Traditional Phytoremedies Used by Traditional Healers of Sisaket and Ubon Ratchathani Provinces of Northeastern Thailand to Treat Menstrual Disorders

doi.org/10.26538/tjnpr/v6i3.8

Authors

  • Suphannachat Nusawat Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University, Mueang Ubon Ratchathani District, Ubon Ratchathani 34000, Thailand
  • Kanjana Deelurd Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University, Mueang Ubon Ratchathani District, Ubon Ratchathani 34000, Thailand
  • Patthamawan Inthasoi Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University, Mueang Ubon Ratchathani District, Ubon Ratchathani 34000, Thailand
  • Pitchanan Thiantongin Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University, Mueang Ubon Ratchathani District, Ubon Ratchathani 34000, Thailand

Keywords:

Polyherbal medicines, Ethnobotanical, Menstrual disorders, Medicinal plants, northeastern Thailand

Abstract

Nowadays, traditional medicine in women's care is still popular in many areas of Thailand including Sisaket and Ubon Ratchathani provinces. The purpose of this study was to investigate and record the unique indigenous knowledge about the use of herbal remedies to treat menstrual disorders from highly experienced traditional healers. Therefore, qualitative research approaches and semi-structured interviews were conducted in Sisaket and Ubon Ratchathani Provinces, northeastern Thailand. The key informants who have comprehensively experienced the treatment of these ailments were selected using a purposive sampling strategy. Twenty-three herbal remedies were recorded for treating postpartum disorders, menstrual cramps, sexually transmitted diseases, leukorrhea, fever (during the menstruation), hypermenorrhea, or consumed as blood tonics and for increasing lactation. Fifty-three different medicinal plant species, mostly belonging to the Fabaceae family (7 species), were used to treat women’s reproductive condition. Biancaea sappan (L.) Tod. was documented with the highest use-value index (the UV= 0.875) which has also been used as a blood tonic in various traditional medicines. Interestingly, there were several remedies which have been employed to treat dysmenorrhea. Further pharmacological investigation of these herbal remedies and highlighted medicinal plants will provide alternative remedy for the management of women’s reproductive conditions. This is the first finding of unique indigenous knowledge about the use of herbal remedies to treat menstrual disorders by traditional healers in the provinces of Sisaket and Ubon Ratchathani in northeastern Thailand, and it is important information for further utilization of medicinal plants.

References

Laksham KB, Selvaraj R, Kar SS. Menstrual disorders and quality of life of women in an urban area of Puducherry: A

community-based cross-sectional study. J Fam Med Prim Care. 2019; 8(1):137-140.

Vannuccini S, Fondelli F, Clemenza S, Galanti G, Petraglia F. Dysmenorrhea and heavy menstrual bleeding in elite

female athletes: quality of life and perceived stress. Reprod Sci. 2020; 27(3):888-894.

He Y, Zheng D, Shang W, Wang X, Zhao S, Wei Z, Song X, Shi X, Zhu Y, Wang S, Li, R, Qiao J. Prevalence of oligomenorrhea among women of childbearing age in China: A large community-based study. Womens Health

(Lond). 2020; 16(1):1-9.

Rafique N and Al-Sheikh MH. Prevalence of menstrual problems and their association with psychological stress in young female students studying health sciences. Saudi Med J. 2018; 39(1):67-73.

Shimamoto K, Hirano M, Wada-Hiraike O, Goto R, Osuga Y. Examining the association between menstrual symptoms

and health-related quality of life among working women in Japan using the EQ-5D. BMC Womens Health. 2021; 21(1):325.

Oni TH and Tshitangano TG. Prevalence of menstrual disorders and its academic impact amongst Tshivenda

speaking teenagers in rural South Africa. J Hum Ecol. 2015; 51(1-2):214-219.

Marjoribanks J, Ayeleke RO, Farquhar C, Proctor M. Nonsteroidal anti-inflammatory drugs for dysmenorrhoea. Cochrane Database Syst Rev. 2015; 2015(7):1-170.

Oladosu FA, Tu FF, Hellman KM. Nonsteroidal antiinflammatory drug resistance in dysmenorrhea: epidemiology, causes, and treatment. Am J Obstet Gynecol.2018; 218(4):390-400.

Martin D, Sale C, Cooper SB, Elliott-Sale KJ. Period prevalence and perceived side effects of hormonal contraceptive use and the menstrual cycle in elite athletes. Int J Sports Physiol Perform. 2018; 13(7):926-932.

