Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 ETHNOPHARMACOLOGICAL SURVEY OF THE MEDICINAL PLANTS USED IN TINDIRET, NANDI COUNTY, KENYA Gabriel Kigen1, Alice Maritim1, Fatuma Some2, John Kibosia3, Hillary Rono4, Simon Chepkwony5, Wilson Kipkore6 and Bernard Wanjoh7 1 Department of Pharmacology and Toxicology, Moi University School of Medicine, P.O. Box 4606, Eldoret, Kenya 2 Department of Medicine, Moi University School of Medicine, P.O. Box 4606, Eldoret, Kenya 3 Department of Surgery, Moi Teaching and Referral Hospital, P.O. Box 3, Eldoret, Kenya 4 Hillary Rono, Opthalmologist Kitale County Hospital and London School of Tropical Medicine & Hygiene, P.O. Box 98, Kitale Kenya, 5Practising Herbalist, P.O. Box 36, Songhor, Kenya, 6Department of Forestry, University of Eldoret, P.O. Box 1125, Eldoret, Kenya, 7Department of Wildlife Management, University of Eldoret, P.O. Box 1125, Eldoret, Kenya *Corresponding Author E-mail: kigengfk@gmail.com Abstract Background: An inventory of the medicinal plants used by herbalists to treat various ailments in Tindiret area of Nandi County, Kenya was conducted by a team comprising of medical researchers and botanists with a view to preserve indigenous ethnobotanical knowledge and potential research and development of new drugs. Materials and Methods: Data was collected from practicing herbalists through semi-structured interviews, group discussions and observations. The types of medical conditions treated, treatment methods as well as the plants used were recorded. Results and Conclusion: A total of 50 medicinal plants belonging to 28 families used for the treatment of 32 medical conditions were recorded. The disease conditions which were treated by the highest number of plants were abdominal/colic pains with 15 different plants recorded (13%), respiratory disorders 15(13%) and infertility14 (12%). The most widely used medicinal plants were Vernonia amygdalina 7(7%), Toddalia asiatica 6(6%), Aloe kedongensis 5(5%) and Zanthoxylum gilletii 5(5%); whereas the families with the highest number of plant usage were Fabaceae 8(14%), Lamiaceae 4(8%) and Solanaceae 4(8%) plants respectively. The study documents important ethno-medical knowledge on the plants used by herbalists in Tindiret sub-county. Key words: Ethnopharmacology, Indigenous knowledge, Traditional medicine, Research, Conservation Introduction Ethnopharmacology is broadly defined as the study of substances used medicinally, often derived from plants, by different ethnic groups. Historically, natural products have been used as ingredients to develop new drugs, and are still an important source (Koehn et al., 2005; Li et al., 2009; Heinrich, 2014). Unlike Asia, many of the traditional plants used by herbalists have not been documented in Kenya, despite the risks of the knowledge disappearing, owing to several factors (Kigen GK et al., 2013). The documentation of the various plants and their medicinal uses will therefore conserve indigenous knowledge and provide an important database for future research and potential development of new drugs. Materials and Methods Study Area The survey was conducted in Meteitei area of Tindiret Sub-county, in the southern part of Nandi County (Figure 1). The County is located in the western part of Kenya at longitude 35°25‟E. latitude 0°34‟N and covers an area of 2,884 km² (Nandi, 2013; Wikipedia, 2013). It is endowed with a beautiful topography that mainly consists of the scenic Nandi Hills. It has rich volcanic soils, cool and wet climate with temperatures ranging from 15°C to 26°C, with rainfall of between 1,200mm and 2,000mm per annum. Tindiret region is characterized by a mountainous terrain (up to 2150m), with steep slopes descending into the Nyando escarpment (1300m). This provides varied ecological zones with swathes of the Nandi forest at the top and wood, bushes and savannah grassland with swamps at the escarpment (Nandi, 2013). The residents in the county are mainly Nandis, one of the larger Kalenjin subtribes (Gabriel Kigen et al., 2014; Wikipedia, 2015). 