Professional Documents
Culture Documents
Research Paper Community Medicine
Research Paper Community Medicine
A Research Study
Presented to the Faculty of the College of Medicine
Davao Medical School Foundation, Inc.
In Partial Fulfillment
of the Requirements for the Degree of
DOCTOR OF MEDICINE
Submitted by:
September 2023
ii
ABSTRACT
Herbal medicine use signifies the extensive traditional, historical, cultural, and even
spiritual significance of these plants. The main goal of this study is to determine the use of
herbal medicine to provide a basis for formulating a proper and practical way of promoting
safe and effective use of herbal medicine preparations in Barangay Bantol, Marilog
District. The researchers employed a descriptive, cross-sectional research design. Survey
method using an interview checklist with open-ended questions was used to gather data on
the use of herbal medicine. The results of the study gathered from 157 adult respondents
presents the mean age of 38 years old, the majority of the respondents are female (52.9%),
highest educational attainment for 74 respondents is elementary level (47.1%) and most
are self-employed (49.6%). The data gathered also revealed that the most common
medicinal plant used in the area is Oregano (Plectranthus amboinicus) at 68.8%, followed
by ambong (Blumea balsamifera) and Ulasimang Bato (Peperomia pellucida) at 53.5%
and 39.5% respectively. Mayana is the least used at 9.6%. Decoction is the most common
method of preparation, and drinking decoction via oral route as route of administration.
Cough, hypertension, stomach ache and open wounds were among the most common
indications of herbal plant use. Nausea was reported as a side effect upon intake of the
medicinal plant with no reported contraindications. The respondents stated that symptoms
were relieved upon usage of the identified medicinal plants.
Key Words: Herbal Plants; Medicinal Plants; Oregano; Sambong; Ulasimang Bato;
Marilog District
TABLE OF CONTENTS
TITLE PAGE i
ABSTRACT iv
TABLE OF CONTENTS v
LIST OF FIGURES vi
INTRODUCTION 1
Objectives 2
Theoretical Framework 12
Conceptual Framework 13
METHODOLOGY 14
Research Design 14
Research Setting 14
Research Population 14
Inclusion Criteria 15
Exclusion Criteria 15
Withdrawal Criteria 15
Sampling 16
Sampling Design 16
Randomization 17
Data Analysis 18
Ethical Consideration 18
RESULTS 21
DISCUSSION 28
REFERENCES 39
APPENDICES 45
v
LIST OF FIGURES
1 Conceptual Framework 13
vi
LIST OF TABLES
vii
Chapter I
INTRODUCTION
The consumption and utilization of herbal medicine has been increasing globally1.
This use of herbal medicines encompass herbs, herbal preparations, herbal materials, and
herbal end products, that contain as active ingredients parts of plants, or other plant
materials, or combinations. The traditional use of herbal medicines denotes the extensive
and historical usage of these medicines. This is well recognized and widely approved to be
effective and safe2. Korea, Japan, China, Germany and India are countries that have long
established traditional medicine and herbal medication utilization, and are currently
striving to obtain plant resources countrywide to advance herbal medications using herbal
plant extracts3. Research across the world reveals varying prevalence of herbal plant use.
In the Western countries such as the United States, prevalence estimates that 35% of
American adults use at least one herbal medicine 4, and in several European countries, a
study on the use of Complementary and Alternative medicine demonstrated that the
prevalence of herbal treatment use is at 4.6% 5. However, African and Asian Countries
show a higher usage prevalence. A 2022 study on Medicinal plants use in Nigeria for the
plant knowledge and practices of the Ati Negrito indigenous people in Guimaras Island
showed significant differences in medicinal plant use knowledge were recorded when
1
informants were grouped according to location, educational level, gender and age 8. In the
Davao Region a study aimed to document the medicinal plants used by the Manobo tribe
of Don Marcelino, Davao Occidental Philippines showed that Psidium guajava is the most
cited while Moringa oleifera has the highest used value9. The proponents of this study have
conducted a community diagnosis wherein they have found that 92% of the households
surveyed in Purok 1 of Barangay Bantol use herbal plants as part of their therapeutic
regimen, but 71.7% showed insufficient knowledge on their proper use and preparation.
Thus, through this study, the proponents seek to describe the usage of herbal medicine
among the adult population of Purok 1, Barangay Bantol, Marilog District, Davao City.
