African American spiritual practices represent a profound and complex system of healing, wisdom, and sacred connection to the earth that emerged from centuries of cultural resilience, ancestral memory, and the deliberate synthesis of African, Native American, and European knowledge traditions. These practices constitute far more than religious observance or folk medicine; they represent an integrated philosophy of wellness that views healing as inherently connected to spiritual alignment, ancestral guidance, community reciprocity, and harmonious relationship with the natural world. The emphasis on nature and earth connection as a source of healing, wisdom, and spiritual nourishment reflects a distinctly African-rooted worldview that survived enslavement, colonization, and systemic oppression to become a vital foundation for Black liberation, resilience, and self-determination. From the herbal remedies carefully cultivated in kitchen gardens and forest edges to the sophisticated spiritual technologies of root work and ancestral veneration, Black Americans developed and maintained healing traditions that honored the intelligence of plants, the guidance of ancestors, the wisdom of seasonal cycles, and the transformative power of community care. These practices persist today, adapted and evolving within contemporary contexts, offering crucial alternatives to fragmented healthcare systems and addressing the multidimensional wellness needs—physical, emotional, spiritual, and communal—that dominant institutions consistently fail to meet.
Historical Foundations: African Knowledge Systems and Survival Through Healing
The spiritual and healing practices of African Americans cannot be understood apart from their historical origins in African philosophical systems and the particular circumstances of enslavement that necessitated both the preservation and innovation of these traditions. The foundational knowledge systems that Black Americans maintained and transformed came directly from West African cultures, particularly those of the Yoruba, Hausa, Mandinka, Kongo, and other peoples forcibly brought to North America. These African knowledge systems were not fragmented collections of superstitions or folk beliefs, but rather sophisticated, coherent philosophies that understood the human being as existing within a complex web of relationships with the natural world, the spiritual realm, and ancestral forces. The concept of interconnection—recognizing that all beings, living and spiritual, material and immaterial, are fundamentally related and mutually influential—formed the philosophical foundation of African spiritual thought and practice. Within this worldview, healing was never merely the treatment of isolated symptoms or individual ailments; instead, healing represented a process of restoring right relationship across multiple dimensions of existence, including one's connection to ancestors, to community, to the land, and to the transcendent forces that governed the cosmos.
When enslaved Africans arrived in North America, they carried this integrated understanding of healing and spirituality within their bodies, minds, and oral traditions. The conditions of enslavement—which denied access to formal medical care, prohibited education, and attempted to sever all connections to African cultural identity—made the preservation and transformation of African healing knowledge not merely a matter of cultural continuity but of literal survival. Enslaved people had to develop and maintain their own healing systems to care for one another in the absence of accessible healthcare, and they necessarily drew upon the knowledge they had carried from Africa, adapted it to the new plants and conditions of North America, and integrated it with knowledge from Indigenous peoples and surviving elements of European folk medicine. This process of synthesis was not random or desperate improvisation, but rather represented a deliberate, intelligent engagement with the resources available in specific places, always guided by the underlying African philosophical framework that understood healing as relational, holistic, and rooted in respect for the intelligence of natural beings and forces. The enslaved people who became the practitioners and keepers of these traditions understood themselves as participating in something sacred—not merely preserving recipes or remedies, but maintaining connections to African ancestors, African ways of knowing, and African understandings of humanity's proper place within a living, intelligent cosmos.
The role of women in maintaining and transmitting these healing traditions cannot be overstated. Across African societies, knowledge about plants, their properties, their uses, and the proper ways of engaging with them had been held and transmitted primarily through networks of older women to younger women. This gendered transmission of knowledge continued under slavery and beyond, with granny midwives, elder women healers, and mothers serving as the primary custodians and teachers of healing knowledge. These women did not operate as isolated practitioners but as members of networks of healing knowledge that extended across plantations, across regions, and across generations. They understood their work as service to their communities and as a form of resistance against the dehumanization of slavery—the act of healing those whom the enslaving system sought to break became an assertion of Black humanity, dignity, and value. The knowledge these women maintained included understanding of how to manage pregnancy and birth, how to address the physical traumas inflicted by slavery, how to care for children and infants in conditions of severe deprivation, how to treat infectious diseases with limited resources, and how to address the spiritual and emotional dimensions of suffering. Their work was not separate from spirituality; the act of healing was itself a spiritual practice, an engagement with sacred forces and ancestral wisdom.
