Over the last three decades, Winston has lectured widely at major herbalist conferences, and given classes at the Blue Ridge School and the New York Open Center. He has also lectured at such institutions as the National Institute of Medical Herbalists (NIMH) in York, England; Bastyr University in Kenmore, Washington; the University of Medicine & Dentistry (UMDNJ) in Newark, New Jersey; George Washington University Medical School in Washington, DC; Dominion Herbal College in Vancouver, BC; and the Southwest College of Naturopathic Medicine in Tempe, Arizona. He is among the "distinguished lecturers and visiting faculty" in the M.S. in Herbal Medicine program at the Tai Sophia Institute, an accredited graduate school in integrative medicine in Laurel, Maryland.
His company, Herbal Therapeutics Inc., runs his library, his consulting entity and school. The David Winston Center for Herbal Studies trains herbalists and medical personnel in the use of herbal medicines. They use more than 300 plants taken from a variety of traditions. His philosophy is to create the custom construction of formulas based on Cherokee, Triune, Chinese or other traditions to match an individual, rather than using herbs stereotyped or standardised for a specific disease. This kind of "constitutional medicine" puts the patient at the center of the analysis, rather than the named disease; it is an approach common to most traditional herbal medicine traditions. A number of the leading younger herbalists in the United States today were trained in his methodology.
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