TRAMIL ethnopharmalogical survey in Les Saintes (Guadeloupe, French West Indies): A comparative study
Abstract
Aim of the study
The
aim of this study was a comparison of popular household remedies in
primary health care in the communities of Terre-de-Haut and
Terre-de-Bas, the inhabited islands of ‘Les Saintes’ archipelago
(Guadeloupe, French West Indies).
Methods
Twelve
ailments, with higher prevalence, were chosen in each island and a
total of 216 families were interviewed using TRAMIL participative
ethnopharmacological interviews.
Results
According
to TRAMIL methodology (frequency over 20%), twenty-two plants uses were
recorded for Terre-de-Haut and eighteen for Terre-de-Bas. The islands
share only ten significant plants uses and four of them have notable
different frequencies. The informant consensus factor in the use of many
specific remedies was fairly high, that gave an additional validity to
these popular medicines.
Conclusion
The
data presented in this study show that popular knowledge on medicinal
plants uses is still alive in the studied area. The difference between
the two nearby islands is very narrow but on the other hand, there exist
some differences possibly due to a probable declining of plant
resources and a more important flux of migration and its provision of
other practices of healthcare in Terre-de-Haut.
Keywords
- Ethnopharmacology;
- French West Indies;
- Informant consensus factor;
- Program of Applied Research to Caribbean Popular Medicine;
- Familial self-medication
1. Introduction
Ethnopharmacology
is an interdisciplinary and recent science including medicine, botany,
chemistry, toxicology, pharmacognosy and anthropology. The purpose of
this social and natural science is to better understand the bases and
principles of traditional medicine (Edwards et al., 2005 and Heinrich et al., 2009)
and to develop a good and larger use of them. Moreover
ethnopharmacology plays a more significant role in developed countries
because they have begun to turn to alternative therapies (Aburjai et al., 2007) and it is considered as a source of potentially important new pharmaceutical substances (Magassouba et al., 2007).
Medicinal
plants were used in all Caribbean countries including the French West
Indies since the pre-colonized period when the first inhabitants of
these areas learned from their environment by tasting and using what was
available (Longuefosse and Nossin, 1996).
Caribbean popular medicine is a familial self-medication based on the
humoral theory, which comes from the Amerindian, European and African
cultures. This popular medicine is essentially characterized by plants
uses (Bougerol, 1983, Goldwater, 1983 and Robineau and Weniger, 1990).
At the present time, medicinal plants continue to be used as treatments
for several illnesses in these areas. It is thus important to document
their uses and perform studies about their pharmacological activities to
assure their efficacy and safety (Andrade-Cetto, 2009).
Moreover, because of the success and diffusion of modern medicine,
practices and products, there is a risk of disappearance of traditional
medicine in Caribbean countries, like in several countries in the world (Magassouba et al., 2007 and Guarrera et al., 2005). This probable disappearance may be also due to the fact that this knowledge is principally orally inherited (Inngjerdingen et al., 2004 and Kosalge and Fursule, 2009). This is the reason why ethnopharmalogical studies are also considered important for the conservation of cultural patrimony.
TRAMIL
(Program of Applied Research to Popular Medicine in the Caribbean),
created in 1982, is a network program of applied research on the
traditional and medicinal plant resources of the Caribbean zone.
TRAMIL's mission is to validate the traditional uses of medicinal plants
for primary health care. Scientific validations of traditional health
practices are based on criteria for safety and efficacy.
So
far, TRAMIL surveys have been conduced in several Caribbean countries
such as Antigua, Belize, Barbados, Colombia, Costa Rica, Cuba, Dominica,
Guatemala, Granada, Guadeloupe, Haiti, Honduras, Martinique, Nicaragua,
Panama, Puerto Rico, Quintana Roo, Dominican Republic, Saint Lucia,
Saint Martin, Saint Vincent, Tobago and Venezuela (TRAMIL, 2007).
There has been only one published report on an ethnopharmacological survey in French West Indies (Longuefosse and Nossin, 1996).
In these areas, people and their lifestyles change quickly. Thus, it is
urgent to encourage, with the help of ethnopharmacological studies, the
preservation of the culture, traditional knowledge and sustainable
utilization of medicinal plants. The objectives and experience of TRAMIL
seem to be the best methodology to continue to study and preserve
Caribbean popular medicine.
The
aim of the research was to make an inventory and a comparison of
traditional household remedies in primary health care in the communities
of the two inhabited islands according to TRAMIL methodology. In this
work, we focus on two small islands ‘Terre-de-Haut’ and ‘Terre-de-Bas’
of the archipelago of Les Saintes (Guadeloupe, French West Indies).
Although close, they experienced quite different styles of life, and we
hypothesized that they developed different choices and use of medicinal
plants to treat the same conditions.
2. Materials and methods
2.1. Survey area
The
Guadeloupean Archipelago is located in the Lesser Islands of West
Indies at 16°15N of latitude and 61°35W of longitude. It is a French
overseas department made up two large islands of Basse-Terre and
Grande-Terre and the small dependencies of Marie-Galante, La Desirade
and Les Saintes. The archipelago of Les Saintes comprises eight islands:
Terre-de-Bas, Terre-de-Haut, Le Pâté, Les Augustins, La Coche, Grand
Ilet, La Redonde and Ilet à Cabrit. Only Terre-de-Haut and Terre-de-Bas
are inhabited and are the object of the present study (Fig. 1).
These islands have an uneven and volcanic relief marked by a coastal
and xerophitic vegetation. This vegetation is divided in two facieses:
the ‘littoral’ and the ‘hill’ vegetation. The ‘littoral’ vegetation is
itself divided in two types of facieses: (i) the ‘beach’ with halophilic
plant species like Stenotaphrum sp., Coccolaba uvifera or Hippomane mancinella
and (ii) the ‘cliff’ with Cactaceae associations. The ‘hill vegetation
is located in the interior zones and marked by deciduous tree and shrub
species like Lonchocarpus benthamianus, Bursera simaruba, Tabebuia heterophylla, Cassia sp. and Acacia sp. ( Bonniol, 1980 and Portecop, 1982).
This latest vegetation is more developed and preserved at Terre-de-Bas
where the area are less urbanized than Terre-de-Haut ( IGN, 2002).
The soil at Terre-de-Haut is a vertic soil with smectite and magnesite.
At Terre-de-Bas we have vertisols due to the less eroded relief
(Cabidoche Y.M., personal communication 2010). The climate of Les
Saintes is considered tropical with an annual temperature comprise
between 19 and 33 °C (data from the France Meteorological Service, http://www.meteo.gp/).
Terre de Haut is more dry and arid (annual mean rainfall 500–1000 mm)
and Terre de Bas gets a little more rainfall (1000–1500 mm) ( Lasserre, 1982).
The presence of three ‘ravines’ (little watercourses) in Terre-de-Bas
(Ravine Caraibe, Ravine Grand Fond and Grande Ravine) and no one at
Terre-de-Haut ( IGN, 2002) also suggest that the first island is more under the rain influence.
According
to INSEE (France's National Institute of Statistics and Economic
Studies) census of 2006, Terre-de-Bas and Terre-de-Haut now respectively
supports 1030 and 1838 inhabitants. The linguistic characteristics of
this population are the same of the French West Indies countries with an
official French language and a local language, the Creole. The
Guadeloupean society is a melting pot of Creole, French, African and
Indian cultures. The ‘Saintois’ of Terre-de-Bas have the same
Guadeloupean characteristics. On the other hand, an ethnic specificity
could be observed at Terre-de-Haut. Until the seventeenth century white
French people inhabited the island. At the present time, the inhabitants
are often called ‘whites’ that are persons of light mixed race. The
black color never prevails because the ethnic stocks was, at 19th
century, in inverse proportion with a majority of Whites peoples in
comparison with the Blacks in the island of Terre-de-Haut. This is a
unique case of mixed race in the Caribbean (Bonniol, 1980 and Bonniol and Hegesippe, 1980).
Actually,
the main human activity in these islands is fishing. Indeed inhabitants
have a long tradition of fishing and the Saintois are recognized as
skilled carpenters and for the quality of sailing boats built. Tourism
is an important economic activity since the mid 70s’ supporting
handicrafts activities. Terre-de-Bas has a moderate tourism while
Terre-de-Haut welcomes many tourists going ashore for the day.
