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Applications of Traditional Medicine Among Patients Attending the Chest Disease Clinic

Year 2024, Volume: 5 Issue: 3, 177 - 184, 26.12.2024
https://doi.org/10.53811/ijtcmr.1517697

Abstract

Objective: Among various traditional practices for respiratory complaints, the most common one involves the consumption of herbs in different forms.
Method: Patients who visited the chest diseases clinic (n=204) were asked whether they used herbal remedies as a part of traditional medicine, aside from the treatments provided at the clinic.
Results: The rate of traditional medicine application for their health complaints among the patients was 39.7% (81/204). The most frequently used applications were ginger tea (18.5%), lemon juice (18.5%), pine cone syrup (16%), and carob molasses (14.8%). Patients mainly used traditional medicine for chest pain (50%), phlegm (47.1%), cough (43.1%), and shortness of breath (35.4%). The use of traditional medicine was significantly lower in patients experiencing shortness of breath (35.4% of those who used folk medicine compared to 64.6% of those who did not, p=0.001). The frequency of traditional medicine use was 50% in sarcoidosis patients, 43.1% in asthma patients, and 30% in COPD patients. Among regular medication users, the rate of traditional medicine use was 41.5%.
Conclusion: In addition to regular medication use for respiratory complaints and diseases, patients also included traditional medicine applications at an average rate of 40%. When questioning the use of regular medication and/or traditional medicine of patients, valuable information will be obtained regarding both their compliance with treatment and the possible benefits and harms of the traditional medicine products they use.

