Episode 1
How Herbalism Can Reclaim Your Health with Simon Mills
"Herbs nudge the body to better physiological activity"
Simon is the Self Care Lead at the College of Medicine and Herbal Strategist at Pukka Herbs. He has been a herbal practitioner in Exeter for 45 years. He has led the leading professional and trade organisations for herbal medicine in the UK and served on Government and House of Lords Committees. He has authored standard textbooks used by herbal practitioners worldwide, including with Professor Kerry Bone from Australia. He co-founded the University of Exeter's pioneering Centre for Complementary Health Studies in 1987 (building complementary research and postgraduate teaching programme from scratch), then at Peninsula the first integrated health course at a UK medical school, and the first Masters degree in herbal medicine in the USA, at the Maryland University of Integrative Health.
He is fascinated by the insights distilled from the millions of intelligent people who over many centuries needed plants to survive. Mostly he wants to learn and share the old skills, to experience healing plants as characters that can help us fend off ill health. His passion for offering people tools to look after themselves and their families has led to working with the founders of the College of Medicine on pioneering national self-care and social prescribing projects.
Simon talks on:
- Shaping a neglected profession into a real health care option.
- His fundamental love of physiology and pharmacology – how herbs can contribute to the needs of today.
- The loss of human autonomy – returning health ownership and empowerment with self-care.
- A crucial turning point in the awareness and need for herbalism in our society today.
- Fundamental day-to-day health skills – food, sleep, and a connection to nature.
- The language of health - recognising symptoms as signposts, not threats.
- The role of the herbal practitioner today and connecting with communities.
- An intuitive goat called Emily
- Complex systems, the microbiome, and the wisdom of herbalism.
- Making herbalism accessible to all.
Find out more about Herbal Reality on Instagram @herbal.reality or visit www.herbalreality.com
Herbcast is produced by Decibelle Creative: @decibelle_creative / www.decibellecreative.com
Transcript
Hello there.
Sebastian:Welcome to the Herbcast, the podcast from Herbal
Sebastian:Reality, delving into the plant powered world of
Sebastian:herbalism.
Sebastian:So do you know your echinacea from your eleutherococcus
Sebastian:or your polyphenol from your polysaccharides? Whether
Sebastian:you're a budding herbalist, an inquisitive health professional,
Sebastian:or a botanical beginner, herbcast is here to
Sebastian:inform and inspire you on your journey to integrating herbs in our
Sebastian:everyday lives. So settle down, turn up,
Sebastian:and let's start today's episode of the Herbal Reality
Sebastian:herbcast.
Sebastian:Well, it gives me great pleasure today to welcome
Sebastian:Simon Mills. Simon, it's great to have you here
Sebastian:and we've become colleagues first and
Sebastian:then friends over the years. And
Sebastian:Simon, you've got a remarkable career in herbal medicine
Sebastian:and just looking forward to talking to you about it all today. I'm not going to give
Sebastian:you a long introduction because we'd be here for ages,
Sebastian:but I'd love to just, you know, hear today your
Sebastian:story of what brought you to becoming a herbalist and then
Sebastian:some of your experiences and your wisdom
Sebastian:and guidance you've got for us today for the future really.
Sebastian:So yeah, how did you become a herbalist, Simon? What brought you to it
Sebastian:all?
Simon:Thank you Sebastian. And thank you for the opportunity to sort of go
Simon:back over my life. I ah, often
Simon:think that if you ask a herbalist how they became a
Simon:herbalist, it would always be an interesting story because,
Simon:you know, it's not a simple career path. You don't get offered it
Simon:at school as an option. So everyone
Simon:must have a very interesting story. Certainly
Simon:mine is I grew up as a nomad, my
Simon:father was posted to various places around the world,
Simon:and we moved to New Zealand in when I was about
Simon:nine and had a fruit farm. So I
Simon:grew up with plants and commercial
Simon:development thereof. Apples and pears
Simon:and oranges, and grapefruits and nectar greens and
Simon:so on. We were the first people to grow Chinese
Simon:gooseberries, which was a failure because we
Simon:hadn't thought of the word kiwi fruit for them. But
Simon:that was the sort of world that I grew up with and managed
Simon:to get an entry into Cambridge from New Zealand, which was a
Simon:sort of big deal. and that incidentally meant that
Simon:we had a really interesting journey across
Simon:from New Zealand to Cambridge, which involved taking a bus
Simon:from Mumbai all the way through to
Simon:London through places you can't go anymore, you know, like
Simon:Afghanistan and Persia and Iran and
Simon:Iraq, the west bank and so on. So it was
Simon:A wonderful learning experience. And you arrive
Simon:in London in the 60s, you know, which was really
Simon:the most fertile creative environment,
Simon:creative decade of all, I'm sure. and
Simon:you know, radical things going on and great
Simon:cultural and other developments. And I went up to
Simon:Cambridge to study sciences, natural sciences.
Simon:But as I was reading through the Cambridge
Simon:book, I realised that you could do medical
Simon:sciences as a degree. That's
Simon:an option they gave you. And I was really interested in how
Simon:humans worked. So I did physiology and
Simon:remain an avid physiologist
Simon:ever since. I just love understanding and working
Simon:with how the body works. and I
Simon:was never interested in diseases, I was never of pathology.
Simon:And so the time came for me to, you know,
Simon:finish my degree and thought, what am I going to do next?
