Traditional Knowledge of Medicinal Plants Used by Tai Yai Healers in Chai Prakan and Wiang Haeng Districts of Chiang Mai, Thailand Benjawan Boonpuak1,*, Supaporn Pitiporn2, Thaya Jenjittikul3, Sompop Prathanturarug4,# 1 M.Sc. Program in Plant Science, Department of Plant Science, Faculty of Science and Department of Pharmaceutical Botany, Faculty of Pharmacy Mahidol University, Thailand 2 Chao Phya Abhaibhubejhr Hospital, Prachinburi, Thailand 3 Department of Plant Science, Faculty of Science, Mahidol University, Thailand 4 Department of Pharmaceutical Botany, Faculty of Pharmacy, Mahidol University, Thailand * The presenting author: benjawanbo@gmail.com, # The corresponding author: sompop.pra@mahidol.ac.th Abstract Traditional knowledge of herbal medicine is an associated cultural practice linked to a specific area where people live. The Northern part of Thailand has rich plant biodiversity, and which is populated by different cultural ethnic groups including Tai Yai who migrated from Shan State in Myanmar to Chiang Mai Province, Thailand. This ethnobotanical survey was conducted to collect information and gain knowledge about medicinal plants used by the Tai Yai healers during 2010 to 2012. Ethnobotanical data were obtained by semi-structured interviews with four traditional healers. These data were cross-checked with the healers at least three times or until the information was consistent. Specimens of plant species that were used by the healers were collected and taxonomically identified. The voucher specimens were deposited at the Mahidol University Herbarium, Pharmaceutical Botany Department, Faculty of Pharmacy, Mahidol University. One hundred and sixteen medicinal plant species were used for treating 86 kinds of ailments. Plants from the families Lamiaceae (12 species) were frequently used, followed by Asteraceae and Fabaceae (10 species each). These plants were most frequently used for musculoskeletal disorders, gastrointestinal disorders and tonic herbs. Approximately 88% of the medicinal plants described in this study have not been used in Thai traditional medicine. An erosion of Tai Yai knowledge has occurred since the healers are aging, the younger generations lack interest in these traditions, and because of increased urbanization. Thus, there is an urgent need to preserve The Tai Yai knowledge, especially for rare and endemic plants, to sustain the use of this folk medicine. Keywords: Ethnobotany, Folk medicine, Indigenous knowledge, Medicinal plant, Shan Introduction Traditional herbal medicine has increasingly been recognized for its significant contribution to healthcare worldwide. The indigenous herbal knowledge has played an important role for the research and development of new drugs as well as herbal medicines in the form of food supplement products (1). Even though the popularity of traditional herbal medicine has increased rapidly, modern societies are confronted with the degradation of medicinal plant resources and the erosion of folk knowledge. According to the International Union for Conservation of Nature, plant species extinctions occur every day in response to urbanization and overexploitation. The aging of traditional healers and lacking of their successors were other considerable problems. Thus, there is an urgent need to conserve traditional medical knowledge, including the information and its carriers, as well as medicinal plant resources. Tai Yai people are an ethnic minority in northern Thailand. They have their own language and a distinctive traditional culture which have been influenced by Buddhist beliefs. The nature of the Tai Yai people can be characterized by their strict adherence to Buddhism, cosmology, traditional beliefs and the use of plants. Due to rapid disappearance of Tai Yai healer’s specific knowledge and experience, the documentation is important for the conservation and sustainable resource planning. Most importantly, local plant names which often caused confusion and misuses, needed to be verified for their botanical names (2-3). The aim of this study was to gather the ethnobotanical information of Tai Yai healers through semi-structured interviews, plant taxonomic identification and documentation of current herbal medicine uses in comparison with Thai traditional medicine. Methodology Ethics approval for the study Fieldwork was initiated with the ethical approval of the Mahidol University Faculty of Dentistry/Faculty of Pharmacy Institutional Review Board. The ethics committee approval number was MU-DT/PY-IRB 2011/034.3006. Field visits were conducted between January 2010 and June 2012 to gather data on the traditional uses of