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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 · № 999

    Orange jewelweed

    Impatiens capensis

    An annual, juicy herb with orange, spotted flowers. Ripe seed pods burst open when touched and shoot the seeds away, hence the names touch-me-not and jewelweed. The sap contains saponins and naphthoquinones; one study found it can prevent a poison ivy rash after short exposure, though washing with soap works at least as well.

    Cherokee medicine
  • Caution

    North America · Herb · № 154

    Passionflower

    Passiflora incarnata

    Used for anxiety and sleep problems. NCCIH notes some indications of an effect on anxiety but limited evidence.

    Indigenous healing traditions of North America+3Folklore
  • Caution

    North America · Herb · № 326

    Partridge berry

    Mitchella repens

    Traditionally attributed effects: stimulates the uterus, tonic, restorative, astringent, diuretic.

    Indigenous healing traditions of North America+3
  • Caution

    Central America and the Caribbean · Food · № 263

    Squash

    Cucurbita moschata

    Traditionally attributed effects: heart-warming and nourishing for body, mind and soul; good for skin and hair.

    Maya healing knowledge+6Folklore
  • Caution

    North America · Herb · № 989

    Rabbit tobacco

    Pseudognaphalium obtusifolium (syn. Gnaphalium obtusifolium)

    An annual, grey-felted herb of the daisy family, with straw-coloured flower heads that keep their shape when dried. The dried herb smells sweet. Flavonoids and essential oil have been found in it; its effect is little studied.

    Cherokee medicine
  • Caution

    North America · Food · № 936

    Ramps

    Allium tricoccum

    A wild leek with broad leaves and a small bulb, related to European wild garlic. Leaves and bulb taste of onion and garlic.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 323

    Slippery elm

    Ulmus rubra (syn. U. fulva)

    Traditionally attributed effects: soothing, nourishing, astringent.

    Indigenous healing traditions of North America+3
  • Caution

    North America · Herb · № 368

    Red root

    Ceanothus americanus

    Traditionally attributed effects: astringent, antispasmodic, expectorant, calming; for a swollen spleen (e.g. after glandular fever), cools and constricts blood vessels in bleeding and congestion of the uterus, liver and lymph.

    Indigenous healing traditions of North America+3
  • Caution

    North America · Herb · № 594

    Solomon's seal

    Polygonatum biflorum

    Traditionally attributed effects: tonic, astringent, relaxing; strengthens and lubricates tendons, ligaments and joints, helps with prolapse of the uterus and bladder, calms the heart rhythm, moistens dry conditions (dry skin, stool, airways).

    Indigenous healing traditions of North America+2
  • Caution

    North America · Herb · № 633

    Sassafras

    Sassafras albidum

    Traditionally attributed effects: expels wind, dampness and cold in joint complaints, also when heat is involved, moves the blood in stasis after trauma or in absent menstruation, and is used for itchy skin.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 964

    Seneca snakeroot

    Polygala senega (syn. Senega officinalis)

    A low milkwort with white flower spikes. The root contains saponins that loosen phlegm and promote coughing; it is in the European Pharmacopoeia as a cough remedy.

    Anishinaabe medicine+1
  • Caution

    North America · Herb · № 998

    Sourwood

    Oxydendrum arboreum

    A tree of the heath family with drooping sprays of white, bell-shaped flowers in summer and fiery red autumn leaves. The leaves taste sour, hence the name. From the flowers bees make a light, much-prized honey.

    Cherokee medicine
  • Caution

    North America · Herb · № 953

    Stoneroot

    Collinsonia canadensis

    A perennial of the mint family with lemon-scented leaves and a very hard, knobbly root. Eclectic physicians used it for piles and varicose veins; research is lacking.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 168

    Northern prickly ash

    Zanthoxylum americanum

    Bark and berries give a tingling, numbing feeling in the mouth; they were traditionally used for toothache, poor circulation and rheumatism. Clinical research is lacking.

    Indigenous healing traditions of North America+4
  • Caution

    Central America and the Caribbean · Herb · № 819

    Tobacco

    Nicotiana rustica

    A ceremonial plant of many Indigenous peoples of the Americas. Tobacco is addictive and harmful to health.

    Maya healing knowledge+10
  • Caution

    North America · Herb · № 171

    Evening primrose

    Oenothera biennis

    The seed oil contains gamma-linolenic acid and is sold for eczema, premenstrual symptoms and hot flushes. NCCIH reports it does not help eczema and that evidence for other conditions is insufficient.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 152

    Witch hazel

    Hamamelis virginiana

    Strongly astringent due to tannins. Witch hazel water and ointment are used externally for minor skin irritation, bruises and haemorrhoids; there is limited but reasonably supportive evidence.

