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Clay-0v.- c. so govo-cso. - Oi‘D‘l 5780"“ 53"" nit ~ GANP .. . .o . . _ . . O .. . t . . . .. . . ‘ v . ¢ . . . I . . . . I. o . . o _ . . .. . v v :I . . . .. v _ .. a . . . K o. .0 ~ PEOPLE 0E SOUTHERN --MICHI the Deg o a e of M; 3 re - ' Thesis for o...” .o u I.» . K I u. ~ . I D '1'. a. O Q ..II, a 1. v 1- I n It 4. 1.... o... ... U“ R.” ...l.. A. Unm m K s m .H . mm. - ,‘1975 - . . 8... .o ’ 3:. . _ . . ....éhmux .. 1 . . ... .2 . .AK-E.w.’.. . < . .... ... .~.u .“I.¢_ . . . .1..r.{.v . .. .o . . .. 1...)..1 . . .K ‘..(..On _ .. _~‘—. . 4:; . . .. ... ......E. no... . .. .... 1.37‘ I l .. .— .- ' o c O . o . . . o. . o . . E . . ,. ... ..u.....,~uo4~‘ 7 E < . o. . . .V . ... . .0 . .. o . .. . . A .r 0.. . .. ., . . . . ... . . ... o a . ._ .V o a 0 V . v . . . 4, u . . o. . .. . ... . .. .. . . . .... ..¢.. 1.... . .0. _ ‘ r. a . o n. . . . .. . . _ .E . .. . . .. . . ..5 ... o . .7 .L . K . .. . . . . . ~ - . a. _ a § . . ‘ 4 . ... _ .. . O . . \ . . . . . . I . ... .c a . o _ . . . . . ...‘ J . . o, I . s .. .. . _ 3. .. . .. c r. . .‘. . n I t _. . .. f a . . n. , ... .. . o O ‘ 4 . I . o .. . . .... ... .. ., ..............4...:_. .. ... .. _. .. . _ .... ... .E........,..._..._. u, ... ._ u. r... .‘ . O. .p .. .Iu pNPSVO 9* .u.. lllllHHlllllllllllhilllllllllilllllllll‘HIIliIllllHllllW \_/ 3 1293 10414 7891 grams A _~ A (2,1, I I "‘1'”: :c L ,, . I‘ L .1 a.) J H! a: ...“. m‘ ‘i I" II ‘ .‘AA 4- 4““ ABSTRACT MEDICAL ETHNOBOTANY 0F SELECTED GROUPS OF PEOPLE OF SOUTHERN MICHIGAN By Helen Klekman A population of southern Michigan residents with professed interest in plants and/or nutrition was sampled in an attempt to determine its medicinal uses of particular plants. Written surveys were the vehicle of data collection and were administered to groups and individuals selected in non-random fashion. One hundred-sixty questionnaires were analyzed for medicinal usage, frequency of use, association of usage with various demographic controls, and attitudes and practices in relation to medicine, both self-administered and professional. In addition, a market survey of local natural and health food retail outlets was performed in order to determine herbs and spices of medicinal value available commercially. Questionnaires were administered at group meetings of botanical, edible weeds, organic gardening, and nutrition-oriented gatherings. Information was also collected through distribution of forms in natural and health food stores. Various criteria were applied to select questionnaires for analysis, which resulted in 160 surveys available for study. The sampled population provided self-description in relation to age, gender, occupation, health status, education, income, residency (birth, current, most of life), and ethnicity. Nearly one-third of the sample was male. Ages ranged from l8 to 86, with relatively even dis- tribution from 21 to 70 (in ten-year intervals). Half the sample Helen Klekman possessed l2 years or less of education, and half had earned bachelor's degrees or beyond. The majority was employed as profession, technical, or related workers, or as private household workers, housewives inclu- ded. Nearly all considered their health good, great, or excellent, and most stated an annual income of less than $15,0001. Urban residence was predominant currently, at birth, and for most of life. Most of the population were of European or British derivation. In relation to plants, 138 common names (58 families) were reported to be used medicinally. Such medicinal uses were listed as well as relative frequency of use. Maxima, minima, mean and standard error of usage frequencies were calculated. Chi-square analysis showed no significant relation between usage of wild plants, herbs, and spices and the demographic controls. The exception was that of finding usage of selected herbs and spices dependent upon gender (significance level greater than 0.01). The market survey demonstrated that nearly all the herbs and spices reported used in a medicinal manner were currently available at the retail level. Price range was reported as well as uses, if any, for which the plants were marketed. An estimate of annual sales volume was also established for the best-selling herbs. Further analysis showed that preventive medicine (as opposed to symptomatic) was more prevalent both in personal use of medicinal plants and in seeking of professional aid. Nearly all of the sample believed nutrition to have an important relation to health, and half responded affirmatively to medicinal use of plants. Although over half reportedly visited a doctor five or fewer times per year (averaged over the past five years), self-treatment of minor ailments exceeded professional Helen Klekman treatment in nearly all cases. MEDICAL ETHNOBOTANY 0F SELECTED GROUPS OF PEOPLE OF SOUTHERN MICHIGAN By Helen Klekman A THESIS Submitted to Michigan State University in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Department of Botany and Plant Pathology 1975 DEDICATION To my parents, Jean and Philip Miller, whose firm respect and gentle care of plants has set a clear example, and to my husband, Leonard Klekman, whose humor, love, and strength of character made this work possible. ii ACKNOWLEDGMENTS My sincere gratitude and appreciation go to Dr. William B. Drew, whose advice, engouragement, and patience were essential in the research. Other members of my guidance committee, Drs. John H. Beaman and Peter G. Murphy, provided helpful suggestions and assisted in the preparation of this manuscript. Gratitude is also expressed to Dr. J. A. Beegle for assistance with the form and interpretation of the questionnaire, and to Dr. C. Cress for aid with statistical methods. The instruction of Dr. A. J. Rubel drew attention to the human aspects of the interaction of Homo sapiens and the plant kingdom. TABLE OF CONTENTS Page LIST OF TABLES. .................................................. v LIST OF FIGURES .................................................. vi LIST OF SYMBOLS AND ABBREVIATIONS” ................................ vii INTRODUCTION 1. General .............................................. 1 2. Review of the literature ............................. 2 3. Definition of population and sample .................. 12 EXPERIMENTAL PROCEDURES ....................... . ................... l3 RESULTS l. Demographic ........................................... l8 2. Medicinal usage of food plants, herbs and spices, and wild plants ...................................... 25 3. Medicinal uses ....................................... 23 4. Market survey ........................................ 59 5. Beliefs, attitudes, practices.. ...................... 69 DISCUSSION ....................................................... 79 SUMMARY AND CONCLUSIONS .......................................... 82 BIBLIOGRAPHY.......... ...... . .................................... 85 APPENDICES A. Questionnaire ........................................ 91 B. Definitions of medicinal uses according to Jethro Kloss ................................................ 94 C. Phylogenetic Classification .......................... 96 iv LIST OF TABLES Table _ Page l Medicinal usage of plants .............................. 27 2 Wild plants: association of frequency of medicinal use with demographic factors ............................... 29 3 Herbs and spices: association of frequency of medicinal use with demographic factors ........................... 3o 4 Best-selling herbs ..................................... 58 5 Herbs and spices available on the retail market ........ 59 6 Herbal blends available on the retail market ........... 66 7 Medicinal usage: distribution ......................... 59 8 Views of plant medicine ................................ w 59 9 Lay health referral: distribution and frequency ....... 70 10 Wild plants collected for personal use ................. 74 ll Source of medicinal plants ............................. 73 LIST OF FIGURES Figure Page 1 Gender ................................................. 19 2 Age distribution ....................................... 19 3 Educational distribution ............................... 20 4 Occupational distribution .............................. 22 5 Health status .......................................... 23 6 Income distribution .................................... 23 7 Residence distribution ................................. 24 8 Ethnicity .............................................. 25 9 Ethnicity: Europe ..................................... 26 10 Absolute frequency of medicinal use of food plants ..... 32 ll Absolute frequency of medicinal use of herbs and spices ................................................. 33 12 Absolute frequency of medicinal use of wild plants ..... 34 l3 Relative frequency of medicinal use .................... 35 l4 Length of interest in natural remedies ................. 71 15 Source of acquaintance with plant medicines ............ 7] l6 Cause of referral ...................................... 73 17 Growth of herbs for personal use ....................... 75 18 Growth of vegetables for personal use .................. 75 19 Minor ailments treated by self or doctor ............... 77 vi LIST OF SYMBOLS AND ABBREVIATIONS Number of columns cub . = Degrees of freedom Expected value Sum of observed values Total number of plants (common names) Observed value SE = Standard error of the mean OZDI‘TIQO II = Number of rows r x ' Number of recorded uses/common name §'= Mean number of recorded uses/common name 2 = Chi-square bk = Bark fl = Flower lv = Leaves rt = Root sd = Seed FP = Forest Potawatomi Mn = Menomini M5 = Meskwaki Oj = Ojibwe vii INTRODUCTION 1. General Use of healing plants by man to ease pain and suffering has been practiced and recorded for centuries. In more recent times, with the development of technology, a battery of drugs has appeared with which to treat a multitude of ills. Plant sources account in one form or another for many of the medicines of the present world, including quinine, reserpine, digitalis, and aspirin. Cultures primitive in a material sense have been studied in relation to their plant medicines, methods of treatment, and attitudes toward illness in hopes of further extending the means of relieving illness and treating disease. It has been observed that not only materially poor cultures make use of green medicines, but also that folklore of cultures more advanced materially often provides reference to healing uses of plants. An objective of this study was to determine what, if any, medicinal uses persons of a small area of the Midwest make of plants today. In addi- tion, an indication of relative frequency of medicinal usage made of food plants, herbs and spices, and wild plants was sought. Information regarding availability of herbs and spices at the retail level was also considered relevant, both for comparison