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Evidence-based Complementary and Alternative Medicine : eCAM logoLink to Evidence-based Complementary and Alternative Medicine : eCAM
. 2012 Jun 18;2012:604363. doi: 10.1155/2012/604363

Comparative Medical Ethnobotany of the Senegalese Community Living in Turin (Northwestern Italy) and in Adeane (Southern Senegal)

Rachele Ellena 1, Cassandra L Quave 2, Andrea Pieroni 1,*
PMCID: PMC3385048  PMID: 22761638

Abstract

A medico-ethnobotanical survey was conducted among the Senegalese migrant communities of Turin (Piedmont, NW Italy) and their peers living in Adeane (Casamance, Southern Senegal), both among healers and laypeople. Through 27 in-depth interviews, 71 medicinal plant taxa were recorded and identified in Adeane and 41 in Turin, for a total of 315 different folk remedies recorded in Senegal and 62 in Turin. The large majority of the medicinal plants recorded among Senegalese migrants in Turin were also used in their country of origin. These findings demonstrate the resilience of home remedies among migrants and consequently the role they should have in shaping public health policies devoted to migrant groups in Western Countries, which seek to seriously take into account culturally sensitive approaches, that is, emic health-seeking strategies.

1. Introduction

In the last decade, the ethnobotany of migrant populations, especially in Western countries, has become the focus of a number of studies, which have investigated the trajectories of change of Traditional Medicines (TMs) and especially Traditional Knowledge (TK) concerning medicinal plants. Moreover, such studies have made progress in gaining a better understanding of newcomers' health-seeking strategies. These data are crucial in the implementation of culturally sensitive approaches in public health and nutritional policies in the host countries and/or to improve phyto-pharmacovigilance [15].

In particular, in Europe, the ethnobotanical knowledge of various migrant groups has been studied in different (mainly urban) contexts: Turkish and Russian migrants in Germany [6, 7]; Thai women in Sweden [8]; Surinamese migrants in The Netherlands [9, 10]; South-Asians [1114] and Andeans in England [1517]. From these previous studies, three key findings have emerged so far.

  1. Newcomers' TK and related domestic practices may show various degrees of resilience (i.e., the attitude to recover from the changes, which originate from the displacement).

  2. The resilience is highly dependent on practical circumstances (distance between the home and the host countries, corresponding to possibilities of frequent travel), but also on complex cultural exchanges ongoing between the diasporas and the autochthonous and/or other migrant populations. For example, factors such as (1) the occurrence of relevant transnational social and trade networks between the migrants and their home country, (2) the availability of traditional practitioners and/or herbs and food plant items in food shops in the host country, (3) identity-bound perceptions in relation to specific botanicals (which may be considered culturally important), (4) laws in place in the host countries allowing or tolerating the occurrence of non-autochthonous food/medicinal plants, and (5) multicultural approaches in the institutionalised public health frameworks of the host country, all play crucial roles in determining the resilience and sustainability of these TM practices in the migrants' host country.

  3. The aforementioned cultural negotiations that impact TK resilience are rapidly changing on both temporal and spatial scales, and even the “representation” of plants and remedies related to “traditions” is in a state of flux among generations over time.

In Italy, no ethnobotanical study has addressed these specific issues thus far, despite the fact that the country has faced tremendous changes in its social structure over the last two decades. In fact, these changes are due in large part to the arrival of a significant number of young and middle-aged migrants from Africa and especially Eastern Europe (most notably, Romanians and Albanians). Nowadays, it is estimated that five million migrants live in Italy, with an increase of three million in the last ten years [18]. The large majority of migrants live in the Central-Northern regions of the country; one-fifth of which are Romanians, followed by Albanians and Moroccans. The Senegalese are quantitatively the 17th largest migrant community in Italy, but they represent the biggest “black” African community in the country, encompassing approximately 73,000 members. Moreover, this community is also historically one of the most important migrant groups in Italy, as it formed a significant presence already in the 1980's [18].

Recent sociological studies have pointed out the existence of a Senegalese transmigrant movement made of people who are regular “comers and goers” between Africa and Europe and that their perception of a successful return is still associated—in contrast with other African communities—with permanent return to their homeland. This final aim is, however, generally compromised with aspirations of economic advancement and family obligations [19, 20]. Most of the earnings of Senegalese migrants are used for investment in housing in their home country, significantly altering the landscape of local cities [21].

Despite the fact that a study has well demonstrated the link between depression and rapid changes in the social organisation among Senegalese migrants [22], a fair public debate on culturally sensitive approaches in transcultural health policies is still lacking in Italy. This could be due to the state of political discourse in Italy, which has been highly influenced over the last years by instances of xenophobia, and which has subsequently affected several political actors and policy makers [2327].

The aims of this study were to record uses of natural remedies (including food preparations perceived as “healthy”) among the Senegalese community of Turin (Northern Italy) and in their country of origin, to compare these two ethnobotanies and to consequently formulate considerations on how TK changed or is changing following displacement of Senegalese citizens.

2. Material and Methods

2.1. The Study Area and Fieldwork

2.1.1. Turin, Italy

Turin (approx. 900,000 inhabitants, Piedmont, NW Italy, Figure 1) hosts an important Senegalese migrant community counting approx. 1,200 members (2004) [28]. The most significant influx of Senegalese in Turin only began at the end of 1980s. At that time, young males migrated to Italy from various areas of the Senegalese countryside and especially from those areas which were badly affected by the great drought of the 1970s. Traditionally, families gave their fourth or fifth child away to the Islamic brotherhood of believers for instruction in the faith and to work for the order, mainly engaging in agricultural activities. With the advance of desertification, however, the practice of agriculture was increasingly difficult and, as a consequence, the order allowed young people to move abroad to work in industry and services [28].

Figure 1.

Figure 1

Location of the study sites.

It was therefore a progressive flow, and not a mass migration, that characterized the Senegalese emigration to Italy. As often happens, the journey for many has been fragmented at various stages due to issues such as the search of a visa or other means of entry into the country. However, in Turin, the first arrivals had no intention of staying, since their aim was to work hard for a few years and return the home country. With time, however, things have changed, resulting in more stable settlements in the Italian landscape [28].

2.1.2. Adeane, Senegal

Adeane is a town of 9,000 inhabitants, located an hour's drive from Ziguinchor, the largest urban centre in the region of Casamance, Southern Senegal (Figure 1). The climate in Casamance is the most humid of the country and subtropical forests prevail in the landscape. The abundance of rain in the Casamance permits the cultivation of a wide variety of crops.

The Casamance is inhabited mainly by the Jola ethnic group (Diola, in the French transliteration), which constitute approximately 60% of the population. Those of the Wolof ethnic group, which represent the ethnic majority in Senegal, constitute only 5% in the Casamance region. The largest portion of the Casamance inhabitants identifies their religious beliefs with Islam, while 17% are Catholics. This isolation has determined a strong regional identity and thus the culture of its people as well as its environmental heritage has been well preserved for a long time. The regional economy is based in part on tourism, especially along the coast and on the sale of crops like rice, peanuts, and millet.

