Professional Documents
Culture Documents
Stuart D. Crawford
Abstract Lichens are used in traditional medicines by cultures across the world,
particularly in temperate and arctic regions. Knowledge of these medicinal uses is
available to us because of the contributions of traditional knowledge holders in
these cultures.
The traditional medicinal uses of 52 lichen genera are summarized in this paper.
Cultures in different regions of the world tend to emphasize different lichen genera
in their traditional medicines, with Usnea being the most widely used genus. The
folk taxonomy of lichens within a given culture is not synonymous with the
scientific taxonomy and reflects the cultural value of those lichens and the tradi-
tional method of their identification. Even within western science the identity and
taxonomy of lichens have not remained constant throughout history.
Lichens in traditional medicine are most commonly used for treating wounds,
skin disorders, respiratory and digestive issues, and obstetric and gynecological
concerns. They have been used for both their secondary metabolites and their
storage carbohydrates. The European uses of lichens have been exported worldwide
and sometimes influence the use of lichens by other cultures. These European uses
started in the fifteenth and sixteenth centuries and arose from interpretations of
Ancient Greek uses, as well as the application of the doctrine of signatures.
2.1 Introduction
Lichens are important traditional medicines in many different cultures. This infor-
mation has been made available to us from the contributions of hundreds of
traditional knowledge holders in communities across the world. It is our responsi-
bility to respect and value the knowledge that has been given to us. This paper is a
tribute to the wealth of traditional knowledge that exists about lichens.
There have been a few previous reviews on the traditional uses of lichens for
medicine. The traditional uses of lichens in Europe were reviewed by Smith (1921),
with later contributions by Llano (1948) and Richardson (1974). Sharnoff (1997)
compiled the first global review lichen uses, which was added to by Crawford
(2007). Upreti and Chatterjee (2007) reviewed the medicinal uses of lichens in
India and republished Sharnoffs (1997) database on medicinal uses elsewhere.
Wang and Qian (2013) recently reviewed the medicinal uses of lichens in China.
The current paper includes all the medicinal uses recorded by these previous
authors, as well as many additional records. It is the most comprehensive review
to date, but it is still far from complete.
There are records of medicinal uses of lichens in cultures in Africa, Europe, Asia,
Oceania, North America, and South America. The majority of these uses are in
North America, Europe, India, and China, but this is most likely because that is
where the majority of the ethnographic work has been done. Interestingly, no
records have been found for any traditional use of lichens in Australia.
It is difficult to determine the prevalence of lichens in traditional medicine across
the world. Most ethnobotanists and ethnographers have ignored cryptogams, both
historically and currently.
If the ethnographic literature on a culture does not mention lichens, it might be
because that culture does not utilize lichens. However, it might also be because the
ethnographers culture does not value lichens, and the ethnographer therefore did
not notice and record the value of lichens in the culture that they were documenting.
In the cultures for which traditional uses of lichens have been recorded, there are
usually between one and three medicinal lichens. There are more records of lichen
use among cultures in temperate and arctic areas and less in the tropics. This
probably represents the relative dominance of lichens in these zones.
A few ethnobotanists have recognized the cultural value of lichens, and their
work has been invaluable in documenting lichens in traditional medicines. These
workers include, among others, N. J. Turner (Canada), M. R. Gonzalez-Tejero
(Spain), L. S. Wang (China), and D. K. Upreti (India). As a result, there is an
overrepresentation of these geographic areas in this current analysis.
This paper documents a total of 52 different genera of lichens that are used in
traditional medicines. The most commonly used genus of lichen is Usnea, which is
used across the world for medicine, although it is often used synonymously with
other arboreal hair lichens. Despite its worldwide importance, Usnea is not tradi-
tionally one of the dominant medicinal lichens in Europe. Numerous other genera
of lichens have particular importance in certain parts of the world, as is shown in
Table 2.1.
2 Lichens Used in Traditional Medicine 29
All cultures develop a folk taxonomy of living organisms that allows people to
make sense of the world around them. Folk taxonomies are unique to a specific
culture and usually reflect its particular environment and values. Some cultures
have a very detailed folk taxonomy for lichens. The traditional taxonomy of the
Saami recognizes lichens as being a distinct life form from mosses and divides
lichens into three different generic taxa and numerous specific taxa (Nissen 1921).