Simon:And in those days it was quite normal not to go
Simon:and take a job, you know. So I, I wandered
Simon:around the world, bumped into some
Simon:traditional cultures in North Africa
Simon:and in Central America,
Simon:spent some time in a village in Mexico
Simon:and just saw people treating
Simon:themselves with plants
Simon:and you know, that sowed a little seed.
Simon:So I came back, had a small legacy and, and decided
Simon:that I would go into what was then a very
Simon:radical idea, of going to self
Simon:sufficiency, small holding, you know, the idea that you can go
Simon:and live off your, off the land by yourself.
Simon:And went to Cornwall and looking for a crop
Simon:and an old uni friend pointed me to a
Simon:neighbour who was growing herbs as a herb nursery. So I
Simon:thought I'll grow some herbs and you
Simon:know, then the penny dropped and I discovered
Simon:that there was a place you could study herbs. So
Simon:I studied at the National Institute of Medical Herbalists.
Simon:And because, I'd done medicine before, I sort of went through it
Simon:fairly rapidly. My first
Simon:interview was with Fred Fletcher Hyde, who had
Simon:carried the torch of herbal medicine through from
Simon:the war years. And by the time I'd
Simon:arrived there there was about, I think 20
Simon:people calling themselves herbalists in the
Simon:UK and they were all over 50.
Simon:It was a dying profession and he was the
Simon:last of those, that generation
Simon:and he was a God fearing, Christian. And
Simon:he asked me first of all whether I was and
Simon:I declined to answer
Simon:that one. But he then said, well, you do know
Simon:that herbal medicine is the only God
Simon:given medicine, everything else is man
Simon:made, so it's the only one that's really true. And
Simon:you know, he quoted the Bible, the Lord hath created
Simon:medicines out of the earth and he that is wise should not
Simon:abhor them, which I used as a title in my book. But the
Simon:idea that herbal medicine was
Simon:the true, so I now call it the first
Simon:Medicine has stuck from that
Simon:time and has infected me to the point where you know,
Simon:I genuinely and sincerely believe
Simon:that herbal medicine is the
Simon:basis of a rarely fundamental
Simon:healthcare option that we've neglected.
Simon:So that was where the seed was sown and I became a
Simon:practitioner in 1977
Simon:and have been in practise ever since.
Simon:The other thing that really attracted me about herbs was that it
Simon:was fundamentally a physiological
Simon:medicine. Conventional medicine is all about
Simon:diseases and fixing diseases, whereas herbs
Simon:allow you a way of working with the
Simon:functions of the body, nudging self
Simon:correcting physiological functions. That's something that I was
Simon:rarely quick to pick up as a
Simon:really attractive part of herbs. It took the
Simon:high ground. You know, this was definitely something that was worth
Simon:working for. So having got,
Simon:got that commitment I thought well the only thing to do is to,
Simon:is to pick it up from this small group
Simon:of the last dozen practitioners
Simon:and build it into something that was much
Simon:bigger. And a guy who had qualified
Simon:just before me was Heinz Elstra who was
Simon:given the job of taking over the education department of the
Simon:NIMH and promptly
Simon:set up a school in Tunbridge Wells
Simon:then. And I spent two
Simon:days a week with Hein for the next six,
Simon:seven years commuting from. I'd
Simon:moved to Exeter from Cornwall and
Simon:commuted to Tunbridge Wells two days a week and
Simon:taught physiology and other subjects at
Simon:the, at this new school. And so you know, together
Simon:we plotted all sorts of things into the wee hours.
Simon:We would usually stay awake until 2
Simon:or 3 in the morning drinking his leftovers,
Simon:from his. He had a spirit, he had an alcohol licence for making
Simon:tinctures so there was always a 5% wastage
Simon:that you could have. So he used to make wonderful
Simon:liqueurs which we used to quaff
Simon:past midnight. Anyway, that was
Simon:where you know, we thought about how we
Simon:would get herbal medicine into, into
Simon:shape, with proper education, research,
Simon:professional standards and so on.
Simon:And so I became president of The NIMH in
Simon:1983, did about eight years in that
Simon:job and then was a founder chair of the Council
Simon:of Complementary and Alternative Medicine. So we started making common
Simon:ground with acupuncturists and with
Simon:osteopaths, homoeopaths and setting up
Simon:professional standards through the 80s. So that
Simon:was where I really cut my teeth.
Sebastian:I m just love the image of you catching that bus in
Sebastian:Mumbai travelling across
Sebastian:Asia and through to the uk. To
Sebastian:really find your heart
Sebastian:in, in herbalism. But also the fact that it was so
Sebastian:few practitioners, Simon, you know, you know, it really
Sebastian:was. It had been worn down, hadn't it? By that stage there were
Sebastian:a few stalwarts studying and practising.
Simon:Well, this, this is a life lesson I could pass on to
Simon:anybody. If you really are a small fish, find
Simon:a very small pond, and then you can make yourself into a
Simon:big fish.
Sebastian:Interesting metaphor. Well, I think, I think
Sebastian:the, the. Yes, the small pond found a big
Sebastian:fish to expand, Simon, for the potential
Sebastian:that was there. I mean, you know, if the history of medicine is
Sebastian:anything, it's the history of herbalism up to the last
Sebastian:hundred years. Anyway, I'd love to explore a bit more this
Sebastian:idea. Your love of physiology and
Sebastian:pharmacology perhaps as well. And
Sebastian:you know, how you see herbs working and how
Sebastian:they can contribute to the needs of
Sebastian:today.