2.2. TRAMIL methodology
TRAMIL
has a unique methodology consisting of surveys, bibliographic
researches and experimental laboratory studies. TRAMIL does not have
only a qualitative, but also a quantitative approach to the popular uses
of medicinal plants. The starting point of these participative
ethnopharmacological surveys is current ailments but not the plants. The
number of persons to be surveyed, validated by a statistician, is
defined on the basis of the number of families of each country. The
equation for calculating the number of families (n) ( Aday, 1989):
where n is the minimum sample size, N is the total population size, Z is the ordinate on the normal curve corresponding to α with 90% confidence (α = 0.10; ), p is the expected proportion of the country population (10%), q = 1, p = 1–0.1 = 0.9, d is the precision (5%).
Generally,
the interviewed person is the mother who is generally in charge of the
family's health. The list of ailments is elaborated by a local
multidisciplinary group (doctor, nurse, pharmacist, botanist, social
worker, etc.) in order to adapt it to the realities of the country. The
first interview question is: what did you do first the last time this
health problem has happened in the family? Several possibilities were
offered: traditional doctor, doctor, pharmacist or plant-homemade
remedy. If the first treatment is a plant, a description of the plant is
requested, with all the details concerning its use, the part of the
plant used, the other plant-associations are indicated, the directions
for use, the contraindications, the directions for use for children or
pregnant women. The location where the plant has been collected should
also be indicated. The frequency of plant uses mentioned by the
interviewed groups, for a given affliction is calculated with the
following formula:
where F is the frequency (%); Ni is the number of informants that used this part of plant specie to treat a particular disease; Np is the number of informants that used plants as a medicine to treat this disease.
Uses
of medical species signaled in the TRAMIL survey, which have been
selected according to the frequency 20% or higher for a particular use
during fieldwork, are included in the TRAMIL list. This minimal
frequency was chosen by the TRAMIL group in order to exclude anecdotic
uses. The plants’ Latin names are listed with their respective families
and their vernacular names. Voucher numbers, locality of the interviews,
frequencies, ailments, local names ailments, plant parts used, mode of
preparation and significant plants association are also included.
To
identify without any doubt the plants that have required frequencies,
four photos are needed (entire plant, leaf, flower and fruit), then they
must be collected, identified by a taxonomist and botanical
nomenclature is checked in W3Tropicos, an international botanical
database. Herbarium specimens of these plants were sent to the referent
herbarium of TRAMIL (the Botanical Garden of Santo Domingo Herbarium in
Dominican Republic) and others were deposited in regional herbaria of
the survey's country.
The
traditional uses of parts of plants, which do not have any existing
data, are classified as INV (under INVestigation) and are studied for
the activity described by the population. Specific and different TRIGS
(TRamil InvestiGationS) were ordered to validate each popular use. These
investigations showed efficient and non-toxic activities of plant
extracts corresponding to its traditional application (Germosén-Robineau, 1995, Germosén-Robineau and Soejarto, 1996, TRAMIL, 1999 and TRAMIL, 2007).
2.3. ‘Les Saintes’ TRAMIL survey
A
TRAMIL ethnopharmacological survey, conducted between August 2008 and
February 2009, was done in the islands of Terre-de-Bas and
Terre-de-Haut, Les Saintes (Guadeloupe, FWI). Interviews were performed
in 100 families in Terre-de-Bas and 116 families in Terre-de-Haut. The
number of families (n) was calculated and majored according to Aday method ( Aday, 1989).
The results collected in the two islands were analyzed with the help of
TRAMIL methodology and other tools in order to select the significative
traditional uses of plants species and to learn more about the
traditional medicine of these areas. The local multidisciplinary group
of each island chose a list of ailments ( Table 1).
Health ailments Local name Flu syndrome Coup de froid, rhume Sprain, Bruise Coup, entorse, bleu Rheumatism Rhumatisme Cut, little wound Coupure, petite plaie, bobo Foot mycosis Chofi Emotional shock, sorrow Choc émotionnel, chagrin Gas, distension, aerophagia disturb Gaz, ballonnement, coupement Diarrhea Diarrhée Constipation Constipation Headache Mal de tête Worms, intestinal parasites Vers Eczema, skin ailments, ‘buttons of heat’ Boutons, gratelle, boutons de chaleur
2.4. Informants consensus factor (ICF)
Informants
consensus factor indicate if the surveys’ information is homogenous.
When the ICF values are near 0, the plants are chosen randomly or
informants disagree on the plants to be used in the treatment of an
illness category. When they are near 1, it indicates that the plants are
used by a large proportion of the informants (Heinrich et al., 2009 and Al-Qura’n, 2009).
This factor tells us something about the cultural coherence of the
selection of a set of medical agents used in the treatment of a certain
illness category (Heinrich et al., 2009). The ICF is calculated as in the following formula:
where Nur is the number of citations of use in each category and Nt, the number of species used.3. Results
3.1. Plant families
The
inhabitants mentioned 99 plant species distributed in 44 families at
Terre-de-Bas and 71 plant species distributed in 42 families at
Terre-de-Haut (Fig. 2).
At Terre-de-Bas, the more frequent plant families were in order:
Fabaceae, Lamiaceae, Asteraceae Euphorbiaceae, Malvaceae and
Verbenaceae. Eight families were specific from Terre-de-Bas: Urticaceae,
Sapindaceae, Solanaceae, Sapotaceae, Nyctaginaceae, Combretaceae and
Bombacaceae. At Terre-de-Haut, the more frequent families were:
Fabaceae, Euphorbiaceae, Lamiaceae, Liliaceae and Poaceae. Six families
were mentioned only at Terre-de-Haut: Oxalidaceae, Chrysobalanaceae,
Cactaceae, Bromeliaceae, Apocynaceae and Amaryllidaceae.
The species of Fabaceae most cited was Senna alata (L.) Roxb. at Terre-de-Bas and Senna bicapsularis (L.) Roxb. at Terre-de-Haut, two tropical and perennial shrubs. The species of Lamiaceae most cited in the both islands was Mentha
sp., a perennial herb. All of the species of Asteraceae cited by the
informants are perennial shrub or forb/herb. The species of
Euphorbiaceae most cited in the both island was Ricinus communis L., a perennial shrub. The Malvaceae most cited by the both islands inhabitants was Hibiscus rosa-sinensis L., a perennial shrub. The most cited Verbenaceae was Citharexylum spinosum L., a perennial tree at Terre-de-Haut and was Lantana camara L., a perennial shrub at Terre-de-Bas. The species most cited in both islands was Allium sativum L., a perennial herb like all of the Liliaceae. The Poaceae most cited at Terre-de-Bas was Cymbopogon citratus (DC. ex Nees) Stapf, a perennial herb and was Oryza sativa L., an annual herb at Terre-de-Haut ( Watson and Dallwitz, 1992 and USDA NRCS, 2010).
3.2. Parts of plants uses
Plant
materials used in medicinal preparations include mature and young
leaves, fruits, flowers, stems, roots, bark, seed or bulbs (Fig. 3). Leaves are the most frequently used part of plant in the both islands.
3.3. Mode of preparation
The
remedies are prepared as decoctions, infusions, juices, baths, syrups
and oils or used ‘crude’ (employed to designated plant consumed without
any preparation) (Fig. 4).
The majority of medicines were prepared from fresh material in the form
of decoctions and the most frequently mode of administration is oral
ingestion.
3.4. Source of found or purchase plants
Most of ‘Les Saintes’ inhabitants found their medicinal plants in family gardens (Fig. 5).
3.5. Informants consensus factor (ICF)
Higher
ICFs were recorded at Terre-de-Haut (between 0.94 and 0.50). The
highest ICF was scored for “cut and little wound” problems. The lowest
ICF was reported for rheumatism.
Terre-de-Bas
ICF values were lower than Terre-de-Haut (values between 0.85 and
0.40). Ailments due to intestinal parasites were cited with the highest
ICF value. Lower ICF values were scored for ‘sorrow’ and headaches (Table 2).
Cut, little wound Foot mycosis Diarrhea Eczema, skin ailments Worms, intestinal parasites Flu syndrome Headache Sprain, bruise Gas, distension, Aerophagia disturb Emotional shock, sorrow Constipation Rheumatism Terre-de-Haut 0.94 0.92 0.91 0.91 0.89 0.85 0.78 0.75 0.69 0.67 0.66 0.50 Terre-de-Bas 0.74 0.79 0.84 0.81 0.85 0.81 0.40 0.70 0.69 0.41 0.65 0.64
3.6. TRAMIL results
Plant species used with a frequency of 20% or higher and their uses are presented in Table 3. Twenty-two plants uses were recorded for Terre-de-Haut and eighteen for Terre-de-Bas.
