Showing posts with label folk medicine. Show all posts
Showing posts with label folk medicine. Show all posts

Wednesday, February 21, 2018

Deep Roots: An explanation of modern medical fields with a folk medicine history.

“Botany and medicine came down to the ages hand in hand” – Hilda Leyel
Disclaimer: This is a paper intended for information, not a guide to herbal medicine as a hobby.  Please talk to your doctor first if you are interested in St. John’s Wort – possible risks may outweigh benefits in some individuals.  If interested in herbal medicine, a great starting point for me was Dian Dincin Buchman’s ‘Herbal Medicine,’ and ‘Peterson’s Field Guide to Western Medicinal Plants and Herbs.’
            For many years humans have looked to plants for sources beyond nourishment.  Plants have amazing properties, especially for their medicinal value.  There are also ways of looking at healing the body beyond drugs and prevention. These topics may not always seem so apparent in fields of modern medicine, but there are two fields of study that discover these medicines and methods of healing – pharmacognosy and medical anthropology.  Pharmacognosists and medical anthropologists work with other medical professionals to find new methods of healing and combatting ailments.  Pharmacognosy and medical anthropology are highly beneficial fields of study, rooted in traditional, or folk medicine, and, therefore, human history.
            Pharmacognosy is the study of plant molecules, usually for medicinal value.  Many fields of study overlap pharmacognosy, but the primary field pharmacognosists study is chemistry.  Chemistry, with other fields, can tell us what the plant constituents, or ‘active ingredients,’ are, and how they respond physiologically in the body.  Pharmacognosy is a ‘hard’ science. Meaning the results done by pharmacognosists, are consistent, and reproducible.  There are numerous plants with recognized results. It cannot be argued that plants don’t heal – many plants have amazing healing properties!
St. John’s Wort (Hypericum perforatum L. ) Source: USDA.gov
            In Germany, St. John’s Wort is approved for treating depression and may outsell Prozac 20 to 1. (Foster Hobbs 109)  While the Pacific Yew Tree (Taxus brevifolia Nutt.), found from California to Southeast Alaska, leaves and bark contain the constituent paclitaxel. Paclitaxel is one of the most valuable natural products as it is an anti-tumor
Pacific Yew Tree (Taxus brevifolia Nutt.) Source: USDA.gov
agent that fights many forms of ovarian and breast cancer.  (Foster Hobbs 329, 330)  White Willow (Salix alba L.) has  “confirmed anti-inflammatory, pain-reducing, fever-lowering and anti-septic, willow bark has an important place in the herbal repertoire of many cultures.” (Foster Hobbs 342)
White Willow (Salix alba L.) Source: USDA.gov
            People have always looked to nature for healing; many synthetic drugs are rooted in natural sources.  So it is no surprise the popular drug aspirin was first made from changing a healing constituent into a more synthesized form.  Salicin, is the active ingredient in willow bark joined with glucose. In the body it turns into irritating salicylic acid. It was ineffective to produce salicin from willow bark, as 1.5 kilograms of willow bark would result in 30 grams of salicin. Chemists needed to find an alternative approach to nature to meet the needs of demand. In 1860 a Professor Kolbe was able to synthesize salicylic acid, with phenol, and sodium hydroxide.  Salicylic acid was still very irritating, so chemists still needed to do something. At Bayer, Felix Hoffman formulated acetyl salicylic acid – aspirin, the wonder drug.  (Jones 5-9)  Both willow bark and aspirin have their benefits, and drawbacks.
            The American Society of Pharmacognosy (ASP), has done amazing things for the field of medicine.  They were founded in 1959, but have been organizing since 1923. One thing pharmacognosy does is study the constituents of medicinal plants.  By extracting the active ingredient they can synthesize it into pill form to meet more demand.  Another great thing the field of pharmacognosy does is find valuable herbal supplements for the market. “The top ten selling supplements in 2007 in order of decreasing sales were soy, cranberry, garlic, ginkgo, saw palmetto, echinacea, black cohosh, milk thistle, ginseng and St. John’s wort.” (ASP History)  It is difficult for manufacturers to list herbal supplements as over-the-counter (OTC) drugs.  One reason is attributed to the inability to patent protect an herbal supplement.  If manufacturers do the research for the OTC drug, they may not make the money from it.   There have been petitions for herbs to become listed as OTC drugs, and even though the FDA may support the data to back it up, these herbs are still yet to be listed as over-the-counter.  Many plants have amazing properties that could allow them to be listed as food, herbal supplements, or over-the-counter drugs. (Barret 10-12)
Pharmacognosy has been around far beyond 1923.  As the roots pharmakon- and -gnosy mean drug knowledge, this shows that plants have been the source of medicine for ages.  A historical pharmacognisist, Linneaus published a book titled “Materia Medica,” which emphasized the combination of botany and medicine, and looking to nature for medical sources.
            “Materia Medica,” is not to be confused with the ancient title “De Materia Medica.”  Written by the Greek doctor and apothecary Pedanius Dioscorides in the first century. This title brings ancient medical knowledge into the New Age.  De Materia Medica is an important document symbolizing botany and pharmaceuticals and how they intertwine.  Dioscorides is known as the father of pharmacology.
             Hippocrates, alive around in 5th century BCE, is most famous for the Hippocratic oath. He is known as the father of Western medicine.  While it is unknown exactly which achievements to attribute to him, the philosophy of medicine changed greatly in his time.  At first an ailment was seen as being brought upon by astrology or the gods, yet during this time, it was changed to a humor system – keeping the body in balance kept one healthy.  Corpus Hippocraticum was a collection of up to seventy works from his time.  They included much information on healing and disease.  Hippocrates philosophy lives on to this day, as new physicians take the Hippocratic oath.
            While Hippocrates is seen as the father of Western medicine, it could be argued that Nicholas Culpeper is the father of modern medicine.  Starting his work in 1640, Culpeper infringed on a monopoly of healthcare by translating medical knowledge to English.  This opened up healthcare to more people, allowing those who could read English access to more medical knowledge.  Culpeper’s Herbal contains an index of many plants used for treating many ailments, with basis in astrology.  His infringement of a monopoly brought him many enemies, but gave the Western world room for much advancement in the field of medicine.
