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An alternative explanation is that this knowledge of herbal medicines is more restricted to TCM specialists, whereas medicinal foods play a more integral role in household folk remedies.
The importance of medicinal foods in domestic health strategies should not be underplayed. Indeed, many self-limiting illnesses such as the common cold, flu, respiratory infections and uncomplicated diarrhea can often be successfully managed at the household level through the use of home remedies [ 66 ].
Likewise, other long-term, chronic illnesses such as diabetes and arthritis are also commonly managed with herbal home remedies in many parts of the world with most rural areas placing large emphasis on reproductive health and nutrition within household care [ 33 , 67 ]. In conclusion, domestic medicine, which may entail the use of herbal medicines, functional foods, or medicinal foods [ 30 ], should be a priority area for future research and health policy and intervention programs, especially for those concerning migrant communities in the US.
Complementary and alternative medicine. Institutional review board. Traditional Chinese medicine. Traditional medicine. United States. World health organization.
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We wish to extend our sincere thanks to all of the study participants who took time out of their busy schedules to give very thorough and invaluable responses to our questions, as well as for their enthusiasm and interest. We also thank Ms. Jessie Li who helped translate our questionnaire and script into Chinese; the Emory Biostatistics department for assisting with statistics, graphs, and insight on format Dr.
Shannon McClintock and Dr. This article is published under license to BioMed Central Ltd. Research Open Access. Journal of Ethnobiology and Ethnomedicine 9: Abstract Background Ethnobotanical studies on the use of plants amongst migrant populations are of great relevance to public health.
Methods In this study, we conducted a medical ethnobotanical survey focusing on a comparison of local medicinal food and health strategies with members of two Asian immigrant populations in metro-Atlanta: Results and conclusion Comparison of the two groups demonstrated a remarkable difference in health strategies concerning medicinal plant use, including statistically significant differences in beliefs concerning yin and yang, uses of Eastern versus Western medicine, and gardening for medicinal foods.
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Traditional Chinese medicine Medicinal foods Migration Traditional medicine Intercultural healthcare. Study area Metropolitan Atlanta is located between It has a humid subtropical climate with four seasons. Figure 1 Map of the study area: Immigrants were at first concerned that they would have no access to their original foods found back in their home countries.
However, they integrated to their new environment both in terms of culture and food with little difficulty as Atlanta was an international city and there were local Chinese grocery stores around Atlanta. They were different from the earliest immigrants in that they tended to be more diverse and came from urban cities [ 27 ].
The reform set up a quota allowing 20, immigrants per year from Taiwan, separate from those of China [ 45 ]. Chinese schools and community centers have kept most Chinese traditions and cultures alive, but younger generations are still quickly assimilating to their surrounding American influences. Prices on once hard to obtain foodstuffs have decreased dramatically over the course of twenty years and today, with the large surge in Korean populations, Korean markets have competitively provided all foods, dry or fresh, in every imaginable form and low prices.
Table 1 Study population demographics. Study site The location of interviews was at the convenience of the participant and varied from subject to subject.
Data analysis All data were input into a master excel sheet for statistical analysis.
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Table 2 Plants used in the preparation of medicinal foods by Chinese and Taiwanese immigrants in the metro-Atlanta area. Belief and usage of Yin and Yang Yin and Yang is the idea of balance of energies within a system, and in this study, subjects were first asked to say the first thing that came to their minds when they think of yin and yang. However, there was not enough evidence to conclude that Taiwanese were more likely to use the yin yang concept as compared to the Chinese.
According to some Taiwanese participants, the fact that they were raised in an environment that highly promoted this belief of yin and yang made a lasting impression on them which kept this belief system in the back of their minds. Table 3 Responses to the survey questions concerning health beliefs and practices among Taiwanese and Chinese participants.
Another plant highly extolled by the Taiwanese gardening community was okra. One participant, who has diabetes, said that he relies on the okra to help level his blood sugar and pressure levels. Figure 2 Mr.
For example, when one has too much heating poison in the body, it is recommended that the person take a tonic or a medicinal plant that rid the body of toxins. Suitable medicinal foods for this purpose would include lotus Nelumbo nucifera Gaertn or mung bean Vigna radiata L. Wilczek soup, which would add cooling chi and return the body to a state of balance, or homeostasis.
