Ethnobotanical studies of medicinal plants used in the management of diabetes mellitus in South Western Nigeria

This survey was carried out in targeted areas of South West Nigeria in order to inventory plants used by traditional healers in the area for the management of diabetes mellitus. One hundred traditional healers who know and use medicinal plants for treating diabetes mellitus were interviewed. The inventory contains scientific, vernacular, common names of the plants used and method of preparation. Thirty-one plants commonly used by traditional healers in the region were identified. The survey shows plants from the Rutaceae, Leguminosae and Cucurbitaceae families are commonly used by traditional healers in South West Nigeria for the treatment of diabetes mellitus.     

A survey of toxic plants on the market in the district of Bamako, Mali: traditional knowledge compared with a literature search of modern pharmacology and toxicology

In Mali, the empirical knowledge on plant medicine is held by traditional practioners. Scientific studies have been carried on some plants and they have confirmed their local uses, but few data are available on the toxicity of Malian medicinal plants. In the present work, we record the toxic plants used as medicines in the Bamako district, Mali, with the aim to evaluate the knowledge of traditional healers and herbalists on the toxicity of the plant used. A survey was carried out on the market places in the Bamako district and 106 healers and herbalists were interviewed. A survey of the scientific literature was conducted to verify or sustain the claimed toxicological data. Nineteen plants are arranged according to their frequency of quotation based on the questionnaire. The information includes the botanical name, literature survey on the pharmacology of the plants, the healers' knowledge on plant toxicity and its prevention by some of the healers.     

Ethnopharmacological survey of plants used for the treatment of schistosomiasis in Niono District, Mali

In Mali the use of traditional medicine is a wide spread phenomenon, not only because of its cultural importance, but also as the majority of people cannot afford the western drugs or medicines. In Mali, the Office du Niger area constitutes the main zone of schistosomiasis transmission where both Schistosoma mansoni and Schistosoma haematobium are encountered. An ethnopharmacological survey, using questionnaire, was conducted in the Office du Niger area of the Niono District to determine the plants used against schistosomiasis amongst traditional healers. Forty healers from 21 villages of six different health areas were interviewed. All interviewed healers knew about urinary schistosomiasis, while only six knew about the intestinal form. The presence of blood in urine was reported as the main symptom of urinary schistosomiasis. Fifty-five plants belonging to 30 families were reported to be used alone for treating urinary and intestinal schistosomiasis, while nine combinations of plants were used against the urinary form of the disease. Cissus quadrangularis and Stylosanthes erecta were the plants most frequently used and were reported for the first time, to be used against schistosomiasis in Mali.     

Medicinal plants in Baskoure, Kourittenga Province, Burkina Faso: an ethnobotanical study

Aim of the study

The majority of people living in Kourittenga Province, Burkina Faso, are highly dependent on medicinal plants for their daily health care. Knowledge on the use of medicinal plants by traditional healers is being seriously threatened, due to the fact that it is commonly transferred from one generation to another only verbally. Moreover, recent environmental changes, deforestation, and unsustainable rates of exploitation, represent a serious risk for plant species diversity. Thus, there is a need to record and document indigenous knowledge on medicinal plants in this country. The aim of this study was to report on the use of medicinal plants by traditional healers to treat human diseases in a rural area located in the East-Centre Region of Burkina Faso (Baskoure Area), which has not yet been studied from an ethnobotanical point of view.

Materials and methods

The research was carried out over a period of 8 months, by means of open-ended and semi-structured interviews. A total of 41 traditional healers were interviewed, and group meetings were organised with family members and other local inhabitants having knowledge of traditional medicine.

Results

A total of 190 plant species were recorded. Most medicinal plants used to prepare concoctions were herbs, and leaves were the most frequently used parts. A high percentage of plants were used against gastrointestinal diseases and malaria, which are the prevalent diseases in the study area. The major source of remedies came from wild plants, indicating that cultivation of medicinal plants is not a common practice.

Conclusions

Our study represents an inventory on medicinal plants used in a rural area of Burkina Faso, and confirms that wild plants are widely utilised as health remedies in this area. The collected data may help to avoid the loss of traditional knowledge on the use of medicinal plants detained by traditional healers, and represent the preliminary information required in view of a future phytochemical investigation on the most used plants.     