Nature as Sacred Knowledge: The Plant Kingdom as Healer and Teacher
Central to African American spiritual and healing practices is a profound understanding of nature, and particularly of plants, as possessed of intelligence, agency, and healing capacity that extends far beyond the biochemical compounds that Western science recognizes.This understanding reflects the animist philosophical framework common to many African traditions, in which all beings—human and non-human, animal, plant, mineral, and spiritual—are understood as possessed of consciousness, intentionality, and the capacity to communicate and relate to one another. Within this framework, plants are not inert resources to be extracted and consumed, but rather living beings with their own purposes, their own relationships to place and season, and their own potential forms of relationship with human beings. The plant traditions of Black American spirituality thus represent far more than a catalog of remedies; they represent a relational technology for engaging with the plant kingdom as allies, teachers, and healers.The specific plants employed in Black folk medicine were not chosen randomly, but rather were selected through centuries of knowledge accumulation about which plants grew in particular regions, which possessed healing properties for specific conditions, and how they should be prepared and administered. The most commonly used herbs in Black folk medicine included sassafras and sarsaparilla for cleansing and blood support, ginger root for digestion and warming the body, pine needles rich in vitamin C and respiratory support, maypop for calming effects and anti-spasmodic properties, boneset for supporting body temperature regulation, red pepper to stimulate circulation and bring warmth, burdock root for supporting cleansing and digestion, and asafetida commonly used in bags around the neck to ward off sickness. These plants were typically those that grew close by particular communities, that could be traded easily among enslaved people and across regions, or that could be cultivated in kitchen gardens and forest edges where enslaved people maintained agency over small plots of land. The knowledge about these plants was extraordinarily sophisticated—practitioners understood not only which plants could address which ailments, but also the proper seasons for harvesting, the correct methods of preparation (whether as strong infusions made by simmering roots and bark low and slow, or as quick teas of leaves and needles), and the ways to combine plants for synergistic effects.
One exemplary figure in this tradition was Emma Dupree, known in North Carolina as "Little Medicine Thing," who became the doctor for her community and never charged a fee for her services. Her garden-grown pharmacy included sassafras, white mint, double tansy, rabbit tobacco, maypop, mullein, catnip, horseradish, and silkweed, and she also foraged along the Tar River for additional plants. What distinguished Emma Dupree's practice and that of other accomplished plant healers was that "what she made depended on the person standing in front of her, not a formula on paper." This statement reveals the fundamental nature of these healing traditions: they were not rigid systems of standardized treatments, but rather responsive practices that required deep knowledge of both plants and people, that understood healing as necessarily individualized because it addressed the particular circumstances, constitution, and spiritual condition of each person seeking help. During the 1918 influenza pandemic, Emma Dupree "toted her tea" to help people get through the disease, continuing a tradition of plant-based healing that had proven its effectiveness across generations and in the face of serious illness. The transmission of this knowledge to younger generations occurred through apprenticeship, observation, and participation rather than through written texts—indeed, the prohibition of enslaved people's education meant that written records were impossible, and the oral transmission of knowledge became not merely a practice but a survival mechanism and an act of cultural preservation.
The sophistication of Black folk healing knowledge becomes even more evident when one considers the understanding of plant toxins and how to avoid them. Practitioners understood "the various ways to use the pokeweed plant and how to avoid its toxins," demonstrating not merely familiarity with plants but detailed comprehension of which parts were usable, which were dangerous, and under what conditions different preparations could be made safely. This knowledge was literally life-or-death important—incorrect preparation of potent plants could cause serious harm, while correct preparation could address conditions from rheumatism (treated with Jimsonweed), to asthma (treated with chestnut leaf tea), to consumption (treated with mint and cow manure tea). The practitioners who held and transmitted this knowledge understood themselves as responsible for the wellbeing of their communities; their work was simultaneously practical medicine, spiritual practice, and an assertion of Black people's right to healing, agency, and self-determination in circumstances where these were systematically denied.
Beyond the herbal remedies themselves, the practice of plant healing involved a particular relationship to the earth as the source of these plants and as the living being whose cycles and seasons determined when different plants could be harvested, when different preparations should be made, and what timing was appropriate for different forms of healing work. This temporal attunement to natural cycles represented a rejection of the rigid, clock-driven time imposed by industrial plantation slavery; it was a reclamation of time as something alive and meaningful, structured by the actual life cycles of plants and by the seasons rather than by the arbitrary demands of enslavers. The knowledge carriers who maintained these traditions had to develop and preserve the ability to read the land itself, to understand the messages that plants, animals, weather patterns, and seasonal changes conveyed. This capacity for reading the land had direct practical applications for survival—as historians have noted, even conductors on the Underground Railroad had to know plants to survive, with common plants used for sustenance including sassafras, black cherry, and paw-paw, while wild lettuce was made into a drink when women needed control over their reproductive cycles, and "knowing what to brew, what to chew, and what to avoid meant the difference between moving forward or stopping altogether."
Root Work and Hoodoo: African Magic and Practical Spirituality
Root work and hoodoo represent sophisticated African American magical and spiritual technologies that combine natural elements—roots, herbs, and other botanical materials—with folk magic traditions rooted in African American culture to address both personal needs and community connections. While these practices are often misunderstood or associated with superstition by outsiders, they represent complex knowledge systems that address dimensions of human experience and spiritual reality that Western rationalism frequently dismisses. Root work, as distinct from but closely related to the broader category of hoodoo, involves using natural elements to create remedies or charms aimed at influencing personal circumstances or addressing specific needs. The terminology itself—"root work" or "working the roots"—directly references the practice of engaging with plant roots as primary sources of healing and magical power. Practitioners of root work, often referred to as "root doctors," engage in far more than ritualistic practice; they are participating in "an age-old tradition that honors their heritage while seeking solutions to modern problems."
