Showing posts with label tincture. Show all posts
Showing posts with label tincture. Show all posts

Monday, August 5, 2013

Harvesting Artist's Conk (Ganoderma)

Although I primarily use plant species in my practice, I also use several medicinal fungi. The first group of medicinal fungi that I started using about 15 years ago were several of the Ganoderma species. These are bracket fungi or conks that grow on wood. Of the various members of this genus, by far the most popular is lacquered polypore (G. lucidum), better known by its Japanese name reishi. This species grows on a number of different hardwood trees. Although it is circumboreal, growing throughout the temperate regions of the northern hemisphere, it is rare in the region where I live. As a result, I primarily use artist's conk (G. applanatum) and hemlock varnish shelf (G. tsugae), which are quite common in this area. All three species have similar properties.

I came across this lacquered polypore (Ganoderma lucidum) in mid June this year growing from the base of a
beech tree (Fagus grandifolia). It is one of the few times I have seen it growing in the region where I live.

I have used all three of these Ganoderma species. Lacquered polypore is not common where I live, however, one year I purchased a log that was inoculated with the spores of this species and grew it so that could make a tincture of the fresh fruiting body and compare the properties of all three species. Although it is not as well know as reishi, I actually have a slight preference for artist's conk. However, in my practice I usually use a 50/50 mixture of the tinctures of the fresh fruiting body of artist's conk and hemlock varnish shelf. I sometimes mix closely related species that have similar constituents and properties to increase the diversity of chemical constituents in the medicines that I use. I find that closely related species are often mutually synergistic and the properties of these combinations are sometimes more consistent and versatile than using the individual species.

Hemlock varnish shelf (Ganoderma tsugae) often looks very similar to lacquered polypore, but it grows almost
exclusively on hemlock (Tsuga spp.). The margin is whiter compared to the photo of
lacquered polypore (see above) because this one is still growing.

Artist's conk is one of the most adaptive fungi in terms of the variety of tree species that it can grow on. It primarily grows on hardwoods, but on rare occasions I have seen it growing on conifers as well. That being said, in the region where I live it most commonly grows on sugar maple (Acer saccharum) and American beech (Fagus grandifolia).

Unlike its relatives, the fruiting body of artist's conk is perennial. If the conditions are right it can grow for many years. It is brownish with a woody appearance on top, but the underside is white and somewhat rubbery. If we draw on the underside with some kind of stylus, it leaves distinctive lines that will be preserved if the fungus is dried. This is how it got its common name. I have seen some pretty amazing pictures that were drawn on artist's conk!

Artist's conk used to be one of the most common fungi in southern Ontario. However, in the last few years it has become less common. As a result, I have found it a little more difficult to find good harvestable specimens. I suspect it has something to do with the average age of the forests in our region. From 1980 to 2005 there were a lot of very old beech and maple trees that gradually died off. There aren't that many of the oldest ones left in a lot of the forests that I frequent. This is just my hypothesis. There are probably other reasons as well.

The fruiting body of artist's conk (Ganoderma applanatum) is perennial and can grow for many years.

I use a moderate amount of Ganoderma tincture in my practice. Typically about 4-6 litres per year. Since I mix artist's conk and hemlock varnish shelf, that means I need about 2-3 litres of each species per year. The fruiting bodies of these species are pretty heavy. If I can find a decent supply I will usually harvest enough for two years so that I don't have to harvest it every year. However, this year I couldn't find much good quality artist's conk. I had one litre of the Ganoderma mixture pressed and another litre of this species on hand macerating. I was able to find just enough to make another two litres. Fortunately, I only needed to find one good sized conk to make this amount.

The fruiting of many fungi species is variable. It is particularly influenced by the amount of available moisture. In some years certain fungi may not fruit at all if there isn't enough rain. For instance, a couple of years ago it was very dry in Southern Ontario and the artist's conk, hemlock varnish shelf and birch polypore (Piptoporus betulinus) in the woods around my home didn't fruit at all. But the birch polypore, which typically fruits in August or September, finally did fruit during a thaw in mid January!

A new fruiting of artist's conk (with a friend hiding beneath!).

The new growth along the margin of a fruiting body looks white and rubbery, similar to the appearance of the underside. As it reaches the limits of its new growth it transforms into its typical woody appearance as the white band along the edge gets increasingly narrower until it finally disappears. The spores are released from pores in the underside, which is why it is called a polypore. Apparently the top and underside of the fruiting body have an opposite electrical charge. As a result, some of the spores when they are released are attracted to the top of the fungus. During the peak of its fertile period there is often a deposit of the brownish dusty spores on top of artist's conk.

Another friend: This wood frog (Rana sylvatica) was nearby watching the strange dude photographing fungi!

There is a brief overlap between the period of active growth and the fertile period when spores are produced. This is when I prefer to harvest it. At that point there will still be a very narrow white growth band along the rim, but there will already be a light dusting of spores on top unless it has been fairly breezy. Since the growth of this species is so variable, the point where it is at this stage can be anywhere from mid June to early August in southern and central Ontario. This year I harvested artist's conk on July 12th. It was a bit more mature than when I usually harvest it. The first week of July would have been ideal.

I have found that it is best to only harvest the part of the conk that grew during the current year and the previous year or two. The portion that grew each year can be easily determined by the distinctive growth bands on the upper surface. When it is harvested this way it will continue to grow in the following years.

Sometimes artist's conk grows more vertically and the growth bands are layered on top of each other.
On this one the dusting of spores is visible on the upper surface.

The harvested portion of artist's conk. The yellow stain on the cutting board was from processing
fresh organic turmeric rhizome (Curcuma longa) a few weeks previously.

The underside of the same piece. The discoloration on the lower part is bruising caused
by my fingers when I was holding it while cutting it with my knife.

When we harvest the previous three years of growth, there will often be a portion of the upper surface from two years prior to the year it is harvested that is old and dying. This oldest layer is removed. This is best done with a good heavy-bladed knife like a cleaver or sometimes a serrated knife will work well.

You can see the distinctive growth bands layered vertically in this cross-section.
The upper layer that has lots of white in it is too old and must be removed.

Here's the same piece from above after the older tissue was removed.

Once the older tissue is removed, there are two stages in processing artist's conk to prepare it for making a maceration. It is not possible to immediately start chopping it with a mezzaluna  because the fruiting body has a dense but somewhat rubbery quality. It gives too much to be cut in this way. It is necessary to slice it up into smaller pieces first. The same kind of knife we used to remove the older tissue will work well for this.

Artist's conk after the initial cutting.

Once the pieces are small enough, they can be chopped finer with the mezzaluna. This is much quicker than doing it with the cleaver.

Here it is again after the final chopping.

Some fungi absorb a lot of water. This needs to be considered in terms of how we prepare a tincture because the water content will dilute the constituents in the tincture. Because of this I will step up the potency of these fungi one level. Whereas I primarily recommend preparing a 1:5 maceration (1 part herb to 5 parts menstruum) for fresh herbs, for really wet fungi I will prepare a 1:4 maceration. However, this will further increase the amount of water in the tincture. In order to compensate for this I need to adjust the menstruum as well. For dried herbs I usually use a menstruum consisting of 60% water, 30% alcohol and 10% glycerin. For fresh herbs I increase the concentration of the alcohol and glycerin slightly to compensate for their water content. The ratio I use is 56% water, 33% alcohol and 11% glycerin. Since I primarily use fresh herbs, it is the latter mentruum that I use most of the time. However, with really moist fungi I adjust it further to 52% water, 36% alcohol and 12% glycerin. Hemlock varnish shelf and birch polypore fall into this category, but there are other fungi, such as clinker polypore (Inonotus obliquus), better know as chaga, that are no more moist than the average herb. In the latter case no adjustment of the potency or menstruum is necessary. Artist's conk tends to fall into the middle. If there has been a lot of rain it can be fairly moist, however, sometimes it isn't. Each time I make it I have to decide whether or not it is necessary to compensate for the moisture level.

I have covered the specifics of making a maceration of a fungus like artist's conk. For other more general details on the process of making a tincture, see the Making Medicine series of posts.

Ground ivy is a moderately aromatic herb. Its relatively mild flavour is somewhat minty and musky with just a touch of bitterness. If I have any left over I will dry it and use it to make a tea. I like the taste of ground ivy but some people find it a bit unpleasant. However, it is not overpowering and blends well with many other aromatic herbs.

