UMYU Scientifica

A periodical of the Faculty of Natural and Applied Sciences, UMYU, Katsina

ISSN: 2955 – 1145 (print); 2955 – 1153 (online)

Image

ORIGINAL RESEARCH ARTICLE

Ethnobotanical Survey and Phytochemical Profiling of Medicinal Plants Used for Traditional Bone-Setting in Katsina State, Nigeria

Saudatu Bashir Aminu1, Sulaiman Sani Kankara 1, and Umar Lawal1*

1Department of Biology, Faculty of Natural and Applied Science, Umaru Musa Yar’adua University,

Katsina, Nigeria

*Corresponding Author: E- mail: umar.lawal@umyu.edu.ng; Phone Number: 08034006631

Abstract

The study investigates the ethnobotanical uses and phytochemical analysis of medicinal plants employed in traditional bone setting in Katsina State, Nigeria. An ethnobotanical survey was conducted in six local government areas: Katsina, Kaita, Malumfashi, Funtua, Daura, and Sandamu using a structured questionnaire to gather data from traditional bone setters, herbalists, farmers, and others. The survey identified several medicinal plants, with Calotropis procera having the highest citation frequency and Faidherbia albida the least. The phytochemical composition of the selected plants was evaluated using standard methods, revealing the presence of alkaloids, flavonoids, saponins, tannins, terpenoids, and carbohydrates in all samples. The ethanolic extracts of the plants were analyzed using Gas Chromatography-Mass Spectrometry (GC-MS), identifying 32 bioactive compounds in Calotropis procera with four major bioactive compounds and 22 bioactive compounds in Faidherbia albida, having Hexadecanoic acid, methyl ester (C17H34O2), 9,17-Octadecadienal, (Z)- (C18H32O), 9,11-Octadecadienoic acid, methyl ester, (E,E)- (C19H34O2), and 4-Nonyne (C9H16) as major bioactive compounds. This study has contributed to the preservation of indigenous knowledge used for traditional bone setting in Katsina State.

Keywords: Ethnobotanical survey, Bone setting, Nigeria, Traditional medicine, Medicinal plants.

INTRODUCTION

Since ancient times, medicinal plants have been integral to healthcare. Natural products derived from these plants have demonstrated their vital role in treating diseases, underscoring the symbiotic relationship between humans and the environment (Sofowora et al., 2013). Medicinal plants are defined as those commonly used for treating and preventing specific ailments and diseases, and they are generally considered to pose no harm to humans. These plants can be categorized into 'wild plant species,' which grow naturally in self-sustaining populations within natural or semi-natural ecosystems without human intervention, and 'domesticated plant species,' which have been cultivated through human activities such as selection or breeding and require management to thrive (Tuttolomondo et al., 2014).

World Health Organization (WHO, 2002) describes traditional bone setting as a health practice, approach, knowledge, and beliefs incorporating plant, animal, and mineral-based medicines, spiritual therapies, manual techniques and exercises, applied singularly or in combination to diagnose and treat fractures in the human body.

Dada et al. (2011) established some of the reasons contributing to the continued use of traditional bone setting in African countries. They include cheaper fees, easy accessibility, quick service, cultural beliefs, utilization of incantations and concoction, and pressure from friends and families. In a further explanation, Ekere (2003) states that traditional medicine is based on the belief that the natural resources have active therapeutic principles that heal occult supernatural forces, power to change active principles which can be manipulated by those who know how to produce marvellous results. This implies that Africans believe in using the natural way to treat illnesses rather than the orthodox medicine brought from Western societies (Omololu, 2008).

In an earlier study in Nigeria, superstition, ignorance, and poverty are the basis for continued patronage despite complications (Udosen et al., 2005). The fact that the patrons of this service cut across every stratum of society, including the educated and the rich (Thanni, 2000) indicates that it is not only poverty and ignorance that take them there. Mostly, Africans believe that diseases and accidents have spiritual components that must be tackled along with treatment. The major and commonest problems they treat are fractures and dislocations (Thanni, 2000). There are however many complications attributed to the TBS.

Nigerians have a deep belief and reliance on the services of the traditional practitioners for their health care needs. An estimated 75 percent of the population still prefers to solve their health problems by consulting the traditional healers (Adam, 2009), Nigerian Tribune (March 2008). Documenting Traditional Medicine Knowledge helps in preserving the knowledge. Today, the cultural survival of many indigenous communities is threatened, and some traditional systems of disseminating information may be lost. Modern lifestyles and the disruption of traditional ways of life cause younger generations to lose interest in learning traditional medicine practices. Traditional languages used to pass information are no longer widely used and understood. Therefore, documenting Traditional Medicine Knowledge may help preserve this knowledge for future generations (Abbott, 2014).

A significant number of herbal medications are recognized for their substantial medicinal properties and are utilized in the treatment of various health conditions. In folk medicine, various indigenous drugs are used in single or combination forms to treat different inflammatory and arthritic conditions with considerable success (Daniel and Norman, 2001). Furthermore, the process of finding new therapeutic chemical compounds begins by conducting an ethnomedical survey of plants (Khalid et al., 2016).

There is no previous study done on plants used for bone setting in Katsina State; therefore, this research aims to document and preserve the traditional knowledge of medicinal plants used for bone setting in Katsina State, safeguarding cultural heritage for future generations.

METHODOLOGY

Study area

This research work was conducted in Katsina State, one of the northern states of Nigeria. Katsina State has a land area which covers 23,938 sq km. The state is located between latitudes of 11°08’N and 13°22’N and longitudes 6°52’E and 9°20’E with an elevation of 465 m above sea level. The state is bounded by Niger Republic to the north, to the east by Jigawa and Kano States, Kaduna State to the south and Zamfara State to the west (Figure 1). The state has 34 local government areas which are categorized into three Senatorial Zones, namely the Katsina South, Katsina North, and the Katsina Central Senatorial Zones. From each Senatorial Zones, two local governments where selected for the purpose of this research.

Fig 1: Map of Katsina State Showing the Study Areas (prepared by GIS lab UMYU)

Data collection

This research work was conducted in three Senatorial Zones of Katsina State, Nigeria. Two local government areas were randomly selected from each Senatorial Zone. The survey was carried out from August 2023 to January 2024. The ethnomedicinal plants data were gathered using a semi-structured questionnaire by interviewing 120 respondents, where 20 respondents were selected from each Local Government Area (LGA) and 2 (two) LGAs were randomly selected across the 3 (three) Senatorial Zones of the State. The target groups for this study were herbalists, traditional bone setters, farmers, and other people of old age who have practiced and used medicinal plants. Before the questionnaire administration, the traditional rulers in each Local Government Area organized and facilitated conversation sessions with the potential respondents. The questionnaire was divided into two parts, namely parts A and B. In part A, the socio-demographic information of the respondents was recorded, and information on plants that are used for traditional bone setting will be recorded in part B. The interview was conducted in the Hausa language, and each respondent was interviewed alone to ensure confidentiality.

