Frequently Asked Questions

Certain pre-appointment questions come up more than others. Here’s a list of some of the more common ones.

How long will it take for me to see a difference with my situation?

If the correct herb or combination is given, correct being the operative word, one day to one week, depending on the situation. Nervous system, gastrointestinal, and skin-oriented conditions usually respond (not resolve, but begin to respond) within a day or two. Long-standing vascular, metabolic, reproductive, or inflammatory-immune issues often take longer. A general rule-of-thumb is: the longer the dysfunction has existed, the greater the length of time needed to see herbal results. [Top]

I’m receiving care from other branches of medicine (or self-care), do you coordinate your recommendations?

Absolutely. Relatedly – an important question to ask about a therapy, whatever modality, is, is it helping? It may seem like an obvious comparison, but there’s a big difference between a supplement, herb, drug, or otherwise, helping, versus, supposing to help. I’m of the opinion that ‘less is more’; so if the job can get done with one or two approaches, rather than a half-dozen, then I’m all for streamlining. However, if the pharmaceutical, supplement, iv-drip therapy, etc. is having a net-beneficial effect, then I’ll be the first to say – stay the course. [Top]

I’m taking an herbal formula from another herbalist (or a store-bought herbal supplement) and it seems to be effective. Can you duplicate it and provide me with the same herbal formula?

As long as you come in for a consultation, which allows me to do my job properly, and the positive effects of the herbal formula are as described, then yes. [Top]

Note: in formula matching, knowing the herbal ratios (and the specific herbs) is important. Continuing to purchase the formula from the original source is optimal, but I’m assuming for whatever reason, that’s not an option.

I want my spouse/significant other/family member to come in for an appointment. Can I schedule it for him?

With the exception of someone who needs a parent or guardian throughout the scheduling and office visit process, the adult of concern, needs to personally put in the effort of scheduling an appointment. This shows me that they are sincerely interested and not being dragged in against their will. [Top]

What’s your opinion of medicinal-Marijuana?

Usually Cannabis’ several therapeutic benefits can be matched by much less risky herbal medicines. If the ‘high’ from medicinal-Marijuana is undesirable, but the spasmolytic, stomachic, or sedative effects are wanted, then most clients will find herbal medicine a better choice. [Top]

Do you recommend herbal birth control or herbal abortion?

I do get asked these questions regularly, so it’s necessary that I provide some answers here. I’ve known women who have become pregnant and had babies, using ‘herbal birth control’. So, no. Herbal abortion? A resounding no. Without weighing into politics, attempting an herbal abortion is incredibly dangerous. [Top]

Are you a retail herb shop?

No. My services are consultation-based. I only sell herbs (mostly tailored formulas) to clients. [Top]

Do you email/phone/video chat consult?

No. Consultations need to be in-person. There’s no way to properly assess a client’s situation through these modes of communication. [Top]

Do you make house calls?

As long as it’s in the Tucson-area, and the residence (or a room within the residence) is distraction-free, I’ll consider it. The consultation fee for a house call is $250 (pre-pay and no sliding scale for house-calls). [Top]

What forms of payment do you accept? Insurance?

Cash, check, and money order. I don’t take credit cards, but I’m willing to look into transfer services like Paypal (let me know prior to the consultation if this is preferable). I don’t accept insurance. [Top]

Can I barter or trade for your services?

No. But I do have sliding scale. [Top]

What is your sliding scale policy?

It’s pretty simple – if paying the $100-$120 (initial consult with herbs) means a utility bill, the rent, or another essential payment gets put off – please ask for the sliding scale.

If paying the $100-$120 means that money doesn’t go into the mutual fund this month…be proud to pay the full price! [Top]

Incidentally, my consultation and herb prices haven’t changed in 15 years.

What is your therapeutic overlay? Western, eastern, smorgasbord, psycho-spiritualism, etc.?

Critical thinking and the application of western scientific thought have done a pretty good job at lifting Mankind out of the Dark Ages. The application of these perspectives is likewise optimal in channeling herbal potential into herbal result. [Top]

I’m a visiting herbalist/student and would like to pick your brain. Possible?

I’m always happy to meet with visiting herbalists/students (other modalities too). Contact me using the form (Contact page), and we’ll schedule a time for you to come in to the office (gratis). [Top]

Do you teach on the subject?

Over the years I’ve taught beginning and advanced courses at a variety of institutions (and self-organized). 2015 was the last year I conducted my 5 month program (Studies in Western Herbal Medicine). After 20-some years, I consider myself semi-retired from teaching. There’s always a chance I may organize classes in the future…but I just don’t see that happening. [Top]

Herbal Dispensary

Tincture percolation

I rely upon the medicinal virtues of many native plants; some that serve as indigenous representatives to herbs in commerce (i.e. native species of Passionflower, Skullcap, St. John’s wort, etc.) and then others that are unique in activity and identification. Certainly there are non-regional herbs that I’m unable to gather (Garlic, Turmeric, Ginseng, etc.). For these I seek out quality bulk sources and then they are prepared accordingly.

