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Journal of Ethnobiology and Ethnomedicine logoLink to Journal of Ethnobiology and Ethnomedicine
. 2022 Dec 5;18:70. doi: 10.1186/s13002-022-00566-0

Small regions as key sources of traditional knowledge: a quantitative ethnobotanical survey in the central Balkans

Pedja Janaćković 1,✉,#, Milan Gavrilović 1,#, Milica Miletić 1, Maja Radulović 1, Stefan Kolašinac 2, Zora Dajić Stevanović 2
PMCID: PMC9720931  PMID: 36471323

Abstract

Background

Starting from the idea that unexplored areas may yield new and different ethnobotanical information, we performed a survey of traditional uses of plants in two neighboring districts situated in east Serbia (Bor and Aleksinac), both lacking in previous ethnobotanical reports, but characterized by an interesting history and culture, together with some specific features. In this study, we hypothesized that such small and specific areas could be of high ethnobotanical importance.

Methods

Semi-structured interviews were used with 155 informants. Relative cultural importance (RCI) indices, such as the frequency of citation (FC), relative frequency of citation (RFC), relative importance index (RI), informant consensus factor (ICF-FIC), use value (UV), fidelity level (FL) and Jaccard index (JI), were calculated, and principal coordinate analysis (PCoA) was performed.

Results

In this study, 2333 use-reports and 114 plants were recorded. Of the 101 medical herbs, 33 are included in the European Pharmacopoeia Edition 8.0. The most frequently used mode of preparation was as an infusion (50.0%), while leaf (44.7%) was the most used plant part. The highest FC and RFC values were recorded for Hypericum perforatum L. (13.1 and 0.2, respectively), while the highest RI was documented for Urtica dioica L. (1.0). ICF and FL indices showed important differences among selected groups of informants. The PCoA showed three homogeneous plant groups. Plants were mostly used for the treatment of digestive (49.1%), circulatory (41.2%) and respiratory system disorders (35.1%). Thirty-seven (32.5%) herbs were used for human nutrition, 14 (12.3%) in veterinary medicine, 17 (14.9%) in rituals and ethnoculture, while 24 (21.0%) for miscellaneous purposes. The highest degree of similarity was determined with studies conducted in close proximity. Four species are new to Balkan ethnobotany. New uses for some well-known plants are highlighted.

Conclusion

The study indicated that small and specific areas in the Balkans may be an important reservoir of ethnobotanical knowledge.

Supplementary Information

The online version contains supplementary material available at 10.1186/s13002-022-00566-0.

Keywords: Serbia, Medicinal plants, Food plants, Ritual uses, Veterinary uses, Cosmetic and craft uses

Background

Medicinal plants have an important significant role in the everyday life of rural people, particularly in developing countries. It is estimated that nearly 70 000 plant species are used for medicinal purposes today [1]. Wild plants are an important source of starting material for the synthesis of conventional drugs. About 80% of 122 plant-derived drugs are linked with their original traditional uses [2]. It was noted that 11% of the 252 essential drugs (listed by the World Health Organization—WHO) are exclusively of angiosperm origin [3]. Moreover, it is well established that most natural-based remedies exhibit fewer side effects compared to synthetic drugs. Collecting knowledge about plant species and their various uses is of great importance for the preservation of cultural heritage and the conservation of plant diversity [4].

The Balkan Peninsula is a biogeographic region with an exceptional floristic richness [5]. It is known that the ca. 8000 vascular plant species recorded for the Balkans include 2600 to 2700 endemics [6]. Serbia is located in the north-central region of the Balkan Peninsula and, according to recent data, has a flora of 4246 taxa [7] of which 1000 to 1500 species are used as foodstuffs, spices, food preservatives, medicinal plants, natural dyes or additives [8]. About 700 medicinal plant species are listed in Serbia [9]. People in Serbia have been relying on plants for various purposes since ancient times, as documented in old medieval Serbian therapy handbooks, known as the Hodosh Codex and the Chilandar Medical Codex [10, 11]. In many Balkan countries, people still practice herbal traditional medicine, where the purpose and way of use depend on cultural, historical and ethnic influences. However, depopulation, aging, migration, economic devastation and abandonment of villages and underdeveloped regions in Serbia and the entire Balkan region have resulted in a dramatic loss of ethnobotanical knowledge, in addition to a loss of plant genetic resource diversity [8]. In recent years, ethnobotanical investigations in Serbia were intensified [1220]. Among the most recent studies, the differences in the traditional use of plants between rural and urban populations of different nationalities in the central Balkan region were reported [21], highlighting the value of traditional knowledge and of old practices which are still performed. Due to multiethnicity and complex historical background, Serbia represents a reservoir of cultural, linguistic, religious and other diversities. We consider that there are still many unexplored areas or regions with hitherto unrecorded ethnobotanical information, useful species, and new medicinal uses for known herbs.

Starting from the idea that unexplored areas may yield new and different ethnobotanical information, we performed a survey of traditional uses of plants in two neighboring districts situated in east Serbia (Bor and Aleksinac), both lacking in previous ethnobotanical reports, but characterized by an interesting history and culture, together with some specific features (rural, abandoned, economically devastated and with high migration rate). In this study, we hypothesized that such small and specific areas could be of high ethnobotanical importance and we set the following goals: (1) to collect data on the traditional uses of wild plants for medicine, human and domestic animal nutrition, veterinary medicine, folk and religious rituals, ethnoculture and other purposes; (2) to use relevant ethnobotanical indices and appropriate statistical methods to evaluate the obtained data; (3) to compare ethnobotanical knowledge between people of the two districts, between usage of plants by men and women, as well between inhabitants of cities and villages; (4) to compare our results with other ethnobotanical studies of neighboring regions conducted in Serbia and Balkans; (5) to report on new species records and new use-records not previously reported for Serbia and the Balkans; and (6) to suggest possible ways in which valuable traditional botanical knowledge can be preserved as an important part of general cultural heritage.

Methods

Research area

The research was carried out in Aleksinac and Bor districts in Eastern Serbia. Aleksinac is located in the Aleksinac basin (Serbian: Aleksinačka kotlina), in the lower stream of the South Morava river [22]. The area is known for former coal mining and high resources of oil shale estimated at about two billion tons in total reserves [23]. However, the mine was closed after an accident occurred in 1989 [24], after which no mining was performed anymore. Aleksinac is very near to Sokobanja, known among the biggest medicinal plants collecting centers in Serbia. Bor district is located in Timok Krajina in the eastern Serbia [25]. Initially, Bor was a village, but over time, in the mid-twentieth century, it developed into an urban area. This area is known for its copper and gold deposits [26]. The opening of the mine in 1903 caused the development of Bor as an industrial center in east Serbia in the mid of the last century [25]. During a time, mining started to bring more losses than benefits and the area was gradually depopulated and marginalized. Quite recently, mines were bought by a Chinese strategic partner (Zijin Mining). Although both areas suffered certain environmental and biodiversity damages, it is supposed that local inhabitants still rely on traditional herbal remedies and folk medicine. According to data acquired by the census in 2011, both districts exhibit a strong depopulation trend. The number of inhabitants in the Aleksinac district is around 16.700 and they are quite exclusively of Serbian nationality (91.7%). In Bor district, there are nearly 34.200 residents of Serbian ethnic majority (72.9%). The so-called Vlachs (“Vlah” in Serbian) of Romanian origin represent the second biggest ethnic group (13.8%), whereas Roma, Macedonian and Romanian minorities are fairly less represented [27, 28]. It is thought that Vlachs still tightly adhere to their cultural customs, speaking both Vlach (Daco-Romanian varieties) and Serbian language. The Vlach minority was recognized as the ethnic group from the earliest censuses in Serbia—since 1959, and it is strictly linked to the eastern Serbia in difference to Romanian minority settled mostly in the north of the country [29]. Religion and rituals resemble Serbian traditional customs. They also celebrate family saints (“slava”) which are in accordance with Serbian Orthodox Church tradition [30]. The number of interviewed respondents corresponded with the total number of district inhabitants.

Ethnobotanical survey

Two towns and nine surrounding villages of both regions were included in the study. In the Aleksinac district, the city Aleksinac and the surrounding villages Jakovlje, Kamenica, Loznac and Ljupten were surveyed. In the Bor district, the city Bor and the surrounding villages Brestovac, Bučje, Krivelj, Oštrelj and Slatina were investigated. The research was conducted during May–July 2019. Groups of local inhabitants in both municipalities (155 in total; 55 informants from Aleksinac and 100 informants from Bor region) were interviewed using semi-structured questionnaires. The proportion of respondents from the two districts clearly corresponded with the total number of their inhabitants. The youngest and the oldest respondents were at age of 23 and 86, respectively. In total, 113 were women and 42 were men. Respondents were chosen with no special selection criteria. Middle-aged and older participants (which made up the majority of respondents) had a high level of experience in the use and application of wild plants and therefore were more willing to take part in our research. The local recipes for the preparation of herbal remedies were additionally recorded.

There is a difference between these two areas in the ethnicity of informants reflecting the general ethnic structure of surveyed regions. Population heterogeneity was more pronounced in Bor city and surrounding villages; 77 informants were Serbs, 19 were Vlachs, 2 were Macedonians, 2 were Bulgarians and 1 informant was Montenegrin. On the other hand, there is ethical uniformity in Aleksinac city and the surrounding area: out of the total of 55 interviewed inhabitants, 54 were Serbs and 1 was Montenegrin. Thanks to interviews, the data about the local names of plants, methods of collecting and primary processing of plant material, as well as plant parts in use and way of preparation of the herbal remedies, were recorded. The information on the traditional use of herbal drugs in folk and veterinary medicine, human and animal nutrition, traditional customs and folk beliefs, and uses of plants for other purposes was recorded. The plants were authenticated by Prof. Pedja Janaćković (the corresponding author of the current study), following the professional literature [3135]. Local names were harmonized upon Simonović [36]. Each plant mentioned by the respondent was compared with a fresh specimen or with illustrations and photographs from referent literature sources to avoid errors related to the existence of different local names and misleading plant descriptions. The nomenclature of the species was compiled from contemporary checklists, monographs and databases, such as EURO + MED (Plantbase, http://ww2.bgbm.org/EuroPlusMed). Voucher specimens were deposited in the Herbarium of the University of Belgrade—Faculty of Biology, Institute of Botany and Botanical Garden “Jevremovac” (BEOU) (Table 1). Standard herbarium acronym follows Thiers B., 2019 + : Index herbariorum (http://sweetgum.nybg.org/science/ih/) [37].

Table 1.

Recorded plant species in Aleksinac and Bor districts of eastern Serbia, their scientific names, affiliation to family, voucher numbers and vernacular names

Scientific name Family Voucher No.
A: Aleksinac;
B: Bor
Serbian folk name Vlach folk name
Aleksinac Bor Aleksinac/Bor Bor
Achillea clypeolata Sm. Asteraceae B: (BEOU 17513) Žuti ravan, žuta hajdučka trava
Achillea millefolium L. Asteraceae

B: (BEOU 17514)

A: (BEOU 17597)

Jalova mesečina Beli ravan, stolisnik, sporiš, romanika, bela hajdučka trava Hajdučka trava, hajdučica
Aesculus hippocastanum L. Sapindaceae B: (BEOU 17516) Divlji kesten
Agrimonia eupatoria L. Rosaceae

B: (BEOU 17515)

A: (BEOU 17598)

Vratika, čičke Ranjenik, kostolom Petrovac
Alcea biennis Winterl Malvaceae

A: (BEOU 17599)

B: (BEOU 17518)

Slez
Alchemilla vulgaris L. Rosaceae B: (BEOU 17517) Virak
Allium ursinum L. Amaryllidaceae A: (BEOU 17600) Sremuš, skrembuš, cremuš
Althaea officinalis L. Malvaceae A: (BEOU 17601) Beli slez
Anthyllis vulneraria L. Fabaceae B: (BEOU 17519) Detelina kamenjarka
Arctium lappa L. Asteraceae B: (BEOU 17520) Čičak, čkalj
Arctium minus (Hill) Bernh. Asteraceae A: (BEOU 17602) Repuš
Arum maculatum L. Araceae B: (BEOU 17521) Kozlac
Asarum europaeum L. Aristolochiaceae

B: (BEOU 17522)

A: (BEOU 17603)

Kopitnjak Popilnik
Asparagus officinalis L. Asparagaceae B: (BEOU 17523) Asparagus
Asplenium viride Huds. Aspleniaceae A: (BEOU 17604) Strašnik
Betula pendula Roth Betulaceae

B: (BEOU 17524)

A: (BEOU 17605)

Breza
Calendula officinalis L. Asteraceae

B: (BEOU 17525)

A: (BEOU 17606)

Neven Ogršćanje
Centaurium erythraea Rafn Gentianaceae

B: (BEOU 17526)

A: (BEOU 17607)

Kičica
Chelidonium majus L. Papaveraceae

B: (BEOU 17527)

A: (BEOU 17608)

Lišajevica, lišavica Rosopas, lišajevka, rusa
Cichorium intybus L. Asteraceae

B: (BEOU 17528)

A: (BEOU 17612)

Golotrba Cikorija, vodopija, gologuza
Clematis vitalba L. Ranunculaceae A: (BEOU 17609) Loza, pautina
Cornus mas L. Cornaceae

A: (BEOU 17610)

B: (BEOU 17529)

Drenjine Dren Koarnje
Corylus colurna L. Betulaceae B: (BEOU 17530) Leska, lešnik
Cotinus coggygria Scop. Anacardiaceae B: (BEOU 17531) Ruj, rujevina Skumpina
Crataegus monogyna Jacq. Rosaceae A: (BEOU 17611) Crveni glog, glog
Cydonia oblonga Mill. Rosaceae A: (BEOU 17613) Dunja
Cynodon dactylon (L.) Pers. Poaceae A: (BEOU 17614)
Datura stramonium L. Solanaceae A: (BEOU 17615) Tatula
Dipsacus laciniatus L. Caprifoliaceae B: (BEOU 17532) Češljuga
Epilobium parviflorum Schreb. Onagraceae B: (BEOU 17533) Mala mlečika
Equisetum arvense L. Equisetaceae

