Journal of Ethnopharmacology 148 (2013) 521–527 Contents lists available at SciVerse ScienceDirect Journal of Ethnopharmacology journal homepage: www.elsevier.com/locate/jep Ethnobotany of medicinal plants used in Xalpatlahuac, Guerrero, México María del Carmen Juárez-Vázquez a,n, Candy Carranza-Álvarez b, Angel Josabad Alonso-Castro c, Violeta F. González-Alcaraz a, Eliseo Bravo-Acevedo a, Felipe Jair Chamarro-Tinajero b, Eloy Solano a a Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, D.F., Mexico Unidad Académica Multidisciplinaria de la Zona Huasteca, Universidad Autónoma de San Luis Potosí, Ciudad Valles, San Luis Potosí, Mexico c Facultad de Química, Universidad Nacional Autónoma de México, D.F., Mexico b art ic l e i nf o a b s t r a c t Article history: Received 9 February 2013 Received in revised form 22 April 2013 Accepted 25 April 2013 Available online 9 May 2013 Ethnopharmacological importance: Medicinal plants have been used for centuries for the empirical treatment of many diseases. This study documented the use of plant species in traditional medicine in the municipality of Xalpatlahuac, Guerrero, México. Materials and methods: Direct interviews were performed with inhabitants from Xalpatlahuac. The interviews were analyzed with two quantitative tools: (a) the informant consensus factor (ICF) that estimates the level of agreement about which medicinal plants may be used for each category and (b) the relative importance (RI) that determines the extent of potential utilization of each species. Results: A total of 67 plant species with medicinal purposes, belonging to 36 families and used to treat 55 illnesses and 3 cultural filiations were reported by interviewees. Nineteen mixtures with medicinal plants were reported by the interviewers. Mentha piperita was the most used plant for combinations (4 mixtures). The results of the ICF showed that diseases of the respiratory and digestive systems had the greatest agreement. The most versatile species according to their RI are Marrubium vulgare, Mimosa albida and Psidium guajava.. Conclusion: This study demonstrates that plant species play an important role in healing practices and magical–religious rituals among inhabitants from Xalpatlahuac, Guerrero, Mexico. Furthermore, pharmacological, phytochemical and toxicological studies with medicinal flora, including mixtures, are required for the experimental validation of their traditional uses. & 2013 Elsevier Ireland Ltd. All rights reserved. Keywords: Medicinal flora Relative importance Informant consensus factor Ethnopharmacological field study Traditional medicine 1. Introduction Mexico has one of the greatest biodiversities in the world and a vast variety of traditional knowledge which should be preserved and validated scientifically. The Mexican herbolary contains various native plants as well as many other introduced plants from diverse parts of the world. Mexican medicinal plants have been used for centuries for the empirical treatment of many diseases and magical–religious practices. In Mexico there are approximately 62 different ethnic groups, each with its own culture, dialect and medicinal herbal repertoire (Aguilar, 1994). The Aztecs, one of the most important MesoAmerican civilizations in pre Hispanic times in Mexico, were from the ethnic group Nahua. Currently, the Nahuas are considered the n Correspondence to: Batalla 5 de mayo s/n esquina Fuente de Loredo, Colonia Ejercito de Oriente, Iztapalapa, 09230 Distrito Federal, Mexico. Tel.: +52 57736330. E-mail addresses: carmenjuarezv@gmail.com, Carypuma@gmail.com (M.d.C. Juárez-Vázquez). 0378-8741/$ - see front matter & 2013 Elsevier Ireland Ltd. All rights reserved. http://dx.doi.org/10.1016/j.jep.2013.04.048 largest indigenous group in Mexico with 2.5 million of population, distributed in the center and southern of Mexico, mainly in the states of Mexico, Veracruz, Oaxaca, Morelos, Puebla, Hidalgo, Michoacán, Tlaxcala and Guerrero (INEGI, 2004). According to the Aztecs, a disease is the result of the lost in the equilibrium between the interaction of body and the cosmos and therefore treatments for diseases were directed toward restoring this order (Guerra, 1966). The Aztecs used herbs if the ailment was of minor