Scientific names Local name Family Voucher number TB/THa % Health issue: Common description Health issue: Local name Part use (F or D)b Form of preparation Frequently associated with Allium cepa L. oignon, zongnon Liliaceae BOULOGNE,TH,1,UAG TH 32 Flu syndrome Coup de froid Bulb (D) Decoction or syrup Allium sativum L. ail, lay Liliaceae BOULOGNE,TH,2,UAG TH 35 Intestinal parasites Vers Pod (D) or peel of pod (D) Decoction Allium sativum L. ail, lay Liliaceae BOULOGNE,TB,1,UAG TB 32 Aerophagia disturb Coupements, colliques Peel of pod (D) Decoction Mentha sp. (40%) Aloe vera (L.) Burm.f. aloe, laloé Liliaceae BOULOGNE,TH,3,UAG TH 23 Cut, little wound Coupure, petite plaie Leaf (F) Jelly application Aloe vera (L.) Burm.f. aloe, laloé Liliaceae BOULOGNE,TH,3,UAG TH 22 Skin ailments Boutons, boutons de chaleur Leaf (F) Jelly application Annona muricata L. corossol, korosol Annonaceae BOULOGNE,TH,4,UAG/TB,2,UAG TB+TH 44(TB), 61(TH) Skin ailments Gratelle, boutons de chaleur Leaf (F) Bath Anredera leptostachys (78%TB,42%TH), Senna obtusifolia (39%TH) Anredera leptostachys (Moq.) Steenis glycérine, glisérinn Basellaceae BOULOGNE,TH,5,UAG/TB,3,UAG TB+TH 78(TB), 48(TH) Skin ailments Gratelle, boutons de chaleur Leaf (F) Bath Annona muricata (47%TB, 58%TH) Apium graveolens L. céleri, sèlri Apiaceae BOULOGNE,TH,6,UAG TH 23 Flu syndrome Coup de froid Leaf stem (F) Decoction Chenopodium ambroisioides L. simenn kontra Chenopodiaceae BOULOGNE,TH,7,UAG/TB,4,UAG TB+TH 77(TB), 69(TH) Intestinal parasites Vers Leaf (F) Decoction Portulaca oleracea (22%TB) Cinnamomum verum Berchtold & J.S. Presl cannelle, kannel Lauraceae BOULOGNE,TB,5,UAG TB 21 Flu syndrome Coup de froid, grippe Bark (D) Decoction Citharexylum spinosum L. bois carré, bwa karé Verbenaceae BOULOGNE,TH,8,UAG TH 53 Sprain, bruise Coup, entorse Leaf (F) Hot leaf application Citrus aurantifolia (Christm. & Panzer) Swingle citron, sitwon Rutaceae BOULOGNE,TH,9,UAG TH 85 Foot mycosis Chofi Fruit (F) Hot fruit juice application Citrus aurantifolia (Christm. & Panzer) Swingle citron, sitwon Rutaceae BOULOGNE,TH,9,UAG/TB,6,UAG TB+TH 67(TB), 73(TH) Cut, little wound Coupure, bobo Fruit (F) Fruit juice application Citrus aurantifolia (Christm. & Panzer) Swingle citron, sitwon Rutaceae BOULOGNE,TH,9,UAG/TB,6,UAG TB+TH 24(TB), 27(TH) Flu syndrome Coup de froid, grippe Fruit (F) Fruit juice drinking Coccoloba uvifera (L.)L. raisin bord de mer, résen bodlanmè Polygonaceae BOULOGNE,TB,7,UAG TB 22 Diarrhea Diarrhée Bark (D or F) Decoction Psidium guajava (83%) Cymbopogon citratus (DC. ex Nees) Stapf citronnelle, sitwonnel Poaceae BOULOGNE,TH,10,UAG/TB,8,UAG TB+TH 71(TB), 35(TH) Flu syndrome Coup de froid Leaf (F) Decoction(TB), infusion(TH) Lantana camara (29%TB), Hibiscus rosa-sinensis (53%TB) Hibiscus rosa-sinensis L. rose cayenne, roz kayèn Malvaceae BOULOGNE,TH,11, UAG/TB,9,UAG TB+TH 49(TB), 42(TH) Flu syndrome Coup de froid Flower (F) Decoction Lantana camara (49%TB), Cymbopogon citratus (71%TB) Kalanchoe pinnata (Lam.) Pers herbe mal tête, èwb maltèt Crassulaceae BOULOGNE,TH,12,UAG TH 78 Headache Maux de tête Leaf (F) Crumpled leaf application Lantana camara L. mille-fleurs, milflè Verbenaceae BOULOGNE,TH,13,UAG/TB,10,UAG TB+TH 35(TB), 21(TH) Flu syndrome Coup de froid Flower (F) Decoction or infusion Sambucus canadensis (40%TB), Cymbopogon citratus (64%TB), Hibiscus rosa-sinensis (64%TB) Mentha sp. menthe, mant Lamiaceae BOULOGNE,TH,14,UAG/TB,11,UAG TB+TH 34(TB), 26(TH) Aerophagia disturb Coupements, colliques Leaf (F) Decoction(TB), infusion(TH) Allium sativum (37%TB) Mirabilis jalapa L. belle de nuit, beldinuit Nyctaginaceae BOULOGNE,TB,12,UAG TB 71 Sprain, bruise Bleu, forcement Leaf (F) Crushed leaf with salt application Oryza sativa L. riz, diri Poaceae BOULOGNE,TH,15,UAG TH 39 Diarrhea Diarrhée Seed (D) decoction Portulaca oleracea L. pourpier, koupié Portulacaceae BOULOGNE,TB,13,UAG TB 38 Intestinal parasites Vers Leaf (F) Decoction or infusion Chenopodium ambroisioides (45%) Psidium guajava L. goyave, gouvav Myrtaceae BOULOGNE,TH,16,UAG/TB,14,UAG TB+TH 78(TB), 77(TH) Diarrhea Diarrhée Young leaf (F) Decoction Coccoloba uvifera (24%TB), Punica granatum (52%TB) Punica granatum L. grenade, grènad Punicaceae BOULOGNE,TB,15,UAG TB 44 Diarrhea Diarrhée Fruit (F) Decoction Psidium guajava (92%) Ricinus communis L. ricin/karapat Euphorbiaceae BOULOGNE,TH,17,UAG TH 33 Intestinal parasites Vers Seed (D) Seed oil Ricinus communis L. ricin/karapat Euphorbiaceae BOULOGNE,TH,17,UAG TH 20 Constipation Constipation Seed (D) Seed oil Sambucus canadensis L. surio Caprifoliaceae BOULOGNE,TB,16,UAG TB 21 Flu syndrome Coup de froid, grippe Flower (F) Decoction or infusion Lantana camara (67%) Senna alata (L.) Roxb. datié Fabaceae BOULOGNE,TB,17,UAG TB 27 Skin ailments Gratelle, boutons de chaleur Leaf (F) Bath Senna bicapsularis (L.) Roxb. séné Fabaceae BOULOGNE,TH,18,UAG TH 35 Skin ailments Boutons, boutons de chaleur Leaf (F) Bath Annona muricata (68%) -
- a
- TB: Terre-de-Bas and TH: Terre-de-Haut.
- b
- F: fresh and D: dried.
At Terre-de-Bas, the most frequent plant use is the bath of Anredera leptostachys (Moq.) Steenis fresh leaves to treat skin ailments and the decoction of young fresh leaves of Psidium guajava L. used to treat diarrhea. We can note that Coccoloba uvifera (L.) L, used for diarrhea, is a new species for the TRAMIL list.
At Terre-de-Haut, the most frequent plant use is for the treatment of foot mycosis with topical fruit juice application of Citrus aurantifolia (Christm. & Panzer) Swingle.
The two islands share ten plants uses (Fig. 6). Four of these ten uses have frequencies with sizeable differences:
- -
- Decoction or infusion of Lantana camara's flowers used to treat flu ailments.
- -
- Cymbopogon citratus, also beneficial against flu ailments.
