Preparing botanical medicines.

Next to dose concerns, the subject of preparation may be the most misinterpreted area of modem botanical medicine. Yet it is one of the most important issues in clinical practice. In traditional medicine systems, any given herb would have been discovered to be effective in specific preparations. The "ideal" form and preparation varies from herb to herb, as well as from person to person. The most desirable preparation is usually defined as the way to get the most active ingredient out of the herb. However, in some cases, the proper preparation may be the only way to safely use the herb. The proper preparation may be dictated by the solubility of the constituents and may also be defined according to how the patient is practicably able to consume it. In today's market, most herbs can be found in most preparations, but that does not mean that every preparation will contain active constituents. The author makes the case that using traditional preparations from the ethnic system of the herb origin will be the most effective clinical course of action.