156 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 Figure 1: Map of Nandi County showing its position relative to the Kenyan Map and various sub- counties. Accesed on 24/04/2015 from KENYA MPYA -http://www.kenyampya.com/index.php?county=Nandi Data Collection Field surveys were carried out between February 2013 and July 2014. The research team consisted of professionals from the medical field and botany. It included two pharmacologists (GK & AM), one physician (FS), a surgeon (JK), an ophthalmologist (HR), a taxonomist (BW) and a plant specialist (WK). We also had two local herbalists (SC and Emily) who accompanied us each time we visited their colleagues. Semi structured interviews were used to collect information from the herbalists. The interviews were conducted in Kalenjin or Kiswahili, and were done at their practices, which in most cases were their residences. We interviewed a total of 45 herbalists aged between 38 and 70 years, with majority being female (28). Details of the medical conditions treated including the symptoms, methods of treatment, plants and herbal preparations used, local plant names, methods of collection of the herbs and any other information relevant to the practice were recorded. In case there were any patients undergoing treatment, they were also interviewed in order to corroborate the evidence of their treatment with the claims by the herbalists. Following the interviews, the informants were requested to accompany the research team to the fields in order to identify the plants used. The plant specimen and their habitats were then photographed and collected. The collected specimens were then identified by BW and WK as per taxonomic keys (Beentje et al., 1994; Agnew, 2013), and the voucher specimens pressed, dried and deposited at the University of Eldoret Botanical Herbarium. Results A total of 50 medicinal plants belonging 28 families were identified (Table 1, 2). We did not manage to see two plants going by the local names of “Mborusiat” and “Kipchilgatwet” which are used in the treatment of respiratory disorders and abdominal pains/diarrhoea respectively. We were informed that the first plant is found in deep forest, whereas the second is found in the rocky areas 157 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 in the highlands; both areas having rough terrain which we could not access. There were also three other plants which we identified Artemesia abbysinica, Pseudarthria hookeri & Tithonia diversifolia that none of the herbalists could remember their traditional names. 1. 2. Botanical name Family Ajuga remota Benth Albizia gummifera (J.F.Gmel.) C.A. Sm LAMIACEAE Table 1: Medicinal Plant Uses Local Name Voucher No. Parts used Chelelgatiat WK/02/15/045 Leaves FABACEAE Seet WK/02/15/011 Bark Method of preparation Press/crush leaves and add water Boiled (oral thrush), For post partum bleeding, crush bark and add a little water and administer Boiled &administered 3. Aloe kedongensis Reynolds ALOACEAE Tangaratwet WK/02/15/044 Roots 4. Artemesia abbysinica Sch.Bip. ex A.Rich Asparagus racemosus Willd. Basella alba L. ASTERACEA E No name WK/02/15/024 Leaves Boil leaves Pound leaves and administer to chicken Boiled 5. Plant Uses Abdominal pain & coughs in children Oral thrush in children Post partum bleeding Abdominal pain in infants, rashes (ringworms), common colds, infertility in women Heavy bleeding during periods (menorrhagia) Diarrhoea in chicken, cows Arthritis, infertility in women, cancer Abdominal/colic pain in infants(“Surunda”), anaemia (increases blood count) Abdominal pains, infertility in women Wounds ASPARAGA CEAE BASELLACE AE Chepsabeiyat WK/02/15/014 Roots Ndaramiat WK/02/15/042 Roots, leaves Boiled Carissa edulis (Forsk.) Vahl Cascabela thevetia (L.) Lippold Clematis simensis Fresen APOCYNAC EAE APOCYNAC EAE Legetetyot, Tamuryakyat, Chepnyalildet WK/02/15/001 Roots Boiled WK/02/15/029 Latex Apply latex to wound RANUNCUL ACEAE Sesyat /N’gososyat (Tugen) WK/02/15/002 Leaves and flowers Pressed, or dried and ground to powder and inhaled Combretum collinum Fresen Commiphora africana (A.Rich.) Engl. Croton macrostachyus Hochst ex Del. Cucumis prophetarum L. COMBRETA CEAE BURSELACE AE Buukwet WK/02/15/039 