Simon:Yes, it is fundamental
Simon:and I keep on
Simon:myself and to anybody who will listen, that herbs.
Simon:Herbal medicine is different from
Simon:the conventional approach to medicine. And it's not
Simon:different because we made it up in the bath. It's different because
Simon:humans have been doing it that way for
Simon:millennia. So going back to the core
Simon:does involve ditching quite a lot of stuff that we
Simon:assume in conventional medicine.
Simon:and m. The main one really is
Simon:that the body is self correcting and that you
Simon:don't go and fix things
Simon:by what you can do. But the best
Simon:way of maintaining or promoting health is
Simon:to help the body to do that, to nudge it. I
Simon:use the word nudge a lot and I truly
Simon:feel that herbs, are the ideal
Simon:nudging medicines. They
Simon:nudge the body to better physiological
Simon:activity and they're working
Simon:functionally, but they're performance enhances or
Simon:whatever way you want to put it, rather than things that
Simon:fix diseases. So, you know, when someone says
Simon:chamomile is good for a headache or stomachache, a little
Simon:fairy dies in me because I'm saying, no, that's not
Simon:chamomile. Chamomile helps you to,
Simon:relax, it helps the digestion to work better. it
Simon:has all sorts of complementary functions because it's
Simon:a complex material and it's got a personality. You
Simon:know, the homoeopaths have a similar idea that their
Simon:medicines have a Persona, and a
Simon:profile. And I think we do too, you know. And
Simon:so in teaching herbs, I always talk
Simon:about the herbs as having a personality. Get to know the
Simon:herb and maybe just use it on its own,
Simon:so that you Understand it, Galen used to call it
Simon:proofing, you know, where you take the herb
Simon:yourself and learn about it
Simon:and its qualities. so yeah, herbs are
Simon:ah, I see as physiological
Simon:remedies helping the body or to nudge the body
Simon:to performing better. But the other thing is that I think
Simon:that herbal medicine is a medicine of
Simon:qualities rather than of quantities.
Simon:So we're very used in medicine to talk about, you know,
Simon:the odds of this and the stats of that and, and you
Simon:know, what your chances of doing this, that or the other.
Simon:And you know, I always say that that
Simon:is the story of the crowd, you know,
Simon:that's taking 100 people and saying 50%
Simon:of them are going to do this and the other. It doesn't, it doesn't help
Simon:us to understand what's going on inside.
Simon:So that the the way that we understood
Simon:herbs originally was through their qualities,
Simon:their tastes, their smells, the impact
Simon:they had when you swallowed them or tasted them.
Simon:And that was how they were classified. And the
Simon:ones I think have the greatest power
Simon:are, to rework
Simon:those original insights so that
Simon:they become tools to
Simon:change the body. My most
Simon:rewarding work is still with
Simon:people who come to see me, with illnesses and health
Simon:problems. And it's a huge privilege
Simon:to take a very often complex story,
Simon:very puzzling story. People are very distressed
Simon:by diseases, they can't understand. The
Simon:doctors have partial help with. And
Simon:to be able to link them all together
Simon:within one person's story
Simon:and then come up with a strategy
Simon:that may have nothing to do with the symptoms
Simon:but which comes out of the way in which these
Simon:things interact. That's, that's a
Simon:medicine of qualities. It's a medicine of
Simon:as a physiology. It's, it's working with
Simon:function. So it is very, very
Simon:different. And I think we suffer
Simon:if herbs are ah, compared with
Simon:beta blockers or omeprazole, or
Simon:antihypertensives. Those are doing
Simon:different jobs. Ours do something quite
Simon:different and we should be proud and bang on about it
Simon:and shout that as much as we can. And you
Simon:know, things like herbal reality and so
Simon:on is a great platform for getting some of these
Simon:stories across and put. And setting our stall
Simon:out to display our herbs
Simon:as they deserve.
Sebastian:M. I love that idea. You're talking about how
Sebastian:herbs nudge, and
Sebastian:influence the patterns of health and
Sebastian:how it sounds like when you work with your clients,
Sebastian:you act as a teacher describing to them
Sebastian:about the qualities of their life or the qualities,
Sebastian:the patterns that they exude.
Sebastian:What role do you think Herbalism can really play in empowering
Sebastian:people's health and in helping
Sebastian:educate people about what it means to have
Sebastian:good digestion or to sleep well and the small things
Sebastian:they can do on a daily basis.
Simon:Yeah, that takes me back to a critical
Simon:part of my early, development. In the 70s, I bumped into a couple
Simon:of people who had a huge influence on my life.