Plants used to treat epilepsy by Tanzanian traditional healers

A cross-sectional study performed in Temeke District (Dar es Salaam, Tanzania) showed that 5.5% of the traditional healers have knowledge for the treatment of epilepsy. Of the 100 healers interviewed, 30 (30%) believed that epilepsy was caused by witchcraft, while 19 (19%) thought epilepsy has a genetic origin which can be inherited. Other healers thought epilepsy can be caused by head injury or malaria (24%), and the remaining 27% did not know the cause. Most of the healers (92%) could present an accurate account on the symptoms of the disease, including dizziness, loss of consciousness, abrupt falling down, frothing from the mouth, loss of memory, biting of the tongue, confusion, and restlessness. They showed competence in the treatment of the disease, whereby 60 plants that are commonly used were mentioned. Abrus precatorius L. (Leguminosae), Clausena anisata (Willd.) Oliv. (Rutaceae) and Hoslundia opposita Vahl (Lamiaceae), which are among the plants mentioned, have proven anticonvulsant activity, while a few other species on their list have been reported to be useful in the treatment of epilepsy. Biological testing of these plants, using different models of convulsions is, suggested.     

Ethnopharmacological survey of medicinal plants used for the treatment of diabetes mellitus,hypertension and cardiac diseases in the south-east region of Morocco (Tafilalet)

In this study, the medicinal plants used in the treatment of diabetes mellitus, hypertension and cardiac diseases were inventoried based on the ethnopharmacological survey in south-eastern Morocco: Tafilalet region. Seven hundred persons including 320 diabetic patients and 380 patients with hypertension and cardiac disorders and 20 traditional herbal healers were interviewed in different areas of Tafilalet. The results indicated that 80% of patients interviewed used medicinal plants to treat diabetes, hypertension and cardiac diseases because they state that phytotherapy is cheaper (58%), more efficient (40%) and better (65%) than modern medicine. In this ethnobotanic enquiry, about 92 medicinal plants were cited. A lot of them are cited for the first time in Morocco. Many parameters have been evaluated such as knowledge of the toxic plants, doses, parts used, etc. Also, we have reported that 75% of type 2 diabetic patients used medicinal plants in association with modern drugs, while 10% of type 1 diabetic patients regularly used medicinal plants combined with insulin treatment. Some toxic plants have also been reported. In conclusion Tafilalet region disposes of a large phytotherapy knowledge which must be scientifically investigated especially in treating diabetes mellitus, hypertension and cardiac diseases.     

Snakebites and ethnobotany in the northwest region of Colombia: Part I: traditional use of plants

In Antioquia and Chocó, traditional healers attend 60% of snakebites. With the aim to produce an inventory of the plants used by the healers to treat snakebites and to document the methods of preparation, administration, the dosage, number of patients treated throughout their years of practice with treatment results, 20 healers with experience in Bothrops, Porthidium and Bothriechis envenomations were interviewed between August, 1996 and November, 1998. They belong to nine black and three indigenous rural communities located near the towns of Bojayá, Vigía del Fuerte, Unguía (Atrato river valley), Nuquí and Bahía Solano (Pacific coast). Based on field interviews, 101 species of plants were identified as used to treat snakebites. The part used of each plant varies according to the species. Sixty plants are used in the form of drinks prepared by infusion, decoction or maceration; 78 as external baths on the affected extremity; 11 for steam application and 39 for poultices; the latter is used mainly when the bite is complicated by local necrosis. In mild and moderate envenomations, they generally use a mixture of three plants, while in severe cases they mix from five to 12, a handful of each one. Treatment is generally performed for 1-3 days, when the patient reacts positively. They reported to have treated 454 patients during their years of experience, 20 of them (4.4%) died. With the guidance of the healers, 77 species of plants were collected and photographed. These plants belong to 41 families, of which Piperaceae (13 species), Araceae (six species), Asteraceae (five species) and Gesneriaceae (three species) have the highest number of species.     

Bioprospecting Rumphius's Ambonese Herbal: Volume I

Collaborating with traditional healers remains a valid method for the identification of potential lead compounds for novel pharmaceuticals. However, the knowledge of these traditional healers is rapidly being lost. Historic herbal texts provide a unique window to identify plants whose specific uses are no longer known. We have identified nine plants in the 17th century Ambonese Herbal: Volume I which were documented as having medicinal properties but which have not been examined in the current literature. We demonstrate that by evaluating plant and herb efficacy reports from historic texts, in the context of comprehensive modern databases such as NAPRALERT, we can ultimately identify candidate specimens deserving further pharmacological study.     

