Pharmaceutical ethnobotany in the Riverside of Navarra (Iberian Peninsula)

Deciphering Neuroprotective Effect of Rosmarinus officinalis L. (syn. Salvia rosmarinus Spenn.) through Preclinical and Clinical Studies

Rosmarinus officinalis L. (RO, rosemary) is a well-known medicinal, aromatic, and culinary herb with traditional use in European folk medicine against memory deficits and neurodegenerative disorders. This review highlights the different neuroprotective activities of RO investigated in both preclinical and clinical studies, as well as in silico molecular docking of bioactive compounds found in RO. The neuroprotective effect of RO was searched through databases including PubMed, Web of Science (WoS), Scopus, and Clinical Trials using the keywords "Rosmarinus officinalis, rosemary, neuroprotective effect, memory, cognitive dysfunction, Alzheimer's disease." RO, which is rich in secondary metabolites that have memory-enhancing potential, has displayed neuroprotection through different molecular mechanisms such as inhibition of cholinesterase, modulation of dopaminergic and oxytocinergic systems, mediation of oxidative and inflammatory proteins, involved in neuropathic pain, among others. RO extracts exhibited antidepressant and anxiolytic activities. Also, the plant has shown efficacy in scopolamine-, lipopolysaccharide-, AlCl3-, and H2O2-induced amnesia as well as amyloid-beta- and ibotenic acid-induced neurotoxicity and chronic constriction injury-related oxidative stress memory and cognitive impairments in animal models. A few clinical studies available supported the neuroprotective effects of RO and its constituents. However, more clinical studies are needed to confirm results from preclinical studies further and should include not only placebo-controlled studies but also studies including positive controls using approved drugs. Many studies underlined that constituents of RO may have the potential for developing drug candidates against Alzheimer's disease that possess high bioavailability, low toxicity, and enhanced penetration to CNS, as revealed from the experimental and molecular docking analysis.

Genus Equisetum L: Taxonomy, toxicology, phytochemistry and pharmacology

INTRODUCTION

The genus Equisetum (Equisetaceae) is cosmopolitan in distribution, with 41 recognized species. Several species of Equisetum are widely used in treating genitourinary and related diseases, inflammatory and rheumatic problems, hypertension, and wound healing in traditional medicine practices worldwide. This review intends to present information on the traditional uses, phytochemical components, pharmacological activities, and toxicity of Equisetum spp. and to analyze the new insights for further study.

METHODS

Relevant literature has been scanned and collected via various electronic repositories, including PubMed, Science Direct, Google Scholar, Springer Connect, and Science Online, from 1960 to 2022.

RESULTS

Sixteen Equisetum spp. were documented as widely used in traditional medicine practices by different ethnic groups throughout the world. A total of 229 chemical compounds were identified from Equisetum spp. with the major group of constituents being flavonol glycosides and flavonoids. The crude extracts and phytochemicals of Equisetum spp. exhibited significant antioxidant, antimicrobial, anti-inflammatory, antiulcerogenic, antidiabetic, hepatoprotective, and diuretic properties. A wide range of studies have also demonstrated the safety of Equisetum spp.

CONCLUSION

The reported pharmacological properties of Equisetum spp. support its use in traditional medicine, though there are gaps in understanding the traditional usage of these plants for clinical experiments. The documented information revealed that the genus is not only a great herbal remedy but also has several bioactives with the potential to be discovered as novel drugs. Detailed scientific investigation is still needed to fully understand the efficacy of this genus; hence, very few Equisetum spp. were studied in detail for phytochemical and pharmacological investigation. Moreover, its bioactives, structure-activity connection, in vivo activity, and associated mechanism of action ought to be explored further.

Exploring Iberian Peninsula Lamiaceae as Potential Therapeutic Approaches in Wound Healing

Skin tissue has a crucial role in protecting the human body from external harmful agents, preventing wounds that frequently demand proper healing approaches. The ethnobotanical knowledge of specific regions with further investigation on their medicinal plants has been paramount to create new and effective therapeutical agents, including for dermatological purposes. This review attempts, for the first time, to investigate the traditional applications of Lamiaceae medicinal plants that are already used by local communities in the Iberian Peninsula in wound healing. Henceforward, Iberian ethnobotanical surveys were reviewed, and the information about the traditional wound healing practices of Lamiaceae was comprehensively summarized. Afterwards, the scientific validation of each Lamiaceae species was exhaustively checked. From this, eight out of twenty-nine Lamiaceae medicinal plants were highlighted by their wound-related pharmacological evidence and are in-depth presented in this review. We suggest that future studies should focus on the isolation and identification of the active molecules of these Lamiaceae, followed by robust clinical trials that may confirm the security and effectiveness of such natural-based approaches. This will in turn pave the way for more reliable wound healing treatments.

Traditional uses, phytochemistry, pharmacology and toxicology of garlic (Allium sativum), a storehouse of diverse phytochemicals: A review of research from the last decade focusing on health and nutritional implications

Allium sativum L. (Garlic) is a fragrant herb and tuber-derived spice that is one of the most sought-after botanicals, used as a culinary and ethnomedicine for a variety of diseases around the world. An array of pharmacological attributes such as antioxidant, hypoglycemic, anti-inflammatory, antihyperlipidemic, anticancer, antimicrobial, and hepatoprotective activities of this species have been established by previous studies. A. sativum houses many sulfur-containing phytochemical compounds such as allicin, diallyl disulfide (DADS), vinyldithiins, ajoenes (E-ajoene, Z-ajoene), diallyl trisulfide (DATS), micronutrient selenium (Se) etc. Organosulfur compounds are correlated with modulations in its antioxidant properties. The garlic compounds have also been recorded as promising immune-boosters or act as potent immunostimulants. A. sativum helps to treat cardiovascular ailments, neoplastic growth, rheumatism, diabetes, intestinal worms, flatulence, colic, dysentery, liver diseases, facial paralysis, tuberculosis, bronchitis, high blood pressure, and several other diseases. The present review aims to comprehensively enumerate the ethnobotanical and pharmacological aspects of A. sativum with notes on its phytochemistry, ethnopharmacology, toxicological aspects, and clinical studies from the retrieved literature from the last decade with notes on recent breakthroughs and bottlenecks. Future directions related to garlic research is also discussed.

Aqueous extracts of Urtica dioica (stinging nettle) leaf contain a P2-purinoceptor antagonist-Implications for male fertility

Stinging nettle root and leaf extracts were tested for their effect on prostatic smooth muscle contractility. Root extract did not affect electrical field stimulation induced-nerve mediated contractions of isolated rat prostates. On the other hand, leaf extract attenuated electrical field stimulation-induced contractions at all frequencies. Similarly, contractions elicited by exogenous administration of ATP and αβ-methylene ATP were inhibited by leaf extract, whereas contractions elicited by exogenous administration of noradrenaline or acetylcholine were unaffected. The active component was present within the aqueous phase of the leaf extract. In mouse mating studies, stinging nettle leaf extract (50 mg p.o. daily) reduced male fertility by 53% compared to vehicle-treated male mice. Cardiovascular parameters were unaffected by administration of stinging nettle leaf extract (p ≥ 0.057). Treated mice exhibited normal mating behaviour. Bladder and testes weighed less in stinging nettle leaf extract treated mice. All other organs and total body weight were unaffected. It is concluded that stinging nettle leaf extract reduces contractility of genitourinary smooth muscle by acting as an antagonist at postjunctional P2X1-purinoceptors. These data indicates that blocking sperm transport through pharmacological blockade of P2X1-purinoceptors via oral administration is consistent with an effective and convenient biological strategy male contraception.

