Herbal Medicine Materia Medica 1 · 2019-08-15 · Principles and Philosophy • Western herbal...
Transcript of Herbal Medicine Materia Medica 1 · 2019-08-15 · Principles and Philosophy • Western herbal...
Herbal Medicine Materia Medica 1
WHMF112
Session 2:
Philosophies and Principles of
Herbal Medicine
© Endeavour College of Natural Health endeavour.edu.au
Session 2
Philosophies and principles of Herbal Medicine
• Philosophies & Principles of herbal medicine.
• Choosing the most appropriate herbal medicine
preparation.
• Traditional and modern herbal preparations and
derivatives (drug extract ratio).
• Therapeutic Actions: B-L
© Endeavour College of Natural Health endeavour.edu.au 2
Principles and Philosophy
• The use of herbs as medicine has its roots in
traditions that predate science.
• Contemporary herbal medicine practice:
o Draws from traditional philosophies & principles
- predominantly the Anglo-Thomsonian model
& Hippocratic medicine.
- may also draw from TCM & Ayurvedic medical
systems.
o Incorporates philosophical & practical principles
of science.
(Spitzer, 2018)
© Endeavour College of Natural Health endeavour.edu.au 4
Principles and Philosophy
• Western herbal practitioners can be accused of
creating a myth of herbal medicine as a pure
practice. In reality, globally, herbs have always been
used alongside any other substance that might
achieve therapeutic benefits.
(Conway, 2005)
• Currently there are no commonly accepted
philosophical principles adopted in contemporary
Western herbal medicine, but within Naturopathic
practice herbs are utilized within a framework based
on the philosophies and principles of Naturopathy,
and in conjunction with other therapeutic modalities.
© Endeavour College of Natural Health endeavour.edu.au 5
Herbal Medicine and the
Naturopathic Framework of Practice
• Naturopathic clinical practice incorporates herbal
medicine as a therapeutic modality, along with
lifestyle and dietary modification, nutritional medicine,
flower essence therapy and often homeopathy,
remedial massage and hydrotherapy.
• Naturopathic treatment strategies often include
herbal prescriptions determined through application
of the Naturopathic philosophy and principles,
including the Process of Disease and Healing and the
Therapeutic Order and based on evidence-based
practice principles.
© Endeavour College of Natural Health endeavour.edu.au 6
Herbal Medicine and the
Naturopathic Framework of Practice
© Endeavour College of Natural Health endeavour.edu.au 7
Process of Disease & Healing
Normal Health
Disturbing Discharge
Factors Process
Disturbance of Function
Reaction
(fever, inflammation, etc.)
Chronic Reaction
Degeneration
Chronic
Disease
Condition
Acute
Disease
Condition
• Process of Disease &
Healing provides an
understanding of how
significantly the disease
process has infiltrated the
body (affecting function &
structure).
• Degree of infiltration
indicates what herbal
actions will be appropriate
to the treatment strategy.Adapted from: Zeff (2001)
Herbal Medicine and the
Naturopathic Framework of Practice
© Endeavour College of Natural Health endeavour.edu.au 8
Acute Illness Chronic Illness
Self-resolving in a short time Disturbing factors persist and
burden the body cumulatively
Inflammation component The reactive potential is blocked
or suppressed
May be severe (not always) And/ or
Eg. Cold/flu, vomiting/diarrhoea,
infection, bleeding, traumatic
injury
The vitality of the system is
insufficient to mount a sufficient
reaction
Herbal Medicine and the
Naturopathic Framework of Practice
© Endeavour College of Natural Health endeavour.edu.au 9
• Therapeutic Order assists
with determining which
levels of intervention are
appropriate and which
herbal actions will achieve
the treatment aims.
• Herbal actions required for
the appropriate therapeutic
interventions will inform
the selection of herbs for
the treatment plan.
Therapeutic Order
1. Establish the conditions for health
2. Stimulate the vis medicatrix naturae
3. Tonify weakened systems
4. Correct structural integrity
5. Address pathology
6. Suppress/surgically remove pathology
Adapted from: Zeff, Snider, Myers, DeGrandpre (2013)
Hering’s Principles of Cure
Healing occurs:
• From above, downward to the extremities.
