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Chapter 14

The Cardiovascular System

The beauty of a spring meadow in bloom, the profound sense of presence in a grove of Redwoods--the heart takes flight and the spirit is healed. This is not the only way in which the magnificent flora with which we share our planet can bring healing to our hearts--it can be physical as well, offering nourishment and healing for our troubled hearts.

Herbs still maintain a central position in orthodox medicines treatment of various heart problems. Plants that contain constituents called cardiac glycosides are used throughout the world for the treatment of heart failure and some arrhythmia’s. In such conditions these herbs increase the strength of heart beat, and normalize the rate of beat. Their real value lies in the increased efficiency not necessitating an increase of oxygen supply to the heart muscle. In heart problems there is often a deficiency in blood supply because of blockage in the coronary arteries. It is not just Foxglove that has such valuable actions. Lily of the Valley shares its therapeutic value but has fewer side effects and lower toxicity. However, herbal remedies nurture the heart in deeper ways as well. Consider the cordial, a warming drink and a word for heart-felt friendliness. The original cordial was a medieval drink based on Borage that warmed the heart and gave the person HEART.

Half the annual mortality in America results from heart and blood-vessel diseases, so any contribution that herbal medicine can make to its treatment is to be welcomed. Modern cardiology can achieve much, and is seemingly miraculous when it comes to acute emergencies, but what of maintaining good health and preventing the development of a pathology? Is there more that we can do for ourselves than simply minimizing risk factors and appropriate exercise? Emphatically yes!

There are profound concerns about toxicity from long term use of prescription medications. Although it is resplendent in ‘wonder drugs,’ the materia medica of modern medical science is sorely lacking in preventive medicines. Tonics are not mentioned in pharmacology texts as the concept is considered illusory. The discarding of gentle toning therapies in favor of intensely active ones can be seen as one of the core problems with orthodox health care. This need not be seen as a clash of approaches which are mutually exclusive. There is a place for gentle toning just as there is a place for the often dramatically successful techniques of cardiology. They can complement and support each other.

The Medical Herbalist recognizes a broad range of relevant herbs for the cardiovascular system. As a group they are known as cardiac remedies. This is a general term for herbs that have an action on the heart. Some of the remedies in this group are powerful cardioactive agents such as Foxglove, while others are gentler and safer cardiac tonics such as Hawthorn and Linden Flowers. Cardioactives owe their effects on the heart to active substances such as cardiac glycosides, thus having the both the strengths and drawbacks of these constituents. Cardiotonics have a beneficial action on the heart and blood vessels but do not contain cardiac glycosides. While not having the dramatic, rapid and often life-saving effects of many cardiological drugs, they have a definite advantage when treating or preventing chronic degenerative conditions. In addition to tonic remedies for the heart there are also tonics for the blood vessels, often rich in constituents called flavones. These remarkable herbs include Hawthorn, Garlic, Linden and Ginkgo.

There are, of course, some limitations to the use of herbs in treating the heart. The most crucial one today is not a herbal limitation but a human. The problem involves self diagnosis, a very hazardous pastime. In the hands of a competent clinical herbalist medicinal plants offer a great deal in the treatment of cardiovascular conditions, but for the non-professional, self selection of herbs or self-diagnosis should never replace competent diagnosis or a substitute for prescription medicines.


A number of herbs have a reputation as being specific for hypertension, usually working because of their impact on one or other of the processes involved in the conditions development. The hypotensives fit this description. The most important plant remedy within western medicine is Hawthorn, probably followed by Linden. European mistletoe (Viscum alba) and Oliveleaves (Olea europaea) are other well known plants thought of as specifics. However the multifactorial etiology of hypertension limit the value of the concept of a specific in its treatment. Orthodox medicine has used Indian Snake root (Rauwolfia serpentina) as a treatment for hypertension, but there are problematic side affects.

One Possible Prescription for Hypertension

Crataegus spp. 2 parts
Tilia platyphylos 1 part
Achillea millefolium 1 part
Viburnum opulus 1 part
Valeriana officinalis 1 part

Dosage: up to 5ml of tincture 3 times a day. Allium sativum should be used as a dietary supplement.

