The Herbs and the Herbalist

This post is partly a continuation of some of the themes discussed in the last one. Particularly concerning the challenges of obtaining the herbs that I need. There are a number of other older posts in which I've also touched upon related topics. Collectively they tell a story. I am using some examples of how the medicine moves in my life to answer some common questions that I am often asked by students, specifically relating to what herbs to use, how many, where to get them, and to what degree someone should prepare medicines themselves or obtain them from other sources. I'm putting this out there because I know that there are many other people asking the same questions. Hopefully, it will help others who are considering or already walking the path of the herbalist, or anyone who wants to deepen their relationship with plant medicines for personal use or interest, or other reasons.

Like some of my other posts, I am going to begin with broad strokes, laying somewhat of a philosophical and sometimes esoteric context in order to explain why I do things the way I do and what things you might want to consider when addressing similar choices. Then I will get a lot more practical towards the end.

Before I begin, I want to be clear that living the medicine is a very personal journey. There are many different systems of herbalism and each of them has its strengths and limitations, as do individual herbalists who practice these systems. Herbalism is very multifaceted. There are paradigms within paradigms within paradigms; based on world views, cultural differences, etc. However, I tend to view the overriding paradigms of various herbal traditions as existing somewhere within a circle consisting of two intersecting continua: holistic to reductionistic (i.e. treating people vs. treating symptoms), and material to spiritual (i.e. plants and people as a bunch of chemicals vs. plants and people as being both physical and spiritual beings). The paradigm of modern medicine, which largely evolved from herbalism, is located in the extreme lower left quadrant of this circle. In contrast, indigenous and traditional systems of healing fall somewhere in the upper right quadrant.

Herbalism Paradigms: The blue dot represents my initial orientation as an herbalist. The green line represents the evolution of the medicine

as I have gained greater experience and deepened my relationship with the herbs and the land. The green dot represents my current orientation.

The red dot represents the paradigm of modern medicine. Most, if not all, systems of herbalism will fall within the shaded portion of the circle.

The systems of herbalism that fall in the lower left quadrant tend to be those that operate from a more medical paradigm. They often define themselves as "medical herbalism". That being said, I know many herbalists whose training is in some form of medical herbalism who are very holistic in their approach, and sometimes even spiritual. Most systems of modern traditional herbalism tend to fall in the lower right quadrant. For lack of a better way to describe them, we could refer to those systems that fall in the upper right quadrant as "shamanic herbalism". I use that term because it more or less describes systems of herbalism that not only subscribe to a more spiritual or animistic philosophy, but they also incorporate ceremony and other spiritual elements into their practice. Shamanic herbalism is not the same thing as shamanism. It refers to systems of herbalism that have shamanic elements. However, in the context of indigenous systems of healing, the line between what constitutes shamanic herbalism and shamanism is pretty blurry.

I have to admit that I am not completely comfortable using the terms "shamanism" and "shamanic" because they have been considerably abused in the last couple of decades. Also, many indigenous healers are not comfortable with these terms because it comes from a particular tradition in northeastern and north central Asia. Although there are common elements in indigenous healing traditions from around the world, there are many differences as well. So, using a single term to refer to them has considerable limitations.

Regardless of where a particular system of herbalism fits within this circle, there will always be variations on every theme. A good student will learn a system as best they can, and then through continued learning, experience and (hopefully) intuition, make it there own. As with any skill or profession, there will always be those people who don't feel it in their heart and just go through the motions. It's like reciting a prayer with no feeling or expanded awareness. It becomes just words. However, there are many people who truly live the medicine and it would not be inaccurate to say that there are as many systems of herbalism as there are herbalists who live the medicine.

Traditional cultures are rooted in the land. So is their medicine.

For every herbalist, the medicine expresses itself differently. It is informed by the personal and ancestral history of the herbalist, the traditions of their teachers, and the culture and any subcultures that they are part of. These are the personal elements. It is also informed by the herbs that they use. However, traditional cultures experience the world in a different way. They know that everything is related, interconnected, and that our sense of individual identity is largely an illusion. Traditional medicine is informed by the land where the people live: the plants and animals; the plains, hills and mountains; the rivers, lakes and oceans; the grasslands, forests and deserts; and the living and ancestral spirits of the land.

In the mixed up world that we live in we have largely disengaged from this experience ­­- but it doesn't have to be that way. Instead, we can follow our heart and find that place where the land calls to us and stay there. When we approach the land in silence with humility, reverence, love and awe, it will speak to us if we learn how to listen. It takes time. A long time! We need to demonstrate our commitment; walk the land; get to know its different moods through the seasons, year after year. We also need to get to know the inhabitants of the land: the plants, animals and other beings that live there. If we want to go deeper, then we need to offer more than just our time, awareness and love. Through prayer, sacred offerings and ceremony we can open up to the land in ways that transcend the limitations of our logical mind and physical senses. Eventually, every step we take on the land becomes a prayer, a ceremony.

The medicine that I practice is not my own, although I am a part of it. It is my work, my path and my life. As I experience it, each expression of the medicine is unique in time and place. It includes the Earth, the Sun, the spirit of the land in a particular region, the ancestors of that land, the herbs, the practitioner, and those people who seek healing. It encompasses all of these and more. As a practitioner, I am both a part of the medicine and a conduit through which it is made accessible. As my relationship to the plants and the land deepens, so the manifestation of the medicine deepens as well.

