Consensus of local knowledge on medicinal plants among traditional healers in Mayiladumparai block of Theni District, Tamil Nadu, India

An ethnopharmacological, phytochemical, and pharmacological overview of onion (Allium cepa L.)

ETHNOPHARMACOLOGICAL RELEVANCE

Onion (Allium cepa L.) is one of the most widely distributed species within the Allium genus of family Amaryllidaceae. Onion has been esteemed for its medicinal properties since antiquity. It has been consumed for centuries in various indigenous cultures for the management of several ailments including microbial infections, respiratory, gastrointestinal, skin and cardio-vascular disorders, diabetes, renal colic, rheumatism, sexual impotence, menstrual pain, and headache. However, so far, there is a scarcity of recent data that compiles the plant chemistry, traditional practices, biological features, and toxicity.

AIM OF THE WORK

The aim of this review is to provide a comprehensive and analytical overview of ethnopharmacological uses, phytochemistry, pharmacology, industrial applications, quality control, and toxicology of onion, to offer new perspectives and broad scopes for future studies.

MATERIALS AND METHODS

The information gathered in this review was obtained from various sources including books, scientific databases such as Science Direct, Wiley, PubMed, Google Scholar, and other domestic and foreign literature.

RESULTS

Onion has a long history of use as a traditional medicine for management of various conditions including infectious, inflammatory, respiratory, cardiovascular diseases, diabetes, and erectile dysfunction. More than 400 compounds have been identified in onion including flavonoids, phenolic acids, amino acids, peptides, saponins and fatty acids. The plant extracts and compounds showed various pharmacological activities such as antimicrobial, antidiabetic, anti-inflammatory, anti-hyperlipidemic, anticancer, aphrodisiac, cardioprotective, and neuroprotective activities. In addition to its predominant medicinal uses, onion has found various applications in the functional food industry.

CONCLUSION

Extensive literature analysis reveals that onion extracts and bioactive constituents possess diverse pharmacological activities that can be beneficial for treating various diseases. However, the current research primarily revolves around the documentation of ethnic pharmacology and predominantly consists of in vitro studies, with relatively limited in vivo and clinical studies. Consequently, it is imperative for future investigations to prioritize and expand the scope of in vivo and clinical research. Additionally, it is strongly recommended to direct further research efforts towards toxicity studies and quality control of the plant. These studies will help bridge the current knowledge gaps and establish a solid basis for exploring the plant's potential uses in a clinical setting.

Mangiferin from Enicostemma littorale Blume with in silico and in vitro anti-inflammatory potential

The bioassay-guided fractionation of the extract of aerial parts of Enicostemma littorale resulted in two fractions 3 and 4 with moderate and potent antioxidant activity, respectively. The purification of fraction 3 gave swertiamarin (1), while the LCMS profile of fraction 4 unveiled the presence of another constituent along with swertiamarin. The extensive purification of fraction 4 led to the unusual isolation of mangiferin (2) from E. littorale. The uncommon isolation of mangiferin from E. littorale motivated us to conduct its in silico and in vitro screening as an anti-inflammatory agent. Both studies have proved mangiferin to be a promising anti-inflammatory molecule with a binding energy of -9.17 kcal/mol against Cyclooxygenase-2 protein and IC50 of 146.07 nanomolar. This study is the first report of the isolation of mangiferin, a xanthone glycoside from E. littorale.Communicated by Ramaswamy H. Sarma.

A multivariate and quantitative assessment of medicinal plants used by the indigenous Malayali tribes in the Javadhu hills of Tiruvannamalai district, Tamil Nadu, India

The study of medicinal plants with their traditional uses and related pharmacological studies has received more attention during the past several decades around the world. The Malayali tribes of the Javadhu Hills in the Eastern Ghats rely heavily on a system of traditional medicine for healthcare. A qualitative ethnographic method with a semi-structured questionnaire was used to interview 52 people across 11 localities in the Javadhu Hills. In the data analysis, descriptive statistics such as Use reports (UR), frequency of citations (FC), relative frequency of citations (RFC), informant agreement ratio (IAR), fidelity level (FL), and informant consensus factor (FIC) were studied. In the current investigation, 146 species from 52 families and 108 genera were discovered to treat 79 diseases. Leguminosae and Apocynaceae were the dominant families (12 species each). The most frequently used life form was the herb and the plant part were the leaf. The majority were being harvested from natural resources. Most medicines were taken orally. The most frequently cited species are Moringa oleifera and Syzygium cumini. The illnesses were divided into 21 categories. The majority of the plants mentioned are utilised to increase human immunity and health. The principal ailment (general health) was revealed by two-way cluster analysis and PCA. The species Litsea decanensis, Phoebe paniculata, Commiphora caudata, etc., were new records for the Javadhu hills according to a comparison between the current study and previous local and regional research. Documenting novel ethnomedicinal species and their therapeutic applications will encourage more phytochemical and pharmacological research and may even result in the creation of new medications. Furthermore, the study's significant novelty is that principle component analysis and two-way cluster analysis clearly revealed that the species that are used to treat various diseases, as well as species that are closely associated with treating specific ailment categories, are distinct. Significantly, species recorded in this study rely on maintaining and improving general body health of humans.

Effect of Abutilon indicum (L) Extract on Adipogenesis, Lipolysis and Cholesterol Esterase in 3T3-L1 Adipocyte Cell Lines

Abutilon indicum (L) is an Indian traditional plant used for the treatment of diabetes and heart diseases. The present study is to evaluate the functional of A. indicum leaf extract as insulin like character to inhibit lipolysis and stimulates Adipogenesis activity. The ability of the A. indicum leaf extract in anti-obesity effect of Adipogenesis, lipolysis and cholesterol esterase functions can be predicted by using 3T3-L1 adipocyte cell lines. Substances were isolated from A. indicum leaves and the double filtered crude sample were used for Adipogenesis, lipolysis and cholesterol esterase activity using 3T3-L1 adipocytes at different concentrations. We used differential media-I, differential media-II and maintenance media (MM1) at concentrations of 20, 40, 60, 80, 100, 200 and 400 µg/mL respectively. In addition to the extract, there is a significance increase in glycerol release (p < 0.001) compared with crude and reference compounds. Cholesterol esterase activity predicts the IC50 = 27.11 µg/mL of orlistat positive control compare with IC50 = 8.158 µg/mL of crude extract. Based on the observation, A. indicum leaf extract can promotes lipolysis and differentiated adipocytes. It is potentially used as adjuvant in the treatment of Type 2 diabetes.

Genus Blepharis (Acanthaceae): A review of ethnomedicinally used species, and their phytochemistry and pharmacological activities

ETHNOPHARMACOLOGICAL RELEVANCE

Blepharis is an Afro-Asiatic genus belonging to the family Acanthaceae. It comprises about 126 species that occur in arid and semi-arid habitats. Some species of Blepharis are used in traditional medicines in different countries mainly for their anti-inflammatory, wound healing activities along with treatment of gastrointestinal disorders and bone fractures.

AIM OF THE REVIEW

The present review aims to collate and analyze the available data and information on distribution, traditional uses, chemical constituents and pharmacological activities of Blepharis.

METHODS

Scientific information of genus Blepharis was retrieved from the online bibliographic databases such as MEDLINE/PubMed, SciFinder, Web of Science and Google Scholar and secondary resources including books and proceedings.

