Assessment of Indigenous Plants Knowledge among Traditional Healers in Eastern Morocco: Quali-Quantitative Approach (Part I)

Fakchich, Jamila; Kharchoufa, Loubna; Bencheikh, Noureddine; Zerkani, Hannou; Ouassou, Hayat; Bouhrim, Mohamed; Cordero, Mary Anne W.; Alotaibi, Amal; Elachouri, Mostafa

doi:10.3390/app122412773

Open AccessArticle

Assessment of Indigenous Plants Knowledge among Traditional Healers in Eastern Morocco: Quali-Quantitative Approach (Part I)

¹

Laboratory of Bioresources, Biotechnology, Ethnopharmacology and Health, Faculty of Sciences, Mohammed First University, B.P. 717, Oujda 60040, Morocco

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Chemistry of Bioactive Molecules and the Environment, Faculty of Science, University Moulay Ismail, B.P. 11201 Zitoune, Meknes 50070, Morocco

³

Department of Basic Science, College of Medicine, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia

^*

Authors to whom correspondence should be addressed.

Appl. Sci. 2022, 12(24), 12773; https://doi.org/10.3390/app122412773

Submission received: 1 September 2022 / Revised: 29 October 2022 / Accepted: 1 December 2022 / Published: 13 December 2022

(This article belongs to the Special Issue Natural Products: Sources and Applications)

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Abstract

:

Background: This is the first ethnobotanical study focused on medicinal plants traditionally recommended by traditional healers (THs) of Eastern Morocco. In this work, we documented the medicinal plants recommended by THs and highlighted the value and importance of medicinal plants recommended by specialist healers. Methods: A quali-quantitative ethnobotanical method has been performed, snowball sampling and structured interviews were used to evaluate the traditional plant knowledge by traditional healers in the study area. Species identification was performed and verified from the African Plant Database and Plant List. Two Relative Cultural Importance indices were used for this analysis “Informant Consensus Factor (ICF) and Frequency of Citation (FC)”. Results: A total of 135 plants were inventoried in our surveys. These species belong to 64 families and were reported to be used to treat 23 different categories of ailments. The botanical profile of the plants listed is dominated by LAMIACEAE’s Family with 12 species, followed by FABACEAE (11 species) and ASTERACEAE (10 species). In the category of the digestive system, nutrition problems and nervous system problems seem to be the predominant diseases treated. The Informant Consensus Factor (ICF) results indicated that cancer and gastrointestinal disorders had a higher concordance among informants (ICF = 0.60 and 0.58 respectively). Conclusion: Our results, showed that the Traditional healers, in Eastern Morocco, hold impressive knowledge related to the use of medicinal plants. This observation is reflected in the high number of medicinal plants recommended for the medication of the population. Furthermore, the consistency of healers in this area of study is justified by the ICF values.

Keywords:

indigenous knowledge; traditional healers; medicinal plant; Informant Consensus Factor

1. Introduction

It is impossible to embark upon the subject of medical tradition in Morocco without first briefly recalling the main Arab medical thought and “know-how” of Muslim communities regarding traditional medicine [1].

Belonging to the Arab world, Moroccan people have a long habit of the use of traditional medicinal and aromatic plants for medical purposes. Since time immemorial, Moroccan people have gathered plant and animal resources for their needs. Historically, Moroccan society had a wealthy pharmacopeia that dates back to 711 AD (92nd year of the Hegira). Islamic influence began in Morocco in the seventh century A.D. Arab conquerors converted the indigenous Berber population to Islam which was marked by the expansion of Moslem influence during the golden age of Arab Science “750–1258 C.E”. The Moroccan pharmacopeia was further developed and enriched by other knowledge brought in by various ethnic groups that migrated to Morocco from many areas, including the Arabs from the Middle East, the Andalusians, Jews from Europe, and the Blacks from Sudan, Senegal, and Niger. According to several distinguished authors such as Ibn El-Baithar (1877–1883) [1], who synthesized all medicinal drugs used by the Arabs up to the 13th century. Different works of literature confirm the progression of the knowledge of the Arab civilization through North Africa and the South of Spain [1,2].

So, Moroccan folk medicine is composite and complex. It is based on Arab-Islamic medicine but also hosts the elements of Greek medicine, Indian, Chinese, European, and black Africa since Morocco has been a major stopover and the crossroads of goods and cultures in Southern Europe, the Middle East, Central Asia, and Black Africa. Currently, in Morocco, several medical systems co-exist and give rise to a plural offer of therapeutic resources. Moroccan folk medicine in Morocco is a multidisciplinary and multispectral field.

According to Bellakhdar J. [3] and Claisse R. [4], Moroccan traditional healers are classed into three groups

-: The fuqaha (singular: fqîh), tolba (singular: tâleb) or tobba (singular: tabîb), and the healers of all kinds (kuwway or cautery installer, hajjam or barber phlebotomist, jabbar or bonestter, mul ssnan or tooth puller, qabla or traditional birth attendant…)
-: The apothecaries who divide themselves into two very distinct guilds ‘aṭṭârin (singular: ‘aṭṭâr) and the ‘aššabin (singular: ‘aššab). ‘aṭṭârin represents what could be called the apothecary grocers, traders of spices, aromatics, and medicinal drugs expensive and imported from distant lands. The ‘aššabin are the herbalists proper or merchants of medicinal and aromatic plants whose range, more diverse, has a large number of medicinal and magical drugs (roots, dried plants, seeds, bark, minerals, animal products) or confections, crammed together with various ingredients used in magic.

Our objectives in this work are to assist in the assessment of indigenous plant knowledge among traditional healers in Eastern Morocco. From this perspective, we performed ethnobotanical fieldwork. We have interviewed the traditional healers (THs) of any category who have fixed premises, in the region of Eastern Morocco.

2. Results and Discussions

2.1. Demographic Information of the THs and Professional Activity

2.1.1. Demographic Information of all Respondents

A total of 30 interviews were conducted in eight markets of Eastern Morocco. All of these interviews were with individuals with THs in their work premises, while more than 15 people declined to answer our questionnaires. Table 1 presents the demographic information of all respondents. All respondents are men, and only one woman was surveyed. All people who sell herbal remedies in the market are male. All the women I met in the market who were active in the field of plants were street vendors. Men dominate the practice of traditional medicine in the region. Most of the respondents (80%) were born in the region of Eastern Morocco. 80% belonged to one of the many ethnic groups of Eastern Morocco. 53% of the respondents have never lived outside the region. 67% own no land in the area. 83.33% speak more than one language and even 20% speak more than four languages (Arabic, French, English, Tamazight, Spanish). Concerning their levels of education, the results obtained show that 40% of surveyed individuals had a primary school education and 30% had a secondary school education, this is a high level of education in Morocco/the region and this high percentage reflects the average level of schooling of the population of the region. Only 3.33% were found to be illiterate. This low rate of illiteracy can be an advantage to the development of the practice of the profession. The most striking result remains that 16.67% of the people surveyed had (obtained) a university-level of education). The high number of higher-level practitioners will undoubtedly change this area, in particular because they know to avoid the complications related to the toxicity of certain medicinal plants and the possible negative side effects [5]. Finally, 6.67% of these respondents fuqaha (singular: fqih). Most are integrated and have even been known locally (33%), regionally (23%), and nationally (6.66%) (Table 1).

2.1.2. Description of the Professional Activity

In this region, the majority of THs are multi-purpose herbalists (80%) (Table 2), the specialized herbalists come in next with a percentage of 13.3%. 80% of the people practice only this occupation, while 13.3% have other professions. Only four THs have a diploma related to medicinal plants or the specialties they practice (13.3%). Only 33.17% use reference books (6.67% Arabic references) that concern the use of medicinal plants. Only 20% go to patients’ houses, and they set prices before treatment with a percentage of 70% in fees with 73%. All THs have the same scales. All THs have at least four years of experience in this field. 40% of THs have been practicing this profession for more than 14 years. 93.3% have no relationship with scientific institutions. 70% of THs report that the field is unorganized and the profession is not regulated (Table 2).

2.1.3. The Nature of the Products Sold by the THs

The products sold in herbalism are plants (67%), minerals (26.7%), animal parts (36.7), magic indices (3.33%), and herbal products (33.3%). Almost all THs that practice magic with their herbalism have refused to investigate with us. Most THs do not prepare the herbal products they sell in their practice. In fact, only 10% prepare their own products. The plants used and sold by the interviewed THs are purchased from wholesalers or collectors with a percentage of 70% (Table 2).

2.1.4. Diagnosis of Diseases

The THs report that the biggest problem in traditional medicine is diagnosis. That is why 40% of THs provide their traditional/herbal treatment after their patient has first been diagnosed with western medicine. Diagnosis by THs is done by interrogation 43% of the time and by body examination with 10% of the time based on the appearance and the complexion of the patient or the notion of hot and cold. In the cases where the symptoms are a manifestation of supernatural forces, the diagnosis is made by specialized healers (fûqha) who rely on the Quran or magic. Then only 30% of the THs do not make a diagnosis (Table 2).

2.1.5. Use of Traditional Medicine

83% of THs used medicinal plants, while only 60% used Western Medicine. 70% prefer to take care of plants because they are natural and have no side effects (Table 2).

2.1.6. Conservation and Transmission of Knowledge

60% of THs did not acquire their knowledge by transmission from father to son. 33.33% acquired this knowledge through personal experience. 76.67% do not have anyone to replace them. The remaining 33.33% have already trained people in herbalism. In most cases, training is done by observation and orally during the process of treating or selling plants (Table 2). Knowledge about the use of medicinal plants and their preparation procedures is generally passed down from generation to generation. However, this form of transmission is not always assured, putting this knowledge in danger of being lost [6]. The inventory of this knowledge is extremely valuable because it is likely to disappear with the disappearance of this kind of lifestyle and means of communication [7] (Table 2).

2.2. Medicinal Plants of Eeastern Morocco, Use, Knowledge and Importance by THs

2.2.1. Cultural Wealth

In total, 750 medicinal uses for plants were collected. After these reports were cleaned up to eliminate no plant treatments, generic plant names, and no medicinal uses, 722 responses remained. These responses were analyzed to identify medicinal plants and determine the importance of each species. The synthesis of the survey data led to an exhaustive inventory of the medicinal plants known and sold by THs to the population of Eastern Morocco (Table 3). In alphabetical order, we list the plants, their vernacular and scientific identities, their method of preparation, the form, mode, and dosage for administering remedies, the therapeutic virtues, the duration of preparation, the added ingredients, the toxicity, and the specimen. In addition to the data obtained from the survey, we present other information obtained from the literature: vernacular names used and medicinal uses in other regions of Morocco, toxicity, biological type, flowering period, ecology, bioclimate, endemism, and geographical distribution (Table A1).

To simplify the analysis, each plant response is considered a single treatment. Analytical measures of ethnobotany were then implemented to assess which species are the most important. The importance of the plants was reported according to the frequency cited (FC).

After taxonomic identification, we were able to document a total of 135 ethnomedicinal species, belonging to 125 genera and 64 families administered in about 722 herbal preparations for the treatment of 23 disease categories. LAMIACEAE was the leading family with 12 species, followed by FABACEAE (11 species), ASTERACEAE (10 species), APIACEAE (9 species), ZINGIBERACEAE (6 species), SOLANACEAE, ROSACEAE (5 species each) and the remaining ones were represented by less than four species (Table 3 and Figure 1). Our findings regarding the predominance utilization of family LAMIACEAE, FABACEAE, ASTERACEAE, and APIACEAE in Eastern Morocco were in agreement with other regions of Morocco and constitute the main groups of medicinal flora in most other Mediterranean countries [7,8,9,10].

2.2.2. Description of the Species

The inventoried medicinal species fall into three categories: 55.80% are spontaneous species, 28.50% are cultivated species, and 16.20% are imported plants (Table A1). This is consistent with the results found by El-Hilaly in Taounate which states that 61% of the inventoried plants are wild species, grown with 37% and cultivated as well as spontaneous with 1.9% [11]. In addition, not native species (21 plants or 16.20%) are less important than native species (112 plants or 84.32%). This data is consistent with the findings in 2006 by a study by the US Agency for International Development on MPA at the national level. These findings may explain the observed overexploitation of these plants by the local population who use them not only to heal, but also as a source of income by marketing them. Based on the work of Oualidi J., et al. in 2012, we ranked the plants according to their chorology. 29 of the plants inventoried or 21.64% are endemic species of North Africa and 14 (10.44%) are endemic species of Morocco, while the others have a different and vast chorology [12].

The result of life form analysis showed that therophytes (TH: annual, biennal or perennial herbaceous) constituted the highest proportion (17 species or 23.6%) of the identified species, followed by chamephytes (CH: shrubs) (16 species or 22.3%), phanerophytes (PH: trees and shrubs) (14 species or 19.5%), neophanerophytes (nPH) (10 species or 13.9%) and hemicryptophytes (annual, biennal or perennial herbaceous) (8 species or 11.2%). This finding is consistent with other studies [13] (Table A1). Generally, 44.7% of the medicinal species recorded in eastern Morocco (59 plants) flower during the spring, (46 plants) or 34.8% flower in summer, followed by 12.1% (16 plants) in winter and 6.8% (9 plants) in autumn. As for bioclimatic types, the listed plants belong to six bioclimatic: saharan, semi-arid, arid, humid, sub-humid, and high mountains. However, we note a dominance of medicinal species belonging to semi-arid bioclimates coming in at 38.2% (84 plants) (Semi-Arid mild: 53 plants or 24.1%, semi-arid cold: 28 plants or 12.7% and semi-arid: 3 plants or 1.4%), (53 plants) or 24.1% belong to sub-humid bioclimates followed by (36 plants) or 16.4% in arid bioclimates, (13 plants) or 5.9% in saharan and in the end the wet, mountainous bioclimates with 1.4% (3 species). For geographical distribution, the plants’ natural habitats can be divided into three clearly delineated regions: the first significant group occupies the Rif regions, Middle Atlantic Morocco, North Atlantic Morocco, and the High Atlas Mountains at the rate of 12.1% (34 plants), 11% (31 plants), 11% (31 plants), 10.6% (30 plants) respectively; followed by the second group occupying the Middle Atlas regions, Mediterranean Coast, Eastern Morocco Mountains, Anti Atlas Mountains, Eastern Morocco Plateau, Saharan Morocco, Saharan Atlas Mountains with the lower percentages of 9.6%; 9.2%; 7.4%; 7.4%; 5.0%; 4.3%; 4.3%, respectively, and the third group, 8.50% of the total, contains the species occupying all of Morocco with some exceptions (Table A1 and Figure 2).