Yellow gentian (Gentiana lutea) is a European species that won't grow where I live. I must obtain the dried root for making the tincture
because the North American species that grow in the region where I live are not plentiful enough to harvest.

When I first started practicing, I worked with about 120 herbs. Like most Western herbalists at that time, the largest portion of the materia medica that I learned consisted of European herbs, probably about 60%. Of the 60%, about 30% were plants that have naturalized in Ontario where I live, 20% plants that could be grown here, and 10% plants that won't grow in our climate. About 25% of the remaining herbs that I was using consisted of North American herbs, 15% which grow in the region where I live and 10% from other parts of the continent. The remaining 15% was an eclectic selection of herbs from South America, Africa and Asia, most of which can not be grown where I live.

I always had a deep connection with Nature and I felt it was important that I have a similar connection with the medicines that I use. Although the nature awareness and spiritual elements were not part of my original training as an herbalist, I was developing these aspects of my life in parallel and learning how to integrate them with my work. This process was one of the most challenging aspects of my work. It took years of deepening my relationship with the medicine and patiently listening to what the herbs and the land were teaching me. It would have been easy to impose my own ideas and I had to constantly guard against that. However, when I did slip up, the results very quickly made that apparent. I've had to learn not to push the energy, but to allow it to unfold in its own way in its own time.

Turmeric (Curcuma longa) can't be grown in a temperate climate, but the organically grown fresh rhizome is available from commercial sources.

When I started practicing back in the 80s, I was ordering dried herbs and making my own tinctures. I also took the tincture of every herb that I made for a couple of weeks to get a deeper experiential connection with the medicines. At the same time I began a process of connecting with the plants in the region where I live. I would go out in the woods with a backpack full of plant identification books and manuals, walk into the fields or woods and try to identify every plant I didn't know. Sometimes it would take me hours just to walk a few metres. I recorded the botanical name of every plant that I was able to positively identify. When I got home, I would research each plant and record any information that I could find from about 200 herbals and technical reference books that I had. In this way I began to develop a data base of information on the plants that grow in the region where I live.

At the same time I continued to develop my relationship with the plants, the animals and the land. I spent lots of time wandering and sitting on the landscape. I attended and performed ceremonies and made offerings in accordance with the rhythms of the world around me: the solstices and equinoxes, the lunar cycles, and to honour powerful beings on the landscape such as rivers, waterfalls, lakes, cliffs, caves and ancient grandmother and grandfather trees. I sat with them, spoke to them, sang to them, prayed to them, meditated with them, made tobacco and other offerings. The plants, the land and the ancestral spirits became my chief teachers. I was skeptical at first. Not because I doubted the possibility of such communication. I had enough experience and had the opportunity to learn from a number of elders who were more adept in this realm. My doubts were about my own capacity to accurately receive and interpret these teachings from the plant realm. However, I very quickly learned to trust these communications because whenever I listened, the healing results were greatly expanded.

Siberian ginseng (Eleutherococcus senticosus) is a native of northeastern Asia but can be grown in temperate North America.

In this way the medicine gradually unfolded. One of the first things I learned was that I needed to work with fresh plants as much as possible as their healing capacity is much deeper. I was also instructed that I must gradually introduce more herbs that grow or are grown in the region where I live and replace most of the exotic herbs in my materia medica, and to wild harvest most of them. This is not an intellectual process. It's not about what I think or want. I must wait for the plants to offer to be part of the medicine. Neverthess, this relationship can be challenging at times. For example, one of the herbs that I know I must work with is blue vervain (Verbena hastata) and I have written about this herb in the Making Medicine series of blog posts. There aren't a lot of places that I know where this herb is plentiful. It is one of the herbs that I mostly obtain by "water walking", meaning I walk upstream or downstream through a creek or river so that I can harvest herbs that grow along the banks. Blue vervain tends to grow in little clumps here and there close to the shore. I usually have to go water walking several times, each time obtaining enough to make a couple of litres. About 10 years ago I was really concerned about being able to continue to use this herb. I started doing research on white verain (V. urticifolia), which is more common in this region, to see if it is similar enough to either combine them or use it as an alternative. However, I still needed to honour my relationship with blue vervain. That year I had particular difficulty making enough tincture. I visited this herb near the end of the season and offered prayers and tobacco and explained my need and asked for guidance about how to proceed. The next year when I went out harvesting the amount of blue vervain that was growing in the areas where I harvest it increased by two to three times! I also discovered a decent patch a bit off the beaten track in an area where I regularly wild harvest. When we work with the medicines in this way they listen and help. They are part of the medicine too, and they take their responsibility seriously. As long as we do our work, they will support us. Blue vervain used to be one of the medicines that I used in moderate quantities. Now it is one of the herbs I use the most. By the way, it did turn out that the properties of white vervain are almost identical to those of blue vervain.

Ox-eye daisy (Leucanthemum vulgare) is a Eurasian herb that has naturalized in eastern North America.

Gradually, as I was called to use more local herbs, it became apparent which ones I need to stop using as well. Today the profile of the herbs that I use is very different than it was when I started. When I recently did an inventory of the tinctures that I have on hand, there were 102 (45%) native herbs, 81 (35%) that are naturalized, 28 (12%) that are grown locally, and 19 (8%) that are not available locally. 182 (80%) of my tinctures are wild harvested and 46 (20%) are organically grown. 202 (89%) of the tinctures are made from fresh herbs, 19 (8%) from dried, and 7 (3%) from both. The latter group are herbs that are available locally but not in sufficient quantity to meet my needs. In these cases I will usually make some dried herb tincture as well and press them together so that the tincture I use is a mixture. I try as much as possible to do that in a 2:1 ratio (fresh:dried) but sometimes have to do 1:1 or even 1:2.