B: (BEOU 17534)

A: (BEOU 17618)

Ženski rastrg, štukavac Preslica, poljski rastavić, konjski rep Rastavić
Equisetum telmateia Ehrh. Equisetaceae A: (BEOU 17619) Rastreg
Eupatorium cannabinum L. Asteraceae B: (BEOU 17535) Resnik, konopljuša, ustuk
Euphrasia officinalis L. Scrophulariaceae B: (BEOU 17536) Vidac, vidova trava
Filipendula hexapetala Gilib. Rosaceae B: (BEOU 17,537) Suručica
Fragaria vesca L. Rosaceae

B: (BEOU 17538)

A: (BEOU 17621)

Divlja jagoda
Galium aparine L. Rubiaceae A: (BEOU 17622) Privaćuša
Galium odoratum (L.) Scop. Rubiaceae B: (BEOU 17539) Lazarkinja
Galium verum L. Rubiaceae B: (BEOU 17540) Ivanjsko cveće, ivančica Smzijana
Geranium macrorrhizum L. Geraniaceae B: (BEOU 17541) Zdravac
Geranium robertianum L. Geraniaceae B: (BEOU 17542) Smrdljivi zdravac, živa trava, crveni zdravac, devojačka trava, divlji zdravac
Hedera helix L. Araliaceae

B: (BEOU 17543)

A: (BEOU 17623)

Bršljan
Helianthus tuberosus L. Asteraceae A: (BEOU 17624) Svinjski krompir
Helleborus odorus Waldst. & Kit. ex Willd. Ranunculaceae B: (BEOU 17544) Kukurek
Hieracium pilosella L. Asteraceae B: (BEOU 17545) Zečja loboda, lišajivica
Humulus lupulus L. Cannabaceae B: (BEOU 17546) Hmelj,divlji hmelj
Hypericum perforatum L. Hypericaceae

B: (BEOU 17547)

A: (BEOU 17626)

Kantarion
Juglans regia L. Juglandaceae A: (BEOU 17627) Orah
Kickxia elatine (L.) Dumort. Plantaginaceae A: (BEOU 17628) Posečotina
Laserpitium latifolium L. Apiaceae B: (BEOU 17548) Raskovnik
Linaria vulgaris Mill. Plantaginaceae B: (BEOU 17549) Lanilist, žuta zevalica, bogorodičin lan, lančić
Loranthus europaeus Jacq. Loranthaceae A: (BEOU 17629) Imela
Lotus corniculatus L. Fabaceae B: (BEOU 17550) Zvezdan
Lysimachia nummularia L. Primulaceae B: (BEOU 17551) Metilj trava
Lythrum salicaria L. Lythraceae

B: (BEOU 17552)

A: (BEOU 17630)

Potočnjak
Malus sylvestris (L.) Mill. Rosaceae

B: (BEOU 17553)

A: (BEOU 17631)

Divlja jabuka Korikove
Malva sylvestris L. Malvaceae A: (BEOU 17632) Crni slez
Melilotus albus Medik. Fabaceae B: (BEOU 17554) Beli kokotac
Melilotus officinalis (L.) Pall. Fabaceae B: (BEOU 17555) Žuti kokotac
Melissa officinalis L. Lamiaceae

B: (BEOU 17556)

A: (BEOU 17633)

Matočina Matičnjak
Mentha longifolia (L.) L. Lamiaceae

B: (BEOU 17557)

A: (BEOU 17634)

Divlja nana Konjski bosiljak
Ononis spinosa L. Fabaceae A: (BEOU 17635) Grmotrn, zečji trn
Origanum vulgare L. Lamiaceae

B: (BEOU 17558)

A: (BEOU 17636)

Divlji origano, vranilovka Vranilova trava
Paliurus spina-christi Mill. Rhamnaceae A: (BEOU 17637) Čalije
Petasites albus (L.) Gaertn. Asteraceae A: (BEOU 17638)
Petasites hybridus (L.) “G. Gaertn., B. Mey. & Scherb”. Asteraceae B: (BEOU 17559) Repuh, veliki podbel Ropanj
Peucedanum longifolium Waldst. & Kit. Apiaceae B: (BEOU 17560) Devesel
Physalis alkekengi L. Solanaceae A: (BEOU 17639) Peruanska jabuka, petlidžančići
Pinus nigra J. F. Arnold Pinaceae

B: (BEOU 17561)

A: (BEOU 17640)

Crni bor
Plantago lanceolata L. Plantaginaceae

B: (BEOU 17562)

A: (BEOU 17641)

Dugačak žilovnik Muška bokvica
Plantago major L. Plantaginaceae

B: (BEOU 17563)

A: (BEOU 17642)

Žilovnik Širokolisna bokvica, tegavac Ženska bokvica, bokvica, žilovlak
Polygonum aviculare L. Polygonaceae

B: (BEOU 17565)

A: (BEOU 17644)

Troska, troskavac Svinjska trava Troskot
Potentilla reptans L. Rosaceae A: (BEOU 17643)
Prunella vulgaris L. Lamiaceae A: (BEOU 17645) Izdatljivka
Prunus spinosa L. Rosaceae

B: (BEOU 17566)

A: (BEOU 17646)

Crni trn Trnjina
Pulmonaria officinalis L. Boraginaceae

B: (BEOU 17564)

A: (BEOU 17647)

Plućnik Plućnjak
Pyrus pyraster (L.) Burgsd. Rosaceae B: (BEOU 17567) Divlja kruška
Quercus cerris L. Fagaceae B: (BEOU 17568) Hrast
Robinia pseudoacacia L. Fabaceae B: (BEOU 17569) Bagrem Floran
Rosa canina L. Rosaceae

B: (BEOU 17570)

A: (BEOU 17648)

Šipkinje Divlja ruža, šipurak Šipak Skobikur
Rubus plicatus Weihe & Nees Rosaceae B: (BEOU 17571) Kupina, divlja kupina Mura
Rubus ulmifolius Schott Rosaceae A: (BEOU 17649) Zla kupina, divlja kupina
Rubus caesius L. Rosaceae A: (BEOU 17650) Divlja kupina
Rumex acetosa L. Polygonaceae B: (BEOU 17572) Kiseljak
Rumex crispus L. Polygonaceae A: (BEOU 17651) Štavelj, divlje zelje
Rumex patientia L. Polygonaceae B: (BEOU 17573) Štavelj, divlje zelje Zelje, livadsko zelje Dragaviju
Salix alba L. Salicaceae B: (BEOU 17574) Vrba, bela vrba
Salix purpurea L. Salicaceae A: (BEOU 17652) Vrba, crvena vrba
Sambucus ebulus L. Adoxaceae A: (BEOU 17653) Burjan
Sambucus nigra L. Adoxaceae

B: (BEOU 17575)

A: (BEOU 17654)

Bazovka Zova
Satureja subspicata Bartl. ex Vis. Lamiaceae B: (BEOU 17576) Rtanjski čaj
Sempervivum tectorum L. Crassulaceae B: (BEOU 17577) Čuvarkuća
Sorbus aucuparia L. Rosaceae B: (BEOU 17578) Oskoruša
Stachys officinalis (L.) Trevis Lamiaceae B: (BEOU 17579) Ranilist
Symphytum officinale L. Boraginaceae

B: (BEOU 17580)

A: (BEOU 17655)

Crni koren Crni gavez, gavez
Tanacetum vulgare L. Asteraceae B: (BEOU 17581) Vratić, vrtika, povratić
Taraxacum sect. Ruderalia Asteraceae

B: (BEOU 17582)

A: (BEOU 17660)

Maslačak
Teucrium chamaedrys L. Lamiaceae

B: (BEOU 17583)

A: (BEOU 17656)

Podubica
Teucrium montanum L. Lamiaceae B: (BEOU 17584) Trava iva
Thymus serpyllum L. Lamiaceae B: (BEOU 17585) Majčina dušica, majkina dušica
Tilia platyphyllos Scop. Malvaceae

B: (BEOU 17586)

A: (BEOU 17658)

Lipa Ćij
Tussilago farfara L. Asteraceae

B: (BEOU 17587)

A: (BEOU 17659)

Podbel Mali podbel
Trifolium pratense L. Fabaceae B: (BEOU 17588) Crvena detelina
Trifolium repens L. Fabaceae B: (BEOU 17589) Bela detelina
Urtica dioica L. Urticaceae

B: (BEOU 17590)

A: (BEOU 17661)

Kopriva Urdzk
Vaccinium vitis-idaea L. Ericaceae B: (BEOU 17591) Brusnica
Valeriana officinalis L. Caprifoliaceae B: (BEOU 17592) Valerijana, odoljen, macina trava
Verbascum thapsus L. Scrophulariaceae A: (BEOU 17662)
Verbena officinalis L. Verbenaceae

B: (BEOU 17593)

A: (BEOU 17663)

Verbena, vrbena
Veronica officinalis L. Plantaginaceae B: (BEOU 17594) Razgon, veronika, čestoslavica
Vicia cracca L. Fabaceae B: (BEOU 17595) Grahorica
Viola odorata L. Violaceae A: (BEOU 17664) Divlja ljubičica
Xanthium spinosum L. Asteraceae A: (BEOU 17665) Bela boca
Xeranthemum cylindraceum Sm. Asteraceae A: (BEOU 17596) Divlja metla, metla

No explicit rules or regulations pertain to the practice of ethnobotanical research in Serbia. The purpose, methodology and nature of the research were explained before starting the interviews and oral informed consent was obtained from all informants. Each participant in the study agreed to participate voluntarily. Participants were allowed to discontinue the interviews at any time. Upon completion of the study, all data are deposited in the phonothèque of the Department of Morphology and Systematics of Plants, University of Belgrade—Faculty of Biology. Thus, the ethnobotanical research and related activities, including collecting of plants, compiling databases, images, audio recordings, gathering information on the uses of traditional knowledge or other elements of biocultural heritage found in the study area, were undertaken in compliance with the International Society of Ethnobiology (ISE) code of ethics [38]. No harmful consequences (biological or cultural) for the local people and local communities arose from this research and its related activities. During the research, all principles of the code of ethics were adhered to including intellectual property rights and support for the development of local people’s cultures. All recommended standards for conducting and reporting ethnobotanical studies were considered in accordance with Weckerle and colleagues (2018) [39].

Data analysis

Frequency of citation (FC) and relative frequency of citation (RFC).

The FC was calculated as follows:

FC = (Number of times a particular species was mentioned)/(total number of times that all species were mentioned) × 100.

The RFC index [40] was evaluated by dividing the number of informants who mentioned the use of the species (FC) by the total number of informants participating in the survey (N). The RFC index ranges from “0” when nobody refers to a plant as useful to “1” when all informants refer to a plant as useful. RFC = FC/N.

Relative importance index (RI)

According to Tardío and Pardo-De-Santayana (2008) [40], this index was calculated with the following equation:

RIs=RFCsmax+RNUsmax/2

where RFCs(max) is the relative frequency of citation over the maximum, i.e., it is obtained by dividing FCs by the maximum value in all species of the survey {RFCs(max) = FCs/max(FC)}, and RNUs(max) is the relative number of use-categories over the maximum, obtained by dividing the number of uses of the species by the maximum value in all species of the survey {RNUs(max) = NUs/max(NU)}. The RI index theoretically varies from 0, when nobody mentioned any use of the plant, to 1, when the plant was most frequently mentioned as useful in the maximum number of use-categories.

Informant consensus factor (ICF-FIC)

To test the homogeneity of knowledge, the informant consensus factor was used [41], as follows:

ICF=nur-ntnur-1

where nur refers to the number of use-reports for a particular use category and nt refers to the number of taxa used for a particular use category by all informants. ICF values are low (near 0) if plants are chosen randomly or if there is no exchange of information about their use among informants, and approach one (1) when there is a well-defined selection criterion in the community and/or if the information is exchanged between informants [42].

Use value (UV)

Using the results obtained in the general interview, the use value (UV) of the plant species was calculated following [4345] methods with some modification, using the following formula:

UV=ΣU/n,

where UV = use value of a species, U = number of quotations per species, and n = number of informants.

The use values are aggregated per plant part usage (counted as one in a certain category (a medicinal use, human nutrition, domestic animal nutrition, veterinary medicine, beliefs and contemplation and other purposes) regardless of different effects or uses. In other words, we did not aggregate statements for specific plant species per category, due to the nature of raw data from our study. We modified the earlier methodology in this way: if the same person cited the same plant but a different plant part or type of preparation in a certain category we mentioned that as a separate statement, because in this way a better insight into the importance of the use value of plants is gained.

The use value for each species can be calculated as the ratio of the number of citations to the total number of respondents.

where “U” refers to the number of uses mentioned by the informants for a given species and “n” refers to the total number of informants interviewed.

If a plant secures a high UV score that indicates there are many use-reports for that plant, while a low score indicates fewer use-reports cited by the informants.

Fidelity level (FL)

The percentage of informants claiming the use of a plant species for the same major purpose was estimated using the Fidelity level index as determined by the following formula:

FL=lplux 100

where lp denotes the number of informants who indicate the use of a species for the same major ailment and lu refers to the total number of informants who mentioned the same plant for any other use [46]. High FLs are obtained for plants which are used in the same way according to the majority of informants. Only species with the lp greater than or equal to 5 and FL greater than or equal to 0.2 were considered.

Principal coordinate analysis (PCoA)

The principal coordinate analysis (PCoA) was used to test the relationships between objects (plants) and their uses, i.e. health-related disorder or medical.

To conduct PCoA, the dataset was systematized using the presence–absence matrix (1 and 0) with objects (plant taxa) in rows and categorical variable (health disorder/condition) in columns. As a result, the matrix 99 × 15 (number of species x number of illness) was obtained. This matrix is used to compute the similarity matrix based on Sokal and Sneath association coefficient (2) [47]:

dij=2a+2d2a+b+c+2d,

where dij is the similarity between species i and j, a is the number of variables where xi = presence and xj = presence, b is the number of variables where xi = absence and xj = presence, c is the number of variables where xi = presence and xj = absence and d is the number of variables where xi = absence and xj = absence (Table 2).