Objectives
General Objective
This study aims to determine the use of herbal medicine to provide a basis for
formulating a proper and practical way of promoting safe and effective use of herbal
Specific Objectives
according to:
A. Age
B. Sex
C. Educational attainment
C2. Elementary
2
C3. High School
C5. Vocational
C6. College
D. Employment Status
D1. Unemployed
D2. Employed
D3. Self-employed
D4. Retired
F. Income Perception
F1. Sufficient
F2. Insufficient
a. Local name
b. Scientific name
a. Indication
3
b. Preparation
c. Administration
d. Side effects
e. Contraindications
f. Outcome
Herbal medicine
The practice of herbal medicine in the Philippines has a deep and enduring history.
It has evolved over generations, with knowledge of the healing properties of various plants
and traditional remedies being passed down from one generation to another 9. Herbal
medicine, also known as botanical medicine or phytotherapy, has a long history of use in
healthcare systems worldwide. In recent years, there has been a resurgence of interest in
herbal remedies, driven by the growing demand for natural and alternative therapies 10.
According to Dr. Cecilia Lazarte 11, the director of National Institute of Health said
that herbal medicine plays a prominent role in Filipino traditional healing practices with
its reliance on herbal remedies, representing a valuable aspect of the country's healthcare
heritage. While preserving these traditions, efforts should also be made to ensure that
4
Herbal medicine is deeply rooted in cultural traditions. Studies have documented
the use of specific herbs in rituals, ceremonies, and traditional healing practices,
of herbal remedies.
In the study of Muyumba et. al (2021) the complexity of herbs and extracts,
supplied to such a wide range of markets and in different regulatory environments, raises
major quality issues, the use of appropriate analytical methods in the herbal medicine
industry is essential for ensuring the quality, safety, and efficacy of products.
reveal increasing consumer interest in herbal medicine. Factors such as perceived safety
based practices.
5
Regulatory Frameworks. Different countries have varying regulatory frameworks
for herbal products. Literature explores the challenges and opportunities in regulating these
raises concerns about the sustainability of medicinal plant resources. Research addresses
include the need for more rigorous clinical trials, standardization of herbal preparations,
and greater collaboration between traditional and modern healthcare systems. Future
in recent years, reflecting its growing popularity among the public. A groundbreaking study
by Eisenberg et al. (1993) 12 shed light on this phenomenon by highlighting the prevalence,
costs, and usage patterns of unconventional medicine in the United States. This study
served as a catalyst for further research in the field of CAM, sparking interest in
6
The National Center for Complementary and Integrative Health (NCCIH)
conducted a comprehensive report in 2018, providing valuable insights into the utilization
of CAM therapies in the United States. This report offered detailed statistics, revealing the
extent to which CAM is integrated into the healthcare landscape, and emphasized the need
CAM's role in addressing specific health conditions has also been a subject of
13
inquiry. Ernst and Cassileth (1998) conducted a systematic review focusing on the use
of CAM in cancer patients, highlighting both its prevalence and the necessity for further
"The 5-Minute Herb and Dietary Supplement Clinical Consult" by Fugh-Berman (2000)
invaluable. This quick reference guide offers insights into various CAM therapies, their
Evidence-based research into the effectiveness of CAM modalities has also been
7
DOH-approved medicinal plants
The Traditional and Alternative Medicine Act of 1997, which reaffirmed the
including herbal medicine, provided support for the use of medicinal plants. The Sampung
Halamang Gamot received more support in the 1990s when the Department of Health gave
it its seal of approval. The World Health Organization has argued in favor of incorporating
traditional medicine into national health care systems and urged nations to create and
implement national traditional medicine policies and programs, particularly with Universal
1. Lagundi (Vitex negundo) - a shrub that is used to treat cough, asthma, and other
2. Sambong (Blumea balsamifera) - a plant used to treat urinary tract infections and kidney
3. Tsaang Gubat (Ehretia microphylla) - a shrub that is used to treat diarrhea, stomach
4. Yerba Buena (Clinopodium douglasii) - a mint plant that is used to treat headaches,
6. Bayabas (Psidium guajava) - a fruit tree that is used to treat diarrhea, dysentery, and
8
7. Akapulko (Cassia alata) - a shrub that is used to treat skin diseases, such as ringworm
8. Bawang (Allium sativum) - a bulb that is used to lower cholesterol levels and prevent
9. Ampalaya (Momordica charantia) - a vegetable that is used to lower blood sugar levels
10. Ulasimang bato (Peperomia pellucida) - a plant used to treat arthritis and gout which
that contribute to its healing effects, including flavonoids, alkaloids, terpenes, and
treat dengue fever, as it is thought to help increase platelet count. However, further