Many medicinal fungi are moderately to significantly adaptogenic. Although every adaptogenic herb has some specific areas of use, adaptogens also work as general tonics and tend to have benefits for our whole body. However, I have found that for people suffering from chronic health conditions, in order to get the most out of using adaptogens it is best if they are used in the final stages of treatment where they have both specific and generalized actions and help to coordinate the functioning of the different systems of our body. They can also be used as general tonics by people who are relatively healthy.

I have found that the adaptogenic fungi are a little bit different than some of the more purely adaptogenic herbs like American ginseng (Panax quinquefolius). Whereas ginseng works best in a purely adaptogenic formulation, fungi such as artist's conk are excellent transitionary herbs. I use them in formulations at the stage when I am transitioning a person from some other kind of formulation into the final adaptogenic stage of treatment, as well as in more purely adaptogenic formulations.

That's all I'm going to say about the properties of artist's conk. In the Herbal Resources section of my website I have provided a pdf document that you can download that is based on my research and experience with this herb.

Link to PDF file.


Thursday, July 4, 2013

Harvesting Ground Ivy

On June 12th I went to one of the areas where I wild-harvest herbs and harvested ground ivy (Glechoma hederacea), better know as creeping Charlie in some areas. This Eurasian species has naturalize throughout much of North America. Some people consider it invasive, especially in shady areas, but it really isn't. It can sometimes be prolific, but it doesn't crowd out other species. It often grows on shadier parts of lawns. If you notice a somewhat minty smell when you are mowing the lawn, you've probable mowed some ground ivy!

This is an herb that I use in moderate quantities in my practice - typically about 4-5 litres per year. It is a very versatile herb and I would probably use even more of it if it wasn't for the fact that it is a difficult herb to harvest in quantity due to its small size. As I still had 2 litres of ground ivy macerating and a bit more already pressed, this year I harvested 5 litres. With herbs that I use in small to moderate quantities I usually harvest a two year supply so that I only have to harvest about half of them each year, but because of difficulty harvesting large quantities of this herb it is necessary for me to harvest it annually.

Ground ivy (Glechoma hederacea) in the early spring before it starts to produce flowering stalks.
The larger, older looking leaves are the ones that have over-wintered.

Ground ivy is fairly sensitive to variations in weather conditions from year to year. In the region where I live it can go into flower any time from mid April to early May. It has a relatively long flowering period, typically flowering until late June or early July.

Although we tend to harvest the aerial parts of most herbs very soon after they go into flower, with ground ivy it is preferable to wait until a bit after the middle of its flowering period. This is because the flowering stalks that we harvest are relatively small and don't weigh very much. It is best to wait until they are almost at their maximum height. I usually harvest it from early to mid June, depending on the weather conditions in any given year.

The young stalks of ground ivy just before it begins to flower.

Fortunately ground ivy has a fairly long period when it can be harvested - typically about two weeks - because, with the unusually cool, wet weather we have been having, there haven't been very many days when the conditions are ideal for harvesting herbs. As a result, I didn't get a few of the herbs that I intended to harvest; but I had to get ground ivy because I use a fair amount of it.

This is what ground ivy looks like when it first goes into flower.

Last year the conditions were the opposite of this year. They were unusually hot and dry. As a result, I harvested ground ivy earlier; on June 5th. It was actually about a week later in its life cycle when I harvested it last year. Had I harvested it at a similar stage to when I harvested it this year it probably would have been about a week earlier, more like the end of May.

Here is ground ivy a few weeks later.

This year on June 12th I headed out to a wilderness area about 15 minutes from where I live to harvest ground ivy. As always, I began by offering tobacco to the spirits of the land and the medicine and asking permission to harvest the medicine that day. After I received permission I headed to an area where the spirit of ground ivy is very strong and there is a large healthy population.

A closer look at our friend. Notice that it has square stalks and opposite leaves, typical of the Mint family.

Although for the most part our spring was cool and wet, we did have a few short periods when it was sunny, hot and humid. The day I harvested ground ivy was during one of those periods. It was very hot that day and I had to be careful not to drip sweat onto the herbs as I harvested them. It was also the first day when the mosquito people were quite present. I rarely use mosquito repellent and only use a natural formulation that I make when I do. However, I never use repellent when I am harvesting herbs. Partly it is to ensure that the essential oils in the repellent I use don't contaminate the herb(s) that I am harvesting. But it is also another way that I give back to the land where I am harvesting. I never intentionally kill biting insects and when I am harvesting I just let them bite me. Eventually my blood will work its way up the food chain, into the soil, and even the plants that live there. The the sacrifice of the plant people when they offer the gift of their medicines is far greater than the little bit of blood that the mosquitoes take from me. In fact, I have a good relationship with the mosquito people and they bite me a lot less than they bite other people. When I'm with other people they hardly bite me at all, unfortunately for the others! When I used to have a more antagonistic attitude towards them they used to bite me as much as anyone else.

The flowering stalks of ground ivy can grow up to 50-60 cm (20-24 inches) tall, but it is best to harvest them when they are about 30-40 cm (12-16 inches) tall. We harvest about the terminal 50% of the stalk. In order to ensure that I do not have too much of an impact on the local population of this herb, I only harvest about from about a third of the stalks in any given area.

The harvested portion of two different size flowering stalks. The top one is 20 cm (8 inches) long,
the bottom one is 15 cm (6 inches).

In preparing herbs to make a tincture there are two stages that can be relatively time consuming. The first is the actual harvesting. Plants for which the harvested portion is small or whose population tends to be more spread out take a lot more time. Of course, we have to include the time it takes to travel to and from the area where we are harvesting as well.

The other stage that can be time consuming is the processing that we need to do with the harvested portion before it can be chopped up to prepare a maceration. There are some herbs from which we use the entire harvested portion. However, these are the minority. With the aerial parts of most herbs, much of the stalk is a fair bit less potent than the leaves and flowers. As a result, we usually have to remove a portion of the stalk. The difference in potency between the stalk and the leaves and flowers varies from herb to herb. The greater the difference, the greater the proportion of stalk that has to be removed and the longer the amount of time it takes to process the harvested portion. The more an herb branches, the more time this takes as well. Ground ivy is about medium in this regard. We do need to remove a fair bit of the stalk, but the stalks do not branch. With this herb it is best to remove the leaves and flowers from about the lower 2/3 of the the stalk. That portion of the stalk is removed and not used. I don't waste anything. The discarded stalks end up in my composter. If I didn't have a composter I would return them to the Earth somewhere at my next opportunity.

The same two harvested portions showing the amount of stalk that was removed.

Once the stalk that we aren't using is removed, the herb is weighed to determine the appropriate amount we need to use taking into account the potency we wish to prepare and the size of the jar that we will be macerating it in.

This is the amount of processed herb required to make 1 litre of tincture at a 1:5 potency.

Then we have to chop the herb up relatively fine before it can be macerated. With the right tools, that doesn't take very long. For more information on the specifics of making a tincture, see the Making Medicine series of posts.

Here it is again, chopped up and ready to macerate.

Ground ivy is a moderately aromatic herb. Its relatively mild flavour is somewhat minty and musky with just a touch of bitterness. If I have any left over I will dry it and use it to make a tea. I like the taste of ground ivy but some people find it a bit unpleasant. However, it is not overpowering and blends well with many other aromatic herbs.

There is not very much information on ground ivy out there. It is primarily recommended for respiratory conditions and inflammation and ulcers of the digestive tract. In my experience, I have found it to be a much more versatile herb than what you might suspect based on the information in the literature. However, this is typical. When I use an herb and really get to know it, I always find that it has many more properties and uses than what is indicated in the literature.

Rather than turn this into a super long post by getting into the uses of ground ivy, in the Herbal Resources section of my website I have provided a pdf document on ground ivy that you can download that is based on my research and experience with this herb.

Link to PDF file.

So, that wraps up my discussion of my experience harvesting my friend and colleague ground ivy. Except for the difference of habitat, the process is very similar to harvesting blue vervain (Verbena hastata), which I described in the Making Medicine series. In future posts I will discuss the harvesting and processing some different medicines that have a range of different requirements.


