American Health & Medical Research Association
Explainer

From a $20 herbal patent to a $6.8 trillion wellness economy

Two centuries of American natural health movements, from Thomson's botanic patent to Kellogg's sanitarium to today's food politics, show which ideas lasted, which failed and why the debates keep returning.

Sources15, listed below Reading time14 minutes

Where the evidence stands

  • Strong evidence Choose whole grains over refined flourMass DDT spraying harms the environment
  • Evidence says no, or unsafe Lobelia vomiting and steam "courses" cure diseaseDaily multivitamins prevent chronic disease

Each use is rated separately, from the scorecard in this guide. Safety cautions are spelled out in the guide itself. How we grade

On this page
  1. Thomson's patent sold self-reliance and a fight with doctors
  2. Graham's bread and the water cure made daily habits the medicine
  3. Battle Creek turned health reform into a destination
  4. Naturopathy built a profession, then nearly lost it
  5. Organic gardeners and Silent Spring took the fight to the farm
  6. Washington wrote natural health into law in the 1990s
  7. The wellness era is bigger, and now it is political
  8. Two hundred years at a glance
  9. What held up, rated by the evidence
  10. Questions readers ask
  11. The bottom line

Key takeaways

  • In 1813, Samuel Thomson patented a plant-based system of medicine and sold families the right to use it for $20.
  • Sylvester Graham’s 1830s crusade for whole grains sounds a lot like the 2025–2030 federal Dietary Guidelines, released in January 2026, which encourage whole grains and discourage refined carbohydrates.
  • By its own historians’ count, naturopathy grew from 1900 into a profession licensed in about a third of states by the 1940s, then shrank to about 175 licensed practitioners in the U.S. and Canada by 1980 before rebounding.
  • Congress created an NIH office to study alternative medicine in 1991 and passed the main supplement law, DSHEA, in 1994, and both still shape your choices today.
  • Every movement mixed sound instincts with untested cures, and their history gives you six quick questions to ask about the next wellness trend.

In 1813, a New Hampshire-born healer with almost no schooling obtained a patent on a system of medicine1. Then Samuel Thomson did something unusual for a healer. He sold the method itself.

For $20, a family got the “right” to use his system and a small book of instructions1. Buyers promised to keep the secrets and joined a Friendly Botanic Society1. The pitch was freedom: the ideal, as the National Library of Medicine describes it, was that every man could be “his own physician”2.

It sold. One of Thomson’s agents sold 4,000 copies of the book in the Ohio Valley and the South from 1827 to 1830, grossing $80,0001.

Two centuries later, the Global Wellness Institute, a nonprofit that researches the wellness industry, estimates the world’s wellness economy at $6.8 trillion for 202413. Between those two numbers lies a long American story. It has whole-grain preachers, water cures, breakfast cereal, a new profession, organic gardeners and Congress.

If you care about natural health, this history is yours. It shows how often reformers were ahead of their time. It also shows how often good instincts got bundled with bad cures, and learning to tell them apart is the most useful lesson the past offers.

Thomson’s patent sold self-reliance and a fight with doctors

Thomson’s theory was simple. Warmth was life, cold was death, and illness set in when poor digestion let the body’s heat drain away1. So the cure was to bring the heat back.

Patients got that heat in a repeating cycle he called a “course of medicine.” It opened and closed with steam baths. In between came lobelia, in a dose strong enough to cause vomiting, and then an enema1. That wild herb was the system’s workhorse, and a single dose could reach half an ounce of seeds1. Capsicum, from hot peppers, added a stimulant1.

His followers attacked regular doctors for bleeding patients and for giving opium, mercury, arsenic and antimony1. They called mainstream medicine the “mineral school”1. On bleeding, the critics had a point, as our companion article on historical healing philosophies explains.

Thomsonism had its own dangers, though. An 1895 history by a mainstream physician, no friend of the movement, tied big lobelia doses to repeated fatal poisonings, a charge Thomson’s followers denied1. The movement split into rival camps around 18301. By about 1860 it had lost its schools and journals, and much of its energy had flowed to another botanic group, the eclectics1.

The marketplace was crowded. Rival medical sects multiplied, and each claimed the best cures2. In 1847, a group of physicians founded the American Medical Association to give their profession an authoritative footing2.

Graham’s bread and the water cure made daily habits the medicine

The next wave moved from the medicine chest to the kitchen table. Sylvester Graham, born in Connecticut in 1794, was a Presbyterian minister who lectured for the temperance cause3.