benefit 15
2. Dila- dila (Elephantopus scraber Linn.) - Traditionally in the Philippines, the roots
and leaves are commonly used as a diuretic, febrifuge, and emollient. It is also used
furuncle swellings, eczema, ulcers on the lower limb, nephritis, beriberi, edema,
hepatitis, chest pains, fever, and scabies. The juice of pounded leaves can be applied
9
to the scalp to slow down hair loss. A decoction of fresh dila dila material can be
used as a wash for eczema. The decoction of roots and leaves is used to treat
dysuria, diarrhea, bronchitis, and fever. The decoction of root is specifically used
for hemorrhoids and coughs. A poultice of tawa-tawa leaves can be applied to the
skin to treat skin diseases. The flowers of tawa-tawa are used for liver problems,
properties and is used as an herbal medicine in countries like the Philippines. Its
sterols, vitamin C, and vitamin A. Recent studies have shown its effectiveness in
postpartum women.17
the "tree of life" due to its remarkable versatility and numerous benefits. Moringa
has a long history of traditional medicinal use. Moringa seeds contain a compound
In the Philippines and other regions, Moringa leaves into the diet, due to its high
iron content and provides a good source of dietary iron and are used as a natural
remedy to help combat anemia. Moringa roots and bark have been used in
10
traditional medicine for addressing cardiac and circulatory problems (Orwa et al.,
2009). 18
family, which includes various tropical and subtropical flowering plants. Extracts
and metabolites from different parts of the plant, including the leaves, bark, and
fruit, have been studied for their pharmacological properties. According to the
study of Khedari and Khan, the interest in Guyabano's traditional uses aligns with
alkaloids, flavonoids, and more. These compounds have been studied for their
In a recent study conducted by Liu (2021) 20, it outlined the long-standing use of
traditional and alternative medicine in China and ASEAN countries. The review article
provided information on the practice, efficacy, regulation and management, and promotion
cooperation for developing modern ways of promoting the use of traditional medicine as
outlined in the various practices observed in different ASEAN countries, and practices
medicinal plants used by Ayta communities in Bataan, Philippines had listed 188 plant
species used as herbal medicine. Among the plant parts, leaves were the most commonly
11
utilized plant part, prepared via decoction, and the majority of the medicinal preparation
was via oral intake. Moreover, Psidium guajava and Lunasia amara were determined to be
the most commonly used medicinal plants among the cataloged medicinal plants.
Theoretical Framework
This study is anchored on the Health Belief Model (HBM) 22 of analysis on the use
of herbal medicine. The adoption of complementary and alternative medicine (CAM) can
be understood through the lens of the Health Belief Model (HBM). Individuals first assess
their perceived susceptibility to health issues and evaluate the severity of their conditions.
CAM enters the decision-making process when individuals perceive it as a viable option,
particularly when conventional medicine is considered insufficient. They then weigh the
perceived benefits of CAM, such as reduced side effects or holistic wellness, against
internal cues, such as personal beliefs, influence the decision to explore CAM. Confidence
in CAM's effectiveness and alignment with personal health beliefs and values play pivotal
roles. Demographics, socioeconomic factors, health literacy, and information sources also
contribute to the decision-making process. It's important to recognize that individuals often
engage in both conventional and CAM treatments, forming a dual health behavior model
within HBM. This comprehensive framework aids in understanding and promoting CAM
12
Conceptual Framework
Independent Variable
Age
Sex
Educational attainment
Income sufficiency
Dependent Variable
Figure 1 presents the conceptual framework of the study. The independent variables
include age, sex educational attainment, income perception. The dependent variable would
be the use of herbal medicine including its indication, preparation, dosage and application,
13
side effects, contraindications. This study would assess which among the independent
Chapter II
METHODOLOGY
Research Design
Survey method using an interview checklist with open-ended questions was used to gather
data on the use of herbal medicine. Causal relationship was not assessed in this study since
Setting
The study was conducted in Purok 1, Brgy. Bantol, Marilog District, Davao City.
Barangay Bantol has a total land area of 1,432.14 hectares. Bantol is situated at
is estimated at 265.6 meters or 871.4 feet above mean sea level. Purok 1 of Brgy Bantol is
composed of 169 households comprising 647 total population. Farming is the main source
14
of income of each household. Purok 1 serves as the center of Brgy. Bantol, with access to
basic commodities such as rice, eggs, and other grocery products. However, there is no
Population
This study was focused on the residents of Purok 1, Brgy. Bantol, Marilog District,
Davao City. The qualified respondents were further screened using an interview checklist.
