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REVIEW Open Access
Historical ethnobotanical review ofmedicinal plants used to treat childrendiseases in Romania (1860s–1970s)Madalina Petran1, Dorin Dragos2,3 and Marilena Gilca1*
Abstract
Background: Romanian ethnopediatrics has a long history of medicinal plant use. The main objective of thepresent review was to identify, collect, systematize, and prioritize the available bibliographical data related tomedicinal plants traditionally used to treat various pediatric diseases in Romania during the 1860s–1970s.
Methods: Information was mainly obtained by manual systematic search in various relevant historical worksfocused on the traditional use of medicinal plants in Romania (1860s–1970s), found in the Archives of RomanianAcademy Library and National Romanian Library.
Results: A total of 153 medicinal plants belonging to 52 families were identified as having ethnopediatricsignificance. The plant traditional indications, targeted body systems, parts used, and way of administration wereprovided. We have also proposed one index (expressed as percentage) in order to assess the ethnopediatricapplicability area of species: ethnopediatric relative therapeutic versatility (ERTV), which was calculated on the basisof the number of distinct uses mentioned for a species. The species identified to have the highest ERTV scoreswere Dryopteris filix-mas (100%), Gratiola officinalis (85.71%), Allium sativum (71.42%), Eryngium planum (71.42%),Juglans regia (71.42%), Matricaria chamomilla (71.42%), Plantago major (71.42%).
Conclusions: The present study exposed for the first time to the international scientific community importantethnopediatric information contained in several local Romanian bibliographical resources that could guide the localand international researchers towards new directions of plant valorization.
Keywords: Medicinal plants, Ethnopharmacology, Pediatry, Ethnopediatry, Children, Romania
IntroductionRomanian ethnomedicine and ethnopediatry in theEuropean context—past and presentThe majority of the European ethnopharmacologicalknowledge has its roots in the Greek and Romancultures, being essentially influenced by works ofDioscorides, Pliny the Elder, Galen, Theophrastus, andHippocrates [1–3]. Scientists revealed a remarkably
consistency between Dioscorides’s De materia medicaand later European pharmacopeia, Dioscoridean trad-ition lasting through the nineteenth century with onlyinsignificant variation [4], or even up to the birth ofmodern pharmacology [2, 3]. While in the Western andCentral Europe, herbalism played an important role indrug discovery beginning with the nineteenth century[5]; in Eastern Europe, the exploitation of the ethnophar-macological tradition was hindered by several challenges:
(a) Vicissitudes related to the social-political-economicenvironment in those countries belonging to the
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* Correspondence: [email protected] of Functional Sciences I- Biochemistry, Faculty of Medicine,Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaFull list of author information is available at the end of the article
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 https://doi.org/10.1186/s13002-020-00364-6
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previous communist bloc, including Romania (e.g.,marginalization of experts originating from bour-geois families, and therefore considered “enemies ofthe regimen,” informational censorship, lack ofinterest in supporting scientific research andpreservation of national cultural heritage, lack offinancial support for libraries—Romanian AcademyLibrary was considered too “bourgeois” by thecommunist regimen, and therefore was replaced in1955 by State Central Library) [6].
(b) Other types of challenges: inaccessibility of many ofthe texts on medicinal plants preserved in locationswith limited access to the public (e.g., monasterieswith a strict daily schedule, archives not open forthe public), reduced legibility of certain manuscripts(lost parts, deterioration in time, low quality ofprint or indecipherable handwriting), some texts arewritten in old languages and are not yet translated(e.g., many Romanian manuscripts found in theNational Archives are written in old Slavoniclanguage) or investigated by an interdisciplinaryteam (historians, linguists, anthropologists,botanists, etc.), old terminology with obscuremeaning for the contemporary scientist, lack ofcertainty about the identity of taxa (e.g., onlyvernacular names or obsolete Latin names),difficulties of communication with informants(e.g., monks who are not allowed to take in face-to-face interviews, suspiciousness of informantscaused by superstitions, or desire of therespondents to protect the “secrets” of theirmedical knowledge, sometimes transmitted onlywithin the families) [4, 7–11].
Some of these aspects might have contributed to thefact that the ethnomedical knowledge of EasternEuropean countries remained in a certain degree local-ized, and isolated from the rest of the world [5, 12]. Onthe other side, due to this isolation and other factors aswell (e.g., slower economical development, preservationof small-scale agro-pastoral activities as main econom-ical subsistence tool in rural area [13], continuity oftraditional practices in monastic communities, knownfor their principles of living in harmony with the envir-onment), this part of Europe may still possess a tremen-dous reservoir of traditional ethnomedical knowledge[13, 14]. For instance, many Romanian ChristianOrthodox monasteries are located in the forests, or far-away from inhabited areas, and cultivate principles simi-lar to those of environmentalist sustainability (e.g.,respect for Creation/Nature as a manifestation of God,protection of natural resources (gifts of Creation) forfuture generations, vegetarianism, stability and discip-line, etc.) [15]. The monastic community from the
Vânători-Neamţ Natural Park, which is recognized asthe second largest in Europe, after that of Mt. Athos inGreece, is such an example [15, 16].It is also known that prior to the twentieth century,
European medicine was based mainly on Mediterraneanplant-derived drugs (with some additions from theMiddle East, Asia, and the Americas) [4], the ethnophar-macological tradition originating in the rest of Europe,such as Eastern European countries including Romania,being underexploited at that time, as well as nowadays.Many scientists claim that exploring historical texts
in a systematic manner may represent a valuablesource of knowledge for the rediscovery of forgottenremedies and the development of modern ethnophar-macology [2, 4, 17, 18].While in some of the Eastern European countries,
such as Poland [19–22], Estonia [12, 23, 24], Bosnia andHerzegovina [25, 26], and Russia [27, 28], the existingethnobotanical resources are already thoroughly studiedor actualized in several ethnobotanical surveys; a differ-ent situation exists in Romania. The content of the avail-able Romanian ethnographic resources is still unknownby the rest of the world as they are not yet published(e.g., manuscripts found in various museums or librar-ies), or published only in the national language (e.g.,“Botanica Poporana Romana” by Simion Florea Marian).These written resources cover mainly the period until demid twentieth century.Romania has a rich ethnomedical and ethnobotanical
heritage. According to various antique texts authored byDioscoride (Codex Constantinopolitanus, De MateriaMedica) and Pseudo Apuleius (De Herbarum Virtuti-bus), many plants (e.g., Thymus vulgaris, Urtica dioica,Achillea millefolium, Mentha piperita) have been usedas remedies on this territory since millennia, and are stillused for similar therapeutic purposes in nowaday ethno-medical practices [29, 30]. Local historical documentsmention the art of healing through herbs practiced byindigenous population beginning with the fourteenthcentury. Several manuscripts originating from variousregions of the present day Romania or interwarRomania, dating from the fourteenth–seventeenth cen-turies, contain elements of medical botany. Some arekept in the Archives of the Library of RomanianAcademy (e.g., manuscripts 740, 498, 573, 312) [8],others are found today outside Romania (e.g., theSlavonic manuscript from Hodros-Bodrog monastery,Banat, Romania, written in the fourteenth or fifteenthcentury, known as Hodoski sbornic or Miscelaneul de laPraga, is found now in Prague) [31]. The sixteenth cen-tury manuscript no.740 in the Romanian AcademyLibrary is considered the oldest text of medical folklorepresently existing in Romania. The initial section is enti-tled “The use of healing plants” and contains 12 pages
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 2 of 33
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with descriptions of indications of several medicinalplants (the section was longer, but some pages were lost)(e.g., small and great plantain, angelica, mint, burdock,gentian, etc.). In order to understand the cultural con-text of our country during the Middle Ages, it should bereminded that the territories of the present day Romanialie within the !!influence area of the Byzantino-Slavicculture; therefore, several of these manuscripts havemixed influences. For instance, despite the fact thatmanuscript no. 740 is written in Ukrainean Slavic lan-guage, it contains influences from Western and CentralEurope (probably Dioscoride’s Materia Medica orMatthiolus’s commentaries to Dioscoride’s work), as wellas elements of local medical folklore [32].More systematic documentation of local traditions of
plant use in Romania, based on field studies, began inthe nineteenth century, with the work of various ethnog-raphers. Simion Florea Marian (1847–1907) initiated thistype of work, and he was followed by Nicolae Leon(1862–1931), Charles Laugier (1875–1930), AlexandruBorza (1887–1971), George Bujorean (1893–1971), ValerButura (1910–1989), and others.The Romanian ethnopharmacological knowledge and
practices were kept alive through oral tradition, withinfamilies of healers, midwives, medicinal plant collectors,and monastic communities in a form almost institution-alized until the XXth century [11, 30].The ethnomedical Romanian practices are also
attested by the lexical background. The manuscript Dic-tiones latinae cum valachica interpretatione by TeodorCorbea, the first encyclopedic lexicographic work cre-ated in the Romanian space, dating around 1701 andpublished only recently [33], contains approximately 400names of plants, including medicinal plants [34]. In1783, the calvinist priest József Benkő (1740–1814) fromTransylvania, published the botanical dictionary “Nom-ina vegetabilium,” which contains 429 species with 612popular Romanian plants names, some also from thearea of !! Muntenia [35]. In other important botanicalwork, Transsilvania Generalis, József Benkő stated that“the Romanian women use efficiently weeds neglectedby others, to cure various diseases” [35].Despite this valuable biocultural heritage, only a few
local teams of researchers focused their attention onRomanian ethnopharmacological practices in the last de-cades [36–41]. The data collected by Romanian scientistsin field studies after 1970s have been reflected in only afew reliable scientific publications [38, 39, 41]. We havealso noticed a recently increasing international interestin traditional uses of medicinal plants on Romanian ter-ritory, especially by ethnic minorities [42–48].Concerning the European ethnopediatry research,
there is a relative scarcity of studies. Moreover, the ma-jority of the available European ethnopharmacological
field studies only contain isolated references to the me-dicinal plant use in children diseases, as they are not ex-clusively focused on traditional ethnopediatry, but ratheron adult ethnomedicine. There are such isolated men-tions on the traditional indications of medicinal plantsin children in various European countries, in cases of di-gestive diseases [26, 49–59], bedwetting [25], respiratorydiseases [55, 60–64], insomnia [52, 63], and growth delay[46, 65]. Nevertheless, more and more scientists try togather and systematize the available world clinical dataon the safety and efficacy of various herbal medicines inchildren [66–71].
