Common Names

Echinacea , Purple coneflower
Botanical Name
Echinacea angustifolia
ASTERACEAE or COMPOSITAE - Sunflower family

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What is it?

The parts used in herbal medicine are the strongly scented, tapering roots. Echinacea, (commonly known as Purple Coneflower), originates in the Prairies of Western America. It is a beautiful, long-lived herb that grows up to a meter in height.




How has it been used?

Echinacea has a wonderful history starting from the American Plains Indians where it was extremely highly regarded. For example one of its common names was 'Snakeroot' because it was the herb they trusted most to save them from snakebite poisoning.

Echinacea was a universal toothache and gum disease remedy among Native Americans of the Great Plains; they used it by packing the pulverized root around the affected area.  Plains tribes, such as the Cheyenne, Comanches, Kiowa, and Teton Sioux, all used Echinacea root widely for infectious diseases and to promote the healing of wounds.

Paul Bergner's story

~ My scorpion bite

"Once in Arizona, I was bitten by a Centruroides exilicauda scorpion, the only potentially lethal poisonous scorpion in North America. I didn’t know I’d been bitten, but thought I’d been stabbed by a cactus thorn. Soon my arm was numb, an itchy rash crept up my legs up to the knees, and my pulse rate rose to more than 100 beats per minute. I went to bed, but didn’t figure out what had happened until I woke the next morning and my pulse rate was still over 100.

Realizing it was a scorpion bite, I began taking large hourly doses of Echinacea angustifolia —a folk remedy of the Plains Indians for rattlesnake bite. Nothing much happened for the first five hours, but then I fell asleep and woke as if nothing had happened. I have only a small scar from the bite, and a fondness for Native American herbalism to show for it today."

~ Echinacea was adopted by the Eclectic school of medicine in the mid-1800s (these were regular doctors who used a great deal of herbal medicines in their practice), by the 1920s it was their most commonly prescribed medicine.


Science on Echinacea

~ There have in fact been many clinical trials using Echinacea in the last few decades. In reviewing the literature of these published studies I have two recurring impressions:
a) yes it clearly does give a palpable benefit in the area it has been tested on the most (upper respiratory tract infections) and the higher the dose the better the effect but I see that even the top end of any of the dose ranges they used is much lower than what I typically use in my own practice and I'm positive that the Plains Indians used it in much higher levels when they had an acute need as well!
b) I think that they are looking at the herb through the wrong end of the telescope! I feel that the value of Echinacea is not at all best measured by how well it helps you to get over a cold faster and that analysing this great herb through the lens of allopathic (conventional) medicine to see how quickly it helps get rid of something completely misses the point. People who get colds and flus do so because their immunity is run down (from stress, lack of sleep, poor nutrition, adverse weather/environments etc.) Nature's healing power does not lie in helping a person to stop needing to take care of themselves -but in how it helps you to build up a stronger immune system whilst you address what it is that has caused you to become sick in the first place...

Echinacea truly is a potent tonic for the immune system and when healthy individuals are given Echinacea and have their blood tested before and during the treatment there are several typical changes that happen.

~ 1) Their neutrophils rapidly increase in the first 24 hours. Neutrophils are white blood cells that are short lived (just a few days) but can be made in great numbers if needed. They are the main arm of the immune system that initially deals with general poisons, bacteria and waste products. 

~ 2) After approximately 48 hours, other kinds of white blood cells known as lymphocytes also increase to a much larger number than they were before (almost double). The lymphocytes are the arm of the immune system that deals with more complex tasks, such as dealing with viruses or making antibodies (kind of like internal antibiotics)

~ 3) A process known as phagocytosis steadily increases over the first 5 days of treatment with Echinacea and then remains at an increased level for as long as the herb is taken. Phagocytosis is the name given to how white blood cells literally swallow up foreign material like debris, toxins and bacteria. The strength of this is what we can see when we look at that 'streaming' affect inside the white blood cells under the microscope.

Echinacea Safety ~ Busting a Pernicious Myth

It is widely believed that taking Echinacea over long periods causes it to lose its effectiveness. Consequently people are often recommended to take Echinacea for no longer than 10 days before taking a break.

This belief came about from a widely quoted German study that was published in 1989 which showed that the increase in phagocytosis from taking Echinacea started to decline after taking the herb for 5 or 6 days and then slowly dropped back to a plateau by about day 10.

However, simply through an inadequate translation from the German, what was not made clear in the reporting of this study is that the volunteers stopped taking their Echinacea on day 5! In fact what the study showed was that the benefits of Echinacea took a few days to wear off but it was completely misunderstood and misinterpreted. From this small mistake an enduring myth has been born.

Echinacea can certainly be used long term without losing its overall immune enhancing effects. The increase in white blood cell counts does go back to normal levels in healthy subjects ( it remains high in sick people) but it has been proven in subsequent studies that the phagocytosis (the level of activity of the white blood cells) does not diminish with continued Echinacea use.

Echinacea Safety (continued)

Echinacea is extremely safe to take, even in high or frequent doses, by the young or old, and by pregnant or breast-feeding women. The only time I would stop to think about its use potentially be unwise is with a person with an auto-immune condition. Even then I would not automatically count it out. Many auto-immune problems have an unresolved infection at their root, something that Echinacea may be the single best substance to help resolve!

I am well aware that, aside from the above myth, there are many other cautions and concerns creeping into the popular literature on Echinacea. What can I say? When people start looking closely at something some of them start worrying about it. Show me the evidence and I will sing a different song but as things stand, despite copious use by millions of people and thousands of my own patients in that number -- it is an extremely safe, and reliable, herb -- don't be afraid of it.