Pharmacopoeia of traditional medicine in Venda

Many researchers in different parts of the world are actively involved in recording the available information on traditional medicine. To contribute to this vast task, we chose Venda, one of the more remote tribes in Southern Africa. We found traditional healing to be very much alive and functioning in this area. Within 2 years of research, we could tabulate 151 medicinal plants with their galenics. Many of the plants listed were frequently used by different healers to treat the same ailment which might substantiate their reliability. On the other hand, certain plants were employed for various indications. Moreover, although the toxic effects of some plants are not included in our list, they are encountered by the Western medical doctors. Therefore, the benefits of compiling such lists on medicinal uses of different plants are twofold. To gain from the positive aspects of the traditional medicine and to eradicate, if possible, the harmful effects of some plants used by the traditional healers. However, during our study, it became clear that the plants used were with some exceptions mainly found in the vicinity of the habitat of the healer or the herbalist. It would therefore be useless to compile a more general pharmacopoeia for the African traditional healing as many of the useful plants in one area cannot be found in another. Hence, a more specific pharmacopoeia for each area would be necessary.     

Medicinal plants used by the Bapedi traditional healers to treat diarrhoea in the Limpopo Province,South Africa

Ethnopharmacological relevance

This paper provides ethnobotanical information on medicinal plants used to treat diarrhoea in the Limpopo Province, South Africa. Documentation of this nature usually provides the basis for selecting medicinal plants for future phytochemical and pharmaceutical studies aimed at developing new, effective and affordable plant-derived diarrhoea remedies.

Aim of the study

To record and document medicinal plants used by the Bapedi traditional healers to treat diarrhoea in the Limpopo Province, South Africa.

Materials and methods

In order to record and document medicinal plants used by the Bapedi traditional healers to treat diarrhoea, 51 healers from 17 municipalities covering Capricorn, Sekhukhune and Waterberg districts in the Limpopo Province, South Africa were interviewed between January and July 2011. Data collected included the names of plants, plant part(s) used, methods of herbal preparation, administration, dosage and duration of treatments. Voucher specimens of the plants used by the Bapedi traditional healers to treat diarrhoea were collected, identified and deposited as future reference material at the Larry-Leach Herbarium (UNIN), University of Limpopo.

Results

A total of 20 plant species representing 16 families and 20 genera were found to be commonly used by the Bapedi traditional healers to treat and manage diarrhoea in the Limpopo Province, South Africa. The largest proportion of the medicinal plants belonged to the families Anacardiaceae, Asteraceae, Fabaceae and Malvaceae (10% each). The most frequently used species were Punica granatum (39.2%), Grewia bicolor (33.3%), Dombeya rotundifolia (21.6%), Commiphora marlothii (19.6%) and Acacia senegal (13.7%). The roots were the most commonly used plant part (50%), followed by leaves (20%), bark (15%), fruits (10%), pericarp, seed, tuber and whole plants (5% each). Mono therapies based on preparations made from a single plant species were the most dominant (90%). All medicinal preparations were taken orally for 1 week or until diarrhoea subsided. The therapeutic claims of the medicinal plants documented in this study are well supported by literature, with 70% of the species having anti-diarrhoeal properties or are used as diarrhoea remedies both in South Africa and also in other countries.

Conclusion

This study reveals that local communities in the Limpopo Province, South Africa still depend on traditional medicines for basic healthcare; and the use of traditional medicines is still an integral part of their socio-cultural life.     

Ethnobotanical survey of medicinal plants used by Bapedi healers to treat diabetes mellitus in the Limpopo Province, South Africa

Ethnopharmacological relevance

Bapedi phytomedicine employ a range of plant species to treat diabetes mellitus (DM). Existing literature partially support the use of certain species for this purpose.

Aim of the study

To report on Bapedi medicinal plants employed to treat DM.

Materials and methods

A semi-structured questionnaire was employed to conduct a survey on medicinal plants used by Bapedi traditional healers in their DM management protocol. Fifty-two traditional healers from 16 municipalities, covering three districts, were interviewed during the first half of 2011.

Results

A total of 24 plant species belonging to 20 families, mostly from the Asteraceae (13%), Cucurbitaceae and Sapotaceae (8%), were used to treat diabetes mellitus. Plant parts mostly preferred were roots and leaves. A decoction of these is most commonly used to make extracts, which are then taken orally for a period of one week. Mimusops zeyheri (29%), Helichrysum caespititium (25%), Plumeria obtusa (21%), Aloe marlothii subsp. marlothii, Hypoxis iridifolia and Moringa oleifera (17% each), were repeatedly mentioned by the traditional healers as most used for the management of diabetes mellitus in the study area. Plumeria obtusa and Momordica balsamina are exclusively used to treat diabetes mellitus, and only in the Sekhukhune District.

Conclusion

It is concluded that Bapedi traditional healers do have a basic understanding of the causes and remedial action required in the treatment of diabetes mellitus.     

