Fumigation in Ayurveda: Potential strategy for drug discovery and drug delivery

Ethnopharmacological relevance

Ayurveda has its unique perceptions and resultant methodologies for defining and treating human diseases. Fumigation therapy is one of the several treatment methods described in Ayurveda whereby fumes produced from defined drug formulations are inhaled by patients. This therapeutic procedure offers promising research opportunities from phytochemical and ethnopharmacological viewpoints, however, it remains under-noticed. Considering these facts, this review is primarily aimed at introducing said Ayurvedic fumigation therapy and discussing its scientific gaps and future challenges.

Methodology

A search of multiple bibliographical databases and traditional Ayurvedic text books was conducted and the articles analyzed under various key themes, e.g., Ayurvedic fumigation, fumigation therapy, medicinal fumigation, inhalation of drugs and aerosol therapy.

Result

Ayurveda recommends fumigation as a method of sterilization and therapeutic procedure for various human diseases including microbial infections and psychological disorders. However, it has not gained much attention as a prospective field with multiple research opportunities.

Conclusion

It is necessary to have a more detailed and systematic investigation of the phytochemical and pharmacodynamic properties of Ayurvedic fumigation therapy in order to facilitate the identification of novel bioactive compounds and more effective drug administration methods.     

Inhibition of phagocytic and intracellular killing activity of human neutrophils by aqueous and methanolic leaf extracts of Ixora coccinea

Ethnopharmacological relevance

Ixora coccinea is widely used in Ayurveda and traditional medicinal practices in Sri Lanka and in Asia for acute bronchitis, reddened eyes and eruptions and dermatological disorders. The aim of this study was to determine the underling mechanism of anti-inflammatory activity of Ixora coccinea with respect to its inhibitory activity on human neutrophils.

Materials and methods

Freeze-dried products of aqueous and methanolic leaf extracts (ALE and MLE) prepared from mature fresh leaves of Ixora coccinea and total human leukocytes purified by Dextran sedimentation were used in this study. Three in vitro functional assays were developed and used to assess the inhibitory effects of ALE and MLE on human neutrophils, (i) assay for change-in-shape (CIS) for inhibitory effects on neutrophil polarization, (ii) yeast phagocytosis assay to investigate phagocytic activity of neutrophils and (iii) an optimized quantitative NBT assay to detect the production of reactive oxygen species (ROS).

Results

Both ALE and MLE demonstrated maximum inhibition at 500 µg/ml for CIS (75% and 79% respectively; IC₅₀ values 44.5 and 24.0 µg/ml respectively), yeast phagocytosis (100%; IC₅₀ values 18.0 and 30.0 µg/ml respectively) and ROS production (47% and 67% respectively; IC₅₀ values 248 and 360 µg/ml respectively). All three inhibitory effects of both ALE and MLE were dose-dependent (P<0.05).

Conclusion

This study has shown that both ALE and MLE of Ixora coccinea exhibit potent anti-neutrophil activity that inhibits its intracellular killing which was demonstrated by the significant inhibition of neutrophil activation, phagocytosis, and production of ROS. MLE showed more potent anti-neutrophil activity compared to ALE reflecting a higher anti-inflammatory activity.     

Changing scenario for promotion and development of Ayurveda - way forward

Ethnopharmacological relevance

Ayurveda, derives from the Sanskrit words Ayus (life) and Veda (knowledge) is the most ancient system of traditional medicine of the world. It has been practiced in Indian peninsula since 5000 BC to offer natural ways to treat diseases and to promote healthcare.

Methodology

We reviewed the literature on the history, principles and current status of Ayurveda. The data have been presented systematically including the initiatives from Government of India. Several aspects of administrative management, education, teaching and related aspects for promotion and development of Ayurveda and other Indian systems of traditional medicine have been discussed.

Results

This paper reviews on different aspects of development of Ayurveda. Presently, there are 2420 hospitals with about 42271 beds, 15017 dispensaries, 429246 registered practitioners, more than 320 educational institutions, 7699 drug-manufacturing units to promote Ayurveda into the health care delivery system in the country. Ayurvedic Pharmacopoeia of India is the official document for single Ayurvedic drugs (540 monographs) and different formulations (152 monographs). Several aspects in this regard for development of Ayurveda have been discussed.