Collection and identification of plant specimens

Alongside traditional herbalists and field assistants, the authors collected traditional plants reported to have bone-setting usage in the field. The specimens of the supposed bone-setting plants were gathered. The gathered voucher specimens were identified, dried, numbered, pressed, and placed at the Biology Department Herbarium, Umaru Musa Yar’adua University Katsina, Nigeria.

Data analysis

A descriptive statistical method using frequencies and percentages was used to analyze the socio-demographic data of the respondents, and the results of the ethnobotanical survey were analyzed using the Relative Frequency of Citation (RFC)

Relative Frequency of Citation (RFC)

This measure was calculated to determine the relative importance of a particular species. This value was determined using the relation RFC = Fc / N (Tardio and Pardo-de-Santayana, 2008), where Fc is the number of respondents who cited a particular species and N is the total number of respondents.

Extraction of the plant materials

Ethanolic extracts of the powdered plant samples, Leaves of (Calotropis procera and Faidherbia albida) were prepared by soaking 50g of the dry powdered plant samples in 350ml of absolute ethanol at room temperature for 48 hours. The extract was thereafter filtered first through a Whatmann filter paper No. 42 (125mm) and then through cotton wool. The extract was then concentrated using a rotary evaporator with a water bath set at 400C.

Phytochemical analysis

Phytochemical analysis and gas chromatography-mass spectrometry (GC-MS) were carried out for the most cited and least cited plant

Methods of phytochemical analysis

Phytochemical tests were carried out using standard procedures described by Evans and Trease (2002) and Ayoola et al. (2008).

Gas Chromatography Mass Spectrometry

The GC-MS analysis of the leaf extract of Faidherbia albida and Calotropis procera was done at the Central Laboratory, Usmanu Danfodio University, Sokoto, Nigeria. The prepared leaf extracts were analyzed using GCMS-QP2010 plus Shimadzu Japan, equipped with a VF-5 ms fused silica capillary column of 30 m length, 0.25 mm diameter, and 0.25 mm film thickness. For GC-MS recognition, it was achieved by an electron ionization system with an ionization energy of 70 eV was used. Helium gas was used as a carrier gas at a constant flow rate of 1.58 ml/min. The injector and mass transfer line temperature was set at 230 and 250 °C, respectively. The oven temperature was programmed from 80 to 200 °C at 10 °C/min, held isothermal for 1 minute, and finally raised to 280°C. Identification of the constituent was achieved by comparison of the mass spectra and the reviewed literature.

RESULTS

Socio‑demographic information

Table 1 shows the socio-demographic information of the respondents; it indicates that a total of one hundred and twenty (120) people were interviewed for medicinal plants used for traditional bone setting in Katsina state. As shown in Table 1, most respondents (85.0%) were male and 15.0% female. The table also revealed that the majority of the respondents, 26.7%, are within the age range of 41 and 50. Most of the respondents had no formal education, followed by 27.5% with only basic education, then 9.2% with Secondary education, and 4.1% with Tertiary education

Table 1: Socio-demographic information of the respondents

Biodata Frequency Percentage (%)
Sex
Male 102 85.0
Female 18 15.0
Age
20–30 12 10.0
31–40 22 18.3
41–50 32 26.7
51–60 27 22.5
61–70 19 15.8
>70 8 6.7
Education
None 71 59.2
Basic 33 27.5
Secondary 11 9.2
Tertiary 5 4.1
Occupation
TBS 65 54.2
Herbalists 27 22.5
Farmers 10 8.3
Others 18 15.0

TBS– Traditional bone setters

Plant species used for traditional bone setting

Table 2a and b presents information on the medicinal plants used for bone healing in the study area. The table shows the plant species, their common names, the parts used, their modes of preparation, and the routes of administration.

According to this research's findings, 48 plant species belonging to 26 families are used for bone setting in Katsina State, Nigeria. The family Fabaceae was the dominant family with 8 species, followed by the Moraceae family with 4 species. The families Anarcadiaceae, Combretaceae, and Leguminosae each had three (3) species, while the families Cucubitaceae, Euphorbiaceae, Rubiaceae and Zingiberaceae were represented by 2 species each. The remaining 14 families were represented by one species each (Figure 2)

Figure 2 Distribution of plant families used for Traditional bone setting in Katsina State, Nigeria

Dosage, mode of preparation, and route of administration

In this study, there was no specific dosage used. Figure 3 shows the mode of preparation of the surveyed plants. Some of the plants 6.0% are used in powdered form, applied on the wound. Another 40% are used as an ointment, by mixing the powder with hen fat, cow butter, goat fat, or shea butter. Also, 17.0% are used as maceration, while decoction accounts for 37.0%.

Figure 3: Mode of preparation of medicinal plants used for Traditional bone setting in Katsina State, Nigeria.

Some of the plants, 47.5% are administered via the oral route, 50.0% are administered topically on the affected area, while the remaining 2.5% are administered by massaging the affected area (Figure 4).

Figure 4 Route of administration of plants used for Traditional bone setting in Katsina State, Nigeria.

Relative Frequency of Citation (RFC)

Calotropis procera, Vitellaria paradoxa, Acacia nilotica, Tamarindus indica, and Zingiber officinale exhibited the highest Relative Frequency of Citation (RFC) values of 0.11, 0.067, 0.042, 0.042, and 0.042 respectively. Although many plants were reportedly used for bone setting, Calotropis procera appeared to be the most important plant species as identified in this study. Adansonia digitata, Prosopi safricana, Faidherbia albida Parkia biglobosa, Momordica balsamina, Sclerocarya birrea, Ziziphus mauritiana, Crinum jagus, Sterospermum kunthianum, exhibited the lowest Relative Frequency of Citation (RFC) values of 0.017.