Of the various tinctures that I have on hand, I only use 150 of them in my practice. Of these, 88 (58%) I use in a relatively low quantity (0.5-1.0 litre per year), 43 (29%) medium (2-4 litres per year), and 19 (13%) high (5-8 litres per year). The remaining 78 I only have a small quantity of (usually 250 ml) for research purposes. Some of them will eventually become part of the medicine. My relationship with the ones I don't end up using is different. They want me to make information available about them so that other people will start using them again, as this is part of their purpose.

Heal-all (Prunella vulgaris) is a circumboreal herb that is native to the temperate regions throughout the northern hemisphere.

Notice that the largest proportion of herbs that I work with I use in relatively low quantities. Some of these are herbs that I feel are indispensable in my practice but I can't harvest them in sufficient quantities, either because large populations aren't very common in this area, or because they are difficult to harvest in quantity. A good example of the latter is heal-all (Prunella vulgaris). This herb is very common, but it's a small herb and the portion that we harvest is very small as well (the flower spike and first pair of leaves) which makes it difficult to harvest in quantity. Like many herbs from the mint family, it is also fairly low density due to lots of air spaces in its tissues. This makes the harvested portion even lighter than a similar amount of some other herbs. I know that it is important for me to have this herb available, so I keep it on hand and use it sparingly. The other herbs in the low quantity group tend to be specialized herbs that are used for very specific applications. I really need them when I need them, but not very often. They add a significant level of versatility to my practice.

The 62 herbs that I use in moderate to large quantities are the herbs that I use more than 90% of the time. Theoretically, I could base my whole practice on these herbs. Most herbalists have a small group of herbs that they use the most. I recommend to my graduating students that they begin their practice using about 50-60 herbs that they feel most drawn to and then branch out from there as they gain more experience. It means that they need to know their herbs very well so that they can treat virtually any person that comes their way. Fortunately, herbs are not as limited as you might think from the general herbal literature. They tend to be very versatile, having dozens of properties and hundreds of applications.

Common purple coneflower (Echinacea purpurea) is a native of central North America. I have established a wild population on the land where I live.

Because I make all of the medicines myself and harvest almost all of them as well, I have to devote a considerable amount of time to this part of my work. Their is usually a fairly narrow window when an herb is ready to be harvested, typically a few days to a couple of weeks. During that time I have to harvest whatever amount of each herb that I will need to prepare enough tincture to last me at least a year, which is when I will next be able to harvest it (actually enough for 15 months because I allow at least 3 months for a tincture to macerate before pressing it). With roots and rhizomes there's more flexibility. They can be harvested any time from when their aerial parts have almost completely died back until the ground freezes. Also, whereas the aerial parts of herbs need to be macerated withing a couple of hours of being harvested (for some herbs less), roots and rhizomes can be stored in a cool place for a couple of days as long as they remain moist and they aren't washed until we are ready to process them. This is great because they are a lot more work to harvest! They need to be dug up, washed and allowed to dry before we can use them to make a tincture. Being able to spread the work out over a couple of days makes it a bit easier. I can spend one day travelling and digging up several herbs and the next couple of days processing them.

I schedule clinics on Thursdays. Typically, I see 5-7 clients per day. However, when I am travelling a lot I need to schedule the odd Wednesday clinic in and my client load goes up to 7-8 people per day. Until last June, I also had a student clinic scheduled every second Saturday. In order to be able to prepare enough tinctures to meet my needs, I spend about one day per week harvesting the medicines from mid April to mid May; two days per week from mid May to mid June; three days per week from mid June to the end of July; two days per week in August; one day per week in September and October; and then it's back up to two days per week in November. All of this needs to be coordinated with the weather and the rest of my life! Among other things, in recent years my work has required me to travel a lot during the time of year when I am doing all of my harvesting. That means that I have to harvest even more days during the weeks that I'm not travelling. To be able to accomplish this, during harvesting season I have to minimize the amount of days that I have a fixed schedule, such as clinic days and scheduled classes and workshops. During the peak harvesting season when I am not travelling I do my best to allow four to five days per week when I have nothing in particular scheduled so that I can head out on a moments notice whenever the herbs and the weather align! Fortunately, a lot of the work that I do is flexible and can be scheduled around my harvesting days. Also, the advanced students who are completing the clinical part of their program are required to harvest and prepare some tinctures for their student clinic. It only amounts to a small percentage of what they use, but it does reduce my work load a bit. Now that the clinical portion of the program is organized differently, no tinctures are required for the student clinic until the new version of the student clinic begins in a couple of years. This will reduce my load for awhile as well, but it also means that I am making them all myself.

Wood nettle (Laportea canadensis) is a native of eastern North America.

This year I was not able to harvest as many herbs and prepare as many tinctures as I had intended. This was due to my intense travelling schedule and the unusually cool, wet weather that we had in this area. I managed to make 90 litres of tincture from herbs that I wild harvested; 7 litres from fresh herbs that were organically grown locally [rosemary (Rosmarinus officinalis) and cayenne (Capsicum annuum)]; 17 litres from organically grown fresh herbs that I had to purchase [turmeric (Curcuma longa), ginger (Zingiber officinale), American ginseng (Panax quinquefolius) and sweet basil (Ocimum basilicum)]; and 21 litres from organically grown dried herbs. The proportion of dried herb tinctures is normally nowhere near this high, but I harvested a lot less herbs than usual this year, and last year I allowed much of my dried herb tincture stock go down to almost nothing.