Graham preached whole grains, fresh fruit and vegetables, and a meatless diet3. He told people to give up alcohol, tobacco, coffee and tea, and he railed against refined white flour3. His name lives on in graham flour, graham bread and the graham cracker3.

His followers, called Grahamites, multiplied after the cholera epidemic of the 1830s3. Graham boardinghouses and restaurants opened in New York and Boston3. Not everyone took him seriously. The writer Ralph Waldo Emerson gave him a teasing nickname about bran and pumpkins3.

Around the same time, a European import arrived. The water cure, or hydropathy, came from Vincent Priessnitz, a peasant from Silesia, and reached the United States in the 1840s2. Its fans believed baths of many kinds could cleanse and strengthen the body2.

Notice what changed. Thomson sold a treatment. Graham and the hydropaths sold a way of living. That shift, from cure to daily habit, became the backbone of natural health.

Battle Creek turned health reform into a destination

In 1866, Seventh-day Adventist leaders James and Ellen White opened the Western Health Reform Institute in Battle Creek, Michigan4. Under a young doctor named John Harvey Kellogg, it became the Battle Creek Sanitarium4.

Kellogg’s training shows how these movements blended. He first trained at Russell Trall’s Hygeio-Therapeutic College in New York City, a health-reform school, but found the teaching superficial4. With continued financial help from James White, he went on to the University of Michigan’s medical school and Bellevue Hospital in New York and earned a full medical degree4. He took charge of the sanitarium at 264.

Kellogg drew a line between a sanatorium, where the sick went to recover, and his sanitarium, where people came to learn how to stay well4. Guests filled a five-story building with room for about 300 by 18914. A typical stay mixed meatless meals, talks by the doctor, water treatments, electric-light treatments, calisthenics and breathing drills4. Today he is best remembered for corn flakes4.

Battle Creek also shows the movement’s shadow. Two national Race Betterment Conferences, in 1914 and 1928, met at the sanitarium, and Kellogg urged the creation of a national eugenics registry, which was set up in 19154. Eugenics was the false and harmful idea that society should breed “better” people. The sanitarium went into receivership in 19334.

Naturopathy built a profession, then nearly lost it

By 1900, the strands had a new name. According to the naturopathic profession’s own historians, Benedict Lust launched naturopathy that year, gathering many natural therapies under one philosophy drawn from Europe’s nature cure movement5.

The early toolkit blended American hygiene reform with the nature cure and water treatments of Germany and Austria5. Lust toured the United States giving talks and pressing lawmakers to license naturopaths. He also testified for colleagues charged with practicing medicine without a license5.

For a time the campaign paid off. The same historians report that the field had opened several four-year schools by the 1940s, and that about a third of states licensed it5.

Then came the long slide. In 1910, Abraham Flexner’s famous review of medical schools pushed for scientific rigor and standard training7. A 2010 editorial marking the report’s 100th anniversary, in the Brazilian public health journal Ciência & Saúde Coletiva, tallies what followed: U.S. medical schools fell from 131 in 1910 to 81 by 19227.

By the editorial’s count, 16 homeopathic schools closed or became conventional medical schools between 1910 and 19207. Five of the seven schools that trained Black doctors also closed7.

But Flexner is only part of the story. Thomsonism had faded half a century earlier1. Naturopathy’s historians also point to infighting after Lust’s death in the late 1940s and to the rise of antibiotics and modern medicine5.

The low point was steep. In 1956, a few doctors founded the National College of Naturopathic Medicine in Portland, Oregon, so the field would survive5. By 1957, just one naturopathic college was left5.

A 1980 survey found only about 175 licensed naturopaths still practicing in the U.S. and Canada, the historians write, compared with roughly 3,000 practitioners in 19515.

A new generation arrived in 1978. That year, a group led by Joseph Pizzorno founded John Bastyr College in Seattle to teach what Pizzorno called science-based natural medicine5.

According to the National Center for Complementary and Integrative Health (NCCIH), the U.S. had an estimated 5,000 licensed naturopathic practitioners by 20166. Adult use of naturopathy rose from 0.2% in 2002 to 1.3% in 20226.

Organic gardeners and Silent Spring took the fight to the farm

In the 20th century, the focus widened from the body to the food supply. In 1942, J.I. Rodale began publishing a magazine called Organic Farming and Gardening8. Its circulation grew from 260,000 in 1960 to 1.3 million by 19808.

In 1962, Rachel Carson’s Silent Spring documented harm from farm chemicals8. Naturopathic historians call the book a turning point in American thinking5.