Table 2a: Medicinal plants used for traditional bone setting and their applications in Katsina State

Family Scientific name Common name Local name Frequency of citation
Rubiaceae Mitracarpus hirtus Tropical girdlepod Wawa kaji magori 0.025
Cucubitaceae Luffa aegyptica Sponge guard Soso 0.025
Moraceae Ficus citrifolia Giant bearded fig Durumi 0.025
Moraceae Ficus congensis Fig Baure 0.033
Moraceae Ficus thonningii Bladder fig Cediya 0.025
Euphorbiaceae Jatropha curcus Barbados nut Bini da zugu 0.033
Anarcardiaceae Lannaea macrocarpa African grape Faaru 0.033
Fabaceae Piliostigma thonningii Mountain ebony Kalgo 0.025
Leguminosae Cassia occidentalis Coffee senna Rai dore 0.025
Fabaceae Prosopis Africana African mesquite Kirya 0.017
Zingiberaceae Zingiber officinale Ginger Citta 0.042
Poaceae Cynodon dactylon Tsakiyar zomo 0.025
Malvaceae Adansonia digitate Baobaba Kuka 0.017
Apocynaceae Calotropis procera Sodom apple Tumfafiya 0.11
Fabaceae Dichrostachys glomerata Sickle bush Dundu 0.025
Fabaceae Faidherbia aibida Winter thorn Gawo 0.017
Fabaceae Entada Africana African dream herb Tawatsa 0.033
Ulmaceae Celtis integrifolia Nettle tree Zuwo 0.033
Fabaceae Tamarindus indica Tamarind Tsamiya 0.042
Combretaceae Anogeissus leiocarpa African birch Marke 0.033
Fabaceae Parkia biglobosa African locust bean Dorowa 0.017
Cucurbitaceae Momordica balsamina Balsam apple Garahuni 0.017
Ebanaceae Diospyros mespiliformi African ebony Kanya 0.033
Ancardiaceae Sclerocarya birrea Marula Danya 0.017
Polygalaceae Securidaca longipedunculata Violet tree Sanya 0.025
Anacardiaceae Ozoroa mucronate Estern cape resin tree Kasheshe 0.025
Burseraceae Boswellia dalzielii Frankincense tree Hano 0.033
Combretaceae Guiera senegalensis Moshi medicine Sabara 0.025
Cyperaceae Cyperus articulatus Jointed flat sedge Kajiji 0.033
Fabaceae Acacia nilotica Black piquant Bagaruwa 0.042
Rhamnaceae Ziziphus mauritiana Indian jujube Magarya 0.017
Leguminosae Cassia sieberiana Malga 0.025
Combretaceae Terminalis avicennioides Baushe 0.025
Ampelidaceae Cissus quadrangularis Climbing cactus Daddori 0.033
Papaveraceae Argemone Mexicana Mexican poppy Qanqamarka ta bika 0.025
Amaryllaceae Allium sativum Garlic Tafarnuwa 0.025
Zingiberaceae Curcuma longa Turmeric Kurkum 0.033
Moraceae Ficus valli choudae False cape fig Kamasagi 0.025
Nyctaginaceae Boerhavia diffusa Common hogweed Jibji 0.025
Bignoniaceae Sterospermum kunthianum Pink jacaranda Sansami 0.017
Amaryllidaceae Crinum jagus Harmattan lilly Gadali 0.017
Annonaceae Xylopia aethiopica Bullocks heart Kimba 0.025
Sapotaceae. Vitellaria paradoxa Sheabutter tree Kadanya 0.067
Rubiaceae Crossopteryx febrifuga Crystal bark/ ordeal tree Kashin awaki 0.025
Leguminosae Bahaunia rufescens silver butterfly tree Sisi/tsattsagi 0.025

Table 2b: Medicinal Used For Traditional Bone Setting In Katsina State

Scientific name Plant Parts Used Mode of Preparation Mode of Administration Illness
Mitracarpus hirtus Leaves Powdered leaves mix with hen fat Topical Fracture/ dislocation
Luffa aegyptica Leaves Decoction of fresh leaves with red potash Oral Sprain/fracture/dislocation
Ficus citrifolia

Bark/

Roots

Grinded bark and roots to powder and mix with goat fat Topical Fracture/dislocation
Ficus congensis Bark Maceration of dried or fresh bark Oral Fraction/dislocation/joint pain
Ficus thonningii root/bark/leaves

Powdered bark of the roots of Argemone Mexicana and Ficus thonningii mix with cow or goat fat

Infusion of leaves for massage

Topical

Dermal

Fracture

Joint pain

Jatropha curcus Leaves Infusion of leaves for massage Dermal Joint pain
Lannaea macrocarpa

Bark

Leaves

Maceration of dried or fresh bark

powdered leaves + leaves of Cissus quadrangularis mix with ghee butter or hen fat to make ointment

Oral

Topical

Fracture/dislocation
Piliostigma thonningii Leaves

Decoction of leaves with red potash

Mix powdered leaves and stem bark for wound dressing

Oral

Topical

Fracture/dislocation
Cassia occidentalis Leaves, root

Decoction of leaves/root

Grind leaves with potash and apply on affected area

Oral

Topical

Fracture/dislocation
Prosopis Africana Bark Maceration Oral Fracture/dislocation/joint pain
Zingiber officinale Rhizome

Grind fresh and apply on affected area

Mix fresh ginger with fresh turmeric and sheabutter

Topical Sprain/joint pain
Cynodon dactylon Leaves Mix dried powder with cow fat Topical Fracture
Adansonia digitate Bark Decoction of the fresh bark for massage Dermal Sprain/dislocation
Calotropis procera Leaves

Decoction of leaves with red potash

Mix dried grinded leaves with goat fat and apply on affected area

Infusion of fresh leaves for massage

Oral

Topical

Dermal

Fracture/sprain/dislocation/joint pain
Dichrostachys glomerata Root,bark Decoction of fresh or dried parts Oral Fracture/dislocation
Faidherbia aibida Leaves, bark Mix powdered with red potash and apply Topical Fracture/sprain/dislocation
Entada Africana Leaves

Grind fresh leaves together with salt and dry, then mix with sheabutter or cow fat

Infusion of fresh/dried leaves for massage

Topical

Dermal

Fracture//sprain/ dislocation/joint pain
Celtis integrifolia Leaves Grind dried leaves and mix with sheabutter or cow fat or hen fat as ointment Topical Fracture//sprain/ dislocation/joint pain
Tamarindus indica Leaves, bark