Present state of knowledge and research on the plants used in traditional medicine in somalia

Plants used in traditional medicine in Somalia have not so far been studied completely, and there are many difficulties owing to the secrecy maintained by traditional healers.Present research is being developed in a centre established by the Ministry of Health and in the Somali National University. A Somali traditional pharmacopoeia is envisaged.Pharmacological screening, chemical, and clinical studies are in progress on a number of plants. An herbarium with 2000 plants has been established.     

Ethnobotanical survey of medicinal plants used for the treatment of diabetes, cardiac and renal diseases in the North centre region of Morocco (Fez-Boulemane)

In order to make an inventory of herbal remedies commonly used in the treatment of diabetes, hypertension and renal diseases in the North centre region of Morocco, 1527 patients (1095 diabetic patients, 274 with renal disorders and 158 with cardiac disorders) and 25 traditional herbal healers were interviewed in four different areas of Fez-Boulemane region. More than 1153 of the total patients interviewed (76%) used regularly medicinal plants to treat diabetes, cardiac and renal diseases. These data showed that phytotherapy has always be practiced in this region. All the persons interviewed have indicated that the reasons of using phytotherapy is that the plant medicines are cheapest (54%) and more efficient (38%) than modern medicine. They also reported that the result of phytotherapy is better (72%). Our survey started at May 1997. About 90 plants were cited (54 plants for diabetes, 11 for cardiac diseases, 19 for hypertension and 33 for renal diseases). The plants reported have been identified and are presented in a table with the vernacular name, useful parts, ecological distribution and medicinal uses. Only 12% of the total patients have a relative knowledge of the toxic plants. The result indicated that nine plants are extremely toxic at high doses and chronic treatment. Fifty nine percent of the interviewers have indicated that they used medicinal plants from the experience of the other.     

Traditional pharmaceutical practice in Gondar region, northwestern Ethiopia

The knowledge and skills of Ethiopian traditional healers in Gondar region on the pharmaceutical aspects of their practice were assessed using a questionnaire. Of the 86 healers interviewed, only 83 gave responses good enough to be considered in the analysis of results. It was shown that the healers obtained their drugs mainly from natural substances and these in descending order of frequency were plants, animals and minerals. The healers prepared the drugs in various dosage forms including liquids, ointments, powders and pills. They also prescribed drugs in a "non-formulated" form. They usually incorporated additives and more than one drug in a single dosage form. Drugs were administered using eight routes, the main ones being, topical, oral and respiratory. Most of the healers claimed to determine doses and to know about side-effects of drugs. When side-effects became severe, "antidotes" were claimed to be used. The healers imposed restriction when certain types of drugs were taken by patients. Most of them stored the drugs that should not be dispensed immediately after collection or preparation. Drugs were usually stored in containers such as bottles, papers, pieces of cloth, leaves and horns, and were kept anywhere at home. The results are discussed mainly in relation to modern pharmaceutical and medical practices and their importance to health care services among the people in Gondar region is also stated.     

Hot and cold: Medicinal plant uses in Quechua speaking communities in the high Andes (Callejón de Huaylas,Ancash, Perú)

Ethno-pharmacological relevance

An ethnopharmacological survey has been set up in high altitude Quechua speaking communities dwelling in Callejón de Huaylas (Ancash department, Peru) and in medicinal plant markets in order to document the medicinal plants use of 178 species within the frame of a traditional Andean medicinal system.

Materials and methods

A sound ethnopharmacological survey was performed during the years 2011, 2012 and 2013 in different places along Callejón de Huaylas valley in the peruvian Andes, were Quechua speaking communities dwell. Two different methodologies were used: first, plant uses were recorded during walks with informants and in medicinal plant markets held on a regular bases in the area (Huaraz, Carhuaz, Yungay). Secondly, traditional healers (curanderas, curanderos) were interviewed about their practices and healing sessions were observed, in order to understand better the traditional medicinal system as a whole (disease aetiology, diagnosis, treatments, healers).

Results

Altogether, 178 medicinal species were collected. Most of the plants found on the market were also found in the wild and vice-versa. Medicinal plant trade is exclusively held by women, selling their merchandise to local people or to big retailer. Plants are classified according their hot or cold virtues, this in accordance with the local conception of the body physiology and disease aetiology, based on a hot–cold polarity. Main use notified for medicinal plants is “(bath) against cold”, a prophylactic measure against diseases of cold nature. Other uses include culture bound illnesses i.e. susto, aire, nervios, or heart pain, commonly cited in South America. Regarding symptoms, rheumatic/arthritic pain, musculoskeletal traumas, cough, pulmonary and respiratory problems, gastritis and stomach ache, were the most frequently cited. Diagnosis and treatment are intrinsically linked together and mainly based upon divination techniques using egg and cuy (Cavia porcellus L., Caviidae).