Treatment of Benign Prostatic Hyperplasia by Natural Drugs

Benign prostatic hyperplasia (BPH) is one of the most common urinary diseases affecting men, generally after the age of 50. The prevalence of this multifactorial disease increases with age. With aging, the plasma level of testosterone decreases, as well as the testosterone/estrogen ratio, resulting in increased estrogen activity, which may facilitate the hyperplasia of the prostate cells. Another theory focuses on dihydrotestosterone (DHT) and the activity of the enzyme 5α-reductase, which converts testosterone to DHT. In older men, the activity of this enzyme increases, leading to a decreased testosterone/DHT ratio. DHT may promote prostate cell growth, resulting in hyperplasia. Some medicinal plants and their compounds act by modulating this enzyme, and have the above-mentioned targets. This review focuses on herbal drugs that are most widely used in the treatment of BPH, including pumpkin seed, willow herb, tomato, maritime pine bark, Pygeum africanum bark, rye pollen, saw palmetto fruit, and nettle root, highlighting the latest results of preclinical and clinical studies, as well as safety issues. In addition, the pharmaceutical care and other therapeutic options of BPH, including pharmacotherapy and surgical options, are discussed, summarizing and comparing the advantages and disadvantages of each therapy.

Glycyrrhiza Genus: Enlightening Phytochemical Components for Pharmacological and Health-Promoting Abilities

The Glycyrrhiza genus, generally well-known as licorice, is broadly used for food and medicinal purposes around the globe. The genus encompasses a rich pool of bioactive molecules including triterpene saponins (e.g., glycyrrhizin) and flavonoids (e.g., liquiritigenin, liquiritin). This genus is being increasingly exploited for its biological effects such as antioxidant, antibacterial, antifungal, anti-inflammatory, antiproliferative, and cytotoxic activities. The species Glycyrrhiza glabra L. and the compound glycyrrhizin (glycyrrhizic acid) have been studied immensely for their effect on humans. The efficacy of the compound has been reported to be significantly higher on viral hepatitis and immune deficiency syndrome. This review provides up-to-date data on the most widely investigated Glycyrrhiza species for food and medicinal purposes, with special emphasis on secondary metabolites' composition and bioactive effects.

An Ethnobotanical Study of Medicinal Plants in Mersin (Turkey)

This comprehensive ethnobotanical study carried out in Mersin province, which is located in the southern part of Anatolia, east of the Mediterranean Sea, compiles details on plants used in folk medicine and ethnopharmacological information obtained through face-to-face interviews. The aim was to collect and identify plants used for therapeutic purposes by local people and to record information on traditional herbal medicine. Plant specimens were collected in numerous excursions. Additionally, informant consensus factor and use value (UV) were calculated for information gathered. This study identifies 93 plant taxa belonging to 43 families and records their usage in folk medicine; 83 taxa are wild and the remaining 10 are cultivated. The most commonly used plants belong to Lamiaceae, representing 15.0% of the total, while the Rosaceae, Malvaceae, Hypericaceae, Asteraceae and Cupressaceae families each represented another 5.4%. As a result of this investigation, we determine 189 medicinal usages of 93 taxa. The UV values indicate that the most important medicine plants are Hypericum perforatum (0.80), Cedrus libani (0.78), Quercus coccifera (0.77), Arum dioscoridis (0.76) and Juniperus drupaceae (0.74). We observed that most of the drugs are prepared using the infusion method (27.6%). As a conclusion, the study finds that traditional folk medicine usage is still common, especially among the rural population of Mersin.

Ethnobotanical Research and Compilation of the Medicinal Uses in Spain and the Active Principles of Chiliadenus glutinosus (L.) Fourr. for the Scientific Validation of Its Therapeutic Properties

The species Chiliadenus glutinosus (L.) Fourr. has a large number of therapeutic uses reported in the traditional Spanish medicine. The growing interest in preserving the ethnopharmacological knowledge related to the botanical diversity existing in Spain and the interest in achieving scientific validation of the therapeutic properties of medicinal species has led to the development of this study. To do it, all the known medicinal uses of Ch. glutinosus in Spain were compiled, then an exhaustive bibliographic research on its chemical composition was carried out, and finally, an in silico validation of the bioactive phytochemicals present in a higher proportion in the essential oil of Ch. glutinosus: camphor, borneol, lucinone, glutinone, quercetin, kutdtriol, and kaempferol; in an attempt to justify the reported traditional uses of the species. It was found that much of the traditional medicinal uses of Ch. glutinosus, along with the biological activity of its phytochemicals, are supported by scientific evidence. The results place this species in a prominent position to initiate possible lines of research to develop new, more effective drugs and improve therapies to treat conditions and diseases that affect the different organic systems of the human being.

Medicinal plants/herbal supplements as female aphrodisiacs: Does any evidence exist to support their inclusion or potential in the treatment of FSD?

ETHNOPHARMACOLOGICAL RELEVANCE

Female Sexual Dysfunction is a complex condition with biopsychosocial origins. Plants traditionally used as aphrodisiacs may be promising as routes to develop therapeutic options which are lacking.

AIM

To distinguish the plants commonly used in (AP) on the market in the United States, and to evaluate their ethnobotanical and clinical evidence as a basis for their inclusion.

METHODS

This study is a narrative review of 53 species commonly found in AP on the market in the United States. Most species listed have anecdotal use as aphrodisiacs throughout history; therefore, a systematic search was done for clinical evidence. The primary outcome assessed is the clinical efficacy of plants in the treatment of libido desire disorders.

RESULTS

There is little to no evidence from the literature to substantiate claims of plants currently on the market as AP for female libido desire disorders.

CONCLUSIONS

The biggest problem in the literature is the lack of botanical verification and consistency in material across studies. Any botanical, commercial or otherwise must be tested for chemical markers exhibited by individual species; however, if no markers exist, work must first be done to determine these. Appropriate analytical techniques for this would include high pressure liquid chromatography, and mass spectroscopy. It would also be sufficient to taxonomically authenticate species provided the plant material. Further research should aim to standardize plant material and extraction methods utilized in order to compare studies effectively and allow for reproducibility to draw conclusions. While clear interest into investigation the aphrodisiac potential of plants exists, a translatable in vivo animal model does not. Clinical trials rely on patient reported outcomes to determine efficacy but cost and length of such trials deem a necessity for development of an animal model to first screen botanicals. We suggest development of screening tools utilizing the evident neurobiological underpinnings of FSD as the first step. In general, studies of plants currently used as ingredients for AP are severely lacking, and even so the evidence that exists is weak.

Ethnobotanical survey of medicinal plants used by nomadic peoples in the Algerian steppe

ETHNOPHARMACOLOGICAL RELEVANCE

This study is the first ethnobotanical survey focusing on the herbal medicines traditionally used by the nomadic community of the Algerian steppe, identifying new medicinal plants and uses from one of the most characteristic indigenous populations in Algeria. Moreover, the study contributes to the understanding of transmission of medicinal plant knowledge in the Mediterranean basin.

AIM OF THE STUDY

This work aims to document the phytotherapeutical knowledge and practice of the nomadic community of the Algerian steppe, and compare it with neighbouring sedentary populations and Mediterranean historical texts. Through this, the study strives to evaluate processes of transmission of knowledge among this population, for whom written sources have been largely unavailable.