importance. Nevertheless, if the disease was acute and dangerous, it was considered that the patient had committed a terrible sin. There was a close relationship between a god and a specific type of disease as far as cause and treatment were concerned. For instance, Tlaloc, the god of waters, was responsible for rheumatic ailments, the gout and syndromes related to dampness and cold (Guerra, 1966). The efficacy of medicinal herbolary practices was tested by the Spaniards and many remedies were quickly diffused to Europe and became common in the European pharmacopoeia of the late 16th and subsequent centuries. In addition the Aztec civilization recorded the use of medicinal plants 522 M.d.C. Juárez-Vázquez et al. / Journal of Ethnopharmacology 148 (2013) 521–527 in “codices”, catalogs that indicated the drawing and use of diverse plant species. On the other hand, interdisciplinary research on ethnobotany requires the collaboration between botanists, phytochemists, ethnologists, pharmacologists, ecologists and physicians (Frei et al., 1998). However, there are few ethnobotanical studies in Mexico which have been carried out using quantitative tools. This ethnobotanical study regarding the use of medicinal plants was carried out in the municipality of Xalpatlahuac (Guerrero, Mexico), which is a part of the region called La Montaña. This area is located in the northeastern of the state of Guerrero, and includes 19 from the 81 municipalities of the state of Guerrero where almost 80% of population belongs to ethnic group Nahua (Enciclopedia Guerrerense, 2012). In our knowledge, this is the first report regarding the use of medicinal plants, using quantitative tools, in the state of Guerrero, Mexico. Fig. 1. Map of the study area, municipality of Xalpatlahuac, Guerrero, Mexico. 2. Materials and methods 2.1. Study site The municipality of Xalpatlahuac is located at 17º 26′ 37″ and 171 31′ 31″ north latitude and 981 26′ 37″ and 981 39′ 50″ west longitude (Fig. 1). The autochthonous languages are nahuatl and mixteco. The name of Xalpatlahuac comes from nahuatl and means “in the wide sand”. The main economical activities are agriculture and animal breeding (Enciclopedia Guerrerense, 2012). The weather is semiwarm with an annual mean temperature between 18 and 22 ºC and an annual mean precipitation of 900 mm. The predominant vegetation is tropical deciduous forest. The fauna in the region is mainly composed by rabbit, scorpion, hare, iguana, coyote, vulture, bobcat and deer (Enciclopedia Guerrerense, 2012). Xalpatlahuac consists of 15 towns, encompasses an area of 393.6 km2, which represents 0.25% of total area in the state, and has a total population of 12 615 inhabitants, of which 78.5% belong to the ethnic group Nahua (Enciclopedia Guerrerense, 2012). Moreover, 55.9% of population corresponds to the age group of 20 years or younger. However, indigenous people from Xalpatlahuac live under extreme poverty conditions. 2.2. Data collection Direct interviews with general population from Xalpatlahuac, Tlapa, Tlacomulco, Tlayecac, Tepetlatipa, Tepec, Santa Cruz, San Miguel, San Marcos, San Andres and Ixotitla and, towns of Xalpatlahuac, were performed from December 2011 to May 2012. A total of 118 inhabitants, 29 men and 89 women, in an age group between 12 and 95 years, were interviewed individually. The informants were chosen randomly. Before beginning the interviews, the consent of each inhabitant to reveal information was obtained. Interviews were conducted through a semi-structured questionnaire. The questions were about the common and local name of the plant used, medicinal use of plant species, preparation, and the plant parts used. Specimens were identified and deposited at Herbario of Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autonoma de México (FEZA). The botanical correct names were corroborated at Missouri Botanical GardenTropicos (2010) and International Plant Names Index (2008). 