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Evidence-based Complementary and Alternative Medicine : eCAM logoLink to Evidence-based Complementary and Alternative Medicine : eCAM
. 2020 Oct 29;2020:1329170. doi: 10.1155/2020/1329170

Medicinal Plants Used to Manage Human and Livestock Ailments in Raya Kobo District of Amhara Regional State, Ethiopia

Ashenafi Osman 1, Desta Berhe Sbhatu 2,, Mirutse Giday 3
PMCID: PMC7647763  PMID: 33178305

Abstract

Plant-based traditional medicine is practiced in Raya Kobo district, Amhara Regional State, Northeastern Ethiopia, to manage different human and livestock ailments. However, the formal ethnobotanical survey that documented such knowledge is lacking. Therefore, the aim of this study was to document the traditional knowledge on the use of medicinal plants to manage human and livestock ailments in the district. The study was conducted from January to July 2017 in five purposefully selected kebeles of the district. Ethnobotanical data were collected mainly using semistructured interviews conducted with 150 informants. In the five kebeles, 30 informants (15 males and 15 females) were selected using the stratified random sampling method from a list of traditional practitioners and knowledgeable individuals. Data were analyzed by employing descriptive and inferential statistical methods. The study documented a total of 91 medicinal plant species (distributed in 51 families) used in managing 38 human and 12 livestock ailments. Out of the total recorded plants species, 74 and 17 were used in managing human and livestock ailments, respectively. Leaves were the most frequently used plant parts in the preparation of remedies, accounting for 53.1% of the total preparations. The three most common methods of remedy preparation were grinding/pounding (23.5%), crushing (19.8%), and boiling (14.5%). Preference ranking conducted by selected informants on eight medicinal plants used in treating human febrile illness locally called “mich” revealed that Ocimum urticifolium is the most preferred medicinal plant—an indication of its high potency against the disease, and therefore needs to be prioritized for future scientific investigation. The result of this study demonstrated the rich traditional knowledge and practices in the district on the use of medicinal plants in treating various human and livestock ailments. Deforestation and drought were reported to be the major factors in the district threatening the medicinal plants and the associated knowledge. Thus, concerted efforts have to be made to conserve this important heritage using every possible means.

1. Background

Estimates show that 80% of the population living in developing countries depends on traditional medicine for its healthcare needs [1]—a practice that largely relies on the use of plants. The high prevalence in the use of traditional medicine is mainly attributed to its low cost, efficacy, and better accessibility. Traditional medicine is also serving as a source of knowledge in the development of many plant-based synthetic drugs—e.g., morphine used as analgesic is synthesized from Papaver somniferum, aspirin used as analgesic is synthesized from Filipendula ulmaria, and quinine used in treating malaria is synthesized from Cinchona pubescens [2].

In Ethiopia, the knowledge and utilization of traditional medicine, in general, and medicinal plants, in particular, are believed to be wide due to high diversity of higher plants, estimated to reach 6,000 species [3], and rich cultures, belief systems, and languages. One report indicated that about 80% of the Ethiopian population is still dependent on traditional medicine principally using plants [4]. Abebe and Ayehu [5] reported the application of more than 800 medicinal plant species in the Ethiopian traditional medicinal system. Traditional medicine is the most affordable and easily accessible source of treatment in the primary healthcare system of many communities of the country. But the rich knowledge of traditional medicine that has been developed over thousands of years is being exposed to serious depletion mainly due to deforestation, environmental degradation, overexploitation, agricultural land expansion, acculturation, and limited practice of its documentation.

In Ethiopia, cognizant of the role of traditional medicine and medicinal plants and the existing threats to the associated knowledge and practices, attempts have been made, mainly in the last four decades, to document medicinal plants used by many communities. Some of the notable works include that of Giday et al. [6] (in the northwestern part), Giday and Ameni [7] (in the northern part), Gedif and Hahn [8], and Teklehaymanot et al. [9] (in the central part), Wondimu et al. [10] (in the southeast part), and Abbink [11] (in the southwestern part). However, such works are not inclusive; thus, concerted efforts should be made in the country to document such valuable knowledge for better utilization and conservation.

A number of ethnobotanical studies have been conducted in different districts of the Amhara State of Ethiopia to which the Raya Kobo district belongs [6, 1229]. There are 11 rural districts in the North Wollo zone of the Amhara State including Raya Kobo. However, the survey of published works shows that ethnobotanical studies on medicinal plants were conducted in only 2 of the 11 districts in the zone, namely, in Guba Lafto and Delanta. The studies in Guba Lafto [26] and Delanta [24] districts reported 135 and 133 medicinal plant species, respectively. People in the Raya Kobo district, like in other communities in Ethiopia, are expected to have been heavily dependent on herbal medicine to manage human and livestock ailments. However, an ethnobotanical study that aims to document the local use of medicinal plants is lacking. Thus, the aim of this study was to document the local knowledge on the use of medicinal plants in treating human and livestock ailments.

2. Materials and Methods

2.1. Description of the Study Area

The study was carried out in Raya Kobo district of North Wollo zone of the Amhara State of Ethiopia (Figure 1). It is located between 1154′ 04″ and 1202′ 56″N latitudes and 3925′ 56″ and 39 49′ 04″E longitudes. Kobo is the administrative town of the district and is located at 570 km north of Addis Ababa. Raya Kobo is bordered by Raya Alamata district of Tigrai State in the north, by Guba Lafto and Gidan districts of Amhara State in the south and west, respectively, and by Golina district of Afar State in the east. The district covers a total area of 183,697.50 hectares of land, of which 59% is kola (lowland), 38% is woyinadega (semihighland), and 3% is dega (highland) with annual temperature ranging from a minimum average of 12.31°C to a maximum average of 33.07°C and annual rainfall ranging from 500 mm to 800 mm [30]. The district is divided into 44 rural and four urban kebeles (subdistricts). Kebele is the smallest administrative unit in Ethiopia.

Figure 1.

Figure 1

Research site: (a) Ethiopia, (b) Amhara State, and (c) Raya Kobo district (not legal map).