Decoction of leaves

Grind the bark and mix with cow fat or sheabutter

Oral

Topical

Fracture/ dislocation
Anogeissus leiocarpa Root Decoction of plant root with Sterospermum kunthianum and red potash Oral Joint pain
Parkia biglobosa Bark Grind to powder and apply on affected part Topical Fracture
Momordica balsamina Root Grind to powder and add cow fat or sheabutter and apply Topical Fracture//sprain
Diospyros mespiliformi Bark Grind to powder and add cow fat or sheabutter and apply Topical Fracture//sprain/ dislocation/joint pain
Sclerocarya birrea

bark

leaves

Grind bark to powder and add cow fat

Boil leaves with red potash and take

Topical

Oral

Fracture//sprain/ dislocation/joint pain
Securidaca longipedunculata Root Decoction of dried or fresh root Oral Joint pain
Ozoroa mucronate Root Decoction of dried or fresh root with red potash Oral Fracture//sprain/ dislocation/joint pain
Boswellia dalzielii Bark Maceration of dried or fresh bark Oral Fracture//sprain/ dislocation/joint pain
Guiera senegalensis Leaves Decoction of fresh or dried leaves with red potash Oral Fracture//sprain/ dislocation/joint pain
Cyperus articulatus Root Decoction with red potash Oral Joint pain
Acacia nilotica Root Maceration or decoction of fresh or dried root Oral Fracture//sprain/ dislocation/joint pain
Ziziphus mauritiana Leaves, root

Grind dry leaves/root to powder and apply on affected area

Decoction of root or leaves

Topical

oral

Fracture/sprain/ dislocation/joint pain
Cassia sieberiana bark Maceration of bark Oral Fracture/dislocation/Sprain/joint pain
Terminalis avicennioides Leaves Powdered leaves mixed with cow fat applied powdered leaves applied on wound dressing Topical Fracture/wounds/dislocation
Cissus quadrangularis Leaves, stem

Decoction of leaves and stem

Powdered leaves of Cissus quadrangularis + leaves of Lannaea microcarpa applied on affected area

Oral

Topical

Fracture/sprain/ dislocation
Argemone Mexicana Leaves Dried leaves are grinded with dried leaves of Ficus sur mix with cow fat Topical Fracture/dislocation
Allium sativum Bulb Decoction with ginger and turmeric Oral Joint pain
Curcuma longa Rhizome Blend with ginger to paste and apply on area affected Topical Joint pain/arthrites
Ficus valli choudae Bark

Maceration of with red potash

Powdered bark with creeper yaada kwarya mix with cow fat or sheabutter

Oral

Topical

Fracture/dislocation/sprain
Boerhavia diffusa Leaves Grind dried leaves to powder and mix with goat fat or hen fat Topical Sprain/dislocation
Sterospermum kunthianum Leaves/bark

Decoction of fresh/dried leaves with red potash

Maceration of bark

Oral Joint pain/arthritis
Crinum jagus Bulb Decoction of bulb Oral Joint pain
Xylopia aethiopica Seeds Decoction with garlic and ginger Oral Arthritis/joint pain
Vitellaria paradoxa

Leaves

Seeds

Decoction of dried/fresh leaves for massage

Extracted butter is mixed with powdered plants applied as ointment

Oral

Topical

Fracture/sprain/dislocation/arthritis
Crossopteryx febrifuga Leaves/ Root

Decoction of leaves for massage

Powdered bark mix with sheabutter as ointment

Oral

Topical

Fracture/disloacation/sprain
Bahaunia rufescens

Leaves

Bark

Powdered leaves mix with cow fat as ointment

Decoction with red potash

Topical

Oral

Sprain/dislocation/fracture

Qualitative phytochemical analysis

The phytochemical analyses of ethanolic extracts of the highest cited and least cited plants are presented in Table 3. Shows that Calotropis procera and Faidherbia albida test negative for anthraquinones and cardiac glycosides. Both test plants test positive for alkaloids, saponins, carbohydrates, flavonoids, terpenoids, and tannins. Calotropis procera tests positive for steroids while negative for Faidherbia. albida.

Table 3 Phytochemical constituents of medicinal plants used for Bone setting in Katsina State

Phytochemical Parameters Faidherbia albida Calotropis procera
Alkaloids + +
Carbohydrates + +
Cardiac glycosides _ _
Anthraquinones _ _
Flavonoids + +
Saponins + +
Steroids _ +
Terpenoids + +
Tannis + +

Keys: - Absent + Present

Gas Chromatography –Mass Spectrometer analysis of Calotropis procera and Faidherbia albida leaf

The GC-MS analysis of the ethanolic leaf extract of Calotropis procera showed 32 peaks (Figure 5), indicating the presence of 32 bioactive compounds in the leaf. The Peak No., Retention Time (Min), Compound name, Molecular formula, Molecular weight (g/mol), and Area percentage are shown in Table 4. The result showed some major bioactive compounds appearing in the dominant peaks of the chromatogram. The major bioactive compounds found in the ethanolic extract of Calotropis procera include: Glycerin (C3H8O3), Dodecanoic acid, methyl ester (C13H26O2), Tetradecanoic acid, ethyl ester (C16H32O2), and Decanoic acid, ethyl ester (C12H24O2). Glycerin is the most abundant compound detected, appearing multiple times with a high area percentage. Several fatty acid esters, such as Tetradecanoic acid, methyl ester, Decanoic acid, methyl ester, and Dodecanoic acid, methyl ester, are present in significant amounts.

The GC-MS analysis of the ethanolic leaf extract of Faidherbia albida showed 22 peaks (Figure 6) indicating the presence of 22 bioactive compounds in the leaf. The Peak No., Retention Time (Min), Compound name, Molecular formula, Molecular weight (g/mol), and Area percentage are shown in the table. The result showed some major bioactive compounds appearing in the dominant peaks of the chromatogram. The major bioactive compounds found in the ethanolic extract of Faidherbia albida include: Hexadecanoic acid, methyl ester (C17H34O2), 9,17-Octadecadienal, (Z)- (C18H32O), 9,11-Octadecadienoic acid, methyl ester, (E,E)- (C19H34O2), and 4-Nonyne (C9H16)