            During World War I in England, Maud Grieve benefitted the war effort by learning and providing medical knowledge of herbs.  She made pamphlets of English herbs to supply the war effort with much needed knowledge.  A woman named Hilda Leyel received her pamphlets, made her acquaintance and together published “A Modern Herbal.”  “A Modern Herbal” lists plants and their many uses.  The information may be outdated, as many plants listed may have now known toxicological effects, and many of the medicinal actions are based on anecdotal evidence.  Even though it is outdated, the anecdotal evidence can still be taken into account to find medicines unused by modern medicine.  After the war, Mrs. Grieves began training to dry and prepare herbs for chemists.  Her work did not take into account the orders of a doctor, as this may not have been culturally relevant at the time, and today, still has some irrelevance in many parts of the world.
            Anthropologists are observers of humanity.  They seek to answer: what makes us human?  The topics medical anthropologists study, are topics “that previously have known only traditional medicine.” (Foster Anderson 1) The field of Medical Anthropology, overlaps mainly with two things, biological, and sociocultural, making it hard to label as either soft, or hard science – it’s a study of healing. Medical Anthropologists work with many different types of healthcare professionals, sociologists, and biologists.
            Medical Anthropologists look to these biological and sociocultural aspects of humans, to find out more about healing. (Foster Anderson 2) There is a great divide between ‘modern’, or ‘Western’ medicine, and all the rest.  While ‘traditional’ has been an often used opposing term to ‘modern,’ this term is often being replaced by the word folk.  The term folk medicine, meaning ‘traditional medicine,’ came about after World War II when studies of ‘peasant’ cultures became popular. (Foster Anderson 52)  There is a consensus in the field of medical anthropology that this split between Folk, and Western be left only for purposes of definition. (Strathern Stewart 4) By dissolving this split between Folk and Western, we can possibly dissolve the cultural barriers of medicine, and be open to more methods of healing.
            Currently defined, there are two major types of healing in medical anthropology: the personalistic, and the naturalistic.  Personalistic systems refer to a disease or ailment being brought upon by an outside force.  For example, while St. John’s Wort may treat depression, one may call depression, evil-spirits. A god, a witch, a ghost causing a health issue, are all examples of personalistic systems.
            Naturalistic Systems describe the body as something to be balanced.  When one thing becomes unbalanced, illness happens. The yin yang, hot or cold, mema or kapong, remain in appropriate balance to the individual.  The Kawelka people of Papua New Guinea have two humors, blood (mema) and grease (kapong), keeping these humors in balance is important to them for their overall health. (Strathern Stewart 36)
            Ongka-Kaepa, a leader amongst the Kawelka people had a stroke in 1996.  He was rushed to the hospital and his daughter Yara stayed with him.  She reported that he had glucose drips, packets of blood, but this was not enough. She stated, “Ongka had blockages that were like saliva or spider’s webs that were in his throat and these made him sick and would have killed
him… I had a bit of paper which I would use as these things came up into his mouth to wash them and clean them away with a little water.  The hospital staff saw me doing this and said not to do it.  When they went away I continued to do it and eventually I removed all that stuff from his mouth.  Then I went to the store and bought chocolate.  I took this chocolate and I made a prayer over it… I mixed it with some water and let it drip slowly into his mouth and gradually I saw that it went down his throat and make some grease there… after awhile he began to move his fingers and move his toes and then I saw that he was coming back to life.” (Strathern Stewart 42)
            While the doctors and anthropologist attribute a majority of Ongka’s healing to the glucose drips, blood transfusions, and iron pills the anthropologists purchased for him, there is a great importance to what Yara did for her father: his body was imbalanced, the doctors gave him so much blood, Yara saw.  The anthropologists do not doubt her importance in her father’s healing, they write, “She is seen to be a nurturing figure who corrects the imbalances that are in Ongka that are causing his sickness by providing him with the second humoral substance, kopong, after the blood transfusion had been given to rebalance the first humoral element.” (Strathern Stewart 45)
            We don’t need to look across the globe to observe medical anthropology in action.  “Native American forms of healing… have been incorporated into New Age practices in the United
Purple sage (Salvia dorrii) Source: USDA.gov
States(.)” (Strathern Stewart 3) Purple sage (Salvia dorrii), a plant native to the western US, including Eastern Washington, was used by Native American groups used the tea for colds, flus, stomachaches, and many more ailments. The Kawaiisu threw the plant on fires to chase away ghosts. (Foster Hobbs 271)  Burning sage, to repel evil-spirits, or even chase away ghosts, is an example of personalistic systems.
Shepherd’s Purse (Capsella bursa-pastoris L.) Source: USDA.gov
            Even, some plants normally recognized as weeds, whether in gardens or sidewalk cracks,  may have medicinal value. Shepherd’s Purse (Capsella bursa-pastoris L.), a common garden weed, was made into a tea and drank in small quantities by the Cheyenne Tribe. (Foster Hobbs 34)  Pineapple weed (Matricaria discoidea DC.), a fragrant flower common in sidewalk cracks, was used by numerous Native Americans for many ailments including: “upset stomach, stomach pain, gas, colic, indigestion, diarrhea, (and) constipation(.)” It was also used in the Sun Dance ceremony for its fragrance. (Foster Hobbs 140,141)
            Medical anthropology and pharmacognosy often times take anecdotal evidence about how we, as humans, have been curing and healing for many years, and bring it into the modern era, with science!  For many years, the study of plants, and the study of medicine, were one in the same.  While separation for composition is important, there is something lacking.  Healing, as medical anthropology can show us, is not only a scientific, but a spiritual process.  For some, this spirituality comes from looking to nature.  We are in special symbiotic relationships with plants, and with drugs like paclitaxel, we can fight cancer.  If we continue to detach modern medicine from traditional methods, we could lose important symbiotic relationships, and possibly wonderful cures.  When in reality, modern medicine, and folk medicine, intertwine.  Using plants, and spirituality, for medicine is part of our humanity.