Raya Kobo district has a total population of 261,897 (females 128,157; males 133,740) [31]. Amharic is the mother tongue language of the great majority of the people of the district [32]. According to a recent local government data, 28% of the district is barren land, 23.7% is agricultural/cultivated land, 24.3% is grazing land, and 15.9% is covered by shrubs and bushes. Agriculture (crop and livestock production) is the livelihood activity of the great majority of people. Crops including sorghum, teff, and pulses are the most commonly cultivated ones. Likewise, it has high populations of sheep (201,753), chickens (183,261), and cattle (158,370). Furthermore, it is home to 47,951 goats, 22,232 donkeys, 13,864 camels, 552 mules, and 48 horses [33].

It was reported that there are seven health centers and 43 health posts in Raya Kobo. Malaria, common cold, tuberculosis, mich (febrile illness), pneumonia, HIV-AIDS, nekersa (chronic wound), hepatitis, diarrhea, typhoid fever-typhus, and diabetics are the top ten diseases of major public health priorities in the district [34]. Unpublished 2019 government data revealed that blackleg, anthrax, pasteurellosis, sheep and goat pox, lumpy skin disease, mange, tick infestation, and internal parasitic infections are the top eight diseases of veterinary health priorities. But, only 24 veterinary clinics were operating in 2019 [33].

2.2. Selection of Study Kebeles and Informants

Five kebeles, namely, Menjelo, Bewa, Gedeba, Ayub-Amaya, and Mendeferana Golesha (Figure 1), were purposively selected for the study following the approach of Martin [35] with the assistance of district authorities, elders, and knowledgeable persons based on the availability of traditional practitioners and knowledgeable individuals. For this purpose, many individuals, aged 40 years and above who claimed to be practitioners of traditional medicine and believed to be knowledgeable, were identified from each of the five kebeles. Then, 30 informants (15 males and 15 females) were selected from each kebele using a stratified random sampling approach [36].

2.3. Collection of Ethnobotanical Data

Ethnobotanical data were collected between January and July 2017 mainly through (a) semistructured interviews conducted with the sampled informants using a list of questions prepared beforehand in Amharic, mother tongue language in the study district, and (b) field observations using the procedures recommended by Martin [35] and Alexiades [37]. Gathered data and information were local names of medicinal plants, plant part(s) utilized, method of preparation, ailments treated or prevented, and routes of administration. Specimens of most of the medicinal plants were collected and identified by botanists at the Ethiopian National Herbarium (ETH) and Aklilu Lemma Institute of Pathobiology (ALIPB), Addis Ababa University, Ethiopia, and vouchers were deposited at the Endod and Other Medicinal Plants Research Unit, ALIPB.

2.4. Simple Preference Ranking

Preference ranking was performed by seven informants on eight medicinal plants used in treating mich (a human febrile illness) following the guideline established by Martin [35]. Informants for this exercise were randomly selected from those individuals already involved in semistructured interviews. The eight plants had the highest informant consensus among a total of 13 plants reported to be used in treating mich. Of all the ailments reported, mich was found to be treated by the highest number of medicinal plants—an indication of the high health importance of the ailment in the district. The highest value (i.e., 8) was given to medicinal plants considered to be the most effective, and the least value (i.e., 1) was given to the plant considered as the least effective.

2.5. Data Analysis

Descriptive statistical methods were used to produce frequencies and percentages. Coefficient of correlation and analysis of variance (ANOVA) were used to compare mean values of knowledge of medicinal plants among different groups of informants.

3. Results and Discussion

3.1. Diversity of Medicinal Plants

The present study documented a total of 91 species of medicinal plants. Whereas 74 of the species were used to manage human health problems only (Table 1), and 17 of them were used against livestock ailments only (Table 2). Some examples are given in Figure 2. As reflected by the richness of the plants used and the diversity of ailments treated, the results showed the profound roles of medicinal plants in meeting the basic healthcare needs of the communities in the study area. Previous studies carried out in Delanta and Guba Lafto districts of North Wollo zone, to which the study district belongs, reported the use of 135 and 133 species of medicinal plants, respectively, to manage various ailments [24, 26]. Of the reported medicinal plants, 42 (46.2%) were herbs, 29 (31.8%) were shrubs, and 20 (22%) were trees. Previous ethnobotanical studies conducted elsewhere in several districts of Ethiopia also revealed the wide use of herbs as medicinal plants [14, 3840]. Such wide use of herbs in the study district may be attributed to their ease of harvesting and processing and their relatively better abundance compared to shrubs and trees as it was observed by the investigators and documented in the local government records [33].

Table 1.

Medicinal plants used to treat human ailments.