medicinal plants. Selection of key informants and study sites After a preliminary survey, Tai Yai healers with reputations for trustworthiness and medicinal plant knowledge were chosen to be key informants. Informants were chosen on the basis of the criteria of being prominent healers in their own communities and being active herbal medicine practitioners. Four informants were selected; two from the district of Chai Prakan and two from Wiang Haeng District, Chiang Mai Province. These two areas became study sites on the basis of informant selection. Data and plant collection Information was gathered using semi-structured interviews from key informants. The interviews were conducted in the Tai Yai dialect by an interpreter. Questions were designed to collect healer profiles and experience about the use of medicinal plants. Plant specimens were collected during healer-guided field surveys. Local names, plant part usage, indications, preparations, methods of administration, and kinds of ailments were carefully noted. The data were verified with informants at least three times, or until the information was consistent (4). Finally, the diseases were grouped into physiological symptom categories. Medicinal plant identification Medicinal plant specimens in the flowering and fruiting stages were collected, and morphological features were observed using a stereoscopic microscope (5). Plants were identified by using the existing taxonomic literature (e.g., Flora of Thailand, Flora of China, Flora of British India, etc.). The identified plants were then confirmed by comparison with authentic specimens at the Royal Forest Herbarium (BKF) and the Sirindhorn Herbarium (Bangkok Herbarium, BK). Voucher specimens were deposited at the Mahidol University Herbarium (PBM), Pharmaceutical Botany Department, Faculty of Pharmacy, Mahidol University. Comparative analysis To understand the current status of Tai Yai herbal medicine, the medicinal plant use information from this study was compared with standard books on medicinal plants in Thai traditional medicine i.e., Pramual Suppakun Ya Thai (6-8). These books were used to learn in the school of traditional medicine and used as reference in Thai herbal pharmacopoeia, and other books of the medicinal plants. Results This ethnobotanical study revealed that Tai Yai healers in the study areas are using 116 plants species belonging to 101 genera of 58 families for medical purposes. Of these, almost 28% of the species came from three plant families, as follows: Lamiaceae (12 species), Asteraceae and Fabaceae (10 species each) (Table 1). Table 1. Medicinal plants used by the Tai Yai healers in Chiang Mai Province Species (voucher no.) Family Tai Yai name Parts used 1. Achyranthes aspera L. (B. Boonpuak 174 PBM) Amaranthaceae Ya kai ngu, Duk mang kon Root 2. Acmella oleracea (L.) R.K. Jansen (B. Boonpuak 292 PBM) 3. Amaranthus spinosus L. (B. Boonpuak 152 PBM) 4. Angiopteris evecta (G. Forst.) Hoffm. (B. Boonpuak 095 PBM) Asteraceae Phak phet Amaranthaceae Phak khom nam Whole plant Flower Whole plant Root Marattiaceae Kut kip ma Rhizome 5. Antidesma acidum Retz. (B. Boonpuak 243 PBM) 6. Aristolochia pierrei Lecomte (B. Boonpuak 128 PBM) Phyllanthaceae Aerial part Aristolochiaceae Makmao kampang Khoe ham pai 7. Artemisia vulgaris L. (B. Boonpuak 140 PBM) Asteraceae Ya tue tud khiao Aerial part 8. Asparagus filicinus Buch.-Ham. (B. Boonpuak 257 PBM) 9. Balanophora fungosa J.R. & G.Forst. subsp. indica (Arn.) B. Hansen var. indica (B. Boonpuak 053 PBM) 10. Bidens pilosa L. (B. Boonpuak 158,273 PBM) Asparagaceae Ma sam ton Whole plant Root Balanophoraceae Mak lang hluen Tuber Asteraceae Ya kim pu Shoot Root 11. Brassica juncea (L.) Czern. (B. Boonpuak 138 PBM) Brassicaceae Phakkat khiao Seed 12. Buddleja asiatica Lour. (B. Boonpuak 143 PBM) Buddlejaceae Ya pun pok Aerial part 13. Cajanus cajan (L.) Millsp. (B. Boonpuak 156 PBM) Fabaceae Thua ma hae Whole plant Root Whole plant Ethnomedical indications Treatment of kidney disorders, abdominal disorders, reducing internal body heat Use as tonic Treatment of toothache A combination of M1 Reducing internal body heat Treatment of diabetes, kidney disorders, use as antihypertension, tonic Treatment of aphthous ulcer Use as tonic for elderly people or babies, treatment of beriberi, convulsion Treatment of abdominal pain A combination of M2 Use as tonic, a combination of M7 Treatment of breast cancer Treatment of cough Use as antipyretic, treatment of lower back pain Treatment of muscular pain, a combination of M1 Treatment of venereal disease Use as tonic Treatment of kidney disorders Treatment of skin disease 14. Canna indica L. (B. Boonpuak 014,129 PBM) 15. Chloranthus erectus (Buch.