the world as a hormonal balancing agent in women.

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What is herbal medicine?

What is the history of herbal medicine?

In the early 19th century, when methods of chemical analysis first became available, scientists began extracting and modifying the active ingredients from plants. Later, chemists began making their own version of plant compounds, beginning the transition from raw herbs to synthetic pharmaceuticals. Over time, the use of herbal medicines declined in favor of pharmaceuticals.Recently, the World Health Organization estimated that 80% of people worldwide rely on herbal medicines for some aspect of their primary

How do herbs work?

For most herbs, the specific ingredient that causes a therapeutic effect is not known. Whole herbs contain many ingredients, and it is likely that they work together to produce the desired medicinal effect. Many factors affect how effective an herb will be. For example, the type of environment (climate, bugs, soil quality) in which a plant grew will affect its components, as will how and when it was harvested and processed.

How are herbs used?

For the reasons described in the previous section, herbalists prefer using whole plants rather than extracting single components from them. Whole plant extracts have many components. These components work together to produce therapeutic effects and also to lessen the chances of side effects from any one component. Several herbs are often used together to enhance effectiveness and synergistic actions and to reduce toxicity. Herbalists must take many things into account when prescribing herbs. For example, the species and variety of the plant, the plant’s habitat, how it was stored and processed, and whether or not there are contaminants.

What happens during a visit to an herbalist?

When you visit an herbalist, the treatment goals are often more broad than stopping a single complaint. Herbalists aim to correct imbalances, resolve patterns of dysfunction, and treat the underlying cause of your complaint. Specific symptoms may also be treated if necessary.

What is herbal medicine good for?

Herbalists treat many conditions such as asthma, eczema, premenstrual syndrome, rheumatoid arthritis, migraine, menopausal symptoms, chronic fatigue, and irritable bowel syndrome, among others. Herbal preparations are best taken under the guidance of a trained professional. Be sure to consult with your doctor or an herbalist before self-treating. Some common herbs and their uses are discussed below. Please see our monographs on individual herbs for detailed descriptions of uses as well as risks, side effects, and potential interactions.

Ginkgo ( Ginkgo biloba ) , particularly a standardized extract known as EGb 761, appears to produce improvements in awareness, judgment, and social function in people with Alzheimer’s disease and dementia. In a year-long study of 309 people with Alzheimer’s disease, those taking EGb 761 consistently improved while those on placebo worsened.

St. John’s wort ( Hypericum perforatum ) is well known for its antidepressant effects, and an analysis of 27 studies involving more than 2,000 people confirmed that the herb is an effective treatment for mild to moderate depression.

Valerian ( Valeriana officinalis ) has had a long tradition as a sleep-inducing agent, with the added benefit of producing no hangover feeling the next day.

Is there anything I should watch out for?

St. John’s wort causes sensitivity to the sun’s ultraviolet rays, and may cause an allergic reaction, stomach upset, fatigue, and restlessness. Studies show that St. John’s wort also interferes with the effectiveness of many drugs, including warfarin (a blood thinner), protease inhibitors for HIV, possibly birth control pills, and many other medications. In addition, St. John’s wort must not be taken with anti-depressant medication. The Food and Drug Administration (FDA) has issued a public health advisory concerning many of these interactions.

Kava kava and echinacea have both been linked to liver toxicity. Again, kava has been taken off the market in several countries because of the liver toxicity.

Valerian may cause oversedation, and in some people it may even have the unexpected effect of overstimulating instead of sedating.

Bleeding time may be altered with the use of garlic, ginkgo, feverfew, ginger ( Zingiber officinale ) and ginseng.

Who is using herbal medicine?

Nearly one-third of Americans use herbs and it is estimated that in 1998 alone $4 billion was spent on herbal products in this country. Unfortunately, a recent study in the New England Journal of Medicine indicated that nearly 70% of individuals taking herbal medicines (the majority of which were well educated and had a higher-than-average income) were reluctant to reveal their use of complementary and alternative medicine to their doctors. Because herbal medicines contain a combination of chemicals, each with a specific action, many are capable of eliciting complex physiological responses—some of which may create unwanted or unexpected results when combined with conventional drugs. Be sure to consult your doctor before trying any herbal products.

How is herbal medicine sold in stores?