2.1.3. The Fieldwork

Fieldwork was conducted over a period of one month (November 2010) in Turin and over a period of a second month (December 2010) in Adeane (Casamance, Southern Senegal). Turin was selected as a field site because it is the home of a vibrant Senegalese community, while the area of Casamance in Senegal was chosen because it is considered the most biological and cultural diverse region of the country, as well as the most conservative in terms of folk practices.

Participants in Turin were selected using snowball techniques among the first generation of Senegalese migrants (n = 8, all males), while in Casamance the same technique was used to select “laypeople” (n = 15, 7 females and 8 males). Additionally, in Adeane 4 healers (3 males and 1 female) were also interviewed. Prior Informed Consent (PIC) was obtained verbally before commencing each interview. Ethical guidelines followed the International Society of Ethnobiology Code of Ethics [29].

Questions concerning the use of medicinal and/or food plants were asked via a previous free listing of pathologies and related use of “home remedies.” For each named item, the field researcher (RE) asked for exact details of how the home medicine/food was prepared and its folk medical/food use. Interviews were conducted in Italian in Turin and in French in Casamance.

In Casamance, the named plant items were collected, when available, photographed, dried, identified by a local plant taxonomist (Professor Amadou Tidiane, Department of Agricultural Studies, University of Ziguinchor, Senegal) and via the West African plants photo database [30], and deposited at the Herbarium of the University of Gastronomic Sciences, Pollenzo, Italy. The nomenclature follows IPNI [31], with family assignments following the current Angiosperm Phylogeny Group III recommendations [32, 33].

2.2. Data Analysis

The ethnobotanical data collected from Turin and Adeane were compared with each other. Moreover, the ethnobotanical data were compared with the preexisting literature on Senegalese TM and the traditional pharmacopoeia of Senegal [3436].

3. Results and Discussion

3.1. The Medical Ethnobotany of the Senegalese Migrants in Turin

Table 1 reports all medicinal plants quoted by the Senegalese migrants in Turin. In total, 47 folk taxa were recorded as medicinally used in Turin; 41 of these have been botanically identified. Of these remedies, only a few (eight) could be considered food medicines, thus contradicting what previous studies among migrants medical ethnobotanies have found [6, 13, 17]. This may be due to the fact that regular provision of African vegetables and other fresh food ingredients is scarce in Turin, where generally only dried spices and medicinal plants are imported. Another explanation may be that the Senegalese migrant community in Turin is mainly represented by males, who—in contrast to women—are not holders of culinary knowledge and therefore they do not generally have experience in managing healthcare via the diet within the domestic domain.

Table 1.

Medicinal plant remedies used by Senegalese migrants in Turin.

Botanical taxon, family, and voucher specimen code Local name(s) Part(s) used Preparation and administration Folk medical use (used against/to regulate) Qs
Adansonia digitata L. (Bombacaceae) Baobob Seed Eaten Diarrhoea +

Seed Grind the seeds and put the powder on the lips Burning lips
Grind the seeds and put the powder on the painful tooth Toothache
Acacia nilotica (L.)
Willd. ex Delile (Fabaceae) UNISGSEN15
Mbano (m)
Nep nep (w)
Root Make a decoction and drink just a little bit Indigestion +++
Externally applied Wounds
Bark Drink the beverage together with Tamarindus indica fruit pulp and Hibiscus sabdariffa flowers Fatigue

Grind it, add salt, and put it on the haematoma Haematoma +++
Acacia tortilis (Forssk.)
Hayne (Fabaceae) UNISGSEN05
Senjen (w) Root Drink the decoction Eye inflammations
Bellyache
Drink the decoction while eating some sugar, repeating the procedure three times a day Worms
Macerated in water for two days; the macerate drunk Sexual impotence
Stomachache
Kidney troubles

Adansonia digitata L. (Malvaceae) UNISGSEN20 Buy (w)
Baobab (f)
Fruit Drink the beverage made using the pulp around the seeds Diarrhoea +++
Same as above, adding Hibiscus sabdariffa flower Diarrhoea

Allium cepa L. (Amaryllidaceae) Cibolle Bulb Eaten Sexual impotence
Cold
+

Allium sativum L. (Amaryllidaceae) Ail (f)
Ladji (w)
Bulb Put a piece of garlic on the right wrist if the sore tooth is in the upper jaw and vice versa for the lower jaw (chanting Koran's verses helps the pain to disappear) Toothache
Sexual impotence
+++
Eaten Intestinal worms
Lowering the blood pressure
Cold and cold prevention

Anacardium occidentale L. (Anacardiaceae) Anacardo Seed Drunk Antibiotic +

Annona senegalensis Pers. (Annonaceae) Suncun Leaf Put (powdered) on the fire Magic remedy (supposed to counteract bad spirits) +

Arachis hypogaea L. (Fabaceae) UNISGSEN16 Arachide (f)
Gerte (w)
Seed Eat the seeds Stomachache +

Balanites aegyptiaca
(L.) Delile (Zygophyllaceae)
Dattier du désert (f)
Soumpu
Gurp
Petit cola
Leaf Grind the leaves and drink the infusion prepared with the powdered leaves Sore throat +++
Fruit Chew the fruit without ingesting it Stomachache
Digestive
Fatigue
Nausea

Calotropis procera (Aiton)
W.T. Aiton (Apocynaceae) UNISGSEN55
Kipampaan (p)
Poftan (m)
Pomme de Sodome (f)
Root Cut the roots into small pieces, put it into
a cotton handkerchief, squeeze, it and inhale the aroma
Sinusitis +
Stems
juice
Externally applied Wounds

Leaf Drink the infusion prepared with ground leaves Constipation +++
Cassia italica (Mill)
Sprengel (Fabaceae)
Layduur (w) Drink the infusion prepared with ground leaves Intoxication
Root Leave the root soaking all night and drink the water in the morning, before breakfast Intestinal worms

Cassia occidentalis L. (Fabaceae) UNISGSEN11 Adiana (w)
Bantaare (p)
Bentamarè (s)
Kassala (m)
Mbanta xobi (w)
Leaf Put leaves around the head Headache +
Baths Fatigue

Cassia tora L. (Fabaceae) UNISGSEN76 Cassepuante (f)
Ndur (w)
Leaf Use it as a mouthwash Mouth infections +
Ceratotheca sesamoides
Endl. (Pedaliaceae)
Jorokh lane (w) Leaf Put the leaf into water at room temperature and after it releases oil, apply the oil to the body High fever +
Dried leaf is soaked in water; the water is drunk Bellyache

Citrus limon (L.)
Osbeck. (Rutaceae)
Citron (f)
Limon (w)
Fruit Drink the juice To lose weight
Digestive
Strengthening
Malaria (drunk in the coffee)
++

Combretum aculeatum
Vent. (Combretaceae)
Sawat (w) Leaf Put ground leaves and sugar into water and instil the solution in the eyes White spot in the eye on the pupil +

Combretum glutinosum
Perr. ex DC. (Combretaceae)
Chigommier (f)
Rat (w)
Leaf Drink the decoction Bronchitis/cough
Sexual impotence
+