• From within, outward (central to peripheral or deep to
superficial).
• From more important toward less important organs or
systems.
• From newest to oldest (with reference to their original
occurrence). (Lange & Gaylord, 2013)
Hering’s Principles provide a guideline for the return to
health when a disease is treated appropriately.
© Endeavour College of Natural Health endeavour.edu.au 10
Herbal Medicine and the
Naturopathic Framework of Practice
Herbal Medicine and the
Naturopathic Framework of Practice
• The six Naturopathic principles guide the clinical
application of herbal medicines for achieving the
therapeutic goals appropriate to each patient.
• Vis Medicatrix Naturae (Healing Power of Nature)
• Tolle Causam (Address the Cause)
• Primum Non Nocere (First Do No Harm)
• Docere (Doctor as Teacher)
• Tolle Totem (Treat the Whole Person)
• Preventare (Prevention)
© Endeavour College of Natural Health endeavour.edu.au 11
Understand the client’s present
condition of health
Identify contributing
factors/disturbing factors/obstacles
to cure
Consider the client’s constitution
What is happening within the individual?
How is this viewed from the perspective of the VMN
attempting to restore health?
What is the general treatment strategy?
What are the treatment aims?Establish long-term, medium-term &
short-term treatment goals
The Naturopathic Framework of Practice
6
Naturopathic
Principles
Process of
Disease &
Healing
Therapeutic
Order
What is the Treatment Plan?How will the treatment aims be
achieved?© Endeavour College of Natural Health endeavour.edu.au 12
Herbal Preparation Choices Choosing the most appropriate herb preparation:
• There is a variety of different forms in which herbs
can be prescribed and dispensed.
• In most instances, each form can be an effective way
of delivering the required herbal medicine if there are
adequate amounts of the required active
constituents to have a significant therapeutic effect.
• Each form has it’s positives and negatives for usage
which need to be considered when creating a
prescription.
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 14
Herbal Preparations
Infusions
• Fresh or dried herbs are combined with
hot or cold water, vinegar, wine etc.. to
extract medicinal & nutritional aspects.
Very old traditional use.
• This form has a higher level of inert
constituents that adds a nutritional level
to this form (including prebiotic).
Required to be consumed soon after
preparation. (Green, 2008; Tobyn, Denham
& Whitelegg, 2011)
• Infusion time – 5-10 mins for therapeutic
benefits.
© Endeavour College of Natural Health endeavour.edu.au 16
(Kremanak, C. (2011). Floral
tisane with lemon, Retrieved 20th
December, 2013
fromhttp://commons.wikimedia.org/
wiki/File:Floral_tisane_with_lemon.
jpg?uselang=en-gb)
Herbal Preparations
Decoction
• Boiling fresh or dried herbs in water
to release the soluble actives in
dense, woody herbs.
• Required to be consumed within 24-
72 hours of preparation.
(Green, 2008)
• Very old tradition of usage, possibly
around C12th.
(Tobyn et al. 2011)
© Endeavour College of Natural Health endeavour.edu.au 17
(663highland. (2010) Retrieved 20th
December, 2013
from<http://en.wikipedia.org/wiki/File:L
E_POINT_DE_VUE11n4000.jpg)
Herbal Preparations
Tincture
• Alcohol (& water) based formula that
condenses herbal actives from macerated
fresh or dried herbs by soaking for a
designated time & then pressing the solid
solution.
(Murray & Pizzorno, 2013)
• Liquid preparations weaker than 1:2.
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 18
(Tina1. (2011). Alkannae, Retrieved 20th
December, 2013
fromhttp://commons.wikimedia.org/wiki/Fil
e:Alkannae2.JPG)
Herbal Preparations
Fluid Extracts
• Usually use alcohol & water. Solvent can be vinegar,
glycerin, propylene glycol. Generally, extraction via
cold distillation to sustain the stability of the herbal
components. Preparations that are 1:1 or 1:2.
