Traditional Medicine Practitioners Research Articles

Physician-Patient Narrative Re-discovered from Overseas Traditional Chinese Medicine Practices by Non-Chinese Physicians for Non-Chinese Patients

Abstract: In the past decade, the physician-patient narrative has been revisited and appreciated in both the West and the East because of the negative impact of biochemical medicine in the past two centuries in healthcare. Biochemical medical system simply marginalized physicians and patients(Jewson, 2009). More research and practice of "doctor's benevolence" and "humanistic medicine" have called for the return of the physician-patient narrative. This paper interviewed a few non-Chinese overseas Traditional Chinese Medicine (TCM) practitioners, whose clients were non-Chinese, too. We adopted discourse analysis to explore our data. We found that they actively engaged in physician-patient narrative with localized interpretation of TCM. We believe such a return to basic physician-patient narrative is caused by fundamental needs for physician-patient narrative coincidentally goes along with loose control of TCM practices in the studied countries. This discovery can inspire further study on re-establishing physician-patient narratives in each healthcare institution by re-positioning biochemical medicine.

Phytochemical Analysis, Antioxidant Activity of Wild Medicinal Plants of Himalayan Range

Plants that are indigenous to the Himalayas have been exploited for their therapeutic properties for over 6,500 years. Using their deep knowledge of the local flora and fauna, traditional healers in the region are able to treat a wide variety of maladies with herbal treatments. People who live in rural areas of the Himalayas rely on wild medicinal plants for their health, and we need to do everything in our power to ensure that these plants continue to thrive in the harsh desert climate of the Himalayas. Raw materials that are obtained from wild plants are in high demand all around the world, particularly among pharmaceutical companies, ethnomedics, and practitioners of traditional medicine as well as other medical practitioners. India has been a top exporter of raw herbal medications all over the world. This is mostly due to the number of medicinal plants that can be found in the Himalayas. The aim of this study was to determine the Phytochemical analysis and antioxidant activity of various parts of 20 selected wild medicinal plants, found in the Himalayan regions in India, China, Nepal, Bhutan and Pakistan including Swertia bimaculate, Ficus neriifolia, Rubus treutleri, Periploca calophylla, G. depressa, Buddleja napaulensis, Habenaria edgeworthii, Pyracantha crenulate, Roscoea procera, Allium rubellum, Berberis chitria, Capsella bursa-pastoris, Artemisia maritima, C. glanduliferum, C. distans, Juniperus macropoda, Origanum vulgare, Valeriana jatamansi, Polygonatum verticillatum, Meconopsis aculeate and Fragaria nubicolais. There were several different parts of the species that were examined to determine their total polyphenol, flavonoid, alkaloid, saponin, and tannin concentrations. One fraction of the plant extracts was found to contain a higher quantity of phytochemicals when compared to the other portions. Through the utilisation of the DPPH and FRAP model systems, the antioxidant capacity of a number of different components was assessed. The high-performance liquid chromatography (HPLC) technique can be combined with the DPPH and/or ABTS tests in order to rapidly screen extracts for the presence of active chemicals.

Ethnopharmacological Insights into the Use of Chenopodium ambrosioides for Cough Treatment among Togolese Traditional Healers

Togo has an ethnobotanical potential with a great diversity of medicinal plants widely used to treat human diseases. Cough associated with respiratory diseases is one of the pathologies traditionally treated with medicinal plants in Togo. Chenopodium ambrosioides (L.) is a species used in the traditional treatment of cough in Togo. The aim of this study was to document the ethnopharmacological uses of Chenopodium ambrosioides in Togolese traditional medicine for treatment of cough. An ethnopharmacological survey was conducted using the semi-structured interview method among Traditional Medicine Practitioners (TMPs) from six health districts spread across four health regions. The ethnopharmacological and ethnobotanical data collected were analyzed using the User Value (UV) and Frequency of Citation (FC) of medicinal plants associated with the species. A total of 127 TMPs participated in this study and 96 (76%) of them were male and 31 (34%) were female. 73% of the informants claimed usually use Chenopodium ambrosioides in the cough treatment compared to 27% who claimed to not use it to treat cough. Chenopodium ambrosioides was used in combination with fifty-two (52) other botanical species in the treatment of cough and in the study area, Abrus precatorius Linn. (13.59%) followed by Ocimum gratissimum Linn. (11.58%), Zingiber officinale Rosc. Trans. Linn. (9.73%), Mangifera indica Linn. (6.21%), Eucalyptus citriodora Hooker (4.87%), Xylopia aethiopica (Dunal) A. Rich. (4.36%) and Eugenia caryophyllata Thunb. (4.19%) were the most popular plants used for cough treatment among the plants recorded. Sixteen (16) other pathologies including pulmonary infections are also treated by Chenopodium ambrosioides (L.). Abscesses, intestinal parasitic diseases, incurable wounds, stomach aches and headaches are the most pathologies commonly treated by this plant. The whole plant (72%) and leaves (22%) are the primary parts utilized for medicinal purposes. Decoction (77.50%) is the main preparation method, with oral (80.83%) and cutaneous (10.83%) routes being the most common modes of administration. The findings from this study provide a solid ethnopharmacological foundation for future pharmacological and toxicological investigations into Chenopodium ambrosioides (L.).

