Herbal Teas and Drinks: Folk Medicine of the Manoor Valley, Lesser Himalaya, Pakistan.

In spite of the remarkable achievements in the healthcare sector over recent decades, inequities in accessibility and affordability of these facilities coexist throughout Pakistan. Thus, we aimed to explore and document the cultural knowledge of herbal teas used medicinally by the local community members of Manoor Valley, Pakistan. Field investigations were undertaken during the summer season of 2015-2017, and cultural practices of medicinal plant usage for treating various ailments were gathered through interviews of the local inhabitants. Ethnomedicinal insights of the medicinal plants used in herbal teas were gained with different indexes. Our results revealed 27 plant species, comprising of herbs (70%), shrubs (26%), and trees (4%), which were used for treating 21 diseases. Plants belonged to 18 families: Asteraceae and Lamiaceae were the leading families used for treating diseases. Diarrhea and gas troubles were the most frequent diseases. Based on indexes values, Cannabis sativa was the dominant species used. The results revealed that 57% of medicinal uses are new to literature. This ethnomedicinal study is providing the first insights into the traditional medication system of Lesser Himalaya, Pakistan, through ethnomedicinal teas.

Historical perspectives of ethnobotany.

Ethnobotany is the study of the direct interaction between plants and man in his culture. From time immemorial, man has been depending on Mother Nature for all his basic needs and plant diversity that existed around him always attracted his curiosity. Man's preliminary interest in plants started from his need for food, shelter, protection and then his attention shifted to the remedies for injuries and diseases. In fact, medicine and botany always had strong and close connections, as most of the modern medicines come from plant sources. The current venture reviews the developments and perspectives of ethnobotany in global scenarios. We have summarized the available literature and documentations regarding the historic background of ethnobotany. A survey of the literature survey reveals that plant resources were cited around the globe for curing almost all disease categories i.e. skin disorders, respiratory disorders, digestive disorders, urinary disorders, cardiac disorders, ophthalmic disorders, ear nose throat (ENT) disorders, excretory disorders, nervous disorders, immunity disorders and so on. The orally exchanged customary information/knowledge is in the hands of elders, and most of it can vanish after their deaths and could lead to the depletion of such imperative information. The ethnic society resources, like the folk asset in association with a nature of investigated and surveyed areas, can be conserved through documentation. The natural chemical compounds from plants may be screened and isolated. Plants with therapeutic uses should be tested in studies by using those isolated natural compounds in laboratories to screen and evaluate of plants metabolites with potential therapeutic uses.

Traditional and ethnomedicinal dermatology practices in Pakistan.

In spite of the remarkable achievements in the health care sector over recent decades, inequities in accessibility and affordability of these facilities coexist throughout Pakistan, which has led us to explore and document the cultural knowledge of medicinal plants used in skin disorders by the local community members of Manoor Valley, Pakistan. Field investigations were undertaken during the summer seasons of 2015-2017, and cultural practices of medicinal plants usage for treating various ailments were gathered through interviews with the local inhabitants. Ethnomedicinal insights of the medicinal plants used for skin ailments were gained with recorded data assessed through different statistical packages for evaluation of principal components analysis, species disease curve, and two-way cluster analysis. We conclude that plants play an important role as ethnomedicine in daily life and especially in the health care of the people living in the study area.

Graphical dataset on important medicinal plants used for curing dental issues in Manoor Valley, Mansehra, Pakistan.

The graphical dataset in this paper is related to the research article entitled "A novel survey of the ethno medicinal knowledge of dental problems in Manoor Valley (Northern Himalaya), Pakistan" (I.U. Rahman, F. Ijaz, Z. Iqbal, A. Afzal, N. Ali, M. Afzal, M.A. Khan, S. Muhammad, G. Qadir, M. Asif, 2016) [1]. This article describes how the local community of Manoor Valley practices cultural / traditional knowledge for dental problems. For the recorded data of 25 medicinal plants, six quantitative ethnomedicinal statistical approaches / equations were used. Out of these indices, four were used to measure the most imported and cited medicinal plant species while two for the comparative analysis to evaluate the novelty of work.

A novel survey of the ethno medicinal knowledge of dental problems in Manoor Valley (Northern Himalaya), Pakistan.