References

  • Çevik A, Alan S. Traditional Practices in the Postpartum Period. Mersin University Faculty of Medicine Lokman Hekim Journal of History of Medicine and Folkloric Medicine. 2020; 10 (1): 14-22
  • Alamgeer YW, Asif H, Sharif A, Riaz H, Bukhari IA, Assiri AM. Traditional medicinal plants used for respiratory disorders in Pakistan: a review of the ethno-medicinal and pharmacological evidence. Chin Med. 2018; 18: 13:48.
  • Erarslan, ZB, Ay S, Kültür Ş. A Questıonnaıre-Based Study On Medıcınal Plant Use In Respıratory Dıseases. Journal Of Faculty Of Pharmacy Of Ankara University. 2020; 44 (3): 437-451.
  • Gülhan PY, Balbay EG, Üzer F. Evaluation of Traditional and Complementary Medicine Uses in Chronic Obstructive Pulmonary Patients. Online Turkish Journal of Health Sciences. 2020; 5(1):147-154.
  • Imtiyaz S, Rahman K, Sultana A, Tariq M, Chaudhary SS. Zingiber officinale Rosc.: A traditional herb with medicinal properties. Tang [Humanıtas Medicine]. 2013; 3(4): 26.1–26.7.
  • Shalansky S, Lynd L, Richardson K, Ingaszewski A, Kerr C. "Risk of warfarin-related bleeding events and supratherapeutic international normalized ratios associated with complementary and alternative medicine: a longitudinal analysis". Pharmacotherapy. 2007; 27 (9): 1237-47.
  • Mangprayool T, Kupittayanant S, Chudapongse N. Participation of citral in the bronchodilatory effect of ginger oil and possible mechanism of action. Fitoterapia. 2013;89: 68–73.
  • Aimbire F, Penna SC, Rodrigues M, Rodrigues KC, Lopes-Martins RA, Sertié JA. Effect of hydroalcoholic extract of Zingiber officinalis rhizomes on LPS-induced rat airway hyperreactivity and lung inflammation. Prostaglandins Leukot Essent Fatty Acids. 2007;77(3-4):129-38..
  • Rouhi H, Ganji F, Nasri H. Effects of Ginger on the Improvement of Asthma [The Evaluation of Its` Treatmental Effects]. Pakistan Journal of Nutrition. 2006; 5: 373-376.
  • Anh NH, Kim SJ, Long NP, Min JE, Yoon YC, Lee EG, Kim M, Kim TJ, Yang YY, Son EY, Yoon SJ, Diem NC, Kim HM, Kwon SW. Ginger on Human Health: A Comprehensive Systematic Review of 109 Randomized Controlled Trials. Nutrients. 2020;12(1):157.
  • Lv X, Zhao S, Ning Z, Zeng H, Shu Y, Tao O, Xiao C, Lu C, Liu Y. Citrus fruits as a treasure trove of active natural metabolites that potentially provide benefits for human health. Chem Cent J. 2015: 24;9: 68.
  • Arias BA, Ramón-Laca L. Pharmacological properties of citrus and their ancient and medieval uses in the Mediterranean region. J Ethnopharmacol. 2005;97(1):89-95.
  • Chaudhari SY, Ruknuddin G, Prajapati PK. Ethno medicinal values of Citrus genus: A review. Medical Journal of Dr. D.Y. Patil University. 2016; 9: 560.
  • Nie YC, Wu H, Li PB, Luo YL, Long K, Xie LM, Shen JG, Su WW. Anti-inflammatory effects of naringin in chronic pulmonary neutrophilic inflammation in cigarette smoke-exposed rats. J Med Food. 2012:15(10):894-900.
  • Cesarone MR, Belcaro G, Hu S, Dugall M, Hosoi M, Ledda A, Feragalli B, Maione C, Cotellese R. Supplementary prevention and management of asthma with quercetin phytosome: a pilot registry. Minerva Med. 2019;110(6):524-529.
  • Smith E, Williamson E, Zloh M, Gibbons S. Isopimaric acid from Pinus nigra shows activity against multidrug-resistant and EMRSA strains of Staphylococcus aureus. Phytother Res. 2005;19(6):538-42.
  • Süntar I, Tumen I, Ustün O, Keleş H, Akkol EK. Appraisal on the wound healing and anti-inflammatory activities of the essential oils obtained from the cones and needles of Pinus species by in vivo and in vitro experimental models. J Ethnopharmacol. 2012;139(2):533-40.
  • Zhang H, Zou P, Zhao H, Qiu J, Regenstein JM, Yang X. Isolation, purification, structure and antioxidant activity of polysaccharide from pinecones of Pinus koraiensis. Carbohydr Polym. 2021;251:117078. 19. Erşen Bak F, Çifci K. Artvin’in merkez köylerinde bazı tıbbi bitkilerin yöresel kullanımları. ACUJFF. 2020;21(2):318-329.
  • Ertop HM, İncemehmetoğlu E. Possibilities of Using Pine (Pinus spp.) Species and Fractions as Food Supplements and Medicinal Plants. Journal of the Institute of Science and Technology. 2022; 12 (1):266-278.
  • Shin IS, Shin NR, Jeon CM, Hong JM, Kwon OK, Kim JC, Oh SR, Hahn KW, Ahn KS. Inhibitory effects of Pycnogenol® (French maritime pine bark extract) on airway inflammation in ovalbumin-induced allergic asthma. Food Chem Toxicol. 2013;62:681-6.
  • Belcaro G, Luzzi R, Cesinaro Di Rocco P, Cesarone MR, Dugall M, Feragalli B, Errichi BM, Ippolito E, Grossi MG, Hosoi M, Errichi S, Cornelli U, Ledda A, Gizzi G. Pycnogenol® improvements in asthma management. Panminerva Med. 2011 Sep;53(3 Suppl 1):57-64.
  • Shin NR, Ryu HW, Ko JW, Park JW, Kwon OK, Oh SR, Kim JC, Shin IS, Ahn KS. A standardized bark extract of Pinus pinaster Aiton (Pycnogenol®) attenuated chronic obstructive pulmonary disease via Erk-sp1 signaling pathway. J Ethnopharmacol. 2016;194:412-420.
  • Rtibi K, Selmi S, Grami D, Amri M, Eto B, El-Benna J, Sebai H, Marzouki L. Chemical constituents and pharmacological actions of carob pods and leaves (Ceratonia siliqua L.) on the gastrointestinal tract: A review. Biomed Pharmacother. 2017;93:522-528.
  • Azab A. Carob Antioxidants in Human Health: From Traditional Uses to Modern Pharmacology. J Biomed Res Environ Sci. 2022; 3(8): 953-973.
  • Guarino C, De Simone L, Santoro S. Ethnobotanical study of the Sannio area, Campania, Southern Italy. Ethnobot Res App. 2008; 6: 255-317. http://hdl.handle.net/10125/12485.
  • Bachar M, Elyacoubi H, Zidane L, Rochdi A. Ethnomedicinal and traditional phytotherapeutic plants used in Bouhachem Natural Regional Park (Rif of Morocco): Case of Bni-Leit and Al-Oued districts. Journal of Pharmacy & Pharmacognosy Research. 2020; 9: 284-312.
  • Ahmed, H.M. Ethnopharmacobotanical study on the medicinal plants used by herbalists in Sulaymaniyah Province, Kurdistan, Iraq. J Ethnobiology Ethnomedicine. 2016; 12: 8.
  • Palabaş Uzun S, Koca C. Ethnobotanical survey of medicinal plants traded in herbal markets of Kahramanmaraş. Plant Divers. 2020;42(6):443-454.
  • Gürdal B, Kültür S. An ethnobotanical study of medicinal plants in Marmaris (Muğla, Turkey). J Ethnopharmacol. 2013;146(1):113-26.
  • Erbay M, Anıl S, Melikoğlu G. Plants used in traditional treatment against anemia in Turkey. Marmara Pharm J. 2016;20(2):164-171.
  • Hamid I, Janbaz KH, Iqbal R, Akhtar MF, Saleem A, Ali S, Sharif A, Akhtar B, Javaid Z, Sohail K. Therapeutic potential of Ceratonia siliqua extract for the management of asthma and hypertension. Cell Mol Biol (Noisy-le-grand). 2022;67(5):6-15.
  • Abdel-Rahman M, Bauomy AA, Salem FEH, Khalifa MA. Carob extract attenuates brain and lung injury in rats exposed to waterpipe smoke. Egyptian Journal of Basic and Applied Sciences. 2018;5:1, 31-40.
  • Cramer H, Ijaz N. Bringing Together What Belongs Together. J Integr Complement Med. 2023;;29(10):603-604. doi: 10.1089/jicm.2023.0538.
  • https://www.who.int/news-room/questions-and-answers/item/traditional-medicine.

