@article{fdi:010069986,
  title = {{T}reatment and management of liver diseases by {K}hmer traditional healers practicing in {P}hnom {P}enh area, {C}ambodia},
  author = {{C}hassagne, {F}. and {D}eharo, {E}ric and {P}unley, {H}. and {B}ourdy, {G}enevi{\`e}ve},
  editor = {},
  language = {{ENG}},
  abstract = {{E}thnopharmacological relevance: {L}iver disorders are a major health problem in {C}ambodia, where some patients prefer to seek treatment from traditional healers. {T}he aim of the study was to document the knowledge and practices of these healers in four {S}outhern {C}ambodian provinces. {M}aterials and methods: {A}n ethnopharmacological survey was carried out from {S}eptember 2015 to {J}anuary 2016 in {C}ambodian urban and rural areas. {T}hirty-three {K}hmer traditional healers ({KTH}) were interviewed using a semi-structured questionnaire including socio-demographic data, healer's formation and their professional practice conditions, perception of liver diseases (types and causes of liver disorders, diagnostic methods and symptoms of liver problems), dietary recommendations given to patients, and herbal remedies used to treat them. {F}or each medicinal plant mentioned in herbal remedies, the local name, part of the plant, mode of preparation and administration, and their properties, according to the healers, were recorded. {T}he plants mentioned by the traditional therapists were collected and later identified by specialists. {R}esults: {D}ifferent types of liver disease are identified by the healers, and diagnosis was mostly based on reading medical records, and by observing the yellow discoloration of the skin and eyes. {A} total of 42 herbal remedies including 83 medicinal plants belonging to 40 families were mentioned for treating liver disorders. {T}he most predominant families were {L}eguminosae and {P}oaceae. {A}mong the plants reported, {C}ananga latifolia, {A}ndrographis paniculata, {S}milax aff. glabra, {G}omphrena celosioides, {P}assiflora foetida and {P}hysalis minima were the most cited species. {A} large part of the herbal remedies used were multi-ingredient recipes, and were prepared mainly by a decoction administered orally. {P}lants are combined in multi-ingredient recipes, and selected on the basis of their properties (trocheak, psah, somrap me rok, ktchol) which originate from {K}hmer medical concepts. {M}ost of the plants used by healers have a wide ethnobotanical use for liver disorders, and have been studied for their hepatoprotective activity and related activities on the liver. {C}onclusion: {I}n the diagnosis and treatment of liver diseases, {KTH} have incorporated biomedical concepts and new practices, which suggest that they could be defined as neotraditional healers. {M}edicinal plants constitute the core of traditional medicine practice by these healers, and these plants play a very important role in the health care of people with liver problems in {C}ambodia. {T}herefore, more attention should be paid to the integration of healers in national health care programs for the development of combined therapies. {F}urthermore, two plant species (i.e. {C}ananga latifolia and {W}illughbeia edulis) were found to be widely used for treating liver disorders in our survey, and should be studied for their pharmacological potential for liver problems.},
  keywords = {{CAMBODGE}},
  booktitle = {},
  journal = {{J}ournal of {E}thnopharmacology},
  volume = {202},
  numero = {},
  pages = {38--53},
  ISSN = {0378-8741},
  year = {2017},
  DOI = {10.1016/j.jep.2017.03.002},
  URL = {https://www.documentation.ird.fr/hor/fdi:010069986},
}