- -
- Bath of Anredera leptostachys fresh leaves, a remedy for skin ailments.
- -
- Bath of Annona muricata L., also treating skin ailments.
Eight uses were typical of Terre-de-Bas (Allium sativum for aerophagia disturbance, Cinnamomum verrum Berchtold & J.S. Presl for flu ailments, Coccoloba uvifera for diarrhea, Mirabilis jalapa L. for blows, Portulaca oleracea L. for intestinal parasites, Punica granatum L. for diarrhea, Sambucus canadensis L. for flu syndrome and Senna alata for skin ailments). Twelve uses were typical of Terre-de-Haut (Allium cepa L. for flu syndrome, Allium sativum for intestinal parasites, Aloe vera (L.) Burm.f. for skin ailments and little wounds, Apium graveolens L. for flu syndrome, Citharexylum spinosum for blows, Citrus aurantifolia for foot mycosis, Kalanchoe pinnata (Lam.) Pers for headache, Oriza sativa for diarrhea, Ricinus communis oil for intestinal parasites and constipation and Senna bicapsularis for skins ailments).
4. Discussion
In
the present study, 99 plant species distributed in 44 families in
Terre-de-Bas and 71 species distributed in 42 families in Terre-de-Haut
were cited. Les Saintes inhabitants, according to TRAMIL methodology,
have identified only 25 species distributed in 21 plant families as
notable healing remedies.
The
Fabaceae family is the most frequent family, which is probably due to
its high species richness. Indeed Fabaceae are among one of the largest
dicotyledonous families in French West Indian's flora (Fournet, 2002).
The other important families are Lamiaceae, Asteraceae, Euphorbiaceae,
Malvaceae, Vernenaceae, Liliacea and Poaceae. This fact can be explained
also by importance of these families in the local Flora and because
they include some common plants. Moreover, all of most used species are
perennial and cultivated plants (except one, Oryza sativa which is not cultivated in French West Indies and is exclusively bought in the shop). According to Bonet et al. (1999),
‘Seeing as the more common a family is in an area, the greater is the
probability of its popular use’. It is also the experience of TRAMIL,
which could notice that the plants most used, are commonly present in
the area and often shared by the different islands and countries of the
Caribbean area ( Robineau and Weniger, 1990).
Concerning
the family species specific from one island, we can observe that the
species more particular from dry and arid landscapes (Cactaceae,
Bromeliaceae, Oxalidaceae, Chrysobalanaceae, Apocynaceae and
Amaryllidaceae) were found in Terre-de-Haut. On the contrary, plant
species more specific to rainfall landscapes (Urticaceae, Sapindaceae,
Solanaceae, Sapotaceae, Nyctaginaceae, Combretaceae and Bombacaceae)
were found at Terre-de-Bas (Watson and Dallwitz, 1992). Here, climate and soils more favorable on Terre-de-Bas probably explain this fact.
Leaf
is the most frequently part of plant used in both islands. The
principal mode of preparation is teas (decoction and infusion) in both
islands with a large predominance in Terre-de-Bas (71%) compared to only
49% in Terre-de-Haut. Leaves are the most frequently part of plant used
and teas are one of the most used preparations. These results do not
differ much from many studies in other regions of the world: in European
area (Parada et al., 2009 and Vitalini et al., 2009), in African area (Giday et al., 2003 and Kamatenesi-Mugisha and Oryem-Origa, 2007) in Latin American area (Macia et al., 2005 and Sanz-Biset et al., 2009), in Asiatic area (Poonam and Singh, 2009) and Caribbean area (Longuefosse and Nossin, 1996 and Clement et al., 2005).
However
a notable difference can be observed for the use of leaves between both
islands. Indeed more than half Terre-de-Bas inhabitants’ use leaves
against only 35% in Terre-de-Haut. ‘Teas’ had predominance in
Terre-de-Bas compared to Terre-de-Haut. It is also interesting to note
that Terre-de-Haut's inhabitants used the ‘crude’ plant more than
infusions.
Most diseases
and pains were usually treated with a single plant. However, for
elaboration of some medicinal preparations a mixture of plants was used
nearly exclusively at Terre-de-Bas. This was comparable with the results
found in Martinique (Longuefosse and Nossin, 1996), Puerto Rico (Benedetti, 2001), Cuba (Hernández Cano and Volpato, 2004), Trinidad (Clement et al., 2005) and Dominican Republic (Vandebroek et al., 2010) where the inhabitants also use mixture of plants.
In
our study, the majority of plant species came from families’ gardens,
although a few species come from out of house (neighborhood or
countryside). Interview results showed that very few of Terre-de-Bas
medicinal plants were available for sale at local market, shops or
pharmacy (9.2%) though in Terre-de-Haut it represented 30%. This high
demand in local market and in pharmacy in Terre-de-Haut may be
attributed respectively to (i) a probable declining of wild resources in
natural habitats or cultivated plants in family garden and (ii) a
substitution of some traditional herbs by commercialized herbal
remedies.
In the specific medicinal uses of Terre-de-Bas, only one species is commercialized herbal remedies (Allium sativum). In the specific medicinal uses of Terre-de-Haut, four species are exclusively bought in local market, shop or pharmacy (Allium cepa, Allium sativum, Oriza sativa and Ricinus communis oil). This fact goes in the direction of the previous explanation.
The
informant consensus factor in the use of many specific remedies is
fairly high, which gives an additional validity to this folk medicine.
The categories recorded with lower ICF values (rheumatism with 0.50 at
Terre-de-Haut, ‘sorrow’ with 0.41 and headaches with 0.40 at
Terre-de-Bas) may be attributed to the fact that there are a variety of
plants being used (Neves et al., 2009).
Indeed, at Terre-de-Haut rheumatism was associated 7 different species
for 13 citation uses; at Terre-de-Bas sorrow and headaches was
associated with, respectively 14 and 4 different species for 23 and 6
citations.
The data of the
present article clearly show that folk knowledge on medicinal plants
uses is still alive in the studied area. While the islands of
Terre-de-Haut and Terre-de-Bas are 3 km apart and a similar flora was
utilized in both of the communities pharmacopoeias, the number and
variation of remedies seemed to link to each respective culture. Indeed,
in some cases the difference between the islands is very narrow but on
the other hand, there exist some ones: the large predominance of teas in
Terre-de-Bas compared to Terre-de-Haut, the difference of leaves more
used at Terre-de-Bas, the ‘crude’ plants more used at Terre-de-Haut, the
plants mixture used nearly exclusively at Terre-de-Bas and the
commercialized herbal remedies more used at Terre-de-Haut. A possible
explanation of the latter difference can be the more important flux of
migration and its provision of other practices of healthcare and the
actual economic development observed in Terre-de-Haut. However we cannot
be unaware of the probable declining of plant resources at
Terre-de-Haut, which is more urbanized and has now less vegetation than
Terre-de-Bas.
Previous
laboratory studies and bibliography researches conducted by TRAMIL
indicated the activity and safety of some medicinal plants uses reported
by the current study. These uses are already classified as REC
(Recommended) by TRAMIL group (references used to validate in brackets)
and included in Herbal Caribbean Pharmacopoeia (TRAMIL, 2007):
- -
- The dried peel of pod decoction of Allium sativum L. use against aerophagia disturbance ( Damrau and Ferguson, 1949, Sumiyoshi et al., 1984, Sitprija et al., 1987, Al-Bekairi et al., 1990 and Martinez et al., 2005a) is also known as a notable remedy by TRAMIL surveys in Dominican Republic ( Germosen-Robineau et al., 1984), Haiti ( Weniger and Rouzier, 1986), Guatemala ( Giron, 1988), St Lucia ( Jean-Pierre, 1988), Martinique ( Longuefosse and Nossin, 1990–95) and Barbados ( Faujour et al., 2003).
- -
- The topical application of gel leaf of Aloe vera (L.) Burm. used for little wounds ( Lushbaugh and Hale, 1953, Rovatti and Brennan, 1959, Dhar et al., 1968, Bhakuni et al., 1971, Cobble, 1975, Northway, 1975, Davis et al., 1986, Davis et al., 1989, Davis et al., 1994a, Davis et al., 1994b, Fulton, 1990 and Syed et al., 1996) is a common TRAMIL plant use in Barbados ( Faujour et al., 2003), Tobago ( Delaigue, 2005) and Marie-Galante (Guadeloupe FWI) ( Balz et al., 2007).