Simon:One of them was E.F. ernst Schumacher,
Simon:who wrote a book at the 1973 called Small is
Simon:Beautiful Economics as if People Met
Simon:it is the subtitle of the book. And he was
Simon:influenced by Gandhi, Mahatma Gandhi, and
Simon:Buddhist economics, as he called it. And really
Simon:was questioning where
Simon:particularly Western society was going economically
Simon:and societally. by
Simon:saying that a, we were threatening,
Simon:the integrity, the sustainability of our planet. We
Simon:were roaring away. This is in the 60s and 70s. He was saying
Simon:this, you know, that we were unsustainable. but more
Simon:importantly in his case, we were
Simon:losing human autonomy, human
Simon:dignity. You know, he had the classic image
Simon:of. In India, for example, you know, you can
Simon:either bring a factory in to make
Simon:sandals and sell them around the
Simon:world, or you can tool up
Simon:local economies, villages and so on to make
Simon:sandals, in their own fashion,
Simon:and it's just as good quality. But the
Simon:people concerned have control over their own lives. They
Simon:had that autonomy. That was a huge impact on me, the idea that
Simon:you return, the ownership back to
Simon:people rather than give it to institutions. And
Simon:the other person. I was very fortunate to meet
Simon:Schumacher as well. I had a wonderful conversation with him, and that was
Simon:really powerful for me. But the other person had
Simon:even more in, contact with was Ivan
Simon:Illich, who wrote the key
Simon:iconoclastic book in the 1970s
Simon:called Medical Nemesis, which really threw
Simon:a spanner at the way in which medicine was
Simon:going even then, let alone now. still a
Simon:very good read. He was the one, very
Simon:incisively, who, challenged the idea that
Simon:medicine was best done outside your
Simon:own world. Before he wrote Medical
Simon:Nemesis, he wrote a book called Tools of Conviviality, which is
Simon:about giving people tools to fashion their own
Simon:world and their own community and their own, rather than impose
Simon:it up your tools from above. and that
Simon:was a huge influence on me. So the, notion that I
Simon:have is that herbal medicine are the
Simon:ideal medicines to
Simon:empower people to give you meaningful
Simon:tools that, you can fashion
Simon:your own health with. No other material
Simon:does that. Certainly conventional pharmaceuticals are
Simon:given to you. You take them passively.
Simon:with herbs you have an opportunity to
Simon:rarely work out your Own
Simon:health. So they are the ultimate self
Simon:care tools. And, you know, self care to me is
Simon:a major part of what I do. I'm, at least as
Simon:interested in inspiring people to look after themselves as
Simon:in talking with fellow professionals. You know, I think
Simon:herbal medicine is the medicine of the people.
Simon:And it fits the Schumacher and Illich notion that
Simon:you give power back
Simon:to the individual, to the family, to the community.
Simon:it's, it's inherently empowering.
Sebastian:I love that, Simon. The idea that, there
Sebastian:is a, you know, there's a knowledge in nature, if you like, there's a wisdom
Sebastian:in nature and it's there and accessible to us if we're lucky enough
Sebastian:to be taught and, you know, exposed to it from a,
Sebastian:from a young age. A bit like we are, with the foods we eat and the
Sebastian:personal hygiene we have and taking rest,
Sebastian:you know, do we want to trail over the history of why it's
Sebastian:happened? But what are some of the solutions to the
Sebastian:future going ahead? You know, how can people become more empowered
Sebastian:and learn more?
Simon:Well, I question this a lot. I think, you know, why is it
Simon:that we're still a small group of people talking about
Simon:this, and the wider community, the
Simon:wider society doesn't seem interested. And I think it's
Simon:a fundamental thing that when you're ill, you feel very vulnerable,
Simon:you know, you know, when it hurts, it hurts and you just want
Simon:someone to come and fix it. You know, I sometimes used
Simon:to say that in a way, wouldn't
Simon:care if my dentist was, you know, a
Simon:member of the SS as long as he fixed my bloody teeth if
Simon:they were painful. You know, you just want someone
Simon:to come and fix it. and most of
Simon:us feel vulnerable when we're ill.
Simon:And so the idea that someone can take it over and say,
Simon:don't worry, we'll look after it, is a
Simon:hugely comforting
Simon:option, that we now have in modern society. So
Simon:the idea that we're going to tell people, oh, well, actually that's not as
Simon:good as you going out and fixing it and working it out for
Simon:yourself is a tough one for a lot of people.
Simon:So I think, you know, there's about 10% probably
Simon:of the population who's up for this at the moment,
Simon:and we can, we can encourage them to
Simon:do more of this. but, you know, we're seeing it
Simon:now, aren't we? You know, it's less easy to go and
Simon:see a doctor. It's. You have to wait longer even for an
Simon:ambulance these days. you know, there'll come a
Simon:time, quite likely, when more and more
Simon:people will have to do what we've
Simon:been doing here. And so I think our job is
Simon:to get the tools ready, and to get it in good
Simon:shape so that it's available for people when they need
Simon:it. and one of the great things of working with
Simon:pukka over these last five years has been to
Simon:see how it is possible to
Simon:spread a message widely
Simon:about the power of plants and organic plants particularly.
Simon:and that's been a huge comfort in my later years to
Simon:actually think, you know, you can spread the
Simon:word much more widely. It's not just a few of us in a
Simon:corner.
Sebastian:It feels like the, the time is ripe, doesn't
Sebastian:it, in a way, having been a bit quiet, should we say for a
Sebastian:few years that people are open to taking
Sebastian:more charge of their health? And, you know, it's not
Sebastian:100% necessarily, is it? You can take charge of your health up to a certain
Sebastian:point. And of course we all need professional medical
Sebastian:advice at certain times in our life and that may be from a
Sebastian:conventional medical doctor or a herbalist or acupuncturist,
Sebastian:wherever we choose to go. But it feels like there are some
Sebastian:basic principles one can
Sebastian:include in your daily life. And I
Sebastian:know from all your, your writing and teaching career
Sebastian:that that's gone from the simple to the very
Sebastian:detailed. I just wondered whether it's worth talking about some
Sebastian:of the, the basics that you see that
Sebastian:people can implement in their health. You know, what are some of the day
Sebastian:to day things people could, could include?