(Murray, 2013)
• Recorded use in C19th within the German
Pharmacopoeia. (Bone & Mills, 2013)
Solid Extract
• Further distillation of a fluid extract until the solvent is
completely removed. (Murray, 2013)
© Endeavour College of Natural Health endeavour.edu.au 19
Herbal Preparations
Preparation Advantages Disadvantages
Topical Treat local wounds or inflammation Can be messy. Short storage life
Powders Can be mixed with food or drink Difficult to swallow, may be unpleasant to taste,
short shelf life
Tablets/
Capsules
Convenient, can reduce unpleasant
taste
Excipients added, low dose, reduced absorption
to liquid, reduced prescribing flexibility
Infusions
Decoctions
No alcohol, pleasant taste, increase fluid
intake, hot can aid diaphoresis
Reduced release of constituents ie. Resins,
needs preparation daily & don’t preserve well
Syrups,
Oxymels,
Glycetracts
Sweet, soothing, no alcohol, sugar good
preservative
Reduced potency compared to alcohol extracts
Tinctures,
Fluid
extracts
Highly concentrated & smallest dosage,
long shelf life, readily adsorbed
Generally unpleasant to taste
© Endeavour College of Natural Health endeavour.edu.au 20
(Adapted from Spitzer 2018, p. 35)
Therapeutic ActionsBitter
• Stimulates bitter-sensitive taste buds
on the tongue as well as other bitter
receptors in the GIT, lungs, urinary
tract, bone marrow, immune cells,
thymus & thyroid.
• Nerves & circulation are stimulated to
increase the release of saliva, bile &
gastric juices. (Wood, 2008)
• Bitters help regulate pancreatic
hormones and aid in the repair of the
mucous membranes of the GIT.
(Hoffmann, 2003)
• Bitters have an all-round tonic action.
© Endeavour College of Natural Health endeavour.edu.au 22
(Boronian. (2008). Berberis vulgaris
Retrieved 20th December, 2013
from<http://commons.wikimedia.org/wiki/File:
Berberis_vulgaris_munich.JPG)
Therapeutic Actions
Bronchodilator/
bronchospasmolytic
• Reduce the spasm of smooth
muscles surrounding the
bronchioles.
(van Wyk & Wink, 2004)
• This increases the diameter
of the bronchioles.
(Fisher, 2018)
© Endeavour College of Natural Health endeavour.edu.au 23
(Luke1ace. (2005). Inula helenium Retrieved 20th
December, 2013 from
<http://upload.wikimedia.org/wikipedia/commons/t
humb/0/0b/Inula_helenium.jpg/1280px-
Inula_helenium.jpg>)
Therapeutic Actions
Cardioprotective
• Protects heart tissue against
reduced oxygen (hypoxia) and/ or
toxins.
• Broad term that includes herbal
actions: “antiplatelet, hypotensive,
antiarrhythmic, antioxidant and
cardiac tonic”
(Hechtman, 2018)
© Endeavour College of Natural Health endeavour.edu.au 24
(Qwert1234. (2010). Corydalis ambigua
Retrieved 20th December, 2013 from
http://commons.wikimedia.org/wiki/File:
Corydalis_ambigua_1.JPG)
Therapeutic Actions
Cardiotonic
• Beneficial effect on the heart and
blood vessels.
(Hoffmann, 2003)
• Strengthening or regulating heart
function.
(van Wyk & Wink, 2010)
• Improves the force of contraction
(positively inotropic)
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 25
(Zell, H. (2004). Crataegus monogyna
Retrieved 20th December, 2013
from<http://commons.wikimedia.org/wiki/File:
Crataegus_monogyna_005.JPG)
Therapeutic Actions
Carminative
• Reduces smooth muscle
spasm of the digestive tract.
(Mills, 1994)
• Aromatic or pungent (high in
volatile oils) and are anti-
inflammatory, aid in expelling
gas and promoting digestive
function.
(Hoffmann, 2003; Wood, 2008)
© Endeavour College of Natural Health endeavour.edu.au 26
(Porse, S. (2006). Mentha x piperita Retrieved 20th
December, 2013
fromhttp://upload.wikimedia.org/wikipedia/commons/
0/0d/Mentha-piperita.JPG)
Therapeutic Actions
Cholagogue
• Stimulates, increases the
release of stored bile.
• This occurs by increasing
the strength of gallbladder
contractions.
• This action has a long
tradition of usage.
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 27
(Nugent, T. (2008). Cynara scolymus Retrieved 20th December,
2013 from<http://www.geograph.org.uk/photo/943041>)
Therapeutic Actions
Choleretic
• Increases the production of bile
by the liver.
