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«“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ®—¥∑”¢÷Èπ‚¥¬°√¡æ—≤π“°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å ∑“ß‡≈◊Õ° °√–∑√«ß “∏“√≥ ÿ¢ ‡æ◊ËÕ‡º¬·æ√àº≈ß“π∑“ß«‘™“°“√ ·≈–‡ªìπ‡«∑’‡ πÕº≈ß“π∑“ß«‘™“°“√·≈– ß“π«‘®—¬¥â“π°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ‡ªìπ«“√ “√√“¬ Ù ‡¥◊Õπ °”Àπ¥‡º¬·æ√à„π‡¥◊Õπ ‡¡…“¬π ‘ßÀ“§¡ ∏—π«“§¡

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°Õß∫√√≥“∏‘°“√ »“ µ√“®“√¬å ¥√. æ‡¬“«å ‡À¡◊Õπ«ß…å≠“µ‘ π“¬ «à“ß °Õ· ß‡√◊Õß »“ µ√“®“√¬å π“¬·æ∑¬å¬ß¬ÿ∑∏ «—™√¥ÿ≈¬å π“¬¡π“«ÿ∏ ºÿ¥º“¥ »“ µ√“®“√¬å (æ‘‡»…) ¥√.·æ∑¬åÀ≠‘ß ¡∫√≥åŸ ‡°’¬√µ‘π—π∑πå √âÕ¬µ√’À≠‘ß »‘√‘æß…å ·æ∑¬“ππ∑å √Õß»“ µ√“®“√¬å π“¬·æ∑¬å∑«’ ‡≈“Àæ—π∏å π“¬«ÿ≤‘ «ÿ≤‘∏√√¡‡«™ √Õß»“ µ√“®“√¬å ¥√. ©—π∑π“ Õ“√¡¬å¥’ Õ“®“√¬å°ÿ ÿ¡“ »√’¬“°Ÿ≈ √Õß»“ µ√“®“√¬å ¥√. Õ√ÿ≥æ√ Õ‘∞√—µπå ¥√. æ√∑‘æ“ æ‘™“ √Õß»“ µ√“®“√¬å ¥√. ¬‘Ëß¬ß ‡∑“ª√–‡ √‘∞ π“ßπ—¬π“ «√“Õ—»«ªµ‘ √Õß»“ µ√“®“√¬å ¥√. ¥ÿ ‘µ ÿ®‘√“√—µπå ¥√. ‡≈‘»»‘√‘√å ∫«√°‘µµ‘ √Õß»“ µ√“®“√¬å π“¬·æ∑¬åª√–«‘∑¬å Õ—§√‡ √’ππ∑å ‡¿ —™°√ ¥√. ∏π‘»√å ª∑ÿ¡“ππ∑å √Õß»“ µ√“®“√¬å ¥√. ÿπ—π∑“ ‚Õ»‘√‘ ‡¿ —™°√À≠‘ß ‡¬Áπ®‘µ√ ‡µ™–¥”√ß ‘π ¥√. Õÿ…“ °≈‘ËπÀÕ¡ π“ß‡ “«≥’¬å °ÿ≈ ¡∫Ÿ√≥å π“¬·æ∑¬å®—°√°ƒ…≥å ¿Ÿ¡‘ «— ¥‘Ï π“ß “«√ÿ®‘π“∂ Õ√√∂ ‘…∞ π“¬·æ∑¬å ¡™—¬ ‚°«‘∑‡®√‘≠°ÿ≈ π“ßæ√∑‘æ¬å ‡µ‘¡«‘‡»… π“¬·æ∑¬åª√“‚¡∑¬å ‡ ∂’¬√√—µπå π“ß “«√—™π’ ®—π∑√å‡°… π“¬·æ∑¬å‡∑«—≠ ∏“π’√—µπå π“ß “«Õÿ√—®©—∑ «‘™—¬¥‘…∞ ‡¿ —™°√À≠‘ß π—π∑π“ ‘∑∏‘™—¬ ‡¿ —™°√À≠‘ß ¡≥±°“ ∏’√™—¬ °ÿ≈ ºŸâ®—¥°“√«“√ “√ §≥–ºŸâ®—¥°“√ π“ß¿“«π“ §ÿâ¡µ√–°Ÿ≈ π“ß ‘√‘æ√√≥ °≈àÕ¡®‘µ ¥√. «‘™—¬ ®—π∑√å°‘µµ‘«—≤πå π“¬«√æ®πå ¿Ÿà®‘π¥“ π“¬Õ“«ÿ∏ √“™ ’Àå«√√≥ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol. 6 No. 1 January-April 2008

Journal of Traditional Thai & Alternative Medicine is owned by the Department for Development of Thai Traditional and Alternative Medicine, Ministry of Public Health for the presentation of research work and technical papers on traditional Thai medicine, indigenous medicine and alternative medicine. The journal is published every four months and will be issued on April, August and December.

Advisors Vichai Chokevivat Editor Somchai Bovornkitti Luecha Wanaratna Associate editors Anchalee Chuthaputti Executive Editor Prapoj Petrakard Chayan Pichaensoonthon

Editorial Board Payow Muenwongyati Sawang Khosangruang Yongyuth Vajaradul Manavuth Phudphad Somboon Kiettinun Siripong Baedyananda Tawee Laohapan Wut Wutithamawech Chantana Aromdee Kusuma Sriyakul Arunporn Itharat Porntipa Picha Yingyong Taoprasert Naiyana Vara-asavapati Dusit Sujirarat Lertsiri Bovornkitti Pravit Akarasereenont Tanit Padumanonda Sunanta Osiri Yenchit Techadamrongsin Usa Klinhom Saowanee Kulsomboon Jakkriss Bhumisawasdi Rujinart Adthasit Somchai Kovitcharoenkul Pornthip Termwiset Pramote Stienrut Rutchanee Chantraket Tewan Thaneerut Aurutchat Vichaidit Nuntana Sittichai Montaka Teerachaiskul

Journal Manager Managerial Staffs Pavana Khumtrakul Siripan Khomjit Vichai Chankittiwat Voraphot Poochinda Arwuth Rachaseewan «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol. 6 No. 1 January-April 2008

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1 ∫√√≥“∏‘°“√·∂≈ß EDITORûS NOTE ¡™—¬ ∫«√°‘µµ‘ Somchai Bovornkitti π‘æπ∏åæ‘‡»… SPECIAL ARTICLE 3 °“√§âπ§«â“«‘®—¬æ◊™ ¡ÿπ‰æ√‰∑¬∑’Ë¡’ƒ∑∏‘Ï∑“ß™’«¿“æ Investigation of Some Bioactive Thai ¡‡¥Á®æ√–‡®â“≈Ÿ°‡∏Õ‡®â“øÑ“®ÿÃ“¿√≥å«≈—¬≈—°…≥å ·≈–§≥– Medicinal Plants Her Royal Highness Princess Chulabhorn Mahidol, et al. ∫∑∫√√≥“∏‘°“√ EDITORIAL 15 °“√§√Õ∫∫”∫—¥ - °“√·æ∑¬å∑“ß‡≈◊Õ° Cupping ¡™—¬ ∫«√°‘µµ‘ Somchai Bovornkitti π‘æπ∏åµâπ©∫—∫ ORIGINAL ARTICLES 18 °“√æ—≤π“·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√ ”À√—∫ºŸâªÉ«¬ Development of Herbal Hot Pack for ‚√§√–∫∫‚§√ß√à“ß·≈–°≈â“¡‡π◊ÈÕ Patients with Musculoskeletal System ®—°√æ—π∏ÿå °ƒµ¡‚π√∂ Disorders »‘√‘π“§ ·µâ¡§¡ Jukkapun Kittamanorote Sirinark Thamkom 24 °“√»÷°…“‡∫◊ÈÕßµâπº≈°“√√—°…“·≈–º≈¢â“ß‡§’¬ß¢Õß A Preliminary Study on the Effective- º≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß„πÀ≠‘ß«—¬„°≈âÀ¡¥√–¥Ÿ·≈–«—¬ ness and Side-effects of a Soybean Pro- À¡¥√–¥Ÿ duct on Pre- and Post-Menopausal Syn- Õπ—πµå °π°»‘≈ªá drome °πµå∏’√å ÿ∑∏π“√—°…å Anant Kanoksilp Kontee Suttanarak 32 §ÿ≥¿“æ¢Õß«—µ∂ÿ¥‘∫·≈–¬“¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬ Medicinal Quality of Turmeric and ‚®√∑’Ë„™â„π‚√ßæ¬“∫“≈¿Ÿ¡‘¿“§ Andrographis Raw Materials and Cap- ∏‘¥“√—µπå ∫ÿ≠√Õ¥ ·≈–§≥– sules Dispensed in Regional Hospitals Thidarat Boonruad, et al. 43 ∑—»π§µ‘¢ÕßºŸâ„™â∫√‘°“√ ª“ Attitude of Customers Toward the Õÿ∫≈«√√≥ ¢Õæ÷Ëß Benefits of Spa Services Ubolwan Korpueng 51 ª√– ‘∑∏‘¿“æ¢ÕßÀ≈—°∏√√¡“π“¡—¬µàÕ°“√ª√—∫‡ª≈’Ë¬π Effectiveness of Dhammanamai for æƒµ‘°√√¡ ÿ¢¿“æ„π°≈ÿà¡¢â“√“™°“√®—ßÀ«—¥‡™’¬ß√“¬ Health Behavioral Change among Chiang ¡¬ÿ√’ «√√≥‰°√‚√®πå Rai Government Officers Mayuree Wangrairot «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol. 6 No. 1 January-April 2008

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58 °“√¥Ÿ·≈ ÿ¢¿“æ·≈–°“√√—°…“ºŸâªÉ«¬¥â«¬°“√·æ∑¬å Traditional Health Care and Healing by æ◊Èπ∫â“π„πÕ”‡¿Õ‡¡◊Õß ®—ßÀ«—¥¢Õπ·°àπ Folk Healers: Case Study in Amphur ª√–∑—°…å«—≈ ÿ¢ ”√“≠ Muang, Khon Kaen Province Pratakwal Sugsamran 65 °“√‡æ‘Ë¡ª√– ‘∑∏‘¿“æ°“√™—°π”√“°ÀπÕπµ“¬À¬“° Enhancement of Root Induction for Tis- (Stemona collinsae Craib.) „π ¿“æª≈Õ¥‡™◊ÈÕ sue Culture of Stemona collinsae Craib. ·≈–°“√π”µâπÕÕ°ª≈Ÿ° and Transplanting ¡≥±“ «ß»å¡≥’‚√®πå ·≈–§≥– Monthar Wongmaneeroj, et al. 73 ¢âÕ —ß‡°µ‡°’Ë¬«°—∫æ◊™ °ÿ≈«à“π‡ª√“–ÀÕ¡ («ß»å¢‘ß) „π Notes on the Genus Kaempferia L. (Zingi- ª√–‡∑»‰∑¬ beraceae) in Thailand ™¬—πµå æ‘‡™’¬√ ÿπ∑√ Chayan Picheansoonthon ÿ¿™—¬ §Ÿ≥‡µ‘¡ Supachai Koonterm ª°‘≥°– MISCELLANEOUS 94 √∆°∂÷ß»“ µ√“®“√¬å ¥√.«‘‡™’¬√ ®’√«ß å (Ò) In Memoriam: Professor Dr. Vichiara ™¬—πµå æ‘‡™’¬√ ÿπ∑√ Jirawongse Chayan Picheansoonthon 96 °“√ª√–™ÿ¡ —¡¡π“√–¥—∫¿Ÿ¡‘¿“§§√—Èß∑’Ë ˘ ¢Õß À¿“æ The 9th World Blind Union Asia Pacific §πµ“∫Õ¥‚≈°‡√◊ËÕß°“√π«¥ Regional Seminar on Massage «‘™—¬ ‚™§«‘«—≤π Vichai Chokevivat 101 ‡ª√“–∫â“π Pro Ban §≥–Õπÿ°√√¡°“√®—¥∑”µ”√“Õâ“ßÕ‘ß¬“ ¡ÿπ‰æ√‰∑¬ Subcommittee on the Preparation of Monographs of Selected Thai Materia Medica 105 Õ“°“√ª«¥§Õ∫√√‡∑“¥â«¬°“√«à“¬πÈ” Relief of Neck Pain by Swimming ‡¡µµ“ ªîòπ∑Õß Metta Pinthong 109 »‘≈ª°√√¡∫”∫—¥„πª√–‡∑»‰∑¬ Art Therapy in Thailand ‡≈‘»»‘√‘√å ∫«√°‘µµ‘ Lertsiri Bovornkitti ¡®‘µ√ ‰°√»√’ Somjit Kraisree 113 «“√ “√ ‚¡ √ JOURNAL CLUB Õ—≠™≈’ ®Ÿ±–æÿ∑∏‘ Anchalee Chuthaputti ™¬—πµå æ‘‡™’¬√ ÿπ∑√ Chayan Picheansoonthon ¡™—¬ ∫«√°‘µµ‘ Somchai Bovornkitti «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol. 6 No. 1 January-April 2008

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®¥À¡“¬∂÷ß∫√√≥“∏‘°“√ LETTERS TO THE EDITOR 120 «“√ “√°“√·æ∑¬å·ºπ®’π Traditional Chinese Medicine ¿“ °‘® «—≥π“«‘∫Ÿ≈ Bhasakit Wannavibul 121 æ®π“πÿ°√¡ À√◊Õ “√“πÿ°√¡ Dictionary or Encyclopedia ? “‚√®πå «√√≥æƒ°…å Saroj Vannapruke ¿“§ºπ«° APPENDIX 122 æ®π“πÿ°√¡»—æ∑å·æ∑¬å·≈–‡¿ —™°√√¡·ºπ‰∑¬ (Ù) Dictionary of Thai Traditional Medicine §≥–Õπÿ°√√¡°“√®—¥∑”æ®π“πÿ°√¡»—æ∑å·æ∑¬å·≈– and Pharmacy (4) ‡¿ —™°√√¡·ºπ‰∑¬ Subcommittee on the Preparation of the Dictionary of Thai Traditional Medicine and Pharmacy 127 §”·π–π” ”À√—∫ºŸâπ‘æπ∏å Instructions to Authors ®‘µ«≠≠“≥‘ ‡ªπ§”∑ì ‡°’Ë ¥„À¡‘ à „™â„π§«“¡À¡“¬«“‡ªà πì çæ≈ß®— µÕ‘ π‡ª— π«ì ‘ —¬ ®”‡æ“–¢Õßªí®‡®°∫ÿ§§≈ ∑’Ëº≈—°¥—π„Àâª√–°Õ∫°‘®°√√¡ À√◊Õ°“√· ¥ßÕÕ°∑’Ë ‚¥¥‡¥àπ‡°‘π«‘ —¬¢Õß§π∑—Ë«‰ªé À√◊Õ ‡ªìπ ç µ‘ªí≠≠“é ∑’Ë·ΩßÕ¬àŸ„π®‘µ„®√–¥—∫∑’Ë≈÷°≈È”≈–‡Õ’¬¥ÕàÕπ°«à“§«“¡ √âŸ ÷°π÷°§‘¥∑—Ë«‰ª ´÷Ëß°àÕæ≈—ß®‘µ¡àÿß¡—Ëπ°√–∑”°“√„¥ Ê „Àâ∫√√≈ÿº≈ ”‡√Á®é

The word çJit-vinyarné is currently popularly used in Thailand to denote the çphilosophical intellect concerned with the better, or higher, part of the mind, showing much refinement of thought and feeling, characterized by the ascendancy of the spirité. The word is used in a similar way as the English word çspiritualé or çspiritualityé, but its meaning is much deeper.

Somchai Bovornkitti, M.D. ¡‡¥Á®æ√–‡®â“≈Ÿ°‡∏Õ ‡®â“øÑ“®ÿÃ“¿√≥å«≈—¬≈—°…≥å Õ—§√√“™°ÿ¡“√’

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feishu (BL-13), fengmen (BL-12), dashu (BL-11), tiantu (CV-22), shanzhong (CV-17), huagai (CV-20), and zhongfu (LU-1). - ‚√§À≈Õ¥≈¡Õ—°‡ ∫„π‡¥Á° „Àâ®‘È¡∑’Ë®ÿ¥ dazhui (GV-14) „Àâ‡≈◊Õ¥ÕÕ°·≈â«®÷ß§√Õ∫. - ‚√§À≈Õ¥≈¡Õ—°‡ ∫‡©’¬∫æ≈—π„π‡¥Á° §√Õ∫∑’Ë®ÿ¥ feishu (BL-13), shenchang (KI-25), lingxu (KI-24). (Ú) ‚√§√–∫∫¬àÕ¬Õ“À“√ „™âµ”·Àπàß§√Õ∫¥—ßπ’È - ‚√§∫‘¥, ‚√§∑âÕß‡ ’¬‡™â“¡◊¥ ·≈–‚√§°√–‡æ“– Õ“À“√Õ—°‡ ∫ §√Õ∫∑’Ë∫√‘‡«≥√Õ∫ –¥◊Õ, ∑’Ë®¥ÿ shu ¢Õß‡ âπ·«ß √Ÿª∑’Ë Ú °“√§√Õ∫∂â«¬·°â« °√–‡æ“–ªí “«– (bladder meridian), À√◊Õ∑’Ë®ÿ¥‡ âπ·«ß °√–‡æ“–Õ“À“√ (stomach meridian) ‰¥â·°à®¥ÿ burong (ST- 19), guanmen (ST-22), huaroumen (ST-24), tianshu (ST- 25). - Õ“À“√‰¡à¬àÕ¬„π‡¥Á° §√Õ∫∑’Ë®ÿ¥dachangshu (BL-25). (Û) °≈ÿà¡Õ“°“√ª«¥ - ª«¥‰À≈à §√Õ∫®ÿ¥ jianwaishu (SI-14), ·≈– tianzhong (SI-11). -ª«¥‡Õ« §√Õ∫®¥ÿ shenshu (BL-23), qihaishu (BL-24), guanyuanshu (BL-26). - ª«¥∫√‘‡«≥»’√…–: ‚√§ª«¥»’√…–™π‘¥√—°…“¬“° √Ÿª∑’Ë Û ≈—°…≥–º‘«Àπ—ß¿“¬À≈—ß§√Õ∫ ·≈–‰¡‡°√π §√Õ∫®ÿ¥taiyang ·≈– yintang; ª«¥¥â“π¢â“ß ·≈–∑â“¬∑Õ¬§√Õ∫®ÿ¥dazhui (GV-14) ·≈– baihui (GV- √“™«ß»å™‘ß (Qing dynasty) °≈à“«∂÷ß°“√„™â∂â«¬‰¡â‰ºàÀ√◊Õ¥‘π 20); ª«¥ª√– “∑‰∑√‡®¡‘π—≈§√Õ∫®ÿ¥qihu (ST-13), fengchi ‡º“∑’Ë‡º“„Àâ√âÕπ (çfire jar qié) ∫”∫—¥Õ“°“√À«—¥ª«¥»’√…– (GB-20), sizhukong (TB-23), jiache (ST-6); ª«¥øíπ §√Õ∫ ·≈–ª«¥∑âÕß. „π»µ«√√…∑’Ë Ú ‰¥â¡’°“√„™â∂â«¬·°â«´÷Ëß„Àâ ®ÿ¥dashu (BL-11) √à«¡°—∫Ωíß‡¢Á¡, π«¥·≈–§√Õ∫∑’Ë®¥ÿ yifeng ª√–‚¬™πå‡Àπ◊Õ°«à“«— ¥ÿ™π‘¥Õ◊Ëπ∑—Èß¥â“π°“¬¿“æ·≈–§«“¡ (TB-17), jiache (ST-6), xiaguan (ST-7) ·≈– hegu (LI-4). –¥«°Ù. - ∫“¥‡®Á∫º‘«°“¬ ®‘È¡∫√‘‡«≥ª«¥∫«¡¥â«¬‡¢Á¡ plum ‚√§∑’Ë¡’∫—π∑÷°«à“°“√√—°…“‰¥âº≈Ú ‰¥â·°à blossom µ“¡¥â«¬°“√§√Õ∫, Õ“®‡ √‘¡À√◊Õ‡≈◊Õ°∑”∑’Ë®ÿ¥ (Ò) ‚√§√–∫∫°“√À“¬„® „™âµ”·Àπàß§√Õ∫# ¥—ßπ’È ‡Àπ◊ÕÀ√◊ÕµË”°«à“µ”·Àπàß∫“¥‡®Á∫µ“¡·π«∑“ßºà“π∫√‘‡«≥∫“¥ - ‚√§À≈Õ¥≈¡Õ—°‡ ∫‡√◊ÈÕ√—ß·≈–‚√§À◊¥ §√Õ∫∑’Ë ‡®Á∫. µ”·Àπàß®ÿ¥dingchuan, dazhui (GV-14), shenzhu (GV- (Ù) ‚√§π√’‡«™ 12), geshu (BL-17), xinshu (BL-15), jueyinshu (BL-14), - ¿“«–À¡—π·≈–µ°√–¥Ÿ‰¡à ¡Ë”‡ ¡Õ Ωíß‡¢Á¡°àÕπ ·≈â«®÷ß§√Õ∫®ÿ¥shenshu (BL-23). #µ”·Àπàß®ÿ¥§√Õ∫™◊ËÕ¿“…“®’πÀ“Õà“π‰¥â®“°µ”√“Ωíß‡¢Á¡ ‡™àπ Illustrated Dic- tionary of Chinese Acupuncture √«∫√«¡‡√’¬∫‡√’¬ß‚¥¬ Zhang R, Wu - µ°¢“« §√Õ∫®ÿ¥yaoyan (®ÿ¥„µâ°√–¥Ÿ° —πÀ≈—ß X, Wang N. Hong Kong: Sheepûs Publication; 1986. à«π‡Õ«¢âÕ∑’Ë Û) ·≈–√Õ∫ Ê ®ÿ¥baliao (BL-31 ºà“πµ≈Õ¥‰ª Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Ò˜

∂÷ß BL-34). ‡Õ° “√Õâ“ßÕ‘ß - ª«¥¡¥≈Ÿ° Ωíß‡¢Á¡®ÿ¥ zusanli (ST-36) ·≈– Ò. Dorlandûs Illustrated Medical Dictionary, 31st Ed. Philadelphia: Saunders; 2007. p. 454. guanyuan (CV-4) ·≈â«§√Õ∫∑’Ë®ÿ¥guanyuan . Ú. Cupping. Available from: http://www.itmonline.org.arts/cupping.htm. (ı) ‡∫Á¥‡µ≈Á¥ [Cited 2008 Jan 6] Û. Li J. A milaculous spinal pinching therapy. J Traditional Chinese Med - ‚√§À«—¥ §√Õ∫®ÿ¥dazhui (GV-14) 1996;16:228-9. - ‚√§πÕπ‰¡àÀ≈—∫ §√Õ∫®ÿ¥xinshu (BL-15), Ù. Traditional Chinese Medicine Cupping Therapy (Paperback). Available from: http://www.amazon.co.uk/Traditional-Chinese-Medicine-Cupping- geshu (BL-17), shenshu (BL-23). Therapy/dp/0443102... [Cited 2008 Jan 6] -Õ—¡æ“µ„∫Àπâ“ Ωíß‡¢Á¡·≈–§√Õ∫∑’Ë®ÿ¥dazhui ı. Therapy Definition: Cupping. Available from: http://www. medfinds.com/ therapy_definitions.html?definition=33. [Cited 2008 Jan 6] (GV-14) µ“¡¥â«¬Ωíß‡¢Á¡®ÿ¥∑’Ë‡®Á∫ª«¥. ˆ. Cupping. Available from: http://www.compassionatedragon.com/ (ˆ) ‡æ‘Ë¡‡µ‘¡ı °“√§√Õ∫™à«¬ cupping.html. [Cited 2008 Jan 6] -°”®—¥æ‘… ‡Õ° “√Õà“π‡æ‘Ë¡‡µ‘¡ -‡ªî¥°“√Õÿ¥°—Èπ≈”‰ â à«π‚§≈Õπ. Ò. Chinese Medical Cupping Therapy. Available from: http://www. -ª≈ÿ°ƒ∑∏‘Ïº‘«Àπ—ß ™à«¬≈∫√Õ¬‡À’Ë¬«¬àπ. amcollege.edu/blog/uncategorized/chinese-medical-cupping-therapy- 2.htm. [Cited 2008 Jan 6] -∫”∫—¥∫√√‡∑“À≈Õ¥‡≈◊Õ¥¥”¢Õ¥. Ú. Ancient Chinese technique of cupping offers pain relief without drugs or surgery. Available from: http://www.newstarget.com/020253.html. °√≥’Àâ“¡„™â«‘∏’§√Õ∫∫”∫—¥ˆ [Cited 2008 Jan 6] Û. Acupuncture.Com: Gateway to Chinese Medicine, Health and Ò. ‰¢â Ÿß. Wellness. Available from: http://www.acupuncture.com/education/ Ú. ‚√§™—°, µ–§√‘«. tembasics/cupping.htm. [Cited 2008 Jan 6] Û. ‚√§º‘«Àπ—ß¿Ÿ¡‘·æâ. Ù. ∫√‘‡«≥·º≈‡ªóòÕ¬.