Simon:Well, and I start with the plants. And
Simon:indeed part of my political manoeuvring,
Simon:has been to use the word plant
Simon:as often as I can, rather than herbs because herbs
Simon:tend to close shutters down, you know, so if
Simon:you start talking about plants it opens up conversations a
Simon:bit more. and of course plants start with foods.
Simon:So a lot of what we see as health
Simon:values in our, herbs, are actually the health values of the
Simon:plants in our diet. So, you know,
Simon:often we can start the conversation with just, well,
Simon:almost always we can start the conversation with just talking about the
Simon:value of, you know, polyphenols and colours
Simon:and plants and fibre. In fact, that's
Simon:a good way in for us in the conversation. You know, if I'm talking
Simon:to doctors, I'll start with that because that's something that, that
Simon:they can immediately relate to.
Simon:so, yes, food, good eating.
Simon:And the other part of all this for me
Simon:is how it connects us with Our, Earth, it's
Simon:earthing. Another influence on me was
Simon:Satish Kumar
Simon:in Schumacher Golledge. A nice,
Simon:combination there, who writes about the
Simon:Earth Pilgrim and about how we connect with
Simon:our Earth. and of course, you know, my book was called out of
Simon:the Earth. You know, the connection with our,
Simon:with the ground and with nature
Simon:is fundamental to herbs. So,
Simon:you know, starting with walking in nature, getting out,
Simon:doing a bit of connection with plants and nature,
Simon:growing your own or even window box.
Simon:Often it's just those fundamentals.
Simon:Eating well, of course, sleeping well,
Simon:you know, those are the two big health issues. And that
Simon:may be a case where we do need to step in
Simon:almost straight away with some herbs. And
Simon:then, you know, we've written a lot on self
Simon:care, but it's learning how to
Simon:recognise symptoms not as
Simon:threats but as signposts, you know, so
Simon:how to read things better,
Simon:and not be frightened by them, but see them
Simon:as friends.
Sebastian:I love that. It's almost like the language of health, isn't it? Is
Sebastian:how can you learn to use,
Sebastian:the feelings and signs and symptoms you have
Sebastian:as an indication for how to adjust your diet or your
Sebastian:exercise or your sleep.
Simon:Another formative influence on me, which I must
Simon:share, was when I was in Cornwall, with
Simon:my herb nursery and was self sufficient and we
Simon:had goats. And one of them, the
Simon:mother goat, was called Emily. And every
Simon:day I used to take her out and put her on a long lead
Simon:as she would then spend her time on the Cornish
Simon:hedges. And watching her
Simon:I realised that in fact she wasn't just hoovering
Simon:up, you know, as you would imagine a cow would do, just
Simon:grass, would hoover up the grass. but was
Simon:being extremely selective and
Simon:picking plants very discreetly. and it was
Simon:only a little while later that I realised that actually she
Simon:was choosing what I now use as medicines.
Simon:And where did she learn that? You
Simon:know, there was no book there.
Simon:And all that Emily was doing
Simon:was using her nose, she was nosing her
Simon:way, knowing her way through the materia
Simon:medica and fine tuning her
Simon:own internal
Simon:physiology intuitively.
Simon:And, this idea of intuiting,
Simon:is, is to me important, you know, the notion
Simon:that instead of analysing and breaking
Simon:things down, you intuit the holes. This is
Simon:what Brian Goodwin, another colleague of mine
Simon:from, from Schumacher as well, called,
Simon:the science of qualities. I said I'd like to be like
Simon:Emily when I grew up. You know, I want to be able
Simon:to just feel
Simon:your way through. So, when I'm with A
Simon:patient. I'm asking, them how it
Simon:feels all the time rather than
Simon:what the doctor said they've got. You know, what
Simon:actually is the sense? What is the symptom? How
Simon:does, how does it hit you? Is it. Does it get better
Simon:with hot or cold? Does it, you know, all those sort of things, other
Simon:things that guide us, aren't they?
Sebastian:Yeah. How can we sniff out what's good for us?
Simon:Yeah, yeah.
Sebastian:How can we sense,
Sebastian:you know, it feels like we've moved in this, you
Sebastian:know, this direction. If we're talking about nature and the
Sebastian:earth and the insight and intuition of animals towards
Sebastian:their own health through this sort of
Sebastian:scientific revolution, evolution
Sebastian:to the, the place we are in the world today which,
Sebastian:which feels full of hope for natural medicine and full of
Sebastian:opportunity. Although we are, we are still
Sebastian:so small. I know some of the work you've done with the Golledge of
Sebastian:Medicine and in social prescribing and some of those
Sebastian:areas, where there seems to be a greater
Sebastian:move towards more social health care
Sebastian:on a wider sense. I wondered if we could explore a bit more
Sebastian:about the future in a way. And some of your hopes
Sebastian:and some of your vision for how we can really
Sebastian:help society's health improve in the future.