Leaf Drink the decoction (sometimes adding cloves) Cold
Flue
Lung infections
Sore throat
Antihypertensive
+++
Combretum micranthum
G. Don (Combretaceae) UNISGSEN10
Quinkeliba (f)
Sekhaw (w)
Flower Drink the decoction with milk every morning Enhancing the “well-being”
Make a decoction with Xylopia aethiopica seeds and cloves (Eugenia caryophillata flower buds) Vision problems

Dioscorea spp. (Dioscoreaceae) UNISGSEN83 Igname (f)
Yam (w)
Root Eat the root To gain weight +

Elaeis guineensis Jacq. (Arecaceae) Palmier à huile (f)
Tiir (w)
Fruit→ Oil Add oil and coffee to Vitellaria paradoxa butter and dab on the body To get rid of the “dead” blood when feeling weak +
Dab on the body Boils

Eucalyptus globulus Labill. (Myrtaceae) UNISGSEN88 Eucaliptus (f)
Khotta bu tel (w)
Leaf Put it around the head while listening to the reading of the Koran Headache +

Eugenia caryophyllata Thunb (Myrtaceae) UNISGSEN38 Girofle (f)
Xorompole (w)
Flower bud Use the infusion prepared with Xylopia
aethiopica seeds and Combretum micranthum flower
Vision problems +

Euphorbia balsamifera
Ait. (Euphorbiaceae)
Salan
Salan mbechi
Branch Cut the branch and put the latex on the wound Wounds ++

Root Drink the decoction Bellyache
Ficus iteophylla Miq. (Moraceae) Xassum loro (w) Leaf Drink the decoction Digestive asthma +++
Leaf Dab on the affected part Backache skin allergies

Grewia bicolor Juss. (Malvaceae) Kel (w) Leaf Drink the decoction Fatigue
Bronchitis/cough
Digestive
++

Guiera senegalensis
J.F. Gmel. (Combretaceae) UNISGSEN18
Ngueer (w) Mamakumkoyo (m) Mamankuiò (s) Root Drink the decoction Cold +++
Leaf Drink the decoction Bronchitis/cough kidney troubles
Fatigue stomachache

Put the infusion into the eyes Itchy eyes +++
Flower (red) Drink the decoction Bellyaches Menstrual pains Preventing ageing Fatigue Fever Improving the blood circulation
Hibiscus sabdariffa L. (Malvaceae) UNISGSEN12 Bissap (w)
Karkadè (f)
Put the infusion into the eyes Eye problems
Drink the beverage together with Tamarindus indica fruit pulp and Acacia nilotica bark Fatigue
Flower (white) As a food medicine—as a main ingredient of a dish prepared with boiled meat of fish, cooked with tamarind and chilies (lakk bissap) Fatigue

Maerua crassifolia Forssk (Capparaceae) Sothiou (w)
Sothiou suukar
Branch Chew the branch Halitosis +

Mangifera indica L. (Anacardiaceae) UNISGSEN37 Manguier (f)
Màngo joolaa (w)
Leaf Drink the decoction Tetanus ++

Manihot esculenta
Crantz (Euphorbiaceae) UNISGSEN07
Gnambi (w)
Manioc (f)
Mañok (m)
Root Eat the root To gain weight +

Moringa oleifera Lam. (Moringaceae) Nebedai Leaf Eaten in sauces, generally accompanied
with meat and couscous
Diabetes +

Musa paradisiaca L. (Musaceae) Bananier (f) Leaf Topical application of the leaf infusion Burns +

Panicum miliaceum L. (Poaceae) Mil (f) Fruit Eat millet (couscous) To gain weight
Fatigue
+

Parinari macrophylla Sabine (Chrysobalanaceae) New (w)
Tamba
Leaf Drink the infusion made from 7 leaves High blood pressure +
Leaf Drink the infusion Stomachache

Piper nigrum
L. (Piperaceae)
Mex pobare (w)
Poivre noir (f)
Fruit Eat the dried berry Runny nose +

Tamarindus indica
L. (Fabaceae)
Tamarin (f)
Daqaar (w)
Fruit
pulp
Eaten, or drunk, in a beverage made adding the bark of Acacia nilotica and the flower of Hibiscus sabdariffa Fatigue +

Terminalia catappa
L. (Combretaceae)
Badamier (f)
Toubab (w)
Xopp kerte
Not specified Not specified Antibiotic, antifungal +

Add salt to the butter and dab on the back Backache +++
Vitellaria paradoxa
C.F. Gaertn. (Sapotaceae)
Karitè (f) Seed→butter Add coffee, Elaeis guineensis' oil and dab on the body To get rid of the “dead” blood when feeling weak
Dab the butter on the body Massage on the child's body, to make the child stronger.
Bone strengthening
Dab the butter on hair Hair loss

Drink the decoction, also a spice in the coffee Sexual impotence ++
Xylopia aethiopica
A. Rich. (Annonaceae)
UNISGSEN70
Diar (w)
Jar
Seed Instill the infusion of seeds into the eyes Eye problems,
conjunctivitis
Instill the infusion of seeds into the ear Otitis
Pour the infusion made from the seeds, Eugenia caryophyllata flower buds and Combretum micranthum flower Vision problems

Zingiber officinale Roscoe (Zingiberaceae) UNISGSEN09 Djindjer (w)
Djinjeroo (m)
Gingembre (f)
Fresh rhizome Eaten, or juice drunk, or decoction Sexual impotence
Blood circulation
+++

Leaf Drink the decoction Worms
Not identified Berbef (w) Use the rough leaf like a sponge under the shower Pruritus +
Fruit Make a pasta and dab on the skin Itchiness
Not identified Bonye Antibiotic +

Not identified Khambata (w) Leaf Drink the infusion Headache +

Not identified Ndiadame Fruit Cook it slowly and eat it; it is really bitter Intestinal worms +

Not identified Sangol (w) Root Put it in water for up to two minutes and drink it (very bitter) Intestinal worms +
Leaf Soak in water and externally apply on the skin Itchiness

Not identified Watenobout (w) Branch Put the latex that comes out of the broken branch on the wound Wounds +

(f): French; (m): Mandingo; (p): Pulaar; (w): Wolof; Qs: quotations: + quoted by 1 or 2 informants only; ++ quoted by 3, 4, or 5 informants; +++ quoted by 5 informants or more.

All remedies quoted in Turin are generally bought in small ethnic food shops and mini-supermarkets located in city centre and managed by African and/or Chinese migrant entrepreneurs. A few of the most quoted taxa (Acacia, Adansonia, Guiera, Hibiscus) are well-known African medicinal plants, which are however lacking in the Western TM pharmacopoeia.

3.2. The Medical Ethnobotany of Adeane in Senegal

Table 2 reports all medicinal plants quoted in Adeane. In total, 71 species, representing 31 botanical families, were recorded as components to TMs in Adeane. However, although the large majority of recorded medicinal taxa were found in the reviews of the Senegalese TM [3436], only a minority (<40%) of the actual medicinal plant uses are reported in the considered literature. This confirms the highly dynamic character of the home medicines in rural Africa and highlights the urgent need for inventorying folk plant uses beyond those that are cited in the “standardized” TM reviews.

