Turmeric root – A medicinal and culinary plant that comes to us from Southeast Asia, its Latin name is Curcuma longa and it is a member of the Zingiberaceae family, the same family as ginger and cardamom.  The root is a striking orange/yellow color, and it is the pigment responsible for this color that gives turmeric many of its prized properties, including its anti-inflammatory and antioxidant properties.  Attention on turmeric really began when epidemiological studies showed lower rates of inflammatory chronic illnesses and cancer in India, where turmeric is consumed on a daily basis in their foods, but in generally small amounts.  In addition, most anti-inflammatory drugs have unfavorable side effects, and the search is on for compounds in nature that have powerful anti-inflammatory effects without the unpleasant side effects.
Curcuma_longa_roots
Turmeric’s primary actions in the body are: inflammation modulator (anti-inflammatory), antioxidant, antitumor, digestive tonic, carminative, stimulant, cholagogue (stimulates gallbladder to contract and release bile), choleretic (increases bile output from the liver), hepatoprotective (liver protectant), hypolipidemic, hypotensive, antiartherosclerotic, vulnerary (wound healer), anticoagulant, antiplatelet, antibacterial, antimicrobial, and antifungal (topically), tumor-preventive.
Based on the above actions, the use of turmeric as a medicine is indicated for prevention of inflammatory conditions and as an antioxidant to prevent cancer and oxidative stress.  It is also indicated preventively for helping to keep a healthy lipid and cholesterol balance, for protecting the liver, and for thinning the blood.
It is also indicated for cases of weak digestion, flatulence, dyspepsia (indigestion or digestive sluggishness), and peptic ulcers due to its tissue-healing and anti-inflammatory effects, as well as its ability to stimulate bile flow and increase digestive function.
As an anti-inflammatory and liver detoxifier, turmeric is useful for skin diseases such as eczema and inflammation of the skin (taken internally and applied externally, although it will stain the skin externally).
As an anti-inflammatory, antibacterial, and cholagogue, turmeric is used to treat gallstones (although not if there is any chance of obstruction), acute/chronic inflammation of the gallbladder, and inflammation of the bile duct.
For rheumatoid arthritis and osteoarthritis, turmeric taken over time has proven effective due to its ability to modulate the inflammatory response.
As an anticancer herb, Curcuma longa acts against several chemical carcinogens, so can be used in adjunct with other cancer therapies.  As an antioxidant it is also useful for precancerous and cancerous conditions, particularly cancers of the colon because of the direct contact some constituents have with the cells of the colon.
As a hepatoprotective herb, turmeric is useful for someone exposed to hepatotoxic chemicals and for liver dysfunction, such as jaundice or hepatitis, where its inflammation modulating effects are useful as well.
As a hypolipidemic, turmeric is used for high cholesterol.  Curcumin has been shown to decrease total serum cholesterol, to increase HDL cholesterol, and to decrease serum lipid peroxides.
Curcumin and the class of compounds in turmeric called “curcuminoids” are the most studied compounds in the root.  These appear to exert the majority of anti-inflammatory and antioxidant/anticancer effects.  Use of just this compound in capsule form may sometimes be indicated for acute inflammation or widespread inflammatory conditions.  However, it is often important to consume the whole herb as well, as there are 100’s of compounds in an herb that can exert their own helpful effects and may prevent side effects.  Many products will be whole-root extracts that concentrate the curcuminoids in a capsule form, and generally that is my preferred method of consumption.
Turmeric appears to be safe in most situations and even in large doses. The most common “side effect” is mild gastrointestinal irritation. Usually this is mitigated by taking turmeric in the middle of a meal, but if someone has a sensitive stomach, they may not be able to consume turmeric in large, medicinal quantities. Turmeric is contraindicated if there is a bile duct obstruction due to the cholagogue (gallbladder stimulating) activity of turmeric.  Caution should also be exercised when taking turmeric concurrently with antiplatelet or anticoagulant drugs since it has these actions itself.  Some researchers advise caution during pregnancy because turmeric may stimulate the uterus; this is mostly likely because of its bitter and carminative effects, which stimulate the gastrointestinal tract, and may also have an emmenagogue effect (stimulating the uterus).
