AHP Internship

For the Summer 2018 Trimester I conducted a 0.5 credit hour with American Herbal Pharmacopoeia Under the supervision of the AHP Executive Director Roy Upton I contributed to the upcoming monograph on Anemopsis Californica.  This monograph will serve a complete and critical review of the traditional and scientific literature regarding the efficacy and safety of yerba mansa.   I feel especially lucky to be working on a monograph with AHP because I feel that it is an organization conducting vitally important work for the field of herbal medicine.  My perspective is that there is a direct association between the work that Lloyd, Felter, Scudder and King etc were doing a century ago and the work that AHP is doing now.

Aside from the deliverables, the metrics associated with a quality internship program necessarily center around the opportunities it provides for students to develop the soft skills that will facilitate their transition to professional life.   This internship experience challenged me to continue developing competency in many of the soft skills articulated in as learning goals for the internship.   Four skills that I was able to identify significant self progress in are: Written communication skills, the MUIH value of discernment, critical thinking skills, and professionalism.

While the monograph is ultimately the intellectual property of AHP a small sample of the work I conducted for the internship can be exemplified by this chart of the ethnobotanical use of Anemopsis.

Communities

Reference

Internal Use

Colds

Tübatulabal ,
 Maricopa, Pima,
Diné, Luiseño and
  Chumash Pericú
   Chumash and
 southern Paiute
Larsen 1992; Wheeler-
Voegelin 1938; Wyman
and Harris 1979;
Dimayuga et al.;
Russell 1908; Stoffle
and Dobyns 1982;
1983; Timbrook 2007;
Train etal 1974

Dysentery

Yaqui and
 Tarumari

Boido 1894

Diuretic

Diné

Wyman and Harris 1979
Tuberculosis

Diné, Pima

Wyman and Harris
1979; Russell 1908

Gangrene

Yaqui and
 Tarumari

Boido 1894

General pain

Chumash and
southern Paiute,
    Kumeyaay
Russell 1908; Stoffle
and Dobyns 1982,
1983; Timbrook 2007;
Train et al. 1974;
(Wilken, 2012)
menstrual
   cramps
Costanoan, Ohlone

Bocek 1984

Blood purifier
Luiseño and
  Chumash
Gardner 1965; Jepson
1909; Kroeber et al.
1908; Sparkman 1908;
Train et al. 1974

Asthma

Luiseño and
Chumash Paiute
Gardner 1965; Jepson
1909; Kroeber et al.
1908; Sparkman 1908;
Train et al. 1974;
Rhode 2002

Indigestion

Chumash and
southern Paiute,
    Kumeyaay
Russell 1908; Stoffle
and Dobyns, 1982,
1983; Timbrook 2007;
Train et al 1974;
(Wilken, 2012)
Venereal
 disease
Tübatulabal ,
 Maricopa, Pima
   Chumash and
southern Paiute,
      Hopi
Larsen 1992; Wheeler-
Voegelin 1938;
(Sánchez, 1999)

Emetic

Papago, Pima

Castetter and
Underhill 1935;
Russell 1908

Diabetes

Tübatulabal ,
Maricopa, Pima
Larsen 1992; Wheeler-
Voegelin 1938

Malaria

Yaqui and
 Tarumari

Boido 1894

Topical Use

Wounds Bruises
and Sores
Luiseño and
Chumash Yaqui and
 Tarumari Pericú
 Costanoan Zuni,
 Pueblo, Navajo,
  Kumeyaay, Hopi
Gardner 1965; Jepson
1909; Kroeber et al.
1908; Sparkman 1908;
Train et al. 1974
Dimayuga et al.;
Bocek 1984; Curtin
1997; (Wilken, 2012);
(Sánchez, 1999)

Rheumatism

Paiute

Train et al., 1974;
Larsen 1992

Gargle

Zuni, Pueblo,
    Navajo

Curtin 1997

 

Anemopsis californica flickr photo by wallygrom shared under a Creative Commons (BY-SA) license

FORMULA All Purpose skin support salve With Calendula Comfrey Chamomile and Plantain

Calendula, comfrey, plantain and chamomile all have a long history of traditional use as skin supporting herbs.  They also share many of the same actions (Wichtl and Bisset, 1994).  The Commission E expanded monograph indicates the use of calendula for poorly healing wounds, bruises, boils and rashes.  Similarly, comfrey is indicated for pain, inflammation contusions and injuries although it is contraindicated for deep puncture wounds.  Plantain is a vulnerary and  anti-microbial and anti-inflammatory.   