2.3. Data analysis The diseases treated with medicinal flora from Xalpatlahuac were grouped into 13 categories based on the classification used by the International Classification of Diseases used by the World Health Organization (ICD, 2007). The relative importance (RI) of the species cited was calculated (adapted from Bennett and Prance, 2000) according to the following formula: RI ¼ NCS þ NP; NCS ¼ NCSS ; NSCSV NP ¼ NPS=NPSV NCS is the number of body systems, which is obtained dividing NCSS, the number of body systems treated by a given species, by NSCSV, the total number of body systems treated by the most versatile species. NP is the number of pharmacological properties, which is obtained by dividing NPS, the number of properties attributed to a species, by NPSV, the total number of properties attributed to the most versatile species. The result can have a maximum value of 2, indicating the most versatile species. The informant consensus factor (ICF), adapted by Heinrich et al. (1998), estimates the level of agreement between interviewees about which plants to use for each category, and was calculated as follows: ICF ¼ nur nt nur−1 where nur is the number of citations of the medicinal plant in each category and nt is the number of citations of the uses given to the plant in each category. The result of this factor ranges from 0 to 1, where a value close to 1 indicates a well-defined selection criterion in the community and/or if that information is exchanged between informants, whereas a low value indicates that plant species are chosen randomly, or that informants do not exchange information about their use. 3. Results 3.1. Use of medicinal flora A total of 67 plant species with medicinal purposes, belonging to 36 families were reported by interviewees. Six medicinal plants can only be found in Mexico: Gnaphalium oxyphyllum, Lippia berlandieri, Salvia leucantha, Hechtia podantha, Ceanothus coeruleus and Casimiroa edulis. The medicinal plants were reported to treat 55 illnesses and 3 cultural filiations (Table 1). The most common families are: Asteraceae (10 plants), Fabaceae (8 plants), Lamiaceae (5 plants) and Rutaceae (4 plants) (Table 1). None of the medicinal flora mentioned by the informants are endangered species. The most commonly mentioned species were Chenopodium ambrosioides (n¼ 53), Mentha piperita (n ¼45), Ruta chalepensis (n¼ 30), Matricaria recutita (n ¼29) and Psidium guajava (n¼ 24) (Table 1). The most frequently used parts are leaves (41 plants), whole plant M.d.C. Juárez-Vázquez et al. / Journal of Ethnopharmacology 148 (2013) 521–527 523 Table 1 Plant species used for medicinal purposes in Xalpatlahuac, Guerrero, México. Relative Number importance of mentions Family Scientific name Voucher Geographical coordinates Common name [Nahuatl name] Part used Preparation/ Application Ailment/ Symptoms Acanthaceae Justicia spicigera Schltdl. FEZA 7292 N17128′11″W98136′22″ Mangifera indica L. FEZA 7251 N17127.765′W98136.342′ Schinus molle L. FEZA 7283 N17127.813′W98136.306′ Muicle [Muictli] Leaves Chicken pox, Wounds 1 0.73 Mango [Manilatzapotl] Leaves Infusion/ Topical Infusion/Oral Cough 3 0.36 Pirul [peloncuáhuitl] Leaves Cough Fever 12 0.73 Hinojo [Diojo xuitl] Whole plant Leaves Infusion/Oral Infusion/ Topical Infusion/Oral Cough, Stomachache, Bronchitis Cough, To keep away from bad spirits Hemorrhoids, Toothache 4 0.9 8 0.73 4 0.73 Anacardiaceae Apiaceae Apocynaceae Arecaceae Asteraceae Foeniculum vulgare (L.) Mill FEZA 7311 N17128′11″W98136′22″ Nerium oleander L. FEZA 7298 N17128′ 11″W98136′22″ Thevetia thevetioides (Kunth.) K. Schum FEZA 12387 N17128.089′ W98136.874' Cocos nucifera L. FEZA 7304 N17128′ 11″W98136′22″ Archibaccharis hieraciifolia Heering FEZA 7728 N17128.194′W98136.781′ Artemisia ludoviciana subsp mexicana (Willd. ex Spreng.) D.D. Keck FEZA 7313 N17127.765′W98136.342′ Laurel [–] Calaverita [Yoyotli] Flower Fruit Maceration/ Topical Coco [Cocotl] Shell Infusion/Oral Diarrhea, Vermifuge 2 0.73 Atlina [Caxancapaxtli] Leaves Infusion/Bath 3 0.73 Estafiate [Iztauhyaitl] Whole plant Tincture/ Topical Maceration/ Topical Maceration/ Inhalation Postpartum, Prevent swelling Antibiotic, Antiseptic, Stomachache, To keep away from bad spirits, Colic 7 1.63 1 0.36 Cough, Fever, Hemorrhoids, 5 Urinary infection Conjuntivitis, Headache, 29 Stomachache 1.46 Santa María Chrysanthemum parthenium (L.) [Caltemesha] Bernh. FEZA 7309 N17128′11″W98136′ 22″ Gnaphalium oxyphyllum DC. FEZA Gordolobo [Gordolobo] 12384 N17127.765′W98136.342′ Matricaria recutita L. FEZA 7306 Manzanilla [–] N17128′11″W98136′22″‘ Senecio sp.FEZA 7263 N17127.003′ W98138.104′ Azumiate [Axochitl] Tagetes erecta L. FEZA 7273 Cempazúchitl N17128.089′W98136.874′ [Cempoalxóchitl] Tagetes lucida Cav. FEZA 7723 N17128′ Flor de perico [Yauhtli] 11″W98136′22″ Bignoniaceae Bromeliaceae Tagetes micrantha Cav. FEZA 7310 N17128′11″W98136′22″ Tithonia tubiformis (Jacq.) Cass. FEZA 12389 N17128.089′W98136.874′ Parmentiera edulis Raf. FEZA 7316 N17128′11″W98136′22″ Tecoma stans (L.) Juss. ex Kunth FEZA 12393 N17128.089′W98136.874′ Hechtia podantha Mez FEZA 7271 N17127.975′W98136.094′ Buddlejaceae Buddleja americana L. FEZA 7265 N17127.290′W98138.070' Cannabaceae Cannabis sativa L. FEZA 7303 N17128′ 11″W98136′22″ Caprifoliaceae Sambucus mexicana C. Presl ex DC. FEZA 7278 N17128.194′W98136.781′ Caricaceae Carica papaya L. FEZA 7274 N17128.089′W98136.874′ Chenopodioideae Chenopodium ambrosioides L. FEZA 7284 N17127.813′W98136.306′ Commelinaceae Commelina coelestis Willd. FEZA 7305 N17128′11″W98136′22″ Cucurbitaceae Cucurbita pepo L. FEZA 7290 N17128′ 11″O98136′22″ Equisetaceae Equisetum myriochaetum Schltdl. & Cham. FEZA 7253 N17127.316′ W98138.105′ Euphorbiaceae Euphorbia pulcherrima Willd. ex Klotzsch FEZA 7725 N17128′11″ W98136′22″ Burn plant Anis [–] Mirasol [Acahuali] Cuajilote [Cuaxilotl/ Kuajilote] Tronadora/Flor de arco [Nixtamalxochitl] Whole plant Leaves Flower Leaves Whole plant Leaves Whole plant Flower Infusion/Oral Leaves Flower Whole plant Whole plant Leaves Infusion/ Inhalation Burn plant/ Inhalation Infusion/Oral Leaves Infusion/Oral To keep away from bad spirits 1.1 Maceration/ Topical Evil eye, Rash, To keep away from bad spirits 6 0.9 Infusion/Oral Cough, Stomachache, Diarrhea, Gallstone Stomachache, Dizziness, Skin infections, To keep away from bad spirits 11 1.26 8 1.1 Stomachache, Colic 2 0.73 Rheumatism, Stomachache 2 0.73 5 1.1 4 0.36 Infusion/ Topical Infusion/Oral Infusion/Oral Tlasolmic [Tlaxomic] Leaves Whole plant Flower Fruit Leaves Kidney infection, Cancer, Diabetes Diabetes Infusion/ Oral Dysentery 1 0.36 Salve real [Zayoliscan] Leaves Infusion/Oral Stomachache, Weakness 4 0.73 Marihuana [Macutzin] Leaves Rheumatism 4 0.36 Flor de sauco [Xometl] Leaves 1.1 Leaves Smallpox, Skin infections Wounds Scorpion sting, Diarrhea 7 Papaya [Pitzahuac] 3 0.73 Epazote [Epazotl] Leaves Tincture/ Topical Infusion/ Topical Maceration/ Topical Infusion/Oral 1.63 Hierva de Pollo [–] Leaves Calabaza [Ayotli] Seed Abdominal pain, Cough, Flu, 53 Stomachache Vermifuge Hemorrhage, Inflammation, 8 Wounds, Dysentery, Colic Oral herpes, Vermifuge 3 Cola de caballo [–] Whole plant Noche buena/Flor de pascua [Custicpascua xochitl/ Pascuaxochitl] Whole plant Leaves Poultice/ Topical Toasted/ Topical Infusion/Oral Infusion/ Topical Infusion/Oral Urinary tract infection, Rash, To keep away from bad spirits Cough, Flu, vaginal hemorrhage 1.43 0.53 9 1.1 4 0.9 524 M.d.C. Juárez-Vázquez et al. / Journal of Ethnopharmacology 148 (2013) 521–527 Table 1 (continued ) Family Fabaceae Geraniaceae Labiatae Lamiaceae Myrtaceae Nyctaginaceae Onagraceae Papaveraceae Passifloraceae Piperaceae Common name [Nahuatl name] Part used Preparation/ Application Ailment/ Symptoms Ricinus communis L. FEZA 12391 N17127.995′W98136.946′ Higuerilla [Xepowiwtl] Leaves Fever, Gallstone 8 0.73 Bark Infusion/ Topical Maceration/ Topical Infusion/Oral Cough, Stomachache 3 0.73 Bark Fruit Infusion/ Oral 4 1.1 Whole plant Whole plant Leaves Infusion/Oral Stomachache, Teeth cleaning, Dysentery Diarrhea 1 0.36 Maceration/ Oral Infusion/Oral Diabetes, Kidney infection 4 0.73 Gastritis, Cancer, Diabetes, Diarrhea, Wounds 13 1.83 Bark Infusion/Oral 1.26 Leaves Infusion/Oral Antiseptic, Diarrhea, 10 Dysentery, Stomachache Stomachache, Eye infection 6 Whole plant Leaves Maceration/ Topical Infusion/ Topical Infusion/Oral Acacia acapulcensis Kunth FEZA 7269 Tepehuaje/Tehuaje N17127.566′W98137.633′ [Tehuaxi] Acacia farnesiana (L.) Willd. FEZA Huizache [Huechachin] 12388 N17127.070′W98138.096′ Erythrina sp. FEZA 7264 N17127.019′ Tzojantli [Tzompantl] W98138.107′ Medicago sativa L. FEZA 7308 N17128′ Alfalfa [–] 11″W98136′22″ Mimosa albida Humb. & Bonpl. ex Uña de gato [pinahuitz] Willd FEZA 7287 N17127.813′ W98136.306′ Pithecellobium dulce (Roxb.) Benth. Huamuchil FEZA 