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Plantago spp. and Bidens spp.: A case study of change in Hawaiian herbal medicine PDF

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Spring/Summer Journal of Ethnobiology 13-31 2004 24(1): AND A CHANGE CASE STUDY OF spp Plantago Bidens spp: HAWAIIAN HERBAL MEDICINE IN PALMER CHRISTIAN CT New and Environmental Haven, 06511 Yale School Forestry Studies, of ([email protected]) — ABSTRACT. The Hawaiian substitution of alien species for native plants in tra- examined from ditional medicine discussed. Substitutions are the switch vari- is more and from ous native Bidens spp. to the ubiquitous Bidens pilosa L. the switch and the native plantains, Plantago pacltypltylla A. Gray, Plantago hawaiensis A. Gray, Cham, and Plantago princeps Schlechtend, to Plantago major L. Historical, cultural, and data are synthesized to examine these changes in the traditional scientific new Hawaiian pharmacopoeia. Major elements that affect the inclusion of plants in the Hawaiian pharmacopoeia are availability and biological activity. This pro- how cess of inclusion also provides insight into indigenous scientists adapt phar- changing and environment. macological traditions to the biological cultural Key words: Hawaii, la'au lapa'au, ethnomedicine, Bidens, Plantago. — RESUMQ A med- substituigao de especies introduzidas pelas plantas nativas na icina tradicional do Havai e debatida. As substitutes examinadas sao das es- pecies de Bidens nativas para Bidens pilosa e a substituigao das Plantago spp. na- P para inclusive Plantago pachyphylla, hawaiensis e princeps, Plantago major. tivas, P. Os aspectos historicos, culturais e cientificos sao sintetizados para examinar estas Os mudan^as na farmacopeia tradicional do Havai. dois elementos mais impor- tantes na inclusao de novas plantas na etnofarmacopeia do Havai sao a facilidade como de acesso das plantas e atividade biologico. Este processo ensina cientistas indigenas adaptam tradi^oes farmacologicos as mudanqas nos meios biol6gico e cultural. — RESUME. etude rend compte de d'especes introduites aux d£- Cette l'utilisation pens des plantes indigenes dans medecine traditionnelle hawaiienne. La plante la ubiquiste, Bidens pilosa L., ainsi que le Plantago major L., ont remplace respective- ment plusieurs Bidens spp. indigenes et les Plantago pachyphylla A. Gray, hawaien- P. A. Gray et P princeps Cham, et Schlecht. Afin de comprendre ces changements sis dans pharmacopee traditionnelle hawaiienne, une synthase des donnees his- la Les principaux determi- toriques, culturelles, et scientifiques a ete faite. facteurs dans pharmacopee hawaiienne nant de nouvelles plantes resident l'inclusion la dans leur disponibilite et leur activite biologique. Egalement, ce processus comment permet de mieux «scientifiques autochtones» ont d'inclusion saisir les adapte leurs traditions pharmacologiques selon les changements survenus dans leurs environnements biologique et culturel. INTRODUCTION The information examine the factors that influence the adoption of Bidens to PALMER No. Vol. 14 24, 1 and Hawaiian pharmacopoeia. Previous Plantago major into the traditional pilosa botanical, ethnobotanical, demographic, historical, and cultural research provides background on the plants, as well as their ethnobotanical history in Hawaii. Per- and sonal interviews Hawaiians speak for themselves about the plants the let A and pharmacological processes of adoption substitution. literature search of comparative as well as antibacterial screening offers insight into the biolog- tests and an important activity of the native introduced species, factor in the in- ical new troduction and use of a plant species. Substitutions appear to be a result of and including empirical testing observation to deter- a variety of cultural factors and mine other ecological considerations biological activity, spiritual inspiration, such as availability of plant material. The Hawaiian Islands provides an excellent place for a study of the evolution and medicine have of a pharmacopoeia because both its flora traditional herbal been well studied. also significant that, even after the introduction of the It is western medical svstem in Hawaii, the traditional healing system has continued and even expanded in medicine system (la'au lap The has adapted to the changing biological and cultural environment. substitution of Bidens pilosa L. and Plantago major L. for native species exemplifies this process. A body has begun examine growing of ethnobotanical research to the origin some and medicine. For