Actions supplied by Hypertension Prescription

• Hypotensive (Crataegus spp., Tilia spp., Achillea millefolium, Viburnum opulus, Valeriana officinalis )
• Cardiotonic (Crataegus spp., Tilia spp.)
• Diuretic (Achillea millefolium, Crataegus spp., Tilia spp.)
• Antispasmodic (Tilia spp., Viburnum opulus , Valeriana officinalis )
• Vascular tonic (Crataegus spp., Tilia spp., Achillea millefolium)
• Nervine relaxant (Tilia spp., Viburnum opulus , Valeriana officinalis )

Other plants would come to mind depending upon the individuals specific symptom picture. For example if headaches are part of the picture of the patients hypertension then include Wood Betony (Stachys betonica) as part of the prescription. If there are palpitations associated add Motherwort (Leonurus cardiaca). Stress as a factor would indicate increasing the nervine content and possibly including an adaptogen.

Revue de presse

"This is simply the most comprehensive reference work on holistic herbalism from a clinical perspective in existence. . . . This well-researched, incredibly knowledgeable textbook could be said to usher in a new, critical phase in the development of herbalism." (Georg Feuerstein, Traditional Yoga Studies, Sept 2007)

" . . . this manual gives the more serious herbalist a look at herbs with a thorough and scientific approach without stripping that something unexplainable that happens when we use herbs as medicine. . . . Hoffmann's style is straightforward and informative containing a fascinating depth, making Medical Herbalism a reference tool any herbalist will reach for without hesitation." (dkMommySpot, March 2009)

“David Hoffmann has produced an herbal reference masterpiece. This is one of the most comprehensive and detailed reference books to be produced in many years and will become one of the standard texts for professionals and researchers. I will place it next to my desk with my most often-used books.” (Mark Blumenthal, founder and executive director of the American Botanical Council, editor of HerbalG)

“Hoffmann beautifully blends science with his very holistic approach to herbal healing, displaying a true gift for making chemistry and physiology easy to understand. He not only suggests herbs and dietary changes to treat many conditions but explains why they work. Such knowledge aids both practitioner and herb user in understanding how they can choose the most effective and safe herbs. I applaud this as an important book for herbalism in the modern world.” (Kathi Keville, director of the American Herb Association)

“I consider David Hoffmann one of the most original and brilliant herbalists of our time, who dwells 'on the cutting edge' of thought and is often paving the way for others. The author of one of our finest herbal classics, The Complete Illustrated Holistic Herbal, David’s ambitious undertaking of his ­brilliant new book provides us with yet another exceptional textbook on herbs that merges art, ­science, and conservation into a system of holistic herbalism for the future. This will be a valuable book for practitioners of herbal medicine as well as for other medical professionals.” (Rosemary Gladstar, president of United Plant Savers and author of Rosemary Gladstar’s Family H)

"A well-written compendium of herbal medicine that cannot be found elsewhere in a single book." (The Bloomsbury Review, May/June 2004, Vol 24 Issue 3)

"Contains comprehensive information concerning the identification and use of medicinal plants both by chemical structure and physiological effect." (Share Guide, May/June 2004, Issue 73)

"Medical Herbalism is an endeavor that will likely become a staple as an educational tool and indispensable reference for many." (Katherine Duff, Townsend Letter, Aug/Sept 2004)

". . . Hoffman displays a true gift for making chemistry and physiology easy to understand." (American Herb Association, Vol. 20:2)

“David Hoffmann has outdone himself. This text provides a depth of knowledge that is truly needed by the herbalist, the physician, and the pharmacist in order to understand how to use herbal ­medicine safely and effectively. Also an excellent resource to educate patients about the many ­herbal remedies possible.” (David Winston, AHG, dean of the Herbal Therapeutics School of Botanical Medicine and chair of the Ad)

Medical Herbalism provides a clinically oriented, systematic approach to Western herbal medicine missing from most texts. A great contribution to the herbal literature. ” (Roy Upton, herbalist and executive director of the American Herbal Pharmacopoeia)

"For all students and practitioners of herbalism, this complete handbook details the chemistry of herbs and presents in-depth discussions of specific ailments and treatments." (Creations Magazine, Oct-Nov 2005)

