Ethnomedicine use in the war affected region of northwest Pakistan

Ethno-medicinal survey of important plants practiced by indigenous community at Ladha subdivision, South Waziristan agency, Pakistan

BACKGROUND

Medicinal flora plays a vital role in treating various types of ailments in living beings. The present study was planned to investigate and document systematically the indigenous knowledge in a scientifically little explored area of Ladha sub-division, South Waziristan agency, Pakistan. Hence, this study would contribute positively to the field of ethnopharmacology.

METHODS

Prior to ethnomedicinal data collection, regular field visits were conducted during the month of May and June 2015 to locate the sites and respondents from where the traditional knowledge was to be recorded. Ethno-medicinal data was collected during the month July and August 2015 through rapid appraisal approach (RAA) based on direct interaction with the indigenous communities by making group discussions, corner meetings and semi-structured interviews. Data was evaluated statistically by using the index of Use value (UV) and Frequency of citations (FC).

RESULTS

A total of 82 medicinal plants belonging to 42 families were reported in the study. Leaves were the most frequently used plant parts. Highest use values were recorded for Peganum harmala (0.93), Punica granatum (0.91), Thymus mongolicus (0.90), Chenopodium album (0.89), Coriandrum sativum (0.87), Mentha longifolia (0.87), Lactuca serriola (0.87) and Portulaca oleracea (0.87). Medicinal plants used for the gastro intestinal complexities and respiratory diseases were more than 9% followed by skin and diarrhea (7% each), liver disorders (5%) cough and cold fever (5%).

CONCLUSION

People of the area mostly still rely on traditional herbal therapies. Keeping in mind the dependence of the indigenous community for their primary health care on such herbal remedies, pharmacological and critical toxicological investigation of certain flora is necessary. Moreover, projects should be designed to analyze the existing issues and problems related with medicinal plants conservation.

A review on the elemental contents of Pakistani medicinal plants: Implications for folk medicines

ETHNOPHARMACOLOGICAL RELEVANCE

Substantially, plants produce chemicals such as primary and secondary metabolites, which have significant applications in modern therapy. Indigenous people mostly rely on traditional medicines derived from medicinal plants. These plants have the capacity to absorb a variety of toxic elements. The ingestion of such plants for medicinal purpose can have imperative side effects. Hence, with regard to the toxicological consideration of medicinal plants, an effort has been made to review the elemental contents of ethno medicinally important plants of Pakistan and to highlight the existing gaps in knowledge of the safety and efficacy of traditional herbal medications.

MATERIALS AND METHODS

Literature related to the elemental contents of ethno medicinal plants was acquired by utilizing electronic databases. We reviewed only macro-elemental and trace elemental contents of 69 medicinal plant taxa, which are traditionally used in Pakistan for the treatment of sundry ailments, including anemia, jaundice, cancer, piles, diarrhea, dysentery, headache, diabetes, asthma, blood purification, sedative and ulcer.

RESULTS

A majority of plants showed elemental contents above the permissible levels as recommended by the World health organization (WHO). As an example, the concentrations of Cadmium (Cd) and Lead (Pb) were reportedly found higher than the WHO permissible levels in 43 and 42 medicinal plants, respectively. More specifically, the concentrations of Pb (54ppm: Silybum marianum) and Cd (5.25ppm: Artemisia herba-alba) were found highest in the Asteraceae family.

CONCLUSIONS

The reported medicinal plants contain a higher amount of trace and toxic elements. Intake of these plants as traditional medicines may trigger the accumulation of trace and toxic elements in human bodies, which can cause different types of diseases. Thus, a clear understanding about the nature of toxic substances and factors affecting their concentrations in traditional medicines are essential prerequisites for efficacious herbal therapeutics with lesser or no side effects.

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.

Ethnomedicinal uses of Edible Wild Fruits (EWFs) in Swat Valley, Northern Pakistan

ETHNOPHARMACOLOGICAL RELEVANCE

This study documents the ethno-pharmacological importance of Edible Wild Fruits (EWFs) resource in the wild floral emporium of Swat, Khyber Pakhtunkhwa Northern Pakistan. This is imitated in the great diversity of plants used for medicinal purposes as well as in their wide range of therapeutic applications.