Tuesday, February 12, 2013

Healing Bone Fractures, Part 1 of 5

Things have really slowed down in my life and I haven't been able to post anything for a few weeks. That's because on January 30th I badly broke my lower right leg! Even though I'm an outdoorsy kind of person, I figured if I made it this far in my life without breaking any bones, maybe I never will. Well, it turns out I was wrong!

The Niagara Escarpment along the east side of the Saugeen (Bruce) Peninsula not far from where we were hiking.

We were hiking along a trail near the Niagara Escarpment on the Saugeen (Bruce) Peninsula. This area is characterized by lots of dolomite rock outcroppings. Normally we would have been snowshoeing, but we got a couple of days of unseasonably warm weather and it rained a lot. The amount of snow went from 45 cm (1.5 feet) down to about 5 cm (2 inches), making it much more easy to walk in boots. While we were hiking, I stepped with my left foot into a crevice in the rock that I couldn't see because it was covered in snow. It was quite deep. I never hit bottom and all of my weight came down on my right shin on the rock. I have a clean break in my fibula just below my knee, but my tibia was shattered just above my ankle. I'll spare you the details of how we got out of there, but it was quite a trip! Had there still been enough snow to snowshoe, my foot wouldn't have fit into that crevice.

This is more like the terrain where we were hiking (and the right season!).

Because of the severity of the fracture, I needed surgery. They weren't able to get me into surgery until the following day. The injury occurred around noon on the 30th and I didn't get into surgery until around 4:30 pm on the 31st. I had to have a 25 cm (10 inch) plate screwed into my tibia to hold the pieces together. I have no cast because I need to be able to move and stretch the tendons and ligaments in my ankle and knee so they don't tighten up too much while I'm off my leg.


Here are a couple of x-ray views of my leg with the plate taken the morning after my surgery.
It's a pretty messy affair and I suspect that I will need to have surgery again at some point to remove it.

According to the surgeon, this kind of fracture takes about four months to heal. If I'm lucky, three months at the absolute minimum. During this time my leg can't bear any weight. Once it is strong enough to bear weight, I will require a month or two of physiotherapy to get the strength back in my leg. So, he's predicting that this process is going to take 4-6 months.

What the surgeon doesn't know, because it's outside his paradigm, is that I have tools available to me to accelerate the healing of my leg. I have a basic protocol for treating bone fractures that I have used to help heal other people. This is the first time I'm going to be using it on myself!

I am going to use this as an opportunity to provide an example of how to heal a bone fracture. I will provide details of exactly how I am treating this on an ongoing basis, and updates as to how my healing is progressing. The important thing to keep in mind is, although I am following a basic protocol, it needs to be fine-tuned for each specific situation. If four different people came to me with similar fractures, I would treat each person slightly different depending on their specific needs, constitution, history, etc. What I am describing is how I have adapted this protocol to my own specific needs. Nevertheless, it will provide a good example of how I treat this kind of injury.

The protocol that I use is very complex. It requires five different components all of which are important: herbal treatment, both systemic and local; homeopathic treatment; supplements that help our body heal tissue damage and rebuild bone tissue; physical therapy; and dietary adjustments to support the healing of this type of injury.

I am going to begin by providing details of what I used in the interim when I didn't have everything available to me to complete the protocol. Then I will document what I am using and my progress in a continuing series of posts.

In the early evening on the day of the fracture, when it became apparent that the surgery wasn't going to happen that day, I had myself checked out and we went back to the cottage we were renting where I knew I would be more comfortable and be able to eat some good food and make use of whatever herbs and supplements I had on hand. My partner, Monika, tried to find some of the additional remedies I needed but was only able to obtain homeopathic Arnica in a 30C potency. Homeopathic Arnica is an essential remedy for any kind of sudden traumatic injury. It reduces swelling, bruising and pain, and supports the healing process. While we were still there and through the evening I took it every hour. I didn't sleep very well and took it every couple of hours through the night as well, and continued taking it every hour the next day up until my surgery. I resumed it when I awoke on Friday.

Mountain arnica (Arnica montana) is mostly used topically by herbalists because it is very irritating and mildly toxic when taken systemically.
It should only be used systemically by experienced herbalists. In homeopathic potencies this is not an issue.

Homeopaths rarely use homeopathic remedies in combination with other modalities. Although I am not a homeopath, I have a good understanding of the system and sometimes use homeopathic remedies in combination with herbs, especially for the treatment of acute conditions. In order to treat a situation holistically, I have found that it is best if we address it on as many different levels and in as many different ways as possible. The more severe the injury or illness, the more important it is to do this.

At the cottage I also had available to me a general herbal tonic formulation containing 1:5 fresh herb tinctures that provided some benefit in terms of reducing inflammation and pain, increasing circulation and supporting the healing process. It also contained some liver herbs that would help protect me from the side-effects of all the medications I was going to have to take before and after the surgery. I upped the dose from 3 ml into the acute dosage range at 6 ml. Because I was going to have to fast the following day before my surgery, I only had one dose before my dinner, but I resumed it as soon as I returned from the hospital after my surgery. I also had some supplements including vitamins C (calcium ascorbate), D and E, zinc, polyphenols, and a good quality low potency multivitamin with a very good trace mineral complex. I took one of everything and two vitamin C with my dinner, and resumed these when I returned after my surgery as well. The last thing I had is a herbal sedative which I travel with because sometimes I have difficulty sleeping when I'm in an unfamiliar environment. I took this before bed and a couple more doses through the night. I didn't sleep very well that night, mostly because I had to sleep on my back which I never do, but it did help me sleep a bit and reduce the pain and inflammation.

Up to this point, except for the insane pain when I actually broke my leg, as long as my leg didn't get banged or twisted the pain wasn't that bad. The Arnica was definitely a factor in this.

After the surgery, the doctor wanted me to stay another night to make sure I didn't end up with a kind of serious swelling that can occur with this kind of injury, or an infection, and that my pain was under control. However, I was determined to get out of there as quickly as possible so that I could get onto the remedies that I needed. I stopped dosing myself with the intravenous hydromorphone (a semi-synthetic derivative of morphine) as soon as I woke up so that they would see that I was managing the pain and asked to be disconnected from everything. The surgeon saw I was doing OK and I managed to get out by 1 pm. He gave me a prescription for a drug containing 300 mg of acetaminophen and 30 mg of codeine phosphate. I didn't fill the prescription. We did pick up a product containing 500 mg of acetaminophen without the codeine. I took one tablet on Friday evening shortly before bed when the pain in my leg got pretty intense for a few hours. That was all I used.

It is important to note that we should not use non-steroidal anti-inflammatory drugs (NSAIDs), such as acetylsalicylic acid, ibuprofen and naproxen, to treat the pain and inflammation associated with bone fractures as these drugs interfere with bone formation. Drinking alcohol also interferes somewhat with bone formation. This is mainly a concern for moderate to heavy drinkers, nevertheless, it is best drink very little or not at all. Smoking has a more pronounced negative impact on bone formation than alcohol.

We went back to the cottage and stayed for the next three days. Some friends were coming up for the weekend and we asked them to bring me some additional homeopathic remedies. At this point my interim protocol was as follows:

Homeopathics: Arnica 200C, Hypericum 200C and Symphytum 200C taken individually, four pellets per dose alternated throughout the day every 1-2 hours so that I was taking each remedy 4 times per day. Hypericum is a specific for nerve damage and nerve pain. Although I did not have any numbness or tingling, indicating that there probably wasn't any nerve damage from the original injury, there was a risk of nerve damage resulting from the surgery. Symphytum is a specific for healing bones. I tend to use Hypericum and Symphytum both in homeopathic form and in crude tincture form as you will see later. The two forms taken together are very synergistic, working much better than either the tincture or homeopathic individually.

Common comfrey (Symphytum officinale) is a specific for bone fractures, both in herbal and homeopathic forms.
Crude herb preparations must be used carefully as it contains pyrrolizidine alkaloids, which are liver toxins.
This is not an issue when taken in homeopathic potencies.

Herbs: I continued taking the tincture formulation I had with me at a higher dose until I was able to get home and formulate something specific for my injury. I took 6 ml in a bit of water on an empty stomach 10-15 minutes before each meal. I also continued to take the sedative formulation, 6 ml before bed and additional 3 ml doses through the night, if necessary.