- -
- The decoction of Chenopodium ambroisioides L. fresh leaves to treat intestinal parasites ( Bliss, 1925, Fernan-Nunez, 1927, Butz and La Lande, 1937, Opdyke, 1976, Feroz et al., 1982, Kliks, 1985, Bourgeois et al., 1989 and Canigueral et al., 2002) is also used commonly in Haiti ( Weniger and Rouzier, 1986), Honduras ( Lagos-Witte, 1988–89, 1996), Nicaragua ( Sotomayor and Rueda, 1990), Venezuela ( Delens, 1990–92), Martinique ( Longuefosse and Nossin, 1990–95), Colombia ( Herrera, 1994 and Gomez et al., 2003), Mexico ( Mendez et al., 1996), Panama ( Solis et al., 2003) and Tobago ( Delaigue, 2005).
- -
- The oral ingestion of fruit juice of Citrus aurantifolia (Christm. & Panzer) Swingle for flu syndrome ( Bezanger-Beauquesne et al., 1986, Caceres et al., 1987 and Bala and Grover, 1989) is also known in Dominican Republic ( Germosen-Robineau et al., 1984), Dominica ( Charles, 1988), Honduras ( Lagos-Witte, 1988–89, 1996), Colombia ( Herrera, 1994), Porto Rico ( Benedetti, 1994), French Guyana ( Hay, 1998, Fleury, 2007 and Fleury, 2008), Panama ( Solis et al., 2003) and Tobago ( Delaigue, 2005).
- -
- The decoction or infusion fresh leaves of Cymbopogon citratus (DC. Ex Nees) Stapf are considered as beneficial against flu ailments ( Awuah, 1989, Carbajal et al., 1989, Carballo, 1995, Moron et al., 1996, Martinez et al., 2000a and Martinez et al., 2000b) and are also known as a sizeable remedy from TRAMIL surveys in Dominican Republic ( Germosen-Robineau et al., 1984), Dominica ( Charles, 1988), Guatemala ( Giron, 1988), Costa Rica ( Ocampo, 1988), Martinique ( Longuefosse and Nossin, 1990–95), Venezuela (Delens, 1992), Antigua & Barbuda ( O’Reilly, 1992), Porto Rico ( Benedetti, 1994) and Mexico ( Mendez et al., 1996).
- -
- The decoction of fresh flowers of Hibiscus rosa-sinensis L. is used for flu infections ( Bhakuni et al., 1969, Singh et al., 1978 and Trivedi and Shukla, 1980) and seems to be a common TRAMIL plant use only in the French West Indian islands of Martinique ( Longuefosse and Nossin, 1990–95) and Guadeloupe ( Edouard, 1992).
- -
- The hot water extract of fresh leaves of Mentha spp. is a remedy against aerophagia ( Leslie, 1978, Taddei et al., 1988, Costa et al., 1989, May et al., 1996, Guerra et al., 2002a, Guerra et al., 2002b and Martinez et al., 2005b) and seems to be commonly used in Dominica ( Charles, 1988) and Guadeloupe ( Edouard, 1992).
- -
- The young leaves decoction of Psidium guajava L. has properties to treat diarrhea ( Caceres et al., 1991a, Lutterrodt, 1992, Echemendia, 1997, Echemendia and Moron, 1997, Gnan and Demello, 1999, Moron et al., 1999, Betancourt et al., 2000, Martinez et al., 2000c, Martinez et al., 2000d, Martinez et al., 2000e, Martinez et al., 2000f and Lozoya et al., 2002) which is also known in Dominica ( Charles, 1988), Martinique ( Longuefosse and Nossin, 1990–95), Guadeloupe ( Edouard, 1992), Grenada ( Marcelle, 1996), Panama ( Solis et al., 2003) and Tobago ( Delaigue, 2005).
- -
- The oral ingestion of Ricinus communis L. seeds oil is known to heal constipation ( Cecil Rusell La Fayette, 1987, Weniger, 1992 and Canigueral et al., 2002) is also commonly used in Dominica ( Charles, 1988) and Barbados ( Faujour et al., 2003).
- -
- The bath of fresh leaves of Senna alata (L.) Roxb. to treat skins ailments ( Benjamin and Lamikanra, 1981, Caceres et al., 1991b, Palanichamy et al., 1991, Fiallo and Vasquez Tineo, 1992, Damodaran and Venkataraman, 1994, Lopez et al., 2005 and Martinez et al., 2005c) is a notable TRAMIL plant use in Guatemala ( Giron, 1988), Venezuela ( Delens, 1990–92), Martinique ( Longuefosse and Nossin, 1990–95), Dominican Republic ( Castillo et al., 2003), Saint-Vincent ( Balland et al., 2004) and Tobago ( Delaigue, 2005).
The decoction of Oryza sativa L. dried seed is an old worldwide remedy and is recommended by WHO for oral rehydration therapy against diarrhea ( World Health Organization, 1985).
5. Conclusion
The
data presented in this study showed that popular knowledge on medicinal
plants uses is still alive in the studied area. The difference between
the two nearby islands is very narrow but on the other hand, there exist
some differences probably due to a possible declining of plant
resources, supported by urban development and the more important flux of
migration and its provision of other practices of healthcare in
Terre-de-Haut. After this survey, a ‘new’ plant is recorded in TRAMIL
waiting list as a notable remedy against diarrhea: Coccoloba uvifera (L.) L.
6. Future projections
Priority
phytochemical, biological and toxicological studies will be carried out
for this new ‘TRAMIL's plant’ and for the other plant uses identified
during this ethnopharmalogical survey in Les Saintes will be carried out
by the TRAMIL network. Further others surveys also will be carried out
in Guadeloupe to complete published reports on ethnopharmacological
survey in French West Indies.
Notice
This
study was performed according to the international, national and
institutional rules considering studies that include human participants
rights, protection and rights of the biodiversity. The TRAMIL program is
involved in the development of community-based conservation and
management plans for vulnerable species and the promotion of national
legislation to protect biodiversity property rights.
Acknowledgements
The authors thank CEREGMIA
and its director Fred Celimène for financial support to the Ph.D.
student Isabelle Boulogne. Special thanks to Terre-de-Haut and
Terre-de-Bas’ inhabitants who kindly shared their knowledge. Thanks to
the mayors of the both islands: M. Fred Beaujour and M. Louis Molinié.
Thanks to the pluridisciplinary group of the both islands which help to
choose the ailments: Dr. Jacques Colombani, Dr. Miguel Cassin, Pascale
Sesboué, Gérard Beaujour, Fanny (Terre de Haut's nurse), Terre-de-Haut's
pharmacists. Thanks to Harold Chanlot, principal private secretary of
the Terre-de-Bas mayor during the survey. Thanks to La Misaine of
Terre-de-Bas and specially its president Suger Felicité. This survey was
made with the help of voluntary interviewers: Sandrine Schoettel, Karl
Vagao, Gina Ocrisse, Marion Patin, Audrey Sauldubois and Magdalena Vala
(a TRAMIL trainee). Thanks to Mirna Bolus for her help to make the
collection of dried plants. Thanks to Jannette Gavillan (Porto-Rico) and
Cheryl Lans (Trinidad and Tobago) for revision of the English language.