GÖĞÜS HASTALIKLARI KLİNİĞİNE BAŞVURAN HASTALARDA GELENEKSEL TIP UYGULAMALARI

Year 2024, Volume: 5 Issue: 3, 177 - 184, 26.12.2024
https://doi.org/10.53811/ijtcmr.1517697

Abstract

Amaç: Solunum şikayetlerine yönelik çeşitli geleneksel uygulamalar arasında en yaygın olanı, bitkilerin farklı formlarda tüketilmesidir.
Yöntem: Göğüs hastalıkları polikliniğine başvuran hastalara (n=204) klinikte uygulanan tedaviler dışında geleneksel tıbbın bir parçası olan bitkisel ürünleri kullanıp kullanmadıkları soruldu.
Bulgular: Hastaların sağlık şikayetleri nedeniyle geleneksel ilaçlara başvurma oranı %39,7 (81/204) idi. En sık kullanılan uygulamalar ise zencefil çayı (%18,5), limon suyu (%18,5), çam kozalağı şurubu (%16) ve keçiboynuzu pekmezi (%14,8) oldu. Hastaların çoğunlukla göğüs ağrısı (%50), balgam (%47,1), öksürük (%43,1) ve nefes darlığı (%35,4) için geleneksel ilaç kullandığı görüldü. Nefes darlığı çeken hastalarda geleneksel ilaç kullanımı anlamlı olarak daha düşüktü (halk ilacı kullananlarda %35,4, kullanmayanlarda %64,6, p=0,001). Geleneksel ilaç kullanım sıklığı sarkoidoz hastalarında %50, astım hastalarında %43,1, KOAH hastalarında ise %30 olarak belirlendi. Düzenli ilaç kullananlarda geleneksel ilaç kullanma oranı %41,5 oldu.
Sonuç: Hastalar solunum yolu şikayetleri ve hastalıklarına yönelik düzenli ilaç kullanımının yanı sıra ortalama %40 oranında geleneksel tıp uygulamalarına da yer vermişlerdir. Hastaların düzenli ilaç ve/veya geleneksel ilaç kullanımları sorgulanırken hem tedaviye uyumları hem de kullandıkları geleneksel ilaç ürünlerinin olası yararları ve zararları hakkında değerli bilgiler elde edilecektir.