Table 2.

Frequency of four possible combinations for two binary variables

x = presence y = absence Sum
x = presence A B a + b
y = absence C D c + d
Sum a + c b + d a + b + c + d

The similarity is 1 if two species share all 15 descriptors and similarity is 0 if two species do not share any descriptor. Based on the similarity matrix, PCoA is conducted.

All the above-mentioned analyses were performed using XLSTAT 2014 software (Addinsoft, NY, USA).

Jaccard index (JI)

This index is used to compare the present study data with the data of other ethnobotanical studies conducted in neighboring and other regions in Serbia. The formula used to evaluate the JI index [48] is as follows:

JI=cx100/a+b-c,

where “a” is the recorded number of species of the study area “A,” “b” is the documented number of species of the area “B” and “c” is the common number of species in both area “A” and “B.” In the case of local communities, “a” is the number of species reported by a local community “A,” “b” is the number of species cited by the local community “B” and c is the number of species reported by both “A” and “B.”

Results and discussion

Demography of informants

A total of 155 informants were interviewed. Out of these, 42 (27.1%) were male and 113 (72.9%) were female. The informants were categorized into five different age groups, as documented in Table 3.

Table 3.

Demographic characteristics of informants

Factor Categories Aleksinac Bor Total no. of persons Percentage (%)
City Villages City Villages
Sex Male 1 20 7 14 42 27.1
Female 9 25 43 36 113 72.9
Age  ≤ 30 0 2 1 0 3 1.9
31–40 1 1 1 1 4 2.6
41–50 0 5 6 6 17 10.9
51–60 2 7 8 18 35 22.6
 > 60 7 30 34 25 96 61.9
Nationality Serbs 9 45 45 32 131 84.5
Vlach 2 17 19 12.3
Bulgarians 1 1 0.6
Montenegrins 1 1 2 1.3
Macedonians 1 1 2 1.3

Mode of preparation

The most frequently used mode of preparation was as an infusion (50.0%) followed by processed (12.9%), fresh (direct utilization) (10.1%), tincture (4.7%), balm (4.4%) and so on (Tables 4, 5 and 6 and Additional file 1: Table 1), which was also reported by ethnobotanical studies performed in the closest neighborhood regions [13, 15, 18]. The most used plant part (Additional file 1: Table 2) was the leaf (44.7%).

Table 4.

Medical uses of plant species of the Aleksinac and Bor districts of eastern Serbia