METHODS

Ethnobotanical surveys were carried out during two years (2015-2017). In total, 73 informants from nomadic populations were interviewed in several steppe regions including areas in the administrative departments of Tiaret, Saida, Naama, Djelfa and M'sila. Structured interviews about medicinal plant knowledge were combined with guided tours with the informants. Prior informed consent was always obtained. The surveys allowed for the collection of sociodemographic data and traditional knowledge about medicinal plants and their uses. Informant Consensus Factor (F_IC) was calculated to evaluate agreement among informants. Results were compared to existing literature to evaluate similarities between this nomadic medicinal flora, that of neighbouring communities and historical texts and identify new plant citations and uses.

RESULTS

Among Algerian nomadic communities, herbal remedies are used mostly by women and elders, who are often illiterate. We identified 97 taxa of medicinal plants belonging to 42 botanical families, importantly Lamiaceae, Asteraceae and Apiaceae, like in neighbouring communities. The most common plant parts and method of preparation are also shared with neighbouring populations. New uses are described for 25 known medicinal taxa, and nine species with undocumented medicinal uses in recent literature have been reported. However, some of these have been reported in Mediterranean materia medica. In total, 60% of the medicinal plant diversity used by Algerian nomads are well-known plants of the Mediterranean ethnopharmacological heritage.

CONCLUSION

This study highlights the importance of traditional medicine for Algerian nomad communities. This indigenous population has specific knowledge about plants from their steppe environment, but also shares a pool of knowledge with sedentary Algerian populations and Mediterranean people as a whole. Our research shows that a common North African and Mediterranean ethnobotanical heritage exists.

Rosmarinus officinalis L.: an update review of its phytochemistry and biological activity

The worldwide interest in the use of medicinal plants has been growing, and its beneficial effects being rediscovered for the development of new drugs. Based on their vast ethnopharmacological applications, which inspired current research in drug discovery, natural products can provide new and important leads against various pharmacological targets. This work pioneers an extensive and an updated literature review on the current state of research on Rosmarinus officinalis L., elucidating which compounds and biological activities are the most relevant. Therefore, a search was made in the databases PubMed, ScienceDirect and Web of Science with the terms ‘rosemary’, ‘Rosmarinus officinalis’, ‘rosmarinic acid’ ‘carnosol’ and ‘carnosic acid’, which included 286 articles published since 1990 about rosemary's pharmacological activities and their isolated compounds. According to these references, there has been an increasing interest in the therapeutic properties of this plant, regarding carnosic acid, carnosol, rosmarinic acid and the essential oil. The present manuscript provides an updated review upon the most reported activities on R. officinalis and its active constituents.

The worldwide interest in the use of medicinal plants has been growing, and their beneficial effects being rediscovered for the development of new drugs. Actually, current research in drug discovery has been inspired on the vast ethnopharmacological applications of natural products, providing new and important leads against various pharmacological targets.

In this work, an updated literature review is presented to clarify the current state of research on Rosmarinus officinalis L., elucidating its constituents and their most relevant biological activities. Therefore, this work provides an updated review upon the most reported medicinal properties, namely, antitumoral, anti-inflammatory, analgesic, neurodegenerative, endocrinal, anti-infective and antioxidant.

Chemotypic Characterization and Biological Activity of Rosmarinus officinalis

Rosemary (Rosmarinus officinalis L.) is a popular herb in cooking, traditional healing, and aromatherapy. The essential oils of R. officinalis were obtained from plants growing in Victoria (Australia), Alabama (USA), Western Cape (South Africa), Kenya, Nepal, and Yemen. Chemical compositions of the rosemary oils were analyzed by gas chromatography-mass spectrometry as well as chiral gas chromatography. The oils were dominated by (+)-α-pinene (13.5%–37.7%), 1,8-cineole (16.1%–29.3%), (+)-verbenone (0.8%–16.9%), (−)-borneol (2.1%–6.9%), (−)-camphor (0.7%–7.0%), and racemic limonene (1.6%–4.4%). Hierarchical cluster analysis, based on the compositions of these essential oils in addition to 72 compositions reported in the literature, revealed at least five different chemotypes of rosemary oil. Antifungal, cytotoxicity, xanthine oxidase inhibitory, and tyrosinase inhibitory activity screenings were carried out, but showed only marginal activities.

Ethnopharmacological survey of medicinal plants used in Daraa-Tafilalet region (Province of Errachidia), Morocco

ETHNOPHARMACOLOGICAL RELEVANCE

We carried out an ethnobotanical survey in Tafilalet region. This region is classified by the UNESCO as a reserve of biosphere and represents an important area with important knowledge of traditional medicine, especially the use of medicinal plants for human healthcare. Furthermore, the geographic location of this region makes this site a diverse and interesting resource of herbal biodiversity.

THE AIM OF THE STUDY

The study aimed to collect information about medicinal plants used in Tafilalet region as well as the indigenous knowledge related to the use of this natural resource in healthcare by the local population in order to preserve and protect this invaluable inheritance from loss and overlook. We aimed also to compare taxa used by the indigenous people of Tafilalet for health-care purposes in comparison with other regions of Morocco as well as neighboring countries.

MATERIAL AND METHODS

The total of informants interviewed in this study was 1616 (1500 were local inhabitants and 116 were herbalists). This enquiry was carried out through semi-structured and unstructured interviews and the sampling technique used was the stratified sample (9 stratums). Data obtained were analyzed calculating 6 indices: Use Value (UV), Family Use Value (FUV), Fidelity Level (FL), Rank Order Priority (ROP), Informant Consensus Factor (Fic) and Jaccard similarity Index (JI).

RESULTS

194 species belonging to 69 families were inventoried in this survey and 17 species were cited for the first time in an ethnobotanical survey in Morocco. The highest value of UV was obtained for Rosmarinus officinalis L. (UV=0.24) and Liliaceae was the family frequently used by inhabitants of Tafilalet (FUV=0.106). In addition, the highest value of FL was recorded for Cistus salviifolius L. and Daphne gnidium L. with FL value of 100% for both species and Origanium vulgare L. had the highest ROP with a value of 53% while the highest value of FIC was mentioned for digestive system disorders (FIC=0.29). Concerning the level of similarity between our study and other regions of Morocco, the province of Tata seems to be the most similar to Tafilalet (JI=42.97), while M'sila (Algeria) was the most similar to Tafilalet among areas in neighboring countries (JI=13.00).

CONCLUSION

Despite the richness which characterizes Tafilalet regarding diversity and effectiveness of medicinal plants as well as the largest culture and knowledge related to the popular phytotherapy among local people in this region, several procedures must be realized to protect and to valorize this interesting inheritance.

Ethnobotanical investigation on medicinal plants in the Vesuvio National Park (Campania, Southern Italy)

ETHNOPHARMACOLOGICAL RELEVANCE

This paper illustrates the results of an ethnobotanical study carried out in the Vesuvio National Park (VNP) (Campania, Southern Italy). It describes the medicinal uses of the plants in an ancient area rich in ethnobiodiversity investigated for the first time.

AIM FOR THE STUDY

The main aim of the study was to understand at what extent current knowledge on medicinal plant uses is still alive in VNP.

MATERIALS AND METHODS

The informations were collected using semi-structured and unstructured interviews performed on 136 persons living in the investigated area from March to November 2014 and from April to October 2015. The age of the informants ranged from 47 to 85 years old; more than half of the informants aged between 61 and 70. Local plant uses were listed and analyzed in a table and compared with uses in other localities in Italy and in other regions of the Mediterranean basin.