Note: you should disregard all media reports that show Echinacea doesn't work when they have used the above-ground parts of the herb -- they used the right plant but they got the wrong part!


Personal experiences

I could not imagine practicing herbal medicine in the 21st century without Echinacea. I have literally seen it change lives and save lives and I use a very great deal of it in my day to day work. I've described a way to use Echinacea as a fast acting natural antibiotic in this article on infections

I see that many people have severely compromised immune systems and I also see that this appears to be a worsening trend. The increase in allergies in children is just one sign of the growing trouble. Many adults with chronic fatigue have depressed immune systems and there may be no better help for the young or old to recover their resistance to disease than this great herb.

I use a microscope to do a live blood analysis which is especially useful to assess the health of the immune system. People with low immune systems have very inactive and dull looking white blood cells -- they sit there looking like 'steamed puddings'.

On the other hand a healthy white blood cell literally glistens and shimmers with good health -- they are really quite beautiful to behold! These cells stay alive for quite some time if the sample is prepared right and what we are witnessing is a phenomena known as ‘cytoplasmic streaming’ -- which gives as good a gauge as any of the level of vitality of the immune system.

Over many years of using Echinacea and seeing the rapid and potent effects on activating and increasing people's white blood cells I have developed a deep trust in Echinacea and consider it a most potent ally.

Echinacea does not work as a tea. You must use either the tincture, take capsules of it, or chew the root like the Plains Indians did. There is a fair bit of controversy in herbal medicine about what is the best type of Echinacea to use but I follow the Indians on this one and we use only organic Echinacea angustifolia root imported from the USA

My favourite way to give Echinacea is along with what I consider to be the other truly great immune strengthening tonic herb: Astragalus. We get the raw organic material in bulk of both these herbs and then send them to a local company to process in equal parts into capsules so that I can easily give strong doses of them for as long as needed without running into too much expsense for my patients. Echinacea also combines perfectly with Panax Ginseng for people with low energy causing them to have a run down immune system, with Licorice root to assist endurance, with Elderberry for viral infections and with Dandelion and Burdock for deep blood cleansing work.


Sore Throat Formula

25mls Echinacea root                       
10mls Golden Seal* tincture     
10mls Licorice root
5mls Myrrh resin extract  

50mls total (you could double this mixture for more frequent use or need)
These should be the strongest, highest quality extracts or tinctures you can get.
*organically cultivated (not wild-crafted as is endangered) or use Barberry

Getting the right dose is critical to all forms of medicine and this is no different. For an average adult I would recommend about 4 mls or about 1 tsp of this formula to be taken either straight or diluted in just a little bit of water (again about a tsp)

You have to get the herbs to coat the back of the throat as much as possible. Let them swish around and, if you can, gargle them for a good 20 seconds, taking a pause to drop your head down and then lift it back up for another musical interlude. You have to make some noise to do a good gargle and you will find if you change the pitch of your water music up or down then the medicine will touch different parts of your throat. Be creative and don't stop even if your audience doesn't appreciate it as much as they should.

If you have a lot of debris in your throat you may have to spit the herbs out. If so then take another dose soon after that you can swallow as there are many internal benefits to your immune system from these herbs as well as their immediate antibiotic action from being in contact with the infected areas.

For a child I would use about 20 drops, or about 1 ml. You can be confident that you cannot take too much of these herbs over the short time frame you are likely to need them.

This treatment can be repeated very frequently at first. As soon as the throat begins to feel sore again repeat the dose. Nearly everyone feels their throat infection quickly turning around with these herbs so long as they use them freely and often at first.

Swimmer’s Ear -- Glue Ear

Put a few drops of a good quality Echinacea into the affected ear once or twice a day. All surfers should know this trick, it is very effective. The alcohol content in the tincture helps dry out the mucus and the Echinacea deals to the bad bugs.


Constitutional note

Much of the information here about the traditional uses Echinacea is consistent with the model of thinking whereby one may treat problem A with plant B. There is value in this approach, especially in how it helps us pass on useful knowledge to one another, but it falls short in one vital area; and that is that people are not all cut from the same cloth! Something that works brilliantly for one person may do less for another -- why is this?

The reason is that people vary in their constitutions as to whether they are more hot or cool and at the same time more dry or damp; more info about this here.

There is an old wisdom in treating the person first and the condition second and in this light Echinacea can particularly offer its benefits when an activation is needed in the 'cycle of healing' - something that is discussed here and shown in a chart here.

Excerpt from Felter & Lloyd's Kings Dispensatory from 1898

Strictly speaking, it is practically impossible to classify an agent like Echinacea by applying to it one or two words to indicate its virtues. If any single statement were to be made concerning the virtues of Echinacea, it would read something like this: "A corrector of the depravation of the body fluids," and even this does not sufficiently cover the ground.

Its extraordinary powers are well shown in its power over changes produced in the fluids of the body, whether from internal causes or from external introductions.

The changes may be manifested in a disturbed balance of the fluids resulting in such tissue alterations as are exhibited in boils, carbuncles, abscesses, or cellular glandular inflammations. They may be from the introduction of serpent or insect venom, or they may be due to such fearful poisons as give rise to malignant diphtheria, cerebro-spinal meningitis, or puerperal and other forms of septicaemia...

...the Echinacea article in King's Dispensatory that I am quoting a tiny snippet from above continues on for eight full pages! They really loved this great herb back then just as we herbalists still do today...

Please understand that I cannot personally advise you, including on products or dosage, without seeing you in my clinic but ideas on how you might find a good herbalist in your area are here.
This living 'book' is my labour of love so, wherever you are, I wish you peace & good health!



© 2011 R.J.Whelan Ltd