Bark Boiled Chepkilgong WK/02/15/005 Bark, fruits Boiled Abdominal pains, renal disease EUPHORBIA CEAE Tebeswet WK/02/15/007 Bark Boiled Respiratory disorders, common colds in children CUCURBITA CEAE Chepkeswot/ Chelulugu WK/02/15/040 Fruits Boiled 14. Dovyalis abyssinica (A.Rich.) Warb. FLACOURTI ACEAE Kapchobiniot WK/02/15/014 Roots Boiled 15. Engleromyces goetzei P.Henn. Ensete ventricosum (Welw.) Cheesman Entada abyssinica Steudel ex A. Rich. Erythrina XYLARIACE AE MUSACEAE Bobatabtegat WK/02/15/042 Boiled Sassuryet WK/02/15/049 Whole plant Roots Emetic (To induce vomiting in order to remove phlegm to treat malaria, infertility, Chemurmugulel/Kipgaras it (spleenomegally),arthritis, infertility in women Respiratory disorders Boiled Infertility in both men and women FABACEAE Katutwet WK/02/15/012 Bark Boiled Infertility in women FABACEAE Kakorwet WK/02/15/017 Bark Crush and add water Abdominal/colic pain in 6. 7. 8. 9. 10. 11. 12. 13. 16. 17. 18. 158 Sinusitis, allergy, common colds, cough, wheezing, chest pain, blocked nose, (goroitab ngwony) Infertility in women Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 abysinica DC 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. Euclea divinorum Hiern Flacourtia indica (Burm.f.) Merr. Gardenia volkensii K.Schum Hypoestes verticillaris (L.f.) Roem&Schult Kalanchoe crenata (Andrews) Haw. Lagenaria abyssinica (Hook.f) C.Jeffrey. Leucas calostachys Oliv. Markhamia acuminate K. Schum. Markhamia lutea (Benth.) K. Schum. Melia azedarach L. Momordica foetida Schumach. Ozoroa insignis Delile Periploca linearifolia Dill & A. Rich Plectranthus barbatus Andr. Plectranthus barbatus var.grandis (L.H.Cramer) Lukhoba&A.J.Pat on Pseudarthria hookeri Wight&Arn. Pterolobium stellatum (Forssk.) Brenan Rhamnus prinoides L'Hér. Rhoicissus tridentata (L.f.) Wild & R.B. Drumm. Senna 159 children, chickenpox & infertility in men Cathartic EBENACEAE Uswet WK/02/15/013 Roots Chewed FLACOURTI ACEAE RUBIACEAE Tangururwet WK/02/15/018 Kebulwet WK/02/15/031 Leaves Bark Bark Boiled Boiled Added to warm water and administered Measles Chicken pox Emetic ACANTHAC EAE Turkwot WK/01/15/016 Leaves Press and apply the sap on the wound Wounds CRASSULAC EAE Guserwet WK/02/15/030 Leaves Sap applied Unhealed navel in children to prevent infections Muscle sprain, myalgia (poultice) Burn leaves and massage inflamed area Burnt leaves (busaruk) CUCURBITA CEAE Motondorwet WK/02/15/047 Leaves LAMIACEAE Ngechebchat WK/02/15/048 Leaves Chewed Common colds, coughs BIGNONIAC EAE Chepsigiryet WK/02/15/034 Bark Boiled BIGNONIAC EAE Mobet WK/02/15/028 Roots Boiled MELIACEAE Mwarbaini WK/02/15/032 Boiled CUCURBITA CEAE Cheptenderet/ Mandereriat WK/02/15/021 Bark, leaves Leaves, Roots To prevent abdominal pains/ bleeding & oedema in pregnacy Arthritis, Inflammation(swelling) of the skin, myalgia Abdominal pains, STDs ANACARDI ACEAE APOCYNAC EAE Chepkiton’gy ot Sinendet WK/02/15/003 Leaves WK/02/15/026 Roots Sap applied on affected areas Roots, mixed with milk LAMIACEAE Irokwet (Nandi), Moron’get (Kipsigis) Irokwetab goik WK/02/15/023 Crush and mix with water and administer WK/02/15/033 The two topmost tender leaves Tuber Boil To stop diarrhea and vomiting in infants FABACEAE No name WK/02/15/035 Roots Boiled Abdominal pains, diarrhoea FABACEAE Kipkosgosit WK/02/15/009 Roots Boiled RHAMNACE AE VITACEAE Kosisityet WK/02/15/052 Roots Boiled Torotwet WK/02/15/036 Tuber Sap from tuber Common colds, persistent cough (asthma), spleenomegally Spleenomegally, infertility, cancer Wounds FABACEAE Senetwet WK/02/15/004 Leaves Boiled Cathartic LAMIACEAE Press and inhale Coughs “Gorotab ngwony”(trigeminal neuralgia, sinusitis) Mumps Infertility, abdominal/colic pains in women, ulcers Abdominal/colic pain in infants Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 39. 40. 41. 42. 43. 