-Ham.) Verdc. (B. Boonpuak 219 PBM) Cannaceae Mak kung tor Rhizome Treatment of cancer Chloranthaceae Moi tan Root Whole plant 16. Cissampelos pareira L. var. hirsuta (Buch. ex DC.) Forman (B. Boonpuak 073,108 PBM) 17. Cissus discolor Blume (B. Boonpuak 306 PBM) Menispermaceae Yakae hak khot Root Use as blood tonic Treatment of beriberi, a combination of M4,M5,M17 Treatment of abdominal pain Vitaceae Khuea man hiao Root Whole plant 18. Cissus hastata Miq. (B. Boonpuak 268 PBM) Vitaceae Som hek Root Shoot Whole plant 19. Clematis thaiana Tamura (B. Boonpuak 025 PBM) 20. Clerodendrum colebrookianum Walp. (B. Boonpuak 262 PBM) 21. Clerodendrum indicum (L.) Kuntze (B. Boonpuak 276 PBM) Ranunculaceae Root Lamiaceae Hmok sai khan on Phak ping khiao Lamiaceae Phak lue man Whole plant Leaf Leaf Root 22. Clerodendrum paniculatum L. (B. Boonpuak 293 PBM) Lamiaceae Phak ping laeng Leaf Whole plant Treatment of cancer Treatment of body edema, goiter Treatment of bruises Use as laxative A combination of M4,M5 A combination of M2 Treatment of itching A combination of M6 Treatment of hemorrhoids, a combination of M6 Treatment of hemorrhoids Treatment of hemorrhoids, a combination of M6 Treatment of itching Preparations/Routes of administration Cook or Grind/ Oral Decoction/ Herbal bath Raw/ Chew See Table 2 Decoction/ Oral Cook or Grind/ Oral Decoction/ Herbal bath Decoction/ Herbal bath Squeezed juice in warm water, mix with lime juice/ Oral See Table 2 Maceration/ Oral, See Table 2 Decoction/ Oral Decoction/ Oral Decoction/ Oral Pound to make massage oil/ Topical use to apply on body part, See Table 2 Decoction/ Oral Decoction/ Herbal bath Decoction/ Oral Rub a piece of root against stone, mix with vehicle*/ Topical use to apply on body part Cook/ Oral Maceration/ Oral Decoction/ Herbal bath, See Table 2 Rub a piece of root against stone, mix with vehicle*/ Oral Decoction/ Oral Decoction/ Herbal bath Decoction/ Oral Cook/ Oral See Table 2 See Table 2 Decoction/ Herbal bath See Table 2 Heat/ Topically apply, See Table 2 Grind/ Oral Heat/ Topically apply, See Table 2 Decoction/ Herbal bath Table 1. Medicinal plants used by the Tai Yai healers in Chiang Mai Province (cont.) Species (voucher no.) Family Tai Yai name Parts used 23. Clerodendrum quadriloculare (Blanco) Merr. (B. Boonpuak 139 PBM) 24. Clerodendrum serratum (L.) Moon var. serratum (B. Boonpuak 284 PBM) 25. Coix lacryma-jobi L. (B. Boonpuak 184 PBM) 26. Colquhounia coccinea Wall. (B. Boonpuak 016,164 PBM) Lamiaceae Phak ping lum Leaf Lamiaceae Phak a suai Leaf Whole plant Poaceae Mak loei lek Seed Lamiaceae Ya mok chup Root or Aerial part 27. Congea tomentosa Roxb. (B. Boonpuak 022 PBM) Lamiaceae Sang ha laeng Aerial part 28. Costus speciosus (J. König) Sm. (B. Boonpuak 241 PBM) Costaceae Kan uoeng Aerial part Root Stem 29. Crassocephalum rubens (B. Juss. ex Jacq.) S. Moore (B. Boonpuak 174 PBM) 30. Crotalaria albida Heyne ex Roth (B. Boonpuak 133 PBM) 31. Crotalaria pallida Aiton (B. Boonpuak 121,211,249 PBM) Ethnomedical indications Treatment of leg swelling, a combination of M6 A combination of M6 Use as tonic, a combination of M17 Treatment of urinary stones Use as blood tonic related to menstrual disorders, tonic, a combination of M4 Use as antipyretic, muscular pain, treatment of urticaria, a combination of M17 Treatment of headache, dysuria Treatment of muscular pain, use as tonic Treatment of deafness Preparations/ Routes of administration Heat/ Apply on leg by wrapping, See Table 2 See Table 2 Decoction/ Oral, See Table 2 Decoction/ Oral Decoction or Maceration/ Oral, See Table 2 Decoction/ Herbal bath, See Table 2 Decoction/ Oral Decoction/ Herbal bath Heat/ Ear drops, then heat until dried Decoction/ Oral Asteraceae Ya mok ngok Whole plant Use as antihypertension Fabaceae Mak hing nu on Whole plant Treatment of dysuria Decoction/ Oral Fabaceae Ya phu lak Leaf Wound healing Whole plant Treatment of muscular pain Treatment of chronic wound Treatment of leukorrhea Treatment of muscular pain, a combination M8,M17 A combination of M6 Squeezed juice/ Topically apply Decoction/ Herbal bath 32. Croton cascarilloides Raeusch. (B. Boonpuak 238 PBM) 33. Croton roxburghii N.P. Balakr. (B. Boonpuak 192 PBM) Euphorbiaceae Mai cha lot Whole plant Euphorbiaceae Ha-yoeng laeng Aerial part 34. Croton tiglium L. (B. Boonpuak 271 PBM) 35. Cuscuta japonica Choisy (B. Boonpuak 157 PBM) Euphorbiaceae Phak sakhuen Leaf Convolvulaceae Khruea khum Whole plant Decoction/ Vaporous on wound Decoction/ Herbal bath Decoction/ Herbal bath, See Table 2 See Table 2 Treatment of body edema Treatment of jaundice, a combination of M12M14 A combination of M4 Decoction/ Herbal bath Cook/ Oral, See Table 2 36. Datura metel L. (B. Boonpuak 160 PBM) 37. Desmodium oblongum Wall. ex Benth.