Strengthening the traditional medicine regulation, education and practice in Nigeria

Background: Despite tremendous advances in medical sciences still a large section of the population in rural areas is heavily dependent on indigenous and Traditional Medicine (TM) for treatment. Moreover, there has been a resurgence of interest in the use of Complementary and Alternative Medicine (CAM), globally. Objective: To review the overall regulator structure for the control of TM and the course curriculum for TM education in Nigeria. Method: Information on CAM and TM was collected via online search. Results: Responding to this unprecedented situation government of many countries have taken proactive steps to streamline and regulate the practitioners of CAM and TM in their countries as mandated by WHO. In many African countries because of the availability of research and training programs many traditional herbal medicines are now being sold over the counter. However, the situation is different in Nigeria, even though TM is very popular across the country, structured institutionalized teaching and research activity on TM are inadequate. Conclusion: Health is a key component in determining the Human Development Index (HDI) of a country. CAM and TM practitioner may play an important role in improving the HDI score of the country. Government-sponsored education & training program for TM practitioners is crucial.

Calming the Wind: A Traditional Chinese Medicine Practitioner's Approach to Wartime Acute Stress Disorder Symptoms.

In this narrative essay, a traditional Chinese medicine (TCM) practitioner describes the challenge of treating three survivors of a terror attack, all of whom were presenting various symptoms of acute stress disorder (ASD). Working in new and exceptionally demanding circumstances - with thousands of people injured in an extensive and direct terror attack, with relatives taken hostages and entire communities evacuated from their homes - the practitioner looked for an effective treatment strategy to alleviate symptoms of stress response. He found it in the interface between TCM and the function of the autonomic nervous system.

Pengaruh kepercayaan dan kearifan tempatan terhadap amalan perubatan tradisional masyarakat Kadazandusun [The influence of local beliefs and wisdom on traditional medicine practices of the Kadazandusun community

This study aims to identify the influence and belief of local wisdom in the traditional medical practices of the Kadazandusun community in Sabah. The research methodology used is a qualitative field study and data is collected from informants who are identified and reside in several districts in Sabah. An instrument that is an individual interview method (in-depth interview) through recording. The researcher obtains information from the respondent through the village head. They are traditional medicine practitioners who are a reference in the village based on their expertise in terms of the local beliefs and wisdom of the supporting community. The results of the study found that local beliefs and wisdom from previous ancestors contribute to the knowledge and information of traditional medical practices that have been inherited by the supporting community from generation to generation. The implications of the study, the effectiveness of the traditional medical methods that were inherited caused the supporting community to believe that the medical practice is still practiced to this day. In conclusion, skills in the method of preparing medicines from plants as well as the ability to interpret certain meanings can be used for traditional medicinal purposes. Through the study, it is expected that with the existence of several Kadazandusun language lexical items such as sogit (fine according to custom), bobolian (shaman), kombura (white chicken), sunduan (spirit) and so on help to form sources of terms in the Malay language as well as in various fields of knowledge knowledge related to the life of today's society such as animal husbandry, agriculture, nature and animals, plants, carpentry and so on.

Survey on the Current Status of Elderly Health Services in 1,305 Medical Institutions in Guangxi.