Supplements: Making the best use of the supplements that I had available, I took the following (these are the doses of the nutrients that are particularly important for bone repair as provided by the individual products I had available to me):
  • With breakfast: Vitamin A 3,500 IU, beta-carotene 7,500 mg, vitamin C 1,325 mg (from calcium ascorbate), vitamin D2 200 IU, vitamin D3 1,000 IU, vitamin K1 50 mcg, vitamin K2 10 mcg, calcium 152 mg (ascorbate), copper 0.5 mg (citrate), manganese 0.5 mg (citrate), zinc 5 mg (citrate), selenium 50 mcg (chelate), boron 0.35 mg (chelate), lutein 0.5 mg, bioflavonoids 100 mg (citrus extract), quercetin 100 mg, anthocyanidin 100 mg (mixed berry extract).
  • With lunch: Vitamin C 1,200 mg (from calcium ascorbate), vitamin D3 1,000 IU, calcium 137 mg (ascorbate), quercetin 100 mg, anthocyanidin 100 mg (mixed berry extract).
  • With dinner: Vitamin A 3,500 IU, beta-carotene 7,500 mg, vitamin C 1,325 mg (from calcium ascorbate), vitamin D2 200 IU, vitamin D3 1,000 IU, vitamin E 200 IU (mixed tocopherols), vitamin K1 50 mcg, vitamin K2 10 mcg, calcium 152 mg (ascorbate), copper 0.5 mg (citrate), manganese 0.5 mg (citrate), zinc 20 mg (citrate), selenium 50 mcg (chelate), boron 0.35 mg (chelate), lutein 0.5 mg, bioflavonoids 100 mg (citrus extract), quercetin 100 mg, anthocyanidin 100 mg (mixed berry extract).
Some of these are ingredients from a multivitamin that I took with breakfast and dinner. It is a good quality low potency multi with an excellent trace mineral content. It does not contain iron, calcium or magnesium because iron should only be taken when absolutely necessary and the amount of calcium and magnesium that can be included in a multivitamin is too low to be relevant. I did not list all of the ingredients of the multivitamin, only those that are important for bone repair. However, the full range of nutrients in the multi are important to support healing in general. In addition, I was also taking omega-3 fatty acids in the form of organic flax seed oil, 2-3 teaspoons taken throughout the day mixed in food (but not heated).

Other: From the moment I was able to stand after my injury I spent a lot of time wiggling my toes to help with circulation and to keep my feet as flexible as possible. Most other forms of movement were not possible until a few days after my surgery due to the severe swelling of my leg. Whenever I was sitting (always with my leg up to reduce swelling), a periodically massaged my knee and lower thigh to help prevent them from tightening up as much as possible. I was also doing deep breathing exercises in which I focused on "feeling" the life force energy or qi circulating through my body, particularly in my leg.

This is the end of my first post on the ongoing saga of my leg. In Part 2 I will provide the details of the complete protocol that I put myself on once I returned home.



Wednesday, August 22, 2012

Making Medicine, Part 3 of 5: Making a Fresh Blue Vervain Maceration

This is the third in a series of five posts in which I am using the process of wild harvesting and making a fresh herb tincture of blue vervain (Verbena hastata) as an example to explain in detail the process of making medicine. Part 1 of this series was posted on July 9th, Part 2 on July 15th. This series started as a single post, then became two, then three, then four, now five. As it progresses I realize that there is a lot that needs explaining. I have decided to do that thoroughly so that I can reference it from future posts rather than having to repeat information.

In the second post in this series we got up to the point where the blue vervain had been chopped up and was ready for making a fresh herb tincture. Now we are going to discuss making a tincture in detail. This is essentially a two part process. The first part of this process involves macerating the herbs. Maceration is the technical term for soaking the herbs in our extraction medium or menstruum. This will be the focus of this post. I will address pressing and filtering the maceration to make the tincture itself in the last post.

I discussed the important issues concerning wild harvesting and preparing blue vervain for macerating in the first two parts of this series. The next step is to put the chopped herb into a jar. This requires two things, a funnel and a jar.

The kind of jar that we use is very important. Firstly, it needs to have a wide opening so that it is easy to get the herbs into it and out again when it is finished macerating. Secondly, it is preferable that the jar is made of dark coloured glass. Amber seems to work best and it is less expensive than cobalt, which is the other major choice for dark coloured glass. Amber jars reduce exposure to light, which is one of the most important causes of degradation of the constituents of herbs. It is therefore important that we minimize the amount of light that our herbs and our maceration are exposed to. To accomplish this during the initial preparation, the herbs are chopped, put into a jar, covered with menstruum, and sealed as quickly as possible.

I know many herbalists who use Mason jars for macerating tinctures. This is probably because they are cheap and readily available. Some don't realize the importance of minimizing exposure to light. Others claim that the minimum light exposure that occurs while preparing and shaking their maceration is not significant as long as the jars are stored in the dark. It is very important to me to ensure that the medicines I prepare are of the highest quality and I am always experimenting with ways to improve this process. I have prepared two macerations of the same herb at the same time in the same way, one in an amber jar and the other in a Mason jar. Both were stored in the dark in the same location. I allowed them to macerate for the same amount of time and pressed them the same way on the same day. When I pressed the two macerations, the one that was prepared in the Mason jar was already significantly oxidized and the one that was in the amber jar had oxidized very little. You can tell that a tincture is oxidized because it is darker (usually more brown) in colour.

Once we press a tincture (which I'll discuss in the fourth and final post in this series), the constituents begin to rapidly degrade. There are a couple of ways we can slow this process down, but we can't prevent it. It is much easier to minimize this degradation during the initial preparation and maceration process. We can maximize the quality and potency of our tincture by minimizing the degradation of its chemical constituents up to the point of pressing it. This will also maximize its shelf life once it is pressed.

The final point that I would like to make about Mason jars is that, in order to prevent the lid from rusting, it is coated with plastic that contains bisphenol A (BPA), a hormone disruptor that readily dissolves into our maceration and accumulates in our body tissues. BPA has many known and probably many more unknown negative health effects. There are numerous sources of this environmental toxin and most people have significant levels in their body tissues and fluids. It's not something that we want in our tinctures! There are Mason jars out there that have a plastic lining that is "BPA Free", however, the BPA has been replaced by bisphenol S. BPS has similar hormone disrupting properties as BPA.

That brings us to the discussion of lids. Our wide-mouthed amber jars need a lid. Metal lids are not recommended because they either have a plastic coating that contains BPA or similar chemicals, or they have no coating and will rust. As a result, although I'm not a big fan of plastic, it is the best option as long as it's the right kind of plastic. The two options for lids that I recommend are high-density polyethylene (HDPE, ♴) and polypropylene (PP, ♷). Neither of these plastics leach BPA, pthalates or other known hormone disruptors. That doesn't mean that other toxins won't be discovered in the future that leach from these plastics, but at this point these are the safest plastic lids. If our lids don't have a liner, the softness of the plastic helps the jar seal when the lid is tightly screwed on, but occasionally it doesn't seal perfectly and our jar could leak a tiny amount. That also means fresh air (and more oxygen) getting into our maceration and increased oxidation of the chemical constituents. If we want the best seal, we need to use lids with a liner. Paper liners are not recommended because they will dissolve, and other liners such as polystyrene and polyvinyl chloride are toxic. The best liner is one made of low-density polyethylene foam (LDPE, ♶), also called an F217 liner. This is another plastic that is not yet know to leach any toxic chemicals. The last point on lids is that the liner must be loose, not glued in place, because the glue will also dissolve in our tincture. This also allows us to remove the liner for more thorough cleaning between uses. So to summarize, I recommend using a HDPE or PP lid either without a liner, or ideally with a loose (unglued) F217 liner.