U.S. use of the pesticide DDT had peaked at about 80 million pounds in 19599. In June 1972, the Environmental Protection Agency (EPA) canceled nearly all remaining uses, citing unacceptable risks to the environment and possible harm to people9. The ban took effect on December 31, 19729.

In the early 1970s, private groups began certifying organic farms, and six farmers formed California Certified Organic Farmers in 19738. In 1990, Congress passed the Organic Foods Production Act, which called for national organic rules8. Our article on the four USDA organic labels explains what those rules require today.

Washington wrote natural health into law in the 1990s

In October 1991, Congress gave the National Institutes of Health (NIH) $2 million to open an office that would study promising unconventional therapies10. That Office of Alternative Medicine became a full NIH center in 199810. In December 2014, it was renamed NCCIH10.

A bigger change came on October 25, 1994, when the Dietary Supplement Health and Education Act, or DSHEA, became law11. In it, Congress found that nearly half of Americans regularly took vitamins, minerals or herbs, and that safety problems with supplements were relatively rare11.

DSHEA treats supplements as their own category, separate from drugs11. Labels may describe effects on the body’s structure or function, with a disclaimer, but may not claim to treat or cure a disease11. If the government wants to treat a product as unsafe, it carries the burden of proof11. Our article on why supplement labels say “supports” explains how this plays out on the shelf.

The wellness era is bigger, and now it is political

The Global Wellness Institute says the wellness economy grew 7.9% from 2023 to 2024 and now equals about 6% of the world’s economic output13. It projects nearly $9.8 trillion by 202913. These are industry estimates, and the group counts a wide range of spending, from mental wellness to wellness real estate13.

Natural health themes have also moved into national politics. In February 2025, an executive order created the Make America Healthy Again Commission, chaired by Health and Human Services Secretary Robert F. Kennedy Jr.14. Its May 2025 assessment named four potential drivers of childhood chronic disease: poor diet and ultra-processed food, environmental chemicals, inactivity and chronic stress, and overmedicalization14.

In January 2026, the federal government released its Dietary Guidelines for 2025–2030, which tell Americans to avoid highly processed food15. The official summary also states: “Whole grains are encouraged. Refined carbohydrates are not.”15. Graham would have recognized the sentence.

These policies are debated, and you can weigh them on their merits. The historical point is narrower. Food, chemicals, movement and distrust of too much medicine drive today’s arguments, and reformers raised the same themes in the 1830s, in 1900 and in 1962.

Two hundred years at a glance

Year Milestone What lasted
1813 Thomson patents his botanic system1 The belief that ordinary people can manage much of their own care
1830s Graham’s whole-grain, meatless crusade3 Whole grains over refined flour
1840s The water cure reaches the U.S.2 Hydrotherapy inside nature cure and naturopathy5
1866 Health reform institute opens in Battle Creek4 Retreats built around teaching healthy habits
1900 Lust launches naturopathy, by the profession’s account5 A profession with accredited four-year programs6
1910 Flexner reviews medical schools7 Science-based training as the standard
1942 Rodale’s organic magazine begins8 The organic movement and national organic rules
1962 Silent Spring is published8 The 1972 DDT ban9
1991 NIH alternative medicine office opens10 A federal research center, NCCIH since 2014
1994 DSHEA becomes law11 Today’s supplement label rules
2025–2026 MAHA report and new Dietary Guidelines1415 Too soon to judge

What held up, rated by the evidence

Every movement got some things right and some wrong. Here is how a few signature claims look now, using our four-level scale.

Claim Who pushed it Rating What the evidence shows
Lobelia vomiting and steam “courses” cure disease Thomsonians, 1810s–1850s Evidence says no, or unsafe Period accounts tied big lobelia doses to repeated poisoning deaths1
Choose whole grains over refined flour Graham, 1830s Strong evidence Current federal guidance encourages whole grains and discourages refined carbohydrates15
Mass DDT spraying harms the environment Carson and organic advocates, 1960s Strong evidence EPA found unacceptable environmental risks, plus potential harm to people, and banned most uses in 19729
Daily multivitamins prevent chronic disease The 1990s supplement boom Evidence says no, or unsafe NIH says multivitamins do not appear to reliably lower chronic disease risk, though one review saw a possible small benefit against cancer12

The pattern is worth noticing. The movements were strongest when they urged better daily habits and caution about new chemicals. They were weakest when they sold one system as a cure for everything.

Many natural-health values in this story have aged well. Prevention, plain food, movement, rest and a wary eye on harsh treatments come up again and again. Reformers often spotted problems before institutions did.

