When you talk to a pharmacist in a drugstore, you can be pretty confident you're dealing with a professional who has taken rigorous courses on the medicines he or she sells. But when you're looking for herbal remedies, the situation's different. The clerk at the counter of a health food store is probably just as willing to give you advice. But many such employees know little about the uses -- and risks -- of the herbs they sell.
An informal WebMD survey of health store clerks found that their training ranged from a 12-week course to none at all. That's typical of those who sell herbs, says Mindy Green, a founder of the American Herbalists Guild.
When heart specialist John M. Kennedy, M.D., of Harbor-UCLA Medical Center, stands at the scrub sink before an operation, he breathes deeply with seven-count exhales, visualizing how he wants the procedure to go. "Athletes use these techniques to perform under pressure, but we can all call on them in our regular lives," Dr. Kennedy says. It starts with knowing what kind of breathing works best for the challenge you're facing. Here's what the latest research shows.
It's a problem because herbs, if used improperly, can be dangerous or even lethal. And guidance about what and what not to use can be hard to come by. Many labels on herbal products don't even specify the maladies for which they should be used. And commercially manufactured herbs are often sold mixed with other ingredients in concentrations that can vary widely from one product to another -- making it even more difficult to determine the right product for a given ailment.
So where can you get advice you can trust? The closest equivalents to pharmacists in the herb industry are professional herbalists who have spent years studying and using the plant products they prescribe. But while pharmacists and doctors must meet a uniform set of licensing requirements set by a governing board, no such governing body certifies herbalists. This means that checking the credentials of an herbalist may take a little digging, but it's important to do so.
To begin, ask if your herbalist belongs to the American Herbalists Guild. To become members, herbalists must submit three letters of reference from other professional herbalists, a description of their training, and an account of at least four years of experience working with medicinal herbs. (To obtain a list of herbalists accepted as members by the American Herbalists Guild, visit their web site at http://www.healthy.net/herbalists or call them at 435-722-8434.)
But herbalists come from many different traditions (Western, Native American, and traditional Chinese medicine, to name three) which makes it difficult to set criteria. "Any time the guild tries to set some minimum standards for who can call themselves an herbalist, they run into problems," says Rob McCaleb, president of the Herb Research Foundation in Boulder, Colorado. "There are just too many schools of herbalists."
The various branches of herbal medicine use different certification systems. For example, the National Certification Council for Acupuncturists and Oriental Medicine tests practitioners of traditional Chinese medicine on their knowledge of herbs.
Schooling and Training
If you find an herbalist outside of the guild, be sure to ask her where she went to school, whether the school was accredited, and how long the program lasted. Herbal training programs can vary from a few months to years.