7255 N17127.092′W98138.107′ [Coamochitl] Prosopis laevigata (Humb. & Bonpl. ex Mezquite [Mizquitl] Willd.) M.C. Johnst. FEZA 7279 N17128.194′W98136.781′ Senna occidentalis (L.) Link FEZA Frijolillo [ higiacxihuitl ] 12385 N17127.765′W98136.342′ Pelargonium zonale (L.) L´Hér FEZA Malva [Tlalalatl] 7293 N17128′11″W98136′22″ Mentha piperita L. FEZA 7726 N17128′ Hierba Buena 11″W98136′22″ [kallowena] Ocimum basilicum L. FEZA 7296 N17128′11″W98136′22″ Rosmarinus officinalis L. FEZA 7295 N17128′11″W98136′22″ Salvia leucantha Cav. FEZA 7724 N17128′11″W98136′22″ Vitex mollis Kunth FEZA 7280 N17127.813′W98136.306′ Psidium guajava L. FEZA 12386 N17127.765′W98136.342′ Albahacar [Albaka] Leaves Infusion/ Oral Romero [Romeru] Whole plant Leaves Burn plant/ Inhalation Infusion/Oral Leaves Infusion/Oral Leaves Infusion/Oral Leaves Flower Bark Infusion/Oral Infusion/Oral Flower Latex Fruit Maceration/ Topical Infusion/Oral Leaves Whole plant Leaves Whole plant Leaves Infusion/Oral Infusion/Oral Leaves Granada [–] Charín [Tatanatzin] Bougainvillea spectabilis Willd. FEZA 7288 N17127.813′W98136.306′ Oenothera rosea L′ Hér. ex Aiton FEZA 7727 N17128′11″W98136′22″ Argemone mexicana L. FEZA 7285 N17127.813′W98136.306′ Passiflora edulis Sims FEZA 7281 N17127.813′W98136.306' Piper auritum Kunth FEZA 7302 N17128′11″W98136′22″ Salvia morada [Tochimixochitl] Coyotomate [Cuahuilotl] Guayabo [Xalxócotl] Bugambilia [–] Hierba del golpe [Cupachocotl] Chicale [Chicalotl] Maracuya [–] Hierba santa [Acuyo xuitl] 0.73 Vaginal infection 4 0.36 Rheumatism, Headache, Diarrhea, Dizziness, Stomachache Vermifuge Gallstone, Hair loss, Headache, Measles, Stomachache, Urinary tract infection Cough, Stomachache 45 1.6 15 2.0 3 0.73 Cough, Diarrhea, To keep away from bad spirits Stomachache, Weakness, Mal aire Cough, Scorpion sting 8 1.1 5 1.1 6 0.73 24 Cough, Diarrhea, Stomachache, Vomit, Fever, Flu Asthma, Cough, Flu 18 Wounds, Diarrhea 1.8 0.7 3 0.73 Eye infection, Skin infection 8 Cough, Wounds Headache, Hypertension, 6 Stomachache Cough, Headache, 16 Stomachache, Diarrhea 1.46 1.46 0.73 Infusion/Oral Intoxication, Stomachache 4 0.73 Fruit Infusion/Oral Diarrhea, Headache, 8 0.73 Whole plant Leaves Infusion/Oral Diarrhea, Wounds 5 0.73 Infusion/Oral Parturition 3 0.36 Leaves Infusion/Oral Diarrhea, Cough, Flu 11 0.9 Naranja [Chilcoztic] Shell Fruit Infusion/Oral Cough, Stomachache 4 0.73 Ruda [Temalacatl] Whole plant Infusion/Oral Infusion/ Topical 1.43 Hierba de Pollo [–] Leaves 30 Gallstone, Evil eye, Headache, Stomachache, To keep away from bad spirits 4 Zapote blanco [Chipizapotl] Limón [Limoon] Fever, Stomachache, Urinary tract infection 1.1 3 Espinosilla [huitzitziquitl] Verdolaga [Mixquilit] Sapindaceae 3 Fever, Flu Loeselia mexicana Lam. (Brand) FEZA 7312 N17127.765′W98136.342′ Portulaca oleracea L. FEZA 7300 N17128′11″W98136′22″ Punica granatum L. FEZA 7249 N17127.765′W98136.342′ Ceanothus coeruleus Lag. FEZA 7729 N17127.813′W98136.306′ Casimiroa edulis Llave & Lex. FEZA 7272 N17127.995′W98136.946′ Citrus limon (L.) Osbeck FEZA 7294 N17128′11″W98136′22″ Citrus sinensis (L.) Osbeck FEZA 7315 N17128′11″W98136′22″ Ruta chalepensis L. FEZA 7307 N17128′ 11″W98136′22″ Rutaceae Hear Loss, Fever 1.1 Polemoniaceae Infusion/Oral 0.73 8 Cabello de Elote [Tlaoli] Rhamnaceae Infusion/Oral Infusion/ Topical Marrubio [Tzopiloshihuitl] Zea mays L. FEZA 7257 N17127.092′ W98138.107′ Punicaceae Leaves Whole plant Leaves Whole plant Marrubium vulgare L. FEZA 7314 N17127.765′W98136.342′ Poaceae Portulacaceae Relative Number importance of mentions Scientific name Voucher Geographical coordinates 0.9 M.d.C. Juárez-Vázquez et al. / Journal of Ethnopharmacology 148 (2013) 521–527 525 Table 1 (continued ) Family Solanaceae Verbenaceae Scientific name Voucher Geographical coordinates Cardiospermum halicacabum L. FEZA 12390 N17127.813′W98136.306′ Cestrum nocturnum L. FEZA 7297 N17128′11″W98136′22″ Nicotiana glauca Graham FEZA 12392 N17127.813′W98136.306′ Solanum erianthum D. Don. FEZA 7286 N17127.813′W98136.306′ Lippia berlandieri Schauer FEZA 7266 N17127.260′W981.056′ Verbena carolina L. FEZA 7261 N17126.995′W98138.101′ Verbena menthifolia Benth. FEZA 12383 N17126.995′W98138.101′ Common name [Nahuatl name] Part used Huele de noche [–] Leaves Tabaco