2.3. The Vernacular Names

Although the official language of Morocco is Arabic, various other languages like tamaziġt and šalha with various local dialects are spoken by a large number of indigenous communities of Eastern Morocco. As a result, there is a wide variety of vernacular names for (these) plants at the local level. A species with one vernacular name has different names from language to language or dialect to dialect. For example, the plant Allium sativum is called tûm in Arabic and tišart or taskart in tamazight. In addition, the vernacular name of the plant can indicate the whole plant, the part used (ssadra for the whole plant or nbaġ for the fruit which indicates Ziziphus lotus, their botanical characteristics (botanical indicates the black seeds for Nigella sativa), and their physiological effects (ḵayyâṭa indicates heals wounds for Telephium imperati).

The data show that only 84 species belonging to 45 families have a single vernacular name not shared with other species. Among these species, echoing the findings from the ethnobotanical studies conducted since 1991, there are 12 species with a single vernacular name in all the regions of Morocco and 62 species that have more than one name in the other regions of Morocco. Six species have a single name in the other regions of Morocco but more than one name in Eastern Morocco. The other species have more than one name in the region of Eastern Morocco and in winter the other regions (Table 3). These results coincide with other ethnobotanical studies carried out in Morocco [14,15,16,17,18,19].

2.4. Toxicity

60% of THs do not leave anyone in their herbalism because they know the danger of plants and their products for humans if they are sold without their control (Table 3). In case of absence (16.16%) leave confident people in relation to the field such as their parents or grandparents (grandmothers), employees, and trainees. The pharmacological analysis of the plants identified, allowed us to identify the toxic plants used in traditional pharmacopoeia in the area based on the survey and using different works, known in the scientific literature, namely “The Moroccan Traditional Pharmacopoeia, ancient Arabic medicine and popular knowledge” [3] “Toxicology in Morocco” [20], and “Toxic Plants—plants dangerous to humans and animals” [21]. The results obtained show that (59 plants) 43.7% of the plants used can cause poisoning (Table 3 and Table A1). 31% (43 plants) of plants are reported in the literature as toxic species. 27.9% of plants (12 plants) that are reported to be toxic based on the literature are also reported as toxic medicinal plants by THs. THs inventoried 16 toxic plants in addition to the species reported in the literature. The tradipraticians and the population in Morocco, have fairly important knowledge of the toxicity of medicinal plants [22]. This is contradictory to the work of Benlamdini which shows that the majority of users of traditional medicine are unaware of the toxicity of these plants [23].

2.5. Characteristics of Inventoried Recipes

2.5.1. Parts of the Plants Used

The aerial part (including leaves (34.49%), seeds (30.39%), flowers (14.78%), bark (5.95%), fruits (4.92%), boughs (3.90%) and the resin (0.41%)) is the most used part with 94.98%. Ethnobotanical studies conducted by [8,24,25,26,27,28], also show that the aerial part, especially the leaves, is the part mainly used in the various therapeutic preparations. In the context of conservation, the use of leaves in herbal preparations implies a more sustainable practice. Poffenberger’s studies have shown that removing 50% of the leaves from a tree does not significantly affect its survival [29]. Nevertheless, the collection of these organs is anarchic by local users who tend to pull the whole plant instead of focusing only on the desired part. Therefore this practice can contribute to deforestation and the degradation of ecosystems and natural resources [23]. The high frequency of use of the aerial part, especially leaves, flowers, and leafy branches, can be explained by the ease and speed of the harvest [30] and the fact that they are the site of photosynthesis and sometimes the storage of secondary metabolites responsible for the biological properties of the plant [31]. These organs provide the majority of alkaloids, glycosides, and essential oils [32]. The harvest of the underground part of the plant removes the possibility of the plant obtaining nutrients, which affects its vegetative aspect as well as its physiology [33]. However, while we see a low usage of this part (including the roots, rhizomes, and bulbs) at a percentage rate of 5.02%, it does not entail a risk of the plant’s disappearance. Figure 3 shows the rate of use of all reported plant parts.

2.5.2. Recipe Preparation Techniques

Some plants in their natural form are not suitable to be used directly as a drug and should be subjected to processes like pretreatment, detoxification, and formulation prior to administration. The processing methods include cleaning, cutting, stir-frying, charring, steaming, boiling, burning, etc. The aims of processing are to enhance the efficacy and/or reduce the toxicity and to change the effects or properties of crude drugs [34]. According to the survey, the powder is the most popular preparation method for the plants studied. It represents 42.18%. This result is corroborated by the works of Ghourri M. with a percentage rate of 84.73% [25,35], El Yahyaoui O. with a percentage of 36% [27], and Messaoudi M. with 57% [36]. However, decoction (26.17%) and infusion (21.84%) are modes used just as frequently. These results are different from the work of [23,24,37,38], who reported that decoctions is most commonly used at a rate of 47%, 37.6%; 26.80%; 40.55% respectively. Other preparation techniques (including burning, cooking with food, in the form of oil, direct, maceration, vinegar, juice, and salad) are used less often at a rate of 9.79%. According to Salhi, a decoction can collect the most active ingredients and attenuate or cancel the toxic effect of certain recipes [24]. Benlamdini N. said that decoction warms the body and disinfects the plant to cancel the toxic effect of some recipes, but it can destroy some active ingredients of the species used [23]. After processing, the chemical components of the crude drugs may change dramatically [39]. In addition, medicinal plants have side effects when they are incorrectly ingested by patients. As a result, alternative medicine must be practiced with care and within specific parameters and measurements (Figure 4).

2.5.3. Routes for Administering Remedies

The most frequently used mode of remedy administration is oral ingestion (82.96%). Today, most of the medicines are given orally which is in agreement with some other studies: El Rhaffari L. et al. with 57% [8] and Ouhaddou H. et al., with 64.5% [40]. Nevertheless, several works reveal other important routes. The external route (including several ways of administration: local application, bath, washing) represents 13.7% (Figure 5).

2.5.4. Association with Other Plants and/or Ingredients

The remedies used by THs generally contain compounds of plants, animals and minerals (Table 3). Compound remedies plants, animals, minerals) are prescribed at a rate of 35.87%, while simple recipes are at a rate of 64.12%. Of the 135 species recorded, 42 are used in simple remedies and 93 in compound remedies or in both compound and simple recipes.

The predominance of monospecific remedies is confirmed by El-Rhaffari L. et al. in 2002 [8].

Among the 259 combined remedies, 150 remedies or 20.78% contain ingredients of an animal nature (honey, milk, camel fat, chicken), 8.17%, or 59 remedies contain vegetable ingredients (plants, plant pollen, plant juices, and extraction of plants by water and vinegar), 5.68% or 41 remedies contain mixtures of plants known to traditional Moroccan medicine as râṣl-ḥanût (Mixture of Plants (Heat Therapy and Spices)), ḥarîra (soup),ḵala (Mixture of ground plants used as poultice in the case of headaches) [3] or simply meals or beverages, meat as djâj baldi: Free-range chickens (called djâj baldi in Morocco)and finally to facilitate management, 1.25% or nine remedies are ingested with water (Table 3).

This preponderance of monospecific remedies benefits patients. Indeed, combinations of plants badly matched are sometimes dangerous. In Africa, bad mixtures cause about 30% of fatal accidents [41] because synergistic action frequently results from bad combinations of medicinal plants as reported by Fleurentin and Pelt [42]. We retain here that simple remedies are the most used which can be explained by the search for simplicity in the preparation of the remedy. When recipes are compound, they contain in large part ingredients animal in origin, especially honey and milk. In addition, the use of more than one plant species to prepare a cure for diseases is attributed to the additive or synergistic effects they may have [43]. The ingredients originating from animals are identified as honey, milk, and pieces of animal organs, and according to Ouhaddou H. et al., In 2015 [40], they are added to improve the acceptability and the medicinal properties of the remedies. They are usually taken orally (Table 4).

2.5.5. The Duration of the Preparation

THs reported preparation took the form of decoction and infusion at a rate of 49%. The duration of these forms of preparation does not exceed 20 min for all THs. On the other hand, the duration for maceration can reach from 3 h to several days for the population of Eastern Morocco according to the work realized by Fakchich J. and Elachouri M. in 2014 [44]. According to this study, the duration required for preparing the remedy depends on the type of preparation necessary (infusion, decoction, maceration, requires extraction with solvents), and also the parts of the plants used (leaves, stem, root, bark, rhizome). The results show that a decoction of roots or bark takes longer than one of leaves or flowers. The maceration of the seeds requires a longer time than the infusion of leaves or flowers. It is also noted that resins can be used directly. The majority of THs recommend using the plant twice a day, once in the morning and once at night, but they are not able to agree on the duration of the treatment. They all feel that they must examine the patient before making a diagnostic decision [36].

2.6. Diseases and Treatments

2.6.1. The Most Common Ailments

Results from the analysis of ethnobotany data show that registered medicinal plants are involved in the treatment of 23 disease categories. Digestive system problems are treated at a rate of 18.28% (131 citations) followed by nutrition problems at 9.41% (68 citations), problems of the reproductive system at 8.01% (58 citations), system nervous problems at 7.75% (56 citations) and skin problems at 7.06% (51 citations). Similar results are observed in an ethnobotanical study examining the population of the same region [44]. This same survey revealed that the majority of medicinal species are used mainly against diseases of the digestive system, at a rate of 50%, follow diseases of the skin (15%), the circulatory system (13%), the respiratory system (10%), and the reproductive system (5%). The remaining diseases (ophtalmic, bone, urinary, laryngological, and nervous system) represent less than 7% [44]. These values reflect the health profile of Eastern Morocco which is strongly dominated by diseases of the digestive system and dermatological pathologies. Therefore, it is interesting that labs look into the eradication of these pathologies to improve the well-being of these populations.

2.6.2. Diversity of Plants Used in the Treatment of diseases

The most frequently reported diseases also use the largest variety of plants. Gastrointestinal problem uses 56 species followed by nutrition problems (43 species), problems of the reproductive system (35 species), problems of the nervous system and dermatological problems (28 species).

2.7. Informant Consensus Factor

The results of the Informant Consensus Factor Calculator (ICF) (Table 5 and Figure 6) show that the value in our study ranges from 0.07 to 0.60. Cancer has a high ICF value of 0.60 with 21 reported uses of nine distinct species. It is followed by gastrointestinal disorders with an ICF value of 0.58, and pathologies of the nervous system ICF: 0.51. The lowest agreement between informants was observed when discussing the plants used to treat cholesterol, IFC: 0.07, poisoning problems ICF: 0.14, and ophthalmic diseases ICF: 0.17. The low ICF values observed in our study could result from a lack of communication between traditional healers in different regions of the area studied or from a lack of knowledge of problems that only slightly affect the population. These results strongly agree with data found by Fakchich J. and Elachouri in 2014 [44] in a survey of the population from the same region.

2.8. The Most Important Species According to FC

Species most commonly cited (hight FC) by THs for treatments are listed in descending order: Origanum compactum Benth (26 citations), Matricaria chamomilla L. (25 citations), Salvia officinalis L. (21 citations), Peganum harmala L. (20 citations), Lavandula dentata L. (17 citations), Berberis hispanica Boiss. & Reut. (17 citations), Rosmarinus officinalis L. (16 citations) (Table 3).

These plants are used excessively which poses a threat to long-term existence especially to those that are rare and endemic. In addition, all these species are commonly reported in the literature as being the most important medicinal plants and the most used species by people in different regions of Morocco. Thus, conserving these species in their habitats and protecting the public from their toxicity, must be central to the decision makers interest.

These plants are widely used in the literature and are even well-studied in laboratories (Table 3). Taking the following examples:

The folk species of Origanum compactum Benth., has the most cultural significance according to the FC. O. compactum Benth., is an endemic plant of Morocco, aromatic, used for cooking, and occupies the first order according to FC. It contains a toxic essence and at high dose, it causes gastric bleeding, albuminuria, and steatosis of the liver [20].

It is reported to treat 12 diseases by THs in the region of Eastern Morocco: gastrointestinal problems, cold problems, kidney disease, reproductive system problems, warming, nutritional problems, high cholesterol, circulation problems, dermatological problems, diabetes, intoxication, pathology of the respiratory system, nervous system problems and to various categories of diseases in other regions of Morocco: nutrition problems [26], allergies [44,45], circulation [40], dermal problems [26,46], diabetes [25,47,48], gastrointestinal problems [40,44,49], cold problems [10,38,46], infections [17], urinary problems [40,46,50], dental problems [38], 2011, problems with reproduction [51], respiratory problems [28,38,40,52], rheumatism, and bones problems [28,40,46,53].

Matricaria chamomilla L. is the second most culturally significant species according to the frequency cited. It is reported to treat nine diseases. It grows on farmland and uncultivated land as well as in fields, and gardens. It is widely used in Morocco to treat various categories of diseases: nutritional problems [36,54], allergies [26]; cardiac problems [55,56], dermatological problems [36,46,57], diabetes [47,49,58], gastrointestinal problems [36,46], colds [44], hypertension [56], infection [26], dental problems [59], pathologies of the renal system [55], pathologies of the reproductive system [10,54,55]; respiratory problems [10,38,60]; rheumatism and bone problems [10,54,60], nervous system problems [36,38,46], spasmodic [36,38,57], head diseases [59,61].

Peganum harmala L. occupies the fourth according to FC. It is used for 11 diseases in Eastern Morocco according to THs. It grows in the steppes, uncultivated fields, rubble, plains, and low mountains. The plant is reported to be toxic by THs but is not toxic at low doses [20]. Among the 12 THs that inventoried it as a medicinal plant, only two remedies are administered orally, which reassures us about its toxicity. It is widely used in different regions of Morocco to treat various diseases: nutrition problems [8,36], cancer [38,62,63], heart problems [8,56], circulation problems [8,64]; dental problems [8], dermatological problems [8,9,26], diabetes [38,47,48], digestion problems [8,38,57], fever [23,37,64], colds [23,37,38], hypertension [8,56,65], infection [8,10,64], intoxication [10,38,49,57], magic [10,54,57], eye disease [8], kidney problems [8,50], pathologies of the reproductive system [10,40,64], respiratory problems [8,40], rheumatism [44,64,66], nervous system problems [10,40,67], spasmodic [10,38,64], head disease [23,68].

