Traditional Western Herbalists has its roots in the Greek physician Hippocrates and the Roman physician Galan. It was based on the four elements air, water, fire and earth and the four corresponding constitutional types: sanguine, choleric, melancholic and phlegmatic. Unlike the systems of China and India, which have long unbroken traditions, Western herbalism's past is much more fragmented. Much of modern Western herbal practice comes from the neo-Thomsonian, physio-medical and eclectic traditions.  Between the early 1800s and the early 1900s, these practioners made remarkable strides in understanding herbs, only to be supplanted by modern medicine. Western herbalists have been resurrecting these traditions and bringing them up-to-date, as well as combining them with ideas from China, India, Native American and other cultures to create a "melting pot" of herbal knowledge and wisdom. Because of this, there is a wide variation in techniques and tools among traditional Western herbalists.

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