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¿Ÿ¡‘À≈—ß·≈–‡Àµÿº≈ √“¬ §‘¥‡ªìπ —¥ à«π√âÕ¬≈– Òˆ.ˆı ¢Õß®”π«πºŸâªÉ«¬∑—ÈßÀ¡¥ ‚√ßæ¬“∫“≈‡¡◊Õßª“π‡ªìπ‚√ßæ¬“∫“≈™ÿ¡™π¢π“¥ Û „πªïß∫ª√–¡“≥ ÚııÒ, ´÷Ëß°√–∫«π°“√ ”§—≠∑“ß°“√√—°…“ ‡µ’¬ß „Àâ∫√‘°“√∑“ß°“√·æ∑¬å¿“¬„µâ¢Õ∫‡¢µß“π àß‡ √‘¡ ”À√—∫ºŸâªÉ«¬·µà≈–√“¬¡—°ª√–°Õ∫¥â«¬°“√«‘π‘®©—¬‚√§, —Ëß ªÑÕß°—π ∫”∫—¥√—°…“·≈–øóôπøŸ ¿“æµ—Èß·µà æ.». ÚıÚ˜ ¡’ °“√√—°…“¥â«¬¬“, À—µ∂∫”∫—¥ (π«¥‰∑¬) ·≈–°“¬¿“æ∫”∫—¥ ºŸâ√—∫∫√‘°“√‚¥¬‡©≈’Ë¬«—π≈–ª√–¡“≥ Ú §π ´÷Ëß‡ªìπ ¢÷Èπ°—∫™π‘¥·≈–§«“¡√ÿπ·√ß¢ÕßÕ“°“√ªÉ«¬∑’Ë‡°‘¥¢÷Èπ. ·æ∑¬å ª√–™“°√„πæ◊Èπ∑’Ë‡°◊Õ∫∑—ÈßÀ¡¥. “‡Àµÿ ”§—≠¢Õß°“√‡®Á∫ªÉ«¬ À√◊ÕºŸâ∫”∫—¥¡—°®–π—¥ºŸâªÉ«¬¡“√—∫°“√√—°…“µàÕ‡π◊ËÕß·≈–ª√– ¡—°‡°‘¥®“°°“√ª√–°Õ∫Õ“™’æ‡ªìπ ”§—≠ ‚¥¬‡©æ“–‚√§√–∫∫ ‡¡‘πº≈°“√√—°…“À≈“¬§√—Èßµ‘¥µàÕ°—π ‡ªìπ¿“√–µàÕ∑—ÈßÀπà«¬ ‚§√ß√à“ß·≈–°≈â“¡‡π◊ÈÕ®“°°“√∑”‡°…µ√°√√¡ ‚¥¬æ∫√“¬ß“π ß“πºŸâ„Àâ∫√‘°“√·≈–ºŸâ√—∫∫√‘°“√ ´÷Ëß‡ªìπº≈°√–∑∫®“°¢âÕ®”°—¥ ∂‘µ‘°“√‡¢â“√—∫∫√‘°“√¢ÕßºŸâªÉ«¬°≈ÿà¡¥—ß°≈à“« ß∂÷ßŸ ÚÚ,ÒÚÙ À≈“¬¥â“π ‡™àπ ®”π«π∫ÿ§≈“°√ºŸâ„Àâ∫√‘°“√¡’®”°—¥, °“√¢“¥ ‡§√◊ËÕß¡◊ÕÕÿª°√≥å®”‡ªìπ ”À√—∫¥Ÿ·≈ºŸâªÉ«¬, °“√ Ÿ≠‡ ’¬‚Õ°“ *‚√ßæ¬“∫“≈‡¡◊Õßª“π ®—ßÀ«—¥≈”ª“ß „π°“√∑”ß“π·≈–§à“„™â®à“¬√–À«à“ß¡“√—∫°“√√—°…“µàÕ‡π◊ËÕß¢Õß

Ò¯ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Ò˘

ºŸâªÉ«¬. ®—¥°“√¥â«¬¿Ÿ¡‘ªí≠≠“°“√·æ∑¬å·ºπ‰∑¬‡√◊ËÕß ¡ÿπ‰æ√º ¡ °“√‡®Á∫ªÉ«¬¥â«¬‚√§√–∫∫‚§√ß√à“ß·≈–°≈â“¡‡π◊ÈÕ¡’·π« º “π°—∫À≈—°°“√∑“ß°“¬¿“æ∫”∫—¥„π°“√„™â§«“¡√âÕπ™◊Èπ ‚πâ¡Õ—µ√“°“√‡°‘¥‡æ‘Ë¡¢÷Èπ √«¡∑—Èß≈—°…≥–°“√‡°‘¥·≈–§«“¡ ·∫∫µ◊Èπ ¡“ª√–¬ÿ°µå·≈–∑¥≈Õß„™â∑¥·∑π·ºàπª√–§∫√âÕπ∑’Ë √ÿπ·√ß¢Õß‚√§ ´÷Ëß àßº≈°√–∑∫µàÕ§ÿ≥¿“æ™’«‘µ¢ÕßºŸâªÉ«¬‡ªìπ„™â°—πÕ¬Ÿà ´÷Ëß¡’§«“¡®”‡ªìπµâÕß„™â ”À√—∫ºŸâªÉ«¬®”π«π¡“° ·µà ”§—≠. ∑“ß‚√ßæ¬“∫“≈‡¡◊Õßª“π®÷ß°”Àπ¥·π«∑“ß°“√¥Ÿ·≈ ¢“¥ß∫ª√–¡“≥°“√®—¥´◊ÈÕ Õ’°∑—Èß‡æ◊ËÕ √â“ß∑“ß‡≈◊Õ°·≈– àß ºŸâªÉ«¬°≈ÿà¡¥—ß°≈à“«µ“¡·ºπ¬ÿ∑∏»“ µ√å°“√æ—≤π“§ÿ≥¿“æ ‡ √‘¡°“√‡¢â“∂÷ß°“√√—°…“¢ÕßºŸâªÉ«¬ §«∫§Ÿà°—∫æ—≤π“°“√¡’ ‚√ßæ¬“∫“≈ ‚¥¬‡ªî¥§≈‘π‘°°“¬¿“æ∫”∫—¥æ√âÕ¡√—∫∫√√®ÿºŸâ à«π√à«¡‡æ◊ËÕ°“√®—¥°“√ ÿ¢¿“æ¿“§ª√–™“™π∫πæ◊Èπ∞“π√–∫∫ ªØ‘∫—µ‘ß“πª√–®”§≈‘π‘°„πµ”·Àπàßπ—°°“¬¿“æ∫”∫—¥ ‡æ◊ËÕ‡æ‘Ë¡ ‡»√…∞°‘®æÕ‡æ’¬ß ·≈–°“√ àß‡ √‘¡°“√„™â¿Ÿ¡‘ªí≠≠“°“√ ª√– ‘∑∏‘¿“æ∑“ß°“√√—°…“·≈–·∫àß‡∫“¿“√–§≈‘π‘°°“√·æ∑¬å ·æ∑¬åæ◊Èπ∫â“π¢Õß™ÿ¡™π„π√–∫∫ ÿ¢¿“æ √â“ßπ«—µ°√√¡. ·ºπ‰∑¬´÷ËßªØ‘∫—µ‘ß“π∑¥·∑π„π™à«ß‡«≈“∑’Ëºà“π¡“ (°àÕπ ¥â«¬‡Àµÿº≈‡∫◊ÈÕßµâπ∑’Ë°≈à“«¡“ ‚√ßæ¬“∫“≈‡¡◊Õßª“π®÷ß ‡¥◊Õπ¡‘∂ÿπ“¬π Úıı) ¿“¬„µâ°“√§«∫§ÿ¡°”°—∫¢Õß°≈ÿà¡ß“π π—∫ πÿπ àß‡ √‘¡·π«§‘¥°“√æ—≤π“·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√ ‡∑§π‘§∫√‘°“√, ·µàª√– ∫ªí≠À“∑’Ë ”§—≠ §◊Õ °“√¢“¥·§≈π „πß“π°“¬¿“æ∫”∫—¥‡æ◊ËÕª√–¬ÿ°µå„™â∑¥·∑π·ºàπª√–§∫√âÕπ ‡§√◊ËÕß¡◊Õ®”‡ªìπ ”À√—∫„Àâ∫√‘°“√ºŸâªÉ«¬ ´÷Ëß¡’√“§“§àÕπ¢â“ß·æß ´÷ËßµâÕßπ”‡¢â“®“°µà“ßª√–‡∑»ºà“πµ—«·∑π®”Àπà“¬∑’Ë¡’√“§“ ‡°‘π°”≈—ß´◊ÈÕ„π∫“ß√“¬°“√ √«¡∂÷ß°”≈—ß‡®â“Àπâ“∑’Ë¡’ —¥ à«π‰¡à §àÕπ¢â“ß Ÿß·≈–∂Ÿ°®”°—¥¥â«¬ß∫ª√–¡“≥„π°“√®—¥´◊ÈÕ ‚¥¬ ‡æ’¬ßæÕ°—∫∫√‘°“√ºŸâªÉ«¬. °≈ÿà¡ß“π‡∑§π‘§∫√‘°“√®÷ß‰¥â√—∫ °“√æ—≤π“·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√∑’Ë¡’§ÿ≥ ¡∫—µ‘µ“¡¢âÕ∫àß ¡Õ∫À¡“¬„Àâ§‘¥§âπ«‘∏’°“√¥Ÿ·≈ºŸâªÉ«¬°≈ÿà¡¥—ß°≈à“«√à«¡°—∫ „™â„πß“π°“¬¿“æ∫”∫—¥ ´÷Ëß¡’ à«πª√–°Õ∫ ”§—≠‡ªìπ ¡ÿπ‰æ√ §≥–°√√¡°“√∑’¡π” À«‘™“™’æ‡æ◊ËÕ°“√¥Ÿ·≈ºŸâªÉ«¬¿“¬„µâ µ“¡¿Ÿ¡‘ªí≠≠“°“√∑”≈Ÿ°ª√–§∫∑’Ëª√–°Õ∫¥â«¬‡Àßâ“‰æ≈ º‘« °“√π”¢Õß·æ∑¬å «“ß·ºπæ—≤π“°“√∑”ß“π√à«¡√–À«à“ß ¡–°√Ÿ¥ µ–‰§√â ¢¡‘Èπ™—π „∫ â¡ªÉÕ¬ ‡°≈◊Õ·°ß °“√∫Ÿ√ æ‘¡‡ π §≈‘π‘°∫√‘°“√·æ∑¬å·ºπ‰∑¬°—∫§≈‘π‘°°“¬¿“æ∫”∫—¥ ‚¥¬‡√‘Ë¡ ·≈–„∫™“ ( ¡ÿπ‰æ√ª√–®”∂‘Ëπ´÷Ëß‡ªìπ‡Õ°≈—°…≥å¢Õßæ◊Èπ∑’Ë)Ù µâπ∑¥≈Õß„™â≈Ÿ°ª√–§∫ ¡ÿπ‰æ√‡ªìπÕÿª°√≥å„Àâ§«“¡√âÕπ ”À√—∫ª√–¬ÿ°µå„™â·°àºŸâªÉ«¬„π‚√ßæ¬“∫“≈‡¡◊Õßª“π ®—ßÀ«—¥ ∑¥·∑π·ºàπª√–§∫√âÕπ (hydrocollator pack À√◊Õ hot pack) ≈”ª“ß §«∫§Ÿà°—∫ π—∫ πÿπ„ÀâºŸâªÉ«¬·≈–ºŸâ¥Ÿ·≈ºŸâªÉ«¬π”‰ª „π°“√∫”∫—¥¥â«¬§«“¡√âÕπ√–¥—∫µ◊Èπª√–‡¿∑§«“¡√âÕπ™◊ÈπÚ ·µà ª√–¬ÿ°µå„™â¥Ÿ·≈ºŸâªÉ«¬‡∫◊ÈÕßµâπ∑’Ë∫â“π ´÷Ëß™à«¬≈¥¿“√–°“√ ‡π◊ËÕß®“°≈—°…≥–∑“ß°“¬¿“æ¢Õß≈Ÿ°ª√–§∫ ¡ÿπ‰æ√‡ªìπ√Ÿª √—°…“·≈–§à“„™â®à“¬¢Õß∑—ÈßÀπà«¬∫√‘°“√, ºŸâªÉ«¬ ·≈–ºŸâ¥·≈ºŸ ŸâªÉ«¬. ∑√ß°≈¡ ¡’æ◊Èπ∑’Ëº‘« —¡º— πâÕ¬ ‰¡à§√Õ∫§≈ÿ¡∫√‘‡«≥∑’Ë «—µ∂ÿª√– ß§åÀ≈—°¢Õß°“√»÷°…“§√—Èßπ’È ‰¥â·°à °“√æ—≤π“ µâÕß°“√√—°…“´÷Ëß¡’æ◊Èπ∑’Ë°«â“ß Õ’°∑—Èß‰¡à “¡“√∂°—°‡°Á∫·≈– àß «— ¥ÿ°“√·æ∑¬å ”À√—∫ª√–¬ÿ°µå„™â„π°‘®°√√¡∫√‘°“√ºŸâªÉ«¬ ºà“π§«“¡√âÕπ„Àâ‰¥â§ÿ≥¿“æµ“¡¢âÕ°”Àπ¥°“√√—°…“«à“¥â«¬ Õ¬à“ß¡’§ÿ≥¿“æ‡∑’¬∫‡∑à“°—∫Õÿª°√≥å¡“µ√∞“π¿“¬„µâß∫ °“√„™â§«“¡√âÕπ„π√–¥—∫µ◊Èπ ·≈–§«“¡√âÕπ™◊Èπ ´÷Ëß√–∫ÿ«à“ ª√–¡“≥®”°—¥ ç∫√‘‡«≥∑’ËµâÕß°“√®–√—°…“§«√‰¥â√—∫°“√ àßºà“π§«“¡√âÕπ®“° ‡§√◊ËÕß¡◊Õ∑’Ë„™âª√–§∫®π∑”„ÀâÕÿ≥À¿Ÿ¡‘º‘«Àπ—ß‡æ‘Ë¡¢÷Èπ∂÷ß√–¥—∫ √–‡∫’¬∫«‘∏’»÷°…“ °“√√—°…“§◊Õ Ù-Ùı Õß»“‡´≈‡´’¬ π“π Ú-Û π“∑’éÛ. «— ¥ÿ·≈–Õÿª°√≥å‡§√◊ËÕß¡◊Õ ‰¥â·°à·ºàπª√–§∫√âÕπ ¡ÿπ πÕ°®“°π’È°“√√—°…“·µà≈–§√—ÈßµâÕß„™â≈Ÿ°ª√–§∫®”π«π¡“° ‰æ√ ∑’Ë‰¥â®“°°“√‡µ√’¬¡¥—ßπ’È ‡°‘¥°“√ ‘Èπ‡ª≈◊Õß∑“ß¡Ÿ≈§à“°“√√—°…“ (∑—Èß®“°Õ—µ√“°“√„™â≈Ÿ° Ò. ‡µ√’¬¡ à«πª√–°Õ∫ ¡π‰æ√·Àâßµ“¡·π«∑“ß°“√∑”ÿ ª√–§∫∑’Ë‡æ‘Ë¡¢÷Èπ, °“√ ‘Èπ‡ª≈◊Õßæ≈—ßß“π ”À√—∫π÷ËßµàÕ§√—Èß, °“√ ≈Ÿ°ª√–§∫Ù ´÷Ëßª√–°Õ∫¥â«¬‡Àßâ“‰æ≈ Ú °√—¡, º‘«¡–°√Ÿ¥ ®—¥´◊ÈÕ·≈– àß∑”§«“¡ –Õ“¥ºâ“¢πÀπŸ ”À√—∫ÀàÕ≈Ÿ°ª√–§∫∑’Ë¡’ ı °√—¡, µ–‰§√â ı °√—¡, ¢¡‘Èπ™—π Ò °√—¡, „∫ â¡ªÉÕ¬ ı ®”π«π„™â‡æ‘Ë¡¢÷Èπ ‡ªìπµâπ). °≈ÿà¡ß“π§≈‘π‘°∫√‘°“√·≈–§≥– °√—¡, ‡°≈◊Õ·°ß ı °√—¡, °“√∫Ÿ√ ı °√—¡, æ‘¡‡ π ı °√—¡ °√√¡°“√∑’¡π” À«‘™“™’æ‡æ◊ËÕ°“√¥Ÿ·≈ºŸâªÉ«¬ ®÷ß√à«¡°—π ·≈–„∫™“ ˆ °√—¡. π” à«πª√–°Õ∫∑—ÈßÀ¡¥¡“§π„Àâ‡¢â“‡ªìπ æ—≤π“°“√º≈‘µ ç·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√é ®“°·π«§‘¥°“√ ‡π◊ÈÕ‡¥’¬«°—π. Ú «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

Ú. ‡µ√’¬¡·ºàπª√–§∫ ‚¥¬ Ú.Ò ‡µ√’¬¡∂ÿßºâ“ΩÑ“¬¥‘∫ (·ºàπª√–§∫) ¢π“¥ Ûx ∑”°“√»÷°…“ Û ‡´πµ‘‡¡µ√ Ò. ∑¥ Õ∫ ¡∫—µ‘°“√‡°Á∫√—°…“§«“¡√âÕπ¢Õß·ºàπ - µ‘¥¢Õ∫‚¥¬√Õ∫¥â«¬´‘ª ª√–§∫√âÕπ ¡ÿπ‰æ√ ‚¥¬ - ‡¬Á∫¿“¬„π‡ªìπ™àÕß ˆ ™àÕß (Ú ·∂« Ê ≈– Û Ò.Ò π”·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√∑’ËµâÕß°“√∑¥ Õ∫ ™àÕß) ¢π“¥™àÕß≈– Ò x Òı ‡´πµ‘‡¡µ√ ‡æ◊ËÕ∫√√®ÿ∂ÿß ¡ÿπ‰æ√æ√¡πÈ”æÕÀ¡“¥ (‡©æ“– ”À√—∫°“√„™â§√—Èß·√°) π÷Ëß„π°√–∑– ·Àâß∑’Ë‡ªìπ à«πª√–°Õ∫ Ò ™π‘¥. π÷Ëß‰øøÑ“ (Ò,ı «—µµå, ÚÚ ‚«≈µå, ı ‡Œ‘√åµ) π“π Ú π“∑’. Ú.Ú ‡µ√’¬¡∂ÿß∫√√®ÿ ¡ÿπ‰æ√·Àâß∑’Ë¡’ à«πª√–°Õ∫ Ò.Ú π”·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√ºà“π°“√π÷Ëß∑’Ë Ò ™π‘¥ ‚¥¬‡¬Á∫∂ÿßºâ“ΩÑ“¬¥‘∫ ¢π“¥ ˜.ıx ÒÙ ‡´πµ‘‡¡µ√ µâÕß°“√∑¥ Õ∫¡“ÀàÕ¥â«¬ºâ“¢πÀπŸ¢π“¥ Ú˘ x ˆ π‘È« ‚¥¬ ·≈–‡¬Á∫µ‘¥ª“°∂ÿß¥â«¬´‘ª ®”π«π ˆ ∂ÿß. π”ºâ“¢πÀπŸ¡“æ—∫§√÷Ëß·≈â««“ß·ºàπª√–§∫µ√ß°≈“ßº◊πºâ“. Ú.Û ∫√√®ÿ ¡ÿπ‰æ√·Àâß ( à«πª√–°Õ∫∑’Ë‡µ√’¬¡‰«â) ®“°π—Èπæ—∫∑∫¡¡∑—Èß ’Ë¢Õßºâ“¢πÀπÿ ‡¢â“À“°—πŸ ®–‰¥â§«“¡Àπ“√«¡ ≈ß„π∂ÿß∫√√®ÿ ¡ÿπ‰æ√∂ÿß≈– ı °√—¡ ®”π«π ˆ ∂ÿ¯ß; ™—Èπ.√Ÿ¥´‘ª ∑”°“√«—¥Õÿ≥À¿Ÿ¡‘¢Õß·ºàπª√–§∫ ¡ÿπ‰æ√¥â«¬ ªî¥„Àâ‡√’¬∫√âÕ¬. ‡∑Õ√å‚¡¡‘‡µÕ√å™π‘¥·∑àß Õ¥‰«â√–À«à“ß·ºàπª√–§∫√âÕπ·≈–ºâ“ Ú.Ù „ à∂ÿß∫√√®ÿ ¡ÿπ‰æ√·Àâß„π∂ÿß·ºàπª√–§∫ ¢πÀπŸ „πÀâÕßª√—∫Õ“°“»∑’ËÕÿ≥À¿Ÿ¡‘ Úı Õß»“‡´≈‡´’¬ . Õà“π µ“¡™àÕß∑’Ë®—¥‡µ√’¬¡‰«â ˆ ™àÕß √Ÿ¥´‘ªªî¥„Àâ‡√’¬∫√âÕ¬ (√Ÿª∑’Ë Ò §à“Õÿ≥À¿Ÿ¡‘∑ÿ° Ê Ú π“∑’ ®π§√∫ ı π“∑’. ·≈– Ú). Ò.Û ∫—π∑÷°§à“°“√‡ª≈’Ë¬π·ª≈ßÕÿ≥À¿Ÿ¡‘∑’Ë«—¥‰¥â ·≈–∑”´È”°√–∫«π°“√¢â“ßµâπ ®”π«π Ò §√—Èß. Ú. »÷°…“º≈°“√„™â·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√°—∫ºŸâªÉ«¬∑’Ë ·æ∑¬å«‘π‘®©—¬·≈– àß√—°…“¥â«¬°“¬¿“æ∫”∫—¥√à«¡°—∫°“√ ª√–§∫√âÕπ µ“¡«‘∏’°“√√—°…“∑“ß°“¬¿“æ∫”∫—¥ ®”π«π ˘ √“¬ „π‡¥◊Õπµÿ≈“§¡ Úıı. Ú.Ò π”·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√∑’Ë®–π”‰ª„™âæ√¡ πÈ”æÕÀ¡“¥ (‡©æ“– ”À√—∫°“√„™â§√—Èß·√°) π÷Ëß„π°√–∑–π÷Ëß‰øøÑ“ (Ò,ı «—µµå, ÚÚ ‚«≈∑å, ı ‡Œ‘√å∑) π“π Ú π“∑’. Ú.Úπ”·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√∑’Ëºà“π°“√π÷Ëß·≈â« ¡“ÀàÕ¥â«¬ºâ“¢πÀπŸÀπ“ ¯ ™—Èπ ‡À¡◊Õπ¢—ÈπµÕπ∑’Ë Ò.Ú ·≈â« √Ÿª∑’Ë Ò ¿“æ·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√ (¥â“π„π)

√Ÿª∑’Ë Ú ¿“æ·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√ (¥â“ππÕ°) √Ÿª∑’Ë Û ·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√«“ß„πµ”·Àπàß√—°…“ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ÚÒ

«“ß·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√¥â“π∑’ËÀπ“ ¯ ™—Èπ ≈ß∫πµ”·Àπàß π÷Ëß¥â«¬°√–∑–π÷Ëß‰øøÑ“ π“π Ú π“∑’ ∑ÿ°Ê Ú π“∑’ ®”π«π ∑’ËµâÕß°“√∫”∫—¥¥—ß√Ÿª∑’Ë Û. Ò §√—Èß ·≈–§”π«≥§à“‡©≈’Ë¬Õÿ≥À¿Ÿ¡‘∑’Ë«—¥‰¥â æ∫«à“Õÿ≥À¿Ÿ¡‘ Ú.Û «—¥Õÿ≥À¿Ÿ¡‘º‘«Àπ—ß¥â«¬¡“µ√Õÿ≥À¿Ÿ¡‘º‘«Àπ—ß ¢Õß·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√®–¢÷Èπ∂÷ß®ÿ¥ Ÿß ÿ¥Õ¬à“ß√«¥‡√Á«∑’Ë Biofeedback Myomed 432, Enraf Nonius µ√ß∫√‘‡«≥ Õÿ≥À¿Ÿ¡‘‡©≈’Ë¬ ˆÒ.˘ı Õß»“‡´≈‡´’¬ ≥ π“∑’∑’Ë Ù ·≈–§àÕ¬ Ê µ”·Àπàß∑’Ë«“ß·ºàπª√–§∫√âÕπ. ∫—π∑÷°Õÿ≥À¿Ÿ¡‘º‘«Àπ—ß∑’Ë ≈¥Õÿ≥À¿Ÿ¡‘≈ßÕ¬à“ß™â“ Ê ®πµË” ÿ¥∑’Ë ÙÒ.ˆ Õß»“‡´≈‡´’¬ „π ‡ª≈’Ë¬π·ª≈ß∑ÿ° Ê Ú π“∑’ π“π ı π“∑’. π“∑’∑’Ë ı (√Ÿª∑’Ë Ù) ´÷Ëß· ¥ß«à“·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√¡’ Û. »÷°…“√–¥—∫§«“¡æ÷ßæÕ„®µàÕ°“√√—∫∫√‘°“√ ¡∫—µ‘°—°‡°Á∫§«“¡√âÕπ‰¥â‡ªìπÕ¬à“ß¥’ µàÕ‡π◊ËÕß°—π‡ªìπ‡«≈“ °“¬¿“æ∫”∫—¥¥â«¬·ºàπª√–§∫√âÕπ ¡ÿπ‰æ√„πºŸâªÉ«¬∑’Ë·æ∑¬å π“πµ≈Õ¥√–¬–‡«≈“ ı π“∑’ ®÷ß √ÿª«à“·ºàπª√–§∫√âÕπ àß¡“√—∫°“√∑”°“¬¿“æ∫”∫—¥√à«¡°—∫°“√ª√–§∫√âÕπ ®”π«π ¡ÿπ‰æ√ “¡“√∂‡°Á∫√—°…“§«“¡√âÕπ„π√–¥—∫Õÿ≥À¿Ÿ¡‘ ”À√—∫ Û √“¬ „π‡¥◊Õπµÿ≈“§¡ - ∏—π«“§¡ Úıı. °“√√—°…“‰¥âπ“π¡“°°«à“ Ú-Û π“∑’Û.

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Abstract Development of Herbal Hot Pack for Patients with Musculoskeletal System Disorders Jukkapun Kittamanorote, Sirinark Thamkom Muang Parn Hospital, Amphur Muang Parn, Lampang Province The purpose of this study was to develop a new herbal hot pack to replace the currently used costly hydrocollator pack or hot pack for patients receiving physiotherapy at Muang Pan Hospital, Lampang Province. It was aimed at enabling both patients and caretakers, under proper instruction of physiotherapy staff, to use the newly developed herbal hot pack for primary health care at home in order to reduce the workload and the expense of providing certain health service facilities and caretakers. The development process was based on the traditional knowledge of the preparation of luk prakob or hot herbal ball and the properties of hot packs. Based on the principle of physiotherapy, the hot pack should retain and transfer the heat to raise and maintain dermal temperature at the therapeutic level of 40-45ûC for at least 20 minutes. In this pilot study, a herbal hot pack of standard size (30 cm2) was developed and its effects on the changes of the dermal temperature over time were recorded. It was found that the steamed herbal hot pack was able to keep the dermal temperature of the affected areas of the body at the therapeutic level for 20-30 minutes and the patients were very satisfied with the treatment. The herbal hot pack thus developed can therefore be used effectively to replace the pricey standard hydrocollator pack or hot pack. Key words: herbal hot pack, musculoskeletal system disorders, Muang Parn Hospital, Lampang Province «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ°ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol.ªï∑’Ë 6 ˆ©∫ No.—∫∑’Ë 1 ÒJanuary-April¡°√“§¡-‡¡…“¬π 2008ÚııÒ

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¿Ÿ¡‘À≈—ß·≈–‡Àµÿº≈ ¬“À√◊Õ‡«™¿—≥±åµà“ß Ê ‡æ◊ËÕ„™â∑¥·∑πŒÕ√å‚¡πÀ√◊Õª√—∫ ¡¥ÿ≈ ¿“«–À¡¥√–¥‡ªìπÕŸ ÿ∫—µ‘°“√≥å∏√√¡™“µ‘¢ÕßÀ≠‘ß∑—Ë«‰ª ·µà ¢ÕßŒÕ√å‚¡π„Àâª√°µ‘ ·µà°Á¬—ß‰¡à “¡“√∂∑¥·∑π‰¥â∑—ÈßÀ¡¥ ¡’À≠‘ß∫“ß°≈ÿà¡ª√– ∫¿“«–Õ“°“√¢Õß°“√À¡¥√–¥Ÿ√ÿπ·√ß ·≈–∫“ß√“¬‡°‘¥º≈¢â“ß‡§’¬ß®“°°“√„™â¬“, æ√âÕ¡°—ππ’È¬—ßÕ“® ‡π◊ËÕß®“°¡’√–¥—∫ŒÕ√å‚¡π‡Õ ‚µ√‡®πµË”°àÕ„Àâ‡°‘¥Õ“°“√‰¡à ∫“¬ ∑”„Àâ‡°‘¥¿“«–‡ ’Ë¬ß°“√‡°‘¥¡–‡√Áß‰¥âÕ’°¥â«¬. √âÕπ«Ÿ∫«“∫¡“°µ“¡º‘«Àπ—ß Õ“√¡≥åª√«π·ª√ πÕπ‰¡àÀ≈—∫ ¡’√“¬ß“π°“√»÷°…“·≈–«‘®—¬Ú «à“ª√‘¡“≥¢Õß “√‰ø‚µ‡®π ‡Àß◊ËÕÕÕ° πÈ”Àπ—°‡æ‘Ë¡·≈–Õ“®‡ ’Ë¬ß°“√‡°‘¥‚√§À—«„®·≈– „πªí “«–¢ÕßÀ≠‘ß™“«≠’ËªÿÉπ®– Ÿß°«à“À≠‘ß™“«µ–«—πµ° °√–¥Ÿ°æ√ÿπ‰¥âÒ ´÷Ëßªí®®ÿ∫—π∑“ß°“√·æ∑¬å‰¥âæ¬“¬“¡ √√À“ ª√–¡“≥ Ù ‡∑à“ ¢≥–‡¥’¬«°—πÀ≠‘ß™“«≠’ËªÿÉπ®–¡’™à«ß¢Õß °“√¡’√–¥Ÿ¬“«π“π°«à“À≠‘ß™“«Õ‡¡√‘°—π ·≈–æ∫«à“À≠‘ß™“« *‚√ßæ¬“∫“≈§Ÿ‡¡◊Õß ®—ßÀ«—¥∫ÿ√’√—¡¬å ≠’ËªÿÉπ¡’°“√∫√‘‚¿§∂—Ë«‡À≈◊Õß·≈–º≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß‡ªìπª√–®”