3. Materials and Methods

3.1. Description of the Study Area

Eastern Morocco is one of the largest regions of Morocco (Figure 7). He covers an area of 90 127 km² and lies between 34°41′00″ N and 1°54′00″ W. The region has 8 administrative prefectures/provinces, namely Oujda-Angad, Berkane, Nador, Jerada, Taourirt, Driouch, Guercif, and Figuig (2014 census). Located on the plains (Angad and Triffa plains), surrounded by mountain ranges (beni-Znassen and horsts chains) and close to the Mediterranean Sea, the region of Eastern Morocco enjoys a climate and a diverse flora. Thus, 471 species and medicinal subspecies which represent 11% of the Moroccan flora, are divided into 302 genera; about 34% of all Moroccan genera, and 85 families; about 69% (Kahouadji, 1995). In addition to its floristic potential, the population of Eastern Morocco has a rich and ancient tradition in herbal medicine. The conservation and management of this floristic and cultural wealth is an important issue. Indeed, the ethnobotanical bibliography of Eastern Morocco shows that some studies on medicinal plants have been published in recent decades on the ethnobotanical knowledge of Eastern Morocco. Among these works, we quote the work of Ziyyet et al., from 1997, which made it possible to inventory the medicinal plants used by the patients for medication, diabetes, and hypertension, Fakchich J. and Alachouri in 2014 inventoried the medicinal plants used by the population to treat the different categories of diseases and the work of Alami et al. In 2015, this focuses on the plants used by diabetics in Orient Morocco.

3.2. Ethnobotanical Survey

The study area has been researched using local traditional healers. 30 THs from 8 villages were interviewed. The interviewees were all identified by snowball sampling in eight markets of eastern Morocco: Oujda, Berkane, Ahfir, Elaioun, Jerada, Nador, Taourirt, and Figuig. The involvement of the president of the association of herbalists of Morocco facilitated the approach with the (THs). Specifically, I first explained to the THs the reasons for our visit and after they agreed, we began the interview. Each survey began by collecting information on socio-demographic characteristics: sex/age/ethnicity/level of study/professional activity: description, nature of products sold, diagnoses, conservation, transmission, and toxicity. Then, information on vernacular names, medicinal uses, herbal part (s) as pharmacological uses, and preparation and treatment methods were recorded. Respondents then used a memory recall free-listing method to list the medicinal plants with which they were familiar.

3.3. Floristic Identification and Taxonomic Validation

Medicinal plants were collected or purchased, identified, labeled, and preserved at the plant section of Herbarium University Mohammed First Oujda Morocco (HUMPO). They were later verified with/on/using the African Plant Database [69] and Plant List [70]. Plants with the correct nomenclature were arranged alphabetically by family name, vernacular name, and ethnomedicinal uses.

3.4. The Vernacular Names

For the French translation of Arabic and Berber, we opted for the G.S. Colin system which is the most adapted to the local language and dialects and has the advantage of being simple and precise [3,71]. The equivalence code between Latin characters and Arabic and Berber characters are presented in Table 6.

3.5. Classification of Diseases

For the classification of diseases, we adopted the alternative classification system accepted by the WHO, International Classification of Primary Care (ICPC), which was closer to ethnomedical reality with some modifications. Available online: (http://www.who.int/classifications/icd/adaptations/icpc2/en/) (accessed on 15 February 2022) (Table 5).

3.6. Data Analysis

Once the data was collected, several methods of analysis were used. Firstly, a qualitative analysis was performed to compile a catalog of medicinal plants. Second, the tow ethnobotanical indexes were used (Frequency Cited (FC) and Informant Consensus Factor (ICF)). FC is used to determine the importance of each plant within THs practices. ICF is used to determine the degree of consensus of informants (THs). Excel and Sphinx was used for analysis.

3.6.1. Frequency Cited (FC)

Frequency Cited is the number of times a plant was reported. A plant can be mentioned multiple times by a single respondent (THs).

3.6.2. Informant Consensus Factor for Each Ailment (ICF)

Informant Consensus Factor “ICF” [72,73], is calculated using the following formula:

ICF = (Nur − Nt)/(Nur − 1)

where Nur is the number of use citations in each ailment and Nt is the number of species used for this ailment.

4. Conclusions

This work has made it possible to know that most of the traditional healers surveyed are over 30 years. The overwhelming majority of traditional practitioners are male, and only one female case is among the respondents, the fact that all the owners of premises in the market are gender masculine. All the women we have met in the market who are active, are itinerant sellers. Men dominate the practice of traditional medicine in the region. The majority of traditional healers surveyed are not illiterate. The low illiteracy rate can be an advantage to the development of the practice of the trade. More than half of traditional healers said they did not practice the diagnosis of diseases. For the rest of the TPs, the diagnosis is made by questioning or by body examination and is based either on the notion of hot and cold or on the appearance and complexion of the patient. The acquisition of ancestral knowledge in less than half is done through the hereditary transfer in the extension of a family tradition or through personal experiences. Most of them do not provide a succession. In most cases, the formation of future THs is done by participatory observation, orally during the process of processing or selling plants on-premises for medication and sale of ancestral drugs. In most cases, the formation of future THs is done by participatory observation, orally during the process of processing or selling plants on-premises for medication and sale of ancestral drugs.

Thus, we recommend that traditional medicine be valued. Traditional practitioners should benefit from better supervision and a greater guarantee of the rights related to their knowledge. Being very often the first people to whom patients turn for their recovery, traditional healers will have to be trained in prevention and health promotion. They will have to open up to science to test the effectiveness and safety of the proposed remedies and direct cases that they deem beyond their competence in conventional medicine.

By interviewing 30 traditional healers on the medicinal plants used in Eastern Morocco, we were able to identify 134 species and a fungus, and we spread them over 59 families. The aerial part is the most used. The oral route is the most common route of administration by THs. The remedies used by THs generally contain compounds of vegetable, animal, and mineral origin. These remedies are in the form of simple or compound recipes. Thus, of the 135 species recorded, 42 are used in simple recipes, 93 in compound recipes, or both types of recipes.

Among these species, the most dominant are also those that are best known at the national and/or local flora scale: LAMIACEAE (12 species), FABACEAE (11 species), ASTERACEAE, and APIACEAE with 9 species. The plants that stand out for their local importance, due to their popularity, are Origanum compactum Benth, Matricaria chamomilla L., Salvia officinalis L., Peganum harmala L., Lavandula dentata L., Berberis hispanica Boiss. & Reut., Rosmarinus officinalis L. with the largest FC, NR, and NU. In Eastern Morocco, THs still possess significant knowledge and know-how explained by the high number of medicinal plants suggested for the medication of the population. This know-how is consistent with the high ICF for most diseases. The categories of ailments that have a high ICF are cancer and gastrointestinal disorders.

Author Contributions

Conceptualization, M.E. and J.F.; methodology, J.F., N.B. and M.E.; software, H.O., M.B., L.K. and J.F.; Visualization, H.Z. and N.B.; validation, M.E. and J.F.; formal analysis J.F.; data curation, J.F.; resources, M.A.W.C. and A.A.; writing—original draft preparation, J.F. and M.E.; supervision, M.E.; review and editing, M.A.W.C., N.B., L.K. and A.A. All authors have read and agreed to the published version of the manuscript.

Funding

This research was supported by Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2022R147), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

All the data supporting the findings of this study are included in this article.

Conflicts of Interest

The authors declare no conflict of interest.

Appendix A

Table A1. Medicinal plants of Eeastern Morocco by THs and their descriptions in the literature.