with those plants used by the population and for future economic comparisons. Further, an attempt to obtain data revealing attitudes toward medicine, both professional and self-administered, was made. 2 Uses, extent of usage, and attitudes were sought through the vehicle of a written questionnaire administered to selected residents of southern Michigan. The market survey was obtained through personal examination of local (Lansing-East Lansing-Okemos) health and natural food stores. Thus, it is hoped that addition to the knowledge of folk medicine of even this restricted population may supplement in a small way the healing strength available today to those in need. 2. Review of the literature In an attempt to understand the history and development of man's interaction with plants and, in particular, cultural usage of healing plants, it is beneficial to maintain an interdisciplinary out- look. Such fields as botany, ethnology, archeology, linguistics, musi- cology, religion, and chemistry (Schultes, l960) as well as medical anthropology, pharmacology, biochemistry, phytochemistry, and paleobotany can be integrated. In regard to goals or utilization of such investi- gations, it has been said that "while heeding the historical outlook and reporting recent discoveries,... there may be kept in mind the future or potential of the plant kingdom as a source of new biodynamic compounds." (Swain, l972) Plant uses have long been reported, with one of the first existing records that of Sumerian ideograms dating to 4000 BC; ancient Chinese, Indian, and Egyptian texts likewise give evidence of human interest in and usage of the green life forms, according to Schultes (1960). Other references of value for historical information include a brief account of place of origin, history, and use of 3l medicinal herbs (mainly European) with illustrations (Lehner, 1962) and a history of Amerindian medicinal plant usage encompassing in some cases usage 3 history of the settlers (Neiner, 1972; Vogel, 1970). Many of the following references do present a history of the species of medicinal plants or groups of same, so that a more inclusive list of historical references is not given here. Respectful mention must be made, however, of de Candolle's Origins gf_Cultjvated Plants and Sturtevant's Notes 93_Edible Plants (edited by Hedrick) as invalua- ble references for origins, in particular. In examining recent ethnobotanical and ethnomedical literature, mainly of the past fifteen years, it has become apparent that several methods of investigation have been utilized. In relation to ethnobo- tanical research, approaches have been outlined by Schultes (l960) as (1) survey of the literature for reports of therapeutic uses or beliefs about plants, (2) chemical investigation of definite floras or of chosen families or genera of plants, and (3) field study of botany amongst primitive peoples. (He notes also the constant overlapping of field work and bibliographies.) Literature of an ethnobotanical nature treated in this study deals mainly with field studies and literature surveys, often with the two combined in a single reference. The basic form of such reports seems to be that of focus upon a single (or several closely related) species or upon a single usage of one or more species. Some instances of the first approach would be(l) the use of Ptelea trifoliata in North America by colonists and Indians and the Tarahumara of Mexico as well as medicinal uses in 18th century Europe (Bailey, l960),(2) examination of medical texts of the ancient Near East as well as the Dead Sea Scrolls, New Testament, and various astrological treatises with main focus upon Amanita muscaria (Allegro, l970), and(3) a brief history of Cannabis in various cultures with 4 medicinal uses included (Drake, 1971). (The services of the Department of Health, Education, and Welfare's National Clearinghouse for Drug Abuse Information should not be overlooked; they provide abstracts of published research available free upon request.) Studies of the noted ethnobotanist, Dr. Julia F. Morton, of a similar nature include a report of specific medicinal (and dietary) uses of the emblic, Phyllanthus emblica L., in Asia as well as chemical ana- lysis of the plant and pharmacological action of certain constituents (Morton, l960), medicinal properties and uses of the genus Casjmiroa (the white sapotes) of Mexico and Central America (Morton, T962), and the prominence of the calabash, Crescentia_cujete, in the folk medicine of the Nest Indies and tropical Americas as a remedy for coughs, colds, etc. in addition to its uses in India and South Africa (Morton, 1968). Examples of those studies dealing with a single usage of one or more species are mentioned next. Chaney (1931) has discussed the geo- graphic and taxonomic distribution of plant arrow poisons utiliZed in various areas of the western hemisphere. He included also the part of the plant utilized and the a1kaloid(s) present with associated property or action. History of medicinal and social usage of pain~relieving species (about 80) such as mandrake, hemp, and belladonna as well as their structures has been summarized by De Ropp (1957). Harner (1973) has collected a series of articles on hallucinogens and shamanism, with a report upon the use of mushrooms for healing purposes among the Maza- tecs of Mexico. Schultes and Holmstedt (1968) have published the preparation and usage of the myristicaceous snuffs by medicine men and tribesmen of the Northwest Amazon. A summation of interdisciplinary studies of plants 5 sacred in primitive cultures, including 13 families with hallucinogenic properties and several with species of medicinal relevance, has been reported by Schultes (1969). Finally, Hyman and Thorne (1945) report the use of nguta_and several other species for ritual suicide among the Iroquois and California Indians. Another method of botanical research involves examination of herbaria for records of collection and distribution of medicinal species and possible notes on their usage. Dr. Siri Von Reis Altschul has ac- complished much in this area. Her publications include a discussion of the advantages of utilizing herbaria for phytomedicinal data and methods of data compilation (Von Reis, 1962), comments upon the overlap of folk medicinal and food plants (Altschul, 1968) and details of a search of the Harvard Herbarium--of 3700 notes of interest, 14% were possibly related to psychopharmacology (Altschul, 1967). Of that 14%, the following categories of interest were examined: analgesics and an- esthetics (31%), depressants (22%), excitants and stimulants (20%), common names of interest (17%), ritual materials (6%), narcotics (3%), and intoxicants(l%). Botanical research of other than strictly ethnobotanical nature may present highly relevant findings such as Meijer's investigations of Podophyllum peltatum for its potential as a cash crop plant. Meijer presents a survey of the current status of knowledge of the medicinal value of the mayapple. Research of chemical, pharmacological, and clini- cal nature has revealed that several compounds present in Podophyllum may possess anti-viral properties. Further, it has been observed in the last thirty years that Phyllotoxin, a constituent of the resin, exhibits anti-mitotic activity. Herbarium sources were consulted to compile a distribution map, which was then interpreted by comparison 6 with a number of climatic parameters. The survey included location of optimal conditions and expressed hope of stimulating further experi- mentation with climatic requirements. In addition to the research of ethnobotany, ethnomedicine and medical anthropology contribute to knowledge of healing plants. Focus upon cultural usage of medicinal plants, or inclusion of such in a cultural or community study, may involve both anthropological and botani- cal viewpoints; a brief review of such literature follows. Bandoni et a1. (1972) have surveyed 56 Argentine medicinal plants of popular use. They have included common name, habitat, use, chemical composition, and results of phytochemical screening. Margaret Clark (1970) has studied health in a Mexican-American community of California where folk medicine is practiced extensively. She includes 31 curing herbs with uses, descriptions of the curandero's methods, disease theory, and interaction of folk and modern Western medical practices and beliefs. Holland (1963) describes herbal remedies used by curanderos of Chiapas of southeastern Mexico, including plant names, uses, and commentary. Isabel Kelly (1965) has studied the use of herbs in modern North Mexico for major and minor illnesses as well as for maternity. She lists herbarium specimens as well as examines ancient remedies of Mexico and Europe. Madsen (1955) has presented a treatment of shamanism in Mexico with brief mention of some healing herbs. The role of coca, Erythroxylon coca, in the history, religion, and medicine of South American Indians has been summarized by Martin (1970) who has included medicinal uses among 19th century doctors of the United States and Europe. 7 Metzger and Williams (1963) have studied the rBle of the curer in Tenejapa (Mexico) medicine, involving skill in the use of medicinal plants. The association of specific plant remedies with specific ill- ness is well-known among all adults. Pennington (1965) has studied the Tarahumar (Mexico) culture and its relation to the physical environment. He includes a chapter on ceremonial and drug plants with 53 families of plants utilized for medicinal purposes. Occurrence and usage of Egyptian medicinal plants was observed during three years among the desert Beduoin, oasis dwellers, and Nile Fellahin (Osburn, 1965). A brief historical development of Southeast Asian drug plant literature has been developed by Perry (1961), who also deals with problems of language, identification, and curing usage. Medicinal uses of plants by the Indians of the Missouri River region are included in Gilmore (1919). H. H. Smith accomplished in the early twentieth century a series of ethnobotanical reports upon the Indians of Wisconsin, including medicinal plants and usage as well as tribal history. He dealt with the Menomini (1923), Meskwaki (1928), Wisconsin Ojibwe (1932), and the Forest Potawatomie tribes (1933). Yarnall (1971) has compiled listings of usage by species used by Indians of the Upper Great Lakes Region, medicinals included. Plant medicines may be mentioned specifically or incidentally in research of ethnomedicine or medicinal anthropology, which has been described by Fabrega and Silver (1973) as follows. Studies of illness and medical care in a group may utilize an (1) epidemiological approach, designed to determine level and distribution of disease in a human com— munity, (2) ecological approach examining the biological characteristics of persons living in isolated groups with the intent of gaining knowledge of how they are affected by characteristics