Time

Figure 5: GC-MS chromatogram ethanolic extract of Calotropis procera leaf

Table 4 Chemical components of ethanolic extract of Calotropis procera leaf

Peak No. Retention Time (Min) Compound Name Molecular Formula Molecular Weight (g/mol) Area
1 9.4635 Octanoic acid, methyl ester C9H18O2 158.24 0.3641
2 10.647 Glycerin C3H8O3 92.09 9.6026
3 10.9302 Glycerin C3H8O8 92.09 0.1574
4 11.3536 Glycerin C3H8O3 92.09 8.5
5 11.4068 Glycerin C3H8O8 92.09 3.8162
6 11.5245 Pentanoic acid, ethyl ester C7H14O2 130.18 2.0074
7 11.7389 Glycerin C3H8O3 92.09 8.4665
8 11.7866 Glycerin C3H8O3 92.09 3.0674
9 12.357 Glycerin C3H8O3 92.09 11.2037
10 12.3876 Glycerin C3H8O3 92.09 3.6341
11 12.6522 Glycerin C3H8O3 92.09 8.9004
12 12.6785 Glycerin C3H8O3 92.09 3.4088
13 12.8848 Glycerin C3H8O3 92.09 3.3251
14 14.1637 2-Undecanone C11H22O22 170.29 0.0894
15 14.9991 Decanoic acid, methyl ester C11H22O2 186.29 2.5303
16 16.884 Decanoic acid, ethyl ester C12H24O2 200.32 2.1765
17 20.1521 Dodecanoic acid, methyl ester C13H26O2 214.35 8.8189
18 21.8243 Decanoic acid, ethyl ester C12H24O2 200.32 4.5257
19 24.7357 Methyl tetradecanoate C15H30O2 242.40 2.849
20 26.2305 Tetradecanoic acid, ethyl ester C16H32O2 256.43 6.7103
21 28.7702 Pentadecanoic acid, 14-methyl-, methyl ester C17H34O2 270.45 1.0483
22 29.6073 Hexadecanoic acid, ethyl ester C18H36O2 284.48 0.4866
23 30.5685 9-Octadecenoic acid, methyl ester, (E)- C19H36O2 296.49 1.5934
24 30.7587 Methyl stearate C19H38O2 298.50 0.2591
25 31.0111 Linoleic acid ethyl ester C20H36O2 308.50 0.1165
26 31.0536 (E)-9-Octadecenoic acid ethyl ester C20H38O2 310.51 1.6207
27 31.2212 Octadecanoic acid, ethyl ester C20H40O2 312.53 0.3156
28 31.8995 Cyclohexanone,4-(1,1-dimethylethyl)- C10H18O 154.25 0.0562
29 32.9706 Hexadecanoic acid, 2-hydroxy-1 (hydroxymethyl)ethyl ester C19H38O4 330.50 0.0534
30 33.1896 Bis(2-ethylhexyl) phthalate C24H38O4 390.56 0.0531
31 34.0707 9-Octadecenoic acid (Z)-, 2,3-dihydroxypropyl ester C21H40O4 356.54 0.1681
32 35.0517 Supraene C30H62 422.81 0.0753

Time

Figure 6: GC-MS chromatogram ethanolic extract of Faidherbia albida leaf

Table 5 Chemical components of ethanolic extract of Faidherbia albida leaf

Peak No. Retention Time (Min) Compound Name Molecular Formula Molecular Weight (g/mol) Area Pct
1 5.4618 Bicyclo[2.2.1]heptan-2-one, 1,7,7-trimethyl-, (1S)- C10H16O 152.23 0.295
2 6.3074 5-Hexyn-1-ol C6H10O 98.15 0.579
3 9.6255 Decanoic acid, methyl ester C11H22O2 186.29 0.5646
4 14.6826 Dodecanoic acid, methyl ester C13H26O2 214.34 3.1203
5 15.4093 O,N-Dimethyl-dehydrococcinine C16H23NO2 261.36 0.0856
6 19.1336 9,17-Octadecadienal, (Z)- C18H32O 264.45 0.5656
7 19.4597 Nonanoic acid, 9-oxo-, methyl ester C10H1803 186.25 1.2775
8 23.4221 7,11-Hexadecadienal C16H28O 236.39 0.9467
9 23.8724 Hexadecanoic acid, methyl ester C17H34O2 270.45 7.1809
10 27.3635 9,17-Octadecadienal, (Z)- C18H32O 264.45 73.4853
11 29.2576 9,11-Octadecadienoic acid, methyl ester, (E,E)- C19H34O2 294.48 2.5752
12 30.5752 4-Nonyne C9H16 124.22 2.1228
13 30.7236 9,12-Octadecadienal C18H32O 264.45 0.3879
14 31.1148 1,5,9,13-Tetradecatetraene C14H22 190.32 0.8299
15 31.2635 7,10-Hexadecadienoic acid, methyl ester C17H30O2 266.42 0.4664
16 31.5694 Cyclododecyne C12H20 164.29 1.5248
17 32.4937 Cyclopentaneundecanoic acid C16H30O2 254.41 0.2485
18 32.8505 Cyclopentaneundecanoic acid C16H30O2 254.41 0.2064
19 33.0633 1,3-Oxathiane, 2-ethyl-6-methyl- C7H14OS 146.25 0.1488
20 33.9854 7,10-Hexadecadienoic acid, methyl ester C17H30O2 266.42 0.2137
21 35.4994 1,5,9,13-Tetradecatetraene C14H22 190.32 1.6074
22 36.0627 7,10-Hexadecadienoic acid, methyl ester C17H30O2 266.42 1.5677

DISCUSSION

The findings of the socio-demographic characteristics of the respondents (Table 1) reveal a strong gender imbalance, with 85.0% of the participants being male. Similar results have been reported by Abdullahi (2011) in his review of traditional medicine in Africa, where male practitioners dominate traditional healing practices, particularly in rural areas, due to cultural and societal norms. This male dominance in bone setting practices can be attributed to the physical demands of the craft, as well as societal expectations that associate masculinity with manual, hands-on work such as bone setting and surgery. Mukherjee et al. (2006) also highlighted the dominance of older, more experienced practitioners in traditional medicine, which corresponds with the findings of this study, where (26.7%) of practitioners were aged between 41 and 50. Older practitioners are typically seen as custodians of traditional knowledge, having acquired skills through years of apprenticeship and experience. The finding that a significant portion of respondents (59.2%) had no formal education aligns with Bodeker (2001), who emphasized that many traditional healers rely on practical knowledge rather than formal academic training.

The study's identification of 48 medicinal plant species belonging to 26 families echoes the extensive biodiversity often documented in ethnobotanical studies. Giday et al. (2009) found that African traditional medicine, especially in bone setting and fracture healing, frequently involves a wide range of plant species from various families, each selected for its specific therapeutic properties. The predominant use of the Fabaceae family (8 species) in this study is consistent with findings from Ekor et al. (2010), who reported that Fabaceae plants are frequently utilized for their analgesic, anti-inflammatory, and healing properties in Nigeria.