Conclusion

Considering the widespread use and popularity of Ayurveda worldwide, administrative management and infrastructure facilities, indigenous practices and standards for quality control and it’s evaluation have been highlighted. In India, all such efforts for integration of Ayurveda provide potential role in the health care benefits.     

Ethno-veterinary survey of medicinal plants in Ruoergai region, Sichuan province, China

Aim of study

In this study we aimed to survey and investigate the medicinal plants which are used to treat the veterinary diseases in Ruoergai region, Sichuan province, China. Meanwhile, the important medicinal plants were collected and identified for the further study.

Materials and methods

Twenty folk veterinary practitioners from 8 township animal husbandry and veterinary stations in Ruoergai region were investigated and interviewed. The important local medicinal materials, including plants, animals and mineral drugs, were collected by scientific methods and identified by the pharmacognosist of Lanzhou University, China.

Results

According to the investigation, only 20 folk veterinary practitioners still used 129 species of traditional medicine to treat the livestock`s diseases. In these medicine, 93 species were native and Ranunculaceae (12, 12.90%), Compositae (11, 11.83%), Papaveraceae (7, 7.53%) were the predominant families. At the same time, herbs (36.56%) are the most widely used part of plant, and respiratory diseases (21.02%) and gastrointestinal diseases (19.89%) were the main animal’s diseases in this region.

Conclusion

Ethno-veterinary medicine made an extraordinary contribution to the sound development of animal husbandry in Ruoergai. But the inherit, protect and development should be paid more attentions in the future, and the species which have not been studied should be developed priority to find biological activities and new bioactive compounds further.     

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.     

Determination of toxic heavy metals in indigenous medicinal plants used in Rawalpindi and Islamabad cities,Pakistan

Ethnopharmacological relevance

History of medicinal plants used in local healthcare systems dates back centuries as the user considers them safe from toxic effects. Present study was aimed to document the commonly used indigenous medicinal plants and to investigate the metal toxicity and impact of pollution load in most frequently used medicinal plants from study area.

Material and methods

Semi-structured interviews and rapid appraisal approach were employed to record the ethnomedicinal information and toxic metals were analyzed through flame atomic absorption spectrophotometer.

Results and discussion

A total of 21 wild medicinal plants was reported, and 7 were screened for toxic metal analysis. Oral mode of application (93%) was the chief route of herbal remedy administration, and leaves were found to be used as major plant part against different diseases. Main sources of remedies were wild herb (68%) followed by wild trees (18%), wild spiny shrubs (09%) and wild shrubs (5%). Trend of metal concentration was found as Fe>Ni>Cr>Pb>Cu>Zn>Mn>Cd. Indigenous medicinal plants of both cities posed the toxicity risk for Ni, Cu, Fe and crossed the safety limits set by WHO.

Conclusion

Medicinal plants of Rawalpindi were more toxic compared to the medicinal plants of Islamabad. Prolonged intake or over dose of these medicinal plants may lead to chronic accumulation of various elements that may cause severe hazardous effect upon human health.     

Traditional knowledge on medicinal plant of the Karen in northern Thailand: A comparative study

Ethnopharmacological relevance

We studied traditional medicinal plant knowledge among the Karen in northern Thailand.

Aim of the study

To compare traditional medicinal knowledge in 14 Karen villages in northern Thailand and determine culturally important medicinal plant species in each Karen village.

Materials and methods

We interviewed 14 key informants and 438 non-specialist informants about their traditional knowledge of medicinal plants. We tested normality of the data and correlations with distance to the nearest city using Kolmogorov–Smirnov tests and Spearman's rank correlation coefficient. Cluster analysis and cultural importance index (CI) were calculated for the similarity of medicinal plant used and culturally importance medicinal plant species among Karen villages respectively.

Results

In total 379 medicinal plant species were used. Number of medicinal plants used positively correlate with distance to the nearest city. Relatively low similarities of medicinal plant species and different CI values for species among the different areas were found.