Scientific name Local name Voucher number Habit Ailment treated Plant part used Preparation methods Administration route No. of informants
Acacia abyssinica Hochst. ex Benth. (Fabaceae) Grar AS-73-2017 Tree Allergy Leaf Pounding and then squeezing Dermal 11
Broken bone Root Crushing Dermal on the broken bone 15
Acokanthera schimperi (A.DC.) Schweinf. (Apocynaceae) Merez AS-69-2017 Tree Itch Stem bark Drying and then grinding Dermal 12
Allium cepa L. (Alliaceae) Key shinkurt AS-78-2017 Herb Stomach complaints Bulb (leaf) Pounding after mixing it with A. sativum and Ruta chalepensis, and then adding honey Oral 7
Cough 8
Allium sativum L. (Alliaceae) Nech shinkurt Herb Stomach complaints Bulb (leaf) Pounding or chewing Oral 10
Headache Bulb (leaf) Pounding and chewing Oral 11
Malaria Bulb (leaf) Pounding after mixing it with Cicer arietinum Oral 5
Cough Bulb (leaf) Pounding or crushing and then mixing it with honey Oral 14
Amoeba Bulb (leaf) Grinding and then mixing it with honey Oral 6
Lung cancer/ tuberculosis Bulb (leaf) Grinding and then mixing it with honey Oral 4
Aloe spp.(Aloaceae) Eret AS-29-2017 Herb Wound Stem Cutting to harvest the jelly juice Dermal 16
Malaria Stem Cutting to harvest the jelly juice Oral 12
Diarrhea Root Cutting to harvest the jelly juice Oral 13
Alternanthera pungens Kunth (Amaranthaceae) Yemeret Kitigne/get AS-58-2017 Herb Wound Leaf Grinding or pounding Dermal on the wounded part 6
Argemone mexicana L. (Papaveraceae) Enkushashle AS-57-2017 Herb Sore Stem Cutting to harvest the latex Dermal on the affected part 11
Artemisia absinthium L. (Asteraceae) Natra AS-22-2017 Herb Uvula infection Whole plant Squeezing and producing juice Oral 4
Azadirachta indica A. Juss. (Meliaceae) Nim AS-41-2017 Tree Cough Leaf Boiling in water after mixing it with Eucalyptus globulus Inhalation (oral and nasal) 10
Balanites aegyptiaca (L.) Delile (Zygophyllaceae) Bedena AS-61-2017 Tree Tinea nigra Leaf Crushing Dermal on the affected part 5
Stomach complaints Fruit Chewing Oral 7
Bloody diarrhea Leaf Crushing to collect juice Oral 8
Brassica nigra L. (Brassicaceae) Senafich Herb Stomach complaints Seed Dying, then grinding after mixing it with A. sativum and Vicia faba Oral 6
Biancaea decapetala (Roth) O. Deg. (Fabaceae) Kentefa AS-70-2017 Shrub Evil eye Leaf and root Pounding it after mixing it with Ruta chalepensis Oral 8
Calotropis procera (Aiton) W.T. Aiton (Apocynaceae) Topia AS-48-2017 Shrub Wart Leaf Cutting to harvest the latex Dermal on the affected part 9
Carica papaya L. (Caricaceae) Papaye AS-55-2017 Herb Swelling on the skin Fruit, seeds Splitting Dermal on the swollen part 8
Carissa spinarum L. (Apocynaceae) Agam AS-30-2017 Shrub Mental stress Root Boiling it in water Dermal 3
Devil's illness Leaf Boiling it in water after mixing with Croton macrostachyus roots Inhalation (oral and nasal) 7
Snake bite Leaf Pounding after mixing with leaves of Verbena officinalis Oral 5
Caylusea abyssinica (Fresen.) Fisch. & C.A. Mey. (Resedaceae) Kibezelzil AS-64-2017 Herb Mich Leaf Boiling it in water Inhalation (oral and nasal) 15
Chenopodiastrum murale (L.) S. Fuentes, Uotila & Borsch (Amaranthaceae) Amedmado AS-75-2017 Herb Broken bone Leaf Crushing Dermal on the broken bone 5
Citrullus lanatus (Thunb.) Matsum. & Nakai (Cucurbitaceae) Habhab Herb Hypertension Fruit Squeezing Oral 4
Stomach complaints Fruit Slicing Oral 9
Citrus limon (L.) Osbeck (Rutaceae) Lomi AS-59-2017 Tree Stomach ache Fruit Squeezing it to produce juice and then adding honey Oral 16
Clematis hirsuta Perr. & Guill. (Ranunculaceae) Chicho AS-67-2017 Herb Cancer Leaf Crushing Dermal on the affected part 7
Clematis simensis Fresen. (Ranunculaceae) Azo hareg AS-36-2017 Herb Cancer Leaf Crushing Dermal on the affected part 4
Coffea arabica L. (Rubiaceae) Buna AS-46-2017 Shrub Wound Seed Roasting and pounding Dermal on wound 12
Asthma Seed Roasting and pounding Oral 6
Cordia africana Lam. (Boraginaceae) Wanza AS-62-2017 Tree Hepatitis/jaundice Leaf Boiled in water after mixing it with Sorghum bicolor, chewing Oral 8
Mich Leaf Boiling it in water Inhale (oral and nasal) 10
Croton macrostachyus Hochst. ex Delile (Euphorbiaceae) Mekenisa AS-19-2017 Tree Tinea nigra Leaf Grinding or pounding Dermal 4
Mich Leaf Boiling it in water Inhale (oral and nasal) 7
Cucumis dipsaceus C.G. Ehrenb. ex Spach (Cucurbitaceae) Yemdir embuay AS-13-2017 Herb Wound Fruit Crushing Dermal 10
Jaundice/hepatitis Whole plant Chewing or crushing after adding water and then filtering Dermal 4
Cynoglossum lanceolatum Forssk. (Boraginaceae) Yegid Zemedie AS-17-2017 Herb Mich Leaf Squeezing Auricular 12
Abdominal pain Leaf Chewing Oral 4
Datura stramonium L. (Solanaceae) Banjie AS-24-2017 Herb Hemorrhoids Leaf Squeezing Dermal 6
Dyschoriste radicans Nees (Acanthaceae) Telba Titi AS-21-2017 Herb Anthrax Whole plant Crushing Dermal on the swollen part 3
Eucalyptus globulus Labill. (Myrtaceae) Nech bahirzaf AS-72-2017 Tree Common cold Leaf Boiling in water after mixing it with Withania somnifera Inhalation (oral and nasal) 14
Devil's illness 8
Euclea divinorum Hiern. (Ebenaceae) Dedoho AS-26-2017 Shrub Mental stress Root Boiling in water Oral 3
Joint ache Stem Putting it on fire to yield smoke Fumigation (nasal) 8
Evil eye Whole Crushing Dermal around the neck 7
Snake bite Root bark Crushing and pounding after adding water Oral 3
Black spider bite Root Chewing Oral 9
Euphorbia sp. (Euphorbiaceae) Qulqualda AS-38-2017 Shrub Thorn inside the skin Leaf Cutting to harvest the latex Dermal on the affected skin 10
Cancer Leaf Cutting to harvest the latex Dermal (tying it on the wound) 3
Euphorbia tirucalli L. (Euphorbiaceae) Kinchibt AS-53-2017 Shrub Hemorrhoids Stem Cutting to harvest the latex Dermal on the affected part 3
Wart Stem Cutting to harvest the latex Dermal on the infected part 8
Ficus palmata Forsskål (Moraceae) Beles AS-16-2017 Shrub Wound Leaf Grinding or pounding Dermal 9
Tinea nigra Leaf Cutting the leaves and harvesting the latex Dermal 6
Guizotia abyssinica (L.f.) Cass. (Asteraceae) Nug Herb Gastritis Seed Pounding Oral 12