44. didymobotrya (Fresen.) Irwin &Barneby Solanum aculeastrum Dunal Solanum aculeatissimum Jacq. Solanum mauritianum Scop. Solanum sessilistellatum Bitter Syzygium cordatum Hochst.exC.Kraus s Tithonia diversifolia (Hemsl.) Gray SOLANACE AE Sigowet WK/02/15/037 Roots Boiled SOLANACE AE Labotwetab kimagetiet WK/02/15/020 Fruit Roots Cut &pressed Boiled SOLANACE AE Labotwetab timin WK/02/15/027 Roots Boiled SOLANACE AE Labotwet WK/02/15/010 Fruit MYRTACEA E Lamaiywet WK/02/15/008 Bark Sap applied to affected teeth or ringworms Boiled ASTERACEA E No name WK/02/15/025 Leaves Burnt leaves massaged on affected area Pound leaves and administer Boiled Pneumonia in both children and adults, liver disease Talisman - Children bathed in concoction to prevent ill omen from people with bad eyes Ringworms Asthma, persistent cough, common colds Pneumonia, persistent cough, asthma, malaria, spleenomegally Teeth, ringworms, rashes in children Common colds, diarrhoea Poultice -sprain Diarrhea in cows and chicken Abdominal pains, gynaecologic disorders including infertility, common colds (cough/colds), cancer, renal disorders Epilepsy, infertility in women, renal disease, cancer 45. Toddalia asiatica (Linn.) Lam. RUTACEAE Kipkombotyet (Nandi), Chepindorwet (Kipsigis) WK/02/15/022 Roots, leaves 46. Tylosema fassoglensis (Schweinf.) Torre & Hillc. Urtica massaica Mildbr. Vernonia amygdalina Delile FABACEAE Cheptebesiet WK/02/15/041 Tuber Boiled URTICACEA E ASTERACEA E Ziwot WK/02/15/046 Leaves Boiled Mororwet WK/02/15/019 Roots Boiled Zanthoxylum gilletii (De Wild.) P.G.Waterman RUTACEAE Sagawaita WK/02/15/038 Bark Boiled, Chewed WK/02/15/006 Bark Grind bark and combined with resin and inhale Boiled WK/02/15/050 Bark Crush and add a little water Abdominal pain & diarrhea in infants WK/02/15/051 Bark Chewed raw or dried Common colds, cough 47. 48. 49. 50. Ziziphus mucronata Willd. 51. 52. 160 RHAMNACE AE Chemanambe lio Kipchilgatwet (Nandi) /Nyalgatwet (Tugen) Mborusiat Abdominal pains especially in infants Abdominal pains in infants, in pregnancy, arthritis, meningitis, malaria, typhoid, epilepsy Colic pain, hepatomegally, severe inflammation (swelling) of the body, tongue Rx of anthrax Abdominal pain Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. Table 2: Classification of Medicinal Plants Plant Family Albizia gummifera Entada abyssinica, Erythrina abysinica, Pseudarthria hookeri, Pterolobium FABACEAE stellatum, Senna didymobotrya, Tylosema fassoglensis Ajuga remota, Leucas calostachys Plectranthus LAMIACEAE barbatus, Plectranthus barbatus var.grandis Solanum aculeastrum, Solanum aculeatissimum, SOLANACEAE Solanum mauritianum, Solanum sessilistellatum Carissa edulis, Cascabela thevetia, Periploca APOCYNACEAE linearifolia Artemesia abbysinica, Tithonia diversifolia, ASTERACEAE Vernonia amygdalina Cucumis prophetarum Lagenaria, abyssinica, CUCURBITACEAE Momordica foetida Markhamia acuminate, Markhamia lutea BIGNONIACEAE Dovyalis abyssinica, Flacourtia indica FLACOURTIACEAE Rhamnus prinoides, Ziziphus mucronata RHAMNACEAE Toddalia asiatica, Zanthoxylum gilletii RUTACEAE Hypoestes verticillaris ACANTHACEAE Aloe kedongensis ALOACEAE Ozoroa insignis ANACARDIACEAE Asparagus racemosus ASPARAGACEAE Basella alba BASELLACEAE Commiphora africana BURSELACEAE Combretum collinum COMBRETACEAE Kalanchoe crenata CRASSULACEAE Euclea divinorum EBENACEAE Croton macrostachyus EUPHORBIACEAE Melia azedarach MELIACEAE Ensete ventricosum MUSACEAE Syzygium cordatum MYRTACEAE Clematis simensis RANUNCULACEAE Gardenia volkensii RUBIACEAE Urtica massaica URTICACEAE Rhoicissus tridentata VITACEAE Engleromyces goetzei XYLARIACEAE Number % 7 14 4 8 4 8 3 6 3 6 3 6 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 The plants were used to treat 32 different medical conditions, with the conditions treated by the widest variety of plants being abdominal/colic pains whereby 15(13%) different medicinal plants were used; respiratory disorders 15(13%) and infertility14(12%) respectively (Table 3). One plant, Solanum aculeastrum was used as talisman, to offer children protection from evil or harm. The most widely used plants were Vernonia amygdalina which is used for the treatment of 7(7%) medical conditions, Toddalia asiatica 6(6%), Aloe kedongensis 5(5%) and Zanthoxylum gilletii 5(5%) plants (Table 4). The plant families with the highest number of usage were Fabaceae 8(14%) plants, Lamiaceae 4(8%) and Solanaceae 4(8%) plants respectively (Table 3). The medicinal preparations consisted of roots, leaves and bark which were prepared in different ways depending on the intended use just like their Marakwet cousins that we earlier reported (Gabriel Kigen et al., 2014; Kipkore et al., 2014). 