The balance: Herbs versus modern, western medicine in field first aid

I lay out the things once more - gauze, tape, band aids, iodine, scissors, a triangle scarf, something for burns, something to ease breathing, something to calm rattled nerves, something to ease pain, a healing salve...

How many times have I put together a first aid kit? I've lost track even of the types of kits I've put together.

It probably started when I was a kid and I viewed toothpaste, duct tape and a pocket knife as "first aid." The toothpaste was for tree resin removal and cooling of insect bites, not for teeth.

Then as a young adult I packed a first aid kit in my big trek pack for trips to Ecuador, Kazakhstan, Nepal or Kosovo.

Image via Pixabay

In those days, I got prescription antibiotics and pain killers for emergencies. I never used them, except once the antibiotics in some remote Mexican mountains.

But I did bandage a lot of cuts, disinfect many wounds, wash dirt out of scrapes and sooth a lot of distress in my time.

Some will sneer. A lot of things were beyond my skills and my kit. But the woman with infected cuts on her hands in rural Bangladesh, who had never seen a doctor, cried and hugged me when I cleaned and bandaged her wounds. Even if that were the only time, it would have been worth it.

I also doctored myself plenty. Once in the Amazon, I cut my foot on a steel grate and it bled so profusely that my local friends took me to the local hospital, which turned out to be a filthy, concrete shed, crowded with infectious disease. I opted for my own kit and bandaged it myself. I managed not to get that cut infected either, no small thing in the rain forest.

I've packed a kit for groups of kids and for family camping trips as well. This time, I'm packing it for another sort of purpose--climate crisis protests.

That mostly means that for the first time I include a large bottle of antacid. I'm told that diluted half and half with water it makes a decent anti-tear-gas eye wash. There are other things I wish I had, like an inhaler, a ventilator, instant ice packs and burn dressings. But I'll make do. Hopefully I won't need any of it.

While updating my research for this kit, I ran across the usual arguments of course. There are the staunch proponents of alternative and herbal medicine, who wouldn't have antibiotics even if they could get them. And there are the western medicine mafia, who don't care if lemon balm salve beats out Acyclovir in clinical trials because "imprecise dosage."

Never mind the fact that precise dosage isn't that important with lemon balm, given that the effective dose is relatively low and the harmful dose is unattainably high.

I don't fit neatly into either camp.

Antibiotics are not the work of the devil. Quite the opposite. They have saved countless lives from miserable, horrifying death, including my own most likely.

But the antibiotic era is still waning. Resistant bacteria are far too common now. Last year, I fought off a flesh-eating MRSA infection that didn't respond to antibiotics. And you bet I'm grateful for the oregano essential oil that finally kicked it.

Ideology ties our hands and causes harm in healing as in any other area.

How do you decide then? The main rule of thumb is to use what works. There are areas where modern, western medicine still does a better job than herbs and there are things where herbs are a better bet.

Western medicine:

• Surgery

• Antibiotics

• Massive bodily trauma

• Bleeding wounds

• Organ failure

• Bacterial infections

Herbs:

• Scrapes, bruises and burns

• Allergies

• Systemic and chronic disease

• Psychological distress

• Viral and fungal infections

• Lung and bronchial difficulties

Automatic rejection of either is nothing but stubborn ignorance that gets in the way of healing.

So, what goes into this year's first aid kit? Here's a list that may come in handy for others on the front lines of the struggle for a livable future.

Disinfectant - I prefer iodine. You can also use an herbal tincture (yarrow is good) if the alcohol content is high enough. But if you carry nothing else, this is probably the thing. I got the MRSA infection simply because I delayed disinfecting a cut for thirty minutes. And no, it wasn't because I had a low immune response. Had I not had a strong immune system I wouldn't have been able to get rid of it at all. Disinfect cuts and scrapes in the field. Just do it.

Bandages, gauze - lots of them. You will almost never need them, though protests are possibly one place you're more likely to. And when you need them you will really need them and in good supply. Use them to stop bleeding. Put them on, apply pressure, get more help.