Hagenia abyssinica Willd. (Rosaceae) Kosso Tree Stomach distention Root Grinding and stirring the powder in tella (locally produced drink) Oral 16
Heliotropium cinerascens A. DC. (Boraginaceae) Nechilo AS-39-2017 Shrub Mich Leaf Boiling it in water Inhale (oral and nasal) 15
Wound Leaf Boiling it in water after mixing it with Zehneria scabra Dermal on the affected part 7
Hydnora johannis Becc. (Hydnoraceae) Demerech AS-77-2017 Herb Wound Root Crushing Dermal on the wounded part 8
Jasminum grandiflorum L. (Oleaceae) Tembelel AS-14-2017 Shrub Snake bite Leaf Crushing and squeezing to collect juice Oral 6
Anthrax Leaf Drying and then pounding Dermal 3
Juniperus procera Hochst. ex Endl. (Cupressaceae) Yehabesha-tsid Herb Cough Stem/root Crushing or grinding and putting it on fire or boiling it in water Fumigation or inhalation 7
Justicia schimperiana (Hochst. ex Nees) T. Anders (Acanthaceae) Simiza AS-34-2017 Shrub Mental stress Root Boiling it in water Dermal 3
Mich Leaf Chewing Oral 11
Jaundice Leaf Squeezing Oral 6
Lawsonia inermis L. (Lythraceae) Hina AS-54-2017 Shrub Rheumatic disease Leaf Pounding it after mixing it with Citrus limon and adding water Oral 3
Lepidium sativum L. (Brassicaceae) Feto Herb Stomach complaints Seed Grinding and mixing it in water Oral 15
Leucas abyssinica (Benth.) Briq. (Lamiaceae) Aftegegne AS-03-2017 Shrub Mich Leaf Crushing Oral 10
Malva parviflora L. (Malvaceae) Zebenya AS-12-2017 Herb Diarrhea Leaf Pounding Oral 9
Mich Leaf Squeezing Oral 14
Mangifera indica L. (Anacardiaceae) Mango AS-56-2017 Tree Mich Leaf Roasting Dermal 12
Mentha × piperita L. (Lamiaceae) Nana AS-40-2017 Herb Diarrhea Leaf, stem Pounding after mixing it with Nigella sativa and A. sativum Oral 8
Moringa stenopetala (Baker f) Cufod. (Moringaceae) Sheferaw AS-43-2017 Tree Hypertension Leaf Drying and Pounding, and filtering it after adding water Oral 6
Musa × paradisiaca L. (Musaceae) Muz Shrub Rough skin Fruit Peeling to remove the skin Dermal 10
Myrsine africana L. (Primulaceae) Kechem AS-23-2017 Shrub Tapeworm Fruit Crushing Oral 4
Nigella sativa L. (Ranunculaceae) Tikur Azmud Herb Stomach complaints Seed Pounding it after mixing it with A. sativum, Ruta chalepensis, and A. cepa and then adding lemon juice Oral 12
Ocimum urticifolium Roth (Lamiaceae) Dema Kassie AS-42-2017 Shrub Mich Leaf Boiling in water after mixing it with Withania somnifera Oral 15
Common cold Leaf Inhale (oral and nasal) 8
Hypertension Leaf Inhale (oral and nasal) 6
Olea europaea L. subsp. cuspidata (Wall. & G. Don) Cif. (Oleaceae) Weyra AS-49-2017 Tree Uvula infection Leaf Pounding and then chewing Oral 9
Wound Leaf Squeezing Dermal on the infected part 7
Oxalis radicosa A. Rich. (Oxalidaceae) Shimburut AS-07-2017 Herb Snake bite Root Crushing Oral 8
Phytolacca dodecandra L'Hér. (Phytolaccaceae) Mehan endod AS-25-2017 Shrub Snake bite Root Chewing Oral 4
Plectranthus spp. (Lamiaceae) Tezeteza AS-20-2017 Herb Bleeding Leaf Crushing Nasal (smelling) 8
Rhamnus prinoides L'Hér. (Rhamnaceae) Gesho AS-33-2017 Shrub Tonsillitis Leaf Crushing or chewing Oral 14
Uvula infection Leaf Squeezing to produce juice Oral 7
Ricinus communis L. (Euphorbiaceae) Gulo AS-47-2017 Shrub Devil's illness Leaf Pounding after mixing it with Withania somnifera and squeezing Oral 10
Rumex abyssinicus Jacq. (Polygonaceae) Moqmoqo Shrub Common cold Root Burning Fumigation (oral and nasal) 15
Rumex nervosus Vahl (Polygonaceae) Embacho AS-31-2017 Shrub Mental stress Root Boiling it in water Dermal 7
Ruta chalepensis L. (Rutaceae) Tena Adam AS-32-2017 Herb Asthma Leaf Adding it into a boiled tea/coffee Oral 12
Stroke Leaf/seed Pounding or crushing Oral 3
Stomach ache Leaf/stem Crushing Oral 11
Devil's illness Leaf Unprocessed Nasal (smelling) 16
Schinus molle L. (Anacardiaceae) Qundo berberie AS-60-2017 Tree Mich Leaf Boiling it in water after mixing it with Psychotria sp. Inhalation (oral and nasal) 15
Sida schimperiana Hochst. ex A. Rich. (Malvaceae) Chifrig AS-05-2017 Shrub Toothache Leaf Grinding Oral 7
Erectile dysfunction Root Mixing it with Nigella sativa, A. sativum, and honey and boiling it in water Oral 8
Evil eye Root Chewing Oral 9
Silene macrosolen A. Rich. (Caryophyllaceae) Wegert Shrub Devil's illness Root Putting it on fire to produce smoke Fumigation (oral and nasal) 8
Solanum marginatum L.f. (Solanaceae) Embuay AS-02-2017 Shrub Stomach illness Root Pounding by mixing it with root of Tragia sp. Oral 6
Snake bite Root Crushing Oral 8
Terminalia brownii Fresen. (Combretaceae) Inkoy AS-65-2017 Shrub Uvula infection Leaf Squeezing Oral 9
Tragia spp. (Euphorbiaceae) Awl alit AS-11-2017 Herb Wound Leaf Crushing Dermal 9
Evil eye Root Grinding or pounding Dermal 6
Trigonella foenum-graecum L. (Fabaceae) Abish Herb Evil eye Leaf Crushing and adding it on fire Fumigation (nasal) 10
Broken leg Seed Grinding or pounding or boiling it in water Dermal on the broken bone 6
Verbascum sinaiticum Benth. (Scrophulariaceae) Yejib Chama AS-06-2017 Herb Mental stress Root Squeezing and boiling it in water Dermal 5
Uterus retention Root Squeezing and boiling it in water Nasal 7
Vicia faba L. (Fabaceae) Bakela Herb Swelling on skin Seed Grinding or pounding Dermal 15
Cough Chewing Oral 10
Vitis vinifera Linn. (Vitaceae) Wein Tree Eye diseases (dirt) Seed Pounding and then squeezing Ocular 5
Withania somnifera (L.) Dunal (Solanaceae) Gizewa AS-35-2017 Shrub Mich Root Drying and pounding Fumigation (nasal) 12
Root Chewing Oral 8
Evil disease Leaf Boiling it in water Inhalation (nasal) 16
Zehneria scabra (L.f.) Sond. (Cucurbitaceae) Hareg resa AS-45-2017 Herb Mich Leaf Boiling it in water Inhalation (oral and nasal) 12
Zingiber officinale Roscoe (Zingiberaceae) Zingible Herb Tonsillitis Rhizome (stem) Chewing Oral 6
Common cold Pounding and boiling Inhale (oral, nasal) 15
Ziziphus spina-christi (Rhamnaceae) Qunqura AS-52-2017 Tree Devil's illness Leaf Pounding and then squeezing Oral 7
Dandruff Leaf Pounding after adding water and then squeezing Dermal on the affected part 13