Scientific name Part of the plant Type of preparation Medicinal purposes
Aleksinac Bor Aleksinac/Bor Aleksinac Bor Aleksinac/Bor Aleksinac Bor Aleksinac/Bor
Achillea clypeolata Flowers Infusion Maintaining general health condition, heart disorders, pulmonal diseases, stomach ailments, respiratory tract problems
Achillea millefolium Whole plant# Balm Skin diseases
Ointment Skin diseases
Aerial parts Balm Excessive bleeding, wounds and burns healing
Tincture Varicose veins, circulation improvement
Infusion Against inflammation and stomach disorders, calming effect Headache, rheumatism, liver, pancreas and gallbladder ailments, respiratory system disorders, antibiotic
Tincture Wound healing, massaging sore spots, reducing swelling after insect's sting Rheumatism, liver, pancreas, gallbladder ailments, respiratory system disorders, antibiotic
Flowering apical parts Infusion Against enuresis nocturna, bladder and gynecological disorders
Flowers and leaves# Infusion Immune system strengthening, detoxification, against myoma and stomach diseases, improves appetite
Leaves# Balm Skin care, hemorrhage, wound healing
Juice from leaves Wound healing
Tincture Stomach disorders
Powder Hemorrhage, healing bleeding wounds
Tincture Varicose veins and circulation improvement
Flowers# Tincture Varicose veins and circulation improvement
Infusion Wound rinse, bladder ailments, ovary diseases, antipyretic, reduction in excessive urination, anti-inflammatory activity, general health condition improvement Throat and wound rinse, stomach ulcer, skin disorders, immune system strengthening, nausea, headache, migraine, asthma, reducing blood sugar levels, blood detoxification and strengthening, detoxification, nervous system diseases, blood pressure regulation, inhibition of blood clot formation, vaginal flushing, various rashes, liver, intestine and gallbladder disorders, healing bleeding wounds, cough, medical panacea, rash, purulent wounds Gastric and respiratory disorders, bronchitis, menstrual cycle regulation
Tincture Wound healing
Aesculus hippocastanum Flowers Infusion Against neuralgia, rheumatism, improving circulation
Oil extract Rheumatism
Fruits Tincture Varicose veins, improving circulation
Tincture Varicose veins, rheumatism
Fruits with capsule Balm Veins disorders
Agrimonia eupatoria Aerial parts Infusion Lowering blood pressure, against headache, throat inflammation and oral cavity wounds treatment by rinsing, urinary system, liver, gallbladder and stomach disorders, kidney stones
Flowers and leaves# Infusion Urinary tract infections Detoxification Kidney disorders
Leaves# Infusion Liver, spleen and heart ailments, against headache and sore throat, kidney and bladder disorders Urinary system ailments
Alcea biennis * Leaves Infusion Intestinal diseases, inhalation against sinusitis
Alchemilla vulgaris Leaves# Infusion Gynecological ailments, against vaginal discharge
Flowers and leaves# Infusion Gynecological ailments
Allium ursinum Leaves Tincture Blood pressure regulation and reduction in elevated blood pressure
Althaea officinalis Aerial parts# Infusion Bronchitis, dry cough
Roots Maceration Bronchitis, dry cough Expectoration, throat inflammation, cough, respiratory tract disorders
Infusion Against airways obstruction, against cough, expectoration, pulmonary diseases
Anthyllis vulneraria Aerial parts Infusion Blood cleansing
Leaves Fresh, revetment Wound healing
Arctium lappa Leaves Fresh, revetment Painful spots, rheumatism, joint inflammation
Infusion Against cough, diarrhea
Roots Infusion Elimination of heavy metals from organism, cancer cell inhibition, detoxification, reducing blood sugar levels
Tincture Rheumatism
Arctium minus Leaves Fresh, revetment Heated on a stove or coated with vegetable oil for painful joints
Arum maculatum Rhizome Fresh, mixed with honey Intestine ailments, digestion improvement, against hemorrhoids
Asarum europaeum Leaves Fresh, revetment Purulent wounds
Infusion Kidney ailments
Asparagus officinalis Roots Infusion Urinary tract ailments, kidney stones
Asplenium viride * Leaves Infusion To cure fright
Betula pendula Flowers# Infusion Male flowers are used for urinary tract and prostate ailments Male flowers are used for detoxification, eliminating salt excess from blood vessels
Buds# Infusion Kidney diseases, eliminating kidney sand and limescale
Leaves Infusion Urinary tract infections Kidney diseases, eliminating kidney sand, limescale and stones, urinary ducts inflammation, kidney cleansing Urinary tract diseases
Calendula officinalis Aerial parts# Infusion Intestinal mucosa and intestine inflammation, calming effects, liver and gallbladder inflammations, mucosa and intestine inflammation
Tincture Intestinal mucosa and intestine inflammation
Flowers Infusion Against cold, detoxification, blood strengthening, blood vessels flexibility maintenance, bladder disorders Blood cleansing, against ovary and breast cysts, cancer, kidneys diseases, circulation improvement
Tincture Tumor prevention
Balm Wounds and burns healing, skin problems, eczema, hand care, knee pain, injures
Ointment Hemorrhoids, wounds and burns healing, inflammations
Tincture Varicose veins, circulation improvement
Leaves# Fresh, revetment Purulent wounds, stings
Centaurium erythraea Aerial parts Infusion Calming effect, positive effect on stomach Liver, pancreas and stomach diseases, blood vessels function regulation, pulmonary ailments, reducing blood sugar levels, appetite improvement, gallbladder ailments, blood cleansing, diabetes, heartburn, irregular menstrual cycle
Tincture Diabetes, liver ailments
Flowers and leaves# Infusion Gastric function regulation
Flowers# Infusion Stomach diseases, diabetes, reducing blood sugar levels, blood vessels cleansing, fever
Chelidonium majus Aerial parts Maceration Wounds rinse
Apical parts Maceration Benign tumor treatment
Flowers and leaves# Tincture Cells regeneration
Leaves# Fresh Ovaries and uterus cysts
Fresh, revetment Eyesight improvement
Tincture Against cancer
Bath Painful legs, circulation improvement
Infusion Strengthening immune system after tumors Against cancer and metastasis, myoma, jaundice, gastric, liver, gallbladder treatment, ulcers, stomach disorders, psoriasis, gynecological problems, intestine function improvement, skin redness
Latex# Fresh Corn removal Keratosis, face, cleansing, aging, hyperpigmentation, cataract Against warts, skin ailments
Cichorium intybus Whole plant Decoction Against diarrhea and dysentery
Aerial parts Infusion Against diarrhea, reducing blood sugar levels, jaundice, cirrhosis, weight regulation, liver cleansing, stomach, liver, gallbladder ailments
Peduncle Infusion Against diarrhea
Flowers Infusion Against diarrhea, stomach diseases
Flowers and roots Infusion Against diarrhea
Roots Infusion For better digestion, weight loss, against diarrhea
Decoction Kidneys ailments, kidney sand, against diarrhea
Cornus mas Fruits Infusion Heart disorders, digestive system disorders, blood strengthening, blood pressure regulation, complete blood count improvement, cold, diarrhea
Tincture Positive effect on whole organism Nausea, gastric ailments, diarrhea
Juice proveriti Regulation of free toxic radicals in organism
Corylus colurna Leaves Fresh Against swelling after snakebite
Cotinus coggygria Twigs Infusion Burns, wounds on the feet and hands, increased concentration of sugar in the blood, gynecological problems, cells regeneration, prevention of metastases, hemorrhoids, kidney ailments, high blood pressure
Tincture Against cancer
Bark Infusion Reducing gastric acid, mouthwash, cleansing the body of toxins, treatment of cancer, wound rinsing, against cancer, eczema rinse and intestine ailments
Leaves Infusion Reducing gastric acid, mouthwash, cleansing the body of toxins, treatment of cancer
Crataegus monogyna Fruits Decoction Blood pressure lowering
Flowers Infusion Heart disorders, cardiovascular diseases treatment
Leaves Infusion Heart disorders
Bark# Decoction Heart disorders
Cydonia oblonga Leaves Decoction Against diarrhea
Cynodon dactylon Whole plant Infusion Against hemorrhoids
Aerial parts Infusion Varicose veins treatment
Roots Infusion Expectoration, kidney sand, urinary infections, intestine cleansing
Datura stramonium Leaves Fresh Wounds
Epilobium parviflorum Aerial parts Infusion Problems with the bladder, enlarged prostate, reducing pain in the bladder, as a diuretic, kidney diseases
Flowers Infusion Bladder inflammation, enlarged prostate
Equisetum arvense Non-fertile aerial parts Infusion Urinary ducts ailments and inflammation, joints diseases, maintaining mineral balance, osteoporosis, urinary tract problems, diarrhea, detoxification, pulmonary and kidney cleansing, regulating uric acid level in blood, bladder sand and disorders, stopping nose bleeding, sclerosis, cancer prevention Kidney diseases
Tincture Massaging tired legs and arms
Fertile aerial parts# Infusion Urinary tract inflammation, urinary tract cleansing, kidney ailments, kidney sand elimination, bladder ailments, reduction in frequent urination, genital inflammation in women
Equisetum telmateia Apical parts Decoction Decoction prepared together with corn silk and young ears of corn is used against kidney and urinary tract ailments
Eupatorium cannabinum Whole plant Infusion Metabolism regulation, hormone stabilization
Tincture Osteoporosis
Aerial parts Infusion Cholesterol level regulation
Flowers Infusion Kidney problems, metabolism regulation
Euphrasia officinalis Whole plant Infusion Eye treatment
Aerial parts Infusion Treatment of eye diseases, cataracts
Filipendula hexapetala Flowers Infusion Blood vessels strengthening, stimulation, preventing cardiac arrest, stomach disorders treatment, heart disorders hypertension, treatment of kidney inflammation, as a diuretic
Leaves Infusion Liver and kidney disorders
Roots Infusion Respiratory tract disorders
Fragaria vesca Flowers and leaves Infusion Immune system strengthening
Leaves Fresh Stomach ailments
Infusion Heart disorders, general health condition improvement Stomach problems, liver cleansing, against diarrhea, against cough, menstrual problems
Galium odoratum Flowers Infusion Respiratory tract inflammation, diuretic, blood cleansing, against migraine
Galium verum Aerial parts Infusion Against cancer, kidney problems, thyroid disorders, stomach diseases, headache, liver inflammation, respiratory tract disorders, hormonal stabilizer, regulation of female and thyroid hormones
Balm Skin diseases
Flowers Infusion Bronchitis, pulmonary diseases
Balm Skin cancer
Geranium robertianum Aerial parts Infusion Mouth and throat inflammation
Tincture Varicose veins, circulation improvement
Leaves Infusion Hormone regulation
Tincture Hormone regulation
Hedera helix Twigs# Infusion Hemorrhoids
Fruits# Tincture Rheumatism
Leaves Infusion Bronchitis, sore throat, against cough Respiratory ailments, bladder inflammation, kidney and bladder stones and sand, hemorrhoids
Tincture Respiratory ailments, rheumatism
Oil extract Eczema
Helianthus tuberosus Tuber Fresh, revetment Mumps
Hieracium pilosella Whole plant Infusion Bladder inflammation, treatment of urinary disorders
Humulus lupulus Fruits# Infusion Mental diseases, calming effect, insomnia
Hypericum perforatum Aerial parts Infusion Improve general health condition, stomach ailments Calming effects, respiratory system disorders, depression Stomach problems
Tincture Depression, stomach ailments
Balm Wound healing, burns, scratches, cuts
Oil extract Wound healing
Flowering apical parts Infusion Stomach disorders, gastric ailments, gallbladder stones, antibacterial activity, gastric and intestine ulcer
Oil extract Wounds, cuts, burns, gastric ulcer
Flowers# Infusion Gastritis, gastric disorders, cough, general health condition improvement, hemorrhoids, private areas rinse Heartburn, gallbladder ailments, mouthwash, strengthening immunity, calming effect, pulmonary diseases, depression, gallbladder stones, detoxification, gynecological ailments, kidney sand, medical panacea, digestive system disorders, general health condition improvement, throat rinsing against bed wetting, infections, bladder inflammation and diseases, cold Gastric ulcer, stomach pain, urinary tract infections, throat inflammation
Tincture Wounds, calming effect in stressful situations
Oil extract Wounds, burns, skin diseases, problematic moles, improve general health condition, bruises, cuts, against vaginal discharge, inflammation, gynecological ailments, surgery incision healing, scars, hemorrhoids, muscle spasm
Balm Burns, decubitus wounds, cuts, face eczema, scratches, injuries, bee and wasp stings, wounds healing
Flowers and leaves# Oil extract Wounds
Balm Burns, wounds
Juglans regia Fruits Tincture Unriped fruits are used for regulation of thyroid gland, source of iodine, against gastric inflammation
Leaves Infusion Function regulation of thyroid gland
Bath Treatment of barren, pain release, bone diseases
Kickxia elatine * Whole plant Infusion Against enuresis nocturna in children
Aerial parts Fresh, revetment Skin cuts and wounds treatment
Linaria vulgaris Aerial parts Tincture Varicose veins, circulation improvement
Flowers Infusion Detoxification, liver and spleen ailments, elimination of excess water from organism
Tincture Varicose veins, circulation improvement
Loranthus europaeus Leaves Infusion Blood pressure regulation, circulation improvement
Lythrum salicaria Flowering aerial parts Infusion Against diarrhea in children
Apical parts Fresh, revetment Against itch, skin redness
Malus sylvestris Fruits Vinegar Reducing cholesterol levels in blood Varicose veins, fever, pain in legs
Malva sylvestris Flowers and leaves Infusion Against cough
Melilotus albus Aerial parts Tincture Varicose veins, circulation improvement
Melilotus officinalis Aerial parts Infusion As diuretic, against migraine, respiratory tract disorders, regulation digestion, liver and gallbladder disorders
Tincture Varicose veins, circulation improvement
Melissa officinalis Aerial parts# Infusion Against cold, calming effect Stomach disorders, painful and irregular menstruation, sleep improvement, positive effect on nervous system
Apical parts# Infusion Calming effect
Flowers# Infusion Heart function regulation
Flowers and leaves# Infusion Immune system strengthening
Juice from leaves# Dried and irritated skin
Leaves Infusion Against insomnia, relaxing effect, nausea, sleep improvement, mental illness, nervousness, tiredness, heart ailments, pulmonary ailments Calming effect, stomach disorders
Mentha longifolia Aerial parts Infusion Stomach ailments
Tincture Stomach ailments
Flowering apical parts Infusion Stomach disorders
Leaves Infusion Against insomnia, nausea, stomach ailments, calming effect, pharynx inflammation, sinusitis
Ononis spinosa Roots Infusion Heart disorders
Decoction Eliminating kidney sand and gallbladder stones
Origanum vulgare Aerial parts Infusion Calming effect, improve appetite Against cough, cold, relaxing effects, detoxification, against bacteria Escherichia coli in urine, urinary ducts infections, triglycerides levels regulation, antifungal effect against Candida, regulation fat, chest pain Urinary tract inflammation
Flowering apical parts Calming effect
Flowers Infusion Against cold, cough, throat inflammation, stomach problems, calming effect
Flowers and leaves Infusion Relaxing effect, detoxification, disease prevention, gastric problems
Leaves Infusion Lowering gastric acid levels
Paliurus spina-christi Fruits Infusion Against diarrhea
Petasites albus* Whole plant Decoction Urinary tract inflammation
Petasites hybridus Leaves Fresh, revetment Painful spots, back and knee pain, joint dislocation, sprains
Roots Tincture Varicose veins, circulation improvement
Physalis alkekengi Fruits Fresh Ear pain
Maceration Ear pain
Pinus nigra Shoots Syrup Made from young shoots is used for pulmonal diseases
Pollen Mixed with honey Pneumonia, bronchitis, particularly in children, expectoration
Leaves Infusion Respiratory tract disorders, bronchitis
Bath Detoxification, painful legs, circulation improvement
Plantago lanceolata Whole plant# Infusion Throat and tonsils inflammation
Leaves Fresh Cuts, wounds, pus removal
Infusion Gastric ulcer, general health condition improvement Gastritis, pulmonal diseases, urinary tract disorders, prostate problems
Mixed with honey Pulmonal diseases Expectoration
Plantago major Juice from leaves Fresh, revetment Injuries, reducing swelling after bee sting, wounds
Leaves Fresh Heartburn, gastritis
Fresh, revetment Ingrown hairs, skin ulcers Burns, callus on heel, injuries, swollen feet, painful spots, clavus, sting mosquitoes, rheumatism, hemorrhage, animal bites, cuts, skin inflammation Purulent wounds, wound healing, inflammation after sting
Infusion Stomach pain, against frequent urination, general health condition improvement Nausea, stomach ailments, cough, pulmonary diseases, kidney and bladder ailments, sore throat, against bacteria Escherichia coli, expectoration, gastric mucosa regeneration, digestion improvement, asthma, bronchitis Gastric ulcer
Fresh mixed with honey Stomach problems, pulmonary diseases, expectoration, vocal cords ailments
Balm Decubitus wounds
Polygonum aviculare Whole plant# Infusion Heart disorders, kidney disorders, kidney and gallbladder stones
Aerial parts Infusion Bladder disorders, treatment of polycystic ovaries, improving brain circulation As diuretic, rheumatism, kidney cysts, pulmonary disorders, stomach pain
Potentilla reptans Leaves Infusion Against diarrhea
Prunella vulgaris Aerial parts# Infusion Stomach diseases
Flowering apical parts# Infusion Eyewash
Prunus spinosa Fruits Fresh Stomach problems
Infusion Asthma, anemia, against diarrhea, stomach diseases, complete blood count improvement
Wine Anemia
Tincture Strengthening immunity
Pulmonaria officinalis Aerial parts Infusion Pulmonary diseases, pneumonia, bronchitis
Flowers Infusion Pulmonary diseases
Flowers and leaves Infusion Pulmonary diseases
Leaves Infusion Pulmonary diseases, against cold, flu Bronchitis
Pyrus pyraster Leaves Infusion Against bacteria Escherichia coli in urine, urinary ducts infections
Quercus cerris Bark Infusion Strengthening immunity, respiratory tract problems, urinary ducts, stomach ailments
Robinia pseudoacacia Flowers Infusion Expectoration, cold, pulmonary diseases
Balm Rheumatism
Rosa canina Fruits Infusion Medical panacea, against cold, immune system strengthening, kidney problems (elimination of sand and stone), calming effect, diarrhea, against virus, vitamin deficiency, fever, relaxing effects Throat ailments, flu, cough
Maceration Source of vitamin C
Decoction Immune system strengthening, cold, blood pressure lowering, fever
Tincture Immune system strengthening, oral cavity rinse and disinfection
Rubus plicatus Fruits Wine Anemia, immune system strengthening
Leaves Fresh, revetment Wound cleansing and healing, rheumatic pain
Fresh Stomach disorders
Infusion Against cough, blood cleansing, immune system strengthening, respiratory tract disorders, stomach ailments, urinary tract problems, appendicitis
Rubus ulmifolius Flowers and leaves Infusion Immune system strengthening
Leaves Fresh, revetment Purulent wounds
Infusion Heart and blood strengthening, cold, cough, throat and tonsils ailments
Rubus caesius Leaves Infusion Menstrual cycle regulation
Rumex acetosa Leaves Fresh Stomach problems
Rumex crispus Seeds Infusion Against diarrhea in children and adults
Rumex patientia Seeds Infusion Against diarrhea in children and adults
Salix alba Bark Infusion Lowering elevated body temperature, liver, spleen and gallbladder ailments, diuretic, against headache, bladder diseases
Salix purpurea Bark Infusion It is drunk after accidents, for bruises and wound healing
Decoction Fever
Sambucus ebulus Roots Decoction As revetment, for gallbladder stone
Sambucus nigra Twigs# Balm Burns treatment Wounds, scratches, wrinkles, acne, facial care, spider bite, allergies, hemorrhoids
Fruits#s Fresh Detoxification, complete blood count improvement
Wine Pulmonary diseases, immune system strengthening
Flowers Infusion Asthma, flu, calming effect, throat ailments and inflammation, detoxification, respiratory tract problems, sweating improvement, expectoration, sneezing, pneumonia, stomach problems, strengthening immunity, blood pressure problems, relaxing effect Against cough, cold, pulmonary problems, bronchitis, fever
Syrup Against cough, immune system strengthening
Flowers and leaves# Infusion Bronchitis, stomach diseases
Satureja subspicata Flowers and leaves Infusion Stomach problems, bronchitis
Aerial parts Infusion Against cold, gastric ailments, strengthening immunity, pulmonary diseases, against cough, stomach discomfort
Sempervivum tectorum Leaves Fresh Against headache▲, lowering blood sugar, heartburn, stomach problems, lowering triglyceride levels cancer prevention
Fresh, revetment Wounds, injuries, burns,
Fresh, mixed with honey Liver problems, detoxification, against cysts (breast cysts) and tumors
Juice from leaves Fresh Ear pain, injuries, skin wounds, fat in the ears
Stachys officinalis Aerial parts Infusion Respiratory tract problems, detoxification, asthma, bronchitis, flatulence
Aerial parts and flowers Infusion Stomach diseases,
Flowers Balm Decubitus wounds
Flowers and leaves Infusion Regeneration of all cells in body, against cysts, stomach diseases, cleansing intestine
Leaves Fresh, revetment Wounds healing
Infusion Stomach ailments, immune system strengthening, pulmonary diseases, against cancer, tumors, cysts on kidneys
Symphytum officinale Leaves Fresh, revetment Wounds, inflammation, gout, sprains, fracture, joint ailments
Balm Sprains, joint ailments
Ointment Treatment of closed wounds Varicose veins
Roots Infusion Rheumatism, heel callus removal, general health condition improvement, bones pain
Tincture Joints inflammation, against leg pain, treatment of closed wounds, varicose veins Rheumatism, osteoporosis, heel callus removal, all types of hematomas, meniscus injury, capillary problems, treatment of digestive system (intestine, stomach problems)
Ointment Gout, against pain, varicose veins
Balm Rheumatism, ligament injury, cartilage restoration, arthrosis, bone pain, muscle braking, joint dislocation, sprains
Fresh, revetment Painful spots
Tincture Varicose veins, regulation of circulation
Tanacetum vulgare Flowering apical parts of plant Infusion Improving appetite, stomach strengthening, kidney stones and sand elimination, diuretic
Leaves Fresh, revetment Placed on eyes and forehead for reducing headache
Taraxacum sect. Ruderalia Flowers# Infusion Detoxification, liver, gastric, pulmonary ailments, face washing▲, jaundice▲
Tincture Liver cleansing
Peduncle# Fresh Diabetes
Leaves# Infusion Menstrual cycle regulation, diuretic
Tincture Wound rinse, endometrial polyps, positive effect on vocal cords▲
Fresh Detoxification, heartburn, gastric cancer
Roots Infusion Blood strengthening, against breast cancer, stomach and liver diseases, throat ailments, problems with urinary ducts, appetite improvement, blood cleansing, menstrual cycle regulation, diuretic, detoxification, gynecological ailments, inflammations, immune system strengthening, against malignancies
Tincture Liver cleansing and ailments, against malignancy
Powder Liver ailments
Teucrium chamaedrys Aerial parts Infusion Stomach, pancreas, liver and spleen disorders, respiratory diseases, improving digestion, cataract treatment▲, eye ailments▲, against nausea, reducing blood sugar levels, weight loss, stomach acid reduction, gastric ulcer, Gastric disorders
Flowers Infusion Heartburn, gastric disorders, against cough, improving appetite
Flowers and leaves Infusion Gastric, liver and gallbladder disorders, improving digestion, blood pressure regulation, reducing blood sugar levels, against asthma
Teucrium montanum Whole plant Infusion Medical panacea
Aerial parts Infusion Detoxification, immune system strengthening, headache, stomach ailments, improving appetite, digestive and respiratory system disorders
Tincture Improving appetite
Flowers and leaves Infusion For better appetite, against cold
Tincture For better appetite, against cold
Thymus serpyllum Whole plant# Infusion Calming effect, digestion regulation, stomach ailments, medical panacea
Aerial parts Infusion Calming effect, headache, pneumonia, bronchitis, relaxing effect, pulmonary problems, cough, stomach ailments, respiratory tract disorders, vertigo, migraine, physical weakness, vaginal secret elimination, disinfection, asthma
Tincture Massaging head against headache
Syrup Immune system strengthening, cough
Flowers# Infusion Calming effect, blood vessels cleansing, digestion regulation, gastric and pulmonal disorders, throat inflammation, cough, bronchitis, detoxification
Oil extract Relaxing effect
Flowers and leaves# Infusion Calming effect, against cold and cough
Tilia platyphyllos Flowers Infusion Improve general health condition, relaxing effect Throat inflammation, sneezing, respiratory diseases, against bacteria and viruses, immune system strengthening, medical panacea, pulmonary ailments, sedative, circulation improvement, Against cold, cough, flu, fever, sweating improvement for fever reduction, calming effect, insomnia
Leaves# Infusion Improving sweating
Tussilago farfara Flowers Infusion Against cough
Flowers and leaves Infusion Pulmonary problems
Leaves Fresh, revetment Nail treatment, painful spots
Infusion Bronchitis Respiratory problems, asthma, cough, pulmonal ailments, digestion regulation,
Syrup Against cough, immune system strengthening
Trifolium pratense Aerial parts Infusion Hormonal stabilizer, thyroid gland hormones regulation, female hormones regulation
Flowers Infusion Against cancer, gynecological problems, hormonal stabilizer, regulation of female and thyroid hormones
Urtica dioica Whole plant# Infusion Blood cleansing, nervousness reducing
Aerial parts Infusion Iron deficiency Anemia, complete blood count improvement Immune system strengthening
Apical parts Infusion Anemia, physical weakness, iron source Immune system strengthening, iron deficiency
Apical parts and leaves Infusion Anemia, strengthening immunity
Seeds# Mixed with honey Anemia Strengthening immunity, hemoglobin increasing, medical panacea
Leaves Fresh, revetment Pain relief
Powder Wounds
Infusion Iron deficiency Strengthening immunity, circulation improvement, mood improvement, calming effects, pain in chest, blood strengthening, stomach problems, skin diseases, detoxification, complete blood count improvement, diuretic, urinary ducts ailments, kidney diseases Anemia
Roots# Infusion Prostate ailments, strengthening immunity, blood cleansing, female reproductive system cancer Anemia
Bath Circulation improvement
Tincture Anemia
Vaccinium vitis-idaea Fruits Mixed with honey Immune system strengthening
Leaves Infusion Urinary tract and kidney ailments, against bacteria and Escherichia coli, regulation of uric acid in blood, kidney and urinary ducts inflammation, urinary ducts cleansing
Valeriana officinalis Roots Cold maceration Calming effects, depression, tachycardia, headache, treatment of neuroses
Tincture Against insomnia, calming effects
Verbascum thapsus Whole plant# Decoction Against skin warts
Verbena officinalis♦ Aerial parts Infusion Headache, as antibiotic, hormonal imbalance, kidney cleansing, bronchitis, liver treatment, bladder limescale elimination
Veronica officinalis Aerial parts Infusion Immune system strengthening, blood vessels cleansing▲, sleep improvement, calming effects
Viola odorata Flowers and leaves Infusion Heart disorders
Xanthium spinosum* Aerial parts Decoction Against diarrhea
Xeranthemum cylindraceum* Aerial parts Soaked with warm water and applied as a revetment on the back against fever