Nenestlichihuitl] Leaves Cajancli/Casancli [kajanki/kaxajqui] Orégano silvestre/ Orégano de campo [–] Verbena [ndinich] Stem Verbena [ndinich] Whole plant Whole plant Root Whole plant Root Preparation/ Application Ailment/ Symptoms Poultice/ Topical Infusion/Oral Wounds, Hematoma, Inflammation Skin infections, Headache Infusion/ Topical Maceration/ Topical Infusion/Oral Infusion/Bath Infusion/Oral Relative Number importance of mentions 6 0.73 Headache, Fever, Wounds, Rheumatism 7 1.26 Postpartum 5 0.36 Menstrual cramps, Stomachache Fever, Vomit, Diarrhea 3 0.73 7 0.9 Fever 2 0.36 Infusion/Oral Shampoo Infusion/ OralShampoo Table 2 Combinations of plant species used for medicinal purposes in Xalpatlahuac, Guerrero, Mexico. Plant species and part used Plant species and part used Mentha piperita leaves Mentha piperita whole plant Mentha piperita leaves Mentha piperita leaves Chenopodium ambrosioides leaves Chenopodium ambrosioides leaves Chenopodium ambrosioides leaves Buddleja americana leaves Buddleja americana leaves Buddleja americana leaves Bougainvillea spectabilis leaves Bougainvillea spectabilis leaves Bougainvillea spectabilis leaves Archibaccharis hieraciifolia leaves Nerium oleander leaves Nerium oleander leaves Tagetes erecta flower Marrubium vulgare whole plant Passiflora edulis fruit Artemisia ludoviciana subsp mexicana whole plant Ruta chalepensis whole plant Foeniculum vulgare whole plant Psidium guajava leaves Ruta chalepensis whole plant Piper auritum leaves Matricaria recutita whole plant Marrubium vulgare whole plant Ceanothus coeruleus whole plant Tagetes lucida whole plant Zea mays leaves Psidium guajava leaves Sambucus mexicana leaves Solanum erianthum stem Tagetes lucida whole plant Rosmarinus officinalis whole plant Citrus sinensis fruit Sambucus mexicana leaves Citrus limon leaves (25 plants), flowers (5 plants), fruits (5 plant) and others (Table 1). The results indicated that 88% of plant species are reported to cure more than one ailment and most of the folk remedies are administrated in the form of infusions (Table 1). Medicinal plants are commonly used for the treatment of stomachache (n ¼19), cough (n¼ 15) and diarrhea (n¼ 14) (Table 1). Eight medicinal plants are also used for magical purposes: Salvia leucantha, Nerium oleander Artemisia ludoviciana subsp mexicana, Tagetes lucida, Rosmarinus officinalis and others are used for magical purposes (Table 1). For instance, Salvia leucantha leaves are used to cure “mal aire”, a local term which corresponds to spirits of people who died in a violent manner who attack passersby. The prescription of medicinal plants is done by local healers called “chamanes”. Most of informants reported that traditional knowledge was formally transferred along the family line and mainly through sons. The informants get most of the plant species from wild (48%), cultivated (36%), from markets or given by a relative (16%). Even in the presence of some clinics, 75% of the interviewed people prefer to use medicinal plants instead of medications. The lack of economical resources is the main reason to use medicinal flora. Approximately, 43% of informants combine Plant species and part used Matricaria recutita whole plant Citrus limon leaves Tecoma stans leaves Ailment/Symptoms Mentions Diarrhea Rheumatism Bronchitis, cough Stomachache Gallstone Cough Stomachache vermifuge Stomachache, gallstone Diarrea Skin infections Flu Cough Asthma Postpartum Cough To keep away from bad spirits Stomachache Smallpox Hypertension 21 21 2 24 30 7 48 12 4 3 1 4 7 3 8 2 9 5 3 medicinal plants with medication and 67% of these informants do not inform to their physician about this combination. Some side effects of medicinal plants were reported by the informants: Passiflora edulis and Casimiroa edulis induces sleepiness, each, whereas Marrubium vulgare causes vomiting and headache, and Argemone mexicana induces burning eyes. The results indicated that medicinal plants are prescribed in combination (Table 2). Nineteen mixtures with medicinal plants were reported by the informants. Most combinations are composed of two medicinal plants. Mentha piperita was the most used plant for combinations (4 mixtures), followed by Chenopodium ambrosioides, Buddleja americana and Bougainvillea spectabilis (3 mixtures each). Medicinal plants are combined because people believe that the mixture might potentiate the pharmacological effects of plants. Most of the mixtures of medicinal plants are used to treat gastrointestinal and respiratory problems (6 plants each). 