Many plants are best tinctured fresh (with undiluted 190% proof ethyl alcohol), particularly if that herbal medicine needs to relay physiologically complexity and/or nuance. For instance, dried Lobelia (herb) is largely an upper gastrointestinal stimulant (nauseating); however when prepared fresh, Lobelia’s subtleties remains intact. In this form it delicately influences an array of parasympathetic nervous system activity. Also, herbs that influence emotional states (depression, anxiety, etc.) tend to be better prepared fresh.

Whether it’s muting an irritating principle and/or focusing a plant’s physiological direction, at times, the drying process is important. The two techniques that best capture a dried herb’s value are the percolation and fluidextract (which is contingent upon the percolation). Both preparations begin by allowing the menstruum (an alcohol-water solvent, calculated for that particular herb) to slowly filter through the powdered/digested herb. It is then dripped at a specific rate and captured as a percolated tincture (1:5). A fluidextract is essentially a concentrated percolation (1:1) that is reduced via low heat or even better, low heat and vacuum. A maceration is a failed percolation – everything (powdered herb/menstruum) gets thrown together in a jar and is shaken daily for two weeks, strained, and bottled.

Essential oil distillation

An essential oil is the fraction (mostly terpenes) that is rendered when a plant undergoes steam distillation. Essential oils are best used topically (and in some cases, internally), and nearly always diluted, for their various medicinal qualities. Consider them a concentrated botanical isolate – significant in application, but prone to toxicity if improperly dosed. I prefer to use them as an accent element in combination with other internal/external herbs.

Water-based teas need little introduction – however their best areas of influence often go undefined. It’s the where and less of the what that helps decide if a tea preparation is picked, instead of a tincture or capsule. Problems of the gastrointestinal and urinary tracts respond better to teas (as long as the herb’s constituents are water-soluble); mainly because the tea’s volume either coats (GI) or is eliminated (UR) through these two systems.

More on the nuances of caps/taps and a bevy of topical preparations, at a later date.

Constitutional Herbal Medicine

American gotu kola (Centella erecta)

In essence, the label constitutional herbal medicine simply points to a type of herbal treatment that addresses an underlining tendency rather than an outward dysfunction/symptom.

The progression of tendency to dysfunction occurs thusly:

(But first: a healthy organ or unified group of tissues working in concert under normal/non-stressed conditions has an output of much less than total capacity. Let’s call this ‘steady-state’ operation. If we are fortunate enough to be born healthy and have a reasonably health-normal childhood, we start here.)

Due to a combination of every-day influences (the aging process, genetics, and long-term environmental and/or lifestyle insults) working organ/tissue effort increases in order to maintain equilibrium. That particular organ or area must work harder to complete its physiological tasks; instead of steady-state operation being achieved with only 10%-20% of total capacity, it now, for whatever reason, is called on to engage a greater percentage. Workload increases.

Wild licorica (Glycyrrhiza lepidota)

At moderate organ/tissue challenge (middle age or even in the healthy or young with a genetic predisposition) it’s common to approach the half to three-quarter capacity mark. But even here the body is mostly symptom free: the less efficient organ/tissue group still maintains steady-state (and routine blood work and examinations all come back normal). Enter constitutional herbal medicine: it is best used here to either stimulate or sedate an organ system or tissue group, ideally before an illness manifests.

Further along on the continuum, in response to the continued push-pull of life, dysfunction breakthrough begins to occur. This period, when symptoms of dysfunction begin to manifest and peek through an otherwise healthy, but labored internal situation, is the beginning of the transition from successful constitutional herbal application to symptomatic application. As the underlying tendency changes to definable illness, constitution herbal medicine has less sway. At this point, symptom-oriented applications will likely comprise the mainstay of an herbal treatment plan.

So basically, constitutional herbal medicine has as much to do with the what (herb) as the timing (pre-disease). By subtly targeting a particular tissue group or organ system, the premise is to head-off disease prior to its occurrence with a well-selected herb or combination thereof.

Pleurisy root (Asclepias tuberosa)

The ability to discern the relevant functional tendency, which underpins a particular symptom, is another aspect of constitutional herbal medicine. For instance – someone who is suffering from sleepless and anxiety, usually manifests one of three possible constitutional scenarios (caffeine, acute stress, etc., have been ruled out). A) Sympathetic/adrenergic excess. B) Parasympathetic/cholinergic deficiency. C) Thyroid excess. Common herbal approaches focus on A, i.e. Passiflora, Valeriana, Scutellaria, etc. Remedy for B entails stimulating parasympathetic activity, for example, with various species of Asclepias or Lobelia. Leonurus or Lycopus (small doses) are best for scenario C. Some people are unresponsive to traditional herbal sedatives. It’s not that the herb was ineffective; it’s that the wrong herb (and pattern) was decided upon.