I will have to cut back my use of some herbs this year. There is also a good chance that I will run out of a few of them before I am able to harvest them again or before some of the tinctures that I prepare next year are finished macerating. I am going to have to use other herbs as substitutes, which means that I will need to use a litre or two more than usual of some of the tinctures of which I have a bit of surplus stock. Fortunately, I do have a bit of surplus stock of some of them. It is still going to be a very intense harvesting season next year!

Mayapple (Podophyllum peltatum) is one of the more specialized herbs that I rarely use due to its very high potency and potential toxicity.

However, sometimes it is indispensable. I use it for very deep conditions of the liver and spleen, and for a number of types of cancer.

In addition to all of the harvesting and macerating tinctures, I also have to spend about 4-5 hours, 3-4 days per month pressing and filtering tinctures. The time commitment to make all of these medicines is very high even though I'm only seeing an average of 6-8 clients per week. I figure, making medicines the way I do, if my work consisted solely of seeing clients it would not be possible for me to see more than double the number of clients that I am currently seeing. In my case a lot of my work involves teaching, but if someone were called to practice full time making medicines this way, it is definitely possible to make a living seeing 12-16 clients per week, and they'd (hopefully) be doing what they love. I think that's worth it! Nevertheless, spending this much time making medicines is challenging. This is why many herbalists make a lot of their tinctures from dried herbs, or purchase bulk fresh or dried herb tinctures from commercial sources. Ultimately, it is up to each herbalist to find the path that works for them.

Notice that I specifically did not say "choose" the path that works for them. To "choose" our path would require following our head instead of our heart. It is my experience that the path of the herbalist, or any path for that matter, is a calling not a choice. I have experienced this in my life and witness it on a daily basis in the people around me. In Western society we are taught to think our way through life and make many important life decisions based on fear rather than following our heart. It is one of the major reasons why there are so many unhappy people in the world today and one of the major causes of chronic illness. We live our life like an island at our peril. The consequences of this way of living are all around us.

Resinous polypore (Ischnoderma resinosum) is a fungus that has been calling me for several years. This fall I finally

got the call to harvest it and make some tincture. There isn't much information available on its medicinal properties.

It will probably be a year or two before I am familiar enough with it to start integrating it into my practice.

For anyone who is called to deepen their relationship with the plant people, or to follow the path of the herbalist, the most important advice I can give them is to quiet their mind, listen to their heart, deepen their relationship with the land and the plant medicines, and allow the medicine to unfold through them. In this and other posts I have given examples of how the mystery of the medicine manifests in my life. That isn't to say that this is how it will manifest for everyone. We are all unique and the medicine manifests through each of us in unique ways. There is no "right" way for everyone. For some people wild harvesting might not be appropriate or even an option. Maybe the only way they are able to offer their healing gifts is by using tinctures or teas made from dried herbs. That's OK. There are ways of working with herbs in any form, or even without form, that allow their healing to come through in a deep and meaningful way. The most important thing is that we develop our own relationship with the medicines. They will teach us how the medicine can best manifest through us.

The themes that I discuss in many of these posts are interwoven like a complex tapestry. Together they tell a story of herbs, healing and the interrelatedness of things. Many of my previous posts address some of the themes that I have discussed here in different contexts and from different angles. If you find yourself drawn into this world I encourage you to go back and check out some of the archived posts. Happy solstice and happy reading!

Healing Bone Fractures, Part 5 of 5

This is the fifth in a series of posts in which I am documenting the process of treating a serious fracture of my right leg. In Part 1 I discussed the details behind the injury and the initial protocols that I used with the remedies I had available while I was still away. In Part 2 I provided a detailed account of the protocols that I implemented when I returned home. In the remainder of the posts I am providing an update on how things are progressing and any modifications that I have made to the protocols that I am using.

At this time I have to report that my leg is healing amazingly well. Since my last post I gradually increased the amount of weight I was carrying with my injured leg while still walking with crutches. On April 7th, about nine and a half weeks after my surgery, I walked without crutches for the first time! It kind of happened spontaneously while we were sitting around a fire. After that I increased the amount that I was walking without crutches each day. On April 10th I drove for the first time. I purchased a cane that day because I had to drive into Toronto on the evenings of the 11th and 12th and I knew I would be walking quite a bit. I thought I might need to use it for awhile, but except for those two evenings, I haven't used it since. On those two days I didn't use my crutches at all during the day except when I took my dogs for a walk in the woods. On the 13th I walked them for the first time without crutches and I have been crutch free ever since! This is pretty amazing given that the original prognosis was that I wouldn't be able to even begin to put weight on my leg until the middle to end of May. My healing process is about eight weeks ahead of schedule. Thank you plant people!

The "complications" that I discussed in my last post are pretty much resolved. I got rid of the remaining infection underneath one of the scabs on my incision. The astringed skin still isn't completely back to normal. It takes quite awhile for the skin to completely heal when the deeper dermal tissues get astringed, so am still applying things to this area at a minimum.

