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ARTIGO ORIGINAL
Ethnobotanical survey of medicinal plants used by the population in the
neighborhoods South of the city of Anápolis, Goiás State, Brazil

Debborah Gonçalves Bezerra1 ; Roberta Rosa de Souza1 ; Eva Aparecida Prado do Couto1 ; Vitor Ribeiro
Novaes1 ; Moisana Borges Ribeiro1 ; Charlys Gonçalves de Souza1 ; Géssica A. Rodrigues1 ; Cintia C.
Melo1 ; Emival Pinheiro Agra Júnior1 ; Iriamar Costa Fernandes1 ; Elton Fialho dos Reis1 ; Giuliana M. Vila
Verde1 ; Josana de Castro Peixoto1 ; Mirley Luciene dos Santos1 ; Joelma Abadia Marciano de Paula1*
1
Universidade Estadual de Goiás, Campus de Ciências Exatas e Tecnológicas, Anápolis, GO, Brasil. *To whom
correspondence may be addressed: joelma.paula@ueg.br

ABSTRACT: The aim of this study was to identify the major medicinal plants and their primary
uses in an urban community encompassing the South neighborhoods of Anápolis, Goiás State,
Brazil. Structured interviews were applied to 352 residents of both genders, randomly selected.
The informant consensus factor (ICF), relative importance (RI) and percentage of the corrected
Agreement related to the Main Uses (cAMU) were calculated. A total of 120 species belonging to
45 families were recorded. Based on the ICF calculation, the nervous (0.88), respiratory (0.82)
and digestive (0.81) systems were identified as the most important body systems treated by
medicinal plants. For species with cAMU values above 20%, the majority of the “main uses”
and “parts of the plant” cited by the interviewees coincided with those recognized by official
Brazilian literature. The three species with the highest RI were Plantago L. (1.6), Aloe vera (L.)
Burm. f. (1.4), and Vernonia polyanthes (Spreng.) Less. (1.3).
Keywords: cAMU, ethnobotany, medicinal plants, urban communities.

RESUMO: Levantamento etnobotânico de plantas medicinais utilizadas pela população


de bairros da região sul da cidade de Anápolis, Goiás, Brasil. O objetivo deste estudo foi
identificar as principais plantas medicinais e seus usos primários em uma comunidade urbana
que abrange os bairros situados ao sul da cidade de Anápolis, Goiás, Brasil. Para tanto, foram
aplicadas entrevistas estruturadas a 352 residentes de ambos os sexos, randomicamente
selecionados. Foram calculados o Fator de Consenso do Informante (FCI), a Importância
Relativa (IR) e a Concordância do Uso Principal corrigida (CUPc). Foram registradas 120
espécies vegetais pertencentes a 45 famílias. Com base no cálculo do FCI, os sistemas nervoso
(0,88), respiratório (0,82) e digestivo (0,81) foram identificados como os sistemas corporais
mais importantes tratados com plantas medicinais pelos moradores da região sul de Anápolis.
Para as espécies com valores de CUPc maior que 20%, a maioria dos “usos principais” e “das
partes das plantas” citadas pelos entrevistados coincidiram com aqueles reconhecidos por
literaturas brasileiras oficiais. As três espécies com maiores valores de IR foram Plantago L.
(1.6), Aloe vera (L.) Burm. f. (1.4), Vernonia polyanthes (Spreng.) Less. (1.3).
Palavras-chave: CUPc, etnobotânica, plantas medicinais, comunidades urbanas.

INTRODUCTION
The Alma-Ata Conference, which was expensive healthcare systems created over time
convened by the World Health Organization in these countries (WHO, 1978; Leite, 2009). In
(WHO), in 1978, was a remarkable event for addition, the publication of the document entitled
the consolidation of knowledge on the use of “Traditional Medicine Strategy 2002-2005” by the
medicinal plants by different populations of the WHO reaffirmed their commitment to encouraging
world with regard to the diversity of cultural values. the Member States to formulate and implement
Thereafter, the WHO began to encourage the public policies for the rational and integrated use of
use of phytotherapy, especially in developing traditional and complementary/alternative medicine
countries, as a complementary health practice to in national healthcare systems and develop scientific
reduce the harmful and exclusionary impacts of the studies that might provide insights into the safety,

Recebido para publicação em 18/03/2016


Aceito para publicação em 02/02/2021 10.1590/1983-084X/
©️ 2018 Sociedade Brasileira de Plantas Medicinais. 20_02_002
This is an open access article
Data de publicação em 17/08/2021 under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Sociedade Brasileira de Plantas Medicinais


Revista 2021
Brasileira de © I Revista
Plantas Brasileira
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efficacy and quality of such medicinal practices of management systems, which encourages the
(WHO, 2002). generation of scientific and technological knowledge
In the near future, Brazil will be moving to aimed at the sustainable use of natural resources
make the use of medicinal plants and phytotherapics (Rai et al., 2011).
in its public health services a reality and to a In order to reduce subjectivity in the
legalized therapeutic use (Di Stasi, 2007), which presentation of information on medicinal plants in
is consistent with the prerogatives of the WHO. ethnobotanical and ethnopharmacological studies
This movement has been accomplished because and to offer more objective parameters for decision-
of the approval of the National Policy on Integrative making, the techniques usually used in these studies,
and Complementary Practices in the Unified such as free listing and semi-structured interviews,
Health System (Sistema Único de Saúde - SUS) and quantitative ethnobotany have gained popularity
by Ministério da Saúde (2006) and publication of (Albuquerque & Hanazaki, 2006).
Federal Decree number 5,813 of June 22th, 2006, Phillips (1996) defines quantitative
which approves the National Policy on Medicinal ethnobotany as the use of statistical techniques
Plants and Phytotherapics (Política Nacional de to analyze data on the use of plants. For example,
Plantas Medicinais e Fitoterápicos - PNPMF) (Brazil, the use of quantitative ethnobotany enables such
2006). techniques as the assessment of the importance of
The general aim of the PNPMF is to plants for a particular ethnic group or community,
guarantee the Brazilian population safe access and comparison of the uses and/or plant communities
rational use of medicinal plants and phytotherapics, among different populations, comparison of the
promoting the sustainable use of biodiversity, the importance of the different types of plants for a
development of the supply chain and of the national community and establishment and comparison of
industry (Brazil, 2006).One of the PNPMF guidelines the relative importance of the species and families
covers the promotion and recognition of popular of medicinal plants, among others (Phillips & Gentry,
practices that utilize medicinal plants and homemade 1993).
remedies to encourage the creation of partnerships Several ethnobotanical surveys have been
between government and social movements conducted in traditional and/or urban communities
intended to ensure the safe and sustainable use of of the Goiás state (Vila Verde et al., 2003; Souza
medicinal plants, identification and implementation & Felfili, 2006; Silva, 2007; Carneiro, 2009;
of validation/recognition mechanisms that value Massarotto, 2009; Viu et al., 2010; Martins, 2012;
different systems of knowledge, promotion of Soares et al., 2013; Zucchi et al., 2013). However,
actions that preserve the intangible cultural heritage few of these studies have made use of specific
associated with medicinal plants, and support of quantitative tools in data analysis. Worth mentioning
community initiatives intended to organize and the work of Silva (2007) and Silva & Proença (2008)
recognize traditional and popular knowledge (Brazil, on the ethnobotanical survey of the medicinal
2006). plants used by rural and urban communities in the
In this context, the need for studies capable city of Ouro Verde de Goiás, where they elected
of rapidly advancing a theory of the relationship native species of the Cerrado biome with potential
between people and natural resources is evident for pharmacological studies based on corrected
(Albuquerque & Lucena, 2008), especially for popular use concordance (cAMU) and evaluated if
ethnobotanical and ethnopharmacological studies. botanical knowledge and the reason for cultivating
Ethnobotanical and ethnopharmacological medicinal plants on backyards of those housing
studies are important because they allow for the could be affected by age, gender, education, place
recovery and preservation of knowledge on medicinal of birth and rural/urban setting of the informant. Viu
plants with the intention of selecting plants for use & Viu (2011) established use-values reported (RU),
in pharmacological, toxicological and phytochemical using consensus (UCs) and diversity of use (DUs)
studies (Di Stasi, 2005). A basic scientific body of to indicate the species of greatest importance for
knowledge essential to the production of the majority ethnoveterinary in the city of Jataí-GO. A survey of
of the drugs available on the market, which is the medicinal plants used by Itamaraty neighborhood
foundation of modern medicine, was created based community in the city of Anápolis-GO, revealed that
on popular empirical knowledge and knowledge Asteraceae and Lamiaceae are the botanical families
originated from traditional communities (Di Stasi, most often cited as medicinal by that community,
2005). however, the analyzes had been merely descriptive
Ethnobotanical studies can also support (Sousa et al., 2010).
research on the sustainable use of biodiversity Using qualitative and quantitative analyses,
resources by valuing and using the empirical the aim of the present study was to list the primary
knowledge of human societies based on definition medicinal plants and their main uses in an urban

