traumatism | TRAMIL

	Haematoxylum campechianum (In territories with significant traditional TRAMIL use) Haiti : bwa kanpèch
	Ricinus communis (In territories with significant traditional TRAMIL use) Barbados : castor oil Dominica : cawapat Dominican Republic : higuera Guadeloupe : carapate Marie-Galante Island : karapat blanc Guadeloupe : karapat Haiti : maskèti Saint Lucia : cawapat Martinique : ricin Martinique : palma Kristi Significant uses found by the TRAMIL surveys seed oil, applied locally⁵	Recommandations Preparation and posology References	According to published and other information: Use for constipation is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies, scientific validation and available published scientific information. Uses for ganglionar disorder, headache, toothache, earache, pneumonia, asthma, burns, rheumatism, twisting and trauma are classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys, and, when the leaf is topically applied, based on toxicity studies. When the seed oil is taken orally, a single dose should be used. For topical application to burns, strict hygiene measures should be observed in order to avoid contamination or additional infection. Limit traditional use only to superficial burns (skin injuries) that are not extensive (covering less than 10% of body surface) and are located away from high risk areas such as face, hands, feet and genitals. Due to the health risks involved with pneumonia, asthma, earache and ganglionar disorder, an initial medical evaluation is recommended. The use of this resource can be considered complementary to medical treatment, unless it is contraindicated. Due to the possibility that an earache could signal a middle or inner ear infection, immediate medical evaluation is recommended. Do not use if there are secretions from the ear and/or possible perforation of the eardrum. The seed can cause reactions of hypersensitivity. Should there be a notable worsening of the patient’s condition, the asthma persisting for more than 2 days, the headache and the twisting lasting more than 3 days or the pneumonia 5 days, seek medical attention. Only the oil that has been hand-made following traditional procedures, or the oil purchased in a pharmacy or authorized center should be used. Industrially-produced ricin oil has not been subject to albumin detoxification through vaporization, and is a highly toxic product whose ingestion may lead to an imminently life-threatening situation.		For constipation: Take the seed oil - purchased in a pharmacy or authorized health center- at doses of: 1-3 spoonfuls (15-45 mL) for adults, 1-3 teaspoonfuls (5-15 mL) for children older than 2 years, and 1-5 mL for children younger than 2 years. Take orally in a single dose away from meals. Can be taken with milk, tea or fruit juice28. For other uses: There is no available information establishing a means of preparation and dosage other than the documented traditional uses. Any medicinal preparation must be preserved cold and used within the 24 hours.	1 WENIGER B, ROUZIER M, 1986 Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti. 2 JEAN-PIERRE L, 1988 TRAMIL survey. St Lucia national herbarium, Castries, St Lucia. 3 EDOUARD JA, 1992 Enquête TRAMIL. Lycée agricole, Baie-Mahault, Guadeloupe. 4 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984 Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana. 5 CHARLES C, 1988 TRAMIL survey. Movement for Cultural Awareness MCA, Roseau, Dominica. 6 WENIGER B, 1987-88 Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana. 7 LONGUEFOSSE JL, NOSSIN E, 1990-95 Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC, Fort de France, Martinique. 8 FAUJOUR A, MURREY D, CHELTENHAM-CORBIN B, CARRINGTON S, 2003 TRAMIL survey. enda-caribbean, IICA & UAG, Saint Thomas, Barbados. 9 WHO, 1991 Guidelines for the assessment of herbal medicines. WHO/TRM/91.4. Programme on Traditional Medicines, WHO, Geneva, Switzerland. 10 HEGNAUER R, 1973 Chemotaxonomy der Pflanzen. Basel, Schweiz: Birkhauser Verlag. 11 CHONKEL A, 1985 A propos de quelques graines toxiques existant à la Guadeloupe. Thèse Pharmacie, Montpellier, France. 12 DUKE JA, 1992 Handbook of phytochemical constituents of GRAS herbs and other economic plants. Boca Raton, USA: CRC Press. 