RESULTS

In VNP were recorded a total number of 132 plant species, belonging to 110 genera and 51 families mentioned for medicinal purposes. Among the recorded 132 plant species, 70 are spontaneous or subspontaneous and 62 are cultivated above all in the kitchen gardens or in the apartments, as food or as ornamental. Herbs represent the majority, followed by trees and shrubs or subshrubs. The investigated plants were used to cure 116 different human health diseases and 4 veterinary problems. The majority of plants are used in the treatment of gastrointestinal, skin and respiratory problems.

CONCLUSION

The number of medicinal plants reported in this paper reflects a well-preserved traditional popular knowledge (TPK) of the elderly people living in the rural areas and in the small villages of VNP. The conservation of TPK is owed to the persistence of an oral tradition that safeguard the use of plants as herbal medicine. We realized that while the use of some wild plants is decreasing, people continue to gather some cultivated and invasive plants for preparing remedies. Researches like this are necessary to protect ancient memories, to promote the transfer of information to the younger generations, to preserve ethno-biodiversity and to provide a starting point fur further biochemical investigations on medicinal entities.

Medicinal plants used for ophthalmological problems in Navarra (Spain)

ETHNOPHARMACOLOGICAL RELEVANCE

Several plants have been found to have effective against number of ophthalmological problems in Navarra.

MATERIAL AND METHODS

Information was collected using semi-structured ethnobotanical interviews with 686 informants in 267 locations. In order to confirm the pharmacological application of the uses more cited by the informants, a literature review was conducted.

RESULTS

A total of 57 pharmaceutical uses were reported, for 19 plants and 13 families, mainly represented by Asteraceae. The most frequently used parts were inflorescences, flowers, aerial parts, leaves and flowered aerial parts. The related affections fell into eleven categories: bloodshot eyes, watery eyes and wounds, improve vision, irrited eyelids, rheums and styes, tired eyes, conjunctivitis, eyewash, ocular problems in general. The most cited plants were: Chamaemelum nobile (L.) All., Santolina chamaecyparissus L. ssp. squarrosa (DC.) Nyman, Sambucus nigra L. ssp. nigra, Rosa agrestis Savi and Calendula officinalis L. None of them have been pharmacologically validated by Official International Organisms. From the therapeutic point of view, Allium sativum L., Foeniculum vulgare Mill., C. officinalis, and S. chamaecyparissus ssp. squarrosa deserve special attention, because ethnobotanical and pharmacological studies suggest that these medicinal plants are effective for ophthalmological problems.

CONCLUSIONS

The present study constitutes a good basis for further phytochemical and pharmacological research of these four plants, which could be of interest in the design of new inexpensive, effective and safe drugs. The remaining plants are needed to be screened through standard pharmacological and clinical procedures for their activities.

Quantitative ethnomedicinal survey of medicinal plants given for cardiometabolic diseases by the non-institutionally trained siddha practitioners of Tiruvallur district, Tamil Nadu, India

ETHNOBOTANICAL RELEVANCE

The burden of cardiometabolic diseases such as dyslipidemia, hyperglycemia, hypertension, visceral obesity and atherosclerotic cardiovascular diseases and the use of traditional medicine for the management of such diseases are high in India; hence there is a need to document and analyze such therapies.

AIM OF THE STUDY

This study documented and analyzed the medicinal plants prescribed for cardiometabolic diseases by the non-institutionally trained siddha practitioners of Tiruvallur district of Tamil Nadu, India.

METHODOLOGY

The field survey was conducted between December 2014 to November 2015. Successive free listing assisted with field-walks was used to interview the informants. After assessing the sampling sufficiency using rarefaction curve analysis, indices such as Informant Consensus Factor (Fic) and Index of Agreement on Remedies (IAR) were calculated for the data. The indicators of informant's medicinal plant knowledge such as Shannon's index, equitability index, etc., were regressed with the demographic profile of the informants.

RESULTS

For this study 70 non-institutionally trained Siddha medical practitioners were approached; the data from 36 practitioners who were treating cardiometabolic diseases were documented. This study recorded the use of 188 species which were used to prepare 368 formulations to treat illnesses categorized under cardiometabolic diseases. In this, 53.04% claims were singletons. Regression analysis showed that single species dominance was reduced and the diversity of medicinal plants was increased with the increase in the age and experience. Increase in the years of formal education increased the equitability in the uses. The plants such as Nelumbo nucifera Gaertn. (cardiovascular diseases), Allium sativum L. (dyslipidemia), Cuminum cyminum L. (hypertension), Macrotyloma uniflorum Verdc. (obesity) and Azadirachta indica A. Juss. (type 2 diabetes) were the highly cited medicinal plants.

CONCLUSION

This survey has identified the plants most commonly used by Siddha practitioners of Tiruvallur district, Tamil Nadu, India for cardiometabolic diseases. The prevalence of chronic, non-communicable metabolic illnesses such as type 2 diabetes, hypertension and obesity are increasing worldwide due to the rapid changes in the lifestyle. These ailments require a life-long care and in such instances, people tend to use complementary therapies in most cases, alongside with conventional therapies. In view of the high use of traditional therapies for treating cardiometabolic illnesses, this study supports the need for more research to evaluate the potential benefits of the treatments and to identify any safety concern.

A comparative ethnopharmacological analysis of traditional medicine used against respiratory tract diseases in Mauritius

ETHNOPHARMACOLOGICAL RELEVANCE

Despite laudable advances in conventional medicine, respiratory tract diseases (RTD) induced morbidity and mortality continue to inflict a substantial burden on healthcare systems worldwide. Similarly, in the tropical island of Mauritius, 13,320 hospital admissions and 8.2% mortality rates were attributed to RTD solely in the year 2013. Consequently, the therapeutic benefits and relief experienced with traditional medicine (TM) against RTD by the local inhabitants cannot be underestimated. The present study aims to report and quantitatively determine the extent of utilization of plant based therapies and other miscellaneous TM preparations concocted against RTD over the island. Additionally, a similarity index was generated which is indicative of the extent of harmonisation of individual plant species against RTD when the uses mentioned in the study are compared to previous ethnobotanical studies.

MATERIALS AND METHODS

Data was compiled using a semi-structured questionnaire via face-to-face interviews with TM users and practitioners (n=384). Three quantitative ethnopharmacological indices (the use value (UV), informant consensus factor (ICF), and ethnobotanicity index (EI)) were calculated. We also calculated the similarity ratio, similarity percentage, new uses for each plant species and percentage of new use against RTD to compare primary data collected in the present study.

RESULTS

Fifty five plants were documented to be in use against 18 RTD. The most used plant species belonged to the following taxa; Lamiaceae (9%), Fabaceae (7%) and Rutaceae (7%). Thirty two plants recorded in this study have been reported to be used against RTD in previous ethnobotanical studies, of which 22 of these plants have been attributed new uses against RTD based on the results of the present study. The remaining 23 plants species have been recorded for the first time to be used traditionally against RTD. Altogether, 81 different recipes were concocted from the medicinal plants and the most common route of administration was oral intake. Common methods of obtaining medicinal plants were from the wild, cultivation and as imported herbal products. Cough was the most common RTD managed by plant species. The largest proportion of plants were employed against cold. The preference ranking both for UV placed Curcuma longa L., Zingiber officinale Roscoe, Citrus×limonia Osbeck and Cymbopogon citratus (DC.) Stapf as the most useful plant species. Only a small proportion of the indigenous plants (7.73%) proved to be useful in TM.

