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Journal of an Herbalist

Taking Too Many Herbs

By Karima Burns

29/03/2002

Case: Khalid

Problem: Khalid came to me because he had recently experienced shaking in his hands and a twitching in his nose that no one could explain. When he arrived at my office he revealed a score of other health complaints, as well as the fact that he had been taking herbal remedies for all of these complaints.

Khalid’s case was perhaps one of the most extreme I had seen in years. I have often seen people self-administer herbs with disastrous results, but in Khalid's case he was taking a large quantity of multiple herbal remedies everyday with no idea as to what they were or how they worked. I agreed to work with Khalid strictly on the basis of helping him understand the herbs he was taking and helping him to modify his herbal remedies.

Khalid was overweight as a result of a disastrous surgery performed on him twenty-five years ago. He had had an intestinal bypass surgery, went into a coma as a result and then had the bypass reversed. Since that day, he had suffered bloating and poor digestion. As his weight increased he also suffered the typical problems that come with weight gain - poor circulation and imbalanced blood sugar levels. He also worried about high cholesterol as both his parents suffered from that condition.

Despite his numerous health complaints, Khalid was a cheerful and optimistic man. He was eager to try new things and believed completely in the world of alternative healing, although he was also wise enough to consult with a doctor about his conditions and regularly had medical tests run. He had recently been to India where he was given some homeopathic remedies and some reflexology treatments. Before that he had visited Bali and been given some herbal treatment. For the past two years he had also become interested in herbs and visited the local General Nutrition Center (GNC) store about once a month to procure any new product that could be helpful to him.

The only problem was that he forgot to mention to the GNC clerk what he was already taking. At the same time, one clerk who knew him well, continued to advise him to take various herbs although he, himself was not a trained herbalist and had no idea what the vast quantities and combinations of herbs would do to Khalid.

A few months after starting his herbal consumption, Khalid suffered numbness in his hand. This caused him to become even more worried and to return for yet more herbs. By the end of two years the problem in his hand had spread to the entire left side of his body and he was plagued constantly with numbness in his left nostril, left cheek and left hand. Shockingly, each time he returned to GNC he was given yet another herbal combination to keep him healthy. By the end of two years he was taking herbal remedies daily for: blood pressure, high cholesterol, diabetes, circulation and energy.

When Khalid dropped by a list of the ingredients on the herbal remedies he was taking on a daily basis I was worried. The number of different herbs he was taking totaled 60 and some herbs like Ginkgo Bilboa, was found in every package which meant he was taking too much of this herb every day.

Most traditional herbalists from Hippocates (360BC) to Avicenna (980AD) to Christopher Hobbes (1990) recommend that a person first find a single herb that covers most of the conditions they are suffering from and then work up to perhaps adding a second or third herb. Even in cases where multiple herbs are mixed, the properties of the herbs are always taken into consideration and if a traditional formula is not being used, each combination usually contains no more than ten herbs.

I gave Khalid a list of guidelines for taking herbs and advised him to stop all of the herbs he was taking for at least a month. I advised him to drink a cup of fenugreek tea for breakfast every day, which cost about $1.00 a month as opposed to the $97.00 a month he was spending now. Fenugreek has historically been used to help people with blood sugar problems, high cholesterol and digestive problems. In addition, fenugreek was often used as a food in times of famine and is a tonic herb, which can be taken every day, rather than a medicinal herb that can only be taken for a short period of time. The fenugreek also served another purpose with Khalid: his diet had become so restrained in recent years that he had taken to eating only a small bowl of lentils and rice for dinner and nothing more. The fenugreek would provide him with at least some nutrition at breakfast time.

A month later Khalid is feeling much better and the numbness has vanished in both his nose and his hand.

Here are the guidelines I gave Khalid:

1. Always get the opinion of a professional herbalist before taking herbs. Do not rely on people who work in health food stores or who sell herbs. No matter how many training courses they have taken they have usually not been trained in professional herbalism, which requires knowledge of herbal chemistry and history. Most training given to herb salespeople is completely informational (what herb is supposed to cure what) for purposes of marketing. This can often give the appearance of knowledge when really, all a person has done is memorize and become familiar with a lot of information.

2. If you intend to take herbs or medications be honest with your doctor, herbalist or salesperson at GNC about how many herbs and medicines you are already taking.

3. Be sure you know the side effects of the herbs you are taking so you can monitor your body response to these herbs. Most herbs give warning signs of overdose such as headaches, numbness or shaking.

4. Medicinal herbs should be taken for only six weeks at a time and then one should re-evaluate their situation. Tonic herbs can be taken for longer periods of time.

5. Quality of the herb should always be considered. Some herbal preparations are so manufactured that they are almost not herbs anymore and are instead have become super strong extractions of various properties within that herb. These preparations are akin to medications and should be treated with caution. Other herbal preparations are done so poorly that the glass of water one drinks with the capsule is more beneficial.

6. Typology should be taken into consideration when consuming herbs. Some herbs are not good for everyone. In Khalid’s case a friend had advised he take cayenne for his circulation, but cayenne is not good for people who suffer high or low blood sugar so Khalid’s body was not reacting well to the cayenne.

7. Never take the advice of friends even though they may know a lot about herbs. Also, one should never take an herb because someone they know with the same condition said it was good. It may not work the same with everyone. Would you take your friends antibiotics he had left after a flu because he said they worked for him?

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