13 DUKE JA, ATCHLEY AA, 1986 Handbook of proximate analysis tables of higher plants.Boca Raton, USA: CRC Press. p140. 14 DE SOUSA M, Matos ME, Matos FJ, MACHADO MI, CRAVEIRO AA,1991 Constituintes químicos ativos de plantas medicinais Brasileiras.Laboratorio de produtos naturais, Fortaleza, Brasil: Ceará Edições UFC. 15 TSUPRIENKOVA T, 1982 Patente de autor de champú para el lavado del cabello (título original en ruso). URSS, A61K 7/06(53). 16 WENIGER B, 1992 Activités biologiques (cytotoxicité, effet sur la croissance, effet immunomodulateur) de drogues végétales de la Caraïbe utilisées par voie locale contre les brûlures, dans des systèmes de cellules animales et humaines en culture. Faculté de Pharmacie, Université de Strasbourg, Illkirch, France. TRAMIL VI, Basse Terre, Guadeloupe, UAG/enda-caribe. 17 VERPOORTE R, DIHAL PP, 1987 Medicinal plants of Surinam IV. Antimicrobial activity of some medicinal plants. J Etnopharmacol 21(3):315-318. 18 MISAS CA, HERNANDEZ NM, ABRAHAM AM, 1979 Contribution to the biological evaluation of Cuban plants. I. Rev Cub Med Trop 31:5-12. 19 TANIRA MO, AGEEL AM, AL-SAID MS, 1989 A study on some Saudi medicinal plants used as diuretics in traditional medicine. Fitoterapia 60(5):443-447. 20 CECIL, RUSELL LA FAYETTE, 1987 Compendio de Medicina Interna. Madrid, España: Ed. Interamericana. 21 MARTINEZ MJ, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V, MORON F, 2005 Irritabilidad dérmica primaria de semillas frescas peladas y machacadas de Ricinus communisL. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba. 22 MARTINEZ MJ, MOREJON Z, BOUCOURT E, FUENTES V, MORON F, 2003 Irritabilidad dérmica primaria de hoja seca y de hoja fresca de Ricinus communis L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Medicina “Dr. Salvador Allende”, Cerro, C. Habana, Cuba. 23 WEE YC, GOPALAKRISHNAKONE P, CHAN A, 1988 Poisonous plants in Singapore - a colour chart for identification with symptoms and signs of poisoning. Toxicon 26(1):47. 24 FERNANDO R, 1988 Plant poisoning in Sri Lanka. Toxicon 26(1):20. 25 CANIGUERAL S, 2003 Ricinus comunis. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul.30,2003. URL: http://www.masson.es/book/fitoterapia.html 26 ALONSO J, 1998 Tratado de fitomedicina. Bases clínicas y farmacológicas. Buenos Aires, Argentina: ISIS ediciones SRL. p840. 27 KANERVA L, ESTLANDER T, JOLANKI R, 1990 Long-lasting contact urticaria from castor bean. J Amer Acad Dermatol 23(2):351-355. 28 PERIS JB, STUBING G, 2003 Ricinus comunis. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul.30,2003. URL: http://www.masson.es/book/fitoterapia.html 29 BALZ E, BOYER A, BURAUD M, 2007 Enquête TRAMIL à Marie-Galante. U. Bordeaux 3, U. Paris XI Chatenay-Malabry, UAG, Guadeloupe. 30 BOYER A, BURAUD M, 2007 Enquête TRAMIL à La Désirade. U. Paris XI Chatenay-Malabry, UAG, Guadeloupe. 31 BOULOGNE Isabelle, 2008 Enquête TRAMIL à Terre-de-Haut, Les Saintes, UAG, Guadeloupe (FWI).
	Ricinus communis (In territories with significant traditional TRAMIL use) Barbados : castor oil Dominica : cawapat Dominican Republic : higuera Guadeloupe : carapate Marie-Galante Island : karapat blanc Guadeloupe : karapat Haiti : maskèti Saint Lucia : cawapat Martinique : ricin Martinique : palma Kristi Significant uses found by the TRAMIL surveys leaf mashed, applied locally⁷	Recommandations Preparation and posology References	According to published and other information: Use for constipation is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies, scientific validation and available published scientific information. Uses for ganglionar disorder, headache, toothache, earache, pneumonia, asthma, burns, rheumatism, twisting and trauma are classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys, and, when the leaf is topically applied, based on toxicity studies. When the seed oil is taken orally, a single dose should be used. For topical application to burns, strict hygiene measures should be observed in order to avoid contamination or additional infection. Limit traditional use only to superficial burns (skin injuries) that are not extensive (covering less than 10% of body surface) and are located away from high risk areas such as face, hands, feet and genitals. Due to the health risks involved with pneumonia, asthma, earache and ganglionar disorder, an initial medical evaluation is recommended. The