Romania—a country with rich biodiversityRomanian flora has unique diversity, being recently esti-mated to 3700 species of higher plants [72], including 57endemic and 171 subendemic species [73]. One of theexplanations of this biodiversity lies in the fact thatRomania is a biological confluence point, located equallydistant from both the North Pole and the Equator andfrom the Atlantic Ocean and the Ural Mountains. Thus,Romania is the most biogeographically diverse countryof the European Union, possessing five of the ten offi-cially recognized geographic regions: alpine, continental,pannonic, pontic, steppic. Moreover, no other EuropeanUnion country possesses steppe region [72]. Its floraconsists of Western and Central European, as well asMediterranean spontaneous vegetal species, representingmore than half of the European flora [30]. More than700 species were identified as being traditional medicinalplants [74, 75]. A recent evaluation concluded that thereare 756 spontaneous medicinal plants in Romania, outof which 126 species are on the Red List, and 122 spe-cies are completely forbidden to be collected [76]. Sug-gestive for the ethnobotanical potential of Romania, isthe fact that Romania is on the list of the most import-ant European source regions of medicinal plants col-lected today from the wild, following behind otherSoutheastern European countries, such as Bulgaria andAlbania [77].Despite the richness of this biocultural heritage, the
studies focused on ethnopediatrics in Romania, as wellas in the rest of Europe, are absent. Therefore, we con-sidered that filling this gap represents a priority for sci-entists. In order to spur the use of Romanian (andEuropean) medicinal plants for the treatment of childrendiseases, we need first to review the historical use ofplants in ethnopediatrics.The main objective of the present review was to iden-
tify, collect, systematize, and prioritize the available bib-liographical data related to the medicinal plantstraditionally used to treat various pediatric diseases inRomania during the 1860s–1970s.
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 3 of 33
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Materials and methodsWe have obtained ethnobotanical information by man-ual systematic search in various resources which are notcovered in the main electronic databases, such as journalpapers, reports, books and PhD works written inRomanian language. All of them, excepting one [11], areavailable in the Romanian Academy Library (https://biblacad.ro//eng_index.html) and/or in the RomanianNational Library (http://www.bibnat.ro/). Depending onthe methodology used by the authors of these publica-tions, the resources could be classified into four categor-ies: (A) original publications (based on field study-typemethodology) [9–11, 78–84]. Inclusion criterion wasthat the field work and observations had been performedbefore 1980, even if some of these studies where pub-lished after that date [85, 86] (or the studies included in-formants who were old enough, at the date of thefieldwork, to report plant use during the target period1860s–1970s [10, 11, 87]); (B) review publications (basedon documentation and synthesis of previous ethno-graphic or ethnobotanical works) [75]; (C) mixed publi-cations (compilation of original field study and review ofliterature) [74, 85, 86]; (D) other types of document pa-pers which report use of medicinal plants in children byRomanian people during the 1860s–1970s period [88].Table 1 contains a brief critical overview of all re-
sources used in this paper. In the following paragraphs,details are provided regarding the seven most represen-tative sources, ordered chronologically according to thedate ethnobotanical data were collected or published[whenever the collection date was not available or notapplicable (e.g., review work)]:
1. “Botanica Poporană Română” (engl. Romanian FolkBotany) by Simion Florea Marian (1847–1907), aRomanian folklorist, ethnographer, hystorian, andnaturalist, active member of the RomanianAcademy, one of the greatest collectors ofinformation and writers on the Romanian legacy ofmedicinal plants. Although he was a priest and forthe most of his life a schoolteacher, he is the onewho layed the foundations of scientific folkloreresearch in Romania. “Botanica Poporană Română”represents a monumental work of therapeuticalindications and folklore on medicinal plants inRomanian territory, collected by the author himselffrom hundreds of informants (whose names andresiding villages are mentioned in the book), during1867–1907. His correspondence attested the factthat he collaborated with specialists from theBotanical Institute in Bucharest to identify (i.e.,correctly establish the scientific names of) the plantvoucher specimens in his herbarium. Unfortunately,his work was published only recently, one century
after his death—this sorrowfully delayed publicationwas due to the huge efforts of an enthusiasticRomanian ethnographer, Aura Brădăţan [85, 86].This masterpiece was awarded a distinction byRomanian Science Academy, being considered atreasure of national culture.
2. Istoria naturală medicală a poporului român" (engl.Natural medical history of Romanian people) byNicolae Leon (1862–1931), a Romanian biologist,professor at the Faculty of Medicine, AlexandruIoan Cuza University, Iasi, published in 1903, inRomanian Academy Annals [84]. He had a veryrigurous approach in his fieldwork, in terms ofcriteria used for plants inclusion in his study. Hestated in the Foreword of the publication: “I havenot mentioned the vegetal remedies quoted bysome authors if I had not the possibility to makesure that the people use them indeed.(…)even ifthey were counted by Czihak and Szabo as folkmedicinal plants(…) Even if they were counted byCzihak and Szabo as folk medicinal plants, theplants that I could not identify because of the lackof voucher specimens are all gathered in Notes, atthe end of the Chapter I, and only their use isindicating, without the scientific name.” Thepublication contains a special chapter entitled“Numiri vulgare cu cari poporul cunoşte bolele”(engl. Folk names by which people know thediseases), where the author offers the clinicalpicture of the diseases treated by Romanian folkmedicine and also provides the scientific medicalterms corresponding to a series of folk terms.
3. “Monografia comunei Răşinariu” (engl. Monographyof Răşinariu village), by Victor Păcală (1874–1955)[9], awarded a distinction by Romanian Academy in1916, is considered the best monography of aRomanian village written before the First WorldWar [89], and represents even today a model forhow a comprehensive descriptive ethnographicmonography should be written.
4. “Contribuţiuni la etnografia medicală a Olteniei”(engl. Contribution to the medical ethnography ofOltenia) [82], by Charles Laugier (1875–1930)was granted Botez Prize by Romanian Academyin 1927. Charles Laugier was a physician whograduated from Carol Davila Faculty of Medicinein Bucharest in 1898. Latter he became Directorand Sanitary Inspector for Oltenia region. Duringhis regular inspections, he collected a lot ofethnographic information, includingethnobotanical and ethnomedical data which iscited even today by specialists. Laugier offers atthe end of his publication a list withcorrespondences between folk terms designating
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 4 of 33
https://biblacad.ro/eng_index.htmlhttps://biblacad.ro/eng_index.htmlhttp://www.bibnat.ro/
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Table
1Resourcesused
forthehistoricalreview
onmed
icinalplantsused
inRo
manianethn
oped
iatryin
1860s–1970s
Title
Autho
rYear
ofpu
blication
Sources(and
metho
dology)
Trustlevelinterm
sof
plant(criterion1+
criterio
n2)a
nddisease
iden
tification
Reference
1)“BotanicaPo
porană
Română”
(eng
l.Roman
ianFolk
Botany)
SimionFlorea
Marian
2008,2010(post-mortem
publication;data
collected
durin
g1867-
1907)
Fieldw
ork(observatio
nalm
etho
d,collectionof
plantvouche
rspecim
ens);literature
(review
)5(2+3)
(plants)
3(diseases)
[85,86]
2)“Istoria
naturalămed
icalăapo
poruluirom
ân”
(eng
l.Naturalmedicalhistoryof
Roman
ianpeople)
Nicolae
Leon
1903
Fieldw
ork(observatio
nalm
etho
d,iden
tification
ofplantsbasedon
collectionof
vouche
rspecim
ens)
6(3+3)
(plants)
4(diseases)
[84]
3)“M
onog
rafia
comun
eiRăşin
ariu”(eng
l.Mon
ograph
yof
Răşin
ariuvillage)
Victor
Păcală
1915
Fieldw
ork(ethno
graphicmetho
d-participant
observation,keyinform
antinterviewing;
completeinventoryof
localflora)
4(1+3)
(plants)
2(diseases)
[9]
4)“Con
tribuţiuni
laetno
grafiamed
icalăaOlteniei”
(eng
l.Co
ntributionto
themedicalethn
ograph
yof
Oltenia)
CharlesLaug
ier
1925
Fieldw
ork(observatio
nalm
etho
d)4(1+3)
(plants)
4(diseases)
[82]
5)“Boli,leacurişip
lantede
leac
cuno
scutede
ţărănimea
română”
(eng
l.Diseases,folkremedies
andplan
tsknow
nby
Roman
ianvillagers)
Geo
rgeBu
jorean
1936
Fieldw
ork(observatio
nalm
etho
d);literature
(review
)6(3+3)
(plants)
4(diseases)
[74]
6)“Plantelemed
icinaleşimed
icinapo
pulară
laNiscani”(Eng
l.Medicinalplan
tsan
dfolkmedicineat
Niscan
i)
AlexeiA
.Arvat
(1890-
?),
1937
Fieldw
ork(observatio
nalm
etho
d,keyinform
ant
interviewing,
inventoryof
ethn
obotanicaland
ethn
ograph
icdata,collectionof
plantvouche
rspecim
ens)
6(3+
3)(plants)
4(diseases)
[80]
7)“Enciclope
diade
Etno
botanică
Românească”
(eng
l.Encyclopediaof
Roman
ianEthn
obotan
y)ValerBu
tura
1979
Literature
(review
)6(3+3)
(plants)
4(diseases)
[75]
8)“Plantecuno
scuteşiîntreb
uinţatede
românii
dinArdeal.Noteetno
botanice”(eng
l.Plan
tsknow
nan
dused
byRoman
ians
inArdeal.Ethno
botanicaln
otes)
ValerBu
tura
1935
Fieldw
ork(observatio
nalm
etho
d)6(3+3)
(plants)
3(diseases)
[83]
9)“Plantecuno
scuteşiîntreb
uinţatede
româniidin
Transilvania”(eng
l.Plan
tsknow
nan
dused
byRoman
ians
inTran
silvania)
ValerBu
tura
1936
Fieldw
ork(observatio
nalm
etho
d)6(3+3)
(plants)
4(diseases)
[79]
10)“Plantecuno
scuteşiîntreb
uinţatede
locuito
riicâtorvasate
româneşti(Ethno
botanische
mitteilung
enausRu
manien)”(eng
l.Plan
tsknow
nan
dused
byinha
bitans
offewRoman
ianvillages)
ValerBu
tura
1938
Fieldw
ork(observatio
nalm
etho
d)6(3+
3)(plants)
4(diseases)
[78]
8)“Florilebu
nede
leac”(eng
l.Flow
ersgood
forhealing)
Geo
rgeUlieru
1929
Med
icalliteratureessay
2(1+1)
(plants)
4(diseases)
[88]
9)“Nou
tatietno
botanice
româneşti”
(eng
l.Roman
ian
ethn
obotan
icalno
velties)
Alexand
ruBo
rza
1936
Fieldw
ork(observatio
nalm
etho
d,collectionof
plantvouche
rspecim
ens)
6(3+3)
(plants)
3(diseases)
[81]
10)“Studiid
eetno
botanică
încomun
aPo
iana
Cristei,
jud.