METHODS

Ethnomedicinal data was collected through semi-structured and open ended interviews, questionnaires, field surveys and local gatherings. Use value (UV), Relative importance (RI), Relative frequency of citation (RFC), Informant consensus factor (ICF) and Family importance value (FIV) was calculated to elaborate the EWFs, their families, disease treated and significant fruit species based on use reports by informants.

RESULTS

A total of 47 species of EWFs belonging to 32 genera and 23 families were reported to be used in traditional medicines. Family Rosaceae dominated with 26% species followed by Moraceae (12%) and Rhamnaceae (10%), with mostly tree type of growth form (55%). The most consumed part of plants was fruit (72%) followed by leaves (21%). Decoction (26%) and unprocessed fruit (24%) were the major modes of crude drug preparation. The Informant consensus factor (ICF) of Joint/body aches was the highest followed by digestive disorders. Use value index of Vitis vinifera (3.8), being the highest, followed by Malus pumila (2) and Vitis parvifolia (2).

CONCLUSION

The tradition of using EWFs in treating ailments is a common practice among the tribal communities, depending on the socio-economic conditions of the people. The multiple uses of these EWFs suggest further investigation regarding phytochemical analysis and pharmaceutical applications.

Ethnomedicinal Evaluation of Medicinal Plants Used against Gastrointestinal Complaints

Aim of the present study was to document ethnomedicinal plants used against gastrointestinal complaints in five selected remote regions of Pakistan and to select potential medicinal plants for further in vitro and in vivo investigation. Data on ethnomedicinal plants and ethnographic profile of respondents was documented using semistructured questionnaires. The present study revealed utilization of 52 medicinal plants for the treatment of different gastrointestinal infections in studied regions. Apiaceae was the most dominant family reported to be used for the treatment of these infections (4 plants). Among all the plant parts fruit (24%), whole plants and leaves (23% each) were the most preferred plant parts used by the healers. Dosage of recipe was found to be related with the age of the patient. Highest degree of informant consensus was reported for vomiting, nausea (0.92 each), abdominal pain (0.9), and diarrhea (0.89). Withania coagulans scored highest FL value (86%) followed by Mentha longifolia and Melia azadirachta ranked second with FL value (75% each). Young generation was found to possess little traditional knowledge about utilizing plant recipes against these infections. Plants with high Fic and FL values should be subjected for further phytochemical and pharmacological investigation for scientific validation.

Review on ethnomedicinal, phytochemical and pharmacological evidence of Himalayan anticancer plants

ETHNOPHARMACOLOGICAL RELEVANCE

Himalayan plants have 6500 years old history of being using as traditional medicines. Inhabitants of the region use indigenous knowledge for the preparation of various herbal recipes in order to treat different kinds of cancer. The aim of this review is to provide ethnopharmacological, phytochemical and toxicological overview of Himalayan medicinal plants having anticancer potential. This will provide a baseline for the discovery of new anticancer drugs.

MATERIAL AND METHODS

In total, 155 articles (mostly published) were reviewed by using online search engines like PubMed, Scopus, Google Scholar, Web of Science, and floras of different Himalayan countries.

RESULTS

Sixty four anticancer medicinal plants were documented belonging to 59 genera and 37 families. Majority of 42 plants were reported from India followed by 17 from Pakistan. Traditional healers in the region mostly prepare ethnomedicinal recipes from leaves (32% plants) and roots (30% plants) in the form of decoction. Thirty plants had reported anticancer related pharmacological and phytochemical activities. Of these, 27 plants were tested in-vitro on cellular models while 16 plants for in-vivo activities. Methanolic, ethanolic and ethylacetate extracts of plants have shown excellent cytotoxic activities against breast, stomach and blood cancers' cell lines. Total 14 active secondary metabolites including phenolic compounds, glycosides, terpenoids, lignans and alkynes from the studied plants were reported active against different cancer cell lines. Plants such as Bergenia ciliata, Argemone mexicana, Capsella bursa-pastoris and Centella asiatica had toxic effects on the living systems at higher doses when studied in-vivo.