use of this resource can be considered complementary to medical treatment, unless it is contraindicated. Due to the possibility that an earache could signal a middle or inner ear infection, immediate medical evaluation is recommended. Do not use if there are secretions from the ear and/or possible perforation of the eardrum. The seed can cause reactions of hypersensitivity. Should there be a notable worsening of the patient’s condition, the asthma persisting for more than 2 days, the headache and the twisting lasting more than 3 days or the pneumonia 5 days, seek medical attention. Only the oil that has been hand-made following traditional procedures, or the oil purchased in a pharmacy or authorized center should be used. Industrially-produced ricin oil has not been subject to albumin detoxification through vaporization, and is a highly toxic product whose ingestion may lead to an imminently life-threatening situation.		For constipation: Take the seed oil - purchased in a pharmacy or authorized health center- at doses of: 1-3 spoonfuls (15-45 mL) for adults, 1-3 teaspoonfuls (5-15 mL) for children older than 2 years, and 1-5 mL for children younger than 2 years. Take orally in a single dose away from meals. Can be taken with milk, tea or fruit juice28. For other uses: There is no available information establishing a means of preparation and dosage other than the documented traditional uses. Any medicinal preparation must be preserved cold and used within the 24 hours.	1 WENIGER B, ROUZIER M, 1986 Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti. 2 JEAN-PIERRE L, 1988 TRAMIL survey. St Lucia national herbarium, Castries, St Lucia. 3 EDOUARD JA, 1992 Enquête TRAMIL. Lycée agricole, Baie-Mahault, Guadeloupe. 4 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984 Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana. 5 CHARLES C, 1988 TRAMIL survey. Movement for Cultural Awareness MCA, Roseau, Dominica. 6 WENIGER B, 1987-88 Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana. 7 LONGUEFOSSE JL, NOSSIN E, 1990-95 Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC, Fort de France, Martinique. 8 FAUJOUR A, MURREY D, CHELTENHAM-CORBIN B, CARRINGTON S, 2003 TRAMIL survey. enda-caribbean, IICA & UAG, Saint Thomas, Barbados. 9 WHO, 1991 Guidelines for the assessment of herbal medicines. WHO/TRM/91.4. Programme on Traditional Medicines, WHO, Geneva, Switzerland. 10 HEGNAUER R, 1973 Chemotaxonomy der Pflanzen. Basel, Schweiz: Birkhauser Verlag. 11 CHONKEL A, 1985 A propos de quelques graines toxiques existant à la Guadeloupe. Thèse Pharmacie, Montpellier, France. 12 DUKE JA, 1992 Handbook of phytochemical constituents of GRAS herbs and other economic plants. Boca Raton, USA: CRC Press. 13 DUKE JA, ATCHLEY AA, 1986 Handbook of proximate analysis tables of higher plants.Boca Raton, USA: CRC Press. p140. 14 DE SOUSA M, Matos ME, Matos FJ, MACHADO MI, CRAVEIRO AA,1991 Constituintes químicos ativos de plantas medicinais Brasileiras.Laboratorio de produtos naturais, Fortaleza, Brasil: Ceará Edições UFC. 15 TSUPRIENKOVA T, 1982 Patente de autor de champú para el lavado del cabello (título original en ruso). URSS, A61K 7/06(53). 16 WENIGER B, 1992 Activités biologiques (cytotoxicité, effet sur la croissance, effet immunomodulateur) de drogues végétales de la Caraïbe utilisées par voie locale contre les brûlures, dans des systèmes de cellules animales et humaines en culture. Faculté de Pharmacie, Université de Strasbourg, Illkirch, France. TRAMIL VI, Basse Terre, Guadeloupe, UAG/enda-caribe. 17 VERPOORTE R, DIHAL PP, 1987 Medicinal plants of Surinam IV. Antimicrobial activity of some medicinal plants. J Etnopharmacol 21(3):315-318. 18 MISAS CA, HERNANDEZ NM, ABRAHAM AM, 1979 Contribution to the biological evaluation of Cuban plants. I. Rev Cub Med Trop 31:5-12. 19 TANIRA MO, AGEEL AM, AL-SAID MS, 1989 A study on some Saudi medicinal plants used as diuretics in traditional medicine. Fitoterapia 60(5):443-447. 20 CECIL, RUSELL LA FAYETTE, 1987 Compendio de Medicina Interna. Madrid, España: Ed. Interamericana. 21 MARTINEZ MJ, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V, MORON F, 2005 Irritabilidad dérmica primaria de semillas frescas peladas y machacadas de Ricinus communisL. