Sage, along with sweetgrass, red cedar and tobacco, is one of the four plants considered sacred by First Nations and Métis Peoples. Sage is used broadly for many purposes by both First Nations and Native Americans - and is described here in only the most general of terms. Similar to sweetgrass, it is used in many geographical locations in North America, whereas red cedar is primarily used in ceremonies on the northwest coast.

Sacred plants all seem to have one thing in common - the versatility with which they are used. Sage, depending on the particular culture, can be used in medicine pouches, spread over the floor of a sweatlodge, wrapped around sacred implements, used for healing, used to make bad spirits sick, purify people and dwellings, healing and calming.

There are two types of sage, each with its own distinct qualities and uses. Smoke from white sage (Artemesia califoncia) is used for purification of mind, body and spirit and sacred articles in advance of prayers and ceremonies. White sage is burned for meditation, smudging and cleansing of spirit and dwelling. In some beliefs, white sage smoke is believed to provide a barrier that prevents negative spirits from entering the room in which the ceremony is being held.