References
- Aburjai et al., 2007
- Ethnopharmalogical survey of medicinal herbs in Jordan, the Ajloun Heights region
- Journal of Ethnopharmacology, 110 (2007), pp. 294–304
- | | |
- Aday, 1989
- Designing and conducting health surveys: a comprehensive guide
- Jossey Bass Publishers (1989) 398
- Al-Bekairi et al., 1990
- Effect of Allium sativum on epididymal spermatozoa, estradiol-treated mice and general toxicity
- Journal of Ethnopharmacology, 29 (1990), pp. 117–125
- | | |
- Al-Qura’n, 2009
- Ethnopharmacological survey of wild medicinal plantsin Showbak, Jordan
- Journal of Ethnopharmacology, 123 (2009), pp. 45–50
- | | |
- Andrade-Cetto, 2009
- Ethnobotanical study of the medicinal plants from Tlanchinol, Hidalgo, Mexico
- Journal of Ethnopharmacology, 122 (2009), pp. 163–171
- | | |
- Awuah, 1989
- Fungitoxic effects of extracts from some West African plants
- Annals of Applied Biology, 115 (1989), pp. 451–453
- | |
- Bala and Grover, 1989
- Antimutagenicity of some Citrus fruits in Salmonella typhimurium
- Mutation Research, 222 (1989), pp. 141–148
- | | |
- Balland et al., 2004
- TRAMIL Survey
- Enda-Caribbean IICA, University Antilles-Guyane & University Paris XI, Saint Vincent (2004)
- Balz et al., 2007
- Enquête TRAMIL à Marie-Galante. Université Bordeaux 3
- Université Paris XI Chatenay-Malabry, Université Antilles-Guyane, Guadeloupe (2007)
- Benedetti, 1994
- Encuesta TRAMIL
- Universidad de Puerto Rico, Mayagüez, Puerto Rico (1994)
- Benedetti, 2001
- Hasta los baños te curan! Plantas medicinales remedios caseros y sanación espiritual en Puerto Rico
- Verde Luz, Cayey, Puerto Rico (2001)
- Benjamin and Lamikanra, 1981
- Investigation of Cassia alata, a plant used in Nigeria in the treatment of skin deseases
- Quartely Journal of Crude Drug Research, 19 (1981), pp. 93–96
- | |
- Betancourt et al., 2000
- Ausencia de actividad genotoxica del extracto fluido de Psidium guajava L. (guayaba) evaluada en un sistema de ensayo de Aspergillus nidulans
- Revista Cubana de Plantas Medicinales, 5 (2000), pp. 38–40
- Bezanger-Beauquesne et al., 1986
- Les plantes dans la thérapeutique moderne
- Ed. Maloine, Paris, France (1986)
- Bhakuni et al., 1971
- Screening of Indian plants for biological activity. Part III
- Indian Journal of Experimental Biology, 9 (1971), p. 91
- |
- Bhakuni et al., 1969
- Screening of Indian plants for biological activity Part II
- Indian Journal of Experimental Biology, 7 (1969), pp. 250–262
- |
- Bliss, 1925
- A pharmacodynamic study on the antihelmintic properties of two oils of Chenopodium
- Journal of the American Pharmaceutical Association, 14 (1925), p. 93
- Bonet et al., 1999
- Studies on pharmaceutical ethnobotany in the regions of L’Alt Emporda and Les Guilleries (Catalonia Iberian Peninsula)
- Journal of Ethnopharmacology, 68 (1999), pp. 145–168
- | | |
- Bonniol, 1980
- Terre-de-Haut des Saintes. Contraintes insulaires et particularisme ethnique dans la Caraïbe
- Les Éditions Caribéennes (1980) 372 pp
- Bonniol and Hegesippe, 1980
- Approche généalogique d’une population insulaire: Terre-de-Haut des Saintes, dans la Caraïbe
- Annales Économies, Sociétés, Civilisations, 35 (1980), pp. 1143–1170
- | |
- Bougerol, 1983
- La Médecine Populaire en Guadeloupe
- Karthala, Paris (1983)
- Bourgeois et al., 1989
- Détermination d’huiles essentielles et dosage de l’ascaridol dans Chenopodium ambrosioides. Rapport TRAMIL
- Laboratoire de phytochimie, Faculté des Sciences, Université des Antilles et de la Guyane UAG, Pointe-à-Pitre, Guadeloupe (1989)
- Butz and La Lande, 1937
- Antihelmintics II. A comparison of certain ozonides, Chenopodium oil and diheptanol peroxide
- Journal of the American Pharmaceutical Association, 26 (1937), p. 114
- Caceres et al., 1987
- Screening of antimicrobial activity of plants popularly used in Guatemala for the treatment of dermatomucosal diseases
- Journal of Ethnopharmacology, 20 (1987), pp. 223–237
- | | |
- Caceres et al., 1991a
- Plants used in Guatemala for treatment of dermatomucosal infections. 1: Screening of 38 plants extracts for anticandidal activity
- Journal of Ethnopharmacology, 33 (1991), pp. 277–283
- | | |
- Caceres et al., 1991b
- Plants used in Guatemala for treatment of dermatophytic infections. 1: Screening for antimycotic activity of 44 plant extracts
- Journal of Ethnopharmacology, 31 (1991), pp. 263–276
- | | |
- Canigueral et al., 2002
- Quenopodio. Vademecum de Fitoterapia
- Editorial Masson, Barcelona, Espana (2002) http://www.masson.es/book/fitoterapia.html
- Carbajal et al., 1989
- Pharmacological study of Cymbopogon citratus leaves
- Journal of Ethnopharmacology, 25 (1989), pp. 103–107
- | | |
- Carballo, 1995
- Plantas medicinales del Escambray cubano. Informe TRAMIL
- Laboratorio provincial de produccion de medicamentos, Sancti Spiritus, Cuba (1995)
- Castillo et al., 2003
- Encuesta TRAMIL (region Este)
- Republica Dominicana, Dep. De Botanica, Jardin Botanico Nacional, Santo Domingo (2003)
- Cecil Rusell La Fayette, 1987
- Compendio de Medicina Interna
- Ed Interamericana, Madrid, Espana (1987)
- Charles, 1988
- TRAMIL Survey
- Movement for Cultural Awareness MCA, Roseau, Dominica (1988)
- Clement et al., 2005
- Medicinal herb use among asthmatic patients attending a specialty care facility in Trinidad
- BMC Complementary and Alternative Medicine, 5 (2005), p. 3
- Costa et al., 1989
- Screening in mice of some medicinal plants used for analgesic purposes in the state of Sao Paulo. Part II
- Journal of Ethnopharmacology, 27 (1989), pp. 25–33
- | | |
- Damodaran and Venkataraman, 1994
- A study on the therapeutic efficacy of Cassia alata Linn. Leaf extract against Pityriasis versicolor
- Journal of Ethnopharmacology, 42 (1994), pp. 19–23
- | | |
- Damrau and Ferguson, 1949
- The modus vivendi of carminative. The therapeutic value of garlic in functional gastrointestinal disorders
- Review Medical Journal, 2 (1949), pp. 757–758
- Davis et al., 1986
- Antiarthritic activity of anthraquinones found in Aloe for podiatric medicine
- Journal of the American Podiatric Medical Association, 76 (1986), pp. 61–66
- |
- Davis et al., 1994a
- Anti-inflammatory and wound healing activity of a growth substance in Aloe vera
- Journal of the American Podiatric Medical Association, 84 (1994), pp. 77–81
- |
- Davis et al., 1994b
- Aloe vera, hydrocortisone, and sterol influence on wound tensile strength and anti-inflammation
- Journal of the American Podiatric Medical Association, 84 (1994), pp. 614–621
- |
- Davis et al., 1989
- Wound healing. Oral and topical activity of Aloe vera
- Journal of the American Podiatric Medical Association, 79 (1989), pp. 559–562
- |
- Delaigue, 2005
- TRAMIL Survey
- University Antilles-Guyane & PRDI, Tobago House of Assembly, Scarborough, Tobago (2005)
- Delens, 1990–92
- Encuesta TRAMIL
- Centro de Estudios Sociales y Accion Popular CESAP, Caracas, Venezuela (1990–92)
- Dhar et al., 1968
- Screening of Indian plants for biological activity Part I
- Indian Journal of Experimental Biology, 6 (1968), pp. 232–247
- |
- Echemendia, 1997
- Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atencion primaria de salud (Thesis de Maestria)
- Universidad Medica de la Habana, La Habana, Cuba (1997)
- Echemendia and Moron, 1997
- Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atencion primaria de salud. Informe TRAMIL