Vrancea”
(eng
l.Ethn
obotan
icalstudiesin
Poiana
Cristeivillage,Vrancea
coun
ty)
Ana
Con
drea
1991
Fieldw
ork(observatio
nalm
etho
d,oldinform
ant
interviewing)
6(3+3)
(plants)
4(diseases)
[87]
11)“Valea
Sebe
şului.Mon
ografie
Etno
folclorică,vol.II.
Folclor”(eng
l.Sebeşv
alley.Ethn
ofolkloricalmon
ograph
y,Ghe
orgh
ePavelescu
2004
(datacollected
in1934-1939,anden
riche
dFieldw
ork(observatio
nalm
etho
d,inform
ant
interviewing)
5(3+2)
(plants)
2(diseases)
[10]
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 5 of 33
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Table
1Resourcesused
forthehistoricalreview
onmed
icinalplantsused
inRo
manianethn
oped
iatryin
1860s–1970s(Con
tinued)
Title
Autho
rYear
ofpu
blication
Sources(and
metho
dology)
Trustlevelinterm
sof
plant(criterion1+
criterio
n2)a
nddisease
iden
tification
Reference
vol.II,Folklor)
in1971)
12)“M
edicinapo
pulară
dinBasarabiade
lasfârșitul
secoluluialX
IX-lea–începu
tulsecolului
alXX
-lea.
Aspecte
istorico-etno
grafice”
(eng
l.Folkmedicinefro
mBasarabiaat
theendof
the19th
-beginn
ingof
the20th
centuries.Historical-ethno
graphicalaspects)
NataliaGradinaru
2015
(datacollected
durin
g2003-2014;average
ageof
inform
ants71.5
years)
Fieldw
ork(observatio
nalm
etho
d,qu
estio
nnaires,
simulation-
toreveal“professionalsecrets”,case
stud
y);literature
(review
offield
stud
iesavailable
intheArchivesof
theInstitu
teof
theCultural
Heritage
,Chişin
ău)
6(3+
3)(plants)
4(diseases)
[11]
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 6 of 33
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plants/diseases and scientific botanical/medicalterms.
5. “Boli, leacuri şi plante de leac cunoscute deţărănimea română” (engl. Diseases, folk remediesand plants known by Romanian villagers) publishedin 1936 by another important figure in Romanianethnobotany, George Bujorean (1893–1971),botanist and founder of Romanian experimentalecology and geobiology [74]. This publicationbecame a national reference work for its period.Bujorean discovered several new plants withmedicinal properties, which were used in Romanianfolk medicine, but were not mentioned inDragendorff’s publication, which was recognized atthat time as the world’s ethnopharmacologicalreference list of medicinal plants [90] (e.g.,Trifolium campestre L, Sempervivum marmoreumGriseb., known at that time by its synonym,Sempervivum assimile Schott).
6. “Plantele medicinale si medicina populara laNişcani” (Engl. Medicinal plants and folk medicineat Nişcani) by Alexei A. Arvat (1890-?), a botanistwell known in Romanian ethnographic world. Hegraduated Natural Sciences at Iassy University andpublished several valuable ethnobotanical worksduring his life. The one relevant for our presentreview is a comprehensive field study performed inthe Nişcani village, Basarabia, during which hefound 140 medicinal species traditionally usedagainst 137 diseases. One of his conclusions issignificant for the value of the local ethnobotanicalknowledge: the number of medicinal species knownto the population of Nişcani was close to the totalnumber of species in that area, his informantsclaiming that “all the weeds have healing properties,only the people do not know” [80]. He alsoidentified during this study new vernacular namesfor 41 Romanian medicinal plants. Anotherinteresting conclusion of this work was thatmedicinal plants were used in folk medicine inNişcani in a much higher proportion (85%) thanother remedies (e.g., incantations- descântece,organic or inorganic substances, etc.).
7. “Enciclopedia de Etnobotanică Românească” (engl.Encyclopedia of Romanian Ethnobotany) by ValeriuButura (1910–1989) is a remarkable synthesis workwhich reveals more than 100 years of traditionalRomanian medicine practice [75]. He was abotanist, student of another great Romanianethnographer Alexandru Borza (1887–1971). ValerButura started his ethnobotanical studies in 1930–1940 [78, 79, 83]. His encyclopedia containing morethan 700 medicinal plants with traditional uses waspublished in 1979, 10 years after his professor
published another reference work Ethnobotanicaldictionary (containing 2095 species with over 11000Romanian names of plants) in 1968 [91].
We estimated for each source used the trust level interms of plant identification, using two graded criteria,as follows:Criterion 1 (author’s background): 3—author was bot-
anist, biologist, or anthopologist; 2—the author was nota botanist, biologist, or anthropologist, but collaboratedwith botanists for the identification of plants; 1—authorwas a physician or self-educated in terms of botanicaland anthropological studies; 0—author was none of theprevious.Criterion 2 (plant identification): 3—if the author was
able to differentiate between medicinal plants withclaimed clear botanical identity and plants with unre-solved botanical identity, and all the plants with claimedclear botanical identity had Latin names which were ei-ther accepted names or synonyms of the accepted namesin The Euro+Med PlantBase (http://ww2.bgbm.org/EuroPlusMed) [92] and/or The Plant List (www.theplantlist.org) [93]; 2—if the Latin names of the majorityof medicinal plants claimed to have a clear botanicalidentity were either accepted names or synonyms of theaccepted names in The Euro+Med PlantBase (http://ww2.bgbm.org/EuroPlusMed) [92] and/or The Plant List(www.theplantlist.org )[93]; 1—if the Latin names of themedicinal plants were available for a small percentage oftaxa, or a significant number of plant had unresolvednames in The Euro+Med PlantBase (http://ww2.bgbm.org/EuroPlusMed) [92] and/or The Plant List (www.theplantlist.org) [93], or Latin names were not available(and plant identification was based on the vernacularname).The sum of grades for the two criteria represented the
trust level in terms of plant identification. The highestpossible grade was 6 (3 + 3), and the lowest possiblegrade was 1 (0 + 1).Whatever the trust level of the source, we did not
include plants with unclear botanical identity in ourwork.We estimated for each source also the trust level in
terms of disease identification, as follows: 4—in thesource, the diseases are identified by their scientificnames or by both their folk and scientific names; 3—some diseases are identified by their scientific names,others only by their folk names; 2—diseases are identi-fied only by their folk names, whose modern medicalequivalents could be determined nonetheless by meansof dictionaries or other resources [74, 84, 94]; 1—dis-eases are designated only by folk terms whose signifi-cance in modern medical terms could not be establishedwith the help of dictionaries or other resources. The
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 7 of 33
http://ww2.bgbm.org/EuroPlusMed/http://ww2.bgbm.org/EuroPlusMed/http://www.theplantlist.org/http://www.theplantlist.org/http://ww2.bgbm.org/EuroPlusMed/http://ww2.bgbm.org/EuroPlusMed/http://www.theplantlist.org/http://ww2.bgbm.org/EuroPlusMed/http://ww2.bgbm.org/EuroPlusMed/http://www.theplantlist.org/http://www.theplantlist.org/
-
higher the grade, the higher the trust level. The high-est possible grade was 4, and the lowest possiblegrade was 1.A medicinal plant was included in our database if its
traditional use was mentioned by at least one author.Despite the fact that the majority of the dietary plants
may be used for children, those species where pediatricindications were implicit (due to their dietary value)were excluded from our study, while only the specieswith explicit pediatric indications (mentioned in theethnographic text as such) were included. For instance,plants like Urtica dioica, Malus domesticus, Vitis vinif-era, Persica vulgaris, Petroselinum sativum, Raphanussativum, etc. were excluded, despite their ethnopediatricpotential. Beside the objective restrictions imposed bythe limited availability of written resources, this ap-proach was adopted in order to (1) reduce to zero/nullifythe risk of selecting a wrong plant, (2) avoid overloadingthe paper with too many common plants with universaldietary value, and (3) identify local non-nutritional medi-cinal plants with pediatric indications, which might beless known to the scientific community.Regarding the name of the plants—in our sources a
perimated Latin term was sometimes used for speciesidentification. In all these cases, the perimated Latinterm was changed to the presently accepted one (e.g.,Galium odoratum (L.) Scop. instead of Asperula odorataL.). More often than not, a given species had several ver-nacular names—in such cases, all the various vernacularnames encountered in our sources were gathered as aunique entry under the accepted Latin name (e.g., “sân-ziene de pădure,” “vinariţă,” and “mama pădurii” are puttogether under the accepted latin name Galium odora-tum (L.) Scop.).Data analysis and extraction were performed by med-
ical professionals involved in clinical and scientific re-search at academic level. All data were cross examinedby a second author.Concerning the indigenous classification of diseases in
Romanian traditional medicine, to the best of our know-ledge, no systematic classification is provided by theavailable historical resources. In order to avoid suppress-ing the cultural traits, we have adapted the InternationalClassification of Primary Care (ICPC) [95] to our set ofdata. ICPC was reported to be a closer approximation toethnomedical reality and emic perspective, than othermodern classifications such as International StatisticalClassification of Diseases and Related Health Problems(ICD) or the Economic Botany Data Collection Standard(EBDCS) [96].Preliminary data concerning traditional pediatric indi-
cations and the parts used were organized in a tabularform. Afterwards, we performed a second systematicsearch in PubMed for all the medicinal plants recorded
for ethnopediatric use which were included in our data-base, in order to identify whether their therapeutic po-tential was evaluated or not in clinical pediatric studies.