example, recent research suggests evolution of traditional much America had indigenous groups in pre-European contact different that new pharmacopoeias than they do now, and the introduction of diseases prompt- new amount ed the discovery of plant medicines in the relatively short of time New World The the Europeans' arrival in the (Davis 1995). simultaneous after new and new seems introduction of diseases plants to potentially result in the expansion medicinal plant use through experimentation. Bennet and of scientific found 216 post-European introduced Prance (2000) plants that are a part of the indigenous pharmacopoeias of northern South America. how Other recent ethnobotanical studies illustrate indigenous people experi- 40% ment with plants. For example, around of the plants in the local pharma- unknown were when copoeia in 1995 to the sixteenth-century Portuguese settlers they arrived in the Madeiras; they were either introduced from Africa or the Obon Americas or were native to the islands (Rivera and 1995). Similarly, Paul 40% found that of Haitian medicinal plants belong genera have (2002) to that similar medical uses in West Africa. This illustrates the tendency to adopt new when same genus species of the confronted with changed ecological conditions brought about by migration. Some ethnobotanists focus on indigenous adaptations changed to these en- vironmental circumstances. They theorize about pharmacopoeia the origins of a and new the experimental processes by which medicinal plants are selected. Moer- man hypothesizes used (1998) that plants medicine for in traditional society will those that are available, perennial Perennials chemicals, making them more medicinal The eful as plants. other characteristics and finding recognizing medicinal plants. Johns I Spring/Summer JOURNAL OF ETHNOBIOLOGY 2004 15 new of medicinal plants focusing on the methods by which biological activity of — plants is discovered including taste, odor, empirical testing, and the observation animals of Kuhn method operate in paradigms that differ from those of western science and these para- digms, in turn, direct the hypotheses and methodologies of indigenous experi- mentation (Cox 1995). Indigenous healers do, however, follow the meth- scientific making od, observations, developing theories, and then using knowledge and this experience to predict future outcomes. — Origins and Evolution the Hawaiian Pharmacopoeia. In Polynesia, there some of is debate about the origin of herbal medicine Whistler has its tradition. (1992) ar- gued had that Polynesians a limited herbal medicine tradition, especially in re- He medicines taken shows European lation to internally. that prior to arrival, Polynesians had few infectious diseases, and as a the medical system was result, focused around external ailments such as wounds, sprains, rashes, and infections. More complex were with and used diseases treated spiritual healing, the plants in this process were "fetid herbal preparations applied externally or taken inter- were have power and nally that believed to the to repulse malicious spirits to thereby heal' 7 (Whistler 1992:37-38). Consequently, the complex Hawaiian medical system described by early native historians developed in the mid-nineteenth cen- tury in response to the introduced epidemic diseases and contact with medicine from European and other more developed herbal medical traditions, and "the widespread use of medicines for internal ailments that so prevalent in Polynesia is medicine today appears to have developed after, and as a result of, contact with the western world" (Whistler 1992:38). Cox however, suggests that herbal medicine in Polynesia a conser- (1991), is most knowledge gained from a mentor and not through vative tradition, in that is new experimentation (although he recognizes that plant remedies are sometimes how Cox arguments acquired dreams). extends these to explain Polynesian in He herbal medicine developed before western contact. discounts early missionary histories relied on by Whistler and then supports this claim by noting the simi- among between medical traditions within Polynesia, the variation larity different European introduced system would look more different family traditions (a lo- endemic cally homogenous), Polynesian belief in the nature of their healing tra- ditions, and the fact that a majority of plants used medicinally in Polynesia are not used in other parts of the world. comment Abbott and Shimazu that Hawaiians "have a tendency (1985:220) and remedies," which mainly consist of plants the Polyne- true to