Scientific rationality, adoption and perceived effectiveness of ethno medical practices on hypotension in Idukki district Kerala

Abstract

This study aimed to document the traditional ethnomedicinal practices (EMPs) used for the treatment of hypotension among tribal farmers in Idukki district, Kerala, to scientifically validate the selected remedies, and to assess their level of adoption and perceived effectiveness. Field surveys, participatory interviews, and focus group discussions were employed to document indigenous practices, while a comprehensive literature review was conducted to evaluate their scientific validity. A total of six EMPs were identified, eight of which had strong pharmacological evidence supporting their therapeutic potential, while one lacked documented proof. The adoption rate of these EMPs ranged from 83% to 97%, reflecting strong community trust and consistent reports of positive health outcomes. Commonly used medicinal plants included Alangium salviifolium, Benincasa hispida, Pterocarpus santalinus, and Hemidesmus indicus, all of which possess bioactive compounds with antioxidant, anti-proliferative, and immunomodulatory properties. The findings underscore the cultural significance and therapeutic value of these traditional healing practices and emphasize the importance of further pharmacological research, biodiversity conservation, and preservation of indigenous knowledge for sustainable healthcare development and future generations.