CONCLUSIONS

Certain Himalayan medicinal plants present therapeutic properties against different types of cancer. However, not all of the plants have been fully analysed for in vitro, in vivo and toxicological activities, and isolation of secondary metabolites. Further ethnomedicinal studies would help in identifying potential medicinal plant species in the region to be analysed for detailed anticancer activities.

Ethnogynaecological assessment of medicinal plants in Pashtun's tribal society

The present study was designed to document detailed ethnogynaecological knowledge of selected remote regions of Pashtun's tribe in northwest Pakistan. Semistructured questionnaires were designed to collect ethnogynaecological and ethnographic data. Total of 51 medicinal plants belonging to 36 families were documented that were used by the women of studied regions for the treatment of 9 types of gynaecological complaints. Majority of the plants (19) were found used against menses followed by 11 plants each for gonorrhea and pregnancy. Bannu region has high number of gynaecological plants (22) followed by Karak (15). Women of the regions mostly used whole plants (33%) and leaves (31%) for various ethnomedicinal preparation of gynae. Fic results showed that all ailments in different areas scored high consensus ranges between 0.6 and 1.00. Majority of the female respondents (44%) were aged between 61 and 70 years, of which most were illiterate. Women in the remote regions of Pakistan have tremendous traditional knowledge in utilizing medicinal plants for their reproductive health. Plants with high Fic values should be cross-checked for their in vitro and in vivo validation. Young girls should be educated on the importance of ethnogynaecological practices to conserve this valuable knowledge.

Ethnopharmacological assessment of medicinal plants used against livestock infections by the people living around Indus River

The present study was aimed to document detailed ethnopharmacological knowledge of medicinal plants against livestock infections of an unexplored remote region of Pakistan. Semistructured questionnaires were used for data collection. Total 43 plants belonging to 26 families were found to be used in ethnoveterinary practices. Seeds (29%) were found to be the most frequent plant part used followed by leaves (22%). Ethnoveterinary recipes were mostly prepared in the form of decoction and powdering. Informant consensus factor (Fic) results revealed high consensus for gastrointestinal (0.81), mastitis (0.82), and dermatological infections (0.80). Curcuma longa ranked first with highest fidelity level (FL) value (66%) followed by Trachyspermum ammi that ranked second (58%). Preference ranking (PR) results showed that Zingiber officinale, Punica granatum, Triticum aestivum, Gossypium hirsutum, and Withania coagulans were the most preferred species for the treatment of diarrhea. Direct matrix ranking (DMR) results showed that Morus alba, Melia azedarach, Withania coagulans, Cassia fistula, Azadirachta indica, and Tamarix aphylla were the multipurpose species of the region. We invite the attention of pharmacologists and chemists for further exploration of plants having high Fic, FL, and PR values in the present study. Conservation strategies should be adopted for the protection of multipurpose plant species.

Ethnopharmacological analysis of medicinal plants and animals used in the treatment and management of pain in Mauritius

ETHNOPHARMACOLOGICAL RELEVANCE

Pain is a multi-faceted and multi-factorial condition which is challenging to manage and treat. Conventional therapies such as analgesics, Non-steroidal anti-inflammatory drugs (NSAIDs), and corticosteroids amongst others have been successful to some extent in its management and treatment. Nonetheless, such therapies tend to be accompanied by undesirable effects and have a limited therapeutic range. Consequently, there is a pressing need to probe for novel analgesic and anti-nociceptive drugs from traditional medicines (TM). This study was designed to record, document and analyze herbal and animal-based therapies used for the management and treatment of pain in the tropical of Mauritius.

MATERIALS AND METHODS

Data was collected via face-to-face interviews with TM users (n=332) and practitioners (n=20). Seven quantitative ethnopharmacological indexes, namely family use value (FUV), use value (UV), informant agreement ratio (IAR), relative frequency of citation (RFC), fidelity level (FL), relative importance (RI) and ethnobotanicity index (EI) were calculated.