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community that encompasses the neighborhoods used, indications, methods of preparation, use of
surrounding the Henrique Santillo Campus of the other plants in the preparation, usage time of the
State University of Goiás (Universidade Estadual de preparation, dosage, and source of knowledge on
Goiás - UEG), which is South of the city of Anápolis, the medicinal plants.
Goiás State, Brazil. During the interviews, when possible,
botanical material was collected for the preparation
of vouchers, which were deposited in the herbarium
METHODS of the UEG (HUEG), Henrique Santillo Campus,
Study site Anápolis, Goiás, Brazil. The botanical names of other
The city of Anápolis in the state of Goiás, species mentioned were determined by researching
Brazil, has an estimated population of 324,303 botanical databases, such as The International Plant
inhabitants (IBGE 2010). It is located 53 km far from Names Index and Tropicos®. The research project
the capital city of Goiânia and contains the third was approved by the Human Research Ethics
largest population in the state of Goiás. In addition, Committee of the Clinics Hospital/UFG (number
it is the second largest city in terms of tax revenue 184/2011).
and second largest city of the state of Goiás, and
it composes part the most developed region of the Quantitative analysis
Brazilian Midwest, the Goiânia-Anápolis-Brasília The socioeconomic information and
axis. Anápolis has a humid subtropical climate, information on the use of medicinal plants by
and two distinct seasons: the dry season, which the interviewees were consolidated into Excel
coincides with the cold period, and the rainy season, spreadsheets to calculate the percentages. To
which coincides with the warm period (Municipality compare the proportions of native/introduce species
of Anápolis, 2013). The vegetation cover in the city with the greatest cAMU values the Chi-square test
is almost completely altered by human action, which was employed.
has been replacing forests for decades with cultivated For recognizing the body systems that were
areas for cereals, such as rice and corn, coffee and more important among the interviewees, to highlight
pasture areas to feed cattle. Anápolis is located in the importance of the plants cited by the interviewees
an area of ecological tension with contact between in relation to their versatility or the number of their
the Cerrado and forest region. The Cerrado, which is pharmacological indications; and to indicate the most
predominantly on the East, encompasses two basic widespread and accepted uses of a given species
vegetation types: the savanna-like Cerrado and open and to show whether there is agreement among the
savanna (referred in Brazil as “campo cerrado”). The members of the studied population regarding that
city has only 22% of its original vegetation cover, with use, we have calculated, respectively, the informant
humans occupying approximately 78% of the area consensus factor (ICF), relative importance (RI) and
(Morais et al., 2010). percentage of the corrected Agreement related to the
For this study, a sample containing the Main Uses (cAMU), as described next.
urban and adult population of the Arco Verde, Setor Informant consensus factor (ICF): to support
Sul and Vila Esperança neighborhoods was studied. the identification of the body systems of greater
These neighborhoods integrate the Southern region importance that were indicated in the interviews,
of Anápolis where the UEG’s Henrique Santillo the pathologies cited by the interviewees were
Campus is located. defined based on the International Classification of
Diseases (ICD) of the World Health Organization
Sampling of informants and methodology (International Statistical Classification of Diseases
In the period comprising August to and Related Health Problems, WHO, 2016). For each
December 2012 the interviewers, accompanied by health condition, a unique category was assigned
neighborhood community health workers, visited with a corresponding code. Such categories can
homes scheduled by the community public health include a set of similar pathologies.
workers to coincide with their routine visits and After categorizing the diseases according to
to provide broad and random sample of each the ICD, the ICF was calculated using the technique
neighborhood, totalizing 352 residents interviewed, described by Trotter & Logan (1986) to identify the
including individuals of both genders people older body systems that were more important among
than 18 years. Interviews were conducted using the interviewees. The ICF is based on the level of
a semi-structured questionnaire containing topics consistency among the answers of the interviewees
related to personal information (age, gender, place that were collected through individual interviews,
of birth, educational level and family income), and and it allows an analysis of the relative importance
also the information about the medicinal plants used, of each use. It is calculated as follows:
including their origin, common name, part of plant ICF = (NUR-NT)/(NUR-1)

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Where NUR is the sum of the use-reports RESULTS