The herbs available in most stores come in several different forms: teas, syrups, oils, liquid extracts, tinctures, and dry extracts (pills or capsules). Teas are simply dried herbs left to soak for a few minutes in boiling water. Syrups, made from concentrated extracts and added to sweet-tasting preparations, are frequently used for sore throats and coughs. Oils are extracted from plants and often used as rubs for massage, either alone or as part of an ointment or cream. Tinctures and liquid extracts are solvents (usually water, alcohol, or glycerol) that contain the active ingredients of the herbs. Tinctures are typically a 1:5 or 1:10 concentration, meaning that one part of the herbal material is prepared with five to ten parts (by weight) of the liquid. Liquid extracts are more concentrated than tinctures and are typically a 1:1 concentration. A dry extract form is the most concentrated form of an herbal product (typically 2:1 to 8:1) and is sold as a tablet, capsule, or lozenge.

Currently, no organization or government body regulates the manufacture or certifies the labeling of herbal preparations. This means you can’t be sure that the amount of the herb contained in the bottle, or even from dose to dose, is the same as what is stated on the label. Some herbal preparations are standardized, meaning that the preparation is guaranteed to contain a specific amount of the active ingredients of the herb. However, it is still important to ask companies that are making standardized herbal products the basis for their product’s guarantee. If consumers insist on an answer to this question, manufacturers of these herbal products may begin to implement more quality control processes, like microscopic, chemical, and biological analyses. Again, it is important to consult your doctor or an expert in herbal medicine for the recommended doses of any herbal products you are considering.

Are there experts in herbal medicine?

Herbalists, chiropractors, naturopathic physicians, and practitioners of Traditional Chinese Medicine all use herbs to treat illness. Naturopathic physicians believe that the body is continually striving for balance and that natural therapies can be used to support this process. They are trained in four-year, postgraduate institutions that combine courses in conventional medical science (such as pathology, microbiology, pharmacology, and surgery) with clinical training in herbal medicine, homeopathy, nutrition, and lifestyle counseling.

Many herbalists believe that herbs are often better, cheaper, and healthier than their medical counterparts. However, many medical professionals do not recommend herbal remedies for pregnant women, since safety has not been established through extensive research.

What are the risks of using natural herbs during pregnancy?

Herbs may contain substances that can cause miscarriage, premature birth, uterine contractions, or injury to the fetus. Few studies have been done to measure the effects of various herbs on pregnant women or a developing fetus.

What are some herbs I should be cautious about during my pregnancy?

Depending on the source, some information will list an herb as safe to consume during pregnancy, whereas another source may list the same herb as unsafe. Therefore, it is best to consult with your health care provider or someone trained in using herbs before taking any natural medicine or herb during pregnancy.

Some organizations that specialize in herbs have done extensive testing on their safety. Often these organizations will list herbs with their safety ratings for the general population and also safety during pregnancy and lactation. These ratings can often be confusing and hard to interpret; this is why speaking with a professional who is familiar with using herbs during pregnancy is recommended. One key thing when understanding the safety ratings is to pay attention to what type of use the rating is for.

For example, the rating for Rosemary is considered Likely Safe ...when used orally in amounts typically found in foods. (Rosemary has a Generally Recognized as Safe (GRAS) status in the US.) But in pregnancy, Rosemary is considered Possibly UnSafe ...when used orally in medicinal amounts. Rosemary might have uterine and menstrual flow stimulant effects; avoid using. There is insufficient reliable information available about the safety of the topical use of rosemary during pregnancy.

This is a prime example of how the method of use of the herb changes its safety rating. We know that rosemary sprinkled in your tomato sauce is not a risk to you and your baby. If you were to use Rosemary in a large dose, like that used in medicinal amounts, it could be dangerous for your pregnancy. The same goes for herbs such as Garlic, Sage, Ginger and Tumeric. All of these herbs could be contraindicated in pregnancy when used in large or concentrated doses, but are considered safe when used in amounts found in food.

Herbs to avoid during pregnancy

The following herbs are considered Likely UnSafe or Unsafe during pregnancy 

Are there any herbs that are recommended in pregnancy?

Depending on what type of health care provider you see, he/she may recommend using herbs to help promote the health of your pregnancy. Remember, never try to self dose or diagnose with any medications, including herbs. Because each pregnancy is different, with its own specific details, the best way to use herbs is under the care of a midwife, physician, herbalist, naturopathic or homeopathic doctor.