RESULTS

Seven species of Blepharis were found to be reported frequently as useful in folklore in African and Asian countries. B. maderaspatensis was found to be widely used in Indian traditional medicines whereas the B. ciliaris and B. edulis were common in folklore of Egypt, Jordan, and Arabia. Active phytochemicals of Blepharis are flavonoids from B. ciliaris, alkaloids from B. sindica, phenolic acid derivatives, and phytosterols, and derivatives of hydroxamic acids from B. edulis resulted in possessing diverse biological properties such as anti-microbial, anti-inflammatory, and anti-cancer.

CONCLUSIONS

Various species of Blepharis were found to be used in traditional medicine systems in African and Asian countries. Few of these species were studied for their bioactive chemical constituents however the activity guided isolation studies are not performed. Similarly, detailed pharmacological studies in animal models to explore their mechanism of action are also not reported. Future studies should focus on these aspects related to the medicinally used species of Blepharis. The detailed and comprehensive comparative analysis presented here gives valuable information of the currently used Blepharis species and pave the way to investigate other useful species of Blepharis pertaining to ethnobotany, phytochemistry and discovery of new drugs.

Exploring Plant-Based Ethnomedicine and Quantitative Ethnopharmacology: Medicinal Plants Utilized by the Population of Jasrota Hill in Western Himalaya

Plants and natural products have played a significant role in curing and preventing a variety of ailments occurring in humans and animals, and continue to provide new bioactive leads for researchers in therapeutic discovery. This study was conducted with the aim to identify and document local healers’ practices of treating human diseases and quantitatively document indigenous knowledge of medicinal plants, as well as to highlight the species of public interest for bioprospecting potential. A total of 17 field tours were carried out in 12 regions of Jasrota hill and its adjoining areas of Himalaya. Informants (113) were interviewed using semi-structured interviews and discussions and local guided collections. The results were analyzed using ethnobotanical indices—use-reports (URs) and the informant consensus factor (ICF)—and the data were statistically analyzed. The ethnopharmacological uses of 121 plant species belonging to 105 genera and 53 families were reported for use as medicine for treating 93 types of ailments. A total of 4987 URs were mentioned by 113 informants. Fabaceae (90.09%) and Asteraceae (6.62%) were the most represented families. Herbs (46.28%) were the primary sources of medicine, decoction (33.88%) was the most common use method for utilization, and leaves (43.80%) were the most frequently used plant parts. The ICF values ranged from 0.667 to 0.974, with the highest number of species (1314UR, 55 species) being used for the treatment of gastrointestinal ailments (GIA), followed by dermatological disorders (38 species). This result showed that the exchange of knowledge could be evident among the different communities, and their medicinal uses and practices could be correlated.

Endangered Saudi Arabian plants having ethnobotanical evidence as antidotes for scorpion envenoming

Scorpion sting envenoming in Saudi Arabia posed major public health problems. Conventional treatment with antivenom with its limitations and hazards called for the use of support remediation like prazosin therapy and phytotherapy as alternative solutions in systematic medicine and a trend of use in medicinal plants. The present study is aiming to procure the medicinal plants that exhibit antidotes of scorpion stings which, were scientifically ignored in Saudi Arabia. Current study data of 11 rare and endangered medicinal plants were collected identified up to the family level, in addition to the parts used. The Family Leguminosae was represented by 4 species. The families Acanthaceae, Amaranthaceae, Annonaceae, Euphorbiaceae, Myrtaceae, Plumbaginaceae, and Zygophyllaceae, were represented with a single species each. All of them have got medicinal ability of antidote potential against scorpion venoms. These commonly used herbs that belonged to 8 families were similar in the use of all parts in treatment. This review study may assist the researchers recruiting new natural herbs and their active products as therapeutic agents against scorpion envenoming. However, these medicinal plants are still requiring pharmacological and phytochemical investigations in order to be claimed as effective antidotes in scorpion envenoming syndrome.

Quantitative analysis of medicinal plants used to treat musculoskeletal ailments by non-institutionally trained siddha practitioners of Virudhunagar district, Tamil Nadu, India

Background

Siddha is one of the traditional medical systems of India; previous ethnobotanical survey in Virudhunagar district indicated a high consensus for treating musculoskeletal ailments.

Objectives

This study was aimed to quantitatively document the medicinal plants used to treat musculoskeletal ailments by non-institutionally trained siddha practitioners of Virudhunagar district, Tamil Nadu, India.

Materials and methods

This work was the outcome of free-list interviews conducted among 45 informants between April 2016 and January 2017. Sampling sufficiency was assessed by plotting Shannon–Wiener's index and cumulative number of UR. Informant consensus was assessed using Informant Consensus Factor (F_ic) and Informant Agreement Ratio (IAR).

Results

This study recorded the data regarding 116 plant species which were used to prepare 129 formulations; analysis of the data yielded 490 UR. Among these, 65.3% of UR dealt with internal applications and 34.6% dealt with external applications. In the case of internally used formulations, pain and general musculoskeletal ailments had high F_ic values. In the case of externally used formulations, headache and pain had high F_ic values.

Conclusion

Important species prescribed by the informants to treat various musculoskeletal ailments were: Azima tetracantha, Ricinus communis, Sesamum indicum, Moringa oleifera, Cardiospermum halicacabum (internal application), Calophyllum inophyllum, Justicia adhatoda, Curcuma longa, Calotropis gigantea, Zingiber officinale, Withania somnifera, Strychnos nux-vomica, Dodonaea viscosa (external application), Azadirachta indica, Clerodendrum phlomidis,Delonix elata, Pergularia daemia and Vitex negundo (internal and external applications). Robust studies on these local claims will help to improve the community healthcare and will yield some novel agents to treat musculoskeletal ailments.

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Siddha is one of major traditional medicinal systems of India.

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Non-institutional training is still major in siddha system of medicine.

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This survey documented the plants used to treat various musculoskeletal ailments.

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Though there were some scientific evidences; many local claims lack rigorous studies.

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Further studies will yield some useful clues for the management of various MSDs.

A study on food-medicine continuum among the non-institutionally trained siddha practitioners of Tiruvallur district, Tamil Nadu, India

BACKGROUND

Medicinal properties of the food species are one of the poorly documented and important areas of ethnopharmacology. The present survey quantitatively documented the medicinal foods prescribed by the non-institutionally trained siddha practitioners of Tiruvallur district of Tamil Nadu.

METHODS

Field work was carried out between December 2014 and April 2017 using a questionnaire. The illnesses mentioned by the informants were grouped as illness categories on the basis of emic perceptions. Sufficiency of sampling of this survey was assessed by plotting the cumulative number of UR and Shannon-Wiener's index. The indices such as informant consensus factor (FIC), Index of Agreement on Remedies (IAR), and Cultural Food Significance Index (CFSI) were calculated.

RESULTS

This study documented 165 medicinal foods used by 82 non-institutionally trained siddha practitioners of Tiruvallur district, and 73.93% of these preparations were plant based. Among the animal taxa, 82.05% were represented by fish taxa. The illness category gastrointestinal ailments is the majorly cited illness category treated with plant-based formulations. The illness categories viz., gastrointestinal ailments, hemorrhoids, and neural ailments had high consensus under the group of plant-based medicinal foods. In animal-based medicinal foods, kapha ailments had gained 23.07% of UR. The illness categories such as bone fractures, male reproductive ailments, blood ailments, and anabolic had high FIC values.