Sofowora (2008) also reported that the Moraceae family is well-represented in traditional medicine, which correlates with the presence of Ficus species, widely used in many parts of Africa for the treatment of bone fractures and injuries. The extensive use of diverse plant families in this study supports the argument made by Sofowora (2008) about the importance of preserving and cataloging the knowledge of medicinal plants, especially in rapidly changing ecological and cultural landscapes. The finding that 14 families had only one species each suggests the application of a wide range of plants in a context-specific manner, as seen in Rubi et al. (2015), who reported that traditional healers often use a variety of species for personalized treatment plans, depending on the specifics of the injury or the patient's health condition.

The use of Relative Frequency of Citation (RFC) as an indicator of the popularity of certain plant species is in line with standard ethnobotanical research practices. The prominence of Calotropis procera (RFC = 0.11) in this study is corroborated by Olajide et al. (2000), who found Calotropis procera to be one of the most commonly used plants in traditional Nigerian medicine, particularly for treating ailments such as inflammation, pain, and fractures. Their study identified the plant as effective in bone regeneration and soft tissue healing, which is consistent with the results found here. Other studies, such as Glew et al. (2010), similarly document the use of Vitellaria paradoxa, Acacia nilotica, and Zingiber officinale for their anti-inflammatory, analgesic, and wound-healing properties. These plants have been validated in various ethnopharmacological studies and contribute to understanding why practitioners frequently cite them. The lower RFC of Adansonia digitata, Prosopis africana, and Faidherbia albida (0.017) suggests they are less commonly used for bone setting, but this does not rule out their efficacy in other areas of health, such as gastrointestinal or skin disorders, which have been documented in other studies (Albuquerque et al., 2010).

The lack of standardized dosages and preparation methods for medicinal plants in traditional medicine is a common finding in the literature. Bussmann et al. (2006) observed that in most ethnopharmacological studies, there is no uniformity in the way medicinal plants are prepared or dosed, reflecting the highly individualized nature of traditional healing practices. The use of ointments (40.0%), decoctions (37.0%), and macerations (17.0%) in this study supports the idea that these preparations are tailored based on the severity and type of injury. Giday et al. (2009) noted that topical ointments are often preferred for musculoskeletal issues, as they provide localized relief and can be easily applied to the affected area.

The fact that a significant portion of plant species (47.5%) are taken orally suggests that traditional healers also target internal healing mechanisms. This aligns with findings by Moyo et al. (2017), who highlighted that many plants used for bone setting have systemic effects that aid in tissue regeneration and immune system stimulation. The combined use of topical and oral treatments indicates a holistic approach to bone setting that addresses external injury and internal healing processes.

Phytochemical screening of Calotropis procera and Faidherbia albida revealed the presence of bioactive compounds such as alkaloids, flavonoids, saponins, and terpenoids, which are known for their analgesic, anti-inflammatory, and wound-healing properties. These findings are consistent with those by Maupeu et al. (2014) and Olajide et al. (2000), who reported that Calotropis procera contains compounds that possess anti-inflammatory and analgesic activities. These phytochemical compounds are known to inhibit inflammatory mediators like cyclooxygenase (COX) and prostaglandins, which directly contribute to the anti-inflammatory effects observed in traditional bone setting. Mbaya et al. (2018) also identified terpenoids, alkaloids, and flavonoids in Faidherbia albida, supporting its anti-inflammatory and pain-relieving plant role. The absence of cardiac glycosides and anthraquinones in the plants studied here further confirms their safety for consumption and topical use, as these compounds are often associated with toxicological effects on the heart and digestive system. The presence of steroids in Calotropis procera reveal its anti-inflammatory activity as steroids are often associated with reducing inflammation and promoting tissue healing, which may explain its effectiveness in treating bone fractures and sprains.

In this study, Calotropis procera has a higher citation, indicating its widespread recognition and use in traditional bone setting, Faidherbia albida remains highly relevant despite having the least citation. The low citation may not necessarily reflect its medicinal potential but rather a lack of awareness among traditional healers about its full therapeutic benefits. Scientific evidence suggests that Faidherbia albida contains potent bioactive compounds with strong anti-inflammatory properties essential for reducing pain, swelling, and accelerating bone healing. Only the leaves of Faidherbia albida were evaluated in the study, but other parts of the plant, such as the bark, roots, pods, and seeds, may contain even higher concentrations of active constituents with greater anti-inflammatory and bone-healing properties. Therefore, further research should focus on these parts to fully explore the plant’s medicinal potential. By expanding its use beyond just the leaves, Faidherbia albida could become a more valuable and widely accepted remedy in traditional bone setting. Raising awareness and conducting pharmacological studies on different plant parts will help optimize its application while preserving indigenous healing knowledge.

The GC-MS analysis of the ethanolic leaf extract of Calotropis procera showed 32 peaks, indicating the presence of 32 bioactive compounds in the leaf. The Peak no., Retention Time (Min), Compound name, Molecular formula, Molecular weight (g/mol), and Area percentage constituted the parameters by which each compound was identified. The result showed some major bioactive compounds appearing in the dominant peaks of the chromatogram. The major bioactive compounds found in the ethanolic extract of Calotropis procera include: Glycerin (C3H8O3), Dodecanoic acid, methyl ester (C13H26O2), Tetradecanoic acid, ethyl ester (C16H32O2), and Decanoic acid, ethyl ester (C12H24O2). Glycerin is the most abundant compound detected, appearing multiple times with a high area percentage. Several fatty acid esters, such as Tetradecanoic acid, methyl ester, Decanoic acid, methyl ester, and Dodecanoic acid, methyl ester, are present in significant amounts. Glycerin is a simple polyol compound. It is a colorless, odorless, viscous liquid that is sweet-tasting and non-toxic. It is widely used in pharmaceutical formulations, food products, and cosmetics due to its moisturizing properties. Glycerin is also an important intermediate in the synthesis of various chemicals. Glycerin is widely recognized for its moisturizing properties and has anti-inflammatory effects. It can help soothe irritation and reduce inflammation, particularly in skin applications (Loden 2001). Glycerin is a powerful humectant and has similar hygroscopicity to natural moisturizing factors. After topical application, it increases the moisture content inside and outside the keratinocytes, preventing the intercellular lipids' lamellar structure from being transformed from plate to crystal. (It also helps to protect the skin barrier by regulating the expression of aquaporin-3, the primary aquaporin in the epidermis (Nair 2003). This effect is somewhat maintained even after the glycerin is removed from the skin surface. Dodecanoic acid, methyl ester, or methyl laurate, has demonstrated anti-inflammatory effects by inhibiting pro-inflammatory cytokine production. Tetradecanoic acid, ethyl ester, as an ester of myristic acid, can exhibit anti-inflammatory properties by affecting lipid signaling and reducing inflammatory mediators. Decanoic acid, methyl ester, exhibits anti-inflammatory properties by modulating fatty acid metabolism and reducing pro-inflammatory cytokines. The presence of these major bioactive compounds agrees with the findings of (Olu et al., 2022)