Table 2.

Medicinal plants used to treat livestock ailments.

Scientific name Local name Voucher number Habit Ailment treated Plant part used Preparation method Administration route No. of informants
Acacia spp. (Fabaceae) Doret AS-28-2017 Shrub Wound Leaf Crushing Dermal 7
Eye infection Leaf Chewing Ocular 8
Bidens prestinaria (Sch. Bip.) Cufod. (Asteraceae) Chigogot AS-18-2017 Herb Insect bite Leaf Pounding to produce juice Dermal 6
Calpurnia aurea (Aiton) Benth. (Fabaceae) Digita AS-04-2017 Herb Mange Leaf Crushing Dermal 10
Chenopodium ambrosioides L. (Chenopodiaceae) Sinign AS-09-2017 Herb Chicken flea Root Putting it on fire Fumigating the house 4
Cissus quadrangularis L. (Vitaceae) Kimtita AS-44-2017 Herb Mange Whole plant Crushing Dermal 11
Cyphostemma adenocaule (Steud. ex A. Rich.) Desc. ex Wild & R.B. Drumm. (Vitaceae) Aba Woldu AS-10-2017 Herb Leech infestation Root Crushing Oral 13
Dodonaea angustifolia L.f. (Sapindaceae) Kitkita AS-50-2017 Shrub Bone dislocation Leaf Crushing and pounding Dermal 4
Echinops kebericho Mesfin (Asteraceae) Kebercho Herb Anthrax Root Grinding to yield juice Oral 10
Echinops spp. (Asteraceae) Kushelie AS-27-2017 Shrub Bone dislocation Root Unprocessed Dermal (tie it on the dislocated bone) 14
Ficus vasta Forssk. (Moraceae) Warka AS-74-2017 Tree Thrips Stem bark Pounding and boiling it in water Oral 7
Kalanchoe marmorata Bak. (Crassulaceae) Endahul AS-01-2017 Herb Cancer Root Crushing Dermal 4
Lycopersicon esculentum Mill. (Solanaceae) Timatim Herb Leech infestation Leaf Pounding after adding water Oral and nasal 14
Maytenus senegalensis (Lam.) Exell (Celastraceae) Qoqoba AS-71-2017 Shrub Insect bite Leaf Crushing it to yield juice Dermal 10
Nicotiana tabacum L. (Solanaceae) Timbaho AS-15-2017 Shrub Leech infestation Leaf Squeezing or pounding after adding water Oral and nasal 8
Otostegia integrifolia Benth. (Lamiaceae) Tunjiut AS-68-2017 Shrub Wound Leaf Crushing Dermal on the wound 10
Ear disease Leaf Pounding and squeezing to yield juice Auricular 7
Flea infestation Leaf Putting it on fire Fumigating house 7
Portulaca oleracea L. (Portulacaceae) Antaria AS-63-2017 Herb Bone dislocation Root Crushing Dermal on the dislocated bone 10
Ximenia americana L. (Olacaceae) Ikma AS-66-2017 Shrub Emaciation Stem bark Boiling it in water Oral 6

Figure 2.

Figure 2

Some medicinal plants of Raya Kobo. (a) Antaria (Portulaca oleracea); (b) kinchibt (Euphorbia tirucalli); (c) qulqualda (Euphorbia spp.); (d) embuay (Cucumis dipsaceus); (e) yegid zemedie (Cynoglossum lanceolatum); and (f) simiza (Justicia schimperiana).

The reported medicinal plants belonged to 51 families and 83 genera. Whereas six species belonged to Fabaceae, five species belonged to each of the families of Asteraceae, Euphorbiaceae, and Lamiaceae. Solanaceae was represented by four species, while Boraginaceae, Cucurbitaceae, Ranunculaceae, and Vitaceae were represented by three species each. Each of the remaining 42 families was represented by two or one species. The fact that Fabaceae, Asteraceae, Euphorbiaceae, and Lamiaceae contributed higher number of medicinal plants could probably be attributed to their better species richness in the flora of Ethiopia. Fabaceae, Asteraceae, Euphorbiaceae, and Lamiaceae are among the largest families in the flora of Ethiopia and Eritrea containing 486, 440, 209, and 184 species, respectively [4144].

3.2. Ailments Managed by Medicinal Plants

The medicinal plants documented by the present study were used for treating 38 human ailments (Table 3) and 12 livestock diseases (Table 4). Of the 74 medicinal plants used for treating human ailments, 17, 13, and 10 were used to treat gastrointestinal complaints, mich, and wound, respectively; while snake bite and devil's illness were found to be treated by six medicinal plants each. Each of the remaining 33 human ailments was reported to be managed by four or fewer medicinal plants (Table 3). Diarrhea, mich, and wound were among the top ten diseases of major public health importance in the study district [34]. Mich is a local term used by traditional medicine practitioners for human ailment mainly characterized by fever, headache, and sore lips but not well-understood and recognized by modern healthcare practitioners. The fact that relatively high number of medicinal plants is used for treating mich in the district could be an indication of the high health importance of the ailment and the lack of effective treatment against it in modern medicine.