CONCLUSIONS

Deeper studies on different dietary cultures of India may help to derive better interpretations on food-medicine continuum. This study identified some important claims such as the use of citron, pomegranate and Solanum americanum (gastrointestinal ailments), Abutilon indicum, onions and elephant foot yam (hemorrhoids), Boerhavia diffusa (urinary ailments), Moringa oleifera (anemia), Aloe vera (gynecological ailments), Eclipta prostrata (liver ailments), ivy gourd (diabetes), citron (hypertension), Centella asiatica (psychological ailments), spade nose shark (lactogogue), reticulate whipray (wheezing and bronchitis), Katelysia opima (impotence), Indian squid (anemia), and Indian oil sardine (anabolic). More studies on these claims will help identify novel functional foods to add to the field of medical nutrition therapy, with traditional brand identity. Robust studies on the documentation of the traditional knowledge on marine resources will yield a good database for various stakeholders and policy makers.

Documentation of 'Plant Drugs' dispensed via local weekly shanties of Madurai City, India

Background

The Valaiyār (Moopanar) communities of Tamil Nadu are traditionally known for catching rats and snakes from the agricultural fields. Prior to independence, some of these families have faced socio-economic changes and chosen to become herbalists in Madurai city. They are mainly engaged in collecting and dispensing fresh and dried plant drugs in its ‘natural form’ at Tiḷagar tīḍal market of Madurai city. Their business is unique, because customers receive ‘prescriptions’ and ‘plant drugs’, unlike the conventional dispensaries. Their world view is: ‘to cure the ailing in natural way’.

Objectives

To document plant drugs collected and dispensed by some of the families belonging to Valaiyār (Moopanar) community in the Tiḷagar tīḍal market.

Materials and methods

Ethnobotanical tools were employed to document various aspects of the practices including resource and knowledge base, medicinal uses, dosage, collection of herbarium and raw drug specimens. Integrative approach was adapted to document the trade dynamics.

Results

During the study, 133 medicinal plant species belonging to 50 families were documented. 71% of species were sourced from wild and non-forest areas. 272 simple and compound remedies were recorded.

Conclusion

Local markets/shanties like these are ‘Traditional Medicine (TM) health care services at door step’. They cater to local health care needs along with conventional system in a synergistic manner and provide adaptable, local solutions using local resources.

Ethnomedicinal plants used for snakebite in India: a brief overview

The result of human interface and assortment of the most desirable, influential, and successful plant species found in the immediate environment at a precise circumstance is attributable to indigenous knowledge of plant species. India has a rich variety of medicinal plants growing under different geographical and ecological conditions; 1500 out of 15,000 privileged plant species have been reported to have medicinal uses. Snakebite is a severe medical, social, and economic problem in many parts of the world, chiefly in tropical and subtropical nations where majority of the world's dangerous snakes are found and where access to treatment is limited. In India, a range of medicinal plants are used as antidotes for snakebites, used either singly or in combination with other agents. The present study makes an effort to assemble information on medicinal plants that are grown and used for snakebite treatment in India. From a range of literature sources, data have been compiled with emphasis on the plants, family, parts used, etc., depending on the availability of information. This paper enumerates 523 plant species belonging to 122 families that act as antidotes against snakebites. We believe this study of herbal antidotes against snake venom is of substantial significance to society.

Repellent and Anti-quorum Sensing Activity of Six Aromatic Plants Occurring in Colombia

Essential oils (EOs) are widely used as biopesticides and to control bacterial infections. This study describes the ability of six EOs isolated from plants cultivated in Colombia to perform as repellents against Ulomoides dermestoides and as quorum sensing (QS) inhibitors. EOs from Aloysia triphylla, Cymbopogon nardus, Lippia origanoides, Hyptis suaveolens, Swinglea glutinosa ami Eucalyptus globulus were repellents classified as Class IV, IV, IV, III, II, and II, respectively, whereas the commercial repellent IR3535 only reached Class II after 2 h exposure. All EOs presented small, but significant inhibitory properties against the QS system in Escherichia coli (pJBA132) at 25 μg/mL after 4 h exposure. These data suggest evaluated EOs from Colombia are sustainable, promising new sources of natural repellents and could be important as anti-quorum sensing molecules.

Ethnomedicinal plants used for digestive system disorders by the Karen of northern Thailand

BACKGROUND

Digestive system disorders have a substantial effect on worldwide morbidity and mortality rates, including in Thailand, where the majority of the rural areas have a lack of proper sanitation and awareness about disease prevention. This has led to the prevalence of different types of digestive diseases. Karen people in Thailand still use medicinal plants as first aid remedies in treating these diseases. Therefore, this study aimed at documenting the plants used to cure and prevent different types of digestive system disorders by Karen people of Chiang Mai Province, northern Thailand.

METHODS

Ethnomedicinal data were collected from six key informants and 172 non-specialist informants regarding their traditional knowledge of medicinal plants. Quantitative approaches were used to determine Use Value (UV), Informant Consensus Factor (ICF) and Fidelity Level (FL) values.

RESULTS

The study revealed that 36 medicinal plant species belonging to 31 genera and 24 families were used to treat digestive system disorders. The most prevalent plant families were Zingiberaceae (6 species), Euphorbiaceae (4 species) and Fabaceae (4 species). Leaves were the most commonly used plant part accounting for 32.6% of the plants, followed by the bark (18.6%). About 60% of the administrations were given orally by potion (60%) and consumption as food was also indicated (14%). The highest ICF values were recorded for carminative disorders, stomachaches, geographic tongue, constipation, appetite stimulants and food poisoning (1.00 each) indicating the best agreement among the informants knowledge of medicinal plants that were used to treat aliments in these categories. The highest fidelity level values were recorded for Punica granatum (100.00), Psidium guajava (95.45), and Gymnopetalum integrifolium (90.91) showing conformity of knowledge on species with the best healing potential.

CONCLUSION

Medicinal plants still play an important role among Karen culture. The present information on these medicinal plants, which have high UV and FL values, may serve as the baseline data to initiate further research for the discovery of new compounds and the biological activities of these potential plant remedies. Further research on these plants may provide some important clues for the development of new drugs for the treatment of digestive system diseases.

Ethnobotany of medicinal plants in the Thar Desert (Sindh) of Pakistan

ETHNOPHARMACOLOGICAL RELEVANCE

The traditional use of medicinal plants in health-care practices among the rural communities provides the basis for natural drug discovery development. To the best of our knowledge, this is the first quantitative ethnobotanical investigation on the use of medicinal plants in the Thar Desert (Sindh) of Pakistan.

METHODS

In total, 530 local informants and traditional healers were interviewed, using semistructured interviews. Various quantitative indices such as relative frequency of citation (RFC), use value (UV), informant consensus factor (ICF), fidelity level (FL), relative importance (RI), and the Jaccard Index (JI) were applied to the documented data.

RESULTS

The traditional medical uses of 87 plant species belonging to 32 families were reported on. Amaranthaceae was the most-frequently cited (nine species), followed by Cucurbitaceae and Euphorbiaceae (six species each). The most dominant life form was herbs (73.56%). The most-used plant parts were leaves, with 65 reports (28.88%), followed by seeds (16%). The common mode of preparation reported was powder (25.75%), with 74% herbal medicines obtained from fresh plant materials.

CONCLUSION

The ethnobotanical result documented in this study provides practical evidence about the use of medicinal plants among the inhabitants of the Thar Desert. Further, the findings revealed that the medicinal plants of the area are a major source of herbal drugs for primary health care used among the rural communities. This survey can be used as baseline information for further scientific investigation to develop new plant-based commercial drugs.

Documentation and quantitative analysis of the local knowledge on medicinal plants in Kalrayan hills of Villupuram district, Tamil Nadu, India

ETHNOPHARMACOLOGICAL RELEVANCE

The aim of the present study was to document the medicinal plants by the traditional medical practitioners from Kalrayan hills of Villupuram district in Tamil Nadu, India. Quantitatively analyses of the data were made to acquire some useful leads for further studies.