I had another x-ray this past week and the slightly darker area in my lower tibia below the bottom portion of the metal plate is still there, but not as dark as before. The surgeon can't explain it, but it isn't as noticeable as last time and, based on everything else, an infection in my bone has been pretty much ruled out. There is still a moderate amount of swelling around my ankle, although it is improving, but this is not due to infection. It turns out I have a pretty badly sprained ankle. This is typical with the kind of injury that I have. At this point my bone is doing fine and it is the sprain that is giving me the most difficulty. I still can only stretch my ankle about 80% of its normal range. It's a bit painful when I walk and it causes me to walk with a slight limp. However, I still refused the anti-inflammatories and ankle brace that the surgeon suggested. I've been doing some additional kinds of stretches with my ankle and in the last two days it has improved a fair bit. Today I had almost no limp even when I was walking my dogs. Tomorrow I have to teach a six and a half hour field workshop out in the woods. We'll see how well I hold up with that one! On Wednesday I'm off to Mexico for a week and a half, then I'm back for a day and off to Lake Superior for another week. This is part of my work, not a holiday. I am very grateful to be able to go as it was looking unlikely right after my injury. It will probably be awhile before I can run or carry a heavy pack, but otherwise my life is pretty much back to normal!

So here are the changes to the protocols that I have been using:

Systemic Herbal Formulation: In Part 4 of this series I provided the details of the third and fourth systemic formulations that I used. At about the nine week point the fourth formula ran out. The fifth version of the formulation contained wild bergamot herb (Monarda fistulosa) 20%, boneset herb (Eupatorium perfoliatum) 20%, common comfrey herb (Symphytum officinale) 18%, wood nettle herb (Laportea canadensis) 15%, maidenhair tree leaf (Ginkgo biloba) 15%, turmeric rhizome (Curcuma longa) 10%, and white pine leaf/twig (Pinus strobus) 2%. I added the wild bergamot because of the risk of infection in my tibia. It is an excellent herb for circulation and inflammation, but it is also an amazing antimicrobial. Yesterday I ran out of my fifth formulation and once more I made a slight change, substituting common burdock herb (Arctium minus) for boneset, and reintroducing stinging nettle herb (Urtica dioica) instead of wood nettle. Otherwise the formulation is the same. These changes were primarily implemented to prevent my body from getting too used to the formulation. I am continuing to take 6 ml three times per day on an empty stomach, 5-10 minutes before each meal.

Wild bergamot (Monarda fistulosa), my dear friend and colleague!

Herbal Sleep Formulation: I have been sleeping great, but probably not enough because most nights I have been working late. To support my healing process by making sure that I continue to get good sleep, I am still taking 0.75 mg of melatonin and an herbal sleep formulation when I go to bed. I have made additional adjustments to my sleep formulation so that my body doesn't get used to it and it continues to be somewhat coordinated (overlapping) with my daytime formulation. I have made two additional sleep formulations since my last post coinciding with the two most recent systemic formulations for my leg. The first one contained English lavender flowering spike (Lavandula angustifolia) 20%, wood nettle herb (Laportea canadensis) 20%, St. Johnswort herb (Hypericum perforatum) 20%, common comfrey herb (Symphytum officinale) 15%, hop strobilus (Humulus lupulus) 15%, wild bergamot herb (Monarda fistulosa) 9%, white pine leaf/twig (Pinus strobus) 1%. The most recent one that I prepared a couple of days ago contains English lavender 20%, stinging nettle 20%, St. Johnswort 20%, hop 20%, common comfrey 10%, wild bergamot 9%, white pine 1%. I am continuing to take 6 ml immediately before bed. Very rarely I've needed to take an additional 3 ml dose when I've woken up at the crack of dawn and had difficulty falling back asleep.

Homeopathic Remedies: I am continuing to take the same homeopathic remedies that I indicated I was using in Part 3.

Supplements: I am continuing to take the same supplements that I indicated in Part 2 except, as I mentioned in Part 4, I no longer need to take probiotics.

Topical Herbal Preparations: As I mentioned above, the infection underneath a scab that I discussed in Part 4 is gone, but the skin around my incision is still a bit astringed from doing too many poultices. As a result, I've had to cut back further on the topical preparations compared to what I was doing before. In spite of this, I have hardly any scar! Here's what I am currently doing:

• When I wake up I apply the liniment I am using (see Part 2) to my whole lower leg up to and including my knee, but not to the area of the incisions themselves. I actually ran out of the liniment and made a new batch. It has the same essential oils in roughly the same proportions, but I increased the potency to 3 drops per ml of base oil and the base oil is now 2/3 the infused oil I have been using and 1/3 castor bean oil (Ricinus communis). I made these changes because I was concerned about the possibility of an infection in my lower tibia. This has now been ruled out, but I am continuing to use the higher potency liniment to help address my sprained ankle. I do not apply anything to the area of my skin around the scar that is still somewhat astringed.
• In the evening before I go to bed I reapply the liniment as in the morning, but this time I apply castor oil to the astringed areas of my skin. This has been an interesting experiment because I haven't really used castor oil before. Nevertheless, I know a couple of people who have had great success treating bone fractures almost exclusively with castor oil packs. The castor oil is very drawing and it is accelerating the exfoliation of the dry scaly skin. However, it is also slightly astringent. Initially I tried applying it twice per day and it actually aggravated the astringed skin a bit. I've found once per day to be working much better. Once the astringed skin heals, I will go back to applying Monika's scar ointment to the area of the incision (see Part 4).