stick to tried many They with them throughout the note however, that sians carried Pacific. and some endemic plants are used, although less frequently, that plants intro- duced European have been added. This supports Cox's notion contact also after endemic Polynesian herbal medicine based on similarities between of the origin of Polynesian pharmacopoeias. different Many pharmacopoe- of the processes observed in the evolution of traditional The world apply Hawaii. introduction of infectious ias in other parts of the to . PALMER No. 16 Vol. 24, 1 new diseases and plants, the migration of other ethnic groups to Hawaii, and the had an on pharma- decreasing availability of native plant species effect the all many copoeia. The Hawaiian pharmacopoeia, others, has had rapid devel- like opment and change number and used in the species of plants in the relatively short period since European contact. While this study does not directly address Hawaiian pharmacopoeia nor importance Polynesian the origin of the the of in- troduced plants to does reveal some of the processes behind the introduction it, it new Hawaiian dynamic view of plants to herbal medicine, presenting a of the Hawaiian ethnomedical evolution of the tradition. Two new methods for the discovery of medicinal plants are evident in Hawaii: Handy empirical practice and spiritual guidance. describes the origins of medic- inal plant usage in Hawaii, be anyone makes even study Hawaiian will plain to that a superficial of It medicine that the system has arisen mainly through empirical practice. . . Many Hawaiians you system has been will that the established tell through a and error method, but that the original knowledge of the trial elements dreams method based on and Empirical practice a research experimentation obser- is much method. According Larsen vation, like the scientific to (1946:19), ancient Hawaiians were "developing a system of medicine that was built upon observa- tion, deduction, experimentation, and clinical trial/' but that "this system was lost whole succumbed pompous European as their culture to the tide of conquest" From made (Larsen the observations paper 1946:19). in this clear that the it is and experimentation, observation, deduction in Hawaiian traditional medicine European continued long conquest. after While this study focuses on the empirical processes behind the discovery of new medicinal plants, the spiritual roots of Hawaiian healing cannot be ignored: Hawaiian healing guidance an in traditions, spiritual element is essential in the material. In the paradigm ethnoscientific of la'au lap, and dreams, visions, in which they can begin new the empirical testing process remedies for 1995). REVIEW OF THE ETHNOBOTANICAL AND BOTANICAL LITERATURE spp— The Bidens nineteen endemic Bidens species in Hawaii evolved through from adaptive radiation a single primal ancestor (Ganders Wagner 2000; et al. 1999). All the species are but most do interfertile, not occur sympatrically (Gan- modem and ders Nagata 1984). In times four species have been introduced: Bidens pilosa L., B. cynapiifolia Kunth, B. alba D.C., and (L.) B. gardneri Baker. Bidens pilosa, which arrived sometime first before 1845, is native to the tropical Americas (Wag- ner was et al. 1999). Bidens cynapiifolia first collected in 1929, almost seventy years (Degener later 3781 BISH), 1958 B. alba in (Pearsall s.n BISH), and gard- v lastly B. (Hobdy neri in 1983 1883 BISH). and Bidens alba B. pilosa are both widespread in Spring/Summer JOURNAL OF ETHNOBIOLOGY 2004 17 low lying disturbed areas with becoming more abundant on B. alba increasingly Oahu (Wagner et 1999). al. made Generally, a distinction is between native species of Bidens, called ko'oko'olau or ko'olau, and the non-native B. pilosa, which is called kinehi. However, there some ambiguity and can be used any is still ko'oko'olau to refer to species of Bidens. For example, Kaiahua identifies ko'oko'olau as B. pilosa. He also mentions two that there are kinds of ko'oko'olau, indicating that the term ko'oko'olau can be used to refer to more than one species (Kaiahua 1997). Comparing the use of and native introduced Bidens species thus complicated because most make is texts A no among attempt to distinguish them. source ascribed to Kupunihana, written around 1922, mentions three types of ko'oko'olau used as medicine for stomach and numerous many ailments other ailments, indicating that of the species within the genus were recognized and used medicinally (Chun None 1998). of the early texts, even into the early twentieth century, use the term