ÚÙ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Úı

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º‘«Àπ—ß√âÕπ«Ÿ∫«“∫·≈–‡Àß◊ËÕÕÕ°, ‰¡à¡’‚√§ª√–®”µ—« ‡™àπ °“√ª√–‡¡‘πÕ“°“√µ“¡·∫∫ª√–‡¡‘π MRS ∑”‚¥¬ §«“¡¥—π‚≈À‘µ ß,Ÿ ‚√§À—«„®, ‚√§∏—¬√Õ¬¥å, ‚√§À◊¥ À√◊Õ¡–‡√Áß. ·æ∑¬å§π‡¥’¬«°—πµ≈Õ¥°“√»÷°…“∑—Èß Ú °≈ÿà¡. πÕ°®“°π—Èπ µâÕß‰¡à¡’ª√–«—µ‘°“√·æâ¬“À√◊Õ “√ª√–°Õ∫ Õ“ “ ¡—§√∑ÿ°√“¬‰¥â√—∫°“√´—°ª√–«—µ‘, µ√«®√à“ß°“¬ ∑’Ë∑”„Àâµ—«‡À≈◊Õß ·≈–√–À«à“ß‡¢â“√à«¡°“√«‘®—¬µâÕß‰¡à∫√‘‚¿§ ·≈–‡®“–‡≈◊Õ¥¥” Ò-Òı ¡‘≈≈‘≈‘µ√µ√«®√–¥—∫πÈ”µ“≈„π‡≈◊Õ¥ º≈‘µ¿—≥±å∂—Ë«‡À≈◊ÕßÕ◊Ëπ Ê ‡™àπ π¡∂—Ë«‡À≈◊Õß, ‡µâ“ÀŸâ. À≈—ßß¥Õ“À“√, ¬Ÿ‡√’¬‰π‚µ√‡®π„π‡≈◊Õ¥, §√’‡Õ∑‘π’π„π´’√—Ë¡, ºŸâ«‘®—¬‰¥âÕ∏‘∫“¬„ÀâÕ“ “ ¡—§√∑√“∫‡°’Ë¬«°—∫‚§√ß°“√ ºŸâ °“√∑”ß“π¢Õßµ—∫ ·≈–√–¥—∫‰¢¡—π °àÕπ‡¢â“‚§√ß°“√»÷°…“ ∑’Ë ¡—§√„®·≈–¬‘π¬Õ¡‡¢â“√—∫°“√»÷°…“«‘®—¬µâÕß‡´Áπ™◊ËÕ„π„∫ ·≈–∑ÿ° ˆ —ª¥“ÀåÀ≈—ß°‘π¬“§√∫Õ’° Ú §√—Èß. ¬‘π¬Õ¡µ“¡·∫∫∑’ËÕπÿ¡—µ‘‚¥¬§≥–°√√¡°“√æ‘®“√≥“°“√ °“√∑¥ Õ∫º≈°“√»÷°…“À“§«“¡·µ°µà“ß¢ÕßÕ“°“√ »÷°…“«‘®—¬„π§π¥â“π°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° µà“ß Ê „π·µà≈–™à«ß¢Õß°“√»÷°…“¢Õß·µà≈–°≈ÿà¡„™â§à“∑“ß ∂‘µ‘ °√–∑√«ß “∏“√≥ ÿ¢. §à“‡©≈’Ë¬, §à“‡∫’Ë¬ß‡∫π¡“µ√∞“π ·≈–‡ª√’¬∫‡∑’¬∫§«“¡·µ° ‡°≥±å°“√∂ÕπÕ“ “ ¡—§√∑’Ë‡¢â“‚§√ß°“√ÕÕ°®“°°“√ µà“ß¥â«¬°“√∑¥ Õ∫∑’®—∫§Ÿà, °“√∑¥ Õ∫∑’Õ‘ √–, °“√∑¥ Õ∫ »÷°…“‰¥â·°à (Ò) ‡°‘¥ªí≠À“‚√§·∑√°´âÕπ ‡™àπ §«“¡¥—π‚≈À‘µ Ÿß Wilcoxon signed-ranks ·≈–°“√∑¥ Õ∫ Mann Whitney ‚√§À—«„® ‚√§µàÕ¡∏—¬√Õ¬¥å ‚√§À◊¥ ‚√§¡–‡√Áß, (Ú) ¡’Õ“°“√ U ‚¥¬‚ª√·°√¡«‘‡§√“–Àå ∂‘µ‘ ”‡√Á®√Ÿª ·≈–„™âº≈°“√∑¥ Õ∫ ·æâ À√◊Õ‡°‘¥¿“«–·∑√°´âÕπ¢—Èπ√ÿπ·√ß°—∫Õ“ “ ¡—§√ ‡™àπ ¡’ ¡’π—¬ ”§—≠∑“ß ∂‘µ‘∑’Ë√–¥—∫§à“æ’ < .ı. º≈°√–∑∫µàÕµ—∫À√◊Õ‰µ, (Û) ·æ∑¬åæ‘®“√≥“·≈â««à“‰¡àµÕ∫ πÕßµàÕº≈‘µ¿—≥±åÕ“À“√‡ √‘¡∂—Ë«‡À≈◊Õß∑’Ë„™â„π°“√«‘®—¬, (Ù) º≈°“√»÷°…“ °‘πÕ“À“√∑’Ë¡’ à«πª√–°Õ∫®“°∂—Ë«‡À≈◊Õß, (ı) ‰¡à¡“µ“¡π—¥, ·≈– “√‰Õ‚ ø≈“‚«π (ˆ) ‰¡à ¡—§√„®Õ¬Ÿà„π‚§√ß°“√. °“√«‘‡§√“–Àåª√‘¡“≥ “√‰Õ‚ ø≈“‚«π„πº≈‘µ¿—≥±å∂—Ë« °“√«‘®—¬§√—Èßπ’È‡ªìπ°“√«‘®—¬‡™‘ß∑¥≈Õß·∫∫§«∫§ÿ¡¢â“¡ ‡À≈◊Õß∫√√®ÿ·§ª´Ÿ≈¢π“¥ ı ¡°. æ∫ª√‘¡“≥ genistein ‰¢«âÀ≈Õ° Ú ¥â“π (double-blind, placebo controlled trial ÒÒ˘.ÚÒ ‰¡‚§√°√—¡·≈– daidzein ÚÙ.ı ‰¡‚§√°√—¡. cross-over, randomly designed). ÿà¡Õ“ “ ¡—§√∑’Ëºà“π ÿ¢¿“æª√–™“°√µ—«Õ¬à“ß°àÕπ·≈–À≈—ß°“√»÷°…“ ‡°≥±å·≈–¬‘π¬Õ¡‡¢â“√à«¡°“√»÷°…“®”π«π Û §π¥—ß°≈à“« º≈°“√µ√«®√à“ß°“¬ ·≈–°“√µ√«®‡≈◊Õ¥«‘‡§√“–Àå ¢â“ßµâπ ·≈–·∫àß°≈ÿà¡ª√–™“°√‡ªìπ Ú °≈ÿà¡‚¥¬ ÿà¡µ“¡≈”¥—∫πÈ”µ“≈À≈—ßß¥Õ“À“√, ¬Ÿ‡√’¬‰π‚µ√‡®π, §√’Õ–∑’π’π, °“√∑”ß“π ‡≈¢∑’Ë‡¢â“‚§√ß°“√ °≈ÿà¡≈– Òı §π. ≈”¥—∫‡≈¢§’Ë„ÀâÕ¬Ÿà°≈ÿà¡ °,¢Õßµ—∫ ·≈–‰¢¡—π ¢ÕßÕ“ “ ¡—§√∑ÿ°√“¬°àÕπ·≈–À≈—ß°“√ ≈”¥—∫‡≈¢§Ÿà„ÀâÕ¬Ÿà°≈ÿà¡ ¢. ∑¥≈ÕßÕ¬Ÿà„π‡°≥±åª√°µ‘ ·≈–‰¡àæ∫§«“¡·µ°µà“ß√–À«à“ß Ú °≈ÿà¡ ° °‘πº≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß·§ª´Ÿ≈ ı ¡°. Ò °≈ÿà¡∑’Ë»÷°…“. ·§ª´Ÿ≈À≈—ßÕ“À“√«—π≈– Û §√—Èß ‡ªìπ‡«≈“ ˆ —ª¥“Àå·≈â«„Àâ ¡’Õ“ “ ¡—§√ Ò √“¬„π°≈ÿà¡ ° ‡°‘¥≈¡æ‘…„π™à«ß∑’Ë À¬ÿ¥æ—° ÚÙ ™—Ë«‚¡ß, ·≈â«„Àâ°‘π¬“À≈Õ°·§ª´Ÿ≈≈– ı ¡°. ‰¥â√—∫¬“À≈Õ° ´÷Ëß§≥–ºŸâ«‘®—¬æ‘®“√≥“·≈â«‡ÀÁπ ¡§«√„Àâ∂Õπ Ò ·§ª´Ÿ≈À≈—ßÕ“À“√«—π≈– Û §√—Èß‡ªìπ‡«≈“ ˆ —ª¥“Àå. °“√ ÕÕ°®“°°“√»÷°…“. ª√–‡¡‘πÕ“°“√„™â·∫∫ª√–‡¡‘π MRS ª√–‡¡‘π§√—Èß∑’Ë Ò „π«—π º≈√«¡¢Õß°“√∑¥≈Õß∑—Èß Ú °≈ÿà¡‡ªìπ‡«≈“ ÒÚ °àÕπ°‘πº≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß, §√—Èß∑’Ë Ú „π«—πÀ≈—ß°‘πº≈‘µ¿—≥±å —ª¥“Àå æ∫«à“°àÕπ°“√»÷°…“ ºŸâ√—∫°“√∑¥≈Õß¡’Õ“°“√Õ¬Ÿà„π ∂—Ë«‡À≈◊Õß§√∫ ˆ —ª¥“Àå, ·≈–§√—Èß∑’Ë Û „π«—πÀ≈—ß°‘π¬“ √–¥—∫√ÿπ·√ßª“π°≈“ß∂÷ßπâÕ¬ ·µà‡¡◊ËÕ‰¥â√—∫º≈‘µ¿—≥±å∂—Ë« À≈Õ°§√∫ ˆ —ª¥“Àå. ‡À≈◊Õß√à«¡°—∫¬“À≈Õ° Õ“°“√ à«π„À≠à≈¥≈ß®“°√–¥—∫ °≈ÿà¡ ¢ °‘π¬“À≈Õ° ı ¡°. Ò ·§ª´Ÿ≈À≈—ßÕ“À“√«—π √ÿπ·√ßª“π°≈“ß‰ª Ÿà√–¥—∫πâÕ¬ ·≈–∫“ßÕ“°“√≈¥≈ß∂÷ß√–¥—∫ ≈– Û §√—Èß ˆ —ª¥“Àå, À¬ÿ¥æ—° ÚÙ ™—Ë«‚¡ß ·≈â«°‘π ‰¡à¡’Õ“°“√¥—ß√“¬≈–‡Õ’¬¥· ¥ß„πµ“√“ß∑’Ë Ò. º≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß ı ¡°. Ò ·§ª´Ÿ≈À≈—ßÕ“À“√«—π≈– Û º≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß∑’Ë„™â√à«¡°—∫¬“À≈Õ°‡ªìπ√–¬–‡«≈“ §√—ÈßÕ’° ˆ —ª¥“Àå. ª√–‡¡‘πÕ“°“√ Û §√—Èß‡™àπ‡¥’¬«°—∫°≈ÿà¡ °. ÒÚ —ª¥“Àå¡’º≈≈¥§«“¡√ÿπ·√ß¢ÕßÕ“°“√ ˆ Õ¬à“ß §◊Õ √âÕπ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Ú˜

µ“√“ß∑’Ë Ò ®”π«πºŸâªÉ«¬·∫àßµ“¡√–¥—∫§«“¡√ÿπ·√ß¢ÕßÕ“°“√À¡¥√–¥Ÿ°àÕπ·≈–À≈—ß‰¥â√—∫¬“ °àÕπ‰¥â√—∫¬“ À≈—ß‰¥â√—∫¬“ ÒÚ —ª¥“Àå Õ“°“√µ“¡·∫∫ª√–‡¡‘π‰¡à¡’ πâÕ¬ ª“π°≈“ß √ÿπ·√ß √ÿπ·√ß¡“° ‰¡à¡’ πâÕ¬ ª“π°≈“ß √ÿπ·√ß √ÿπ·√ß¡“° Õ“°“√À¡¥√–¥Ÿ (MRS) () (Ò) (Ú) (Û) (Ù) () (Ò) (Ú) (Û) (Ù) √âÕπ«Ÿ∫«“∫µ“¡µ—«Ò˜ÒÛıÚı (ıˆ.˜) (ÙÛ.Û) (Òˆ.˜) (ˆˆ.˜) (Òˆ.˜) ‡Àß◊ËÕÕÕ°  ˆ ÚÚ Ò Ò  ˘ Ò˘ Ò Ò (Ú) (˜Û.Û) (Û.Û) (Û.Û) (Û) (ˆÛ.Û) (Û.Û) (Û.Û) „® —Ëπ, ‡Àπ◊ËÕ¬ßà“¬ ı ÒÒ ÒÒ Û  ÒÚ Ò ı Û  (Òˆ.˜) (Ûˆ.˜) (Ûˆ.˜) (Ò) (Ù) (ÛÛ.Û) (Òˆ.˜) (Ò) À≈—∫¬“°, µ◊Ëπ‡√Á«˜ÒˆˆÒÒÒıı (ÚÛ.Û) (ÛÛ.Û) (Ú) (Ú) (Û.Û) (ÛÛ.Û) (ÛÛ.Û) (Ò.ˆ.˜) (Òˆ.˜) ‚°√∏ßà“¬, ´÷¡‡»√â“˜ÒÚ¯ÛÒÛ˘ˆÚ (ÚÛ.Û) (Ù) (Úˆ.˜) (Ò) (ÙÛ.Û) (Û) (Ú) (ˆ.˜) µ◊Ëπ‡µπÒâ ÒıÙÒÒÛÒÙÛ (ÛÛ.Û) (ı) (ÒÛ.Û) (Û.Û) (ÙÛ.Û) (Ùˆ.˜) (Ò) ¢’È≈◊¡, ‰¡à¡’ ¡“∏‘ ÛÒ˜˜ Û  ÛÒˆ¯ Û  (Ò) (ıˆ.˜) (ÚÛ.Û) (Ò) (Ò) (ıÛ.Û) (Úˆ.˜) (Ò) ¡’ªí≠À“∑“ß‡æ» ÒÛ ÒÚ Ù Ò  ÒÙ ÒÒ Û Ú  (ÙÛ.Û) (Ù) (ÒÛ.Û) (Û.Û) (Ùˆ.˜) (Ûˆ.˜) (Ò) (ˆ.˜) ªí “«–∫àÕ¬À√◊Õ≈”∫“° Òˆ ¯ ˆ   ÚÒ Ò Ù   (ıÛ.Û) (Úˆ.˜) (Ú) (˜) (Û.Û) (ÒÛ.Û) ™àÕß§≈Õ¥·ÀâßÒÛÒÚÛÚÒ˜ÒÛ (ÙÛ.Û) (Ù) (Ò) (ˆ.˜) (ıˆ.˜) (ÛÛ.Û) (Ò) ª«¥¢âÕÚÒÙ˘ıÙÒÙ ˜ ı  (ˆ.˜) (Ùˆ.˜) (Û) (Òˆ.˜) (ÒÛ.Û) (Ùˆ.˜) (ÚÛ.Û) (Òˆ.˜) MRS = Menopause Rating Scale µ—«‡≈¢„π«ß‡≈Á∫‡ªìπ§à“√âÕ¬≈–

«Ÿ∫«“∫µ“¡µ—«, „® —Ëπ ‡Àπ◊ËÕ¬ßà“¬, ‚°√∏ßà“¬ ´÷¡‡»√â“, µ◊Ëπ‡µâπ, «‘®“√≥å ªí “«–∫àÕ¬À√◊Õ≈”∫“° ·≈–ª«¥¢âÕ „Àâ¡’√–¥—∫≈¥≈ßÕ¬à“ß¡’ °“√√—°…“ºŸâªÉ«¬«—¬À¡¥√–¥∑“ß°“√·æ∑¬å·ºπªí®®Ÿ ∫—πÿ ºŸâ π—¬ ”§—≠∑“ß ∂‘µ‘ ·≈–§–·ππ√«¡°Á· ¥ßª√– ‘∑∏‘º≈¢Õß ªÉ«¬¡—°®–‰¥â√—∫¬“ŒÕ√å‚¡π∑¥·∑π (hormone replacement °“√„™âº≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß√à«¡°—∫¬“À≈Õ°∑”„Àâ≈¥§–·ππ therapy, HRT). ¬“‡À≈à“π’È¡’√“§“·æß·≈–µâÕßπ”‡¢â“®“°µà“ß ‡©≈’Ë¬¢ÕßÕ“°“√ ÒÒ Õ¬à“ß‰¥âÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘‡™àπ°—π ª√–‡∑» Õ’°∑—Èß¬—ß°àÕ„Àâ‡°‘¥º≈¢â“ß‡§’¬ß∑’Ë¡’Õ—πµ√“¬ Ÿß ‡™àπ (µ“√“ß∑’Ë Ú). ¡–‡√Áß‡µâ“π¡, ¡–‡√Áß§Õ¡¥≈Ÿ°. ®“°°“√∑∫∑«π«√√≥°√√¡ ‡¡◊ËÕπ”§–·ππ√«¡¢ÕßÕ“°“√°“√À¡¥√–¥Ÿ∑—Èß ÒÒ ‰¥âæ∫√“¬ß“πÀ≈“¬©∫—∫∑’ËÕâ“ß∂÷ß§«“¡‡ ’Ë¬ß·≈–®√‘¬∏√√¡„π Õ¬à“ß¡“®—¥‡ªìπ Ù √–¥—∫‡æ◊ËÕæ‘®“√≥“§«“¡√ÿπ·√ß∑“ß‡«™ °“√∑”°“√»÷°…“«‘®—¬„™â¬“ŒÕ√å‚¡π∑¥·∑π ´÷Ëß√“¬ß“π¥—ß °√√¡æ∫«à“°“√‰¥â√—∫º≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß√à«¡°—∫¬“À≈Õ° °≈à“« √ÿª«à“æ∫§«“¡‡ ’Ë¬ß¡“°°«à“ª√–‚¬™πå ·≈–¡’À≈“¬ “¡“√∂≈¥√–¥—∫§«“¡√ÿπ·√ß‰¥âÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘ ‚§√ß°“√∑’Ë¬°‡≈‘°°“√»÷°…“°≈“ß§—π¥â«¬‡Àµÿº≈∑“ß®√‘¬∏√√¡ (µ“√“ß∑’Ë Û). ‡™àπ‚§√ß°“√ Women Health Initiative ∑’Ë¬ÿµ‘°“√»÷°…“ Ú¯ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

µ“√“ß∑’Ë Ú §«“¡√ÿπ·√ß¢ÕßÕ“°“√À¡¥√–¥ŸàÕπ·≈–À≈—ß‰¥â√—∫¬“‡ªì ° π‡«≈“ ÒÚ —ª¥“Àå °àÕπ‰¥â√—∫¬“ À≈—ß‰¥â√—∫¬“ ≈”¥—∫∑’Ë Õ“°“√t §à“æ’ §à“‡©≈’Ë¬ ± §à“‡∫’Ë¬ß‡∫π¡“µ√∞“π §à“‡©≈’Ë¬ ± §à“‡∫’Ë¬ß‡∫π¡“µ√∞“π

Ò√âÕπ«Ÿ∫«“∫µ“¡µ—« Ú.ÙÛ ± .ı Ú. ± .ı¯ .Ò** Ú ‡Àß◊ËÕÕÕ° Ò.˘ ± .ˆÒ Ò.¯ ± .ˆˆ .Úı˜ Û „® —Ëπ, ‡Àπ◊ËÕ¬ßà“¬ Ò.Ù ± .¯˘ .˘˜ ± Ò. .¯** ÙÀ≈—∫¬“°, µ◊Ëπ‡√Á« Ò.Ù˜ ± Ò.Ò˜ Ò.Ò˜ ± Ò.˘ .ˆ˜ ı ‚°√∏ßà“¬, ´÷¡‡»√â“Ò.ÚÛ± .˘Ù .˘ ± .˘ˆ .Ù** ˆµ◊Ëπ‡µâπ .¯˜ ± .˜¯ .ˆ˜ ± .ˆˆ .ÒÙ* ˜¢’È≈◊¡, ‰¡à¡’ ¡“∏‘ Ò.ÛÛ ± .¯ Ò.Û˜ ± .¯Ò .˘Òı ¯¡’ªí≠À“∑“ß‡æ» .˜˜ ± .¯Ú .˜˜ ± .˘ Ò. ˘ªí “«–∫àÕ¬À√◊Õ≈”∫“° .ˆ˜ ± .¯ .ÙÛ ± .˜Û .Ú* Ò ™àÕß§≈Õ¥·Àâß .¯ ± .¯˘ .ıÛ ± .ˆ¯ .ˆÛ ÒÒ ª«¥¢âÕ Ò.ı˜ ± .¯ˆ Ò.ÙÛ ± .˘Ù .Ùˆ* tt §–·ππ√«¡ (§à“‡©≈’Ë¬ ± §à“‡∫’Ë¬ß‡∫π¡“µ√∞“π) ÒÙ.ÛÛ ± Û.¯¯ ÒÚ.Û ± Ù.¯ˆ .Ò** §à“§–·ππ√–À«à“ß -ÙÙ §–·ππ t ∂‘µ‘°“√∑¥ Õ∫ Wilcoxon signed-ranks, tt ∂‘µ‘°“√∑¥ Õ∫∑’®—∫§Ÿà *§à“æ’ <.ı, **§à“æ’ <.ı

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‡π◊ËÕß®“°°≈—««à“Õ“ “ ¡—§√®–‰¥â√—∫§«“¡‡ ’Ë¬ß‚¥¬‰¡à®”‡ªìπ˘ ´÷Ëß ∑“ß‡≈◊Õ°„π°“√√—°…“À≠‘ß«—¬À¡¥√–¥Ÿ ”À√—∫ºŸâ∑’Ë‰¡à –¥«° ‡ªìπ‡Àµÿº≈∑’ËºŸâ«‘®—¬π’È‡≈◊Õ°»÷°…“‡ª√’¬∫‡∑’¬∫°—∫¬“À≈Õ° ‰¡à À√◊Õ‰¡à™Õ∫°‘πÕ“À“√º≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß∑—Ë«‰ª´÷Ëß¡’°≈‘Ëπ·≈– »÷°…“‡ª√’¬∫‡∑’¬∫°—∫¬“ŒÕ√å‚¡π. √ ™“µ‘‡©æ“–µ—«. §≥–ºŸâ«‘®—¬‰¥â∑”°“√»÷°…“‡∫◊ÈÕßµâπª√– ‘∑∏‘- ∂—Ë«‡À≈◊Õß‡ªìπÕ“À“√∑’Ë∫√‘‚¿§°—π¡“°„πª√–‡∑»·∂∫‡Õ‡™’¬ º≈·≈–º≈¢â“ß‡§’¬ß¢Õß°“√„™âº≈‘µ¿—≥±å∂—Ë«‡À≈◊ÕßµàÕ°“√≈¥ ´÷Ëß¡’À≈—°∞“π∑“ß«‘∑¬“»“ µ√å«à“ “√øí¬‚∑‡Õ ‚∑√‡®π„π∂—Ë« Õ“°“√√âÕπ«Ÿ∫«“∫·≈–‡Àß◊ËÕÕÕ°„πÀ≠‘ß„°≈âÀ¡¥√–¥Ÿ·≈–À¡¥ ‡À≈◊Õß¡’ª√– ‘∑∏‘º≈„π°“√≈¥Õ“°“√√âÕπ«Ÿ∫«“∫, ‡Àß◊ËÕÕÕ° √–¥Ÿ ‰¡àæ∫Õ“°“√¢â“ß‡§’¬ßÀ√◊Õ§«“¡º‘¥ª√°µ‘∑’Ë√ÿπ·√ßÛ,ÒÛ-ÒÙ ·≈–Õ“°“√Õ◊Ëπ Ê ¢ÕßÀ≠‘ß«—¬À¡¥√–¥Ÿ ∑”„Àâ°“√¥”√ß™’«‘µ ·µàæ∫«à“º≈‘µ¿—≥±å∂—Ë«‡À≈◊Õß “¡“√∂≈¥Õ“°“√√âÕπ«Ÿ∫«“∫ ª√–®”«—π¥’¢÷ÈπÒ-ÒÛ. ‚√ßæ¬“∫“≈§‡¡◊Õß®÷ßæ—≤π“º≈‘µ¿—≥±å∂—Ë«Ÿ ·≈–‡Àß◊ËÕÕÕ°‰¥â. ‡À≈◊Õß¢÷Èπ¡“‡ªìπÕ“À“√‡ √‘¡ ‡æ◊ËÕ‡æ‘Ë¡§«“¡ –¥«°·≈–‡ªìπÕ’° ¢≥–∑’Ëº≈ √ÿª¢Õß Tice JA ·≈–§≥–Ò ∑’Ë»÷°…“ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Ú˘

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Û. ‰¡µ√’ ÿ∑∏®‘µµå. ‰ø‚µ√‡®π„π√Ÿª·∫∫¢Õß·Õπµ‘ÕÕ°´‘·¥π∑å·≈– Ò. Tice JA, Ettinger B, Ensrud K, Wallace R, Blackwell T, Cummings SR. ‡¿ —™‚¿™π¿—≥±å „π : ÿ¿“√—µπå ®—π∑√å‡À≈◊Õß, ®“√ÿ«√√≥ ∏π«‘√ÿÃÀå, Phytoestrogen supplement for the treatment of hot-flushes: The æ√√≥√—µπå Õ°π‘…∞“¿‘™“µ‘, ®‘√°—≠≠“ æß…å‡ ∞’¬√, ‡∫≠®¿—§ ¡‘Ëß¢«—≠, Isoflavone Clover Extract (ICE) study: a randomized controlled trial. «ÿ≤‘æß»å ®—π∑√åæ—π∏å (∫√√≥“∏‘°“√). °“√«‘®—¬·≈–æ—≤π“º≈‘µ¿—≥±å JAMA 2003;9:207-14. ®“°∂—Ë«‡À≈◊Õß. æ‘¡æå§√—Èß∑’Ë Ò. Õÿ∫≈√“™∏“π’ : §≥–‡¿ —™»“ µ√å ÒÒ. Han KK, Soares JM Jr, Haidar MA, de Lima GR, Baracat EC. Benefits ¡À“«‘∑¬“≈—¬Õÿ∫≈√“™∏“π’; ÚıÙ¯. Àπâ“ Úˆ-Ûı. of soy isoflavone therapeutic regimen on menopausal symptoms. Ù. Kotecha N, Lockwood B. Soy-relieving the symptoms of menopause Obstet Gynecol 2002;99:389-94. and fighting osteoporosis. Pharmaceutical J 2005;275:483-7. ÒÚ. Woods M, Speigleman D, Hertzmark E, LaBrode A, Longcope C. ı. ∂“∫—π·æ∑¬å·ºπ‰∑¬ °√–∑√«ß “∏“√≥ ÿ¢. ∂—Ë«‡À≈◊Õß. „π: °—≠®π“ Hormone effects: premenopausal and postmenopausal studies. Tufts ¥’«‘‡»… (∫√√≥“∏‘°“√). πÈ” ¡ÿπ‰æ√ Ò¯. æ‘¡æå§√—Èß∑’Ë Ú. °√ÿß‡∑æœ: University, Boston, MA, USA. 3rd International Symposium on the ‚√ßæ‘¡æåÕß§å°“√ ß‡§√“–Àå∑À“√ºà“π»÷°; ÚıÙÚ. Àπâ“ ˆÛ. Role of Soy in Preventing and Treating Chronic Disease. November ˆ. »‘√‘«√√≥ ÿ∑∏®‘µµå. º≈‘µ¿—≥±å∏√√¡™“µ‘‡æ◊ËÕ ÿ¢¿“æ æ‘¡æå§√—Èß∑’Ë Ù. 1999 [cited 2004 May 15]. Available from: http://www.soyfoods.com/ °√ÿß‡∑æœ : The Knowledge Center; Úıı. Àπâ“ ÒÒˆ. 3rdSoySymp/H2 ˜. Õ√Õπß§å °—ß ¥“≈Õ”‰æ. Õ“À“√‡ √‘¡ ÿ¢¿“æ : ∂—Ë«‡À≈◊Õß. «“√ “√ ÒÛ. Messina M. Efficacy of soy foods and soybean isoflavone supplements ‡¿ —™°√√¡ ¡“§¡·Ààßª√–‡∑»‰∑¬ ÚıÙÛ;Ù˘:Ùı-¯. for alleviating menopausal is positively related to initial hot flush. Med ¯. Schneider HP. The menopause rating scale (MRS): comparison with Food 2003;6:1-11. [cited 2004 Oct 27]. Available from: http:// Kupperman index and quality of life scale SF-36. PMID Climacteric www.ncbi.nim.nih.gov/entrez/query.fcgi? 2003;3:50-8. [cited 2004 Dec 1]. Available from: http://www. ÒÙ. Ishizuki Y, Hirooka Y, Murata Y, Togashi K. The effect on the thyroid ncbi.nlm.nih.gov gland of soybeans administered experimentally in healthy subject. ˘. ∏’√–»—°¥‘Ï ∏”√ß∏’√–°ÿ≈. °“√„ÀâŒÕ√å‚¡π∑¥·∑π„π µ√’À¡¥ª√–®” Nippon Naibunpi Gakkai Zasshi 1991;767:622-9. [cited 2004 Jan 26]. ‡¥◊Õπ....¥’À√◊Õ‰¡à. Vibhavadi Infertility Center. [cited 2005 Jan 20]. Available from: http://www.soyonlineservice.com Available from: http://www.vibhavadi.com/fertility/knowledge_detail. php?topic=&id=24 Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ÛÒ

Abstract A Preliminary Study on the Effectiveness and Side-effects of a Soybean Product on Pre- and Post- Menopausal Syndrome Anant Kanoksilp*, Kontee Suttanarak* *Khumuang Hospital, Buri Ram Province

The objective of this study was to evaluate the effectiveness and side-effects of a soybean product on hot flushes and sweating in pre- and post-menopausal women attending Khumuang Hospital, using a double- blind, placebo-controlled, cross-over trial conducted in 30 healthy pre- or post-menopausal women aged 40- 59, randomized equally to group A, receiving 500 mg soybean (SB) products three times daily for six weeks followed by a placebo of 500 mg t.i.d. for six weeks, after a 24-hour washout period. The other group, group B, randomly received the 500 mg placebo t.i.d. for six weeks, followed by the 500 mg soybean products t.i.d. for six weeks after a 24-hour washout period. The menopausal rating scale index was used to assess the changes in menopausal symptoms. Statistical analysis was carried out using mean, standard deviation, paired t-test, independent t-test, Wilcoxon signed-ranks test and Mann Whitney U test. The data on both groups taking the SB products showed significant decreases in the symptoms of hot flushes, heart discomfort, mood disorder, irritability, anxiety, and joint and muscular discomfort compared with those taking the placebo, and a significant decrease in the mean of the total score (p=0.001). The study concluded that the soybean product (1,500 mg daily in three divided doses) may be a safe and effective alternative therapy for menopausal symptoms and may offer a benefit by replacing hormone therapy and decreasing side-effects of hormone replacement therapy. Key words: soyabean product, hot flash, sweating, menopause «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ°ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol.ªï∑’Ë 6 ˆ©∫ No.—∫∑’Ë 1 ÒJanuary-April¡°√“§¡-‡¡…“¬π 2008ÚııÒ