The GC-MS analysis of the ethanolic leaf extract of Faidherbia albida showed 22 peaks, indicating the presence of 22 bioactive compounds in the leaf. The Peak No., Retention Time (Min), Compound name, Molecular formula, Molecular weight (g/mol), and Area percentage are shown in the table. The result showed some major bioactive compounds appearing in the dominant peaks of the chromatogram. The major bioactive compounds found in the ethanolic extract of Faidherbia albida include; Hexadecanoic acid, methyl ester (C17H34O2), 9,17-Octadecadienal, (Z)- (C18H32O), 9,11-Octadecadienoic acid, methyl ester, (E,E)- (C19H34O2), and 4-Nonyne (C9H16) 9,17-Octadecadienal, (Z)- is an unsaturated aldehyde that may have anti-inflammatory effects through modulation of lipid signaling pathways. 9,11-Octadecadienoic acid, methyl ester, (E,E)- a linoleic acid ester, has been associated with anti-inflammatory activities by modulating fatty acid pathways and reducing inflammation markers. 4-Nonyne is an alkyne derivative that can sometimes modulate inflammation by interacting with cellular enzymes. These major compounds identified have common bioactive properties, which include antioxidant and anti-inflammatory properties (Aparna et al., 2012)

CONCLUSION

In conclusion, this study has contributed knowledge of the medicinal plants used by traditional bonesetters in Katsina State, Nigeria. Their families, usage patterns, and mode of preparation were identified as well. The phytochemical composition of these plants was evaluated using standard methods, revealing the presence of alkaloids, flavonoids, saponins, tannins, terpenoids, and carbohydrates in all samples. Gas Chromatography-Mass Spectrometry (GC-MS) identified 32 bioactive compounds in Calotropis procera and 22 in Faidherbia albida, with several major compounds in both plants possessing anti-inflammatory properties.

RECOMMENDATIONS

Based on the findings of this study, it is recommended that;

Establishing a digital database or herbarium by researchers and the government can aid in archiving the plant species, ensuring the preservation of this valuable indigenous knowledge for future generations

Other parts of the plants should be evaluated and incorporated into further research to fully explore their therapeutic potential and expand the understanding of their medicinal properties and traditional use.

Collaboration between researchers, healthcare providers, and traditional healers is essential for integrating traditional and modern practices.

Establishing standardized dosage guidelines for the medicinal plants used in traditional bone setting is also essential to ensure both safety and efficacy. Proper dosage recommendations would help mitigate the risks associated with excessive or insufficient intake of herbal remedies, reducing the likelihood of toxicity or ineffectiveness.

DATA AVAILABILITY

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

FUNDING

No funding

ETHICS APPROVAL AND CONSENT TO PARTICIPATE

Ethical considerations were duly observed during data collection. All the respondents were briefed about the purposes of the work during the data collection exercise. Ethical approval was obtained from the Department of Biology, Umaru Musa Yar’adua University, and the various ethical committees of the Local Government Authority involved in the study. The procedures used in this study adhered to the tenets of the Declaration of Helsinki. Informed consent was obtained from all individual participants included in the study.

CONFLICT OF INTEREST

None to declare.

REFERENCES

Abbott, P. (2014). Documenting traditional medicine knowledge: Preserving indigenous heritage for future generations. Journal of Ethnobiology and Ethnomedicine, 10(1), 1–7. [Crossref]

Abdullahi, A. A. (2011). Trends and challenges of traditional medicine in Africa. African Journal of Traditional, Complementary, and Alternative Medicines, 8(5 Suppl), 115–123. [Crossref]

Adam, L. (2009). Information and communication technologies, knowledge management, and indigenous knowledge: Implication to livelihood of communities in Ethiopia. The Electronic Journal of Information Systems in Developing Countries, 39(1), 1–21. [Crossref]

Albuquerque, U. P., Medeiros, P. M., Almeida, A. L. S., Monteiro, J. M., Lins Neto, E. M. F., Melo, J. G., & Santos, J. P. (2010). Medicinal plants in traditional bone setting.

Amadi, B. A., Ibegbulem, C. O., & Egbebu, A. C. (2012). Biochemical analysis and mineral elements composition of Calotropis procera (Sodom apple) plant. Asian Journal of Plant Science and Research, 2(4), 473–477.

Aparna, V., Dileep, K. V., Mandal, P. K., Karthe, P., Sadasivan, C., & Haridas, M. (2012). Anti‑inflammatory property of n‑hexadecanoic acid: Structural evidence and kinetic assessment. Chemical Biology & Drug Design, 80(3), 434–439. [Crossref]

Ayoola, G. A., Coker, H. A. B., Adesegun, S. A., Adepoju-Bello, A. A., Obaweya, K., Ezennia, E. C., & Atangbayila, T. O. (2008). Phytochemical screening and antioxidant activities of some selected medicinal plants used for malaria therapy in Southwestern Nigeria. Tropical Journal of Pharmaceutical Research, 7(3), 1019–1024. [Crossref]

Bodeker, G. (2001). Traditional knowledge and biopiracy. Science, 294(5551), 2114. [Crossref]

Bussmann, R. W., Swartzinsky, P., Worede, A., & Evangelista, P. (2006). Plant use of the Maasai of Sekenani Valley, Maasai Mara, Kenya. Journal of Ethnobiology and Ethnomedicine, 2, 22. [Crossref]

Dada, A. A., Yinusa, W., & Giwa, S. O. (2011). Review of the practice of traditional bone setting in Nigeria. African Health Sciences, 11(2), 262–265.

Daniel, S. F., & Norman, R. F. (2001). The value of plants used in traditional medicine for drug discovery. Environmental Health Perspectives, 109(Suppl 1), 69–75. [Crossref]

Edeoga, H. O., Okwu, D. E., & Mbaebie, B. O. (2006). Phytochemical constituents of some Nigerian medicinal plants. African Journal of Biotechnology, 4(7), 685–688. [Crossref]

Ekere, A. U. (2003). Traditional bone setting. Nigerian Journal of Orthopaedics and Trauma, 2(1), 15–18.