Tape - to hold the gauze on.

Scissors - to cut the tape and bandages

Disposable gloves - Yes, this is the one area not to be environmentally friendly. Use them if there's blood. Change them each time. When we cut out all single use-plastics, this will be one of the few exceptions.

Sanitary pads - for their usual use as well as as backup bandages

Band-aids - No, not silly. Disinfect and then cover small cuts. Infection is not silly. And a cut hurts a lot less when covered and protected.

Water, Panthenol, raw honey, aloe vera or St. John's Wart salve for burns - Cool water is the single greatest burn remedy. With any burn, get it in water if at all possible as soon as possible. If that's impossible, burn dressings might help, but you aren't likely to have them unless you're a professional. In some parts of Europe, there is a foam available called Panthenol. It was developed during the Vietnam war to counteract Agent Orange. It is the second best thing to water. Other than that, raw honey, aloe vera gel and St. John's Wart salve (roughly in that order) are the next best things.

Plantain salve - Plantain infused olive oil, heated with bee's wax and some vitamin E, then cooled. Use after disinfection on small cuts, bruises and scrapes that you can't put a band aid on.

Antacid mixed with water to wash eyes and faces exposed to tear gas and pepper spray - Use a ratio of 1 to 1.

Clean rags or bandannas - to soak in water or antacid mixture for burns or chemical exposure

Mullein leaf, mallow or thyme tincture - for respiratory problems and to heal respiratory tract after chemical exposure

Lemon balm or valerian tincture or syrup (for children) - to calm nerves and panic attacks, to reduce trauma after a bad fright, to restore strength

Echinacea tincture - As an immune booster after injury or traumatic experience, which is likely to lower immune response

Garbage sacks - to isolate clothing and other materials exposed to tear gas or other chemicals

Ibuprofen - for sprains and other pain relief

Water - for re-hydration and psychological comfort

Wax paper squares - folded into sustainable emergency water cups as an environmentally friendly alternative to lots of plastic cups or bottles. They dry and can be reused. They also take up less space than traditional paper cups.

Mugwort: Home Medicine Cycle

Plant identification can be tricky and it is the biggest safety concern for the herbalist. While it is possible to hurt yourself with too much of a known herb or by using an herb improperly, it is much more likely that harm from herbs will result from incorrect identification.

For me, there's the particular issue that I'm more than 90 percent blind. I've always had trouble gathering herbs in the wild because everything in a meadow just looks generic green unless I put a leaf up two inches from my eye.

That's why most of my work with herbs focuses on things I can grow. My herb gathering is a lot more efficient that way. And when I plant and nurture an herb through the seasons, I am sure what I'm getting and I learn it's smell, texture and taste long before I have to go off and identify it in the wild

My mugwort plant top

But even growing your own isn't always a sure thing. Some years ago, I planted what were supposed to be mugwort seeds and a plant sprouted. The leaves looked a bit thinner and wispier than the online photos of mugwort. The flowers were also greenish brown, rather than the dusky red shown in must mugwort pictures in books and online, so I asked some of the women from the local village who had a little knowledge of herbs. Two of them insisted that it wasn't mugwort but possibly something related.

Mugwort (Artemisia vulgaris) is related to wormwood (Artemisia absinthium) but this didn't appear to be that either. I had read that mugwort is occasionally mistaken for poisonous hemlock, which can be deadly, so I was more than a little cautious. 

For several years, I let the plant live in the corner of my herb garden and each year it got bigger, beating out other hardy plants. Finally, I decided I had to fully research the identification for once and for all or get rid of the plant. The main markers for differentiating between mugwort and hemlock are the smell, the silvery sheen and small hairs on mugwort leaves, and later in the year, the flowers. 

Smell would someday be key for me but first I had to know the plant intimately to identify the smell. It was too early in the year for flowers (and mugwort is usually harvested before it blooms, so this is a common problem in mugwort identification) and relying solely on the hairs and a silver sheen of the leaves seems a bit shaky when your life is literally at stake. 

