Ethnomedicinal plants used for immediate care in Nepal: A cross-cultural review
摘要
Immediate Care (IC) refers to the basic and urgent treatment given to the patient to reduce the health risks and seriousness. Due to the large number of rural populations and limited access to modern health care in Nepal, herbal medicines are extensively used for immediate care and long-term treatments. The present review aims to systematically document and analyze the medicinal plants used by indigenous communities as IC in Nepal.
MethodsThe selection of literature has followed the PRISMA guidelines. To review the literature, we have identified 15 health conditions that need immediate care. Key plant species associated with particular health condition was identified using Fidelity Level (FL) and principal component analysis (PCA). Moreover, the Botanical Ethnoknowledge Index (BEI) was calculated to compare the ethnomedicinal knowledge of 23 ethnic communities residing across the country.
ResultsIn total, 559 species under 411 genera and 149 families were found to be used for immediate health care. Tharu was the most knowledgeable community regarding the use of IC, with the highest BEI value. Cuts and wounds were found to be the most prevalent health condition, followed by fractures, bites/stings and burns. Similarly, we also identified key plant species for each health condition, plant parts, and highly preferred preparation mode in such treatments.
ConclusionThe present review has compiled valuable traditional herbal knowledge among several ethnic communities of Nepal on IC, which needs to be preserved, and value added through phyto-pharmacological studies. This study is not only useful in compiling valuable ethnomedicinal knowledge, but also provides insights into the strategy to minimize the health risks of patients in remote areas, where modern health facilities are inaccessible.