* First time mentioned usage in Serbia; ♦ Plants are included in European Pharmacopoeia 8.0; # Plant parts are different from those cited in European Pharmacopoeia 8.0; ▲ New usage of well known traditional plants

Table 5.

Human and domestic animal nutrition and veterinary medicine use of plant species of the Aleksinac and Bor districts

Scientific name Part of the plant Type of preparation Human nutrition Veterinary purposes Animal nutritionSS
Aleksinac Bor Aleksinac/Bor Aleksinac Bor Aleksinac/Bor Aleksinac Bor Aleksinac/Bor Aleksinac Bor Aleksinac Bor Aleksinac/Bor
Achillea millefolium Leaves Fresh As spice
Agrimonia eupatoria Whole plant Fresh Against udder inflammation in cows (mastitis)
Aerial parts Fresh Against udder inflammation in cows (mastitis)
Fruits Fresh Against udder inflammation in cows
Allium ursinum Leaves Fresh As salad
Dry As spice
Asarum europaeum Leaves Spice for cooked beans
Calendula officinalis Flowers Fresh As salad
Cichorium intybus Whole plant Decoction Against diarrhea in pigs
Roots Decoction Against diarrhea in domestic animals
Cornus mas Fruits Fresh As fruit
Processed Juice, jam, Serbian delicacy “slatko,” marmalade, for cookies Pekmez
Tincture Liqueur
Corylus colurna Fruits Fresh As food
Crataegus monogyna Fruits Fresh Used in diet
Cydonia oblonga Fruits Processed Serbian delicacy "slatko”
Leaves Decoction Against diarrhea in domestic animals
Cynodon dactylon Aerial parts Fresh Food for domestic animals
Equisetum arvense Aerial parts Infusion Against diseases in pigs
Shoots Infusion Diseases in piglets
Fragaria vesca Fruits Fresh As fruit
Processed Serbian delicacy “slatko,” juice, for ice cream, jam
Helleborus odorus Whole plant Fresh, revetment Swollen udder in sheep
Roots Fresh "natravuvanje"
Dry "natravuvanje"
Juglans regia Fruits Used in diet
Lotus corniculatus* Aerial parts Meadow hay, livestock nutrition, used as food for domestic animals
Whole plant For domestic animals as food
Lysimachia nummularia Leaves Fresh Livestock nutrition
Lythrum salicaria Flowering aerial parts Infusion Against diarrhea in pigs
Malus sylvestris Fruits Fresh Used in diet as fruit
Processed Homemade vinegar
Dry Used in diet as dried fruit
Melissa officinalis Leaves Processed Juice
Fresh As spice for broth
Origanum vulgare Aerial parts As spice
Physalis alkekengi Fruits Fresh As fruit
Processed Serbian delicacy “slatko”
Plantago lanceolata Leaves Fresh As salad
Plantago major Leaves Fresh As salad
Fresh, revetment Open wounds (dogs and cats)
Polygonum aviculare Leaves Fresh As food for canary
Used in animal diet
Prunella vulgaris Flowering apical parts Infusion Cow eyes treatment by flushing
Prunus spinosa Fruits Fresh Food supplement in crystallized honey As fruit
Processed Jam, juice, compote
Pyrus pyraster Fruits Fresh As fruit
Dry As dried fruit
Quercus cerris Fruits Dry Flour, coffee
Robinia pseudoacacia Flowers Fresh Fresh flowers are nibbled
Processed Juice, Serbian delicacy "slatko", honey, as food (breaded) ▲
Rosa canina Fruits Fresh As fruit
Processed Juice, wine, pekmez Jam
Petals Processed Serbian delicacy "slatko"
Rubus plicatus* Fruits Fresh As fruit
Processed Serbian delicacy"slatko", juice, jam, for cookies, wine, marmalade
Rubus ulmifolius Fruits Processed Juice, Serbian delicacy "slatko"
Rumex acetosa Leaves Fresh As salad, fresh leaves are nibbled
Processed Broth, salt pie, cooked dish
Rumex crispus Whole plant Decoction Against diarrhea in domestic animals
Rumex patientia Seeds Infusion Against diarrhea (pigs and cows)
Leaves Processed Salt pie, broth, fried dish
Fresh Used in animal diet
Sambucus nigra Fruits Fresh Used in diet
Processed Compot Jam Serbian delicacy "slatko"
Flowers Processed Juice
Satureja subspicata Aerial parts As spice
Sempervivum tectorum Leaves Fresh Fresh leaves are nibbled
Sorbus aucuparia Fruits Fresh As food
Processed Wine, marmalade, rakija
Dry As dried fruit
Taraxacum sect. Ruderalia Flowers Processed Serbian delicacy "slatko", breaded as food Dandelion "honey"
Peduncle Fresh Used in diet
Peduncle and leaves Fresh As salad
Leaves Fresh As salad
Thymus serpyllum Whole plant Dry As spice
Aerial parts Fresh As spice for chicken and turkey meat
Flowers As spice
Tilia platyphyllos Trunk Infusion Against diarrhea in livestock
Flowers Processed Juice
Leaves Fresh Fresh leaves are used for traditional Serbian food sarma
Trifolium pratense Flowers Fresh Fresh flowers are nibbled
Trifolium repens Flowers Fresh Fresh flowers are nibbled
Whole plant As food for domestic animals
Aerial parts Fresh Animal diet
Dried Animal diet
Urtica dioica Aerial parts Fresh Food for turkeys Food for pigs
Processed Juice, broth, salt pie
Apical parts Fresh Salad, rolled in small balls and swallowed, fresh leaves are added to homemade juices to enrich them with iron
Processed Fried dish, salt pie, broth, cooked dish Juice
Apical parts and leaves Processed Fried dish
Leaves Processed Fried dish, cooked dish, salt pie, juice, for bread Broth
As spice
Vaccinium vitis-idaea Fruits Fresh Used in diet as fruit
Processed Liqueur
Verbascum thapsus Whole plant Decoction Against warts on cows' udder
Verbena officinalis Aerial parts Fresh Udder inflammation in cows▲
Vicia cracca* Whole plant Fresh Used in animal diet
Aerial parts Dry Used as food for domestic animals, meadow hay
Xanthium spinosum* Aerial parts Decoction Against diarrhea (pigs)

* First time mentioned usage in Serbia; ▲ New usage of well known traditional plants

Table 6.

Folk and religious rituals and ethnoculture, and other purposes of plant species of the Aleksinac and Bor districts

Scientific name Part of the plant Type of preparation Beliefs and contemplation Other purposes
Aleksinac Bor Aleksinac/Bor Aleksinac Bor Aleksinac/Bor Aleksinac Bor Aleksinac Bor Aleksinac/Bor
Achillea millefolium Stem Used for I Ching
Flowers Used for making garlands on the Fest day dedicate to St. John (celebrated on July 7)
Asarum europaeum Leaves Protection against evil forces. Leaves are used as home and children protector
Roots Maceration Fragrant bath
Asparagus officinalis Aerial parts Ornamental, used for making bouquets
Calendula officinalis Aerial parts Oil extract Tanning oil
Flowers Infusion Skin complexion improvement
Chelidonium majus Whole plant Decoction Egg dyeing
Cichorium intybus Aerial parts Guardian of travelers
Roots Powder Substitute for coffee
Clematis vitalba Branches Handmade beehive (“trmka")
Cornus mas Twigs Gate decoration for St. George's Day (celebrated on May 6) Gate decoration for Sfințișori (celebrated on March 22)
Flowers Fresh flowers are used for custom for Easter
Corylus colurna Branches The stick is used as protection against snakebite, gate decoration with handmade cross made with branches
Fruits Fresh fruits are talismans
Dipsacus laciniatus Aerial parts Home protection against evil forces
Galium aparine Whole plant Used for custom for St. George's Day (celebrated on May 6)
Galium verum Aerial parts Against spells, used for making garlands on the Fest day dedicate to St. John (celebrated on July 7)
Geranium macrorrhizum Whole plant Ornamental plant
Flowers Used on the Fest day dedicate to St. George (celebrated on May 6)
Flowers and leaves Used for making garlands on the Fest day dedicate to St. George (celebrated on May 6)
Helleborus odorus Aerial parts Protection against evil forces used fresh on the Fest day dedicate to St. George (celebrated on May 6)
Flowers Gate decoration for St. George's Day (celebrated on May 6)
Leaves Gate decoration for St. George's Day (celebrated on May 6)
Humulus lupulus Fruits Stuffing pillows for better sleep
Hypericum perforatum Aerial parts Used for making garlands on the Fest day dedicate to St. John (celebrated on July 7)
Flowers Infusion Tea made of flowers is drunk against evil spirits
Oil extract As a cosmetic aid, face mask
Laserpitium latifolium* Roots Dry roots are used for protection from evil forces and spells (home and personality protection)
Whole plant Whole fresh plant is used as home protector against evil forces
Melilotus officinalis Aerial parts Protection against evil forces
Melissa officinalis Leaves Fresh Fresh leaves are used for bee swarming
Peucedanum longifolium Whole plant Ornamental plant
Pinus nigra J. F Trunk Resin source
Quercus cerris Branches Branches with leaves is used for orthodox Christmas as ceremonial tree
Trunk Firewood
Rosa canina Seeds Balm Cosmetic product for face care routine
Petals Micellar water Cosmetic product for face care routine
Salix alba Twigs Young twig is placed around the waist to prevent back pain for whole year at St. George's Day, twigs with leaves are used to make garlands for St. George's Day (celebrated on May 6). Fresh twigs are used for gate decoration for Lazarus Saturday Homemade baskets from twigs without leaves
Salix purpurea Twigs Gate decoration for St. George's Day (celebrated on May 6)
Sambucus ebulus Fruits Fruits were recalled for ink making
Sempervivum tectorum Whole plant Grown in the garden as home protection
Tanacetum vulgare Aerial parts For bouquets, ornamental plant
Flowers Fresh flowers are used for making garlands on the Fest day dedicate to St. John (celebrated on July 7), decorative
Decoction Protection against evil forces by sprinkling
Taraxacum sect. Ruderalia Flowers Decoction Egg dyeing
Teucrium chamaedrys Flowers and leaves Infusion Hair washing
Tilia platyphyllos Flowers Decoction Egg dyeing▲
Trifolium pratense Leaves Fresh leaf is used for making patterns when eggs are dyed for Orthodox Easter
Urtica dioica Whole plant Cold maceration Vegetable plants and flowers watering Spraying vegetables, insecticide
Decoction Strengthening hair root Egg dyeing
Aerial parts Decoction Egg dyeing, strengthening hair root
Infusion Spraying peppers and tomatoes
Maceration Mixed with garlic is used as a pesticide Spraying vegetables, insecticide
Leaves Fresh, revetment Rubbing ear before piercing▲
Decoction Strengthening hair root
Roots Decoction Against hair loss, hair washing, head rinse Strengthening hair roots
Xeranthemum cylindraceum* Aerial parts Homemade broom

*First time mentioned usage in Serbia; ▲ New usage of well known traditional plants

Quantitative ethnobotanical analysis

The results of the study (Tables 4, 5 and 6) provide information on the use of 114 wild and few domesticated (but still wild growing) plant species quoted by respondents from East Serbia. Recorded plants belong to 97 genera and 47 families, of which the Asteraceae (14.0%), Rosaceae (13.2%), Lamiaceae (7.9%) and Fabaceae (7.9%) were the most represented, similarly to other ethnobotanical studies conducted in Serbia and the Balkans [12, 17, 21].

Use-reports

Out of the total of 2333 reports on the use of plants obtained by respondents, 1653 reports were given for medical purposes, 496 for human nutrition, 26 for animal nutrition, 38 for veterinary purposes, 57 for folk and religious rituals and ethnoculture and 63 for other purposes. Out of a total of 155 informants, 113 women gave 1834 use-reports, while 42 men gave 499. There were no differences between statements provided by men and women with exception for notes on the herbal micellar water and herbal medicinal syrup which were stated specifically by women. There were no differences between men and women regarding the curative and prophylactic use of plants for certain illnesses and disorders. In regard to traditional knowledge on the use of the wild plants for nutrition, religious and other traditional customs and for other purposes, both genders gave more–less similar information. Statements related to ethnoveterinary purposes are more frequently given by men than women.