Data analysisWe divided the collected bibliographic material into usecategories such as various types of diseases, based on theInternational Classification of Primary Care (ICPC)(WHO | International Classification of Primary Care,Second edition (ICPC-2), 2012).In order to compare the utility of medicinal plants in
Romanian ethnopediatry, we proposed one index: Ethno-pediatric Relative Therapeutic Versatility (ETRV).In our analysis, all ethnopedriatic uses included under
the umbrella of a certain targeted body system werecounted as one. For each medicinal plant, we summedup all the targeted body systems and obtained a valuedesignated as BS. Phylogenetically closely related medi-cinal plants (the single case of Populus spp.), which hadsimilar ethnomedical uses, were counted together, as asingle phytotherapic entity. The formula used for thecalculation of ERTV expressed as percentage was:
ERTV% ¼ BSiBS max
� 100
where BSi—number of body systems targeted by theplant i; BSmax—maximum number of body systems tar-geted by a single plant obtained in our bibliographicstudy (which is seven). For example, Gratiola officinalisis traditionally used to treat six body systems, one lessthan 7, corresponding to Dryopteris filix-mas (L.) Schott,the most versatile of all species. Therefore, it has ERTVof 85.71% (6:7 ×100).Altogether, more than 30 local publications were used
for this historical review to collect information aboutmedicinal plants used in Romania (1860s–1970s), butonly in 15 publications we have found relevant data forethnopediatrics. Since some of the publications rely onidentical sources (e.g., George Bujorean [74] is cited byother ethnographers, such Valer Butura [75]), we consid-ered that the number of citations did not express therelative importance of the species in Romanianethnopediatrics.
ResultsWe have identified in the available literature several oldRomanian terms comprising children-specific diseases(acrum—newborn aphthous stomatitis, babiţi—digestivetroubles in children caused by tooth eruption, boalacânească/socote/sohote/zilizit—athrepsia, severe nutri-tional disturbance in small children, boala copiilor/răulcopiilor/răutatea copiilor/ceas rău/samca/sanca—con-vulsions, epilepsy, coriu/coriu adevărat/bubatu al mic—
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 8 of 33
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measles, coriu negru—scarlet fever, focușor—red papulareruptions on face or chest in children, lamoste—childdysentery, mătrice—cramps in newborns due to abdom-inal gas accumulation, muma pădurii—nightmares/in-somnia/weeping during night in small children, oase moi(“soft bones”)/oase strâmbe (“curved bones”)—rickets,opăreală—diaper/napkin dermatitis, rahnă—cold,pleasnă/plesne—irritation of lingual and palatal mucosaor aphtous stomatitis, especially in small children,rodimcic—nervous spasms, convulsions, cramps in new-borns, strâns—diarrhea of children, suldumaș or surdu-maș—small red papular eruption on the newborn scalp,tuse măgărească—whooping cough) or disorders com-mon in both adults and children (apucătură- colic,arâne/fudulie- scabies, boli lipicioase- contagious dis-eases, bubă- abscess/pustule/purulent subcutaneous col-lection, bube dulci/rofii/rohii—impetigo, cufureală/treapăd—diarrhea, gîlci—tonsillitis, izdat/surdumaci—abdominal pains, mărgăritărel—stomatitis, scrofuri—tu-berculosis of the lymph nodes, trecătură—gastro-enter-itis) [74, 75, 85, 94, 97]. Some of them are still used inthe modern language (e.g., tuse măgărească, bube dulci,cufureală, gîlci).After adaptation of the International Classification of
Primary Care (ICPC) [95] to our set of data, we had 12categories of body system-related pediatric diseases(Table 1).A total of 153 medicinal plants belonging to 52 fam-
ilies were identified as having ethnopediatric relevance—
they are presented in the alphabetical order of theirLatin name in Table 3, which also includes the medicalindications, targeted body systems, parts used, way ofadministration (where available), and ERTV. Half of thespecies (49.67%) used in Romanian traditional medicineto treat children diseases belong to seven families: Aster-aceae (21), Lamiaceae (15), Apiaceae (12), Rosaceae(ten), Fabaceae (seven), Ranunculaceae (six), Brassica-ceae (five).The plant indications, targeted body systems, parts
used, way of administration (where available), ERTV,and available scientific evidence are provided in Table 2.The distribution of the plants with respect to their
medical indications is as follows: blood, lymph andspleen diseases (five species), cardiovascular (one), di-gestive (53), ear (two), endocrine, metabolic, and nutri-tional (28), general (45), musculoskeletal (11),neurological (22), psychological (26), respiratory (14),skin (44), urological diseases/conditions (one).The top of the seven most versatile plants in Roma-
nian ethnopediatry is represented in Fig. 1.Only 15 medicinal plants were scientifically evaluated
in pediatric clinical studies, or at least in human clinicalstudies with mixed groups of subjects (adults and chil-dren). For six plants, we found some positive evidencefor few indications mentioned in Romanian ethnopedia-trics; for ten medicinal plants, some positive evidencefor certain indications not mentioned in Romanian eth-nopediatrics, and for one plant some negative evidence.
Table 2 Classification of ethnopediatric indications in the present study, adapted after the International Classification ofPrimary Care (ICPC)
Category Examples of diseases
General and unspecified Asthenia, Chicken pox/Varicella, Scarlet fever, Colic, Cramps, Fever, Measles/Rubeola,German measles/Rubella, Spasms, Tuberculosis, Weakness, Physical debility
Blood, blood forming organs, lymphatics and spleen Anemia, Enlarged lymph nodes, Scrophulosis
Cardiovascular Tachycardia
Digestive Abdominal cramps, Abdominal pain, Acute digestive infections, Colitis, Constipation,Dental abscesses, Dental cavities, Dental eruption, Diarrhea, Digestive cramps, Dysentery,Enteritis, Flatulence, Intestinal cramps, Intestinal parasites, Intestinal worms, Stomatitis,Tape worms, Teeth ache/pain, Ulcerative stomatitis, Vomiting
Ear Ear discharge, Ear pain
Musculoskeletal Bone diseases, Bone deformities, Disability/Weakness of the extremities Rickets, Trauma
Neurological Convulsions, Epilepsy, Paralysis
Psychological Agitation, Anxiety/Fright, Enuresis, Irritability, Sleep disturbances/Insomnia/ Nightmares/weeping during sleep, Psychosis
Respiratory Acute respiratory diseases, Asthma, Bronchitis, Phlegm in the throat, Cold, Cough, Coughwith sputa and puss, Whooping cough, Respiratory infections, Tonsillitis
Skin Acne, Burn wounds/Burns, Dermatitis, Diaper (napkin) dermatitis, Eczema, Hair complaint,Skin inflammation, Skin infections, Impetigo, Scabies, Skin lesions, Subcutaneous tumors,Verruca, Wounds
Endocrine, metabolic and nutritional Anorexia/Loss of appetite, Athrepsia, Cashexia, Growth dysfunctions/Growth delay,Underweight, Nutritional dysbalances
Urology Anuria, Oliguria
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 9 of 33
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DiscussionEthnopediatrics in Europe, as well as in Romania,represents a neglected field of research. Many potentialreasons could explain this fact. Regarding clinical trials(not only with herbal medicines, but also with syntheticdrugs) in this vulnerable population, we should take intoaccount, first of all, that The European PediatricRegulation was adopted only recently, in 2006, and en-tered into force in 2007 [120]. Moreover, scientists facemultiple challenges related to small subjects’ population,economical burdens, pharmacological issues (extra-tox-icity test required, higher risks of unpredictable severeadverse reactions in children than in adults), ethical con-cerns, necessity of additional parental consent, multipleage groups with specific needs and dramatic differencesbetween them, difficulties in communication with chil-dren, high percentage (60%) of children who do notassent to take part in research studies, high rate ofwithdrawal, etc. [121, 122]. Owing to all these con-straints, it was suggested to use all available knowledge(e.g., clinical pharmacology data generated by usingmany therapeutic agents with no approved dosing labelsand guidance), as well as modeling and simulation ap-proaches in drug development [123]. We have proposedhere a complementary solution to fill the actual gap inthe pediatric research: to use all available, but neglectedethnopediatric knowledge, starting with systematic ana-lysis of historical resources, and following with fieldstudies. The present paper follows this direction, focus-ing on the review of medicinal plants used in Romanianethnopediatrics in the 1860s–1970s.More than 700 common species of medicinal plants
are listed in various resources as being used inRomanian traditional medicine [74, 75, 124]. According
to the present study, around one-fifth of them arehighlighted as having ethnopediatric indications. Wehave also noticed that a great part of the indications ofphytoremedies in children are for acute diseases: from atotal of approximately 80 different types of illnesses,about two-thirds were acute (e.g., acute respiratory dis-eases, acute digestive disorders with vomiting and diar-rhea, intestinal colic and other types of pains, spasms,wounds, chicken pox, scarlet fever, dental eruption, etc.)(see Table 1). This fact is expected since children oftenhave acute, short-term illnesses [125]. Also, some of themost common adult diseases that are chronic (e.g.,cardiovascular, central nervous system and oncologicaldiseases) are less frequent in children [126].Some of these plants have been cultivated and have
been part of everyday Romanian diet for many cen-turies: aromatic plants (e.g., Foeniculum vulgare,Mentha piperita, Levisticum officinale), fruits andseeds (e.g., Pyrus communis, Rosa canina, Juglansregia, Cucurbita pepo), vegetables (e.g., Zea mays,Phaseolus vulgaris, Vicia faba, etc.), various recipesbeing preserved during the centuries, especially in therural communities [30, 127]. Some particular Roma-nian plant-based dishes, which are also consumed bychildren, are pumpkin pie (from Muntenia area), beansoup (from Transylvania), home-made noodles (“iofca”)prepared with cabbage, nuts, poppy (from Banat)[127]. Interestingly, the experts in food sciences sug-gested that the traditional cooking methods andhabits seem to selectively preserve the specific beneficactivities of different phytochemicals [128, 129]; there-fore, we suggest that studying the traditional recipesmay inspire new extraction methods of bioactiveconstituents.