of the ecosystem. and (3) 8 ethnomedical outlook emphasizing analysis of problems of illness and medical care in relation to other cultural activities of the group, with perception of illness viewed as an example of the way behavior is structured and organized by underlying roles. Further, according to Fabrega, ethnomedical literature reveals several methods of analysis of illness episodes. "They may be treated as indicating a point of stress and dysfunction in the sociocultural unit." The illness may be examined "in terms of religious and other supernatural ideas...expressed in symbolic actions, rituals, and prac- tices exercising powerful influence on the behavior of the sick one and his family." (The latter approach differs from the first in focus upon issues of process and symbolism.) Finally, "an illness may be analyzed as an instance of the way socio-cultural patterns shape both the expression of disability itself and the general aspects of illness and medical care." References focussing primarily upon anthropological concerns are next discussed. Dr. Arthur J. Rubel (1960) has studied disease concepts of a Texan Mexican-American community as well as some aspects of plant medicines. Further research on current healing rites for soul loss (susto) in Hispanic America includes use of various healing herbs (Rubel, 1964). Another study of a Mexican-American community of Texas with a chapter on illness behavior and attitudes which mentions herbal remedies has also been developed by Rubel (1970). Akerknecht (1947) has described the use of plant medicine in primitive surgery, particularily in wound treatment, fractures, disloca- tions, and caesarean sections. Frake (1961) has examined diagnosis of disease among the Subanum of the Southern Philippines with herbal treat- ments of general use among the population. Romanov (1965) has made an 9 analysis including the healing hierarchy of a Mexican-American popula— tion in southern Texas. A study focussing upon a Mayan community's views of illness and its organization with respect to medical treatment with a section detailing illness terms and treatments, including use of herbs, has been completed recently (Fabrega and Silver, 1973). Castaneda (1968) completed research on a Yaqui 'brujo' from Sonora, Mexico, who utilized peyote, Datura, and mushrooms for healing. Some details of plant col- lection, preparation, and usage are also given. (Further works of Cas- taneda deal with methods of developing and applying healing knowledge.) Stopp (1963) has researched attitudes toward illness and disease of the Mt. Hagen people of New Guinea. He includes a listing of species with occurrence, use, and vernacular names. Finally, suggestions concerning research methods and extensive bibliographies may be found among the publications listed in this and the following paragraphs. Ackerknecht (1945) has discussed the rele- vance of concern for further research in ethnomedicine and ethnobotany and specific suggested topics for field work. Various approaches used by investigators are discussed with a main focus upon phytochemical screening (Farnsworth, 1966). According to Raffauf (1960), the search through the plant kingdom and herbal medicine of various cultures appears to require limits such as (l) specifying what is sought, (2) where it may be expected to occur, (3) how it can be identified, and (4) defining obstacles to obtaining it (1960). Scheindlin (1964) has given consideration to research on particular discoveries as well as an overview of present and future plant chemistry--screening, university research, etc. Schultes (1960) has explored paths of research (mentioned previously) as well as the future of plants as sources of new biodynamic compounds (1972) and research 10 objectives and methods (1963). Considerations in selecting and investi- gating plant material for ethnobotanical study are further discussed by Woodward and Smith (1962). Swain (1972) has edited proceedings of a symposium stressing an interdiscliplinary outlook, with an attempt to integrate contributions and evaluate the potential of various fields. Smith et a1. (1966) have developed an extensive bibliography of American archeological plant remains with some ethnobotanical references. Dimbleby (1967) includes a chapter on plants used in ritual and medicine, such as Saskatoon berries, coca, quinine, and curare. Paleoethnobotanical evidence of occurrence and use of species such as Papaver somniferum and Cannabis sativa, as well as many food plants, is presented by Dr. Jane Renfrew (1973). Scotch (1964) has presented an exhaustive bibliography of medical anthropology to 1963; Fabrega (1972) has provided a review of the literature from 1963 to 1970 as well as a lengthy bibliography. Works dealing with concepts of disease may yield ideas of value, such as the role of symbols in curing and a contrast of methods of South American shamans with Western psychoanalysts (Levi-Strauss, 1967) and the influence of culture upon symptoms (Zola, 1966). A comprehensive treatment of DuBos (1965) includes an overview of man as a social animal, the social limitations of applications of medical knowledge, disease as an outcome of attempts at adaptation, preventive medicine and human values, and disease patterns characterizing civilization. Shostak (1969) has studied blue collar health and illness, investigating views of health and illness, treatment, relations to ethnicity; a striking feature of the group includes little use of preventive medicine and distrust of standard referral systems (doctors and clinics) utilized extensively by other social classes. 11 Patrick et al. (1960) discuss epidemiology as an analytical science, diagnostic techniques, and identification of factors through closed- versus open-system models. Closed systems models view each disease as (1) having a specific cause always leading to disease, as tuberculosis, or (2) having multiple causation always leading to disease, including predisposing, contributory, precipitating, sufficient, etc. factors. Such a model is useful with communicable diseases involving microorganisms. The open-system model views a specific reaction as the result of a variety of stimuli or a variety of reactions as the result of specific stimulus dependent upon circumstances. Thus, health is defined as successful adjustment to stress and disease as a failure phase. Linked open-systems may involve stress acting upon one factor and being transmitted to others; such factors include biochemical, physiological, psychological, social and cultural. Thus, consultation of the literature provided not only a sense of historical development and the variety of medicinal practices in- volving plants but also several models for medical ethnobotanical research. In obtaining data from a population lacking distinct cultural boundaries (such as would be true of isolated tribes), it was determined that a reasonable goal could be collection of usage information. The basic ethnobotanical pattern of listing species with associated uses could thus be adopted. Ethnomedical studies and consultations with a sociologist provided a mode of describing the population sample. Treat- ments of illness and disease provided some concept of the aspect of values and attitudes. 12 3. Definition of population and sample The population sampled in this research consisted of residents of southern Michigan with professed interest in plants and/or nutrition. The sample was for the most part composed of (1) those individuals attending meetings with a plant orientation, such as the Michigan Botani- cal Club, (2) those shopping at a local natural or health food retail outlet, or (3) those engaged in a form of nutritional education, such as the Ingham County Extension home economist aides. The remainder of the sample consisted of individuals contacted independently due to their interest in medicinal use of plants. EXPERIMENTAL PROCEDURES The main goal of the survey was to determine which plants are used medicinally by selected persons of southern Michigan and to what use each is put. It was decided that no attempt would be made to determine what portion of the general population is utilizing for medi- cinal purposes natural organic foods, herbs or spices, or wild plants. Rather, the sample was chosen non-randomly, particularily aiming for groups of people likely to have an interest in plants or nutrition or both. It was determined that the sample size should consist of one hundred to one hundred twenty-five persons, at least, in order to attain high enough values to make use of R x C contingency tables meaningful. Common names were selected for investigation (page 2 of the questionaire, Appendix A) upon knowledge of local usage; that is, most plants were selected due to known and supposed local medicinal usage. Several species were included to gain an estimate of usage frequency where such was unknown despite local occurrence of the plants. Examples of the latter include Echium vulgare, Chrysanthemum leucanthemum, San— guinaria canadensis, and Acorus Calamus. A secondary aim of the questionnaire was to provide information on beliefs, attitudes, and practices relating to medicinal usage of plants. For this purpose, it was determined that the questions be of two types: (1) response of the nature of yes, no, or don't know, and (2) response involving a brief listing or numberical estimate. Questions of the second type dealt with such topics as which herbs are grown for personal use and 13 l4 estimate of times per year a doctor is consulted. To provide a demographic description, nine controls (in the sociological sense) were chosen. These included gender, age, occupation, education, health status, annual income, rural/suburban/urban background (current residence, place of birth, most of life), and ethnic background. The last was requested with emphasis upon location of family before arrival in Michigan rather than number of generations in this country because it was felt that geographic information would be more pertinent and available than temporal information. It was determined that the questionnaire itself should require less than half an hour to complete since it would be administered at meetings and in local natural and health food stores; a brief form was deemed advisable to promote completion of the survey by the maximum num- ber of people. To estimate the actual time needed as well as the extent to which the questions could be understood, a pre-test was administered to four subjects. On the basis of the results, wording of several items was adjusted to more meaningful form and deletions were made. Groups of people to whom the questionnaire was administered fell into three general categories: those belonging to no formally organized group or to an incidentally interested one (hereafter referred to as Group I), those with a plant orientation (Group II), and those with a health/natural food or nutritional orientation (Group