(B. Boonpuak 010,145 PBM) 38. Dioecrescis erythroclada (Kurz) Tirveng. (B. Boonpuak 302 PBM) Solanaceae Mak khuea ba Leaf Fabaceae Yakae hak loeng Root Increase appetite, a combination of M10 Decoction/ Oral, See Table 2 Rubiaceae Mai nak naen, Mai chak chue, Dik diam Stem bark Decoction/ Herbal bath 39. Dioscorea bulbifera L. (B. Boonpuak 275 PBM) Dioscoreaceae Mak kho Bulbil Treatment of infectious diseases in early childhood, excessive crying of babies Treatment of skin disease 40. Dischidia major (Vahl) Merr. (B. Boonpuak 189 PBM) 41. Drymaria diandra Blume (B. Boonpuak 278 PBM) Apocynaceae Wan bin Leaf Caryophyllaceae Ya klet hoi Whole plant 42. Elephantopus scaber L. (B. Boonpuak 218 PBM) Asteraceae Ya suek wi Root Whole plant 43. Eleutherine bulbosa (Mill.) Urb. (B. Boonpuak 307 PBM) Iridaceae Wan hom daeng Bulb Treatment of dyspepsia, peptic ulcer Treatment of abdominal pain, convulsion, antimalarial Use as antipyretic, reducing internal body heat, a combination of M4,M5 Treatment of cough, lower back pains, a combination of M2,M3 Increased appetite, use as tonic A combination of M12-M14 See Table 2 Squeezed juice/ Topical use to apply on skin Cook with sticky rice by steam/ Oral Decoction/ Oral Pounded/ Poultice on wrist, See Table 2 Decoction/ Oral, See Table 2 Decoction/ Oral See Table 2 Table 1. Medicinal plants used by the Tai Yai healers in Chiang Mai Province (cont.) Species (voucher no.) Family Tai Yai name Parts used 44. Elsholtzia sp. (B. Boonpuak 173 PBM) 45. Embelia sessiliflora Kurz (B. Boonpuak 034 PBM) 46. Euphorbia heterophylla L. (B. Boonpuak 186,228 PBM) Lamiaceae Phak lum pum Shoot Myrsinaceae Som kuai Euphorbiaceae Khae cha pan Root or Aerial part Shoot 47. Euphorbia hirta L. (B. Boonpuak 235 PBM) Euphorbiaceae Ya yang ueng Latex 48. Fagopyrum esculentum Moench (B. Boonpuak 055 PBM) Polygonaceae Phak bung som Whole plant Whole plant 49. Flemingia macrophylla (Willd.) Prain (B. Boonpuak 006,147 PBM) 50. Flueggea virosa (Roxb. ex Willd.) Voigt (B. Boonpuak 288 PBM) Fabaceae Ka tak pik, Chong yok Root Phyllanthaceae Kang pla laeng Whole plant 51. Gomphrena globosa L. (B. Boonpuak 183,185 PBM) 52. Hedyotis diffusa Willd. (B. Boonpuak 110,203 PBM) Amaranthaceae Hmok sam duen Root Rubiaceae Ya lin ngu Whole plant 53. Helicteres elongata Wall. ex Bojer (B. Boonpuak 019,112 PBM) Sterculiaceae Pue khom, Che ka Whole plant 54. Hibiscus sabdariffa L. (B. Boonpuak 130 PBM) Malvaceae Som pu Root Calyx 55. Hypoxis aurea Lour. (B. Boonpuak 241,242 PBM) Hypoxidaceae Lek chue din Root 56. Impatiens balsamina L. (B. Boonpuak 135 PBM) Balsaminaceae Mok kao keao Whole plant Seed Ethnomedical indications Antidote for food poisoning A combination of M2,M4,M15 Use as laxative Treatment of angular stomatitis Use as lactation aid Treatment of tendomyopathy, a combination of M4 Use as blood tonic, treatment of body edema Treatment of bodily discomfort in women after giving birth, use as tonic Treatment of leukorrhea Treatment of lower back pains, use as tonic Use as blood tonic, treatment of cough, emaciation Treatment of itching, infectious diseases in early childhood Treatment of urinary stones Use as antihypertension Treatment of acne and blemish Treatment of bone fracture Treatment of diphtheria Use as tonic Preparations/ Routes of administration Cook/ Oral See Table 2 Raw/ Oral as vegetable with chili sauce or alone Raw (milky sap)/ Topically apply Decoction/ Oral Decoction/ Oral, See Table 2 Decoction/ Herbal bath Decoction/ Herbal bath Decoction/ Herbal bath Decoction/ Oral Decoction or Grind/ Oral Decoction/ Herbal bath Decoction/ Oral Cook/ Oral as vegetable Rub a piece of root against stone, mix with vehicle*/ Topical use to apply on face Pound/ Poultice Grind/ Blow into the throat by using a straw Decoction/ Oral 57. Indigofera caloneura Kurz (B. Boonpuak 105,119,194 PBM) 58. Indigofera dosua Buch.-Ham. ex D.Don (B. Boonpuak 167,254 PBM) 59. Inula cappa (Buch.