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba. 22 MARTINEZ MJ, MOREJON Z, BOUCOURT E, FUENTES V, MORON F, 2003 Irritabilidad dérmica primaria de hoja seca y de hoja fresca de Ricinus communis L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Medicina “Dr. Salvador Allende”, Cerro, C. Habana, Cuba. 23 WEE YC, GOPALAKRISHNAKONE P, CHAN A, 1988 Poisonous plants in Singapore - a colour chart for identification with symptoms and signs of poisoning. Toxicon 26(1):47. 24 FERNANDO R, 1988 Plant poisoning in Sri Lanka. Toxicon 26(1):20. 25 CANIGUERAL S, 2003 Ricinus comunis. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul.30,2003. URL: http://www.masson.es/book/fitoterapia.html 26 ALONSO J, 1998 Tratado de fitomedicina. Bases clínicas y farmacológicas. Buenos Aires, Argentina: ISIS ediciones SRL. p840. 27 KANERVA L, ESTLANDER T, JOLANKI R, 1990 Long-lasting contact urticaria from castor bean. J Amer Acad Dermatol 23(2):351-355. 28 PERIS JB, STUBING G, 2003 Ricinus comunis. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul.30,2003. URL: http://www.masson.es/book/fitoterapia.html 29 BALZ E, BOYER A, BURAUD M, 2007 Enquête TRAMIL à Marie-Galante. U. Bordeaux 3, U. Paris XI Chatenay-Malabry, UAG, Guadeloupe. 30 BOYER A, BURAUD M, 2007 Enquête TRAMIL à La Désirade. U. Paris XI Chatenay-Malabry, UAG, Guadeloupe. 31 BOULOGNE Isabelle, 2008 Enquête TRAMIL à Terre-de-Haut, Les Saintes, UAG, Guadeloupe (FWI).
	Tradescantia spathacea (In territories with significant traditional TRAMIL use) Dominican Republic : magueyito Haiti : boul di mas Significant uses found by the TRAMIL surveys hoja, decocción, vía oral^2-3	Recommandations Preparation and posology References	According to published and other information: Uses for late period (amenorrhea) without pregnancy, twisting and traumatism are classified as REC, based on the significant traditional use documented in the TRAMIL surveys, and on available published scientific information. Topical use for headache is classified as REC, based on the significant traditional use (OMS/WHO)⁴ documented in the TRAMIL surveys. Not for use by pregnant women for risk of abortion, during lactation or by children under 5 years old. For late period (amenorrhea) other than pregnancy, apply treatment for three consecutive days. Do not use decoction by oral administrationfor more than five consecutive days. If the patient’s condition deteriorates, or if headache, twisting or traumatism persist for more than three days, seek medical attention. Contact of the leaf with the skin may cause irritation⁵.		For headache, late period (amenorrhea), twisting or traumatism: There is no available information establishing a means of preparation and dosage other than that referred to by traditional use. Any medicinal preparation must be preserved cold and used within the 24 hours.	1 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984 Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana. 2 WENIGER B, ROUZIER M, 1986 Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti. 3 WENIGER B, 1987-88 Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana. 4 WHO, 1991 Pautas para la evaluación de medicamentos herbarios WHO/TRM/91.4 (original inglés). Programa de Medicina Tradicional, OMS, Ginebra, Suiza. 5 LAMPE KF, FAGERSTRÖM R, 1968 Plant toxicity and dermatitis: A manual for physicians. Baltimore, USA: Williams & Wilkins. 6 IDAKA E, OGAWA T, KONDO T, GOTO T, 1987 Isolation of highly acylated anthocyanins from Commelinaceae plants, Zebrina pendula, Rhoeo spathacea and Setcreasea purpurea. Agr Biol Chem 51(8):2215-2220. 7 YEOH HH, WEE YC, WATSON L, 1986 Taxonomic variation in total leaf protein amino acid compositions of monocotyledonous plants. Biochem Syst Ecol 14(1):91-96. 8 WENIGER B, HAAG-BERRURIER M, ANTON R, 1982 Plants of Haiti used as antifertility agents. J of Ethnopharmacology 6(1):67-84. 9 GUPTA M, ESPOSITO AVELLA M, 1988 Evaluación química y farmacológica de algunas plantas medicinales de TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá. TRAMIL III, La Habana, Cuba, MINSAP/enda-caribe. 10 PEREZ RM, 1996 Anti-inflammatory activity of Ambrosia artemisiaefolia and Rhoeo spathacea. Phytomedicine 3(2):163-167. 11 SUFFNESS M, ABBOTT B, STATZ DW, WONILOWICZ E, SPJUT R, 1988 The utility of P388 leukemia compared to B16 melanoma and colon carcinoma 38 for in vivo screening of plant extracts. Phytother Res 2(2):89-97.