They were provided with appropriate information on the purpose and procedures of the
study as stipulated in the Informed Consent Form. The data gathered from this study would
describe the herbal medicine usage in the said area, and cannot be applied to the general
population.
Inclusion criteria
The respondents of this study were selected based on the following criteria:
1. Bona fide resident of Purok 1, Brgy. Bantol, Marilog District, Davao City.
Exclusion criteria
The following criteria served as the basis for exclusion of the respondents:
studies.
15
3. The respondents have mental health problems or cognitive impairments.
Withdrawal Criteria
at any point of the study duration. Respondents may or may not disclose to the researchers
the reason for withdrawal, and will sign documents indicating withdrawal and exclusion
from the study. Respondents may also be withdrawn from the study at the judgment of the
Age Mean+SD
Employment status
Unemployed, Employed, Self-
employed, Retired
Income Perception
Sufficient, Insufficient
Indication
Preparation and
administration As stated by the respondents
Side effects
Contraindications
Outcome
16
Sampling
Sampling Design. This study used purposive sampling design. In this research, the
respondents were narrowed to those who are residents of Purok 1 who practice the use of
herbal medicine. The researchers will purposely select respondents that are qualified based
Randomization
This study did not require randomization since it utilized a cross-sectional study
design. This study only determined herbal medicine use, as in the case of our study, the
This study employed a total enumeration of 157 adult respondents who were given
validated questionnaires. These are the respondents identified to be 18 years old and above
from the total population of 214 from the identified 50 households during the community
Community Medicine and Ethics Committee of Davao Medical School Foundation, Inc.
17
prior to the start of data collection. A letter was submitted to the department head of
Community Medicine for approval of the study, then the barangay captain of Brgy. Bantol,
Informed consent. Respondents that were determined by our inclusion criteria, have
the capacity to think, reason, and understand for themselves, and agreed to participate in
the study will be given a written informed consent form. A brief introduction of the study
will be discussed including the respondent’s rights. The objectives of the study will be
each respondent using an interview checklist. The researchers conducted the interview with
minimal bias, ensuring that interviews would be conducted according to protocols and
use including its local name and scientific name; (3) determination of indication,
preparation, dosage and route of application, side effects, contraindications, and outcomes.
medicine used by our respondents and created a catalog of these herbal plants including its
description and identification. A photo application (PlantNet) was utilized to identify the
Data Analysis
18
The demographic data were presented using descriptive statistics. Continuous
quantitative variables were expressed in mean and standard deviation, and the categorical
variables will be presented in percentage and frequency. Descriptive statistics were used to
determine the characteristics of the study population and the identified herbal plant used.
Ethical consideration
Voluntary participation. Prior to the conduct of the study, the respondents were
informed of the nature of the study, their roles in the research, the risks, benefits, who to
the research study and may withdraw at any time without consequence or any loss of
the research respondents, names were not listed or recorded in the presentation of data,
instead codes will be assigned for each respondent. Data will only be accessed by the
researchers, physician, consulted expert, and statistician. Any information involving the
study respondents will not be disclosed to the public. Data will be stored in both soft copy
the safety of the study respondents. The respondents were not subjected to any laboratory
procedures, no medicines will be administered, nor no herbal medicine will be taken. Data
collection was only limited to answering the interview checklist that will be conducted by
the researchers.
19
Declaration of Potential Conflict of Interest. All researchers certified that they
pharmaceutical affiliations). All members have a duty to ensure that the integrity of the
Data Availability Statement. The results gathered for this study will not be
publicly available due to privacy and ethical concerns of the research respondents.
Supporting data can only be made available to bonafide researchers and further information
about the results can be accessed upon request from the corresponding authors.
20
Chapter III
This section presents the data gathered from 157 adult respondents on Purok 1,
Brgy. Bantol, Marilog District. Table 2 presents the sociodemographic profile of the study
respondents. This presents the mean age of 38 years old, the majority of the respondents
are female (52.9%), highest educational attainment for 74 respondents is elementary level
(47.1%) and most are self-employed (49.6%). Estimated monthly income of Php 2500-
4999 had the highest percentage of 36.3%, with 83 (52.9%) of the respondents indicating
that their monthly income is not sufficient.
21
Employment Status
Unemployed 45 (28.7)
Employed 34 (21.7)
Self-employed 78 (49.6)
Table 3 presents the catalog of medicinal plants identified by the study respondents.
