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7/28/2019 Food as Medicine or Medicine as Food
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Food as Medicine or Medicine as Food?
Karol Chandler-Ezell (Washington U School of Medicine)
http://www.nutritionalanthro.org/publications2005.php
While many know that nutritional anthropologists investigate ritual foods, conserve food gathering
practices and explore cultural meanings of food, nutritional anthropologists are also ideal
investigators for a far more extensive set of questions about what people eat and why, because the
line between medicine, nutrition, and food is blurred - as are the boundaries between the
investigational territories of medical anthropology, ethnobiology, and food studies.
For instance, are nutraceuticals (nutritional supplements, vitamins, herbs, etc.) food or medicine?
Does the form of consumption change the definition, cognitive category, and realm of investigation?
While wild plants gathered for medicinal purposes are comfortably within the realm of ethnobotany,
bottles of pre-packaged capsules containing the same plant extract stray into the realm of medical
anthropology. For instance, vitamin C or folic acid 'pills' may be considered medicine while orange
juice is a serving of fruit in a healthy diet. When does consuming citrus transition from more than
'healthy food' and become a remedy for preventing a cold or birth defects? When is comfort food a
home remedy or treatment?
Tonics are common to many medical and cultural systems, and are among the most prevalent
remedies and foods used with the intent of preventing a variety of illnesses. Despite this, there are
very few academic studies of tonics; they are often dismissed as 'old-time' folk remedies or
superstitions (Vance 1947; Berman and Flannery 2001). In medical literature, they are dismissed as
placebos or 'snake oil' sold by charlatans (Stage 1979; Blake, Tate et al. 1999). Ironically, these
same arguments have been revived to dismiss popular herbal remedies and nutraceuticals. Tonics
are important, however, as they raise two basic questions: 1) are they placebos, or are they
biologically effective? and 2) even if they are mere placebos, what motivates people to use them?
In my dissertation (Chandler-Ezell 2003), I found that 15.5% of my informants used tonics and
24.1% used preventive remedies (n=58). Herbal remedies were consumed to prevent possible
future problems such as cancer, Alzheimer's, memory loss due to aging, stress, cardiovascular
disease, and weakness. The form of these tonics ranged from capsules to power bars to 'food'
products. (For example, soy occurred as a supplementary pill, an ingredient added to power-bars
and diet products, and as soymilk and tofu; oat fiber was consumed both in fiber supplements and
as a morning cereal).
Interestingly, in another study, cross-cultural comparison using the Human Relations Area Files
reveals not only that there are consistencies in tonic use in many cultures, but also that perceived
threats leading to tonic use are often cued to environmental stressors such as seasonality, climate,
and life history patterns. We have constructed a cross-cultural classification system which allows
7/28/2019 Food as Medicine or Medicine as Food
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the coding and comparison of different tonics and uses of tonics. Comparisons of the purposes and
consumers for these tonics should reveal perceived risks and vulnerabilities within societies, as
people take tonics for reasons, and these reasons reveal fears and perceived vulnerabilities. Our
classification system could use tonics to tell us 'what people are afraid of' and how that compares to
actual illness rates.
Nutritional anthropologists can contribute to knowledge about tonic use as a part of food
consumption with studies comparing epidemiological disease prevalence to perceived risk and use
of preventive/tonic remedies. We can investigate how well tonics, perceived-risk and actual-risk-to-
health match. Nutritional Anthropology is the ideal theoretical medium for such investigation
because it focuses on the blurry zones between medicine, nutrition, food, and traditional practices
of consumption; it allows for an understanding of the 'thick' multiple meanings of such simple and
yet infinitely complex actions as having a glass of orange juice.
Berman, A. and M. A. Flannery (2001). America's Botanico-Medical Movements: Vox Populi. New
York, Pharmaceutical Products Press.
Blake, D., P. Tate, et al. (1999). "A patient requests an old-style tonic." Practitioner 243((1600)):
533-4, 539-40.
Chandler-Ezell, K. (2003). The Modern Herbal Synthesis: An ethnobotanical investigation of the
emergence and function of herbalism in the revitalization of American healthcare. Department of
Anthropology. Columbia, MO, University of Missouri. Ph.D.
Stage, S. (1979). Female Complaints: Lydia Pinkham and the Business of Women's Medicine. New
York, W.W. Norton & Company.
Vance, R. (1947). Ozark magic and folklore. New York, Dover Publications.