kinehi (Chun 1994a, Handy Kaiakamanu and Akina Kamakau 1994b, 1998; et 1934; 1922; al. 1964). on Hawaiian Nineteenth-century sources herbal medicine mention that asthma, and stomach ko'oko'olau useful for throat troubles, stimulating the ap- is petite, general debility of the body, childhood ailments, as a purgative (with other and (Chun Kaaiakamanu and Akina plants), as a tonic 1994a; 1922). All of the common were treatments that in precontact times are for ailments that are easily recognizeable (sore throat, general debility, stomach troubles). Thus, following Whistler's logic, they are more likely to have been treated with an herbal remedy during precontact times. The mention on Kamakau earliest ko'oko'olau in the literature in 1866 in is (1964) and the 'Ahahui report in 1867 (Chun 1994a). After this, ko'oko'olau men- is tioned in a number of other studies on Hawaiian herbal medicines (Chun 1994a, Handy Kaiakamanu and Akina Kamakau Judd 1994b, 1998; et 1934; 1997; 1922; al. 1964; McBride 1979), whereas kinehi is only mentioned in one published sources (Kaiahua This suggests the native species were more widely used 1997). until was used wide endemic recently. Ko'oko'olau also to treat a variety of health con- ditions, suggesting that the native plant has been used since before European would appear from widespread use contact. It the of B. pilosa, its early introduc- tion, as well as the variety of Bidens species that are used, that B. pilosa has been name some in the pharmacopoeia for time, even the kinehi appears only recently if ethnobotanical in the literature. — The genus example Plantago spp. Plantago a similar of substitution. Multiple is native and introduced species have been reported to have medicinal use. The much taxonomy of endemic plantains, however, simpler. There are three en- is P and demic species: Plantago hazvaiensis A. Gray, pachyphylla A. Gray, princeps P. Cham, and P and P appear be more Schlechtend. paclryplxylla hcauaiensis to closely related to each other than to P princeps (Wagner et al. 1999). There are five intro- P duced including Plantago major and major widespread species, lanceolata. P. is Hawaiian and was 1864-1865 (Mann and throughout the Islands collected in first Brigham P was on Kauai 1895 423, BISH). lanceolata first collected in (Heller 2457, The more introduced and widely BISH). other alien species are recently less dis- (Wagner tributed et 1999). al. PALMER No. 18 Vol. 24, 1 name The The Hawaiian generic for Plantago native species are is laitkahi. found mountains. referred to as laukahi kuahhui, indicating that they are in the The have names between them, manene native species also other that differentiate P and (Wagner for pachyplrylla ale for P. princes et al. 1999). , Laukahi used as a purge for mother and babies, to draw the pus out of sores is and and and (Chun Other cure the diseases of 1994b, 1998) boils, to pa'ao'ao 'ea and authors mention that laukahi used as a tonic, a laxative, a poultice for boils is and urinary kidney problems, pul- sores, as a tea for diabetes, tract infections, Handy monary disease, and high blood pressure (Gross 1998; et 1934; Kaiahua al. 1997; Krauss 1979; Nagata 1970; Whistler 1992). Interestingly laukahi is used to more modern ancient Hawaiian disease categories as well as treat {pa'ao'ao) ail- and ments (diabetes, high blood pressure) and external, internal, 'spiritual' dis- new new adopted ease categories, suggesting that plants are not just to treat diseases. some There disagreement is Krauss remedies. introduced Whistler Several authors have reported that these nati and introduced medicinal species that the presuma more commonly used Hawaiian the only species in medicine. (Whistler 1992: 188) Given the widespread medicinal use of Plantago throughout the world, this is Bayon Henderson Ramos plausible (Basaran 1996; 2000; 1994; Johnson 1999; 1996). A book on Hawaiian who herbal medicine mentions children's that the Japanese, migrated to Hawaii in large numbers, also use Plantago major in a similar manner (Corum Most who to the Hawaiians 1985). of the immigrants came Hawaii to and arrived well before 1922 (Juvik Juvik 1998), the date of the study that first and mentions describes the medicinal use specifically of laukahi (clearly lauli'i P (Kaaiakamanu and Akina identifying major) 1922). This allows time for signif- between Hawaiians and new icant interaction immigrants, supportine Whistler's claim in found Kamakau's to laukahi is in writing about the people of old Hawaii. This work was published in a Hawaiian language newspaper from series 