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. 2020 Nov 30:11:563751.
doi: 10.3389/fphar.2020.563751. eCollection 2020.

Countrywide Survey of Plants Used for Liver Disease Management by Traditional Healers in Burkina Faso

André Tibiri  1 , Sébastien Boria  2 , Tata Kadiatou Traoré  3 , Noufou Ouédraogo  1 , Aude Nikièma  4 , Souleymane Ganaba  5 , Jean-Marie Compaoré  6 , Issiaka Ouédraogo  7 , Innocent Pierre Guissou  1   3 , Maëlle Carraz  8
Affiliations

Countrywide Survey of Plants Used for Liver Disease Management by Traditional Healers in Burkina Faso

André Tibiri et al. Front Pharmacol. .

Abstract

Liver disease is highly prevalent in Africa, especially in the western African country Burkina Faso, due to the presence of multiple biological and chemical aggressors of the liver. Furthermore, diagnosis and appropriate care for liver disease are uneven and usually insufficient. This drives local communities to turn to folk medicine based on medicinal plants from healers. Small scale, ethnopharmacological studies on reputed hepatoprotective plants have been carried out in defined regions worldwide, but so far, no study has been carried out on a countrywide scale. Therefore, we have explored traditional healers' practices in all thirteen regions of Burkina Faso. We interviewed 575 healers and we compiled a database with 2,006 plant entries. Here, we report results on liver nosology, liver pathologies, medicinal plants used for liver disease, and traditional practices through the lens of Burkinabe healers. Our goal was to give a full inventory of medicinal plants used to treat liver disease and to determine if there was consensus on the use of specific plants for specific symptoms. Analysis of the medicinal plants in use across the whole country provides local communities with a wider evidence base to determine which plants may be more effective in treating liver disease and could provide the scientific community, with a shortlist of plants suitable for chemical and pharmacological investigation to validate the plants' therapeutic role.

Keywords: Burkina Faso; ethnopharmacology; hepatitis; hepatocarcinoma; liver disease.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fphar.2020.563751/full#supplementary-material. Click here for additional data file.

Figures

FIGURE 1
FIGURE 1
Geographic map of Burkina Faso with regional boundaries (in black), region names (in red), and main cities (blue and black dots).
FIGURE 2
FIGURE 2
Distribution [records: %] of interviewed healers per region.
FIGURE 3
FIGURE 3
Nosology of liver disease in Burkina Faso according to healers.
FIGURE 4
FIGURE 4
Distribution [records: %] of medicinal plants by region according their geolocation.
FIGURE 5
FIGURE 5
Map of interviewed healers (red dots), their plants (green dots), and distances between both according to geolocation.
See this image and copyright information in PMC

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