Conclusions

Traditional medicinal plants still play an important role in medicinal practice of the Karen. Local environments, availability of medicinal plant and distance between Karen villages and the nearest city affect the amount of traditional medicinal knowledge in each Karen village. The medicinal plants in this study with high CI values might give some useful leads for further biomedical research.     

Ethnobotany of the Alt Empordà region (Catalonia,Iberian Peninsula): Plants used in human traditional medicine

Ethnopharmacological relevance

This paper provides significant ethnobotanical information on pharmaceutical plant uses from a tourist and industrialised region, where some degree of acculturation exists, so that there is urgency in recording such data.

Aim of the study

To collect, analyze and evaluate the ethnobotanical knowledge about medicinal plants in a north-eastern Iberian region (Alt Empordà, 1358 km², 129,160 inhabitants).

Methodology

We performed 101 semi-structured interviews with 178 informants (mean age 69; 71% women, 29% men), identified the plant taxa reported and analyzed the results, comparing them with those from other territories.

Results

The informants reported data on 518 species. Of these, 335, belonging to 80 botanical families, were claimed as medicinal. This work is focused on human medicinal plant uses, which represent 98% of the pharmaceutical uses (3581 out of 3643 use reports). Around 800 medicinal uses, concerning 200 species, have not, or have very rarely been cited as medicinal; of these, 32 uses of 30 species have been reported by three or more independent informants.

Conclusions

The folk knowledge about medicinal plant use is still alive in the studied region, and a number of scarcely reported plant uses has been detected, some of them with promising phytotherapeutical applications.     

Ethnomedicinal knowledge and relative importance of indigenous medicinal plants of Cholistan desert,Punjab Province,Pakistan

Ethnopharmacological relevance

Ethnomedicinal studies are significant for the discovery of new crude drugs from indigenous reported medicinal plants. The current study aimed to report the indigenous medicinal knowledge of plants and herbal remedies used as folk medicines in Cholistan desert, Punjab Province, Pakistan.

Material and methods

Rapid appraisal approach (RAA), semi-structured interviews, group meetings with herbalists, landowners and local people having awareness about the medicinal action of plants were employed to collect the data.

Results and discussions

This study reports 70 medicinal plants belonging to 27 families that were disseminated among 60 different genera and Poaceae was the predominant family over others with 13 reported medicinal plants. Among plant parts, leaves were the dominant over others with 26.4% used in herbal preparations followed by the stem (25.2%), fruit (21.5%), flower (16.3%), seed (6.5%), bark and pod (02%). Haloxylon recurvum exhibited the highest use vale (UV) 0.83 while least UV was exhibited by Mollugo cerviana that was 0.16.

Conclusion

Important medicinal plants, reported in this study have been screened for phytochemical and pharmaceutical activities in different parts of the globe. It is recommended that reported medicinal plants having potent action for cancer and hepatitis must be screened for pharmacological activities.     

Medicinal plant use in two Andean communities located at different altitudes in the Bolívar Province,Peru

Ethnopharmacological relevance

The study documents current medicinal plant knowledge and use in two Andean communities and depicts the dynamic nature of ethnobotanical relationships by illustrating cultural integration of biomedicine and local plant medicine into a complementary system.

Aim of the study

In order to elucidate the importance of medicinal plants, the following research questions were addressed: Which position do medicinal plants have in the local health care system? Which plants are used medicinally, and do they differ between the communities? Is their use supported pharmacologically?

Materials and methods

Fieldwork was done for seven months in 2010. Semi-structured interviews were conducted with 120 informants in Uchumarca and Pusac/San Vicente de Paúl, and the medicinal plant species mentioned by the informants were vouchered.

Results

In total, 2776 plant remedy use reports were recorded. Most people in both communities know at least some medicinal plants, usually from their parents, grandparents, sometimes from books. There are different types of local plant specialists, who are consulted above all for the treatment of diseases thought to have a magical origin or for recommendations of plants to treat minor diseases. Overall, 140 medicinal plants were documented, with a conformity of over 90% between the communities. The effective use of the most frequently cited medicinal plants is supported by scientific literature. Most uses were reported for the treatment of gastrointestinal (17%), nervous (14%), respiratory (14%), urological (13%) and dermatological diseases (8%); nervous diseases were more prevalent in the mountain community, while dermatological and urological diseases were more common in the valley.