(Bone & Mills, 2013)
• Boosts detoxification through
bile production.
• Note: strong choleretics may
cause nausea & irritability so
treat with liver
trophorestoratives and gentle
choleretics first before using
stronger choleretics.
(Bone, 2003)
© Endeavour College of Natural Health endeavour.edu.au 28
(Gerding, G. (2006). Silybum marianum
Retrieved 20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:
XN_Silybum_marianum_93.jpg)
Therapeutic Actions
Circulatory Stimulant
• Improves blood flow throughout
body tissues.
• Energetically warming.
• Increased blood flow allows for
optimal tissue & organ function
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 29
(Castor. (2005). Zanthoxylum clava-herculis
Retrieved 20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:Zant
hoxylum_clava-herculis2.jpg)
Therapeutic Actions
Cognition Enhancing /
Nootropic
• Enhances learning,
concentration and / or aids
with memory.
(Bone & Mills, 2013)
• Action may be through
enhanced circulation,
stimulation of the nervous
system, modification of
neurotransmitter levels.
© Endeavour College of Natural Health endeavour.edu.au 30
(Garg, J.M. (2009). Bacopa monniera Retrieved 20th
December, 2013
fromhttp://en.wikipedia.org/wiki/File:Bacopa_monnieri_
W_IMG_1612.jpg)
Therapeutic Actions
Demulcent
• Mucilage content that creates
soothing & protective effect
on mucous membranes of
GIT. (Hechtman, 2018)
• Indirectly soothing effect on
the urinary, respiratory and
reproductive membranes
(reflex demulcency).
(Hoffmann, 2003)
© Endeavour College of Natural Health endeavour.edu.au 31
(Karwath, A. (2007). Althaea officinalis Retrieved
20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:Althaea_
officinalis_-_flower_top_(aka).jpg)What level of intervention is this?
Therapeutic Actions
Diaphoretic
• Also known as a sudorific.
• Increases sweating and
excretion of toxins through the
skin.
• Used to reduce the temperature
of a fever.
(Fisher, 2018; Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 32
(Zell, H. (2009).Achillea millefolium Retrieved
20th December, 2013
from<http://commons.wikimedia.org/wiki/File:A
chillea_millefolium_002.JPG>)
Therapeutic Actions
Diuretic
• Increases the output of urine.
• This may be by increasing
kidney blood flow or altering
the reabsorption of sodium
which in turn reduces water
reuptake by the kidneys.
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 33
(Amorati, P. (2005). Juniperus_communis
Retrieved 20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:Junip
erus_communis_communis_Italy.jpg )
Therapeutic Actions
Emmenagogue
• Initiates & promotes menstrual
flow. (Bone & Mills, 2013)
• Increases the strength &
frequency of contraction of the
uterus to initiate menstrual flow
(Braun & Cohen, 2015)
• Contra-indicated in pregnancy as
the strong contraction can cause
miscarriage.
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 34
(Zell, H. (2009). Caulophyllum thalicatroides
Retrieved 20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:
Caulophyllum_thalictroides_003.JPG)
Therapeutic Actions
Emollient
• Soothes, softens or protects
the skin (demulcents are
used on internal surfaces).
• Most demulcent herbs can
be used topically and will
exert an emollient action.
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 35
Pindari Herb Farm (2007) Aloe barbadensis
Therapeutic Actions
Expectorant
• Increases the clearance of excess
mucus from the lungs.
(Bone & Mills, 2013)
• Stimulating expectorants can
irritate the bronchioles or liquefy
the mucus aiding expulsion.
• Relaxing expectorants relax the
bronchiole muscles, loosen & thin
the mucus.
(Hoffmann, 2003)
© Endeavour College of Natural Health endeavour.edu.au 36
(Orchi, (2007). Drosera rotundifolia
Retrieved 20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File
:Drosera_rotundifolia_Orchi_05.jpg)
Therapeutic Actions
Female tonic
• Enhances the tone, vigor and
function of the female reproductive
system.