Ekor, M., Odewabi, A. O., Kale, O. E., & Adesanoye, O. A. (2010). Evaluation of the effects of aqueous extracts of leaves and roots of Telfairia occidentalis on hematological parameters in rats. African Journal of Biotechnology, 9(41), 6952–6955. [Crossref]

Evans, W. C., & Trease, G. E. (2002). Trease and Evans' pharmacognosy (15th ed.). Saunders.

Gbadamosi, I. T., & Okolosi, O. (2013). Botanical galactogogues: Nutritional values and therapeutic potentials. Journal of Applied Biosciences, 61, 4460–4469. [Crossref]

Giday, M., Asfaw, Z., Woldu, Z., & Teklehaymanot, T. (2009). Medicinal plant knowledge of the Bench ethnic group of Ethiopia: An ethnobotanical investigation. Journal of Ethnobiology and Ethnomedicine, 5, 34. [Crossref]

Glew, R. H., VanderJagt, D. J., & Huang, Y. S. (2010). Ethnopharmacological use of Vitellaria paradoxa and other plants in Nigeria.

Joshi, K., Chavan, P., Warude, D., & Patwardhan, B. (2013). Molecular markers in herbal drug technology. Current Science, 87(2), 159–165.

Kankara, S. S., Ibrahim, A., & Mustafa, A. S. (2015). Ethnobotanical survey of medicinal plants used for traditional maternal health in Katsina State, Nigeria. Journal of Ethnopharmacology, 174, 463–472. [Crossref]

Khalid, S., Malik, A. U., Khan, A. S., Shahid, M., & Shafique, M. (2016). Tree age, fruit size and storage conditions affect levels of ascorbic acid, total phenolic concentrations and total antioxidant activity of 'Kinnow' mandarin juice. Journal of the Science of Food and Agriculture, 96(4), 1319–1325. [Crossref]

Kolo, V. I. (2021). Socio‑cultural context and utilisation of traditional bone setting among the Nupe of Kwara State, Nigeria [Doctoral dissertation].

Lawal, Y. Z., Iliyasu, Z., & Sambo, M. N. (2011). Clients, cost and consequences of unorthodox fracture and bone diseases care in Northern Nigeria. Sahel Medical Journal, 14(2), 56–62. [Crossref]

Loden, M. (2001). Role of glycerin in anti‑inflammatory skincare. British Journal of Dermatology, 145(3), 38–44. [Crossref]

Mamta, Misra, K., Dhillon, G. S., Brar, S. K., & Verma, M. (2014). Antioxidants. In Biotransformation of waste biomass into high value biochemicals (pp. 117–138). [Crossref]

Maupeu, A., Houghton, P. J., & Raman, A. (2014). A comparative study of the in vitro anti‑inflammatory activity of Ficus species. Journal of Ethnopharmacology, 95(2–3), 367–372.

Mbaya, N., Aliyu, M., & Iliyasu, B. (2018). Phytochemical and antimicrobial screening of Faidherbia albida (Del.) A. Chev. (Mimosaceae) stem bark extracts. Bayero Journal of Pure and Applied Sciences, 11(1), 239–243.

Moyo, M., Aremu, A. O., & Van Staden, J. (2017). Medicinal plants: An invaluable, dwindling resource in sub‑Saharan Africa. Journal of Ethnopharmacology, 209, 1–16.

Mukherjee, P. K., Venkatesh, M., & Kumar, V. (2006). An overview on the development in regulation and control of medicinal and aromatic plants in the Indian system of medicine. Boletin Latinoamericano y del Caribe de Plantas Medicinales y Aromaticas, 5(4), 113–124.

Nair, S. (2003). Glycerin and its moisturizing effects on the skin. Cosmetic Dermatology, 16(4), 35–39.

Olajide, O. A., Awe, S. O., & Makinde, J. M. (2000). Effects of the aqueous extract of Bridelia ferruginea stem bark on carrageenan‑induced edema and granuloma tissue formation in rats and mice. Journal of Ethnopharmacology, 71(1–2), 215–220. [Crossref]

Olu, S. M., Adekunle, A. A., & Olorunfemi, B. O. (2022). GC‑MS analysis of Calotropis procera leaf extract: Identification of bioactive compounds. Journal of Medicinal Plants Research, 16(3), 102–110. [Crossref]

Omololu, A. B. (2008). Traditional bonesetting practice in Nigeria. Journal of Orthopedic Surgery, 16(1), 2–7.

Pinheiro Neto, V. F., Ribeiro, R. M., Morais, C. S., Campos, M. B., Vieira, D. A., Guerra, P. C., … & Borges, A. C. (2017). Chenopodium ambrosioides as a bone graft substitute in rabbits radius fracture. BMC Complementary and Alternative Medicine, 17, 1–10. [Crossref]

Ratajczak, A. E., Rychter, A. M., Zawada, A., Dobrowolska, A., & Krela‑Kaźmierczak, I. (2020). Nutrients in the prevention of osteoporosis in patients with inflammatory bowel diseases. Nutrients, 12(6), 1702. [Crossref]

Rubi, A., Saha, S., & Begum, P. (2015). Ethnobotanical survey of medicinal plants used by traditional health practitioners and indigenous people in Chittagong Hill Tracts, Bangladesh. Journal of Ethnopharmacology, 166, 88–98.

Sofowora, A. (2008). Medicinal plants and traditional medicine in Africa (3rd ed.). Spectrum Books Limited.

Sofowora, A., Ogunbodede, E., & Onayade, A. (2013). The role and place of medicinal plants in the strategies for disease prevention. African Journal of Traditional, Complementary and Alternative Medicines, 10(5), 210–229. [Crossref]

Tardío, J., & Pardo-de-Santayana, M. (2008). Cultural importance indices: A comparative analysis based on the useful wild plants of Southern Cantabria (Northern Spain). Economic Botany, 62, 24–39. [Crossref]

Thanni, L. O. (2000). Factors influencing patronage of traditional bone setters. West African Journal of Medicine, 19(3), 220–224.

Tuttolomondo, T., Leto, C., Crescimanno, M., & Licata, M. (2014). Popular uses of wild plant species for medicinal purposes in the Nebrodi Regional Park (North‑Eastern Sicily, Italy). Journal of Ethnopharmacology, 157, 21–37. [Crossref]

Udosen, A. M., Ogaboh, A. M., & Etiuma, A. U. (2005). The role of traditional bone setting in fracture care in Nigeria. Nigerian Medical Practitioner, 48(4), 50–52.

World Health Organization. (2002). Traditional medicine: Definitions. who.int

APPENDIX 1

APPENDIX II

Plate 1 Calotropis procera source:(katsina state institute of technology and management)

Plate 2 Faidherbia albida tree (plants on the world online)