Other cultures placed less value on lichens, which is reflected in a much more
simplistic folk taxonomy for lichens. European botanists in the fifteenth century
lumped all lichens, and many other cryptogams, into a single life form category
of moss.
Folk taxonomies can be very accurate, but they are often different than the
scientific taxonomy. This mismatch between folk and scientific taxonomies is
particularly prevalent in lichens. For instance, the Saami folk genera of jgel
includes Cetraria, Cladina, and Stereocaulon, but excludes Parmelia, which is
placed in the folk genera gadna. The scientific taxonomy would lump Parmelia and
Cetraria together in Parmeliaceae and exclude Cladina and Stereocaulon. Another
example is the common practice within folk taxonomies of classifying lichens
according to their substrate. There is often a folk genera that includes all arboreal
hair lichens (and sometimes mosses), which are then divided into different species
depending on what type of tree they are growing on.
One of the biggest challenges in ethnolichenology is that a folk taxon of lichens
that has cultural significance may not be synonymous with any scientific taxon.
This means that if a culturally important lichen is identified according to the
scientific taxonomy without understanding the folk taxonomy, it may be recorded
as the wrong lichen. For example, a botanist recorded that the Saami used Usnea
plicata for blisters, but maybe the lichen that he saw only happened to be U. plicata,
30 S.D. Crawford
and the Saami actually used any species of Alectoria, Bryoria, or Usnea that was
growing on a birch tree.
Folk taxonomies of lichens are intrinsically linked with the traditional methods
of identifying lichens. It is very common to identify lichens based on where they are
found. Lichens are often thought to imbibe their desirable properties from the
substrate on which they are growing. For example, Nuxalk consider alectoroid
lichens to be better medicine if growing on alder, the Gitgaat consider Lobaria
oregana to be better if on fir, and the Ancient Greeks thought that Evernia was
better if growing on cedar. The medicinal properties of a lichen species may change
depending on where it is growing. However, this may also be a clever aid for
identification. Many lichens have specific microhabitat preferences, and selecting
lichens from only a specific substrate will result in preferentially selecting certain
species.
Another interesting identification method is employed by the Quichua of
Saraguro, Ecuador, who have determined that an effective medicine requires
seven different colors of rock lichens. It is possible that there is a synergistic effect
between the different lichen species. It is also possible that collecting seven
different species makes it much more likely to collect the correct one.
The meaning of the word lichen has changed over time, which can make it
complicated to identify culturally important lichens in old documents. Lichen
comes from the Ancient Greek (leikhen), the first record of which is
from Theophrastus in 300 B.E. (Richardson 1974). Theophrastus was probably
referring to thalloid liverworts, but subsequent Ancient Greek authors may have
used that name for a lichen (see Ancient Greek use of Ramalina spp.). Early
European botanists lumped together a variety of cryptogams into the same taxon,
usually including lichens, mosses, liverworts, fungi, seaweed, and sometimes even
coral. de Tournefort (1694) was the first European author to distinguish lichens by
the name lichen, but he also included some thalloid liverworts in his taxon and
excluded some lichens. It was Dillenius (1742) who reorganized the lichen taxon to
make it synonymous with our modern concept.
The taxonomy and names of lichens have changed radically since Dillenius and
are continuing to change in contemporary times. This can make it difficult to
determine what lichen is being discussed in ethnographic literature. To add further
complications, most authors know very little about lichens and thus frequently use
names that are outdated or even just completely wrong.
The genus Usnea was created by Dillenius (1742). Linnaeus (1753) described
five Usnea species, but lumped them all together in his all-encompassing genus
Lichen. They were moved to the Usnea genus by Weber and Wiggers (1780). Four
of the original species are often mentioned in ethnographic literature: Usnea
barbata, U. florida, U. hirta, and U. plicata. The number of Usnea species has
2 Lichens Used in Traditional Medicine 31
now increased to around 350 species (Thell et al. 2012), so any reference to one of
the original Usnea species in old herbals or ethnographies is suspect. Of the original
five, only Usnea hirta occurs in North America (Esslinger 2014). References to
Usnea barbata are particularly ambiguous, as the taxonomy of this species is still
confusing and still being determined (Articus 2004).