MATERIALS AND METHODS

Successive free listing was the method adopted for the interview. In this study, 54 traditional healer medical practitioners were included and their knowledge on medicinal plants was gathered. The data were assessed with the help of two indices viz., informant consensus factor (Fic) and Informant Agreement on Remedies (IAR).

RESULTS

The present survey is in accordance with some of the aspects of our previous surveys. Regarding the demography of the informants, it exhibited unevenness in male-female ratio and majority of the informants were poorly educated. Practicing this system of medicine as part time job by majority of the informants might indicate the reduced social status of this medicinal system. The present study had recorded the usage of 81 species, which in turn yielded 1073 use reports. The major illness category 'aphrodisiac, hair care and endocrinal disorders' hold a high Fic values. Among the other illness categories, gastro-intestinal ailments, genito-urinary ailments and dermatological infection ailments have a high percentage of use reports. Eye ailments, general health, kapha ailments, psychological ailments and skeleton muscular system ailments were the other illness categories with high Fic values. Some of the claims viz., Argyrolobium roseum (aphrodisiac ailments), Rosa brunonii (eye ailments) Hibiscus surattensis (dermatological infections ailments), Bauhinia variegata (neurology Ailments), Cotinus coggygria (circulatory system/cardiovascular ailments) and Uvaria narum (gastro-intestinal ailments) which have relatively high consensus can be taken up for further biomedical studies, since no substantial studies have been conducted on them.

CONCLUSION

Based on the results of our present study, we have highlighted some claims which are at high use in the study area but having little scientific support. Studies on such claims will provide scientific base to some extent which in turn will be useful to improve the health of indigenous people.

Documentation and quantitative analysis of local ethnozoological knowledge among traditional healers of Theni district, Tamil Nadu, India

ETHNOPHARMACOLOGICAL RELEVANCE

This study investigated the use of animals among the traditional healers in Theni district of Tamil Nadu, India. The data regarding the medicinal animals/animal products were documented and their usages were analyzed quantitatively.

MATERIALS AND METHODS

Based on free list interviews with the traditional healers, we documented the medicinal usage of animals/animal products and calculated the indices such as informant consensus factor (Fic) to determine the consensus over the species for an illness category, as well as the Index Agreement on Remedies (IAR) to determine the extent of potential utilization of each species.

RESULTS

In this study, 69 medicinal animals/animal products were documented with the help of standardized questionnaires among the local healers. The results were tabulated and Fic value for each illness category was calculated. Three illness categories viz., jaundice (milk of Capra aegagrus hircus), orthopedics (egg white and meat of Gallus gallus domesticus) and pediatrics (milk of Equus africanus asinus) had got high Fic values. Fifteen illness categories had moderate Fic values. Highly cited animals in these illness categories were: Rusa unicolor (antiemetic), Reticulitermes spp. (diabetes), flesh of Varanus benghalensis (oral ailments), milk (eye ailments, fever) and urine (antidote) of Homo sepians, meat of Trachypithecus johnii (respiratory ailments), various parts of C. aegagrus hircus (blood ailments, coolants, diarrhea, pulmonary and urinary ailments), flesh of Chamaeleon zeyalnica (neural ailments), meat of Passer domesticus (aphrodisiac), curd and dung of Bos primigenius taurus (dermatological ailments), meat of G. domesticus (musculo-skeletal disorders, analgesic), meat of Lissemys punctata (hemorrhoids), and Pherthima posthuma (psychological ailments). Six illness categories had low Fic values.

CONCLUSION

This study indicated that the animals are still being used by the local healers of Theni district, to treat various illnesses. Cross-disciplinary approaches to explore the full potential of animal-derived medicines will help to improve the health of local people.

Consensus analysis of sastric formulations used by non-institutionally trained siddha medical practitioners of Virudhunagar and Tirunelveli districts of Tamil Nadu, India

ETHNOPHARMACOLOGICAL RELEVANCE

Siddha system of traditional medicine has been practiced in Tamil Nadu. This system of medicine has a high number of non-institutionally trained practitioners but studies on their traditional medicinal knowledge are not adequate. The present study is aimed to document and analyze the sastric (traditional) formulations used by the non-institutionally trained siddha medical practitioners in Virudhunagar and Tirunelveli districts of Tamil Nadu, India.

METHODS

After obtaining prior informed consent, interviews were conducted with 115 non-institutionally trained siddha medical practitioners about the sastric formulations used by them for the treatment. Successive free listing method was adopted to collect the data and the data were analyzed by calculating Informant Consensus Factor (Fic) and Informant Agreement Ratio (IAR).

RESULTS

The study documented data regarding 194 sastric formulations and they were classified into plant, mineral and animal based formulations. Quantitative analysis showed that 62.5% of the formulations were plant based, while the mineral based formulations had a high mean number of citations and versatile uses. Gastrointestinal (12.0%), kapha (11.3%) and dermatological (10.8%) ailments had a high percentage of citations. Jaundice had a high Fic value (0.750) followed by the dermatological ailments. The illness categories with high Fic values under each type of formulation were as follows: jaundice, aphrodisiac and urinary ailments (plant based); jaundice, cuts & wounds and dermatological ailments (mineral based); and hemorrhoids, kapha ailments and heart ailments (animal based formulations). The scientific studies conducted with important formulations under each illness category are discussed.

CONCLUSION

The present study indicated the importance of some illnesses over the others and inclusion of new illnesses under each formulation. The ingredients used to prepare these formulations have shown varying degrees of scientific evidence; generally limited studies were available on the efficacy of them as formulations. Further in-depth studies on the formulations with high IAR value and Fic value of illness categories will be helpful to improve health status of the people.

Ethnobotanical study of Kani tribes in Thoduhills of Kerala, South India

ETHNOPHARMACOLOGICAL RELEVANCE

India is having a rich vegetation with a wide variety of plants, because of the extreme variations in geographical and climatic conditions prevailing in the country. Plants have been used since ancient times for the treatment of various ailments. Especially, Kani tribal communities in Thodu hills of Kerala meet their healthcare needs by using non-timber minor forest products and preparations based on traditional knowledge. They still depend on medicinal plants and most of them have a basic knowledge of medicinal plants which are used for first aid remedies, to treat cough, cold, fever, headache, poisonous bites and some simple ailments. The present study was initiated with an aim to identify traditional healers who are practicing herbal medicine among the Kani tribals in Thodu hills of Kerala, India and quantitatively document their indigenous knowledge on the utilization of medicinal plants, particularly most common ethnomedicinal plants.

METHODS

A field study was carried out over a period of 1 year in Thodu hills. The ethnomedicinal information was collected through interviews among the Kani traditional healers. The collected data were analyzed through use value (UV), informant consensus factor (Fic), fidelity level (FL) and relative importance (RI).

RESULTS

During the present study a total of 35 medicinal plant species belonging to 28 families and 34 genera have been documented. These plants were used to treat various diseases and ailments grouped under 14 disease categories, with the highest number of species (7) being used for liver problems, circulatory system and dermatological disorders, followed by skeleto muscular system disorders (6), and fever (5). In the study area the informant consensus about usages of medicinal plants ranges from 0.70 to 1 with an average value of 0.83. Herbs (46%) were the primary source of medicine, followed by shrubs (23%). Plumbago zeylanica (UV of 1.86) and Ocimum tenuiflorum (UV of 1.57) are the most frequently and popularly used medicinal plant species in the study area. Aristolochia tagala is rare and a vulnerable climber, Curculigo orchioides, Elephantopus scaber, Helicteres isora, Smilax zeylanica and Strychnos nux-vomica are rare species which need to be conserved for future use.