The components of the salve are 90.8% Infused oils and ethyl-oil extractions, 9% beeswax and  0.2% Lavandula angustifolia essential oil.  The infused oil formula consists of: 7 parts Calendula officinalis infused olive oil, 6 parts Plantago major infused olive oil,  5 parts Symphytum officinalis sweet almond oil  and 2 parts of Matricaria recutita ethyl-oil extract comprised of M. recutita infused apricot kernel oil with an  of  M. recutita 1:5 60%.

The calendula and chamomile were harvested from my garden in late summer of 2015, dried on racks and stored in amber bottles in a climate controlled room.  The dried organic c/s plantain leaf which originated in Bulgaria, was purchased from Mountain Rose Herbs Lot 22223.  The beeswax is also from mountain rose, Lot# B8589.  The dried organic c/s comfrey leaf which originated in Croatia, was purchased from Starwest Botanicals Lot# 62288.  The M. recutita tincture was produced in January 2016 using the scientific maceration method. The olive and sweet almond oils of unknown origin were purchased from Essential Depot. Their 25 digit batch numbers are available upon request.  The Turkish apricot kernel oil is beauty aura brand with no batch number but an expiration date of 12/1/2017.   The oils were all infused using the “warm digestion method” (Green, 2002, p. 194.)

The ethyl-oil extraction was chosen for chamomile as a method of increasing the quantity of terpenes such as alpha-Bisabolol, matricarin and matricin, the distinctive chamazulene and phenolic coumarins relative to volume of chamomile infused oil in the final product.  These constituents are considered to be anti-inflammatory (Hoffman, 2003) and contribute to chamomile’s vulnerary properties (Braun & Cohen, 2010).   All of these constituents are well extracted in hydroethanolic solutions. The ethanol and water can then be evaporated increasing the levels of constituent in the oil solution.

Organoleptically all of the infused oils embody the energetics of the infused herbs.  The calendula oil is an orange yellow in color indicating a good extraction of the carotenoids and has the aromatic qualities of the flower. The comfrey oil and was an opaque dark green in color  and had the grassy sweet smell of steroidal saponins.  The plantain oil was also an opaque dark green in color and had the distinctive pepper scent of plantain tea.  The chamomile oil was a rich translucent and had the characteristic aromatic and bitter scent of the therapeutic volatile oils and coumarins as well a yellow color tint.  The chamomile oil was translucent.  None of the infused oils had the scent of fixed carrier oil.

To create the salve all glassware and containers were sterilized.  150ml of chamomile was combined with 100ml of M. recutita  1:5 60% in a boiling flask and heated to 130F until the ethanol and h20 have evaporated.  The ethanol was vented during this process.  This yielded 150ml of chamomile ethyl-oil extract.  This was combined with 550ml of the calendula oil, 475ml of plantain oil, 325ml of the comfrey oil and 165g of beeswax shavings.   The mixture was covered, heated to 150F until the beeswax was melted.  The mixture was blended with a stick blender until uniform consistency was reached.  A small sample was frozen to check viscosity of the final mixture.  3ml of lavandula angustifolia essential oil was added and the mixture was stick-blended again.   The  mixture was poured off into containers capped and allowed to dry. After wastage, the yield was approx. 1600ml  13  four oz jars and 2 1oz tins were filled.

The salve is a yellow in color with a slight front scent of lavender and a sweet scent of the combined aromatics of the infused oils. It is initially greasy but ultimately is absorbed leaving a slight sheen on the skin.  I was aiming for a salve without overpowering scent that was on the softer side so it cold be spread on wounds.

Next time I make it I would source higher quality oils, use exclusively almond and apricot oil instead of olive oil. I would also source better jars because some of the blue chipped off during boiling.

References:

Braun, L., & Cohen, M. (2010). Herbs & natural supplements: An evidence-based guide. Sydney: Elsevier Australia

Green, J. (2000). The herbal medicine-makers’ handbook: A home manual. Freedom, CA: The Crossing Press.

Hoffmann, D. (2003). Medical herbalism: The science and practice of herbal medicine. Rochester, VT: Healing Arts Press.

Wichtl, M. and N.G. Bisset (eds.). 1994. Herbal Drugs and Phytopharmaceuticals. Stuttgart: Medpharm Scientific Publishers.

