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草药治疗与对抗疗法之间的权衡:孟加拉国雷马-卡伦加野生动物保护区的民族药理学案例研究。

Trade-off between herbal and allopathic treatments: An ethnopharmacological case study in Rema-kalenga wildlife sanctuary, Bangladesh.

作者信息

Dey Biplob, Ahmed Romel, Ferdous Jannatul, Ul Haque Mohammed Masum, Islam Nusrat, Haque Ashraful, Ahamed Razu

机构信息

Department of Forestry and Environmental Science, Shahjalal University of Science and Technology, Sylhet, 3114, Bangladesh.

Livelihood and Environment, Center for Research in Environment, iGen and Livelihoods (CREGL), Sylhet, Bangladesh.

出版信息

Heliyon. 2024 Oct 12;10(20):e39341. doi: 10.1016/j.heliyon.2024.e39341. eCollection 2024 Oct 30.

DOI:10.1016/j.heliyon.2024.e39341
PMID:39497960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11532247/
Abstract

The Rema-Kalenga Wildlife Sanctuary (RKWS) is a protected forest in Bangladesh that houses a variety of rare flora and fauna and supports the sustenance of 13 ethnic communities. This forest's indigenous and other inhabitants traditionally have a strong cultural connection to the plants, particularly medicinal plants. Due to modern allopathic medicine's rapid growth and commercial tree species prioritization, many medicinal plants are now on the verge of endangerment. Under such circumstances, it is crucial to explore how the local community perceives the importance of herbal treatments in contrast to allopathy, the underlying reasons for their perceptions, and the specific ailments for which they use the plants. The main objectives are: 1) to evaluate the perceptions of the local community towards allopathy and herbal medicine using Nussbaum's central capabilities approach, 2) to identify medicinal plant diversity, therapeutic usages, and quantitative indices, 3) to determine the factors that influence the use of medicinal plants. Repeated interviews and field surveys were conducted at the RKWS, interviewing 145 people, including the indigenous community (72.42 %) and traditional healers (8.27 %) from the surrounding seven villages. The study identified 51 medicinal plant species belonging to 39 families for their potent medicinal properties in treating various ailments. The predominant parts of the plants used in the treatments were leaves and roots. The uses were classified into 12 categories according to Nussbaum's central capabilities. The findings identified , as highly culturally important species. In contrast, were found to have the highest relative importance. The underlying determinants influencing the preferences of individual users towards herbal medicine were income from agroforestry, beliefs, knowledge, and ethnicity, as revealed by the analysis of the ordinal logit model. The respondents viewed their strong inclination toward herbal medicine with many positive attitudes. Herbal medicine users held a negative perception of allopathy except for affiliation and practical reasons being viewed as the positive outcomes. Conversely, allopathic medicine users expressed mixed perceptions towards the treatment, with both positive and negative aspects being identified. Promoting the sustainable use of medicinal plants and their conservation efforts is imperative for the benefit of present and future generations in this region.

摘要

雷马 - 卡伦加野生动物保护区(RKWS)是孟加拉国的一片受保护森林,这里栖息着各种珍稀动植物,为13个民族社区提供了生存支持。这片森林的原住民和其他居民传统上与植物,特别是药用植物有着深厚的文化联系。由于现代对抗疗法医学的迅速发展以及对商业树种的优先重视,许多药用植物现在正濒临灭绝。在这种情况下,探究当地社区如何看待草药治疗相对于对抗疗法的重要性、他们形成这些看法的潜在原因以及他们使用这些植物治疗的具体疾病至关重要。主要目标是:1)使用努斯鲍姆的核心能力方法评估当地社区对对抗疗法和草药医学的看法;2)确定药用植物的多样性、治疗用途和量化指标;3)确定影响药用植物使用的因素。在雷马 - 卡伦加野生动物保护区进行了多次访谈和实地调查,采访了145人,包括来自周边七个村庄的原住民社区(占72.42%)和传统治疗师(占8.27%)。该研究确定了39个科的51种药用植物,因其在治疗各种疾病方面具有强大的药用特性。治疗中使用的植物的主要部位是叶子和根。根据努斯鲍姆的核心能力,这些用途被分为12类。研究结果确定 为具有高度文化重要性的物种。相比之下, 被发现具有最高的相对重要性。通过对有序逻辑模型的分析发现,影响个体使用者对草药医学偏好的潜在决定因素是农林业收入、信仰、知识和种族。受访者对他们对草药医学的强烈倾向持许多积极态度。除了认为对抗疗法在隶属关系和实际原因方面有积极结果外,草药医学使用者对对抗疗法持负面看法。相反,对抗疗法医学使用者对这种治疗表达了复杂的看法,既有积极方面也有消极方面。为了该地区今世后代的利益,促进药用植物的可持续利用及其保护工作势在必行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/54641fc17b2d/gr4.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/8a83f98e6258/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/7e76109f521e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/68eb6ab7c6c5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/54641fc17b2d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/7628309d6e09/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/8a83f98e6258/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/7e76109f521e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/68eb6ab7c6c5/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbb4/11532247/54641fc17b2d/gr4.jpg

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