Table 2.

Plants used as medicines in Adeane, Casamance, Southern Senegal.

Botanical taxon, family,
and voucher specimen code
Local name(s) Part(s) used Preparation and administration Folk medical use
(used against/to regulate)
Healers Laypeople Qs
Acacia albida Delile
(Fabaceae) UNISGSEN019
Kade (f)
Kadd (w)
Baransango
Root
Bark
Instill the infusion in the eye Vision problems + 3

Acacia nilotica (L.) Willd.
ex Delile (Fabaceae)
UNISGSEN15
Acacia
mlotique (f)
Nep nep (w)
Mbano (m)
Root Apply the infusion externally Herpes + 2
Toothache +

Acacia seyal Delile (Fabaceae) Suuro Leaf Topical application of liquid resulting from pressed leaves Toothache + 1

Soak in water for some time and drink Tapeworm + 11
Stomachache +
Bellyache
(abdominal pains)
+ +
Drink the cold infusion Rheumatism +
Apply the infusion on hair Strengthening the hair +
Boiled in water and the vapour is inhaled Cold +
Cold infusion is drunk Blood pressure +
Acacia tortilis (Forssk.) Hayne (Fabaceae) UNISGSEN05 Senjen (w) Root Eat it with rice Sterility +
Make aerosol with the infusion? Lung cancer +
Drink the infusion Bloodstream +
Eat it with rice Ulcer +
Eat it with rice Gastritis +
Eat it with rice Kidney problems +
Drink the infusion Menstrual pain +
Malaria +
Topical application of the infusion Herpes +
Topical application of the infusion Boil +
Drink the infusion Fatigue + +
Drink the infusion Tuberculosis + +

Leaf Powdered leaf applied to burn and bandaged together with the oil of Arachis hypogaea Burns + 12
Drink the seed juice together with the flowers of Hibiscus sabdariffa Fatigue + +
Adansonia digitata
L. (Malvaceae) UNISGSEN20
Baobab (f)
Guy (w)
Seeds Eat the seeds Diarrhoea + +
Eat the seeds together with Citrus limon juice Lack of appetite +
Use it with Acacia albida, Guiera senegalensis, Parkia biglobosa, Annona senegalensis, Soora (nonidentified plant), and Ficus sycomorus Headache, sore throat, cold taken as result of wind +

Allium cepa L. (Amaryllidaceae) Oignon (f) Bulb Infusion with leaves of Citrus limon Sore throat + 1

Drink the infusion in the morning Blood pressure + 8
Allium sativum L. (Amaryllidaceae) Ail (f)
Ladji (w)
Bulb Eat it raw in the morning Intestinal worms +
Eat it while marabout recites verses of the Koran Depression +

Aloe vera (L.) Burm. f. (Xanthorrhoeaceae) Leaf gel Use it with Vitellaria paradoxa Tuberculosis + 2
Use it with Vitellaria paradoxa Hair loss +

Drink the infusion Toothache + 3
Anacardium occidentale L. (Anacardiaceae) Pomme-cajou (f)
Darkasa (w)
Bara diamboo (m)
Bark Rheumatism +
Put it in cold water for a while and drink it Toothache +
Blood pressure +

Drink the infusion Diabetes + 3
Put the powder on the wound Wounds +
Drink the infusion Rheumatism +
Drink the infusion Bloodstream +
Annona senegalensis Pers. (Annonaceae) UNISGSEN36 Sunkun (m) Leaf Drink the infusion with Musa paradisiaca leaves and Combretum micranthum Blood pressure +
Use it with Piliostigma reticulatum Headache +
Use it with Piliostigma reticulatum Tuberculosis +
Use it with Acacia albida, Guiera senegalensis, Parkia biglobosa, Adansonia digitata, Soora (nonidentified plant), and Ficus sycomorus Headache, Sore throat, Cold taken as result of wind +
Leaf Use it with Acacia albida and Parkia biglobosa Depression +

Fruit Use it with oil of Elaeis guineensis' oil Hair + 3
Arachis hypogaea L. (Fabaceae) UNISGSEN16 Arachides (f)
Gerte (w)
Jamba katalig (m)
Leaf Inhale the infusion prepared together with the leaves of Mangifera indica General health +
Seed→oil Mix peanut oil together with the powdered leaves of Adansonia digitata and apply to burns before bandaging Burns +
Fruit Eat the fruit fresh, not toasted Cold +

Wrap the leaf around the head Headache + 3
Azadirachta indica A. Juss. (Meliaceae) UNISGSEN63 Cassia, Neem (f)
Niim, Ni va (w)
Bantare (m)
Leaf Infuse with hot water and inhale the steam Fatigue +
Topical application of the infusion Skin problems +
Use it with Carica papaya and Citrus limon Cold +

Make an infusion with shade-dried leaves Diabetes + + 3
Bambusa vulgaris Schrad. ex J.C. Wendl. (Poaceae) UNISGSEN54 Bambou (f)
Lonk (w)
Leaf Drink the infusion with Combretum micranthum leaves High blood pressure +
Make an infusion, drink some
of it, and make aerosol with the resting water
Bloodstream +
Drink the infusion Obesity +

Beta vulgaris L. (Chenopodiaceae) Betterave (f)
Beteraaw (m)
Root Eat it Bloodstream + 1
Eat it Anemia +

Borassus flabellifer L. (Arecaceae) UNISGSEN89 Ronier (f)
Kòoni (w)
Fruit Burnt and pressed, pour resulting liquid into the ear Earache + 1

Malaria + 6
Fatigue +
Leaf Warm the leaf up and wrap it around the neck Sore neck +
Topical application of juice from leaf on tooth Toothache +
Calotropis procera (Aiton)
W.T. Aiton (Apocynaceae) UNISGSEN55
Pomme de Sodome (f)
Poftan (m)
Kipampaan (p)
Wrap the leaf around the sore knee Sore knees +
Wrap the leaf around the head Headache +
Root Use it with Ocimum basilicum Rheumatism +
Leaf ? Use it with Mànganaso (unidentified plant) and Jatropha curcas. Drink it and vomit everything yellow Yellow fever +
Use it with Jatropha curcas and Mànganaso (unidentified plant) Syphilis +

Cannabis sativa L. (Cannabaceae) Marijuana Seeds Drink the infusion Asthma + 1

Drink the infusion Lack of appetite 5
Drink a glass of water with a chili pepper in it Intestinal worms +
Capsicum annuum L. (Solanaceae) Kani (w) Fruit Mix lemon juice (Citrus limo) together with a chili pepper and gargle with the solution Sore throat +
Put in a small pan with Jatropha curcas, and drink Hair loss +
Put it in lemon juice (Citrus limon) and drink it Constipation +