To investigate the current status of elderly health services in medical institutions at all levels within Guangxi Province, China. Using a purposeful sampling method, a questionnaire survey was conducted from July 24, 2023 to October 24, 2023 on the general situation, human resources, rehabilitation medicine, nursing services, and the development of hospice care at 1305 medical institutions in Guangxi. Among the surveyed 1305 medical institutions in Guangxi, 172 (13.18%) had established departments of geriatrics, while 293 (22.45%) boasted departments of rehabilitation medicine. Furthermore, 909 (69.66%) of these institutions offered annual free physical examination services to individuals aged 65 and above. Notably, a total of 362 medical institutions, encompassing both comprehensive hospitals and grassroots hospitals, were recognized as elderly-friendly institutions, accounting for 31.4% of the surveyed sample.The highest demand for talents in medical institutions at all levels included specialized physicians/general practitioners (74.6%), traditional Chinese medicine practitioners (63.1%), rehabilitation therapists (56.1%), and specialized nurses for the elderly (41.7%). A total of 1038 medical institutions conducted popular science activities on elderly health, accounting for 79.5% of the total, focusing mainly on disease prevention (89.21%), nutritional diets (84.68%), rational medication use (79.77%), physical exercise (68.21%), and mental health (60.79%). Only 88 medical institutions provided hospice care services, accounting for 6.7% of the total. Guangxi medical institutions' elderly services are inadequate. Geriatrics and rehab departments are scarce, talent is lacking, and hospice care is underdeveloped. As aging accelerates, the country and society must support elderly care. Governments should introduce talent incentives, and medical institutions should enhance services, foster a positive work environment, and advance Guangxi's elderly health agenda.

Quantifying non-target seahorse fisheries and domestic traditional medicine-based trade in Malaysia

Seahorses (Hippocampus spp.) are sold primarily for traditional medicine (TM) uses in Southeast Asia. Although Malaysia is reportedly an important global seahorse exporter, documentation on the current extent of seahorse catch and trade of seahorse-based TM within the country is limited. This study aimed to quantify patterns of seahorse bycatch, gear-specific biological parameters of caught seahorses, and trade characteristics in Malaysia. Questionnaire-based fisher and TM surveys were administered nationwide from March 2021 to March 2023. Seventy-one percent of fisher respondents (612 out of 860) reported catching seahorses, with gill or drift net fishers (73 %) more likely to have caught seahorses than trawlers (12 %). Significant spatial differences in species composition was observed between Peninsular Malaysia and Malaysian Borneo (Sabah state). The total estimated annual seahorse catch within Malaysia was approximately 3376 kg per year, with 77 % of the catch attributed to gill or drift nets and 23 % to trawling operations. Almost half (40 %) of traditional Chinese medicine (TCM) practitioners/ traders (n = 138), 3 % of Malay TM practitioners (n = 3), and 88 % of other TM traders (n = 7) reported selling seahorse species. This study is one of the first to quantify the often overlooked but critical contribution of small-scale fisheries, especially gill and drift nets, towards seahorse bycatch. The current supply volume and selling price of seahorses were observed to be relatively high, while the present-day demand was reportedly low. Almost half of TCM practitioners/ traders interviewed were still actively selling seahorses, indicating that there is still considerable demand. To ensure the sustainability of seahorse populations in Malaysia, efforts in both small-scale and trawl fisheries must be reduced while strictly enforcing seahorse trade regulations.

Antimicrobial activity, toxicity and retrospective clinical effectiveness of Kantinka BA and Kantinka Herbaltics, two multi-component-herbal products used in the management of infectious diseases in Ghana

There is an upsurge in the incidence of persons living with infectious diseases and their associated symptoms. Also, there is increased resistance and high cost of available synthetic antimicrobial therapeutic agents. This calls for screening candidate herbal products to examine the risk-to-benefit ratio for users. Moreover, there are inadequate proven scientific studies to assess the quality, effectiveness, and toxicity of herbal products that traditional medicine practitioners in Ghana commonly use for the management of infectious diseases such as those caused by Neisseria gonorrhoeae, Candida albicans and the symptomatic management of symptoms associated with infections like cough, skin infections among others and gastritis. Kantinka BA and Kantinka Herbaltics, two multicomponent herbal products, have been used to manage the above-mentioned disease conditions. The study aims to evaluate the in vitro antibacterial activity, assess the retrospective clinical effectiveness (clinical responses; the disappearance of presenting signs and symptoms associated with infections, gastritis), and the quality and toxicity of Kantinka BA and Kantinka Herbaltics. The products are registered by the Food and Drugs Authority (FDA). Data on 200 patients who were diagnosed with infectious diseases such as Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS) and associated symptoms from January 2018 to June 2018 was obtained from the Adom Herbal Clinic, and the Tafo Government Herbal Medicine Records Unit was assessed. The antibacterial activity of the products was evaluated using the HT-SPOTi method. Phytochemical screening, microbial load, and pH were carried out according to standard procedures. Acute toxicity was carried out according to the Organization for Economic Cooperation and Development (OECD) guideline 425. Phytochemical screening, pH, and microbial load have been established for both products. Binding toxicity studies revealed that the products are non-toxic at a 2000 mg/kg dose. The two products exhibited antimicrobial activities against the test organisms with Minimum Inhibitory Concentration (MIC) and Minimum Lethal Concentration (MLC) determined for Kantinka BA and Kantinka Herbaltics as 5% and 10% and <80, respectively, against C. albicans and N. gonorrhoeae - the signs and symptoms associated with infections disappeared during the management period. The products are safe and may effectively manage some infectious diseases and associated symptoms.