Conclusions

People combine medicinal plant use and biomedicine depending on the kind of disease, their beliefs, and their economic situation. The local use of different available medical resources is reflected by the combination of related epistemologies to explain disease causes. Medicinal plant use and biomedicine complement each other to form the local health care system.     

Cultural significance of medicinal plant families and species among Quechua farmers in Apillapampa,Bolivia

Ethnopharmacological relevance

Medicinal plant use was investigated in Apillapampa, a community of subsistence farmers located in the semi-arid Bolivian Andes.

Aim of the study

The main objectives were to identify the culturally most significant medicinal plant families and species in Apillapampa.

Materials and methods

A total of 341 medicinal plant species was inventoried during guided fieldtrips and transect sampling. Data on medicinal uses were obtained from fifteen local Quechua participants, eight of them being traditional healers.

Results

Contingency table and binomial analyses of medicinal plants used versus the total number of inventoried species per family showed that Solanaceae is significantly overused in traditional medicine, whereas Poaceae is underused. Also plants with a shrubby habitat are significantly overrepresented in the medicinal plant inventory, which most likely relates to their year-round availability to people as compared to most annual plants that disappear in the dry season. Our ranking of medicinal species according to cultural importance is based upon the Quality Use Agreement Value (QUAV) index we developed. This index takes into account (1) the average number of medicinal uses reported for each plant species by participants; (2) the perceived quality of those medicinal uses; and (3) participant consensus.

Conclusions

According to the results, the QUAV index provides an easily derived and valid appraisal of a medicinal plant's cultural significance.     

Mechanisms of blood glucose-lowering effect of aqueous extract from stems of Kothala himbutu (Salacia reticulata) in the mouse

Ethnopharmacological relevance

Kothala himbutu (Salacia reticulata) is a medicinal plant that has been used in Ayurvedic system of Indian and Sri Lankan traditional medicine to treat diabetes.

Aim of the study

This study aimed to clarify the mechanism(s) by which aqueous extracts of Kothala himbutu (KTE) stems decreases fasting blood glucose levels.

Materials and methods

Gene expression profiles were assessed by DNA microarray and RT-PCR analyses of RNA from the liver of KK-Ay diabetic mice administered KTE or control distilled water for 4 weeks, and from cultured liver cells treated with freeze-dried KTE (KTED) or selected phenolic compounds.

Results

DNA microarray and RT-PCR analyses revealed that gluconeogenic fructose-1,6-bisphosphatase (FBP) was decreased compared with the control in KTE-treated KK-Ay mice. RT-PCR analysis using cultured liver cells treated with KTED and/or actinomycin D or cycloheximide, revealed that KTED directly decreased FBP mRNA levels via destabilization of the mRNA. One compound in KTE, mangiferin, was demonstrated to dose-dependently down-regulate FBP mRNA.

Conclusions

These findings suggest that the mangiferin in KTE acts directly on liver cells and down-regulates the gluconeogenic pathway through regulation of FBP expression, thereby decreasing fasting blood glucose levels in mice. Our results demonstrate that gluconeogenic gene regulation is one possible mechanism by which KT exerts its effects in traditional diabetic medicine.     

Ethnobotanical study on medicinal plants around Mt.Yinggeling,Hainan Island,China

Aim of the study

The main objectives were to collect information on the use of medicinal plants and compare medicinal plant traditions between Run and Qi.

Materials and methods

Information was obtained from semi-structured interviews, personal conversation and guided fieldtrips with herbalists.

Results

385 species belonging to 290 genera in 104 families were used for the treatment of various diseases. Rubiaceae (20 species), Euphorbiaceae and Compositae (19 species respectively) were predominant families used by herbalists. The most species were used for injuries (20.1%), muscular–skeletal system disorders (18.3%) and infections/infestations (18.0%). The coefficient of similarity (36.6%) shown a high consensus of plant species used by Run and Qi. The ‘informant agreement ratio’ values for both Run and Qi are rather low (less than 0.3).