Scientific Name	Biological Type	Ecology	Provenance	Bioclimatic Stages	Biogeographic Distribution	Toxicity in Literature [7,9]
Acacia gummifera Willd.	Ph	P E	plains and low mountains	A SAd	Ms AA HA Mam Man
Aframomum melegueta (Roscoe) K. Schum.	I.
Ajuga iva (L.) Schreb.	hem (TH)	P E	degraded forests and scrublands, uncultivated fields, rockeries, plains and mountains	A SAd SAf SH H	all of Morocco	is not toxic but in high doses causes cephalalgia
Allium sativum L.	C.					is not toxic but prolonged use on the skin can produce excoriations
Aloysia citriodora Palau	C.					its prolonged use can cause gastric irritation
Alpinia officinarum Hance)	I.
Ammodaucus leucotrichus Coss. & Durieu	Th	p	desert sand, river gravel	S A	Ms AA?	is not toxic at low doses
Ammoides pusilla (Brot.) Breistr.	Th	P E	rocky and clayey slopes, plains and low mountains	A SAd SH	MA Mam Man Op Om LM R	is not toxic at low doses
Anabasis aretioides Coss. & Moq. ex Bunge	Ch	A	desert, steppes	S	Ms	at low doses, it is a little toxic
Anacyclus pyrethrum (L.) Link	Hém	P E	forest clearings, matorrals, pastures, (plains), low, middle and high mountain	Saf SH H HM	As AA HA MA Man Op Om R	toxic in high doses; it causes headache and sometimes even the loss of consciousness
Anastatica hierochuntica L.	Th	H P	steppes	S A	Ms As AA
Apium graveolens L.	Th-b (Hém)	P E (A)	marshes and watersides of the plains, widely cultivated	A SAd SH	Ms Mam Man Op Om LM R
Arbutus pavarii Pamp.	Ph (Nph)	A H	forests and matorrals, plains, low and middle Mountains	SAd SH H	AA HA MA Mam Man Om LM R
Argania spinosa (L.) Skeels	Ph	P	plains and low mountains	S A SAd	Ms AA HA Mam LM
Aristolochia fontanesii Boiss. & Reut.	G	P	fields, eras, matorrals, stony, clay or sandy soils, plains, low and medium. Mountains	SAd SH H	AA HA MA Mam Man Om LM R	Aristolochin causes renal irritation up to necrosis of the epitelial elements and paralisy of the limbs
Artemisia herba alba Asso	CH (Hém)	E A	steppes and rocky pastures	S A SAf	Ms AA HA MA Op Om LM R	toxic in high doses
Astracantha gummifera (Labill.) Podlech
Avena sativa L.	C.					is not toxic at low doses
Berberis hispanica Boiss. & Reut.	Nph (Ph)	P E	forests and matorrals, cracks in mountain rocks	Saf SH H	As (rare) HA MA R
Beta vulgaris L.	Th, Hém	P	maritime rocks, rubble, meadows, wasteland, plains, low and mid. Mountains	A SAd SH	all of Morocco except the Saharan regions
Boswellia sacra Flueck.	I.					is not toxic at low doses
Calamintha nepeta (L.) Savi	Ch	H P E	forests and matorrals, stony erms, rocks, plains and low mountains	SAd SH H	HA HM Man Om LM R
Calendula arvensis (Vaill.) L.	Th	H P E			all of Morocco
Camellia sinensis (L.) Kuntze	I., C.					is not toxic
Cannabis sativa L.	C.					very toxic; it causes anaphrodisia
Capparis spinosa L.	Ch (Nph)	(H) P E	rocks, walls, rocky and clay slopes, plains and low mountains	S A Sad SH	spontaneous in Morocco	several substances which have been shown to be toxic
Capsicum annuum L.	C.
Carlina gummifera (L.) Less.	Hém (G)	E A	Open matorrals, hermes, wasteland, plains and low mountains	A SAD SH	HA MA Mam Man Om LM R	roots are very toxic; the heat destroys its toxic power
Carum carvi L.	C.					is not toxic at low doses
Cassia senna L. var. senna	I.
Ceratonia siliqua L.	Ph	A H	plains and low mountains	SAD (SAF) SH	As AA HA MA Mam Man Op? Om LM R	fruit is not toxic
Chenopodium ambrosioides L.	Th	P E A	Naturalized in fresh uncultivated environments, ditches, hedges, sandy alluvium	A SAD SH	Ms HA Mam Man Op LM R
Cinnamomum cassia (L.) J.Presl	I.
Cistus populifolius L.	Nph	P	low mountain and plains matorrals	SH H	R
Citrullus colocynthis (L.) Schrad.	G	E		S A SAd	Ms As AA Mam Man Op LM R	most of the time, toxic accidents occur during attempted abortions
Citrus limon (L.) Burm. f.
Citrus salicifolia Raf.
Coriandrum sativum L.	C.
Corrigiola telephiifolia Pourr.	Hém	P E	Stony and sandy land, plains and mountains	SAD SAF SH	AA HA MA Mam Man R
Costus (ND)
Crataegums monogyna Jacq.	Nph (Ph)	H P	low and middle Mountains	SAd SAf SH H	all of Morocco except Ms et As
Crocus sativus L.	C.					is not toxic at low doses
Cuminum cyminum L.	C.
Curcuma longa L.	I.
Cydonia oblonga Mill.	C.
Cynara cardunculus L.	G	P E	pastures and wasteland, especially in clay soils, plains and low mountains	A SAd SH	MA Mam Man Op Om LM R
Daphne gnidium L.	CH	P	forests, matorrals, fields, eras, plains, low and mid. Mountains	SAd SH	all of Morocco except Ms.	berries are very poisonous
Datura stramonium L.	Th	P E A	crops, rubble and open areas, nitrophilic	S A SAd SH	all of Morocco	plant is very poisonous
Delphinium staphisagria L.	Hém	P	forests and cool matorals, plains and low mountains	SH H	western rif	in high doses it causes fatal poisoning
Dittrichia viscosa (L.) Greuter	Ch (Nph)	E A	open environments on sufficiently humid clay substrates, waterfronts, plains and low mountains	A SAd Saf SH H	no Saharan Morocco	is not toxic at low doses
Elettaria cardamomum (L.) Maton	I.
Eruca vesicaria (L.) Cav.	Th	P €		SAd (SAF)	Mam Op? LM
Eucalyptus torquata Luehm.	I.					is not toxic at low doses
Euphorbia falcata L.	Th	P E	eras, crops, fallows, plains, low (and middle) mountains	A SAd Saf SH H	all of Morocco except the Ms	the plants for internal use, causes gastroenteritis more or less severe
Euphorbia resinifera O. Berg	Nph (-s)	E	limestone bedrock, low and middle Mountains	A SAd SAf	AA HA MA Mam	in high doses the plant causes hematuria and death by asphyxiation. the plant and its fresh or dry latex are dangerous products
Ferula communis L.	G	P E	plains, low and middle Mountains	A SAD SAF SH H	all of Morocco	very toxic
Foeniculum vulgare Mill.	Ch (Hém; Tb-b)	P E	uncultivated fields, arid hillsides, ravines, rocks, plains and low mountains	A SAd SAf SH H	all of Morocco except the Ms	oil is very toxic
Fraxinus angustifolia Vahl	Ph	H P	low and middle Mountains	SAD SAF SH H	HA MA Mam Man Om LM R	is not toxic
Globularia alypum L.	Ch	P	forests and matorals, plains and low mountains	A SAD SAF SH (H)	all of Morocco	is not toxic; a high dose causes headache and a lowering of temperatur
Glycine max (L.) Merr.						is not toxic at low doses
Glycyrrhiza glabra L.	C.					is not toxic at low doses
Helianthus annuus L.	C.
Herniaria hirsuta L.	Th	(H) P E	sandy fields, places uncultivated arid	SAd SH	Mam Man LM R
Hibiscus sabdariffa L.	I.
Hordeum vulgare L.	C.					is not toxic
Hyoscyamus albus L.	Th	P E	rubble, crops, old walls	A SAD SAF SH H	AA HA MA Mam Man Op Om LM R	toxic in high dose
Hyoscyamus niger L.	Th	P E	crops, rubble, plains, low and middle Mountains	SAD SH H	HA MA Man LM? R	toxic in high dose
Illicium verum Hook.f.
Juglans regia L.	C.					is not toxic at low doses
Juncus acutus L.	Hém (GR)	P E	hygrophilic and halophilic, sands and salty mud, edges of rivers and dayas, plains, low (and mid) mountains	S A SAD SAF SH H	Ms HA Mam Man Op LM R	is not toxic at low doses
Lagenaria siceraria (Molina) Standl.	C.
Laurus nobilis L.	Ph	(H) P	ravines and rocks of forests and Matorrals, plains, and mountains up to 1800 m	SH H	MA R
Lavandula dentata L.	CH Nph	P A	plains and low mountains	SAd SH	AA HA MA Mam Man LM OM R
Lawsonia inermis L.	C.					is not toxic at low doses
Lepidium sativum L.	C.					is not toxic
Linum usitatissimum L.	Th	P E		Man Man LM R		seeds containing linamarin which on hydrolysis gives cyaanhydriden acid. A high dose is toxic
Lupinus albus L.	C.
Malus pumila Mill.	C.
Mandragora officinarum L.	G	P E	Matorrals, ermes, uneducated places, fields	SAd SH	Mam Man LM R	several accidents and even deaths have been reported
Matricaria chamomilla L.	Th	H P €	Harvests, fields, uncultivated, gardens	SAd SH	Man LM R
Mentha pulegium L.	Hém	P E	humid places, plains, low mountains	SAd SH H	no saharien Morocco	is not toxic in high doses, it causes loss of consciousness and cardiac disorder
Mentha spicata L.	C.					is not toxic
Myristica afragrans Houtt.	I.					toxic in medium doses
Myrtus communis L.	Nph	P	plains, and low mountains	SAd SH	Man OM LM R	not very toxic but its essence can cause headache
Nerium oleander L.	Nph	P E	edges of wadis	S A Sad Saf SH H	all Morocco	very toxic
Nigella sativa L.	C.					high dose toxic
Ocimum basilicum L.	C.					is not toxic at low doses
Olea europaea L.	Ph	P	plains, and low mountains	A SAd SAf SH H	no saharien Morocco	is not toxic at low doses
Opuntia ficus-indica (L.) Mill.	Nph	P E	plains, low and middle Mountains	A Sad SH	HA MA Mam Man Om LM R	is not toxic, ingestion of a large number of fruits causes stubborn constipation and sometimes dangerous
Origanum compactum Benth.	Ch	E	forests, matorrals, fields, erms, rocks, plains and low mountains	A SAd SH	MA Mam Man R	Essence of origon in high doses causes paralysis pressured by excitations
Origanum majorana L.	C.					in high doses gasoline is stupefying and toxic for humans
Panax ginseng C.A.Mey.	I.
Papaver rhoeas L.	Th	P E	fields, harvests, wasteland, plains, low and middle mountains	A SAd SAf SH H	all of Morocco
Papaver somniferum L.	Th	(H) P E	fields, uncultivated places, plains, low and mid. Mountains	S A SAD SAF SH	all of Morocco
Peganum harmala L.	CH	P E	steps, uncultivated fields, rubble, plains and low mountains	S A SAd	all of Morocco	is not toxic at low doses
Phillyrea angustifolia L.	Ph	H P	clear forests and Matorals, plains, low and middle Mountains	SAd SH H	As? HA MA Man R
Phoenix dactylifera L.	C.	P	Saharan and arid streams and oases	S A	Ms As AA HA Mam	is not toxic
Pimpinella anisum L.	C.					in high doses, it causes stupidity and convulsions
Piper cubeba L. f.	I.
Piper longum L.	I.
Piper nigrum L.	I.					is not toxic at low doses
Pistacia atlantica Desf.	Ph	P E	lains, low and middle mountains	A SAd SAf SH	all of Morocco	In low doses, the fruit is not toxic
Pistacia Ientiscus L.	Ph	P	plaines, basses (et moy.) montagnes	SAD SH H	As AA HA MA Mam Man Om LM R	is not toxic at low doses
Prunus dulcis (Mill.) D. A. Webb	Ph	H P	orests and rocks	SAd SH H	MA Mam Om R
Punica granatum L.	C.					high dose bark is very toxic
Quercus faginea Lam.	Ph	h		N.Afr.
Quercus suber L.	Ph	P E	plains, low and middle mountains	SH H	HA MA Man R
Ricinus communis L.						seeds is very toxic
Rosa centifolia L.	C.
Rosmarinus officinalis L.						contains a toxic gasoline in high dose, it causes tomacal hemorrhage, albuminuria and steatosis of the liver
Rubia peregrina L.	Ch (G)	P E	forests and matorals, low and middle plains Mountains	A SAd SAf SH H	HA MA Mam Man Om LM R	is not toxic at low dose
Ruta chalepensis L.	Ch	P E	clear forests, dry uncultivated hillsides, rocks, plains, low and middle mountains	A SAd SAf SH	HA? Mam Man Om R	is not toxic at low doses
Salvia officinalis L.	C.
Sesamum indicum L.	C.
Sorghum bicolor (L.) Moench	C.
Syzygium aromaticum (L.) Merr. & L. M. Perry(3)	I.		I.
Tamarindus indica L.	I.
Telephium imperati L.	hém (ch)	P E	rocky erms and mountain rocks	SAf SH HM	As AA HA MA Man Op Om R
Terminalia chebula Retz.
Tetraclinis articulata (Vahl) Mast.	Ph	E	plains, low (and middle) mountains	SAd (SH)	AA HA MA Mam Man Op Om LM R	is not toxic at low doses
Tetraena gaetula (Emb. & Maire) Beier & Thulin	Ch	P E	epandage argileux salés	Ms oriental
Thymelaea hirsuta (L.) Endl.	Nph	H P	steps, forest glades, rockeries	A SAd SAf SH	As AA occidental HA MA Mam Op Om LM? R?
Thymus broussonetii Boiss.	Ch	P	clear forests and Matorrals, plains and low mountains	A SAd	HA Mam Man
Tilia sylvestris Desf.	I.
Trigonella foenum-graecum L.	C.
Urtica dioïca L.	GR	P E	wet cultivated places, fresh ravines	A	Mam	a decoction administered internally may cause eczema and urine retention
Valeriana celtica L.	G	E	limestone and sand-limestone rocks, high mountains	SAf SH HM	MA north eastern
Vicia faba L.	C.
Viscum album L.	Ch (-p)	P E	wet forests	H
Vitis vinifera L.	C.
Warionia saharae Benth. & Coss.	Nph	P E	substrate rocky, plains, low mountains	S A SAd	Ms As AA HA Mam
Zea mays L.	C.					is not toxic at low doses
Zingiber officinale Roscoe	I.		I.			is not toxic; in high doses it can cause amnesia
Ziziphus lotus (L.) Lam.	(Ph) Nph	P E	not forest areas, plains, low (and middle) mountains	S A SAd SAf SH	all of Morocco	fruit is not toxic in low doses

Abbreviation: Biological type: Classification adopted by Sauvage (1961) in the Flore des Subéraies Marocaines and by Fennane et al. (1999 and 2007) in the Flore Pratique du Maroc, volume 1 and 2: Ph: Phanérophytes (trees); Nph: Nanophanérophytes (shrubs and shrubs); Ch: Chamephytes, G: geophyte (bulb, rhizome, tuber), Hem: haemicophyte, NPh: nanophanerophyte, Ph: phanerophyte, Th: therophyte. Bioclimatic stages: Defined by Emberger (1939); S: Saharan, A: Arid, SA: Semi-arid, SH: Subhumide, H: Humid, HM: High Mountains, Phytogeographic Divisions: according to Fennan et al. 1999–2014; Ms (Saharan Morocco), As (Saharan Atlas), AA (Anti Atlas), HA (High Atlas), MA (Middle Atlas), Mam (Middle Atlantic Morocco), Man (North Atlantic Morocco), Op (Eastern Plateaus), Om (Eastern Morocco Mountains), LM (Mediterranean Coast), R (Rif). Ecological status: C (cultivated); I (imported), N.Afr. (endemic to North Africa); Mar. (endemic to Morocco); S-W. Mar. (endemic to South West of Morocco); Medit. and Sah.-Sindh. (endemic to the Mediterranean and Sindian Sahara); Medit. (endemic to the Mediterranean); N.Afr. and Eur (endemic to northern Africa and Europe).

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Figure 1. Most important families by frequency of citation and number of species.

Figure 2. Description of the species.

Figure 3. Parts of the plants used.

Figure 4. Recipe preparation techniques.

Figure 5. Routes for administering remedies.

Figure 6. Informant Consensus Factor (ICF) in Eeastern Morocco by traditional healers.

Figure 7. The map of Eeastern Morocco with the regions of investigation.

Table 1. Demographic information of all traditional healers (THs).

Characteristic	Sample		Characteristic	Sample
Characteristic	Number	Percentage (%)	Characteristic	Number	Percentage (%)
Age:			Education level:
<30 years old	8	26.7	illiterate	1	3.4
>30 years old	22	73.4	primary	12	40
Place of birth:			secondary	9	30
Eeastern Morocco	24	80	university	5	16.7
Outside Eeastern Morococ	6	20	fqîh	2	6.7
Languages and dialectare spoken:			Integration:
Only one language	5	16.7	yes	3	10
Two languages	11	36.7	Locally	10	33.3
Three languages	6	20	National	2	6.7
4–5 languages	6	20	Regional	7	23.3
Living outside the region:			Owning a farm:
yes	6	20	no	20	66.7
never	16	53.4	yes	3	10

The rest of the 100%, represents herbalists who did not answer (no-response).

Table 2. Description of the professional activity of traditional healers (THs).

Characteristic	Sample		Characteristic	Sample		Characteristic	Sample
Characteristic	Number	Percentage (%)	Characteristic	Number	Percentage (%)	Characteristic	Number	Percentage (%)
Description of the professional activity			Relationships with scientific institutes:			Use of traditional medicine
THs:			no	28	93.4	Treatment by plants:
versatile herbalists	25	83.4	yes	2	6.7	no	3	10
practitioner	4	13.4	Organization of the field of medicinal plants:			yes	25	83.3
Exercise of the profession:			unorganized	21	70	treatment by drugs:
only	24	80	organized	5	16.7	no	10	33.3
others profession	4	13.4	Nature of the products sold by THs			yes	18	60
Diploma:			Materials sold:			preference:
no	24	80	plants	23	76.7
yes	4	13.4	minerals	8	26.7	plants	21	70
References:			animals	11	36.7	drugs	11	36.7
no	20	66.7	magic	1	3.4	Conservation and transmission of knowledge
yes	2	6.7	products made from plants	10	33.4	transmission from father to son:
yes, Arabic	8	26.7	preparation of herbal remedies:			no	18	60
Travel to the patient:			no	19	63.4	yes	10	33.4
no	16	53.3	yes	3	10	succession:
yes	6	20	Where do products from plants sold in his herbalism’s shop come from:			no	23	76.7
Set the price:			They don’t sell these products	6	20	yes	7	23.4
no	2	6.7	others cities of Morocco or other countries	10	33.4	Do you train people?
yes	21	70	Plants sold:			more than 11 people	1	3.4
Pay by money:			purchased	23	76.7	no	18	60
no	1	3.4	harvest	2	6.7	yes	9	30
yes	22	73.4	Disease diagnosis			Toxicity
no and yes	1	3.4				You are always in your herbalism?
Duration of the experience:			no	9	30	no response	4	13.4
de 4 at 6 years	5	16.7	interrogation	13	4	yes	26	86.7
6 at 10 years	4	13.4	bodily	3	10	Which replaces THs in case of absence:
10 at 14 years	6	20	Gives treatment after diagnostics by a doctor:			anyone	18	60
14 years and more	12	40	no	12	40	people related to the domain	5	16.7
			yes	9	30	people related to the domain	5	16.7

The rest of the 100%, represents herbalists who did not answer (no-response).

Table 3. Medicinal plants of Eeastern Morocco by THs, use, part used, preparation, route of administration, categories of diseases, toxicity, other data and the importance for each species according to the FC (frequency of citation).