by each informant in a given category and NT is Socioeconomic information
the number of taxa indicated in that category. The Based on the age group, interviewees
maximum value of the ICF is 1, which indicates a older than 51 years (64.4%) were more likely to
complete consensus among informants regarding the use medicinal plants to relieve symptoms or to treat
plants indicated for a given category (Albuquerque a disease. The results also showed that 64.7%
et al., 2005). of the interviewees used medicinal plants, and
81.6% of these interviewees were female. This
Relative Importance (RI): the RI value was can be explained because usually the female are
also calculated as described by Bennett & Prance responsible for making the medicinal preparations,
(2000) to highlight the importance of the plants cited especially among elderly whose practice of herbal
by the interviewees in relation to their versatility or medicine as self-medication is common (Cascae et
the number of their pharmacological indications. al., 2008).
The following formula was used to calculate the RI: Among the interviewees, 59% have a
RI= NBS + NP monthly family income between R$ 1001.00 and R$
Where NBS corresponds to the number 3000.00 (US$ 385.6 – US$ 1155.00, US dollar rate
of body systems, which is obtained by dividing the according to Central Bank of Brazil on January, 2015)
number of body systems treated by a given species and 37% between the minimum wage (R$ 788.00)
(NBSS) by the total number of body systems treated and R$ 1000.00 (US$ 303.00 – US$ 385.00, US
by the most versatile species (NBSVS) (Albuquerque dollar rate according to Central Bank of Brazil on
et al., 2005). January, 2015).
Thus, the NBS can be calculated as follows:
NBS = NBSS/NBSVS Use of medicinal plants
Where NP is the number of properties, The interviewees cited approximately
which is obtained by dividing the number of 120 species used medicinally (Table 1). The most
properties attributed to a particular species (NPS) cited plant families were Fabaceae, Asteraceae
by the number of properties attributed to the most and Lamiaceae. The subsequent families also
versatile species (NPVS) (Albuquerque et al., 2005). cited were: Malvaceae, Bignoniaceae, Myrtaceae,
Thus, the NP can be calculated as follows: Euphorbiaceae, Solanaceae, Amaranthaceae,
NP = NPS/NPVS Apocynaceae, Moraceae, Rubiaceae and Rutaceae.
The following are the species most cited by
Agreement related to the Main Uses (AMU): the interviewees: bilberry (“boldo” in Brazil) – 9.71%
the fidelity level of the uses of medicinal plants (Vernonia condensata Baker and Plectranthus
mentioned by the interviewees for each species barbatus Andrews); mint – 9.10% (Mentha spp.);
was obtained following the method proposed by lemongrass (“capim santo” in Brazil) – 7.48%
Friedman et al. (1986) and modified by Amorozo (Cymbopogon citratus (DC.) Stapf); epazote (“erva
& Gély (1988). To estimate the fidelity level, the de Santa Maria” in Brazil) – 5.26% (Chenopodium
percentage of AMU for the species was calculated ambrosioides L.); bushy matgrass (“erva cidreira” in
according to the formulas described below: Brazil) – 4.45% (Lippia alba (Mill.) N.E.Br. ex Britt.
AMU = Fid/Fs × 100 & P. Wilson); aloe vera (“babosa” in Brazil) – 4.04%
Where Fid is the frequency of indication (Aloe vera (L.) Burm. f.); rosemary (“alecrim” in
of a specific disease for the species and Fs is the Brazil) – 3.64% (Rosmarinus officinalis L.); cotton –
frequency of citation of the corresponding species. 3.44% (Gossypium hirsutum L.); pennyroyal (“poejo”
The correction factor (CF) can be calculated in Brazil) – 3.34% (Mentha pulegium L.); elderberry
according to the following formula: (“sabugueiro” in Brazil) – 3.34% (Sambucus nigra
CF = Ni/Nsp L.); hoary plantain (“tranchagem” in Brazil) – 2.22%
Where Ni is the number of informants for a (Plantago L.); and tree sedum (“bálsamo” in Brazil)
given species and Nsp is the number of informants – 2.12% (Sedum dendroideum DC.).
who cited the most cited species. The informant consensus factor (ICF)
Thus, the corrected Agreement calculation identified the most important body
related to the Main Uses (cAMU) can be calculated systems cited in the interviews as: nervous system
as follows: disorders (0.88), respiratory system disorders (0.82)
cAMU = AMU × CF and digestive system disorders (0.81).
Species with cAMU greater than 50% have The RI of the species cited by respondents
a considerable principal use agreement. ranged from 0.2 to 1.6. The species with the highest
RI values (Table 1) were hoary plantain (1.6 -
Plantago L.); aloe vera (Aloe vera (L.) Burm. f. –

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1.4); “assa-peixe” (Vernonia polyanthes (Spreng.) (Malpighia glabra L. – 1.1); anamu (“guiné” In Brazil)
Less. – 1.3); mint (Mentha x piperita L. – 1.3); (Petiveria alliacea L. – 1.1); yerba mate (“erva mate”
Spanish thyme (“hortelã gordo” in Brazil) (Coleus in Brazil) (Ilex L. – 1.0); and camphor (Cinnamomum
amboinicus Lour. - 1.2); rosemary (Rosmarinus camphora (L.) J. Presl. – 1.0).
officinalis L. – 1.2); lavender (Lavandula officinalis The species with the highest percentage of
Chaix - 1.1);  Barbados cherry (“acerola” in Brazil) cAMU are shown in Table 2 with their origins and
major uses.

TABLE 1. Plants (local Brazilian names, botany family, and scientific name) referred with therapeutics properties
according to dwellers from the “Arco Verde”, “Setor Sul” and “Vila Esperança” neighborhoods, city of Anápolis,
Goiás State, Brazil followed by preparation form, part used, medicinal use, International Classification of
Diseases (ICD), relative importance (RI), and voucher number in the herbarium of the UEG (HUEG).
Local
Preparation Voucher
Brazilian Family Scientific name Part used Medicinal use ICD RI
form number
names
Decoction
Persea americana Kidney problems, diuretic, and XI, XII,
Abacate Lauraceae and Seed and leaf 0.5 -
Mill. anti-lithiatic XIV
maceration
Juice
Ananas comosus
Abacaxi Bromeliaceae and food Rind fruit Kidney problems XI 0.2 -
(L.) Merr.
supplement
Distilled
Abóbora Cucurbitaceae Cucurbita L. and food Seed Anthelminthic I 0.2 -
supplement
Infusion
Root Quinsy, pharyngitis, and I, VIII,
Açafrão Zingiberaceae Curcuma longa L. and food 0.5 -
Leaf antibiotic XVI
supplement
Juice and Fruit
Acerola Malpighiaceae Malpighia glabra L. Flu VIII 1.1 -
infusion Leaf
Flu, loss of hair, heart I, VII,
problems, stress, cold, VIII,
Leaf,
indigestion, fatigue, IX,
Rosmarinus Infusion and branches,
Alecrim Lamiaceae antihypertensive, insect X, XI, 1.2 10.063
officinalis L. maceration and entire
repellent, sedative, XII,
plant
somniferous, analgesic, XIV,
anguish, and tachycardia XV
Postpartum convalescence,
headache, runny nose, uterine
VII,
problems, flu, expectorant,
Alevante Lamiaceae Mentha spp. Infusion and Leaf VIII, XI, 0.5 -
rheumatic inflammations, nasal
maceration XIV
decongestant, joint disorders,
arthritis, and sinusitis
Alface Asteraceae Lactuca sativa L. Infusion Root Antihypertensive IX 0.5 -
Flu, febrifuge, bronchitis, IV, VII,
Infusion and Leaf and
Alfavaca Lamiaceae Ocimum L. anemia, stimulant, sedative, VIII, XI, 0.7 10.066
maceration entire plant
and antihypertensive XIV
Alfavacão Lamiaceae Ocimum spp. Infusion Leaf Swelling and flu VIII, IX 0.4 -
Lavandula Infusion and
Alfazema Lamiaceae Leaf Stress and flu VII, VIII 1.1 -
officinalis Chaix maceration
Antiseptic, analgesic, healing,
Infusion, uterine infection, postoperative I, IX, X,
Gossypium decoction, Leaf and period, skin disorders, earache, XI, XII,
Algodão Malvaceae 0.9 10.052
hirsutum L. and flower antibiotic, swelling, blood XIV,
maceration cleanser, bruises, and digestive XVI
disorders
Alho Amaryllidaceae Allium L. Infusion Bulb Flu VIII 0.3 -