Conclusions

Traditional medicinal plants still play an important role in medical practices of Li Ethnic Group around Mt.Yinggeling. There is a close relationship of medicinal plant traditions between Run and Qi. Further investigation is necessary to record this valuable knowledge before its disappearance.     

Identification of medicinal vines by ITS2 using complementary discrimination methods

Ethnopharmacological relevance

Medicinal vines listed in Chinese pharmacopoeia possess important medicinal efficacy in traditional Chinese medicines.

Aim of the study

The ITS2 region, which has several characteristics that make it a valuable DNA barcode, was studied to discriminate the stems of medicinal vines to confirm their identities and ensure their safe application in pharmaceuticals by using complementary discrimination methods.

Materials and methods

Complementary discrimination methods were performed on two datasets, including 393 samples of 170 species from 22 genera 13 families, which belonged to medicinal vines and their adulterants. Based on the primary ITS2 sequences, three main discrimination methods (phylogenetic tree, the nearest distance, and BLAST 1) were adopted to identify species. Moreover, we applied both two-dimensional (2-D) and three-dimensional (3-D) structures of ITS2 to differentiate species.

Results

ITS2 performed well, with over 95.0% of species and 100% of genera being correctly differentiated for the two datasets. All results showed that the ITS2 region unveiled a remarkable ability to identify closely related species within different families and genera.

Conclusion

Our findings supported that the ITS2 region was an efficient marker for authentication of medicinal vines.     

Indigenous knowledge of medicinal plants from Gujranwala district,Pakistan

Aim of study

This study was focused with the aim to investigate and document the indigenous medicinal knowledge and commonly used medicinal plants from Gujranwala district, Pakistan and to establish a baseline data in continuing studies aimed at more comprehensive investigations on bio-active compounds of indigenous medicinal plants.

Material and methods

Rapid appraisal approach (RAA) was used along with the interviews, group meetings with people having knowledge about indigenous uses of medicinal plants and individual meetings with herbalists were conducted, to collect the ethnomedicinal data.

Results and discussions

About 71 species of medicinal plants belonging to 38 families have been documented through 203 informants. Most favored plant part used for indigenous medicine was leaves (38%) followed by the seed (13%), whole plant (11%), flower (9%), fruit (8%), root and bark (6%) and the main source of these medicines was wild herbs (54%) followed by the wild shrubs, wild trees (13%), cultivated herbs (10%), cultivated trees (5%), cultivated shrubs (3%) and wild grasses (2%). The herbal preparations were mainly administrated orally and topically.

Conclusion

Gujranwala district has great diversity of medicinal plants and people are aware about their medicinal values. Few plants are playing vital role in the basic health care needs of study areas; such plants should be screened for detailed pharmacological studied to explore new biological compounds.     

Indigenous knowledge of medicinal plants in Kotli Sattian,Rawalpindi district,Pakistan

Aim of study

The present study aimed to report the ethnomedicinal information from Kotli Sattian, district Rawalpindi for detailed medicinal uses and to inform the community about conservation of medicinal plant diversity and ethnomedicinal knowledge of plants.

Material and methods

Ethnomedicinal data were collected via Rapid Appraisal Approach (RAA) along with interview, group meetings with local people having awareness about medicinal knowledge of plants and individual meetings with local healers.

Results and discussions

This study reported eighty seven (87) indigenous medicinal plants, distributed among fifty five (55) families and seventy nine (79) genera. Among these, herbs contributed 43%, trees 28%, shrubs 21% and climbing plants 8%. About 34% of herbal preparations were made from whole plants followed by the leaves (27%), fruits (08%), bark (06%), seeds (05%), root (05%), rhizome (04%), stem, flower, gum, pod and tubers (02%) and milky latex (01%). Justicia adhatoda showed the maximum use value (0.91) while Cuscuta reflexa showed the least use value (0.11).

Conclusion

Elder people in the study area still rely on herbal remedies although the modern heath care facilities are present in the study area; thus, the indigenous plants remain important medicines in solving health problems.     