Scientific Name	Family	Voucher	Vernacular Names	Part Used (FC)	Preparation Used (FC)	Mode of Administration (FC)	Diseases	Toxicity According to THs (FC)	Other Data (FC)	Duration of Preparation Minutes (FC)	Added Products (FC)	Dosage (FC)	FC
Acacia gummifera Willd.	FABACEAE	HUMPOM793	arq ṭalḥ (عَرْقْ الطَّلْحْ)/ ‘arq ṭarḥ (عَرْقْ الطَّرْحْ)/ smaġ l-’arabî صْمَغْ الْعَرَبِي	seeds (1)	powder (1)	oral route (1)	ALRP (1)				honey (1)		1
Aframomum melegueta (Roscoe) K. Schum.	ZINGIBERACEAE	HUMPOM873	lġûza ṣṣaḥrâwiya (لْكُوزَ صَّحْرَاوِيَ)	seeds (3)	powder (3)	oral route (3)	WAR (2) COLP (1) NSD (1)	a small amount should be used because the plant is toxic (2)	aromatic (2)		mixture of plants (râs l-ḥanût) (1) soup or hen (djâj baldi) (1)		4
Ajuga iva (L.) Schreb.	LAMIACEAE	HUMPOM809	الشَّنْدْكُورَ ššandġûra	leaves (3)	powder (2) decoction (1)	oral route (3)	DIGP (1) COLP (1) POI (1)				honey (1) milk or honey or water (1)	a spoon every morning before or after meals (1)	3
Allium sativum L.	AMARYLLIDACEAE	HUMPOM749	tûm تُومْ	bulb (5) seeds (3)	powder (3) cooked (1) juice (3) salad (1)	oral route (7) drops in nose (1)	RESP (4) CVP (3) COLP (2) IFD (2) ALRP (1) DIGP (1) HEAD (1)				honey (2) oil (1) milk (1) Acacia gummifera; Lepidium sativum; Glycyrrhiza glabra; Juncus acutus; Linum usitatissimum; Mentha spicata; Origanum majorana; Matricaria chamomilla (1)	a small spoon every morning before the meal (1)	14
Aloysia citriodora Palau	VERBENACEAE	HUMPOM871	مَالْوِيزَ mâlwîza	leaves (8)	decoction (4) infusion (4)	oral route (8)	NSD (5) DIGP (5) REND (1))			15 (2) 5 (1)	Camellia sinensis (1)	one glass per day in the evening (1) one glass before meals (1)	11
Alpinia officinarum Hance)	ZINGIBERACEAE	HUMPOM874	l-ḵodanjal الْخُدَنْجَلْ/ḵolanjân خُلَنْجَانْ	rhizome (4)	decoction (3) powder (2)	oral route (5)	WAR (3) GOD (2) DIGP (1) COLP (1) IFD (1) RHA (1)		the patient must not have had cardiac and kidney problems and gall bladder (1)		honey or milk (1) soup or hen (djâj baldi) (1) Coffea arabica (1)		9
Ammodaucus leucotrichus Coss. & Durieu	APIACEAE	HUMPOM752	l-kammûnṣṣûfî الْكَمُّونْ الصُّوفِي	seeds (6) leaves (1)	decoction (3) infusion (3) powder (1)	oral route (7)	DIGP (5) NSD (3) DIA (2) NUTI (1) CHOD (1) CIRP (1) COLP (1) CVP (1)			15 (1)	Tilia sylvestris; Origanum majorana; Crataegus laciniata (1)		15
Ammoides pusilla (Brot.) Breistr	APIACEAE	HUMPOM753	nnûnḵa النُّونْخَ	leaves (4)	decoction (1) decocted with lemon (1) infusion (1) powder (1)	oral route (3) inhalation (1) washing (1)	COLP (2) WAR (2) GOD (2) NSD (1)			15 (1)	honey (1) milk (1)	before sleep (1)	7
Anabasis aretioides Coss. & Moq. ex Bunge	AMARANTHACEAE	HUMPOM746	adġa’ أَدْكَعْ				NSD (1)	toxic (1)					1
Anacyclus pyrethrum (L.) Link	ASTERACEAE	HUMPOM765	‘aqar qarḥa (عَقَرْ قَرْحْ) tikanṭîst (تِكَنْتِيسْتْ)	rhizome (1)	decoction (1) powder (1)	oral route (2)	DIGP (1) WAR (1) GOD (1)				honey (1)	once a day in the evening (1)	3
Anastatica hierochuntica L.	BRASSICACEAE	HUMPOM775	kaf maryam كَفْ مَرْيَمْ	branches (2)	powder (2)	external route (1) oral route (1)	GOD (2) NSD (1)				milk (1)		3
Apium graveolens L.	APIACEAE	HUMPOM754	lakrâfaṣ لَكْرَافَصْ	seeds (1)	powder (1)	oral route (1)	REND (1)				honey (1)		1
Arbutus pavarii Pamp.	FABACEAE	HUMPOM794	sâsnû سَاسْنُو	seeds (1)	decoction (1)	oral route (1)	NUTI (1) CIRP (1) CVP (1)						3
Argania spinosa (L.) Skeels	SAPOTACEAE	HUMPOM860	argân أَرْكَانْ	seeds (1)	oil (1)	external route (1)	SKP (1)						1
Aristolochia fontanesii Boiss. & Reut.	ARISTOLOCHIACEAE	HUMPOM764	بَرَّزْطَمْ barrazṭam	rhizome (6)	powder (6)	oral route (6)	CAN (5) CVP (1) DIGP (1)	the plant is very toxic, it can lead to death (1) toxic (1) very toxic for the kidneys (1)	the patient must not be diabetic (1)		honey or milk (1) honey (5)	for 40 days (1) once before meals for about an hour (1)	7
Artemisia herba alba Asso	ASTERACEAE	HUMPOM766	šîḥ شِيحْ	aerial part (2)	decoction (2)	oral route (2)	DIGP (2)		nervous people should not use it (1)			one glass per day (1)	2
Astracantha gummifera (Labill.) Podlech	FABACEAE	HUMPOM795	lakṯîra لَكْثِيرَ	resin (2)	without preparation (1)	external route (1) oral route (1)	NUTI (1) SKP (1)				Camellia sinensis or milk or honey (1)		2
Avena sativa L.	POACEAE	HUMPOM843	zwân الزْوَانْ/ ššûfân الشُّوفَانْ/ l-ḵarṭâl الْخَرْطَالْ				CHOD (1)						1
Berberis hispanica Boiss. & Reut.	BERBARIDACEAE	HUMPOM774	aġrîs أَغْرِيسْ	roots (5) bark (3) fresh roots (1)	powder (7) infusion (2) infused powder (1)	oral route (9) pate (1)	CAN (6) DIA (4) DIGP (2) POI (2) NUTI (1) CHOD (1) SKP (1) CVP (1)	toxic (1)		15 (2)	Aristolochia fontanesii (1) honey (5)	before meals for 40 days (1) morning and evening before meals for 40 days (1) a teaspoon morning and evening (1)	17
Beta vulgaris L.	AMARANTHACEAE	HUMPOM747	šmandar شْمَنْدَر/ sokkar nabâtî سُكَّرْ نَبَاتِي	tubercules (1)	powder (1)	oral route (1)	ALRP (1)				Ammodaucus leucotrichus; Tamarindus indica; Lepidium sativum; Linum usitatissimum; Glycyrrhiza glabra and honey (1)		1
Boswellia sacra Flueck.	BURSERACEAE	HUMPOM778	ṣalabân صَلَبَانْ/ ‘udṣṣalîb l-hor عُودْ الصَّلِيبْ الْحُرْ		burn (1)	inhalation (1)	MAG (1)						1
Calamintha nepeta (L.) Savi	LAMIACEAE	HUMPOM810	nnabṭa النَّابْطَ/ l-mânta الْمَانْتَ	leaves (6)	decoction (5) infusion (1)	oral route (6)	COLP (5) DIGP (1) REND (1)	do not drink the preparation during the day (2)		10 (2)	milk (1)	a drink in the evening (2)	7
Calendula arvensis (Vaill.) L.	ASTERACEAE	HUMPOM767	jjamra الجَّمْرَ	flowers (6)	infusion (5) powder (1)	oral route (5) massage (1)	CAN (3) SKP (1) DIGP (1) HEAD (1)			15 (2)	Aristolochia fontanesii; Berberis hispanica (1) Origanum majorana; Salvia officinalis (1)		5
Camellia sinensis (L.) Kuntze	THEACEAE	HUMPOM867	atây أَتَايْ	leaves (2)	decoction (1) infusion (1)	oral route (2)	NUTI (1) CAN (1) REND (1)				Crocus sativus L.		3
Cannabis sativa L.	CANNABACEAE	HUMPOM780	laḥšîš لَحْشِيشْ/ l-kîf الْكِيفْ	seeds (2)	powder (2)	external route (2)	SKP (2)						2
Capparis spinosa L.	CAPPARACEAE	HUMPOM781	l-kabbâr الْكَبَّارْ/ tâylâlût تَايْلَالُوتْ	fruit (2) seeds (1)	burn (2) powder (1)	oral route (2) inhalation (1)	DIGP (1) COLP (1) MAG (1) GOD (1)				honey (2) milk (1)		4
Capsicum annuum L.	SOLANACEAE	HUMPOM862	l-falfal laḥmar الفَلْفَلْ لَحْمَرْ/ labzar laḥmar لَبْزَارْ لَحْمَرْ/ l-ḥârra الْحَارَّ/ ssudâniya السُّودَانِيَ/ lqalyaṭa الْقَلْيَاطَ	seeds (2)	powder (2)	oral route (2)	NUTI (2) GOD (1)				honey (2)		3
Carlina gummifera (L.) Less.	ASTERACEAE	HUMPOM768	addâd أَدَّادْ	roots (1)	burn (1)	inhalation (1)	MAG (1)	toxic (1)					1
Carum carvi L.	APIACEAE	HUMPOM755	l-karwiya الْكَرْوِيَ/ ssanût السَّانُوتْ	seeds (3) leaves (1)	decoction (2) infusion (2)	oral route (4)	DIGP (4) COLP (2)			15 (2)	honey (2) water (1) Aloysia citriodora; Cuminum cyminum; Foeniculum vulgare; Pimpinella anisum; Carum carvi (1)	once a day every evening (1) a teaspoon in a glass of water (1)	6
Cassia senna L. var. senna	FABACEAE	HUMPOM796	sanâ سَنَا/ ssanâ السَّنَا	leaves (9)	decoction (5) infusion (3) powder (1)	oral route (9)	DIGP (7) NUTI (1) CIRP (1)	toxic (2) causes hypersensitivity and irritation (1) toxic causes diarrhea (2) toxic, it causes injury to intestines and stomach (1)		15 (2)	honey (1) Origanum majorana; Thymelaea hirsuta; Laurus nobilis (1)	15 leaves, three times a day (1) half a glass after meals (1) one glass before meals (1) one glass per day (1)	9
Ceratonia siliqua L.	FABACEAE	HUMPOM797	l-ḵarrûb الْخَرُّوبْ	fruit (5)	powder (5)	oral route (5)	DIGP (4) NUTI (2) GOD (1)				honey (4)		7
Chenopodium ambrosioides L.	AMARANTHACEAE	HUMPOM748	mḵînza مْخِينْزَ	leaves (3) aerial part (1) aerial part with leaves (1)	juice (3) decoction (2)	oral route (3) external route (2) dough on the head (1)	HEAD (4) IFD (2) DIGP (1)	toxic (1)		5 (1)	rose water (1) rose water; Allium sativum (1) honey (1) juice with Citrus sinensis (1)	six leaves in a glass of water after meals (1)	7
Cinnamomum cassia (L.) J.Presl	LAURACEAE	HUMPOM821	l-qarfa الْقَرْفَ	bark (3)	powder (3)	oral route (3)	GOD (2) WAR (1) RHA (1)		the patient must not have cardiac or kidney problems (1)		honey (2) hot milk (1) soup (1) hen (djâj baldi) (1)		4
Cistus populifolius L.	CISTACEAE	HUMPOM785	irgal إِرْكَلْ/ hirgal هِرْكَلْ	seeds (2)	powder (2)	oral route (2)	COLP (1) GOD (1)				50 g grilled plant + 1.5 kg of honey (1) honey (1)	a spoon each morning (1)	2
Citrullus colocynthis (L.) Schrad.	CUCURBITACEAE	HUMPOM787	laḥdaj لْحَدْجَ/ l-ḥanẓal الحَنْظَل/ḥandal حَنْدَلْ	fruit (1)	without preparation (1)	foot bath (1)	DIA (2)						2
Citrus limon (L.) Burm. f.	RUTACEAE	HUMPOM856	l-ḥâmaḍ الْحَامَضْ/ lîmûn لِيمُونْ/ llîm اللِّيمْ	fruit (1)	juice (1)	oral route (1)	COLP (1)				Crocus sativus (1)		1
Citrus salicifolia Raf.	RUTACEAE	HUMPOM857	waẓmî وَظْمِي	rhizome (1)	decoction (1)	oral route (1)	IFD (1) WAR (1) GOD (1)	toxic (1)					3
Coriandrum sativum L.	APIACEAE	HUMPOM756	l-qaṣbar (الْقَصْبَرْ)	seeds (4)	burn (2) powder (2)	inhalation (2) oral route (2)	MAG (2) DIGP (1)	toxic, it must be used for a short time (1)			honey (1)		3
Corrigiola telephiifolia Pourr.	MOLLUGINACEAE	HUMPOM827	sarġîna (سَرْغِينَ)	rhizome (2)	burn (1) powder (1)	inhalation (1) external route (1)	SKP (1) MAG (1)						2
Costus (ND)	ZINGIBERACEAE	HUMPOM875	القِسْطْ الْبَحْرِي lqisṭ lbaḥrî	branches (3)	powder (3)	external route (2) oral route (1)	SKP (2) IFD (1) POI (1) RESP (1)				honey (2)	150 g in 4 L of water (1) one spoon per glass of hot water twice a day (1) one spoon per glass of hot water and honey twice a day morning and evening (1)	5
Crataegums monogyna Jacq.	ROSACEAE	HUMPOM850	admâm (أَدْمَامْ)/ zza’rûr (الزَّعْرُورْ)	leaves (7)	infusion (6)	oral route (6)	CVP (4) NSD (3) DIGP (2) CIRP (1)	it should not be used by pregnant women who have a thyroid gland (1)		15 (3)	Tilia sylvestris; Origanum majorana; Matricaria chamomilla (1)		10
Crocus sativus L.	IRIDACEAE	HUMPOM806	za’frân zzaġba زَعْفْرَانْ الزَّغْبَ/ za’frân lhûr زَعْفْرَانْ الْحُرْ/ za’frân šša’ra زَعْفْرَانْ الشَّعْرَ	petals (10)	infusion (6) powder (3) decoction (2)	oral route (10)	NUTI (3) CAN (2) COLP (2) REND (2) IFD (1) WAR (1)		aromatic, for cooking (2)	15 (5)	honey (2) vinegar of Malus pumila or lemon (1) Camellia sinensis (1) vinegar of Malus pumila (1) lemon (1) Camellia sinensis (1) Rubia peregrina (1) mixture of plants (râs l-ḥanût) (1)		11
Cuminum cyminum L.	APIACEAE	HUMPOM757	l-kammûn الْكَمُّونْ	seeds (1)	powder (1)	oral route (1)	DIGP (1) NSD (1)						2
Curcuma longa L.	ZINGIBERACEAE	HUMPOM876	l-ḵarqûm الْخَرْقُومْ/ l-karkam الْكَرْكَمْ/ l-’ûd laṣfar الْعُودْ لَصْفَرْ	branches bark (6)	powder (5) decoction (1)	oral route (6)	IFD (2) NUTI (1) DIGP (1) WAR (1) GOD (1) RHA (1)		condiment; coloring (1)		honey (3) soup orhen (djâj baldi) (1) hot water (1)	one glass three times a day (1) once in the morning before meals for a period of 10 to 15 days (1)	7
