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  • Article

A history of mindfulness

Matt Drage questions how an ancient religious practice became a secular cure for stress.

  • Article

Love, longing and tea from the polski sklep

For people of Polish origin in the UK, herbal tea is closely tied to health and shared history. Kasia Tomasiewicz explores her changing relationship to these tea-related cultural habits.

  • Article

Plant portraits

The beautiful and mysterious illustrations in medieval herbals convey a wealth of knowledge about the plants they portray.

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The healing power of the physic garden

Having experienced the healing power of plants and gardens, Iona Glen goes in search of present-day “physic gardens” and their origins in history.

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  • Aconitum carmichaelii Debeaux. Ranunculaceae. Chinese aconite, Chinese wolfsbane, Carmichael's monkshood. Herbaceous perennial. Distribution C. to W. China to N. America. Named for Dr J.R. Carmichael (d. 1877), English physician, plant collector and Protestant missionary from 1862-1877 in Guangdong and Shandong, China initially in Canton. He aided Francis Forbes to collect plants for Kew. Aconitum plants are so poisonous that Theophrastus states that death was the punishment for possessing them. Aconitine is the poison and was used - from Aconitum ferox - in the 'curry murder' in London in 2009. It causes respiratory paralysis, bradycardia (slowing of the pulse), cardiac arrhythmias, tingling, sweating, gastric cramps, diarrhoea and death, both by ingestion and by absorption through the mucous membranes and the skin. Despite this it is widely used in Chinese herbal medicine. It is a restricted herbal medicine which can only be dispensed by a herbal practitioner for external use following a one-to-one consultation, or by prescription from a registered doctor or dentist (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Dianthus caryophyllus L. Caryophyllaceae Carnation, clove-gilliflowers - Mediterranean Culpeper (1650) writes that ‘Clove-gilliflowers, resist the pestilence, strengthen the heart, liver and stomach, and provokes lust.’ They smell strongly of cloves, and an oil made from the petals is used in perfumery, soaps etc. The petals are sometimes used as a garnish for salads. In herbal medicine they are used to make a tonic. Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Echinacea purpurea (L.) Moench Asteraceae. Coneflower. Distribution: North America. Austin (2004) records that the roots were chewed, or used as a tincture for coughs by the Choctaw. It was combined with Rhus typhina to treat venereal disease by the Delaware. Very little record of this being used by Native Americans, who used E. angustifolia very widely - Regarded as a panacea and magical herb. This and E. pallida were used to treat snakebite, spider bite, cancer, toothache, burns, sores, wounds, flu and colds. E. purpurea in modern times has been used as an ‘immunostimulant’, but is known to cause a fall in white cell count, and to be purely a placebo. Licensed for use as a Traditional Herbal Medicine, which does not require proof of efficacy, in the UK. Licensed as a Traditional Herbal Remedy in the UK (Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Echinacea purpurea (L.) Moench Asteraceae. Coneflower. Distribution: North America. Austin (2004) records that the roots were chewed, or used as a tincture for coughs by the Choctaw. It was combined with Rhus typhina to treat venereal disease by the Delaware. Very little record of this being used by Native Americans, who used E. angustifolia very widely - Regarded as a panacea and magical herb. This and E. pallida were used to treat snakebite, spider bite, cancer, toothache, burns, sores, wounds, flu and colds. E. purpurea in modern times has been used as an ‘immunostimulant’, but is known to cause a fall in white cell count, and to be purely a placebo. Licensed for use as a Traditional Herbal Medicine, which does not require proof of efficacy, in the UK. Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Echinacea purpurea (L.) Moench Asteraceae. Coneflower. Distribution: North America. Austin (2004) records that the roots were chewed, or used as a tincture for coughs by the Choctaw. Combined with Rhus typhina to treat venereal disease by the Delaware. Very little record of this being used by Native Americans, who used E. angustifolia very widely - Regarded as a panacea and magical herb. This and E. pallida were used to treat snakebite, spider bite, cancer, toothache, burns, sores, wounds, flu and colds. E. purpurea in modern times has been used as an ‘immunostimulant’, but is known to cause a fall in white cell count, and to be purely a placebo. Licensed for use as a Traditional Herbal Medicine, which does not require proof of efficacy, in the UK. Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Echinacea purpurea (L.) Moench Asteraceae. Coneflower. Distribution: North America. Austin (2004) records that the roots were chewed, or used as a tincture for coughs by the Choctaw. It was combined with Rhus typhina to treat venereal disease by the Delaware. Very little record of this being used by Native Americans, who used E. angustifolia very widely - Regarded as a panacea and magical herb. This and E. pallida were used to treat snakebite, spider bite, cancer, toothache, burns, sores, wounds, flu and colds. E. purpurea in modern times has been used as an ‘immunostimulant’, but is known to cause a fall in white cell count, and to be purely a placebo. Licensed for use as a Traditional Herbal Medicine, which does not require proof of efficacy, in the UK. Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Hepatica nobilis Mill. Ranunculaceae. Liverwort - not to be confused with the lichen of the same name. Distribution: North America. Liverwort (‘liver plant’): discontinued herbal medicine for disorders of the liver. The name and the use to which the Liverworts have been put medicinally is suggested, according to the doctrine of signatures, by the shape of the leaves which are three-lobed, like the liver. It is little used in modern herbalism but was employed in treating disorders of the liver and gall bladder, indigestion etc. It is highly toxic. Hepatica acutiloba was widely used for liver disorders in the 1880s, with up to 200,000 kilos of leaves being harvested per annum to make liver tonics - which eventually caused jaundice. Gerard (1633) calls it Hepaticum trifolium, Noble Liverwort, Golden Trefoile and herbe Trinity and writes: 'It is reported to be good against weakness of the liver which proceedeth from a hot cause, for it cooleth and strengtheneth it not a little. ' He adds ' Baptista Sardus[a Piedmontese physician fl. 1500] commendeth it and writeth that the chiefe vertue is in the root
  • Hepatica nobilis Mill. Ranunculaceae. Liverwort - not to be confused with the lichen of the same name. Distribution: North America. Liverwort (‘liver plant’): discontinued herbal medicine for disorders of the liver. The name and the use to which the Liverworts have been put medicinally is suggested, according to the doctrine of signatures, by the shape of the leaves which are three-lobed, like the liver. It is little used in modern herbalism but was employed in treating disorders of the liver and gall bladder, indigestion etc. It is highly toxic. Hepatica acutiloba was widely used for liver disorders in the 1880s, with up to 200,000 kilos of leaves being harvested per annum to make liver tonics - which eventually caused jaundice. Gerard (1633) calls it Hepaticum trifolium, Noble Liverwort, Golden Trefoile and herbe Trinity and writes: 'It is reported to be good against weakness of the liver which proceedeth from a hot cause, for it cooleth and strengtheneth it not a little. ' He adds ' Baptista Sardus [a Piedmontese physician fl. 1500] commendeth it and writeth that the chiefe vertue is in the root
  • Scutellaria baicalensis Georgi Lamiaceae. Baikal skullcap. Distribution: China. There are several hundred species of Scutellaria, also known as skull caps, so correct identification is important - in particular from Scutellaria lateriflora an American species known as Blue skullcap. The latter is used as an abortifacient and to expel placenta by the Cherokee and for cleaning the throat by the Iroquois (Austin, 2004). Much vaunted as a treatment for rabies with unlikely statistics (1,400 cases cured by one doctor alone). Also as ‘antispasmodic, nervine, [for] chorea, convulsions, tetanus, tremors, delirium tremens, [and as a] diaphoretic and diuretic'. Toxicity symptoms include mental confusion, stupor, headache, vertigo, photophobia, dilated pupils, difficulty in micturition, bradycardia, tremulousness and languor, followed by wakefulness and restlessness (Milspaugh, 1974). Hutchens (1991) reported that it reduces sexual desire and was used for almost every nervous illness. Scutellaria baicalensis contains baicalin, baicalein and wogonin (European Medicines Agency, September 2010). It is used in Traditional Chinese Medicine for treating inflammation, cancer, bacterial and viral infections of the lungs and gut and is one of the '50 Chinese herbs' in the lists of some authors. Scutellaria lateriflora (combined with Verbena officinalis, Passiflora incarnata and the seed of Avena sativa (oats) is licensed for use in Britain as a herbal medicine for temporary relief of mild symptoms of stress such as mild anxiety and to aid sleep, based upon traditional use only. Scutellaria baicalensis is not licensed for use in the UK (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Veratrum nigrum L. Melanthiaceae Distribution: Europe. Cows do not eat Veratrum species in the meadows, and human poisoning with it caused vomiting and fainting. In the 1850s it was found to reduce the heart's action and slow the pulse (Bentley, 1861, called it an 'arterial sedative'), and in 1859 it was used orally in a woman who was having convulsions due to eclampsia. Dr Paul DeLacy Baker in Alabama treated her with drops of a tincture of V. viride. She recovered. It was used thereafter, as the first choice of treatment, and, when blood pressure monitoring became possible, it was discovered that it worked by reducing the high blood pressure that occurs in eclampsia. By 1947 death rates were reduced from 30% to 5% by its use at the Boston Lying-in Hospital. It works by dilating the arteries in muscles and in the gastrointestinal circulation. A further use of Veratrum species came to light when it was noted that V. californicum - and other species - if eaten by sheep resulted in foetal malformations, in particular only having one eye. The chemical in the plant that was responsible, cyclopamine, was found to act on certain genetic pathways responsible for stem cell division in the regulation of the development of bilateral symmetry in the embryo/foetus. Synthetic analogues have been developed which act on what have come to be called the 'hedgehog signalling pathways' in stem cell division, and these 'Hedgehog inhibitors' are being introduced into medicine for the treatment of various cancers like chondrosarcoma, myelofibrosis, and advanced basal cell carcinoma. The drugs are saridegib, erismodegib and vismodegib. All the early herbals report on its ability to cause vomiting. As a herbal medicine it is Prescription Only, via a registered dentist or physician (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.
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