The Herbal Tarot is another deck that begins as a variation on the traditional Rider-Waite-Smith theme, but has a holistic approach, which could be handy when dealing with clients that are in poor health or depressed. It pictures a different herb with each card, such as ginseng for The Fool, and Goldenseal for Judgement. Some herbal knowledge would probably be necessary to read successfully with this deck.

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Within the Major Arcana there are several renaming of the cards: The Hierophant is called the High Priest, The Wheel of Fortune is now Medicine Wheel, the Hanged Man is a Suspended Person and the Devil is the less threatening Pan.