Fig. 1 Top 7 of the most versatile plants in Romanian ethnopediatry (Ethnopediatric Relative Therapeutic Versatility- ERTV- expressed as percentage)
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 10 of 33
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Concerning the fact that only some of the plants werespecifically marked for use in children in the studiedbook and papers, a question arises: what is the reason orreasons behind this specification? We can onlyhypothesize. Potential explanations are the following:these plants might have been more frequently used orconsidered to be more efficient in their therapeutic ac-tivity by the informants or ethnographers, the informantmight had a special direct experience with that plant, acertain plant or plant use might had a special value for alocal community or for a family of healers, transmittedinformation might have been uncomplete due to weakmemory of the informant. It was also suggested that thetraditional ethnopharmacological knowledge is unevenlydistributed (e.g., women, as managers of householdhealth and mothers, might know more about ethnope-diatric remedies than men; differential acces to the land-scapes, such as forests, and therefore to certainmedicinal plants; increased amount of knowledge withage of informant, etc.) [130–133].
Ways of medicinal plant administration in ethnopediatryin RomaniaIn Romanian ethnopediatry, medicinal plants are pre-pared in various ways, which are intended for internaluse (infusions, decoctions, syrups), external use (baths,ointments, cataplasms, fumigations, inhalations), orboth (infusions, decoctions). Alcoholic preparationsare in general not recommended in Romanian (eth-no)pediatry [85]. The reason is obvious, since alcoholis known to be toxic when administered to children[134, 135]. WHO proposed the limitation in the etha-nol content of pediatric products to less than 0.5%[136]. We noticed that the most frequently cited wayof administration for small children in Romanian eth-nopediatry was by bath, not only for skin diseases,but also for internal diseases, such as digestive orneurological ones, due to the fact that the quantitiesof phytochemicals absorbed through the skin, albeitsmall, are sufficient to be active in young children,particularly because phytochemicals can reach thebloodstream easier through the skin in small childrenthan by internal administration in adults [137–139].
Use of toxic plants in Romanian ethnopediatryIn our bibliographic study, we have noticed that inRomanian ethnopediatry some of the toxic alkaloid-richspecies (Aconitum napellus, Dryopteris filix-mas, andTanacetum vulgare) have been traditionally prescribedunder rigorous dosing, with the specification of in-creased toxicity [75, 86, 124], some of them even forinternal use (e.g., Acontium napellus for epilepsy, Dryop-teris filix-mas for scrophulosis)! We have noticed insome of these cases that the traditional recipe is usually
a polyherbal multimineral formula, with a complicatedway of preparation. The rationale behind this may be thereduction of plant/mineral toxicity, similarly to theherbo-mineral ayurvedic preparations called rasa ousha-dies [140]. We give one such example from Romanianethnomedicine. In Bucovina, the peasants used to pre-pare a decoction of wolfsbane (Aconitus napellus L.) andsilver thistle (Carlina acaulis L.), over which they addedsineala (syn. ultramarine), a blue mineral dyestuff usedin the past to bleach the laundry, obtained by melting amixture of kaolin, sodium carbonate, wood ash, and sul-fur. This complex liquid preparation was administeredto the child suffering from epilepsy (Rom. raul copiilor),both internally (a very small amount) and externally (asa whole body washing) [86].
Comparison of relative therapeutic versatility of topmedicinal plants in Romanian ethnopediatryConcerning the ERTV index, we discovered several in-teresting facts. Surprisingly, the versatility hierarchy istopped by two less commonly used medicinal plantswith toxic potential: fern (Dryopteris filix-mas) withERTV 100% and gratiole (Gratiola officinalis) withERTV 85.71%. Not unexpectedly, next to these two spe-cies were four common medicinal species, used in manyparts of the globe in ethnopediatry [garlic (Allium sati-vum), nut tree (Juglans regia), chamomile (Matricariachamomilla), and broadleaf plantain (Plantago major)],and another one less known for its ethnopediatric use,blue eryngo (Eryngium planum), all having equal scores(ERTV 71.42%). Dryopteris filix-mas’ biological activitiesare not yet scientifically studied, except for its antiin-flammatory potential (one animal study) [141]. Gratiolaofficinalis’ therapeutic activity is more evidence based;its anti-inflammatory (correlated with its ethnopediatricuse in eczema, see Table 3) and sedative (correlated withits ethnopediatric indication in fright during sleep, seeTable 3) potential being partially supported by animal orin vitro studies [142, 143]. Nevertheless, its ethnopedia-tric use in physical debility, epilepsy, paralysis, andtachycardia has no scientific support yet.Garlic (Allium sativum) (ERTV 71.42%) was used for
centuries in different cultures for the treatment of manydiseases and is also one of the best studied herbal rem-edies [144]. Several recent studies raised the possibilityof revival of some of its ethnopharmacological uses(mentioned also in Romanian folk medicine), which maybe beneficial in child infections [99, 100], respiratory dis-eases [101]. In vitro experiments revealed some furthertherapeutic properties (benefits in alopecia areata [102],anticancer activity [145]).Walnut tree (Juglans regia, Juglandaceae) (ERTV
71.42% ) is a tree known to humankind since prehistorictimes, its fruits representing an important source of
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 11 of 33
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Table
3Med
icinalplantsused
inethn
oped
iatricsin
Romania(1860s–1970s)
No.
Species
Family
Englishname
Romanian
name
Orig
inTradition
alindicatio
nsandtargeted
body
system
sPartsused
ERTV
(%)
References
fortradition
alindicatio
ns
Scientificeviden
cein
pediatric
clinicalstud
ies
1.Acercampestre
L.Sapind
aceae
Fieldmaple
Jugastru
Native
1.Gen
eral:W
eakness(fo
rge
neral
streng
then
ing;
ext-bath,int-sap)
Bark,Sap
14.28
[75,86]
n.y.s.
2.Acon
itum
napellusL.
Ranu
nculaceae
Wolfsbane
Omag,
toaie
Native
1.Neurological:Epilepsy(int.,ext-bath)
2.Skin
(ext):Wou
nds
Leaves,
Root
28.57
[75,86]
n.y.s
3.Allium
ascalonicum
L.Amaryllidaceae
Shallot
Haşmă,
hajm
e,hagima
Non
-native
1.Skin:Eczem
a,Im
petig
o(ext),scalpred
erup
tions
ofne
wbo
rnBu
lb,
leaves
14.28
[75,84,86]
n.y.s.
4.Allium
cepa
L.Amaryllidaceae
Onion
Ceapă
Non
-native
1.Respiratory:A
sthm
a,Bron
chitis,
Cou
gh;2.D
igestive:Stom
achpain,
intestinalcolic
(ext
+int),Tapeworms,
Cramps
inne
wbo
rnsdu
eto
accumulationof
gas(int-1drop
juiceof
onion),U
lcerativestom
atitis,Den
tal
erup
tion;3.Ear:pain;4.Skin:ne
wbo
rnscalperup
tions
(ext)
Bulb,
leaves
57.14
[9,75,84–86
]p.e.Skin:alope
ciaareata-effectivetopical
therapy(Note.mixed
grou
pof
adultand
child
subjects)[98]
5.Allium
sativum
L.Amaryllidaceae
Garlic
Usturoi
Non
-native
1.Digestive:Intestinalworms,Diarrhe
a,Gastro-en
teritis,C
olic
2.Respiratory:C
ough
with
sputaand
puss
3.Skin
(ext):Verruca,Skin
infections,
Impe
tigo
4.Psycho
logical:nigh
tmares
5.Neurological::epilepsy(ext-polyherbal
ointmen
t,in
combinatio
nwith
lovage
,elecam
pane
,and
othe
rplantswith
unresolved
botanicalide
ntity)
Bulb,
leaves
71.42
[74,75,82,
84,86]
p.e.antib
acterialn
.e.antifung
al-as
polyhe
rbalmou
thrin
se[99];p
.e.
antiverruca
[100];p.e.respiratory
diseases
(improved
oxygen
ationanddyspne
ain
childrenwith
hepatopu
lmon
ary
synd
rome)
[101];n.e.topicaln
on-effective
therapyin
alop
eciaareata[102]
6.Althaea
officinalisL.