Simon:Yes. On a political front. Yes. well, one
Simon:of my other activities was to get involved with
Simon:doctors and healthcare workers generally. Ah, lovely
Simon:guy called Michael Dixon, who is quite a
Simon:big noise in general practise, as a colleague of
Simon:mine nearby, work with him. And we set up and
Simon:designed a project funded by the Department of Health to look at
Simon:self care and family practise. That was the title of the
Simon:project in 2009 started. Part of the
Simon:conditions was that we brought what
Simon:the NHS calls clinical stakeholders. So the heads of
Simon:the colleges of medicines of various sorts and nurses
Simon:and so on. And, so we prepared a
Simon:paper to explain to them why
Simon:self care was useful, even though there was
Simon:very little evidence base and in fact there was often
Simon:used for things that they weren't properly diagnosing. In other words,
Simon:sort of defeating everything we know about evidence based
Simon:medicine. So we prepared this rarely and we were
Simon:sort of chewing our fingernails thinking this is going to be thrown
Simon:out. And it was funny that within
Simon:a, couple of minutes or so of our presentation, one of them said,
Simon:oh, you mean self care? Oh, that's not our
Simon:problem. We don't need evidence for that. As long as
Simon:it's safe and doesn't interfere with proper medicine, then go
Simon:for it. Even homoeopathy. Except if
Simon:it's self care. And I got it. If
Simon:you take this out of the
Simon:doctor's territory and
Simon:don't challenge them on their own turf,
Simon:then it's fine. So suddenly there
Simon:was a huge opportunity to talk about herbs
Simon:as self care tools rather than as
Simon:challenges to the medical hegemony.
Simon:So social prescription emerged out of that project. Actually,
Simon:in fact we now say that we created in
Simon:that project what is now called the link
Simon:worker. the idea that instead of the doctor giving you a
Simon:prescription of, conventional medicine, they say
Simon:go and see somebody who will then guide you through the
Simon:local yoga classes and the carting group and so on.
Simon:And that's what now called the link worker. And there's thousands
Simon:of them paid for by the NHS now. Ah,
Simon:and so we've seen a radical transformation
Simon:and it's because we found
Simon:a way around the medical blocks, that
Simon:we found, ah, a way that worked
Simon:with people's needs rather than
Simon:creating another professional
Simon:over Lord. and I think
Simon:that's really exciting. So the idea that we
Simon:become guides, I call them health
Simon:guides to people who are looking to improve their
Simon:health. And we bring our expertise as
Simon:teachers, as guys, a
Simon:physician who was originally a teacher. So we
Simon:are recreating that really exciting new
Simon:role where we support people
Simon:in their personal choices and their own
Simon:self care. And social prescribing is a political
Simon:way in which that becomes acceptable within the
Simon:NHS and other. And so around the world now people are
Simon:taking to social prescribing like hotcakes.
Simon:So it's a very exciting opportunity we
Simon:have self care likewise. And so that
Simon:brings us back to what is the role of the herbal
Simon:practitioner. And you know,
Simon:we are now excitingly involved in this new herbal
Simon:alliance where we're bringing practitioners
Simon:from a wide range of disciplines and traditions
Simon:into one conversation, and
Simon:giving them hopefully, an increasingly effective
Simon:voice. I think that voice will
Simon:be to say we are working with
Simon:the community, we're the ones that are going to help
Simon:people to get better. we've got
Simon:expertise, we've done our 4, 5, 6, 8, 10
Simon:years of experience here and we can
Simon:bring this to the party. but we're not going to set
Simon:ourselves up as new doctors.
Simon:You know, we're not going to compete with gps or we're not
Simon:going to say we're as good as we're different.
Simon:And I think we have a huge
Simon:prospect of helping people to
Simon:discover their health then their
Simon:connections with nature, their
Simon:sustainable lifestyles, all
Simon:things that we can help guide.
Sebastian:Well, I think that, you know, it's so exciting that idea of
Sebastian:the community basis in a way, how herbalists can
Sebastian:work. I know the word community is used a
Sebastian:bit loosely in a way, but, you know, how can it really work
Sebastian:with individuals, families, generation to
Sebastian:generation and also, also, you know, more widely
Sebastian:across the community as, ah, educators
Sebastian:really, and that ability to teach
Sebastian:the fundamentals of life. So you know, when, when I asked you what
Sebastian:are the things you work with a client, you know, they're all really simple things, aren't. they, it's
Sebastian:your diet, sl, exercise. And
Sebastian:of course, herbalists have got very special knowledge of a range of
Sebastian:specialist plants as well to help influence health.
Sebastian:So I really think that's an exciting vision.
Simon:There was always, there was always the wise woman in every village. And
Simon:although we're not of that gender, we,
Simon:might take that role of, of being the
Simon:person you go to when you need a bit of extra help.
Sebastian:I mean, taking it a little bit further in terms of
Sebastian:the, the vision of the future. Simon, you
Sebastian:know, obviously we stand in this nature crisis at
Sebastian:the moment. And you know, I've been an admirer
Sebastian:of your work as you've looked at the microbiome and these
Sebastian:ideas of the being a wider planetary
Sebastian:biome. As we're talking about communities, maybe we should
Sebastian:talk about the community inside us for a bit. I'd love to
Sebastian:explore how that work
Sebastian:you've, you know, that's evolved over the years for
Sebastian:you, is influencing your thinking about how
Sebastian:herbalism works and its opportunity for
Sebastian:improving health. It feels like there's an interface there between
Sebastian:the tradition of herbalism and the wisdom it
Sebastian:holds.
Simon:Yeah.
Sebastian:And the cutting edge of science and the insights
Sebastian:it's finding about us being a part of a
Sebastian:whole ecosystem in a way.
Simon:Yeah.
Sebastian:And just to throw in another blend, you know, we've got, you know,
Sebastian:the whole idea of how we grow our food and organic
Sebastian:farming in there as well. So this idea of caring for the
Sebastian:whole ecosystem, love to just explore that.
