In the twenty years since the first edition of this encyclopedia in 1996, herbal medicine
has gone through unprecedented change. Herbs, which have always been the principal form
of medicine in developing countries, have again become popular in the developed world,
as people strive to stay healthy in the face of chronic stress and pollution, and to treat illness
with medicines that work in concert with the body’s defenses. A quiet revolution has been
taking place. Tens of millions of people now take herbs such as ginkgo (Ginkgo biloba, p. 100)
to help maintain mental and physical health, and increasingly people consult trained herbal
professionals and naturopaths for chronic or routine health problems. Increasingly too,
scientific evidence is accumulating to show that herbal medicines can provide treatment that
is as effective as conventional medicines but with few side effects. Sales of herbal medicines
continue to grow year after year—by over 50 percent in the U.S. since 2000—and several
mainstream pharmaceutical companies now manufacture and market herbal medicines.