CONCLUSION

The high degree of consensus among the informants suggests that the current use and knowledge is still strong. The efficacy and safety of all the reported ethnomedicinal plants needs to be evaluated for phytochemical and pharmacological studies, especially the plants with high informant consensus factor, use value and fidelity level should be given priority to carry out bioassay and toxicity studies. We recommend the plants Plumbago zeylanica, Ocimum tenuiflorum, Artocarpus hirsutus, Andropogon muricatus, Helicteres isora, Coscinium fenestratum and Justicia adhatoda with high UV and RI values. Biophytum sensitivum, Curculigo orchioides, Strychnos nux-vomica, Gossypium hirsutum, Artocarpus heterophyllus, Elephantopus scaber, Pergularia daemia and Pyrrosia heterophylla (newly reported claims with highest FL) for further ethnopharmacological studies for the discovery of potential new drugs.

Ethnomedicinal plants used for treating epilepsy by indigenous communities of sub-Himalayan region of Uttarakhand, India

ETHNOPHARMACOLOGICAL RELEVANCE

Although many plants are claimed to possess anticonvulsant/antiepileptic (AC/AE) properties, but there is very little information available about plants used by various ethnic communities in different parts of India to treat epilepsy, one of the most common disorders of central nervous system (CNS); this communication provides significant ethnomedicinal information on the plants used by indigenous communities: Bhoxa, Tharu and nomadic Gujjars of sub-Himalayan region, Uttarakhand, India to treat epilepsy, so that it could be used as a baseline data for studying chemical constituents and biological activities of these promising plants.

AIMS OF THE STUDY

To record herbal preparations used by the presently studied communities for treating epilepsy and discuss AC/AE properties of the recorded plants.

RESEARCH STRATEGY AND METHODS

Ninety one traditional healers (29 Bhoxa, 35 Tharu and 27 nomadic Gujjars) in sub-Himalayan region of Uttarakhand, India were interviewed to collect information on herbal preparations used by them for treating epilepsy. For each recorded species the use value (UV) and fidelity level (FL) was calculated.

RESULTS

A total of 24 plants belonging to 24 genera and 22 families were used by the presently studied communities in 26 formulations to treat epilepsy. According to FL and UV values, most preferred species for the treatment of epilepsy by Bhoxa community are Ricinus communis L. and Datura stramonium L.; by nomadic Gujjar community are Martynia annua L., Bacopa monnieri (L.) Wettst. and Ricinus communis L.; and by Tharu community are Allium sativum L., Asparagus racemosus Willd. and Achyranthes aspera L. Eight plants viz., Allium sativum L., Boerhavia diffusa L., Cassia fistula L., Clerodendrum viscosum Vent., Datura stramonium L., Inula cappa DC., Oroxylum indicum (L.) Kurz and Pavetta indica L. recorded in the present survey have been reported for the first time in treatment of epilepsy by these indigenous communities in India. Five out of these eight newly reported plants viz., Cassia fistula L., Clerodendrum viscosum Vent., Inula cappa DC., Oroxylum indicum (L.) Kurz and Pavetta indica L. have not been pharmacologically evaluated yet for their possible AC/AE properties.

CONCLUSIONS

Detailed research on the listed plants and their derivatives may be undertaken to provide new alternative treatments and therapeutic uses for epilepsy or other diseases of CNS. We hope that this article will stimulate further investigations into natural products for new AC/AE agents from the recorded ethnomedicinal plants.

Can scientific evidence support using Bangladeshi traditional medicinal plants in the treatment of diarrhoea? A review on seven plants

Diarrhoea is a common disease which causes pain and may be deadly, especially in developing countries. In Bangladesh, diarrhoeal diseases affect thousands of people every year, and children are especially vulnerable. Bacterial toxins or viral infections are the most common cause of the disease. The diarrhoea outbreaks are often associated with flood affected areas with contaminated drinking water and an increased risk of spreading the water-borne disease. Not surprisingly, plants found in the near surroundings have been taken into use by the local community as medicine to treat diarrhoeal symptoms. These plants are cheaper and more easily available than conventional medicine. Our question is: What is the level of documentation supporting the use of these plants against diarrhoea and is their consumption safe? Do any of these plants have potential for further exploration? In this review, we have choosen seven plant species that are used in the treatment of diarrhoea; Diospyros peregrina, Heritiera littoralis, Ixora coccinea, Pongamia pinnata, Rhizophora mucronata, Xylocarpus granatum, and Xylocarpus moluccensis. Appearance and geographical distribution, traditional uses, chemical composition, and biological studies related to antidiarrhoeal activity will be presented. This review reveals that there is limited scientific evidence supporting the traditional use of these plants. Most promising are the barks from D. peregrina, X. granatum and X. moluccensis which contain tannins and have shown promising results in antidiarrhoeal mice models. The leaves of P. pinnata also show potential. We suggest these plants should be exploited further as possible traditional herbal remedies against diarrhoea including studies on efficacy, optimal dosage and safety.

Ethnobotanical study of medicinal plants used for the treatment of malaria in plateau of Allada, Benin (West Africa)

BACKGROUND

Malaria remains one of the most important illnesses in sub-Saharan Africa. In Benin, it constitutes a major public health preoccupation particularly for children and pregnant women. Until now, population still mostly relies on herbal medicine for malaria healing. Hence this study was carried out to document the medicinal plants used in the plateau of Allada in Benin and to assess local knowledge on traditional medicine in the management of malaria and related symptoms.

MATERIALS AND METHODS

Data were collected from 53 informants composed of 23 traditional healers and 30 medicinal plants sellers using a structured questionnaire.

RESULTS

A total of 82 plants species belonging to 78 genera in 43 plant families were recorded as antimalarial in the study area. The families of Rubiaceae and Caesalpiniaceae were the most represented with seven species each. High informant consensus factor (ICF) was recorded in the treatment of malaria (ICF=0.90). High fidelity level (FL=100%) was also recorded for 45.67% of the species used as antimalarial. Dichapetalum madagascariense was the species of high relative frequency of citation (RFC=0.81). The dominant plant parts used in the preparation of remedies were leaves (68%). The decoction (79%) was the main mode of preparation, while oral route (92%) was the principal route of remedies administration.

CONCLUSION

This study provides plant species used in the plateau of Allada for malaria and related symptoms treatment. We hope that this study could be important for the conservation of traditional knowledge on the antimalarial plants and the improvement of malaria management. However, several plant species used as antimalarial by the traditional medicine practitioners in the study area need to be screened in order to identify the species having antiplasmodial activity.

Quantitative ethnobotany of traditional Siddha medical practitioners from Radhapuram taluk of Tirunelveli District, Tamil Nadu, India

ETHNOBOTANICAL RELEVANCE

The aim of the present study was to document the knowledge of traditional Siddha medical practitioners from Radhapuram taluk of Tirunelveli district in Tamil Nadu, India, and to quantitatively analyze the data to identify some useful leads for further studies.

MATERIALS AND METHODS

Successive free listing was the method adopted for the interview. In this study, 84 traditional Siddha medical practitioners were included and their knowledge on medicinal plants was gathered. The data were assessed with the help of two indices viz., Informant Consensus Factor (F(ic)) and Informant Agreement on Remedies (IAR).