Note that there are two kinds of tonics, the heating and cooling kind, used for balancing the opposite poison. For example, woad root Isatis tinctoria L. Figure 3 A comparison of frequency of citation of medicinal foods by Chinese and Taiwanese immigrants. In addition to the use of medicinal flora, other food products were cited as having important roles as medicinal agents.
This included honey, brown sugar and vinegar. Brown sugar was cited by both groups to be used for illnesses and symptoms associated with periods including alleviating menstrual cramps as well as providing nutrition.
Participants explained that the brownness of the sugar was high in nutrition and helped nourish women from the blood loss during menstruation. Honey was commonly cited as being used for the treatment of coughs and sore throats. Many participants also reported the use of a yali pear and honey drink to soothe irritated throats. It was often used in pickled vegetables.
Table 4 Other products used in the preparation of medicinal foods by Chinese and Taiwanese immigrants in the metro-Atlanta area. Complementary and alternative medicine IRB: Institutional review board TCM: Traditional Chinese medicine TM: Traditional medicine US: United States WHO: Acknowledgements We wish to extend our sincere thanks to all of the study participants who took time out of their busy schedules to give very thorough and invaluable responses to our questions, as well as for their enthusiasm and interest.
References Astin JA: Why patients use alternative medicine. Unconventional medicine in the United States; prevalence, costs, and patterns of use. Herbal medicine research and global health: An ethical analysis. B World Health Organ. Google Scholar Vandebroek I: Intercultural health and ethnobotany: How to improve healthcare for underserved and minority communities?. J Ethnopharmacol. Cross-cultural adaptation in urban ethnobotany: Resilience of Andean urban ethnobotanies: J Ethnobiol Ethnomed.
Evid Based Complement Alternat Med. Genet Resour Crop Evol. Cross-cultural ethnobiology in the Western Balkans: Hum Ecol. Medicinal perceptions of vegetables traditionally consumed by South-Asian migrants living in Bradford, Northern England. Traditional phytotherapy and trans-cultural pharmacy among Turkish migrants living in Cologne, Germany.
Traditional pharmacopoeias and medicines among Albanians and Italians in southern Italy: Medical ethnobotany in Europe: Why Surinamese migrants in the Netherlands continue to use medicinal herbs from their home country.
Ethnopharmacy of Turkish-speaking Cypriots in Greater London. Phytother Res. Use of complementary and alternative medicine among Dominican emergency department patients. Am J Emerg Med. Econ Bot.
Herbal remedies used by selected migrant farmworkers in El Paso, Texas. J Rural Health. The importance of botellas and other plant mixtures in Dominican traditional medicine.
Globalization and loss of plant knowledge: Mexican migrant ethnopharmacology: Diaspora and health? Traditional medicine and culture in a Mexican migrant community.
Int Migr. Popular medicine and self-care in a Mexican migrant community: Med Anthropol. Between two worlds: J Community Health. Functional foods or food medicines?
On the consumption of wild plant among Albanians and Southern Italians in Lucania. Eating and Healing: Traditional Food as Medicine. Edited by: Pieroni A, Price L. Volume 3. Patterson O, Golson GJ.
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Is there a role for traditional medicine in basic health services in Africa? A plea for community perspective. Trop Med Int Health. Maternal ethnobotanical knowledge is associated with multiple measures of child health in the Bolivian Amazon.
World Almanac and Book of Facts. Jansen S. Strangers in the City: Factors affecting utilization of health services and home- and community-based care programs by older Taiwanese in the United States.
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Health Soc Work. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev. Patient beliefs and sense of control among Spanish-speaking patients with diabetes in northeast Colorado. J Immigr Minor Health. The use of medicinal plants by migrant people: Herbal medicinals: Arch Intern Med.
Culture and clinical care. Folk illness beliefs and behaviors and their implications for health care delivery. A teaching framework for cross-cultural health care. Application in family practice. West J Med. Development and evaluation of a cultural competency training curriculum.Risorgimento, fascismo e comunismo PDF Download. The role of the family in adult chronic illness: Irish J Psychol.
Development and evaluation of a cultural competency training curriculum. Complementary and alternative medicine IRB: Institutional review board TCM: Traditional Chinese medicine TM: Traditional medicine US: United States WHO: Acknowledgements We wish to extend our sincere thanks to all of the study participants who took time out of their busy schedules to give very thorough and invaluable responses to our questions, as well as for their enthusiasm and interest.
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