Respecting that heritage doesn’t mean accepting every remedy that came with it. The reformers themselves argued, split, tested and changed course. Honoring them means doing the same: keep the instinct, and test the specifics.

Questions readers ask

Did the Flexner Report wipe out natural medicine?

It came just before a wave of closings, including 16 homeopathic schools that shut or converted in the next decade, by one 2010 count7. But Thomsonism had already faded by about 18601. Naturopathy’s own historians also blame infighting and the rise of antibiotics5.

Was John Harvey Kellogg a naturopath?

No. He trained first at a health-reform college run by Russell Trall, then earned a full medical degree through the University of Michigan and Bellevue Hospital4. His sanitarium grew out of Seventh-day Adventist health reform4.

Are naturopathic doctors licensed today?

It depends on the state. Licensed naturopathic physicians complete four-year graduate programs accredited by the Council on Naturopathic Medical Education, set up in 19786. Traditional naturopaths trained in other programs cannot be licensed6.

Is the wellness economy really worth $6.8 trillion?

That is an industry group’s estimate for 202413. It counts many kinds of spending, including wellness real estate, so read it as a sign of growth rather than a precise figure.

Why does a 1994 law still matter to me?

DSHEA set the rules most supplements follow today, including the label disclaimer and the ban on disease claims11. It also put the burden on the government to prove a product unsafe11.

The bottom line

American natural health has always mixed foresight with overreach. Thomson’s patent, Graham’s bread, Kellogg’s sanitarium, Lust’s naturopathy and Rodale’s gardens each pushed back against something real. Each also carried ideas that did not survive testing.

You don’t have to choose between honoring that history and questioning it. The movements that lasted did both, and the same habit will serve you well when the next trend arrives.

About this article

This article was researched from National Library of Medicine exhibits and collections, NIH and EPA records, federal law and guidance, university and journal sources, and the naturopathic profession’s own published history, all listed below. It was reviewed in October 2026. It is general education and not medical, legal or financial advice.

Sources

  1. Nichols JB. “The Thomsonian and Botanic Medical Systems.” Reprinted from The Medical News, 1895. National Library of Medicine Digital Collections. collections.nlm.nih.gov
  2. National Library of Medicine. “So, What’s New in the Past? The Multiple Meanings of Medical History” (online exhibition and gallery captions). NLM, 1997; web version refreshed 2021. nlm.nih.gov
  3. Clark E. “Sylvester Graham: Progressive Advocate for Healthy Living.” Connecticut History, CT Humanities, 2022. connecticuthistory.org
  4. Hayward JL. “A Tale of Faith and Doubt: Reviewing the Latest Book on Dr. John Harvey Kellogg.” Spectrum, vol. 43, no. 1, 2015. andrews.edu
  5. Zeff JL, Snider P, Myers SP, DeGrandpre Z. “A Hierarchy of Healing: The Therapeutic Order” (including “A Brief History of Naturopathic Medicine”). Foundations of Naturopathic Medicine Institute, 2019. fnminstitute.org
  6. National Center for Complementary and Integrative Health. “Naturopathy.” NIH, updated 2025. nccih.nih.gov
  7. Nunes ED. “Centenary of the Flexner Report” (editorial). Ciência & Saúde Coletiva, vol. 15, suppl. 1, 2010. scielosp.org
  8. University of California, Santa Cruz, University Library Regional History Project. “Cultivating a Movement: Timeline.” library.ucsc.edu
  9. U.S. Environmental Protection Agency. “DDT Ban Takes Effect.” Press release, December 31, 1972. epa.gov
  10. National Institutes of Health. “National Center for Complementary and Integrative Health (NCCIH).” NIH Almanac. nih.gov
  11. NIH Office of Dietary Supplements. “Dietary Supplement Health and Education Act of 1994, Public Law 103-417.” ods.od.nih.gov
  12. NIH Office of Dietary Supplements. “Multivitamin/mineral Supplements: Fact Sheet for Health Professionals.” Updated 2024. ods.od.nih.gov
  13. Global Wellness Institute. “Wellness Economy Statistics & Facts” (Global Wellness Economy Monitor 2025; industry estimates). 2025. globalwellnessinstitute.org
  14. The President’s Make America Healthy Again Commission. “Make Our Children Healthy Again: Assessment.” The White House, 2025. whitehouse.gov
  15. U.S. Department of Health and Human Services and U.S. Department of Agriculture. “Eat Real Food: Dietary Guidelines for Americans, 2025–2030” (official summary site). 2026. realfood.gov