Cydonia oblonga Mill.	ROSACEAE	HUMPOM851	ṣfarjal صْفَرْجَلْ	fruit (1)	juice (1)	oral route (1)	NSD (1)				milk (1)		1
Cynara cardunculus L.	ASTERACEAE	HUMPOM769	l-ḵoršaf الْخُرْشَفْ/ l-ḥak الْحَكْ	aerial part (1)	decoction (1)	oral route (1)	DIGP (1)						1
Daphne gnidium L.	THYMELAEACEAE	HUMPOM868	alazzâz أَلَزَّازْ	leaves (4)	powder (4)	external route (4)	SKP (4)				Lawsonia inermis (2) mixtur of plants (ḵalṭa) (1)		4
Datura stramonium L.	SOLANACEAE	HUMPOM863	šdaq jmal شْدَقْ جْمَلْ				MAG (1)	toxic acts on the central nervous system (1)					1
Delphinium staphisagria L.	RANUNCULACEAE	HUMPOM848	ḥâbbat râs حَبَّةْ رَاسْ		powder (3)	external route (3)	SKP (3)				Lawsonia inermis (1)		3
Dittrichia viscosa (L.) Greuter	ASTERACEAE	HUMPOM770	maġramân مَكْرَمَانْ/ mayramân مَيْرَمَانْ	aerial part (2)	masticate (1)	oral route (2)	DIGP (1) RHA (1)		aromatic (2)				2
Elettaria cardamomum (L.) Maton	ZINGIBERACEAE	HUMPOM877	qa’ qollâ قَاعْ قُلَّا/ habḥân حَبْ هَانْ	seeds (1)	powder (1)	oral route (1)	WAR (1) GOD (1)				soup or hen (djâj baldi) (1)		2
Eruca vesicaria (L.) Cav.	BRASSICACEAE	HUMPOM776	jjarjîr الجَّرْجِيرْ	seeds (2) leaves (1) fresh leaves (1)	oil (3) infusion (1)	oral route (4)	CHOD (2) GOD (2) NUTI (1)	toxic, a small amount is used (1) toxic causes prostate pain (1)		10 (1)	honey (1)	a spoon in a glass of water and a little honey three times a day (1) a spoon in a glass of water morning and evening (1) a spoon and two spoon of honey morning and evening (1)	4
Eucalyptus torquata Luehm.	MYRTACEAE	HUMPOM829	kâlîptûs كَالْيبْتُوسْ	leaves (2)	decoction (2)	massage (1) oral route (1)	ALRP (1) RESP (1)						2
Euphorbia falcata L.	EUPHORBIACEAE	HUMPOM790	ḥayât annofûs حَيَاةْ النُّفُوسْ	seeds (1)	powder (1)	oral route (1)	GOD (1)				honey (1)		1
Euphorbia resinifera O. Berg	EUPHORBIACEAE	HUMPOM791	takkâwt تَكَّاوْتْ/ tikkîwt تِكِّيوْتْ		powder (1)	external route (1)	SKP (1)						1
Ferula communis L.	APIACEAE	HUMPOM758	l-fasûḵ الْفَاسُوخْ/ šajrat kalḵ شَجْرَةْ كَلْخْ/ l-bûbâl الْبُوبَالْ	seeds (1)	maceration (1) powder (1)	inhalation (1) oral route (1)	POI (1)						1
Foeniculum vulgare Mill.	APIACEAE	HUMPOM759	nnâfa’ النَّافَعْ/ l-basbâs الْبَسْبَاسْ	seeds (9) roots (1)	powder (6) decoction (4) infusion (1)	oral route (10)	DIGP (7) NUTI (2) REND (1) NSD (1)		confectionery (1)	5 (1)	honey (3) meal (1) water (1) milk (1)	a spoon in the morning before the meal or in the evening after the meal (1)	11
Fraxinus angustifolia Vahl	OLEACEAE	HUMPOM833	tûzzâlat تُوزَّالَتْ/ lsânṭayr لْسَانْ طَيْرْ	seeds (3)	cooked (2) without preparation (1) powder (1)	oral route (2) to chew (1)	COLP (2) NUTI (1) WAR (1) GOD (1)		aromatic, for cooking (2)		meal (1) mixsture of plants (râs l-ḥanût) or meal (couscous) (1) soup (1) hen (djâj baldi) (1)		5
Globularia alypum L.	PLANTAGINACEAE	HUMPOM842	‘în larnab (عِينْ لَرْنَبْ)	leaves (1)	decoction (1)	oral route (1)	DIGP (1)						1
Glycine max (L.) Merr.	FABACEAE	HUMPOM798	ṣûjâ صُوجَا	seeds (4)	powder (4)	oral route (4)	NUTI (3) CHOD (1)				honey (2) Foeniculum vulgare, Linum usitatissimum, Pimpinella anisum, Carum carvi, pollen of Phoenix dactylifera (1) juice (1) drink (1)	three times a day (1)	4
Glycyrrhiza glabra L.	FABACEAE	HUMPOM799	‘arq ssûs عَرْقْ السُّوسْ	branches (4)	powder (3) decoction (1)	oral route (4)	ALRP (3) NUTI (1) DIGP (1) RESP (1)	for the patient must not have hypertension (1)		5 (1)	honey (1) water (2)	two spoon in a glass of water for 40 days (1) three times a day (1) a spoon in a glass of water for 40 days (1)	6
Helianthus annuus L.	ASTERACEAE	HUMPOM771	‘abbad š-šams عَبَّادْ الشَّمْسْ/ nowwâr š-šams نُوَّارْ الشَّمْسْ	seeds (1) petals (1)	powder (2)	oral route (2)	ALRP (1) CAN (1)					one to two scoops Three times a day (1)	2
Herniaria hirsuta L.	CARYOPHYLLACEAE	HUMPOM783	harrâst laḥjar هَرَّاسَةْ لَحْجَرْ/ fattâtat laḥjar فَتَّاتَةْ لَحْجَرْ	aerial part (3) leaves (1) flowering top (1)	decoction (5)	oral route (5)	REND (5)	toxic, long use causes irritation (1)		15 (1)	Aristolochia fontanesii; Calendula arvensis; Berberis hispanica; Nigella sativa; Juncus acutus; Aloe succotrina; Citrullus colocynthis and honey (miel of darhmouss) (1)	two glasses three times a day (1) half a liter a day (1) one glass three times a day (1)	5
Hibiscus sabdariffa L.	MALVACEAE	HUMPOM825	karkadî كَرْكَدِي	flowers (6) leaves (2)	infusion (7) decoction (1)	oral route (8)	DIGP (3) CVP (3) ALRP (1) SKP (1) DIA (1) NSD (1)			15 (4)	Vitis vinifera; Urtica dioïca; Olea europaea; Berberis hispanica (1) Salvia officinalis; Matricaria chamomilla; Origanum majorana (1) Matricaria chamomilla; Mentha spicata; Laurus nobilis; Thymelaea hirsuta (1) Salvia officinalis; Matricaria chamomilla; Mentha spicata; Rosmarinus officinalis; Myrtus communis (1)	a glass after meals (1)	10
Hordeum vulgare L.	POACEAE	HUMPOM844	š’îr شْعِيرْ/ zra’ زْرَعْ/ ttalbîna التَّلْبِينَ	seeds (2)	decoction (1) powder (1) cooked powder (1) cooked (1)	oral route (3)	NUTI (2) CVP (2) NSD (2) DIGP (1)				honey (2)		7
Hyoscyamus albus L.	SOLANACEAE	HUMPOM864	bûnarjûf بُونَرُجُوفْ		burn (1) decoction (1) powder (1)	drops (1) inhalation (1) external route (1)	SKP (1) MAG (1) OPHP (1)	toxic (3)					3
Hyoscyamus niger L.	SOLANACEAE	HUMPOM865	sikrân سِكْرَانْ		burn (1) decoction (1) powder (1)	drops (1) inhalation (1) external route (1)	SKP (1) MAG (1) OPHP (1)	toxic (3)					3
Illicium verum Hook.f.	SCHISANDRACEAE	HUMPOM861	l-baḍyân الْبَضْيَانَ/ l-yansûn الْيَنْسُونْ/ rjîla الرْجِيلَ	fruit (8)	powder (5) cooked powder (2) decoction (1)	oral route (6) mouthwash (1) to chew (1)	TOP (2) WAR (2) GOD (2) ALRP (1) NUTI (1) CHOD (1) CIRP (1) CVP (1) POI (1) REND (1)				honey (2) soup (1) hen (djâj beldi) (1) meal (1)		12
Juglans regia L.	JUGLANDACEAE	HUMPOM807	l-ġarġâ’ الْكَرْكَاعْ/ swâk السْوَاكْ	bark (1) fruit (1)	decoction (1) powder (1)	oral route (2)	NUTI (1) TOP (1) DIGP (1)				honey (1)		3
Juncus acutus L.	JUNCACEAE	HUMPOM808	ṣmâr صْمَارْ	flowers (2) roots (1)	powder (2) decoction (1)	oral route (3)	ALRP (1) REND (1)		used as rugs for mosquets (1)		honey (2)		2
Lagenaria siceraria (Molina) Standl.	CUCURBITACEAE	HUMPOM788	lgar’a slâwiya لْكَرْعَ سْلَاوِيَ	fruit bark (1)	burn (1)	inhalation (1)	HEAD (1)						1
Laurus nobilis L.	LAMIACEAE	HUMPOM811	warqat sidna mûsa وَرْقَةْ سِيدْنَا مُوسَى	leaves (3)	cooked (1) decoction (1) powder (1)	oral route (2)	DIGP (2)		aromatic (1)		meal (1) honey (1)		2
Lavandula dentata L.	LAMIACEAE	HUMPOM812	ḵzamâ خْزَامَى	flowers (8) tip (4) leaves (3)	decoction (9) powder (3) infusion (1)	oral route (9) external route (4) inhalation (1)	GOD (5) SKP (4) COLP (2) WAR (2) REND (2) DIGP (1) NSD (1)	not used by people with cardiac problems (1)	aromatic (2)		Origanum compactum; Ammoides pusilla; Mentha pulegium (1) mixsture (ḵalṭa) (2)	two glasses, three times a day (1) one glass, after meals (1) one glass, three times a day (1)	17
Lawsonia inermis L.	LYTHRACEAE	HUMPOM823	l-ḥanna الْحَنَّ/ l-ḥannî الْحَنِّي	leaves (2)	powder (2)	external route (2)	SKP (2)						2
Lepidium sativum L.	BRASSICACEAE	HUMPOM777	ḥab ršâd حَبْ رْشَادْ/ l-ḥarf الْحَرْفْ	seeds (9)	powder (6) decoction (1) infusion (1) cooked powder (1)	oral route (7) direct a seed into the eye (1) gouttes (1)	NUTI (2) ALRP (2) OPHP (2) GOD (2) COLP (1) REND (1)				honey (5) meal (1)		10
Linum usitatissimum L.	LINACEAE	HUMPOM822	zarrî’t lakattan (زَرِّيعَةْ الْكَتَّانْ	seeds (7)	powder (5) decoction (2)	oral route (7)	ALRP (3) NUTI (2) DIGP (2) CHOD (1) OPHP (1) REND (1)				honey (4) milk (1) Eruca vesicaria; Nigella sativa and honey (1) Glycyrrhiza glabra (1)		9
Lupinus albus L.	FABACEAE	HUMPOM800	tarmas (تَرْمَسْ)/ l-fûl lmiṣrî (الْفُولْ الْمِصْرِي)	seeds (2)	powder (2)	oral route (2)	ALRP (1) DIA (1) DIGP (1) CVP (1)				camel fat (1)	we add half a glass to a glass of water and take it two or three times a day (1)	4
Malus pumila Mill.	ROSACEAE	HUMPOM852	taffâḥ (تَفَّاحْ)	fruit (3)	vinegar (2) salad (1)	oral route (3)	NUTI (1) CHOD (1) COLP (1)				Crocus sativus (1)	before meals (1) a large spoon of warm water every morning (1)	3
Mandragora officinarum L.	SOLANACEAE	HUMPOM866	bîḍ l-ġûl بِيضْ الْغُولْ/ aryâla أَرْيَالَ/ ‘ašbat aytâm عَشْبَةْ أَيْتَامْ	rhizome (1)	powder (1)	oral route (1)	CAN (1) WAR (1) GOD (1)				mixture of plants (râs l-ḥanût) (1)		3
Matricaria chamomilla L.	ASTERACEAE	HUMPOM772	bâbûnj بَابُونْجْ/ mânsâniya مَانْسَانِيَ	flowers (15) leaves (2)	infusion (10) decoction (6) powder (2) maceration (1)	oral route (14) drops (1) inhalation (1) external route (1)	DIGP (5) NSD (5) HEAD (4) NUTI (3) ALRP (3) SKP (2) RESP (2) CIRP (1) OPHP (1)			15 (5) 5 (1) 20 (1)	honey (2)	three times a day (1)	25
Mentha pulegium L.	LAMIACEAE	HUMPOM813	fliyyû فْلِيُّو	aerial part (3)	decoction (3)	oral route (3)	COLP (3) DIGP (1)						4
Mentha spicata L.	LAMIACEAE	HUMPOM814	na’nâ’ نَعْنَاعْ	leaves (7)	infusion (5) powder (1) vinegar (1)	oral route (7) washing (1)	NUTI (3) NSD (3) ALRP (2) GOD (2) DIGP (1) WAR (1) REND (1)			15 (4) 16 (1)	mixture of plants (râs l-ḥanût) (1) honey (1) Salvia officinalis; Origanum majoran (1)	three times a day (4)	13
Myristica afragrans Houtt.	MYRISTICACEAE	HUMPOM828	l-ġûza الْكُوزَ/ ġûzatṭṭîb كُوزَةْ الطِّيبْ/ ġûzat ššark كُوزَةْ الشَّرْكْ/ bsîbîsa	seeds (5)	powder (4) cooked powder (1)	oral route (5)	WAR (2) GOD (2) NUTI (1) DIGP (1) NSD (1)		aromatic, for cooking (1)		soup (2) hen (djâj beldi) (2) meal (2) mixture of plants (râs l-ḥanût) (1)		7
Myrtus communis L.	MYRTACEAE	HUMPOM830	rîḥân رِيحَانْ	leaves (10)	decoction (7) infusion (2) powder (1)	oral route (7) external route (3)	DIGP (4) SKP (3) NUTI (1) CHOD (1) CIRP (1) DIA (1) POI (1) HEAD (1)			15 (1)	Lawsonia inermis (1) mixture of plant (ḵalṭa) (1)	a glass in the morning before the meal (1) a glass in the morning before the meal or before sleep (1)	13
Nerium oleander L.	APOCYNACEAE	HUMPOM761	ddafla الدَّفْلَ/ alîlî أَلِيلِي/ arîrî أَرِيرِي	branches (1) leafy branches (1)	burn (2)	inhalation (2)	TOP (1) HEAD (1)						2
Nigella sativa L.	RANUNCULACEAE	HUMPOM847	ssanûj السَّانُوجْ/ l-ḥabba sawda حَبَّ سَوْدَا/ḥabbat l-baraka حَبَّةْ الْبَرَكَ	seeds (8)	powder (7) cooked powder (1)	oral route (8)	COLP (2) RESP (2) CAN (1) DIA (1) DIGP (1) CVP (1) REND (1) GOD (1) RHA (1) NSD (1)	toxic (1)			honey (5) meal (1)		12
Ocimum basilicum L.	LAMIACEAE	HUMPOM815	laḥbaq لَحْبَقْ	aerial part (1)	infusion (1)	oral route (1)	GOD (1)						1
Olea europaea L.	OLEACEAE	HUMPOM834	zaytûn زَيْتُونْ/ zabbûj زَبُّوجْ	fruit (1)	oil (1)	oral route (1)	DIGP (1)						1
Opuntia ficus-indica (L.) Mill.	CACTACEAE	HUMPOM779	l-handya الْهَنْدِيَ	flowers (3)	decoction (1) infusion (1) powder (1)	oral route (3)	REND (2) DIGP (1)			15 (1)	honey (1) Rubia peregrina; Alpinia officinarum; Zea mays L.; Thymelaea hirsuta; Tetraena gaetula; Origanum majorana; Salvia officinalis; Matricaria chamomilla; Mentha spicata (1)		3
