TREATMENT OF COMMON AILMENTS BY PLANT-BASED REMEDIES AMONG THE PEOPLE OF DISTRICT ATTOCK (PUNJAB) OF NORTHERN PAKISTAN

District Attock is one of the resource-based areas of medicinal plants in the north of Punjab province of Pakistan. The local people of the area have always used medicinal plants for their common ailments by traditional methods. Indigenous knowledge of local people about medicinal plants is directly linked to their culture and history. It is therefore felt worthwhile to record the indigenous knowledge about the plant-based remedies. The present communication deals with the common diseases treated by plant based remedies such as abdominal pain and worms, asthma, cough and bronchitis, cold, flu, influenza, diabetes, diarrheoa, dysentery, digestive disorders, ear infections and eye complaints. 25 species belonging to 25 genera were used for common ailments. It was found that plant based remedies were used in effective prescriptions, which are simple, inexpensive, and acceptable among the local inhabitants of the area.

Medicinal plants are valuable natural resource and regarded as potentially safe drugs. They have been playing an important role in alleviating human sufferings by contributing herbal medicines in the primary health care systems of rural and remote areas where more than 70% of population depends on folklore and traditional systems of medicines. The reason for their popularity is due to the high cost of allopathic medicines and side effects which encouraged manufacturers of Greco-Arab and Ayurvedic systems of medicines to merge their orthodox medicine with local traditional medicines in order to spread health coverage at a reasonable prize (Shinwari and Khan, 2000).
Pakistan occupies a unique position among developing countries as it has a good potential with in the variety of medicinal plants due to its varied climatic and edaphic factors, which reflect diversity and valuable medicinal plant heritage. About 6,000 flowering plants have been reported to occur in Pakistan. A very large number of drug plants are found in northern and northwestern parts of country (Ali and Qaisar, 1986).
The study area has three distinct regions, Chhachh, Sarwala and Nala Tract. The vast area and varied agroclimatic conditions of this area make it possible for all types of the medicinal plants and other usefull plants to grow. Rich biodiversity of medicinal plants in this area demand extensive research. The documentation of indigenous knowledge of local people about the use of plants is often the source of ideas for developing plants species for wider use and economic benefit and there are a large number of unidentified plant species in the area which could prove useful. The local people have good knowledge of the utilization of natural resources in this area. This knowledge is going to be lost because of the interference of modern cultural changes. Continuity of this practice will result in the loss of such knowledge. Therefore, efforts were made to understand the indigenous knowledge of local people with special reference to chemical constituents and ethno-pharmacological practices for the treatment of common day ailments. The present study was designed to investigate the ethno-medicinal potential of local people. It was also considered necessary to identify the medicinal plants, chemical constituents and their ethnopharmacological uses among different groups of society, for future research in production technology, phytochemistry and production of pharmaceutical products for wider circulation.

Methodology
The present research work was carried out during March 2004 to February 2006 through field surveys in different remote villages of the District of Attock. The questionnaires were devised to identify the indigenous knowledge of plant-based remedies from local people. The research work was unique in that the emphasis was on both men and women and also herbal doctors (Hakims). The medicinal herb data sheet was incorporated into the research work as a means of obtaining detailed information on specific medicinal plant species used in indigenous recepies. During the survey, 150 men, 50 women and 10 local herbalists (Hakims) were interviewed from different villages in the area. Frequent field trips of the area were conducted according to the life form, flowering period and season of utilization of plant products by local people. The plant specimens were collected, dried, poisoned and identified with help of flora of Pakistan (Nasir andAli, 1970-1995 ;Stewart, 1972) and deposited as voucher specimens in the herbarium of Quaid-i-Azam University, Islamabad. Plant-based remedies were presented with common disease's name followed by botanical name of species, local name, English name, part used, chemical constituents and preparation and use. For chemical constituents prior informed consent (PIC) was used in carrying out this work. The investigation on chemical constituents of the medicinal plants were reviewed from Baquar, (1989) and Bartram, (1995).

Results
The data on 10 common diseases, namely abdominal pain and worms, asthma, cough, bronchitis, cold, flue and influenza, diarrhea and dysentery, digestive disorder, ear infections and eye complaints which were analysed with the plants as presented in Table 1. Information on indigenous recipes were originally documented from local communities of the area and chemical constituents of the medicinal plants were given as reviewed by Baquar, (1989) and Bartram, (1995).  Baquar, (1989) and Bartram, (1995 The paste of the whole fresh plant along with the root paste of Cyperus rotundus (Deela gaaha) is applied externally on eyelids. This is prescribed to reduce the swelling, redness of eyes and to relieve the eye pain. Euphorbia hirta L.