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∫∑§—¥¬àÕ °“√»°…“π÷ ‡æ’È Õª√–‡¡◊Ë π ¡∫‘ —µ‘∑“ß‡§¡¢Õß«’ µ∂— ÿ¥‘∫·≈–¬“·§ª´≈ ¡Ÿ π‰æ√¢¡ÿ π™‘È π·≈–ø— “∑–≈“¬‚®√Ñ ¡“µ√∞“π¬“ ¡ÿπ ‰æ√‰∑¬ ∑’Ë‚√ßæ¬“∫“≈ Ùı ·Ààß „π ÛÒ ®—ßÀ«—¥ àß‡¢â“√—∫°“√µ√«®«‘‡§√“–Àå√—∫√Õß§ÿ≥¿“æ®“° ∂“∫—π«‘®—¬ ¡ÿπ‰æ√ °√¡«‘∑¬“»“ µ√å°“√·æ∑¬å „π™à«ß æ.». Úıı √«¡ ÒÚÙ µ—«Õ¬à“ß ‡ªìπ«—µ∂ÿ¥‘∫¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√ Ù ·≈– ÚÙ µ—«Õ¬à“ßµ“¡≈”¥—∫ ·≈–‡ªìπ·§ª´Ÿ≈¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√ Ûı ·≈– Úı µ—«Õ¬à“ßµ“¡≈”¥—∫. ®“°°“√«‘‡§√“–Àåæ∫«à“ «—µ∂ÿ¥‘∫¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√ºà“π‡°≥±å¡“µ√∞“π√âÕ¬≈– ÙÚ.ı ·≈– ¯˜.ı µ“¡≈”¥—∫ ·≈–·§ª´Ÿ≈¢¡‘Èπ™—π·≈– øÑ“∑–≈“¬‚®√ºà“π‡°≥±å¡“µ√∞“π√âÕ¬≈– ÚÚ.¯ı ·≈– ˜ˆ. µ“¡≈”¥—∫ · ¥ß«à“«—µ∂ÿ¥‘∫·≈–·§ª´Ÿ≈øÑ“∑–≈“¬‚®√ ª√–¡“≥√âÕ¬≈– ˜ı ·≈– ¯ı ∑’Ë„™â„π‚√ßæ¬“∫“≈¿Ÿ¡‘¿“§¡’§ÿ≥¿“æ‰¥â¡“µ√∞“π. à«π«—µ∂ÿ¥‘∫·≈–·§ª´Ÿ≈¢¡‘Èπ™—π à«π ¡“°∑’Ë„™â„π‚√ßæ¬“∫“≈¿Ÿ¡‘¿“§¬—ß¡’ªí≠À“¥â“π§ÿ≥¿“æ ´÷ËßÀ“°®–„™â‡ªìπ¬“ ®”‡ªìπµâÕßπ”‰ª∑”°“√ª√—∫ª√ÿß„Àâ‡¢â“‡°≥±å ¡“µ√∞“πµàÕ‰ª. §” ”§—≠ : °“√ª√–‡¡‘π§ÿ≥¿“æ, ¬“ ¡ÿπ‰æ√, ¢¡‘Èπ™—π, øÑ“∑–≈“¬‚®√

¿Ÿ¡‘À≈—ß·≈–‡Àµÿº≈ ¢Õß ¡ÿπ‰æ√. ∑—Èßπ’È‡π◊ËÕß®“° ¡ÿπ‰æ√∑’Ë¡’§ÿ≥¿“æπ—Èπ ¡’¢—Èπ π‚¬∫“¬„Àâπ” ¡ÿπ‰æ√´÷Ëß‡ªìπ∑√—æ¬“°√∏√√¡™“µ‘∑’Ë¡’„π µÕπ·≈–°√–∫«π°“√º≈‘µ∑’ËµâÕß¥Ÿ·≈‡Õ“„®„ à§àÕπ¢â“ß≈–‡Õ’¬¥ ª√–‡∑»‰∑¬¡“·ª√√Ÿª‡ªìπº≈‘µ¿—≥±å ÿ¢¿“æµà“ß Ê ‡æ◊ËÕ‡æ‘Ë¡ ·≈–¬—ßµâÕß¡’ª√‘¡“≥ “√ ”§—≠∑’Ë ¡Ë”‡ ¡Õµ√ßµ“¡‡°≥±å ¡Ÿ≈§à“ ∑—Èß„π√Ÿª¢ÕßÕ“À“√ ‡§√◊ËÕß¥◊Ë¡ ¬“ ·≈–‡§√◊ËÕß ”Õ“ß àß ¡“µ√∞“π. ¥—ßπ—Èπ°√–∫«π°“√·ª√√Ÿª‡ªìπ¬“À√◊Õº≈‘µ¿—≥±å ‡ √‘¡∫”√ÿß ÿ¢¿“æ ‡ªìππ‚¬∫“¬ ”§—≠¢Õß√—∞∫“≈∑ÿ°√—∞∫“≈. ‡ √‘¡Õ“À“√ πÕ°®“°ºŸâ‡°’Ë¬«¢âÕßµâÕßµ√–Àπ—°∂÷ß§«“¡ ·µà°“√¥”‡π‘πß“π°“√§ÿâ¡§√ÕßºŸâ∫√‘‚¿§µ≈Õ¥¡“¬—ß‰¡à “¡“√∂ ª≈Õ¥¿—¬®“° ‘Ëßªπ‡ªóôÕπ∑’Ë‡ªìπæ‘…µà“ß Ê ·≈â« ¬—ßµâÕßµ√–Àπ—° ∫√√≈ÿ«—µ∂ÿª√– ß§å∑’ËµâÕß°“√ ∑—Èß„π¥â“π§ÿ≥¿“æ¡“µ√∞“π ∂÷ßª√‘¡“≥ “√ ”§—≠À√◊Õµ—«¬“„π√–¥—∫∑’ËµâÕß°“√¥â«¬ ‡æ◊ËÕ ª√– ‘∑∏‘º≈ §«“¡ª≈Õ¥¿—¬ ‚¥¬‡©æ“–¥â“π§ÿ≥¿“æ¡“µ√∞“π „Àâ·æ∑¬å‡°‘¥§«“¡‡™◊ËÕ∂◊Õ„π§ÿ≥¿“æ¬“·≈–º≈°“√√—°…“‡∑’¬∫ * ∂“∫—π«‘®—¬ ¡ÿπ‰æ√ °√¡«‘∑¬“»“ µ√å°“√·æ∑¬å °√–∑√«ß ‡∑à“¬“·ºπªí®®ÿ∫—π ·≈–‡°‘¥§«“¡¡—Ëπ„®„π°“√ —Ëß„™â¡“°¢÷Èπ. “∏“√≥ ÿ¢ °√¡«‘∑¬“»“ µ√å°“√·æ∑¬å °√–∑√«ß “∏“√≥ ÿ¢ ‰¥â

ÛÚ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ÛÛ

®—¥∑”‚§√ß°“√§ÿ≥¿“æ ¡ÿπ‰æ√‰∑¬·≈–µ√«®√—∫√Õß§ÿ≥¿“æ Õÿª°√≥å·≈–‡§√◊ËÕß¡◊Õ «—µ∂ÿ¥‘∫·≈–º≈‘µ¿—≥±å¬“®“° ¡ÿπ‰æ√µ“¡µ”√“¡“µ√∞“π¬“ Ò. ‡§√◊ËÕß·√àß √ÿàπ AS 200 Basic ¢Õß∫√‘…—∑ Retch ¡ÿπ‰æ√‰∑¬ (Thai Herbal Pharmacopoeia, THP) µ—Èß·µà ª√–‡∑» “∏“√≥√—∞‡¬Õ√¡π’ ·≈–·√àß¢π“¥ 80 (180 (m) ¢Õß æ.». ÚıÙı ·≈–¢¬“¬º≈®π∂÷ß æ.». ÚıÙ˘ ‡æ◊ËÕ πÕß ∫√‘…—∑ Endocott ª√–‡∑»Õ—ß°ƒ…. π‚¬∫“¬√—∞∫“≈„πÕ—π∑’Ë®– àß‡ √‘¡Õÿµ “À°√√¡º≈‘µ¿—≥±å ¡ÿπ Ú. ™ÿ¥µ√«®‚§√¡“‚∑°√“øøï¬å™π‘¥º‘«∫“ß (Thin- ‰æ√‰∑¬ π—∫ πÿπ„ÀâºŸâª≈Ÿ°·≈–ºŸâº≈‘µ¬“®“° ¡ÿπ‰æ√ layer chromagraphic apparatus) ¢Õß Camag ª√–‡∑» µ√–Àπ—°∂÷ß§«“¡ ”§—≠¢Õß¡“µ√∞“π∑—Èß°“√ª≈Ÿ°·≈–°“√ «‘µ‡´Õ√å·≈π¥å. º≈‘µ¬“∑’Ë¥’ ™à«¬¬°√–¥—∫§ÿ≥¿“æ¢Õß ¡ÿπ‰æ√·≈–º≈‘µ¿—≥±å Û. ‡§√◊ËÕß ‡ª§‚µ√‚ø‚µ¡‘‡µÕ√å™π‘¥¬Ÿ«’«‘ ·∫∫ „Àâ‰¥â¡“µ√∞“π “°≈. ™π‘¥ ¡ÿπ‰æ√·≈–º≈‘µ¿—≥±å∑’Ë àß‡¢â“ ≈”· ß§Ÿà (Double-beam UV-visible spectrophotometer) µ√«®«‘‡§√“–Àå∑’Ë¡’®”π«π Ÿß‡ªìπ≈”¥—∫·√° ‰¥â·°à ¢¡‘Èπ™—π·≈– √ÿàπ Biomate 5 ¢Õß∫√‘…—∑ Thermo Spectronic ª√–‡∑» øÑ“∑–≈“¬‚®√µ“¡≈”¥—∫ ·≈–Àπà«¬ß“π∑’Ë àßµ—«Õ¬à“ß Ÿß‡ªìπ Õ—ß°ƒ…. ≈”¥—∫·√°§◊Õ‚√ßæ¬“∫“≈¿Ÿ¡‘¿“§Ò,Ú. ‡∑à“∑’Ëºà“π¡“ ®“°°“√ “√‡§¡’

ª√–‡¡‘π§ÿ≥¿“ææ∫ªí≠À“ ”§—≠∑’Ë∑”„Àâ«—µ∂ÿ¥‘∫·≈–¬“ ¡ÿπ ● πÈ”∫√‘ ∑∏‘Ï‰¥â®“°°“√°√Õß‡Õ“Õπÿ ¿“§∑’Ë¡’ª√–®ÿ ÕÕ°ÿ ‰æ√‰¡àºà“π‡°≥±å¡“µ√∞“π§◊Õ§ÿ≥¿“æ∑“ß‡§¡’ ‚¥¬‡©æ“–¬“ (deionized water) ‚¥¬‡§√◊ËÕß°√Õß¬’ËÀâÕ Schott √ÿàπ D 82100 ®“° ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√∑’Ëº≈‘µ·≈–„™â„π‚√ß ª√–‡∑» Àæ—π∏å “∏“√≥√—∞‡¬Õ√¡π’.

æ¬“∫“≈¿Ÿ¡‘¿“§ à«π„À≠à¡’§ÿ≥¿“æ∑“ß‡§¡’-°“¬¿“æ √«¡∑—Èß ● ·Õ»’µ‘§ ·ÕπŒ—¬‰¥√¥å™π‘¥‡°√¥«‘‡§√“–Àå¢Õß∫√‘…—∑ ª√‘¡“≥ “√ ”§—≠‰¡àºà“π‡°≥±å¡“µ√∞“π. Thomas-Baker (Chemicals) United ª√–‡∑»Õ‘π‡¥’¬.

‡π◊ËÕß¥â«¬¬“·§ª´Ÿ≈ ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√ ● §≈Õ‚√øÕ√å¡™π‘¥‡°√¥«‘‡§√“–Àå¢Õß∫√‘…—∑ Merck ‰¥â∫√√®ÿÕ¬Ÿà„π∫—≠™’¬“À≈—°·Ààß™“µ‘Û,Ù °√¡«‘∑¬“»“ µ√å°“√ ª√–‡∑» Àæ—π∏å “∏“√≥√—∞‡¬Õ√¡π’.

·æ∑¬å„π∞“π–Àπà«¬ß“π∑’Ë√—∫º‘¥™Õ∫ß“π¥â“π§ÿâ¡§√ÕßºŸâ∫√‘‚¿§ ● ‡Õ∏“πÕ≈, ‡¡∏“πÕ≈ ·≈–‡µµ√–Œ—¬‚¥√øŸ·√π™π‘¥ °“√‡ΩÑ“√–«—ß§ÿ≥¿“æ·≈–§«“¡ª≈Õ¥¿—¬„π°“√„™â¬“¥—ß°≈à“« ‡°√¥«‘‡§√“–Àå¢Õß∫√‘…—∑ E.Merck ª√–‡∑» Àæ—π∏å “∏“√≥- ®÷ß ¡§«√∑”°“√ª√–‡¡‘π§ÿ≥¿“æ∑“ß‡§¡’¢Õß«—µ∂ÿ¥‘∫·≈–¬“ √—∞‡¬Õ√¡π’.

®“° ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√∑’Ë‚√ßæ¬“∫“≈¿Ÿ¡‘¿“§ ● °√¥°”¡–∂—π‡¢â¡¢âπ ·≈–‡∫π´’π™π‘¥‡°√¥«‘‡§√“–Àå ∑—Ë«ª√–‡∑» àßµ√«®√—∫√Õß§ÿ≥¿“æ®“° ∂“∫—π«‘®—¬ ¡ÿπ‰æ√ ¢Õß∫√‘…—∑ Lab-Scan ª√–‡∑»‰∑¬.

°√¡«‘∑¬“»“ µ√å°“√·æ∑¬å ‚¥¬¥”‡π‘π°“√µ√«®«‘‡§√“–Àå ● °√¥ Û,ı-‰¥‰π‚∑√‡∫π‚´Õ‘§ ·≈–°√¥øÕ ‚ø- §ÿ≥¿“æ∑“ß‡§¡’-°“¬¿“æ ·≈– Õ∫ª√‘¡“≥ “√ ”§—≠µ“¡ ‚¡≈‘¬å∫¥‘§ ™π‘¥‡°√¥«‘‡§√“–Àå¢Õß∫√‘…—∑ Fluka ª√–‡∑» «‘µ µ”√“¡“µ√∞“π¬“ ¡ÿπ‰æ√‰∑¬ ‡æ◊ËÕ„Àâ∑√“∫«à“¡’§ÿ≥¿“æ‡¢â“ ‡´Õ√å·≈π¥å.

¡“µ√∞“πµ“¡µ”√“¡“µ√∞“π¬“ ¡ÿπ‰æ√‰∑¬À√◊Õ‰¡à. ● ‚æ·∑ ‡´’¬¡ Œ—¬¥√ÁÕ°‰´¥å™π‘¥‡°√¥«‘‡§√“–Àå¢Õß ∫√‘…—∑ Carlo erba ª√–‡∑»Õ‘µ“≈’. √–‡∫’¬∫«‘∏’«‘®—¬ “√‡§¡’¡“µ√∞“π µ—«Õ¬à“ß«—µ∂ÿ¥‘∫·≈–¬“ Ò. ‡§Õ√å§Ÿ¡‘π¢Õß∫√‘…—∑ Sigma. §«“¡∫√‘ ÿ∑∏‘Ï «—µ∂ÿ¥‘∫·≈–¬“®“° ¡π‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√ÿ √âÕ¬≈– ˘Û Lot.No. 095K1495 ª√–‡∑» À√—∞Õ‡¡√‘°“. ‰¥â®“°µ—«Õ¬à“ß∑’Ë‚√ßæ¬“∫“≈¿Ÿ¡‘¿“§ àß‡¢â“√—∫°“√µ√«®√—∫√Õß Ú. ‡¥ ‡¡∏ÁÕ°´’¬å‡§Õ√å§Ÿ¡‘π °√¡«‘∑¬“»“ µ√å°“√ §ÿ≥¿“æ®”π«π ÒÚÙ µ—«Õ¬à“ß. ª√‘¡“≥π” àßÀ“°‡ªìπ«—µ∂ÿ¥‘∫·æ∑¬å °√–∑√«ß “∏“√≥ ÿ¢. ·Àâß „Àâ ÿà¡ àß Ò °‘‚≈°√—¡, ºß ¡ÿπ‰æ√ ı °√—¡, ¬“ Û. ∫‘ ‡¥ ‡¡∏ÁÕ°´’¬å‡§Õ√å§Ÿ¡‘π °√¡«‘∑¬“»“ µ√å ·§ª´≈‡∑’¬∫‡∑à“πÈ”Àπ—°ºß¬“Ÿ ı °√—¡ Ò, ·§ª´≈Ÿ À√◊Õ °“√·æ∑¬å °√–∑√«ß “∏“√≥ ÿ¢. Úı ¡°. Ú, ·§ª´Ÿ≈. Ù. ·Õπ‚¥√°√“‚ø‰≈¥å ¢Õß∫√‘…—∑ Chromadex ÛÙ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

§«“¡∫√‘ ÿ∑∏‘Ï√âÕ¬≈– ˘¯ Lot.No. 01756-621 ª√–‡∑» ·Ààß ‰¥â àßµ—«Õ¬à“ß ¡ÿπ‰æ√‡¢â“µ√«®«‘‡§√“–Àå ¥—ß· ¥ß„π À√—∞Õ‡¡√‘°“. µ“√“ß∑’Ë Ò. µ—«Õ¬à“ß«—µ∂ÿ¥‘∫·≈–·§ª´Ÿ≈ ¡ÿπ‰æ√¢¡‘Èπ™—π·≈– ı. ¥’ÕÕ°´’¬å·Õπ‚¥√°√“‚ø‰≈¥å ∂“∫—π«‘®—¬®Ã“¿√≥å.ÿ øÑ“∑–≈“¬‚®√ ∑’Ë àß‡¢â“√—∫°“√µ√«®«‘‡§√“–Àå√«¡∑—Èß ‘Èπ ÒÚÙ ˆ. π’‚Õ·Õπ‚¥√°√“‚ø‰≈¥å ∂“∫—π«‘®—¬®ÿÃ“¿√≥å. µ—«Õ¬à“ß ®”·π°µ“¡™π‘¥µ—«Õ¬à“ß∑’Ëµ√«®«‘‡§√“–Àå‰¥â ¥—ß· ¥ß °“√‡µ√’¬¡µ—«Õ¬à“ß‡æ◊ËÕ°“√µ√«®«‘‡§√“–Àå „πµ“√“ß∑’Ë Ú ¡ÿπ‰æ√·Àâß µ—¥¬àÕ¬‡ªìπ™‘Èπ‡≈Á° Ê ∫¥‡ªìπºß ‡¢µ∑’Ë¡’®—ßÀ«—¥∑’Ë‰¡à¡’‚√ßæ¬“∫“≈ àßµ—«Õ¬à“ß ¡ÿπ‰æ√ ≈–‡Õ’¬¥ °√Õßºà“π·√àß‡∫Õ√å ¯ ‡°Á∫ª√‘¡“≥ Ú °√—¡ ¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√‡¢â“√—∫°“√µ√«®√—∫√Õß§≥¿“æÿ ®”π«π ∫√√®ÿ¢«¥·°â« ’™“∑’Ë¡’Ω“ªî¥ π‘∑¥â«¬Ω“‡°≈’¬«. ¢â“ß¢«¥µ‘¥ ÒÛ ‡¢µ √«¡ Ò˘ ®—ßÀ«—¥Ú ‰¥â·°à ©≈“°√–∫ÿ™◊ËÕµ—«Õ¬à“ß ·≈–√“¬≈–‡Õ’¬¥Õ◊Ëπ Ê ‡°Á∫„πÀâÕß‡°Á∫ ‡¢µ Ò ®—ßÀ«—¥·¡àŒàÕß Õπ·≈–®—ßÀ«—¥æ–‡¬“ µ—«Õ¬à“ß∑’ËÕÿ≥À¿Ÿ¡‘ÀâÕß. ‡¢µ Ú ®—ßÀ«—¥ ÿ‚¢∑—¬ ºß ¡ÿπ‰æ√ °√Õßºà“π·√àß‡∫Õ√å ¯ ‡°Á∫ª√‘¡“≥ ‡¢µ Û ®—ßÀ«—¥æ‘®‘µ√ Ú °√—¡∫√√®ÿ¢«¥·°â« ’™“∑’Ë¡’Ω“ªî¥ π‘∑¥â«¬Ω“‡°≈’¬« ¢â“ß ‡¢µ Ù °√ÿß‡∑æ¡À“π§√, ®—ßÀ«—¥ππ∑∫ÿ√’ ·≈– ¢«¥µ‘¥©≈“°√–∫ÿ™◊ËÕµ—«Õ¬à“ß ·≈–√“¬≈–‡Õ’¬¥Õ◊Ëπ Ê ‡°Á∫„π æ√–π§√»√’Õ¬ÿ∏¬“ ÀâÕß‡°Á∫µ—«Õ¬à“ß∑’ËÕÿ≥À¿Ÿ¡‘ÀâÕß. ‡¢µ ı ®—ßÀ«—¥ √–∫ÿ√’·≈–®—ßÀ«—¥≈æ∫ÿ√’ ¬“·§ª´Ÿ≈ ‡∑ºß¬“„π·§ª´Ÿ≈ÕÕ°¡“ Ú °√—¡ ‡¢µ ˆ ®—ßÀ«—¥°“≠®π∫ÿ√’·≈–®—ßÀ«—¥√“™∫ÿ√’ ∫√√®ÿ¢«¥·°â« ’™“∑’Ë¡’Ω“ªî¥ π‘∑¥â«¬Ω“‡°≈’¬« ¢â“ß¢«¥µ‘¥ ‡¢µ ˜ ®—ßÀ«—¥‡æ™√∫ÿ√’·≈–®—ßÀ«—¥ ¡ÿ∑√ “§√ ©≈“°√–∫ÿ™◊ËÕµ—«Õ¬à“ß ·≈–√“¬≈–‡Õ’¬¥Õ◊Ëπ Ê ‡°Á∫„πÀâÕß‡°Á∫ ‡¢µ ˘ ®—ßÀ«—¥µ√“¥ µ—«Õ¬à“ß∑’ËÕÿ≥À¿Ÿ¡‘ÀâÕß. ‡¢µ Ò ®—ßÀ«—¥ÀπÕß∫—«≈”¿Ÿ °“√ª√–‡¡‘π§ÿ≥¿“æ∑“ß‡§¡’¢Õß«—µ∂ÿ¥‘∫ ¡ÿπ‰æ√ ‡¢µ ÒÚ ®—ßÀ«—¥¡À“ “√§“¡ ∑”µ“¡«‘∏’∑’Ë√–∫ÿ„πµ”√“¡“µ√∞“π¬“ ¡ÿπ‰æ√‰∑¬ (Thai ‡¢µ Òı ®—ßÀ«—¥√–πÕß Herbal Pharmacopoeia, THP)Ù-˜ ‰¥â·°à°“√µ√«®«‘‡§√“–Àå ‡¢µ Ò˜ ®—ßÀ«—¥π§√»√’∏√√¡√“™ µàÕ‰ªπ’È ‡¢µ Ò¯ ®—ßÀ«—¥¬–≈“ - ‡Õ°≈—°…≥å∑“ß‡§¡’ º≈°“√ ÿà¡‡æ◊ËÕµ√«®§ÿ≥¿“æ∑“ß‡§¡’‡∫◊ÈÕßµâπ¢Õß -ª√‘¡“≥§«“¡™◊Èπ «—µ∂ÿ¥‘∫·≈–¬“®“° ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√®”π«π - ª√‘¡“≥‡∂â“·≈–‡∂â“∑’Ë‰¡à≈–≈“¬„π°√¥ ÒÙ µ—«Õ¬à“ß ·≈– ÒÛ µ—«Õ¬à“ß µ“¡≈”¥—∫ µ“¡¢âÕ°”Àπ¥ - ª√‘¡“≥ “√ °—¥¥â«¬µ—«∑”≈–≈“¬µà“ß Ê ‰¥â·°à πÈ”, ¡“µ√∞“π∑“ß‡§¡’¢Õß ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√µ“¡ ‡Õ∏“πÕ≈ ¯ı% ·≈– ˘ı%. µ”√“¡“µ√∞“π¬“ ¡ÿπ‰æ√‰∑¬ ¥—ß· ¥ß„πµ“√“ß∑’Ë Û. - ª√‘¡“≥πÈ”¡—πÀÕ¡√–‡À¬ ‡¡◊ËÕ®”·π°µ“¡™π‘¥·≈–°≈ÿà¡ª√–‡¿∑µ—«Õ¬à“ß∑’Ë àßµ√«® - ª√‘¡“≥ “√ ”§—≠/°≈ÿà¡¢Õß “√ÕÕ°ƒ∑∏‘Ï «‘‡§√“–Àå æ∫«à“¡’‡Õ°≈—°…≥å∑“ß‡§¡’µ“¡¡“µ√∞“π∑’Ë°”Àπ¥ °“√ª√–‡¡‘π§ÿ≥¿“æ¢Õß¬“µ“¡¡“µ√∞“π “°≈ ¥—ß√Ÿª∑’Ë Ò ·≈– Ú ·≈–ºà“π‡°≥±å “¡“√∂®”·π°„π·µà≈– µ√«®«‘‡§√“–Àå‡™àπ‡¥’¬«°—∫«—µ∂ÿ¥‘∫ ¡ÿπ‰æ√·≈–‡æ‘Ë¡ °≈ÿà¡·µà≈–ª√–‡¿∑‰¥â ¥—ßπ’È ‡µ‘¡ ¥—ßπ’È ¢¡‘Èπ™—π ®”π«π ˜ı µ—«Õ¬à“ß ºà“π‡°≥±å Úı µ—«Õ¬à“ß - °“√º—π·ª√¢ÕßπÈ”Àπ—°¬“¯ ª√–°Õ∫¥â«¬ - ‡«≈“„π°“√·µ°µ—«¢Õß‡¡Á¥¬“˘ -«—µ∂ÿ¥‘∫ ¡ÿπ‰æ√ Ù µ—«Õ¬à“ß ¡’§ÿ≥¿“æ‡¢â“ ¡“µ√∞“π Ò˜ µ—«Õ¬à“ß §‘¥‡ªìπ√âÕ¬≈– ÙÚ.ı. º≈°“√»÷°…“ - ¬“·§ª´Ÿ≈ ¡ÿπ‰æ√ Ûı µ—«Õ¬à“ß ¡’§ÿ≥¿“æ‡¢â“ ‚√ßæ¬“∫“≈ à«π¿Ÿ¡‘¿“§„π —ß°—¥°√–∑√«ß “∏“√≥ ¢ÿ Ùı ¡“µ√∞“π ¯ µ—«Õ¬à“ß §‘¥‡ªìπ√âÕ¬≈– ÚÚ.¯ˆ. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Ûı

µ“√“ß∑’Ë Ò ‡¢µ·≈–®—ßÀ«—¥∑’Ë‚√ßæ¬“∫“≈ àß«—µ∂ÿ¥‘∫·≈–·§ª´Ÿ≈ ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√‡¢â“√—∫°“√µ√«®«‘‡§√“–Àå„π æ.».Úıı˘ ®”π«πµ—«Õ¬à“ß∑’Ë àß ‡¢µ ®—ßÀ«—¥ ‚√ßæ¬“∫“≈ «—µ∂ÿ¥‘∫ ¬“·§ª´Ÿ≈ Ò‡™’¬ß„À¡à ·¡àÕÕπ Ò Ò Ω“ß Ú Ú ‡™’¬ß√“¬ ‡™’¬ß· π Ò - ªÉ“·¥¥ Ò Ú Ú ·æ√à ¡‡¥Á®æ√–¬ÿæ√“™‡¥àπ™—¬- Ú µ“° ·¡à Õ¥ Ò Ú ∫â“πµ“° Ò Ò Û°”·æß‡æ™√ °”·æß‡æ™√ Ò - ¢“≥ÿ«√≈—°…∫ÿ√’ ÒÒ π§√ «√√§å ‡°â“‡≈’È¬« - Ò ÙÕà“ß∑Õß «‘‡»…™—¬™“≠ Ú Ú ™—¬π“∑ √√§∫ÿ√’ ÚÚ ı ÿæ√√≥∫ÿ√’ ÕŸà∑Õß Ú Ú π§√ª∞¡ Àâ«¬æ≈Ÿ Ú- ¯ √–·°â««—ßπÈ”‡¬ÁπÚ- ª√“®’π∫ÿ√’ ‡®â“æ√–¬“Õ¿—¬¿Ÿ‡∫»√ - Ú ˘ ™≈∫ÿ√’ æ“π∑Õß - Ú æπ— π‘§¡ Ù Ú √–¬Õß «—ß®—π∑√å Ú- Ò Õÿ¥√∏“π’ ‡æÁ≠-Ú ‡≈¬ ¡‡¥Á®æ√–¬ÿæ√“™¥à“π´â“¬ Ù Û ÀπÕß§“¬ ÀπÕß§“¬ Ò Ò ∫÷ß°“Ã Ú - ‡´°“ - Ú ‚æπæ‘ —¬ÚÚ ÒÒ ¡ÿ°¥“À“√ ¥Õπµ“≈ Ò Ò °≈π§√ æ√–Õ“®“√¬åΩíôπ Õ“®“‚√ Ú - °“Ã ‘π∏ÿå °¡≈“‰ ¬ Ú - π“¡π Ú - ÒÚ ¢Õπ·°àπæ≈ ÚÚ ÒÛ π§√√“™ ’¡“ §√∫ÿ√’ ÚÚ Ÿß‡π‘πÚÚ ÿ√‘π∑√å °“∫‡™‘ßÚÚ —ß¢– - Ú ™—¬¿Ÿ¡‘ ∫”‡ÀπÁ®≥√ß§å ÒÒ ®—µÿ√— -Ú ∫ÿ√’√—¡¬å ª√–‚§π™—¬ÚÚ ÒÙ Õÿ∫≈√“™∏“π’ µ√–°“√æ◊™º≈ Ù Ú π“®–À≈«¬ Ò - ¬‚ ∏√ °ÿ¥™ÿ¡ÚÒ »√’ –‡°… Àâ«¬∑—∫∑—πÒÚ Òı ™¡æ√ÿ ∑à“·´– Ò Ò Òˆ °√–∫’Ë °√–∫’Ë ÒÒ Ò˜ µ√—ßÀâ«¬¬Õ¥ Ò Ò Ò¯ µŸ≈ ≈–ßŸ -Ú ˆÙ ˆ √«¡ Òˆ ‡¢µ ÛÒ ®—ßÀ«—¥ Ùı ·Ààß ÒÚÙ µ—«Õ¬à“ß Ûˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

