Changes

*Herb combining : Several different herbs often are used together. Practitioners say that the principles of synergy and buffering apply to combinations of plants and claim that combining herbs improves efficacy and reduces adverse effects. Herb combining contrasts with conventional practice, in which polypharmacy is generally avoided whenever possible.

* Diagnosis : Herbal practitioners use diagnostic principles that differ from those used by conventional practitioners. For example, when treating arthritis, herbal practitioners might observe “underfunctioning of a patient's systems of elimination” and decide that the arthritis results from “an accumulation of metabolic waste products.” A diuretic, choleretic, or laxative combination of herbs might then be prescribed alongside herbs with anti-inflammatory properties.