III). The first group accounted for 28% of the sample; included were those individuals without affiliation (11% of Group I) as well as a miscellaneous collection from the Detroit area (89%) including members of outing clubs, etc. Group II provided 44% of the total respondents and included the Edible Weed Club of Jackson (11% of Group II), the Tri-County Organic Club of East Lansing (21%), the Federated Organic 15 Fall Festival held in Coldwater (11%) and consisting of local organic farm and garden clubs of the State, and the Michigan Botanical Club, both the Red Cedar Chapter (20%) and a State meeting (37%) involving members from all four chapters (Red Cedar, Huron Valley, Southwestern, and Southeastern). Group III accounted for 27% of the total respondents, including two health food stores, the House of Nutritions of Lansing (16% of Group III) and the General Nutrition Center of Okemos (9%). Three natu- ral food stores were surveyed: the Small Planet Natural Grocery (11%) and the Family of Man (9%) of East Lansing, and the Yum-Yum Food Coopera~ tive (formerly Green Earth) of Lansing (14%). Ingham County Extension Home Economist Aides (41%) were also surveyed. Survey forms were placed in local stores in locations deemed prominent to the customer, such as on the counter near the cash register or on a nearby shelf. Questionnaires administered at group meetings were introduced either early in the meeting (so that completed forms could be returned at the conclusion of the gathering) or near the con- clusion (so that those interested might remain afterward.) Completed questionnaires were eliminated from further analysis according to the following criteria: 1. Less that six of the ten demographic items completed (page 3 of the questionnaire, Appendix A) or not a current resident of southern Michigan. In compiling data, if several responses were given to an item, such as residence, both were entered. Only information as written was utilized. 2. a.) No use of the plant listings (page 2 of the questionnaire) plus no response to demographic items, and b.) indication by written response on page 2 of the questionnaire of use solely as food, as 16 well as response of 'NO' to question 2 of page 1. The former permit- ted utilization of the usage list without completion of the demographic portion; the latter was considered as an indication that preventive uses were not involved. (Question 2 was utilized rather than question 3 because verbal feedback suggested that the latter was not always understood, whereas question 2 was generally considered distinctly expressed and understandable.) After considering the options available for statistical analysis of a non-randon sample with discontinuous variables, it was decided that the chi-square statistic would be appropriate in certain instances. In particular, it could be used to test association between frequency of usage of selected species and the demographic data; this would be done through use of R x C contingency tables. The herbs and spices as well as wild plants were chosen for chi- square analysis; those in the upper 25% of usage frequency were initially selected. Of those, a second selection occurred such that upon construc- tion of the tables, chi-square would be computed "in a table with more than two rows or more than two columns so that fewer than 1/5 of the cells had expected frequencies of less than five and no cell had an expected frequency of less than one." (Weiss, 1968, p. 265). This may also be stated as, "if the degrees of freedom are greater than one, the expected value in 80% of the cells must be equal to or greater than five, and frequency counts must be independent of one another" (Runyon and Haber, 1967, pp. 250-2). In some cases, intervals of the demographic control being tested were combined so that the aforementioned criteria might be met, despite the resulting weakening of sensitivity of chi-square. Snedecor and Cochran (1967, p. 235) suggest, "that the chi-square test is accurate l7 enough if the smallest expectation is at least one, and that classes be combined only to ensure this condition." Page two of the questionnaire provided usage frequencies of the various species, from which maximum, minimum, and mean usage per species were computed as well as standard error of the mean and per cent of sample lying within one, two, and three standard errors of the mean. The market survey was accomplished by visiting the seven area retail outlets and requesting permission to record pricing data for the teas or herbs available. In cases where the request met reluctance, further discussion was offered in relation to interest of the study as well as the author's interest in herbs in general. Queries by the author regarding most popular (=best-selling) teas and an estimate of volume sold per year were refused outright at two locations; otherwise, cooperation was maintained. RESULTS 1. Demographic In relation to gender, males formed 35% of the sample, which consisted of 160 individuals. Females were evenly distributed among the three groups, while males in Group II outnumbered the males in Groups I and III by three to one. (See Figure 1.) Ages ranged from 18 to 86 years with the lowest frequencies from the 20 years and under interval (2%) and 71 and over (6%). The middle age categories, 31 to 40 years and 41 to 50 years, each contained 12% of the sample. Twenty-one percent of the sample was contained in each of three groups, those 21 to 30 years, 51 to 60 years, and 61 to 70 years. (See Figure 2.) Years of education divided the sample in half when the broad categories of seven to 15 years of schooling (50%) and possession of a bachelor's degree or more (51%) were considered. Examining education in greater depth, 26% had completed seven to 12 years of education, 7% with 13 years, 6% with 14 years, and 11% with 15 years. Bachelor's degrees accounted for 22% of the second category, master's degrees 17%, Ph.D.'s 3%, M.D.'s 2%, and L1. B.'s less than 1%. (See Figure 3.) The 1970 Census gf_£9pulation Characteristics gf_the Population, Michigan (Table 171, pp. 24-832 to 24-826) was consulted for occupational classifications. Professional, technical, and kindred (related) workers comprised the greatest portion of the population (30%) with private household workers, including housewives, constituting 24%. Students and 18 19 cowpznweemwu mm< .N mezmwu Amgmm>v mm< om % sample cmccmw .P mesmwd Lmucww m b oP om om ow sample % 9O 1 80 . 7O . 60 d 50 q 40 - 30 - 20 . lO-w 20 1..., f-_" 7 7 PhD to 13 14 15 to 3: $2 MD ES 12 15 ' LlB Years of education Figure 3. Educational distribution 21 retired individuals, neither of which were included in the census cate— gories, each contained 12% of the total respondents. Managers and administrators, except farm, equalled clerical and kindred workers (5% each) with service workers, except private household, slightly more numerous at 6%. Craftsmen and kindred workers constituted 3% of the sample, with three groups each possessing 1%: sales workers, laborers, farmers and farm managers. Operatives, except transport, made up less than 1% of the sample. Creative responses, such as "human” or ”person” were 2% of the sample. (See Figure 4.) The majority (48%) of the respondents considered their health status averaged for the past five years as good, 27% excellent, and 14% great. Eight percent considered their health fair, while only 1% identi- fied their health as poor. (See Figure 5.) Approximate yearly income was nearly equal for the lower three categories: $0 to 5000 (23%), $5001 to 10,000 (20%), and $10,001 to 15, 000 (22%). The interval of $15,001 to 20,000 contained 16% and $20,001 and above held 9%. (See Figure 6.) Current residence was nearly equal for urban (37%) and suburban (32%) respondents, with only 17% considering themselves rural residents. Residence at birth showed most individuals in the urban category (49%) with rural following (30%) and suburban least (13%). Considering residence for most of life, urban again was most frequent (47$) followed by rural (33%) and suburban (26%). (See Figure 7.) Regarding ethnicity, as in other measurements in this paper, some respondents answered in more than one category, which accounts for percentages exceeding 100, whereas some did not fully answer, which would account for percentages of less than 100. One percent considered them- selves Native American, less than 1% of Cuban descent, 8% of Canadian 35 30 25 22 I Human, etc. Students Retired Private household workers Service workers except private household Farmers and farm mana-ers Operatives except trans-ort Craftsmen and kindred Sales workers Managers and administra- . Clerical and kindred Professional, technical, kindred % sample Occupation Occupational distribution Figure 4. 23 $20,001 and above $15 001 to $20,000 $10 001 to $15,000 A. c: c: c> m N r— % sample Excellent I Great [T Good Fair Poor I l l I I l O O O O O 0 LO Q' m N 1'— sample Annual income Status Income distribution Figure 6. Figure 5. Health status 24 cowuznwcpmvc wocwuwmmm mucwflwmmm .n mczmwu mew, Lo Smog spewm pcmggau Rural Subs Urban Rural Sub~ urban Urban 1| n n a .a 6 ml bb .0 U U“! r- R SU U I, op om om oe om % sample 25 derivation. Those with ancestors from the British Isles accounted for 42% of the sample, with European ancestry common to 71%. Further break- down of the latter gave the following results (see Figures 8 and 9): Western Europe (France) ..................... 9% Central Europe (Austria, Czechoslovakia, Germany, Hungary, Switzerland) ........... 38% Scandinavia (Norway, Denmark, Sweden) ........ 10% Balkans (Bulgaria, Greece, Yugoslavia) ...... I zap o» mac umpmcwswpw +8 Pogpcou upgamgmoswu gmpaowpswa one we m z z z m z z m z m z z z z m z z m z w z z z z z z z z z z z z z z z z z z z z z z z z z z z z z z u z z z m z m m z z z z z z z z z z z z z z z z m z z z z z z z z m m z z z z u u z z z z z z z z +m z z z z z z z z z #2 .W. wucmcwmmmh n e n r e. d H .m m .m M M. .1 p. h” It .a +c n» at n n .T .t nu a. a n a e h ..1 MI E H C I p G t ..l ..l r u u .t R” n. .0 c r. u r: c 0 no nu t s O M” mcouuom uwgamgmoemu gum; mm: Pmcwuwums we xucmaomgm Co cowumwoommm rz mzmqucp Esommngm> m>—=e wasp: mpecpuvemo Enumxmgep Esuwnpm mmgmmmmmm mwmcmcmcmu mzoaasmm Lonme.mwupcepa mwsmpmu mumnmz dam a m>wumm mwnmccmu cape am .mcmwc mowmmewm EsmF0$wFFwE mmppwso< ”mp=a_a u_wz .N mFQMH 30 po.on mo mucmuwmwcmwm Co Fm>mp Pocpcou uwcamgmoEmu cmpzuwucma mcp Co pcmucmamvcw mmwumam we mamm: mucmummmcmwm no: cowumeOmmm +m «.z apmcwaweeo canpmch mwpecwuweco eL>Pmm Esgmwc Lumnm Eamwcm mppmcmmewa Ezcwpmmocuma Esgmu mcmgmucm muwumngz eumquw mgpcmz muwgwmwn ospcwz mwmcmumcmu mwpmmguxm z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z m z z z z z z z z z +m #2 ..WS mucmvrmwmh n e n r e Muldulllhllouw .mw W .m..