µ“√“ß∑’Ë Ú «—µ∂ÿ¥‘∫·≈–º≈‘µ¿—≥±å¬“®“° ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√∑’Ëµ√«®«‘‡§√“–Àå§ÿ≥¿“æ∑“ß‡§¡’ºà“π‡°≥±å„π æ.». Úıı ®”π«πµ—«Õ¬à“ß ™π‘¥ ¡ÿπ‰æ√ «—µ∂ÿ¥‘∫ ¬“·§ª´Ÿ≈ ∑—ÈßÀ¡¥ ºà“π (%) ∑—ÈßÀ¡¥ ºà“π (%) ¢¡‘Èπ™—πÙÒ˜ (ÙÚ.ı) Ûı ¯ (ÚÚ.¯ı) øÑ“∑–≈“¬‚®√ ÚÙ ÚÒ (¯˜.ı) Úı Ò˘ (˜ˆ.) √«¡ ˆÙ Û¯ (ı˘.Û¯) ˆ Ú˜ (Ù˜.Û˜)

µ“√“ß∑’Ë Û ‡Õ°≈—°…≥å∑“ß‡§¡’¢Õß ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√®“°‚√ßæ¬“∫“≈ ÒÙ ·Ààß ‡Õ°≈—°…≥å °“√µ√«®«‘‡§√“–Àå ¢¡‘Èπ™—πøÑ“∑–≈“¬‚®√ ‡∫◊ÈÕßµâπ„Àâ ’·¥ß‡≈◊Õ¥π°°—∫ acetic anhydride-sulfuric „Àâ ’¡à«ß·¥ß°—∫ Kedde reagent ·≈–„Àâ ’·¥ß°—∫ acid TS ‡√◊Õß· ß¿“¬„µâ√—ß ’‡Àπ◊Õ ¡à«ß§«“¡¬“« “√≈–≈“¬ KOH ˆ.ı% „π‡Õ∏“πÕ≈ ‡¡◊ËÕµ—Èß∑‘Èß‰«â §≈◊Ëπ Ûˆˆ π“‚π‡¡µ√ ‡ª≈’Ë¬π‡ªìπ ’‡À≈◊Õß ¬◊π¬—πº≈ µ√«®¥â«¬«‘∏’‚§√¡“‚µ°√“ø™π‘¥º‘«∫“ßæ∫ ‡§Õ√å§Ÿ¡‘π, µ√«®¥â«¬«‘∏’‚§√¡“‚µ°√“ø™π‘¥º‘«∫“ß æ∫·Õπ‚¥√- ‡¥ ‡¡∏ÁÕ°´’¬å‡§Õ√å§Ÿ¡‘π, ∫‘ ‡¥ ‡¡∏ÁÕ°´’¬å‡§Õ√å§Ÿ¡‘π °√“‚ø‰≈¥,å π‚Õ·Õπ‚¥√°√“‚ø‰≈¥’ ,å ¥’Œ—¬‚¥√·Õπ‚¥√- ·≈– “√ª√–‡¿∑Õ◊ËπÊ ∑’Ë§«√æ∫ °√“‚ø‰≈¥å ·≈– “√·≈§‚µπÕ◊Ëπ Ê ∑’Ë§«√æ∫

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Ò - ÚÙ = “√≈–≈“¬µ—«Õ¬à“ß¢¡‘Èπ™—π®“°‚√ßæ¬“∫“≈µà“ßÊ Òı = “√≈–≈“¬¡“µ√∞“π‡§Õ√å§Ÿ¡‘π Òˆ = “√≈–≈“¬¡“µ√∞“π‡¥ ‡¡∏ÁÕ°´’¬å‡§Õ√å§Ÿ¡‘π Ò˜ = “√≈–≈“¬¡“µ√∞“π∫‘ ‡¥ ‡¡∏ÁÕ°´’¬å‡§Õ√å§Ÿ¡‘π

√Ÿª∑’Ë Ò ≈—°…≥–∑“ß‚§√¡“‚∑·°√¡™π¥º‘ «∫“ß¢Õß “√ ”§‘ ≠„π«— µ∂— ÿ¥‘∫·≈–¬“¢¡π™‘È π‡¡— Õ„™◊Ë â ‡∫π´π/§≈Õ‚√øÕ√’ ¡/‡Õ∏“πÕ≈å „πÕµ√“ — «πà Ù˘:Ù˘:Ú ‡ªìππÈ”¬“·¬°·≈– àÕß¥â«¬√—ß ’‡Àπ◊Õ¡à«ß§«“¡¬“«§≈◊Ëπ Ûˆˆ π“‚π‡¡µ√ (°); ·≈â«æàπ¥â«¬πÈ”¬“°√¥øÕ ‚ø‚¡≈‘¬å∫¥‘§ Ò% „π‡Õ∏“πÕ≈ Õ∫∑◊Ë Òı Õß»“‡´≈‡´’¬ π“π ı π“∑’ (¢) Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Û˜

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∑’Ë àß«—µ∂ÿ¥‘∫ ¡ÿπ‰æ√ ¥â“π¡“µ√∞“π GAP ª√–°Õ∫¥â«¬°“√¡’µ—«Õ¬à“ßºà“π‡°≥±åÕ¬à“ßπâÕ¬ Ò µ—«Õ¬à“ß °—∫‚√ßæ¬“∫“≈∑’Ë §—¥‡≈◊Õ°™π‘¥æ—π∏ÿå∑’Ë∂Ÿ°µâÕß °“√‡æ“–ª≈Ÿ° °“√∫”√ÿß√—°…“ ‰¡à¡’µ—«Õ¬à“ßºà“π‡°≥±å‡≈¬ Õ¬Ÿàª√–‡¿∑≈–°’Ë‚√ßæ¬“∫“≈ º≈ °“√‡°Á∫‡°’Ë¬« °√√¡«‘∏’À≈—ß°“√‡°Á∫‡°’Ë¬« ·≈–°√–∫«π°“√ °“√«‘‡§√“–Àå· ¥ß„πµ“√“ß∑’Ë ˆ ·≈–‚√ßæ¬“∫“≈∑’Ëµ—«Õ¬à“ß º≈‘µ¬“µ“¡À≈—°‡°≥±å«‘∏’°“√º≈‘µ¬“∑’Ë¥’ (GMP) ¢Õß‚√ß ¡ÿπ‰æ√¡’§ÿ≥¿“æÕ¬Ÿà„π‡°≥±å¥’¡“° · ¥ß„πµ“√“ß∑’Ë ˜. æ¬“∫“≈ „Àâµ√–Àπ—°∂÷ß§ÿ≥¿“æ·≈–¡’§«“¡‡¢â“„®∑ÿ°¢—ÈπµÕπ ‡¡◊ËÕæ‘®“√≥“º≈°“√µ√«®«‘‡§√“–Àå ·µà≈–√“¬°“√∑’Ë‰¡à °“√º≈‘µ À√◊Õ‡ªìπ∑’Ëª√÷°…“ „Àâ§”·π–π” √à«¡«“ß·ºπ‡æ◊ËÕ°“√ ºà“π‡°≥±å “¡“√∂®”·π°‰¥â ¥—ßπ’È ª√—∫ª√ÿß ∂“π∑’Ë ÀâÕßº≈‘µ „Àâ “¡“√∂º≈‘µ¬“∑’Ë¡’§ÿ≥¿“æ‰¥â ª√‘¡“≥‡∂â“ ‡ÕßµàÕ‰ª √«¡∑—Èß„Àâ¢âÕ¡Ÿ≈¥â“π«‘™“°“√·°à§≥–·æ∑¬å ºŸâ °“√µ√«®ª√‘¡“≥‡∂â“ ‡æ◊ËÕµ√«®À“ ‘Ëßªπª≈Õ¡„π ‡°’Ë¬«¢âÕß¢Õß‚√ßæ¬“∫“≈™ÿ¡™π·≈– ∂“π’Õπ“¡—¬ ‚¥¬‡Õ° “√ ¡ÿπ‰æ√ ‡™àπ ™‘Èπ à«π¢Õßæ◊™Õ◊Ëπ∑’Ëªπ¡“ À√◊Õ‡ªìπæ◊™™π‘¥ À√◊Õ°“√¥ß“πŸ √â“ß§«“¡¡—Ëπ„®„Àâ°—∫ºŸâ —Ëß®à“¬·≈–ºŸâ„™â ¡π‰æ√ÿ ‡¥’¬«°—π·µà‡ªìπ à«π∑’Ë‰¡à„™â‡ªìπ¬“ªπ¡“ ·≈–√«¡∂÷ß‡»…À‘π ´÷Ëß‡ªìπ°“√æ—≤π“·À≈àß«—µ∂ÿ¥‘∫·≈–‚√ßæ¬“∫“≈¢Õß√—∞„Àâ¡’ ‡»…¥‘π·≈–∑√“¬∑’Ëªπ¡“. °“√∑’Ëµ—«Õ¬à“ß«—µ∂ÿ¥‘∫¡’ª√‘¡“≥‡∂â“ °“√º≈‘µ¬“∑’Ë¥’¡’§ÿ≥¿“æ·≈–¬—Ëß¬◊π. ·≈–‡∂â“∑’Ë‰¡à≈–≈“¬„π°√¥ ß°«à“‡°≥±å¡“µ√∞“πŸ Õ“®‡π◊ËÕß®“° ‡¡◊ËÕ‡ª√’¬∫‡∑’¬∫º≈°“√ª√–‡¡‘π§ÿ≥¿“æ∑“ß‡§¡’¢Õß ‰¡à¡’°“√®—¥°“√«—µ∂ÿ¥‘∫∑’Ë‰¥â®“°°“√‡æ“–ª≈Ÿ°·≈–°“√‡°Á∫ ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√ „π‚§√ß°“√§ÿ≥¿“æ ¡ÿπ- ‡°’Ë¬«µ“¡·π«∑“ß‡°…µ√¥’∑’Ë‡À¡“– ¡. ºŸâª≈Ÿ°¢“¥Õß§å§«“¡√Ÿâ ‰æ√‰∑¬ °√¡«‘∑¬“»“ µ√å°“√·æ∑¬å ‡¡◊ËÕªïß∫ª√–¡“≥ æ.». ·≈–‡∑§π‘§¥â“π°“√ª≈Ÿ° °“√‡°Á∫‡°’Ë¬« √«¡∑—ÈßºŸâªØ‘∫—µ‘¢“¥ ÚıÙı °—∫∑’Ë‰¥â¥”‡π‘π°“√„πªïß∫ª√–¡“≥ æ.». Úıı æ∫«à“ §«“¡√–¡—¥√–«—ß„π°“√≈â“ß∑”§«“¡ –Õ“¥ ¡ÿπ‰æ√ À√◊Õ„π —¥ à«π¢Õß®”π«πµ—«Õ¬à“ß∑—Èß«—µ∂ÿ¥‘∫·≈–¬“·§ª´Ÿ≈∑’Ë¡’§ÿ≥¿“æ °√≥’∑’Ë´◊ÈÕ®“°∑âÕßµ≈“¥À√◊Õ√â“π¢“¬¬“ Õ“®‰¡à¡’°“√µ√«® ∑“ß‡§¡’‡¢â“¡“µ√∞“π„π æ.». Úıı Ÿß°«à“. ·µàÕ¬à“ß‰√°Áµ“¡ Õ∫·À≈àßº≈‘µ∑’Ë™—¥‡®π·≈–¢“¥°“√µ√«® Õ∫‡∫◊ÈÕßµâπ. ‡æ◊ËÕ „π æ.». ÚıÙı ¡’‚√ßæ¬“∫“≈¿Ÿ¡‘¿“§∑’Ë‡§¬ àßµ—«Õ¬à“ß ·°âªí≠À“¥—ß°≈à“«®÷ß§«√ª≈Ÿ°·≈–‡°Á∫‡°’Ë¬««—µ∂ÿ¥‘∫ ¡ÿπ‰æ√ «—µ∂¥‘∫ ¡ÿ π‰æ√¢¡‘Èπ™—π®”π«πÿ Ò ·Ààß ‰¡àºà“π‡°≥±å ˜ ·Ààß ¥â«¬¡“µ√∞“π good agricultural practices (GAP) ·≈– ·≈–·§ª´≈ ¡Ÿ π‰æ√¢¡‘Èπ™—π®”π«πÿ ˜ ·Ààß‰¡àºà“π‡°≥±å®”π«π ∑”§«“¡ –Õ“¥«—µ∂ÿ¥‘∫ ¡ÿπ‰æ√¥â«¬§«“¡√–¡—¥√–«—ß. À“° ˆ ·Ààß ‰¥â àßµ—«Õ¬à“ß‡¢â“µ√«®«‘‡§√“–Àå„π æ.». Úıı æ∫ ´◊ÈÕ«—µ∂ÿ¥‘∫®“°∑âÕßµ≈“¥À√◊Õ√â“π¢“¬¬“ §«√µ√«® Õ∫·À≈àß «à“«—µ∂ÿ¥‘∫ ¡ÿπ‰æ√‰¡àºà“π‡°≥±å ı ·Ààß ·≈–·§ª´Ÿ≈ ¡ÿπ- º≈‘µ·≈–∑”°“√µ√«® Õ∫§ÿ≥¿“æ ¡ÿπ‰æ√‡∫◊ÈÕßµâπ°àÕπ. ‰æ√‰¡àºà“π‡°≥±å®”π«π ˆ ·Ààß ·≈–∑’Ë‡§¬ àßµ—«Õ¬à“ß ª√‘¡“≥ “√ ”§—≠ «—µ∂ÿ¥‘∫ ¡ÿπ‰æ√øÑ“∑–≈“¬‚®√®”π«π Û ·Ààß ‰¡àºà“π‡°≥±å Ò µ—«Õ¬à“ß«—µ∂ÿ¥‘∫·≈–·§ª´Ÿ≈ à«πÀπ÷Ëß¡’ª√‘¡“≥ “√ ·Ààß·≈–¬“·§ª´Ÿ≈ ¡ÿπ‰æ√øÑ“∑–≈“¬‚®√®”π«π ı ·Ààß ‰¡à ”§—≠ ‰¥â·°à πÈ”¡—πÀÕ¡√–‡À¬ “√‡§Õ√å§Ÿ¡‘πÕ¬¥å À√◊Õ “√ ºà“π‡°≥±å Û ·Ààß ‰¥â àßµ—«Õ¬à“ß‡¢â“µ√«®«‘‡§√“–Àå„π æ.». ·≈§‚µπ√«¡µË”°«à“‡°≥±å¡“µ√∞“π. ‡æ◊ËÕªÑÕß°—π‰¡à„Àâ‡°‘¥ Úıı æ∫«à“ºà“π‡°≥±å∑ÿ°·Ààß. ®“°¢âÕ¡Ÿ≈¥—ß°≈à“«¢â“ßµâπ ªí≠À“¥—ß°≈à“«§«√√–¡—¥√–«—ßµ—Èß·µà¢—ÈπµÕπ°“√®—¥À“«—µ∂ÿ¥‘∫ · ¥ß„Àâ‡ÀÁπ«à“§ÿ≥¿“æ∑“ß‡§¡’-°“¬¿“æ¢Õß«—µ∂ÿ¥‘∫·≈– ®“°·À≈àß∑’Ë¡’°“√µ√«® Õ∫§≥¿“æ«—µ∂ÿ ÿ¥‘∫ °“√∑”§«“¡ –Õ“¥ º≈‘µ¿—≥±å ¡ÿπ‰æ√¢Õß ¡ÿπ‰æ√∑—Èß Ú ™π‘¥ ¡’§«“¡·µ°µà“ß°“√∑”·Àâß °“√∫√√®ÿ·≈–°“√‡°Á∫√—°…“. À“°¥”‡π‘π°“√„π §àÕπ¢â“ß¡“° À“°‰¡à‰¥â√—∫°“√æ—≤π“„π·π«∑“ß∑’Ë∂Ÿ°µâÕß ®– ¢—ÈπµÕπµà“ß Ê ‰¡à∂Ÿ°µâÕß ®–∑”„Àâ “√ ”§—≠„π ¡ÿπ‰æ√ ≈“¬ ‡ªìπÕÿª √√§µàÕ°“√æ—≤π“ ¡ÿπ‰æ√‰∑¬‡æ◊ËÕ„™â‡ªìπ¬“µàÕ‰ª. µ—«·≈–¡’§ÿ≥¿“æ‡ ◊ËÕ¡≈ß À√◊ÕÕ“®‡°Á∫ ¡ÿπ‰æ√‰«âπ“π‡°‘π‰ª º≈°“√µ√«®«‘‡§√“–Àå¢Õß ¡π‰æ√·µà≈–™π‘¥¡“«‘‡§√“–Àåÿ ∑”„Àâ “√ ”§—≠‡ ◊ËÕ¡ ¿“æ. ‚¥¬∑—Ë«‰ª‰¡à§«√‡°Á∫ ¡ÿπ‰æ√‰«â ‡æ‘Ë¡‡µ‘¡ ‡æ◊ËÕ®”·π°«à“®“°®”π«π‚√ßæ¬“∫“≈∑’Ë àß«—µ∂ÿ¥‘∫ π“π‡°‘π Ò ªï ·≈–§«√‡°Á∫ ¡ÿπ‰æ√„π ¿“æ∑—Èß™‘Èπ ‰¡à§«√ ·≈–·§ª´Ÿ≈ ¡ÿπ‰æ√¢¡‘Èπ™—π·≈–øÑ“∑–≈“¬‚®√®”π«π Ùı ‡°Á∫„π ¿“æ∑’Ë∫¥‡ªìπºß ‡æ√“–¡’æ◊Èπ∑’Ëº‘«¡“°∑”„Àâ “√ ”§—≠ ·Ààß ÒÚÙ µ—«Õ¬à“ß ¡’®”π«π‚√ßæ¬“∫“≈∑’Ëº≈‘µ«—µ∂ÿ¥‘∫À√◊Õ Ÿ≠ ≈“¬‰¥âßà“¬ ‚¥¬‡©æ“– ¡ÿπ‰æ√∑’Ë¡’πÈ”¡—πÀÕ¡√–‡À¬ ‡™àπ ·§ª´Ÿ≈ ¡ÿπ‰æ√∑’Ë¡’§ÿ≥¿“æÕ¬Ÿà„π‡°≥±å¥’¡“° ‚√ßæ¬“∫“≈∑’Ë ¢¡‘Èπ™—π §«√‡°Á∫„π¿“™π–∑÷∫· ß „πÀâÕß∑’Ë·Àâß –Õ“¥·≈–‡¬Áπ. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ÙÒ

‡¡◊ËÕπ”¡“‡µ√’¬¡‡ªìπ¬“ ºŸâº≈‘µµâÕß√–¡—¥√–«—ß∑ÿ°¢—ÈπµÕπ°“√ ‡Õ° “√Õâ“ßÕ‘ß º≈‘µ ‡æ√“–·¡â«—µ∂ÿ¥‘∫¡’§ÿ≥¿“æ‡¢â“¡“µ√∞“π À“°ºŸâº≈‘µ‰¡à¡’ Ò. ∂“∫—π«‘®—¬ ¡ÿπ‰æ√ °√¡«‘∑¬“»“ µ√å°“√·æ∑¬å °√–∑√«ß “∏“√≥ ÿ¢. §ÿ≥¿“æ ¡ÿπ‰æ√‰∑¬. ‡Õ° “√ª√–°Õ∫°“√ —¡¡π“ §«“¡√Ÿâ§«“¡‡¢â“„®·≈–ªØ‘∫—µ‘µ“¡À≈—°‡°≥±å«‘∏’°“√∑’Ë¥’. „π ß“π√—∫√Õß§ÿ≥¿“æ ¡ÿπ‰æ√‰∑¬·≈–°“√ª√–™ÿ¡«‘™“°“√ª√–®”ªï °“√º≈‘µ¬“®“° ¡π‰æ√Õ“®∑”„Àâ‡°‘¥°“√ªπ‡ªóôÕπ‡™◊ÈÕ®ÿ ÿ≈‘π∑√’¬å ÚıÙı ππ∑∫ÿ√’; ÚıÙı. ®”π«π Ò¯ Àπâ“. Ú. ∂“∫—π«‘®—¬ ¡ÿπ‰æ√ °√¡«‘∑¬“»“ µ√å°“√·æ∑¬å °√–∑√«ß ´÷Ëß‡ªìπ “‡Àµÿ ”§—≠∑’Ë∑”„Àâ¬“®“° ¡ÿπ‰æ√¡’§ÿ≥¿“æ≈¥≈ß “∏“√≥ ÿ¢. §ÿ≥¿“æ«—µ∂ÿ¥‘∫·≈–¬“®“° ¡ÿπ‰æ√„π‚§√ß°“√ À√◊Õ‡ ◊ËÕ¡§ÿ≥¿“æ. §ÿ≥¿“æ ¡ÿπ‰æ√‰∑¬ æ.». ÚıÙı-Úıı. ππ∑∫ÿ√’; ÚııÒ. ®”π«π ¯ Àπâ“. ”À√—∫°“√º—π·ª√¢ÕßπÈ”Àπ—°¬“·≈–‡«≈“„π°“√·µ° Û. §≥–Õπÿ°√√¡°“√æ—≤π“∫—≠™’¬“À≈—°·Ààß™“µ‘ §≥–°√√¡°“√·Ààß µ—«¢Õß‡¡Á¥¬“∑’Ëº‘¥¡“µ√∞“π‰¡àÕ¬Ÿà„π‡°≥±å∑’Ë°”Àπ¥ Õ“®‡°‘¥ ™“µ‘¥â“π¬“. ∫—≠™’¬“À≈—°·Ààß™“µ‘ æ.». ÚıÙÚ (∫—≠™’¬“®“° ¡ÿπ ‰æ√). æ‘¡æå§√—Èß∑’Ë Ò. °√ÿß‡∑æœ : ‚√ßæ‘¡æå™ÿ¡πÿ¡ À°√≥å°“√‡°…µ√ ®“°°“√§«∫§ÿ¡°√–∫«π°“√º≈‘µ∑’Ë‰¡à¥’æÕ ¢π“¥¢Õßºß¬“‰¡à ·Ààßª√–‡∑»‰∑¬ ®”°—¥; ÚıÙÛ. ®”π«π ¯ Àπâ“. ‰¥â¢π“¥µ“¡∑’Ë°”Àπ¥„π‡¿ —™µ”√—∫ «‘∏’°“√™—ËßπÈ”Àπ—°¢Õßºß Ù. §≥–°√√¡°“√·Ààß™“µ‘¥â“π¬“. ∫—≠™’¬“®“° ¡ÿπ‰æ√ æ.». ÚıÙ˘ (List of Herbal Medicinal Products A.D. 2006) µ“¡ª√–°“»§≥– ¬“∑’Ë®–∫√√®„π·§ª´ÿ ≈Ÿ √«¡∑—Èß«‘∏’°“√∫√√®ÿ “‡Àµ ¥—ß°≈à“«Õ“®ÿ °√√¡°“√·Ààß™“µ‘¥â“π¬“ (©∫—∫∑’Ë ı) æ.». ÚıÙ˘ ‡√◊ËÕß ∫—≠™’¬“ ∑”„ÀâºŸâ„™â¬“‰¡à‰¥â√—∫¬“„π¢π“¥∑’Ë§ß∑’Ë àßº≈„Àâ‰¡à¡’ª√– ‘∑∏‘º≈ À≈—°·Ààß™“µ‘ æ.». ÚıÙ˜ (©∫—∫∑’Ë Ù). °√ÿß‡∑æœ : ‚√ßæ‘¡æå™ÿ¡πÿ¡ „π°“√√—°…“. À°√≥å°“√‡°…µ√·Ààßª√–‡∑»‰∑¬ ®”°—¥; ÚıÙ˘. ®”π«π ÒÒ Àπâ“. ı. Department of Medical Sciences, Ministry of Public Health.Thai Herbal Pharmacopoeia. Vol. 1 Nonthaburi: Prachachon Co., Ltd.;1998. p. 29- °‘µµ‘°√√¡ª√–°“» 30, 42-43, 109-10. ˆ. ∂“∫—π«‘®—¬ ¡ÿπ‰æ√ °√¡«‘∑¬“»“ µ√å°“√·æ∑¬å °√–∑√«ß π“¬·æ∑¬å‰æ®‘µ√å «√“™‘µ Õ¥’µÕ∏‘∫¥’°√¡«‘∑¬“»“ µ√å°“√ “∏“√≥ ÿ¢. ¡“µ√∞“π ¡ÿπ‰æ√ Standard of Thai Herbal ·æ∑¬å ·≈–π“¬·æ∑¬åæß»åæ—π∏å «ß»å¡≥’ √ÕßÕ∏‘∫¥’°√¡ Pharmacopoaie ‡≈à¡∑’Ë Ú ¢¡‘Èπ™—π. Curcuma longa L. °√ÿß‡∑æœ : ‚√ß æ‘¡æå √. .æ.; ÚıÙÙ. Àπâ“ ÙÛ-ıÙ. «‘∑¬“»“ µ√å°“√·æ∑¬å ∑’Ë„Àâ°“√ π—∫ πÿπß∫ª√–¡“≥°“√ ˜. ∂“∫—π«‘®—¬ ¡ÿπ‰æ√ °√¡«‘∑¬“»“ µ√å°“√·æ∑¬å °√–∑√«ß ¥”‡π‘πß“π. ‡¿ —™°√À≠‘ßª√“≥’ ™«≈‘µ∏”√ß Õ¥’µºŸâÕ”π«¬°“√ “∏“√≥ ÿ¢. ¡“µ√∞“π ¡ÿπ‰æ√ Standard of Thai Herbal Pharmacopocia ‡≈à¡∑’Ë Ò øÑ“∑–≈“¬‚®√. Andrographis paniculata ∂“∫—π«‘®—¬ ¡π‰æ√ÿ ‰¥â π—∫ ππ°“√¥”‡π‘πß“π·≈–„Àâ§”ª√÷°…“.ÿ (Burm.f.) Nees °√ÿß‡∑æœ : ‚√ßæ‘¡æåÕß§å°“√√—∫ àß ‘π§â“·≈–æ— ¥ÿ¿—≥±å; π“ß¡“≈’ ∫√√®∫ ºŸâÕ”π«¬°“√ ∂“∫—π«‘®—¬ ¡ÿπ‰æ√∑’Ë π—∫ πÿπ ÚıÙÚ. Àπâ“ Ù-Ù˘. ¯. Department of Medical Sciences, Ministry of Public Health. Supplement „Àâ¡’°“√‡º¬·æ√àº≈°“√¥”‡π‘πß“π. ºŸâÕ”π«¬°“√»π¬å«‘∑¬“»“ µ√åŸ to Thai Herbal Pharmacopoeia. Bangkok: Prachachon Co., Ltd.; 2004. °“√·æ∑¬åπ§√ «√√§å·≈–∫ÿ§≈“°√¢ÕßÀπà«¬ß“π∑’Ë™à«¬µ√«® p. 40. ˘. British Pharmacopoeia. Vol. 2. Disintegration Test for Tablets and «‘‡§√“–Àå∑“ß‡§¡’·≈–¬—ß‰¥â√—∫ª√–‚¬™πåÕ¬à“ß¬‘Ëß®“°°“√·≈° Capsules. London: the United kingdom for Her Majestyûs Stationary ‡ª≈’Ë¬πª√– ∫°“√≥å·≈–¢âÕ‡ πÕ·π–°—∫ºŸâ∫√‘À“√·≈–‡®â“Àπâ“∑’Ë Office; 1988. p. 623, A141. ∑’Ë‡°’Ë¬«¢âÕß¢Õß∑ÿ°‚√ßæ¬“∫“≈. πÕ°®“°π’È ∫ÿ§≈“°√»Ÿπ¬åµ√«® Ò. ¡“≈’ ∫√√®∫, ¥√ÿ≥ ‡æÁ™√æ≈“¬. ·π«∑“ß°“√º≈‘µ«—µ∂ÿ¥‘∫ ¡ÿπ‰æ√. °√ÿß‡∑æœ : ‚√ßæ‘¡æåÕß§å°“√ ß‡§√“–Àå∑À“√ºà“π»÷°; ÚıÛ¯. ®”π«π Õ∫·≈–√—∫√Õß§ÿ≥¿“æ ¡ÿπ‰æ√ π“ß “«ª√–‰æ «ß»å ‘π§ß¡—Ëπ ˜Ú Àπâ“. π“ß “« ¡®‘µ√å ‡π’¬¡ °ÿ≈ π“ß “« ÿπ—π∑“ »√’ π“¡ π“¬π«√—µπåÒÒ. ¡“≈’ ∫√√®∫, ¥√ÿ≥ ‡æÁ™√æ≈“¬. ·π«∑“ß°“√º≈‘µ¬“ ¡ÿπ‰æ√. °√ÿß‡∑æœ : ‚√ßæ‘¡æåÕß§å°“√ ß‡§√“–Àå ∑À“√ºà“π»÷°; ÚıÛ˘. ®”π«π ®—¥‡®π «à“∑’Ë √.µ.∏π«—≤πå ∑Õß®’π π“ß “« ‘√‘°“≠®π å ∏πÕ√‘¬‚√®πå ÒÒ Àπâ“. π“ß “«°≈«‘∑¬å ‰™¬∑Õß»√’ π“ß “««‘‰≈≈—°…≥å ™◊Ëππ“ß™’ ÒÚ. ”π—°ß“π§≥–°√√¡°“√Õ“À“√·≈–¬“ °√–∑√«ß “∏“√≥ ÿ¢. ∫∑∑’Ë Û Õß§åª√–°Õ∫„π°“√º≈‘µ¬“®“° ¡ÿπ‰æ√„Àâ¡’§ÿ≥¿“æ „π§Ÿà¡◊Õ π“ß “«®—π∑π“ √–√◊Ëπ√¡¬å π“ß “«π—π∏‘¥“ ∫—«ß“¡ π—°«‘∑¬“»“ µ√å º≈‘µ¿—≥±å¬“®“° ¡ÿπ‰æ√‡æ◊ËÕ‡»√…∞°‘®™ÿ¡™π. °√ÿß‡∑æœ : ‚√ßæ‘¡æå °“√·æ∑¬å‰¥â™à«¬„π°“√µ√«®«‘‡§√“–Àå·≈–°“√®—¥°“√µ—«Õ¬à“ß. Õß§å°“√ ß‡§√“–Àå∑À“√ºà“π»÷°; ÚıÙÙ. Àπâ“ ÚÛ-Ù. π“¬ ¡™“¬ · πÀ≈«ßÕ‘π∑√å π“ß∫ÿ»√“ Õÿπ“∑ π“ßπÿ®√’ »√’ π“¡ ‰¥â™à«¬‡µ√’¬¡µ—«Õ¬à“ßµ√«®«‘‡§√“–Àå. ÙÚ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

