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Herbs & Cultures

Tradition in North America

Cherokee medicine

In the southern Appalachians for centuries; a living tradition

Image of Goldenseal
Goldenseal, Hydrastis canadensisFranz Eugen Köhler, Köhler's Medizinal-Pflanzen · Public domain

History

The Cherokee call themselves Aniyvwiya, 'the real people', or Tsalagi. They lived in a large area of the southern Appalachians, in what are now North and South Carolina, Georgia, Tennessee, Alabama and Virginia. Their towns lay along rivers such as the Oconaluftee, the Tuckasegee and the Little Tennessee. The mother town was Kituwah, on the Tuckasegee, and one of the old names of the people is Ani-Kituwah, 'the people of Kituwah'.

Around 1821 Sequoyah devised a writing system for Cherokee, and within a few years thousands of Cherokee could read and write. In 1828 the Cherokee Phoenix appeared, the first Indigenous newspaper in North America. Shortly afterwards, with the Indian Removal Act of 1830 and a treaty most Cherokee had never accepted, they were driven from their land. In 1838 and 1839 the US Army drove them to Indian Territory, present-day Oklahoma. On that Trail of Tears perhaps four thousand died, nearly a fifth of the people. A few hundred hid in the mountains or were allowed to stay; from them came the Eastern Band.

At the end of the 1880s the ethnologist James Mooney worked among the Eastern Band. From the healer Ayunini, Swimmer, and others he received notebooks of sacred formulas, written in Sequoyah's syllabary. He published them in 1891 and the stories in 1900. A century later J. T. Garrett, himself a member of the Eastern Band and for years director of the Cherokee hospital, wrote down what elders had taught him about the plants.

Key ideas

The old story of the origin of disease and medicine is in Mooney. When people grew too numerous and killed the animals without respect, the animals met in council. The bears wanted to shoot back, but their claws caught in the bowstring. The deer decided that whoever killed a deer without asking pardon would get rheumatism. The snakes, fish, birds and insects devised many more diseases. When the plants heard this, they decided to help people: each plant offered a cure for one of those diseases. When a healer does not know what to use, the spirits of the plants show him.

Health is balance, with the people around you, with the animals and plants and with the world. Illness can come from the body, but also from a broken rule, a dream, an evil spirit or someone who wishes you harm. The numbers four and seven are sacred: there are four directions, and seven when above, below and the centre are added, and there are seven clans. A river is called Long Man, and 'going to water', at sunrise, cleanses and blesses at important moments of life.

In his book Garrett arranges the plants by the four directions. The east stands for heart, spirit and family, the south for the skin and the play of the child, the west for the inside of the body and strength, and the north for breath, calm and the mind. He writes himself that this is his own interpretation of what he learned.

Knowledge and its transmission

A healer works with formulas: words that are spoken or sung, often four or seven times, together with a remedy of plants. Mooney noted that a healer looking for a plant passes by the first three he sees and only takes the fourth, and that he leaves a bead in the hole from which he took the root. A remedy usually consists of several plants, and in bark the side facing east is the strongest. When healing, a healer often blows the remedy onto the body through a reed, or lightly scratches the skin with thorns or a comb of teeth and rubs the remedy into the scratches.

In 1975 Hamel and Chiltoskey collected the uses of hundreds of plants, from elders in the communities and from older sources. Yellowroot is chewed for a sore mouth and throat. Wild cherry goes into cough medicine and is used for fever, dogwood for headache and fever, and ginseng as a tonic. Plantain goes on burns and stings, jewelweed on poison ivy rash, and the resin of the sweetgum into an ointment for wounds. Coughs are treated with rabbit tobacco. Sassafras and spicebush are spring drinks, and ramps a spring green.

Garrett also mentions the Medicine Society, a society of healers who met to share formulas and which, according to him, ended around 1920, and he tells stories that belong to plants. Ant discovers the sweet bark of the wild cherry. A boy in love hides behind hearts-a-bustin'. And Little Butterfly shows people the butterfly weed for coughs.

Texts and figures

The formulas were written in Sequoyah's syllabary and kept in family notebooks. Mooney published The Sacred Formulas of the Cherokees in 1891, and in 1932, with Frans Olbrechts, Swimmer's whole notebook appeared. Myths of the Cherokee (1900) contains the stories, such as the one about the origin of disease and medicine and the one about the first fire. Many Cherokee distrusted Mooney, because they felt the knowledge did not belong in Washington. Garrett writes that his older teachers asked him not to write anything down, and that he therefore leaves out the sacred formulas.