The pendant Bryoria species were originally all lumped together as Lichen
jubatus (Linnaeus 1753), which became Alectoria jubata (Acharius 1810). The
taxonomy of Bryoria was not well understood until Brodo and Hawksworth (1977)
created the genus Bryoria, so references to specific Bryoria species prior to that are
ambiguous.
The Parmeliaceae is a large and diverse family of lichens that includes many
culturally significant lichens. This family currently contains around 80 genera and
over 2,000 species (Thell et al. 2012). Five culturally significant genera of
Parmeliaceae were described before 1810: Usnea, Parmelia, Cetraria, Alectoria,
and Evernia. By 1903, Letharia and Pseudevernia had been split from Evernia, and
Parmotrema and Hypogymnia had been split from Parmelia, although historically
not all authors have recognized these genera. The taxonomy of Parmeliaceae
remained relatively constant until 1965, when the genus Cetraria began to be
split into numerous different genera. The genus Parmelia was also split up starting
in 1974. This splitting was mostly completed by the early 1990s, by which time
there were over 80 genera in the family (Thell et al. 2004). Recent molecular work
has resulted in some genera being lumped and others split, such that Thell
et al. (2012) recognize 79 genera. Currently, the original genus Parmelia is divided
into 32 genera and Cetraria into 22 genera.
For practical reasons, lichenologists sometimes lump the morphologically sim-
ilar genera that were previously included in Parmelia and Cetraria back together
into the categories of parmelioid (Hale and DePriest 1999) and cetrarioid lichens
(Randlane et al. 2013). These morphological groupings are not entirely monophy-
letic (Thell et al. 2012), but they can still be useful. A third morphological grouping
of Parmeliaceae lichens that is often used is the alectorioid lichens, which include
several similar-looking genera of hair lichens that were previously lumped together
in the genus Alectoria. The genus Usnea is sometimes included in this category.
One result of the profusion of genera within Parmeliaceae is that any reference to
an unidentified species of Parmelia or Cetraria in an older ethnographic work is
very ambiguous. The categories of parmelioid, cetrarioid, and alectorioid lichens
are very useful when dealing with folk taxonomies of lichens, so they will be
utilized in the current work.
Lichens are used for many different medicinal purposes, but there are some general
categories of use that reoccur across the world. Lichens are often used externally for
dressing wounds, either as a disinfectant or to stop bleeding. Other common topical
32 S.D. Crawford
uses are for skin infections and sores, including sores in the mouth. This importance
of this use is apparent in the name lichen (from leikhen, what eats around itself),
which comes from the Ancient Greek practice of using a cryptogam to cure a skin
disease.
Lichens are often drunk as a decoction to treat ailments relating to either the
lungs or the digestive system. This is particularly common in Europe, but is also
found across the world. Many other uses of lichens are related to obstetrics or
treating gynecological issues. This may be related to the common use of lichens for
treating sexually transmitted infections and ailments of the urinary system. Two
other uses of lichens that are less common, but reoccur in several different cultures,
are for treating eye afflictions and for use in smoking mixtures.
Many of the traditional medicinal uses of lichens are probably related to their
secondary metabolites, many of which are known to both be physiologically active
and to act as antibiotics. However, some of the traditional uses of lichens also rely
on the qualities of lichen carbohydrates. In particular, the lichenins [-(1!3)-
(1!4)-linked D-glucans] are common in the Parmeliaceae and have a remarkable
ability to absorb water and form a gel (Crawford 2007). Many of the traditional uses
of lichens involve boiling the lichen to create a mucilage which is drunk for lung or
digestive ailments or applied topically for other issues. Other lichen carbohydrates
which may be important are the isolichenins and galactomannans, which are
taxonomically widespread, and the pustulins that are found in Umbilicariaceae.
Lichens are used in traditional medicine across the world, and many cultures
outside of Europe have traditional uses for lichens that are completely unrelated
to Europe. However, European uses of lichens have been exported worldwide, and
there are numerous instances where the European use for a lichen appears to be
associated with its traditional use in a different culture. This dispersal of European
uses of lichens is related to the general dispersal of other aspects of European
culture across the world. One specific source of this bias may be that most
ethnographers that recorded traditional uses of lichens are from a European back-
ground, and their personal cultural bias can affect what they have documented.
Another source is that most literature on lichens is from a European background,
and if it features any uses of lichens, those uses are generally European.