Abstract Medicinal Quality of Turmeric and Andrographis Raw Materials and Capsules Dispensed in Regional Hospitals Thidarat Boonruad*, Apirak Sakpetch*, Puritat Rattanasiri* *Medicinal Plant Research Institute, Department of Medical Sciences, Ministry of Public Health, Nonthaburi Province

This study was carried out to determine the chemical quality of the raw materials used and that con- tained in capsules of turmeric (Curcuma longa L.) and andrographis herb (Andrographis paniculata (Burm. f.) Wall. ex Nees) currently produced and dispensed in 45 hospitals in 31 provinces of Thailand. The samples were submitted in 2007 to the Medicinal Plant Research Institute, Department of Medical Sciences for quality certification; of the 124 samples received, 40 and 24 of them respectively were raw materials and 35 and 25 of them were medicinal capsules of turmeric and andrographis herbs. The results of the test revealed that 42.5 and 87.5 percent of the turmeric and andrographis raw materials, and 22.85 and 76 percent of the turmeric and andrographis medicinal capsules, respectively, reached the standard specifications of the Thai Herbal Pharmacopoeia (THP), showing that the chemical quality of about 75 percent of andrographis raw materials and 85 percent of andrographis capsules precribed in those hospitals met THP standards, while the quality of most turmeric raw materials and medicinal capsules posed a serious problem. In conclusion, the herbal medicinal materials and herbal medicines produced and used in these hospitals need to be upgraded in quality in order to comply with the government policy to lessen the use of modern pharmaceuticals and promote the use of herbal medicines in the public health service of the country. Key words: quality assessment, herbal medicine, turmeric, andrographis «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine Journal of Thaiªï∑’Ë Traditional ˆ ©∫—∫∑’Ë Ò& ¡°√“§¡-‡¡…“¬πAlternative Medicine ÚııÒ Vol. 6 Vol. No. 6 1 No. January-April 1 January-April 20082008

π‘æπ∏åµâπ©∫—∫ ∑—»π§µ‘¢ÕßºŸâ„™â∫√‘°“√ ª“

Õÿ∫≈«√√≥ ¢Õæ÷Ëß*

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°‘®°“√ ª“‡æ◊ËÕ ÿ¢¿“æ√âÕ¬≈– ÙÚ.ı, ·≈– ∂“πª√–°Õ∫ Õ—π¥—∫ ÿ¥∑â“¬ §◊Õ∑—»π§µ‘µàÕ§ÿ≥§à“¥â“π§«“¡ß“¡ Õ¬Ÿà„π√–¥—∫ °‘®°“√π«¥‡æ◊ËÕ ÿ¢¿“æ√âÕ¬≈– ÒÙ.Û. „π ∂“πª√–°Õ∫ Ÿß (§à“‡©≈’Ë¬ = Û.ı). °‘®°“√ ª“‡æ◊ËÕ ÿ¢¿“æ µâÕß°“√‡≈◊Õ°„™â∫√‘°“√π«¥ ¢—¥º‘« ·≈–∫”√ÿßº‘«Àπâ“ ‡ªìπÕ—π¥—∫·√°√âÕ¬≈– ÛÚ.ˆ, ∫√‘°“√π«¥ °“√∑¥ Õ∫ ¡¡µ‘∞“π ·≈–∫”√ÿßº‘«√âÕ¬≈– Û.Ò. ”À√—∫°“√Ωñ° ¡“∏‘ ¡’ºŸâµâÕß°“√ ¡¡µ‘∞“π∑’Ë Ò ºŸâ„™â∫√‘°“√ ª“∑’Ë¡’≈—°…≥–æ◊Èπ∞“π ‡≈◊Õ°„™â‡æ’¬ß√âÕ¬≈– Ú.Ò ‡∑à“π—Èπ. „π ∂“πª√–°Õ∫°“√π«¥ à«π∫ÿ§§≈ ª√– ∫°“√≥å°“√„™â∫√‘°“√ ª“ ·≈–§«“¡√Ÿâ§«“¡ ‡æ◊ËÕ ÿ¢¿“æ ºŸâ„™â∫√‘°“√µâÕß°“√∫√‘°“√π«¥µ—«‡ªìπÕ—π¥—∫·√° ‡¢â“„®µàÕ ª“ ∑’Ëµà“ß°—π¡’∑—»π§µ‘µàÕ§≥§à“¢Õß ª“∑’Ë·µ°µà“ß°—πÿ √âÕ¬≈– Ù¯., π«¥ΩÉ“‡∑â“√âÕ¬≈– ÙÛ.˘, ·≈–π«¥πÈ”¡—π æ∫«à“ ºŸâ„™â∫√‘°“√ ª“∑’Ë‡æ», √“¬‰¥â·≈–§«“¡√Ÿâ§«“¡‡¢â“„® √âÕ¬≈– ¯.Ò. „π ∂“πª√–°Õ∫°“√π«¥‡æ◊ËÕ‡ √‘¡ «¬ ºŸâ„™â µàÕ ª“·µ°µà“ß°—π¡’∑—»π§µ‘µàÕ§≥§à“¢Õß ª“∑’Ë‰¡à·µ°µà“ß°—π.ÿ ∫√‘°“√¡’§«“¡µâÕß°“√‡≈◊Õ°„™â∫√‘°“√π«¥Àπâ“‡ªìπÕ—π¥—∫·√° à«πºŸâ„™â∫√‘°“√ ª“∑’Ë¡’Õ“¬ÿ·µ°µà“ß°—π¡’∑—»π§µ‘µàÕ§ÿ≥§à“ √âÕ¬≈– Û.Û, π«¥µ—«√âÕ¬≈– Ú˜.˜. Õ—π¥—∫ ÿ¥∑â“¬§◊Õ ¢Õß ª“·µ°µà“ß°—π (§à“æ’ .Û¯). „π¥â“π§«“¡ß“¡·µ° ∫√‘°“√°√–™—∫ —¥ à«πÀ√◊Õ≈¥‰¢¡—π ¡’ºŸâµâÕß°“√∫√‘°“√√âÕ¬≈– µà“ß°—π ºŸâ„™â∫√‘°“√∑’Ë¡’√–¥—∫°“√»÷°…“·µ°µà“ß°—π¡’∑—»π§µ‘ Û.˘ ‡∑à“π—Èπ. ·À≈àß ª“∑’ËºŸâ„™â∫√‘°“√ µâÕß°“√¡“°∑’Ë ÿ¥§◊Õ µàÕ§ÿ≥§à“¢Õß ª“·µ°µà“ß°—π„π¥â“π°“√∫”∫—¥√—°…“ (§à“æ’ ∫√‘°“√‡¥¬å ª“√âÕ¬≈– ¯Ò.Û, Õ—π¥—∫√Õß§◊Õ ª“∑“ß·æ∑¬å .Ò) ·≈–°“√æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬ (§à“æ’ .ı). ºŸâ √âÕ¬≈– ˜¯.˜, ·≈–Õ—π¥—∫∑â“¬§◊Õ ª“‚√ß·√¡·≈–√’ Õ√å∑√âÕ¬≈– „™â∫√‘°“√∑’Ë¡’Õ“™’æ·µ°µà“ß°—π¡’∑—»π§µ‘µàÕ§ÿ≥§à“¢Õß ª“ Ùı.˜. ·µ°µà“ß°—π„π¥â“π°“√∫”∫—¥√—°…“ (§à“æ’ .Ò) ·≈–°“√æ—°ºàÕπ ·≈–°“√ºàÕπ§≈“¬ (§à“æ’ .ı). ºŸâ„™â∫√‘°“√∑’Ë¡’ª√– ∫°“√≥å°“√ √–¥—∫§«“¡√Ÿâ §«“¡‡¢â“„®‡√◊ËÕß ª“ „™â∫√‘°“√ ª“·≈–§«“¡√Ÿâ§«“¡‡¢â“„®·µ°µà“ß°—π ¡’∑—»π§µ‘µàÕ °≈ÿà¡µ—«Õ¬à“ß√âÕ¬≈– ıÛ.¯ ¡’§«“¡√Ÿâ§«“¡‡¢â“„®‡√◊ËÕß ª“ §ÿ≥§à“¢Õß ª“·µ°µà“ß°—π„π¥â“π°“√∫”∫—¥√—°…“·≈–¥â“π°“√ „π¿“æ√«¡Õ¬Ÿà„π√–¥—∫ª“π°≈“ß, √âÕ¬≈– Ù.Û √–¥—∫µË”, æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬ Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘∑’Ë√–¥—∫ ·≈–√âÕ¬≈– ˆ √–¥—∫ Ÿß. .ı. ¡¡µ‘∞“π∑’Ë Ú §«“¡§‘¥‡ÀÁπµàÕ°“√„Àâ∫√‘°“√ ª“¢ÕßºŸâ √–¥—∫§«“¡§‘¥‡ÀÁπµàÕ∫√‘°“√ ª“ „™â∫√‘°“√ ª“¡’§«“¡ —¡æ—π∏å°—∫∑—»π§µ‘µàÕ§≥§à“¢Õß ª“ÿ æ∫ §«“¡§‘¥‡ÀÁπ‡°’Ë¬«°—∫∫√‘°“√ ª“„π¿“æ√«¡Õ¬Ÿà„π√–¥—∫ Ÿß «à“§«“¡§‘¥‡ÀÁπµàÕ°“√„Àâ∫√‘°“√ ª“¢ÕßºŸâ„™â∫√‘°“√ ª“„π (§à“‡©≈’Ë¬ = Ù.Úˆ). ‡¡◊ËÕæ‘®“√≥“‡ªìπ√“¬¥â“π æ∫«à“ºŸâ„™â ¿“æ√«¡ ¡’§«“¡ —¡æ—π∏å∑“ß∫«°°—∫∑—»π§µ‘µàÕ§ÿ≥§à“¢Õß ∫√‘°“√ ª“¡’§«“¡§‘¥‡ÀÁπµàÕ°“√„Àâ∫√‘°“√ ª“„π¥â“π°“√ ª“„π¿“æ√«¡, ¥â“π§«“¡ß“¡, ¥â“π°“√ àß‡ √‘¡ ¢¿“æ√à“ß°“¬ÿ µâÕπ√—∫·≈–°“√„Àâ∫√‘°“√„π√–¥—∫ Ÿß¡“° (§à“‡©≈’Ë¬ = Ù.ıÛ), ·≈–¥â“π°“√æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬ Õ¬à“ß¡’π—¬ ”§—≠∑’Ë√–¥—∫ ¥â“π§«“¡™”π“≠¢ÕßºŸâ„Àâ∫√‘°“√ Õ¬Ÿà„π√–¥—∫ ß¡“°‡™àπ‡¥’¬«°—πŸ .Ò (r = Ûˆ˜, ÛÒÛ, Ú¯Ú ·≈– Ú˜Û µ“¡≈”¥—∫). à«π (§à“‡©≈’Ë¬ = Ù.ÙÒ). ”À√—∫§«“¡§‘¥‡ÀÁπ¥â“π√“§“Õ¬Ÿ„π §ÿ≥§à“¥â“π°“√∫”∫—¥√—°…“æ∫«à“‰¡à¡’§«“¡ —¡æ—π∏å°—∫∑—»π§µ‘ Õ—π¥—∫ ÿ¥∑â“¬ ‚¥¬Õ¬Ÿà„π√–¥—∫ Ÿß (§à“‡©≈’Ë¬= Û.˘Ú). µàÕ§ÿ≥§à“¢Õß ª“. ‡¡◊ËÕæ‘®“√≥“§«“¡ —¡æ—π∏å‡ªìπ√“¬ªí®®—¬ æ∫«à“§«“¡§‘¥‡ÀÁπµàÕ°“√„Àâ∫√‘°“√ ª“‡°’Ë¬«°—∫ ∂“π∑’ËÀ√◊Õ ∑—»π§µ‘µàÕ§ÿ≥§à“¢Õß ª“ ∑”‡≈∑’Ëµ—Èß ¡’§«“¡ —¡æ—π∏å∑“ß∫«°°—∫∑—»π§µ‘µàÕ§ÿ≥§à“¢Õß ∑—»π§µ‘µàÕ§≥§à“¢Õß ª“„π¿“æ√«¡Õ¬ÿ Ÿà„π√–¥—∫ ßŸ (§à“ ª“„π¿“æ√«¡ ¥â“π§«“¡ß“¡ ·≈–¥â“π°“√ àß‡ √‘¡ ÿ¢¿“æ ‡©≈’Ë¬ = Û.˘¯). ‡¡◊ËÕæ‘®“√≥“√“¬¥â“π æ∫«à“∑—»π§µ‘µàÕ √à“ß°“¬. ‡°’Ë¬«°—∫Õÿª°√≥å ‡§√◊ËÕß¡◊Õ ·≈–«— ¥ÿ ¡’§«“¡ §ÿ≥§à“¥â“π°“√æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬ Õ¬Ÿà„π√–¥—∫ Ÿß¡“° —¡æ—π∏å∑“ß∫«°°—∫∑—»π§µ‘µàÕ§ÿ≥§à“¢Õß ª“„π¿“æ√«¡ (§à“‡©≈’Ë¬ = Ù.ÛÒ), √Õß≈ß¡“ §◊Õ ∑—»π§µ‘µàÕ§ÿ≥§à“¥â“π àß ¥â“π§«“¡ß“¡ ¥â“π°“√ àß‡ √‘¡ ÿ¢¿“æ√à“ß°“¬ ·≈–¥â“π°“√ ‡ √‘¡ ÿ¢¿“æ√à“ß°“¬ Õ¬Ÿà„π√–¥—∫ Ÿß (§à“‡©≈’Ë¬ = Ù.˘), ·≈– æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬ ‡°’Ë¬«°—∫§«“¡™”π“≠¢ÕßºŸâ„Àâ∫√‘°“√ Ùˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

µ“√“ß∑’Ë Ò º≈°“√∑¥ Õ∫ ¡¡µ‘∞“π¢âÕ∑’Ë Ú ∑—»π§µ‘µàÕ§ÿ≥§à“¢Õß ª“ (Û¯ı √“¬) §«“¡§‘¥‡ÀÁπµàÕ°“√„Àâ §«“¡ß“¡ àß‡ √‘¡ ÿ¢¿“æ√à“ß°“¬ ∫”∫—¥√—°…“ æ—°ºàÕπ·≈–ºàÕπ§≈“¬ ¿“æ√«¡∑—»π§µ‘ ∫√‘°“√ ª“ r Sig. r Sig. r Sig. r Sig. r Sig.

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¡’§«“¡ —¡æ—π∏å∑“ß∫«°°—∫∑—»π§µ‘µàÕ§ÿ≥§à“¢Õß ª“„π¿“æ ∫√‘°“√π«¥Àπâ“‡ªìπÕ—π¥—∫·√° ‡π◊ËÕß®“°ºŸâ„™â∫√‘°“√ à«π„À≠à √«¡ ¥â“π§«“¡ß“¡ ¥â“π°“√ àß‡ √‘¡ ÿ¢¿“æ√à“ß°“¬ ·≈–¥â“π ‡ªìπÀ≠‘ß ´÷Ëß„πªí®®ÿ∫—ππ’È à«π„À≠àµâÕßÕÕ°‰ª∑”ß“ππÕ°∫â“π °“√æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬. ‡°’Ë¬«°—∫§«“¡πà“‡™◊ËÕ∂◊Õ¢Õß ·≈–µâÕß∑”ß“π∫â“π¥â«¬ ®÷ßµâÕß°“√°“√æ—°ºàÕπ·≈–°“√ºàÕπ ∂“π∫√‘°“√ ·≈–ºŸâ„Àâ∫√‘°“√¡’§«“¡ —¡æ—π∏å∑“ß∫«°°—∫ §≈“¬√«¡∑—ÈßµâÕß°“√§«“¡ß“¡‰ª¥â«¬æ√âÕ¡ Ê °—π ·≈–µâÕß°“√ ∑—»π§µ‘µàÕ§ÿ≥§à“¢Õß ª“„π¿“æ√«¡ ¥â“π§«“¡ß“¡ ¥â“π°“√ °“√¥Ÿ·≈√—°…“º‘«Àπâ“ √à“ß°“¬ „Àâ¥Ÿ¥’Õ¬Ÿà‡ ¡Õ ‡¡◊ËÕ¡’‡«≈“«à“ß àß‡ √‘¡ ¢¿“æ√à“ß°“¬ÿ ·≈–¥â“π°“√æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬. ®÷ß‰ª„™â∫√‘°“√·∫∫π“π Ê §√—Èß. ·À≈àß ª“∑’ËºŸâ„™â∫√‘°“√µâÕß ‡°’Ë¬«°—∫°“√µâÕπ√—∫ ·≈–°“√„Àâ∫√‘°“√ ¡’§«“¡ —¡æ—π∏å∑“ß °“√‡≈◊Õ°„™â §◊Õª√–‡¿∑‡¥¬å ª“ ‡π◊ËÕß®“°‡¢â“∂÷ß∫√‘°“√ßà“¬ ∫«°°—∫∑—»π§µ‘µàÕ§≥§à“¢Õß ª“„π¿“æ√«¡ÿ ·≈– §≥§à“∑—Èßÿ Ù ·≈– –¥«° ¡’ ∂“π∑’Ëµ—Èß°√–®“¬Õ¬Ÿà∑—Ë«‰ª∑—Èß„π·≈–πÕ°‡¡◊Õß ¥â“π §◊Õ ¥â“π§«“¡ß“¡ ¥â“π°“√ àß‡ √‘¡ ÿ¢¿“æ√à“ß°“¬ ¥â“π µ≈Õ¥®πÀâ“ß √√æ ‘π§â“·≈–‚√ß·√¡. ¡’º≈°“√»÷°…“æ∫«à“ °“√∫”∫—¥√—°…“ ·≈–¥â“π°“√æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬, ·≈– ∏ÿ√°‘®ª√–‡¿∑‡¥¬å ª“¡’·π«‚πâ¡«à“®–‰¥â√—∫§«“¡π‘¬¡®“°ºŸâ„™â ‡°’Ë¬«°—∫√“§“ ¡’§«“¡ —¡æ—π∏å∑“ß∫«°°—∫∑—»π§µ‘µàÕ§ÿ≥§à“ ∫√‘°“√„πª√–‡∑» ·≈–µà“ßª√–‡∑»‡æ‘Ë¡ Ÿß¢÷Èπ ˜.o ¢≥– ¢Õß ª“„π¿“æ√«¡ ¥â“π§«“¡ß“¡ ¥â“π°“√ àß‡ √‘¡ ÿ¢¿“æ ‡¥’¬«°—π ª“∑“ß·æ∑¬åπ‘¬¡„™â∫√‘°“√‡ªìπÕ—π¥—∫ Ú ‡π◊ËÕß¡“ √à“ß°“¬ ·≈–¥â“π°“√æ—°ºàÕπ·≈–°“√ºàÕπ§≈“¬. º≈°“√∑¥ Õ∫ ®“°ªí®®ÿ∫—ππ’È °√–∑√«ß “∏“√≥ ÿ¢¡’π‚¬∫“¬‡πâπ°“√ àß ¡¡µ‘∞“π¢âÕ∑’Ë Ú ‰¥â √ÿª‰«â„πµ“√“ß∑’Ë Ò. ‡ √‘¡ ÿ¢¿“æ¡“°°«à“‡πâπ„π¥â“π°“√∫”∫—¥√—°…“ ®÷ß‰¥âæ—≤π“- °“√·æ∑¬å∑“ß‡≈◊Õ°¢÷Èπ ‚¥¬‚√ßæ¬“∫“≈·≈– ∂“πæ¬“∫“≈ «‘®“√≥å À≈“¬·Ààß‰¥â‡ªî¥∫√‘°“√π«¥·ºπ‰∑¬ ·≈–∫√‘°“√ ª“ ¢÷Èπ∑—Èß ª√– ∫°“√≥å ¿“§√—∞ ·≈–¿“§‡Õ°™π ®÷ß∑”„Àâ ª“∑“ß·æ∑¬å‡ªìπ∫√‘°“√ ºŸâ¡“„™â∫√‘°“√ ª“·∫∫π“π Ê §√—Èßπà“®–· ¥ß«à“ºŸâ„™â ‡≈◊Õ°„™â√Õß¡“®“°‡¥¬å ª“. ∫√‘°“√æ÷ßæÕ„®µàÕ∫√‘°“√®÷ß°≈—∫¡“„™âÕ’° ‚¥¬ºŸâ„™â∫√‘°“√∫“ß §«“¡√Ÿâ§«“¡‡¢â“„®‡√◊ËÕß ª“ à«π‡ÀÁπ«à“‰¡à®”‡ªìπµâÕß¡“„™â∫√‘°“√‡ªìπª√–®” ·≈–∫“ß à«π ºŸâ„™â∫√‘°“√ ª“ à«π„À≠à¡’§«“¡√Ÿâ§«“¡‡¢â“„®‡√◊ËÕß ¬—ß‡ÀÁπ«à“°“√„™â∫√‘°“√∫àÕ¬ Ê ‡ªìπ‡√◊ËÕßøÿÉ¡‡øóÕ¬. ºŸâ„™â∫√‘°“√ ª“ª“π°≈“ß · ¥ß«à“¬—ß¡’°“√ àß‡ √‘¡·≈–æ—≤π“∏ÿ√°‘® ª“‰¡à µâÕß°“√„™â∫√‘°“√ ª“ª√–‡¿∑π«¥‡æ◊ËÕ‡ √‘¡ «¬ ‚¥¬‡≈◊Õ°„™â ‡æ’¬ßæÕ ¬—ß‰¡à‰¥â„Àâ§«“¡√Ÿâ°—∫ª√–™“™πÕ¬à“ß·æ√àÀ≈“¬ ·≈– Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Ù˜

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Abstract Attitude of Customers Toward the Benefits of Spa Services Ubolwan Korpueng* *Bureau of Provincial Health Administration, Ministry of Public Health, Nonthaburi Province This survey research had three main objectives. The first objective was to assess customer attitudes toward the value of spa services, the experiences of using spa, knowledge of spa and their perceptions of spa services. The second was to compare and analyze the relationship between independent variables such as personal characteristics, spa-using experiences, and knowledge; and the dependent variable was customer attitudes toward spa. The last objective was to analyze the relationship between perceptions of spa services and attitudes toward the value of spa. The study design was survey research using a self-administered questionnaire. A total of 385 samples were recruited from the customers who used the services of spa shops in four districts of Bangkok. To prove the hypothesis, statistical analysis was done by using t-test, F-test, and Pearson’s correlation coefficient test at the 0.05 statistically significant level. The details of the key findings in terms of personal characteristics were as follows: the majority of spa customers were female in the age group of 31-40 years old, having civil service or state enterprise service as their occupation, earning less than 30,000 baht per month, using spa rarely. However, the most frequently chosen type of spa shop is the spa for cosmetic purposes (43.2%). The most popular type of spa is the day spa. While the second most favorite is medical spa; the third is the hotel and resort spa. The least favorite type of spa shop is the massage spa; oil massage was the least chosen service. The overall knowledge of spa among the study group was in the middle level. The majority of spa users identified spa as a multi-purpose service in terms of health, leisure, relaxation, cosmetic and physical exercise. They have a clear understanding that all spa shops have to be audited and controlled for quality by the Min- istry of Public Health. The perception of spa service is high overall, while the aspect of reception and quality of service is at a very high level. On the contrary, the cost needs to be reconsidered. The overall attitude of customers toward the value of spa is high, especially for the aspect of relaxation, and leisure is at a very high level; thus, the aspects of health promotion, treatment and beauty follow consecutively. From testing the hypothesis, statistically significant relationships confirm that age, education, and experience of spa use determine the attitudes toward the value of using spa. Correlation testing reveals that customer perceptions of spa services have a positive relationship on attitudes toward the value of using spa. Key words: attitude of customers, benefit of using spa, spa «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine Journal of Thaiªï∑’Ë Traditional ˆ ©∫—∫∑’Ë Ò& ¡°√“§¡-‡¡…“¬πAlternative Medicine ÚııÒ Vol. 6 Vol. No. 6 1 No. January-April 1 January-April 20082008

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¡¬ÿ√’ «√√≥‰°√‚√®πå*

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µ“√“ß∑’Ë Ò ¢âÕ¡Ÿ≈∑—Ë«‰ª√–À«à“ß™“¬·≈–À≠‘ß ®”π«π (%) ¢âÕ¡≈‰Ÿ ¶- ·§«√å §à“æ’* ™“¬ À≠‘ß Õ“¬ÿ (ªï) πâÕ¬°«à“ ı Ú (Úˆ.¯ı) ˆÒ (Ù.ˆ˜) ı.Ù˜ .ˆı ı-ˆ ˆ (ıı.ıˆ) ˆı (ÙÛ.ÛÛ) ¡“°°«à“ ˆ Ò˘ (Ò˜.ı˘) ÚÙ (ÚÚ.¯ˆ) √–¥—∫°“√»÷°…“ µË”°«à“ª√‘≠≠“µ√’ Ò˘ (Ò˜.ı˘) ÛÛ (ÚÚ.) Ú˜.˘˘ . ª√‘≠≠“µ√’ ˆ (ıı.ıˆ) ÒÒÒ (˜Ù.) ª√‘≠≠“‚∑ Ú˘ (Úˆ.¯ı) ˆ (Ù.) ∂“π¿“æ ¡√ ‚ ¥ ı (Ù.ˆÛ) Ò (ˆ.ˆ˜) Ò˜.Ùı .Ò §Ÿà ÒÛ (˘ı.Û˜) ÒÒ˘ (˜˘.ÛÛ) À¡â“¬  (.) ˆ (Ù.) À¬à“/·¬°  (.) Òı (Ò.) √“¬‰¥â (∫“∑) µË”°«à“ Ò, ı (Ù.ˆÛ) Ù (Ú.ˆ˜) ˜.Ú˘ . Ò,Ò-Ú, ÒÙ (ÒÚ.˘ˆ) ¯Ù (ıˆ.) Ú,Ò-Û, Û˜ (ÛÙ.Úˆ) Ù˘ (ÛÚ.ˆ˜) ¡“°°«à“ Û, ıÚ (Ù¯.Òı) ÒÛ (¯.ˆ˜) *§à“æ’ = .ı ıÙ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