3.2. Relative importance Five plants were found to be highly versatile in terms of their uses: Marrubium vulgare (RI¼2.0) Mimosa albida, (RI¼1.83), 526 M.d.C. Juárez-Vázquez et al. / Journal of Ethnopharmacology 148 (2013) 521–527 Psidium guajava (RI¼ 1.80), Artemisia ludoviciana subsp. mexicana (RI¼ 1.63) and Chenopodium ambrosioides (RI¼1.63) (Table 1). 3.3. Informant consensus factor The results showed that diseases of the respiratory system (ICF¼ 0.92), diseases of the digestive system (ICF ¼0.91), and certain infectious and parasitic diseases (ICF¼ 0.89) had the highest ICF values (Table 3). 4. Discussion Studies regarding the medicinal plant use by current indigenous populations will upgrade traditional medicine and plant use, as well as the integration of modern and traditional medicine. However, it is necessary to formulate policies for biodiversity conservation, sustainable management and community development. This study records traditional knowledge of medicinal plants used in Xalpatlahuac, Guerrero, Mexico and demonstrates the importance of local biodiversity. The interviews carried out in this study were performed with general population. The results indicated that inhabitants from Xalpatlahuac preserve the traditional knowledge in the use of medicinal plants. Most of the population in Xaltlapahuac is younger than 20 years. Younger informants know much less about the medicinal uses of plants than older people. This is a common trend in Mexico (Estrada et al., 2007). This survey also indicated that some people combine medicinal plants with medications. This is also a common tendency in Mexico (Estrada et al., 2007). This might be dangerous considering the lack of information regarding the interaction of components in plant extracts and medications. Selection of the most important taxa is a prerequisite for initiating ethnopharmacological, phytochemical and toxicological studies. The high relative importance values obtained with Marrubium vulgare, Mimosa albida, Psidium guajava, Artemisia ludoviciana subsp. mexicana and Chenopodium ambrosioides indicate that these species present many pharmacological properties as well as they have the highest absolute number of uses. Thus, the importance of a species increases if it is used to treat more diseases. The most commonly mentioned species were Chenopodium ambrosioides, Mentha piperita, Ruta chalepensis, Matricaria recutita and Psidium guajava and the most common families were Asteraceae, Fabaceae, Lamiaceae and Rutaceae. This finding is in agreement with our previous report (Josabad Alonso-Castro et al., 2012) and other studies were carried out in Mexico (Frei et al., 1998; Estrada et al., 2007). In conclusion, the plant species and members of the families cited above are commonly used in the Mexican traditional medicine. In this study, Marrubium vulgare, Mentha piperita, Ruta chalapensis and Matricaria recutita, native from Europe and/or Asia, were recorded with high RI and high number of citations. This might be because since colonial times these medicinal plants were introduced in Mexico and their use was popularized due its effectiveness, adaptation and growth to diverse climate conditions (Lozoya, 1984). Furthermore, at the time of the conquest in Mexico these medicinal plants were most commonly used in Europe (Leonti et al., 2010). This survey indicated that the main way to obtain the medicinal flora is from the wild. This indicates that the practitioners depend on the wild source or the natural environment rather than home gardens to obtain the medicinal plants. These results are in accordance with other ethnobotanical studies in Mexico (Canales et al., 2005; Josabad Alonso-Castro et al., 2012) and other countries (Otero et al., 2000; Ballabh et al., 2008). The main reasons to use medicinal plants are cultural factors, the high cost of some medications and lack of medical facilities. This study is in accordance with other reports (Estrada et al., 2007; Josabad