-Ham. ex D.Don) DC. (B. Boonpuak 150 PBM) Fabaceae Cham pu ton Root Fabaceae Mak khram thuean Whole plant Treatment of muscular pain Decoction/ Herbal bath Asteraceae Nat kham Whole plant Decoction/ Herbal bath 60. Ipomoea sumatrana (Miq.) Ooststr. (B. Boonpuak 277 PBM) 61. Jatropha curcas L. (B. Boonpuak 162 PBM) Convolvulaceae Mai hak khoe Whole plant Use as blood tonic for women after giving birth, treatment of itching Treatment of obesity Euphorbiaceae Mak ung tung Latex Wound healing 62. Justicia gendarussa Burm. f. (B. Boonpuak 142 PBM) Acanthaceae Tap sin dum Whole plant Treatment of jaundice, hepatitis 63. Laggera alata (D.Don) Sch. Bip. ex Oliv. (B. Boonpuak 168 PBM) Asteraceae Ya nat yang phu Shoot Treatment of cough Whole plant 64. Laggera pterodonta (DC.) Sch. Bip. ex Oliv. (B. Boonpuak 247 PBM) Asteraceae Treatment of convulsion Treatment of cough Raw/ Few drops of latex apply on wound (topical use) Grind to make powder, mix with pork liver then cook as food/ Oral Cook with steamed egg/ Oral Decoction/ Herbal bath Cook with steamed egg/ Oral Decoction/ Oral, See Table 2 Squeezed juice from leaf/ Eye drops Decoction/ Herbal bath Ya nat yang Shoot Root Leaf Whole plant 65. Leea rubra Blume ex Spreng. (B. Boonpuak 290 PBM) Leeaceae Choeng khoeng laeng Root Use as antipyretic, a combination of M2 Treatment of conjunctivitis Treatment of conjunctivitis Treatment of muscular pain, sprain Decoction/ Oral Decoction/ Herbal bath Table 1. Medicinal plants used by the Tai Yai healers in Chiang Mai Province (cont.) Species (voucher no.) Family Tai Yai name Parts used Root 66. Leonurus sibiricus L. (B. Boonpuak 287 PBM) 67. Litsea cubeba (Lour.) Pers. (B. Boonpuak 027,166 PBM) Lamiaceae Ya ngan Whole plant Lauraceae Mak chang Stem 68. Lobelia nicotianifolia Roth ex Schult. (B. Boonpuak 144 PBM) 69. Lygodium flexuosum (L.) Sw. (B. Boonpuak 248 PBM) Campanulaceae Piao pong fa Root Root bark Schizaeaceae Kut kong Root Ethnomedical indications Treatment of hemorrhoids, use as tonic, a combination of M2 Wound healing Treatment of convulsion Treatment of muscular pain A combination of M2 Treatment of flatulence Treatment of urinary stones Treatment of centipede bites, insect bites Preparations/ Routes of administration Decoction/ Oral, See Table 2 Pound/ Poultice Decoction/ Herbal bath Decoction/ Oral See Table 2 Cook/ Oral Decoction/ Oral Rub a piece of root against stone, mix with vehicle*/ Topical use Decoction/ Oral 70. Maesa ramentacea (Roxb.) A. DC. (B.Boonpuak 146 PBM) 71. Markhamia stipulata (Wall.) Seem. ex K. Schum (B. Boonpuak 179 PBM) 72. Megaskepasma erythrochlamys Lindau (B. Boonpuak 182 PBM) 73. Microtoena insuavis (Hance) Prain ex Briq. (B. Boonpuak 131 PBM) 74. Millettia sp. (B. Boonpuak 206 PBM) Myrsinaceae Khoe cha pa Root Bignoniaceae Kae hang kang Stem bark Antidote for food poisoning Treatment of diabetes Acanthaceae Cha roem khiao Aerial part Treatment of paralysis Decoction/ Herbal bath Lamiaceae Ya nang khuen Shoot Cook with steamed egg/ Oral Fabaceae Mak kham doi Root 75. Momordica cochinchinensis (Lour.) Spreng. (B. Boonpuak 155 PBM) 76. Mussaenda sp. (B. Boonpuak 107,196 PBM) Cucurbitaceae Fak ho la Leaf Use as blood tonic, treatment of menstrual disorders Increase appetite, insomnia, use as tonic for elderly people Treatment of headache Rubiaceae Kap woe Root Decoction/ Herbal bath, See Table 2 77. Osbeckia stellata Buch.-Ham. ex Ker Gawl. (B. Boonpuak 252 PBM) 78. Oxalis corniculata L. (B. Boonpuak 076 PBM) 79. Paris polyphylla Sm. (B. Boonpuak 250 PBM) Melastomataceae Mai kaeng khue chao pa ra Root Treatment of infectious diseases in early childhood, postpartum symptoms, a combination of M11 Treatment of diarrhea Oxalidaceae Som sangka Whole plant Treatment of bruises Cook/ Oral Trilliaceae Wan kan chong, To ung cho Rhizome Use as antipyretic with rash, wound healing 80. Pavetta sp. (B. Boonpuak 065,111,212 PBM) Rubiaceae Sale khao taek Aerial part 81. Persicaria chinensis (L.) H. Gross (B. Boonpuak 035 PBM) Polygonaceae Phon pen Whole plant 82. Phlogacanthus curviflorus Nees (B. Boonpuak 028 PBM) 83. Phyllanthus emblica L. (B. Boonpuak 259 PBM) Acanthaceae Cha roem huai Phyllanthaceae Ma kham pom Aerial part Leaf Fruit Treatment of leukorrhea, use as blood tonic Wound healing, a combination of M1,M4 A combination of M18 A combination of M4 Treatment of muscular pain Treatment of sore throat Treatment of diarrhea Treatment of anemia Wound healing Rub a piece of rhizome against stone, mix with vehicle*/ Topical use to apply on body part Decoction/ Herbal bath 84. Pinus merkusii Jungh. & de Vriese (B. Boonpuak 062 PBM) 85. Piper nigrum L. (B. Boonpuak 309 PBM) Pinaceae Mai paek Shoot Stem bark Resin Piperaceae Mak phrik pom Fruit A combination of M2,M3,M8M11,M15,M16,M18 86. Plantago major L. (B. Boonpuak 126 PBM) Plantaginaceae Ya en yuet Root Whole plant 87. Plumbago indica L. (B. Boonpuak 285 PBM) Plumbaginaceae Pit pio laeng Root Treatment of toothache Use as diuretic, a combination of M4 Use as blood tonic, treatment of convulsion, a combination of M2,M4,M5 Decoction/ Oral Decoction/ Oral Heat/ Apply on head by wrapping Decoction/ Oral Pound/ Poultice, See Table 2 See Table 2 See Table 2 Pound/ Topical use Pound