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乌干达Prometra草药医生用于治疗疟疾的药用植物。

Medicinal plants used in malaria treatment by Prometra herbalists in Uganda.

作者信息

Adia Madina Mohamed, Anywar Godwin, Byamukama Robert, Kamatenesi-Mugisha Maud, Sekagya Yahaya, Kakudidi Esezah K, Kiremire Bernard T

机构信息

Chemistry Department, Makerere University, P.O Box 7062, Kampala, Uganda.

Botany Department, Makerere University, P.O Box 7062, Kampala, Uganda.

出版信息

J Ethnopharmacol. 2014 Aug 8;155(1):580-8. doi: 10.1016/j.jep.2014.05.060. Epub 2014 Jun 11.

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

The aim of the survey was to document medicinal plants used in malaria treatment by Prometra (Promocion de la medicina tradicional amazonica) Traditional Medical Practitioners (TMPs) of Uganda and for search of new antiplasmodial herbal medicines (HMs) for further phytochemical analysis.

MATERIALS AND METHODS

In this study, semi structured guided open and close ended questionnaires were used. Focus group discussions were conducted and key informants were chosen within the TMPs who helped in further discussions of how the herbal remedies where collected, prepared and administered.

RESULTS

A sample size of 51 respondents was randomly selected among the TMPs with the help of their leader. 86 species distributed over 81 genera and 39 families were reportedly being used as herbal remedies in malaria treatment. The TMPs use symptoms like high temperature, shivering, among others in malaria diagnosis an indication that they understand malaria. They emphasized the use of leaves and bark in treatment because they can regenerate and therefore ensure sustainable use of plants rather than the use of roots which would be destructive. These TMPS treat and also advise their patients on preventive measures against malaria attacks like sleeping under mosquito nets, clearing bushes near homesteads, among others which is an indication that they help in the prevention and mitigation of malaria incidences and prevalence in the areas where they live. The Informant Consensus Factor (FIC) value of 0.8 demonstrated that the TMPs of Prometra-Uganda tend to agree with each other in terms of the plant species they use in malaria treatment an indication of quality control in as far as administration of the herbal remedies. Vernonia amygdalina Delile, Bidens pilosa L., Justicia betonica L. were highly cited as being used in malaria treatment with frequencies of mention of 38, 28 and 25, respectively.

CONCLUSION

TMPs of Prometra-Uganda understand and treat malaria using the available plant diversity from their huge forest and the herbal gardens within Buyija forest. The healers are very keen at plant conservation which is a good practice. Species like Justica betonica may be investigated further for antiplasmodial assays to justify its efficacy.

摘要

民族药理学相关性

该调查的目的是记录乌干达传统亚马逊医学推广组织(Prometra)的传统医学从业者(TMPs)用于疟疾治疗的药用植物,并寻找新的抗疟草药(HMs)以便进一步进行植物化学分析。

材料与方法

在本研究中,使用了半结构化引导式开放式和封闭式问卷。开展了焦点小组讨论,并在传统医学从业者中挑选了关键信息提供者,他们协助进一步讨论了草药的采集、制备和施用方式。

结果

在其负责人的帮助下,从传统医学从业者中随机抽取了51名受访者作为样本。据报道,有86种植物分布在81个属和39个科中,被用作疟疾治疗的草药。传统医学从业者在疟疾诊断中使用诸如高烧、寒战等症状,这表明他们了解疟疾。他们强调在治疗中使用叶子和树皮,因为它们能够再生,从而确保植物的可持续利用,而不是使用具有破坏性的根部。这些传统医学从业者不仅进行治疗,还会就预防疟疾发作的措施向患者提供建议,如睡在蚊帐下、清理家园附近的灌木丛等,这表明他们有助于预防和减轻他们所居住地区的疟疾发病率和流行程度。信息提供者共识因子(FIC)值为0.8,表明Prometra - 乌干达的传统医学从业者在用于疟疾治疗的植物种类方面倾向于彼此一致,这表明在草药施用方面存在质量控制。苦叶菊(Vernonia amygdalina Delile)、三叶鬼针草(Bidens pilosa L.)、药用爵床(Justicia betonica L.)被高度提及用于疟疾治疗,提及频率分别为38、28和25。

结论

Prometra - 乌干达的传统医学从业者利用其广阔森林和布伊贾森林内草药园中的现有植物多样性来了解和治疗疟疾。这些治疗者非常注重植物保护,这是一种良好的做法。像药用爵床这样的物种可能需要进一步进行抗疟试验以证明其疗效。

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