(Bone, 2003)
• Restores healthy menstrual
function by correcting hormone
imbalance (Bartram, 1995)
© Endeavour College of Natural Health endeavour.edu.au 37
Pindari Herb Farm (2006) Angelica sinensis
Therapeutic Actions
Galactagogue
• Increases breast milk production.
(van Wyk & Wink, 2010)
• Aids in establishing a late supply
or increasing inadequate
requirements.
• This herbal tradition has existed
for centuries.
(Hechtman, 2018)
© Endeavour College of Natural Health endeavour.edu.au 38
(Thomé, W.O. (1885). Trigonella foenum-
graecum, Retrieved 20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:Illustra
tion_Trigonella_foenum-graecum0.jpg)
Therapeutic Actions
Hepatoprotective
• Exerts a protective effect
on liver tissues against
various hepatotoxins.
• This protection is
achieved via numerous
different mechanisms of
action.
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 39
(VoDeTan2, (2010). Schisandra chinensis, Retrieved 20th
December, 2013
from<http://commons.wikimedia.org/wiki/File:Schisandra_chi
nensis_Bl%C3%BCte.jpg>)
Therapeutic Actions
Hypnotic / Soporific
• Works on the nervous system to
induce drowsiness and sleep
• These agents exert their action by
relaxing the nervous system
activity.
• Different herbal hypnotics have
various degrees of
sedation/relaxation.
(Bone & Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 40
(Zell, H. (2009). Humulus lupulus,
Retrieved 20th December, 2013 from
<http://commons.wikimedia.org/wiki/File:
Humulus_lupulus_008.JPG)
Therapeutic Actions
Hypocholesterolaemic
• Also known as hypolipidaemic.
• Reduces the level of cholesterol
within the bloodstream.
• Recent understanding of this
action. Serum cholesterol was
first identified in the early C20th.
(Hechtman, 2018)
© Endeavour College of Natural Health endeavour.edu.au 41
(Qwert1234. (2009). Camellia sinensis
Retrieved 20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:Ca
mellia_sinensis_Japan.JPG)
Therapeutic Actions
Hypoglycaemic
• Reduces the digestive
absorption of glucose,
thereby reducing the level of
glucose in the blood.
• Also supports the efficient
functioning of the pancreas to
produce insulin.
(Hechtman, 2018)
© Endeavour College of Natural Health endeavour.edu.au 42
(Epibase. (2008). Galega officinalis, Retrieved 20th
December, 2013
fromhttp://en.wikipedia.org/wiki/File:Galega_officinalis
1UME.jpg)
Therapeutic Actions
Hypotensive
• Reduces both systolic &
diastolic blood pressure.
• Action due partly to
antioxidant and anti-
inflammatory effects on the
blood and blood vessels.
• Works on many facets of the
cardiovascular system.
(Hechtman, 2018)
© Endeavour College of Natural Health endeavour.edu.au 43
(Nickfraser. (2006). Olea europaea
Retrieved 20th December, 2013
fromhttp://en.wikipedia.org/wiki/File:Olivesfromjordan.j
pg)
Therapeutic Actions
Immune Modulating
(Immunomodulatory)
• directly influences a
specific immune function or
modifies one or more
components of the
immunoregulatory network
to achieve an indirect effect
on a specific immune
function.
• Very recent action
discovery.
© Endeavour College of Natural Health endeavour.edu.au 44
Pindari Herb Farm (2006) Echinacea purpurea
(Sarma,1994, Hechtman,
2018; Bone & Mills, 2013)
Therapeutic Actions
Immune Enhancing
(Immunostimulatory)
• Also known as
immunostimulant.
• Enhances an aspect of
the immune system
(enhances function, or
stimulates an immune
response).
(Hechtman, 2018)
© Endeavour College of Natural Health endeavour.edu.au 45
(Garg, J.M. (2008). Andrographis panniculata, Retrieved 20th
December, 2013
fromhttp://en.wikipedia.org/wiki/File:Andrographis_paniculata_(Kal
pa)_in_Narshapur_forest,_AP_W2_IMG_0867.jpg)
Therapeutic ActionsImmune Suppressant
(Immunosuppressant)
• Reduces immune
system function
especially when the
immune system is
overactive.
• Commonly used in
cases of auto-immunity.
• Recently identified
action.