with ginger/ Oral Raw/ Chew Cook/ Oral Grind/ Poultice Dried black fruit (Black Pepper) 5-7 fruits mixed with formulations/ See Table 2 Decoction/ Oral Decoction/ Oral, See Table 2 Decoction/ Oral, See Table 2 Table 1. Medicinal plants used by the Tai Yai healers in Chiang Mai Province (cont.) Species (voucher no.) Family Tai Yai name Parts used 88. Plumbago zeylanica L. (B. Boonpuak 052 PBM) Plumbaginaceae Pit pio phoek Whole plant Leaf 89. Pogostemon glaber Benth. (B. Boonpuak 001,170 PBM) 90. Polygala chinensis L. (B. Boonpuak 244 PBM) 91. Pouzolzia pentandra Benn. (B. Boonpuak 120,214 PBM) 92. Rubus alceifolius Poir. (B. Boonpuak 009,176 PBM) Lamiaceae Ya mue lueam Root Polygalaceae Ma mae kam Root Urticaceae Pan chon Whole plant Rosaceae Mak hue long Root 93. Rubus ellipticus Sm. Forma obcordatus Franch. (B. Boonpuak 040,149 PBM) 94. Sambucus javanica Reinw. ex Blume (B. Boonpuak 223 PBM) Rosaceae Mak hue Root Caprifoliaceae Mai khue pan Whole plant 95. Sauropus quadrangularis (Willd.) Müll.Arg. (B. Boonpuak 208 PBM) 96. Schefflera elliptica (Blume) Harms (B. Boonpuak 239 PBM) 97. Schefflera leucantha R.Vig. (B. Boonpuak 191 PBM) 98. Schima wallichii Choisy (B. Boonpuak 200 PBM) Phyllanthaceae Mai maeng taem Root Araliaceae Fa mue phue Aerial part Araliaceae Fa mue phue noi Aerial part Theaceae Mai chong kai Shoot Stem bark 99. Selaginella pennata Spring (B. Boonpuak 044,209 PBM) 100. Senna tora (L.) Roxb. (B. Boonpuak 291 PBM) Selaginellaceae Ya mung khiat Whole plant Fabaceae Lup muen Leaf & Seed Whole plant 101. Sida acuta Burm. f. (B. Boonpuak 029 PBM) Malvaceae Khat mon on Root 108. Thelypteris sp. (B. Boonpuak 047 PBM) 109. Thespesia lampas (Cav.) Dalzell & A. Gibson (B. Boonpuak 289 PBM) 110. Toddalia asiatica (L.) Lam. (B. Boonpuak 003 PBM) Use as tonic, a combination of M7 Treatment of jaundice Decoction/ Oral, See Table 2 Decoction/ Herbal bath Treatment of inguinal hernia, a combination of M2 Treatment of bleeding per rectum, a combination of M2 Treatment of convulsion, muscular pain, bone fracture, a combination of M16 Treatment of toothache Decoction/ Oral, See Table 2 Decoction/ Oral Decoction/ Oral Decoction/ Oral, See Table 2 Decoction/ Herbal bath, See Table 2 Raw/ Apply to tooth, leave a while then spit out Decoction/ Herbal bath Asteraceae Ya mon kong Whole plant Solanaceae Tong huk Root Use as anti-malarial Decoction/ Oral Solanaceae Mak khaeng khom Whole plant Use as antipyretic, reducing internal body heat, gastroenteritis Reducing internal body heat, treatment of gastroenteritis Treatment of peptic ulcer Use as blood tonic, beriberi Treatment of jaundice Decoction/ Herbal bath Treatment of lung cancer, convulsion, venereal disease, anthelmintic Treatment of muscular pain Treatment of hemorrhoids Use as tonic Decoction/ Oral Use as anti-malarial, treatment of muscular pain Treatment of obesity Decoction/ Oral Fruit 105. Stephania venosa (Bl.) Spreng. (B. Boonpuak 222 PBM) 106. Strychnos nux-blanda A.W. Hill (B. Boonpuak 199 PBM) 107. Tadehagi triquetrum (L.) H.Ohashi (B. Boonpuak 134 PBM) Preparations/ Routes of administration Decoction/ Oral, See Table 2 Excessive crying of babies Treatment of back pain & waist pain Treatment of diarrhea Increase appetite, a combination of M9 Treatment of cough, expectorant Treatment of insomnia Excessive crying of babies Treatment of dizziness, a combination of M2,M3 Treatment of infectious diseases in early childhood Treatment of diabetes Whole plant 102. Sigesbeckia orientalis L. (B. Boonpuak 137 PBM) 103. Solanum erianthum D.Don (B. Boonpuak 232 PBM) 104. Solanum indicum L. (B. Boonpuak 177 PBM) Ethnomedical indications Treatment of leg and knee pain, use as antipyretic, a combination of M4 Treatment of abdominal pain Use as antipyretic Menispermaceae Rhizome Loganiaceae Fak pha, Maew din Mak tueng Fabaceae Tan kho ma Whole plant Thelypteridaceae Root Malvaceae Kut khon, Kut doi Kui thuean Stem (young stem) Root Rutaceae Due ngu hao Whole plant Stem Decoction/ Oral Raw/ Chew Decoction/ Oral, See Table 2 Decoction or Grind/ Oral Decoction/ Oral Decoction/ Herbal bath Decoction/ Oral, See Table 2 Decoction/ Herbal bath Decoction/ Oral Cook/ Oral Raw young fruit/ Chew Decoction or Grind/ Oral Decoction/ Oral Decoction/ Herbal bath Heat/ Topically apply Decoction/ Oral Decoction/ Oral Table 1. Medicinal plants used by the Tai Yai healers in Chiang Mai Province (cont.) Species (voucher no.) Family Tai Yai name Parts used 111. Uncaria sp. (B. Boonpuak 308 PBM) Rubiaceae Khao khwai mae ngong Stem 112. Urena lobata L. (B. Boonpuak 159 PBM) Malvaceae Khat mon long Root Whole plant 113. Verbena officinalis L. (B. Boonpuak 175 