CONCLUSION

This study provides empirical primary ethnopharmacological data on the use of TM to manage and/or treat RTD and can contribute in preserving indigenous knowledge in Mauritius. It is anticipated that these primary data will open new avenues to identify novel drugs that can help to alleviate sufferings.

Ethnobotanical study of medicinal plants used by traditional healers in Mascara (North West of Algeria)

ETHNOPHARMACOLOGICAL RELEVANCE

Medicinal plants are considered as a rich source of bioactive compounds. The present study aimed to document the local knowledge of medicinal plants' use by traditional healers in Mascara, North-west Algeria.

MATERIALS AND METHODS

The present study was carried out in Mascara (North West of Algeria). Ethnobotanical data were recorded from 43 traditional healers practicing in Mascara. Data collected was analysed using quantitative indices such as the use value (UV), fidelity level (FL) and Informant Consensus Factor (FIC).

RESULTS

Traditional healers reported 141 medicinal plant species belonging to 54 families and 125 genera for the treatment of different ailments grouped into 14 ailments categories. Lamiaceae were the most represented family with 19 species (13.57%) followed by Asteracea, Apiaceae and Fabaceae. Thymus vulgaris L. was the most frequently used by local informants, with the highest UV of 0.883 (38 use reports). Our findings revealed that 39 species have not been previously reported as medicinal plants in the region. Furthermore, we report for the first time a total of 100 new therapeutic uses for 37 known plant species. FIC values ranged from 0.125 to 0.658. Gastro-intestinal diseases had the highest FIC (0.658) with 60 species and 261 use reports.

CONCLUSION

The present study revealed the important local knowledge as showed by the variety of species used to treat several ailments. Recorded species with high UV should be subjects of further pharmacological studies to validate their popular use and to isolate the bioactive compounds.

Medicinal plants used for neurological and mental disorders in Navarra and their validation from official sources

ETHNOPHARMACOLOGICAL RELEVANCE

This paper provides important ethnopharmacological information on plants used in neurological and mental disorders in Navarra.

MATERIAL AND METHODS

Information was collected using semi-structured ethnobotanical interviews with 667 informants in 265 locations. In order to confirm the pharmacological validation of the uses claimed by the informants, monographs from Official International Agencies (ESCOP, Commission E, WHO and EMA) were reviewed. A literature review was conducted focusing on the plants that were widely used but had no published monograph.

RESULTS

A total of 172 pharmaceutical uses were reported, for 46 plants and 26 families, mainly represented by Lamiaceae (15%), Asteraceae (13%), Rosaceae and Rutaceae (7%, each one), and Clusiaceae, Malvaceae, Papaveraceae and Urticaceae (4%, each one). The most frequently used parts were inflorescence (39%), flowered aerial parts (16%), and aerial parts (13%), followed by inflorescence bract (8%) and leaves (7%). Nine out of 46 plants (20%) and 81 of 172 uses (47%), have already been pharmacologically validated. The remaining 37 plants (of total 46, 80%) have been reported for neurological and mental disorders and need to be screened through standard pharmacological and clinical procedures for their activities. The most used species are Chamaemelum nobile (L.) All., Jasonia glutinosa (L.) DC., and Santolina chamaecyparissus L. ssp. squarrosa (DC.) Nyman, in all cases the administration as infusion.

CONCLUSIONS

Data indicate a high degree of plants knowledge in Navarra regarding neurological and mental disorders. The present study constitutes a good basis for further phytochemical and pharmacological research of C. nobile, J. glutinosa and S. chamaecyparissus, which could be of interest in the design of new inexpensive, effective and safe drugs.

Medicinal plants used for musculoskeletal disorders in Navarra and their pharmacological validation

ETHNOPHARMACOLOGICAL RELEVANCE

This paper provides important ethnopharmacological information on plants used in musculoskeletal disorders in Navarra.

MATERIAL AND METHODS

Information was collected using semi-structured ethnobotanical interviews. In order to confirm the pharmacological validation of the uses, monographs from Official International Agencies (ESCOP, Commission E, WHO and EMA) were reviewed. A literature review was conducted focusing on the plants that were widely used but had no published monograph.

RESULTS

A total of 199 pharmaceutical uses were reported, for 38 plants and 24 families, mainly represented by Asteraceae and Lamiaceae (11%, each), Rosaceae (8%) and Boraginaceae, Cucurbitaceae, Equisetaceae, Malvaceae, Oleaceae and Urticaceae (5%, each). The most frequently used parts were the aerial parts, roots, followed by inflorescences and leaves. Nine out of 38 plants (24%) and 123 uses (62%), had already been pharmacologically validated.

CONCLUSIONS

The authors propose to validate four species for their use in musculoskeletal disorders: Verbena officinalis, Symphytum tuberosum, Hypericum perforatum and Equisetum ssp.

Plants with topical uses in the Ripollès district (Pyrenees, Catalonia, Iberian Peninsula): ethnobotanical survey and pharmacological validation in the literature

ETHNOPHARMACOLOGICAL RELEVANCE

The skin is the main structure that protects the human body from environmental factors and has, in addition, a relevant relationship to people׳s appearance and beauty. Official medicine and cosmetics have shown interest on elaborating products to protect the dermal system, yet the role of folk medicine is highly unknown in this field. Taking this into account, we performed an ethnobotanical study in a Catalan district of the eastern Pyrenees (northeast Iberian Peninsula), with the purpose of assessing popular plant knowledge and use. In this paper, we present exclusively the results on topically-used plants. Additionally, we have performed a thorough literature search in order to validate the uses of plants recorded in well-established pharmacological works.

METHODOLOGY

A number of 163 informants (57.7% women and 42.3% men, born between 1915 and 1988, with an average age of 71.6 years) were interviewed by means of 104 semi-structured interviews. Voucher specimens were collected, prepared and deposited in the BCN herbarium.

RESULTS

We collected information on the popular uses implying topical application of 115 plant taxa (three determined at generic level and 112 at specific level), belonging to 92 genera and 51 families. Taxa with use reports higher than 5% included Arnica montana subsp. montana, Hypericum perforatum, Thymus vulgaris, Lilium candidum and Tussilago farfara. The degree of reliability of the results is very high, as indicated by a big number of report uses (1676) and a very high informant consensus factor (0.93 of a maximum of 1). Topical uses of 21 plant taxa with more than 1% of use reports have been validated consulting pharmacological literature.

CONCLUSIONS

Data indicate a high degree of plant knowledge in the studied region regarding dermal conditions, cosmetics and additional affections (such as snake bite). The present study constitutes a good basis for further phytochemical and pharmacological research, which could be of interest in the design of new drugs. Furthermore, the evidence of these folk uses could be the key information in simplified procedures established by the European Union for the registration of herbal medicinal products based on traditionally used plants, reinforcing the already recognized role of ethnobotany in the mentioned applied research and development field.

The importance of cultural factors in the distribution of medicinal plant knowledge: a case study in four Basque regions

ETHNOBOTANICAL RELEVANCE

Previous research suggests that the use of medicinal plants by a given group is mainly driven by biological variables such as the chemical composition or the ecological distribution of plants. However, other studies highlight the importance of cultural aspects such as the curative meaning given to a plant, beliefs, religion or the historical context. Such aspects could play an important role in the use, diffusion or even in the effectiveness of a plant remedy.