%_ MW 5. F..n st 8 +0 C .t. n n .1 +0 n n. .a n” a e A” r. e H” C 11 “P nu t .11 r u u .t no r Au C U CL C PC nu Most of l mgouumm owgamcmoEmu gum: mm: chwuwcws mo xucmacmsw mo :owuewUOmmm mewaE=uoLn mwcmcppzmw mappxnnoxgmu mwcmmzm m2_mno= mesagpc< mLm> mop< EzuooUwsp anppa ”mmo_am a wage: .m mpnmh 31 nature "used as food" were included as medicinal uses only if the respondent indicated a belief in preventive nature of diet or of that particular species; otherwise, that use was termed non-medicinal. (Pre- ventive medicines include those plants used to prevent illness, while symptomatics include those utilized in treatment of the illness or problem once it has occurred.) The response "re. Kloss" indicates that one respondent specified her use of the particular plant by reference to an herbal used locally, Bagk_tg_§ggn_by Jethro Kloss (1970). Consultation of Kloss provided the uses indicated in parentheses. (Reference may be made to Appendix B for definitions of such uses.) An indication of the relative frequency of use per species is provided by the percentage following the binomial and common name (see also Figures 10-13). Where several species are listed together, as is the case with cinnamon, or where several genera have the same common name, as with sarsaparilla, the percentage represents the use of plants per common name. The percentage includes only medicinal (both preventive and symptomatic) uses and was calculated from the number of respondents indicating use of each species and the sample total (160) as follows: % = number of users / species sample total Transposing the common names of species from the questionnaires to the scientific binomials was accomplished through the use of several sources. Potter's Guide (Wren, 1956) was first consulted for a name associated with a given medicinal usage. In the case of medicinals absent from Potter's Guide or of species more commonly noted for use as edibles, both wild and cultivated, the Dictionary of Economic Plants (Uphof, 1959) was consulted. The Manual of_Vascu1ar Plants 9f_Northeastern United 32 35.03 voom LE 3: 353qu ..3 35:8: 3382 mpcmpa cool .o_ mesmwu Frequency of use 33 mmuwam use mason mo mm: Pmchwcoe Go xocwacmgm «papomn< mmuwam can mace: .: 6.53... F N Usage frequency 34 mpcm a F upwz Co mm: pmcwu~ums mo Aucwacmee waspomn< mpcepa osz .NP mgzmwm Usage frequency 35 60.- 40“ 20.. % sample Food plants Herbs/spices Wild plants Plant categories Figure 13. Relative frequency of medicinal usage States and Adjacent Canada (Gleason & Cronquist, 1963) as well as seve- ral other volumes (Fassett, 1963; University of Illinois, 1968) were used to confirm occurrence of local species. For example, Potter's Guide gives Panax quinquifolium L. as ginseng, with China as the habitat. Gleason and Cronquist (1963, p. 495) states that the same species is found in North America. (Bailey ((1949)) records the species of Manchuria and Korea as Panax Schin-seng Nees, Asiatic ginseng.) Further, popularized editions likely to be available to the sampled population answering the questionnaires were in some cases also consulted (Gibbons 1962, 1966; Harris, 1971). Such a case would be that of wild lettuce, listed in Potter's Guide as Lactuca virosa L., a Euro— pean species. Consultation of Uphof and Gleason provided a number of North American species; the University of Illinois bulletin listed three species of Michigan occurrence. (Uphof in some instances relates 36 a medicinal usage; Gleason and University of Illinois do not.) Two of the three, L, canadensis and L, scariola were given as edible and medi- cinal plants in both Harris (1971) and Gibbons (1966). Gleason and Cronquist's Mgnu§l_(l963) was then consulted a final time to confirm nomenclature, where possible. For example, in the case above, L, scariola, wild lettuce or prickly lettuce, would be changed to L, Serriola, the prickly lettuce of Gleason. Familial nomenclature is according to Uphof as well as Gleason and Cronquist (1963), with the latter taking precedence where applicable. Alexopoulos (1962) was con- sulted for fungal classification. Cronquist (1968) was the reference for phylogenetic classification, as summarized in Appendix C, of the medicinal plants included in this treatment. DIVISION FUNGI AGARICACEAE Agaricus spp. - Mushroom ((1%) Used for enzymes, vitamins, especially vitamin B; for vision; used specifically as preventive medicine (see page 28) for its food value and as preventive normal diet. EUROTIACEAE Aspergillus oryzae - Miso (fermenting agent) ((1%) (Soybean, wheat or wheat flour, and rice or sometimes barley fer- mented to a paste which is called miso) Used for bad digestion. SACCHAROMYCETACEAE Saccharomyces rouxii - Miso (fermenting agent) ((1%) See Aspergjllus above. 37 DIVISION PTERIDOPHYTA EQUISETACEAE Equisetum arvense L. - Horsetail (6%) Used for silica and calcium; for kidneys and as a toothbuilder. (Non-medicinal use includes pot cleaning.) OSMUNDACEAE Osmunda spp. - Fern fronds ((1%) Used for preventive purposes. POLYPODIACEAE Pteridium aquilinum (L.) Kuhn. - Fern fronds See Osmunda above. DIVISION MAGNOLIOPHYTA Class Magnoliopsida AMARANTHACEAE Amaranthus retroflexus L. - Amaranth (3%) Used as preventive food and preventive greens. ANACARDIACEAE Mangifera indica L. - Mango ((1%) No particular use reported. Rhus typhina L. - Staghorn sumac ((1%) (Non-medicinal use for energy and thirst while hiking.) AQUIFOLIACEAE Ilex paraguensis St. Hi1. - Yerba mate (3%) Used as a stimulant and re. Kloss (no use given); for flu; as preventive. ARALIACEAE Panax qujnquefolium L. - Ginseng (10%) 38 Used as a stimulant, panacea, tonic, relaxant, blood purifier, preventive, and re. Kloss (demulcent, stomachic, stimulant - see Appendix B for definitions): for flu, colds (tablet), and all pur- poses (tablet). ARISTOLOCHIACEAE Asarum canadense L. - Wild ginger (3%) Used for digestion, colds, and stomach. (Non-medicinal uses include tea and seasoning.) ASCLEPIACACEAE Hemidesmus indicus Brown - Central American Sarsaparilla (9%) Used as a spring tonic, tonic, stimulant, blood purifier and cleanser, and re. Kloss (alterative, diuretic, demulcent, anti- syphilitic, stimulant, antiscorbutic); as a preventive. (Used non-medicinally for flavoring.) BALSAMINACEAE Impatiens biflora Walt., I, capensis_L., I, pallida Nutt. - Jewel weed (10%) Used for poison iVy, nettle stings, bites, and cleansing after contact with poison ivy. BERBERIDACEAE Caulophyllum thalictroides (L.) Michx. - Blue cohosh «(1%) Used for female troubles, specifically cervical infection. Podophyllum peltatum L. - Mayapple (4%) Used for food as a preventive. (Non-medicinal uses include jelly and for energy and thirst while hiking.) 39 BORAGINACEAE Borago officinalis L. - Borage (4%) Used as a preventive. (Non-medicinal use includes taste and as a drink.) (Echium vulgare L. - Bugloss) (0%) No use reported. Symphytum officinale L. - Comfrey (11%) Used for bruises, healing bones, and re. Kloss (demulcent, astrin— gent, styptic, and nutritive); as a preventive. CANNABACEAE Cannabis sativa L. - Marijuana (15%) Used as a panacea, a relaxant, stimulant: for tension, nerves, headache and tension, relaxation and recreation, for generally relaxing properties. (Non-medicinal uses include getting high, to alter reality, a smoke, and healthy enjoyment.) Humulus Lupulus L. - Hops ((1%) No particular use reported. CAPRIFOLIACEAE Sambucus canadensis L. - Elderberry (13%) Used as a preventive. (Non-medicinal uses include pies, food, wine, for energy and thirst while hiking.) s. canadensis L. — Elder flowers (2%) No particular use reported. (Non-medicinal use includes pancakes.) CARICACEAE Carica papaya L. - Papaya ( 1%) 40 No use reported. CARYOPHYLLACEAE Stellaria media (L.) Cyrill. - Chickweed (8%) Used as a preventive and for general health. (Non-medicinal use includes as a vegetable and for salad.) CHENOPODIACEAE Spinacea oleracea L. - Spinach (24%) Used for iron; as a laxative and preventive food. COMPOSITAE Achillea millefolium L. - Yarrow (14%) Used as a demulcent; for colds, cramps, anemia, sore muscles, bleeding, lungs, cuts; as a preventive. (Non-medicinal use includes for hair.) Anthemis nobilis L. - Chamomile (15%) Used as a nervine, sleep remedy, sedative, relaxant; for iron and calcium; for stomach upset, colic, sleep remedy, colds, flu, in- somnia, nerves, pain, cramps, and re. Kloss (stimulant, bitter, tonic, aromatic); as a preventive. (Used non-medicinally for flavor.) (Chrysanthemum leucanthemum L. - Ox-eye daisy) (0%) No use reported. Cichorium intybus L. - Chicory (9%) Used as a stimulant; preventive (both greens and beverage), preventive normal diet. (Used non-medicinally as a coffee substitute.) Helianthus anuus L. - Sunflower seeds (20%) Used for vitamins, especially the B complex, proteins, food value, and minerals; for eyes; preventive and part of normal preventive 41 diet. (011 used non—medicinally.) H, tuberosus L. - Jerusalem artichoke ((1%) Used as a preventive. Lactuca canadensis L. - Wild lettuce (2%) L, Serriola L. - Prickly lettuce No specific use reported. L, saLjva_L. var. capitata L. - Head lettuce (20%) Used for its vitamins and food value; as juice therapy, sedative, chlorophyl douche; as a preventive in normal diet and for general health. Matricaria Chamomilla L. - Chamomile See Anthemis nobilis. M, matricarioides (Less.) Porter — Pineapple weed or chamomile See Anthemis nobilis. Solidago spp. - Goldenrod (6%) Used as a tea for preventive purposes. Iaraxacum officinale Weber. - Dandelion (18%) Used for its vitamins, especially vitamin C; as spring tonic; preventive food, beverage and normal diet. (Non-medicinal use includes dieting, salad, wine.) Tanacetum vulgare L. - Tansy (4%) Used to start period. CRUCIFERAE Brassica alba L., B, nigra Koch. - Mustard (9%) Used as a heat element, stimulant, and stomach stimulant: for coughs and chest colds; as a preventive food, particularily the 42 Brassica oleracea L. - Cabbage (23%) Used for vitamins, especially vitamin C, minerals, and roughage; as a digestive aid; for prevention in general and as a preventive food, preventive general food, and for general health. Capsella Bursa-pastoris Medic. - Shepherd's purse ( %) Used for salads as a preventive. (Non-medicinal use includes pepper substitute.) CUCURBITACEAE Cucumis sativus L. — Cucumber (20%) Used for its vitamins and roughage; as a diuretic, and for kidneys; as a preventive for food value and as preventive normal diet. (Non-medicinal use includes facial bath.) ERICACEAE Arctostaphylos Uva-ursi (L.) Spreng. - Bearberry ((1%) (Named by respondent as "Uva-ursi".) Used for female troubles, particularily cervical infection. Gaultheria procumbens L. - Wintergreen (20%) Used as a stimulant and re. Kloss (stimulant, antiseptic, astrin- gent, diuretic, emmenagogue); for colds, sprains, arthritis, sore neck muscles, headaches, rheumatism, digestion, toothache, stomach upset, pain; preventive normal diet. (Used non-medicinally for tea, taste, flavor, and for energy and thirst while hiking.) LABIATAE Glecoma hederacea L. - Ground ivy (2%) No specific uses reported. Hedeoma pulegioides (L.) Pers. - American