AlonsoCastro et al., 2012). Medicinal plants from Xalpatlahuac are also used for magical–religious purposes. This is a common trend in Mexican traditional medicine (Frei et al., 1998; Josabad AlonsoCastro et al., 2012). A bibliographic investigation was carried out, by consulting peer-reviewed articles in the databases SCOPUS, Web of Science, SCIELO, Medigraphic, Medline and Google scholar. The results indicated that only 6 plants with medicinal properties had not been pharmacologically studied: Archibaccharis hieraciifolia, Tithonia tubiformis, Hechtia podantha, Acacia acapulcensis, Mimosa albida, Verbena menthifolia. Scientific validation with these medicinal plants should be performed. It is important to mention that not all medicinal plants, even to their natural origin, are safe and some are even highly toxic. In this study we mentioned some side effects caused by medicinal plants from Xalpatlahuac, Guerrero, Mexico. Therefore, toxicological studies are necessary in order to provide information about the secure medicinal use of plants. If the compounds of a medicinal plant are known, it would be easier to predict which plant extract might induce toxic effects (Rodriguez-Fragoso et al., 2008). Therefore, it is necessary to evaluate the chemical composition of medicinal plants. Furthermore, some medicinal plants such as Ruta chalapensis is reported to present abortifacient effects Therefore, more regulations about the use of these plants should be done. It has been suggested that medicinal plants that contain unsaturated pyrrolizidine alkaloids are associated with embryotoxic or fetotoxic effects (Rodriguez-Fragoso et al., 2008). Table 3 Informant consensus factor. Category Uses Taxons ICF Certain infectious and parasitic diseases Diseases of the circulatory system Diseases of the digestive system Diseases of the genitourinary system Diseases of the musculoskeletal system and connective tissue Diseases of the eye Diseases of the respiratory system Diseases of the skin and subcutaneous tissues Endocrine, nutritional and metabolic diseases Injuries, poisoning and other consequences of external causes Neoplasms Pregnancy, childbirth and the puerperium Undefined illnesses 203 15 325 37 208 8 202 18 14 48 3 7 30 24 3 31 7 29 3 18 5 4 11 2 3 8 0.89 0.86 0.91 0.83 0.86 0.71 0.92 0.76 0.77 0.79 0.50 0.67 0.76 M.d.C. Juárez-Vázquez et al. / Journal of Ethnopharmacology 148 (2013) 521–527 The combination of medicinal plants is a common practice in the traditional medicines from Mexico and other countries (Frei et al., 1998; Otero et al., 2000; Estrada et al., 2007; Ballabh et al., 2008; Volpato et al., 2009; Mati and de Boer, 2011; Odhiambo et al., 2011; York et al., 2011; Josabad Alonso-Castro et al., 2012). In this study, most of the mixtures of medicinal plants are used to treat gastrointestinal and respiratory problems. This is also a common trend in traditional medicines from Mexico and other countries (Rigat et al., 2007; Volpato et al., 2009; Josabad AlonsoCastro et al., 2012). However, it is necessary to carry out pharmacological and toxicological studies with mixtures of plants. Respiratory and gastrointestinal problems are the most common diseases in the municipality of Xalpatlahuac (Enciclopedia Guerrerense, 2012). The informant consensus factor indicated that medicinal plants are used mainly for the treatment of diseases related in the categories of the respiratory and digestive systems. Therefore, there is a consensus about the plants to treat these ailments and the epidemiological information. Thus, the local population has implemented the use of medicinal plants to treat the most frequent diseases. Also, herbal remedies are commonly used in Mexico for primary health care, including gastrointestinal and respiratory illnesses (Taddei-Bringas et al., 1999). Similar results have been obtained in ethnobotanical studies carried out in Mexico and other countries (Frei et al., 1998; Estrada et al., 2007; Odhiambo et al., 2011; Josabad Alonso-Castro et al., 2012). The high values of ICF for the categories of gastrointestinal and respiratory diseases indicate that informants show high knowledge and coherence about medicinal plants uses. 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