Dodhi Spurse
Latex of Aerial parts Triterpenoids, Sterols, Alkaloid , Glycoside and Tannin Milky latex obtained from the fresh aerial parts of the plant. Adding then dilutes the milky latex boiled but cooling clean water. 2-3 drops put in eyes thrice in a day for treatment of eye complaints such as redness of eyes and to remove foreign body from eyes. Andrachne aspera Spreng Rumtotia Andrachne

Root
Piperidine alkaloids andrachcinine and andrachcinidine Fresh roots of the plant are collected and peeled off to remove the upper bark of roots. Then these roots are applied in eyes as needle (Surma Salai). This is done to remove the foreign body from the eyes as well as for painful eyes.

Fruit
Lupeol, ellagic acid and mucic acid Fresh juices obtained from the fruit of plant and then mix a big teaspoon of honey in this juice. This is orally used for keen vision as a eye tonic, conjunctivitis and other eye complaints.

Useful findings about indigenous medicinal plants Collection
Medicinal Plants gathering is done by all members of the community while children also play an important role in the collection of medicinal plants. Gatherers are mainly low income people. Shepherds, men, women and Nomad ethnic groups, also collect medicinal plants.
Different parts of the plant can be used to treat different conditions. For example, the fruit of Acacia nilotica (Kikar) has aphrodisiac action and bark of the same species have different primary action to the fruit by being strongly diuretic. Identification of the correct time for collecting plant species is crucial. Optimal timing has a direct link with the part of plant used.

Processing
Fresh and dried plants were both used. Processing techniques were found to be same throughout the study area. Various techniques were observed but the most popular proved to be sun drying and shade drying. According to specialists (Hakims and elderly people) of the area, shade drying is considered to be better than sun drying because during sun drying the volatile oil like contents of the plants were destroyed. The optimal method for drying herbs according to Bartram (1995) is to spread the unwashed, dust-free, organic plants out on racks in a well ventilated room away from sun lights, and excessive heat. Turning or agitation should occur daily, and the herb should not under go further preparation until the procedure has been successfully completed. Further processing for internal use included decoctions, fresh juices, infusions, syrups and cooking the herb. However, these alternative preparations do provide substantial medicinal benefits. quantities because local farmers have little or no marketing strategy and ability. In Sarwala and Nala tract of Tehsil Attock, the cultivation of medicinal plants is undertaken but to lesser degree (30% & 17% respectively). The commonest cultivated medicinal plants for treatment of various ailments are, Abelmoschus esculentus (Bhindi), Aloe vera (KunwarGandel), Foeniculum vulgare (Sonf), Solanum nigrum (Kuchmach), Mentha sylvestris (Pehari Podina), Trachyspermum copticum (Ajwain) and Raphanus sativus (Mooli).
It was also observed that the most households grow medicinal plants for themselves, relatives and neighbours and not for commercial purposes. An understanding of the market potential for medicinal plants could provide rural farmers with the incentive for cultivation of high demand species.

Discussion
Life and diseases go together, where there is a life, diseases are bound to exist. Dependence and sustainability of men, women, children and animal life were revolving to exist. Traditional uses of natural plants remedies provide potential indicators for biological activities. In the last few decades, there is a resurgence of public interest in medicinal plants and their role in primary health care (Haq, 1983). Alternative medicine using herbal mixtures is becoming more popular as these are believed to be safer and natural. However, there still exists an immense gap between the local traditional knowledge and modern medical sciences. This has resulted in the development of research priorities on plant used in traditional medicine to provide important sufficient information for commercialization. According to WHO, about three quarters of the world population relies upon traditional medicines (TM) mainly herbs for their healthcare. TM is now increasingly becoming essential part of the medicinal curriculum at a global level and it is anticipated that the modern physicians who are also skilled with some alternate methods of treatment are likely to be more successful physician in the years to come (Shinwari and Khan, 1999). Thus there is a huge potential of medicinal plants in health care of not only in remote areas like Attock of developing countries but also in the industrialized world and the acceptance of botanicals in modern medicines is likely to increase in future.
In this study data on 25 medicinal plant species belonging to 18 families were presented. Main emphasis was on the traditional plant based remedies which are used through out the area and the correlation between their actions and active chemical constituents which were reviewed by Bradly (1992) and Baquar (1989). It was found that the people of the area had and still have rich heritage of indigenous knowledge related to medicinal plants. In developing country like Pakistan, the benefits of modern medicine and health care is a luxury because only a small percentage of the population have access to it. Every year a considerable amount of scarse foreign exchange is used in the importation of modern drugs. The utilization of indigenous plant-based drug resources will increase the importance of the local industry on the one hand and will minimize the expenditure incurred on the purchase of foreign drugs on the other. Hence there is a need for the inclusion of herbal medicines at primary health care level, since their long standing use as plant drugs without toxic effects would reasonably guarantee their medical efficacy and safety. It is concluded that collaborative work amongst the taxonomists, ethnobotanists, ethnopharmacologists and phytochemists is essential for the productive evaluation of these resources.