pennyroyal (4%) Used for menstrual ache, periods, uterine cramps, and re. Kloss 43 (sudorific, carminative, emmenagogue, stimulant, diaphoretic, aromatic, sedative); as a preventive. Hyssopus officinalj§_L. - Hyssop (3%) Used for colds and general purposes; as a preventive. Lavendula officinalis Chaix. — Lavendar (4%) Used re. Kloss (stimulant, aromatic, fragrant), for general pur— poses; as a preventive. (Non-medicinal use includes flavor.) Leonurus cardiaca L. - Motherwort (5%) Used as a medicinal tea; for colds and vaginitis; as a preventive (green drink). Marrubium vulgare L. - Horehound ( 1%) No specific use reported. Melissa officinalis L. - Balm (6%) Used for headaches; as preventive tea. (Non-medicinal use includes flavor and drink.) Mentha piperita L. - Peppermint (27%) Used as a nervine, blood purifier, cleanser, relaxant, stimulant, and according to Jethro Kloss (aromatic, stimulant, stomachic, car- minative); for sore throat, stomach, healing, colds, stomach problems, general health, stomach ache, pains, intestinal problems, indigestion; used as a preventive when "feeling a cold or something coming." (Non-medicinal uses include taste and flavoring, drink, and tea.) Mentha Pulegium L. - Pennyroyal See Hedeoma pulegioides. Mentha spjcata L. - Spearmint (15%) Used as a stomach healer and relaxant; for colds, sore throat, kidneys, toothaches, and re. Kloss (antispasmodic, aromatic, 44 diuretic, diaphoretic, carminative); as a preventive and preventive normal diet. (Used non-medicinally for energy and thirst while hiking, for taste and flavoring.) Monarda fistulosa L. - Bergamot (3%) Used for nerves; as a preventive (tea). (Also used non-medicinally as tea.) Nepeta cataria L. - Catnip (15%) Used as a nerve tonic, relaxant, and sedative; for nerves, colds, nervous tension, insomnia, sleep, cramps, colic, and as preventive tea. Ocimum basilicum L. — Basil (8%) Used as a preventive and re. Kloss (stimulant, condiment, nervine, aromatic). (Non-medicinal use includes taste, flavor, normal diet.) Origanum majoram L. - Marjoram (8%) Used for headache, nerves; as a preventive. (Non-medicinal use includes taste and flavoring.) Origanum vulgare L. - Oregano (11%) Used as a stimulant; for digestion and re. Kloss (aromatic, pungent, stomachic, tonic, stimulant, emmenagogue, carminative, diaphoretic); as a preventive part of normal diet. (Non-medicinal use includes taste and flavoring.) Prunella vulgaris L. - Self-heal (4%) Used as preventive tea. Rosnerinus officinalis L. - Rosemary (9%) Used as a stimulant; for nerves and stomach; as preventive part of normal diet. 45 (Used non-medicinally for taste and flavor.) Salvia chia Fern. - Chia (0%) Used for diarrhea. Salvia officinalis L. — Sage (14%) Used re. Kloss (sudorific, astringent, expectorant, tonic, aromatic, antispasmodic, nervine, vermifuge); for diarrhea, headache, to relax, for colds, nerves, rest, chills and sleep (with warm milk), and to sooth; as a preventive. (Non-medicinal use includes taste and flavoring, for hair.) Satureia hortensis L. - Summer savory (4%) Used for digestion; as a preventive. (Non-medicinal uses include taste and flavoring.) Scutellaria laterifolia L. - Scullcap (7%) Used as a stimulant, nerve tonic, and re. Kloss (antispasmodic, nervine, tonic, diuretic); for headaches, inducing sleep and to relax; as a preventive. Thymus vulgaris L. - Thyme (10%) Used for digestion and re. Kloss (tonic, carminative, emmenagogue, resolvent, antispasmodic, antiseptic); as preventive normal diet. (Used non—medicinally for taste and flavoring.) LAURACEAE Cinnamomum Cassia (Nees) Nees ex Blume - Cassia, L, Loureirii Nees — Saigon cinnamon, 9, zeylanicum Nees _ Ceylon cinnamon (13%) Used for digestion, cramps, and re. Kloss (stimulant, prevents flatulence, laxative, astringent); as a preventive food and normal diet. (Non-medicinal uses include taste and flavoring.) 46 Sassafras albidum (Nutt.) Nees - Sassafras (18%) Used as a cleanser, tonic, relaxant; for colds, flu, healing sto- mach; as a preventive and preventive tea. Some use the leaves for preventive tea. (Used non-medicinally as tea, food, in food, for energy and thirst while hiking, and because it tastes good.) LEGUMINOSAE Arachis hypogaea L. - Peanut Op xggmanmmm om-w¢mm~-o~m~5-m¢moop m “cwstmaaaa P mucwz mm P a_Fanos mnuom _ +Fpmx P mogmwmx F +mmb nwmmow mF P Pmmm coupou OF N xmwgmscmou on m u; s zwceeou meiommoop m >_ - saLcEOU mmuommmsmoop m xmgmsoo manommoop o meEOEwsu Low» emu _ ._ mcwugonmg mm o m cm upom mocaoq woumsrumm awayszmo a. I ”new; mcwppam-amam .e «Peak Table 5. Herbs and spices available on the retail market Occur- Range Use or property Herb or tea rences (Price/oz) (If given) *Alfalfa 3 $.09~;23 " - lv 8** .33-l.60 Mildly alkaline " - lv, fl l .24 " - lv, st 1 .09 ", American l .40 *Allspice l .24 " , ground 2 25-.33 ", whole 1 .44 *Aloe vera, powder 1 Althaea rt 1 l l7 Alum, wild - rt l *Anise seed 4 2l-.39 " ", ground 1 .48 " ", whole l .46 *Balm l .33 Mild carminative Bancha l .32 *Basil 3 .07-.34 Tea: upset stomach, stings and insect bites, antiseptic Bay - lv 2 .24-.30 Relieves cramps, migraines, indigestion Bayberry bark l .48 *Bearberry - lv 1 .l9 Bistort - rt 1 .26 Blackberry - lv l .50 Bladderwrack 2 .28 Blessed thistle 4 28-.30 " " , powder 1 .29 Blood root l .38 Blueberry - lv 7 28-l.35 Blue vervain 4 28-.38 Boneset 2 .35 Buchu - lv 5 .75 Buckthorn 4 20-.32 " rt, powder 1 .36 Burdock - rt 4 22-.30 Calamus - rt 1 .33 *Canada snakeroot 3 30-.38 *Caraway seed, whole l .63 Carminative tea " ", ground 1 .36 *Cardamom, whole 2 82—.83 . . *Catnip 6 .33-.45 Useful for pain Spasms, wind, colic, relieves gas and upset stomach,soothes infants, helps in convulsions, mild stomachic and good for vitamin C *Reportedly used for medicinal purposes by the surveyed sample (pp.36-56) **More than one brand may have been present per store 59 Table 5 (cont'd.) catnip,’powder Cascara sagrada - bk Celery seed 0|-f" Centaury herb *Chamomile Chaparral Charcoal *Chia seed Chervil *Chickweed *Chicory - rt " , roasted Chives, dried *Cinnamon, ground " , sticks Cinquefoil Cleavers *Clover, red " , ground *Cohosh, black *Cohosh, blue, cut Columbo - rt, powder Coltsfoot *Comfrey - lv I. _rt *Coriander Cornsilk Couchgrass Cramp bark Cubeb berries Cumin, seed Cypress sage *Damiana - lv " , Mexican *Dandelion - lv "'rt Desert herb *Dill seed Dock, yellow, powder Dogwood - bk Dulse ~ lv Echinacea am—Im—v—a ..an—amdmmdosm wd—l—J—JNN—lw—de—JN—l—J dpddwdmw Restricted use recommended Mild relaxant tea; good amounts calcium and potassium, externally for local appli— cation and eyewash Poultice ingredient Good for skin complaints,eye troubles, convalescence; aids lung, liver, rheumatism com- plaints Mild carminative Mild demulcent, good for sore throats Emolient; contains allantoin Emolient Mild aromatic, carminative Mild laxative tea, good for smoking Mild carminative Table 5 (cont'd.) Echinacea rt, powder *Elderberries, powder *Elder flowers Elecampagne - rt, cut Eucalyptus - 1v Eyebright *Fennel seed, *Flax *Foenugreek s Wh016 . ground Fo Ti Tieng Frankincense *Garlic, dried powder Gentian - rt *Ginger Ginger, Jamaican, crushed *Ginseng " , powder *Goldenrod *Golden seal II n - 1V II n _ T‘t Gotu Kola " " , Indian *Ground ivy Gumbo file Hawthorne berries, crushed " , powder Heal-all Helonias - rt Henna, powder Hibiscus *Hops , powder COCO-th—‘Ofi -‘ m—J m—J—lc—l—IN ddNN—J—HLo-d—JHd—l mpaawdm 61 36 .38l.45 .27-.37 .i4l.24 .59-1.10 .19-.78 Tea rich in vitamin C and mineral salts, eases cramps, quinsy, pharyngitis, laryn- gitis; cold tea for pain relief in burns; mild dia- phoretic Tea for chest complaints, eyewash, increase of lacta- tion; rich in mineral salts, relieves nervous disorders; mild carminative Tea relieves nausea, stuffy nose and chest colds, mild demulcent Purifies blood; effective for liver complaints, dysentery, jaundice; improves appetite, strengthens Colds, gas, gout, cholera, nausea, diarrhea Carminative, stimulant Calms nervous system; good in neuralgia, kidney ailments, relieves gout, strengthens Table 5 (cont'd.) *Horehound " , powder Horsetail rush Huckleberry - lv *Hyssop Irish moss Juniper berry Kava kava Kelp Kinnikinnik Knot grass Kola nuts Ladyslipper - rt, powder Laurel — lv *Lavendar - fl Lemon balm Lemon grass " ", Mexican Lemon verbena - lv Licorice ll _ rt " - sticks " , European - rt Lily of the valley - rt Linden - lv, f1 II _ f'l *Lobelia Mace Magnolia - bk Mallow Mandrake " - rt " - rt, powder Marigold - f1 Marigold, pot *Marjoram, sweet - lv Marsh mallow " " - rt, powder pm—a-o dub—aw—aoomw—a—a Adam—Ima- comm—am N-J—‘N —J—l—ul—J—l 62 .42-.63 15 .2ol.34 .42 .70 .30 .25 .38 digestion, wards off anemia; externally for skin tonic Mild diuretic Valuable in asthma, colds, chest afflictions, loosens phlegm in lungs and throat, good in children's sore throat Rich in I, K, S, Ca Mildly stimulating Demulcent, expectorant Mild expectorant, powerful relaxant, reduces heart pal- pitations, good for fevers and nervous conditions, stops spasms of vomiting; poultice aids sprains Excellent for bowels and liver, good for uterine diseases, fever, jaundice Tea valuable in treating ner- vous disorders and headaches, used cold as eyewash Table 5(cont' d. ) Mate *Meadowsweet Mint - lv *Mistletoe *Motherwort, Roman Mugwort *Mullein ll_‘|v Mustard - sd Myrrh, gum Myrtle - 1v Nettles " - lv *Nutmeg " , ground , whole , Jamaican, whole Oatstraw Onion, dried, ground " , minced Orange blossom " peel *Oregano *Orris - rt, whole " ", powder Papaya - lf " , Indian Paprika *Parsley Patchouly Peach tree - 1v *Pennyroyal *Pepper, Black, corns " , powder Pepper, Sweet red *Pepper, Red, whole " , crushed Pepper, White, corns Noam—ha 00de m—Ju-Ju—ldNN—J—J—l—Jm-JN—l—J 63 .12—. 45 .25;. 