...continua

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TABLE 1. Continuação
Local
Preparation Voucher
Brazilian Family Scientific name Part used Medicinal use ICD RI
form number
names
Antihypertensive and
Amora Rosaceae Rubus fruticosus L. Leaf III, IX 0.4 -
Infusion menopause
Justicia pectoralis Infusion and Headache, analgesic,
Anador Acanthaceae Leaf XI, XIV 0.6 10.059
Jacq. maceration febrifuge, and flu
Infusion, Analgesic, swelling, stress,
Leaf, branch,
Lychnophora decoction, blood circulation, wounds, body
Arnica Asteraceae and entire VII, IX 0.5 10.062
pinaster Mart. maceration pain, anti-inflammatory, muscle
plant
and distilled pain, and muscle relaxant
Schinus
Infusion and
Aroeira Anacardiaceae terebinthifolius Bark Anti-rheumatic XIII 0.4 -
maceration
Raddi
Headache, irritation, menstrual
problems, digestive disorders, I, VI,
Infusion and Leaf and
Arruda Rutaceae Ruta graveolens L. anti-inflammatory, flu, VIII, X, 0.9 10.058
maceration branch
anthelminthic, fungal infections, XI, XIV
and uterine inflammations
Digestive disorders, headache,
Artemisia vulgaris Infusion and Leaf and colic, delayed menstruation, X, XI,
Artemísia Asteraceae 0.8 10.056
L. maceration flower gynecological disorders, and XIV
liver disorders
Anemia, bronchitis, pneumonia,
Vernonia Infusion,
febrifuge, flu, expectorant, IV, VIII,
Assa peixe Asteraceae polyanthes maceration, Leaf 1.3 -
asthma, bruises, and blood XIV
(Spreng.) Less. and syrup
cleanser
Infusion, Digestive disorders, infections
I, II,
maceration, in general, purgative, cancer,
VI, X,
Aloe vera (L.) poultice, healing, anti-haemorrhoidal,
Babosa Xanthorrhoeaceae Mucilage XI, XII, 1.4 -
Burm. f. juice, bruises, burns,
XIV,
and food anti-helminthic, gastric ulcer,
XVI
supplement and scalp disorders
Infusion, Earache, digestive disorders,
maceration, eyes irritations, gastritis, gastric V, VI,
Sedum
Bálsamo Crassulaceae poultice, Leaf ulcer, X, XII, 0.6 -
dendroideum DC.
and food external ulcers, herpes, XIV
supplement mycoses, and skin disorders
Bananeira Musaceae Musa L. Syrup Inflorescence Bronchitis and pneumonia VII 0.4 -
Healing, external infections,
Stryphnodendron
Infusion and wounds, external antiseptic,
Barbatimão Fabaceae adstringens (Mart.) Leaf and bark I, XII 0.3 -
bath astringent, and anti-
Coville
inflammatory
Solanum Infusion and Gastric ulcer, gastritis, and
Batatinha Solanaceae Tuber X 0.2 -
tuberosum L. maceration digestive disorders
Bate Caixa Palicourea rigida Infusion and
Rubiaceae Leaf Blood cleanser IX 0.2 -
do Cerrado Kunth decoction
Atropa belladonna Infusion and
Beladona Solanaceae Leaf Erysipelas XII 0.5 -
L. decoction
Digestive disorders, liver
disorders, detoxification, III, IX,
Vernonia Infusion and
Boldo Asteraceae Leaf headache, consequences of X, XI, 0.7 10.057
condensata Baker decoction
excessive alcohol drinking, and XIV
vomit
Café Rubiaceae Coffea L. Infusion Fruit Diabetes III 0.3 -

...continua

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TABLE 1. Continuação
Local
Preparation Voucher
Brazilian Family Scientific name Part used Medicinal use ICD RI
form number
names
Infusion,
Anacardium humile juice, Fruit, nut, and
Caju Anacardiaceae Diabetes and rheumatism X, XIII 0.3 10.055
A.St.-Hil. and food root
supplement
Stress, colic, analgesic,
Matricaria Infusion and Flower and sedative, antihypertensive, VII, XI,
Camomila Asteraceae 0.8 -
chamomilla L. decoction leaf hypnotic, XIV
tranquilizer, and digestive
Cana de Costus spicatus Leaf and Renal disorders and urinary
Costaceae Infusion XI 0.6 -
Macaco (Jacq.) Sw. stalk antiseptic
Renal disorders, rheumatism, VII,
Cinnamomum Maceration Leaf, stalk, menstrual problems, digestive VIII, X,
Canela Lauraceae 0.9 -
zeylanicum Breyn. and infusion and bark disorders, flu, headache, XI, XIII,
stress, and to keep alertness XIV
Cinnamomum
Maceration Healing, anti-inflammatory, XII,
Canfora Lauraceae camphora (L.) J. Leaf 1.0 -
and infusion and flu XVI
Presl.
VII,
Maceration, Sedative, digestive, VIII, IX,
Cymbopogon
Capim santo Poaceae infusion and Entire plant antihypertensive, nausea, X, XI, 0.9 10.073
citratus (DC.) Stapf
decoction fatigue, febrifuge, and flu XIV,
XV
Baccharis Maceration, Weight loss, rheumatism,
Entire plant III, X,
Carqueja Asteraceae articulata (Lam.) infusion, and diabetes, digestive disorders, 0.5 -
and leaf XI, XIV
Pers. decoction purgative, and headache

Infusion and
Cebola Amaryllidaceae Allium cepa L. Leaf Flu VIII 0.2 -
decoction

Infusion, food
Sechium edule
Chuchu Cucurbitaceae supplement, Leaf and fruit Antihypertensive IX 0.2 -
(Jacq.) Sw.
and juice
Coriandrum Maceration III, VII,
Coentro Apiaceae Leaf and root Weight loss, hypnotic, and colic 0.4 -
sativum L. and infusion XI
Crescentia cujete
Coité Bignoniaceae Infusion Leaf Diabetes III 0.3 -
L.
Maceration,
Symphytum External antiseptic, anemia,
Confrei Boraginaceae infusion, and Leaf I, IV 0.3 -
officinale L. healing
decoction
Infusion and
Congonha Rubiaceae Rudgea Salisb. Leaf Heart disorders IX 0.2 -
maceration
Conta de Infusion and
Poaceae Coix lacryma L. Leaf Renal disorders XI 0.2 -
lágrima maceration
Copaiba Poultice
Healing, contusions, to treat
Copaíba Fabaceae langsdorffii (Desf.) and food Oil resin XII 0.3 -
navel baby
Kuntze supplement
Eugenia Maceration,
Cravo Myrtaceae caryophyllata infusion and Flower Anti-tussive, flu and halitosis VIII, X 0.2 -
Thunb. decoction
Maceration,
Dente de Taraxacum
Asteraceae infusion and Leaf Febrifuge XIV 0.2 10.067
leão officinale L.
decoction
Palicourea Maceration, Renal disorders, renal
Leaf and
Douradinha Rubiaceae coriacea (Cham.) infusion and antiseptic, and to treat bladder XI 0.5 -
stalk
K. Schum. decoction prey
...continua

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TABLE 1. Continuação
Local
Preparation Voucher
Brazilian Family Scientific name Part used Medicinal use ICD RI
form number
names
Maceration,
Lippia alba (Mill.) VII,
syrup, Leaf and Sedative, digestive, and
Erva cidreira Verbenaceae N.E.Br. ex Britton VIII, IX, 0.8 10.054
infusion, and stalk antihypertensive
&P.Wilson XIV
decoction
VII,
Flu, sedative, headache, heart
Foeniculum Decoction Leaf and VIII, X,
Erva doce Apiaceae disorders, colic, hypertension, 0.6 10.068
vulgare Mill. and infusion seed XI,
and digestive disorders
XIV
Casearia sylvestris
Erva lagarto Salicaceae Syrup Leaf Bronchitis and pneumonia XIII 0.2 -
Sw.
IX,
Maceration Cholesterol and digestive
Erva mate Aquifoliaceae Leaf X 1.0 -
Ilex L. and infusion disorders