In 1975 Paul Hamel and Mary Chiltoskey published Cherokee Plants and Their Uses: A 400 Year History, with Cherokee names and the uses of hundreds of plants. Mary Chiltoskey taught at the high school in Cherokee and was married to the carver Goingback Chiltoskey. The book is still the main source on Cherokee plants. In 2003 Garrett's The Cherokee Herbal appeared, with stories, uses according to elders and his arrangement by the four directions.

Today

There are three recognised Cherokee tribes. The Cherokee Nation in Oklahoma, with hundreds of thousands of citizens, is one of the largest tribes in the United States. The United Keetoowah Band, also in Oklahoma, has more than fourteen thousand members, as does the Eastern Band of Cherokee Indians on the Qualla Boundary in North Carolina. Cherokee is still spoken, but by fewer and fewer people. The Cherokee Nation and the Eastern Band have schools where children are taught entirely in Cherokee.

Healers still work, within their families, and the Green Corn ceremony and the stomp dances are held. In the 1980s, as director of the Cherokee hospital, Garrett helped set up a programme through which patients could also see a traditional healer.

Since 2006 the Cherokee Nation has had a seed bank of heirloom crops: corn, beans, squash, gourds, tobacco and plants for ceremonies, and in 2025 it handed out nearly ten thousand packets of seed to citizens. Through the RTCAR programme the Eastern Band works to restore river cane, white oak and dye plants, so that basket makers, potters and carvers keep enough material.

Nature in the tradition

The Cherokee lived in one of the richest forests of the temperate world, the mountains and valleys of the southern Appalachians and the Great Smoky Mountains. There grow tulip trees, chestnuts, oaks, hemlocks and sycamores, and in the understorey ginseng, goldenseal, bloodroot, black cohosh and trillium.

The blooming of the dogwood marked the start of the planting season. The Three Sisters, corn, beans and squash, were the staple food, and corn is the sacred plant of Selu, the Corn Mother. In the story of the first fire the Thunder Beings set a hollow sycamore alight, and Water Spider fetches the fire in a little basket on her back.

The Cherokee weave baskets of river cane and split white oak, dyed with bloodroot and black walnut. Less than two percent of the river cane that once grew remains. Ginseng and goldenseal are dug so much in the wild that they are endangered.

Approaching it with respect

The sacred formulas, love and hunting medicine and the remedies to influence someone belong to the families who keep them. Garrett deliberately leaves them out, at the request of his teachers, and so do we. That Mooney published them does not make them common property.

We give no preparation for poisonous plants such as mayapple, pokeweed, bloodroot, water hemlock, wild tobacco and Veratrum, nor for hearts-a-bustin', devil's walking stick and Indian physic. Garrett also mentions chaparral, foxglove, belladonna and comfrey; their risks are too great to recommend them.

Do not dig up ginseng, goldenseal, Adam and Eve root or lady's slipper in the wild. In the Great Smoky Mountains it is forbidden to collect plants.

From the kitchen

Recipes with herbs from this tradition

There is no recipe from this tradition on the site yet. These recipes do use herbs it knows.

Registry

Herbs in this tradition

  • Caution

    North America · Herb · № 988

    Adam and Eve root

    Aplectrum hyemale

    An orchid with a single leaf, green with silvery-white stripes, that appears in late autumn and withers in spring. Underground lie two or more corms joined together, an old one and a new one. The crushed corms yield a sticky mucilage.

    Cherokee medicine
  • Caution

    North America · Herb · № 158

    American skullcap

    Scutellaria lateriflora (en S. baicalensis)

    Used in Western herbalism for nervousness, tension and sleep problems. A few small studies suggest a mild calming effect.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 826

    Mayapple

    Podophyllum peltatum

    A poisonous plant whose resin, podophyllin, was once used as a laxative. Now only used in the form of medicines against warts.

    Eclectic medicine+2
  • Caution

    North America · Herb · № 992

    American sweetgum

    Liquidambar styraciflua

    A tall tree with star-shaped leaves, splendid autumn colours and spiky round seed balls. When the bark is wounded a fragrant resin, American storax, seeps out; for centuries it has gone into ointments, perfume and incense. The resin is mildly antiseptic.