Zhou J and Qu F. Treating gynaecological disorders with traditional Chinese medicine: a review. Afr J Trad ComplAltern Med. 2009; 6(4):494-517.

Jazani AM, Hamdi K, Tansaz M, Nazemiyeh H, Bazargani HS, Fazljou SMB, Azgomi RND. Herbal medicine for oligomenorrhea and amenorrhea: a systematic review of ancient and conventional medicine. Biomed Res Int. 2018;

:1-22.

Vannabhum M, Poopong S, Wongwananuruk T, Nimmannit A, Suwannatrai U, Dangrat C, Apichartvorakit A, Booranasubkajorn S, Laohapand T, Akaraserenont P. The efficacy of Thai herbal Prasaplai formula for treatment of primary dysmenorrhea: a short-term randomized controlled trial. Evid-Based Compl and Alternative Medicine. 2016; 2016:1-7.

Sutthibut K, Itharat A, Singchongchai P. Premenstrual symptoms and herbal remedies in Màhaachortàrat scripture. Thammasat Med J. 2019; 19(1):46-60.

Andel TV, Boer HJD, Barnes J, Vandebroek I. Medicinal plants used for menstrual disorders in Latin America, the Caribbean, sub-Saharan Africa, South and Southeast Asia and their uterine properties: a review. J Ethnopharmacol.

; 155(2):992-1000.

Fokunang CN, Ndikum V, Tabi OY, Jiofack RB, Ngameni B, Guedje NM, Tembe-Fokunang EA, Tomkins P, Barkwan S, Kechia F, Asongalem E, Ngoupayou J,Torimiro NJ, Gonsu KH, Sielinou V, Ngadjui BT,Angwafor III F, Nkongmeneck A , A, bena OM, Ngogang J, Asonganyi T, Colizzi V, Lohoue J, KamsuKom.Traditional medicine: past, present and future research and development prospects and integration in the National Health System of Cameroon. Afr J Trad Compl Altern Med. 2011; 8(3):284-295.

World Health Organization. WHO traditional medicine strategy: 2014-2023, WHO Press, Geneva, Switzerland,

1-78 p.

Balamurugan S, Vijayakumar S, Prabhu S, Morvin Yabesh JE. Traditional plants used for the treatment of gynaecological disorders in Vedaranyam taluk, South India - An ethnomedicinal survey. J Trad Compl Med. 2018;

(2):308-323.

Li G, Liu A, Lin M, Liao S, Wen Z. Chinese herbal formula siwutang for treating primary dysmenorrhea: A systematic

review and meta-analysis of randomized controlled trials. Maturitas. 2020; 138:26-35.

Nahid K, Fariborz M, Ataolah G, Solokian S. The effect of an Iranian herbal drug on primary dysmenorrhea: a clinical

controlled trial. J Midwifery Womens Health. 2009; 54(5):401-404.

He K. Traditional Chinese and Thai medicine in a comparative perspective. Compl Ther Med. 2015; 23(6):821-826.

Neamsuvan O, Komonhiran P, Boonming K. Medicinal plants used for hypertension treatment by folk healers in

Songkhla province, Thailand. J Ethnopharmacol. 2018; 214:58-70.

Neamsuvan O and Ruangrit T. A survey of herbal weeds that are used to treat gastrointestinal disorders from southern Thailand: Krabi and Songkhla provinces. J Ethnopharmacol. 2017; 209:318-327.

Department of Thai Traditional and Alternative Medicine. Guideline to certified Traditional healers. [Online]. 2019

[cited 2021 Feb 20]. Available from: https://indi.dtam.moph.go.th/images/Kumoe_mho_2562.pdf.

Bhatia H, Palsharma Y, Manhas RK, Kumar K. Traditional phytoremedies for the treatment of menstrual disorders in

district Udhampur, J&K, India. J Ethnopharmacol. 2015; 160:202-210.

Oya A, Oikawa T, Nakai A, Takeshita T, Hanawa T. Clinical efficacy of Kampo medicine (Japanese traditional herbal medicine) in the treatment of primary dysmenorrhea. J Obstet Gynaecol Res. 2008; 34(5):898-908.

Sultana A, Lamatunoor S, Begum M, Qhuddsia QN. Management of Usr-i-Tamth (menstrual pain) in Unani (Greco-Islamic) medicine. J Evid-Based Compl Altern Med. 2017; 22(2):284-293.