I, VII,
Louse, healing, swelling, anti-
Infusion, VIII,
Erva de Chenopodium helminthic, digestive disorders,
Amaranthaceae maceration, Leaf and root IX, X, 1.0 10.069
Santa Maria ambrosioides L. anti-inflammatory, flu, and body
and poultice XI, XII,
pains
XVI
Espinheira Maytenus ilicifolia
Celastraceae Infusion Leaf Digestive disorders X 0.2 -
Santa Mart. ex Reissek
Eucalyptus
Eucalipto Myrtaceae Infusion Leaf Flu VIII 0.2 -
globulus Labill.
Maceration,
Cassia occidentalis Postoperative disorders, I, VIII,
Fedegoso Fabaceae infusion, and Root 0.4 -
hort. Ex Steud antimicrobial, and flu XVI
decoction
Feijão Andu Cajanus cajan (L.)
Fabaceae Maceration Bronchitis VIII 0.3 -
Druce Leaf
Fumaria officinalis Infusion and
Fumo Papaveraceae Leaf Antimicrobial and healing I 0.5 -
L. poultice
Infusion,
decoction,
Zingiber officinale Flu, anemia, febrifuge, and I, VIII,
Gengibre Zingiberaceae maceration, Root 0.6 -
Roscoe antitussive XIV
and food
supplement
Infusion,
decoction, Anti-diarrheal, general malaise,
Goiabeira Myrtaceae Psidium guajava L. Leaf X, XIV 0.7 -
and and antispasmodic
maceration
Infusion, food
Expectorant, bronchodilator,
Mikania glomerata supplement, VIII, X,
Guaco Asteraceae Leaf and root digesti­ve, febrifuge, flu, 0.4 -
Spreng. and e XIV
bronchitis, and liver disorders
maceration
Petiveria alliacea Anti-inflammatory and
Guiné Phytolaccaceae Infusion Leaf VIII 1.1 -
L. antitussive
Flu, febrifuge, anti-helminthic,
digestive disorders, sedative, I, III,
for vomit, antispasmodic, anti- VII,
Infusion,
Mentha x piperita cholesterolemic, antitussive, VIII,
Hortelã Lamiaceae decoction, Leaf 1.3 10.071
L. asthma, for bronchitis, IX, X,
and syrup
hypertension, weight loss, XI, XII,
dandruff, antiseptic, and XIV
headache
Hortelã Coleus amboinicus Febrifuge, flu, expectorant, and XIII,
Lamiaceae Infusion Leaf 1.2 10.064
Gordo Lour. bronchitis XIV
...continua

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18

TABLE 1. Continuação
Local
Preparation Voucher
Brazilian Family Scientific name Part used Medicinal use ICD RI
form number
names
Pilocarpus Digestive disorders due
Jaborandi Rutaceae microphyllus Stapf Infusion Leaf nervousness and hair loss XII 0.2 10.053
ex Wardleworth
Hymenaea
Infusion and
Jatobá Fabaceae stigonocarpa Mart. Leaf and root Expectorant and flu VIII 0.2 -
decoction
ex Hayne.
Solanum
Jurubeba Solanaceae Distilled Fruit Liver disorders X 0.2 -
paniculatum Pis.
Citrus sinensis (L.) Leaf, juice,
Laranjeira Rutaceae Infusion Flu VIII 0.2 -
Osbeck and fruit skin
Synadenium grantii
Leiterinha Euphorbiaceae Juice Latex Throat infection and cancer I, II 0.4 -
Hook.f.
Citrus limettioides Distilled,
Lima de III, VIII,
Rutaceae Tanaka infusion, and Fruit Sinusitis and capillary hydration 0.6 -
Bico XII
decoction
Citrus aurantifolia Flu, pneumonia, anti-diarrheal
Limão Rutaceae Infusion Fruit VIII, X 0.4 -
(Christm.) Swingle and bronchitis
Solanum
Infusion and Leaf and Renal and abdominal pain and
Lobeira Solanaceae lycocarpum A.St.- X, XI 0.6 -
maceration flower anti-cholesterolemic
Hil.
Artemisia Digestive disorders, menstrual
Infusion and
Losna Asteraceae verlotorum Leaf cramps, anti-diarrheal, and X, XI 0.3 -
maceration
Lamotte bladder problems
Malva do Infusion and
Malvaceae Malva L. Leaf Flu and tuberculosis VIII 0.2 -
Reino maceration
Brosimum
Distilled and Dermatitis and skin problems, I, IX,
Mamacadela Moraceae gaudichaudii Bark and root 0.4 -
infusion blood disorders, and antiseptic XII
Trécul
Infusion,
maceration, Leaf, flower,
Digestive, cancer,
Mamão Caricaceae Carica papaya L. distilled, seed, and I, II, XI 0.4 -
anthelminthic, and purgative
and food fruit
supplement
Antispasmodic, to treat navel
Ricinus communis Infusion and baby, expectorant, flu, to treat
Mamona Euphorbiaceae Leaf and oil XI, XII 0.3 -
L. poultice wounds, purgative, and hair
loss
Manihot esculenta
Mandioca Euphorbiaceae Infusion Leaf Skin problems in babies XII 0.2 -
Crant
Mangifera indica VIII,
Manga Anacardiaceae Infusion Leaf Body pains and flu 0.5 -
Wall. XIV
Hancornia Flu, antispasmodic and renal
Mangaba Apocynaceae Infusion Bark XI, VIII 0.6 -
speciosa Gomes conditions
Ocimum basilicum Infusion and
Manjericão Lamiaceae Leaf Flu and nutrition III, VIII 0.4 -
L. maceration
Passiflora Infusion and Sedative, antihypertensive,
Maracujá Passifloraceae Leaf and fruit VII, IX 0.9 -
incarnata L. juice hypnotic, and anxiolytic
Anti-inflammatory,
Infusion, antimicrobial, intestinal
Achyrocline I, X, XI,
decoction, Leaf and infections, antidiarrheal,
Marcelinha Asteraceae satureioides (Lam.) XIV, 0.6 -
and flower digestive disorders,
DC XVI
maceration antispasmodic, r headache,
and febrifuge