    Cherokee medicine
  • Caution

    North America · Herb · № 996

    American dittany

    Cunila origanoides

    A low, woody plant of the mint family with small purple flowers in late summer that smells of oregano and mint. The leaf contains essential oil. On the first frosty nights the stems split and ice ribbons grow out of them, which gave it the name frost mint.

    Cherokee medicine
  • Caution

    North America · Herb · № 160

    American ginseng

    Panax quinquefolius

    Chinese medicine regards it as more 'cooling' than Asian ginseng and uses it for fatigue and thirst. Some studies find a slight effect on post-meal blood sugar and colds; evidence is limited.

    Indigenous healing traditions of North America+3
  • Caution

    North America · Herb · № 628

    North American wild ginger

    Asarum caudatum, A. canadense en verwante soorten

    Traditionally attributed effects: expels wind-cold, opens a blocked nose, warms the lung in cough with clear phlegm and expels cold and dampness in menstrual pain and other pain.

    Haudenosaunee medicine+4
  • Caution

    North America · Food · № 934

    American chestnut

    Castanea dentata

    Once one of the largest trees of the eastern forests, with sweet, edible nuts. Related to the sweet chestnut.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 932

    American basswood

    Tilia americana

    A large broadleaf tree with heart-shaped leaves and fragrant flowers, related to the European lime. The flowers contain mucilage and flavonoids. The wood is soft and easy to carve; the inner bark gives strong fibre.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 951

    American spikenard

    Aralia racemosa

    A tall perennial of the ivy family, related to ginseng, with a thick, aromatic root. Little studied.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 997

    American persimmon

    Diospyros virginiana

    A tree of the ebony family, related to the kaki. Unripe, the orange fruits are so astringent that they pucker the mouth, but after the first frost they are sweet and soft. They are rich in vitamin C. Bark and unripe fruits contain many tannins.

    Cherokee medicine
  • Caution

    North America · Herb · № 1001

    American sycamore

    Platanus occidentalis

    One of the largest broadleaf trees of eastern America, with a trunk that peels in patches of white, green and brown. The bark contains tannins and betulinic acid. It is a parent of the London plane of European streets.

    Cherokee medicine
  • Caution

    North America · Herb · № 950

    Spicebush

    Lindera benzoin

    A shrub of the laurel family with fragrant leaves and twigs and red berries.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 224

    Bee balm

    Monarda didyma

    The fragrant leaf contains thymol and is drunk as tea. Indigenous peoples used it for colds, fever and headache; studies in humans are lacking.

    Indigenous healing traditions of North America+2
  • Caution

    North America · Herb · № 280

    Blue cohosh

    Caulophyllum thalictroides

    Traditionally attributed effects: tonic, antispasmodic, anti-inflammatory, stimulates the uterus, diuretic, antirheumatic.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 372

    Bloodroot

    Sanguinaria canadensis

    Traditionally attributed effects: stimulating, emetic, expectorant, restorative; part of escharotic treatment for cervical dysplasia, warms lungs/stomach/uterus, promotes coughing up.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 991

    Flowering dogwood

    Cornus florida

    A small tree with large white bracts around a knot of tiny flowers in spring, red berries and red autumn leaves. The bark is astringent and bitter; in the American Civil War it served as a substitute for quinine, and in the laboratory compounds from the bark moderately inhibited the malaria parasite. The berries are poisonous to people.

    Cherokee medicine
  • Caution

    Central America and the Caribbean · Food · № 265

    Beans

    Phaseolus vulgaris

    A legume rich in protein and fibre. Raw or undercooked beans contain the toxic phytohaemagglutinin; thorough cooking is needed. Beans are otherwise mainly food, not medicine.

    Maya healing knowledge+3Folklore
  • Caution

    North America · Herb · № 151

    Boneset

    Eupatorium perfoliatum

    Traditionally used for fever and flu with aching muscles; the name refers to 'break-bone fever'. There is hardly any modern clinical research.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 306

    Smooth hydrangea

    Hydrangea arborescens

    Traditionally attributed effects: diuretic, laxative, stimulates the kidneys.

    Indigenous healing traditions of North America+3
  • Caution

    North America · Herb · № 34

    Goldenseal

    Hydrastis canadensis

    There is not enough evidence to determine whether goldenseal helps any health condition.