PBM) Verbenaceae Ya hang aen Root Whole plant 114. Vernonia volkameriifolia Wall. ex DC. (B. Boonpuak 148 PBM) Asteraceae 115. Vitex trifolia L. (B. Boonpuak 236 PBM) Lamiaceae Mai kho muae nang Leaf Stem bark Chueng pan Aerial part Fruit Ethnomedical indications Treatment of diabetes, gout, use as antihypertension, tonic, a combination of M5,M7,M17 Treatment of body edema Treatment of dizziness, a combination of M3 Treatment of body edema, muscular pain Use as antipyretic, treatment of muscular pain Treatment of convulsion Treatment of menstrual disorders Antidote for food poisoning A combination of M16 Treatment of gout, joint pain Preparations/ Routes of administration Maceration/ Oral, See Table 2 Decoction/ Herbal bath Decoction/ Oral, See Table 2 Decoction/ Herbal bath Decoction/ Oral Grind/ Oral Decoction/ Herbal bath Decoction/ Oral See Table 2 Pound, mix with any oils and heat; then, get only oil/ Topical use See Table 2 116. Zingiber montanum (J.König) Zingiberaceae Min salang Rhizome A combination of M16 Link ex Dietr. (B. Boonpuak 299 PBM) Vehicle*= water, rice soaked water, rice whiskey, steaming water or human urine (for external use only). The type of vehicle was selected by the healer. Table 2. Herbal formulations used by Tai Yai healers FormulationEthnomedical indications Preparations Route of administration Persicaria chinensis (L.) H. Gross, Acmella oleracea (L.) R.K. Jansen, Brassica juncea (L.) Czern. Artemisia vulgaris L., Sida acuta Burm. f., Rubus ellipticus Sm. forma obcordatus Franch., Rubus alceifolius Poir., Embelia sessiliflora Kurz, Elephantopus scaber L., Piper nigrum L., Leea rubra Blume ex Spreng., Clematis thaiana Tamura, Litsea cubeba (Lour.) Pers., Toddalia asiatica (L.) Lam., Lagger pterodonta (DC.) Sch. Bip. Ex Oliv., Plumbago indica L. Urena lobata L., Elephantopus scaber L., Sida acuta Burm. f., Piper nigrum L., Chloranthus erectus (Buch.-Ham.) Verdc., Cissus hastata Miq., Persicaria chinensis (L.) H. Gross, Plantago major L., Embelia sessiliflora Kurz, Phlogacanthus curviflorus Nees, Colquhounia elegans Wall., Plumbago indica L., Plumbago zeylanica L., Fagopyrum esculentum Moench, Datura metel L., Drymaria diandra Blume Chloranthus erectus (Buch.-Ham.) Verdc., Uncaria sp., Plumbago indica L., Drymaria diandra Blume, Cissus hastata Miq. Pound Poultice Decoction Oral Decoction Oral Pound Poultice Decoction M6*-treatment of muscular pain Croton tiglium L., Clerodendrum colebrookianum Walp., Clerodendrum indicum (L.) Kuntze, Clerodendrum paniculatum L., Clerodendrum quadriloculare (Blanco) Merr., Clerodendrum serratum (L.) Moon var. serratum M7***-blood tonic M8*-blood tonic Asparagus filicinus Buch.-Ham., Polygala chinensis L., Uncaria sp. Croton roxburghii N.P. Balakr., Piper nigrum L. Grind to make powder, mix with steam water and rice whiskey as vehicle Maceration Decoction Oral (It's not good for women due to infertility activity) Topical use to apply on body by massage M9*-tonic Schima wallichii Choisy, Piper nigrum L. Decoction Oral M10*-blood tonic, tonic Desmodium oblongum Wall. ex Benth, Piper nigrum L. Decoction Oral M11*-treatment of diarrhea M12*-treatment of heart disorders M13*-treatment of hepatitis M14*-treatment of kidney disorders M15*-treatment of abdominal pain M16*-treatment of muscular pain related to postpartum symptoms Mussaenda sp., Piper nigrum L. Decoction Oral Cuscuta japonica Choisy, Eleutherine bulbosa (Mill.) Urb., pork heart Cook Oral Cuscuta japonica Choisy, Eleutherine bulbosa (Mill.) Urb., pork liver Cook Oral Cuscuta japonica Choisy, Eleutherine bulbosa (Mill.) Urb., pork liver Cook Oral Embelia sessiliflora Kurz, Piper nigrum L. Decoction Oral Sambucus javanica Reinw. ex Blume, Vitex trifolia L., Zingiber montanum (J.König) Link ex Dietr., Piper nigrum L. Decoction Herbal bath M1*-treatment of a cut wound M2*-anti-malarial M3*-antipyretic M4*-treatment of bone fracture M5*-treatment of muscular pain Combination Oral Oral Table 2. Herbal formulations used by Tai Yai healers (cont.) FormulationEthnomedical indications M17**-treatment of postpartum symptoms Combination Clerodendrum serratum (L.) Moon var. serratum, Congea tomentosa Roxb, Croton roxburghii N.P. Balakr., Chloranthus erectus (Buch.Ham.) Verdc., Uncaria sp. Phlogacanthus curviflorus Nees, Piper nigrum L. M18*-treatment of beriberi, dizziness *The formulations were used by the healers in Chai Prakan district. **The formulation was used by the healers in Wiang Haeng district. ***The formulation was used by the healers of two areas. Preparations Route of administration Grind to make powder Oral with warm water Decoction Oral These medicinal plants were used for the