MATERIALS AND METHODS

Fieldwork consisted of 233 orally consented semi-structured interviews with 178 informants about medicinal uses of plants. Interviews were conducted in four historically and geographycally delimited regions of Alava and Biscay with similar environmental conditions but different sociolinguistic backgrounds: two regions were Basque- and two Spanish-speaking. Data were structured in use-reports. A Between Class Analysis was conducted to assess the intercultural and intracultural variability of medicinal plants knowledge.

RESULTS

The results show the existence of four clearly different medicinal ethnofloras. While the four ethnofloras share remedies widely distributed through the territory, each of them also includes remedies that are only shared among closely related communities. The ecological availability and chemical composition of the plants may explain why there are widely used plant remedies. On the contrary, the distribution of the locally shared remedies matches up with the cultural heterogeneity of the territory, so cultural factors, such as, language, social networks or the meaning response of the plants seem to explain the use of many traditional plant remedies. In Addition, we also found that Basque speaking territories show higher knowledge levels than Spanish speaking territories. In this sense, the development and reinforcement of Basque identity by Basque nationalism seems to have contributed to maintain the traditional knowledge in the Basque speaking regions.

CONCLUSIONS

Despite the fact that pharmacological effectiveness and ecological availability are usually considered as the main variables that shape the traditional use of medicinal plants, our results suggest that cultural factors can be at least as important as ecological and chemical factors. In fact, differences in language, in the cultural meaning of the plants, in the context related to cultural identities, and in social networks seem to play a fundamental role in the use and diffusion and maintenance or erosion of traditional knowledge about medicinal plants in the study area.

Medicinal plants used for respiratory affections in Navarra and their pharmacological validation

ETHNOPHARMACOLOGICAL RELEVANCE

This paper provides important ethnopharmacological information on plants used in respiratory affections in Navarra.

MATERIAL AND METHODS

Information was collected using semi-structured ethnobotanical interviews with 667 informants in 265 locations. In order to confirm the pharmacological validation of the uses claimed by the informants, monographs from Official International Agencies (ESCOP, Commission E, WHO and EMA) were reviewed. A literature review was conducted focusing on the plants that were widely used but had no published monograph.

RESULTS

A total of 456 pharmaceutical uses was reported, for 79 plants and 34 families, mainly represented by Lamiaceae, Asteraceae, Rosaceae, Crassulaceae and Malvaceae. The most frequently used parts were the aerial parts followed by inflorescences and leaves. Twenty-two out of 79 plants (28%) and 270 of 456 uses (42%), had already been pharmacologically validated.

CONCLUSIONS

The authors propose Verbena officinalis for validation.

Popular uses of wild plant species for medicinal purposes in the Nebrodi Regional Park (North-Eastern Sicily, Italy)

ETHNOPHARMACOLOGICAL RELEVANCE

The area of the Nebrodi Regional Park (North-Eastern Sicily, Italy) has been quantitatively investigated in an ethnobotanical study for the first time. A total of 90 wild species are used for medicinal purposes and the uses of 5 species have not previously been reported in ethnobotanical studies in Italy (e.g., the use of Arisarum vulgare O. Targ. Tozz. for the treatment of rheumatic pains, the use of Silene vulgaris (Moench) Garcke for the treatment of liver diseases). The aim of this paper was to understand to what extent current knowledge on the medicinal use of plants is still an element of the culture within the rural populations of the Nebrodi Park. Materials and methods Semi-structured interviews were carried out in the local communities within the Nebrodi Regional Park with local people retained experts in rural traditions. A total of 226 people over the age of 60 were interviewed. Local plant uses were evaluated using ethnobotanical indices (e.g., cultural importance index, index of ethnobotanical diversity, informant consensus factor) and then compared with uses in other localities in Sicily, Italy and the Mediterranean area. Results Local communities use a total number of 90 wild species belonging to 44 plant families as medicinal remedies. The majority of the species are used as treatments against gastrointestinal system. The cultural importance index showed that Malva sylvestris (1.31) and Clinopodium nepeta (0.86) are the most important species to the Nebrodi area in terms of medicinal use. The use of Brassica rupestris Raf. for therapeutic purposes is limited to Sicily and it is an innovative finding of this study.

CONCLUSIONS

The research shows an ongoing process of cultural erosion in an advanced stage, but quantitative indices still highlight only for those species was a natural remedy deemed highly effective.

Medicinal plants used for cardiovascular diseases in Navarra and their validation from official sources

ETHNOPHARMACOLOGICAL RELEVANCE

This paper provides significant ethnopharmacological information on plants used to treat cardiovascular diseases in Navarra, Spain.

MATERIAL AND METHODS

Information was collected using semi-structured ethnobotanical interviews with 667 informants (mean age 72; 55.47% women, 44.53% men) in 265 locations. Official sources such as the European Scientific Cooperative on Phytotherapy (ESCOP), German Commission E, World Health Organization (WHO), European Medicines Agency (EMA), European Pharmacopoeia (Ph. Eur.) and Real Farmacopea Española (RFE) monographs were consulted in order to establish the therapeutic efficacy of the reported uses and to obtain further details about quality and safety aspects. A literature review was carried out on the plants that were most frequently cited and were not the subject of a monograph, using a new tool developed by the University of Navarra, UNIKA.

RESULTS

A total of 460 pharmaceutical uses were reported by the informants, belonging to 90 plant species and 39 families, mainly represented by Urticaceae, Rosaceae, Asteraceae, and Equisetaceae. The most frequently used parts of the plants were the aerial parts followed by leaves and flowers. Seventeen out of 90 plants (19%) and 208 out of 460 popular uses (45%) had already been pharmacologically validated in relation to their therapeutic efficacy and safety aspects.

CONCLUSIONS

The authors propose to validate five species for their use in cardiovascular diseases: Rhamnus alaternus L., Potentilla reptans L., Equisetum telmateia Ehrh., Centaurium erythraea Rafn and Parietaria judaica L.

Plant genetic resources and traditional knowledge on medicinal use of wild shrub and herbaceous plant species in the Etna Regional Park (Eastern Sicily, Italy)

ETHNOPHARMACOLOGICAL RELEVANCE

This paper illustrates the results of a study carried out in the Etna Regional Park (Eastern Sicily, Italy) concerning the traditional knowledge on medicinal use of wild plant species. It contains the results of a quantitative analysis carried out for the first time. A total of 71 wild species are used for medicinal purposes. Two species, Astracantha sicula (Biv.) Greuter and Trifolium phleoides Willd., are little known as medicinal in the Mediterranean area. The main aim of the study was to understand to what extent current knowledge on the medicinal use of plants is still an element of the culture within the elderly population of the Etna Regional Park. A further aim was to identify species not previously reported as medicinal in the Mediterranean area with a potential agricultural interest.

METHODOLOGY

The information was obtained using a semi-structured interview format performed on a sample of 196 people over the age of 60 who were considered experts in rural traditions. The plant uses were compared with other medical-ethnobotanical studies carried out in other areas of Sicily, Italy and various other Mediterranean countries. A number of quantitative indices were also used in order to verify the incidence of the species cited in the study within the culture and traditional medicine.

RESULTS

Local communities currently use a total number of 71 wild species (34 families) as remedies for medicinal purposes. Most of the species were used as treatments against metabolic disorders and for general health. The leaves and the aerial parts of plants are the most-used parts of the plant and the most common preparation methods are decoction and direct application of plant parts. Astracantha sicula and Trifolium phleoides have never been documented as a species with medicinal properties in the Mediterranean literature.