Simon:For a few years. There's a very high
Simon:ground there too, because
Simon:we've grown up thinking of science as
Simon:reductionist and breaking things down and being very
Simon:clever at that. But there is a completely opposite view, which
Simon:is in the ascendant in most areas of
Simon:human activity, except medicine, strangely, which is
Simon:the notion of complex systems, complex living
Simon:systems, ecosystems. And it's
Simon:obviously in all environmental science, but it's also in
Simon:economics, in history and physics. And most
Simon:disciplines have now adopted the notion of
Simon:complex systems as the fundamental principle of
Simon:life. And in complex systems you do
Simon:have diversity. You have Complexity,
Simon:you have interactions between the
Simon:participants of the system. The system itself
Simon:emerges out of these interactions. I
Simon:mentioned a, ah, colleague of mine, Brian Goodwin at Schumacher, who was
Simon:originally at Open University and is a biophysicist.
Simon:he's left us now, but he was one
Simon:of the people who was at the forefront of
Simon:complexity theory and you know, he worked with,
Simon:with ants and little small ant
Simon:colonies and he was able to show how
Simon:the colony would grow and
Simon:pulse almost like a living being with just
Simon:the net outcome of the individual interactions of each
Simon:ant. And each ant had what, one of two
Simon:ways that when they met each other they would either in effect approve
Simon:or disapprove. And out of those interactions
Simon:the whole colony became
Simon:an organism, a living organism. And it was
Simon:a model that you can see through all living
Simon:biomes. So we now know of course that the soil
Simon:is an enormously complex biome with all
Simon:sorts of levels of life there which you tinker
Simon:with at your peril. And we have been tinkering with it. So the
Simon:soil is vastly denatured around the world
Simon:because we've been treating it badly, we haven't been
Simon:restoring its inner life. And
Simon:so we see the real threat to our livelihoods
Simon:in the depletion of the soil. And we now working
Simon:very hard with organic farming and others
Simon:ways to build the soil to be
Simon:more sustainable. And the
Simon:same principle increasingly
Simon:seems to apply to the biome that
Simon:lives within us, particularly in the
Simon:gut, the gut microbiome, which
Simon:seems to have all the same properties.
Simon:We've found all sorts of ways of working with microbiome. We give
Simon:them probiotics, which are
Simon:new organisms and yoghurts and things that we hope
Simon:might replenish some of the ones that are there.
Simon:Tough call because you have to get through the stomach
Simon:first. but then we have prebiotics, which is
Simon:the idea that you feed the
Simon:microbiome with the right sort of
Simon:nourishment and out of that you grow
Simon:a better biome. And that is much closer to
Simon:the idea of manure feeding the soil,
Simon:replenishing the soil rather than throwing
Simon:fertiliser on it. So I like the idea of the
Simon:microbiome being our inner garden
Simon:where we tend it in the same way the good
Simon:organic gardener would tend a garden.
Simon:So yeah, the notion of the biome, the
Simon:notion that we really do need to move to
Simon:organic ways of growing and
Simon:applying that internally as well as
Simon:to our immediate environment, that I think is
Simon:very important.
Sebastian:M M and are there any Particular herbs
Sebastian:that you found, more relevant
Sebastian:than others in their impact on the microbiome
Sebastian:or just generally interested
Sebastian:in how they interface?
Simon:Well, the amazing thing we're discovering
Simon:is that we've been awed by the
Simon:probiotics and the yoghurts and then by the prebiotics and the
Simon:Jerusalem artichokes and then parsnips and the carrots and so
Simon:on, and the cereals. But now we can
Simon:introduce the notion of postbiotics
Simon:that we're increasingly finding that many of our
Simon:herbs actually engage in the
Simon:conversation further down the system.
Simon:they invent what we call cross talk between the
Simon:microbiome and the rest of us. And there's this
Simon:constant communication that goes on. And
Simon:herbs with like polyphenols, all the
Simon:flavonoids and anthracyanins and so on,
Simon:things like cocoa and red, wine and so
Simon:on, all play a part as postbiotics
Simon:in helping to shape and
Simon:help the microbiome to form itself. So
Simon:almost all the things that we think of as good foods
Simon:now, stepping up further and further into
Simon:this way of influencing the
Simon:microbiome. but you know, I've got to give a plug
Simon:to a, herb that you introduced me to, which is
Simon:triphala, you know, which is
Simon:as we have learned, the
Simon:most valuable remedy in Asian
Simon:medicine, at least its various components
Simon:and almost unknown in the west, but
Simon:almost perfectly designed to
Simon:help maintain gut
Simon:health. So you know, the more we can
Simon:big up triphala and get the world
Simon:to see its values, the better.
Sebastian:Probably the most popular herbal formula in the world.
Simon:Exactly.
Sebastian:They seem to know about it over in the, over in the West. Well, I
Sebastian:love the fact that we've been having a conversation about, you know,
Sebastian:your life as a herbalist and about the
Sebastian:language of the earth in a way.
Sebastian:And then how you've finished
Sebastian:by talking about there's actually a conversation
Sebastian:going on inside our bodies when this
Sebastian:interface, this cross talk, this crosstalk happens. And
Sebastian:I, for me that really sums it up that it really is
Sebastian:about a conversation. You know, how do we get on with
Sebastian:our patients, other herbalists, other medical
Sebastian:professionals, society at large I think is through having
Sebastian:a conversation and really raising the
Sebastian:awareness of the
Sebastian:power of plants, but also how accessible
Sebastian:they are to people and how affordable
Sebastian:they are in terms of a resource for not just improving health, but
Sebastian:making your day to day life better.