161 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 Condition Table 3: Conditions treated by the medicinal plants No of plants used % 1. Abdominal/colic pains 15 13 2. Respiratory disorders 15 13 3. Infertility 14 12 4. Renal disorders 6 5 5. Arthritis 6 5 6. Cancer 6 5 7. Gynecological disorders 5 4 8. Splenomegally 5 4 9. Diarrhoea 4 3 10. Wounds 4 3 11. Ring worms 3 3 12. Skin conditions 3 3 13. Ulcers 2 2 14. Emetics 2 2 15. Cathartic 2 2 16. “Goroitab ngwony” 2 2 17. Malaria 2 2 18. Chicken pox 2 2 19. Liver disease 2 2 20. Epilepsy 2 2 21. Poultice 2 2 22. Typhoid 1 1 23. Meningitis 1 1 24. Dental disorders 1 1 25. Measles 1 1 26. Oral thrush 1 1 27. Mumps 1 1 28. Inflammation 1 1 29. Sexually transmitted diseases 1 1 30. Anaemia 1 1 31. Anthrax 1 1 32. Talisman 1 1 33. Veterinary uses 2 2 117 162 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 163 Plant Vernonia amygdalina Toddalia asiatica Aloe kedongensis Zanthoxylum gilletii Solanum aculeastrum Tylosema fassoglensis Artemesia abbysinica Asparagus racemosus Dovyalis abyssinica Erythrina abysinica Markhamia lutea Periploca linearifolia Rhamnus prinoides Solanum mauritianum Solanum sessilistellatum “Kipchilgatwet” Ajuga remota Albizia gummifera Basella alba Carissa edulis Clematis simensis Commiphora Africana Cucumis prophetarum Flacourtia indica Kalanchoe crenata Markhamia acuminata Melia azedarach Pterolobium stellatum Syzygium cordatum Tithonia diversifolia “Mborusiat” Cascabela thevetia Combretum collinum Croton macrostachyus Engleromyces goetzei Ensete ventricosum Entada abyssinica Euclea divinorum Gardenia volkensii Hypoestes verticillaris Lagenaria abyssinica Leucas calostachys Momordica foetida Ozoroa insignis Plectranthus barbatus Table 4: Frequency of plant use Conditions treated (No.) 7 6 5 5 4 4 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 % 7 6 5 5 4 4 3 3 3 3 3 3 3 3 3 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 46. 47. 48. 49. 50. 51. 52. Plectranthus barbatus var.grandis Pseudarthria hookeri Rhoicissus tridentata Senna didymobotrya Solanum aculeatissimum Urtica massaica Ziziphus mucronata 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Plant Use The details of various medical conditions treated, plants used and treatment methods are outlined below: Abdominal/Colic Pains A concoction made from the boiled roots of Carissa edulis is used to treat abdominal pains. The bark of Zanthoxylum gilletii is chewed and boiled for the treatment of abdominal/colic pains. Other preparations include boiled bark of Ziziphus mucronata, boiled bark and fruits of Commiphora Africana, boiled bark and leaves of Melia azedarach and boiled roots and leaves of Toddalia asiatica. Milk added to a concoction made from the boiled roots of Periploca linearifolia is used to treat abdominal/colic pains in women, whereas a preparation made from the boiled roots of Aloe kedongensis is administered to treat abdominal/colic pain in infants (“Surunda”). A little water added to the crushed two top leaves of Plectranthus barbatus or bark of “Kipchilgatwet” may also be used. Other preparations for the management of abdominal pains in infants include boiled roots of Vernonia amygdalina, boiled roots and leaves of Basella alba, and boiled leaves of Urtica massaica. The leaves of Ajuga remota are pressed or crushed and added to a little water to treat abdominal pains in children. A tincture made from the bark of Erythrina abysinica may also be used. It is peeled to the yellow part, crushed, a little water added and administered. The same preparation is used to treat chicken pox and infertility in men. Ulcers The boiled bark of Markhamia acuminate is used to treat ulcers. Alterative treatment involves the addition of milk to a concoction made from the boiled roots of Periploca linearifolia. Diarrhoea A concoction made from the boiled roots of Pseudarthria hookeri is