RESULTS

The present survey is in accordance with some of the aspects of our previous surveys. Regarding the demography of the informants, it exhibited unevenness in male-female ratio and majority of the informants were poorly educated. Practicing this system of medicine as part time job by majority of the informants might indicate the reduced social status of this medicinal system. The present study had recorded the usage of 217 species which were used to prepare 448 formulations, which in turn yielded 812 use reports. Conversion of use reports had yielded a total of 625 claims and 84.16% of the claims were 'singletons'. The illness category 'adjuvants' holds a high F(ic) value. Among the other illness categories, kapha ailments and dermatological ailments have a high percentage of use-reports. Ailments of blood, jaundice and fever were the other illness categories with high F(ic) values. Some of the claims viz., Mukia madarasepatana (kapha ailments), Mollugo nudicaulis (febrifuge), Indigofera asphalathoides (dermatological ailments), Aerva lanata (urinary ailments), Abutilon indicum (hemorrhoids) and Hybanthus enneaspermus (aphrodisiac), which have relatively high consensus can be taken up for further biomedical studies, since no substantial studies have been conducted on them.

CONCLUSION

One of the major aims of National Rural Health Mission is to implement traditional Indian system of medicines into the main stream. In such scenario, scientific validation of community-based local health traditions becomes necessary for their rational implementation. Through this study we have highlighted some claims which are at high use in the study area but having little scientific support. Studies on such claims will provide scientific base which in turn will be useful to improve the health of indigenous people.

Ethnopharmacological survey of native remedies commonly used against infectious diseases in the tropical island of Mauritius

ETHNOPHARMACOLOGICAL RELEVANCE

Infectious diseases (IDs) still remain a major cause of mortality and morbidity worldwide. This study has been geared to gather primary ethnopharmacological information on common native remedies (NRs) used to treat and/or manage common infectious diseases from different regions of Mauritius, a tropical multicultural island in the Indian Ocean. Given the dearth of updated information on traditional medicine of Mauritius, this work can provide an opportunity to establish valuable primary information on the different NRs used by the local people and hence open new perspectives for further pharmacological research.

AIM OF THE STUDY

To collect, preserve and document primary ethnopharmacological data from the local population concerning NRs commonly used against IDs in the tropical island of Mauritius.

MATERIALS AND METHODS

Face to face interviews were conducted with Mauritians and herbalists (n=307) using a semi-structured questionnaire. Quantitative ethnobotany parameters such as informant consensus factor (F(IC)), fidelity level (FL), use value (UV) and variety of use (VU) were used for herbal and animal products. Statistical analysis such as Pearson correlation and Chi-squared test were performed to delineate any association.

RESULTS

It was found that 94.8% of the local people claimed that managing IDs with NRs was part of their culture and have been using it since childhood. A total of 39 plant species belonging to 24 families and 9 animal species were reported to be traditionally used in the formulation of herbal remedies and animal products, respectively. Sociodemographic characteristics (gender, age, place of residence and income) had a significant (p<0.01) impact on the use of these NRs. The most relevant family contributing much to the medicinal flora was Zingiberaceae (No of citation=301). The average F(IC) for all ailments for medicinal plants and animal products were 0.963 and 0.972, respectively. Acalypha indica L. had the highest FL (0.83) for skin and subcutaneous tissue problems. Panoply of animal products (Anguilla japonica, Periplaneta americana and Helix aspersa) were culturally used, whereby products from Bos taurus, (42.0%) were the most utilized zootherapy. Other remedies used in concurrence with herbal and animal products involved cultural rituals and prayers that were never reported in previous studies. Therapeutic properties of some herbal remedies reported correlated to some extent with those of previous studies while others have open potential perspectives for further research as their chemistry and pharmacology have not been published.

CONCLUSIONS

Given the plethora of novel information obtained from the present survey, it is obvious that the indigenous population still relies to a great extent on NRs which need to be preserved and used sustainably. Nonetheless, further research is needed to probe the possible active constituents that could be the basis of an evidence based investigation to discover new drugs.

Barriers to ART adherence & follow ups among patients attending ART centres in Maharashtra, India

Background & objectives:

Adherence to ART is a patient specific issue influenced by a variety of situations that a patient may encounter, especially in resource-limited settings. A study was conducted to understand factors and influencers of adherence to ART and their follow ups among patients attending ART centres in Maharashtra, India.

Methods:

Between January and March 2009, barriers to ART adherence among 32 patients at three selected ART centres functioning under national ART roll-out programme in Maharashtra, India, were studied using qualitative methods. Consenting patients were interviewed to assess barriers to ART adherence. Constant comparison method was used to identify grounded codes.

Results:

Patients reported multiple barriers to ART adherence and follow up as (i) Financial barriers where the contributing factors were unemployment, economic dependency, and debt, (ii) social norm of attending family rituals, and fulfilling social obligations emerged as socio-cultural barriers, (iii) patients’ belief, attitude and behaviour towards medication and self-perceived stigma were the reasons for sub-optimal adherence, and (iv) long waiting period, doctor-patient relationship and less time devoted in counselling at the center contributed to missed visits.

Interpretation & conclusions:

Mainstreaming ART can facilitate access and address ‘missed doses’ due to travel and migration. A ‘morning’ and ‘evening’ ART centre/s hours may reduce work absenteeism and help in time management. Proactive ‘adherence probing’ and probing on internalized stigma might optimize adherence. Adherence probing to prevent transitioning to suboptimal adherence among patients stable on ART is recommended.

Protective effect of Enicostema axillare on mutagenicity of Salmonella typhimurium by increasing free radical scavenging abilities

CONTEXT

Enicostema axillare A. Raynal (Gentianaceae) has been used in the traditional Indian system of medicine as a depurative and for the treatment of skin diseases, tumors, intermittent fever, and helminthiasis.

OBJECTIVE

E. axillare was investigated for antimutagenic and antioxidant effects.

MATERIALS AND METHODS

The antioxidant and antimutagenic activities of E. axillare fractions were determined by 2,2-diphenyl-1-picryl-hydrazyl (DPPH) radical scavenging assay and Ames test using Salmonella typhimurium tester strains TA98 and TA100 against direct-acting mutagens, such as sodium azide (NaN₃), 4-nitro-O-phenylene diamine (NPD), and mutagen needing activation, such as 2-aminofluorene (2AF). Toxicity study of these fractions was also performed.

RESULTS AND DISCUSSION

The ethyl acetate fraction showed maximum antimutagenic effect by 88.25 and 84.46% (preincubation) and 85.13 and 84.47% (coincubation) of inhibition against NaN₃ and NPD-induced mutagenicity, respectively. Inhibition of S9-dependent mutagens such as 2AF was higher than direct-acting mutagens by the ethyl acetate fraction of E. axillare. It showed 90.25 and 92.00% of inhibition in the preincubation and coincubation experiments. The ethyl acetate fraction showed higher total antioxidant capacity (24.79 ± 0.29 µg) and low IC₅₀ value for DPPH radical scavenging assay (192.27 ± 3.67 µg). The overall effect of E. axillare fractions was found to be in the order: ethyl acetate > methanol > hexane in these assays. In subacute toxicity study, with oral administration of these fractions, no marked biochemical and histopathologic changes were observed.

CONCLUSION

The significant antimutagenic and antioxidant activities of E. axillare might provide a scientific validation for the traditional use of this plant.

Immunomodulatory potential of Enicostema axillare (Lam.) A. Raynal, a traditional medicinal plant

ETHNOPHARMACOLOGICAL RELEVANCE

Enicostema axillare (Lam.) A. Raynal., (Gentianaceae) has been used in traditional Indian system of medicine as depurative and for the treatment of psoriasis, intermittent fever and cancer. Ethnobotanical survey conducted in Theni District indicated a high consensus for this plant as blood purifier and to treat dermatopathy and venereal infections. The present study evaluated the immunomodulatory activity of the methanol extract of Enicostema axillare.