64 .20—.28 Astringent, tonic in diarrhea General stimulant; good for headache Fine nervine, excellent for epilepsy, convulsions, de— lirium, nervous debility, and heart troubles Mild relaxant Dumulcent Gastric stimulant, hot water baths to prevent cold; in plasters to draw infections; antiseptic Rich source of iron Tea good for chills, condi- tions of blood and circulation as well as anemia, bladder, kidney and liver troubles, gout; gargle for sore throats External use only Contains valuable mineral salts; helps relieve anemia as well as glandular, hepatic and rheumatic conditions; mild diuretic with good amounts Fe, Mg, K, Vitamin C Table 5 (cont‘dL) epper, 1 e, powder *Peppermint - 1v " , powder Periwinkle Pink rose Plantago - sd *Plantain Pleurisy - rt Poppy - sd Princess pine Queen of the Meadow powder Raspberry — 1v Rooibusch (Kaffree) Rosebud *Rosehips " , powder *Rosemary - lv " , powder Rue Saffron " , American *Sage St. John's Wort Sanicle - 1v *Sarsaparilla "-1‘t " , Mexican Sassafras Il_bk " , powder Savory Saw palmetto - berries *Scullcap Senna ll-lv Shavegrass *Shepherd's purse *Slippery elm " " , powder *Spearmint - lv Spikenard w—lN—l—JN—Jm—me—l dN—lNNHN—J—Jm—l mwd—‘wV—‘NV—‘h mdmd-fimd .58 Astringent Mild carminative Bitter aromatic stimulant Mild diaphoretic Tea for colds, coughs, stomach conditions, to reduce fever, help arthritis, mild stimu- lant Aromatic, diaphoretic Aromatic, diaphoretic Aphrodisiac in ancient times Relieves fever, dr0psy, epi- lepsy, nervous and neurotic conditions, rich in mineral salts Mild astringent Demulcent Tonic, aids in digestive complaints, chills, colds, used in nervous and psycho— somatic conditions; for headaches and migraines Table 5 (cont'd.) Squaw vine Star anise Strawberry, wild - lv *Summer savory Sweet cicely *Tansy Tarragon - lv *Thyme " , rubbed " , Spanish Turmeric " - rt *Uva-ursi *Valerian - rt *Violet - lv Walnut, black - lv Watercress Watermelon - sd White oak - bk White poplar - bk White willow - bk u u ’ powder Wild cherry - bk *Wintergreen - lv Witch hazel Wood betony Woodruff, sweet Wormwood " , powder *Yerba mate - lv Yerba Santa Yohimbe N-a-au-iw—I ww—J-dN-JNN dde—de—J—J—JNw—l—J—J—l—Jp—Jw Emmenagogue; emetic in large doses; external linament Tea for nervous disorders Tea for treatment of all ner- vous conditions and psycho- somatic illness, frequently used in equal parts with scullcap Mild demulcent Mild alterative 66 ucmpa Pm>mgm .nogcmcpom .nmaau .cm copmeprmz .memcma .Pwmummgo; «>p scuan .mmvgcmn cmawcam .xpwmccoo .mmgsim>= .mmmgmm>m;m om.P1om. v Ppmx mm. P m>wumxm4 Panto: :mmPQ gmccm «mam canvases upwz .mmmgm coemp .ucms cmupuamw mp. N w>mo mecca spun cosmp .chcmw .ucwsgnmam ¢m. P mzocmmz cmuwm: Pwmummgo; .cm mmwcm .xn cosmccwu .mppwgoammcmm .zucma uppwa .pcwsgmaamn .F$ coucmp .meEosmu .cxmama .um Pmccmw .>F xggwangum .Lm>o_u no; .zmsumumo .m$pmm_< ep. P » vampm new: a; :o_qu:mu .pg muwgoowp .pg apppgonmmsmm .>p pmpow> .Fm meEoEmgu .xn magmmmmmm .mnop Lm>opu umm mN.-mo. N piosm: cosmccwo .uscpmz xumpn .mmFQQm .maumwnw; .mw>opu on. _ umm xnam :wumcom maumwpwn .pmma mmcogo .mm>opu .mawsomom wN. N awmmow P; mcwpmmpcm>m mcmp .P» cmopm .>— xccmnxoan .mpwsosmzu .pcwsgmaawa om. P u:_e coupoo cwmcwm cosmopm .zmuam .muPLouwp,.mcmmcwc om.¢ F mcmmcww pg muwsou__ .us memcmcpom .>P acmemmog .>P xgcmazmgum .ug mmm>op .>~ pcwscmaamg .vm pmccmw .F$ mesosmzo .>P axmamg Nc. N mum1ummo mgmzopm mmmgon .mmmm .mcmzopw :mocwa em. F mcmzopd ucmmmo mm>o~u .Pmma mmcmco ummzm .x:oumn woo: em. P coo: ucmummgu paws .xmLmEou ow. p newE-AmcwEoo acme .mawcmmog .m:Um_aw; .wpwsoEmsu mu. P Egmgu m>oam mm mswm oo.~ F mcmzopu we umaoaom Puma mmcmco .me:w>mp .mao -mwa_; .Lmupm .maop Lm>opu cm; .mpwsosmo .mawcwmom cu. F pwzczom >_ xggmamara .coempimmcmco .ucwsgmmnm .mzumwnw: Nc. _ mcvpmma < “cue .mc_ac_< om.F1N_. N pewe-acpacp< age we... pmxcme Pwmpmg mgu co anmem>m mccmpn Fancm: .o mpnmp 67 mm_:m .cmmcwm .muwamppm .pc cowpmvcmo umpmmos .coEmccpo .cmmn aocmu umummog .pc xcouwcu cmpmmog .AmFLwn woummom xn zcgmco vaz .Pwmn mmcmgo .pcwELmaama .mmmgm cosmp .mawgmmog .Pw msumwnw: um mmwcm .mzumwnw; .mawsmmom pavecmaama .Pw mzomwaw: Pb cmucwp .acwsgmaama mums .>F mxmama .>P mwpmmpm .>_ acmegmaamm , ucweLwanma .>p mxmaoa chcmm .wums magma .mcopoo wm_cm .mOHm—umws .um acmpou .pg :mwcm~m> .pcwsgmnqmn .>_ wepmwpm .gmonaum .Lmanwpm xuop .>P Agmsmmog .mno: causes .mwuaou .mm>opu .mcmmcwm mmmcmamw .mwccmEmsg .mpmcgmx gummn .muwgoowp .pg mecmm .mmmcazu .coEmccwu .ug xmpmcmg wmmcmamn .mwpxpooxam .ug xcomn mzomuwngm; .mzowcu .cmpmog .Pmma mmcmco cwcmucmz mwccmsmgg .mcmmcwm mmmcmamc .pg cmmcwm .mpmccmx comma .mUNgoUwF .coEm: -cwo .cmpmo; .pg xmpmgma wmocmamn .pg acoma mzomomagm: mmmgm cosm_ .maumwnw; .pcwEmeqm pg 30—Fm25mgm2 .awgmmog .mmgemmmmm co>opu um; .3occmx .mmam .cwmucmpa .awcumu .~$ Lmqu .>F zggmnmpxuzz .nogcmcpom .mmppuw: .xmceeoo .cwmppae .cmc:WF .mzmama .xgmsmmoc .mwpmepm .mgwgmmog .mmpcm .mpweosmzu .>~ zgchmepm .ucwssmmnm .pcmELmaama .mapaxpmozm .>F xgcmnamwg .pw maomwnm: momcoowp .pcwELmaama .mxmqma .mmpmwp< omwcm mem .Pw coca?” .mmmm .Pwma mmcmco .pcwsgmmam .mauazp -muzm .mmpmmpm .xmcmsou .>F xcgmnzmgum .mmmcm cosmg :ocwwmm :muwgme< .>F u:?ELmQama .ug mxmgccms .pmmmcon .P* gmcym .xn mmcwmmmmm .>P wmcs «>3 .>P occom a; mquoUWP .>F xgcmazmcpm .ummmxmpm .wexzp .nmmzzmzoo .ummzmpman .um xmmgmacmom .>p mzpaxpmuzm .pcozmcap .xn xcgmgu u_w3 .mucmm anew» FN.-m_. mm.umN. mo.nmq. mm. mm. o¢.1mp. om. on. mN.F1mm. om. cm. em. om.1¢¢. mm.uwN. o~.N mm. ~¢. POI—Fr—NLO N N P mEogmpmmom gmmch com wggzoayom xcwa “cw: xcwa cmucwp w payeemanmm zzswz w—* sub :2 o* mmh =2 xcwa mcwgam :Pmpczoz mzovmcm :wmpczoz “me new: 4N m.oz use: zappmz “at: scams mob m>wumxmg Fdog 30.203 0 £2: 68 pumgpxm :mmcmgmucwz .mm>o~u .gmm:_m .>P aggmnammm meEoEmu .mawsmmog .ucwELoaaoa >P Acgwnzmgum .mcmwsmu .mmpmmpm .zwgmeou .xggmnm:_n .mxmama .pcwscmwam .pcwELmaama mac» Lm>oFu um; .Pw meEoEmgu .vm mmmcm .Pmma mmcmco pwmzm .>_ xgcmnzmgpm .m:macm> cosmp .cuwznwooc .mawcmmog .pcwELmaaoa .mwpmmp< smegma .xcwsmmog .msumwaw: mFPEoEmzu .mwpmmFm .ucwELmaama Pwo mmcmco mesa .mmmcm Loam .cosmccwu .gwmcwm .mm>opu .mmmcm :oEm_ .Pmma mmcmco pmmzm .wums :mwFWNMLm cmwcm new umpmmom mmwcm Loam msFa m>onm mm wEmm a; ALOUWLU umpmmog .mpme :mWPFNmLm :mmcw pews .mmpmepm .mmmcm coemg umuma mmog .>P xgcmnammg .mwfiwu .ucwemegm .mmmgm :oEop .mpweosmzo mawcomos .chcmw .m$meFm .mwcu .xwmcmscmow .mmw=< mm» mmmcwzu xomFa .3op_wE .>P msunxpmuam pcwegwaama .mawzwmom NN. cw. mm. mm. vm. em. mo. mp. mp.nop. om. mN. cc. om. om. PP l—l—Nf- Acgmngmucw: amar010ummh mm>wm41himmpmmh mprTQuh ccmpm pmmcam ccmpm mmwgczm muwam mmcmco saw: mmmgcsm mmwcm Luv: mmwgczm mmwcczm pmwz Loganm mswpxamum mmw; .o mcmmm mNmmgm mom pawsmmom A.u.bcouv o apnah 69 5. Beliefs, attitudes, practices Those who use herbs, organic foods or wild plants as medicine con— stituted 44% of the sample, while 33% responded negatively and less than 1% did not know. Forty-one per cent treated themselves (19% negative) and 34% treated their families (14% negative). Use as medicine was reported as “often“ by 26% (15% negative) and fsometimes" by 29% (11% negative, less than 1% did not know). Table 7 summarizes the results. Table 7. Medicinal usage; distribution Response (% sample) Usage Yes No Don't know Medicinal 44 33 <1 For self 41 19 0 For family 34 . 14 0 Often 26 15 0 Sometimes 29 11 41 Nearly all respondents (97%) felt that nutrition has an important relation to health (1% negative, 4% did not know). Preventive medicine was the more prevalent view with 71% responding affirmatively, 26% nega- tively, and 5% not knowing. Viewed as symptomatic medicine, only 26% of the sample responded affirmatively with 18% negative and 5% uncertain. Table 8 presents the results. Table 8. Views of plant medicine 1 Response (% sample) View . Yes. , 'No Don't know Preventive 71 26 5 Symptomatic 26 18 5 70 Fifty-seven per cent did not prefer use of herbal teas or tisanes to use of coffee or non-herbal tea; 42% answered in the affirmative, and 4% did not know. Most respondents (see Figure 14) have been interested in natural remedies from one or less to five years (29%). Interest in these remedies of six to ten years duration (9%) and or more than 25 years (13%) was nearly equal. Eleven to 15 years of interest in herbal remedies included 4% of the sample, 21 to 25 years included 2%, and 16 to 20 years less than 1%. Reading, family, and friends were the major sources of acquaintance with the medicinal uses of plants, accounting for 22%, 14%, and 14%, re- spectively, of the sampled population. Other sources included clubs, church, and meetings (8%), classes (4%), health and natural food stores (3%), and folk and Indian medicine (2%). Botanical gardens and doctors were the source of learning for 1% each of the sample. (See Figure 15.) Upon averaging the past five years, 60% reported one to five visits to a doctor per year, 14% no visits, 9% six to 10 visits, 1% each for 11 to 15 and 70 to 100 visits, and less than 1% each for 16 to 20 and 21 to 25 visits. 'Table 9 illustrates these results. Table 9. Lay health referral: distribution and frequency Visits Consultant (% of sample) per year Doctor Friend Food store Other 0 14 39 47 45 1-5 60 31 27 21 6-10 9 44 2 <1 11—15 1 <1 <1 0 16-20 1 1 1 ‘1 21-25 1 0 <1 0 26+ 1 0 0 0 71 mmcwuvume pcmFa cpwz wucmpcwmsuo< .mp mgzmwu mmwuwsmg Pmczpm: cw ummcmucm to spasm; .cp mesa?» mugsom s . J c L n m 523 w 98 m «.3 e. e d 9 r. e h a n c g ...I 5 ml c e u .I ..l r h a d 0 C C e t S S g ..l m S e a d n e n S S n 01 1' a k d S b e d p t .l. 0 a u ..I a m 0 0 0 1| .1. r e a .5 F F c C F i C e S :1 III m. o a a.» ...-m S 1w; me 72 Figure 16 details reported causes of referral. In some cases respondents answered with a diagnosis and in some cases a symptom. (For example, ulcers would constitute a diagnosis with stomach ache a symptom.) Causes of referral were grouped according to organ or tissue system afflicted. It can be seen generally that prevention of illness was the most common reason given for consulting a doctor. Those who collected and dried wild plants for their own use (51%) slightly exceeded those who did not (45%). Plants collected as well as uses to which they were put are listed in Table 10. Those who taught themselves to identify wild plants constituted 49% of the sample with 2% answering negatively. Also, 55% reported that someone else had taught them (39% negative). Those growing herbs for personal use were 50% of the sample; 42% did not. Herbs grown, as well as per cent of the sample growing each, are given in Figure 17. Chives, mint, sage and parsley were the most frequently grown. Most of the sample (71%) reported growing vegetables for their own use, while 24% responded in the negative. Figure 18 represents vegetables grown and the percentage of the sample growing each. Tomatoes were the most frequent of home-grown vegetables. Treatment of minor ailments with plants was reported by 43% of the sample; a nearly equal number (39%) reported that they did not use such methods of treatment. Ailments treated with plants are given in Figure 19, and per cent of sample seeking treatment from a doctor for the same ailment is also given. 73 Blood Urogenital Sensory Psycho- logical Maternity Emergencies Dermato- logical Skeletal Muscular Diagnosis, advice,etc. Digestive Respiratory 40""'l 351— I 0 LO Q N I‘— % of sample Preventive Symptom/diagnosis Cause of referral Figure 16. 74 Table 10. Wild plants collected for personal use Plant Use (if given) Alfalfa --— Amaranth food, medicine, tea Bergamot sedative Berries --- Blueberry lv tea Boneset colds Catnip sedative, tonic, colds, indigestion Cheese weed kidney inflammation Chickweed kidney inflammation Chicory --- Clover, red medicinal, health, tea Dandelion greens Dog fennel indigestion Edible roots --- Elderberry tea Fiddle heads vegetable Fungi food Ginseng stimulant Jewel weed poison ivy Lambsquarters tonic Mints stimulants Morels food Mullein medicine Nettles food Nuts food Peach 1v tea Pennyroyal tea Peppermint colds, tonic, indigestion Raspberry lv pregnancy, health Rosehips tea Sassafras lv vitamins Sassafras tea, cleanser Sumac drink Wintergreen tea 75 lica Beebalm rage raway Coriander Costmary enne re u Lavendar ova ans no Summer savo pea nt Tarra SE 1“ oram Pe rmint Th ge nts Chives O omo t0 Nr-f- % of sample Herbs Figure 17. Growth of herbs for personal use 76 E 1a reen onions e Melon Okra Zucchini e ery Fruit trees r c e, Ras nac Berries k Sunflowers s dishes rocco a ge uc ru Corn Green u r Swiss chard ons rrots Y‘ 115 e UCE Tomatoes LOO % of sample Vegetables Growth of vegetables for personal use Figure 18. 