The jars that I use are called amber round packers. These jars have a shoulder, which means that although they have a wide opening, it is not as wide as the full width of the jar like Mason jars. The volume of these jars is usually measured to the top of the shoulder and doesn't include the neck. Since when we macerate tinctures we need to fill the jar almost to the top, this kind of jar actually holds more liquid than the stated volume of the jar. The sizes that I use are 250 ml (8.5 oz), 500 ml (16.9 oz) and 950 ml (32.1 oz). However, when we fill these jars to 1/2 cm (3/16 inch) from the top, they actually contain 270 ml (9.1 oz), 540 ml (18.3 oz) and 990 ml (33.5 oz), respectively. I use the largest size for the herbs that I use the most and the middle size for the herbs I use less. The smallest size I only use for herbs that I haven't worked with. I will initially make a smaller amount of tincture that I use to do some preliminary research on the properties of the herb. Keep in mind that I am making tinctures for use in my practice and school. Anyone who is making tinctures for personal use will not require such large quantities. For personal use or for a family, making approximately 250 ml of tincture will be sufficient for a one year supply of most herbs. Rarely you might need 500 ml, but only for herbs that you use a lot. The amber packers also come in a 120 ml (4.1 oz) size, which actually contains 130 ml (4.4 oz) when filled correctly for a maceration. I recommend to my students to use the 120 ml and 250 ml sizes for most herbs for personal or family use, and only rarely the 500 ml size. Also, it is better to macerate a tincture in several smaller jars than in one large one. This is because, assuming that we make our initial maceration in a conscientious way, the greatest amount of degradation of the active constituents will occur after we press the tincture. So we don't want to press our tinctures in quantities that will require a long time to use. I recommend macerating tinctures in a jar size that will produce enough tincture to last about three to six months. I will discuss this a bit more in the fourth post in this series.

Amber round packers: 120 ml, 250 ml, 500 ml and 950 ml sizes.
Note wide-bottom funnel in the 250 ml jar.

Enough about jars, the last thing we need is a funnel. We need a funnel with a large opening at the bottom so that our chopped herbs can easily pass through it. The opening should be as large as possible, but narrow enough that the bottom of the funnel will insert at least two to three centimetres (one inch) into the neck of the jar so that it doesn't fall out easily. You can usually get a funnel with a wide bottom in a kitchen or automotive store, or department of a larger store. They are used for funnelling solids or highly viscous liquids like motor oil. If you can't find one you can always cut a regular funnel or make your own by making a cone from a piece of blank paper (no ink on it) or thin cardboard. Make sure you tape or staple it so it holds its shape and doesn't unravel while you are pouring something through it.

Glass funnels are best, but they are expensive and easily broken. Metal funnels aren't recommended because metal acts as a catalyst for oxidation reactions, which is problematic for chopped herbs because their inner tissues are exposed. Using a metal funnel will increase the rate of oxidation of the chopped herb material as it passes through. Once more, that leaves us with plastic. As with our jar lids, it is best to use HDPE (♴) or PP (♷). Polyvinyl chloride (PVC, ♵), polystyrene (PS, ♸) and other (O, ♹) miscellaneous plastics are not recommended because they are know to leach BPA, pthalates and other hormone disrupting toxins. Nothing that is made of these plastics should be allowed to come in contact with our herbs, maceration or tinctures.

At this point our blue vervain herb has been weighed to determine the correct amount that we need to make a 1:5 fresh herb tincture in a jar that holds 990 ml. It has been chopped to the appropriate level of fineness. Now we pour it through a funnel into a jar. If this is done too quickly, sometimes the herb will get stuck in the funnel. Tapping the funnel on the rim of the jar (with the end still inside the jar) will usually remedy this. If that doesn't work I will use the handle of a wooden spoon or a chopstick as a plunger to force the herb through.

Most herbs, if they have been chopped fine enough, will easily fit in our jar. However, some herbs are less dense because they have a lot of air spaces in their tissues. This is particularly true of many herbs from the Mint family (Lamiaceae). For herbs that don't easily fit in our jar, once more I will use the handle of a wooden spoon or a chopstick to compress the herb material in the jar so that it will all fit.

Once all of the herb is in the jar we need to fill up the jar with our menstruum. Traditionally, tinctures are macerated using a solution of ethanol (grain alcohol) and water. I'm going to begin this discussion by looking at alcohol. Back in the 80's, when the diagnosis of overgrowth of yeast (Candida albicans) became popular among many natural health practitioners and health food advocates, many people were promoting various anti-Candida diets that were based on a few common themes. One of the themes that emerged out of the general Candida concern was an anti-alcohol element. The basic idea is that consumption of any amount of alcohol will promote the overgrowth of yeast in our body. This led to some practitioners and authors of books on natural healing to claim that tinctures are not a good way to use herbs because of their alcohol content. This notion was further exacerbated by herbal manufacturers who, in attempting to capitalize on this trend, promoted the idea in their literature in an attempt to gain more market share by marketing the supposed alternative: glycerites or "glycerin tinctures". These are herb extractions that use some percentage of glycerin and water as a menstruum instead of alcohol and water. These concerns are unfounded. Firstly, because glycerin is actually a kind of alcohol. In fact, mold can grow in glycerin, but not in ethanol. Secondly, because glycerites are not a suitable alternative to tinctures. Glycerin is not as good an extraction medium or preservative for most of the chemical constituents of herbs. And finally, because the amount of alcohol consumed in a typical dosage of tincture is not in the least bit harmful, nor does it promote the growth of yeast. It is true that over-consumption of alcohol has a lot of potential negative health consequences, but the amount of alcohol consumed by taking tinctures, even at acute doses, is completely acceptable. The difference in the quality of tinctures versus glycerites is many times more significant than any potential negative consequences from consuming such tiny amounts of alcohol.

Other forms of liquid extractions of herbs such as acetics or "vinegar tinctures", which are extracted using some percentage of vinegar and water, have also been suggested as alternatives to tinctures. Although solvents such as glycerin and vinegar are good at extracting some of the chemical constituents of herbs, for the majority of constituents alcohol is better. Alcohol is also by far the best preservative for liquid extractions (not including toxic solvents such as methanol and benzene).

Before I go any further on this, I want to clarify two points that I just made. Firstly, the notion that yeast and other "parasites" are the primary cause of most health imbalances that people suffer from has been around a long time. It is called "germ theory" and it was initially developed by Louis Pasteur, a 19th century microbiologist. It is also one of the major limiting assumptions of modern medicine. As a result of the acceptance of Pasteur's theory into the reductionistic medical paradigm, medical researchers in the late 1800s and early 1900s looked for microbial causes of just about every illness and attempted to develop vaccines to treat them (this was before antibiotics). I am not suggesting that this approach hasn't resulted in useful medical treatments that have helped many people. However, the limitation of this theory is that it doesn't get to the root of the problem. In most instances, infectious diseases are caused by organisms that are in our immediate environment and often in or on our body all of the time. The major cause of illness is not the organism in and of itself, it is the lack of health and vitality of the person affected by it. This is directly the result of the dietary and lifestyle choices that we make every day.

Now lets fast-forward to the 1980s when Candida became a popular concern. Since that time many practitioners of natural healing disciplines have jumped on the germ theory bandwagon. It's the same old superficial approach, looking for an easy scapegoat instead of getting to the root of the problem. It is true that whenever there is an over proliferation of any microorganism, the presence of the organism will put additional stress on a person. Sometimes (but not always) it may be necessary to use treatment methods that directly affect the organism to help reduce the stress load on their body. However, using herbs to support the person's overall health and vitality and educating them about how the way they live affects their health and how they can improve on it is the essence of the treatment. And, for the record, in situations where it is necessary to directly address the "parasite", if herbs are our modality of choice, tinctures are usually the preparation of choice - and that means alcohol!

The whole issue of "parasites" is quite complex and maybe I'll do a post on it at some point in the future. For those who are interested, here is a link to an article that I wrote for the summer 2000 issue of Vitality Magazine (Dealing With Parasites). This one is too old to be archived on the Vitality website, so I have posted it on the Herbal Resources page of the Living Earth website.

The final point that I would like to clarify concerning this aspect of the alcohol issue is that, although it is true that the amount of alcohol in a typical dose of tincture isn't going to be harmful to most people or aggravate some condition that they have, I am not suggesting that the alcohol in tinctures isn't going to negatively affect anyone. There are people who have allergy-like reactions to alcohol. Also, some people who have a history of alcoholism are so sensitive to alcohol that the taste or smell of even a very dilute amount affects them in a negative way. However, collectively these groups make up a very small minority of the population. Although for them it will be necessary to use herbs in some other form, even though from a therapeutic point of view it may be somewhat less effective, for the vast majority of people tinctures are the preparation of choice for using herbs in most situations.