Ethnobotanical Assessment of Herbal Medicine Practices for Cancer Treatment among Traditional Medicine Practitioners in Kenya

Traditional Medicine Practitioners (TMPs) play a vital role in healthcare delivery across Africa, including Kenya. They frequently use herbal remedies to address various ailments, including cancer. However, this practice raises global public health concerns due to the lack of adherence to established policies and guidelines, which poses risks to users. In low-income countries like Kenya, where conventional cancer treatments are often prohibitively expensive, many patients turn to herbal remedies. This situation underscores the need for standardization and monitoring of traditional medicine practices to mitigate risks associated with contamination, improper dosage, and misdiagnosis. Additionally, there is a significant gap in the systematic documentation and scientific validation of these practices. This study aimed to explore the ethnobotanical knowledge and practices of TMPs in Kenya regarding herbal medicine for cancer treatment. The specific objectives were to: Assess the medicinal plants used by TMPs, assess the Practice TMPs' in cancer treatment and Determine TMPs' compliance with WHO guidelines for cancer treatment. A cross-sectional study design, guided by the plant use value theory, was employed. Using purposive sampling, 53 TMPs from five counties were selected in proportion to the county TMP populations. Data were collected through semi-structured questionnaires, observational check list, and Key Informant Interviews. Quantitative data were analysed using SPSS version 28, including descriptive statistics, means, standard deviations, figures, and proportions, presented through graphs and tables. The study identified 58 unique plants from 14 families. Roots were the most commonly used plant parts (20.6%) for cancer management. Decoctions were the primary preparation method (35%), while poultices were the least used (14.7%). Oral administration was the predominant method. TMPs most frequently treated prostate and throat cancers (20.7%), followed by breast cancer (17.2%). Most new patients (76.9%) were referred by others, with minimal use of modern advertising methods such as social media. Women sought TMP services more than men. Most practitioners (92.3%) planned to pass their knowledge to their descendants. However, compliance with WHO guidelines was low, at only 27%. The study highlights the extensive use of herbal remedies by TMPs in Kenya but also reveals significant issues in practice. There is minimal formal supervision and monitoring of traditional medicine practices, and most TMPs lack formal training, relying instead on inherited knowledge. Awareness and adherence to WHO guidelines are notably low.The health act policy no. 21 of 2017 which empowered the department of Health to provide policies and regulatory institutions that guide the practice of traditional and alternative medicine needs to be implemented by Government. Furthermore, TMPs need to be trained by WHO on best practices of usage of herbal medicines in cancer treatment, the regulatory bodies in Ministry of Health under surveillance therein should provide guidance on registration, licensing and standards, and ensure compliance of TMPs.

Prevalence and Socio-demographic Variations in Traditional Medicine Use: A Study from East Nile Locality, Sudan

Traditional medicine (TM) remains a cornerstone of healthcare in Sudan, across urban and rural settings. We explored TM use and its association with socio-demographic characteristics (age, sex, education, economic status, and residence) in East Nile locality (ShargAlneil), Khartoum State. A survey encompassing 609 households (44.7% rural, 55.3% urban) revealed a high prevalence of TM use: over 80% reported using at least one form. Notably, significant socio-demographic variations emerged. Individuals with higher education leaned towards herbalists (p<0.05), while those with lower education favored religious healers (p<0.05). Similarly, older adults preferred religious healers (p<0.05), while males tended to choose herbalists (p<0.05). The most common ailments preferred to be treated by TM practitioners were spiritual and psychological issues, bone injuries, stomachaches, and headaches. Conversely, conditions like malaria, diabetes, hypertension, and heart disease were primarily preferred to be managed by modern medicine. This study highlights the widespread use of TM across diverse demographics, with preferences for specific types of practitioners. It also underscores a selective trust in modern medicine for certain diseases. Integrating socio-demographic and cultural perspectives into healthcare delivery can enhance understanding of community needs and guide the development of appropriate interventions. Further research is warranted to delve deeper into the reasons behind these variations in treatment preferences.