Eat up the oil that comes out of the nut and dab it on the body three times a day with Vitellaria paradoxa butter Sore back + 9
Mix it with oil of Elaeis guineensis and butter of Vitellaria paradoxa and then dab it on hair Strengthening the hair +
Drink a spoonful every day Poor memory +
Drink a spoonful of it Cough +
Drink a spoonful of it Sore throat +
Topical application of the oil Eye problems +
Carapa procera DC.
(Meliaceae) UNISGSEN43
Tulukuna (m) Seed→oil Instill oil into the ears Earache +
Drink a spoonful of it Fever +
Drink a spoonful of it Flu +
Dab it on the skin in the area over the kidneys Kidneys problems +
Drink a spoonful of it Bellyache +
Use it before breakfast Tapeworm +
Dab it on affected muscles Sore muscles +
Peel it and apply to the sore tooth Toothache + 8
Use it with Citrus limon and Azadirachta indica Cold +
Root Drink the infusion, adding salt Syphilis (2) + +

Leaf Drink the infusion Anemia +
Use it together with Psidium guajava leaves Cystitis +
Carica papaya L. (Caricaceae) UNISGSEN21 Papayer (f)
Papaayo (w)
Seeds Dry the seeds in the sun, powder, and add to food Intestinal worms +
Fruit Eat a soup with a ripe papaya in it together with chicken and a root of Tinospora bakis Yellow fever +
Boil the unripe fruit with undecorticated rice or simply eat the fruit, raw. Another remedy is to crack an egg over the unripe papaya and eat it Yellow fever + +
Leaf Drink the infusion together with the buds Yellow fever +
Add the following to water: dry leaves of Musa paradisiaca, little unripe fruits and leaves of Citrus limon, leaves of Cassia occidentalis, leaves of Mangifera indica, leaves of Ziziphus mauritiana and drink Malaria +
Fruit Eat it together with Parkia biglobosa leaves Yellow fever +
Flower Crumble flower into the water and drink Headache + 14
Leaf Wrap around the head Headache +

Cassia occidentalis
L. (Fabaceae) UNISGSEN11
Mbanta xobi or
Adiana (w)
Kasalaa (m)
Bentamarè (s)
Leaf Wrap around the head Conjunctivitis +
Flowe? Drink the infusion Menstrual pain +
Leaf Put it in water for a while and wash yourself with it Cold (Especially for children) +
Flower? Drink the infusion For pregnant women +
Leaf Drop juice from pressed leaves
into the ear
Problems of the eardrum +
Leaf Add the following to water: dry leaves of Musa paradisiaca, little unripe fruits and leaves of Citrus limon, leaves of Mangifera indica, leaves of Carica papaya, and leaves of Ziziphus mauritiana Malaria +

Cassia tora L. (Fabaceae) UNISGSEN76 Cassepuante (f)
Ndur (w)
Blemishes on scalp which may extend to the whole body + 2
Use it with Ficus umbellata Skin fungus +

Fruit Eat it Bellyache + 3
Root Put little plants' roots in water and then drink the water It is going to fizz Fatigue +
Ceiba pentandra
(L.) Gaertn. (Malvaceae)
Fromager,
Kapotier (f)
Bantau
Bentene (w)
Bark Use infusion made with the bark as a mouthwash Toothache +
Root? Cancer +
Bark? Pour the infusion on the baby's head during baptism Infant strength and protection +
Root Good for the blood because of the red colour Blood + +

Leaf Make an infusion together with leaves of Allium cepa Sore throat + 9
Fruit Drink the juice Sore throat +
Drink the juice To lose weight +
Use the juice together with Capsicum to gargle Sore throat +
Leaf and Fruit Drink a beverage made with lemon leaf and fruit (Citrus limon) Headache +
Fruit Put the juice on the affected part together with Panicum miliaceum
flour
Herpes +
Fruit Drink the infusion with lemon juice (Citrus limon) together with two roots of the Gossypium barbadense Sexual weakness +
Citrus limon (L.) Burm.
(Rutaceae)
Citron (f)
Limon (w)
Leaf and Fruit Drink a beverage made with little lemons and leaves Cold +
Fruit Drink the juice Cold +
Use it with Carica papaya and Azadirachta indica Cold +
Leaf and fruit Add the following to water: dry leaves of Musa paradisiaca, little unripe fruits and leaves of Citrus limon, leaves of Mangifera indica, leaves of Carica papaya, leaves of Cassia occidentalis, leaves of Ziziphus mauritiana and drink Malaria +
Eaten with Carica papaya Malaria
Yellow fever
+
Use it with Guiera senegalensis Asthma +
Fruit Drink the juice Obesity +
Drink the infusion together with Gossypium barbadense High blood pressure +
Dink the juice with honey Liver +

Cola cordifolia (Cav.)
R. Br. (Malvaceae)
Kaba/Taba Leaf Drink the infusion Malnutrition + 1

Cola nitida (Vent.) Schott & Endl. (Malvaceae) UNISGSEN85 Ptit cola (f)
Kola (w)
Goro (p)
Seed Chew it Stimulant + 1

Drink the infusion Cough + 2
Combretum glutinosum
Perr. ex DC. (Combretaceae)
Chigommier (f)
Rat (w)
Leaf Drink the infusion Bronchitis +
Drink the infusion Sore throat +
Drink the infusion Cold +

Leaf Ingested together with Tamarindus indica fruit pulp Blood pressure + + 9
Drink the infusion with Musa paradisiaca's leaf and Annona senegalensis Blood pressure +
Drink the infusion Diabetes +
Use it with Tamarindus indica Asthma +
Leaf Obesity +
Combretum micranthum G. Don (Combretaceae) UNISGSEN10 Kinkeliba (f)
Sekhaw (w)
Drink the infusion Bloodstream + +
Drink the infusion with these leaves together with Bambusa vulgaris leaves High blood pressure +
Drink the infusion without sugar Malnutrition +
Flower Drink the infusion with cloves (Eugenia caryophillata) and Xylopia aethipioca seeds Vision problems +
Leaf Drink the infusion Bellyache +

Dialium guineense Willd. (Fabaceae) UNISGSEN17 Solom (w) Bark Make aerosol with the infusion Asthma + 1

Datura inoxia Mill.
(Solanaceae) UNISGSEN91
Datura (f)
Kubejaara
Leaf Burn the wood and mix the wood ash with powdered leaf ash
External Use only—highly hallucinogenic if used internally
Allergies + 1

Daucus carota L. (Apiaceae) Carotte (f) Leaf Drink the infusion Breast cancer + 1

Dioscorea spp. (Dioscoreaceae) UNISGSEN83 Imuam
Igname (f)
Yam (w)
Root Eat it To gain weight + 2
Leaf Boil the leaves Asthma +

Put the oil on the hair Hair + 6
Fruit→oil Topical application Toothache +
Pour in the ears Earache +
Use the palm oil together with Sooto noir (Ficus capensis Thumb.?) powdered root Liver problems +
Elaeis guineensis Jacq.
(Arecaceae)
Palmier à huile (f)
Tiir (w)
Attach the root of Moringa oleifera to the affected area and then cover the sore part with palm oil. Do not leave the root in place too long or it will cause an infection. Rheumatism +
Seeds Wear a necklace made out of these seeds Sore throat +
Break the seed and eat the internal part Gastritis +
Root Put them in wine and drink it Sterility +
Skin fungus +
Fruit→oil Use the palm oil together with peanuts (Arachis hypogea) and dab on hair. Hair +
Use it together with Vitellaria paradoxa butter and Carapa procera, dab on hair Hair +
Apply it on the cuts together with Hessawane Tetanus +

