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斯里兰卡西部和萨巴拉加穆瓦省用于蛇咬伤治疗的药用植物的民族药理学调查。

Ethnopharmacological survey on medicinal plants used in snakebite treatments in Western and Sabaragamuwa provinces in Sri Lanka.

作者信息

Dharmadasa R M, Akalanka G C, Muthukumarana P R M, Wijesekara R G S

机构信息

Herbal Technology Section, Industrial Technology Institute, 363, Bauddhaloka Mawatha, Colombo 07, Sri Lanka.

Herbal Technology Section, Industrial Technology Institute, 363, Bauddhaloka Mawatha, Colombo 07, Sri Lanka.

出版信息

J Ethnopharmacol. 2016 Feb 17;179:110-27. doi: 10.1016/j.jep.2015.12.041. Epub 2015 Dec 25.

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

Sri Lanka has a great diversity of snake species. In this relation, over 40,000 cases of snakebite accidents are reported annually from different agro-ecological regions of the country. Since more than 95% of victims rely on traditional treatments, there is an urgent necessity to improve the system. Traditional knowledge on snakebite treatments has been passed on from generation to generation within families. Unfortunately, there has been a limited update of information on pertinent issues related to this subject. In the present study we conducted a comprehensive survey on the types of medicinal plant materials, including the specific plant parts that are available for this purpose. In addition, various treatment types, frequency index, heavily used and rare materials, family wise distribution, challenges faced by traditional practitioners and future prospects were also explored.

MATERIALS AND METHODS

The present survey covered two provinces with a high population of traditional practitioners for snakebites treatment in Sri Lanka.Information was gathered from a total of seventy-four (74) traditional practitioners from the Sabaragamuwa and Western provinces. A questionnaire was prepared and pre-tested by 10-15 respondents prior to the survey. Actual data were gathered through face-to-face interviews. Collected data were tabulated and analyzed.

RESULTS

A total of 341 different plant species belonging to 99 families were documented. The highest number of plants was reported from the family Fabaceae (32 species). This was followed by Malvaceae (16 species), Asteraceae (15 species), Rutaceae (13 species Apocyanaceae (14 species), Lamiaceae (11 species), Poaceae, Euphorbaceae and Phyllanthaceae (10 species per each) respectively. Different parts of the plant such as leaves (53.67%), barks (26.10%), entire plant (14.08%), roots (10.26%), bulbs (8.80%), seeds (7.62%), fruits (6.45%), buds (5.87%), flowers (3.23%) stems (2.93%) and latex (2.05%) were used for the preparation of nine different types of formulae. These formulae include oral administration (172 plant species), external bandaging (167 plant species), oiling for external application (34 plant species), steaming (33 plant species), creaming for wounds (6 plant species), nasal treatments (40 plant species), head treatments (23 plant species), treatment for eyes (4 plant species) and washing of wounds (9 plant species). Moreover, plants used for the different snake types, constraints faced by traditional practitioners, and their constructive suggestions were also discussed.

CONCLUSION

A pioneering attempt was made to exploit local knowledge on snakebite treatments for the conservation of valued medicinal plants and to promote primary health care needs in Sabaragamuwa and Western provinces in Sri Lanka. The documented plants together with the traditional knowledge could be effectively utilized for the isolation and characterization of antivenom for different snake species.

摘要

民族药理学相关性

斯里兰卡蛇类物种丰富多样。与此相关的是,该国不同农业生态区域每年报告超过40000例蛇咬伤事故。由于超过95%的受害者依赖传统治疗方法,因此迫切需要改进这一体系。关于蛇咬伤治疗的传统知识在家庭内部代代相传。不幸的是,与该主题相关的重要问题的信息更新有限。在本研究中,我们对药用植物材料的种类进行了全面调查,包括可用于此目的的特定植物部位。此外,还探讨了各种治疗类型、频率指数、常用和稀有材料、科属分布、传统从业者面临的挑战以及未来前景。

材料与方法

本次调查覆盖了斯里兰卡两个有大量治疗蛇咬伤传统从业者的省份。从萨巴拉加穆瓦省和西部省的74名传统从业者那里收集了信息。在调查之前,准备了一份问卷并由10 - 15名受访者进行了预测试。实际数据通过面对面访谈收集。收集到的数据进行了列表和分析。

结果

共记录了99个科的341种不同植物物种。豆科植物的种类最多(32种)。其次是锦葵科(16种)、菊科(15种)·芸香科(13种)、夹竹桃科(14种)、唇形科(11种)、禾本科、大戟科和叶下珠科(各10种)。植物的不同部位,如叶子(53.67%)、树皮(26.10%)、全株(14.08%)、根(10.26%)、鳞茎(8.80%)、种子(7.62%)、果实(6.45%)、芽(5.87%)、花(3.23%)、茎(2.93%)和乳胶(2.05%)被用于制备九种不同类型的配方。这些配方包括口服(172种植物)、外部包扎(167种植物)、外用涂油(34种植物)、熏蒸(33种植物)、伤口涂抹乳膏(6种植物)、鼻腔治疗(40种植物)、头部治疗(23种植物)、眼部治疗(4种植物)和伤口清洗(9种植物)。此外,还讨论了用于不同蛇类的植物、传统从业者面临的限制以及他们的建设性建议。

结论

本研究进行了开创性尝试,利用关于蛇咬伤治疗的当地知识来保护有价值的药用植物,并满足斯里兰卡萨巴拉加穆瓦省和西部省的初级卫生保健需求。记录的植物以及传统知识可有效用于分离和鉴定针对不同蛇类的抗蛇毒血清。

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