Out of 2333 use-reports, 1180 (50.6%) were provided by inhabitants from the cities, while 1153 (49.4%) were provided by village inhabitants. There were no statistically significant differences between data on the traditional use of plants between inhabitants from cities and from villages concerning plant part in use and disorders treated by herbs. This is mainly due to the fact that inhabitants of these small semi-urban areas are usually tightly stuck to surrounding rural places, still performing some farming or horticulture for their own needs. However, there were some differences related to the traditional use of plants. Much more statements on animal nutrition, veterinary purposes, folk and religious rituals and ethnoculture, as well as for some less frequent uses, were obtained from inhabitants settled in the villages. Utilization of plant species for certain handicraft uses, as well as the note on common chicory (Cichorium intybus L.) as a coffee substitute, was mentioned only by respondents settled in the villages.

Frequency of citation (FC), relative frequency of citation (RFC) and relative importance index (RI)

In the present study, FC values ranged from 0.05 to 13.1 (Additional file 1: Tables 3 and 4). The highest FC values are recorded for Hypericum perforatum (13.1), followed by Urtica dioica (9.0) and Plantago major (5.1). RFC values ranged from 0.001 to 0.2 (Additional file 1: Tables 3 and 4). The highest RFC was recorded for Hypericum perforatum (0.2) and Urtica dioica (0.2) followed by Plantago major (0.1). As can be seen, the ethnomedicinal plants having high RFC values indicated their abundant use and widespread knowledge among the local communities. RI values ranged from 0.1 to 1 (Additional file 1: Tables 3 and 4). The highest RI values were calculated for Urtica dioica (1.0), followed by Hypericum perforatum (0.7) and Rosa canina (0.7).

All these plants are among the most frequently reported in several neighboring regions, i.e., studied sites from southeast and south Serbia and from Kosovo [12, 1719, 21].

Informant consensus factor

The documented uses of plants in folk medicine refer to the treatment of 15 different groups of disorders. The ICF values ranged from 0.0 to 100.0% and 36.4% to 88.5% for Aleksinac and Bor districts, respectively. The highest ICF value found for the Aleksinac district was related to endocrine system disorders followed by skin-related disorders (79.7%) and circulatory system disorders (69.4%), while the lowest ICF value was found for antiseptic activity and metabolic disorders (0.0%). On the other hand, the highest ICF value for the Bor district was determined for skin disorders (88.5%), followed by digestive system disorders (83.5%) and respiratory system disorders (81.4%), while the lowest ICF value was 36.4% for antiseptic activity (Additional file 1: Table 5). A large number of species described by respondents of Bor district are used for the prevention and healing of digestive and respiratory system disorders. Such a fact might be related to very expressed air and soil pollution, as a consequence of mining and severe dust emission [49]. For the two studied regions considered together, the ICF values ranged from 33.3% to 88.9%. The highest ICF value was determined for skin disorders, followed by respiratory system disorders (82.1%) and digestive system disorders (82.1%), while the lowest ICF value was found for reproductive system disorders (51.4%) and antiseptic activity (33.3%) (Additional file 1: Table 6).

The ICF values ranged from 0.0% to 100.0% and 0.0% to 100.0% for men and women in the Aleksinac district, respectively. The highest ICF value found for men was related to endocrine system disorders followed by skin-related disorders (71.4%) and circulatory system disorders (50.0%), while the lowest was found for metabolic disorders, musculoskeletal system disorders, sensory system disorders, tumor ailments and urinary system disorders (0.0%). On the other hand, the highest ICF value for women was determined for endocrine system disorders and tumor ailments, followed by skin-related disorders (78.4%), while the lowest was recorded for musculoskeletal and sensory system disorders (0.0%) (Additional file 1: Table 7). When it comes to Bor district, the ICF values ranged from 0.0 to 85.7% and 30.0% to 86.9% for men and women, respectively. The highest ICF value found for men was related to sensory system disorders followed by skin (77.8%) and immune system disorders (63.0%), while the lowest was recorded for metabolic disorders (0.0%). On the other hand, the highest ICF value for women was determined for skin system disorders and digestive system disorders (82.8%) followed by immune system disorders (81.5%), while the lowest was recorded for antiseptic activity (Additional file 1: Table 8). In both districts together, the ICF values ranged from 0.0 to 100.0% and 27.3 to 88.0% for men and women, respectively. The highest ICF value found for men was related to endocrine system disorders followed by skin system disorders (79.6%) and immune system disorders (69.4%), while the lowest was recorded for metabolic disorders (0.0%). On the other hand, the highest ICF value for women was determined for skin-related disorders, followed by immune system disorders (82.8%) and respiratory system disorders (80.1%), while the lowest was recorded for antiseptic activity (27.3%) (Additional file 1: Table 9).

Regarding differences recorded in the city and surrounding villages, it was shown that the ICF values ranged from 0.0 to 100.0% in Aleksinac district. The highest ICF value found for both, citizens from the town and citizens from surrounding villages, was related to endocrine system disorders followed by skin system disorders (66.7% and 80.4%, respectively), while the lowest was recorded for musculoskeletal, reproductive, respiratory, sensory, urinary system disorders and musculoskeletal system disorders, respectively (Additional file 1: Table 10). When it comes to Bor district the ICF values ranged from 29.2 to 80.0% and 0.0 to 87.5% for citizens from the town and citizens from surrounding villages, respectively. The highest ICF value found for citizens from town was related to skin system disorders followed by digestive system disorders (74.4%), while the lowest was recorded for general health (29.2%). On the other hand, the highest ICF value for citizens from surrounding villages was determined for sensory system disorders, followed by skin (82.4%) and respiratory system disorders (77.3%), while the lowest was recorded for metabolic disorders (0.0%) (Additional file 1: Table 11). In both districts, the ICF values ranged from 28.0 to 82.5% and 0.0 to 100.0% for citizens from the town and citizens from surrounding villages, respectively. The highest ICF value found for citizens from town was related to skin system disorders followed by digestive (75.1%) and respiratory system disorders (74.8%), while the lowest was recorded for general health (28.0%). On the other hand, the highest ICF value for citizens from surrounding villages was determined for endocrine system disorders followed by skin (86.8%) and immune system disorders (79.2%), while the lowest was recorded for antiseptic activity (0.0%) (Additional file 1: Table 12).

Use value (UV)

In the present study, the UV (Additional file 1: Table 13) in Aleksinac district ranged between 0.02 and 0.8. Based on UV data, the five most commonly used ethnomedicinal plant species were Hypericum perforatum (0.8), Urtica dioica (0.6), Plantago major (0.3), Sambucus nigra (0.3) and Achillea millefolium (0.3). The UV (Additional file 1: Table 14) in Bor district ranged between 0.01 and 1.4. The five most commonly used ethnomedicinal plant species in Bor district were Urtica dioica (1.4), Hypericum perforatum (1.3), Sambucus nigra (1.1), Rosa canina (0.9) and Rubus plicatus (0.7). These species were used for diverse purposes which are indicated in Tables 4, 5 and 6.

Fidelity level

Fidelity level (FL) value in Aleksinac district ranged from 21 to 100%. The highest FL of 100% was recorded for Allium ursinum and Crataegus monogyna (circulatory system disorders), Althaea officinalis and Hedera helix (respiratory system disorders) and Betula pendula (urinary system disorders) (Additional file 1: Table 15). Further results showed that FL value in Bor district ranged from 22 to 100%. The highest FL of 100% was recorded for Alchemilla vulgaris (reproductive system disorders), Melilotus albus (circulatory system disorders) and Rumex patientia (digestive system disorders) (Additional file 1: Table 16). In addition, the results for the entire studied area showed that FL values range from 25 to 100%. The highest FL of 100% was recorded for Alchemilla vulgaris (reproductive system disorders), Crataegus monogyna and Melilotus albus (circulatory system disorders) and Rumex patientia (digestive system disorders) (Additional file 1: Table 17). FL values indicate that respondents from Aleksinac district mostly use plants for skin system disorders (five species), while respondents from Bor district mostly use plants typical for the treatment of digestive system disorders (13 species).

Based on use-records given by men and women, FL values, in Aleksinac district, ranged from 75 to 100% and 33.3 to 100.0%, respectively. The highest FL of 100% according to men uses was recorded for Juglans regia (endocrine system disorders) (Additional file 1: Table 18), while for women was recorded for Betula pendula (urinary system disorders), Crataegus monogyna (circulatory system disorders) and Hedera helix (respiratory system disorders) (Additional file 1: Table 19). On the other hand, FL values in Bor district ranged from 30.8 to 88.9% (based on man uses) and 20.0 to 100.0% (based on women uses). The highest FL according to men uses was recorded for Melissa officinalis (nervous system disorders) (Additional file 1: Table 20), while for women was recorded for Alchemilla vulgaris (reproductive system disorders), Epilobium parviflorum (urinary system disorders), Euphrasia officinalis (sensory system disorders), Melilotus albus (circulatory system disorders) and Mentha longifolia and Rumex patientia (digestive system disorders) (Additional file 1: Table 21). In addition, the results for the entire studied area showed that FL value ranged from 27.8% to 100% (man uses) and 20.0% to 100% (women uses). The highest FL based on men use-records was recorded for Juglans regia (endocrine system disorders), Pulmonaria officinalis (respiratory system disorders) and Sambucus nigra (immune system disorders) (Additional file 1: Table 22). The highest FL based on women use-records was recorded for Alchemilla vulgaris (reproductive system disorders), Betula pendula and Epilobium parviflorum (urinary system disorders), Crataegus monogyna and Melilotus albus (circulatory system disorders), Euphrasia officinalis (sensory system disorders) and Mentha longifolia and Rumex patientia (digestive system disorders) (Additional file 1: Table 23). FL values indicate that men from Aleksinac district mostly use plants for skin system disorders (two species), while men from Bor district mostly use plants typical for the treatment of digestive system disorders (five species). FL values indicate that women from Aleksinac district mostly use plants for skin system disorders (five species), while women from Bor district mostly use plants typical for the treatment of digestive system disorders (12 species).

In addition, based on use-records given by citizens from the town and citizens from surrounding villages FL values in Aleksinac district ranged from 55.6 to 100% and 42.9 to 100.0%, respectively. The highest FL (citizens from town) was recorded for Paliurus spina-christi (digestive system disorders) (Additional file 1: Table 24), while the highest FL (citizens from surrounding villages) was recorded for Althaea officinalis (respiratory system disorders), Betula pendula (urinary system disorders), Crataegus monogyna (circulatory system disorders), Hedera helix and Pinus nigra (respiratory system disorders) (Additional file 1: Table 25). On the other hand, FL values in Bor district ranged from 50.0% to 100.0% (citizens from town) and 18.2 to 100.0% (citizens from surrounding villages). The highest FL (citizens from town) was recorded for Cichorium intybus (digestive system disorders) and Sambucus nigra (respiratory system disorders) (Additional file 1: Table 26), while the highest FL (citizens from surrounding villages) was recorded for Alchemilla vulgaris (reproductive system disorders), Epilobium parviflorum (urinary system disorders), Euphrasia officinalis (sensory system disorders), Humulus lupulus (nervous system disorders), Melilotus albus (circulatory system disorders) and Mentha longifolia and Rumex patientia (digestive system disorders) (Additional file 1: Table 27). In addition, the results for the entire studied area showed that FL values ranged from 23.1% to 100% (citizens from town) and 25.0% to 100% (citizens from surrounding villages). The highest FL (citizens from town) was recorded for Alchemilla vulgaris (reproductive system disorders), Euphrasia officinalis (sensory system disorders), Melilotus albus (circulatory system disorders), Paliurus spina-christi and Rumex patientia (digestive system disorders) and Valeriana officinalis (nervous system disorders) (Additional file 1: Table 28), while the highest FL (citizens from surrounding villages) was recorded for Althaea officinalis (respiratory system disorders), Betula pendula (urinary system disorders), Crataegus monogyna (circulatory system disorders), Pinus nigra and Pulmonaria officinalis (respiratory system disorders) and Rumex patientia (digestive system disorders) (Additional file 1: Supplementary Table 29).

FL values indicate that citizens from Aleksinac town mostly use plants for skin system disorders (two species), while citizens from Bor town mostly use plants typical for the treatment of immune system disorders (three species). FL values indicate that citizens from surrounding villages in Aleksinac district mostly use plants for skin system disorders (four species) and respiratory system disorders (four species), while citizens from surrounding villages in Bor district mostly use plants typical for the treatment of digestive system disorders (14 species).

Obtained results point to the fact that although citizens from these districts rely on the official health care system, still medicinal plants have significant value in everyday life for these people.

Multivariate analysis

A scatter plot from principal coordinate analysis (PCoA) showed the formation of three distinct homogeneous groups (Fig. 1). The first group consisted of seven species (Rumex acetosa, Xanthium spinosum, Sambucus ebulus, Rumex patientia, Potentilla reptans, Paliurus spina-christi and Cydonia oblonga). All these species are grouped in relation to one variable, i.e., the effects on digestive system disorders. The second group was formed from five species (Melilotus albus, Loranthus europaeus, Allium ursinum, Crataegus monogyna and Viola odorata) acting mainly for circulatory system disorders, according to information from respondents. The third group consisted of five species (Petasites albus, Asparagus officinalis, Equisetum telmateia, Hieracium pilosella and Pyrus pyraster) which were mentioned for urinary system disorders application.

Fig. 1.

Fig. 1

Principal coordinate analysis of plants used in traditional human medicine in surveyed area in East Serbia

Traditional preparations and remedies

Out of 114 reported species, 101 (88.6%) are used for medical purposes (Table 4). Plants are the most commonly used to treat digestive system disorders (49.1%), circulatory system disorders (41.2%) and respiratory system disorders (35.1%). These findings on a wide use of plants for digestive and respiratory system conditions are in accordance with other ethnobotanical studies in Serbia [17, 18, 21]. Concerning plants used for medicinal purposes, 33 species are included in the European Pharmacopoeia 8.0. [50] (marked with ♦  in Table 4). Plant parts, i.e., plant drugs which differ from citations provided in European Pharmacopoeia 8.0. [50], are marked with hash (#) Table 4. Some interesting traditional remedies were recorded, which haven’t been so far indicated in previous ethnopharmacological studies in the Balkans.

