Before a single plant: how to tell whether a claim is true, and how to set up so you can tell what worked.
This unit is the one that makes the other eleven worth doing. Without it, twelve months of herb study produces a set of confident beliefs rather than a set of skills.
The four ideas that do the work.
A trial is not a study. The quality of evidence runs from a systematic review of randomised trials down through single trials, observational associations, mechanism, and tradition. Most herbal claims are sold at the mechanism-and-tradition end while being worded as though they were at the top. Learning to place a claim on that ladder is the whole skill.
Publication bias is the reason a search is not enough. Positive trials are more likely to be published, in English, in indexed journals, and a literature composed only of published positive trials can be wrong in aggregate. This is why the handbook grades by published type and why the negative trials are recorded rather than quietly dropped.
Regression to the mean explains most cures. People take a remedy when symptoms are at their worst. Symptoms then improve on their own, and the remedy gets the credit. A remedy that is used only at peak symptoms will always appear to work, which is the single most common reason people believe something ineffective works.
The placebo effect is real and it is not a synonym for imaginary. It changes reported pain and wellbeing measurably. Its existence does not mean a treatment works; it means you cannot tell without a control group.
The practice side of this unit is the workbench: jars, a scale, a thermometer, a drying space, and — most importantly — a label system. Everything made this year will be unidentifiable by March without one.
Meta-Analysis2025The Cochrane database of systematic reviews
Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting: a network meta-analysis.
NMAs suggest that both invasive and noninvasive PC6 acupoint stimulation combined with antiemetics may reduce PON and POV, compared to sham, and likely lower rescue antiemetic use.
PubMed 40938065 ↗
Meta-Analysis2024Journal of ethnopharmacology
Herbal medicine for Hashimoto's thyroiditis: A systematic review and network meta-analysis.
Herbal medicines may be effective in the treatment of HT, especially in reducing thyroid antibody levels and improving clinical symptoms without affecting thyroid function.
PubMed 38181936 ↗
Meta-Analysis2024Complementary therapies in medicine
Clinical effects of Hibiscus sabdariffa Linn. on obesity treatment: A systematic review and meta-analysis of randomized controlled trials.
Our study did not show a clinical benefit of H. sabdariffa extract in obesity treatment.
PubMed 38878905 ↗
Meta-Analysis2023Medicine
Acupuncture combined with Chinese herbal medicine in the treatment of perimenopausal insomnia: A systematic review and meta-analysis.
The current analysis results show that acupuncture combined with Chinese medicine seems to have a more positive effect than western medicine alone in improving sleep and FSHF in PMI patients, but no difference has been found in improving E2 and LH.
PubMed 37960761 ↗
Meta-Analysis2022Frontiers in immunology
Curcumin and Curcuma longa Extract in the Treatment of 10 Types of Autoimmune Diseases: A Systematic Review and Meta-Analysis of 31 Randomized Controlled Trials.
Curcumin and Curcuma longa Extract had good clinical efficacy in the treatment of Psoriasis, UC and RA, so Curcumin and Curcuma longa Extract could be used in the treatment of the above diseases in the future.
PubMed 35979355 ↗