...continua

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TABLE 1. Continuação
Local
Preparation Voucher
Brazilian Family Scientific name Part used Medicinal use ICD RI
form number
names
Citrullus lanatus Infusion and
Melancia Cucurbitaceae Seed Vomit X 0.5 -
(Thunb.) Mansf. maceration
Digestive disorders, anti-
Ageratum Infusion and X, XI,
Mentrasto Asteraceae Leaf diarrheal, antispasmodic, flu, 0.4 -
conyzoides L. maceration XVI
and postoperative conditions
Milho Poaceae Zea mays L. Infusion Stiletto Measles and chickenpox I 0.6 -
Maceration,
food To lose weight, cancer, II, III,
Noni Rubiaceae Morinda citrifolia L. supplement, Fruit digestive and intestinal IX, X, 0.8 10.060
juice, and disorders, and spine pain XI, XIII
syrup
Achillea millefolium Maceration VIII,
Novalgina Asteraceae Leaf Spine pain and flu 0.3 -
L. and infusion XIV
Noz Myristica bicuhyba
Myristicaceae Infusion Seed Flu and flatus X, XIV 0.3 10.051
moscada Schott ex Spreng.
Origanum vulgare
Orégano Lamiaceae Infusion Leaf Menstrual cramps XI 0.2 -
L.
Arrabidaea chica
Pariri Bignoniaceae Infusion Entire plant Febrifuge XIV 0.2 -
(Bonpl.) B. Verl.
Pata de Bauhinia forficata
Fabaceae Infusion Leaf Diabetes III 0.2 -
Vaca Link
Camarea affinis A. Distilled and General infections and
Perdiz Malpighiaceae Root I, XI 0.6 -
St.-Hil. infusion infections in the uterus
Infusion and Leaf and Hepatitis, icterus, and digestive
Picão Asteraceae Bidens pilosa L. I, VII, X 0.8 -
decoction seed disorders
Infusion, Expectorant, febrifuge, flu,
Mentha pulegium VIII, X,
Poejo Lamiaceae decoction, Leaf antispasmodic, headache, and 0.6 -
L. XI, XIV
and syrup antitussive
Quebra Phyllanthus niruri Biliary and renal calculi, and
Phyllanthaceae Infusion Leaf XI 0.5 -
pedra L. renal infection
Punica granatum Sore throat, flu, cicatrizing, and I, VIII,
Romã Lythraceae Infusion Fruit rind 0.5 -
L. antiseptic XII
Leonotis (Pers.)
Rubim Lamiaceae Maceration Leaf Indigestion X 0.2 -
R. Br.
Rheum palmatum Food
Ruibarbo Polygonaceae Bark Anemia and blood conditions IV, IX 0.7 -
L. supplement
Flu, anti-tussive, pneumonia,
asthma, bronchitis, febrifuge,
I, VIII,
measles and chickenpox,
Infusion and Leaf and XI, XIII, 0.6 10.070
Sabugueiro Adoxaceae Sambucus nigra L. antispasmodic, diseases
syrup flower XIV
originated from cold weather,
cicatrizing, and purgative
Petroselinum
Salsa Apiaceae petroselinum (L.) Infusion Root Anti-allergic XII 0.2 -
H. Karst.
Maceration,
Sangra Croton urucurana
Euphorbiaceae infusion, and Bast Antiseptic and gastritis I, X 0.3 -
d’água Baill.
decoction
Chamaesyce hirta Leaf and
Santa Luzia Euphorbiaceae Infusion Mouth infections XII 0.2 -
(L.) Millsp. flower
Maceration,
São Momordica
Cucurbitaceae infusion, and Leaf Indigestion X 0.3 -
Caetano charantia L.
decoction

...continua

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TABLE 1. Continuação
Local
Preparation Voucher
Brazilian Family Scientific name Part used Medicinal use ICD RI
form number
names
Pterodon
Throat pain, flu and VIII,
Sucupira Fabaceae pubescens Distilled Seed 0.5 -
rheumatism XIII
(Benth.) Benth.
Xanthosoma
Food
Taioba Araceae sagittifolium K. Leaf Anemia IV 0.3 -
supplement
Koch
Alternanthera I, VIII,
Cold, sore throat, infection and
Terramicina Amaranthaceae brasiliana (L.) Infusion Leaf XIV, 0.8 10.061
general inflammation
Kuntze XVI
Anti-inflammatory, vaginal
I, III,
discharge, antispasmodic,
VII,
Maceration, sore throat, rheumatism,
Leaf and VIII,
Tranchagem Plantaginaceae Plantago L. infusion and arthritis, uterus infection, mouth 1.6 10.065
entire plant XI, XII,
decoction disorders, to lose weight,
XIII,
infections in general, and pains
XVI
in general
Amburana Maceration Seed and Digestive disorders and VIII, X,
Umburana Fabaceae 0.5 -
Schwacke & Taub. and infusion fruit respiratory infections XIV
Maceration,
food
Expectorant, bronchitis, VIII,
supplement, Seed and 0.5 -
Urucum Bixaceae Bixa orellana L. pneumonia, and anti- XVI
and fruit
inflammatory
decoction
Sebastiania
Skin and blood disorders and I, IX,
Velamino Euphorbiaceae glandulosa (Sw.) Distilled Root 0.4 -
infections in general XII
Müll. Arg.
Decongestant, sinusitis, flu,
Infusion and VIII,
Vick Lamiaceae Mentha arvensis L. Leaf antitussive, and respiratory 0.5 -
maceration XIV
diseases in general

The parts of the plants most used in from the family relationships, in a transmission of
medicinal preparations by the interviewed population knowledge by their ancestors, especially mothers
were the leaves (80.4%). Other plant parts, like and grandmothers. Schardong et al. (2000) and
fruits and roots, were cited by less than 10% of the Ceolim et al. (2011) say that the transmission of
interviewees. knowledge that occurs between generations make
The most frequently used forms of the elderly, true guardians of herbal medicine.
homemade preparations reported by the interviewees According to Social Policy Center of
were infusion (60.2%), maceration (24.3%), the Getúlio Vargas Foundation (CPS 2015), the
decoction (3.8%), poultice (3.6%), distillate (3.5%), neighborhoods in the South of the city of Anápolis,
dietary supplement (2.7%), juice (1.4%) and soaking Goiás State, Brazil, can be categorized as an urban
(0.5%). community that belongs to the classes C, D, and
According to the interviewees, their E. In communities with such social indicators, the
knowledge of medicinal plants was acquired from deficiency in the healthcare infrastructure offered
family (87.7%), friends (5.7%), television (4.4%) and by the city may strongly influence the knowledge
books (0.4%). and use of medicinal plants. Alternative systems
based on popular traditions have been developed in
situations where poor medical treatment is available,
DISCUSSION leading individuals to take increasing amounts of
Socioeconomic information control over their health, especially in diagnosing
Studies done by Lima et al. (2012) and treating diseases with homemade remedies
demonstrated that the use of medicinal plants is prepared with native species or their substitutes
fully incorporated into everyday practice, bringing a cultivated in their yards. Similar results were found
meaning of permanence and uniqueness constructed in the study by Soares et al. (2009) in Gurinhém,

Revista Brasileira de Plantas Medicinais (2018) 20:10-27.


21

TABLE 2. Plant species used as medicinal and cited by dwellers from the “Arco Verde”, “Setor Sul”, and “Vila
Esperança” neighborhoods, city of Anápolis, Goiás State, Brazil with major percentage of the corrected Agreement
related to the Main Uses (cAMU) followed by the origin, main use, used part, and uses recognized by official
publications of the Brazilian Ministry of Health.
Part of the
Medicinal Part of the Uses recognized
Main uses assigned plant indicated
Plant Origin plant used by cAMU by official Reference
by interviewed by official
Species interviewed publications
publications
Digestive disorders,
liver disorders,
Vernonia
detoxification, Anvisa (2010)
condensata Native Pain and
headache, Leaf 90.6 Leaf Anvisa (2011)
Baker dyspepsia
consequences of
excessive alcohol
drinking, and vomit
Flu, febrifuge, anti-
helminthic, digestive
disorders, sedative,
Mentha x vomit, antispasmodic,
Introduced Leaf 52.1 Colic, flatulence, Anvisa (2010)
piperita L. anti-cholesterolemic,
liver diseases, Leaf and Anvisa (2011)
antitussive,
antispasmodic, flowering tops Anvisa (2014)
asthma, bronchitis,
expectorant
hypertension, weight
loss, dandruff,
antiseptic, and
headache
Intestinal and
uterine cramps
Cymbopogon Sedative, digestive,
Introduced Entire plant 50.0 (antispasmodic), Anvisa (2010)
citratus (DC) antihypertensive,
mild forms of Leaf Anvisa (2011)
Stapf. nausea, fatigue,
anxiety and
febrifuge, and flu
insomnia, as soft
calming
Mild forms of
anxiety and
Lippia alba
insomnia, as
(Mill.) N. E.
Native Sedative, digestive, and 32.3 soft calming, Anvisa (2010)
Br. ex Britton Leaf and stalk
antihypertensive abdominal Aerial parts Anvisa (2011)
& P. Wilson
cramps, digestive
disorders,
flatulence, and
expectorant