    Indigenous healing traditions of North America+4Folklore
  • Caution

    North America · Herb · № 947

    Trailing arbutus

    Epigaea repens

    A creeping, evergreen dwarf shrub of the heath family with fragrant pink to white flowers in early spring. Contains arbutin.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 938

    Trillium

    Trillium spp. (o.a. Trillium erectum en T. grandiflorum)

    Spring flowers with three leaves, three sepals and three petals. The rhizome contains saponins. Clinical research is lacking.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 993

    Tulip tree

    Liriodendron tulipifera

    The tallest broadleaf tree of eastern America, up to almost sixty metres, of the magnolia family, with tulip-shaped greenish-yellow flowers with an orange patch. The bark is bitter and contains the alkaloid liriodenine and sesquiterpenes that inhibit bacteria and fungi; it was formerly used as a tonic and quinine substitute. The flowers give much nectar for a dark honey.

    Cherokee medicine
  • Caution

    North America · Food · № 937

    Virginia strawberry

    Fragaria virginiana

    A wild strawberry with small, very tasty fruits. Its cross with the Chilean strawberry gave rise to the garden strawberry in eighteenth-century Europe.

    Haudenosaunee medicine+1
  • Caution

    North America · Herb · № 586

    Lady's slipper

    Cypripedium parviflorum (syn. C. pubescens)

    Traditionally attributed effects: strengthens the nerves, antispasmodic, tonic, relaxing, diuretic; for menstrual pain and irregular menstruation, overstimulated nerves and insomnia from stress, pain-relieving.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 329

    True unicorn root

    Aletris farinosa

    Traditionally attributed effects: oestrogenic, tonic, stimulates digestion, calming.

    Indigenous healing traditions of North America+2
  • Caution

    Europe · Herb · № 86

    Greater plantain

    Plantago major

    The leaf is traditionally bruised and applied to insect bites, small wounds and grazes, and taken as tea for coughs. Clinical evidence is limited.

    Monastic and folk knowledge+9Folklore
  • Caution

    North America · Herb · № 156

    Wild black cherry

    Prunus serotina

    The dried bark was long used in cough syrups to calm irritating coughs. Modern clinical evidence is lacking.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 634

    Wintergreen

    Gaultheria procumbens

    Traditionally attributed effects: expels wind and dampness and cools heat in hot, swollen joints and muscle pain, drains damp heat in the urinary tract and moves stagnant qi and blood in pain.

    Haudenosaunee medicine+3
  • Caution

    North America · Herb · № 598

    White oak

    Quercus alba

    Traditionally attributed effects: strongly astringent; strengthens lax tissue (diarrhoea, inflamed gums, chronic nasal congestion, weak bladder), stops bleeding (nosebleeds, internal bleeding).

    Indigenous healing traditions of North America+2
  • Caution

    North America · Herb · № 986

    Yellowroot

    Xanthorhiza simplicissima

    A low shrub of the buttercup family, one of the few woody species in that family. Root and stem are bright yellow from berberine, a bitter substance also found in goldenseal and barberry that inhibits bacteria and fungi.

    Cherokee medicine
  • Caution

    North America · Herb · № 150

    Black cohosh

    Actaea racemosa

    Mainly sold for menopausal symptoms such as hot flushes. NCCIH reports that study results are mixed and there is not enough evidence that it helps.

    Indigenous healing traditions of North America+4
  • Caution

    North America · Herb · № 209

    Sunflower

    Helianthus annuus

    Sunflower seeds and oil are rich in vitamin E and linoleic acid. The oil is used for dry skin; claims about scars or skin ageing have not been shown.

    Indigenous healing traditions of North America+3Folklore
  • Caution

    North America · Herb · № 575

    Black haw

    Viburnum prunifolium

    Traditionally attributed effect: antispasmodic and relaxing, especially for menstrual and uterine cramps. Clinical research is lacking; that it can prevent miscarriage has not been shown.

    Eclectic medicine+2
  • Caution

    North America · Herb · № 576

    Black walnut

    Juglans nigra

    Traditionally attributed effects: cleansing, laxative, astringent, antibacterial, antiparasitic, antifungal; cleanses and strengthens the large intestine, for skin problems, traveller's diarrhoea, sinusitis, underactive thyroid.

    Indigenous healing traditions of North America+3