References

  • Çevik A, Alan S. Traditional Practices in the Postpartum Period. Mersin University Faculty of Medicine Lokman Hekim Journal of History of Medicine and Folkloric Medicine. 2020; 10 (1): 14-22
  • Alamgeer YW, Asif H, Sharif A, Riaz H, Bukhari IA, Assiri AM. Traditional medicinal plants used for respiratory disorders in Pakistan: a review of the ethno-medicinal and pharmacological evidence. Chin Med. 2018; 18: 13:48.
  • Erarslan, ZB, Ay S, Kültür Ş. A Questıonnaıre-Based Study On Medıcınal Plant Use In Respıratory Dıseases. Journal Of Faculty Of Pharmacy Of Ankara University. 2020; 44 (3): 437-451.
  • Gülhan PY, Balbay EG, Üzer F. Evaluation of Traditional and Complementary Medicine Uses in Chronic Obstructive Pulmonary Patients. Online Turkish Journal of Health Sciences. 2020; 5(1):147-154.
  • Imtiyaz S, Rahman K, Sultana A, Tariq M, Chaudhary SS. Zingiber officinale Rosc.: A traditional herb with medicinal properties. Tang [Humanıtas Medicine]. 2013; 3(4): 26.1–26.7.
  • Shalansky S, Lynd L, Richardson K, Ingaszewski A, Kerr C. "Risk of warfarin-related bleeding events and supratherapeutic international normalized ratios associated with complementary and alternative medicine: a longitudinal analysis". Pharmacotherapy. 2007; 27 (9): 1237-47.
  • Mangprayool T, Kupittayanant S, Chudapongse N. Participation of citral in the bronchodilatory effect of ginger oil and possible mechanism of action. Fitoterapia. 2013;89: 68–73.
  • Aimbire F, Penna SC, Rodrigues M, Rodrigues KC, Lopes-Martins RA, Sertié JA. Effect of hydroalcoholic extract of Zingiber officinalis rhizomes on LPS-induced rat airway hyperreactivity and lung inflammation. Prostaglandins Leukot Essent Fatty Acids. 2007;77(3-4):129-38..
  • Rouhi H, Ganji F, Nasri H. Effects of Ginger on the Improvement of Asthma [The Evaluation of Its` Treatmental Effects]. Pakistan Journal of Nutrition. 2006; 5: 373-376.
  • Anh NH, Kim SJ, Long NP, Min JE, Yoon YC, Lee EG, Kim M, Kim TJ, Yang YY, Son EY, Yoon SJ, Diem NC, Kim HM, Kwon SW. Ginger on Human Health: A Comprehensive Systematic Review of 109 Randomized Controlled Trials. Nutrients. 2020;12(1):157.
  • Lv X, Zhao S, Ning Z, Zeng H, Shu Y, Tao O, Xiao C, Lu C, Liu Y. Citrus fruits as a treasure trove of active natural metabolites that potentially provide benefits for human health. Chem Cent J. 2015: 24;9: 68.
  • Arias BA, Ramón-Laca L. Pharmacological properties of citrus and their ancient and medieval uses in the Mediterranean region. J Ethnopharmacol. 2005;97(1):89-95.
  • Chaudhari SY, Ruknuddin G, Prajapati PK. Ethno medicinal values of Citrus genus: A review. Medical Journal of Dr. D.Y. Patil University. 2016; 9: 560.
  • Nie YC, Wu H, Li PB, Luo YL, Long K, Xie LM, Shen JG, Su WW. Anti-inflammatory effects of naringin in chronic pulmonary neutrophilic inflammation in cigarette smoke-exposed rats. J Med Food. 2012:15(10):894-900.
  • Cesarone MR, Belcaro G, Hu S, Dugall M, Hosoi M, Ledda A, Feragalli B, Maione C, Cotellese R. Supplementary prevention and management of asthma with quercetin phytosome: a pilot registry. Minerva Med. 2019;110(6):524-529.
  • Smith E, Williamson E, Zloh M, Gibbons S. Isopimaric acid from Pinus nigra shows activity against multidrug-resistant and EMRSA strains of Staphylococcus aureus. Phytother Res. 2005;19(6):538-42.
  • Süntar I, Tumen I, Ustün O, Keleş H, Akkol EK. Appraisal on the wound healing and anti-inflammatory activities of the essential oils obtained from the cones and needles of Pinus species by in vivo and in vitro experimental models. J Ethnopharmacol. 2012;139(2):533-40.
  • Zhang H, Zou P, Zhao H, Qiu J, Regenstein JM, Yang X. Isolation, purification, structure and antioxidant activity of polysaccharide from pinecones of Pinus koraiensis. Carbohydr Polym. 2021;251:117078. 19. Erşen Bak F, Çifci K. Artvin’in merkez köylerinde bazı tıbbi bitkilerin yöresel kullanımları. ACUJFF. 2020;21(2):318-329.