The historical roots of hoodoo practice extend directly to West African spiritual systems, particularly Vodou and other African religious traditions that survived enslavement through the genius of enslaved people who maintained their spiritual practices under a veneer of Christian conformity. Hoodoo encompasses "various rituals aimed at healing or influencing others through sympathetic magic," with practitioners using "herbs, roots, candles, or charms to create spells intended for protection or love." The distinction between hoodoo and Vodou is crucial: while Vodou is a full religious system with organized priesthood and cosmology, hoodoo represents the magical practices and folk traditions that became widespread throughout African American communities and that could be engaged with outside of formal religious affiliation. This accessibility and flexibility made hoodoo particularly suited to the circumstances of African American people under slavery and subsequently under Jim Crow—these practices could be maintained by individuals and small groups without requiring formal religious institutions or priestly authority, making them difficult to suppress or control.
The practice of root work and hoodoo involves understanding the inherent powers of natural elements and learning how to direct those powers toward specific ends.Each root, herb, or other botanical material is understood as possessing particular properties and associations—some plants are associated with love and attraction, others with protection against negativity, others with healing of various ailments, and others with spiritual development or the opening of psychic abilities. A practitioner might, for example, combine specific roots, herbs, minerals, and other materials into a charm or mojo bag designed to carry into the world to draw something toward the person carrying it or to protect them from harm.Alternatively, a practitioner might prepare a ritual bath or a powder designed to be incorporated into one's living space or personal practices. The knowledge required to engage in root work effectively is substantial—it encompasses familiarity with hundreds of plants, understanding of their properties and associations, knowledge of proper preparation techniques, skill in diagnosing the spiritual or magical dimension of a person's difficulties, and the ability to devise appropriate responses to address these challenges.
Contemporary practitioners of root work and hoodoo continue these traditions while adapting them to modern circumstances. Angela Smith, a 63-year-old practitioner in Milwaukee, operates The Zen Dragonfly as a healing space that blends African traditional methods with contemporary wellness practices. Smith describes herself as "the person nobody knows they came to see," noting that people arrive at her door "after they've tried church, therapy, self-help and meditation, and never quite found what they were looking for." Smith's practice spans "Reiki, tarot, bone readings, spiritual baths, shamanic journeying and herbal medicine," all rooted in "Black Southern folk traditions and ancestral veneration." Her explicit refusal to promise miracles or advertise cures reflects the ethical grounding of these traditions—"My job is to help people do their own healing," Smith states. "I can break something open. I can clear a path. But you have to walk it." This approach differs fundamentally from approaches to healing that position the healer as an all-powerful figure capable of fixing the person's problems; instead, it understands the practitioner as a guide or facilitator who helps create the conditions under which a person's own healing capacity can emerge.
Smith's personal practice exemplifies how root work operates as a lived spirituality rather than merely an intellectual pursuit. Her day begins with tending to her ancestors—"She rings a bell, pours water, lights candles and reads Psalms"—before welcoming healing guests to her space. Her home and workspace "reflect her practice: altars in every room, artwork celebrating Black history and spirituality, herbs and botanicals curated with care." The aesthetic and spiritual environment itself becomes part of the healing work, with "friends and students" having "encouraged her to turn it into a visual book." She laughs when asked about the aesthetics, stating: "I want you to walk into my house and know an African lives here." This commitment to maintaining and expressing her African spiritual identity in her physical space and in her daily practice represents an act of cultural preservation and a refusal to assimilate healing work into mainstream wellness culture. Smith's visibility about her hoodoo practice represents a shift from her earlier years when "she hid her hoodoo practice, posting only glimpses of altars or crystals," but in 2018, she heard her grandmother's voice saying "You can't hide no more." This publicly embracing of hoodoo practice "cost her followers, but brought the people who needed her most," with "word of mouth" building her practice as people learned that "when nothing else works, go see Miss Angela."
The broader category of magical practice within Black traditions includes the understanding that certain objects, actions, and combinations of materials possess power to influence circumstances and to create change in the world. While Western rationalism tends to dismiss such understandings as superstitious, practitioners and scholars of these traditions argue that the power of these practices derives not from supernatural intervention but rather from the real effects of focused intention, knowledge of natural properties of plants and materials, the psychological and spiritual shift that occurs when someone takes agency in addressing their circumstances, and the mobilization of community support and collective belief. The contemporary surge in interest in herbalism, root work, and hoodoo reflects, in part, "growing disillusionment with conventional medicine's limitations" and the recognition that "these practices offer insights not just into magical workings but also profound reflections on human experience."



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