MATERIALS AND METHODS

In vivo immunomodulatory activity of Enicostema axillare methanol extract (100 and 200mg/kg b.w) was evaluated by assessing its effect on the total and differential leukocyte count, organ weight, hemaggultinating antibody titer, plaque forming cells, quantitative hemolysis of SRBC and delayed type hypersensitivity. Sheep red blood cells (SRBC, 5×10(8)cells/0.1mL) were used to immunize the animals. In vitro immunomodulatory potential of the extract was studied using peritoneal macrophages by evaluating its effects on NBT reduction, NO production and cytokine release.

RESULTS

The animals treated with Enicostema axillare methanol extract showed a significant (P≤0.05) increase in weight of the thymus and spleen. The total leukocyte and lymphocyte count was increased significantly (P<0.005) by the treatment. There was no significant alteration in neutrophil count. A dose dependent increase in antibody titer value was observed. A decreased response to DTH reaction induced by SRBC was recorded. A potential phagocytic response was seen on treatment with the extracts at 10 and 25μg/mL. The extract inhibited the release of pro-inflammatory cytokines and production of NO significantly in a dose dependent manner.

CONCLUSION

These findings suggested that the methanol extract of Enicostema axillare acted on both humoral and cell mediated immune functions and decreased the release of pro-inflammatory cytokines in the peritoneal macrophages.

Cross-cultural comparison of medicinal floras used against snakebites

ETHNOPHARMACOLOGICAL RELEVANCE

Envenomation causes an estimated 1.8-2.5 million incidences per year with a mortality level of 100-125,000 persons annually and more than 100,000 individuals suffer from severe complications, which may end in amputation of the attacked limb. The use of plants is a major part of the traditional practitioners' treatment of snakebites.

MATERIALS AND METHODS

A database was created for plants used to treat snakebites worldwide. From this database, we selected five countries with a high number of entries and representing different cultures, geography and floristic zones: Brazil, Nicaragua, Nepal, China and South Africa. The datasets were analysed by regression and binominal analysis to see if any family or genus used against snakebites was overrepresented in the respective traditional medicinal systems relative to the abundance in the local flora. The families from the different geographical areas were compared to ascertain whether the same plant families are preferred by different peoples.

RESULTS

Three 'hot' families (Apocynaceae, Lamiaceae and Rubiaceae) were recovered in at least two of the five compared countries in the regression analyses and one 'hot' family (Zingiberaceae) was recovered in two of the compared countries in the binomial analyses. Four out of five floras possess families identified as outliers in both regression and binomial analyses. Eight families were recovered by both the binomial and the regression analysis (40-62% of all highlighted families respectively). At the genus level, only Piper (Piperaceae) was recovered as a 'hot' genus in at least two floras. Seven genera were highlighted by both analyses (25-44% of the highlighted genera).

CONCLUSIONS

Cross-cultural comparison of medicinal floras used against snakebites appears to be useful for highlighting candidate families and genera for further studies.

Traditional phytotherapy remedies used in Southern Rwanda for the treatment of liver diseases

ETHNOPHARMACOLOGICAL RELEVANCE

Liver diseases represent a major health problem due to their complications and limited treatment possibilities. In Rwanda, given low accessibility to modern treatments, most people still rely on traditional medicinal plants. The symptomatology of many hepatic troubles (icterus) is evident for traditional healers who have a high probability of selecting efficient herbal medicines.

OBJECTIVES

To document medicines used in the treatment of "hepatitis" in Southern Rwanda with the knowledge, attitudes and practices related to liver disorder recognition, control and treatment.

MATERIALS AND METHODS

56 traditional health practitioners, each a legal representative of an official association, were interviewed and participated in plant collection for the preparation of botanically identified herbarium specimens.

RESULTS

68 multi-component and 65 single-component herbal recipes were identified for the treatment of liver diseases with a total of 86 different herbs from 34 families identified. The most represented were the Asteraceae and the Lamiaceae. Crassocephalum vitellinum, Hypoestes triflora and Erythrina abyssinica were the most widely used plants. The principle of polymedication for complex (i.e. multifactorial) diseases ("Ifumbi" in Rwanda), is a constant in every traditional practice. It is striking that the Rwandese therapy of liver diseases proposes so many single-herb preparations (49% of all herbal preparations). Some of the recorded plants or other species from the same genus have previously been documented for liver protection using various in vivo and in vitro models.

CONCLUSION

Herbal remedies for hepatitis are widely used and highly diverse in Southern Rwanda; further chemical, pharmacological and toxicological studies are clearly required to rationally develop the most important remedies.

Traditional healers and laypeople: a qualitative and quantitative approach to local knowledge on medicinal plants in Muda (Mozambique)

ETHNOPHARMACOLOGICAL RELEVANCE

Through this study, relevant information was gathered on the knowledge about medicinal remedies in some rural communities of Muda (central Mozambique). The use of 198 different medicinal plants has been recorded and a significant number of medicinal species and uses new for Africa and particularly for Mozambique has been detected. Our investigation appears to be the first comparing knowledge about medicinal plants between laypeople and traditional healers and also between the two kinds of healers (curandeiros and profetas).

MATERIALS AND METHODS

Ethnobotanical data were gathered through semi-structured interviews with 67 informants: 9 curandeiros (traditional healers believed to be guided by spirits), 12 profetas (independent Pentecostal churches "prophets" healing both souls and bodies) and 46 untrained lay villagers. Data were entered in a data base and processed, also by means of suitable quantitative indexes.

RESULTS

A total of 546 citations were recorded for 198 different ethnospecies (i.e. basic ethno-taxonomical units). The species with the highest cultural value (estimated with Cultural Importance index) resulted to be Ximenia caffra (CI=0.224), Zanha golungensis (CI=0.194) Vernonia colorata (CI=0.149) and Ozoroa reticulata and Holarrhena pubescens (both with CI=0.134). Eight out of the 162 identified plants mentioned by the informants were not previously recorded as medicinal plants in Africa: Cissus bathyrhakodes, Clematis viridiflora, Combretum goetzei, Dioscorea cochleari-apiculata, Grewia pachycalyx, Indigofera antunesiana, Ipomoea consimilis, Tricliceras longipedunculatum. More than half of the species reported by our informants and already known as medicinal in Africa resulted to be newly documented for Mozambique. Comparing the mean number of species known by each informant group, statistically significant differences were observed both between curandeiros and laypeople and between profetas and laypeople. No significant differences emerged instead between curandeiros and profetas. Yet, even laypeople proved to hold quite a good knowledge about medicinal remedies; women in particular use several different plants to heal common diseases of the whole family, mostly for children and female health problems.

CONCLUSIONS

The high number of plants and uses recorded demonstrates that in the study area ethnobotanical knowledge is still quite rich and alive. The finding of many medicinal plants and uses new for Mozambique or even Africa shows the importance of recording this knowledge before it vanishes, also as a basis for further investigations on possible pharmacological properties of local plants. The lack of health infrastructures in Muda results in the need for lay villagers of acquiring and developing a rather high degree of knowledge about plants remedies; in a different interaction between healers and lay villagers, compared to urban areas; ultimately, in a different distribution and wider spread of traditional knowledge on medicinal plants.

Documentation and quantitative analysis of the local knowledge on medicinal plants among traditional Siddha healers in Virudhunagar district of Tamil Nadu, India

ETHNOPHARMACOLOGICAL RELEVANCE

India has a population with high degree of medical pluralism. Siddha system of Indian traditional medicine is practiced dominantly by the people in Tamil Nadu. The traditionally trained Siddha healers still play an important role in the rural health care. Their knowledge is comparatively more vulnerable than the documented traditional knowledge. Thus, the present study was aimed to document and quantitatively analyze the local knowledge of the traditional Siddha healers in Virudhunagar district of Tamil Nadu, India.

