@article{fdi:010085129, title = {{P}olynesian medicine used to treat diarrhea and ciguatera : an ethnobotanical survey in six islands from {F}rench {P}olynesia}, author = {{C}hassagne, {F}ran{\c{c}}ois and {B}utaud, {J}. {F}. and {T}orrente, {F}. and {C}onte, {E}. and {H}o, {R}. and {R}aharivelomanana, {P}.}, editor = {}, language = {{ENG}}, abstract = {{E}thnopharmacological relevance: {I}n {F}rench {P}olynesia, many pathologies common or endemic to the territory cause diarrhea. {T}his is the case for rotavirus gastroenteritis, salmonella food poisoning, ingestion of water contaminated by bacteria, and ciguatera. {T}o treat these ailments, the population may employ traditional medicine for cultural reasons, geographical isolation, and poor health coverage. {P}olynesian remedies are often used without medical consultation and there is no data on their benefit-risk balance. {A} few ethnobotanical studies have been carried out in order to identify the traditional remedies used for various ailments, but few studies have focused on gastrointestinal pathologies. {I}n this context, an ethnobotanical survey was carried out to identify treatments used for diarrhea and ciguatera, inventory the plants used, better understand the local representation of these remedies, and provide efficacy and safety data on these uses. {M}aterials and methods: {F}rom {F}ebruary to {A}pril 2021, a semi-structured survey was conducted on six islands in {F}rench {P}olynesia, including one island in the {W}indward {I}slands archipelago ({T}ahiti), three islands in the {M}arquesas archipelago ({H}iva {O}a, {N}uku {H}iva, {T}ahuata), and two islands in the {L}eeward {I}slands archipelago ({R}aiatea, {T}ahaa). {A} total of 133 people was interviewed including 34 specialists (of which 29 experts in herbalism). {R}esults: {T}hese people mentioned the use of 27 plants for the treatment of diarrhea, and 24 for the treatment of ciguatera. {C}itrus aurantiifolia, {P}sidium guajava and {C}ordyline fruticosa were the three most cited plant species used for treating diarrhea, while {C}ocos nucifera, {P}unica granatum and {B}arringtonia asiatica were the most cited for ciguatera. {A} large majority of plants are widespread and introduced plants, which is congruent with the history of {P}olynesian people. {W}hile some plants are well known for similar uses (e.g. {P}sidium guajava for diarrhea, {H}eliotropium arboreum for ciguatera), others are less well known and may present toxicity risks (e.g. {B}arringtonia asiatica for ciguatera). {C}onclusion: {T}raditional {P}olynesian medicine is an integral part of the local culture so important to be preserved and valued. {H}owever, more pharmacological and toxicological studies are still needed to determine the benefitrisk balance of some of these remedies and to allow their official integration into the {P}olynesian health system.}, keywords = {{F}rench {P}olynesia ; {M}arquesas islands ; {S}ociety islands ; {E}thnobotany ; {I}ntestinal disorders ; {H}ealers classification ; {POLYNESIE} {FRANCAISE} ; {MARQUISES} ; {SOCIETE} {ILES}}, booktitle = {}, journal = {{J}ournal of {E}thnopharmacology}, volume = {292}, numero = {}, pages = {115186 [17 p.]}, ISSN = {0378-8741}, year = {2022}, DOI = {10.1016/j.jep.2022.115186}, URL = {https://www.documentation.ird.fr/hor/fdi:010085129}, }