‡ªìπ°≈ÿà¡∑’Ë‰¡à‡§¬∑”ß“π‡°‘π°”≈—ß, √âÕ¬≈– Û.Ò ‡ªìπ°≈ÿà¡∑’Ë ª√–®”, √âÕ¬≈– ¯Ò.Ò ∫√‘‚¿§Õ“À“√À¡—°¥Õß‡ªìπ∫“ß§√—Èß, ∑”ß“π‡°‘π°”≈—ßµ≈Õ¥‡«≈“, √âÕ¬≈– ˜.Ù (Ò˘ §π) ‡ªìπ°≈ÿà¡ ·≈–¡’®”π«π ÙÙ §π (√âÕ¬≈– Ò˜.ı) ‰¡à∫√‘‚¿§Õ“À“√À¡—° ∑’ËÀ¡°¡ÿàπ„π°“¡“√¡≥åµ≈Õ¥‡«≈“. à«π¢âÕ¡Ÿ≈„π¥â“πÕ“√¡≥å ¥Õß. æ∫«à“ √âÕ¬≈– ı.Ù ‡ªìπ°≈ÿà¡∑’Ë¡’Õ“√¡≥å‡ª≈’Ë¬π·ª≈ßÕ¬Ÿà‡ ¡Õ, √âÕ¬≈– Ùˆ.˘ ∫√‘‚¿§Õ“À“√ª√–‡¿∑∑Õ¥‡ªìπª√–®”, √âÕ¬≈– ı¯.˘ ‡ªìπ°≈ÿà¡∑’Ë¡’°“√‡ª≈’Ë¬π·ª≈ßÕ“√¡≥å‡ªìπ∫“ß √âÕ¬≈– ıÒ.ıı ∫√‘‚¿§Õ“À“√ª√–‡¿∑∑Õ¥‡ªìπ§√—Èß§√“« ·≈– §√—Èß ·≈–√âÕ¬≈– Ûı.Ûı ‡ªìπ°≈ÿà¡∑’Ë‰¡à§àÕ¬‡ª≈’Ë¬π·ª≈ß¥â“π √âÕ¬≈– Ò.ıÒ ‰¡à∫√‘‚¿§Õ“À“√ª√–‡¿∑∑Õ¥. „π°≈ÿà¡∑’Ë∫√‘‚¿§ Õ“√¡≥å. Õ“À“√ª√–‡¿∑‰¢¡—π Ÿß √âÕ¬≈– ˆ.Ú ‡ªìπ°≈ÿà¡∑’Ë∫√‘‚¿§ ª√–™“°√»÷°…“√âÕ¬≈– Ò.˘Ù ∫√‘‚¿§Õ“À“√À¡—°¥Õß Õ“À“√ª√–‡¿∑‰¢¡—π Ÿß‡ªìπª√–®”, √âÕ¬≈– Ù˘.ˆÒ ∫√‘‚¿§

µ“√“ß∑’Ë Ú °“√‡ª≈’Ë¬π·ª≈ßæƒµ‘°√√¡°àÕπ·≈–À≈—ß°“√Õ∫√¡ °àÕπ À≈—ß æƒµ‘°√√¡ §“∑à ’ §à“æ’* √“¬ √âÕ¬≈– √“¬ √âÕ¬≈– ™’Ë°ß ªØ‘∫—µ‘∑ÿ°§√—ÈßÒ.Û˘ ÒÚ Ù.ˆı ∫“ß§√—ÈßÒ˘˜.Ûˆ Ò˜ ˆ.ı˘ ‰¡àªØ‘∫—µ‘ ÒıÚ ı¯.˘Ò ÒÛı ıÚ.ÛÛ ‰¡àµÕ∫ ¯ˆ ÛÛ.ÛÛ ˘Ù Ûˆ.ÙÛ Ú.¯Ú .ı «‘Ëß ªØ‘∫—µ‘‡ªìπª√–®” ÙÚ Òˆ.Ú¯ ı˜ ÚÚ.˘ ∫“ß§√—Èß˜ıÚ˘.˜ ¯Ò ÛÒ.Û˘ ‰¡àªØ‘∫—µ‘ ÒÒ ÙÚ.ˆÙ ˘Û Ûˆ.ı ‰¡àµÕ∫ ÛÒ ÒÚ.Ò Ú˜ Ò.Ù˜ ˆ.˘Ù . ‡¥‘π ªØ‘∫—µ‘‡ªìπª√–®” ÒÚ Û˘.˘Ú ÒÒ¯ Ùı.˜Ù ∫“ß§√—Èß ÒÚ¯ Ù˘.ˆÒ ÒÛÒ ı.˜¯ ‰¡àªØ‘∫—µ‘ ÚÙ ˘.Û ˘ Û.Ù˘ ‰¡àµÕ∫ Û Ò.Òˆ  . ı.ÛÚ . ƒÂ…’¥—¥µπ ªØ‘∫—µ‘‡ªìπª√–®” Òˆ ÙÒ.¯ ÒÒı ÙÙ.ı˜ ∫“ß§√—Èß¯˘ÛÙ.Ù˘ ÒÚ Û˘.ıÛ ‰¡àªØ‘∫—µ‘ ˆÛ ÚÙ.ÙÚ ÙÒ Òı.¯˘ Û.˜Ò . °“√°≈—Èπªí “«– ªØ‘∫—µ‘‡ªìπª√–®” Ú .˜¯ Ò .Û˘ ∫“ß§√—Èß Ò˜ ÙÒ.Ù˜ ˘Ù Ûˆ.ÙÛ ‰¡àªØ‘∫—µ‘ ÒÙ˘ ı˜.˜ı ÒˆÛ ˆÛ.Ò¯ Ú.Úı .Úı °“√ªØ‘∫—µ‘ ¡“∏‘ ªØ‘∫—µ‘‡ªìπª√–®” ı˘ ÚÚ.¯˜ ˆ˜ Úı.˘˜ ∫“ß§√—Èß ÒÙˆ ıˆ.ı˘ ÒıÚ ı¯.˘Ò ‰¡àªØ‘∫—µ‘ ıÚ Ú.Òı Û˜ ÒÙ.ÛÙ ‰¡àµÕ∫ Ò .Û˘ Ú .˜¯ ˆ.Û¯ . Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ıı

Õ“À“√ª√–‡¿∑‰¢¡—π Ÿß‡ªìπ∫“ß§√—Èß ·≈–√âÕ¬≈– ÙÛ.¯ ‰¡à µ“√“ß∑’Ë Û ¢âÕ¡Ÿ≈°“√ª≈Ÿ° ¡ÿπ‰æ√ ∫√‘‚¿§Õ“À“√ª√–‡¿∑‰¢¡—π Ÿß. ®”π«πª≈Ÿ° ¡ÿπ‰æ√ √âÕ¬≈– ˆ.ı˘ °‘πÕ“À“√√ ‡ºÁ¥‡ªìπª√–®”, √âÕ¬≈– Ù˘.ˆÒ ™π‘¥ ¡ÿπ‰æ√ √“¬ √âÕ¬≈– °‘πÕ“À“√√ ‡ºÁ¥‡ªìπ∫“ß§√—Èß ·≈–√âÕ¬≈– ÙÛ.¯ ‰¡à°‘π Õ“À“√√ ‡ºÁ¥. √âÕ¬≈– Ú.˜Ò °‘πÕ“À“√√ ‡ª√’È¬«‡ªìπª√–®”, ¡ÿπ‰æ√„π§√—«‡√◊Õπ ÚÛ¯ ˆÚ.Úı °≈â«¬πÈ”«â“ Ò˜ ˆı.¯˘ √âÕ¬≈– ˆÒ.ˆÛ °‘πÕ“À“√√ ‡ª√’È¬«‡ªìπ∫“ß§√—Èß‡∑à“π—Èπ. ¢¡‘Èπ™—π Ò˘Ú ˜Ù.ÙÚ √âÕ¬≈– Û.¯¯ °‘πÕ“À“√√ ‡§Á¡®—¥‡ªìπª√–®”, √âÕ¬≈– ‚À√–æ“ Ò˜ı ˆ˜.¯Û ÛÙ.¯¯ °‘πÕ“À“√√ ‡§Á¡®—¥‡ªìπ∫“ß§√—Èß ·≈–√âÕ¬≈– ˆÒ.ÚÙ °√–™“¬ ÒÛ˜ ıÛ.Ò ‰¡à°‘πÕ“À“√√ ‡§Á¡. ¢à“ ÚÒÚ ¯Ú.Ò˜ √âÕ¬≈– ¯.ıÛ °‘πÕ“À“√ª√–‡¿∑ªîôß¬à“ß, √âÕ¬≈– ¯ı.Ú˜ °–‡æ√“ Ò˜Ú ˆˆ.ˆ˜ °‘πÕ“À“√ª√–‡¿∑ªîôß¬à“ß‡ªìπ∫“ß§√—Èß, ·≈–√âÕ¬≈– Ù.ˆı ‰¡à ¡–°√Ÿ¥ Ò¯Ú ˜.ıÙ º—°§“«µÕß ÒÒˆ ÙÙ.˘ˆ °‘πª√–‡¿∑ªîôß¬à“ß. ¡–π“« ÒÙÚ ıı.Ù √âÕ¬≈– ˆÚ.Ú ¥◊Ë¡πÈ”«—π≈– ¯-Ò ·°â« ‡ªìπª√–®”, ‰æ≈ ˜ Ú˜.ÒÛ √âÕ¬≈–Ûˆ.¯Ú ¥◊Ë¡πÈ”«—π≈– ¯-Ò ·°â« ‡ªìπ∫“ß§√—Èß. à«π µ–‰§√â ÚÛı ˘Ò.˘ æƒµ‘°√√¡°“√¥◊Ë¡‡§√◊ËÕß¥◊Ë¡·Õ≈°ÕŒÕ≈å æ∫«à“√âÕ¬≈– Ò.˘ı –√–·Àπà ÒÙÒ ıÙ.ˆı ¥◊Ë¡‡ªìπª√–®”, √âÕ¬≈– ÙÚ.ÚÙ ¥◊Ë¡‡ªìπ∫“ß§√—Èß. ‡µ¬ ÒÒ˘ Ùˆ.ÒÚ æ◊™Õ◊ËπÊ ÙÙ Ò˜.ı æƒµ‘°√√¡°“√¥◊Ë¡πÈ”À«“π·≈–πÈ”Õ—¥≈¡‰¡à¡’ºŸâ∑’Ë¥◊Ë¡πÈ” À«“πÀ√◊ÕπÈ”Õ—¥≈¡‡ªìπª√–®”, ·µà√âÕ¬≈– ˜Ò.˜ ¥◊Ë¡‡ªìπ ∫“ß§√—Èß, ·≈–‰¡àæ∫ºŸâ∑’Ë°‘πÕ“À“√À«“π·≈–‰Õ»°√’¡, ¡’√âÕ¬≈– ¯¯.Û˜ ∑’Ë°‘π‡ªìπ∫“ß§√—Èß. ‡ªìπª√–®”, √âÕ¬≈– Ò.ıı ÕÕ°°”≈—ß°“¬‚¥¬«‘∏’«à“¬πÈ”‡ªìπ Õ“À“√ª√–‡¿∑®“π¥à«π æ∫√âÕ¬≈– ¯.˘Ò °‘π‡ªìπª√–®”, ª√–®”, √âÕ¬≈– ÚÚ.˘ ÕÕ°°”≈—ß°“¬‚¥¬«‘∏’°“√«‘Ëß‡ªìπª√–®”. √âÕ¬≈– ı˜.Û˜ °‘π‡ªìπ∫“ß§√—Èß ·≈–√âÕ¬≈– ÒÚ.˜˘ °‘π √âÕ¬≈– ÚÒ.˘ı ∑”°‘®°√√¡∑“ß»“ π“°—∫§√Õ∫§√—« Õ“À“√√ Ω“¥‡ªìπª√–®”, √âÕ¬≈– ¯Ò.Ù °‘πÕ“À“√√ Ω“¥ ‡ªìπª√–®”, √âÕ¬≈– ˆÙ.Ûı ªØ‘∫—µ‘‡ªìπ∫“ß§√—Èß. √âÕ¬≈– Ò˜.¯Û ‡ªìπ∫“ß§√—Èß, √âÕ¬≈– ÒÚ.Ú °‘πÕ“À“√√ ¢¡‡ªìπª√–®”, √âÕ¬≈– ‰¥âæ—°ºàÕπ°—∫§√Õ∫§√—«‡ªìπª√–®”, √âÕ¬≈– ¯.ˆÚ ªØ‘∫—µ‘ ÛÛ.ÛÛ °‘πÕ“À“√√ ‡ºÁ¥‡ªìπª√–®”. ‡ªìπ∫“ß§√—Èß. °“√ªØ‘∫—µ‘ ¡“∏‘‡ªìπª√–®”æ∫√âÕ¬≈– ÒÙ.ÙÛ √âÕ¬≈– Ùı.Ûı °‘πº≈‰¡â‡ªìπª√–®”, √âÕ¬≈– ıÛ.Ò ·≈–ªØ‘∫—µ‘‡ªìπ∫“ß§√—Èß√âÕ¬≈– Ù˘.ÚÚ. °“√ «¥¡πµå·ºà °‘πº≈‰¡â‡ªìπ∫“ß§√—Èß. ‡¡µµ“ª√–®”æ∫√âÕ¬≈– Û˘.Òı, ∑”∫â“ß‡ªìπ∫“ß§√—Èß√âÕ¬≈– ®“°µ“√“ß∑’Ë Ú æ∫«à“√âÕ¬≈– ÙÒ.¯ ‰¥âÕÕ°°”≈—ß°“¬ ÙÛ.ÙÒ. à«π°“√ªØ‘∫—µ‘√—°…“»’≈ ı æ∫«à“√âÕ¬≈– Û.ÚÛ ‚¥¬«‘∏’ƒÂ…’¥—¥µπ‡ªìπª√–®”, √âÕ¬≈– ÛÙ.Ù˘ ªØ‘∫—µ‘‡ªìπ∫“ß ªØ‘∫—µ‘‡ªìπª√–®”, ·≈–ªØ‘∫—µ‘‡ªìπ∫“ß§√—Èß√âÕ¬≈– ˆÒ.ÚÙ. §√—Èß. √âÕ¬≈– ı.ÙÛ ÕÕ°°”≈—ß«‘∏’‚¬§–‡ªìπª√–®”, √âÕ¬≈– ®“°°“√»÷°…“· ¥ß«à“¡’§πª≈°æ◊™ ¡Ÿ π‰æ√„π∫â“π√âÕ¬≈–ÿ ÒÙ.ÛÙ ªØ‘∫—µ‘‡ªìπ∫“ß§√—Èß. à«π°“√ºŸâÕÕ°°”≈—ß°“¬¥â«¬«‘∏’™’Ë ˘Ú.Úı. ¡ÿπ‰æ√∑’Ëª≈Ÿ°‰¥â·°à µ–‰§√â √âÕ¬≈– ˘Ò.˘, ¢à“ °ßæ∫«à“ √âÕ¬≈– .˜˘ ªØ‘∫—µ‘‡ªìπª√–®”, √âÕ¬≈– Ù.ˆı √âÕ¬≈– ¯Ú.Ò˜, ¢¡‘Èπ™—π √âÕ¬≈– ˜Ù.ÙÚ. ¡ÿπ‰æ√∑’Ëª≈Ÿ° ‡∑à“π—Èπ∑’ËªØ‘∫—µ‘‡ªìπ∫“ß§√—Èß. πâÕ¬‰¥â·°à ‰æ≈ √âÕ¬≈– Ú˜.ÒÛ, º—°§“«µÕß √âÕ¬≈– ÙÙ.˘ˆ, √âÕ¬≈– .¯ ÕÕ°°”≈—ß°“¬«‘∏’¡«¬®’π‰∑‡°ä°‡ªìπª√–®” ·≈–„∫‡µ¬ √âÕ¬≈– Ùˆ.ÒÚ (µ“√“ß∑’Ë Û). ·≈–√âÕ¬≈– ı.ÙÛ ÕÕ°°”≈—ß°“¬‚¥¬«‘∏’¡«¬®’π‰∑‡°ä°‡ªìπ À≈—ß®“°∑’Ëºà“π°“√Õ∫√¡·≈â« æ∫«à“¡’æƒµ‘°√√¡ ÿ¢¿“æ ∫“ß§√—Èß. √âÕ¬≈– ˆ.Ú ÕÕ°°”≈—ß°“¬‚¥¬«‘∏’‰¡âæ≈Õß·¡à∫ÿ≠ ∑’Ë¥’¢÷ÈπÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘ ˆ ª√–°“√, ·∫àß‡ªìπ°≈ÿà¡ ¡’‡ªìπª√–®”, √âÕ¬≈– Ò.Ù˜ ÕÕ°°”≈—ß°“¬‚¥¬«‘∏’·Õ‚√∫‘§ °‘®°√√¡°“√ÕÕ°°”≈—ß°“¬ Ù ª√–°“√‰¥â·°à °“√∫√‘À“√ ıˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

√à“ß°“¬·∫∫™’Ë°ß (§à“æ’=.ı), °“√ÕÕ°°”≈—ß°“¬·∫∫«‘Ëß ªØ‘∫—µ‘∑’ËµàÕ‡π◊ËÕß·≈–®√‘ß®—ß. ºŸâ«‘®—¬¬—ß‡ÀÁπ«à“§«√¡’°“√ª√–‡¡‘π (§à“æ’=.), °“√ÕÕ°°”≈—ß°“¬·∫∫‡¥‘π (§à“æ’=.), º≈µàÕ‡π◊ËÕßÕ’°§√—ÈßÀπ÷Ëß (À≈—ß®“°§√—Èß∑’Ë Ú ª√–¡“≥ ˆ ‡¥◊Õπ) °“√ÕÕ°°”≈—ß°“¬·∫∫ƒÂ…’¥—¥µπ (§à“æ’=.). ·≈– ‡æ◊ËÕ«—¥«à“°“√°√–∑”æƒµ‘°√√¡π—Èπ Ê ‡ªìπ°“√°√–∑”∑’Ë‡°‘¥µàÕ æƒµ‘°√√¡ ¢¿“æ∑’Ë¥’¢÷ÈπÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘Õ’°ÿ Ú ª√–°“√ ‡π◊ËÕß®√‘ß. ‰¥â·°à °“√°≈—Èπªí “«– (§à“æ’= .Úı) ·≈–°“√ªØ‘∫—µ‘ ¡“∏‘ (§à“æ’=.) (µ“√“ß∑’Ë Ú). «‘®“√≥å ‡Õ° “√Õâ“ßÕ‘ß °“√«‘®—¬„π§√—Èßπ’È„™âÀ≈—° Ÿµ√√–¬–‡«≈“µ«—π∑’Ëæ—≤π“‚¥¬ Ò. °√–∑√«ß “∏“√≥ ÿ¢. ‡¡◊Õß‰∑¬·¢Áß·√ß. ‡Õ° “√ª√–°Õ∫°“√ª√–™ÿ¡ π—°«‘®—¬ ·≈–«‘∑¬“°√„π°“√®—¥°“√Õ∫√¡‡ªìπºŸâ‡™’Ë¬«™“≠„π °√¡§«∫§ÿ¡‚√§ °√–∑√«ß “∏“√≥ ÿ¢; ÚıÙ˜. Ú. ™Ÿƒ∑∏‘Ï ‡µÁß‰µ√ √≥å. æÿ∑∏»“ π“°—∫ ¿“«– ÿ¢¿“æÕß§å√«¡·π««‘∂’ ·æ∑¬å·ºπ‰∑¬·≈–·æ∑¬å∑“ß‡≈◊Õ°∑—Èß ‘Èπ. ¥—ßπ—Èπ À—«¢âÕ∑’Ë„Àâ æÿ∑∏ ‡Õ° “√ª√–°Õ∫°“√ª√–™ÿ¡ —¡¡π“¢Õß°Õß°“√·æ∑¬å∑“ß‡≈◊Õ° §«“¡√Ÿâ„π‚§√ß°“√«‘®—¬§√—Èßπ’È®÷ß‡ªìπ‰ªµ“¡¡“µ√∞“π ·≈–∂Ÿ° °√¡æ—≤π“°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° °√–∑√«ß “∏“√≥ ÿ¢ (‡Õ° “√Õ—¥ ”‡π“); ÚıÙ˘. µâÕßµ“¡À≈—°«‘™“°“√ ·≈–µ≈Õ¥√–¬–‡«≈“ Û «—π∑’Ë®—¥°“√Õ∫√¡ Û. ®‘π¥“ ∫ÿ≠™à«¬‡°◊ÈÕ°Ÿ≈. ÿ¢¿“æ‡æ◊ËÕ™’«‘µ. °√ÿß‡∑æœ : ”π—°æ‘¡æå ºŸâ‡¢â“√—∫°“√Õ∫√¡‡¢â“√à«¡∑ÿ°«—π. Õ¬à“ß‰√°Áµ“¡ ¡’ºŸâµÕ∫ ¡À“«‘∑¬“≈—¬‡°…µ√»“ µ√å; ÚıÙÛ. Ù. ¡®‘µ Àπÿ‡®√‘≠°ÿ≈. °“√¥Ÿ·≈µπ‡Õß»“ µ√å·≈–»‘≈ª–∑“ß°“√ ·∫∫ Õ∫∂“¡ §√∫∑—Èß Ú §√—Èß‡æ’¬ß√âÕ¬≈– ˆÛ.ÚÙ. ·µà∑—Èßπ’È°Á æ¬“∫“≈. æ‘¡æå§√—Èß∑’Ë Ú. °√ÿß‡∑æœ : Àâ“ßÀÿâπ à«π®”°—¥«’‡®æ√‘Èπµ‘Èß; “¡“√∂‡ªìπµ—«·∑π„π°“√‡°Á∫¢âÕ¡Ÿ≈„π°“√«‘®—¬§√—Èßπ’È‰¥â. ÚıÛ˜. ‡§√◊ËÕß¡◊Õ„π°“√‡°Á∫¢âÕ¡Ÿ≈ (·∫∫ Õ∫∂“¡) ºŸâ«‘®—¬‰¥âæ—≤π“ ı. ∂“∫—π°“√·æ∑¬å·ºπ‰∑¬. §Ÿà¡◊Õª√–™“™π„π°“√¥Ÿ·≈ ÿ¢¿“æ¥â«¬ °“√·æ∑¬å·ºπ‰∑¬. °√ÿß‡∑æœ : ”π—°ß“π°‘®°“√‚√ßæ‘¡æåÕß§å°“√ ∑¥ Õ∫§«“¡‡∑’Ë¬ß·≈–§«“¡µ√ß°àÕπ„™â„π°“√‡°Á∫¢âÕ¡Ÿ≈„π ß‡§√“–Àå∑À“√ºà“π»÷°„πæ√–∫√¡√“™Ÿª∂—¡¿å; ÚıÙ˜. §√—Èßπ’È·≈â« ∑”„Àâ¢âÕ¡Ÿ≈ ‡™◊ËÕ∂◊Õ‰¥â. ˆ. ‡æÁ≠π¿“ ∑√—æ¬å‡®√‘≠, °—≠®π“ ¥’«‘‡»…, ¿—∑√æ√ µ—Èß ÿ¢ƒ∑—¬, æ√∑‘æ¬å ‡µ‘¡«‘‡»…, ‡¥™“ ‰™¬√—°…å, «π‘¥“ »—°¥‘Ï °ÿ≈æ√‡≈‘». °…—¬: µ“¡ ®“°º≈°“√∑¥≈Õßæ∫«à“‡∫◊ÈÕßµâπ§ÿ≥ ¡∫—µ‘æ◊Èπ∞“π¢Õß ·π«∑“ß∑ƒ…Æ’°“√·æ∑¬å·ºπ‰∑¬. «“√ “√°“√·æ∑¬å·ºπ‰∑¬ ÚıÙˆ; ºŸâ‡¢â“√à«¡«‘®—¬¡’§«“¡µà“ß°—π ‡™àπ Õ“¬ÿ, √–¥—∫°“√»÷°…“, ˜:ÛÛ-ÙÛ. ˜. «‘™—¬ ‚™§«‘«—≤π. π‚¬∫“¬·≈–∑‘»∑“ß°“√·æ∑¬å·ºπ‰∑¬„πæ.». ∂“π¿“æ ¡√ ·≈–√“¬‰¥â. ∂“π¿“æÀπ÷Ëß´÷ËßÕ“®¡’º≈µàÕ Úıı. «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° °“√«‘‡§√“–Àå¢âÕ¡Ÿ≈‰¥â §◊Õ°“√∑’Ë°≈ÿà¡µ—«Õ¬à“ß à«πÀπ÷Ëß‰¥â√—∫ Úıı;Ò:Ú-Ù. ¯. ÿ√‡°’¬√µ‘ Õ“™“πÿ¿“æ. «‘«—≤π“°“√°“√ àß‡ √‘¡ ÿ¢¿“æ√–¥—∫ °“√Õ∫√¡®“°À≈—° Ÿµ√Õ◊Ëπ·≈â« ∑”„Àâ¡’æƒµ‘°√√¡∫“ßÕ¬à“ß∑’Ë π“π“™“µ‘. æ‘¡æå§√—Èß∑’Ë Ú. ∂“∫—π«‘®—¬√–∫∫ “∏“√≥ ÿ¢; ÚıÙÒ. ‰¥â°√–∑”¡“‡ªìπ√–¬–‡«≈“°àÕπÀπâ“π’È·≈â« ∑”„Àâ‰¡à‡ÀÁπ°“√ ˘. æ√–æ√À¡§ÿ≥“¿√≥å (ª.Õ. ª¬ÿµ⁄‚µ). ÿ¢¿“«–Õß§å√«¡·π«æÿ∑∏. °√¡æ—≤π“°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° °√–∑√«ß ‡ª≈’Ë¬π·ª≈ß¢Õßæƒµ‘°√√¡¡“°π—°. “∏“√≥ ÿ¢. ‚√ßæ‘¡æå∫√‘…—∑ À∏√√¡‘°®”°—¥; ÚıÙ¯. °“√‡°Á∫¢âÕ¡Ÿ≈§√—Èß∑’Ë Ú „π°“√»÷°…“§√—Èßπ’È°√–∑”À≈—ß Ò. °—≈¬“ «“π‘™¬å∫—≠™“. °“√«‘‡§√“–Àå ∂‘µ‘¢—Èπ ß¥â«¬Ÿ SPSS for window. °√ÿß‡∑æœ : ∏√√¡ “√°“√æ‘¡æå; ÚıÙˆ. ®“°∑’Ëºà“π°“√Õ∫√¡¡“·≈â« ˆ ‡¥◊Õπ‰¥âæ∫æƒµ‘°√√¡∫“ß ÒÒ. Monro BH. Statistical Methods for Health care Research. 3rd Ed. Õ¬à“ß¥’¢÷Èπ·µ°µà“ß®“°°àÕπ°“√Õ∫√¡ · ¥ß„Àâ‡ÀÁπ∂÷ß°“√ Philadelphia: Lippincott; 1993. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ı˜

Abstract Effectiveness of Dhammanamai for Health Behavioral Change among Chiang Rai Government Officers Mayuree Wangrairot Chiang Rai Public Health Office, Chiang Rai Province The objective of this cross-sectional study design was to determine the effectiveness of the Dhammanamai program in changing health behavior among government officers in Chiang Rai Province. The study population comprised government officers or retirees at the local and provincial levels and the study was conducted from April to September 2007. They were required to attend the three-day training course of Thai Traditional Medicine on Dhammanamai developed by the researcher. Prior to the training and six months after the training, the subjects were requested to answer the questionnaire previously tested for validity and reliability. It was found that, of 409 people attending the training, 258 subjects (63.24%) answered the questionnaire twice and the result could be evaluated. Of these, 41.86 percent were male and 58.14 percent were female; their average age was 53.4 years. It was found that there were four types of exercise which showed statistically significant changes in health behaviors before and after the training, i.e., Qigong (p = 0.005), running (p < 0.000), jogging (p < 0.000), and Ruesi Dutton (p < 0.000). In addition, two other health behaviors were significantly improved: holding urination (p = 0.025) and performing meditation (p = 0.000). It is suggested that the training program should be conducted on more than one occasion and extended to more target groups. Key words: Dhammanamai, health behavior, government officers, Chiang Rai Province «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ°ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol.ªï∑’Ë 6 ˆ©∫ No.—∫∑’Ë 1 ÒJanuary-April¡°√“§¡-‡¡…“¬π 2008ÚııÒ

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¿Ÿ¡‘À≈—ß·≈–‡Àµÿº≈ À¡Õæ◊Èπ∫â“π ÚÛÒ §π ∑ÿ°§π‰¡à¡’„∫ª√–°Õ∫‚√§»‘≈ª–, „π®—ßÀ«—¥¢Õπ·°àπ æ.». ÚıÙ˜ ·≈– ÚıÙ¯ ¡’À¡Õæ◊Èπ ‡ªìπÀ¡Õæ◊Èπ∫â“π∑’Ë∑”°“√√—°…“ºŸâªÉ«¬¡“π“π°«à“ Ú ªï ®”π«π ∫â“π Ò,¯ §π ·≈– Ò,Ò˘Ò §π, ¡’Õ—µ√“°“√§ßÕ¬Ÿà‡∑à“°—∫ ÒÒˆ §π (√âÕ¬≈– ı.ÚÒ) ª√–°Õ∫¥â«¬À¡Õ‡ªÉ“, À¡Õ ¡ÿπ √âÕ¬≈– ˆˆ.Ò˜. „π‡¢µæ◊Èπ∑’ËÕ”‡¿Õ‡¡◊Õß ®—ßÀ«—¥¢Õπ·°àπ ¡’ ‰æ√, À¡Õ Ÿà¢«—≠, À¡Õ –‡¥“–‡§√“–Àå, À¡Õπ«¥, À¡Õ ‰ ¬»“ µ√å, À¡Õ°√–¥Ÿ°, À¡ÕπÈ”¡πµå, À¡Õµ”·¬ ·≈–À¡Õ * ”π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥ ®—ßÀ«—¥π§√»√’∏√√¡√“™ ∏√√¡. πÕ°®“°π’È¬—ßæ∫«à“¿Ÿ¡‘ªí≠≠“¥â“π°“√·æ∑¬åæ◊Èπ∫â“π