CONCLUSIONS

Only very few medicinal uses are widely known by all the informants and, on many occasions, a specific medicinal use is cited by only very few people. The quantitative analysis shows that the level of traditional knowledge on medicinal use of plants in the study area is poor, highlighting a considerably advanced state of cultural erosion.

Foeniculum vulgare Mill: a review of its botany, phytochemistry, pharmacology, contemporary application, and toxicology

Foeniculum vulgare Mill commonly called fennel has been used in traditional medicine for a wide range of ailments related to digestive, endocrine, reproductive, and respiratory systems. Additionally, it is also used as a galactagogue agent for lactating mothers. The review aims to gather the fragmented information available in the literature regarding morphology, ethnomedicinal applications, phytochemistry, pharmacology, and toxicology of Foeniculum vulgare. It also compiles available scientific evidence for the ethnobotanical claims and to identify gaps required to be filled by future research. Findings based on their traditional uses and scientific evaluation indicates that Foeniculum vulgare remains to be the most widely used herbal plant. It has been used for more than forty types of disorders. Phytochemical studies have shown the presence of numerous valuable compounds, such as volatile compounds, flavonoids, phenolic compounds, fatty acids, and amino acids. Compiled data indicate their efficacy in several in vitro and in vivo pharmacological properties such as antimicrobial, antiviral, anti-inflammatory, antimutagenic, antinociceptive, antipyretic, antispasmodic, antithrombotic, apoptotic, cardiovascular, chemomodulatory, antitumor, hepatoprotective, hypoglycemic, hypolipidemic, and memory enhancing property. Foeniculum vulgare has emerged as a good source of traditional medicine and it provides a noteworthy basis in pharmaceutical biology for the development/formulation of new drugs and future clinical uses.

Ethnobotanical investigation on wild medicinal plants in the Monti Sicani Regional Park (Sicily, Italy)

ETHNOPHARMACOLOGICAL RELEVANCE

The area of the "Monte Sicani Regional Park" (Central Western Sicily, southern Italy) has been quantitatively and extensively investigated in an ethnobotanical study for the first time. A total of 108 wild species are used for medicinal purposes, while, according to our study, the uses of 9 species have not previously been reported in ethnobotanical studies in Italy (e.g., the use of Kickxia elatine (L.) Dumort. for the treatment of hyperhydrosis of the feet, the use of Lavatera agrigentina Tineo for cough and bronchitis).

AIM OF THE STUDY

The aim of this paper is to analyze, through quantitative indicators, the extent of the current knowledge on medicinal uses of plants in the area, evaluating also the features of uniqueness and commonality of this knowledge in comparison with other Italian and Mediterranean areas.

METHODOLOGY

Semi-structured interviews were carried out in the local communities between 2009 and 2010 within the Monti Sicani Regional Park with local people retained experts in rural traditions. A total of 230 people were interviewed about their knowledge on medicinal plant uses. Local plant uses were evaluated using ethnobotanical indices (e.g., cultural importance index, ethnobotanicity index, informant consensus factor) and then compared with uses in other localities in Sicily, Italy and the Mediterranean basin.

RESULTS

Local communities currently use a total number of 108 wild species (43 families) as remedies for human and livestock ailments. The majority of plants are used in the treatment of articular, skin and gastrointestinal problems. The use of some species is limited to Sicily (e.g., Rhus coriaria L., Athamanta sicula L., Senecio delphinifolius Vahl).

CONCLUSIONS

The research shows an ongoing process of cultural erosion in an advanced stage, but results still highlight an interesting cultural identity as regards the local folk medicine.

Medicinal plants traditionally used in the northwest of the Basque Country (Biscay and Alava), Iberian Peninsula

ETHNOPHARMACOLOGICAL RELEVANCE

Many ethnobotanical studies show that people in industrial countries still rely on their traditional knowledge of medicinal plants for self-treatment, although the trend might not be as common as some decades ago. Given the social and public health implications of ethnopharmacological practices, this survey aims at recording and analysing the medicinal plants used in the folk medicine of the Northwest of the Basque Country focusing on how medicinal plants knowledge and practices evolve.

MATERIALS AND METHODS

Fieldwork consisted of 265 orally consented semi-structured interviews with 207 informants about medicinal uses of plants. Interviews were conducted between September 2008 and January 2011. Informants were on average 76 years old (minimum 45, maximum 95), being more than half of them (112) men. Data collected were structured in use-reports (UR). Following informants' comments, medicinal use-reports were classified as abandoned-UR, when the informants reported that the use was only practiced in the past, and prevalent-UR, when the informants reported to continue the practice.

RESULTS AND DISCUSSION

A total of 2067 UR for 139 species that belong to 58 botanical families were recorded, being the most important families Asteraceae, Liliaceae sensu latu and Urticaceae. Some of the most important species are commonly used in other European areas (e.g., Chamaemelum nobile, Urtica dioica and Chelidonium majus). However, there are also plants commonly used in the area such as Helleborus viridis or Coronopus didymus, that are scarcely used in other areas, and whose record is an original contribution of the local pharmacopeia. It is also the case of remedies such as the use of Plantago leaves against strains in a local remedy called zantiritu. Overall, and for all variables analysed (total UR, medicinal use-categories, drug preparation and administration), the percentage of UR being currently practiced (prevalence ratio) was very low (near 30%) suggesting a strong decay in the use of traditional medicinal plants. Exceptionally, some species (Chamaemelum nobile, Verbena officinalis or Anagallis arvensis) had a high prevalence ratio, reflecting the fact that this erosion process is not evolving homogeneously. Informants also reported that new species and medicinal plant uses were entering into the local pharmacopeia via non-traditional sources such as books, courses, or the internet. These modern ways are now being used to spread some traditional remedies that in the past were only orally transmitted.

CONCLUSIONS

This study shows that traditional knowledge is continuously changing, evolving and adapting to the new social and environmental conditions. The image of the local folk medicine as a dying reality doomed to disappear should be reviewed. It also shows the need of a culturally sensitive approach by the official health systems to these practices.

Ethnopharmacological study of medicinal plants used in the treatment of CNS disorders in Sinai Peninsula, Egypt

ETHNOPHARMACOLOGICAL RELEVANCE

To provide ethnopharmacological information on the use of medicinal plants for central nervous system (CNS) disorders in the Sinai Peninsula region (Egypt). To collect, analyze and evaluate the ethnobotanical knowledge about these medicinal plants in the Sinai Peninsula region with 61,000 km (2) and 379,000 inhabitants.

METHODOLOGY

Field work was concluded between March 2006 and May 2011, using semi-structured questionnaire with 700 informants (mean age: 59; 100% men) from 117 settlements of 17 Bedouin tribes. Transects walks in wild herbal plant collection areas and bibliographical review on the collected plants were also conducted. The Interview/ Inhabitant index (I/P), relative importance value of the species and informant consensus factor (FIC) were calculated.

RESULTS

More than 300 species were traditionally used in folk medicine in the Sinai Peninsula; 101 of these species belonging to 40 families were reported as useful in different CNS disorders. Only 5 species are endemic of the studied area. All different part plants were used, leaves and aerial parts being the most frequent. Most of the remedies were prepared as infusion or decoction, while oral administration was the most common way to be used. Gastrointestinal (67.3%) and respiratory disorders (42.57%) were also reported as frequently treated by Bedouins with herbal remedies.