An Image Dataset and an Effective Detection Algorithm for Human Body Acupoints

With the development of artificial intelligence, computer vision technology has been widely used in the fields of security monitoring, automatic driving and wisdom city. However, there has not been a research on the detection of the meridians in human bodies by using the computer vision technology. In order to promote the use of the computer vision technology in human meridian detection, this paper first releases a dataset based on human meridians, which makes up for the gap in the field of human meridian detection using image processing technology. Moreover, the human meridian detection dataset is manually annotated and proofread by experienced Traditional Chinese Medicine (TCM) practitioners according to the position and direction of the human meridians, so that the annotated human meridians are as accurate as possible. The released human meridian dataset label’s 12 meridians, including spleen meridian, pericardium meridian, stomach meridian, lung meridian, heart meridian, kidney meridian, gallbladder meridian, liver meridian, triple energizer meridian, bladder meridian, large intestine meridian and small intestine meridian. A total of 296 acupoints were labeled. At last, this paper proposes a method for data augmentation, especially for datasets with a small amount of data, wherein the data amount can be augmented by enhancing the underlying edge visual features of the data. Experimental results show that human meridians can be detected by using image processing technology, and the proposed method for data augmentation can effectively improve the detection accuracy of human meridians. The dataset can be downloaded from https://www.zksylf.com/col.jsp?id=127 .

TCM practitioners’ attitudes and perceptions regarding the use of Ephedra sinica Stapf: An observational study

ObjectiveTo understand the attitudes and perceptions of traditional Chinese medicine (TCM) practitioners in Beijing TCM hospitals regarding the use of Ephedra sinica Stapf (E. sinica, Ma Huang). MethodsA two-stage cross-sectional study was conducted using a questionnaire survey of TCM practitioners in Beijing TCM hospitals between April 2023 and March 2024. The questionnaire included demographic information, the clinical background of TCM practitioners, and the clinical application of E. sinica. Logistic regression analysis was used to analyze the relevant influencing factors when using E. sinica. ResultsOf the 465 questionnaires collected, 441 were valid. Among these, 84.81% (374/441) reported having used E. sinica in clinical practice at least once. The commonly used doses of E. sinica—excluding the pediatric department—were 10 g for high doses, 6 g for medium, and 3 g for low. The three most frequently used formulas for E. sinica included Maxing Shigan decoction, Mahuang decoction, and Xiao Qing Long decoction. The most common TCM patterns treated with a high dose of E. sinica were wind-cold fettering the exterior, wind-cold invading the lung, and cold congealing in the meridian. The top three Western medical diagnoses when using E. sinica for treatment were common cold, pneumonia, and upper respiratory tract infections. Nearly half of the respondents reported experiencing adverse reactions from the oral administration of E. sinica, with the most common being palpitations, insomnia, and restlessness. Starting with a low dose and gradually increasing it as appropriate was identified as an effective approach. According to the respondents, the most important factor affecting the efficacy of E. sinica is the dose used. ConclusionThis study investigated the attitudes and perceptions of TCM practitioners in Beijing TCM hospitals regarding the dose–efficacy–adverse reaction relationship of E. sinica, providing a reference for the safe and effective clinical use of E. sinica.

Cross-cultural study on the uses of traditional herbal medicine to treat various women's health issues in Northeast India