Table 3.

Human diseases and the corresponding number of medicinal plants used for their treatments.

SN Ailment treated No. of medicinal plants used
1 Gastrointestinal complaints 17
2 Mich (febrile illness) 13
3 Wound 10
4 Snake bite 6
5 Devil's illness 6
6 Mental stress 5
7 Dislocated/broken bone 5
8 Cough 5
9 Evil eye 5
10 Common cold 4
11 Uvula infection 4
12 Tinea nigra 3
13 Jaundice 3
14 Cancer 3
15 Hemorrhoids 2
16 Swelling on the skin 2
17 Malaria 2
18 Tonsillitis 2
19 Wart 2
20 Asthma 2
21 Allergy 1
22 Thorn inside the skin 1
23 Toothache 1
24 Hypertension 1
25 Anthrax 1
26 Hepatitis 1
27 Headache 1
28 Itch 1
29 Bleeding 1
30 Dandruff 1
31 Erectile dysfunction 1
32 Joint ache 1
33 Black spider bite 1
34 Eye disease 1
35 Lung disease 1
36 Rough skin 1
37 Stroke 1
38 Uterus retention 1

Table 4.

Livestock diseases and the corresponding number of medicinal plants used for their treatments.

SN Ailment treated No. of medicinal plants used
1 Dislocated/broken bone 3
2 Leech infestation 3
3 Mange 2
4 Insects bites 2
5 Wound 2
6 Anthrax 1
7 Cancer 1
8 Eye infection 1
9 Thrips 1
10 Flea infestation 1
11 Ear disease 1
12 Emaciation 1

Of the 17 medicinal plants used for treating livestock diseases, three medicinal plants were used to treat dislocated/broken bones and three more to treat leech infestation. Likewise, mange, insect bites, and wound are treated by two medicinal plants each; while the remaining seven ailments are treated by one medicinal plant each (Table 4). According to an unpublished 2019 local government data, mange and anthrax were reported as the top two of the eight diseases of veterinary importance in the district [34].

3.3. Plant Parts Used and Methods of Remedy Preparation and Administration

Leaves were the most commonly used plant parts in the preparation of remedies in Raya Kobo accounting for 53.1% of the total preparations, followed by roots (21.8%) and fruits and seeds (12.9%) (Figure 3). Ethnobotanical studies carried out elsewhere in Ethiopia [20, 38, 40, 45] also reported that leaves are the most widely used parts in the preparation of plant remedies. The wide use of leaves in the preparations of plant remedies may be attributed to the fact that leaves are much easier to process quickly as compared to other plant parts. Collection of leaves does not pose a great danger to the survival of individual plants as compared to the collection of underground parts, stems, and whole plants. Removal of up to 50% of leaves of plants does not significantly affect their growth [36]. Contrary to ours, studies conducted in other places of Ethiopia [46, 47] observed roots as the most widely used plant parts in preparing traditional remedies. Harvesting roots, if not performed carefully, may cause detrimental effects on the plants that could ultimately bring about their disappearance or extinction from their natural habitats [6, 48].

Figure 3.

Figure 3

Proportions of plant parts used in preparation of remedies in Raya Kobo district.

The preparation methods of plant remedies in the study district were diverse. The most commonly used methods were grinding/pounding (23.7%), crushing (19.8%), boiling (14.5%), chewing (10.7%), squeezing (8.4%), and cutting and bleeding (6.9%) (Table 5). Similar studies conducted in the country by Girmay and Teshome [49], Amenu [40], and Hunde et al. [47] reported crushing, grinding, or pounding as the most common methods of preparation of plant remedies. But Lulekal et al. [46] reported boiling as the most frequently used method of remedy preparation in Mana Angetu district of Oromia State of Ethiopia. Choice of preparation methods may be influenced by the types and diversity of medicinal plants as well as the cultural background of the communities practicing traditional medicine.

Table 5.

Remedy preparation methods in Raya Kobo district.

SN Remedy preparation method Number of preparations Percentage
1 Grinding/pounding 31 23.7
2 Crushing 26 19.8
3 Boiling 19 14.5
4 Chewing 14 10.7
5 Squeezing 11 8.4
6 Cutting and bleeding 9 6.9
7 Pounding and squeezing 4 3.1
8 Burning 3 2.3
9 Squeezing and boiling 2 1.5
10 Roasting and pounding 2 1.5
11 Pounding and chewing 2 1.5
12 Splitting and slicing 2 1.5
13 Crushing and squeezing 1 0.8
14 Roasting 1 0.8
15 Crushing and burning 1 0.8
16 Pounding and boiling 1 0.8
17 Peeling 1 0.8
18 Unprocessed 1 0.8
Total 131 100

Analysis of the routes of administration revealed that the majority of the plant remedies were given orally (53.7%), followed by those applied dermally (or topically) (28.9%) (Figure 4). Similar observations were reported by many studies carried out in other parts of Ethiopia [14, 38, 46, 4953]. Ashagre [54] reported that both oral and dermal routes permit the quick physiological reaction of remedies to the causative agents of diseases to increase curative power. In the present study, informants affirmed that they advise their patients to be cautious during and after application of remedies depending on the types of ailments treated. For instance, in some cases, patients were restricted from drinking milk and local alcoholic drinks (e.g., tella and tej), eating meat and eggs, and having sexual intercourse as such practices are believed to interfere with the curative powers of the remedies.

Figure 4.

Figure 4

Frequency distribution of administration route of remedies in Raya Kobo district.

3.4. Habitats and Abundance of and Threats to Medicinal Plants

Analysis of interview data revealed that majority (52.2%) of the plants used in the traditional medicinal practices of the people in the study district were harvested only from the wild, while some are harvested from home gardens and cultivated fields (Table 6). Adefa and Getaneh [38], Adefa and Abraha [14], and Amenu [40] reported similar findings in their studies conducted in the Ethiopian districts of Chencha, Tehuledere, and Chelya, respectively. Tanto et al. [55] also reported that most Ethiopian medicinal plants are harvested from the wild. According to Mander et al. [56], 56,000 tons of medicinal plants are utilized in Ethiopia annually, of which 87% is obtained from the wild. Field observations made by the present investigators revealed that there was very little effort in Raya Kobo to conserve medicinal plants. Only few medicinal plants including Carica papaya, Ocimum urticifolium, and Rhamnus prinoides used in treating gastric problems, mich, and infection of uvula, respectively, were purposely grown in some home gardens or cultivated fields. These indicate that the medicinal flora in the study district is under big threat due to extensive environmental degradation. According to Leta [57], deforestation and overgrazing are serious problems in Raya Kobo and other north Ethiopian places.