CONCLUSIONS

Only a few species were found where the traditional use is supported by pharmacological studies (Acacia nilotica, Achillea fragrantissima, Ajuga iva or Mentha longifolia). No bibliographical references in the scientific literature were found for 22 species (21.78%); finally, several studies were published with different pharmacological activities than those provided by Bedouins.

An ethnobotanical study of medicinal plants in Turgutlu (Manisa-Turkey)

ETHNOPHARMACOLOGICAL RELEVANCE

A comprehensive ethnobotanical study was made in Turgutlu. This paper contains folk medicinal plants and ethnopharmacological information of this ethnobotanical study.

AIM OF STUDY

The aim of this study is to collect and identify the plants used in therapy by the local people and to reveal information on traditional herbal medicine.

MATERIALS AND METHODS

This study was made between 2010 and 2011 and its materials were the plants collected during the field work. The information was obtained through open and semi-structured interviews with the local people. In addition, informant consensus factor (FIC) and use value (UV) were calculated.

RESULTS

76 Folk medicinal plants belonging to 44 families were identified in this study. Among them, 68 species are wild and eight species are cultivated plants. The most common families are Asteraceae (11.8%), Rosaceae (9.2%), Lamiaceae (7.9%), Apiaceae (3.9%) and Malvaceae (3.9%); the most common preparations were infusion (37%) and decoction (18.5%). A total of 177 medicinal uses (remedies) was recorded. Digestive system disorders have the highest FIC (0.73). According to use value (UV) the most important plants were Rosa canina (0.75), Ficus carica subsp. carica (0.74), Tilia platyphyllos (0.71) and Vitex agnus-castus (0.70).

CONCLUSION

In the research area the use of traditional folk medicine is still prevalent in the community especially in the villages.

Medicinal plants used for dermatological affections in Navarra and their pharmacological validation

AIM OF THE STUDY

This paper provides significant ethnopharmacological information on plant used in dermatological affections in Navarra.

MATERIAL AND METHODS

Information was collected using semi-structured ethnobotanical interviews with 667 informants (mean age 72; 55.47% women, 44.53% men) in 265 locations. In order to confirm the pharmacological validation of the uses reports, the European Scientific Cooperative on Phytotherapy (ESCOP), German Commission E, World Health Organization (WHO), European Medicines Agency (EMA), European Pharmacopoeia (Ph. Eur.) and Real Farmacopea Española (RFE) monographs have been revised. A literature review has been carried out with the plants without monograph and high frequency citations, using a new tool of the University of Navarra, UNIKA.

RESULTS

A total of 982 pharmaceutical uses are reported from the informants, belonging to 91 plants and 42 families, mainly represented by Asteraceae, Lamiaceae, Euphorbiaceae and Crassulaceae. The most frequently used parts of the plants are aerial parts followed by leaves and inflorescences. Seventeen out of 91 plants (19%) and 148 of 982 popular uses (15%), have already been pharmacologically validated.

CONCLUSIONS

The authors propose seven species for their validation (Allium cepa, Sambucus nigra, Hylotelephium maximum, Chelidonium majus, Ficus carica, Allium sativum and Anagallis arvensis).

Ethnobotanical study in the Madonie Regional Park (Central Sicily, Italy)--medicinal use of wild shrub and herbaceous plant species

ETHNOPHARMACOLOGICAL RELEVANCE

This paper illustrates the results of an ethnobotanical study carried out in the Madonie Regional Park (Central Sicily, Italy). It specifies the medicinal uses of plants in the study area and contains the results of a quantitative analysis carried out for the first time in an area noted for its high degree of biodiversity. It also introduces 28 species not previously accounted for in the area of study for their medicinal uses, highlighting Silene flos-cuculi L. Greuter & Burdet, little known as medicinal in the Mediterranean area.

AIM OF THE STUDY

To understand to what extent current knowledge on medicinal-use plants is still an element of the culture within the elderly population of the Madonie Regional Park.

METHODOLOGY

The information was obtained using a semi-structured interview format performed on 150 informants over the age of 60 who were considered experts in plants and rural traditions. The taxa were identified and the results were analysed also using a range of quantitative ethnobotanical indices.

RESULTS

A census was made of 174 wild plant species, 100 of which with medicinal and veterinary uses, belonging to 49 botanical families. Of the 170 endemic species found in the Madonie Regional Park, only 2 species were cited in this study for medicinal purposes. Most of the species were used against dermatological diseases, general health and metabolic disorders. The leaves were the most-used parts of the plant and the most common preparation methods were decoction and infusion. The level of knowledge on medicinal uses of the plants was not found to be high within the elderly population, demonstrating an ongoing process of cultural erosion.

CONCLUSIONS

Only very few medicinal uses are widely known by all the informants and, on many occasions, a specific medicinal use was cited by only very few people. Further study is required in order to find out to what extent knowledge on the medicinal use of plants is still present in the younger generations in this area of Sicily, and what methods might be adopted in order to halt this gradual loss in knowledge.

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.

Medical Ethnobotany in Europe: From Field Ethnography to a More Culturally Sensitive Evidence-Based CAM?

European folk medicine has a long and vibrant history, enriched with the various documented uses of local and imported plants and plant products that are often unique to specific cultures or environments. In this paper, we consider the medicoethnobotanical field studies conducted in Europe over the past two decades. We contend that these studies represent an important foundation for understanding local small-scale uses of CAM natural products and allow us to assess the potential for expansion of these into the global market. Moreover, we discuss how field studies of this nature can provide useful information to the allopathic medical community as they seek to reconcile existing and emerging CAM therapies with conventional biomedicine. This is of great importance not only for phytopharmacovigilance and managing risk of herb-drug interactions in mainstream patients that use CAM, but also for educating the medical community about ethnomedical systems and practices so that they can better serve growing migrant populations. Across Europe, the general status of this traditional medical knowledge is at risk due to acculturation trends and the urgency to document and conserve this knowledge is evident in the majority of the studies reviewed.

Pharmaceutical ethnobotany in the Middle Navarra (Iberian Peninsula)

ETHNOPHARMACOLOGICAL RELEVANCE

This paper provides significant ethnobotanical information on pharmaceutical plant uses in the Middle Navarra (Iberian Peninsula). Collect, analyze and evaluate the ethnobotanical knowledge about medicinal plants in this area with 3622.2 km(2) and 404,634 inhabitants.

MATERIALS AND METHODS

We performed semi-structured interviews with 276 informants (mean age 72; 46% women, 54% men) in 111 locations, identified the plant reported and analyzed the results, comparing them with those from other territories.

RESULTS

The informants reported data on 198 medicinal plants belonging to 60 botanical families. This work is focused on human medicinal plant uses, which represent 98% of the pharmaceutical uses (1401 use reports). The species with the highest number of cites are Santolina chamaecyparissus ssp. squarrosa, Jasonia glutinosa and Chamaemelum nobile with a long tradition of use in Navarra. All different plant parts are used; aerial part is exploited more frequently than other plant parts. Most of the listed remedies use a single ingredient, typically soaked in water. The most common mode of administration is oral, while the second most common is topical.

CONCLUSIONS

The main ailments treated are digestive troubles, wounds and dermatological problems, and respiratory affections. Informants reported 80 new or scarcely cited uses for 14 medicinal plants. For 36% of the species (5) we have not found bibliographical references in the scientific literature and 64% (9) have only one to three references.