BackgroundThis cross-cultural study conducted in the diverse regions of Assam, Meghalaya, and Manipur sheds light on the common utilization of five specific medicinal plants among indigenous communities residing in these areas. ObjectivesThe main focus of this study is to document and compare the traditional medicinal plant used and the knowledge and practices related to women's health issues in different cultures; to identify commonalities and differences in the use of medicinal plants across cultures and various medicinal plants used traditionally by the indigenous communities to treat women's health problems according to their indigenous name, scientific name. Materials and methodsThe study used a survey method and a pre-structured interview schedule through one-on-one interactive communication and field observation. The authors collected data from three different states, i.e., Assam (Karbi Anglong district & Udalguri district), Meghalaya (East Khasi Hills district), and Manipur (Senapati district) by personally meeting and interacting with traditional herbal medicinal practitioners. For this study, 10 practitioners from each area of study were interviewed. During the data collection process, the vernacular name of the medicinal plant, methods of preparation, mode of application, and probable dosage were compiled and documented involving practitioners belonging to four different communities, i.e, Bodo, Karbi, Khasi, and Poumai Naga of the selected states. ResultsA total of 39 plant species were meticulously collected and documented across the Karbi Anglong district and Udalguri district in Assam, East Khasi Hills district in Meghalaya, and Senapati district in Manipur. Turmeric (Curcuma longa), ginger (Zingiber officinale), gooseberry (Emblica officinalis), papaya (Carica papaya), and passion fruit (Passiflora edulis) have emerged as common medicinal resources within these communities. Poaceae, represented by 5 species, emerged as the dominant family among the collected plants, highlighting the diversity and significance of these botanical remedies. Zingiber officinale Roscoe " has the highest usage report of 18 with an RFC (Relative frequency citation) of 0.45. ConclusionThe study's findings reveal a rich repository of traditional herbal knowledge in the northeast regions of India. Notably, the indigenous communities of these regions use plant resources to cure a wide range of ailments. This study emphasizes the necessity of documenting, preserving, and transmitting traditional herbal medicinal knowledge for both cultural and practical reasons. It also provides vital insights into the importance of cross-cultural study in promoting different cultures, the richness of traditional medicinal knowledge by engaging with diverse cultures and demonstrates the possibilities for incorporating traditional medicine into modern healthcare systems, particularly in treating women's health issues across these culturally diverse regions.

Ethnomedical Study of Traditional Medicinal Plants for Cough and Tuberculosis (TB) of the Helong Tribe on Semau Island, Kupang Regency, East Nusa Tenggara

The Helong people in Kupang Regency, NTT Province, have experienced being exposed to cough and tuberculosis (TB). Therefore, it is believed that this community has also long since developed their local knowledge and traditional ways to prevent and treat the disease. In general, this study aims to analyze and find the concept of the Helong Tribe community and ethnomedical practices for the prevention and treatment of cough and tuberculosis (TB). This research is a medical anthropology research using a qualitative research method with an ethnographic approach, which is supported by laboratory research and literature studies. Field research was carried out on Semau Island, NTT Province, involving traditional medicine. The results of the research conducted in the form of interviews with traditional medicine practitioners in the Helong tribe obtained as many as 31 plants used in treatment, and there were 3 plants used to treat cough, including hemorrhagic cough/tuberculosis, namely plants: white banyan (Ficus benjamina L), mesocarp palm fruit (Borassus flabellifer L.) and white flower (Clerodendrum costatum R.Br). The three plants that are suspected to have the ability to treat cough and cough up blood carried out preliminary tests of antibacterial activity against bacteria that generally cause stones, namely Staphylococcus aureus bacteria. The results obtained for ethanol extract of white banyan leaves (Ficus benjamina L) with a concentration of 25% b/v with a diameter of 16.53 mm, 50% b/v with a diameter of 16.33 mm, and 75% b/v with a diameter of 16.56 mm. Mesocarp ethanol extract of palm fruit (Borassus flabellifer L.) At a concentration of 25% b/v with an inhibitory zone diameter of 11.60 mm, a concentration of 50% b/v with an inhibitory zone diameter of 12.30 mm, a concentration of 75% b/v with an inhibitory zone diameter of 13.40 mm, for white flowers (Clerodendrum costatum R.Br) at a concentration of 25%b/v with an inhibitory zone diameter of 9.41 mm, a concentration of 50% b/v of 10.36 mm and a concentration of 75% b/v of 11.24 mm. This means that the three plants have antibacterial activity against Staphylococcus aureus bacteria. Furthermore, for the antibacterial activity test against Mycobacterium tuberculosis bacteria for white banyan plants (Ficus benjamina L.), mesocarp of palm fruit (Borassus flabellifer L.), and white flowers (Clerodendrum costatum R.Br) by the MODS (Microscopically Observed Drug Susceptibility) method, it was obtained that the three plants at concentrations of 250 ppm, 500 ppm, and 1000 ppm were only seen to have the growth of Micobacterium tuberculosis bacteria in the second week. Passive control with INH observation until week IV did not see any bacterial growth, while for negative control in the first week, the growth of Mycobacterium tuberculosis bacteria was seen. It can be concluded that a concentration greater than 1000 ppm is needed for the three plants to inhibit the growth of Mycobacterium tuberculosis bacteria.