Table 6.

Habitats of medicinal plants in Raya Kobo district.

SN Habit of the plants Number of medicinal plants Percentage
1 Wild only 48 52.70
2 Home garden only 18 19.80
3 Cultivation field only 16 17.60
4 Wild or home garden 6 6.60
5 Wild or cultivation land 3 3.30
Total 91 100.0

Of the total informants interviewed, majority (51.3%) of them attested that most of the medicinal plants were either difficult or very difficult to find, while 48.7% of them claimed that most of the medicinal plants were easy to find in the immediate environment. According to them, deforestation (49.3%), draught (22%), and overgrazing (14%) are the main factors for the depletion of medicinal plants in their places (Table 7). Most of the informants reported that they kept their knowledge of medicinal plants as secret with limited willingness to share to the younger generation. The limited interest of practitioners of traditional medicine in passing over their knowledge on medicinal plants to the younger generation is considered as another threat to the continuation of the practice in the study area. Other studies conducted elsewhere in the country also reported secrecy as a problem responsible for the loss of traditional medicinal knowledge and practices and the associated medicinal plants [20, 46, 48, 58].

Table 7.

Reasons for depletion of medicinal plants in Raya Kobo district as reported by informants.

SN Reasons for depletion of medicinal plans Number of informants Percentage
1 Deforestation 74 49.3
2 Drought 33 22.0
3 Over‐grazing 21 14.0
4 Overexploitation 8 5.3
5 Firewood collection 8 5.3
6 Environmental degradation 3 2.0
7 Other factors 3 2.0
Total 150 100.0

Informants claimed that environmental protection/rehabilitation (60%), cultivation of medicinal plants in home gardens (14%), reforestation (10%), and demarcation of grazing lands (9.3%) are the main measures that can help in the conservation of medicinal plants in the district (Table 8). They also revealed that there were few medicinal plants that were intentionally managed in home gardens and crop fields but primarily for other purposes such as food, fodder, spice, live fence, and shade. The investigators observed that there were efforts by some traditional medical practitioners to grow/cultivate medicinal plants, which were also used as sources of food and spices, in their home gardens and crop fields. According to Asfaw [59], of the medicinal plants managed in home gardens, only 6% is cultivated for medicinal uses only. The present investigators observed that annual reforestation programs in the study district mainly focused on exotic and few indigenous plants with very limited attention to plants of medicinal values.

Table 8.

Ways of conserving medicinal plants in Raya Kobo district.

SN Conservation activity Percentage
1 Environmental protection/rehabilitation 60.0
2 Cultivation in home gardens 14.0
3 Reforestation 10.0
4 Isolation of grazing lands 9.3
5 Cultivation on agricultural plots 5.3
6 Construction of check dams 1.3
Total 100.0

3.5. Sources of Traditional Medicinal Knowledge

Informants of this study who have participated in the interviews claimed that they acquired knowledge of medicinal plants from different sources including family members (61.3%), friends/acquaintances (14%), and traditional healers (Table 9). A study carried out in Gimbi district, western Wollega zone of Ethiopia, reported that great majority of informants (91%) cited parents as their sources of knowledge of traditional medicinal plants [60]. Other researchers have also reported similar findings elsewhere in Ethiopia [40, 6165]. These observations imply that initiatives that promote the sharing of such knowledge have to be encouraged.

Table 9.

Sources of traditional knowledge on medicinal plants in Raya Kobo district.

SN Sources of knowledge Frequency Percentage
1 Family members 92 61.3
2 Friends/acquaintances 21 14.0
3 Traditional healers 17 11.3
4 Books 7 4.7
5 Observation 6 4.0
6 Relatives 5 3.3
7 Modern health practitioners 1 0.7
8 Others 1 0.7
Total 150 100.0

3.6. Acceptance of Medicinal Plant Remedies

This study revealed that treatment with medicinal plants was highly accepted in Raya Kobo because of the belief that medicinal plants were efficacious in managing different ailments. Most informants (72.7%) reported that medicinal plants are more effective as compared to modern drugs. Some informants (14.7%) claimed that there were ailments that could only be treated using medicinal plants and not with modern medications (Table 10). It is a well-known fact that traditional medicine is still recognized in different parts of the world as the preferred means to manage different ailments. Estimates show that about 80% of the Ethiopian population is still dependent on traditional medicine, which essentially involves the use of medicinal plants [4].

Table 10.

Reasons reported by informants in the district for acceptance of traditional medicinal plants.

SN Reasons for acceptance of medicinal plants Frequency Percentage
1 Effectiveness 109 72.7
2 Ailment not treated with modern medication 22 14.7
3 Easy accessibility 8 5.3
4 Cheaper cost 7 4.7
5 Better efficacy than modern medication 2 1.3
6 Absence of modern healthcare facility nearby 1 0.7
7 Other reasons 1 0.7
Total 150 100

3.7. Preference Ranking of Medicinal Plants Used for Treating Mich

Analysis of preference ranking conducted on eight medicinal plants used for treating mich (febrile illness) in the study district revealed that Ocimum urticifolium is the most preferred plant, followed by Withania somnifera and Zehneria scabra (Table 11). Mich is an ailment in the district against which the highest number of medicinal plants was reported by the informants. Many other studies have showed that Ocimum urticifolium is widely used in Ethiopia for treating mich and other febrile illnesses [10, 48, 6671]. A related species, Ocimum lamiifolium, is also widely employed in different parts of the country to treat mich and similar ailments [6, 10, 13, 72, 73]. The common use of Ocimum urticifolium and related species may imply the potency of species of the genus Ocimum in treating mich and febrile illnesses. Furthermore, studies conducted on medicinal properties of extracts of different Ocimum species showed their antipyretic properties [7477]. Withania somnifera [10, 16, 26, 48, 78] and Zehneria scabra [8, 16, 24, 26, 79, 80] are also widely reported to be effective in treating febrile-like illnesses.