(Hechtman, 2018)
© Endeavour College of Natural Health endeavour.edu.au 46
(Garg, J.M. (2008). Tylophora indica Retrieved 20th
December, 2013
fromhttp://commons.wikimedia.org/wiki/File:Indian_ipecac_o
r_Anntmool_(Tylophora_indica)_in_Talakona_forest,_AP_W
_IMG_8310.jpg)
Therapeutic Actions
Laxative
• Facilitates evacuation of the
bowel.(Bone & Mills, 2013)
• Bulk-forming laxatives – high in
fibre.
• Stimulant laxatives – contain
anthraquinone constituents that
increase peristalsis and reduce
water resorption.
(Heinrich, Barnes, Gibbons &
Williamson, 2012)
© Endeavour College of Natural Health endeavour.edu.au 47
(Silversmith, E. (2005). Aloe vera, Retrieved
20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:
Aloe_Vera.jpg)
Therapeutic Actions
Local Anaesthetic
• Local application reduces
nerve sensations and
inflammation messages (COX-1
& COX-2) of pain.
(Braun & Cohen, 2015; Bone &
Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 48
(Tinofrey. (2005). Syzygium aromaticum on
tree, Retrieved 20th December, 2013
fromhttp://commons.wikimedia.org/wiki/File:Syz
ygium_aromaticum_on_tree.jpg)
Therapeutic Actions
Lymphatic
• Encourages the flow of
lymphatic fluid and / or
delivery to organs of
elimination.
• Supports immune system
function.
(Hechtman, 2018; Bone &
Mills, 2013)
© Endeavour College of Natural Health endeavour.edu.au 49
(Williams, H. (2008). Pokeberries, Retrieved 20th
December, 2013
from<http://commons.wikimedia.org/wiki/File:Pokeberries.
png)
References
Bartram, T. (1995). Encyclopedia of herbal medicine. Christchurch, Dorset. Grace
publishers
Bone, K. (2003). A clinical guide to blending liquid herbs: Herbal formulations for
the individual patient. St. Louis, Missouri. Churchill Livingston.
Bone, K., & Mills, S. (2013). Principles and practice of phytotherapy (2nd ed.). New
York, USA. Churchill Livingston Elsevier.
Braun, L., & Cohen, M. (2015). Herbs and natural supplements: An evidence based
approach (4th ed. Vol 2). Chatswood, NSW. Churchill Livingstone Elsevier.
Conway, P. Knowledge and myths of knowledge in the ‘science’ of herbal medicine.
In O’Sullivan, C. (2005). Reshaping herbal medicine: knowledge, education
and professional development. Edinburgh. Churchill Livingstone.
Fisher, C. (2018). Materia medica of western herbs. London UK. Aeon Books.
Griggs, B. (1981). New green pharmacy: the story of western herbal medicine.
Sydney, Australia. Random House.
Hechtman, L. (2018). Clinical naturopathic medicine (2nd ed.). Chatswood,
NSW.Churchill Livingstone Elsevier.
Heinrich, M., Barnes, J., Gibbons, S., & Williamson, E.M. (2012). Fundamentals of
pharmacognosy and phytotherapy (2nd ed.). London, UK. Churchill Livingston
Elsevier.
© Endeavour College of Natural Health endeavour.edu.au 50
ReferencesHoffmann, D. (2003). Medical herbalism: The science and practice of
herbal medicine, Rochester, Vermont. Healing Arts Press.
Lange. A., & Gaylord, S.A. (2013). Chapter 39, Homeopathy. In MTMurray, &
Pizzorno, JE (Eds) (2013). Textbook of natural medicine, (4th ed.). St.
Louis, Missouri. Elsevier/Churchill Livingstone
Mills, S. (1985). The complete guide to modern herbalism, Thorsons.
Hammersmith, London.
Murray, M.T. (2013). Chapter 34 Botanical medicine – Understanding herbal
preparations. In M.T. Murray,& J.E. Pizzorno, (Eds). Textbook of natural
medicine, (4th ed.)., St. Louis, Missouri. Elsevier/Churchill Livingstone.
Potterton, D. (Ed). (1983) Culpeper’s colour herbal. Berkshire, UK. W.
Foulsham & Co.