77 Somethingeri :6; q. U1CEY‘ Q r— O 04‘ D U) I [1 Letha Depression st 5 rua C urns Earache t ete s S rains 00 c Stiff neck ru ses Sore musc u Headache Colds 35 30 mom 0.1.0 o NNr—r- 4O % of sample Ailment Minor ailments treated by' self or doctor Figure 19. 78 Sources of medicinal plants (ie, collected personally, purchased from a person or store) are quantified in Table 11. It can be seen that nearly equal numbers personally collect both wild plants and herbs/spices; likewise, nearly equal numbers obtain both types of plants from a person. Nearly twice as many reported purchasing herbs and spices from a store as they did wild plants. Furthermore, there is a degree of correspondence between the number of respondents com- monly growing their own vegetables and raising herbs and spices. Table 11. Source of medicinal plants Plants P31122121 * p.522. .5332 Yes No Yes . N07 *Yes No Herbs & spices 21 36 12 20 41 10 Wild plants 29 31 12 22 22 21 *% of sample DISCUSSION The questionnaire was utilized as a means of providing a quanti- tative measure of medicinal usages, of illness behavior and attitudes, and of papulation characteristics. Inherent in the nature of questionnaires is that only a portion of the relevant and possible questions are asked, especially so in this study where it was antici- pated that respondents would vary widely in age and education, as well as in other characteristics. Such was understood at the outset and led to nearly six months of re-working the questionnaire. Despite the attempt, it was found that such factors as available writing space (especially question 14) and order of the questions (placement of questions 1 and 3, for example) hindered feedback in some cases. The time required to complete the questions also affected the depth of the responses: a five to twenty minute survey did not leave much room for relating healing incidents in all but a few cases. (Such were not requested, though a few did so respond.) Limited space on the second page of the questionnaire was listed by several respondents as a detriment. Nearly all who did respond wrote one or more usages with the particular plant so that considerable information of the desired nature was obtained. Whether or not all possible uses were listed in another question. In regard to demographic information, several points arose in relation to definition of categories. State of health (average) was 79 80 based upon the respondent's own perception, which might not have found "great" and "excellent" distinct. There did appear to be a skew toward toward positive ratings, though, as "poor" plus "fair" accounted for less than 10% of the sample. Again, it may have appeared that the residency categories, urban/ suburban/rural, were unclear; they were also self~defined by the respon- dents. There was no written mention of problems in self-defining, al- though the form might have given definite parameters for each. (A sociologist was consulted on the final draft of the questionnaire, and it was felt that such definition was not necessary.) Although this study did accomplish establishment of a list of species utilized medicinally and gave some indication of the extent to which the population participates in self-treatment, actual dosage of medicinals as well as methods of administration were rarely uncovered. Further, some indication of healing hierarchy (Romanov, 1965) is given by the measure of health consultations per year and of instances of self-treatment. The implication is that although it appears that the preference of health consultation is, in decreasing order, doctor, friend, and natural or health food store, self-treatment exceeded professional for minor ailments. Further investigation of the referral system might prove fruitful. Preventive medicine emerged as receiving more attention than symptomatic in this sample. both in regard to personal usage of plant medicines and to seeking of professional aid. Such is in accord with the view that human values place importance in the individual in medicinal matters (DuBos, 1965, Chapter XV) and that the presence of the physician likely has a therapeutic function. 81 The greatest limitation and thus a considerable opportunity for future work is an investigation of the role of healer. This sample is apparently well-informed and confident of self-treatment of minor ail- ments (as in Metzger, 1963); still, friends were sought for medical advice. Of these friends, how many regularly give health advice and do so as a major (pre)occupation? At least one person emerged who termed herself a practicing herb woman; references were made to her by several other respondents. It would seem fruitful to pursue further the role of local lay healer(s). Thus, despite limitations of the form and content of the inquiry, a listing of plants currently in medicinal usage was obtained in addi- tion to some measure of extent of usage and attitudes toward usage as well as relation of demographic characteristics to usage of specific plants. It is hoped that such may add in a small way to our repertoire of healing methods. SUMMARY AND CONCLUSIONS A small sample of southern Michigan residents with purported interest in plants, nutrition, or related concerns have been found to make medicinal usage of plants. Nearly half the sample responded directly to use of plants as medi- cine and to such use upon themselves, while fewer (about one—third) used such upon their families. Nearly the entire sample felt that nutrition had an important relation to health. A major portion of the sample viewed their personal medicinal usage of plants as preventive; those who reported visiting a doctor periodically did so for preventive reasons more than for any other purpose. Most have learned of plant medicines through reading, family, or friends. _ Over half the sample visited a doctor five or fewer times a year; about a third consulted a natural or health food store ten or fewer times per year; three-quarters consulted a friend ten or fewer times per year. Nearly three-quarters of the sample grew one or more vegetables for their own use; half reported growing herbs, and half collecting wild plants for personal use. Nearly half of the sample learned to identify wild plants by them- selves; a roughly equal number were taught. 82 83 9. Self—treatment of minor ailments exceeded professional treatment in nearly all cases. 10. Food plants were the most commonly used for medicinal purposes by the sample and wild plants the least; ratio of food plants to herbs and spices to wild plants was 3:2:1. 11. Most of the herbs, spices, and wild plants of reported medicinal use can be obtained through the natural/health food retail market; more people purchased herbs and spices than collected them personally. while more collected wild plants than purchased from a store or a person. 12. No significant associations were found between demographic factors and the most frequently (upper 25%) herbs and spices and wild plants with the exception of gender (for herbs and spices only), which was determined to be dependent with a level of significance better than 0.01. Thus, in a sample with consensus of opinion of the relation of nutrition to health as one of importance, it is not surprising that those who made medicinal use of plants, food plants were the most frequently used. It should be noted, however, that despite such consensus, only half stated that they did make medicinal use of plants. Also it might be emphasized that fewer reported such use upon their families than upon themselves. Such suggests that personal experimentation was more acceptable. The prevalence of practice of preventive medicine was true for both self-treatment and professional consultation. It is of interest that despite the indication of health referral hierarchy as doctor-friend- natural/health food store, more of the sample treated themselves for 84 minor ailments than consulted a professional. In conclusion, it is suggested that the surveyed population exhibited a notable degree of self-reliance in matters of health and illness while maintaining considerable contact with both professional and non-professional services. Absence of association of demographic factors with use of plant medicines was an unexpected finding; it was anticipated that degree of education and place of residence, at least. would show significant relation to degree of usage. The prevalence of preventive medicine was also not anticipated. Although there is no objective evidence to support the statement, widespread use of plants as preventive medicine may possibly be related to the general good health reported in the questionnaire by the sample. BIBLIOGRAPHY BIBLIOGRAPHY Ackerknecht, E. H. 1945. 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Do you use herbs, organic foods, or wild plants as medicine? ___ For yourself? ___ Family?___ Often?__. Sonetimes?~__ 2. Do you think that nutrition has an important relation to health?__ 3. Do you think of herbs, organic foods, and wild plants as pre- ventative medicine? As symptomatic medicine? 4. Do you prefer use of herbal teas or tisanes to use of coffee or non-herbal tea? 5. How long have you been interested in natural remedies? 6. How did you become acquainted with rlant medicines? 7. Averaging the last five years, how many times a year do you estimate that you: a call upon a doctor? For what purpose? b seek advice from friends for treating ailments? c consult a health or nutural food store? d) call upon some other person for advice when ill? 8. Do you ever collect and dry wild plants for your own use? Which plants & for what use? 9. Did anyone teach you to identify wild plante?___ Did you learn by yourself?_ _ 10. Do you grow herbs for your own use? Which? 11. Do you grow food plants for your own use?___ Which? 12. Do you eVer treat yourself with plants for minor ailments? Check any of the following that you would treat: ...athlete's foot ____cuts ”poison ivy ‘ ___stiff neck __bruises __earache __sore muscle e __toothache ..COldS __flu _sore throat _other (please __cough __headache :sprains .be specific) 13. Do you ever consult a doctor for any of ihe atove?_ Indicate with a "D" in the appropriate blank those fcr which~ you would consult a doctor. 14. Which plants would you use to treat any of the above? 15. If you don‘t use plant medicines at the present time, did you ever? Which and for what purpose? Why did you stop? 91 1 1... .111!- 111111. .1 . >vvmamwx >w. wswmuomw omnmamnmwm Hmnonmmm mn nym.n»am cm camen% vnomconwdwnxamncawmm. I . I ma>aHoz . rsxm H wH