Malvaceae
Marsh
mallow
Nalbă
mare
Native
1.Digestive:Diarrhe
a2.Skin:d
iape
r(napkin)
derm
atitis
Flow
ers,
leaves,
roots
28.57
[75,88]
n.y.s
7.Am
ygdalus
commun
isL.
Rosaceae
Alm
ondtree
Migdal
Non
-native
1.Ear:Earpain,Ear
discharge
Buds,
seed
s,flowers,
bark
14.28
[86]
*p.e.-↓
symptom
sin
attention-de
ficit/
hype
ractivity
disorder
[103]
8.An
emon
epulsa
tillaL.
Ranu
nculaceae
Pasque
flower
Ded
iţel,
sisine
lNative
1.Psycho
logical:Insomnia(ext-
fumigations)
Flow
ers
14.28
[75]
n.y.s.
9.An
ethu
mgraveolens
L.Apiaceae
Dill
Mărar
Native
1.Digestive:Abd
ominalcram
ps,C
olic,
Intestinalworms(ro
undw
orms)
Aerial
parts,
Seed
s
14.28
[75,84,86]
p.e.antip
arasitic(↓incide
nceof
Giardia
lambliaafter5days
oftreatm
ent)[104]
10.
Anthyllis
vulnerariaL.
Fabaceae
Wou
ndwort
Vătămătoare
Native
1.Skin:Eczem
a,Wou
nds(ext);
2.Psycho
logical:Fear,Frig
ht(int)
Flow
ering
tips
28.57
[75,83]
n.y.s.
11.
Aquilegia
vulgarisL.
Ranu
nculaceae
Colum
bine
Căldăruşă
Native
1.Respiratory:W
hoop
ingcoug
h(ext)
Aerial
parts
14.28
[75]
n.y.s.
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 12 of 33
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Table
3Med
icinalplantsused
inethn
oped
iatricsin
Romania(1860s–1970s)(Con
tinued)
No.
Species
Family
Englishname
Romanian
name
Orig
inTradition
alindicatio
nsandtargeted
body
system
sPartsused
ERTV
(%)
References
fortradition
alindicatio
ns
Scientificeviden
cein
pediatric
clinicalstud
ies
12.
Arctium
lappa
L.Asteraceae
Greater
burdock
Brusture
Native
1.Skin:W
ound
s;infections;Eczem
a;2.
Digestive:cram
ps(ext)
Leaves
14.28
[75,86]
n.y.s.
13.
Arnica
mon
tana
L.Asteraceae
Mou
ntain
arnica
Arnică
Native
1.Musculoskeletal:Traum
a(ext);2.
Psycho
logical:Anxiety/frigh
t(onlythe
plantcollected
ontheCross
Day)(ext-
fumigations)
Leaves
28.57
[75,85]
n.y.s.
14.
Artemisia
abrotanu
mL.
Asteraceae
Sage
brush
Lemnu
ldo
mnu
lui,
lemnu
ş
Native
1.Gen
eral:w
eakness(ext-w
eeklybath,
floweringtip
s)2.Digestive:Stom
atitis(ext-leaves
inho
ney,chew
ingtw
igs),colic(int-milk
decoctionof
bark)
3.Musculoskeletal:riketts(ext-bath
weekly,floweringtip
s)
Leaves,
Flow
ering
tips,Bark
42.85
[75,84,86]
n.y.s.
15.
Artemisia
absin
thium
L.Asteraceae
Wormwoo
dPelin
Native
1.Nutritional:Athrepsia(ext-crushe
dfre
shleaves)
2.Neurological:Epilepsy(ext-bath)
Leaves
28.57
[74,75,84]
n.y.s.
16.
Arun
cusdioicus
(Walter)
Fernald
Rosaceae
Goat's
beard,
bride'sfeathe
rsCoada
priculicilor,
barbapo
pii
Native
1.Neurological:Epilepsy(ext-bath,
fumigation)
2.Psycho
logical:Insomnia(ext-bath,
fumigation)
Aerial
parts
28.57
[85]
n.y.s.
17.
Astragalus
glycyphyllosL.
Fabaceae
Wild
liquo
rice
Ung
hiagăii,
ungh
iacăţelei,iarba
limbricilor
Native
1.Skin
(ext):Eczema,Diape
r(napkin)
derm
atitis(washing
with
decoctionin
milk),Necrotic
wou
nds(Rom
.“colţde
lup”-cutane
oustube
rculosisor
cutane
ouslesion
sin
syph
ilis),Infectio
ns,
Panaris
Aerial
parts
14.28
[75,78,80,84
]n.y.s.
18.
Ballota
nigraL.
Lamiaceae
Black
horeho
und
Urzică
moartă,
cătuşe
Non
-native
1.Gen
eral:for
sufferin
gchildren(ext-
bath)
Aerial
parts
14.28
[80]
n.y.s.
19Berteroa
incana
(L.)DC.
Brassicaceae
Hoary
alyssum
Ciucuşoară,
păsatul
vraghiei
Native
1.Skin:infectio
ns(ext
),eczema(ext-
bath)
Aerial
parts
14.28
[75,80]
n.y.s.
20.
Betulapend
ula
Roth
Betulaceae
Silver
birch
Mesteacăn
Native
1.Nutritional:Athrepsia,N
utritional
dysbalances,grow
thde
lay(ext-sapor
bath
with
decoctionof
bark
from
ayoun
gtree)
Sapof
the
youn
gtree,b
ark
ofa
youn
gtree
14.28
[9,74]
n.y.s.
21.
Betula
pubescens
Ehrh.
Betulaceae
White
birch
Mesteacăn
alb
Native
1.Nutritional:Athrepsia,N
utritional
dysbalances,Growth
delay(ext-bath)
Sapof
the
youn
gtree
14.28
[74]
n.y.s.
22.
Bidens
tripartitus
L.Asteraceae
Three-lobe
begg
articks
Den
tiţă,
cîrlige
i,Native
1.Gen
eral:W
eakness(fo
rge
neral
tonification/streng
then
ing)
Stem
s,leaves,
42.85
[75]
n.y.s.
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 13 of 33
-
Table
3Med
icinalplantsused
inethn
oped
iatricsin
Romania(1860s–1970s)(Con
tinued)
No.
Species
Family
Englishname
Romanian
name
Orig
inTradition
alindicatio
nsandtargeted
body
system
sPartsused
ERTV
(%)
References
fortradition
alindicatio
ns
Scientificeviden
cein
pediatric
clinicalstud
ies
turiţă
flowers
23.
Brassica
oleracea
L.Brassicaceae
Cabbage
Varză
Non
-native
1.Skin:W
ound
s,Im
petig
o(ash
ofbu
rnt
cob)
2.Gen
eral:M
easles
Leaves
28.57
[84,86]
n.y.s.
24.
Butomus
umbellatusL.
Butomaceae
Flow
eringrush
Crin
debaltă,
roşăţea
Native
1.Neurological:Con
vulsions,Epilepsy
(ext-bath)
Aerial
parts
14.28
[75]
n.y.s.
25.
Calend
ula
officinalisL.
Asteraceae
Com
mon
marigold
Filim
ină,
Gălbine
leNative
1.Psycho
logical:Insomnia(ext-bath)
Flow
ers
14.28
[75]
p.e.*↓severityof
diaper
derm
atitis
[105–107];p.e.*↓clinicalsign
sof
chronic
blep
haritisanddryeyesynd
rome(Note.
Mixed
grou
pof
subjects-adu
ltsandchil
dren
[108];
26.
Cann
abissativa
L.Cannabaceae
Hem
pCânep
ăNative
1.Skin
(ext):Infections,Impe
tigo
Seed
s14.28
[74]
p.e.*ben
efits
inep
ilepsy[109];p.e.*m
otor
disorders
(improved
spasticity
anddyston
ia,sleep
disturbances,p
ainseverity)[110]
27.
Carduusnu
tans
L.Asteraceae
Muskthirstle
Scăiete,
Ciulin
Native
1.Gen
eral:W
eakness(fo
rge
neral
tonification/streng
then
ing)
Aerial
parts
14.28
[75]
n.y.s.
28.
Carlina
acaulis
L.Asteraceae
Silver
thirstle
Ciurul
zâne
lor,sita
ielelor
Native
1.Neurological:Epilepsy(ext-bath,int);2.
Psycho
logical:Fright
(ext-fu
migations)
Flow
ers
28.57
[84,86]
n.y.s.
29.
Carum
carviL.
Apiaceae
Caraw
ayChimen
Native
1.Digestive:Cramps,C
olic,D
iarrhe
a,Flatulen
ceSeed
s14.28
[74,84]
n.y.s.
30.
Centaurium
erythraeaRafn
Gen
tianaceae
Europe
ancentaury
Ţintaură
Native
1.Gen
eral:W
eakness
2.Endo
crine/MetabolicandNutritional:
Ano
rexia(int-syrup)
3.Neurological:Epilepsy(ext-bath)
Stem
s,leaves,
flowers
42.85
[75,84]
n.y.s.
31.
Ceratoceph
alus
falcatus
(L.)
Pers.#
Ranu
nculaceae
-Ploşnicar
Native
1.Skin
(ext):Infections
Aerial
parts
14.28
[75]
n.y.s.
32.
Chaeroph
yllum
arom
aticum
L.Apiaceae
-Anton
ică
Native
1.Digestive:Toothpain
2.Neurological:Headache
3.Psycho
logical:Psycho
sis
Leaves
42.85
[85]
n.y.s.
33.