Sarma, D.N.K., & Khosa, R.L. (1994). Immunomodulators of plant origin –
a review. Ancient Science of Life, Vol. VIII, Nos. 3 & 4. Coimbatore,
Tamil Nadu
Spitzer, O. Chapter 3 Principles of herbal medicine. In Hechtman, L. (Ed).
(2018). Clinical naturopathic medicine. (2nd ed.). Chatswood, NSW.
Churchill Livingstone Elsevier.
© Endeavour College of Natural Health endeavour.edu.au 51
ReferencesTierra, M. (1988). Planetary herbology. Wisconsin, USA. Lotus Press.
Tobyn, G., Denham, A., & Whitelegg, M. (2011). The western herbal tradition: 2000
years of medicinal plant knowledge, London, UK. Churchill Livingstone
Elsevier.
Van Wyk, B., & Wink, B. (2010). Medicinal plants of the world. London, UK. Timber
Press Inc.
Verpoorte, R. (2009). Chapter 1 Medicinal plants: A renewable resource for novel
leads and drugs. In Herbal drugs: Ethnomedicine to modern medicine, eds
KG Ramawat, Springer, Heidelberg, viewed 6th December 2013
<www.ebscohost.com>
Wood, M. (2008). The Earthwise herbal: A complete guide to old world medicinal
plants. Berkley, California. North Atlantic Books.
Wood, M. (2004). The practice of traditional western herbalism: Basic doctrine,
energetics and classification. Berkley, California. North Atlantic Books.
Zeff, J. (2001). Nature cure and the process of healing. Retrieved from
http://salmoncreekclinic.com/articles-by-dr-zeff/clinical-theory/nature-
cure-and-the-process-of-healing/
Zeff, J.L., Snider, P., Myers, S.P., & DeGrandpre, Z. (2013). Chapter 3: A
hierarchy of healing: The therapeutic order. In J.E. Pizzorno & M.T. Murray
(eds), Textbook of natural medicine, (4th ed.). Missouri, USA. Elsevier
Churchill Livingston,
© Endeavour College of Natural Health endeavour.edu.au 52
Tutorial
Class Discussion
• What are the differences between prescribing for
acute vs chronic case management?
• What specifically about the herbs & the client would
you have to take into consideration?
• Would different forms of herbal preparations suit
acute and chronic? Why?
• Consider the temperature of acute vs chronic
conditions eg. Hot, cold and reasons
© Endeavour College of Natural Health endeavour.edu.au 54
Tutorial
Formula Construction Activity
You are given the following herbs:
1. Echinacea purpurea (1:2) 15-40mL/wk
2. Cinnamomum verum (1:2) 20-40mL/wk
3. Matricaria recutita (1:2) 20-40mL/wk
4. Melissa officinalis (1:2) 20-40mL/wk
5. Mentha piperita (1:2) 10-40mL/wk
© Endeavour College of Natural Health endeavour.edu.au 55
Tutorial
Formula Construction Activity
Generate a 100mL formula that utilises all of the herbs
on the list.
• Consider the dosing requirements if this formula was
for an acute case & for a chronic case
• Discuss with the class
• Would different forms of the listed herbs suit an
acute case? Suit a chronic case? Why?
• Discuss with the class
© Endeavour College of Natural Health endeavour.edu.au 56
Recommended Readings
• Chapter 1 ’Naturopathic Philosophy' (p. 2-13) & Chapter 6 ’Principles
of herbal medicine' pp. 33-41 in Hechtman, L. (2012). Clinical
Naturopathic Medicine Churchill Livingstone Elsevier
https://login.ezproxy.endeavour.edu.au:2443/login?url=http://search.eb
scohost.com/login.aspx?direct=true&db=nlebk&AN=518074&site=eho
st-live&scope=site
• Bone, K. (2003). A Clinical Guide to Blending Liquid Herbs: Herbal
Formulations for the individual patient. Churchill Livingstone. pp.3-25
https://login.ezproxy.endeavour.edu.au:2443/login?url=http://search.eb
scohost.com/login.aspx?direct=true&db=nlebk&AN=445526&site=eho
st-live&scope=site
• Video: David Hoffmann: A call to herbs part 1
http://www.youtube.com/watch?v=-WMKOUAnpqk
© Endeavour College of Natural Health endeavour.edu.au 57