    Indigenous healing traditions of North America+6Folklore
  • Caution

    North America · Herb · № 931

    Eastern hemlock

    Tsuga canadensis

    An evergreen conifer with short, flat needles. The bark is rich in tannins and was once used to tan leather. Medicinal effects have not been studied.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 995

    Devil's walking stick

    Aralia spinosa

    A shrub or small tree of the ivy family, related to American spikenard, with very prickly stems, huge doubly pinnate leaves and in late summer large sprays of small white flowers with purple berries. The fresh root is sharp and emetic.

    Cherokee medicine
  • Caution

    North America · Herb · № 1000

    Galax

    Galax urceolata

    A low evergreen herb of the Diapensia family with glossy, round, toothed leaves that turn bronze to wine red in winter, and in spring a slender spike of tiny white flowers. Plants in flower smell sharp, almost like a skunk. Its effect has not been studied.

    Cherokee medicine
  • Caution

    North America · Herb · № 274

    American cranesbill

    Geranium maculatum

    Traditionally attributed effects: astringent, stops bleeding, tonic.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 596

    Smooth sumac

    Rhus glabra

    Traditionally attributed effects: astringent, cleansing, tonic, wound-healing, antiseptic; strengthens the digestive tract (ulcers, diarrhoea), curbs excessive secretions (urine leakage, night sweats, bleeding), may lower blood sugar, for prolapse.

    Indigenous healing traditions of North America+3
  • Caution

    Europe · Herb · № 62

    Greater burdock

    Arctium lappa

    In Europe the root was considered a 'blood-cleansing' herb for skin problems such as eczema and acne; the seed is used in Chinese medicine for sore throats. Clinical evidence is weak.

    Western herbal medicine+5
  • Caution

    North America · Herb · № 987

    Hearts-a-bustin'

    Euonymus americanus

    A shrub of the spindle family, up to two metres tall. In autumn the warty pink fruits burst open to show seeds in a bright red aril. Seeds and fruits are strongly purgative, as in other spindles, and the genus is considered poisonous.

    Cherokee medicine
  • Caution

    North America · Herb · № 307

    Indian tobacco

    Lobelia inflata

    Traditionally attributed effects: relaxing, expectorant, induces sweating, emetic, antispasmodic, anti-asthmatic.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 994

    Indian physic

    Gillenia trifoliata (syn. Porteranthus trifoliatus)

    A perennial of the rose family with three-parted leaves and loose sprays of white or pale pink flowers with five narrow petals. The root is emetic and purgative; it was listed in the United States Pharmacopeia as American ipecac.

    Cherokee medicine
  • Caution

    North America · Herb · № 940

    Joe-Pye weed

    Eutrochium purpureum en E. maculatum (syn. Eupatorium)

    Tall, purple-pink flowering plants of the daisy family, related to European hemp agrimony. They may contain pyrrolizidine alkaloids, which damage the liver with long use.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 155

    Pokeweed

    Phytolacca americana

    Formerly used for swollen glands, tonsillitis and rheumatism. Because of its toxicity it is not a safe herb; there is no evidence of benefits that outweigh the risks.

    Indigenous healing traditions of North America+5
  • Caution

    North America · Herb · № 990

    Butterfly weed

    Asclepias tuberosa

    A milkweed with bright orange flower umbels that attract many butterflies, and a thick, tuberous root. For a milkweed it contains few cardiac glycosides, but it does contain steroids that in larger amounts can cause weakness, seizures and eye damage. The root was listed in the United States Pharmacopeia as pleurisy root, an expectorant.

    Cherokee medicine
  • Caution

    Europe · Herb · № 102

    Great mullein

    Verbascum thapsus

    Leaves and flowers contain mucilage and are traditionally used for irritating coughs and bronchitis; the flower oil for earache. Clinical evidence is limited.

    Greco-Roman medicine+4
  • Caution

    North America · Herb · № 949

    Liverleaf

    Hepatica nobilis (incl. H. americana en H. acutiloba)

    An early spring flower of the buttercup family with three-lobed leaves. Fresh, the plant contains irritating compounds.

    Haudenosaunee medicine+1
  • Caution

    Central America and the Caribbean · Food · № 266

    Maize

    Zea mays

    Traditionally attributed effects: diuretic, heals the urinary tract lining, tonic, soothing.

    Maya healing knowledge+7Folklore