Castor bean oil (Ricinus communis) has many healing properties.
It can also help reduce infections deep in the tissues.

So there you have it! Needless to say, I'm very happy with how things are going. No matter how much we think we know, healing is still a very powerful and mysterious thing. It never ceases to amaze me, whether I'm experiencing it first hand or supporting other people with their healing process.

I'm going to be out of commission for the next few weeks as I will be off working in Mexico and then near Lake Superior. I will report on how my leg holds out when I get back ... and then maybe it will be time to write about something else. Enjoy the spring (or fall if you live in the deep south)!

Healing Bone Fractures, Part 2 of 5

This is the second in a series of posts in which I am documenting the process of treating a serious fracture of my right leg. In Part 1 I discussed the details behind the injury and the initial protocols that I used with the remedies I had available while I was still away. In this post I am going to explain the protocol that I implemented when I returned home.

I returned home on evening of Sunday February 3rd, four days after my injury and three days after my surgery. On Monday we picked up some additional supplements that I needed and then on Tuesday I made up a couple of new formulations specifically formulated to address my injury. This is the protocol that I implemented at that time:

Homeopathics: I am taking Arnica 200C, Hypericum 200C and Symphytum 200C individually, four pellets per dose alternated throughout the day. The dosage of each remedy varies over time according to the following protocol:

• Week 1: Arnica 4 doses per day; Hypericum 4 doses per day; Symphytum 4 doses per day.
• Week 2: Arnica 3 doses per day; Hypericum 3 doses per day; Symphytum 3 doses per day.
• Week 3: Arnica 2 doses per day; Hypericum 2 doses per day; Symphytum 3 doses per day.
• Week 4: Arnica 1 dose per day; Hypericum 1 dose per day; Symphytum 3 doses per day.
• Week 5 and onwards (until my bones are completely healed): Symphytum 3 doses per day.

Herbs: I created three new formulations to address my specific needs:

• A systemic herbal formulation prepared from 1:5 fresh herb tinctures containing turmeric rhizome (Curcuma longa) 18%, common horsetail herb (Equisetum arvense) 15%, boneset herb (Eupatorium perfoliatum) 15%, St. Johnswort herb (Hypericum perforatum) 15%, American plantain herb (Plantago rugelii) 15%, common comfrey herb (Symphytum officinale) 15%, wild ginger rhizome (Asarum canadense) 5%, white pine leaf/twig (Pinus strobus) 2%. This formulation is a specific for healing damaged tissues and blood vessels, bone, and improving general circulation. Boneset and turmeric also have a significant tonic action on the liver which will help address any stress on my liver from the medications and other aspects of my hospital experience, as well as protect my liver from any toxicity from the pyrrolizidine alkaloids in the comfrey, which is the best herb I know for healing bones and well worth the very slight risk of toxicity. Given that the comfrey will not exceed the 15-20% range in any of the formulations that I use and will be combined with herbs that can mitigate its potential toxicity, the likelihood of any toxicity is almost nil. Boneset and horsetail are also specifics for healing bone tissue. This formulation is taken in 6 ml doses three times per day on an empty stomach, 5-10 minutes before each meal.

Boneset (Eupatorium perfoliatum) is an excellent healing herb that is very effective for the healing of bone tissue.

• A systemic herbal sleep formulation prepared from 1:5 fresh herb tinctures containing English lavender flowering spike (Lavandula angustifolia) 20%, St. Johnswort herb (Hypericum perforatum) 20%, catnip herb (Nepeta cataria) 20%, American plantain herb (Plantago rugelii) 15%, hop strobilus (Humulus lupulus) 15%, turmeric rhizome (Curcuma longa) 9%, white pine leaf/twig (Pinus strobus) 1%. The dosage of this formulation is 6 ml immediately before bed and additional 3 ml doses through the night, as required. Getting sufficient sleep is one of my greatest challenges. I tend to be a light sleeper. I sleep on my sides and wake up four or five times a night feeling a bit stiff and change my position, flipping from side to side and then falling back to sleep fairly quickly. With my broken leg I can only sleep on my back. This is difficult for me because as a general rule I can't sleep on my back, and it also doesn't allow me to shift my position sufficiently. By half way through the night my lower back is very stiff and sore. Most nights I'm only getting five to six hours sleep, and that's with the sleep formulation. Occasionally I get a bit more. Getting sufficient sleep is critical to the healing process, so I made this formulation to help me sleep better. Notice that it contains a few of the herbs that are in my daytime formulation. This is to help continue to support the healing process through the night. It is also important that the overlapping herbs contribute to the sleep formulation. You will find few, if any, references to plantain having sedative properties, but it does. As a general rule, whenever someone is taking more than one herbal formulation concurrently, it is usually preferable if there is some overlap between the herbs in the different formulations. As in this case, the overlapping herbs must contribute to the desired actions of both formulations.
• A topical liniment made up of a base containing 1:5 fresh herb infused oils of pot marigold flower head (Calendula officinalis), Canada goldenrod leaf (Solidago canadensis), wild bergamot herb (Monarda fistulosa), coltsfoot leaf (Tussilago farfara), St. Johnswort herb (Hypericum perforatum), northern white pine leaf (Pinus strobus) and American plantain herb (Plantago rugelii). This infuse oil was prepared last year. The herbs are in descending order based on proportion as I am not certain of the exact percentages. To the base oil I added the following essential oils at an overall potency of two drops per ml of base oil: rosemary leaf (Rosmarinus officinalis) 25%, English lavender flower (Lavandula angustifolia) 25%, black spruce leaf/twig (Picea mariana) 15%, marjoram herb (Origanum majorana) 10%, eastern hemlock leaf/twig (Tsuga canadensis) 10%, Roman chamomile flower head (Chamaemelum nobile) 5%, yarrow herb (Achillea millefolium) 5% and eastern white cedar (Thuja occidentalis) 5%. I apply this twice a day, immediately upon waking and just before bed, to the lower thigh, knee and half of the foot of my injured leg as my leg below my knee and half of my foot are covered by a tensor bandage. I also apply it to the hip, knee and ankle of my left leg, and my wrists, as these areas are being stressed in unusual ways due to using crutches.