Drink the infusion with Jatropha curcas Cough + 1
Erythrina senegalensis DC. (Fabaceae) UNISGSEN34 Erythrine du Senegal (f)
Dolliw fatu
Root Drink the infusion Syphilis +
Drink the infusion Menstrual pain +

Eucalyptus globulus Labill. (Myrtaceae) UNISGSEN88 Eucaliptus (f)
Khotta bu tel (w)
Leaf Drink the infusion Blood pressure + 1

Make an infusion and use it as mouthwash Toothache + 3
Eugenia caryophyllata Thunb. (Myrtaceae) UNISGSEN38 Girofle (f)
Xorompole (w)
Flower bud Drink the infusion Conjunctivitis +
Make infusion with seeds of Xylopia aethiopica and Combretum micranthum flower and apply on eyes Vision problems +

Euphorbia balsamifera Ait. (Euphorbiaceae) Salan
Salana
Salan Mbechi
Branch Cut a branch and put the lymph on the wound Wounds + 3
Toothache +

Ficus elastica Roxb. ex Hornem. (Moraceae) UNISGSEN59 Yirif asotu Leaf and bark Drink the infusion Low blood pressure + 2
Leaf Drink the infusion Cold +

Ficus sycomorus ssp. gnaphalocarpa (Miq.) C.C. Berg (Moraceae) UNISGSEN42 Ficus (f)
Sooto (m)
Root Drink the infusion Fatigue + 2
Leaf Powder branches and leaves together with Jamba Saboo leaves and drink some of it. Wash yourself with the rest of it. Do not eat fish in the meantime. AIDS +

Ficus umbellata Vahl (Moraceae) UNISGSEN68 Ñokolokotò (m) Leaf Use it with Cassia tora Skin fungus + 1
Leaf Cough + 4
Gossypium barbadense L. (Malvaceae) Cotonnier (f)
Uiten (w)
Root Drink the infusion together with lemon juice (Citrus limon) High blood pressure +
Drink the infusion made with two roots together with lemon juice
(Citrus limon)
Sexual weakness +

Drink the infusion three times a day Cough + 13
Chew it and put it on the sore tooth Toothache +
Dry it and use it every day Sores +
Guiera senegalensis J.F. Gmel (Combretaceae) UNISGSEN18 Guiera du Senegal (f)
Ngeer (w)
Mamakumkoyo (m)
Leaf Make an infusion together with the lemon leaves (Citrus limon) Asthma +
Drink the infusion with Valda pastille (industrial pastille based on menthol and eucalyptus essential oil) Cold +
Make infusion and apply to hair Hair +
Drink the infusion Insomnia +
Apply chewed leaf onto the wound or powder it and put it on Wounds + +
Drink the infusion together with Mànganaso's root (unidentified plant) Intestinal worms +
Infusion prepared with Adansonia digitata, Acacia albida, Parkia biglobosa, Annona senegalensis, Soora Soora (nonidentified plant), and Ficus sycomorus Headache, sore throat, or cold taken as result of the wind +

Leaf and Flower Drink the infusion Bloodstream + 12
Flower Flu +
Fruit Make a juice together with Adansonia digitata seeds Fatigue + +
Flower Lack of appetite +
Hibiscus sabdariffa
L. (Malvaceae) UNISGSEN12
Karkadè (f)
Bisaab (w)
Use it with Tamarindus indica and Acacia nilotica Fatigue +
Flower Use it with Phaseolus vulgaris seeds Anemia +
Use it with seeds of Phaseolus vulgaris Fatigue +
Fruit Remove the seeds and squeeze the fruit juice into the eyes. Conjunctivitis +
Leaf Make an infusion together with the young leaves of Psidium guajava, drink it, and eat the leaves Diarrhoea + +

Holarrhena floribunda
T. Durand & Schinz
(Apocynaceae) UNISGSEN67
Jarko (m) Sexually transmitted diseases + 2
Drink the tisane Prostate
Abortion
+

Collect pieces of bark that face east during sunset and then drink it in 5 litres of water Cancer + 6
Collect pieces of bark that face east during sunset and then drink it in 5 litres of water Syphilis +
Jatropha curcas
L. (Euphorbiaceae)
Pignon d'Inde (f)
Tabanana (w)
Tabanano (m)
Bark and Root Drink the infusion together with roots of Erythrina senegalensis in it Cough +
Put it in a small pan with Capsicum and drink Hair loss +
Powder it together with Kunjunburun and eat it on rice Syphilis +
Use it with Calotropis procera and Mànganaso (unidentified plant) Yellow fever +

Drink a tisane made with the bark together with Acacia tortilis. Intestinal worms + + 5
Boil it in the water or put it into cold water for 2 hours and then drink it. Fatigue +
Make aerosol with it Fatigue +
Khaya senegalensis
(Desr.) A. Juss. (Meliaceae)
Cailsedrat (f)
Xai, kay (w)
Bark Put in water and drink it “Makes blood” +
Make cold infusion and drink Kidney problems +
Anemia +
Put the bark in a bottle and drink it. Tuberculosis +

Lawsonia inermis
L. (Lythraceae)
UNISGSEN69
Hennè (f)
Fuden (w)
Leaf? Soak it together with the leaves of Psidium guajava and then drink it. The leaves needs to be fresh, not dried. Stomachache + 1

Leptadenia hastata Vatke (Apocynaceae) Mboom (w)
Duto (m)
Leaf Attach the leaves to the back together with hawk's bones Kidney problems + 1
Root Scrape at the bark, put it into water, and drink it Snakebite +

Lippia chevalieri Moldenke (Verbenaceae) Samfitò Leaf Drink the infusion Boils + 1

Maerua crassifolia Forssk. (Capparaceae) Sothiou (w)
Sothiou
suukar
Branch Rub the stick on the teeth Clean teeth + 2
Chew the branch. Its bark tastes like sugar Haemorrhoids +

Leaf Make an infusion, with 1.5 L water and a handful of leaves (some say to use only the ones on the floor, others to add salt to the infusion) Tetanus + + 13
Leaf Drink infusion Poor memory +
Mangifera indica
L. (Anacardiaceae)
UNISGSEN37
Manguier (f)
Màngo
joolaa (w)
Bark? Hot infusion and inhale it together with peanut (Arachis hypogaea) leaves General health +
Bark Make aerosol with it Toothache +
Leaf Toothache + +
Leaf Add to water: dry leaves of Musa paradisiaca, little unripe fruits and leaves of Citrus limon, leaves of Mangifera indica, leaves of Carica papaya, leaves of Cassia occidentalis, and leaves of Ziziphus mauritiana Malaria +
Fruit Eat three fruits Constipation +