These are the medicinal plants that are available in the community and utilized by the
respondents as treatment for various illnesses. The catalog includes the local/common
Bayabas
(Psidium guajava)
22
Akapulko
(Senna alata)
Tsaang gubat
(Carmona retusa)
Sambong
(Blumea balsamifera)
Malunggay
(Moringa oleifera)
23
Mayana
(Coleus blumei)
Sabana/ Guyabano
(Annona muricata)
24
Oregano/ Kalabo
(Plectranthus amboinicus)
Tanglad
(Cymbopogon citratus)
Ulasimang Bato
(Peperomia pellucida)
25
Table 4 presents the commonly used medicinal plants identified by the study
respondents. Ten medicinal plants were identified with Oregano or locally named “Kalabo”
having the highest percentage of use at 68.8%. This is followed by Sambong, Ulasimang
bato, Bayabas, Akapulko, and Malunggay at 53.5%, 39.5%, 29.9%, 24.2%, and 24,2%,
respectively. The less used medicinal plants are Tsaang gubat (15.9%), Sabana (15.3%),
Table 5 presents the list of medicinal plants including their indication, preparation,
side effects, contraindications, and outcome of use as stated by the study respondents. The
data gathered from the responses stated by the respondents were collated and tabulated to
assess their baseline knowledge on the appropriate usage of each medicinal plant. The most
common indications for medicinal plant use are cough, hypertension, stomach ache and
26
open wounds. Decoction is the most common method of preparation, and drinking
decoction via oral route as route of administration. Nausea was reported as a side effect
upon intake of the medicinal plant, however, no contraindications were stated. The
respondents stated that symptoms were relieved upon usage of the identified medicinal
plants.
27
Sabana Stomach Decoction of Drink None None Relieved
(Annona ache leaves decoction reported symptoms
muricata)
Tanglad Headache, Decoction Drink nausea/ None Relieved
(Cymbopog pregnant decoction vomiting reported symptoms
on citratus) woman,
colds
Mayana Hypertensi Decoction Drink Nausea None Relieved
(Coleus on; decoction reported symptoms
blumei) stomach
ache
CHAPTER IV
DISCUSSION
This research study was conducted to determine the herbal medicine use in Purok
1, Brgy. Bantol, Marilog District, Davao City which employed appropriate research design
and sampling methods. The socio-demographic characteristics showed that the average age
of the respondents was 38, with a high proportion of female respondents (52.9%). Latest
available data on barangay Bnatol is from a 2015 census with a population demographics
consisting of 2,334 total population, consisting mostly of young individuals ranging from
5-19 years old, and a median age of 2028. The highest educational attainment of the majority
of the respondents is elementary level (47.1%), most are self-employed (49.6%), and have
average monthly income ranging from Php 2500-4999 (36.3%), which is deemed
insufficient (52.9%) for the entire family. In the recent data of Philippine Statistics
Authority in Davao City, the monthly poverty threshold for a family of five in a 2021
census is Php 12,558 and a monthly per capita food threshold of Php 8,77029. This would
28
support the claim of the respondents of insufficient monthly income to support the family
The most common medicinal plant used in Purok 1 of Barangay Bantol as the study
use for coughs, colds and fever. They prepare this medicinal plant via decoction and is
taken orally. The most common side effect of Oregano is nausea, it has no
amboinicus is a member of the family Lamiaceae, or the mint family. The paleotropical
300 species of annual or perennial herbs or subshrubs which are often succulents. P.
amboinicus possess distinctive smelling leaves with short soft erect hairs30. A 2022 study
to determine the antimicrobial properties of oregano crude leaf extract against pathogens
that infect the throat, specifically Streptococcus pyogenes and Candida albicans revealed
that it has the ability to suppress the growth of both S. pyogenes and C. albicans. This
shows its potential use in the treatment of throat infections caused by these organisms31.