Flores KE and Quinlan MB. Ethnomedicine of menstruation in rural Dominica, West Indies. J Ethnopharmacol. 2014;

(3):624-634.

Hilgert NI and Gil GE. Reproductive medicine in northwest Argentina: traditional and institutional systems. J Ethnobiol Ethnomed. 2007; 3(1):1-13.

Seo J, Lee H, Lee D, Jo H-G. Dangguijagyag-san for primary dysmenorrhea: A PRISMA-compliant systematic

review and meta-analysis of randomized-controlled trials. Med (Baltimore). 2020; 99(42):1-33.

Lee C-J, Kapelemera AM, Tsai Y-Z, Lee C-T, Xu M-Y, Wang C-C. Evaluating the therapeutic efficacy of Si-WuTang decoction and concentrated extract in follicular maldevelopment-related menstrual disorders through pharmacokinetic/pharmacodynamic studies. Front Pharmacol. 2020; 11:1-8.

Modi MB, Donga SB, Dei L. Clinical evaluation of Ashokarishta, Ashwagandha Churna and Praval Pishti in the

management of menopausal syndrome. Ayuv. 2012; 33(4):511-516.

Bi W, Zhou J, Zhao L, Wang C, Wu W, Zhang L, Ji B, Zhang N, Zhou F . Preventive effect of different citrus essential oils on primary dysmenorrhea: in vivo and in vitrostudy. Food Biosci. 2021; 42:101135.

Uritu CM, Mihai CT, Stanciu G-D, Dodi G, Alexa-Stratulat T, Luca A, Leon-Constantine MM, Stefanescu R, Bild V,

Melnic S, Tamba BI. Medicinal plants of the family Lamiaceae in pain therapy: a review. Pain Res Manag.2018; 2018:1-44.

Chen CX, Barrett B, Kwekkeboom KL. Efficacy of oral ginger (Zingiber officinale) for dysmenorrhea: a systematic

review and meta-analysis. Evid-Based Compl Altern Med.2016; 2016:6295737.

Khalesi ZB, Beiranvand SP, Bokaie M. Efficacy of Chamomile in the treatment of premenstrual syndrome: a

systematic review. J Pharmacopuncture. 2019; 22(4):204-209.

Tahoonian-Golkhatmy F, Abedian Z, Emami S-A, Esmaily H. Comparison of Rosemary and mefenamic acid capsules

on menstrual bleeding and primary dysmenorrhea: a clinical trial. Iran J Nurs Midwifery Res. 2019; 24(4):301-305.

Doubova SV, Morales HR, Hernández SF, del Carmen Martínez-García M, de Cossío Ortiz MG, Soto MA, Arce ER, Lozoya X. Effect of a Psidii guajavae folium extract in the treatment of primary dysmenorrhea: a randomized clinical trial. J Ethnopharmacol. 2007; 110(2):305-310.

Spadaro F, Costa R, Circosta C, Occhiuto F. Volatile composition and biological activity of key lime Citrus aurantifolia essential oil. Nat Prod Commun. 2012; 7(11):1523-1526.

Madeira SV, Matos FJ, Leal-Cardoso JH, Criddle DN. Relaxant effects of the essential oil of Ocimum gratissimum

on isolated ileum of the guinea pig. J Ethnopharmacol. 2002; 81(1):1-4.

Xie YW, Ming DS, Xu HX, Dong H, But PP. Vasorelaxing effects of Caesalpinia sappan involvement of endogenous

nitric oxide. Life Sci. 2000; 67(15):1913-1918.

Syamsunarno MRA, Safitri R, Kamisah Y. Protective effects of Caesalpinia sappan Linn. and its bioactive compounds on cardiovascular organs. Front Pharmacol. 2021; 12:725745.

Nirmal NP, Rajput MS, Prasad RGSV, Ahmad M. Brazilin from Caesalpinia sappan heartwood and its pharmacological activities: A review. Asian Pac J Trop Dis. 2015;8(6):421-430.

Downloads

Published

2022-05-01

How to Cite

Nusawat, S., Deelurd, K., Inthasoi, P., & Thiantongin, P. (2022). Traditional Phytoremedies Used by Traditional Healers of Sisaket and Ubon Ratchathani Provinces of Northeastern Thailand to Treat Menstrual Disorders: doi.org/10.26538/tjnpr/v6i3.8. Tropical Journal of Natural Product Research (TJNPR), 6(3), 345–353. Retrieved from https://www.tjnpr.org/index.php/home/article/view/131