used to treat abdominal pains accompanied by diarrhoea. The boiled bark of Syzygium cordatum is used for the same purpose. Boiled tubers of Plectranthus barbatus var.grandis are used to treat diarrhoea and vomiting in infants, whereas the crushed bark of “Kipchilgatwet” added to a little water is used to treat diarrhoea, also in infants. Typhoid A concoction made from the boiled roots of Vernonia amygdalina is used. Emetics The boiled fruits of Cucumis prophetarum are used to induce vomiting. Alternatively, some little warm water is added to the crushed bark of Gardenia volkensii and administered. Cathartic The roots of Euclea divinorum are used to induce purgation. They are gently warmed over an open flame and chewed, followed by a cup of strong tea. Boiled leaves of Senna didymobotrya are also used as cathartics. The concoction is drunk and immediately followed by a cup of strong tea. Respiratory Disorders The whole of Engleromyces goetzei, a parasitic fungi living in Bamboo is boiled and administered to treat respiratory disorders. The pressed leaves and flowers of Clematis simensis are inhaled to treat sinusitis, allergy, common colds, cough, wheezing, chest pain 164 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 and blocked nose. They may also be dried, ground to powder and inhaled. The raw or dried bark of “Mborusiat” and leaves of Leucas calostachys are chewed to treat common colds and coughs, whereas powder from the burnt leaves (“Busaruk”) are licked for the same purpose. The leaves of Ajuga remota are pressed or crushed and added to a little water to relieve coughs in children. The boiled roots of Aloe kedongensis as well as bark of Croton macrostachyus or Syzygium cordatum and boiled roots and leaves of Toddalia asiatica may also be used. A concoction made from the boiled roots of Pterolobium stellatum is used to treat common colds and persistent coughing and wheezing (asthma). Boiled roots of a total of three Solanum species were also recorded for the treatment of respiratory disorders. Solanum aculeatissimum is used in treatment of common colds, persistent cough and asthma, Solanum mauritianum for persistent cough, asthma and pneumonia; whereas Solanum aculeastrum is used in the management of pneumonia in both children and adults. “Goroitab Ngwony” Leaves and flowers of Clematis simensis are used to treat a condition described by herbalists as manifesting as intense headache and nasal congestion, which was described by the medical team to be trigeminal neuralgia, fibromyalgia or sinusitis. The leaves are pressed or dried, ground to powder and inhaled. The leaves and roots Momordica foetida are also pressed and inhaled for the treatment of the condition. Malaria A concoction made from the boiled roots of Solanum mauritianum is used. The boiled roots of Vernonia amygdalina may also be used. Wounds The leaves of Hypoestes verticillaris are pressed and sap applied on the wound. The sap from the leaves of Kalanchoe crenata is also used for anti-infective properties. Alternatively, the latex from Cascabela thevetia may be used. It is especially applied on the unhealed navel in babies to prevent infections. The sap from tubers of Rhoicissus tridentata is also used to treat wounds, especially open wounds. Meningitis A concoction made from the boiled roots of Vernonia amygdalina is used. Dental Disorders Juice from Solanum sessilistellatum fruits is applied on the affected tooth. Chicken Pox The infected child is washed with a tincture made from the crushed bark of Erythrina abysinica. A concoction made from the boiled bark of Flacourtia indica is also used. Measles A concoction made from the boiled leaves of Flacourtia indica is used. Oral Thrush A concoction from the boiled bark from Albizia gummifera bark is administered to treat oral thrush in children. Ring Worms The roots of Aloe kedongensis are boiled and administered. An alternative treatment involves the application of juice from the fruits of Solanum aculeastrum or Solanum sessilistellatum on the affected areas. 