Analysis of traditional knowledge of medicinal plants from residents in Gayasan National Park (Korea)

BACKGROUND

The purpose of this study is to investigate and analyze the traditional knowledge of medicinal plants used by residents in Gayasan National Park in order to obtain basic data regarding the sustainable conservation of its natural plant ecosystem.

METHODS

Data was collected using participatory observations and in-depth interviews, as the informants also become investigators themselves through attending informal meetings, open and group discussions, and overt observations with semi-structured questionnaires. Quantitative analyses were accomplished through the informant consensus factor (ICF), fidelity level, and inter-network analysis (INA).

RESULTS

In total, 200 species of vascular plants belonging to 168 genera and 87 families were utilized traditionally in 1,682 ethnomedicianal practices. The representative families were Rosaceae (6.5%) followed by Asteraceae (5.5%), Poaceae (4.5%), and Fabaceae (4.0%). On the whole, 27 kinds of plant-parts were used and prepared in 51 various ways by the residents for medicinal purposes. The ICF values in the ailment categories were muscular-skeletal disorders (0.98), pains (0.97), respiratory system disorders (0.97), liver complaints (0.97), and cuts and wounds (0.96). In terms of fidelity levels, 57 plant species showed fidelities levels of 100%. Regarding the inter-network analysis (INA) between ailments and medicinal plants within all communities of this study, the position of ailments is distributed into four main groups.

CONCLUSION

The results of the inter-network analysis will provide a suitable plan for sustainable preservation of the national park through a continued study of the data. Particular species of medicinal plants need to be protected for a balanced plant ecosystem within the park. Consequently, through further studies using these results, proper steps need to be established for preparing a wise alternative to create a sustainable natural plant ecosystem for Gayasan National Park and other national parks.

Use of whole gut perfusion to investigate gastrointestinal blood loss in patients with iron deficiency anaemia

Iron deficiency anaemia may be due to occult bleeding into the gut. However, although clinical investigations may show a high frequency of gastrointestinal tract disease in these patients, the cause-effect relationship between the lesions detected and anaemia remain uncertain. This study aimed to establish whether lesions detected by endoscopy or imaging of the gastrointestinal tract in patients with unexplained iron deficiency anaemia are bleeding continuously. Routine clinical tests were performed in 42 patients with unexplained iron deficiency anaemia referred to this unit. Whole gut lavage and assay of haemoglobin in the gut perfusate were also performed. The main outcome measures were clinical diagnoses (by imaging and endoscopy of the upper gastrointestinal tract and colon); the concentration of haemoglobin in whole gut lavage fluid; and the calculated gastrointestinal blood loss per day. There were 73 clinical, dietary, or iatrogenic factors of possible aetiological importance in the 42 patients--poor diet (10), gross gastrointestinal abnormality (34 in 28 patients), malabsorption (14), coagulation problems (6), and NSAID use (9). The gut lavage test showed, however, that at the time the test was performed, only eight patients were losing more than 2 ml blood daily into the gut, including all four with colonic cancer, one with diffuse gastric vascular ectasia, and one with severe ulcerative oesophagitis. It is concluded that occult gastrointestinal bleeding sufficient to cause anaemia was evident in only 19% of 42 patients. There was a high frequency of other potential causes of iron deficiency in the remainder, suggesting that most of the gastrointestinal diseases and lesions detected in them were probably coincidental. Factors other than blood loss should be considered and treated in patients referred for anaemia assessment.