Turmeric root is traditionally used as a powder in curry and other foods.  In India and the Ayurvedic system of medicine, the root is often simmered with milk and slightly sweetened with honey for colds and coughs, and for digestion.  This makes sense, as turmeric is best metabolized when consumed with fat, and with black pepper.
A beverage coined as “Golden Milk” can be made by mixing about 1 heaping teaspoon of the powdered herb with a 1/2 tsp each of cinnamon and cardamom, 1/4 tsp of ginger powder, a small quantity of black pepper, then adding to 12-16 oz of milk or milk alternative of your choice, heating on the stove, and adding raw honey at the end as desired. Drinking this daily is a good way to consume turmeric as a preventative health ally, as well as to help address inflammatory concerns.
At Herban Wellness, we sell the powder, capsules (either of the powder or of the concentrated extract), and the liquid extract (tincture) of this useful plant.  The root can also be purchased fresh at some natural health food stores or Asian markets and added to food or juiced.  The root has a strong taste, with a pungent, bitter flavor; which is why most people prefer capsules or tincture.
I usually encourage people to find a way to incorporate the powder or capsules on a daily basis for prevention and health maintenance. Adding 1/2-1 tsp to smoothies, making Golden Milk, or taking 2 capsules/day is a good way to consume it. For more acute or widespread inflammation, the concentrated extract capsules, such as Gaia Herbs Turmeric Supreme (which also contains black pepper), or the tincture, is recommended, at a higher dosing. Typically 2 capsules or 2 milliliters of tincture  2-3 times/day is recommended for more acute situations or for widespread or severe inflammation. Sometimes it can take 2-3 weeks of taking this dosing to notice effects, so it is generally not a short-term fix.

Inflammation is a word that we are all familiar with, and most of us have some associations in our own experience that we picture when this word is uttered. For example, if you have acne, you know that this red pustule is inflamed because it is red and may even cause pain. Or, you might have some knee pain when you run, and you know that there is an aspect of inflammation involved in your knee joint that is causing this sensation of pain. You may even notice some swelling in your knee joint area.
Inflammation is a necessary, normal response to injury, to bring leukocytes to the area to “clean up” and destroy pathogens, to immobilize the area of injury, & to heal the tissue. So, we need this inflammatory response in the body in order to draw attention (an alarm) to an area of injury. Even in the case of skin inflammation such as acne, there is stimulus which is bacterial stimulated, and the redness and swelling is the body’s attempt to combat the infection.
Problems arise when inflammation becomes chronic and systemic, when it ceases to be an acute response, when it becomes a constant low-level feature of the body’s physiology that’s always on and always engaged.  Because a big part of inflammatory response is to break the tissue down, targeting damaged tissue and invading pathogens before building it back up, the inflammatory response has the potential to damage the body by targeting healthy tissue. This is the case in chronic acne, where scarring can occur, or in arthritis where the joint tissue (cartilage) becomes damaged by the chronic inflammation.
The question becomes, how does this inflammatory response get out of balance and lead to chronic inflammation?  This is a complicated question, and multi-faceted. Sometimes, something like continual impact such as running on hard surfaces lead to continual injury to the joint tissue, which leads to deterioration of joint tissue, decreasing cartilage and other protective tissues in the joints.. Other causes are food related, as certain foods and compounds we ingest either promote the inflammatory response (trans fats) or can inhibit it (such as Omega-3 fatty acids), chronic stress and the stress response in the body, hormonal imbalance, toxic exposure, food sensitivities or allergies, and many other triggers promote pro-inflammatory pathways in the body.
Here is a list of some of the most common promoters of chronic inflammation:
Toxic diets & toxic exposure in general, which can come from many sources in our modern world, including the paraffin candles burned indoors, flame retardants on our furniture that off-gas into our indoor air, food additives and colorings, chlorine in our water, etc.
Food allergiesif you’re reacting to a food that you’re constantly ingesting, this can cause a heightened immune over-response and worsen seasonal allergies, eczema, weakening of the intestinal lining.