Chelidon
ium
majus
L.Papaveraceae
Celandine
Rostop
ască
Native
1.Gen
eral(ro
ot,ext-bath
forge
neral
tonification/streng
then
ing)
Root
14.28
[75]
p.e.*chronictonsillitis(im
proved
cellular
andhu
moralim
mun
ity,non
specific
resistance,red
uced
thenu
mbe
rof
recurren
ces)[111]
34.
Cichorium
intybusL.
Asteraceae
Com
mom
chicory
Cicoare
Native
1.Neurological:Epilepsy(ext-bath)
Leaves,
roots,
rhizom
e
14.28
[85,86]
p.e.*acutegastroen
teritis-related
diarrhea
(redu
ceddu
ratio
nof
acutediarrhea)
[112]
35.
Cirsium
arvense(L.)
Asteraceae
Creep
ing
thirstle
Pălămidă,
pălămidă
Native
1.Nutritional:Athrepsia(ext-bath)
Aerial
parts,
14.28
[74]
n.y.s.
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 14 of 33
-
Table
3Med
icinalplantsused
inethn
oped
iatricsin
Romania(1860s–1970s)(Con
tinued)
No.
Species
Family
Englishname
Romanian
name
Orig
inTradition
alindicatio
nsandtargeted
body
system
sPartsused
ERTV
(%)
References
fortradition
alindicatio
ns
Scientificeviden
cein
pediatric
clinicalstud
ies
Scop
.seacă
roots
36.
Cirsium
oleraceum
(L.)
Scop
.
Asteraceae
Cabbage
thirstle
Crăpu
şnic
Native
1.Gen
eral:for
gene
ralstren
gthe
ning
/tonification(ext-bath)
Roots,
stem
s14.28
[85]
n.y.s.
37.
Clem
atisvitalba
L.Ranu
nculaceae
Old
man’s
beard
Curpe
nNative
1.Gen
eral:W
eakness(ext)
Aerial
parts
14.28
[75,84,85]
n.y.s.
38.
Cochlearia
officinalisL.
Brassicaceae
Com
mom
scurvygrass
Ling
urea
Native
1.Gen
eral:Tub
erculosis
2.Digestive:Indige
stion/Dyspe
psia
3.Endo
crine,metabolic,nutritional:Lack
ofappe
tite
Leaves
42.85
[75]
n.y.s.
39.
Conium
maculatum
L.Apiaceae
Hem
lock
Cucută
Native
1.Skin
(ext):Dermatosis
2.Neurological:Paralysis(ext-bath)
Leaves
28.57
[75]
n.y.s.
40.
Consolida
regalis
Gray
Ranu
nculaceae
Forking
larkspur
Somno
roasă,
creasta
cucului
Native
1.Psycho
logical:insomnia(int-
decoction)
Flow
ers
14.28
[80]
n.y.s.
41.
Cornus
mas
L.Cornaceae
Europe
ancornel
Corn
Native
1.Digestive:Diarrhe
a2.Psycho
logical:Agitatio
nwith
scream
ing
3.Gen
eral:Typho
idfever
4.Nutritional:Und
erweigh
t
Fruits
57.14
[75,84–86]
p.e.*im
provem
entof
lipid
profile
and
vascular
inflammation[113]
42.
Corylus
avellana
L.Betulaceae
Com
mon
hazel
Alun
Native
1.Gen
eral:W
eakness(ext-bathfor
gene
ralton
ificatio
n/streng
hten
ing)
Leaves,
buds,
fruits,
male
flowers
14.28
[74,75]
n.y.s.
43.
Cucurbita
pepo
L.Cucurbitaceae
Pumpkin
Bostan
Non
-native
1.Endo
crine,metabolic,nutritional:
Und
erweigh
tPu
lp28.57
[75]
n.y.s.
44.
Daucuscarota
L.Apiaceae
Carrot
Morcov
Non
-native
1.Musculoskeletal:Rickets
2.Digestive:Stom
atitis
3.Skin:W
ound
s,Im
petig
o(ext)
Roots,
leaves,
seed
s
42.85
[75,84,86]
p.e.*gastroe
nteritis(stoolsreturningto
norm
alconsistencyandfre
quen
cyin
6days)[114]
45.
Dryopteris
filix-
mas
(L.)Scho
ttDryop
terid
aceae
Malefern
Ferig
ăNative
1.Digestive:Intestinalworms
2.Skin
(ext):Wou
nds
3.Neurological:Epilepsy;4.Endo
crine,
metabolicandnu
trition
al(ext-bath):
Delayed
grow
th5.Psycho
logical(ext):
insomnia
6.Musculoskeletal(ext):Rickets,Bo
nediseases,Bon
ede
form
ities
7.Bloo
dandlymph
node
s:Scroph
ulosis
(ext-cataplasm
+int-milk
decoction)
Rhizom
e,leaves
100
[75,84]
n.y.s.
46.
Equisetum
arvenseL.
Equisetaceae
Com
mon
horsetail
Coada
calului
Native
1.Digestive:Diarrhe
aSterile
aerial
28.57
[75]
n.y.s.
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 15 of 33
-
Table
3Med
icinalplantsused
inethn
oped
iatricsin
Romania(1860s–1970s)(Con
tinued)
No.
Species
Family
Englishname
Romanian
name
Orig
inTradition
alindicatio
nsandtargeted
body
system
sPartsused
ERTV
(%)
References
fortradition
alindicatio
ns
Scientificeviden
cein
pediatric
clinicalstud
ies
parts
47.
Equisetum
fluviatile
L.Equisetaceae
Water
horsetail
Pipirig
Native
1.Musculoskeletal:w
alking
difficulties
(bathforbo
nestreng
then
ing,
incombinatio
nwith
Jacobaea
erratica
(Bertol.)Fourr.))
Not
specified
(probably
aerial
parts)
14.28
[75,79]
n.y.s.
48.
Eryngium
plan
umL.
Apiaceae
Blue
eryngo
Scaivânăt,
spinul
albastru
Native
1.Endo
crine,metabolic,nutritional:
Und
erweigh
t2.Skin
(ext):Scalpfung
alinfections,
Impe
tigo,Eczema
3.Gen
eral:W
eakness(ext-bathfor
gene
ralton
ificatio
n/streng
then
ing)
4.Digestive:Colic(ext-bath)
5.Neurological:ep
ilepsy(ext-bath)
Roots
rhizom
e,flowers
71.42
[74,75,84,86
]n.y.s.
49.
FicuscaricaL.
Moraceae
Figtree
Smochin
Non
-native
1.Bloo
dandlymph
node
s:Scroph
ulosis
(ext-cataplasm
+int-milk
decoction)
Fruits
14.28
[84]
p.e.*atopicde
rmatitis(safety,efficacy,
tolerability,andsymptom
relief
considerablein
comparison
with
hydrocortison
e1.0%
)[115]
50.
Filipendula
ulmaria(L.)
Maxim
.
Rosaceae
Meadwort
Creţuşcă
Native
1.Gen
eral:W
eakness(ext-bathfor
gene
ralton
ificatio
n/streng
then
ing)
Aerial
parts
14.28
[75]
n.y.s.
51.
Foeniculum
vulgareMill.
Apiaceae
Fenn
elFenicul
Non
-native
1.Digestive:Intestinalcram
ps,Flatulence
Fruits
28.57
[75,84,86]
p.e.infantile
colic
(decreased
intensity
ofcolic,d
ecreased
averagedaily
crying
time[116])
52.
Fraxinus
ornu
sL.
Oleaceae
South
Europe
anfloweringash
Mojdrean
Native
1.Digestive:Con
stipation
Sap
14.28
[75]
n.y.s.
53.
Galium
odoratum
(L.)
Scop
.
Rubiaceae
Sweetscented
bedstraw
,woo
druff
Sânziene
depădu
re,
vinariţă,
mum
apădu
rii
Native
1.Psycho
logical(ext-bath):Fright,
Bedw
ettin
g/Enuresis,W
eeping
durin
gsleep
2.Gen
eral:W
eakness(ext-bathfor
gene
ralstren
gthe
ning
)
Aerial
parts
28.57
[75,84,86]
n.y.s.
54.
Galium
interm
edium
Schu
lt.
Rubiaceae
-Samca,
sămcuţa,
cucută
depădu
re
Native
1.Neurological:ep
ilepsy(ext-bath,int-
smallamou
ntof
decoction)
Not
specified
(probably
aerial
parts)
14.28
[86]
n.y.s
55.
Galium
verum
L.Ru
biaceae
Lady’s
bedstraw
Sânziene
,drăgaică
Native
1.Gen
eral:A
sthe
nia,Weakness
Aerial
parts
14.28
[75,84]
n.y.s.
56.
Geran
ium
macrorrhizum
L.
Geraniaceae
Bigroo
tge
ranium
Priboi
Native
1.Neurological:Epilepsy(ext-bath)
Aerial
parts,
leaves
14.28
[75]
n.y.s.
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 16 of 33
-
Table
3Med
icinalplantsused
inethn
oped
iatricsin
Romania(1860s–1970s)(Con
tinued)
No.
Species
Family
Englishname
Romanian
name
Orig
inTradition
alindicatio
nsandtargeted
body
system
sPartsused
ERTV
(%)
References
fortradition
alindicatio
ns
Scientificeviden
cein
pediatric
clinicalstud
ies
57.
Gratiola
officinalisL.
Plantaginaceae
Gratio
leVeninariţă,
avramească
Native
1.Skin:Eczem
a2.Nutritional:Ph
ysicalde
bility(ext.)
3.Gen
eral(fu
migations):ge
neral
streng
then
ingagainstdiseases
4.Psycho
logical(fumigations):Fright
durin
gsleep
5.Neurological(fumigations):Epilepsy,
Paralysis
6.Cardiovascular:Tahicardia
Aerial
parts
85.71
[75,85]
n.y.s.