H. perforatum is reported as an herbal remedy effective against every disorder (medical panacea) which is in agreement with some earlier investigation. Although spatially distant, in the Arribes del Duero (Spain), the cultural importance of H. perforatum oil is unquestionable. It is also cited, literally translated, that “What Hypericum doesn’t cure the doctor certainly won’t” [51]. Many previous studies on the Balkans documented its usage against diseases of different organ systems [5255].

It is claimed that the best herbal medicines, with the most healing properties, are made if this plant is collected on July 7 (St. John’s Day). It is even stated that flowers smell different on that day. Flowers are collected, basted with sunflower or olive oil, and left in the sunlight for 40 days. On the 40th day, oil extract is brought into the home. Similar methods for preparation are noted in earlier studies both on Serbian territory [12] and in the region [21, 5658]. Oil extract is used externally for skin ailments, hemorrhoids and gynecological problems. Živković and colleagues (2020) reported the same type of preparation against skin complaints and hemorrhoids [19], while Varga and collaborators (2019) reported the usage of infusion against gynecological diseases [59]. Internally, it is applied for digestive ailments and improving general health conditions.

Informants are also knowledgeable on the toxicity of certain medicinal plants, as well as their side effects when combined with medicinal drugs. For example, they stated that H. perforatum tea should not be used together with drugs used in the treatment of malignant diseases because it can “completely reverse the effect of the drug.” Also, tea should not be drunk for more than seven days in a row.

When it comes to medicinal herbs, the so-called Ciklus svetojovanskog bilja (lit. Cycle of St. John’s herbs) is also mentioned. It encompasses the period from June 28 (Vidovdan; lit. St. Vitus day) to July 7 (Ivanjdan; St. John’s Day) when it is most desirable to collect certain medicinal herbs (Achillea millefolium, Melissa officinalis and Hypericum perforatum).

It is not unusual for some traditional receipts in Serbia to be prepared during the 40 days. It is possible that roots of the method of preparation lie down in the Christian religion where the number 40 has a particular meaning. Christians believe souls need 40 days after death to leave the Earth, in the Bible it is mentioned that the great flood lasted 40 days and nights [60], Moses spent 40 days and nights in Mount Sinai, the same number of days Jesus fasted and was tempted in the wilderness [61]. We assume that it is easier for people to remember and pass on the knowledge related to the preparation if there is some universally known fact.

Traditional tinctures

Homemade tinctures are usually prepared with the fruit spirit (`rakija` in Serbian). Among the most used, there are the tinctures made of a single herb, such as wild thyme, nettle or marigold, or those prepared of mixture herbs.

Tincture for a massage, circulation improvement and thrombosis prevention is made of hundreds of marigold flowers (Calendula officinalis) put in a liter of “rakija”. The usage of this herb as a tincture also was noted in the research conducted in southwestern Serbia [14]. The comfrey (Symphytum officinale) tincture is made in a similar way (one mature root is put in one liter of rakija), or the drug is mixed with five wild chestnut fruits and one rosemary branch in half a liter of spirit for healing of leg pains and varicose veins. One ethnobotanical investigation previously published, conducted in the northeastern part of Croatia, reported the traditional use of comfrey’s roots as tincture against cardiovascular disorders [62].

Syrups and honey

Few informants mentioned preparation of homemade syrup for strengthening immunity, which was especially recommended to children. The syrup is made from Pinus nigra shoots, Plantago lanceolata leaves, Sambucus nigra flowers, Thymus serpyllum aerial parts and Tussilago farfara leaves. The preparation is made by boiling of sugar (3 kg) for 10 min and thereafter adding 300 g of each plant drug to cook for an additional 9 min exactly. In the final step, 15 g of commercial citric acid is added, and the mixture is cooked for one more minute.

Nettle (Urtica dioica) syrup is considered as the best medicine for strengthening the immune system in patients with anemia. Firstly, red wine is cooked with yellow sugar. When it comes to boiling, 50 young apical parts of nettle are added, and it is cooked for 2–3 min. Every morning before breakfast, a small glass of preparation should be consumed.

To the best of our knowledge, these receipts are mentioned for the first time on the Balkan Peninsula.

The honey is often mixed with herbs for different treatments. For example, there is a recipe quoting that two tablespoons of the black pine (Pinus nigra) pollen, locally known as “flower powder” (in Serbian, “cvetni prah”) are mixed with 200–300 g of meadow honey. It is believed that this remedy improves respiratory ailments. These results are similar to those obtained from the Kopaonik mountain where buds and needles of P. sylvestris are also mixed with honey in the final part of the preparation of medicine against chronic bronchitis [12] Mustafa and colleagues (2012b, 2020) reported mixing cones of Pinus spp. with honey to treat respiratory system ailments, which is partially in agreement with the results of the current study [56, 63]. The arum is also mixed with honey: one kilogram of Arum maculatum rhizome is combined with a kilogram of honey. The mixture is consumed 2–3 times a day before a meal for digestion and hemorrhoids treatment. A particular product is made of dandelion flowers (Taraxacum officinale). It is called “dandelion honey.” Dandelion flowers are collected and cooked together with water and sugar until the flowers are completely cooked in the mixture. This product is frequently prepared and consumed in the Balkans, according to some previous ethnobotanical studies [56, 64].

Ointment for skin diseases

Ointment is prepared with a hundred of marigold petals fried with a tablespoon of homemade grease and it is used cold for the treatment of urticaria. Our results are congruent with some previous studies [16], which mentioned the similar use of these flowers against different skin injuries [1214, 19]. Twigs of elder (Sambucus nigra) are used for preparing balm for burns therapy and insect and spider bites treatment. Twigs are grated and mixed with plant wax, honey, the incense and chopped yarrow (Achillea millefolium) leaves. The mixture is filtered and stored in a cold place.

Decoction for urinary diseases

Aerial parts of Equisetum telmateia are mixed with young corn cobs and corn silk (elongated stigmas) and cooked in water. The mixture is cooked until the volume of water drops to a third of the initial volume, and the color becomes red. The decoction is used against urinary problems.

Wild herbs for human nutrition

There were 37 (32.5%) plant species recorded for human nutrition (Table 5). Out of 37 species used for nourishment, 35 species are simultaneously used for medical treatments. The plant drugs are used fresh, dry and processed. Homemade food and beverage products made from or with the addition of wild plants include juices, jams, compotes, wine and Serbian traditional sweet dish “slatko” [65]. Fresh and dried herbs are often used for seasoning, i.e., as spices, either single or in mixtures (e.g., Achillea millefolium, Allium ursinum, Melissa officinalis, Origanum vulgare, Satureja subspicata, Thymus serpyllum, and Urtica dioica). Salad used for nutrition, additionally providing health benefits, especially for stomach ailments regulation is prepared as a mixture of leaves of five species: Fragaria vesca, Plantago major, Rubus plicatus, Rumex acetosa and Urtica dioica.

For the preparation of the sweet delicacy “slatko” the petals of the dog rose (Rosa canina) are used. Firstly, the petals are mixed with water and sugar and the mixture is boiled for at least half an hour. In the next step, a few drops of lemon juice are added to restore a petal color (should remain as gently reddish).

Traditional and beloved herbal beverages in Balkans mainly refer to those made of elder flowers, which has been already reported in some former studies [16]. The new information obtained in our research is related to the note about potential negative effects on men's fertility if it is overused. Elder fruits are used either fresh or processed, mostly for preparing a fruit wine. Fruits of elder are cooked for 15 min at 80 °C with water and sugar (half of the quantity of used fruits), and left for fermentation. Similar use of elder is already known in Europe [66].

Replacement for traditional coffee drink is made of dried and grinded chicory (Cichorium intybus) roots mixed with Turkey oak (Quercus cerris) acorn for nicer flavor.

Overlap of medicinal and food plants

In our study, nearly 100% plant species overlap as food and medicine. This finding is in agreement with another study conducted in Negotin, the very near region [17]. In that study, all plants mentioned as food plants are also used in herbal medicine. An identical situation is observed in the southeastern Serbia (Suva Planina) [16]. On the contrary, on the Kopaonik Mountain (Central Serbia), out of 24 plant species mentioned for nutrition, slightly more than a half are used for both nutrition and medicine [12]. However, in the neighboring country (Croatia) results are different. In a study conducted in Dalmatia, 41 plant taxa are mentioned to be used exclusively for treating a variety of ailments, 43 exclusively as food and 42 for both purposes [59]. Also, in Istria, out of 121 species, 31 species are used exclusively as food, 50 as medicine, and 40 species overlap [67]. On the other hand, a study conducted in the areas of the towns of Našice and Djakovo showed that 37 species are used exclusively as medicine, and 7 species overlap, but there are no plants that are used only as food [62].

Veterinary medicine

The 14 of 114 recorded plant taxa (12.3%) are used in veterinary medicine (Table 5). Plants are mostly used fresh, especially as revetment, and as extracts in form of infusion or decoction. A certain similarity in species used in human and veterinary folk medicine was noticed: of 14 species used in veterinary medicine, only two—the Helleborus odorus and Rumex crispus—are not used in humans.

Traditional practices for the treatment of domestic animals are preserved mostly in rural areas. The hellebore was indicated as an herbal remedy efficient in terminal illness in livestock and pigs. It is known that such practices were often used in the past, especially for horses [68]. Technique that relies on the usage of hellebore roots for this purpose is called in Serbian “natravuvanje stoke” (there is no suitable translation for the term specified). The cleansed fresh or dried part of the root is directly inserted in a certain part of the animal body: into the ears in the case of pigs or in loose skin below the neck in the case of cows. The function of drying is to prevent root bending for easier insertion. Ear of the sick pig is pierced by an awl and a cleansed root is inserted. The root is not removed until the surrounding area becomes purulent and swollen. Part of the ear falls off but a life-threatened animal survives. When cows are treated, a cleansed root is inserted in a dewlap and the tip of the root is left to jut. Root is left in a loose skin on the neck for 24 h. After the defined period has elapsed, root is removed and accumulated pus leaks out. The method is not approved by veterinarians today. However, the informants asserted that sometimes it is necessary—as an extreme way to save the sick animal. The utilization of hellebore for ethnoveterinary purposes is known from earlier ethnobotanical studies conducted in Serbia [12, 13, 17], but details are for the first time provided here.

Mastitis in cattle is caused by various factors, mainly infections, but also by some other physical and chemical traumas [69]. Two plant species are mentioned for mastitis treatment, the agrimony (Agrimonia eupatoria) and the vervain. Ethnoveterinarian study from Italy provides information on the usage of vervain against mastitis in cows although the methods of application differ [70].

Folk and religious rituals and ethnoculture

The usage of a total of 17 (14.9%) plant species is linked to traditional customs and rites (Table 6). Many plant species are utilized for religious purposes and various stories and legends are related to their role in ethnoculture. There were some differences in the use of herbs in traditional customs between two investigated districts. Performing rituals for the Fest Days is more developed and practiced in the Bor District. Most of the respondents stressed that wild plants are gladly used in celebration of some holy and festive days, especially the St. George’s Day (“Đurđevdan” in Serbian; May 6) and the St. John’s Day (“Ivanjdan” in Serbian; July 7). In Bor district, more data were obtained on folk customs and tradition, possibly because of the need to protect the national identity in a multicultural community. In the Bor District, four plant species are used for St. George’s Day celebration. Early in the morning, H. odorus aerial parts are tied and left to hang in the part of the yard where cattle reside as protection against spells and impure forces. On the Eve of St. George’s Day, geranium (Geranium macrorrhizum) flowers and leaves and willow (Salix alba) twigs with leaves are combined to make garlands. Garlands are placed around buckets used for sheep milk collection to increase milk yield. The willow is also placed around the waist to avoid back pain throughout the year. Hazelnut (Corylus colurna) is also used for this Fest Day. It is also used in rural areas as a defense against snakes. Hazelnut is put on the fence around the house, especially in front of the front door because it is believed that snakes do not approach this area. Also, informants carry sticks made of hazelnut branches in the wild to protect them against snakes. Hazelnut fruit is an amulet. Usage of these species has been confirmed and found in the literature. It is also known that other species of the genera Corylus are used in the same way as mentioned hazelnut [68].

For Easter, local people make a mixture of Cornus mas flowers and Urtica dioica leaves. Red wine and an Easter egg (exclusively red color) with bread crumbs are added to the mixture. Early in the morning, in front of the front door, family members cross themself, turn in the direction of sunrise three times and after every turn, they drink a teaspoon of this beverage. The order is from the oldest to the youngest member of the family.

Garlands are made for St. John’s Day too. Different plant species are included but the most abundant one is yellow bedstraw (Galium verum). Other plant species that can be inserted are A. millefolium, H. perforatum, Tanacetum vulgare. Garlands are hung on the front door of home and kept until the next year on the same day. On that day, last year’s garlands are thrown away and the new ones are made. Custom is repeated every year. It is believed that this custom secures home protection from negative influence, evil thoughts and glances. It is shown that yellow bedstraw is a favorite flower among people and that this custom is used a lot. There is also evidence that garlic can be inserted into the garlands [68]. Tea made of H. perforatum is drunk as a part of religious beliefs. This plant is considered as one with an extremely magical effect for evil spirits expelling. Because of that, it is consumed only in the evening. The magical power of H. perforatum was also confirmed in the literature [71].

In the Aleksinac, customs for St. George’s Day are also performed. The customs differ from the ones in the Bor District. One of the symbolic acts for celebration is home gate decorating. Plant species used are Cornus mas, Salix purpurea and Helleborus odorus. Earlier, children were bathed with these plants and red eggs that have been kept since Easter to ensure their health. Young couples were collecting aerial parts of Galium aparine and binding themself around the waist because it is believed that done deed will secure their love forever. Beliefs related to uses of this plant are known from the literature. If the young woman takes part of the plant and inserts it into her left sock, she will be appealing to others and liked by them [68].