Medicinal Plants Used in the Traditional Treatment of Cancer in the District of Bamako, Mali

Aims: This study goaled to enhance the value of traditional medicinal plants used in cancer treatment. Place and Duration of Study: An ethnobotanical survey was conducted in fifteen markets of Bamako district's, from February to August 2023. Methodology: The surveys involved the traditional medicine practitioners in Bamako based on a well semi-structured questionnaire. The information about the cancer and the plant species used to manage it, the mode of use and preparation in addition to the social characteristics of respondents were gathered. Results: A total of 172 traditional health practitioners were questioned in this study with a predominance of female (72.7%). Among the types of cancer known by the respondents, the breast cancer topped the list with 63.48%, followed by the cervical (21.34%) and prostate (8.42%) cancer. Twenty-seven (27) plant species belonged to 19 botanical families were used by these people to treat the cancer. Ximenia americana Linn, Cola acuminata F and Strychnos spinosa Lam were the most frequently cited species, with a frequency of 51.85%. The most represented botanical families were Fabaceae and Acanthaceae. The leaves (34%) were the most widely used medicinal plant parts, followed by leafy branches (20%) and roots (16%). For the preparation of medicinal recipes, 44.44% of the respondents recommended mainly the decoction (44.44%) and spraying (41.70%), These recipes are generally administered by oral route (32.69%) and specific bath (30.76%). Conclusion: These results constitute a preliminary step to the assessment of the anti-cancer properties of some of these registered plant species.

Establishment of an HPLC Fingerprint and Cluster Analysis for Miao Ethnic Medicine Osbeckia opipara

: Osbeckia opipara, a traditional Miao medicine, is commonly used by the renowned national-level Chinese Traditional Medicine practitioner Zhengshi Wu for the treatment of diarrhea due to its strong antioxidative, anti-inflammatory, and antidiarrheal effects. This study aimed to establish a high-performance liquid chromatography (HPLC) fingerprint for O. opipara to provide new evidence and technical means for the scientific evaluation and effective quality control of O. opipara. The procedure involved isolation with a Nano ChromCore C18 column (250 mm × 4.6 mm, 5 μm), using a gradient elution of 0.1% formic acid in water and 0.1% formic acid in acetonitrile as the mobile phase, with a flow rate of 1.0 mL/min, a column temperature of 30°C, an injection volume of 10 μL, and detection at a wavelength of 254 nm. Under these chromatographic conditions, fingerprint analysis was conducted on 11 batches of O. opipara collected from different origins. The National Pharmacopoeia Committee developed the 'Chromatographic Fingerprint Similarity Evaluation System' (2004A version) for automated comparison, similarity computation, and analysis of chromatographic data. The results revealed 13 common peaks across the 11 batches of O. opipara samples, with a similarity to the automatically generated reference spectrum exceeding 0.9. SPSS 26.0 software was used to conduct cluster analysis on the peak areas of the 13 common peaks. The observations indicated that the reference spectrum generated from the 11 batches could serve as the standard fingerprint profile for O. opipara, providing sufficient characteristic information extraction.

The Provision and Perceptions of Telemedicine Services Among Traditional Chinese Medicine Practitioners During COVID-19: A Cross-Sectional Study in Hong Kong, China.

Objectives: Telemedicine has been widely used during the COVID-19 pandemic. Among other health care professionals, Chinese medicine practitioners (CMPs) face practical challenges in providing telemedicine consultations. This study aims to explore CMPs' experience and perceptions of telemedicine service provision before and during the pandemic. Methods: A territory-wide cross-sectional online survey was conducted in Hong Kong between April and May 2022. A structured questionnaire with open-ended questions was used to investigate the provision of and perception on telemedicine service, as well as usability of telemedicine among CMPs. Results: A total of 195 CMPs participated the survey. Before COVID-19, 42% (81/195) had been providing telemedicine services, and the proportion doubled during COVID-19. CMPs in the private sector are the main providers. Mobile apps including WhatsApp, WeChat, and Zoom were commonly used for consultations (75%, 120/161). Barriers in providing telemedicine included inability of conducting physical examination on patients (69%, 134/195), legal and ethical concerns over medical negligence (61%, 118/195), and patients' incompetence on e-literacy (50%, 98/195). Respondents urged professional and regulatory bodies to provide an explicit clinical guideline that demonstrate best practice in traditional Chinese medicine telemedicine, and to clarify legal and ethical implications of such practice. Conclusions: CMPs demonstrated their competency in telemedicine, and most of them provided telemedicine during COVID-19. Development of appropriate guidelines on the provision of telemedicine would support CMPs to continue provision after the pandemic, whereas a user-friendly and comprehensive telemedicine e-platform would enhance quality of such service. Facilitating patients with lower e-literacy to access telemedicine is key to reduce disparities.