Manihot esculenta Crantz (Euphorbiaceae) UNISGSEN07 Manioc (f)
Gnambi (w)
Mañok (m)
Leaf Drink the infusion together with milk curdle and then massage the chest Lung cancer + 1
Make aerosol with the infusion Asthma +

Leaf Dry in the shade, powder, and eat with food Diabetes + 12
Leaf Dry it in the shade and then crush it and eat in on rice Diabetes +
Seed Dry the seeds on the fire, powder, mix with water, and drink Diabetes +
Moringa oleifera Lam. (Moringaceae) UNISGSEN39 Moringa (f)
Nebedaay (w)
Nebedayo (m)
Root Grind the root and put it on the fire then dab and bandage Sore knees +
Bark Soak the root in water for few seconds and then drink Sore neck +
Leaf Put the leaf in water and wash your eyes with it Eye allergies +
Bark Soak it in warm (not boiling) water and then drink it Kidney problems +
Root Attach the root to the affected area, with Elaeis guineensis oil. Do not leave it too long or the root will cause an infection on the sore part. Rheumatism +
Leaf Dry the leaves in the shade and eat it with Phaseolus vulgaris Blood pressure +
Seed Put the seeds on the fire, grind into a powder and drink with water Blood pressure +

Leaf Cut the leaves and dry them in the sun for 24 hours General health + 4
Musa paradisiaca
L. (Musaceae)
Bananier (f) Fruit Eat it Stomachache +
Leaf Infusion with Combretum micranthum and Annona senegalensis Blood pressure +
Add to water: dry leaves of Musa paradisiaca, little unripe fruits and leaves of Citrus limon, leaves of Mangifera indica, leaves of Carica papaya, leaves of Cassia occidentalis, and leaves of Ziziphus mauritiana Malaria +

Leaf Drink the infusion Headache + 3
Ocimum basilicum
L. (Lamiaceae) UNISGSEN13
Basilic (f)
Ngungun (m)
Seeds Put the seed into the eyes and everything comes out Eye problems +
Leaf? Use it with Calotropis procera Rheumatism +

Panicum miliaceum L. (Poaceae) Mil (f) Fruit Use the powder (pollen) that falls down during the harvest to massage the body with water and salt. Leave it on half an hour and then wash it away. Allergies + 2
Apply millet powder together with lemon juice (Citrus limon) on the affected area Herpes +

Cut the bark into pieces, boil, and use the water as mouthwash Toothache + 2
Parinari macrophylla Sabine (Chrysobalanaceae) New (w)
Tamba
Bark Make an infusion and drink Sore throat +
Make an infusion and drink it before meals Helps in digestion +

Put the leaf powder on the burns Burns + 5
Leaf Eat the leaves together with Carica papaya fruit Yellow fever +
Parkia biglobosa (Jacq.)
R.Br. ex G. Don (Fabaceae) UNISGSEN87
Minosa purpre (f)
Uul (w)
Nete, Nere (m)
Drink the infusion with powdered leaf and milk Ulcer +
Use it together with Acacia albida and Annona senegalensis Depression +
Use it with Acacia albida, Guiera senegalensis, Annona senegalensis, Adansonia digitata, Soora (nonidentified plant), and Ficus sycomorus Headache, sore throat, and cold taken as result of the wind +
Seed Cook them with rice Diabetes +

Use with Hibiscus sabdariffa Fatigue + 3
Phaseolus vulgaris L. (Fabaceae) UNISGSEN35 Harricot blanche (f)
Niebè (w)
Ñebbe
Seeds Make an infusion with seven seeds and eat them Breast cancer +
Use it with Hibiscus sabdariffa Anaemia +
Leaf? Eat it together with Moringa oleifera's sundried leaves Blood pressure +

Put the red liquid inside the bark on the wound then powder the bark and put it on the wound Wounds + + 3
Piliostigma reticulatum (DC.) Hochst. (Fabaceae)
UNISGSEN77
Fara (m)
Kankuran (p)
Bark Use it with Annona senegalensis Tuberculosis +
Drink the infusion Chronic cough +

Piper nigrum L. (Piperaceae) Poivre noir (f)
Mex Pobare (w)
Seed Drink boiled milk with pepper in it Sore throat +

Prosopis africana (Guill. & Perr.) Taub. (Fabaceae) Yiir (w) Bark Drink the decoction Anaemia + 1

Leaf Make aerosol useful to swat and then drink the water Vertigo + 1
Prosopis juliflora (Sw.) DC. (Fabaceae) UNISGSEN26 Banaana
golo (w)
Leaf Make aerosol useful to swat and then drink the water Pregnant women +
Leaf Drink the infusion Bellyache +

Young leaf Make an infusion with Hibiscus sabdariffa leaves, drink it, and eat the leaves Diarrhoea + + 10
Leaf Drink the infusion Bellyache +
Psidium guajava
L. (Myrtaceae)
UNISGSEN31
Goyave (f)
Guyaab (w)
Use it together with Carica papaya leaf Cystitis +
Fruit Eat the fruit Bellyache +
Drink the infusion Diarrhoea +
Leaf Drink the infusion made with young leaves Diarrhoea +
Soak the leaves together with Lawsonia inermis, and then drink it. The leaves need to be fresh, not dried Stomachache +

Saba senegalensis (A.DC.) Pichon (Apocynaceae) UNISGSEN76 Màdd (w)
Mat mat (m)
Leaf Drink the infusion Intestinal worms + 2
Fruit Boil the fruit Malnutrition +

Leaf Make an infusion Skin fungus + 5
Solanum lycopersicum L. (Solanaceae) Tomate (f)
Tamaate (w)
Crush the leaf and put the juice and the leaf inside the ear Earache +
Fruit Apply tomato sauce on the wound Wounds + +
Eat it raw Smallpox +

Solanum tuberosum
L. (Solanaceae)
Pomme de terre (f)
Pombiteer (w)
Leaf Make an infusion and give it to the 1-week-old baby to drink Strong child + 1
Fruit Eat it raw Menstrual pain +

Use it with Combretum micranthum Asthma +
Fruit Boil it and wash your eyes with it Vision problems + 4
Tamarindus indica L. (Fabaceae) Tamarin (f)
Daqaar (w)
Add salt and rinse your mouth with it Toothache +
Karitè butter together with the bark of Tamarindus indica Bruises +
Bark Use it with Hibiscus sabdariffa and the bark of Acacia nilotica Fatigue +
Use it with Combretum micranthum Blood pressure +

Tinospora bakis (A. Rich.)
Miers (Menispermaceae)
Bakis (w) Root Eat the root in a soup with a ripe Carica papaya and chicken Yellow fever + 1

Massage the neck Sore neck (2) + + 11
Massage the body Cold +
Put it on the sore part Bruises +
Massage the chest with Karitè butter Chronic cough +
Add salt to the butter and dab on the back Backache +
Karitè butter together with the bark of Tamarindus indica Bruises +
Massage and dab the sore part of the body Rheumatism +
Vitellaria paradoxa
C.F. Gaertn. (Sapotaceae)
Karitè (f) Seed→butter Apply on herpes Herpes +
Use it with Carapa procera and Elaeis guineensis' oil Hair loss +
Use it together with Carapa procera's nut oil and dab it on the body three times a day Backache +
Dab on the hair Stronger hair +

Use it together with a stick to apply this part Fractures +
Add coffee and tyr (red oil) To get rid of the dead blood, against fatigue +
Use it with Aloe vera Tuberculosis +
Use it with Aloe vera Hair loss +

Xylopia aethiopica (Dunal)
A. Rich. (Annonaceae) UNISGSEN70
Diar (w)
Jar
Fruit
Seed
The seeds are used to prepare the “Touba Coffee” Blood pressure + 3

(f): French; (m): Mandingo; (p): Pulaar; (w): Wolof; Qs: quotations (number of informants, who have quoted a specific taxon); ?: uncertain information.