Ethnobotany of medicinal plants used in Eastern Mallorca (Balearic Islands, Mediterranean Sea)

Ethnopharmacological relevance

This paper represents the first large-scale ethnobotanical study in the island of Mallorca, and provides significant information on pharmaceutical plant uses, built up from interviews with native people from this touristic hotspot, demonstrating its ethnopharmacological importance.

Aim of the study

To collect, analyse and evaluate the ethnobotanical knowledge concerning medicinal plants in a north-eastern Mallorcan area (municipalities of Artà, Capdepera and Son Servera; 298 km², 31,764 inhabitants).

Materials and methods

We performed semi-structured interviews with 42 informants (mean age 77; 40% women, 60% men), identified the plant taxa reported and analysed the results, comparing them with those found in the current Mallorcan ethnobotanical information and in other territories.

Results

The informants reported data on 121 human medicinal plants representing 64 botanical families. Around 45 medicinal uses reported, concerning 37 species, have not or have very rarely been cited as medicinal. An index of medicinal importance is proposed.

Conclusions

All efforts addressed to compiling ethnobotanical information in industrialised or touristised areas such as Eastern Mallorca are still valuable. New possibilities can be explored to give practical value to Mallorcan ethnobotanical data in the frame of considering traditional plant knowledge as part of the islanders’ lifestyle and healthy habits.     

Ethnoveterinary knowledge in pastoral Karamoja,Uganda

Ethnopharmacological relevance

The people of Karamoja of northern Uganda chiefly rely on ethnoveterinary knowledge (EVK) to control common livestock health problems. In spite of cattle's central role in Karamojong culture and livelihoods, there has been no systematic recording of their ethnoveterinary plant-based cures to date.

Aim of study

To document the remedies used to treat livestock diseases, their preparation and administration.

Methods

Data were collected using semi-structured interviews, guided questionnaires, group discussions, direct observations and collection trips.

Results

We present information on 209 plant species and 18 non-plant materials. Plant species are distributed over 116 genera and 54 families. The most common medicinal use was treatment against anaplasmosis. Balanites aegyptiacus, Carissa spinarum, Warburgia salutaris and Harrisonia abyssinica had the most uses of all species. All different plant parts were used; bark and underground parts were exploited more frequently than other plant parts. Most remedies listed used a single ingredient, typically soaked in water; only 12.8% remedies used multiple plants. The route of administration was primarily oral followed by topical applications. Almost all plants are collected from the wild; none of the few cultivated plants used had been planted for medicinal purposes.

Conclusions

The pastoralists in the study site possess a wealth of EVK which they use to maintain animal health. Their rich knowledge and high diversity of plants were recorded here for the first time.     

Ethnobotanical study on medicinal plants around Limu Mountains of Hainan Island,China

Aim of the study

The main objectives were to document traditional knowledge on the use of medicinal plants and compare medicinal plant traditions between Li and Hmong living around Limu Mountains of Hainan Island.

Material and methods

Information was obtained from semi-structured interviews, personal conversation and guided fieldtrips with herbalists. Quantitative methods, such as the coefficient of similarity (S), Chi-square analysis and the ‘informant agreement ratio’ were applied for the comparison of medicinal plant tradition between Li and Hmong.

Results

In all, 224 plant species grown in the study areas are still traditionally used for the treatment of various diseases. Euphorbiaceae (17 species), Rubiaceae (16 species), Papilionaceae and Poaceae (11 species, respectively), Verbenaceae (10 species) and Compositae (7 species) are predominant families used by herbalists. The most species were reported to be used for injuries (25.1% of all the medicinal use-reports), digestive system disorders (24.8%), infections/infestations (14.7%) and muscular-skeletal system disorders (12.3%). The coefficient of similarity (29.0%) shows a relatively high overlap of medicinal plants used by Li and Hmong. Using Chi-square analysis, it was found that habit mentions were dependent upon the culture. Infections/infestations, injuries and muscular-skeletal system disorders scored high IAR value and mention in both Li and Hmong communities.

Conclusions

Medicinal plants are of importance to indigenous people around Limu Mountains who still rely on medicinal plants to treat a wide range of illnesses. There is a close relationship of medicinal plant tradition between Li and Hmong who are culturally distinct.