- Laboratorio Central de Farmacologia. Facultad de Medicina, Facultad de Ciencias Medicas ‘Dr. Salvador Allende’, La Habana, Cuba (1997)
- Edouard, 1992
- Enquête TRAMIL
- Lycée agricole, Baie Mahault, Guadeloupe (1992)
- Edwards et al., 2005
- Questionnaire surveys: methodological and epistemological problems for field-based ethnopharmacologists
- Journal of Ethnopharmacology, 100 (2005), pp. 30–36
- | | | |
- Faujour et al., 2003
- TRAMIL Survey Enda-Caribbean
- IICA & University Antilles-Guyane, Saint Thomas, Barbados (2003)
- Fernan-Nunez, 1927
- A contribution of helminthic therapy
- Journal of the American Medical Association, 88 (1927), p. 903
- Feroz et al., 1982
- Review of scientific studies on anthelmintics from plants
- Journal of Scientific Research in Plants & Medicines, 3 (1982), pp. 6–12
- Fiallo and Vasquez Tineo, 1992
- Evaluacion in vitro de plantas usadas en afecciones de la piel: Extractos vegetales antimicoticos y antimicrobianos. Informe TRAMIL
- Rep. Dominicana, CIBAMA, Facultad de Ciencas, Universidad Autonoma UASD, Santo Domingo (1992)
- Fleury, 2007
- Remèdes wayana – Wajana epit
- Editions GADEPAM-CRDP (2007) 112 p
- Fleury, 2008
- Enquêtes ethnobotaniques et programme TRAMAZ en Guyane: Bilan et perspectives in Actes du 3e colloque international sur les Plantes Aromatiques et Médicinales des DOM-TOM, DVD
- Editions Gadepam (2008)
- Fournet, 2002
- Flore illustrée des phanérogames de Guadeloupe et de Martinique
- Cirad and Gondwana Editions (2002) p. 2538
- Fulton, 1990
- The stimulation of postdermabrasion wound healing with stabilized Aloe vera gel-polyethylene oxide dressing
- Journal of Dermatologic Surgery & Oncology, 16 (1990), pp. 460–467
- | |
- Germosén-Robineau, 1995
- Hacia una Farmacopea Caribeña
- Enda-Caribe, Santo Domingo (1995) pp. 93–94
- Germosen-Robineau et al., 1984
- Encuesta TRAMIL
- Enda-Caribe, Santo Domingo, Rep. Dominicana (1984)
- Germosén-Robineau and Soejarto, 1996
- Tramil: a research project on the medicinal plant resources of the Caribbean
- M.J. Balick, E. Elisabetsky, S.A. Laird (Eds.), Medicinal Resources of the Tropical Forest, Columbia University Press, New York (1996), pp. 318–325
- Giday et al., 2003
- An ethnobotanical study of medicinal plants used by the Zay people in Ethiopia
- Journal of Ethnopharmacology, 85 (2003), pp. 43–52
- | | |
- Giron, 1988
- Encuesta TRAMIL (Costa atlantica)
- Centro Mesoamericano de Tecnologia CEMAT, Guatemala, Guatemala (1988)
- Gnan and Demello, 1999
- Inhibition of Staphylococcus aureus by aqueous goiaba extracts
- Journal of Ethnopharmacology, 68 (1999), pp. 103–108
- | | |
- Goldwater, 1983
- La médecine traditionnelle en Amérique latine
- Médecines Traditionnelles et Couverture de soin de santéOMS, Genève (1983) pp. 37–50
- Gomez et al., 2003
- Encuesta TRAMIL (Norte del departamento de Bolivar). Grupo de Productos Naturales, Faculdad de Ciencias Quimica y Farmaceuticas
- Universidad de Cartagena, Cartagena de Indias, Colombia (2003)
- Guarrera et al., 2005
- Folk phytotherapeutical plants from Maratea area (Basilicata, Italy)
- Journal of Ethnopharmacology, 99 (2005), pp. 367–378
- | | |
- Guerra et al., 2002a
- Clases toxicas agudas en rata de decoccion (30%) de hojas secas de Mentha x piperita var citrata (Ehrh.) Briq. Informe TRAMIL
- Laboratorio Central de Farmacologia. Facultad de Medicina, Facultad de Ciencias Medicas ‘Dr. Salvador Allende’, La Habana, Cuba (2002)
- Guerra et al., 2002b
- Toxicidad aguda (DL50) en raton de la decoccion de hojas secas de Mentha x piperita var citrata (Ehrh.) Briq. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Medicina, Facultad de Ciencias Medicas ‘Dr. Salvador Allende’, La Habana, Cuba (2002)
- Hay, 1998
- Enquête TRAMIL (St Georges)
- Institut de Recherche pour le Developpement IRD, Cayenne, Guyane (1998)
- Heinrich et al., 2009
- Ethnopharmacological field studies: a critical assessment of their conceptual basis and methods
- Journal of Ethnopharmacology (2009) http://dx.doi.org.scopeesprx.elsevier.com/10.1016/j.jep.2009.03.043
- Hernández Cano and Volpato, 2004
- Herbal mixtures in the traditional medicine of Eastern Cuba
- Journal of Ethnopharmacology, 90 (2004), pp. 293–316
- Herrera, 1994
- Encuesta TRAMIL (Costa Atlantica)
- Laboratorio de Fitofarmacologia, Departamento de Farmacologia, Facultad de Salud, Universidad del Valle, Cali, Colombia (1994)
- IGN, 2002
- Carte topographique TOP 25, Basse-Terre, La Soufrière, Les Saintes 4605 GT
- Institut géographique national (2002)
- Inngjerdingen et al., 2004
- An ethnopharmalogical survey of plants used for wound healing in Dogonland, Mali, West Africa
- Journal of Ethnopharmacology, 92 (2004), pp. 233–244
- | | |
- Jean-Pierre, 1988
- TRAMIL Survey
- St Lucia National Herbarium, Castries, St Lucia (1988)
- Kamatenesi-Mugisha and Oryem-Origa, 2007
- Medicinal plants used to induce labour during childbirthin western Uganda
- Journal of Ethnopharmacology, 109 (2007), pp. 1–9
- | | |
- Kliks, 1985
- Studies on the traditional herbal antihelmintic Chenopodium ambrosioides L.: ethnopharmacological evaluation and clinical field trials
- Social Science & Medicine, 21 (1985), pp. 879–886
- | | |
- Kosalge and Fursule, 2009
- Investigation of ethnomedicinal claims of some plants used by tribals of Satpuda Hills in India
- Journal of Ethnopharmacology, 121 (2009), pp. 456–461
- | | |
- Lagos-Witte, 1996
- Encuesta TRAMIL
- Laboratorio de Histologia Vegetal y Etnobotanica, Departamento de Biologia, Universidad Nacional Autonoma de Honduras UNAH, Tegucigalpa, Honduras (1988–89, 1996)
- Lasserre, 1982
- Atlas des départements français d’Outre-mer, La Guadeloupe. Centre d’Etudes de Géographie Tropicale du CNRS
- (1982) 36 p
- Leslie, 1978
- A pharmacometric evaluation of nine bio-strath herbal remedies
- Medita, 8 (1978), pp. 3–19
- |
- Longuefosse and Nossin, 1990–95
- Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC
- (1990–95.) Fort de France, Martinique
- Longuefosse and Nossin, 1996
- Medical ethnobotany survey in Martinique
- Journal of Ethnopharmacology, 53 (1996), pp. 117–142
- | | |
- Lopez et al., 2005
- Irritabilidad dermica primaria de la maceracion acuosa de hoja fresca de Senna alata (L.) Roxb. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencias Medicas ‘Dr. Salvador Allende’, La Habana, Cuba (2005)
- Lozoya et al., 2002
- Intestinal anti-spasmodic effect of a phytodrug of Psidium guajava folia in the treatment of acute diarrheic disease
- Journal of Ethnopharmacology, 83 (2002), pp. 19–24
- | | |
- Lushbaugh and Hale, 1953
- Experimental acute radiodermatisis following beta irridiation. V. Histopathological study of the mode of action of therapy with Aloe vera
- Cancer, 6 (1953), pp. 690–698
- | |
- Lutterrodt, 1992
- Inhibition of microlax-induced experimental diarrhea with narcotic-like extracts of Psidium guajava leaf in rats
- Journal of Ethnopharmacology, 37 (1992), pp. 151–157
- Macia et al., 2005
- An ethnobotanical survey of medicinal plants commercialized in the markets of La Paz and El alto, Bolivia
- Journal of Ethnopharmacology, 97 (2005), pp. 337–350
- | | |
- Magassouba et al., 2007
- Ethnobotanical survey and antibacterial activity of some plants used in Guinean traditional medecine
- Journal of Ethnopharmacology, 114 (2007), pp. 44–53
- | | |
- Marcelle, 1996
- TRAMIL Survey
- Produce Chemist Laboratory, Ministry of Agriculture, St Georges's, Grenada (1996)
- Martinez et al., 2000a
