Ethnobotany and phytochemistry of plants used to treat musculoskeletal disorders among Skaw Karen, Thailand.

CONTEXT: Musculoskeletal system disorders (MSD) are prevalent around the world affecting the health of people, especially farmers who work hard in the field. Karen farmers use many medicinal plants to treat MSD. OBJECTIVE: This study collects traditional plant-based remedies used by the Skaw Karen to treat MSD and evaluates their active phytochemical compounds. MATERIALS AND METHODS: The ethnobotanical study was conducted in six Karen villages in Chiang Mai province using semi-structured interviews were of 120 informants. The data were analyzed using ethnobotanical indices including use values (UV), choice value (CV), and informant consensus factor (ICF). Consequently, the 20 most important species, according to the indices, were selected for phytochemical analysis using LC-MS/MS. RESULTS: A total of 3731 use reports were obtained for 139 species used in MSD treatment. The most common ailments treated with those plants were muscular pain. A total of 172 high-potential active compounds for MSD treatment were identified. Most of them were flavonoids, terpenoids, alkaloids, and steroids. The prevalent phytochemical compounds related to treat MSD were 9-hydroxycalabaxanthone, dihydrovaltrate, morroniside, isoacteoside, lithocholic acid, pomiferin, cucurbitacin E, leonuriside A, liriodendrin, and physalin E. Sambucus javanica Reinw. ex Blume (Adoxaceae), Betula alnoides Buch.-Ham. ex D.Don (Betulaceae), Blumea balsamifera (L.) DC. (Asteraceae), Plantago major L. (Plantaginaceae) and Flacourtia jangomas (Lour.) Raeusch. (Salicaceae) all had high ethnobotanical index values and many active compounds. DISCUSSION AND CONCLUSIONS: This study provides valuable information, demonstrating low-cost medicine plants that are locally available. It is a choice of treatment for people living in remote areas.

Medicinal Plants for Treating Musculoskeletal Disorders among Karen in Thailand.

Millions of people suffer from Musculoskeletal System Disorders (MSDs), including Karen people who work hard in the fields for their subsistence and have done so for generations. This has forced the Karen to use many medicinal plants to treat MSDs. We gathered data from 15 original references covering 27 Karen communities and we document 461 reports of the use of 175 species for treating MSDs among the Karen people in Thailand. The data were analyzed by calculating use values (UV), relative frequency of citation (RFC) and informant consensus factor (ICF). Many use reports and species were from Leguminosae and Zingiberaceae. Roots and leaves were the most used parts, while the preferred preparation methods were decoction and burning. Oral ingestion was the most common form of administration. The most common ailment was muscle pain. Sambucus javanica and Plantago major were the most important species because they had the highest and second-highest values for both UV and RFC, respectively. This study revealed that the Karen people in Thailand use various medicinal plants to treat MSDs. These are the main resources for the further development of inexpensive treatments of MSDs that would benefit not only the Karen, but all people who suffer from MSD.

Ethnomedicinal Plant Knowledge of the Karen in Thailand.

The Thai Karen, the largest hill-tribe in Thailand, guard substantial ethnomedicinal plant knowledge, as documented in several studies that targeted single villages. Here, we have compiled information from all the reliable and published sources to present a comprehensive overview of the Karen ethnomedicinal plant knowledge. Our dataset covers 31 Karen villages distributed over eight provinces in Thailand. We used the Cultural Importance Index (CI) to determine which species were the most valuable to the Karen and the Informant Consensus Factor (ICF) to evaluate how well distributed the knowledge of ethnomedicinal plants was in various medicinal use categories. In the 31 Karen villages, we found 3188 reports of ethnomedicinal plant uses of 732 species in 150 plant families. Chromolaena odorata, Biancaea sappan, and Tinospora crispa were the most important medicinal plants, with the highest CI values. The Leguminosae, Asteraceae, Zingiberaceae, Euphorbiaceae, Lamiaceae, Acanthaceae, Apocynaceae, and Menispermaceae were the families with the highest CI values in the mentioned order. A high proportion of all the 3188 Karen use reports were used to treat digestive, general and unspecified, musculoskeletal, and skin disorders.