Table 11.

Preference ranking exercise conducted on eight plants used to treat mich in Raya Kobo district.

SN Species Respondents Total Rank
1 2 3 4 5 6 7
1 Azadirachta indica 7 6 6 7 6 7 6 45 5
2 Cynoglossum lanceolatum 5 6 4 6 7 4 6 38 8
3 Eucalyptus globulus 6 7 8 7 7 5 7 47 4
4 Heliotropium cinerascens 8 7 6 7 6 5 6 43 6
5 Justicia schimperiana 6 7 5 7 7 6 7 41 7
6 Ocimum urticifolium 8 7 8 8 8 7 8 54 1
7 Withania somnifera 8 7 7 8 6 7 8 51 2
8 Zehneria scabra 8 8 7 7 6 6 8 50 3

3.8. Comparison of Knowledge of Medicinal Plants among Different Groups

Comparison of knowledge of medicinal plants of the respondents across ages—in terms of number of remedies they reported—showed a strong correlation (n = 150; r = 0.709; p ≤ 0.01) (Table 12); as age increased, knowledge of medicinal plants increased. Moreover, comparisons among age groups in regard to their knowledge of medicinal plants using one-way ANOVA showed a statistically significant difference (F = 74.22; p ≤ 0.05) implying that older informants have accumulated more knowledge and experience in the study district. This finding is in agreement with results of other ethnobotanical investigations carried out elsewhere in the country [14, 62, 65, 72]. The low interest of the younger generation towards traditional medicine and medicinal plants may be influenced by the expansion of modern education and acculturation. On the other hand, results of studies by Yineger and Yewhalaw [45] and Adefa and Getaneh [38] have demonstrated the absence of correlation between the number of medicinal plant reported and the age of informants.

Table 12.

Correlations of informants' ages and number of medicinal plant citation.

No. of plant citations Age of informants
No. of plant citations Pearson correlation 1 0.709∗∗
Significance (2-tailed) 0.000
N 150 150
Age of informants Pearson correlation 0.709∗∗ 1
Significance (2-tailed) 0.000
N 150 150

∗∗Correlation is significant at the 0.01 level (2-tailed).

However, there was no significance difference in the knowledge of medicinal plants expressed in terms of mean number of prescriptions of medicinal plants reported between men and women (df = 149; F = 0.073; p > 0.05). Men informants (n = 75) reported 617 prescriptions (mean = 8.2), while women informants (n = 75) reported 620 prescriptions (mean = 8.3). Similar finding was reported by Alemayehu et al. [20] in a study conducted in Minjar-Shenkora district of the Amhara State of Ethiopia. Interview results of the present study also indicated that traditional knowledge was transferred within the family without special preference to either sex.

3.9. Status of Knowledge of Medicinal Plants in Raya Kobo

Of the 150 informants participated in the present study, 83 (55.3%) rated themselves as having low level of knowledge of medicinal plants, while 59 (39.3%) rated themselves as having medium level of knowledge. Only eight (5.4%) informants considered themselves as having high level of knowledge of medicinal plants (Table 13). Of the 56 illiterate informants participated in the study, 5 (9%) of them reported that they have high level of knowledge of medicinal plants, and only 3 (5%) of the 62 informants with informal education claimed to have high level of knowledge. However, none of the 32 informants with formal education claimed to have high level of knowledge of medicinal plants. This may be taken as an indication that the number of people with high level of knowledge of medicinal plants in the district is dwindling due to the influence of formal education, acculturation, and expansion of modern healthcare services.

Table 13.

Levels of education and medicinal plants knowledge reported by informants in Raya Kobo.

SN Educational level Knowledge of traditional medicinal plants Total
Low Medium High
1 Illiterate 31 (20.7%) 20 (13.3%) 5 (3.3%) 56 (37.3%)
2 Informal education 36 (24.0%) 23 (15.3%) 3 (2.0%) 62 (41.3%)
3 Formal education 16 (10.7%) 16 (10.7%) 0 (0.0%) 32 (21.3%)

Total 83 (55.3%) 59 (39.3%) 8 (5.3%) 150 (100)

4. Conclusion

The result of this study showed the existence of rich traditional knowledge in Raya Kobo district on the use of medicinal plants for treating many human and livestock ailments. Since herbal preparations are cheaper and are believed to be more effective, the majority of people in the district still give priority to visit traditional healers to seek treatments for themselves and for their families and livestock. Many of the plants used for traditional remedies are collected from the wild. The observation that majority of the remedies are prepared from leaves imply that ethnomedicinal and ethnoveterinary practices in the study area do not cause the depletion of plant biodiversity. Mich, the most common ailment in the study district, is treated or managed by the highest number of medicinal plants. The preference ranking conducted on eight medicinal plants used for treating this ailment showed that Ocimum urticifolium is the most preferred plant. These observations are important indications of the high potency of the plant against the disease to call for prioritized scientific investigation. Generally speaking, extensive documentation of ethnomedicinal and ethnoveterinary knowledge has to be pursued in the study district and neighboring regions before it is too late.

Acknowledgments

The authors express their gratitude to the informants for sharing their incredible traditional knowledge related to medicinal plants. The authors also thank Mr. Desale Alie and Mr. Abera Asefie for accompanying them while they were travelling within the study kebeles and their assistance in collecting and carrying plant specimens. The authors are very grateful to the administrative officials in Raya Kobo district for providing them with a support letter to travel freely in rural kebeles during the ethnobotanical survey and members of sector offices at the district for providing them with relevant information and documents concerning the study area. The authors are also grateful to Dr. Fesseha Abadi, Mekelle University, for assisting them in editing the manuscript and Mr. Nathan Dawit and Ms. Yordanos Desta for drawing the graphic abstract. Finally, the authors thank Mekelle University for funding the research.

Data Availability

The data used to support this study are available from the corresponding author upon request.

Ethical Approval

The proposal was reviewed and approved by the Ethical Review Board (IRB) of Department of Biology, College of Natural and Computational Sciences, Mekelle University.

Consent

Oral informed consent was also obtained from people who participated in the study.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

The data used to support this study are available from the corresponding author upon request.


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