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.

Women's wellness in the mountains: An exploration of medicinal plants among tibeto-burman groups in Thailand.

Ethnopharmacological relevance: This study offers valuable insight into the traditional healing practices of women's healthcare within four Tibeto-Burman groups. By focusing on women's wellness, the research sheds light on the often-neglected yet significant contributions made by women in the field of traditional medicine. Aims of the study: The study seeks to address the gap of studies on the ethnobotany of women healthcare of the Tibeto-Burman groups in Thailand and to analyst the factors that could affect the diversity of ethnobotanical knowledge. Materials and methods: The study compiled data from 15 group-informants residing in 12 different villages. The information gathering process involved a combination of free-listing, semi-structured interviews, group discussion, and the walk-to-the-wood method. To analyze the data, the researchers used various methods such as use-reports, Relative Frequency of Citation (RFC), Relative Importance Index (RI), and Cluster analysis. Results: This study identified 200 plant species used in traditional women's healthcare practices, with leaves being the most frequently used part. Drinking was the most common method for internal use, while bathing and steam were the most emphasized for external use. Blumea balsamifera and Buddleja asiatica had high RI and RFC. Cluster analysis revealed that group-informants were divided by ethnicity and geographical location. Conclusion: This study contributes to the understanding of traditional healthcare practices among Tibeto-Burman groups in Thailand, with a particular focus on women's wellness. The results provide insight into the ethnobotanical knowledge of these communities and highlight the important role played by women in traditional medicine. The study underscores the need for continued research in this field to preserve and utilize this valuable knowledge.

Asian elephant self-medication as a source of ethnoveterinary knowledge among Karen mahouts in northern Thailand.

ETHNOPHARMACOLOGICAL RELEVANCE: Ethnoveterinary medicine is often assumed to be a subset of human medicinal knowledge. Here we investigate the possibility that some ethnoveterinary medicine rather originates from observations of animal self-medication. We document and analyze the ethnoveterinary medicine used by Karen mahouts for elephant care and attempt to determine whether this knowledge originated from humans or elephants. MATERIALS AND METHODS: Elephant camp owners and mahouts in four communities in northern Thailand were interviewed about their knowledge and use of plants for ethnoveterinary elephant care. For each ethnoveterinary plant, data were collected on Karen human medicinal uses and whether elephants independently consume them. Based on overlaps between ethnoveterinary use, human medicinal use and elephant dietary use, plants were classified into three categories: those that originated from Karen human medicine, those that originated from Asian elephant self-medication, and those which were present in both human and elephant knowledge traditions. RESULTS: The use of 34 plants (32 identified at least to genus) and two additional non-plant remedies (salt and human urine) were reported to be used in ethnoveterinary elephant medicine. A total of 44 treatments in 11 use categories were recorded: tonic, wounds, compress, eye problems, indigestion, broken bones, galactagogue, snakebite, fatigue, skin and musth regulation. Of the ethnoveterinary plants, 55% had the same use in human medicine, 43% had different uses and 2% had no use. Elephants consume 84% of the ethnoveterinary plants as part of their natural diet. DISCUSSION: Analysis indicates that 32% of plant uses likely originated from Karen human medicine, 60% of plant uses likely existed independently in both human and elephant knowledge systems, and 8% of plant uses likely originated from elephant self-medicating behavior. The tonic use category shows the strongest evidence of influence from observations of elephant self-medication. The use of tonic medicines appears to be increasing as a way to mitigate the unnaturally limited diet of elephants in tourist camps. CONCLUSION: Ethnoveterinary medicine for elephant care is influenced by both human medicinal knowledge and elephant knowledge of plants for self-medication. The ethnoveterinary knowledge domain appears to be the result of an interactive process linked to convergent evolution or co-evolution between humans and Asian elephants.

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.

Medicinal plants in homegardens of four ethnic groups in Thailand.

ETHNOPHARMACOLOGICAL RELEVANCE: Homegardens are important habitats for medicinal plants and traditional knowledge, especially among indigenous groups in remote areas. In homegardens, medicinal plants and traditional knowledge are well conserved through human management and ease of access. AIM OF THE STUDY: To understand the drivers of diversity and the composition of homegardens with focus on medicinal plants, including exotic species, and their uses. We compare the homegardens of four ethnic groups in northern Thailand (Thai Yuan, Lahu, Karen, and Lisu). METHODS: We inventoried all medicinal species in 195 homegardens from four villages belonging to the four ethnic groups. The owners were asked to point out all useful species in their homegardens. For any medicinal species, they were then interviewed about their main and secondary uses, medicinal properties, plant part used, preparation methods, and route of administrations. RESULTS: We recorded 95 medicinal homegarden plant species ranging from 20-59 species per village and ethnic group. Most of the medicinal plants had a primary use as food plants, which demonstrated the close relationship between local food and medicine in the lives of these ethnic groups. Many of the medicinal plants were also used as food additives, ornamentals, or materials, showing that medicinal plants are not an exclusive category in the homegardens. The number of homegarden plants varied almost four-fold from 58 species in one village to 211 in the most species rich village. The number of medicinal homegarden plants varied accordingly from 20 to 59 in the poorest and the richest villages. Five medicinal species were found in all villages, but 70% of the medicinal plants were found in only one village. Infection & infestation, Nutritional disorders, and Digestive system disorders were the three most important medicinal use categories for plants in the homegardens, and all three categories were found in most of the studied homegardens. Of the 95 species with medicinal uses, 26 (27%) were exotic, which shows that local people amplify the spectrum of alternative ways to treat their illnesses. CONCLUSION: Homegardens are an important source of ethnomedicinal species and knowledge. These species are beneficial for treating acute and common ailments; they are easy to access and can be prepared by simple methods, which are suitable for treating disorders, such as infections or any digestive system ailments. Medicinal plants in homegardens have been important in improving health, at least, at the family level.