and placebo-controlled clinical study showed that oregano tablets could be a reasonable
alternative to other symptomatic treatments in patients with common cold. However, the
study also suggests more extensive, controlled clinical trials to validate the swift clinical
response obtained with this medicinal plant32. Many other studies show that P. amboinicus
extract, from crude extract to an essential oil, contains countless biological elements owing
to its chemical multifariousness. These studies show that oregano has phytochemicals that
possess antimicrobial activity against an extensive range of fungi, bacteria, and viruses, but
29
effectiveness varies depending on quantity and quality of the bioactive components present
after preparation33,34,35. The results of the studies mentioned support the outcomes
experienced by the respondents when taking Oregano for coughs and colds. On the other
hand, the proponents of this paper have not found any studies on its effectiveness on the
balsamifera) at 53.5%. The indications declared by the respondents are kidney stones,
hypertension, cough, and fever. They specified preparing the plant via decoction for oral
administration, and via cold compress via topical administration of the leaves. The
respondents noted no contraindications nor side effects, and that the indicated symptoms
were relieved by Sambong. Blumea balsamifera (L.) DC. (Asteraceae), also known as
sambong, has been used as medicine for thousands of years in Southeast Asia. Sambong is
the most distinguished member of the genus Blumea and is an autochthonous herb of
tropical and subtropical Asia. Sambong grows under forests, forest edges, river beds,
grasslands, and valleys36,37. Several phytochemical studies on Sambong reveals that there
have been more than a hundred volatile or non-volatile constituents isolated from it,
dihydroxyflavone, and organic acids38. Another study explored the angiotensin converting
enzyme (ACE) suppressing activity of Sambong tea, and revealed that Sambong tea
preparation showed inhibitory activity on rabbit lung ACE, attributed this to the
concluded that B. balsamifera impedes calcium oxalate stone formation in the kidneys40.
These findings suggest that the respondents’ utilization of Sambong for kidney stones is
30
valid, nevertheless, further studies need to be conducted for its effectiveness in managing
The third most common medical plant used in the area is Ulasimang Bato
(Peperomia pellucida) at 39.5%, which the respondents utilize for gout, arthritis, and
hypertension. They prepare it via decoction and take it orally. The side effect of taking
noted, and indicated symptoms were relieved after a period of intake. A randomized
can decrease the serum uric acid level (SUA) of hyperuricemic rats revealed that it had a
64.0%, denoting that Ulasimang bato can be used as an alternative treatment for
hyperuricemia41. This is in congruence with the respondents’ use of ulasimang bato to treat
symptoms of arthritis and gout. However, further research is needed on its effectiveness on
managing hypertension, thus its use for this indication by the respondents is not yet
substantiated.
The fourth commonly used medicinal plant is the Bayabas (Psidium guajava) at 47
% which indicates open wounds, diarrhea and stomach ache as asserted by the respondents.
The preparation was via direct application for open wounds and decoction to be taken
orally. No side effects and contraindication were noted and the indicated symptoms were
relieved as stated by the respondents. Guava has a rich history of medicinal uses,
particularly in traditional and herbal medicine systems. Various parts of the guava plant,
including the leaves and bark, have been used to treat a range of ailments and health
31
conditions. The practice of crushing guava leaves and applying the extract on wounds,
boils, skin, and soft tissue infectious sites is a well-documented traditional remedy. This
use is likely based on the belief that guava leaves possess properties that can help with
wound healing and skin infections. The bark in the form of decoction and poultice is used
as an astringent in the treatment of ulcer wounds and diarrhea in the Philippines 42. The
factor contributing to the plant's pharmacological activities and medicinal properties. These
pharmacological actions of quercetin and its derivatives in guava leaf extract contribute to
the plant's traditional use as a remedy for gastrointestinal and inflammatory conditions.
The ability to relax smooth muscles, inhibit intestinal movement, and reduce capillary
responses43.
The fifth most commonly used medicinal plants are Akapulko (Senna alata) and
Malungay (Moringa oleifera) at 38%. Akapulko was one of the top 10 medicinal plants
approved by DOH. It is indicated for treating fungal infection via direct application of the
leaf extract to the affected area. The most common side effect was skin burns but with no
respondents. Senna alata, also known as Cassia alata or candle bush, is indeed an
family and has various common names in different regions. In the Philippines, it is known
as “akapulko." Akapulko leaves contain chrysophanic acid, a natural compound known for
its fungicidal properties. Chrysophanic acid is effective against various fungal infections,
including ringworms, scabies, and eczema. It is used topically to treat these skin
32
conditions44. The accessibility and affordability of Senna alata (akapulko) in the
Philippines have made it a popular choice for household treatment of skin fungal diseases.
Its effectiveness against fungal infections, such as ringworm, scabies, and eczema, has
open wounds via direct application and no side effect nor contraindication and the
symptoms were relieved as stated by the respondents. Studies have indicated that the
topical application of Moringa oleifera extract can promote wound healing. This wound-
healing potential may be linked to its anti-inflammatory and antimicrobial effects, which
help create a favorable environment for tissue repair45. These properties may be attributed
phytochemicals found in different parts of the plant. Beyond wound healing, Moringa
oleifera has been studied for various other medicinal uses, including its potential as an
The sixth common medicinal plant used in the locality is Tsaang Gubat (Carmona
retusa) at 25% indicated to relieve gastrointestinal conditions like diarrhea and stomach
pain. It was prepared via decoction of the plant extract and taken orally. No side effects
and contraindications were reported and the symptoms were alleviated. Tsaang Gubat
medicinal properties. It is known for its antispasmodic properties, which can help alleviate
33
Department of Health for treating conditions like stomach ache, abdominal pain, and
diarrhea. It can also function as an effective mouthwash due to its high fluoride content,
Sabana (Annona muricata) was the seventh common medicinal plant used in the
area at 24%. It was indicated for stomach ache and the manner of preparation was via
decoction and administered orally. There were no reported side effects and
which are found in various parts of the plant, including the leaves, bark, and fruit seeds.