In this photograph we have common plantain (Plantago major), an alien species that has naturalized throughout

North America, on the left, and American plantain (P. rugelii), our native species, on the right. Notice the

reddish colour at the base of the petioles (leaf stalks) of American plantain. Most people

(including herbalists) don't realize that these are two different species.

Two weeks after my surgery I went to the hospital to have my stitches removed. There was a lot of pressure on my stitches due to the edema in my leg that occurs whenever I am moving around in an upright position. The blood and lymph tends to pool in my leg because I am not using my leg to walk, which is necessary to efficiently pump the fluids out of my leg against the force of gravity. As a result, the doctor decided to leave every second stitch in my lower, longer incision for another two weeks. In the mean time, beginning a couple of days after I got my stitches out I started poulticing the shorter incision from which all of the stitches were removed. I am applying a poultice twice per day for 30-45 minutes. The primary herbs that I am using are common comfrey leaf (Symphytum officinale), stinging nettle leaf (Urtica dioica), pot marigold petals (Calendula officinalis), purple loosestrife herb (Lythrum salicaria), and a bit of whole flax seed (Linum usitatissimum) to increase the mucilage content. I use these herbs in roughly equal proportions (except for the flax seed) and each time add a sixth herb in a similar proportion. I have a lot of "ends" which are small quantities of herbs that are left over from when I harvest herbs to make tinctures. I dry these remainders and use them when the opportunity arises. This is one of those opportunities. Each time I make a poultice I use a different sixth herb. Some of the herbs that I have used so far include elecampane leaf (Inula helenium), wood nettle leaf (Laportea canadensis), Canada goldenrod herb (Solidago canadensis), blueweed herb (Echium vulgare), blue vervain herb (Verbena hastata), wormwood herb (Artemisia absinthium), yarrow herb (Achillea millefolium), yellow bedstraw herb (Galium verum) and pearly everlasting herb (Anaphalis margaritacea).

Supplements: I was able to obtain the additional supplements that I need over the course of the first week that I was back so that since about a week and a half after my injury I have been on the full complement of supplements that I need to help heal my leg. These supplements are very important whenever there is significant tissue damage, but they are particularly important for healing damaged bone, cartilage, tendons and ligaments, regardless of the cause of damage. I use a similar supplement regimen for the treatment of osteoarthritis and osteoporosis. Although there are a number of supplements available that are formulated for building bone tissue that contain some of these nutrients, I chose not to use any of them because I didn't like any of the formulations. All of them were missing important nutrients, had way too much calcium relative to the other ingredients, and most of them were compromised in some way by using cheaper, low quality ingredients such as magnesium oxide. As a result, I had to put this supplement regimen together using a fair number of products. Nevertheless, the importance of using all of these nutrients in the right balance can not be over emphasized. I have listed them here by nutrient instead of by which ones I am taking with each meal, as I did in the first post of this series, so that it is more clear what I am taking. All of these are taken with meals:

• Vitamin A: 3,500 IU with breakfast; 3,500 IU with dinner.
• Beta-carotene: 750 IU with breakfast; 750 IU with dinner.
• Vitamin C (calcium and magnesium ascorbate): 1,485 mg with breakfast; 1,360 mg with lunch; 1,485 mg with dinner.
• Vitamin D: 1,200 IU with breakfast; 1,000 IU with lunch; 1,400 IU with dinner.
• Vitamin E (mixed tocopherols, acetate): 115 IU with breakfast; 40 IU with lunch; 315 IU with dinner.
• Vitamin K: 60 mcg with breakfast; 80 mcg with dinner.
• Calcium (citrate, ascorbate, malate): 150 mg with breakfast; 135 mg with lunch; 450 mg with dinner.
• Magnesium (citrate, ascorbate, malate): 60 mg with breakfast; 60 mg with lunch; 260 mg with dinner.
• Zinc (citrate): 5 mg with breakfast; 25 mg with dinner.
• Silicon (aqueous horsetail extract): 4.7 mg with breakfast; 4.7 mg with lunch; 4.7 mg with dinner.
• Manganese (chelate, citrate): 0.5 mg with breakfast; 5.5 mg with dinner.
• Copper (citrate): 0.5 mg with breakfast; 1.5 mg with dinner.
• Boron (chelate): 350 mcg with breakfast; 350 mcg with dinner.
• Selenium (chelate): 50 mcg with breakfast; 150 mcg with dinner.
• Polyphenol complexes (flavonoids, anthocyanidins, proanthocyanidins and catechins from extracts of berries, citrus, grape seed and green tea): 325 mg with breakfast; 225 mg with lunch; 325 mg with dinner.
• Quercetin: 100 mg with breakfast; 100 mg with lunch; 100 mg with dinner.
• Lutein: 0.5 mg with breakfast; 0.5 mg with dinner.