MATERIALS AND METHODS

The results presented in this paper are the outcome of series of interviews conducted between January and August, 2010 consisting of 196 field days. After getting prior informed consent, interviews were conducted and successive free-listing was used in the interviews in order to make informants cite the medicinal plants that they have used. By this way 96 healers were interviewed and their data were quantitatively analyzed using various indices such as Informant Consensus Factor (F(ic)), Fidelity Level (FL), Informant Agreement on Remedies (IAR) and Cultural Importance Index (CII).

RESULTS

This study recorded the ethno-medicinal usage of 227 species which were used to prepare 611 formulations for the treatment of 36 illness categories. The knowledge holders had the experience of minimum 20 years. There was unevenness in male-female ratio. Regarding the medicinal plants, easily available plants were holding significantly high number of citations, IAR and CII values. Nine illness categories had a high F(ic) value, compared to others. Species with high citations in these groups were Moringa oleifera (aphrodisiacs), Acalypha indica (dermatological ailments), Dodonaea viscosa (musculo-skeletal disorders), Solanum trilobatum (pulmonary ailments), Phyllanthus amarus (jaundice), Piper nigrum (adjuvant) Allium cepa (hemorrhoids), Azadirachta indica (antiseptic) and Tribulus terrestris (urinary ailments).

CONCLUSION

Quantitative analysis of the data had revealed that the easily available species hold a high consensus and cultural importance. Future biomedical studies using the medicinal plants enumerated in this study, particularly those with high number of citations and high F(ic) values might yield some novel prototypes. Such studies will also be useful to assess the efficacy and safety of these herbal treatments to take decisions on the health care of rural India.

Lysosomal membrane stabilization and anti-inflammatory activity of Clerodendrum phlomidis L.f., a traditional medicinal plant

ETHNOPHARMACOLOGICAL RELEVANCE

Clerodendrum phlomidis L.f., is used to treat several inflammatory diseases and arthritis in Indian traditional system and folk medicine.

AIM OF THE STUDY

The aim of the present study was to evaluate the scientific basis of antiinflammatory activity of different organic solvent extracts of Clerodendrum phlomidis and to evaluate the active crude extract for its antiarthritic activity in FCA induced animal model.

MATERIALS AND METHODS

The antiinflammatory activity of Clerodendrum phlomidis was studied using the carrageenan and cotton pellet induced inflammatory models. The crude ethanol extract was standardized with the known standard using HPLC. The antiarthritic activity was studied using Freund's complete adjuvant induced rat model. For antiarthritic activity, the active crude extract was administered at the concentrations of 100, 200 and 400mg/kg body weight. The effect of the ethanol extract on serum SGOT, SGPT, ALP, levels of pro-inflammatory cytokines, plasma lysosomal enzymes and protein bound carbohydrates of FCA arthritic animals were studied.

RESULTS

The ethanol extract at 100, 200, and 400mg/kg, showed maximum inhibition of inflammation induced by carrageenan (100 mg/kg-47.73%; 200 mg/kg-54.00% and 400 mg/kg-65.15%). In cotton pellet induced granuloma, the ethanol extract at different concentrations showed significant reduction in granuloma weight. In FCA induced arthritis, the ethanol extract showed a significant reduction in paw thickness (100 mg/kg-51.71%; 200 mg/kg-57.58% and 400 mg/kg-62.48%). The levels of lysosomal enzymes and protein bound carbohydrates were significantly decreased in the ethanol extract treated groups compared with the arthritic control. The pro-inflammatory cytokine levels were significantly decreased in a dose dependent manner in all the Clerodendrum phlomidis treated groups.

CONCLUSION

Clerodendrum phlomidis displays considerable potency in antiinflammatory action and has prominent antiarthritic effect on adjuvant induced arthritis. Future studies will provide new insights into the antiinflammatory activity of Clerodendrum phlomidis and isolation of compound from it may eventually lead to development of a new class of antiinflammatory agent.

Ethnobotanical survey of medicinal plants commonly used by Kani tribals in Tirunelveli hills of Western Ghats, India

ETHNOPHARMACOLOGICAL RELEVANCE

For thousands of years, medicinal plants have played an important role throughout the world in treating and preventing a variety of diseases. Kani tribal people in Tirunelveli hills still depend on medicinal plants and most of them have a general knowledge of medicinal plants which are used for first aid remedies, to treat cough, cold, fever, headache, poisonous bites and some simple ailments.

AIM OF THE STUDY

The present study was initiated with an aim to identify traditional healers who are practicing herbal medicine among the Kani tribals in Tirunelveli hills of Western Ghats, India and quantitatively document their indigenous knowledge on the utilization of medicinal plants particularly most common ethnomedicinal plants.

METHODS

Field study was carried out over a period of 4 years in Tirunelveli hills. The ethnomedicinal information was collected through interviews among the Kani traditional healers. The collected data were analyzed through use value (UV), informant consensus factor (F(ic)), fidelity level (FL) and relative importance (RI).

RESULTS

A total of 90 species of plants distributed in 83 genera belonging to 52 families were identified as commonly used ethnomedicinal plants by the Kani traditional healers in Tirunelveli hills for the treatment of 65 types of ailments. These ailments were categorized into 15 ailment categories based on the body systems treated. Leaves were the most frequently used plant parts and most of the medicines were prepared in the form of paste and administered orally. F(ic) values of the present study indicated that there was a high agreement in the use of plants in the treatment of jaundice and diabetes among the users. Dermatological infections/diseases and gastro-intestinal disorders had highest use-reports and 29 species of plants had the highest fidelity level of 100%. The most important species according to their use value were Gymneme sylvestre (2.00), Melia azedarach, Murraya koenigii, Syzygium cumini and Terminalia chebula (1.83).

CONCLUSION

As a result of the present study we can recommend the plants Alpinia galanga, Azadirachta indica, Calophyllum inophyllum, Gymnema sylvestre, Leucas aspera, M. azedarach, Mollugo nudicaulis, Ocimum tenuiflorum, S. cumini, T. chebula and Tribulus terrestris (with high UV and RI values), Bambusa arundinacea, Datura metel, Evolvulus nummularius, Opuntia dillenii and Physalis minima (newly reported claims with highest FL) for further ethnopharmacological studies for the discovery of potential new drugs.

From the field into the lab: useful approaches to selecting species based on local knowledge

Ethnopharmacological field studies are indispensable for identifying plants that can be selected for their pharmacological effects and chemical composition. Although the subjective interpretation of results by the researcher is crucial, quantitative data analysis is a useful tool to identify the most promising pharmacological plants. It has been stated that such semi-quantitative information increases the likelihood of finding promising ethnopharmacological leads, but so far no critical review has assessed what standards best meet the requirements of biomedical research. Systematic database searches using SCOPUS, Science Direct, Web of Knowledge, Science Citation Index, and Medline with the keywords “ethnobotany,” “ethnopharmacology,” “index,” and “consensus” in research from the last 5 years form the basis of the current analysis, which identifies particularly useful tools like factor of informant consensus, fidelity level, use-value, and relative importance. A key feature for further field studies is that they should provide clear information on a range of topics like; detailed data of the importance of these resources within a culture, data of the uses of the species, how and where the plants are collected, drying and storage processes, preparation method, used doses, and administration. In addition, they must include a collection of records about how the people feel after the plant use, disappearance of specific symptoms and possible side effects.