Guyabano leaves are often prepared as an herbal tea.This tea is used as a sedative to induce
relaxation and alleviate anxiety.It is also known to have soporific effects, helping to induce
sleep. Additionally, the infusion of Guyabano leaves is used for pain relief and as an
antispasmodic to alleviate muscle spasms and cramps48. It have been investigated for their
gastroprotective activity, specifically their ability to protect the stomach from ethanol-
The commonly cited medicinal plant used in the community were Oregano
showed that Psidium guajava L. and Lunasia amara Blanco were the most commonly used
used for treatment bites are used by the Manobo tribe of Bayugan City, Philippines50.
34
The indication, preparation, and administration of each medicinal plant identified
by the respondents were also determined as presented in Table 5. The commonly identified
indications include cough, fever, hypertension, and open wounds. Majority of medicinal
preparations include decoction and leaf extracts which are administered orally via drinking
Tantengco et al. used by Ayta communities, which identified that most medicinal plants
are taken orally such as drinking of decoction, gargling, and eating of fresh plant leaves.
Decoction refers to boiling of plant materials to extract its active compounds that render
“kalabo”, is frequently used by the respondents, prepared as decoction, and indicated for
hypertension, cough, and fever by the study respondents. This is prepared as a decoction
and utilized by drinking orally. This is supported by a study conducted by Dapar et al. on
medicinal plants used by the Manobo tribe in Bayugan City, Philippines, which supported
the indication, preparation, and administration reported by our respondents. However, the
study also reported that sambong can also be utilized for cough, fatigue, and headache50.
Direct application of sambong leaves as hot compress was also used in treating postpartum
abdominal pain51.
The study also assessed for the side effects and contraindications of each medicinal
plant. Nausea was the only reported side effect upon intake of the herbal plant decoction.
Among the most common side effects of herbal medicine intake are GI symptoms, this
35
include nausea, diarrhea, and abdominal pain. Other side effects reported are esophagitis,
plant was determined. The respondents indicated that symptoms were relieved after intake
of the listed medicinal plants. This is supported by a study of Gloria et al., indicating that
relief of symptoms ranked high in the perceived benefits of the use of medicinal plants.
Moreover, its availability in the community, cheap price of preparation, and long-standing
This study would significantly impact the community of Brgy. Bantol, Marilog
District, Davao City as it would fortify the use of medicinal plants, including its proper
use, preparation, and indication for a particular disease. The limitation of this study is that
randomization was also conducted, thus, results of this study may not be applicable to the
general population.
36
CHAPTER V
This chapter comprises the summary of the data collected from the respondents and
the conclusion obtained from the results. It also proposes suitable recommendations to give
out favorable information about providing practical ways of promoting safe and effective
usage of herbal medicine preparations among the adult population of Purok 1 Brgy. Bantol.
SUMMARY
This study was conducted to determine the use of herbal medicine among the adult
research design was employed utilizing survey method and interview checklist as a
research instrument. The study utilized purposive sampling with a total enumeration of 157
38 years old, the majority of the respondents are female (52.9%), highest educational
income of Php 2500-4999 had the highest percentage of 36.3%, with 83 (52.9%) of the
37
Ten medicinal plants were identified with Oregano or locally named “Kalabo”
having the highest percentage of use at 68.8% and Mayana is the least used at 9.6%.
Decoction is the most common method of preparation, and drinking decoction via oral
CONCLUSION
This study showed that the 157 adult respondents in Brgy. Bantol used a total of
ten plants for medicinal purposes. The medicinal plants with highest frequency of use
Ulasimang bato (Peperomia pellucida). Cough, hypertension, stomach ache and open
wounds were among the most common indications of herbal plant use. These are prepared
via decoction and oral route as the most common route of administration. Nausea was
reported as a side effect upon intake of the medicinal plant with no reported
contraindications. The respondents stated that symptoms were relieved upon usage of the
RECOMMENDATIONS
● Objectively assess the outcome of medicinal plant use by using a more robust study
design.