Simon:Yeah, it's a useful point to make that we don't want
Simon:to put this out of reach of people. And when
Simon:I Started in practise in Devon all those years ago.
Simon:My main clients, my main patients were people from
Simon:the Midlands who had retired
Simon:to Devon and who had grown up
Simon:with hers. because herbal medicine in the UK was at its strongest
Simon:in the Midlands industrial. It was a post
Simon:industrial phenomenon, in towns. And so
Simon:a lot of people who used to retire were
Simon:expecting to find a herbalist nearby and would look me
Simon:up in the Yellow Pages and say, do you do herbs?
Simon:And, you know, just expect me to fix them
Simon:and all their needs. So I was being their
Simon:general practitioner and it reminded me that, you
Simon:know, A, they weren't expecting to be charged very much,
Simon:and B, this was very much, and in that sense a working
Simon:class provision, you know,
Simon:as it was during the Industrial Revolution.
Simon:so we really do need to return to the
Simon:idea that this should not be a privileged
Simon:thing, we should make this accessible
Simon:to as many as we can. And when people say, well, good
Simon:eating costs much, much more and, you know,
Simon:that, you know, we're talking to the, you know, top
Simon:15% of the population who can afford it, I
Simon:just remind people that if you're in a villager in
Simon:India, you know, you're eating food that
Simon:is basically simple,
Simon:foods with spices and lots and lots and lots and lots of
Simon:spices, which is important, but it's for pittance.
Simon:You don't need to spend money
Simon:on good medicine, good health, if you
Simon:just rethink it.
Sebastian:I couldn't agree more. It is accessible. It does need a bit of
Sebastian:a paradigm shift in one's priorities in life
Sebastian:about the value of things, I think, isn't it? About
Sebastian:the worth they have. And
Sebastian:they are incredibly precious, the plants that we have in
Sebastian:the world. We know that there is a, pressure on,
Sebastian:ecosystems, but it can still be made very
Sebastian:affordable through including, you know, turmeric,
Sebastian:fennel, ginger or some, you know, very affordable, spices
Sebastian:to include in it on a daily basis in your life
Sebastian:and have, you know, significant
Sebastian:benefits on, on all these factors of health that we've been talking
Sebastian:about.
Simon:Well, I'm glad you mentioned turmeric because that is probably the one
Simon:that, you know, the single herb
Simon:above all that I've adopted as the
Simon:avatar, as the, one herb that
Simon:almost covers all the bases, including
Simon:in the gut, where it's most, where it spends most
Simon:of its action. So, and as you say,
Simon:it's as cheap as chips or cheaper,
Simon:and, you know, has such huge
Simon:health potential.
Sebastian:It's a remarkable plant, isn't it? And I think you can See, when you get
Sebastian:a plant like turmeric that meets so many of
Sebastian:the pressing modern health needs
Sebastian:in terms of inflammation, degenerative cognitive,
Sebastian:function, et cetera, et cetera, it, really does
Sebastian:meet that need between food and medicine as well.
Sebastian:And I think that's such an interesting interface, isn't it? And,
Sebastian:and is, I think, one of the reasons why herbalism
Sebastian:struggles a bit, because it crosses over into so many
Sebastian:different realms that it can be a cup
Sebastian:of tea, it can be in your food, or, or it can be a
Sebastian:medicine, depending on the dosage and the quantity
Sebastian:and the, and the need. I think
Sebastian:that's part of the challenge is, as you alluded to earlier,
Sebastian:this complexity that is within
Sebastian:herbalism, the diversity that is there. It really
Sebastian:is a whole health programme really
Sebastian:available to you through the different routes that you might
Sebastian:adopt. And I'm so glad
Sebastian:that you've fallen in love with some of these
Sebastian:herbs over your career, because
Sebastian:in Europe we all often start off with, I don't know, ah,
Sebastian:dandelion and elderflower and nettle, and they become
Sebastian:extremely good friends.
Simon:Dandelion is the other great strength. Never discount
Simon:dandelion. Interestingly,
Simon:another theme, is that dandelion is used almost
Simon:everywhere in the world, or
Simon:very close related species for almost exactly the same
Simon:thing. So even among the Maoris
Simon:in New Zealand, they have a variety of dandelion,
Simon:which they use for very much the same reasons that we do.
Simon:so it's not
Simon:culturally imposed. This is something that comes out of the
Simon:plants. People rediscover it time and time again
Simon:from that, original experience that they
Simon:have of the plant when they first take it.
Simon:So that's another great reassurance, isn't it, that
Simon:we don't need to reinvent or
Simon:invent any wheels here. This is already there. All
Simon:we have to do is open up our senses.
Sebastian:M. I've so enjoyed our conversation,
Sebastian:Simon. It's such a privilege to hear
Sebastian:your insights. You're so,
Sebastian:humble, but still passionate and
Sebastian:enthusiastic for the, for the future of herbalism.
Sebastian:I really, really have enjoyed the conversation.
Simon:Well, thank you for giving me the chance.
Sebastian:Yeah, thank you so much for, for being with us. I love hearing
Sebastian:your stories. We could carry on for ages and
Sebastian:I'm sure we'll, we'll have another conversation soon. So
Sebastian:thank you so much.
Simon:Thank you, Sebastian.
Sebastian:So you've been listening to the Herbcast, the podcast from Herbal
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Sebastian:Thanks for joining.