Blueberries (Vaccinium spp.) are a very rich source of anthocyanins and flavonoids, including quercetin.

Some of these are ingredients from a multivitamin that I am taking with breakfast and dinner. It is a good quality low potency multi with an excellent trace mineral content. It does not contain iron. 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. Mostly what I haven't listed are the B vitamins and some of the other trace minerals. In addition, I am 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).

In addition to the above supplements that I am taking with meals, I am also taking the following on an empty stomach three times per day 30 minutes before each meal:

• Methylsulfonylmethane (MSM) 400 mg.
• Glucosamine hydrochloride 300 mg.
• Betaine 80 mg.
• Hyaluronic acid 10 mg.

Probiotics: Another one of the challenges that I am dealing with is constipation. It started with fasting from food and water for 16 hours before my surgery and was further aggravated by the intravenous hydromorphone and three courses of intravenous antibiotics that I was given through the night after my surgery. However, the ongoing issue is that I am spending a lot more time sitting and can't walk or run, which is important for good bowel tone. I am addressing this by taking a high potency probiotic supplement that contains 25 billion active cells of a combination of eight active strains of bacteria. I take this first thing in the morning in a glass of warm water with a tablespoon of whole organic flax seed. My bowel movements gradually returned to normal during the first week that I took this and I am continuing to take it on an ongoing basis.

Lactobacillus rhamnosus: An important probiotic species.

Exercise: This is another of my major challenges. The surgeon wants me to spend most of my day sitting or laying with my injured leg raised. This is not an option. It's bad enough that the muscles in my right leg are getting weaker. I'm not going to sit around and let my whole body atrophy. Plus, I have clients and students that depend on me and lots of work to be done. My life has definitely slowed down and there are many things that are too difficult or impossible for me to do, but I'm not out of commission completely. I have sit stations all over my house where I work, eat and rest consisting of a padded chair to sit on and a second chair with a pillow on it that I can put my leg up on. I have found that there is a delicate balance between sitting and moving around upright. If I do either for too long, the edema in my lower right leg gets worse.

Aside from the exercise I get moving around on crutches, every morning before breakfast I do an upper body workout with light weights and lots of stretching. I'm also working my injured leg as best I can. Whenever I'm sitting for periods of time I periodically massage my thigh and knee. I also wiggle my toes a lot and gently stretch the tendons and ligaments in my ankle and knee. In addition, I'm doing my best to work out my right knee and hip as best I can without being able to walk. To maintain some level of strength in these joints I do leg lifts from my hip raising my whole leg, and from my knee raising my lower leg several times per day for a few minutes. I also "pump" my leg while I'm walking on crutches by raising my leg and bending my knee on one step and then lowering my leg on alternate steps. As before I also continue to do deep breathing exercises in which I "feel" the life force or qi energy flowing into and out of my leg.

Diet: My diet is pretty good in general. It is almost completely organic and I get a lot of variety. My only concern is getting a bit more good quality protein. I have been a vegetarian for 33 years. Contrary to what some people believe, it is very easy for vegetarians to consume sufficient protein. Nevertheless, a good supply of high quality protein is necessary to heal bone tissue. Rather than bump up some of the typical high protein vegetarian foods such as beans or nuts which are harder on the digestive system, I have decided to increase my protein somewhat by eating one or two organic, free-range eggs most days. I have to strike a balance here and not eat too many eggs because for me eggs tend to be constipating.

So there you have it! This is the regimen I am following at this time. It is very intensive. I probably spend about 10% of my waking hours engaged in some aspect of this healing protocol. However, that's not bad considering I am still working at about 60% capacity instead of laying around like the surgeon advised me to. Also, with the exception of the intravenous hydromorphone and three courses of intravenous antibiotics that I was given through the night immediately after my surgery, I did not fill the prescription for painkillers that the surgeon gave me and only had to take a single dose of acetaminophen about 24 hours after my surgery. When I had the stitches removed, the surgeon prescribed another course of antibiotics and some anti-inflammatories. I didn't fill those prescriptions either. My intent is not only to stay relatively functional through this process, but also to make sure that my bones heal well and are strong enough to allow me to continue doing what I've always done. I'm also hoping to be able to start putting some weight on my leg a fair bit earlier than the three to four months that the surgeon predicted.

Overall, I have to say that the biggest challenge for me has been not being able to walk the land. In my normal life, every day I take my dogs out for about an hour and a half and walk the trails through the fields and forest where I live. Aside from the obvious benefits of the exercise and fresh air for the dogs and myself, it provides me with an opportunity to deepen my ongoing relationship with the land; to observe what changes are taking place; to stop periodically at one or more of my favorite sit spots and just be. I'm also missing the winter. Last year was the warmest winter I can remember. There was pretty much no snow. This year we are having a somewhat more "normal" winter. I am missing walking through the snow; breathing the cold, crisp air; feeling the wind on my face; the calls of the chickadees, goldfinches and nuthatches. At best a couple of times a week when the conditions are good I can put the spiky snow things on the bottom of my crutches, go out and sit behind my house by our fire pit and gaze out over the landscape. I really do appreciate those moments.

"The Land" in winter.

Most of the details relating to the protocols that I am using have been covered in these first two parts of this series. From Part 3 of this series onwards I will discuss any changes that I make to these protocols and provide updates on how things are progressing.