Herbal medicines make a vital contribution to healthcare globally, but from production through to practice, there are ethical\nchallenges that require attention. Ethical challenges are often analysed through application of an ethical framework because this can\nfacilitate a consistent and structured approach. In healthcare, the most commonly used framework over recent decades has been\nthat of the four principles: beneficence, nonmaleficence, autonomy, and justice. However, for various reasons that are explained,\nthis approach to ethical analysis is not the most fitting for the global phenomenon of herbal medicine. In this paper, a relatively\nnew moral framework that is based upon the globally accepted values of care, respect, honesty, and fairness is explored in relation\nto herbal medicine for the first time. Through application of this framework, the ethical challenges and actions needed to address\nthem become clear, thus resulting in practical recommendations for enhancing ethical standards in herbal medicine.
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