Discussion and conclusion

Medicinal plants use and traditional medicinal practices are still very vivid in Callejón de Huaylas as highlighted by the abundance of medicinal plants traded in the markets. In this business, women have a key position as healers at the family and community level. Medicinal uses of the majority of the species presented here are reported for the first time. Because medicinal plants sold on the market are collected from the wild and also because high altitude medicinal plants are generally small herbaceous species pulled out with their roots, there is a serious risk of over exploitation and extinction of endemic species.     

Medicinal utilization of exotic plants by Bapedi traditional healers to treat human ailments in Limpopo province,South Africa

Ethnopharmacological relevance

Most exotic plants are usually labelled as alien invasives and targeted for eradication. However, some of these exotic plants play an important role in the traditional primary healthcare sector of the Bapedi culture in the Limpopo Province of South Africa. The medicinal uses of most of these species have neither been documented nor their biological activity evaluated.

Aim of the study

To make an inventory of exotic species employed by Bapedi traditional healers to treat different human ailments in the Limpopo Province, South Africa.

Materials and methods

Semi-structured interviews, observation and guided field walks with 52 traditional healers were employed to obtain ethnobotanical data during first half of 2011 on the use of exotic plant species by Bapedi healers to treat human ailments. Based on ethnobotanical information provided by these healers, specimens were collected, numbered, pressed, and dried for identification.

Results

A total of 35 exotics species belonging to 21 families and 34 genera, mostly from the Fabaceae and Solanaceae (11.4% for each), Apocynaceae and Asteraceae (8.5% for each) were used by Bapedi healers to treat 20 human ailments. Trees (45.7%) and herbs (37.1%) are the primary source of medicinal plants. Species most frequently reported were used for the treatment of hypertension (35%), diabetes mellitus, erectile dysfunction and gonorrhoea (25% for each). The highest consensus from individual accounts of the traditional healers on the use of exotic plant remedies in this study was noted for the three ailments. These were for Catharanthus roseus (gonorrhoea, 60%), Punica granatum (diarrhoea, 38.4%) and Ricinus communis (sores, 21.5%). Of the 35 exotic plant species recorded, 34.2% are regulated by the Conservation of Agricultural Resources Act (1983) (CARA) No. 43 of 1983 either as worst weeds or invaders.

Conclusion

The present study demonstrated that exotic plant species play an important part as medicinal remedies employed by Bapedi healers to treat different human diseases in the Limpopo Province. The use of these species as alternative sources of medicinal remedies could alleviate harvesting pressure of wild indigenous plants, thereby enhance biodiversity's region. However, there is a need to formulate an appropriate policy to retain some of the useful medicinal exotics (listed under CARA No. 43 of 1983) within the environment before their medicinal value vanishes as they are eradicated through management strategies adopted by the South African government.     

Ethnopharmacological investigation of plants used to treat susto, a folk illness

Selected plants used to treat susto, a folk illness recognized by various groups of Latin America, were screened for anxiolytic and/or fear suppression activity in behavioral assays. We found that the plant used by most of the healers interviewed (Adiantum tetraphyllum Humb. & Bonpl. ex Willd.; Adiantaceae) suppressed certain components of anxiety and fear. To our knowledge, this is the first report on the biological activity of Adiantum tetraphyllum. This finding supports the contention that susto may represent what in the Western culture is defined as fear or anxiety, and hence may share the same psychological, biological or neural underpinnings. In light of the available literature, this represents the first experimental investigation of the biological activity of plants specifically in the perspective of their use in treating a culture-bound syndrome.     

Medicinal plants used by Tanzanian traditional healers in the management of Candida infections

An ethnomedical survey in Coast, Dar es Salaam, Morogoro and Tanga regions of Tanzania has resulted in the identification of 36 plant species belonging to 21 plant families that are used traditionally for the treatment of Candida infections. Twenty-one plants constituting 58.3% of all collected plants are used to treat of oral candidiasis (Utando) one of the important signs of HIV/AIDS. The knowledge of traditional healers for the treatment of Candida infections has been highly supported by the literature in that 13 (36.1%) out of the 36 plants identified have been proven to be active against Candida albicans and/or other species of Candida. Also, some of the plants were reported to be active against other species of fungi including Cryptococcus neoformans, one of the important pathogenic fungi in HIV/AIDS. It can be seen that ethnomedical information from traditional healers provides a solid lead towards development of new drugs than random screening. The task that remains is to screen extracts prepared from these plants and perform a bioassay-guided fractionation of the active extracts so as to isolate the active compounds from these plants.