treatment of 86 different ailments (Table 12). The most frequently employed plants were used for musculoskeletal system disorder treatments (49 species, 29 formulations), followed by gastrointestinal disorders (47 species, 46 formulations) and tonic herbs (23 species, 25 formulations) Whole plants and roots were mostly used for herbal preparations. The healers used both dried and fresh plant materials, depending on the preparation type. The majority of herbal medicines (63%) were decoction for both internal and external uses. The most frequent mode of administration was oral (57%), followed by herbal baths (23%). Overall, 88% of the treatments that were documented by this study were not found in Thai traditional medicine (TTM). Of these 88% (102 species), 30 species were used differently from TTM, and 72 species were not mentioned in the TTM at all. Only 14 species (12%) were used in ways that were similar to that of TTM (6-8). Discussion The traditional knowledge of Tai Yai healers who were living in two districts of the Chiang Mai study area varied on the basis of their individual experience in medicinal plant utilization. As the healers migrated from different part of Shan State, Myanmar, and each healer practiced and formulated their own multi-plant preparation depending on the medicinal plants in the area where they lived, the different plant species, plant parts used, preparations, and administration modes were revealed in this study. For the ailments treated by the highest number of plant species were musculoskeletal system disorders, gastrointestinal disorders and tonic herbs. Due to agricultural communities, they might look for plants to relief body pain after hard working or use as tonic. Gastrointestinal disorders were also important usage categories, which were mentioned by the healers. For culture of tea drinking, herbal medicines were commonly made into decoctions and taken as herbal drink. In addition, decoction was also prepared for herbal bath, which was used not only for treatment of external diseases, but also for treatment of internal diseases. The patients were required to take three gulps of a decoction before taking a bath when it cooled down. The most used parts of plant for herbal preparation were whole plants and roots which were related to plant habits, i.e. shrubs and herbs. As regards to the plant conservation, this practice seems to destroy the plant resources. Shrubs and herbs, however, were short life cycle plants and can be easily growing. Moreover, Tai Yai healers also cultivated commonly used medicinal plants in their home gardens, which facilitated conserving both traditional medical knowledge and medicinal plant species in the natural habitats of ethnic communities as indicated by Srithi et al. (9). Medicinal plants knowledge specific to the Tai Yai culture is alive and still exists. As indicated by 88% (102 plant species) of plant species uses were different when compared with Thai traditional books (6-8). These differences may be attributed to plant diversity, which have influenced the healer practices of a particular area of plants uses of herbal medicine. Conclusion This study documented 116 taxonomically identified medicinal plant species belonging to 101 genera in 58 families used by Tai Yai healers. These species were used to treat 86 ailments. Medicinal plants were mostly used for treatment of muscular pain, used as tonic and for treatment of gastrointestinal disorders, which related to Tai Yai’s lifestyle. Whole plants and roots were the part that mostly used to prepare herbal medicine in the form of decoction and taken as herbal drink or herbal baths. Tai Yai traditional medicine is still actively applied in communities by elderly healers who hold knowledge gained through oral transmission and experience. An erosion of the knowledge has recently occurred as a consequence of healer aging, the younger generation's lack of interest in becoming successors, and increased urbanization. Thus, there is an urgent need to preserve Tai Yai knowledge to sustain the use of this folk medicine. Acknowledgements The authors express their deepest gratitude to the Tai Yai healers Mr. Aisiang Lungso, Mr. Ngoen Chanta, Mr. Chareso Changkon and Mr. Salasu Lungmai, the key informants of this study. This project was financially supported by the Chao Phya Abhaibhubejhr Hospital Foundation. References 1. Sarker SD, Nahar L. Natural products isolation. 3rd ed. New York: Humana Press; 2012. 2. Leadlay E, Jury S. Taxonomy and plant conservation: the cornerstone of the conservation and the sustainable use of plants. 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