Origanum compactum Benth.	LAMIACEAE	HUMPOM816	za’tar زَعْتَرْ	leaves (14)	decoction (9) infusion (3) powder (2) cooked powder (1)	oral route (13) massage (1)	DIGP (5) COLP (5) REND (3) GOD (3) WAR (2) NUTI (1) CHOD (1) CIRP (1) SKP (1) DIA (1) POI (1) RESP (1) NSD (1)		aromatic, for cooking (1)	5 (2) 10 (2) 15 (2)	meal (1) honey (1) Matricaria chamomilla; Crataegus laciniata (1) salvia officinalis (1) Mentha spicata (1)	before sleep (2) after the meal (1) two glasses twice a day (1) once a day morning or evening (1)	26
Origanum majorana L.	LAMIACEAE	HUMPOM817	mardaddûš (مَرْدَدُّوشْ)	leaves (12) aerial part (1)	infusion (10) decoction (2) powder (1)	oral route (12)	DIGP (6) ALRP (3) NSD (3) CVP (2) CIRP (1)		aromatic, for cooking (1)	15 (8)		three times a day (4) a glass after meals (1) a tea spoon (1)	15
Panax ginseng C.A.Mey.	ARALIACEAE	HUMPOM762	‘arq l-ḥayat عَرْقْ الْحَيَاةْ/ jînsîng (جِينْسِينْكْ)	roots (2)	powder (2)	oral route (2)	NUTI (2) GOD (1)				honey (2) pollens of Phoenix dactylifera (1)		3
Papaver rhoeas L.	PAPAVERACEAE	HUMPOM836	banna’mân بَنَّعْمَانْ	seeds (1)	powder (1)	oral route (1)	COLP (1) GOD (1)				honey (1)		2
Papaver somniferum L.	PAPAVERACEAE	HUMPOM837	ḵaršâša خَرْشَاشَ	seeds (2)	burn (1) powder (1)	fumigation (1) oral route (1)	NSD (2)	a small amount should be used (1) toxic (1)			meal (1)		2
Peganum harmala L.	NITRARIACEAE	HUMPOM832	l-ḥarmal الْحَرْمَلْ	seeds (11) fresh seeds (1)	powder (5) decoction (3) burn (2) oil (1)	external route (5) inhalation (3) oral route (2)	SKP (6) MAG (3) COLP (2) RHA (2) CVP (2) DIA (1) WAR (1) GOD (1) NSD (1) HEAD (1)	toxic (1) toxic causes dizziness (1)			honey (1) water (1) mixture of plants (ḵalṭa) (1)	250 g in 1.5 L of water in decoction until half of the water has evaporated, then add the honey (1) once a day in the morning for 40 (1)	20
Phillyrea angustifolia L.	OLEACEAE	HUMPOM835	mlîlâs مْلِيلَسْ	leaves (3) branches (1)	decoction (3)	oral route (3)	IFD (3)					one liter per day three times per day before meals (1)	3
Phoenix dactylifera L.	ARECACEAE	HUMPOM763	tmar تْمَرْ/ naḵla نَخْلَ	pollens (3)	powder (3)	oral route (3)	NUTI (3) GOD (3) NSD (3) CIRP (2) WAR (2)				honey (1) Panax ginseng and honey (1)	one spoon in the morning (1) one spoon in the morning before meals (1)	13
Pimpinella anisum L.	APIACEAE	HUMPOM760	ḥabbatḥlâwa حَبَّةْ حْلَاوَ/ l-yansûn اليَنْسُونْ	seeds (4) leaves (1)	decoction (2) infusion (2) powder (1)	oral route (5)	NSD (3) NUTI (2) CHOD (1) CIRP (1) DIA (1) DIGP (1)			15 (2) 20 (1)	Ammodaucus leucotrichus; Foeniculum vulgare; Carum carvi; Aloysia citriodora; Origanum majorana; Linum usitatissimum; Foeniculum vulgare (1) honey (1)		8
Piper cubeba L. f.	PIPERACEAE	HUMPOM839	l-kabbâba الْكَبَّابَ	seeds (2)	powder (1) cooked powder (1)	oral route (2)	NUTI (1) WAR (1) GOD (1)				meal (1) soup or (djâj baldi) (1)		3
Piper longum L.	PIPERACEAE	HUMPOM840	dâr falfal دَارْ فَلْفَلْ	seeds (2)	powder (2)	oral route (2)	GOD (1) RHA (1)	the patient must not have cardiac or kidney problems (1)			honey (1) honey or hot milk (1)		2
Piper nigrum L.	PIPERACEAE	HUMPOM841	labzâr لَبْزَارْ/ labzâr lakḥal لَبْزَارْ لَكْحَلْ/ labzâr labyaḍ لَبْزَارْ لَبْيَضْ	fruit (1) tops (1)	powder (2)	oral route (2)	WAR (2) GOD (2)				soup (1) hen (djâj baldi) (1)		4
Pistacia atlantica Desf.	ANACARDIACEAE	HUMPOM750	labṭam لَبْطَمْ				MAG (1)						1
Pistacia Ientiscus L.	ANACARDIACEAE	HUMPOM751	drû الدْرُو/ fâdîṣ فَادِيصْ	leaves (1)	decoction (1) powder (1)	external route (1) oral route (1)	SKP (1) DIGP (1)				lawsonia inermis (1)	one glass three times a day (1)	2
Prunus dulcis (Mill.) D. A. Webb	ROSACEAE	HUMPOM853	lûz لُوزْ	fruit (1)	powder (1)	oral route (1)	NUTI (1)				honey (1)		1
Punica granatum L.	LYTHRACEAE	HUMPOM824	rommân رُمَّانْ	fruit bark (8)	powder (5) decoction (3)	oral route (8)	DIGP (8)				honey (3) milk (2) camellia sinensis (1) water (1)	one glass morning before meals (2) one glass per day (1) one spoon per day morning before meals or evening after meals (1)	8
Quercus faginea Lam.	FAGACEAE	HUMPOM804	l’aṣfa الْعَصْفَ		powder (1)	external route (1)	SKP (1)						1
Quercus suber L.	FAGACEAE	HUMPOM805	dbâġ الدّْبَاغْ/ tzâḵt تْزَاخْتْ	bark (8)	powder (4) dcocted powder (2) decoction (1)	oral route (6) external route (1)	DIGP (6) SKP (1)			15 (1)	honey (3) milk (2) oil (1) water (1)	morning before meals (1) half a teaspoon (1) a glass in the morning (1) a glass three times a day (1) a spoon in the morning before meals or in the evening after meals (1)	7
Ricinus communis L.	EUPHORBIACEAE	HUMPOM792	l-ḵarwa’ الْخَرْوَعْ/ lakrank لَكْرَنْكْ	seeds (4)	powder (4)	external route (2) oral route (2)	SKP (2) COLP (1) RHA (1)	toxic to the stomach (1)			mixture of plants (râs l-ḥanût) (1) honey (1) oil (1)		4
Rosa centifolia L.	ROSACEAE	HUMPOM854	ward وَرْدْ	flowers (10)	decoction (5) powder (5)	oral route (6) external route (4)	SKP (5) DIGP (5)	toxic (1)			Cassia senna L. var. senna (1) mixture of plants (ḵalṭa) (1)	one glass per day (1) one spoon per day morning before meals (1)	10
Rosmarinus officinalis L.	LAMIACEAE	HUMPOM818	azîr أَزِيرْ/ yazîr يَزِيرْ	leaves (11)	decoction (6) infusion (4)	oral route (11)	DIGP (3) REND (3) COLP (2) ALRP (1) NUTI (1) CAN (1) CHOD (1) CIRP (1) DIA (1) CVP (1) NSD (1)	patients with hypertenssion should not use it (1)		15 (3)		a glass in the morning three times a day (2) a glass in the morning (1) a teaspoon plus a glass of water (1)	16
Rubia peregrina L.	RUBIACEAE	HUMPOM855	l-fowwa فُوَّ	seeds (2)	infusion (2) decoction (1)	oral route (3)	DIGP (2) NUTI (1)			15 (2)	Crocus sativus (1)		3
Ruta chalepensis L.	RUTACEAE	HUMPOM858	l-fîjal لْفِيجَلْ/ awirmî أَوِرْمِي	flowers (5) leaves (2)	decoction (3) burn (1) decoction in oil (1) powder (1)	oral route (4) external route (2) inhalation (1)	MAG (5) SKP (1) DIA (1) COLP (1) NSD (1)	toxic (4)			rose water (1)	one glass three times a day (2)	9
Salvia officinalis L.	LAMIACEAE	HUMPOM819	sâlmiya سَالْمِيَ	leaves (10) aerial part (2)	infusion (9) decoction (3)	oral route (11) khol (1)	DIA (5) DIGP (4) NUTI (2) ALRP (2) GOD (2) NSD (2) CHOD (1) CIRP (1) IFD (1) OPHP (1)			15 (7)			21
Sesamum indicum L.	PEDALIACEAE	HUMPOM838	janjlân جَنْجْلَانْ	seeds (1)	decoction (1)	oral route (1)	CIRP (1)			10 (1)			1
Sorghum bicolor (L.) Moench	POACEAE	HUMPOM845	l-bašna الْبَشْنَ	seeds (2)	decoction (1) powder (1)	external route (1) oral route (1)	SKP (1) DIA (1)						2
Syzygium aromaticum (L.) Merr. & L. M. Perry (3)	MYRTACEAE	HUMPOM831	l-qronfol الْقْرُنْفُلْ/ ‘ûd nnûwwâr عُودْ النُّوَّارْ	clove (3)	cookted (1) infusion (1) cookted powder (1)	oral route (2) mouthwash (1)	TOP (2) COLP (2) REND (1)	we must use a small amount because it is toxic (1)			mixture of plants (râs l-ḥanût) (1) meal (1)		4
Tamarindus indica L.	FABACEAE	HUMPOM801	tmar hindî تَمْرْ هِنْدِي	fruit (3)	powder (3)	oral route (3)	WAR (2) GOD (2) NUTI (1) ALRP (1)				honey (1) Phoenix dactylifera; Alpinia officinarum; mixture of plants (râs l-ḥanût) and honey (2)		6
Telephium imperati L.	CARYOPHYLLACEAE	HUMPOM784	ḵayyâṭa خَيَّاطَ	aerial part (1)	powder (1)	external route (1)	CIRP (1)						1
Terfesia (ND)		HUMPOM880	ttarfâs التَّرْفَاسْ	tubers (1)	cookted (1)	oral route (1)	NUTI (1)						1
Terminalia chebula Retz.	COMBRETACEAE	HUMPOM786	hlîlaj هْلِيلَجْ	seeds (4)	powder (4)	oral route (3) external route (1)	NUTI (2) GOD (2) SKP (1) DIGP (1)				honey (3) mixture of plants (râs l-ḥanût) (2)	50 g with 1.5 kg honey (1)	6
Tetraclinis articulata (Vahl) Mast.	CUPRESSACEAE	HUMPOM789	l-’ar’âr العرعار	leaves (6) seeds (2) roots (1) branches (1)	burn (4) decoction (2) powder (2)	inhalation (4) oral route (3)	DIGP (4) MAG (4)	patients with hypertenssin should not use it (1)				a spoon before meals (1)	8
Tetraena gaetula (Emb. & Maire) Beier & Thulin	ZYGOPHYlLACEAE	HUMPOM879	l-’aggâya (الْعَكَّايَ)	leaves (3)	infusion (2) powder (1)	oral route (3)	DIGP (2) DIA (1)			15 (2)	Origanum majorana; Salvia officinalis; Mentha spicata; Matricaria chamomilla (1)		3
Thymelaea hirsuta (L.) Endl.	THYMELAEACEAE	HUMPOM869	l-matnân الْمَتْنَانْ	leaves (2)	infusion (2)	oral route (2)	DIGP (2)			15 (1)			2
Thymus broussonetii Boiss.	LAMIACEAE	HUMPOM820	z’îtra زْعِيتْرَ/ ajûkannî (أَزُوكَنِّي)	leaves (3)	decoction (1) infusion (1) cookted powder (1)	oral route (3)	NUTI (1) CHOD (1) CIRP (1) DIA (1) COLP (1) REND (1)			10(1)15(1)	meal (1)		5
Tilia sylvestris Desf.	MALVACEAE	HUMPOM826	zzayzafûn الزَّيْزَفُونْ		infusion (1)	oral route (1)	DIGP (1) NSD (1)						2
Trigonella foenum-graecum L.	FABACEAE	HUMPOM802	l-ḥalba الْحَلْبَ	seeds (7)	powder (4) decoction (2) without preparation (1) cookted powder (1) decocted powder (1)	oral route (6) external route (1)	NUTI (4) GOD (3) DIGP (2) DIA (1) REND (1)				Linum usitatissimum; Foeniculum vulgare; Glycine max and honey (1) Mentha spicata and honey (1) meal (1)	the seeds + glass of alcohol + 24 h after a glass of oil + 24 h is added and the mixture is decocted in a water bath until the alcohol has evaporated and a perfume is added (1)	11
Urtica dioïca L.	URTICACEAE	HUMPOM870	l-ḥorrîġa الْحُرِّيكَ	leaves (7) aerial part (1)	infusion (7) decoction (1)	oral route (8)	DIA (4) NUTI (3) REND (3) CVP (2) CIRP (1)			15 (6)	salvia officinalis; Vitis vinifera (1) Alpinia officinarum; Vitis vinifera; Crataegus laciniata; Origanum majorana (1) Rubia peregrina (1)	a spoon three times a day (4) a tea spoon three times a day (1)	13
Valeriana celtica L.	CAPRIFOLIACEAE	HUMPOM782	السَّنْبَلْ ssanbal		decoction (1)	oral route (1)	REND (1)						1
Vicia faba L.	FABACEAE	HUMPOM803	l-fûl الفُولْ	seeds (1)	cookted (1)	oral route (1)	ALRP (1)				maceration remove bark then powder and add camel fat (1)	a glass morning and evening (1)	1
Viscum album L.	SANTALACEAE	HUMPOM859	linjbâr لِنْجْبَارْ	seeds (2)	powder (2)	oral route (2)	RHA (2)				milk (1)		2
Vitis vinifera L.	VITACEAE	HUMPOM872	ddâlya الدَّالْيَ	leaves (8)	infusion (8)	oral route (8)	CIRP (5) CHOD (2) DIA (2) NUTI (1) CVP (1)	it is toxic, causes diarrhea (6)		15 (7)	Matricaria chamomilla, Myrtus communis, Origanum compactum, Rosmarinus officinalis, Ammodaucus leucotrichus, Pimpinella anisum, salvia officinalis (1) vinegar of Malus pumila (1) salvia officinalis; Urtica dioïca (1) Urtica dioïca (1) Origanum majorana; Cassia senna L. var. senna (1) Crataegus laciniata (1) milk (1)		11
Warionia saharae Benth. & Coss.	ASTERACEAE	HUMPOM773	afassâs أَفَسَّاسْ	leaves (1)	decoction in oil (1)	massage (1)	MAG (1)						1
Zea mays L.	POACEAE	HUMPOM846	ddra الدّْرَ	pistil (2)	powder (2)	oral route (2)	DIGP (2)				honey (2)		2
Zingiber officinale Roscoe	ZINGIBERACEAE	HUMPOM878	sakkîn jbîr سَكِّينْ جْبِيرْ	rhizome (5)	powder (3) decoction (2)	oral route (4) massage (1)	DIGP (2) WAR (2) GOD (2) IFD (1) RHA (1)	the patient must not have cardiac or kidney problems (1)			honey (1) hot milk (1) soup (1) hen (djâj baldi) (1) oil (1)		8
Ziziphus lotus (L.) Lam.	RHAMNACEAE	HUMPOM849	ssadra السَّدْرَ	fruit (3) seeds (2)	powder (4) decoction (1)	oral route (5)	DIGP (4) REND (1)				honey (4)		5