1866-1871, around the time the Chinese immigrated but had moved first before thev throueh- the other early reference found group is in a of interviews ty of healers 1867 in as part of the establishment of a r (Chun rganization 1994a). Five different healers usee all many One kahi in different ways. healer, Pupuka, even mentions specifically the use of laukahi kuahiwi, referring one to of the native These seem species. sources to confirm the early widespread use of Plantago, definitely including the native and P species possibly The number major. of different neonlp tiaiiw Plantnaa Qnn /Summer JOURNAL OF ETHNOBIOLOGY Spring 2004 19 from indicate a switch spp. to the introduced Plantago major. mention use of the native Plantago species besides Krauss (1979, 1993, 2001) and Gross (who mention being replaced with not contemporary (1998) it P. major, its use. Whenever laukahi subsequently mentioned in research on Hawaiian herbal med- is Handy icine it is always identified as P. major (Gross 1998; et al. 1934; Kaiahua Kaiakamanu and Akina Krauss Nagata McBride 1997; 1922; 1979; 1970; 1979; Whistler Bushnell suggest used 1992). et (1950) that lanceolata also as al. P. is — medicine, however, the source material he Kaaiakamanu and Akina cites — (1922) —ddooeess nnoott ssuuppppoorrtt tthhiiss aasssseerrttiioonn.. This information, plus the conspicuous P absence of current references to all other Plantago spp., strongly suggests that member major currently the only of genus used in the Hawaiian pharmacopoeia is and probably replaced the use of the native species. it — Antibacterial Assays Bidens and Plantago The widespread use of both for spp. spp. Bidens spp. and Plantago spp. in traditional medicine has stimulated a significant amount of research on their biological activity (Table These studies suggest a 1). broad range of healing affects from both Bidens and Plantago species. Bidens has been screened for antibacterial activity, a treatment for liver diseases, and an anti- ulcer treatment; Plantago spp. has been tested for anti-inflammatory and wound- healing properties. Thus, the biological activity of both Bidens spp. and Plantago spp. consistent with their uses in the Hawaiian pharmacopoeia, suggesting that is Hawaiian healers possessed a sophisticated knowledge of biological activity. The due compounds: biological activity of Bidens is to large classes of poly- acetylenes and flavonoids. 1 Marchant et (1984) researched polyacetylene con- al. tent in Hawaiian Bidens species and found a surprising array of different mole- While contained polyacetylenes cules in different species. all in their roots, thir- any teen species did not contain polyacetylenes in their leaves, suggesting highly The variable antibacterial activity within the native Bidens species. native species and Bidens macrocarpa (A. Gray) Sherff, Bidens populifolia Sherff, Bidens campylotheca some which Schultz-Bip. contained level of polyacetylenes in their leaves, in- all (Marchant have antimicrobial properties dicates that the leaves et 1984). al. METHODOLOGY — were conducted with both and Semi-structured interviews specialists Interviews. was and 2 The purpose of the research explained verbal consent nonspecialists. knowledge The were questioned about both granted. participants their of intro- duced and native species of Bidens and Plantago and their uses and relative effec- one tiveness, as well as possible reasons for the preference of species over another. When shown possible, the plants were examined in the field or to the participants. In other cases, the plants were described with salient features to distinguish be- had some tween species. All the species in question visible, easily distinguishable narrow rounded features yellow versus white flowers, versus leaves). (e.g., — Antibacterial Assays. The selection the plants species for the antibacterial assays The and was dependent on locally available species. introduced B. pilosa, major, P. N) — A TABLE summary some of of the pharmacological done on and spp 1. studies biological activity of Bidens spp. Plantago Study riant Results — — B. pilosa Bushnell et al. 1950 Antibacterial moderately effective; anti-enteric pathogens moderately effective Wat et al. 1979 Polyacetelynes are phototoxic to bacteria and fungi N'Dounga 1983 et al. Antibacterial activity Machado 1988 et al. Antiparasitic activity Geissberger 1991 et Antihypertensive al. Sarg 1991 et al. Anti-ulcer activity Chih 1995 et Anti-inflammatory al. DNA Gupta 1996 Tumor et shrimp al. inhibition; cytotoxicity; intercalation; brine toxicity 1996 