  • Ertop HM, İncemehmetoğlu E. Possibilities of Using Pine (Pinus spp.) Species and Fractions as Food Supplements and Medicinal Plants. Journal of the Institute of Science and Technology. 2022; 12 (1):266-278.
  • Shin IS, Shin NR, Jeon CM, Hong JM, Kwon OK, Kim JC, Oh SR, Hahn KW, Ahn KS. Inhibitory effects of Pycnogenol® (French maritime pine bark extract) on airway inflammation in ovalbumin-induced allergic asthma. Food Chem Toxicol. 2013;62:681-6.
  • Belcaro G, Luzzi R, Cesinaro Di Rocco P, Cesarone MR, Dugall M, Feragalli B, Errichi BM, Ippolito E, Grossi MG, Hosoi M, Errichi S, Cornelli U, Ledda A, Gizzi G. Pycnogenol® improvements in asthma management. Panminerva Med. 2011 Sep;53(3 Suppl 1):57-64.
  • Shin NR, Ryu HW, Ko JW, Park JW, Kwon OK, Oh SR, Kim JC, Shin IS, Ahn KS. A standardized bark extract of Pinus pinaster Aiton (Pycnogenol®) attenuated chronic obstructive pulmonary disease via Erk-sp1 signaling pathway. J Ethnopharmacol. 2016;194:412-420.
  • Rtibi K, Selmi S, Grami D, Amri M, Eto B, El-Benna J, Sebai H, Marzouki L. Chemical constituents and pharmacological actions of carob pods and leaves (Ceratonia siliqua L.) on the gastrointestinal tract: A review. Biomed Pharmacother. 2017;93:522-528.
  • Azab A. Carob Antioxidants in Human Health: From Traditional Uses to Modern Pharmacology. J Biomed Res Environ Sci. 2022; 3(8): 953-973.
  • Guarino C, De Simone L, Santoro S. Ethnobotanical study of the Sannio area, Campania, Southern Italy. Ethnobot Res App. 2008; 6: 255-317. http://hdl.handle.net/10125/12485.
  • Bachar M, Elyacoubi H, Zidane L, Rochdi A. Ethnomedicinal and traditional phytotherapeutic plants used in Bouhachem Natural Regional Park (Rif of Morocco): Case of Bni-Leit and Al-Oued districts. Journal of Pharmacy & Pharmacognosy Research. 2020; 9: 284-312.
  • Ahmed, H.M. Ethnopharmacobotanical study on the medicinal plants used by herbalists in Sulaymaniyah Province, Kurdistan, Iraq. J Ethnobiology Ethnomedicine. 2016; 12: 8.
  • Palabaş Uzun S, Koca C. Ethnobotanical survey of medicinal plants traded in herbal markets of Kahramanmaraş. Plant Divers. 2020;42(6):443-454.
  • Gürdal B, Kültür S. An ethnobotanical study of medicinal plants in Marmaris (Muğla, Turkey). J Ethnopharmacol. 2013;146(1):113-26.
  • Erbay M, Anıl S, Melikoğlu G. Plants used in traditional treatment against anemia in Turkey. Marmara Pharm J. 2016;20(2):164-171.
  • Hamid I, Janbaz KH, Iqbal R, Akhtar MF, Saleem A, Ali S, Sharif A, Akhtar B, Javaid Z, Sohail K. Therapeutic potential of Ceratonia siliqua extract for the management of asthma and hypertension. Cell Mol Biol (Noisy-le-grand). 2022;67(5):6-15.
  • Abdel-Rahman M, Bauomy AA, Salem FEH, Khalifa MA. Carob extract attenuates brain and lung injury in rats exposed to waterpipe smoke. Egyptian Journal of Basic and Applied Sciences. 2018;5:1, 31-40.
  • Cramer H, Ijaz N. Bringing Together What Belongs Together. J Integr Complement Med. 2023;;29(10):603-604. doi: 10.1089/jicm.2023.0538.
  • https://www.who.int/news-room/questions-and-answers/item/traditional-medicine.
There are 34 citations in total.

Details

Primary Language English
Subjects Traditional Chinese Medicine and Treatments, Traditional, Complementary and Integrative Medicine (Other)
Journal Section Research Articles
Authors

Peri Meram Arbak 0000-0001-5730-0790

Nermin Ersoy 0000-0002-1292-3318

Publication Date December 26, 2024
Submission Date July 17, 2024
Acceptance Date September 19, 2024
Published in Issue Year 2024 Volume: 5 Issue: 3

Cite

APA Arbak, P. M., & Ersoy, N. (2024). Applications of Traditional Medicine Among Patients Attending the Chest Disease Clinic. International Journal of Traditional and Complementary Medicine Research, 5(3), 177-184. https://doi.org/10.53811/ijtcmr.1517697

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