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Herbalism is a traditional medicinal or folk medicine practice based on the use of plants and plant extracts. Herbalism is also known as botanical medicine , medical herbalism , herbal medicine , herbology , and phytotherapy . The scope of herbal medicine is sometimes extended to include fungal and bee products, as well as minerals, shells and certain animal parts.

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.

Despite the increased popularity of herbal treatments, the safety and effectiveness of alternative medicines have not been scientifically proven and remain largely unknown.. A number of herbs are thought to be likely to cause adverse effects. Furthermore, "adulteration, inappropriate formulation, or lack of understanding of plant and drug interactions have led to adverse reactions that are sometimes life threatening or lethal."

Anthropology of herbalism

Further information: Zoopharmacognosy

People on all continents have used hundreds to thousands of indigenous plants for treatment of ailments since prehistoric times. 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. These herbs appear to have been used to treat the parasites found in his intestines. Anthropology or anthropologists theorize that animals evolved a tendency to seek out bitter plant parts in response to illness.

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. 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 Wesleyan University found that some birds select nesting material rich in antimicrobial agents which protect their young from harmful bacteria.

Sick animals tend to forage plants rich in secondary metabolites, such as tannins and alkaloids. Since these phytochemicals often have antiviral, antibacterial, antifungal and antihelminthic properties, a plausible case can be made for self-medication by animals in the wild.

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 and spices in cuisine developed in part as a response to the threat of food-born pathogens. Studies show that in tropical climates where pathogens are the most abundant, recipes are the most highly spiced. Further, the spices with the most potent antimicrobial activity tend to be selected. In all cultures vegetables are spiced less than meat, presumably because they are more resistant to spoilage.

Herbs in history

In the written record, the study of herbs dates back over 5,000 years to the Sumerians, who described well-established medicinal uses for such plants as laurel, caraway, and thyme. Ancient Egyptian medicine of 1000 B.C. are known to have used garlic, opium, castor oil, coriander, mint, indigo, and other herbs for medicine and the Old Testament also mentions herb use and cultivation, including mandrake, vetch, caraway, wheat, barley, and rye.

Indian Ayurveda medicine has been using herbs such as turmeric possibly as early as 1900 B.C. Many other herbs and minerals used in Ayurveda were later described by ancient Indian herbalists such as Charaka and Sushruta during the 1st millenium BC. The Sushruta Samhita attributed to Sushruta in the 6th century BC describes 700 medicinal plants, 64 preparations from mineral sources, and 57 preparations based on animal sources.

The first Chinese herbal book, the Shennong Bencao Jing , compiled during the Han Dynasty but dating back to a much earlier date, possibly 2700 B.C., lists 365 medicinal plants and their uses - including ma-Huang, the shrub that introduced the drug ephedrine to modern medicine. Succeeding generations augmented on the Shennong Bencao Jing , as in the Yaoxing Lun ( Treatise on the Nature of Medicinal Herbs ), a 7th century Tang Dynasty treatise on herbal medicine.

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 hand, recommended large doses of 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 than 500 plants that remained an authoritative reference into the 17th 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.

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800 and 1400. Abulcasis (936-1013) of Cordoba authored The Book of Simples , an important source for later European herbals, while Ibn al-Baitar (1197-1248) of Malaga authored the Corpus of Simples , the most complete Arab herbal which introduced 200 new healing herbs, including tamarind, aconite, and nux vomica. Other pharmacopoeia books include that written by Abu-Rayhan Biruni in the 11th century and Ibn Zuhr (Avenzoar) in the 12th century (and printed in 1491), The origins of clinical pharmacology also date back to the Middle Ages in Avicenna's The Canon of Medicine , Peter of Spain's Commentary on Isaac , and John of St Amand's Commentary on the Antedotary of Nicholas . In particular, the Canon introduced clinical trials, randomized controlled trials, and efficacy tests.

Alongside the university system, folk medicine continued to thrive. 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, but Dioscorides’ De Materia Medica , Avicenna's Canon of Medicine and Avenzoar's pharmacopoeia were not far behind.

Modern era

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 were The 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 millennium, 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 Black Death, which the then dominant Four Element medical system proved powerless to stop. A century later, Paracelsus introduced the use of active chemical drugs (like arsenic, copper sulfate, iron, mercury, and sulfur). These were accepted even though they had toxic effects because of the urgent need to treat Syphilis. 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.

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