My mugwort stem

First, I carefully picked each individual part of the plant--the leaves, buds and stems--photographed them and put them through a plant analysis program. That program quickly proclaimed it to be mugwort. But I wasn't convinced. There were still the village women, who weren't exactly experts but they were local people with some experience in the natural environment.. So, I sent my samples in to a plant identification group. Finally, I got back my answer. 

It is mugwort. Several members of the group explained more clearly the most crucial identifying characteristics. The stem of my plant is clearly ridged and purple all over. Hemlock has a stem that is barely ridged at all and only spattered with purple (like when someone does an ink spattering art project). The flowers are quite different and I could confirm from previous years that while my flowers are a bit pale, they do match some photos of mugwort and most certainly are not hemlock flowers. 

It was a relief to finally make the determination and not have to uproot my plant. But I don't regret any of the time and caution spent to confirm it. Even with a plant I grew myself, the risk of dealing with a poisonous plant is there and always worth considering.

My mugwort buds

As soon as I was sure of it, I used some mugwort leaves to settle a sour stomach I had been struggling with for several days and made a bath of it for my kids who had bug bites all over their arms and legs from summer camp in the woods. My son also had a weird rash that might be bug bites, an allergic reaction of some kind or possibly skin parasites. Mugwort soothes bug bites and some other allergies but more importantly it is one of the best remedies for skin (and stomach) parasites.

I doubt the rash was parasites in this instance. But again, it's better to be safe than sorry. Now at least I have mugwort on my side for that.

Mugwort leaves and buds are used in teas, tinctures, washes and salves for a variety of discomforts and diseases, particularly stomach acidity, ulcers, constipation and intestinal parasites as well as skin infections. Mugwort is strongly antibiotic and anti-microbial. The tea has a calming effect on nerves and can help regulate abnormal hormone levels, which could be helpful for insomnia and obesity.

Women with light or sporadic periods can use mugwort to regulate menstrual flow and reduce the related pain of menstruation. Yarrow and/or red raspberry leaf may be better herbs for those with heavy menstruation, but mugwort has also been shown to bring relief during menopause. 

My mugwort leaf

Still, while mugwort isn't poisonous, it does have a low level of toxicity that could cause temporary sickness if more than three cups of the tea are taken per day for several days in a row. It is best used as a short-term treatment for digestive problems, even though thousands of people drank it daily during WWII when tea was difficult to obtain in Britain and people drank mugwort tea instead.

The most important warning on mugwort is that it has been used to bring about abortions and to stimulate the uterus while giving birth. Given that, it isn't at all appropriate for pregnant women, and due to the low level of toxicity, shouldn't be ingested by nursing mothers either.

A less worrying application of mugwort is for the skin. Just as it rids the body of intestinal parasites it can fight skin parasites that few modern medications are effective against. It also alleviates itching and reduces the inflammation of bug bites. It is a particularly effective bug repellent, so salves and oils infused with mugwort leaves or a few drops of mugwort essential oil can keep the bugs off of you in the first place. 

Compounds contained in mugwort have been found to combat cancer in a Chinese study and other studies point to possible uses for joint pain associated with arthritis. But these uses will require further research to be fully realized.

What is clearly scientifically demonstrated is the antibiotic and antimicrobial properties of mugwort. As well as preventing infections as a skin wash, the dried plant can be used as a smudge to kill airborne bacteria and prevent the spread of disease both at home and in places of business where incense is burned, such as massage parlors, where the pleasant smell of a mugwort smudge will blend right in.

Both mugwort tea and mugwort smoke have a history, dating back to Aztec religious ceremonies, of being used for lucid dreaming and astral travel. Compounds in mugwort are psychoactive but the effect is not one of dramatic hallucinations. There are many reports of predictive dreaming connected to mugwort and experiments with dreams might benefit from its use.

As with all posts on medicinal herbs, this is not intended as specific medical advice for any particular person. Allergies to mugwort do exist and those with serious symptoms of disease should seek medical attention.