An understanding of the traditional use of lichens in Europe can therefore be
important for understanding traditional uses elsewhere. The origins of the medic-
inal use of lichens in Europe dates back to the fourth and third century B.E., when
medicinal lichens were recorded by the Ancient Greek scholars Hippocrates and
Theophrastus (Lebail 1853). The use of lichens continued to be recorded by various
scholars throughout the rest of the classical era, including Pedanius Dioscorides and
Pliny the Elder (Rome, first century C.E.), Galen of Pergamon (Greece, second
century C.E.), Paul of Aegina (Greece, seventh century C.E.), and Serapion the
2 Lichens Used in Traditional Medicine 33
The following tables document all of the traditional medicinal uses of lichens for
which the author has found records. Tables 2.2 and 2.3 provide a list of the different
genera and an index to the table where they can be found. Tables 2.4, 2.5, 2.6, 2.7,
2.8, 2.9, 2.10, 2.11, 2.12, 2.13, 2.14, 2.15, 2.16, 2.17, 2.18, 2.19, 2.20, 2.21, 2.22,
2.23, 2.24, 2.25, 2.26, and 2.27 are organized taxonomically by lichen family and
provide the details on each traditional use.
Table 2.27 Unidentified lichens used in traditional medicines around the world
Culture and folk name Traditional use
Xhosa (South Africa) An unidentified rock lichen is used to treat gonorrhea. Fresh
mthafathafa lichen is crushed and mixed with water, and infusion is drunk.
Lichen also dried over fire and crushed, and powder is applied
to wounds infected area (Matsiliza and Barker 2001). See
also Cape area use of unidentified parmelioid lichen
Trentepohlia jolithus A non-lichenized algae considered a lichen in early literature.
[Lepraria iolithus] Used for small pox and measles (Luyken 1809)
New Forest (England) An unidentified lichen is recommended for weak eyes (Wise
brighten 1863)
Slieve Aughty (Ireland) An unidentified lichen is good for heart trouble (Allen and
dub-cosac Hatfield 2004)
Brahuis (Balochistan, Pakistan) An unidentified rock lichen that is extremely bitter is used
medicinally in diseases of languor and oppression of the life
force. The lichen is dried and crushed. They swallow the
powder, and then drink water (Masson 1842; Hooper 1937)
Rotuma (Fiji) A gray lichen found on coconut tree trunks is used to make
rimi medicine used in treating high fevers and/or convulsions
(McClatchey 1993)
Denaina (Alaska, USA) A large foliose lichen is used for coughs, tuberculosis, and
sheh tsadn nde general sickness. Boil and drink decoction. Also used for
bleeding that wont stop (Garibaldi 1999)
Tlingit (Alaska, USA) Lichens from the ground in the woods are used for sores.
Crushed and then heated on rocks with seal oil and mountain
goat tallow (de Laguna 1972)
Chipewyan (Alberta, Canada) White crustose lichens on aspen bark, along with the dead tree
periderm, are scraped off and put on cuts and deep wounds to
stop bleeding (Marles et al. 2000)
Niitsitapii (Alberta, Canada) Mixed with kinnikinnick leaves and shredded willow bark to
make a smoking mixture (Russell 1973). Cited by Siegel
(1989) who added the claim that it was narcotic (Siegel 2013
pers. comm.) and was then cited by Pollan (2001) who added
the claim that it was hallucinogenic
Nihitahawak Cree (Saskatche- White crustose lichens on aspen bark, along with the dead tree
wan, Canada) periderm, are scraped off and used to stop bleeding and to
treat venereal disease (Leighton 1985)
Algonquin (Quebec, Canada) White crustose lichens on birch bark used for diaper rash and
other skin rashes (Black 1980)
Tewa (California, USA) kuk ow is pulverized and applied to lips for cold sores,
kuk ow (rock skin); na rubbed on sores about a childs mouth, and put into the cavity
(earth clothing) of a decayed tooth to stop pain. na is applied to teeth and
gums to cure toothache (Robbins et al. 1916). See also Hopi
use of Xanthoparmelia sp.
N. Paiute (Nevada, USA) Black, orange, and yellow lichens on rocks are used as
tuh-botza-yo-caw-son or lizard important antibiotics and fungicides. Powdered material is
semen applied as a healing agent to sores, especially mouth sores of
children (Train et al. 1941; Sharnoff 1997)
(continued)
2 Lichens Used in Traditional Medicine 69
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