Documentation and evaluation of these home remedies are very important, since they represent a means of primary healthcare for most. Figure 2 illustrates the overlaps between the plants quoted in Casamance by healers and laypeople. Laypeople's knowledge of medical plants is quite remarkable and confirms that the actual practice of household phytotherapy in Africa is much broader of what we sometimes label as “Traditional Medicine,” which is generally restricted to the knowledge, practices, and beliefs of healers. Moreover, despite living in the same village, while healers and laypeople use in large part the same medicinal plants (Figure 2), the actual plant reports (plant-based preparations used for a given health problem) are highly divergent (Figure 3). These findings confirm a remarkable “internal” variability of the African medical ethnobotanies, as a recent study in rural Mozambique also pointed out [37].

Figure 2.

Figure 2

Overlap between the folk medicinal taxa quoted by healers and laypeople in Adeane.

Figure 3.

Figure 3

Overlap between the medicinal plant reports quoted by healers and laypeople in Adeane (a single medicinal plant report is defined as “a given taxon x, prepared as y, used for z”).

3.3. Comparison between the Senegalese Medical Ethnobotanies of Turin and Adeane

A comparison between the laypeople's medical ethnobotany in Turin and Adeane demonstrates that Senegalese in Senegal use more plants than Senegalese in Turin (Figure 4). This may be due to an objective difficulty to acquire all African plants used in country of origin in the new cultural environment in Italy and also to an adaptation process. Migrants moved in fact from their original rural areas in Senegal (where the use of herbal TMs is widespread) to urban environments in Europe, where practices of use of medicinal plants are only available within the context of Western modern herbalism and phytotherapy: Senegalese TM practitioners seem in fact not to be present in Turin. Moreover, migrants from Senegal in Turin also generally rely on Western pharmaceuticals.

Figure 4.

Figure 4

Overlap between the botanical genera quoted as medicinally used in Turin and Adeane (by laypeople).

However, the large majority of the medicinal botanical genera recorded in Turin are also used in the country of origin, thus confirming some resilience of original practices following displacement into another landscape. The fact that a few other genera (twelve) have been quoted instead by migrants in Turin, but not in Adeane, could possibly be explained in two ways.

  1. Senegalese migrants living in Turin did not all come from the southern part of Senegal. For instance, a few of them may have brought plant uses to Turin that are unknown in the folk medicine of Southern Senegal.

  2. A few genera recorded quoted in Turin (i.e., Hibiscus, Zingiber) may represent the result of cross-cultural exchanges of TMs with other migrant populations in Turin, especially with the North African migrants, who also share the same religion, and with members of the Chinese migrant community who own ethnic food markets in Turin.

Out of this comparative study, a few plant families have emerged as being integral to the TM practices of the Senegalese study participants both in Turin and Adeane. In particular, a great variety of Fabaceae species were quoted as having medicinal applications in Turin (7 species) and Adeane (15 species). The second and third most represented botanical families amongst the Turin participants were Combretaceae and Malvaceae, with 5 and 3 species quoted, respectfully. In Adeane, however, Malvaceae was the second most quoted family (5 species), followed by Apocynaceae and Solanaceae (4 species each), and then Combretaceae, Myrtaceae, Euphorbiaceae, and Meliaceae, represented by 3 species each.

Interestingly, despite the presence of a thriving Senegalese community in the north Italian landscape for more than 30 years, relatively few Italian medicinal plants appear to have been incorporated into the TM practices of this group. Take, for example, the notable lack of incorporation of several European mints (Lamiaceae) in the TM practices of the Senegalese in Turin. Various Lamiaceae species, such as mint, basil, peppermint, rosemary, thyme, horehound, and oregano, grow in the wild and/or are cultivated in the Italian countryside and the use of such species for medicinal purposes dates back to more than 2,000 years ago in this region, as evidenced by their presence in the ancient textbooks of the Mediterranean Materia Medica [38]. Moreover, the important use of Lamiaceae species as medicinal plants is crucial also in the medico-ethnobotanical literature of Piedmont ([39] and references therein). The conspicuous absence of Lamiaceae uses in the Senegalese migrant community is maybe reflective of their isolation from the Italian environmental and medical landscape, which may have been further enhanced by the characteristic male composition of the Senegalese community in Italy.

4. Conclusion

Our study illustrates that the herbal medicines used by the Senegalese in Turin are very different from those of the Italian herbal landscape and that the migrant population in Turin is instead reliant on the undependable trade and movement of plant materials from their homeland to ethnic markets in the city. This shows maybe a scarce integration of this African community into the host society.

Moreover, the access and availability of important original medicines, especially medicinal foods, are greatly diminished in Turin, creating a significant disruption in their TM system. This may also have been influenced by the general lack of female Senegalese migrants, who would typically be the ones in charge of TM and “health” foods in the domestic setting.

The issues relevant to primary TM practice in migrant communities are often compounded by a lack of specific health policies, which are able to address migrant needs. This problem is, of course, not isolated to the case of migrants in Italy, but is also relevant to many other Western countries, where the healthcare needs of burgeoning migrant populations are often conspicuously absent in health policy and legislation.

By having a better understanding of both the migrant folk pharmacopoeia and the state of TK transmission with regards to health, more culturally sensitive health policies could be developed. In particular, the increasing occurrence of newcomers in Italy should foster more pluralistic approaches in the management of CAMs by the regional authorities, as well as consequently addressing measures aimed to improve the information on potentialities and risks of “home-made” herbal remedies.

Acknowledgments

Special thanks are due to all of the study participants, who generously agreed to share their knowledge with the first author (R. Ellena). In particular, the authors would like to acknowledge Abdou Faye, Centre d'Education et de Formation Polyvalente, Ziguinchor, Senegal; the NGOs Jamm Italia and Jamm Senegal; the following people: Mamath Ndiaye, Lamine Mane, Adamà Signatte, Kebaman, Majorò Diop, Bu, Amadou Diop, Mamath Ndiaye's grandmother, Awa Diagne, Awa's grandmother, Aicha Ndiaye, Vincent, Modu Modu, Cheik Omar, Khadim, Crip Crap, Mariama, Rama, Fatou, Amadou Diagne, Kabra, Sebia Mendy, Gnana Sahonsla, Ina Signatte, Bin Tagiata, Mohammed Buasi, Solol, Abdullaye, and Abdou Gassama.

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