Now I am going to discuss the menstruum that I use to make tinctures. This is also going to require a bit of explanation as I do not follow the traditional method of determining the menstruum for making tinctures. Traditionally, tinctures were made using some percentage of alcohol and water. The percentage of alcohol used varied depending on the herb. These percentages have been recorded in various herbal pharmacopoeias. However, it is my experience that using these prescribed alcohol percentages is less than ideal. Firstly, these percentages were determined at a time when herbalism, alchemy, chemistry and reductionistic medicine had been in the process of diverging from their common roots. The reductionistic scientific model was beginning to coalesce into its current form. At that time, like today, some herbalists in the West practiced according to a more traditional, holistic model, others according to a more reductionistic model, and still others fell somewhere in between. The growing influence of the materialistic, reductionistic scientific paradigm led many to believe that the therapeutic actions of plants were due exclusively to their chemical constituents. In addition, those who subscribed to this model believed that the actions of medicinal herbs could be reduced primarily to the properties of a single constituent or a few chemically-related constituents. As a result, the recommended menstruum for macerating tinctures was determined by figuring out the best percentage of alcohol for extracting the single or a few related constituents that were believed to be responsible for the therapeutic actions of the plant. The recommended alcohol percentages for extracting individual herbs that are recorded in the various pharmacopoeias were derived in this way.

From the perspective of an holistic paradigm, the therapeutic actions of an herb are understood to be the result of synergistic interactions of all of its chemical constituents. As a result, using a particular alcohol percentage intended to produce the best extraction of an individual constituent is not ideal because that alcohol percentage might not work well or even be detrimental to the extraction of other chemical constituents. Therefore the ideal menstruum will be one that gets the best extraction of the largest number of the chemical constituents of the herb. Here's a somewhat extreme example of what that might look like. Myrrh resin (Commiphora myrrha) is usually extracted using a very high alcohol percentage, typically 80-100%. This is because many of the components of the resin are very poorly soluble in water but very soluble in high alcohol concentrations. However, myrrh also contains polysaccharides. Until the last couple of decades, polysaccharides were completely ignored by researchers because there were no known mechanisms by which they could be absorbed or have any systemic therapeutic action from the digestive tract. The conventional belief was that they are either broken down into their component sugar units, absorbed and used as fuel by our body, or they are "fibre" and just pass through the digestive tract without doing much of anything (except making it easier to have a bowel movement). In addition, reductionistic researchers were always looking for relatively unique, strong, drug-like constituents to explain the actions of medicinal herbs. This is partly due to their philosophical orientation, and also partly because much of the research was oriented towards finding chemicals that could be used as the basis for developing new drugs. Ubiquitous constituents like polysaccharides, organic acids and polyphenols were considered uninteresting. How could something that is found in most or all plants be important when considering the unique therapeutic actions of individual herbs? In fact, any herbs that weren't known to contain very strong constituents such as alkaloids, saponins or cardioactive glycosides were considered useless and their traditional use irrational. Researchers have fairly recently changed their tune on this one, but that was the conventional belief of the time. So, getting back to myrrh, no one would have considered polysaccharides important when determining an alcohol percentage to extract the resin. However, the polysaccharides are very important, particularly for the immune stimulating properties of myrrh. Unfortunately, polysaccharides aren't soluble in alcohol. In general, their solubility tends to start dropping off at around 20% alcohol and by 40% they are virtually insoluble. So they are more or less absent from myrrh resin tincture when it is extracted using very high alcohol percentages.

Another issue is that the alcohol percentages recorded in many of the pharmacopoeias for extracting individual herbs were usually developed by practitioners and researchers who used herbs as simples (single herbs). At present, most Western herbal traditions use herbs in formulations. This is problematic because when we mix different tinctures that are extracted using different alcohol percentages, the alcohol percentage of the mixture is going to be different than the alcohol percentages of the individual tinctures. This means that chemical constituents that don't extract well at the alcohol percentage of the mixture will precipitate out of solution to varying degrees and either deposit on the surface of the bottle or settle out in a less absorbable form.

In considering all of this, I came to the following conclusions:

  1. That I needed to determine the best menstruum for extracting the largest number of constituents of herbs; and,
  2. For the system of herbalism that I practice, in which herbs are almost always used in formulations, it is best to use the same menstruum for all of the tinctures that I prepare. That means that I am looking for a menstruum that will extract the largest number of constituents in all herbs, not just an individual herb that I am macerating at any given time.
After doing some research on the solubility of various constituents and experimenting with various concentrations of possible solvents, the menstruum that I finally settled on is 60% water, 30% alcohol and 10% glycerin for tinctures made from dried herbs, and 56% water, 33% alcohol and 11% glycerin for tinctures made from fresh herbs in order to compensate a bit for the water content of the fresh herbs. Since I make almost all of my tinctures from fresh herbs, it is the latter menstruum that I normally use. I have used this menstruum for all of my tinctures for the last ten years and found it to be superior to using alcohol alone and in different (and usually higher) concentrations for different herbs.

The beauty of this menstruum is that, although glycerin doesn't extract constituents that are highly alcohol soluble as well as alcohol, it seems to work better for these constituents when combined with alcohol as long as the alcohol is in a higher proportion. On the other hand, glycerin is very good at extracting constituents that that aren't very soluble in alcohol, like polysaccharides, and helps to stabilize them in solution. So the net result is that this menstruum extracts constituents that are very soluble in alcohol more like a 35-40% alcohol solution, whereas it extracts constituents that are poorly soluble in alcohol more like a 20-25% alcohol solution. One easy way to demonstrate this is to make two tinctures of marshmallow root (Althaea officinalis), one using 40% alcohol and the other using 30% alcohol and 10% glycerin. When we press these tinctures, the latter one will be much thicker and more mucilaginous. This is because the mucilage content of the herb is primarily made up of polysaccharides which extract much better in this menstruum.

Marshmallow (Althaea officinalis).

On the other hand, if I repeat this experiment and make two different macerations of a very aromatic plant that contains a significant amount of essential oil such as wild bergamot herb (Monarda fistulosa), or a plant that contains bitter alkaloids such as celandine (Chelidonium majus), I can not detect any noticeable difference between the aroma and flavour (except for the sweetness of the glycerin) of the two different versions of the tincture, indicating that the essential oil and alkaloid constituents are extracting at a similar level in both cases.

Wild bergamot (Monarda fistulosa).

This process of assessing the quality or identity of an herbal preparation on the basis of properties that are accessible to our physical senses, such as flavour, aroma, appearance, etc., is called organoleptic analysis. Our senses, when suitably trained, are incredibly adapted to this kind of analysis, as in the case of people who can detect the subtleties of a fine wine. The same applies to herbal tinctures. To me, the ultimate test of the quality of a tincture is how closely its flavour and aroma resemble that of the fresh, living herb.

The final issue with regard to the menstruum that I use is that some people might argue that, even if this menstruum can extract constituents the are highly soluble in alcohol similar to a 40% alcohol solution, that is not enough alcohol to extract them efficiently. However, most herbal constituents are somewhere in the middle with regard to their degree of water and alcohol solubility and extract in the equivalent of a 30-40% alcohol solution very well. In addition, constituents that extract best in a high alcohol solution, like monoterpenes, alkaloids and resins, extract fairly well in this menstruum and are also very potent constituents that still have a strong therapeutic action even in a slightly lower concentration than is obtainable using higher alcohol concentrations. The fact that I am preparing 1:5 fresh herb tinctures is also a factor. They will dissolve in a 1:5 maceration better than a 1:2 or 1:1 maceration because there is more menstruum for them to dissolve into in a 1:5 extraction. It is also doubtful that our body can absorb these constituents efficiently in higher concentrations anyway. Since my goal is to create tinctures in which the constituents are in a similar proportion relative to each other as in the living herb, using this menstruum makes more sense. I am not extracting an essential oil, I am extracting an herb!

Another consideration is whether or not we might get an even better extraction if we maintain the alcohol at 30% and increase the amount of glycerin. This might be a bit better for some constituents, however, from my experience it seems to be important that the alcohol percentage is a fair bit higher than that of glycerin. In addition, I find that using more than 10% glycerin makes the tincture too sweet and many people find higher concentrations of glycerin somewhat irritating in their throat. Although the slight sweetness of this menstruum is useful in terms of making some herbs more palatable, if it's too sweet it masks the flavour of the herbs too much. Some of the therapeutic properties of herbs are enhanced by tasting the herb, presumably by reflex actions from the taste receptors in our mouth. For instance, there are many therapeutic properties that are related to the bitterness of an herb. Tinctures that contain more than 10% glycerin mask the bitterness too much and reduce the effectiveness of these properties.