58.
Helianthu
san
nuus
L.Asteraceae
Com
mon
sunflower
Floarea
soarelui
Non
-native
1.Digestive:Stom
achpain
Flow
ers,
Seed
soil
14.28
[81]
n.y.s.
59.
Heracleum
spho
ndylium
L.Apiaceae
Hog
weed
Brânca
ursului
Native
1.Psycho
logical(ext-de
coctionpo
ured
onthehe
ad):Fright
2.Neurological(ext-bath):Paralysis
(inability
towalk)
Leaves,
stem
s28.57
[75]
n.y.s.
60.
1.1.1.Elaeagnu
srham
noides
(L.)
A.N
elson
1.1.2.
Elaeagnaceae
Seabu
ckthorn
Cătinăalbă
Native
1.Gen
eral:W
eakness
Fruits
14.28
[11]
n.y.s.
61.
1.1.3.Hordeum
vulgareL.
1.1.4.Po
aceae
Barley
Ovăz
Non
-native
1.Gen
eral:W
eakness(ext-bath)
Seed
s14.28
[84]
n.y.s.
62.
Hum
ulus
lupulusL.
Cannabaceae
Com
mon
hop
Ham
eiNative
1.Skin:Infectio
ns,W
ound
s(ext-bath)
2.Nutritional:Ph
ysicalde
bility,
Und
erweigh
t(ext-bath)
Flow
ers,
leaves
28.57
[75,84,86]
n.y.s.
63.
Hyoscyamus
nigerL.
Solanaceae
Hen
bane
Măselariţă
Native
1.Psycho
logical:Insomnia(ext-bath)
Seed
s14.28
[75]
n.y.s.
64.
Hypericum
perfo
ratum
L.Hypericaceae
Perfo
rate
StJohn
’swort
Sunătoare,
pojarniţă
Native
1.Skin
(ext):Eczema,Wou
nds,Im
petig
o/Skin
infections,Burns
Aerial
parts
14.28
[75]
n.y.s.
65.
Impatiens
noli-
tang
ereL.
Balsam
inaceae
Touch-me-no
tbalsam
Slăbănog
Native
1.Gen
eral:w
eakness(ext-bathfor
gene
ralton
ificatio
n/streng
then
ing)
2.Musculoskeletal:D
isability/W
eakness
oftheextrem
ities
(ext-bathforbo
nestreng
then
ing)
Aerial
parts
28.57
[75,84,86]
n.y.s.
66.
Inulahelenium
L.Asteraceae
Elecam
pane
Iarbămare
Native
1.Psycho
logical:Weeping
durin
gnigh
t(ext-fu
migation)
2.Neurological:ep
ilepsy(ext-polyherbal
ointmen
t,in
combinatio
nwith
lovage
,garlic,andothe
rplantswith
unresolved
botanicalide
ntity)
Root
28.57
[74,82,86]
n.y.s.
67.
Iris×
germ
anicaL.#
Iridaceae
Iris
Stânjene
lalbastru
Native
1.Digestive:Tootherup
tionpain
Rhizom
e14.28
[75]
n.y.s.
68.
Jacobaea
erratica(Bertol.)
Asteraceae
-Iarbacarelor
Native
1.Musculoskeletal:D
isability/w
eaknessof
theextrem
ities
(ext-bathforbo
neNot
specified
14.28
[75,79]
n.y.s.
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 17 of 33
-
Table
3Med
icinalplantsused
inethn
oped
iatricsin
Romania(1860s–1970s)(Con
tinued)
No.
Species
Family
Englishname
Romanian
name
Orig
inTradition
alindicatio
nsandtargeted
body
system
sPartsused
ERTV
(%)
References
fortradition
alindicatio
ns
Scientificeviden
cein
pediatric
clinicalstud
ies
Fourr.
streng
then
ing,
incombinatio
nwith
water
horsetail)
69.
Juglan
sregiaL.
Juglandaceae
Walnu
ttree
Nuc
Native
1.Gen
eral:W
eakness(intandext-
bath—forge
neralton
ificatio
n/streng
then
ing)
2.Skin
(ext):Eczema,Wou
nds,Skin
infections
(im
petig
o,scabies)
3.Digestive(int-teaof
shells):Diarrhe
a,Vo
miting
,Intestin
alpain,Stomatitis,
Intestinalparasites
4.Bloo
dandlymph
node
s:Scroph
ulosis
(ext-bathandint),ane
mia
5.Nutritional:un
derw
eigh
t(asfood
,in
combinatio
nwith
bread)
Seed
s,leaves,
youn
gseed
shells,
buds
71.42
[74,75,80,
84,86,88]
n.y.s.
70.
Laserpitium
prutenicum
L.Apiaceae
-Prussian
serm
ountain
Somno
roasă
Native
1.Psycho
logical:Insomnia(ext-bath)
2.Respiratory
(ext-bath):C
old,
Coryza
Flow
ery
stem
s28.57
[75]
n.y.s.
71.
Leon
urus
cardiaca
L.Lamiaceae
Mothe
rwort
Talpagâştei,
alion,
somnişor
Native
1.Psycho
logical:Insomnia(ext.b
ath).
Aerial
parts
14.28
[85]
n.y.s.
72.
Lepidium
ruderaleL.
Brassicaceae
Pepp
ergrass
Pădu
chelniţă,
buruiană
deroşte
Native
1.Skin:Scalp
eczema,ne
wbo
rnscalp
eczema
Aerial
parts
14.28
[75,80]
n.y.s.
73.
Levisticum
officinale
W.D.J.Ko
ch
Apiaceae
Lovage
Leuştean
Non
-native
1.Neurological:Epilepsy(ext-po
lyhe
rbal
ointmen
t,in
combinatio
nwith
Inula
helenium
L.,and
othe
rplantswith
unresolved
botanicalide
ntity)
Not
specified
(probably
Leaves
orRo
ot)
14.28
[86]
n.y.s.
74.
Ligustrum
vulgareL.
Oleaceae
Wild
privet
Lemncâinesc
Native
1.Skin:Scabies
Bark
14.28
[74]
n.y.s.
75.
Lina
riavulgaris
Mill.
Plantaginaceae
Com
mon
toadflax
Linariţă,colţu
llupu
lui
Native
1.Skin:Sub
cutane
oustumors(ext)
Aerial
parts
14.28
[74]
n.y.s.
76.
Linu
mhirsutum
L.Linaceae
Dow
nyflax
Inişo
rde
deal
Native
1.Digestive:Intestinalcolics
Not
specified
14.28
[75]
n.y.s.
77.
Lycium
barbarum
L.Solanaceae
Europe
ango
jiLiţio
n,cătin
ăde
garduri,
licia
Native
1.Psycho
logical(ext-bath):Fright/Anxiety
2.Neurological(ext-bath):Epilepsy,
Spam
s
Aerial
parts,
twigs,
leaves
28.57
[75,86]
n.y.s.
78.
Lycopodium
clavatum
L.Lycopo
diaceae
Com
mom
club
moss
Brădişo
r,pe
dicuţă,
coada-celor-
din-vânt
Native
1.Skin
(ext):Dermatitis,Eczema
Spores
14.28
[75,84]
n.y.s.
79.
Lysim
achia
Prim
ulaceae
Mon
eywort
Dreţe
Native
1.Gen
eral:W
eakness(ext-bathfor
Aerial
42.85
[75,79]
n.y.s.
Petran et al. Journal of Ethnobiology and Ethnomedicine (2020) 16:15 Page 18 of 33
-
Table
3Med
icinalplantsused
inethn
oped
iatricsin
Romania(1860s–1970s)(Con
tinued)
No.
Species
Family
Englishname
Romanian
name
Orig
inTradition
alindicatio
nsandtargeted
body
system
sPartsused
ERTV
(%)
References
fortradition
alindicatio
ns
Scientificeviden
cein
pediatric
clinicalstud
ies
nummulariaL.
gene
ralton
ificatio
n/streng
then
ing)
2.Endo
crine,metabolic,nutritional:
Growth
delay
3.Musculoskeletal:D
isability/W
eakness
oftheextrem
ities
(ext-bathforbo
nestreng
then
ing)
parts
80.
Lythrum
salicariaL.
Lythraceae
Purple
loosestrife
Răchitan
Native
1.Endo
crine,metabolic,nutritional:
unde
rweigh
t(ext-bath)
2.Psycho
logical:Insomnia(int)
3.Bloo
dandlymph
node
s:anem
ia(int)
Aerial
parts
42.85
[75]
n.y.s.
81.
Malva
sylvestris
L.Malvaceae
Com
mon
mallow
Nalbă
depădu
reNative
1.Skin:Impe
tigo
2.Respiratory:Ton
sillitis,D
iphthe
rictonsillitis(intandext),cou
gh
Leaves,
Flow
ers
28.57
[74,86]
n.y.s.
82.
Matricaria
cham
omillaL.
Asteraceae
Chamom
ille
Museţel,
Romaniță
Native
1.Digestive(int):A
bdom
inalcram
ps/
pains,cram
psin
newbo
rnsdu
eto
accumulationof
gas
2.Respiratory
(int):cold
3.Skin
(ext):Wou
nds,Im
petig
o4.Gen
eral:p
ain(unspe
cified),b
athfor
gene
ralstren
gthe
ning
ofne
wbo
rns,tea
forinternalpu
rification(int)
5.Neurological:Epilepsy(int)
Flow
ers
71.42
[9,74,75,86]
p.e.infantile
colic
(significantly
more
effectivethan
simethicone
[117],
decreasedaveragedaily
crying
time
[116])
83.
Melissa
officinalisL.
Lamiaceae
Lemon
balm
Roiniţă,
matocină
Native
1.Neurological:Epilepsy(ext-bath)
Leaves