Flu, antitussive,
pneumonia,
asthma, bronchitis,
Sambucus
Native febrifuge, measles 25.0
nigra L. Leaf and flower For flu and cold, Anvisa (2010)
and chickenpox,
diaphoretic, Anvisa (2011)
antispasmodic, Flower
mucolytic/ Anvisa (2014)
diseases originated
expectorant
from cold weather,
cicatrizing, and
purgative

...continua

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TABLE 2. Continuação
Part of the
Medicinal Part of the Uses recognized
Main uses assigned plant indicated
Plant Origin plant used by cAMU by official Reference
by interviewed by official
Species interviewed publications
publications

Respiratory
conditions as
Mentha Introduced Expectorant, febrifuge,
Leaf 23.9 an expectorant,
pulegium L. flu, antispasmodic,
appetite stimulant,
headache, for pain in Aerial parts Anvisa (2010)
digestive disorders,
general, and antitussive
gastrointestinal
spasms, gallstones
and cholecystitis

Louse, healing,
Chenopodium
Native swelling, anthelminthic, Leaf and root 21.9
ambrosioides
digestive disorders, - - -
L.
anti-inflammatory, flu,
and body pains

Paraíba, Brazil, where most of the interviewees were of the Botanical Garden of the Federal University of
female and had a family income between 1 and 2 Juiz de Fora, Brazil, these results also demonstrate
times the minimum wage. the strong influence of European culture in the use
of medicinal plants, since several species of these
Use of medicinal plants families referred by respondents are introduced
Fabaceae, Asteraceae and Lamiaceae were (Table 2). The greatest richness found in the families
the most cited plant families. These plant families Fabaceae, Asteraceae and Lamiaceae can also be
are characterized by a high number of species rich explained by the number of species and their wide
in special metabolites called essential oils. Essential distribution. According to Souza & Lorenzi (2008),
oils are responsible for a broad therapeutic spectrum the family Fabaceae has a cosmopolitan distribution,
for both the digestive and respiratory systems, is one of the largest families of Angiosperms and
including antibacterial and antifungal activity, is one of the most important plant species from an
stimulation of gastric secretions, bronchodilator economic point of view; this family also has a great
action, etc. Among the most frequently cited diseases diversity in the Cerrado whereas Asteraceae is the
in the present study are digestive and respiratory largest Eudicot family, and several species are used
disorders, which will be discussed. In studies medicinally.
conducted in the Atlantic Forest (city of Itacaré, Bahia Several the species cited in this study also
State, Brazil), the authors found that the plants used appear as the most cited in other studies conducted
medicinally are not randomly selected, and the plant in different Brazilian regions. For example, mint
families with bioactive compounds tend to be well (Mentha spp) appeared among the most cited
represented in the popular pharmacopoeia (Pasa et species in studies performed in the Southern and
al., 2005; Pinto et al., 2006). In studies conducted by Southeastern regions of Brazil by Albertasse et al.
Bennett & Prance (2000) and Leite & Oliveira (2012) (2010), Giraldi & Hanazaki (2010), Merétika et al.
in the communities of Marambaia and Camboinha (2010), and Zank & Hanazaki (2012), and in the
in Northern South America, and Porteirinha, Minas Atlantic Forest from Northeastern Brazil by Almeida
Gerais, Brazil, respectively, the families Lamiaceae et al. (2012). In Pinto et al. (2006), a work carried
and Asteraceae were also the most cited. The authors out in the Northeast of Brazil, the most cited plants
attributed this finding to the tropical and temperate were Chenopodium ambrosioides and Lippia alba.
climate that is predominant in the region and also In ethnobotanical surveys carried out in urban
to the dominance of introduced medicinal plants. communities of the Goiás State, the profile of most
According to Conde et al. (2014), which found similar cited species is similar to the present study (Vila
results in ethnobotanical survey done in the vicinity Verde et al., 2003; Souza & Felfili, 2006; Sousa et

Revista Brasileira de Plantas Medicinais (2018) 20:10-27.


23

al., 2010; Soares et al., 2013; Zucchi et al., 2013). (Table 1), the hoary plantain (Plantago L.) had the
Such findings can be attributed by the fact of the highest RI value (1.6) and was cited by 2.22% of
most medicinal plants used in the study area are the interviewees. However, the most cited plant was
exotic herbs that usually grow in anthropogenic “boldo” (Vernonia condensata Baker) with 9.71%
areas. These species are often abundant in easily of the citations and a RI value of 0.7. This means
accessible places and rich in bioactive compounds, that, despite being widely cited, “boldo” has a low
and as a result they are widely represented in tropical pharmacological versatility for these residents and
medicinal floras. only reaches five body systems, whereas the hoary
The most important body systems cited plantain covers eight body systems.
in the interviews were nervous system disorders, On the other hand, we need to carefully
respiratory system disorders, and digestive verify the species with low RI values. According
system disorders. However, previous studies have to Albuquerque & Lucena (2008) and Bieski et al.
demonstrated that the largest number of species (2012), they cannot be considered plants of lower
was indicated for disorders of the digestive and pharmacological potential or importance, since they
respiratory systems (Amorozo & Gély, 1998; may be species of recent introduction in the culture
Amorozo, 2002; Pasa et al., 2005; Souza & Felfili, of the community under study but they might have
2006; Cabral & Maciel, 2011; Leite & Oliveira, been validated by the customary use in other social
2012). In contrast, a study conducted by Bieski et groups.
al. (2012) in NSACD, a local community of Poconé The RI values were also performed by
municipality, Mato Grosso State, Central West Almeida et al. (2012) and Bieski et al. (2012) in
of Brazil, the highest frequencies in decreasing ethnobotanical surveys carried out in the Atlantic
magnitude were indications for the treatment of Forest from Northeasten Brazil and Pantanal Region
pain and inflammation, kidney disease, and wound (Mato Grosso, Brazil), respectively. Almeida et al.
healing. In part, these data can be explained by (2012) found the highest RI values for Schinus
the characteristics of the informants (elderly, rural terebinthifolius Raddi, Anacardium occidentale L.,
activity, low level of education, and poor sanitation Hymenaea martiana Hayne, and Mentha x piperita
at home) exposing them more often to infectious L., whereas for Bieski et al. (2012) the highest
diseases and injuries of external causes, unlike the RI values were found for Himatanthus obovatus
respondents of the present work, whose homes have (Müll. Arg.) Woodson, Hibiscus sabdariffa L, and
access to public basic sanitation with predominately Solidago microglossa DC. These results revealed
urban activities. important differences compared to the current study,
Higher ICF values for the nervous, displaying that regional particularities can exert a
respiratory and digestive systems are worrying strong influence on the importance and versatility of
and may indicate a risky practice of self-medication a particular plant species in a community.
with medicinal plants by the interviewed population. The cAMU indicates the most widespread
In 2009, the pathological conditions related to and accepted uses of a given species by the
the three body systems emphasized in this study interviewed population and shows whether there
were among the 10 leading causes of death in is agreement among the members of the studied
Brazil according to the document Health Brazil population regarding that use.
2010 (Ministério da Saúde, 2011). Conversely, it is In a study conducted in the city of Porto
important to emphasize that several of the diseases Alegre (Brazilian state of Rio Grande do Sul),
mentioned by the interviewees are considered Vendruscolo & Mentz (2006) found different results
low-severity condition in that they are self-limiting compared to the present work. In their study, the
diseases of benign evolution that can be treated following plants had cAMU values above 24%:
without medical supervision (Anvisa, 2010), which Achyrocline satureioides (Lam.) DC., Citrus
has lead this population to a greater search for aurantium L., Cunila microcephala Benth., Eugenia
knowledge regarding the medicinal plants that can uniflora L. and Psidium guajava L. Botrel et al. (2006)
relieve signs and symptoms before medical care is recorded the cAMU to native medicinal plants used
sought. Therefore, a need for dialogue between the by the local population in the Ingaí municipality,
academic/scientific sector and local communities Minas Gerais state, Brazil, and found Ilex cerasifolia
is needed to promote the safe and effective use of Reisseck and Solanum lycocarpum A. St.-Hil. with
medicinal plants. integral values of cAMU (100%). A research by
The calculation of RI allows for an assessment Silva & Proença (2008), performed in Ouro Verde
of the versatility or number of pharmacological de Goiás, Goiás State, Brazil, a city located at
indications of a plant within a population, indicating 32 km from Anápolis, only two species, Vernonia
its importance even if it is not one of the most cited. condensata and Mentha pulegium, among seven
Among the plants mentioned by the interviewees species with cAMU higher 50% were coincident