Sir Lawrence Alma-Tadema, O.M., R.A. (1836-1912) 
In a Rose Garden Source: christies.com








Bibliography

Anazarbos, Dioscorides Pedanius of, and AndrĂ©s de ‏1499-1559 Laguna. “World Digital
            Library.” WDL RSS, Jean Laet, www.wdl.org/en/item/10632/.
       

“ASP History « The American Society of Pharmacognosy.” The American Society of

Barrett, Marilyn. The handbook of clinically tested herbal remedies. Haworth Herbal Press, 2004.
        
Culpeper, Nicholas, and C. F. Leyel. English physician and Complete herbal. Arco Publications,
1961.  

"Culpeper, Nicholas." Chambers Biographical Dictionary, Liam Rodger, and Joan Bakewell,
            Chambers Harrap, 9th edition, 2011. Credo Reference,

Downey, Ed. "Hippocrates of Cos." ["Hippocrates of Cos"]. Hippocrates of Cos,  
8/1/2017, pp. 1-2. 




 Foster, Steven, and Christopher Hobbs. A field guide to Western medicinal plants and herbs.
            Houghton Mifflin Co, 2002.
"-gnosy, comb. form." OED Online, Oxford University Press, June 2017,   www.oed.com/view/Entry/251535. Accessed 10 November 2017.

Grieve, M., and C. F. Leyel. A modern herbal: the medicinal, culinary, cosmetic and economic
            properties, cultivation and folk-Lore of herbs, grasses, fungi, shrubs & trees, with all the
            modern scientific uses. Dover Publications, 1971.

Horwood, Catherine. Women and their gardens: a history from the Elizabethan era to today. Ball
            Pub., 2012.

Jones, Alan. Chemistry: an introduction for medical and health sciences. Wiley, 2005.

Lily Y. Beck, trans. De materia medica by Pedanius Dioscorides. Hildesheim, Germany, Olms-
            Weidmann,  2005. 540 pp.

"On the Hard and Soft Sciences in Public Health." Public Health Reports 129.2 (2014):124.
            Web.
      


"pharmaco-, comb. form." OED Online, Oxford University Press, June 2017,
            `www.oed.com/view/Entry/142235. Accessed 12 November 2017.
  

"pharmacognosy, n." OED Online, Oxford University Press, June 2017,
            www.oed.com/view/Entry/263113. Accessed 10 November 2017.

“Sir Lawrence Alma-Tadema, O.M., R.A. (1836-1912) , In a Rose Garden.” , In a Rose Garden |

            perspective. Carolina Academic Press, 2010.
          
Welcome to the PLANTS Database | USDA PLANTS, plants.usda.gov/.