RESULTS

A total of 79 plant species distributed within 40 families and 20 polyherbal preparations was recorded. Interestingly, 6 indigenous/endemic plants have been reported for the first time to be in common use for pain management and treatment in Mauritius. The most significant biologically important plant family was Xanthorrhoeaceae with highest FUV. The species which ranked highest according to its UV was Morinda citrifolia L. Morinda citrifolia L. and Ricinus communis L. also scored the highest RFC. The IAR values for the disease categories were high (0.95-0.97). Based on EI, plants species which are known to be useful in TM accounted for 11.5% of the total flora in Mauritius. Coix lacryma-jobi L. (FL=100%) had highest FL for lower back ache. Morinda citrifolia L. scored highest on most of the quantitative indices calculated including RI, which is endorsed by extensive documentation on its versatility and particularly its anti-nociceptive properties. Seven animal species were recorded to be in common use.

CONCLUSION

The present ethnopharmacological study revealed a panoply of TM to be in common use for pain management and treatment in Mauritius. This study has documented for the first time medicinal plants and animal species with potential analgesic and/or anti-nociceptive properties. This study has therefore provided important baseline primary data for the discovery of new lead molecules for drug development geared towards pain management and treatment.

Application of Ethnobotanical Indices on the Use of Traditional Medicines against Common Diseases

The present study was aimed at documenting the detailed ethnomedicinal knowledge of an unexplored area of Pakistan. Semistructured interviews were taken with 55 informants randomly chosen regarding detailed ethnomedicinal and sociocultural information. The study exposed 67 medicinal plant species used to prepare 110 recipes and the major modes of herbal formulation were decoction and powdering (20% each). The disease categories with the highest Fic values were gastrointestinal and dermatological (0.87 each). The study determined 3 plant species, i.e., Acacia modesta Wall., Caralluma tuberculata R.Br., and Withania somnifera (L.) Dunal with a FL of 100%. DMR results showed that Olea ferruginea (Sol.) Steud. ranked first, Morus alba L. ranked second, and Melia azedarach L. ranked third. Among the 55 informants, the male concentration was high (61%) and most of them were over 40 years old while a leading quantity of respondents (45%) was uneducated. There is a dire need to take necessary steps for the conservation of important medicinal plants by inhibiting overgrazing and providing alternate fuel resources. Young generations should be educated regarding the importance of ethnomedicinal knowledge and plants with high Fic and FL values should be further checked chemically and pharmacologically for future exploration of modern medicine.

An ethnobotanical study of medicinal plants in high mountainous region of Chail valley (District Swat- Pakistan)

BACKGROUND

This paper represents the first ethnobotanical study in Chail valley of district Swat-Pakistan and provides significant information on medicinal plants use among the tribal people of the area. The aim of this study was to document the medicinal uses of local plants and to develop an ethnobotanical inventory of the species diversity.

METHODS

In present study, semi-structured interviews with 142 inhabitants (age range between 31-75 years) were conducted. Ethnobotanical data was analyzed using relative frequency of citation (RFC) to determine the well-known and most useful species in the area.

RESULTS

Current research work reports total of 50 plant species belonging to 48 genera of 35 families from Chail valley. Origanum vulgare, Geranium wallichianum and Skimmia laureola have the highest values of relative frequency of citation (RFC) and are widely known by the inhabitants of the valley. The majority of the documented plants were herbs (58%) followed by shrubs (28%), trees (12%) and then climbers (2%). The part of the plant most frequently used was the leaves (33%) followed by roots (17%), fruits (14%), whole plant (12%), rhizomes (9%), stems (6%), barks (5%) and seeds (4%). Decoction was the most common preparation method use in herbal recipes. The most frequently treated diseases in the valley were urinary disorders, skin infections, digestive disorders, asthma, jaundice, angina, chronic dysentery and diarrhea.

CONCLUSION

This study contributes an ethnobotanical inventory of medicinal plants with their frequency of citations together with the part used, disease treated and methods of application among the tribal communities of Chail valley. The present survey has documented from this valley considerable indigenous knowledge about the local medicinal plants for treating number of common diseases that is ready to be further investigated for biological, pharmacological and toxicological screening. This study also provides some socio-economic aspects which are associated to the local tribal communities.