Assessing the role and impact of research in clinical practice among acupuncturists in western countries: a multinational cross-sectional survey.

Evidence-informed practice is crucial to perform safe and efficient health interventions. In recent years, the evidence base of acupuncture continuously increased leading to the integration of acupuncture into clinical guidelines by various leading medical associations worldwide. At the same time, recent studies showed that licensed acupuncturists are rarely utilizing scientific research to inform their practice. This descriptive study using an online survey assessed the role of evidence-informed practice of acupuncturists in Austria, Germany, the United States of America, Australia, and New Zealand and aimed to determine critical factors relevant for promoting research literacy including demographical data, data about the clinical practice patterns, and the role and value of different information sources of traditional, complementary and integrative medicine (TCIM) practitioners. In total, 404 acupuncturists completed the online survey that included questions about demographic characteristics, the role and value of research in clinical practice, and details about the amount and type of continuing professional education. Univariate and multivariate analysis was used to determine significant predictors of the outcome variable "importance of research in clinical practice" (numerical rating scale, 0 to 100). The results showed that the majority of acupuncturists use certified courses as primary source of continuing professional education and value experts' opinions as the most reliable source of information. Multivariate analysis showed that the importance of research is dependent on the interest in research, an interdisciplinary learning environment, and positive experiences with research including if an acupuncture study ever changed the clinical practice of practitioners. Future educational programs should therefore focus on an interactive format aiming to promote skills to critically assess the value and practical use of research studies to improve the general practice of acupuncture.

A protocol for a multidisciplinary early intervention during chemotherapy to improve dietary management behavior in breast cancer patients: a two-arm, single-center randomized controlled trial

BackgroundAdverse reactions are prone to occur in the early stage of chemotherapy and can negatively affect the dietary intake and nutritional status of breast cancer (BC) patients. Consequently, they need to participate in health self-management and lifestyle promotion programs. Early multidisciplinary interventions aim to enhance dietary management behavior and quality of life in chemotherapy-treated BC patients.MethodsThis single-blinded, single-center, randomized controlled trial will include 88 females who have not yet started the early or middle stage of the chemotherapy cycle. A random number table will be used randomly assign females to the intervention group or usual group at a 1:1 ratio. The intervention elements are based on the theoretical guidance of the Integrated Theory of Health Behavior Change (ITHBC). A multidisciplinary team (MDT) comprising oncologists, dietitians, nurses, traditional Chinese medicine (TCM) practitioners, and psychologists will provide the intervention. Intervention sessions will be conducted once a week for 8 weeks, beginning in the early or middle stage of the chemotherapy cycle and continuing through admission and a home-based interval chemotherapy period. The intervention includes face-to-face discussions, online meetings, WeChat messaging, and telephone calls. The themes target adverse reactions, dietary information and habits, self-care self-efficacy, treatment self-regulation, dietary supplement and TCM use, social support, weight management, and outcome expectations. The primary outcome is dietary management behavior measured by the Dietary Management Behavior Questionnaire (DMBQ). Secondary outcomes are self-care self-efficacy assessed by the Strategies Used by People to Promote Health (SUPPH); quality of life measured by the Functional Assessment of Cancer Therapy-Breast (FACT-B); and body mass index (BMI) measured by an electronic meter. All participants will be assessed at baseline and immediately, 1 month, 3 months, 6 months, and 12 months after the intervention.DiscussionEarly dietary intervention is needed, as diet is one of the most common health self-management behaviors influenced by chemotherapy. Early multidisciplinary interventions may provide a foundation for dietary self-management and improve nutritional status in the survival period.Trial registrationThis intervention protocol was registered with the Chinese Clinical Trials Registry (ChiCTR2300076503, October 10, 2023).