Jager et al. Prostaglandin-synthesis inhibition Chih 1996 et al. Protect liver injuries from various hepatotoxins and have antihepatic agents Alvarez 1996 et al. Antimicrobial; cytotoxic; insecticidal > Rabe and Van Staden 1997 Antibacterial activity Brandao 1997 et Antimalarial al. en Pereira et 1999 Immunosuppressant al. activity Dimo 1999 et Antimicrobial al. activity Alvarez 1999 et al. Antimicrobial; not antidiabetic Tan 2000 et al. Possible anti-ulcer effects Ubillas et 2000 Antihyperglycemic al. Dimo 2001 et Hypotensive al. effect Khan 2001 et Antimicrobial al. Chang 2001 et al. Possible treatment for leukemia campy Redl 1994 B. loDieca et Anti-inflammatory al. active polyacetylenes subaltcrnans Ortega 1998 B. et Anti-inflammatory al. B. aurea La Case et 1995 Anti-ulcer agent < al. o Martin al 1996 et Anti-ulcer agent Lopez B. alba et 2001 Does not modify al. insulin or glucose levels Z o C/5 5' CTQ C 3 3 K> 4- 1— TABLE (continued) Study Plant Results — — major BushneU et aL 1950 Antibacterial moderately effective; anti-enteric pathogens slightly effective P. Ravn and Brimer 198> Anti-inflammatory and analgesic activity No Dat 1992 al diuretic activity et Component Guillen et 1997 plantanajoside has possible antibacterial effects al. COX-2 enzyme Ringborn 1998 Anti-inflammatory; anti-ulcer by inhibition of et al. wound Michaelson et al. 2000 Possible healing effects PMI Hetland 2000 Polysaccharide fraction protects against pneumococcal infection et al. Ikawati 2001 Inhibited IgE-dependent histamine; possible asthma or allergenic disease uses et al. R Marchesan 1998 Anti-inflammatory lanceolata et al. Deliorman 1999 Hepatoprotective et effects al. Schmidgall et 2000 Moderate activity on treatment of irritated buccal membranes. al. Tezuka 2001 Anti-inflammatory asiatica et al. P. N> — — PALMER No. 22 Vol. 24, 1 were readily obtained from the lawns on the Brigham Young Univer- lanceolata P. campus P summit sity-Hawaii while pachyphylla required long hike to the of the many and Ko'olaus. Similarly, of the native Bidens species are rare occur in small, localized populations (Wagner et 1999) although they are generally more com- al. mon than the Plantago species. Voucher specimens were collected. 3 For Plantago spp. the antibacterial screening portion of this study includes was only one native species, padxyphylla unable to collect Plantago hawaiensis P. (I and P princeps because they are endangered species and have very limited distri- P P and and (Wagner butions), the introduced species of major lanceolata et al. endemic 1999). For Bidens spp., the three native species to the northeastern section Mountains and of the Ko'olau Bidens populifolia, B. macrocarpa, B. campyloptheca common were screened along with the two most introduced species B. pilosa and B. alba. An method (Ingraham and Ingraham was used agar diffusion 2000) to ana- comparison with Bidens in the intro comparison with hyphylla in the intro duced and major Plantago lanceolata. P. and against Staphylococcus aureus Escherichia common These microorganisms were used because they are skin microorganisms and correspond with Hawaiian tract uses of Bidens They examples Gram-negative and also offer of Gram-positive 3pp. 1 common organisms, allowing comparison with are test for other a studies. (Bushnell et 1950; Locher et 1995). al. al. plant material including leaves and stems was blended and scmee i One more or amount depending on the bacterial assays as well as separate voucher specimen No from same was llected the site. solvent added. Plant extract ml) (0.75 3-mm a diameter paper The paper was lied to disk. disk placed in a petri Mueller-Hinton agar inoculated with either the (Migula Esclierichia coli Chalmers 1919 or Staphylococcus aureus Rosenbach Each 1884. contained commercially prepared an tibiotic disk (Erythromycin) and a blank paper disk. Five plates were prepared for each plant to be tested. The petri dishes were incubated for 24 hours 37.5°C at The zone of inhibition was then measured in millimeters. It is important to note that an agar diffusion method does not a complete offer picture of the multiplicity of possible medicinal effects of the plants such as the compound potential interactions of plant in a living system or in conjunction with some com insight into the activity against AND RESULTS DISCUSSION Interviews.— Personal interviews, including those with both and healers nonheal provided most ers, the important source of information regarding the introduc armacopoeia wounds, heal sunburns

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