Herbs for under 5 dollars a month

Accessibility, as well as sustainability for me are central concepts in the modality of Western Herbalism.  What follows are some herbs and dosage regimens that would cost under 5 dollars a momnth.   These herbs all have a therapeutic benefit for frequently encountered imbalances. 

MRH = Mountainroseherbs.com

  • Ashwagandah – 453g (MRH) Daily 1g dose .033 a gram or 96 cents a month
  • Celery Seed – 453g for 8.00 (MRH) Daily 2g dose 0.035 a dose, or 96 cents a month
  • Cacao powder – 1359g for 17.00 (Amazon) Daily 1.5g Dose 0.0125 a dose or 56 cents a month
  • Cinnamon – 453g for 11.68 (Amazon) Daily 1g Dose 0.02 a dose77 cents a month
  • Gymnema sylvestre 453g for 9.00 (MRH) Daily 3g Dose 0.05 a dose $1.78 a month

Total herb Cost: 5.03

Ashwagandah is hypocholesteroemic, lowers cortisol, and has been traditionally used as what we now would consider an adaptogen.  Stressed, underserved populations would benefit from a low cost adaptogen.  Dosage varies wildly by source.  1g is probably a minimum therapeutic dose.

Celery seed is has been shown to have anti-inflammatory properties and is useful in the treatment of rheumatism and arthritis.   Dosage starts at 0.5g TID by decoction or capsule (Bone, 2003) and (Braun & Cohen, 2015).

Theobroma cacao is a powerful antioxidant with hyoplipidemic and hypotensive properties (Braun & Cohen, 2015).  The dosage advice varies widely 1.5g is a low therapeutic dose.

Cinnamonium verum enhances insulin sensitivity, and has demonstrated hypoglycemic and anti atherosclerotic activity (Braun & Cohen, 2015.) Dosage ranges from 1 to 4g.

Gymnema exhibits a broad range of therapeutic effects as an effective natural remedy for diabetes, besides being used for arthritis, diuretic, anemia, osteoporosis, hypercholesterolemia, cardiopathy, asthma, constipation, microbial infections, indigestion, and anti-inflammatory (Tiwari, Mishra, & Sangwan, 2014)

Ashwaganda, cinnamon and cocoa can be mixed with oats into a ball with peanut butter or rolled oats and packed for work or mixed into cereal or yogurt in the morning.   All of these powders with the exception of cinnamon because of it’s strong taste can be mixed into pretty much everything without too much trouble.   Cinnamon can be incorporated into dishes that benefit from it as a spice.   The Gymnema and the Celery could be taken as a water extraction and flavored with the cinnamon.   In addition to incorporating these as foods they could be taken directly as powders of put into capsules although with all the delicious ways of using these herbs in foods, capsuling them seems like a waste of time.

References:

Bone, K. (2003). A clinical guide to blending liquid herbs: herbal formulations for the individual patient. St. Louis, Mo: Churchill Livingstone.

Braun, L., & Cohen, M. (2015). Herbs and natural supplements an evidence-based guide. (4th ed., Vol. 2). Edinburgh: Churchill Livingstone.

Tiwari, P., Mishra, B. N., & Sangwan, N. S. (2014). Phytochemical and Pharmacological Properties of Gymnema sylvestre: An Important Medicinal Plant. BioMed Research International, 2014. https://doi.org/10.1155/2014/830285

Eyebright and the Ethics of Wildcrafting.

Eyebright

Eyebright: at risk.

This paper was a result of my work in HRB 622.  But I think it reinforces and demonstrates the learning I acquired in HRB605.  I feel that this paper indicates one method of how to apply traditional knowledge and evidence based data by assessing a variety of plant classification systems, including phytochemistry, botanical, cultural and bioregional, to improve human health.  The comparison of constituents found in eyebright and plantain provides a convincing case for how phytochemistry and evidence based data can inform and build on the traditional body of knowledge that comprises western herbalism.

 

Eyebright and the Ethics of Wildcrafting.

Plantago Major

The Noble Plantain

Wildcrafting is an important component of traditional herbal medicine. Many herbalists would argue that wildcrafting and encountering species in their native habitats is a necessary component in developing a competent and meaningful relationship with with those plants. There is also an argument that as a result of complex mechanisms such as hormesis cultivated plant specimens have the potential of containing a subtly different, and often weaker, constituent profile. Other herbalists will argue that these differences between wild and cultivated plants are negligible in a therapeutic context and the solution to over-harvesting of wild therapeutics is to use only cultivated varieties.

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