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Eclectic, Physiomedical and Thomsonian Medicine in North America

A plain history of Thomsonian, Eclectic and Physiomedical botanical medicine in 19th-century North America, what they believed, what happened to them, and what the safety lessons are.

Content last updated . This page has not been medically reviewed.

Quick answer
In the early 1800s in the United States, several movements offered plant-based medicine as an alternative to the mainstream medicine of the day. Three names recur: Thomsonian medicine, Eclectic medicine and Physiomedicalism. They were separate but related, and they are history today rather than active medical systems. This page explains them in plain terms. Related background is in the history of Western herbalism.

Thomsonian medicine

Samuel Thomson (1769-1843) was a self-taught New Hampshire herbalist. [1] A historical article describes the movement he started as a popular, grassroots health crusade in the early decades of the nineteenth century. [2] It appealed to the frontier mood of the Jackson era, which valued common sense over formal schooling. [2] Even so, Thomsonians depended on a literate public and a large body of printed material to spread their system. [2]

Thomson believed that exposure to cold was an important cause of illness and that disease should be treated by restoring natural heat, using steam baths, cayenne pepper, laxatives and the emetic plant lobelia. [1] This is a historical framework, not biology, and we do not describe how it was carried out.

The movement was also political. Thomsonians fought medical licensing laws, and one legal-history article calls their campaign one of the most striking examples of a successful popular constitutional movement. [3] This was a fight over who could practice, not a test of whether the treatments worked.

Eclectic medicine

Eclectic medicine came after Thomson. The word "eclectic" was coined by Constantine Samuel Rafinesque, a botanist who had studied Native American use of medicinal plants. [4] The tradition drew on Native American plant knowledge. If you are interested in who holds such knowledge and who benefits, see traditional knowledge protection and benefit sharing.

Eclectic physicians reacted against mainstream practice of the time, which made extensive use of calomel (a mercury-based purge) and bloodletting. [4] They chose to train doctors in physiology and more conventional principles alongside botanical medicine. [4] Their main school, the Eclectic Medical Institute, ended with a last class in 1939, and the movement peaked in the 1880s and 1890s. [4] The Lloyd Library and Museum in Cincinnati holds a large collection of Eclectic publications. [4]

Physiomedicalism

Physiomedicalism grew out of Thomsonianism. Some people trained by Thomson broke with him, pursued more advanced medical education, and founded physiomedicalism. [1] Eclectic medicine is said to resemble physiomedicalism, which was practiced in the United Kingdom. [4] Beyond this, we did not find enough readable scholarly material to describe its teachings responsibly. Proper evidence not found for its methods in clinical research. Our searches covered PubMed and general web sources.

What happened to them

By the mid-twentieth century, homeopathic and Eclectic medical schools had become nearly nonexistent. [5] Many historians point to the 1910 Flexner Report on medical education as a cause. [5] One article cautions against overstating this, because many of these schools were already struggling financially. [5]

What research shows

QuestionWhat we foundLabel
Did Thomsonian or Eclectic regimens as a whole pass modern trials?Proper evidence not found. Searches turned up historical studies, not trials.Traditional use only
Were the theories (restoring body heat, opening elimination) tested?Proper evidence not found.Traditional use only
Were some individual practices harmful?Yes, for example with lobelia (below).Evidence of harm (historical case reports)

Today

We did not find a current regulator or professional body for Thomsonian or Eclectic practice. Modern herbalists may be influenced by the Eclectic literature, but training and regulation of herbalists vary by country and state. For how to check any practitioner, see traditional medicine safety and clinical care.

Frequently asked questions

Who was Samuel Thomson?

A self-taught American herbalist (1769-1843) who founded Thomsonian medicine. [1] His movement was a popular health crusade of the early 1800s. [2]

How is Eclectic medicine different from Thomsonian medicine?

Eclectic physicians chose to train in physiology as well as botanical medicine and reacted against calomel and bloodletting in mainstream practice. [4] Thomsonianism was a lay, grassroots movement. [2]

What is physiomedicalism?

A school that grew out of Thomsonianism when some Thomson-trained practitioners pursued further medical education. [1] We did not find enough readable sources to describe its teachings in more detail.

Why did these schools disappear?

Historians point to the Flexner Report of 1910 and to wider changes in medicine, though one article says many schools were already in financial trouble. [5]

Is lobelia safe?

Lobelia has a long record of harm in historical reports. [6] Its main compound, lobeline, causes dizziness, nausea and vomiting. [7] Do not use it for self-treatment; ask a clinician or pharmacist.

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

Safety lessons
In 1850 an Ohio physician writing in an Eclectic section of the Buffalo Medical Journal described lobelia as having come into regular medicine at a heavy cost of life, and said he had seen many cases of injury from its use as an emetic (a substance that causes vomiting). [6] That is a historical case report, not a modern trial, but it fits what is known about the plant's active compound. A Cochrane review of lobeline, which comes from the Indian tobacco plant, lists dizziness, nausea and vomiting among its adverse effects. [7] The same review found no adequate long-term trials showing lobeline helps people quit smoking. [7]

So: do not use lobelia or any emetic, purge or steam regimen for self-treatment. If someone may have swallowed a plant or herbal product and is unwell, call Poison Help at 1-800-222-1222 (United States) or 911 in an emergency. See also Poisoning: What to Do First.

More generally, the NHS says herbal medicines are not tested in the same way as standard medicines, and advises against them in pregnancy, breastfeeding, kidney or liver problems, and with certain medicines. [8] Ask a clinician or pharmacist first. See traditional remedies with documented harm and Herb Safety & Interactions.

References
  1. Samuel Thomson, Wikipedia (encyclopedia summary, used only for biographical background). Read 2026-10-22.
  2. The early botanical medical movement as a reflection of life, liberty, and literacy in Jacksonian America. Journal of the Medical Library Association, 2002. Abstract read 2026-10-22.
  3. The origins of American health libertarianism. Yale Journal of Health Policy, Law, and Ethics, 2013. Abstract read 2026-10-22.
  4. Eclectic medicine, Wikipedia (encyclopedia summary, used only for historical background). Read 2026-10-22.
  5. The Impact of the Flexner Report on Sectarian Medical Schools. Constellations (University of Alberta), journal article. Read 2026-10-22.
  6. Wood T. Account of Two Cases of Poisoning by Lobelia Inflata. Buffalo Medical Journal, 1850, PubMed Central scan. Read 2026-10-22.
  7. Stead LF, Hughes JR. Lobeline for smoking cessation. Cochrane Database of Systematic Reviews, 2012. Plain language summary read 2026-10-22.
  8. NHS. Herbal medicines and complementary therapies. Read 2026-10-22.
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.