Explanation of local names: râṣ l-ḥanût (Mixture of Plants (Heat Therapy and Spices)), ḵalṭa(Mixture of ground plants used as poultice in the case of headaches). djâj baldi: Free-range chickens (called djâj baldi in Morocco). Category of diseases: NUTI (nutritional), ALRP (allergy), CAN (cancer), CVP (cardiovascular), CHOD (hypercholesteremia), CIRP (circulatory problems), TOP (problems of the mouth and teeth), SKP (dermatological diseases), DIA (diabetes), DIGP (digestive problems), COLP (influenza; rheum), IFD (viral and bacterial infections), POI (poisonous), MAG (magic), OPHP (ophthalmological problems), WAR (warming), REND (renal diseases), GOD (genital diseases), RESP (respiratory diseases), RHA (musculo-skeletal disorders), NSD (neurological psychological), HEAD (headaches) (see the symptoms in Table 5).

Table 4. Description of the remedies.

	Number	Percentage			Number		Percentage
Plant prepared only	42	31.11%	Monospecific recipes		463		64.13%
Mixed plants	93	68.89%	Recipes in the form of mixtures	ingredients of animal nature	259	150	20.78%	35.87%
				vegetable ingredients		59	8.17%
				simply meals or beverages		41	5.68%
				swallowed with water		9	1.25%
Total	135	100%			722		100

Table 5. Category of diseases, symptom, ICF, NUR (number of use citations in each ailment), NT (number of species used for this ailment).

Category of Diseases	Symptom	NUR	NT	ICF
NUTI	analeptic; anemia; anorexia; appetizerappetizing; invigorating; obesity; refreshing; restorative; sliming; stimulating; strengthening; tiredeness; tonic	68	42	0.39
ALRP	allergy	28	18	0.37
CAN	cancer of various organs (stomach; lungliver; intestine, brain …)	21	9	0.6
CVP	aguainst palpitation; angina; arrythmia; warterosclerosis; cardiotonic; heart disease; syncope; tachocardia; hypertension; hypotensive	26	15	0.44
CHOD	hypercholesteremia	16	15	0.07
CIRP	bleeding; epistaxis; hemorroides; hemostatic; varicise veins	23	18	0.23
TOP	conjonctivitis; gengivitis; halitosis; odontorragie; scurvy; toothach	5	4	0.25
SKP	abscesses; acne; pruritus; aguainst freckles; aguainst itch; aguainstburns; alopecia; antifungal; antilice; antiscabis; astringeant; baldness; boils; burns; cellulite; chilblains; chope; cicatrization; dermatitis; eczema; injury; wound; itch; loss of hair; oedema; orbruise; parasitosis; pityriazis; pregnancy; pruritus; psoriasis; remove hair; repellent; ringworm; scabies; skin care; skin pimple; sunburn; swelling; vermin; vesicatory; vitiligo; vulnerary; warts; verruca; wound; wrinkless; parasitic skin; leishmanial	51	27	0.48
DIA	diabetes I and II	31	18	0.43
DIGP	abdominal pain; aerophagia; anthelmintic; antiacid; ascariasis; bilious care; bilious stimulation; bloating; carminatif; colic; constipation; delivery difficulties; diarrhea; emetic; enteritis; flotus; gastralgia; gastric scrubbing; gastric ulcers; gastritis; gastroenteritis; heartburn; helminthiasis; hepato biliary insufficiency; indigestin; intestinal winds; laxatif; liver disease; purgative; pyrosis, heatburn; spleen swelling; stomac pain; stomac ulcer or peptic ulcer; stomach ache; stomach ailment; swilling of the spleen; sytomacacidity; tanning; tenifuge; tonic; upset stomach; vomting; wormer	132	56	0.58
COLP	aguainst chill; calefacient; coldness; influenza; rheum	47	27	0.43
IFD	antirabic; bacterial infection; dysentery; gonorrhea; gonrrhea; hepatitis; icterusc; leprozy; measles; mumps; pertusis; rage, rabies, wrath; strengthensimmunity; trachoma; tuberculosis; typhoid; typhus; venereal disease; whoopingcaugh; antiparasitic; typhoïdes; syphilis	15	10	0.36
POI	antidote; antipoisonous; antitoxic; depurative; food poisoning; scorpion and snake bite	8	7	0.14
MAG	Magic	23	13	0.45
OPHP	ear ache; eye drops; eyes inflammation; ophtalmia	7	6	0.17
WAR	warmer	34	22	0.36
REND	bladder ailments; cystis; diuretic; enuresis; incontinence nocturne; kidney stones; lithiasis; oliguria; nephritic pain; nephritic pain; oliguria; hypouresis; prostate problems; urethritis	33	20	0.41
GOD	abortifacient; abortion; accouchement; aphrodisiac; chilbirth; cholagogue; dysmenorrhea; emenagogue; female infertility; frigidity; galactagogue; hypogalactie; lactation; leukorrhea; menstrual pains; menstrual pains; metrorrhagia; ovarial and menstrual pains	58	35	0.4
RESP	antitussif; asthma; bad breath; chespain; lung disorder; rhinosinusitis; sinusitis; sternitatory	12	7	0.45
RHA	arthrisis; arthrosis; bon care; gout; lumbago; muscle aches; ossification; osteoarthrite; rheumatic pain; rheumatoid arthritis; sciatica; strain; twist; wrech; rick; swelling; dislocation	14	11	0.23
NSD	amnesia; analgesic; anxiety; astonishing; epilepsy, epileptic; hypnotic; melancholy; narcotic; nervousness; neuralgia; neurosedative; overwork; sedative; tremor in the elderly	56	27	0.53
HEAD	cephalgia; cephalus; headache; migraine	14	8	0.46

Table 6. Code between Latin characters and Arabic and Berber characters.

Name of Letter	Symbol	Transliteration	Name of Letter	Symbol	Transliteration
alif	ا	â	ḍâd	ض	ḍ
bâ	ب	b	ṭâ	ط	ṭ
tâ	ت	t		ظ
ṯâ	ث	ṯ	ayn	ع	‘
jîm	ج	j	ġayn	غ	ġ
ḥâ	ح	ḥ	fâ	ف	f
ḵâ	خ	ḵ	qâf	ق	q
dâl	د	d	kâf	ك	k
ḍâl	ذ	ḍ	lâm	ل	l
râ	ر	r	mîm	م	m
zâ	ز	z	nûn	ن	n
sîn	س	s	hâ	ه	h
šîn	ش	š	wâw	و	û
ṣâd	ص	ṣ	yâ	ي	î

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Fakchich, J.; Kharchoufa, L.; Bencheikh, N.; Zerkani, H.; Ouassou, H.; Bouhrim, M.; Cordero, M.A.W.; Alotaibi, A.; Elachouri, M. Assessment of Indigenous Plants Knowledge among Traditional Healers in Eastern Morocco: Quali-Quantitative Approach (Part I). Appl. Sci. 2022, 12, 12773. https://doi.org/10.3390/app122412773

AMA Style

Fakchich J, Kharchoufa L, Bencheikh N, Zerkani H, Ouassou H, Bouhrim M, Cordero MAW, Alotaibi A, Elachouri M. Assessment of Indigenous Plants Knowledge among Traditional Healers in Eastern Morocco: Quali-Quantitative Approach (Part I). Applied Sciences. 2022; 12(24):12773. https://doi.org/10.3390/app122412773

Chicago/Turabian Style

Fakchich, Jamila, Loubna Kharchoufa, Noureddine Bencheikh, Hannou Zerkani, Hayat Ouassou, Mohamed Bouhrim, Mary Anne W. Cordero, Amal Alotaibi, and Mostafa Elachouri. 2022. "Assessment of Indigenous Plants Knowledge among Traditional Healers in Eastern Morocco: Quali-Quantitative Approach (Part I)" Applied Sciences 12, no. 24: 12773. https://doi.org/10.3390/app122412773

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Assessment of Indigenous Plants Knowledge among Traditional Healers in Eastern Morocco: Quali-Quantitative Approach (Part I)

Abstract

1. Introduction

2. Results and Discussions

2.1. Demographic Information of the THs and Professional Activity

2.1.1. Demographic Information of all Respondents

2.1.2. Description of the Professional Activity

2.1.3. The Nature of the Products Sold by the THs

2.1.4. Diagnosis of Diseases

2.1.5. Use of Traditional Medicine

2.1.6. Conservation and Transmission of Knowledge

2.2. Medicinal Plants of Eeastern Morocco, Use, Knowledge and Importance by THs

2.2.1. Cultural Wealth

2.2.2. Description of the Species

2.3. The Vernacular Names

2.4. Toxicity

2.5. Characteristics of Inventoried Recipes

2.5.1. Parts of the Plants Used

2.5.2. Recipe Preparation Techniques

2.5.3. Routes for Administering Remedies

2.5.4. Association with Other Plants and/or Ingredients

2.5.5. The Duration of the Preparation

2.6. Diseases and Treatments

2.6.1. The Most Common Ailments

2.6.2. Diversity of Plants Used in the Treatment of diseases

2.7. Informant Consensus Factor

2.8. The Most Important Species According to FC

3. Materials and Methods

3.1. Description of the Study Area

3.2. Ethnobotanical Survey

3.3. Floristic Identification and Taxonomic Validation

3.4. The Vernacular Names

3.5. Classification of Diseases

3.6. Data Analysis

3.6.1. Frequency Cited (FC)

3.6.2. Informant Consensus Factor for Each Ailment (ICF)

4. Conclusions

Author Contributions

Funding

Institutional Review Board Statement

Informed Consent Statement

Data Availability Statement

Conflicts of Interest

Appendix A

References

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