ETHNOPHARMACOLOGICAL RELEVANCE: In the study area, the traditional knowledge and cultural practices of utilizing medicinal plants in the human healthcare is primarily restricted to the old age members of the community, while younger generation is mostly unaware of the natural wealth usage. AIM OF THE STUDY: We provide the first ever ethno medicinal insights into the management of dental disorders in Pakistan. The prime objective of the study was to explore novel knowledge of these local and remote community members and share it with rest of the world in documented form. MATERIALS AND METHODS: Field surveys were arranged for collection and documentation of medicinal plants of Manoor valley during 2015. Total 71 local inhabitants were interviewed randomly through questionnaire. The data obtained were quantitatively analyzed using the use value (UVi), relative frequency citations (RFCs), fidelity level index (FL%) and consensus index (CI%). For novel uses all plants were thoroughly checked with previously published articles on the same disorder and analyzed through Jaccard index (JI) and Sorensen's similarity index (QS). The collected specimens after confirmation were submitted to the Herbarium, Department of Botany, Hazara University, Mansehra, Pakistan (HUP). RESULTS: In present study 25 plants belonging to 17 families are reported, these plants were used commonly as ethno medicine. There were herbs (64%), shrubs (20%) and trees (16%) whereas, Lamiaceae with 4 species was the leading family. Majority of medicinal plant species were used in treatment of toothache (38%), wound healing (19%), gum infections (16%) whereas and lowest percentage of species were used for mouth ulcer as well as teeth powder (3%). Leaves were the most widely part used plant part in the treatment of different diseases (36%). Dominated medicinal plants with high used values were Juglans regia (UVi=0.94), Rumex dentatus (0.89) and Indigofera heterantha (0.88). Based on the RFC values, the most valuable and cited medicinal plant species used by the traditional drivers are Juglans regia having (RFCs=0.69) and Rumex dentatus (0.58). CI results show that most respondents percentage was for Juglans regia having CI%=69%, followed by Rumex dentatus (57.7%). Medicinal plants with high fidelity level and reported for one dental disorder were Berberis lycium, Geranium wallichianum, Lathyrus aphaca, Platanus orientalis, Sedum spp. and Urtica dioica for toothache. Further, new medicinal uses of Abies pindrow, Ajuga integrifolia, Berberis lycium, Urtica dioica, Indigofera heterantha were recorded for the first time from Pakistan and Astragalus grahamianus, Corydalis cornuta, Prunella vulgaris, Ranunculus muricatus, Rumex hastatus, Stellaria media, Tagetes minuta, Taraxacum officinale and Lathyrus aphaca, across the world for the current reported medicinal uses. All mentioned plant species are reported for the first time ever for dental disorders from Manoor Valley. Nonetheless, this is a novel study as no single ethno medicinal study on dental disorder up-till now has been reported from Pakistan. CONCLUSION: The present study is the first ever documentation of ethno medicinal practices aiming at the dental disorders in Pakistan, which resulted in 64% of medicinal uses new claims. So, the reported species of remote valley should be further evaluated for proper experimentation and pharmacological activities to authenticate their current traditional usage. Field observation revealed vegetation of the area was generally threatened due to its unwise use by the local communities. Trends like deforestation, over grazing, habitat fragmentation and introduction of the exotic taxa were the visible threats. So conservation of such an important natural God gifted treasure is mandatory.

Contributions to the phytotherapies of digestive disorders: Traditional knowledge and cultural drivers of Manoor Valley, Northern Pakistan.