165 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 Skin Conditions The boiled roots of Aloe kedongensis are used to treat rashes while juice from Solanum sessilistellatum fruits is used to treat rashes, especially in children. The boiled roots of Markhamia lutea are used to treat inflammation (swelling) of the skin and muscle pain (myalgia). Mumps The leaves of Ozoroa insignis are chewed and the sap applied on swollen areas applied on affected areas. Inflammation The bark of Zanthoxylum gilletii is chewed and boiled for the treatment of severe inflammation (swelling) of the body and tongue. Infertility A concoction made from the boiled roots of Cucumis prophetarum, Ensete ventricosum or Rhamnus prinoides is used to treat infertility in both men and women, while tincture made from the crushed bark of Erythrina abysinica is used to treat infertility in men. Milk added to boiled roots of Periploca linearifolia as well as boiled roots of Aloe kedongensis are used to treat infertility in women. A concoction from the boiled roots of Asparagus racemosus combined with those of Carissa edulis, Dovyalis abyssinica & boiled tubers of Tylosema fassoglensis may also be used. Other regimes include the boiled bark of Combretum collinum combined with that of Entada abyssinica & Tylosema fassoglensis. Boiled roots and leaves of Toddalia asiatica may also be used. Gynaecological Disorders Boiled roots and leaves of Toddalia asiatica are used to treat gynaecologic disorders, including abdominal pains and infertility. A concoction made of boiled roots of Vernonia amygdalina is administered in pregnancy to maintain good health. The boiled bark of Markhamia acuminate is also used in pregnancy to prevent abdominal pains, bleeding and oedema. A little water is added to the crushed bark of Albizia gummifera and administered to treat post-partum bleeding. A concoction made from the boiled leaves of Artemesia abbysinica is used to treat heavy bleeding during periods (menorrhagia). Sexually Transmitted Diseases (Stds) The boiled bark and leaves of Melia azedarach are used to treat abdominal pain and STDs. Splenomegally A preparation made from the boiled roots of either Dovyalis abyssinica, Pterolobium stellatum, Rhamnus prinoides or Solanum mauritianum is used to treat a condition the herbalists referred to as “Chemurmugulel” or Kipgarasit” which our medical team thought it was splenomegally. Liver Disease A preparation made from the boiled roots of Solanum aculeastrum is used to treat liver disorders. The bark of Zanthoxylum gilletii is chewed and boiled for the treatment of an enlarged liver (hepatomegally). Renal Disorders A concoction made from the boiled tubers of Tylosema fassoglensis combined with boiled roots of Dovyalis abyssinica, Carissa edulis and Asparagus racemosus is used to treat kidney disease. The boiled bark and fruits of Commiphora Africana, as well as boiled roots and leaves of Toddalia asiatica may also be used. Anaemia A preparation made from the boiled roots and leaves of Basella alba is administered to increase the blood count. 166 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 Epilepsy A concoction made from the boiled tubers of Tylosema fassoglensis is used. The boiled roots of Vernonia amygdalina may also be used. Arthritis A concoction from the boiled roots of Asparagus racemosus combined with those of Carissa edulis, Dovyalis abyssinica & tubers of Tylosema fassoglensis is administered. The boiled roots of Markhamia lutea or Vernonia amygdalina may also be used. Cancer A concoction made from the boiled roots of Asparagus racemosus combined with those of Carissa edulis, Dovyalis abyssinica & tubers of Tylosema fassoglensis is administered. The boiled roots of Rhamnus prinoides, as well as boiled roots and leaves of Toddalia asiatica may also be used. Anthrax Ground bark and resin of Zanthoxylum gilletii is inhaled. Poultice The leaves of Kalanchoe crenata are burnt and the remains are massaged on inflamed/inflamed area to treat muscle pains sprains and related disorders. The burnt leaves of Tithonia diversifolia may also be used. Talisman A preparation made from the boiled roots of Solanum aculeastrum is used as talisman, mainly to offer children protection