Choosing to use herbs during pregnancy is a personal choice, but to ensure the best outcome for you and your baby, you should be well educated on the types of herbs, parts of the herb (root, leaf, etc&hellip and the way that they could be used (caplet, tonic, tea). The herbs that are considered safe to use during pregnancy are often food or tonic herbs. These often will be found in either tablet form, tea, or infusion form.

Herbs used in Pregnancy

The following herbs have been rated Likely Safe or Possibly Safe for use during pregnancy

Red Raspberry Leaf - Rich in iron, this herb has helped tone the uterus, increase milk production, decrease nausea, and ease labor pains. Some studies have even reported that using red raspberry leaf during pregnancy can reduce complications and the use of interventions during birth.5 You may see pregnancy teas that are made from red raspberry leaf to help promote uterine health during pregnancy. (Read about herbal teas for more information)

There is some controversy about whether this should be used throughout pregnancy or just in the second and third trimester, so many health care providers remain cautious and only recommend using it after the first trimester.

Peppermint Leaf - Helpful in relieving nausea/morning sickness and flatulence

Ginger root - Helps relieve nausea and vomiting

Slippery Elm Bark - (when the inner bark is used orally in amounts used in foods) Used to help relieve nausea, heartburn, and vaginal irritations

Oats & Oat Straw - Rich in calcium and magnesium; helps relieve anxiety, restlessness, and irritated skin

Additional herbs rated Likely Safe or Possibly Safe:

Blond Psyllium - when used orally and appropriately

Black Psyllium - when used orally with appropriate fluid intake

Garlic - when used orally in amounts commonly found in foods

The following herbs have been rated as having Insufficient Reliable Information Available by the Natural Medicines Database, although many are recommended by homeopathic physicians, herbalists, and midwives who treat pregnant women. More extensive research and discussions with your treating health care provider will help you make the decision about what herbs are safe for you to use.

Dandelion - Rich in Vitamin A, calcium, and iron; dandelion root and leaf can also help relieve mild edema and nourish the liver

Nettles (Stinging Nettles) - High in vitamins A, C, K , calcium, potassium, and iron. Used in many pregnancy teas because it is a great all around pregnancy tonic. Note on the safety of Nettles: Natural Medicines Database gives Nettles a rating of Likely Unsafe, even though it is used in countless pregnancy teas and recommended by most midwives and herbalists. This may be contingent upon which part of the Nettles plant is used (the root or the leaves) and how much is used. According to other sources, the use of Nettles is encouraged during pregnancy because of its health benefits.

Herbal medicine is the oldest form of healthcare known to mankind. Herbs had been used by all cultures throughout history. It was an integral part of the development of modern civilization. Primitive man observed and appreciated the great diversity of plants available to him. The plants provided food, clothing, shelter, and medicine. Much of the medicinal use of plants seems to have been developed through observations of wild animals, and by trial and error. As time went on, each tribe added the medicinal power of herbs in their area to its knowledgebase. They methodically collected information on herbs and developed well-defined herbal pharmacopoeias. Indeed, well into the 20th century much of the pharmacopoeia of scientific medicine was derived from the herbal lore of native peoples. Many drugs commonly used today are of herbal origin. Indeed, about 25 percent of the prescription drugs dispensed in the United States contain at least one active ingredient derived from plant material. Some are made from plant extracts; others are synthesized to mimic a natural plant compound.The World Health Organization (WHO) estimates that 4 billion people, 80 percent of the world population, presently use herbal medicine for some aspect of primary health care. Herbal medicine is a major component in all indigenous peoples’ traditional medicine and a common element in

Another example of the use of a herbal preparation in modern medicine is the foxglove plant. This herb had been in use since 1775. At present, the powdered leaf of this plant is known as the cardiac stimulant digitalis to the millions of heart patients it keeps alive worldwide.

Herbal Medicine can be broadly classified into various basic systems: Traditional Chinese Herbalism, which is part of Traditional Oriental Medicine, Ayurvedic Herbalism, which is derived from Ayurveda, and Western Herbalism, which originally came from Greece and Rome to Europe and then spread to North and South America.Chinese and

Interest in the United States had been growing in the recent years from the reported success stories from the use of herbs. For example, St. John's Wort is widely used in the treatment of mild depression without the need for Prozac. St. John's Wort does not have the side effects such as that of Prozac. There are some Ayurvedic herbs that are very useful for reducing cholesterol, diabetes etc. Similarly the popularity of Ginseng and Ginkgo biloba (ginkgo) is rising due to its beneficial effects.