"For mid-level to advanced herbal students, or for any professional health care practitioner, this book represents an outstanding contribution. Kudos to both author David Hoffman and to Healing Arts Press for giving us this amazing volume." (Leah Samul, Pan Gaia, Jan-Mar 2006)

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Commentaires client les plus utiles sur (beta) 65 commentaires
120 internautes sur 124 ont trouvé ce commentaire utile 
Great text for school 31 octobre 2005
Par Kim - Publié sur
Format: Relié
This is a great text for learning terminology such as herbal actions it's easy to read and understand. The discriptions are just long enough so that it does not include excess/repetative words. The materia medica is also written the same way, precise, it may be too brief for more advanced herbalists however for beginners it is perfect. The materia medica is not that big. For a more elaborate "indication" section you will probably have to read research. I use this as a text as a Herbal Science major, I don't think it is very readable for the layman trying to learn herbal medicine or if you are just interested in herbal medicine. It's written like an encyclopedia, so you jump to sections that you want. The first part of the book has plant constituents with drawings of organic molecules. The second part is organized according to body systems. It's very user friendly, the index has pretty much everything you want to find. Fantastic book as a text, I'll be using it for a long time.
83 internautes sur 85 ont trouvé ce commentaire utile 
Medical Herbalism: great resource 16 juillet 2006
Par Persephone - Publié sur
Format: Relié
This book was assigned as a part of a Master's Program in Holistic Health. It is comprehensive and overall a great resource book. Hoffmann covers a wide range of topics in depth. In class, we were amazed how one person could write such a voluminous resource. However, if you are looking for specific "recipes" to make, this would not be the book. It will direct you to appropriate plants/herbs to use. I highly recommend this book. You will think twice about common weeds in your yard- all plants have a medicinal use.
82 internautes sur 86 ont trouvé ce commentaire utile 
Herbal Medicine Bible 26 novembre 2003
Par Robert Kall - Publié sur
Format: Relié
I've never seen another book on herbal medicine that is as exhaustive and comprehensive as this one. It oges to far as to illustrate the active biochemical components of the different herbal elements. The book is orgainized based on the different body systems. It describes how to identify the compounds and their souces. For anyone serious about herbal medicine this book is an essential addition for a professional library.
I organize an international conference -- The Winter Brain, Optimal Functioning and Positive Psychology meeting that routinely includes lectures on herbal medicine. This book will be very well received by our professional attendees.
45 internautes sur 46 ont trouvé ce commentaire utile 
A great resource! 13 mai 2009
Par Christina - Publié sur
Format: Relié Achat vérifié
I am not a scientist, I am just a normal person interested in Herbal Medicine and creating my own tinctures, salves, etc for simple at home remedies.

I was worried this book might be a bit over the top for me, but I was pleasantly surprised! While, yes, the first few chapters delve a bit deep into the chemistry of it all, I have found that the rest of the book offers highly valuable information.

This book is broken into several sections, and I've found lots of useful information in the sections pertaining to the HOW of Herbal Medicine - it tells you precise ways of formulating different remedies. Also, the fully in depth index looks at each herb and goes into detail on it's uses and best preparations.

Overall I am so very happy with this book. It's one of my major resources and highly recommend it!
33 internautes sur 33 ont trouvé ce commentaire utile 
Medical Herbalism: The Science Principles and Practices of Herbal Medicine 27 février 2008
Par Diane Clapton - Publié sur
Format: Relié Achat vérifié
I purchased this book for two reasons. The first being the author David Hoffmann is the author of a book I have called The New Holistic Herbal. I found this book to very thorough in his relating herbal medicine to the human body. I highly recommend it. The second reason is I am taking an online course in Herbal Medicine. This book is recommended reading and I can say it is as thorough and detailed as the book mentioned above. David Hoffmann has a way of relating the science to the human body in a precise, well thought out way. There is a wealth of information and detail about all functions of the human body.How each herb is broken down into its components and what their interaction is with our makeup. He also can tell of drug interactions which is important for anyone on medication and wanting to self medicate. I can only speak highly of this book and while perhaps a little clinical for some it is well worth the purchase.
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