ETHNO PHARMACOLOGICAL RELEVANCE: Ethno medicinal traditional knowledge regarding the uses of indigenous medicinal plants used for various human digestive disorders are mostly known to the elder community members. As the young generation is not much aware about such vital traditional medicinal practice because they rely on elders. AIM OF STUDY: To document, accumulate and widely disseminate the massive indigenous knowledge of century's practiced therapeutic uses of medicinal plants by the local people living in this remote area. MATERIALS AND METHODS: A total of 63 local inhabitants (39 males and 24 females) were interviewed through a structured questionnaire. The data obtained were quantitatively analyzed through the use value (UVi), fidelity level index (FL%) and relative frequency citations (RFCs), consensus index (CI%) and informant consensus factor (FIC). For novel uses all the plants were checked with previously published articles on same disease by analyzing through Jaccard index (JI) and Sorensen's similarity index (QS). Plants specimen were preserved, mounted and labeled on the herbarium sheets, cataloged and deposited with voucher numbers in Hazara University Herbarium, Mansehra, Pakistan (HUP). RESULTS: 44 plant species belonging to 44 genera and 28 families were documented in the current study. These medicinal plant species were used commonly as an ethno medicine against 26 various digestive disorders out of which most frequently occurred are; stomach ache, diarrhea, indigestion, constipation and inflammation etc. Herbaceous plant species were the dominant among plants studied which were 64% of the total plants, followed by trees (20%) and shrubs (16%). Lamiaceae was the leading family among collected medicinal plant species (13.6%). Maximum medicinal plant species were used for treatment of stomach ache (11.7%), diarrhea and indigestion (10.9% each). Most widely used parts were leaves (41% citations), fruit and whole plant (12% citations each) for medication of various digestive problems by the traditional drivers. Dominated medicinal plants with most use values were Ficus carica having (UVi=0.90) and Trifolium repens (UVi=0.84). Based on the RFC values, the most cited medicinal plant species by the traditional drivers were Ficus carica (0.43) and Berberis lycium (0.41), while most respondents percentage was noticed for same plant species calculated through consensus index (CI%=42.9% and 41.3%) respectively. The medicinal plant species with highest fidelity level was of Grewia optiva, Juglans regia and Sorbaria tomentosa each cited 100% for anthelmintic, easy digestion and Diarrhea respectively. Due to representation by only single medicinal plant taxa (Nt=1), the digestive diseases viz. cholera, colon cancer, emetic, internal injuries, kill microorganisms, Soothing, tumor and urine suppression had maximum FIC value. The analytical result reveals that 57% of medicinal plant species were reported for the first time regarding their uses. new medicinal uses of Anaphalis contorta, Caltha palustris, Pinus wallichiana, Plantago himalaica were recorded for the first time from Pakistan and Aralia cachemirica, Bupleurum longicaule, Pleurospermum stellatum, Potentilla argentea and Juglans regia across the globe for currently reported medicinal uses. Besides this, all the mentioned plant species were reported for the first time for digestive disorders from Manoor Valley as no single study up-till now has been conducted ethno medicinally. CONCLUSION: The present study revealed the importance to document and launch list of all the possible plants that are used in traditional medicinal practices against digestive disorders in the unexplored study area and to show the important medicinal plants for future biological, phytochemical and pharmacological experimentation regarding digestive problems.

Investigation of traditional medicinal floral knowledge of Sarban Hills, Abbottabad, KP, Pakistan.

ETHNO PHARMACOLOGICAL RELEVANCE: Ethno medicinal traditional knowledge regarding the uses of indigenous medicinal plants for treating various human infectious diseases is totally in hold of the elder community members. The young generation is not much aware about such vital traditional medicinal practices. AIM OF STUDY: To document, accumulate and widely disseminate the massive indigenous knowledge of century's practiced therapeutic uses of medicinal plants by the local people living in this area. MATERIALS AND METHODS: A total of 134 local inhabitants (78 male and 56 female) were interviewed through questionnaire method. The data obtained were quantitatively analyzed through the use value, fidelity level index and relative frequency citation. Plants specimen were preserved and mounted on herbarium sheets and labeled, cataloged and deposited with voucher numbers in Hazara University Herbarium, Mansehra, Pakistan (HUP). RESULTS: 74 plant species belonging to 70 genera and 42 families were documented in the current study. These medicinal plant species are used commonly as an ethno medicine against 56 various diseases such as digestive disorder, cough, pain and skin diseases etc. Herbaceous plant species were the dominant among plants studied which were 57% of the total plants, followed by shrubs (23%) and trees (20%). Asteraceae was the leading family among collected medicinal plant species (10.81%). Maximum medicinal plant species were used for treatment of digestive disorders (9.09%) and cough (7.44%). Most widely part used is leaf (27.9%), followed by fruit (13.5%) and seed (13.5%) for the treatment of different ailments by the traditional healers. The medicinal plant species with greater use values were Berberis lycium (0.91) and Cannabis sativa (0.81). The medicinal plant species with maximum fidelity level were Ziziphus jujuba (100%) and Lonicera caprifolium (92.31%) whereas the medicinal with most relative frequency citation were B. lycium (0.313), Ziziphus nummularia (0.276). The comparative result reveals that 36% of medicinal plant species were reported for the first time from Abbottabad regarding their uses, whereas 26% of plant species were reported with different medicinal uses. Brugmansia suaveolens and Allium griffithianum were recorded for the first time from Pakistan as well as from other countries across the globe for currently reported medicinal uses. CONCLUSION: The current study revealed the importance to document and launch list of all possible plants that are used in ethno medicinal practices in the study area. Future antimicrobial, antivirals, and pharmacological studies are required to ratify the efficacy and safety of the medicinal plants species.