from ill omen. The child is bathed in the concoction to prevent evil or harm caused by people with “bad eyes” (Kipkorir BE et al., 2008; Kipkore et al., 2014). Veterinary Uses The pound leaves of Artemesia abbysinica combined with those of Tithonia diversifolia are used to treat diarrohea in chicken and cows. Discussion Herbal medicine is still widely used in Tindiret just like many other rural communities in Kenya. All the herbalists we interviewed had learnt the art from a close relative by word of mouth, mostly parents or grandparents but none of them had documented the plants, even those who had obtained some basic education. In fact, quite a number of herbalists knew the plants only by appearance, but had forgotten the names. We had to rely a lot on the herbalist who accompanied us to identify the local names, sometimes consulting other people who were not even herbalists. This is a worrying trend in Kenya since there is risk of knowledge disappearing due to lack of documentation (Kigen GK et al., 2013). Indeed, we identified three plants (Artemesia abbysinica, Pseudarthria hookeri & Tithonia diversifolia) that none of the herbalists could recall the local names. Some of the herbalists we interviewed tended to have specific specializations. The areas we identified include gynaecological disorders, infertility, epilepsy and children’s diseases (paediatrics). We identified most of the conditions treated by herbalists but there were two conditions which were not very clear “Goroitab ngwony” and “Chemurmugulel/Kipgarasit”. “Goroitab ngwony” is a condition that was described as presenting with severe headache, blocked nose and sometimes associated with the loss of teeth. From the description, our medical team thought that it was probably trigeminal neuralgia, fibromyalgia or sinusitis. “Chemurmugulel/Kipgarasit” was described as presenting with enlargement of in the left upper quadrant of the human abdomen. Our medical team arrived at the conclusion that it was splenomegaly which may have been caused by several factors including infectious diseases or malignancy. Like their other Kalenjin counterparts, emesis is used to treat what they regard to be “malaria” (Kipkore et al., 2014). We found out that the herbalists thought it is malaria because it presents with nausea and vomiting, sometimes accompanied by low grade fever. The emesis is therefore expected to remove massive build-up of mucus in stomach and chest to throat (phlegm) which may presumably cause pneumonia and therefore accompanying fever, as well as bile which they associate with malaria. The herbs used for this purpose are fruits of Cucumis prophetarum and bark Gardenia volkensii. A number of the documented herbal plants have been investigated and found to possess some pharmacological activities similar to those mentioned by the herbalists. These include antitumour effects of Toddalia asiatica and Asparagus racemosus (Mitra et al., 2012; Vazquez et al., 2012; Praveena et al., 2014; Thangavelu et al., 2015), antibiotic activities of Cascabela thevetia, Kalanchoe crenata and 167 Kigen et al., Afr J Tradit Complement Altern Med. (2016) 13(3):156-168 http://dx.doi.org/10.4314/ajtcam.v13i3.19 Melia azedarach (Khan et al., 2001; Akinsulire et al., 2007; Khan et al., 2008; Sowjanya et al., 2013), antibiotic and antifungal effects of Solanum aculeastrum (Koduru et al., 2006; Steenkamp et al., 2007) and control of anaemia by Basella alba (Bamidele et al., 2010). Conclusion The study documents important ethno-medical knowledge on the plants used by herbalists in Tindiret sub-county. Most of the medicinal plants from the various Kenyan communities have not been documented despite the risk of disappearance of the knowledge on traditional medicine. There is therefore need to document these indigenous uses of plants for research and potential development of new drugs. Acknowledgements We wish to thank Mrs Emily Cheruiyot for her assistance in providing valuable information and identification of the medicinal plants. References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 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