The last point on glycerin is that we always use food grade vegetable glycerin. There is lower grade glycerin that is used for other purposes, but it is not suitable for making tinctures.

OK, so now we've made it through another long explanation and we can finally get back to our blue vervain herb that is chopped up sitting in our jar. To summarize, the herb is in a 950 ml amber round packer that will actually hold 990 ml when filled to the appropriate level. It has a polypropylene lid with a loose low density polyethylene liner. Now we want to fill up the jar with our menstruum, which contains 56% water, 33% alcohol and 11% glycerin. We want to minimize the amount of air space in the jar once it is filled because the more air that is present, the more oxidation that will occur while the herbs are macerating. However, we must have some air inside because we need to be able to shake the maceration to help the constituents dissolve. This only works if there is a bit of air inside because it is the movement of the air bubble that shakes up the contents of the jar. I have found that the maximum amount that we can fill the jar and still allow the contents to be shaken efficiently is about 1/2 cm (3/16 inch) from the top. Once we fill the jar to 1/2 cm from the top, the lid must be screwed on tight enough that it doesn't leak, but not so tight that we split the lid (which is possible with plastic lids if we get over zealous).

It is important to rinse the outside of the jar once it is sealed so that there is no residue from the plant juices or glycerin (from the menstruum). Otherwise it is possible that mold will grow on the jar while it is macerating.

The final thing we need to do is put a label on the jar. I store my macerations in boxes, so I put the label on the lid. It needs to contain the following information:

  1. The name of the herb and part used.
  2. The concentration of the maceration.
  3. Whether its a fresh or dried herb extraction.
  4. The date it was made.
For the blue vervain tincture that I made I wrote the following on the label:

Verbena hastata herb
1:5 Fresh
July 1, 2012

Now that our maceration is sealed and labeled, it is necessary to shake it regularly for awhile. This helps to get the constituents into solution and to break up the plant tissues a bit as they soak and soften, which facilitates the release of the constituents from the plant. I usually shake a new maceration vigorously for about 20-30 seconds twice a day for the first week, then once a day for another week or two. After that I shake them once or twice a year until I am ready to press them. Once I've decided to press a maceration to make the tincture, I will shake the jar once a day for a week immediately prior to pressing it.

The last little complication in this process is that plant tissues contain air spaces. Some more than others. As the plant material is soaking, the air spaces in the macerating herb will gradually fill with menstruum. This process takes a week or two and the shaking of the maceration helps to facilitate this process. Once the plant tissues are fully saturated with our menstruum, the size of the air space in our bottle will have grown. At about the two week point, just before I stop shaking the jars regularly, I will open them and top them up with additional menstruum back to 1/2 cm below the top. When we do this, it is important that we carefully clean the outer rim of the jar and the inner surface of the lid that comes in contact with the rim. A very small piece of paper towel or a section of toilet paper works well for this. There are two reasons why this is necessary. These surfaces will get coated with tincture and bits of plant material. If we don't clean it, the lid might not seal properly when we screw it back on. Also, if there is any tincture present on the rim, once the alcohol evaporates the remaining residue is a suitable medium on which mold can grow. Mold can't grow right into the tincture, but if it is on the rim it could contaminate our tincture when we pour the maceration out of the jar when it is finished.

Herbal macerations need to be stored in the dark at all times. I store mine in boxes with dividers. When I don't have boxes with dividers I make the dividers.

I have found that the ideal amount of time to macerate tinctures is three months or more. The absolute minimum amount of time is one month, but three months is preferable. Prior to three months the macerating herbs haven't had the opportunity to soften enough to be able to efficiently extract their constituents. After three months most of the constituents of the herb are either in solution or extractable when we press it because the macerating herb material will have softened sufficiently. Additional time macerating will only slightly increase the potency of the tincture. That being said, we don't want to press a tincture until we are ready to use it. As I've stated earlier, the greatest amount of degradation of the constituents of an herb occurs once the tincture is pressed. So it is best not to press a tincture until we need it and to macerate it in quantities that we will be able to completely use within three to six months of pressing it.

One of the great things about macerating herbs is that as long as we prepare our herbs and maceration in a conscientious way to maximize the quality and potency of our tincture, and the macerations are sealed well, stored in the dark and not opened, macerating tinctures will maintain their quality and potency for a very long time. I have tinctures that macerated for 10 years or more before I pressed them and they are just as good as those that were pressed within a few months. The one exception to this is herbs with a lot of aromatic sulfur-containing compounds, such as those from the Onion (Alliaceae) and Mustard (Brassicaceae) families. These kinds of constituents tend to be less stable in solution. It is best to press tinctures of herbs from these families within a year or two and use them within three to four months once they are pressed.

This is the end of Part 3 of this series. In Part 4 I'll discuss the different kinds of equipment that are available for pressing and filtering the maceration.


Sunday, July 15, 2012

Making Medicine, Part 2 of 5: Preparing Blue Vervain to Make a Tincture

This is the second in a series of five posts in which I am using the process of wild harvesting and making a fresh herb tincture of blue vervain (Verbena hastata) as an example to explain in detail the process of making medicine. Part 1 in this series was posted on July 9th.

In my practice I primarily use tinctures made from fresh herbs, so the next step is to use the blue vervain that we harvested to make a tincture. When you make as much tinctures as I do, you appreciate good equipment. I have experimented with a variety of tools over the years and will discuss some of them here. I am also going to use the process of preparing blue vervain tincture as an example to explain some of the important details regarding making tinctures.

The basic idea is that we want to separate the more potent from the less potent parts of the portion of the plant that we harvested, chop it up and put it in a bottle with the appropriate menstruum (pronounced MEN-strew-um: the liquid that we use to absorb and preserve the constituents of the herb). As an herbalist, it is important to me that the way I prepare a tincture is consistent so that I know that the tincture of any particular herb that I make from year to year is very similar in potency. There are factors that affect the potency of the herb, like weather conditions, that I can't control. However, if the weather conditions are particularly incompatible with the requirements of a particular herb in a particular year, I won't harvest that herb. What I can control is how I prepare the tincture. In order to accomplish this, the portion of the plant that I use needs to be consistent as must the amount of herb that I use for any given volume of menstruum.

When using fresh herbs, I recommend a 1:5 potency. This means that 1 g of herb is used for every 5 ml of menstruum. There are herbalists who recommend a higher potency for various reasons. However, I disagree with using a higher potency than 1:5 for fresh herb tinctures. I will do a detailed post explaining why I prepare tinctures the way I do at some point in the future, but the bottom line is that 1:5 fresh herb tinctures work and a higher potency isn't necessary. Also, the greater the potency that we use above 1:5, the greater the amount of herb we end up using in order to get the same results. For reasons related to the chemical characteristics of the constituents of an herb, using twice as much herb doesn't make a tincture that is twice as strong therapeutically. For example, a 1:2.5 potency tincture should be twice as strong as a 1:5 tincture because we are adding the same amount of herb to half as much menstruum (2.5 ml instead of 5 ml). If this were true, then when we use a 1:2.5 tincture we should get the same results using a dosage that is half as much as the dosage we use for a 1:5 tincture. However, it doesn't work out that way. We need to use more than half as much of a 1:2.5 tincture to get the same results. This is because as we add more herb to the same volume of menstruum, at some point the percentage of constituents that actually dissolves in the menstruum starts to drop off. In addition, for most herbs it is physically impossible to get enough herb into a given volume of menstruum above a 1:5 or 1:4 potency. This necessitates methodologies such as grinding the herbs, percolation or macerating tinctures more than once, which are more time and energy intensive, often require the use of expensive equipment, and lead to a greater level of degradation of the constituents of the herb. Therefore higher potencies are unnecessary and wasteful. For home use, you don't need to be as accurate with your measurements as I am recommending here, but the more accurate the better.

The equipment I use for preparing fresh blue vervain tincture.