- Toxicidad aguda clasica de hoja seca de Cymbopogon citratus (DC.) Stapf. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencias Medicas ‘Dr Salvador Allende’, La Habana, Cuba (2000)
- Martinez et al., 2000b
- Actividad genotoxica in vitro de hoja seca de Cymbopogon citratus (DC.) Stapf Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencias Medicas ‘Dr Salvador Allende’, La Habana, Cuba (2000)
- Martinez et al., 2000c
- Actividad antimicrobiana in vitro de hoja de Psidium guajava L. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencias Medicas ‘Dr Salvador Allende’,, La Habana, Cuba (2000)
- Martinez et al., 2000d
- Actividad genotoxica in vitro de hoja de Psidium guajava L. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencias Medicas ‘Dr. Salvador Allende’, La Habana, Cuba (2000)
- Martinez et al., 2000e
- Actividad genotoxica in vivo de hoja de Psidium guajava L. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencias Medicas ‘Dr. Salvador Allende’, La Habana, Cuba (2000)
- Martinez et al., 2000f
- Toxicidad aguda de hoja de Psidium guajava L. en el modelo de clases toxicas agudas. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencas Médicas ‘Dr. Salvador Allende’, La Habana, Cuba (2000)
- Martinez et al., 2005a
- Clases toxicas agudas (CTA) de una decoccion de bulbo de Allium sativum L. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencas Médicas ‘Dr. Salvador Allende’, La Habana, Cuba (2005)
- Martinez et al., 2005b
- Clases toxicas agudas (CTA) de una decoccion de hoja fresca de Mentha nemorosa Willd. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencas Médicas ‘Dr. Salvador Allende’, La Habana, Cuba (2005)
- Martinez et al., 2005c
- Clases toxicas agudas topica de hoja fresca machacada de Senna alata. Informe TRAMIL
- Laboratorio Central de Farmacologia, Facultad de Ciencas Médicas ‘Dr. Salvador Allende’, La Habana, Cuba (2005)
- May et al., 1996
- Efficacity of a fixed peppermint oil/caraway oil combination in non-ulcer dyspepsia
- Arzneimittel Forschung (Drug Research), 46 (1996), pp. 1149–1153
- |
- Mendez et al., 1996
- Encuesta TRAMIL en Quintana Roo. Unidad de recursos naturals
- Centro de Investigacion Cientifica de Yucatan CICY, Merida, Mexico (1996)
- Moron et al., 1996
- Ausencia de efectos antiinflamatorio y analgesico del extracto fluido de Cymbopogon citratus al 30% por via oral
- Revista Cubana de Plantas Medicinales, 1 (1996), pp. 3–6
- Moron et al., 1999
- Disminucion del transito intestinal en ratones por tintura de guayaba (Psidium guajava L.) oral
- Revista Cubana de Plantas Medicinales, 4 (1999), pp. 54–56
- Neves et al., 2009
- Ethnopharmalogical notes about ancient uses of medicinal plants in Tras-os-Montes (northern of Portugal)
- Journal of Ethnopharmacology (2009) http://dx.doi.org.scopeesprx.elsevier.com/10.1016/j.jep.2009.04.041
- Northway, 1975
- Experimental use of Aloe vera extract in clinical practice
- Veterinary medicine Small Animal Clinic, 70 (1975), p. 80
- Ocampo, 1988
- Encuesta TRAMIL (Costa atlantica)
- Instituto de Desarollo Agrario, Universidad de Costa Rica, San José, Costa Rica (1988)
- Opdyke, 1976
- Monographs on fragrance raw materials. Chenopodium oil
- Food and Chemical Toxicology, 14 (1976), pp. 713–715
- O’Reilly, 1992
- TRAMIL Survey
- Chemistry & Food Technology Division, Ministry of Agriculture, Dunbars, Antigua & Barbuda (1992)
- Palanichamy et al., 1991
- Wound healing activity of Cassia alata
- Fitoterapia, 62 (1991), pp. 153–156
- |
- Parada et al., 2009
- Ethnobotany of the Alt Emporda region (Catalonia, Iberian Peninsula). Plants used in human traditional medicine
- Journal of Ethnopharmacology (2009) http://dx.doi.org.scopeesprx.elsevier.com/10.1016/j.jep.2009.04.050
- Poonam and Singh, 2009
- Ethnobotanical study of medicinal plants used by the Taungya community in Terai Arc Landscape, India
- Journal of Ethnopharmacology, 123 (2009), pp. 167–176
- | | |
- Portecop, 1982
- La Guadeloupe. Végétation. Atlas C.O.M.C.G.E.T.-I.G.N
- C. Sastre, A. Breuil (Eds.), 2007. Plantes, milieux et paysages des Antilles françaises. Ecologie, biologie, identification, protection et usages. Biotope, Mèze, Collection Parthénope (1982) 672 p
- Robineau and Weniger, 1990
- Naisance d’une Pharmacopée Caraibe: Fruit d’une interdisciplinarité et d’une continuité entre le recensement, l’évaluation et la diffusion de la médecine traditionnelle
- Ethnopharmacology, Sources Methods and objectives, 1st Colloque Européen d’EthnopharmacologieEds ORSTOM (1990) pp.115–122
- Rovatti and Brennan, 1959
- Experimental thermal burns
- Industrial Medicine and Surgery, 28 (1959), p. 364
- Sanz-Biset et al., 2009
- A first survey on the medicinal plants of Chazuta valley (Peruvian Amazon)
- Journal of Ethnopharmacology, 122 (2009), pp. 333–362
- | | |
- Singh et al., 1978
- A pharmacological investigation of some indigenous drugs of plant origin for evaluation of their antipyretic, analgesic and anti-inflammatory activities
- Journal Research of Indian Medicine Yoga and Homeopathy, 13 (1978), pp. 58–62
- |
- Sitprija et al., 1987
- Garlic and diabetes mellitus phase III clinical trial
- Journal of the Medical Association, 70 (1987), pp. 223–227
- |
- Solis et al., 2003
- Encuesta TRAMIL (Ngöbe-Buglé & Embera-Wounaam)
- Centro de Investigaciones Farmacognosticas de la Flora Panamena, Facultad de Farmacia, Universidad de Panama, Panama, Panama (2003)
- Sotomayor and Rueda, 1990
- Encuesta TRAMIL
- Centro nacional de la medicina popular tradicional CNMPT, Ministerio de Salud, Esteli, Nicaragua (1990)
- Sumiyoshi et al., 1984
- Chronic toxicity test of garlic extract in rats
- Journal of Toxicological Science, 9 (1984), pp. 61–75
- | |
- Syed et al., 1996
- Management of psoriasis with Aloe vera extract in a hydrophilic cream: a placebo-controlled, double- blind study
- Tropical Medicine & International Health, 1 (1996), pp. 505–509
- | |
- Taddei et al., 1988
- Spasmolytic activity of peppermint, sage and rosemary essences and their major constituents
- Fitoterapia, 59 (1988), pp. 463–468
- |
- TRAMIL, 1999
- Pharmacopée Caribéenne
- Première édition, Ed. Emile Désormeaux (1999) 493 p
- TRAMIL, 2007
- Pharmacopée Végétale Caribéenne
- Deuxième édition, Ed. Josué (2007) 485 p
- Trivedi and Shukla, 1980
- A study of effects of an indigenous compound drug on reproductive physiology
- Journal of Scientific Research in Plants & Medicines, 1 (1980), pp. 41–47
- Vandebroek et al., 2010
- The importance of botellas and other plant mixtures in Dominican traditional medicine
- Journal of Ethnopharmacology, 128 (2010), pp. 20–41
- | | |
- Vitalini et al., 2009
- Traditional uses of medicinal plants in Valvestino (Italy)
- Journal of Ethnopharmacology, 121 (2009), pp. 106–116
- | | |
- Weniger, 1992
- Activités biologiques (cytotoxicité, effet sur la croissance, effet immunomodulateur) de drogues végétales de la Caraïbe utilisées par voie locale contre les brûlures, dans les systèmes de cellules animals et humaines en culture Rapport TRAMIL
- Faculté de Pharmacie, Université de Strasbourg, Illkirch, France (1992)
- Weniger and Rouzier, 1986
- Enquête TRAMIL. Service Oecuménique d’Entraide SOE
- Port-au-Prince, Haïti (1986)
- World Health Organization, 1985
- Treatment and Prevention of Acute Diarrhoea. Guidelines for the Trainers of Health Workers
- Geneva, Switzerland (1985) p.13
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.