Oak (Quercus cerris) is used as a ritual tree. It is brought into the house and also left in front of the door on Christmas Eve.

People use Asarum europaeum in their diet as a spice and for religious purposes. It should be kept especially if there are small children. It is believed that they will not cry or be afraid in the presence of this plant. Occasionally, it is used to incense houses. Sempervivum tectorum is planted in the front of the house as a protection from evil forces.

Laserpitium siler is a species that is connected to various stories and beliefs, primarily “as a key for all locks,” the key to success, and as a protector of home and a person [8]. Thanks to such beliefs it is good to carry a part of this plant in a wallet or at home. Some informants mentioned that they have this plant in their car as a protection from accidents. Usually, root is used, but any other part of the plant can be used. Since the species is rare in nature, the broad-leaved laserwort (L. latifolium) is used as a replacement according to the results of the current study. Some informants mentioned that crumbled parts are burnt and used as smoked incense to protect home from spells and witchcraft. It is believed that hedgehogs can find the plant to protect their cubs. This story is characteristic of east Serbia [68].

According to respondents, the chicory is used as a guardian for travelers. It is believed that it always brings people back to the place where they came from. The plant is a good protector from diseases, accidents and other bad things.

Other uses

There are few plant species listed for face and body care use. Herbal cosmetic products varied in their complexity. There were simple products that include material from the single species, with a simple method of preparation (e.g., St. John’s Wort oil extract). Some informants indicated that asarabacca (Asarum europaeum) was applied in fragrant baths in the past. Squashed roots are left in a bowl of water and poured into a bath. Today, it is not practiced anymore due to the awareness of respondents on the toxicity of the plant.

Homecrafts are pretty rare in the study area, but there are still some rural households using plants in some practices. For example, Clematis vitalba branches are used for making simple beehives, and Melissa officinalis for gathering bees together due to its pleasant scent. The nettle was recorded as a pest repellent which is in accordance with data provided by Mullalija and collaborators (2021) [21].

Ethnobotanical richness and the similarities with other ethnobotanical investigations in Serbia (Jaccard index)

Results of this research were compared with data obtained from earlier studies conducted on the territory of Central Serbia [12], southwestern Serbia [13, 14], and especially of those performed in the closest areas, i.e., parts of the eastern and southeastern Serbia [1520] (Table 7). According to the JI (Table 7), the highest degree of similarity was recorded with studies conducted on Suva Planina mountain (southeastern Serbia) with a JI of 28.7, Kopaonik (Central Serbia) with a JI of 27.3, as well as River Timok region and Mountain Svrljig region (eastern and southeastern Serbia) with a JI of 24.1. It was shown that small and isolated areas provide more specific information on the traditional uses of wild plants [72].

Table 7.

Ethnobotanical comparison between our results and ethnobotanical data conducted in other investigated areas of Serbia

Area Year(s) when the studies conducted No. of plant taxa No. of medicinal taxa No. of taxa used in human nutrition No. of taxa used in veterinary medicine No. of taxa used in animal nutrition No. of taxa used in beliefs and contemplation No. of taxa used in other purposes Plants that overlap from this study with plants from previous studies Jaccard Index References
Central Serbia 2002–2005 91 91 25 11 / / 7 43 27.33 Jarić et al. 12

Southwestern

Serbia

2010 62 62 5 3 / / 8 22 15.79 Pieroni et al. 13

Southwestern

Serbia

2011 69 69 3 / / / / 30 22.00 Šavikin et al. 14
Eastern Serbia 2011–2012 45 45 / / / / / 24 20.45 Zlatković et al. 15
Southeastern Serbia 2012–2014 137 128 43 5 / / 16 30 28.72 Jarić et al. 16
Eastern Serbia 2016 37 37 19 3 8 1 17 20 14.39 Janaćković et al. 17
Eastern and southeastern Serbia 2015–2017 195 190 / / / 21 4 53 24.10 Matejić et al.18
Southeastern Serbia 2015 85 / / / / / / 28 17.75 Živković et al. 19
Eastern Serbia 2017 192 / / 46 / / / 14 19.55 Marković et al.20
Eastern Serbia 2019 114 100 37 14 6 17 24 114 100.00 Present study

Novel ethnobotanical records

The results of our study highlighted the new usage of some well-known traditional plants in Serbia and Balkans. These plant species are: Robinia pseudoacacia, Sempervivum tectorum, Taraxacum officinale, Teucrium chamaedrys, Tilia platyphyllos, Urtica dioica, Verbena officinalis and Veronica officinalis. They are used for different purposes: four for medicinal uses (Sempervivum tectorum against headache; Taraxacum officinale for face washing, positive effect on vocal cord, against jaundice; Teucrium chamaedrys for eye ailments, cataract treatment; Veronica officinalis for blood vessels cleansing), one for veterinary use (Verbena officinalis against udder inflammation in cows), one for nutrition (Robinia pseudoacacia breaded as food) and two for other purposes (Tilia platyphyllos for egg dyeing; Urtica dioica for rubbing ear before piercing) (Tables 4, 5 and 6▲).

Interesting information was obtained for the field horsetail, the Equisetum arvense. Although the use of this plant in Serbia and in the Balkans is well known from before, the usage of fertile parts was not mentioned in any of the other ethnobotanical studies. Herbal remedies made from fertile parts are applied in the same way as the sterile parts. The interesting note was on people’s perception of the herb. Usage of the fertile parts was recorded in the village Jakovlje, where women call the plant “štukavac,” because it occurs around St. George’s Day, after which it disappears (Serb. local folk dialect “štukne “ in Eng. fade away) until the next spring. According to the respondent, the fertile part (the spike) of the field horsetail was in fact considered as a different species.

After comparison with studies conducted in Serbia, in addition to the review of available textbooks on medicinal plants, we assumed that 11 species were noted for the first time (marked with asterisk (*) in Tables 4, 5 and 6). Of these 11 species, the application of 4 species—Alcea biennis, Asplenium viride, Kickxia elatine and Xeranthemum cylindraceum, in the folk medicine is novel information for the Balkan region (according comprehensive review of the most relevant ethnobotanical and ethnopharmacological surveys performed in the Balkan region [52,-54,56,57,59,62,63,73–88].

In addition to use in some traditional handicrafts, the Xeranthemum cylindraceum (Fig. 2A) is also used for medicinal purposes. Brooms (aerial parts) are soaked with warm water and applied on the back against fever. There are several studies implying antipyretic activity of members of Asteraceae family [8991]. The effect on health could also be attributed to the specialized metabolites of this species. The essential oil obtained from the aerial parts of the plant represents a terpenoid-rich mixture, with 1,8-cineole, α-terpineol, hexadecanoic acid and caryophyllene oxide as predominant compounds. The guaianolide-type sesquiterpene lactones xerantholide and 11,13-dihydroxerantholide were the major compounds found in the extracts, along with 3-hydroxybenzaldehyde. The sesquiterpene lactone of an eudesmanolide type 11,13-dihydroisoalantolactone and pseudoguaianolide confertin were present in extracts as well [92]. Sesquiterpene lactones, as well as essential oil compounds, exhibit an antipyretic activity [93, 94]. Therefore, the use in folk medicine as mentioned by respondents in our study sounds reasonable.

Fig. 2.

Fig. 2

Novel information for Balkan region regarding usage of four species in the folk medicine. A Xeranthemum cylindraceum Sm. (Photograph by Miletić, M.); B Asplenium viride Huds. (Photograph by Janaćković, P.); C Kickxia elatine (L.) Dumort (Public domain); D Alcea biennis Winterl (Photograph by Miletić, M.)

Asplenium viride (Fig. 2B) leaves are collected and prepared as an infusion. The purpose of the infusion administration is to cure fright. Potential medicinal properties of A. viride, as an antihypertensive drug, were noted in the research on cardiovascular diseases in the Iberian Peninsula and the Balearic Islands [95]. The phytochemical constituents of this plant species have not been sufficiently investigated. Plant with the same name in Serbian, the “strašnik” is Ceterach officinarum Willd. (syn. Asplenium ceterach L.). The etymology of the local name is linked to the “fear” (in Serbian “strah”), which could explain its use as an anxiolytic drug. C. officinarum is known from Serbian textbooks of medicinal plants [9, 96] and from ethnobotanical research [18].

According to our investigation, the Kickxia elatine (Fig. 2C) is used as a herbal remedy for wound healing, mainly for farmers being hurt during their work on the fields. In case of an injury, the plant is applied at the wounded place. There is a similarity in the use of the plant comparing our results with two studies conducted on spatially distant regions. Uses of Kickxia elatine are known from the Italian and Indian ethnobotanical studies. In Italy, it is directly applied to prevent and decrease the feet sweating [97]. The local tribes of the Western Ghats in India use this plant as a hemostatic agent and for wound treatments [98]. There are only a few studies focusing on the phytochemistry of this species. The main identified compounds are the iridoids, namely iridoid glycosides, kickxioside, antirrinoside, antirride, mussaenosidic acid, 5-O-menthiafoloylkickxioside and kickxin [99].

Alcea biennis (Fig. 2D) infusion is made of leaves. According to records obtained in our study, it is utilized for respiratory and digestive system disorders, i.e., for cough treatment, against sinusitis and against intestine diseases. The traditional uses of this species are recorded for Turkey and Iran [100102]. There is much similarity in traditional use of the plant in folk medicine in our and these studies. To the best of our knowledge, Alcea biennis has not been studied from the phytochemical aspect.

Concluding remarks

Both qualitative and quantitative methods are quite valid in ethnobotanical studies. While qualitative data collection allows in-depth exploration of traditional knowledge regarding wild plants, quantitative methods can be useful in the comparison of the efficacy of different data collection methodologies [103]. Quantitative analyses represent a tool for obtaining data comparable to other studies as well as deriving reasonable conclusions based on the data collected. Increasing quantification of ethnobotanical studies has been continuously highlighted by some ethnobotanists [104, 105]. Some authors evaluated the use of Ellenberg values to establish whether there are differences between the environmental preferences of wild medicinal and food plants. Similar quantitative analysis would strengthen the discipline and provide rigorous testing methods [67]. However, some limitations of our work may refer to revealing the group of plants most important to a culture of this area, since we used the quantitative methods to measure individual traditional botanical knowledge, but on the other hand, this is important for comparison, in the future, with ethnobotanical heritage in similar small regions. Also, we performed a multivariate analysis with a clearly defined goal in the first place, to find a connection between plants and their usage, keeping in mind Pieroni's (2002) observation that, in some cases, it is easier to be impressed with this method, but without motivation for its usage in the right way.

High migration rates, depopulation and aging are typical features for rural Balkan areas causing accelerated loss of ethnobotanical knowledge and traditional practices in agriculture. Local inhabitants typically acquire ethnobotanical knowledge from their ancestors (parents, grandparents) and older neighbors in direct contact, which is a medium- and long-term risk for permanent knowledge loss. In addition, informants were concerned about the threatening of ethnobotanical information through its oral transmission and general weak interest of the young.

Some authors implemented a participatory approach in ethnobotanical research [106] where involvement and active participation of the local inhabitants should be included in the decision-making process and sustainable management of plant resources. The necessary actions for the preservation of both ethnobotanical knowledge and resources of medicinal plants in the studied area could be summarized as: a) raising of public awareness on ethnobotanical knowledge and related culture heritage, b) promotion of ethnotourism and traditional herbal remedies, food and beverage products, c) organization of herbal tours and d) creation of a sustainable management plan for economically important plants.

Our study indicated that small and specific areas in the Balkans (rural, abandoned, economically devastated and with high migration rate) may be an important reservoir of ethnobotanical knowledge, providing new information on the traditional use of plants. Results emphasized the great importance of wild plants in the daily life of the natives. Indigenous plants are still significant in traditional medicine. Therefore, there is a necessity to preserve the traditional knowledge of plant use, especially in regard to potential relevance for further pharmacological surveys. New records on use of the wild plants, as well as the way of their processing and combination in traditional remedies and products, confirmed our starting hypothesis on unique features of the study area.

Supplementary Information

13002_2022_566_MOESM1_ESM.docx (179.8KB, docx)

Additional fil 1. Supplementary material.

Acknowledgements

The authors thank the Ministry of Education, Science and Technological Development of the Republic of Serbia for financial support (No. 451-03-68/2022-14/200178 and 451-03-9/2021-14/200116) for the EthnoHERBS-H2020-MSCA-RISE-2018 project.

Abbreviations

BEOU

Herbarium of the University of Belgrade—Faculty of Biology, Institute of Botany and Botanical Garden “Jevremovac”

FL

Fidelity level

FC

Frequency of citation

ICF-FIC

Informant consensus factor

ISE

The International Society of Ethnobiology

JI

Jaccard index

PCoA

Principal coordinate analysis

RCI

Relative cultural importance indices

RFC

Relative frequency of citation

RI

Relative importance index

UV

Use value

WHO

World Health Organization

Author contributions

PJ, MG and ZDS initiated the research concept. PJ, MG, MM and MR wrote the manuscript, organized plant material collection and identified the plant species. MM and MR collected plant material and interviewed the local population. SK statistically analyzed the data. ZDS revised the manuscript. All authors read and approved the final version of the manuscript. The authors kindly thanks to Prof. Dr. Ben-Erik van Wyk for his useful suggestions and comments.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Availability of data and materials

All the needed data collected for this study were analyzed and incorporated into this manuscript.

Declarations

Ethics approval and consent to participate

All the participants have been explained the process and nature of this project and asked to provide oral informed consent.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Footnotes

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Pedja Janaćković and Milan Gavrilović contributed equally to this work.

Contributor Information

Pedja Janaćković, Email: pjanackovic@bio.bg.ac.rs.

Milan Gavrilović, Email: mgavrilovic@bio.bg.ac.rs.

Milica Miletić, Email: milica.miletic@bio.bg.ac.rs.

Maja Radulović, Email: maja.radulovic@bio.bg.ac.rs.

Stefan Kolašinac, Email: stefan.kolasinac@agrif.bg.ac.rs.

Zora Dajić Stevanović, Email: dajic@agrif.bg.ac.rs.

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