In preparing a tincture we need to be able to measure the amount of herb that we put into each bottle. For this I use a triple beam balance, but digital scales will do as long as they are calibrated to 1 g increments or smaller. We also need to know how much herb to use per bottle. Traditionally the way we calculate this is to first measure how much fluid the bottles we are using contain when they are filled to 0.5 cm (1/4 inch) from the top. It is necessary to measure this because the volume indicated for the bottle is usually not based on filling it this close to the top. Beakers and measuring cups are not accurate enough for this. It is necessary to use something that is calibrated in 1 ml increments. This usually necessitates the use of a graduated cylinder.

Once we have an accurate read on how much fluid our bottles contain, to approximate how much herb we will need for a 1:5 tincture we divide the total by 6, that is for 1 part herb plus 5 parts menstruum. This is not 100% accurate because herbs are usually less dense than water and not all herbs are of equal density. However, although this is an approximation, it is surprisingly accurate. It is sufficient for most situations. The key is to get as accurate a measurement as possible of the volume of the bottles we are using. I have done extremely detailed calculations for all of the tinctures that I make and, with only a couple of exceptions, this approximation is accurate to within 1-2%, which is good enough.

The harvested portion of one plant.

Once we know how much herb we need per bottle, it is necessary to separate the usable from non-usable parts of the portion of the herb that we harvested. When harvesting the aerial parts of plants (the parts that grow above the ground), this usually means that a portion of the stalk isn't used. This is because the primary purpose of the stalk is to hold up the leaves and flowers. As a result, the stalk tends to contain mostly dense fibrous tissue and a much lower proportion of the therapeutically active constituents. The amount of stalk that has to be removed can be anywhere from 0-100%, depending on the plant and the portion of the plant that is harvested. For most plants from which we harvest the aerial parts we harvest the terminal 25-40%  of the plant and remove 80-90% of the primary stalk and 60-75% of any well-developed secondary stalks. The specifics depend on the species of plant and at what stage we are harvesting it. The portion of the stalk that is usable tends to be the new growth that is less stiff and more succulent. To determine the usable portion for a particular species, we start at the lowest part of the stalk, cut off a small section and taste it. Then cut a similar sized section about 20% further up the stalk, then at 40%, 60%, 80%, and finally the top portion. Finally, we taste a piece of a leaf. The point on the stalk where the flavour of the stalk is about 2/3 to 3/4 as strong as the flavour of the leaf is the point at which the potency of the stalk is strong enough to use. We remove all of the stalk below that point and use all of the stalk above that point. The reason that the taste of the stalk can be used to determine its potency is because its flavour corresponds to the concentration of many of its active chemical constituents. For plants that are relatively bland in flavour because they have little to no aromatic, bitter or pungent constituents, there isn't much difference in the flavour of the different aerial parts of the plant. Therefore we just use the portion of stalk that is less stiff and more succulent.

Blue vervain is unusual in that the flavour of the entire stalk is pretty strong. This is because its flavour is primarily due to chemical constituents called iridoids and the iridoids are in a fairly high concentration in all of the aerial parts of the plant. Nevertheless, for the most part I still only use the less stiff and more succulent parts of the stalk. Overall I remove a little bit less stalk than is typical for most herbs. However, with this herb, if the amount that I harvested is a bit short, I can just use a bit more stalk rather than having to harvest more plants.

The part that is used (above) and the amount of stalk that is not used (below).
This is the same plant that was shown in the previous picture

The next step is removing the unused stalk from all of the plants that we harvested. This can be done with a knife or scissors, but since we tend to cut the stalk at the point where it becomes softer and less fibrous, for most herbs the stalks can be easily torn with our fingers, which takes less time. Once we've separated all of the usable portions of the plants that we harvested, we need to weigh them to make sure that we put the right amount in each bottle. I use four standard sizes of bottles. The blue vervain that I harvested was intended to prepare the largest size, which is a 950 ml bottle. However, the volume of bottles that are narrower at the top than the full width of the bottle are usually calculated to about the top of the shoulder. When the bottles I use are filled to 0.5 cm from the top, they actually hold 990 ml. To determine how much of the usable portion of the herb that we need to use for a bottle this size, we divide 990 by 6 (for a 1:5 tincture), which is 165 g. Although our proportions are made up of 1 part herb, which is measured in grams, and 5 parts menstruum, which is measured in millilitres, this conversion works because the density of menstruum is almost the same as for water. The density of water is 1 g/ml, so 5 ml of water is the same as 5 g of water.

The amount of herb material that is used to prepare one bottle
(990 ml) of tincture with the removed stalks below.

When I am harvesting any herb, it is important for me to determine in advance how much that I am going to need. That means the number and size of the bottles of tincture that I need to prepare, how much of the usable portion of the herb I need per bottle, and approximately how much extra that I need to harvest to account for the unused portion of the plant. I don't want to be short or I might have to go out again to harvest the same herb. In some cases, due to the number of herbs that I need to harvest, weather conditions, etc., harvesting an herb a second time might not be possible. So I might run short before I am able to prepare it again the following year. The flip side is that I don't want to over-harvest because it is wasteful and disrespectful to the medicine. When I'm out harvesting I bring a small spring scale that is accurate to within 10 g, so I can make sure I harvest the right amount. I will always harvest just a bit more than I need so that I don't accidentally run short. Any small amounts of extra herb I dry and use for teas.

After I processed 165 g of the usable portion of the blue vervain to make my bottle of tincture, the amount of stalk that I had removed was 51 g. That means that I had to harvest an extra 31% of the herb to get the amount that I needed. If I had harvested the blue vervain a bit later, the proportion of unused stalk would have increased because as the plants mature the stalk gets stiffer and the amount of stalk between the nodes (the points where the leaves join the stem) gets longer.

Once we have measured the appropriate amount of the usable parts of an herb, we need to chop it up. For this we need a fairly large hardwood cutting board and some kind of knife. Over the years I have experimented with just about every kind of knife for chopping the many herbs that I use. Some herbs are best chopped using a cleaver, a few require a serrated knife, but for most herbs the best knife by far is the mezzaluna. This is a curved knife with a handle at each end (see the first photograph in this post). When used correctly, it can finely chop herbs much more quickly than other knives. This is important because the process of chopping our herbs requires finding a balance between two opposing requirements. On the one hand, the more finely we chop the herb, the greater the surface area that we create that allows its constituents to dissolve in our menstruum. On the other hand, the more finely chopped our herb and the longer it takes to do it, the more it is exposed to air which results in greater oxidation of its chemical constituents. Most constituents are less potent when oxidized and in some cases it may even change their properties. It is true that a few constituents are more potent when oxidized, but this is not the case for the vast majority of them. In addition, they will have plenty of opportunity to oxidize after we press the herb, the final stage in making a tincture. For the best results, we want to minimize the amount of oxidation that takes place before and while the herbs are macerating. Maceration is the process of soaking the herbs in our menstruum. With the mezzaluna, I can chop an herb a little bit finer than I would with other kinds of knives in about half the time. It doesn't get any better than that! I really love those special tools that significantly increase the efficiency of the work that I do. The mezzaluna is one of those special tools. In choosing a mezzaluna, it is important that it be a larger one, 25-30 cm (10-12 inches) wide. Do not skimp on quality. Purchase one that is professional quality. The best ones are made in Italy or Portugal using high quality molybdenum vanadium steel. The ones made in China are not good. Also, only use the ones that have a single blade. One of my students once bought one with a double blade. She though this would make it easier. All it did was slow things down because the herbs kept getting caught between the blades. I don't believe they even make double bladed models in Europe.

Using a mezzaluna takes a bit of practice. Basically we hold the handles and rotate the blade back and forth over the herbs. Each time we do that we twist the blade to change the angle very slightly, first one way and then the opposite way on the next stroke. This allows it to move forward across the cutting board. What works best is to cut moving forward down the board, then begin at one of the front corners and cut diagonally in one direction, then cut diagonally in the other direction from the other front corner. Keep rotating between cutting in these three directions until the herb is chopped the right amount. It is very important that the cutting board is oriented so that the grain of the wood is running down the board away from us. Never use a mezzaluna to cut parallel to the grain of the board. This is because when we slightly twist the blade at the end of each stroke, if we are cutting with the blade parallel to the grain, it digs between the layers of wood. Over time it will start cutting out thin slivers of wood which will significantly reduce the life of the cutting board.

This is the what the herb should look like when it is sufficiently chopped.

This is the end of Part 2 of this series. In Part 3 I'll discuss making a blue vervain maceration.