Another logical trap
that an ethical herbalist avoids is “If it is natural, it is good.” This is the “appeal to nature”, which follows:
“if something is natural, then it is safe and effective.” The corollary of this logical fallacy is “anything
artificial is bad and hence unsafe.” However,
the concept of what is “natural” can be vague since poison ivy is natural but
unsafe. A diligent herbalist would know that some herbs are safe because they
have no side effects while others need to be used with care. The fact that the
herbs are natural would not automatically make them safe for everyone. For example, garlic will lower cholesterol
but has anticoagulant properties, according to Dr. Barrett. Therefore in my case, garlic would be
problematic since there is a potential risk of my blood not being able to clot
as needed.
In the case history
of Mags, the herbalist and Jason, her friend, several ethical breaches
occurred. First, Mags assured Jason that
since she was giving him herbs, they were safe.
She also declared that he should not take a pill, since it was artificial
and therefore unsafe. This, of course,
was an error in Mags’ judgment, and displayed her ignorance of how medicines
work. Fortunately, for her, her patient
did not die.
Taking any
medication, whether herbal or manufactured, has a risk for any patient, which
the healer would need to know about. If Mags had taken a medical history of
Jason, she would have found out that he was allegoric to chamomile. Just asking Jason about any allergies would
have alerted her to any problems he may have with any of the herbs in her
potion.
The second ethical
breach was the “appeal to custom,” which though Mags did not state out-loud,
she implied it, with her statement “works one hundred percent every time.” In the “Science-based
Medicine Blog”, Dr. Steven Novella (neurologist) pointed out that the herb aristolochia
has been used since the time of the Ancient Greeks for join pain, amongst other
things. However in the 1990s, it was
proven to cause kidney failure. This
adverse effect became first known when several people in Belgium developed kidney
problems after taking aristolochia. Because
of previous faulty records, no one had made the connection between this herb
and potential harm to the kidneys. Therefore
Mags needs to understand that some herbs do have adverse side effects, despite
having been used for years.
As a part of informed
consent to the patient, Mags needed to tell Jason what was in the potion. By learning what was in the mixture, Jason
could decide whether to drink it or not.
Since Jason is allergic to plants in the sunflower family, if he knew
that chamomile was in Mags’ potion, he could refuse to take it. Through Mags’ careless assumption that
natural is “safe”, she endangered Jason.
Jason, for his part,
needed to inform Mags of his allergy. He
has to guard his own health, and that includes informing his doctors of his
health issues. He cannot blame Mags for
her lack of knowledge of his sunflower allergy.
He committed a breach of ethics on his part by not telling her, and
thereby bringing harm to himself.
Most importantly, the
most serious harm being practiced by both Jason and Mags is treating his
“cold”. Instead of going to a doctor,
Jason has been medicating himself for weeks.
Mags “aided and abetted” him by providing him with herbal remedies,
without thinking about the consequences.
In Jason’s case, her herbs may have masked a serious illness or
compounded his problems further.
If Jason could not
get better on his own, then Mags should have suggested that he see a
doctor. If he was reluctant to see one,
Mags could have helped to convince him to go.
Part of her duty as a healer is to see that her clients get the care
they need. Mags was practicing medicine
beyond the scope of her abilities.
Jason, for his part, needed to recognize that, as well, since he was
doing the same thing himself. They both
failed in their respective duties in regards to curing Jason’s illness.
Works
Used:
Atwood, Kimbal, “Science, Reason, Ethics and Modern Medicine”
series, Science-Based Medicine Blog, http://www.sciencebasedmedicine.org/index.php/science-reason-ethics-and-modern-medicine-part-1/,
.
Barrett, Stephen, “The Herbal Minefield,” Quackwatch, 19
August 2012, http://www.quackwatch.com/01QuackeryRelatedTopics/herbs.html,
.
Curtis, Gary, “Logical Fallacies: The Fallacy Files,” http://www.fallacyfiles.org/index.html,
.
La Puma, John, “Ethics of Alternative Medicine: The
Unconventional Has Its Place,” “Managed
Care”, November 1998, http://www.managedcaremag.com/archives/9811/9811.ethics.html,
.
Morningstar,
Sally, “The Art of Wiccan Healing”,
Hay House: Carlsbad (CA), 2005.
Novella, Steven, “Herbal Medicine and Aristolochic Acid
Nephropathy,” Science-Based Medicine Blog, 11 April 2012, http://www.sciencebasedmedicine.org/index.php/herbal-medicine-and-aristolochic-acid-nephropathy/,
.
Singh, Amrit Pal, “Ethics in Herbal Medicine,” Southern
Illinois University, Ethnobotanical Leaflets 11: 206-211. 2007, http://opensiuc.lib.siu.edu/cgi/viewcontent.cgi?article=1025&context=ebl,
.
Specter, Michael, “Bad Medicine: Why Echinacea Won’t Fix Your
Cold,” “The Independent”, 9
October 2010, http://www.independent.co.uk/life-style/health-and-families/features/bad-medicine-why-echinacea-wonrsquot-fix-your-cold-2099551.html,
.
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