Revista Brasileira de Plantas Medicinais (2018) 20:10-27.


24

with the present work. These results demonstrate transmitted, the safe use of medicinal plants is
the importance of ethnobotanical surveys for the ensured and users are not subject to unnecessary
promotion of a broader understanding of cultural risks.
differences in perceptions, uses and administration Significant differences were found in the
of homemade remedies. origins of the species with the greatest cAMU
Higher percentages of cAMU are associated values cited by the interviewees (χ2 = 8.829; p
with a greater number of informants who cited the = 0.011) (Table 2), which occurred because of
main use for a given species. This implies that the substantial number of introduced species,
there is greater acceptance or relative confidence evidencing there was an evident influence of exotic
related to the proposed efficacy, which is most likely species in this community. However, it should be
a result of the mentioned uses being well known noted that during the interviews, the informants often
and/or practiced by the interviewees. Moreover, the stated that “these plants were easily found in the
cAMU can provide the basis for further studies of past but some of them no longer exist here today.”
the species with potential therapeutic use for certain This statement indicates that native species are
diseases (Amorozo & Gély, 1988). vulnerable, and their populations have been reduced
In the present study, the majority of or even extirpated in the natural environment. This
the species with cAMU values above 20% are fact can be attributed to the growing process of
cited in the Phytotherapics Form of the Brazilian urbanization, erosion and anthropogenic activities.
Pharmacopoeia (Anvisa, 2011) and also in Appendix Although they acknowledged that several plants
I of the Collegiate Board Resolution – (Resolução de have disappeared, the interviewees did not appear
Diretoria Colegiada – RDC) No. 10 of March 9, 2010, to be concerned about the management of such
of the National Health Surveillance Agency (Agência natural resources. Amorozo (2002) found similar
Nacional de Vigilância Sanitária – ANVISA) (Anvisa, data in the city of Santo Antônio do Leverger (Mato
2010), which are shown in Table 2. Grosso State, Brazil). On the other hand, according
In addition, two species shown in Table 2, to Albuquerque (2006), native plants appear to be
Mentha x piperita and Sambucus nigra, are part of the most valuable resource for the local population
the ANVISA list of phytomedicines with simplified in the municipality of Alagoinha, located in agreste
registration and traditional phytotherapeutic products region in the Pernambuco State, Brazil, especially
with simplified registration (Anvisa, 2014). the woody species. In this case, the relationship
Table 2 shows that the majority of the between the local community and environment
“main uses” and “parts of the plant” cited by the seems to contribute to the preservation of native
interviewees for species with cAMU values above species, due to the value representing the local
20% coincide with the “uses” and “parts of the plant” folk medicine, since there will be interest of this
recognized by the official literature. However, the community in keeping such species available.
fact that interviewees confer additional properties The predominant use of the leaves in
to plants beyond those recognized scientifically medicinal preparations has been also registered
and also use toxic parts of certain plants, such by Pasa et al. (2005) in a rural community of the
as the leaves of Sambucus nigra, which are rich Conceição-Açu, Cuiabá, Mato Grosso state, Brazil.
in cyanogenic heterosides, and leaves and roots Pinto et al. (2006) also cited the predominant use
of Chenopodium ambrosioides, which are rich in of leaves in rural communities in the Atlantic Forest.
ascaridole (Matos, 2007), in preparations for internal According to Soares et al. (2009), leaves were mostly
use, is noteworthy. When ingested, cyanogenic used by a sample of the population of the Gurinhém
heterosides can be converted to cyanohydrin and municipality, Paraíba state, Brazil whereas Merétika
consequently release cyanide into the bloodstream, et al. (2010) obtained similar results with three
which causes severe intoxication that may lead artisanal fishing communities in Itapoá, Southern
to death (Matos et al., 2011). Ascaridole is an Brazil, and Sousa et al. (2010) mentioned that
active constituent that exhibits nematicidal activity, leaves were the most widely cited plant parts by
especially against Ascaris lumbricoides, which is respondents of Itamaraty neighborhood, Anápolis
why the plant C. ambrosioides was widely used as city, Goiás state, Brazil. These observations from
an anti-helmintic in the 1950s. However, its internal different Brazilian regions and from one region similar
use was discouraged due to the recognition of to the present work may indicate that the leaves are
ascaridole toxicity after a recorded death from an the most commonly used part because, in general,
overdose of the essential oil of C. ambrosioides they have easy accessibility and availability in the
(Matos, 2007). These findings reinforce the need environment year-round, while fruits, for example,
for continuous dialogue between the scientific are more susceptible to seasonal variations. The
knowledge sources and local communities in order use of roots can be small in the cited regions due to
to allow that scientifically validated information is possible inadequate management, which results in

Revista Brasileira de Plantas Medicinais (2018) 20:10-27.


25

a reduction of the availability or even the eradication implement a medicinal plant garden at the UEG to
of plant species. meet the needs of this community. The data collected
The data of this study indicate that the oral will also subsidize the elaboration of manuals
route is the most common mode of administration containing scientific information on the plants, and
of homemade preparations, and such preparations these manuals will be available not only for the
are mainly in the form of teas, in accordance with studied population but for the general community.
what was also found by the works referred to in In addition, the manuals will provide information on
the above paragraph. The form of preparation and the selection of plants with pharmacological potential
administration of homemade remedies can greatly for future scientific investigations.
influence on treatment effectiveness.
Studies by Marinho et al. (2011) conducted ACKNOWLEDGMENTS
in a Caatinga area of the city of São José de We would like to thank the interviewed
Espinharas (Paraíba state, Brazil) also reported community and community health workers of the
that parents (85%) were the largest source of Municipal Healthcare Department of the city of
information on medicinal plants in that region. The Anápolis, Goiás State, Brazil for their kindness and
use of plant resources is strongly ingrained in the receptivity.
popular culture, and it has always been transferred
from parents to children over the course of human
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