38
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APPENDICES
45
APPENDIX 1
INFORMED CONSENT
CERTIFICATE OF CONSENT
I have been invited to participate in a research study about assessment of the determinants
of herbal medicine use in Purok 1, Brgy. Bantol, Marilog District, Davao City.
The information written above has been read and explained to me. I have been given the
opportunity to ask questions about the study which were answered to my satisfaction. I am giving
my consent to participate in this study.
Participant’s Participant’s
Left Thumb Print Right Thumb Print
46
______________________ ______________________ ______________________
Principal Investigator’s Principal Investigator’s Day/Month/Year
Name Signature
Researcher's Copy
CERTIFICATE OF CONSENT
I have been invited to participate in a research study about assessment of the determinants
of herbal medicine use in Purok 1, Brgy. Bantol, Marilog District, Davao City.
The information written above has been read and explained to me. I have been given the
opportunity to ask questions about the study which were answered to my satisfaction. I am giving
my consent to participate in this study.
Participant’s Participant’s
Left Thumb Print Right Thumb Print
47
______________________ ______________________ ______________________
Principal Investigator’s Principal Investigator’s Day/Month/Year
Name Signature
Participant's Copy
KASULATAN SA PAGTUGOT
Gidapit ako sa pag-apil sa usa ka pagtuon bahin sa pag responde sa pag tuki sa mga
hinungdan sa pag gamit ug herbal na tambal sa Purok 1, Brgy. Bantol, Marilog District, Davao City
Ang impormasyon sa ibabaw gibasa ug gipasabot kanako. Gihatagan kog higayon sa
pagpangutana bahin niini, ug natubag ang akong mga pangutana sa akong katagbawan. Ako
boluntaryong mitugot nga mahimong partisipante niin nga pagtuon.
Akong nasaksihan ang tukma nga pagbasa sa porma sa pagtugot sa partisipante. Ang
partisipante gihatagan og higayon sa pagpangutana. Gikumpirma nako nga ang nasampit nga
indibidwal naghatag ug boluntaryo nga pagtugot.
Sa Partisipante Sa Partisipante
Wala nga Thumb Print Tuo nga Thumb Print
48
______________________ ______________________ ______________________
Pangalan sa Principal na Prima sa Principal na Adlaw/Bulan/Tuig
Imbestigador Imbestigador
KASULATAN SA PAGTUGOT
Gidapit ako sa pag-apil sa usa ka pagtuon bahin sa pag responde sa pag tuki sa mga
hinungdan sa pag gamit ug herbal na tambal sa Purok 1, Brgy. Bantol, Marilog District, Davao City
Ang impormasyon sa ibabaw gibasa ug gipasabot kanako. Gihatagan kog higayon sa
pagpangutana bahin niini, ug natubag ang akong mga pangutana sa akong katagbawan. Ako
boluntaryong mitugot nga mahimong partisipante niin nga pagtuon.
Akong nasaksihan ang tukma nga pagbasa sa porma sa pagtugot sa partisipante. Ang
partisipante gihatagan og higayon sa pagpangutana. Gikumpirma nako nga ang nasampit nga
indibidwal naghatag ug boluntaryo nga pagtugot.
Sa Partisipante Sa Partisipante
Wala nga Thumb Print Tuo nga Thumb Print
49
______________________ ______________________ ______________________
Pangalan sa Principal na Prima sa Principal na Adlaw/Bulan/Tuig
Imbestigador Imbestigador
Kopya sa Partisipante
50
APPENDIX 2
Interview Checklist
Directions: Please fill out the interview checklist based on the responses provided by the
respondents.
I. Details for the Interview:
1. Name of Barangay:
2. Name of respondent (optional)
3. Respondents code:
4. Interviewer:
5: Date and time:
51
2. Para sa asa nimo ginagamit? (What are the indications of its use?)
3. Gina unsa nimo pag andam sa herbal na tanom? (How do you prepare this herbal
plant?)
4. Kapila nimo siya gamiton, unsa ka daghan imong gina gamit, ug gina unsa nimo
siya pag gamit? (What is the frequency, dosage, and application of use?)
6. Unsa ang mga gina dili sa pag gamit sa herbal na tanom? (What are the
contraindications of use?)
7. Unsa ang resulta sa pag gamit sa herbal na tanom? (What are the outcomes of
herbal medicine use?)
IV. Catalog of Herbal plant used (Species identification using PlantNet app/expert
consultation)
Local/Common name
Scientific name
52