Insufficient omega-3 intake: Omega-3 fats form the precursors for anti-inflammatory eicosanoids, which are an integral part of the inflammatory response.
Excessive omega-6 intake: Omega-6 fats form the precursors for inflammatory eicosanoids, which are an integral part of the inflammatory response.
Lack of sleep: Poor sleep is linked to elevated inflammatory markers. Poor sleep is a chronic problem in developed nations.
Lack of movement: People lead sedentary lives, by and large, and a lack of activity is strongly linked to systemic, low-grade inflammation.
Poor recovery: Other people move too much, with too little rest and recovery, or are putting too much stress and strain on their bodies.
Chronic stress: Modern life is stressful & your body will have a physiological, inflammatory response to emotional stress.
Lack of down time: The parasympathetic nervous system response can help keep many systems in our body running better, including our digestion and immune system.
Lack of nature time
Poor gut health: The intestinal tract houses the bulk of the body’s immune response, so when it’s unhealthy, so is your inflammatory regulation.
Poor acute stressor/chronic stress ratio: We respond far better to acute stressors than chronic, long-term stress, even if the latter is of a lower intensity.
Where do herbal remedies come in, as useful tools in our ability to help our bodies regulate the inflammatory response?
Medicinal plants contain a myriad of phytochemicals, nutrients, and other compounds that have multiple effects, therefore they can be useful for reducing inflammation that is in excess, while preventing potential problems (such as gastric irritation and ulcers) from synthesized anti-inflammatory drugs. Many herbs we know of help inhibit aspects of the inflammatory pathways, such as the cyclooxygenase (COX) pathways: COX-1 and COX-2 which produce pro-inflammatory prostaglandins.
Many over the counter anti-inflammatories (non-steroidal anti-inflammatories or NSAIDS), inhibit the COX enzyme pathways. For example, Aspirin works because it decreases the production of inflammatory hormones/chemicals called prostaglandins, created by the COX-1 enzyme, but because this enzyme is also involved in protecting the stomach lining and the kidneys, it is known that overuse of aspirin can cause damage to the stomach lining, even leading to ulcers.
The advantage of herbs and why there is so much focus on finding anti-inflammatory herbal remedies and compounds within them, is because they do not have the same long-term potential side effects that many NSAIDS have.  In addition, herbs have many effects because of the hundreds of compounds they contain, so each herb can have multiple beneficial effects. Here are some of the herbs that have been most studied for helping reduce inflammation:
Turmeric – anti-inflammatory, antioxidant, antitumor. Curcuminoids in turmeric, including curcumin, have been shown to inhibit COX-2 and stimulate glutathione S-transferase, a key detoxification enzyme.
Holy basil – contains compounds like ursolic acid and oleanolic acid that inhibit COX-2 and lipoxygenase. This herb is also anti-ulcer, antimutagenic, radioprotective, anti-tumor on the skin, and increases glutathione S-transferase, a key detoxification enzyme.  
Goldthread (Coptis) & Barberry – both contain berberine, which has been shown to inhibit COX-2. Each also contain other compounds that inhibit COX-2 but not COX-1, and also have anticancer and antitumor properties.
Goldenseal – also high in berberine, and worth mentioning here because it also helps reduce mucus production and tones/tightens sinus membranes, helping reduce congestion and inflammation from the sinuses and mucosal membranes of the gastrointestinal tract as well, in small doses.  It is also a great antibacterial & antifungal herb.
Green tea – contains COX-2 inhibitors, and contains phytonutrients that are anti-ulcer and prevent wounds or facilitate their healing.

Many other herbs are used for inflammation targeting specific tissues. These include Meadowsweet and Yarrow for inflammation of the stomach and intestinal lining, Yerba santa for inflammation of the sinuses and mucus membranes, Calendula flowers for epithelial tissue of the skin and gastrointestinal lining, Mullein leaf for lung tissue, and Marshmallow root as a soothing, cooling anti-inflammatory herb for the mucosal lining of the throat, stomach, GI, and urinary tract.