ı¯ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ı˘

¢ÕßÕ”‡¿Õ‡¡◊Õß ®—ßÀ«—¥¢Õπ·°àπÀ≈“¬ “¢“ µ≈Õ¥®πµ”√“ «—µ∂ÿª√– ß§å ‡æ◊ËÕ °“√·æ∑¬åæ◊Èπ∫â“π ‰¡à‰¥â√—∫°“√¥·≈‡°Á∫√—°…“∑’Ë¥’Ÿ ∫“ß à«π™”√ÿ¥ -»÷°…“Õ“°“√‡®Á∫ªÉ«¬ ·≈–‚√§ ∑’ËÀ¡Õæ◊Èπ∫â“π„Àâ°“√ Ÿ≠À“¬ ·≈–¢“¥ºŸâ ◊∫∑Õ¥Ò. Õπ÷Ëß ”π—°ß“π “∏“√≥ ¢®—ßÀ«—¥ÿ √—°…“ºŸâªÉ«¬. ¢Õπ·°àπ‰¥â®—¥°“√‡ «π“À¡Õæ◊Èπ∫â“π®”π«π Òˆ˘ §π„πæ◊Èπ∑’Ë -»÷°…“ªí®®—¬∑’Ë¡’º≈µàÕ°“√¥”√ßÕ¬Ÿà¢ÕßÀ¡Õæ◊Èπ∫â“π. Úı Õ”‡¿Õ „π‡¥◊Õπ°ÿ¡¿“æ—π∏å - ¡’π“§¡ ÚıÙ˘ æ∫ªí≠À“∑’Ë - »÷°…“°“√∂à“¬∑Õ¥¿Ÿ¡‘ªí≠≠“°“√·æ∑¬åæ◊Èπ∫â“π. ‡°‘¥¢÷Èπ°—∫°“√·æ∑¬åæ◊Èπ∫â“π ‰¥â·°à À¡Õæ◊Èπ∫â“π à«π„À≠à ‡ªìπºŸâ ŸßÕ“¬ÿ, ¢“¥ºŸâ√—∫°“√ ◊∫∑Õ¥¿Ÿ¡‘ªí≠≠“, µ”√“µà“ß Ê ∑’Ë √–‡∫’¬∫«‘∏’»÷°…“ ¡’Õ¬Ÿà¢“¥°“√Õπÿ√—°…å·≈–‡°Á∫√«∫√«¡, µ—«¬“ ¡ÿπ‰æ√‡√‘Ë¡¢“¥ °“√»÷°…“‡ªìπ°“√«‘®—¬‡™‘ßæ√√≥π“ ·≈–‡ªìπ°“√»÷°…“ ·§≈π, ª√–™“™π¡’§«“¡»√—∑∏“µàÕ°“√·æ∑¬åæ◊Èπ∫â“π≈¥≈ß ‡©æ“–°√≥’. ‡§√◊ËÕß¡◊Õ∑’Ë„™â„π°“√»÷°…“‡ªìπ·∫∫ Õ∫∂“¡ ´÷Ëß ·≈–À¡Õæ◊Èπ∫â“π‰¡à¡’„∫ª√–°Õ∫‚√§»‘≈ª–Ú, ´÷Ëßªí≠À“∑’Ë‡°‘¥¢÷Èπ ºà“π°“√µ√«® Õ∫§«“¡µ√ß¢Õß‡π◊ÈÕÀ“‚¥¬ºŸâ‡™’Ë¬«™“≠ ·≈– ¡’§«“¡´—∫´âÕπ·≈–‡™◊ËÕ¡‚¬ß°—∫«‘∂’™’«‘µ, ¢π∫∏√√¡‡π’¬¡ µ√«® Õ∫§«“¡‡∑’Ë¬ß¢Õß‡§√◊ËÕß¡◊Õ¡’§à“ —¡ª√– ‘∑∏‘Ï·Õ≈øÉ“ ª√–‡æ≥’, §«“¡‡™◊ËÕ, æ‘∏’°√√¡, ¿“æ‡»√…∞°‘® —ß§¡, °“√ §√Õπ∫—§ ‡∑à“°—∫ .¯ı. §¡π“§¡ ·≈–∑√—æ¬“°√∏√√¡™“µ‘. ∑—Èßπ’È„π æ.». ÚıÛˆ ‰¥â °≈ÿà¡µ—«Õ¬à“ß‡ªìπÀ¡Õæ◊Èπ∫â“π ´÷Ëß∑”°“√√—°…“ºŸâªÉ«¬¡“‰¡à ¡’°“√»÷°…“„πÕ”‡¿Õ‡™’¬ß¬◊π ®—ßÀ«—¥¡À“ “√§“¡ ´÷Ëß¡’æ◊Èπ∑’Ë πâÕ¬°«à“ Ú ªï ·≈–¡’§«“¡™”π“≠„π°“√√—°…“„π ˜ “¢“ µ‘¥µàÕ°—∫Õ”‡¿Õ‡¡◊Õß ®—ßÀ«—¥¢Õπ·°àπ æ∫«à“À¡Õæ◊Èπ∫â“π ‰¥â·°à ‰ ¬»“ µ√å, ¬“ ¡ÿπ‰æ√, πÈ”¡πµå/§“∂“, ∑”æ‘∏’°√√¡, à«π„À≠à‡ªìπÀ¡Õº ¡º “π π”«‘∏’°“√∫”∫—¥‚√§À≈“¬«‘∏’¡“ À¡Õπ«¥/ª√–§∫ ¡ÿπ‰æ√, À¡Õµ”·¬ ·≈–À¡Õ∑’Ë¡’§«“¡ „™â√à«¡°—π, ‚¥¬∑—Ë«‰ª¢—ÈπµÕπ¢Õß°“√√—°…“‡√‘Ë¡µ—Èß·µàµ√«®¥Ÿ ™”π“≠¡“°°«à“ Ò “¢“ „π‡¢µæ◊Èπ∑’Ë™π∫∑ Õ”‡¿Õ‡¡◊Õß Õ“°“√ºŸâªÉ«¬, ∑”°“√√—°…“ ·≈–ª≈ß§“¬¿“¬À≈—ß°“√√—°…“ ®—ßÀ«—¥¢Õπ·°àπ ÒÙ µ”∫≈ (¬°‡«âπ‡¢µ‡∑»∫“≈π§√¢Õπ·°àπ). À“¬·≈â«, ¬°‡«âπÀ¡Õ≈”∑√ß·≈–À¡Õ∏√√¡∑’Ë¡’°“√µ—Èß§“¬°àÕπ ºŸâ«‘®—¬‰¥â§”π«≥¢π“¥µ—«Õ¬à“ß‚¥¬°“√„™â Ÿµ√°“√§”π«≥‡¡◊ËÕ ‡æ√“–‡™◊ËÕ«à“§“¬®–™à«¬√—°…“ºŸâªÉ«¬‰¥â. ‚√§¿—¬‰¢â‡®Á∫∑’Ë™“« ∑√“∫®”π«πª√–™“°√ ·≈â«∑”°“√ ÿà¡Õ¬à“ß‡ªìπ√–∫∫‰¥âÀ¡Õ ∫â“ππ‘¬¡√—°…“°—∫À¡Õæ◊Èπ∫â“π ‰¥â·°à ‚√§°√–¥°,Ÿ ·º≈ ÿπ—¢°—¥, ®”π«π ıı §π. °”‡≈‘¥, ‚√§Ωïæ‘…, ·º≈‰ø‰À¡â πÈ”√âÕπ≈«° ·≈–¡’°“√ª√–°Õ∫ ¥”‡π‘π°“√‚¥¬ æ‘∏’°√√¡‡æ◊ËÕ‡ √‘¡ √â“ß¢«—≠°”≈—ß„®Û. ®“° ∂“π°“√≥å·≈–º≈ Ò. √â“ß·∫∫ Õ∫∂“¡ °“√»÷°…“¥—ß°≈à“«¢â“ßµâπ ®÷ß‡ÀÁπ§«√®–‰¥â¡’°“√»÷°…“„π‡¢µ Ú. ∑¥ Õ∫§«“¡µ√ß·≈–§«“¡‡∑’Ë¬ß¢Õß‡§√◊ËÕß¡◊Õ. ™π∫∑¢ÕßÕ”‡¿Õ‡¡◊Õß ®—ßÀ«—¥¢Õπ·°àπ ‡æ◊ËÕ«‘‡§√“–Àå∂÷ß Û. ∑”°“√‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈ ‚¥¬„™â·∫∫ Õ∫∂“¡ ªí®®—¬∑’Ë¡’§«“¡‡™◊ËÕ¡‚¬ß·≈–°àÕ„Àâ‡°‘¥§«“¡‡ª≈’Ë¬π·ª≈ß ·≈– —¡¿“…≥å°≈ÿà¡µ—«Õ¬à“ß. ¡’º≈µàÕ°“√¥Ÿ·≈ ÿ¢¿“æ·≈–√—°…“‚√§¢ÕßÀ¡Õæ◊Èπ∫â“π °“√ Ù. µ√«® Õ∫§«“¡∂°µâÕßŸ ¡∫√≥åŸ §√∫∂â«π¢Õß¢âÕ¡Ÿ≈ ◊∫∑Õ¥¿Ÿ¡‘ªí≠≠“ ·≈–°“√¥”√ßÕ¬Ÿà¢ÕßÀ¡Õæ◊Èπ∫â“π „π™à«ß ≈ß√À— ·≈–∫—π∑÷°¢âÕ¡Ÿ≈. √–¬–‡«≈“ Ú ªï∑’Ëºà“π¡“®π∂÷ßªí®®ÿ∫—π. º≈°“√»÷°…“®– ı. «‘‡§√“–Àå¢âÕ¡≈‚¥¬«‘∏’ ∂‘µ‘Ÿ ‰¥â·°à °“√·®°·®ß§«“¡∂’Ë ∑”„Àâ∑√“∫ ∂“π°“√≥å¢Õß°“√¥Ÿ·≈ ÿ¢¿“æ·≈–√—°…“‚√§¥â«¬ §à“√âÕ¬≈– §à“‡©≈’Ë¬ §à“‡∫’Ë¬ß‡∫π¡“µ√∞“π ·≈–«‘‡§√“–Àå °“√·æ∑¬åæ◊Èπ∫â“π, ¿“æªí≠À“¢Õßµ”√“°“√·æ∑¬åæ◊Èπ∫â“π À“§«“¡ —¡æ—π∏å¢Õßªí®®—¬µà“ß Ê „™â ∂‘µ‘‰¶- ·§«√å ∑¥ Õ∫ ·≈–°“√∂à“¬∑Õ¥¿Ÿ¡‘ªí≠≠“ ªí≠À“ Õÿª √√§ ·≈–¢âÕ®”°—¥ ‚¥¬‚ª√·°√¡ ”‡√Á®√Ÿª SPSS/PC version ÒÒ.ı. µà“ß Ê. º≈°“√»÷°…“∑’Ë‰¥â®–π”‰ª„™â‡ªìπ¢âÕ¡Ÿ≈„π°“√¢¬“¬ °“√¥”‡π‘πß“π„πæ◊Èπ∑’ËÕ”‡¿ÕÕ◊Ëπ Ê ·≈–∫√≥–·ºπß“πŸ ‚§√ß°“√ º≈°“√»÷°…“ ∑—Èß¿“§√—∞·≈–‡Õ°™π ‡æ◊ËÕøóôπøŸ Õπÿ√—°…å ·≈– àß‡ √‘¡„Àâ¿Ÿ¡‘ ªí≠≠“°“√·æ∑¬åæ◊Èπ∫â“π·≈–À¡Õæ◊Èπ∫â“π‰¥â§ßÕ¬Ÿà§Ÿà°—∫«‘∂’ ªí®®—¬¥â“πÀ¡Õæ◊Èπ∫â“π ™’«‘µ¢Õßª√–™“™π™“«®—ßÀ«—¥¢Õπ·°àπµàÕ‰ª. °≈ÿà¡µ—«Õ¬à“ß ıı §π‡ªìπ™“¬ Ù˘ §π·≈–À≠‘ß ˆ §π, ˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

Õ“¬ÿ‡©≈’Ë¬ ˜.˘ ªï à«π„À≠à¡’Õ“¬ÿ√–À«à“ß ıÚ-¯¯ ªï, ¡’ °“√Õ¬Ÿà‰ø µ“·¥ß ª«¥‡¡◊ËÕ¬ ·≈–µàÕ¡πÈ”‡À≈◊ÕßÕ—°‡ ∫ (‰¢â Õ“™’æÀ≈—°∑”°“√‡°…µ√, √“¬‰¥â‡©≈’Ë¬µàÕ‡¥◊Õπ Ù,ÚÙ˜ ∫“∑ ≈Ÿ°ÀπŸ), ‚√§‡©æ“–∑âÕß∂‘Ëπ ˘ √“¬°“√ ∑’Ëæ∫¡“° ‰¥â·°à ·≈–√âÕ¬≈– Û.Ò ¢Õß°≈ÿà¡µ—«Õ¬à“ß‰¡à¡’√“¬‰¥â µâÕßæ÷Ëßæ“≈Ÿ° °”‡≈‘¥ (°“√√âÕß‰Àâ‰¡àÀ¬ÿ¥¢Õß‡¥Á°‡≈Á°∑’Ë‰¡à¡’Õ“°“√‡®Á∫ªÉ«¬), À≈“π. à«π√“¬‰¥â®“°§à“√—°…“‡©≈’Ë¬µàÕ‡¥◊Õπ Ò,ˆÛÚ.˜ ∫“∑ ‚√§«—¥ (ß «—¥),Ÿ ‡ªìπ°“ß (·º≈„πª“°·≈–„π≈”§Õ), ‚√§°√–∫Ÿπ ( Ÿß ÿ¥ Òı, ∫“∑ µË” ÿ¥  ∫“∑). „π√Õ∫ Ò ªï ∑’Ëºà“π¡“(‡≈◊Õ¥‡ªìπæ‘…À¡—°À¡¡„π√à“ß°“¬ ‡™àπ À≠‘ßÀ≈—ß§≈Õ¥πÈ” ®”π«πºŸâªÉ«¬∑’ËÀ¡Õæ◊Èπ∫â“π·µà≈–§π„Àâ°“√√—°…“µàÕ‡¥◊Õπ ‡©≈’Ë¬ §“«ª≈“ÕÕ°‰¡àÀ¡¥, ∫“¥·º≈™È”„π), ‚√§∑√“ß (´“ß), ·≈–‰¢â Ò˜ √“¬,πâÕ¬∑’Ë ÿ¥ Ò √“¬ Ÿß ÿ¥Òı √“¬. §à“√—°…“ (§à“ À¡“°‰¡â, ‚√§‡√◊ÈÕ√—ß ˘ √“¬°“√ ∑’Ëæ∫¡“° ‰¥â·°à π‘Ë« √‘¥ ’¥«ß ª≈ß§“¬) µàÕºŸâªÉ«¬ Ò √“¬ ‡©≈’Ë¬√“¬≈– ÒÒı ∫“∑, µË” ÿ¥‰¡à ∑«“√ √‘¥ ’¥«ß®¡Ÿ° ‚√§‡Õ™‰Õ«’ ¡–‡√Áß ·≈–‡∫“À«“π. à«π ‡°Á∫§à“√—°…“ ·≈– ß Ÿ ¥√“¬≈–ÿ ı ∫“∑. ”À√—∫§«“¡™”π“≠ °“√¥Ÿ·≈ ÿ¢¿“æ∑’ËµâÕß„™âæ‘∏’°√√¡ ¡’ ÒÒ √“¬°“√ ∑’Ëæ∫¡“° „π°“√√—°…“ºŸâªÉ«¬ À¡Õ à«π„À≠à¡’§«“¡™”π“≠ Ò-Ú “¢“ ‰¥â·°à °“√‰≈àº’ °“√ Ÿà¢«—≠ °“√ –‡¥“–‡§√“–Àå °“√ àÕπ¢«—≠ (À¡Õº ¡º “π), √Õß≈ß¡“‰¥â·°à À¡ÕπÈ”¡πµå§“∂“ À¡Õπ«¥ ·≈–°“√≈”º’øÑ“. ®“°°“√»÷°…“æ∫«à“Õ“°“√‡®Á∫ªÉ«¬/‚√§∑’Ë À¡Õ ¡ÿπ‰æ√ À¡Õæ‘∏’°√√¡ ·≈–À¡Õ‰ ¬»“ µ√å, à«πÀ¡Õ À¡Õæ◊Èπ∫â“π∑”°“√√—°…“‡ªìπª√–®” ‰¥â·°à °”‡≈‘¥ ∫“¥·º≈ µ”·¬‰¡à∑”§≈Õ¥ ·µà„Àâ°“√√—°…“„π “¢“Õ◊Ëπ‰¥â¥â«¬ ®÷ßÕ¬Ÿà„π ßŸ «—¥ ·≈–Õ“°“√ª«¥‡¡◊ËÕ¬. «‘∏’°“√√—°…“ à«π„À≠à®–„™â°“√ °≈ÿà¡À¡Õº ¡º “π ¥—ß· ¥ß„πµ“√“ß∑’Ë Ò ·≈– Ú. ‡ªÉ“§“∂“√«¡°—∫«‘∏’°“√√—°…“Õ◊Ëπ Ê ‰¥â·°à °“√„™â¬“ ¡ÿπ‰æ√ (¬“Ωπ ¬“µâ¡ ¬“ΩÿÉπ ¬“≈°°≈ÕπŸ ¬“∑“ ¬“æÕ° ·≈–¬“ª√–§∫) ·µà®–‰¡à„™â¬“·ºπªí®®ÿ∫—π„ÀâºŸâªÉ«¬°‘π√à«¡°—∫¬“ ¡ÿπ‰æ√, µ“√“ß∑’Ë Ò À¡Õæ◊Èπ∫â“π ıı §π ®”·π°µ“¡®”π«π “¢“§«“¡ °“√∑”æ‘∏’/‰ ¬»“ µ√å. ∑—Èßπ’È∂â“ºŸâªÉ«¬¡’Õ“°“√¡“° À¡Õ‰¡à ™”π“≠ “¡“√∂√—°…“‰¥â®– àßµàÕºŸâªÉ«¬‰ª√—∫°“√√—°…“∑’Ë ∂“π∫√‘°“√ “¢“§«“¡™”π“≠ §π √âÕ¬≈– ¢Õß√—∞. à«πºŸâªÉ«¬∑’Ë√—°…“¥â«¬°“√·æ∑¬å·ºπªí®®ÿ∫—π‰¡àÀ“¬ Ò “¢“ Òˆ Ú˘.˘ À√◊ÕÀ¡¥∑“ß√—°…“ ·≈â«¡“√—∫°“√√—°…“¥â«¬°“√·æ∑¬åæ◊Èπ∫â“π Ú “¢“ Òˆ Ú˘.˘ π—Èπ º≈°“√√—°…“¡’∑—Èß‰¥âº≈·≈–‡ªìπ°“√√—°…“·∫∫ª√–§—∫ Û “¢“ ¯ ÒÙ.ıÙ Ù “¢“ ÒÛ ÚÛ.ˆÙ ª√–§Õß. ı “¢“ Ú Û.ˆÙ °“√¥”√ßÕ¬Ÿà¢ÕßÀ¡Õæ◊Èπ∫â“π §«“¡§‘¥‡ÀÁπ¢ÕßÀ¡Õæ◊Èπ∫â“πµàÕ·π«‚πâ¡®”π«πºŸâªÉ«¬ µ“√“ß∑’Ë Ú À¡Õæ◊Èπ∫â“π ıı §π ®”·π°µ“¡ “¢“§«“¡™”π“≠ ∑’Ë¡“√—∫°“√√—°…“ √âÕ¬≈– ı.˘ ‡ÀÁπ«à“≈¥≈ß, √âÕ¬≈– Ù˜.Û “¢“§«“¡™”π“≠ §π √âÕ¬≈– ‡ÀÁπ«à“‡æ‘Ë¡¢÷Èπ, √âÕ¬≈– Ò.¯ ‡ÀÁπ«à“¡’πâÕ¬-‡°◊Õ∫‰¡à¡’. ·µà¡’ À¡Õº ¡º “π Û˘ ˜.˘Ò À¡Õæ◊Èπ∫â“π∂÷ß√âÕ¬≈– ˘¯.Ú ¬◊π¬—π«à“®–∑”Àπâ“∑’ËµàÕ‰ª ∂â“ À¡ÕπÈ”¡πµå§“∂“ ¯ ÒÙ.ıÙ ¬—ß¡’ ÿ¢¿“æ·¢Áß·√ß ‚¥¬®–∑”‡æ◊ËÕ‡ªìπ°“√°ÿ»≈ ·≈– ◊∫∑Õ¥ À¡Õπ«¥ Û ı.Ùı À¡Õ ¡ÿπ‰æ√ Ú Û.ˆÙ ¿Ÿ¡‘ªí≠≠“¢Õß∫√√æ∫ÿ√ÿ…. ªí®®—¬∑’Ë∑”„ÀâÀ¡Õæ◊Èπ∫â“π¬—ß¥”√ß À¡Õæ‘∏’°√√¡ Ú Û.ˆÙ ∫∑∫“∑Õ¬Ÿà‰¥â®π∂÷ßªí®®ÿ∫—π ‰¥â·°à À¡Õ‰ ¬»“ µ√å ÒÒ.¯Ú Ò. À¡Õæ◊Èπ∫â“π¡’§«“¡‡¢â“„®«‘∂’™’«‘µ —ß§¡ «—≤π∏√√¡ ·≈–§«“¡‡ªìπÕ¬Ÿà¢Õß§π„π™ÿ¡™π ®÷ßµÕ∫ πÕß§«“¡µâÕß°“√ Õ“°“√‡®Á∫ªÉ«¬·≈–‚√§∑’ËÀ¡Õæ◊Èπ∫â“π„Àâ°“√∫”∫—¥ „π¬“¡‡®Á∫ªÉ«¬¢ÕßºŸâªÉ«¬·≈–§√Õ∫§√—«‰¥â‡ªìπÕ¬à“ß¥’ √«¡∂÷ß À¡Õæ◊Èπ∫â“π “¡“√∂√—°…“ºŸâªÉ«¬Õ“°“√‚√§µà“ß Ê ‰¥â ı˘ ºŸâªÉ«¬ “¡“√∂‡¢â“∂÷ß∫√‘°“√‰¥â –¥«° ¢—ÈπµÕπ„π°“√√—°…“‰¡à √“¬°“√: ‡ªìπÕ“°“√‡®Á∫ªÉ«¬/‚√§∑—Ë«‰ª Û √“¬°“√ ∑’Ëæ∫¡“° ¬ÿàß¬“°. ‰¥â·°à Õÿ∫—µ‘‡Àµÿ∫“¥·º≈ ·¡≈ß¡’æ‘… —µ«å°—¥µàÕ¬ °√–¥Ÿ°À—° Ú. À¡Õæ◊Èπ∫â“π¡’ª√– ∫°“√≥å„π°“√√—°…“¡“¬“«π“π Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ˆÒ

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‰¥âº≈¥’„π‚√§‡©æ“–∑âÕß∂‘Ëπ·≈–‚√§∑’Ë™“«∫â“π¡’§«“¡‡™◊ËÕ«à“ √—°…“„ÀâÀ“¬‰¥â √«¡∂÷ß°“√√—°…“ª√–§—∫ª√–§ÕßºŸâªÉ«¬√–¬– µâÕß√—°…“¥â«¬°“√·æ∑¬åæ◊Èπ∫â“π‡ªìπ à«π„À≠à. ·√ß®Ÿß„®∑’Ë¡“ ÿ¥∑â“¬¥â«¬. ‡ªìπÀ¡Õæ◊Èπ∫â“π‡°‘¥®“°Õÿ¥¡§µ‘ ¡’§«“¡‡¡µµ“ ‡ ’¬ ≈–, ´÷Ëß °“√·æ∑¬åæ◊Èπ∫â“π‰¥âºŸ°æ—π°—∫«‘∂’™’«‘µ·≈–‡ªìπ∑’Ëæ÷Ëß„π ·µ°µà“ß®“°§π√ÿàπ„À¡à∑’ËµâÕß°“√§«“¡¡—Ëπ§ß¥â“π√“¬‰¥â‡ªìπÀ≈—° ¬“¡‡®Á∫ªÉ«¬¢Õß§π„π™π∫∑¡“¬“«π“π ®π°≈“¬‡ªìπ«—≤π∏√√¡ ®÷ß∑”„Àâ¡’ºŸâ√—∫°“√ ◊∫∑Õ¥¿Ÿ¡‘ªí≠≠“≈¥≈ß. „π à«π¢Õß§«“¡ „π°“√¥Ÿ·≈ ÿ¢¿“æ ®÷ß∑”„Àâ°“√·æ∑¬åæ◊Èπ∫â“π¥”√ßÕ¬Ÿà‰¥â¡“ ‡™◊ËÕ„π‡√◊ËÕß‚√§·≈–æ‘∏’°√√¡µà“ß Ê ¬—ß¡’Õ¬Ÿà¡“° ‡ÀÁπ‰¥â™—¥‡®π ®π∂÷ßªí®®ÿ∫—π. ¥—ßπ—Èπ„πÕπ“§µÀ“°‰¥â¡’°“√ª√– “π§«“¡ ∑—Èß®”π«π¢ÕßºŸâªÉ«¬·≈–ºŸâ ◊∫∑Õ¥∑’Ë¡’®”π«π Ÿß°«à“À¡Õ°≈ÿà¡ √à«¡¡◊Õ®“°Õß§å°√∑ÿ°¿“§ à«π ∑—Èß√—∞·≈–‡Õ°™π ®–∑”„Àâ°“√ Õ◊Ëπ Ê. ”À√—∫°“√∑’ËÀ¡Õæ◊Èπ∫â“π√—°…“ºŸâªÉ«¬‚¥¬∑’Ë‰¡à¡’„∫ æ—≤π“ àß‡ √‘¡ ·≈–Õπÿ√—°…å°“√·æ∑¬åæ◊Èπ∫â“π¢Õß®—ßÀ«—¥ ª√–°Õ∫‚√§»‘≈ª–‡ªìπ°“√º‘¥°ÆÀ¡“¬ ®÷ß‡ªìπ°“√ªî¥°—Èπ ¢Õπ·°àπ ‡ªìπ‰ª‰¥âÕ¬à“ß¡’ª√– ‘∑∏‘¿“æ¬‘Ëß¢÷Èπ Õ—π®– àßº≈ ‚Õ°“ „π°“√æ—≤π“°“√·æ∑¬åæ◊Èπ∫â“π ´÷Ëß„π§«“¡‡ªìπ®√‘ß „Àâ°“√·æ∑¬åæ◊Èπ∫â“π·≈–À¡Õæ◊Èπ∫â“π‰¥â¡’°“√ ◊∫∑Õ¥ ·≈–§ß ·≈â«¡’À¡Õ‡æ’¬ß∫“ß à«π∑’Ë∑”°“√√—°…“¥â«¬°“√„™â¬“ ¡ÿπ‰æ√ Õ¬Ÿà„π«‘∂’™’«‘µ¢Õßª√–™“™π™“«®—ßÀ«—¥¢Õπ·°àπ ◊∫‰ª. ´÷Ëß®–‰¥â√—∫º≈°√–∑∫‚¥¬µ√ß. à«πÀ¡Õ∑’Ë¥Ÿ·≈¥â“π®‘µ„®‰¡à¡’ º≈°√–∑∫¡“°π—°. ¥—ßπ—Èπ À¡Õæ◊Èπ∫â“π®÷ß‰¡àª√– ß§å®– Õ∫ ‡æ◊ËÕ¢Õ¢÷Èπ∑–‡∫’¬π‡ªìπºŸâª√–°Õ∫‚√§»‘≈ª–. ”À√—∫°“√·æ∑¬å ·ºπªí®®ÿ∫—π∑’Ë‡ªìπ√–∫∫°“√·æ∑¬å°√–· À≈—° ·≈–‡ªìπ «— ¥‘°“√¥â“π°“√√—°…“æ¬“∫“≈∑’Ë√—∞®—¥„Àâª√–™“™π ‰¥â àßº≈ ‡Õ° “√Õâ“ßÕ‘ß °√–∑∫∑’Ë√ÿπ·√ßµàÕ°“√·æ∑¬åæ◊Èπ∫â“π ´÷Ëß‡ªìπ°“√∫’∫∫—ß§—∫∑“ß Ò. ß“π°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ”π—°ß“π “∏“√≥ ÿ¢ ®—ßÀ«—¥¢Õπ·°àπ. ¢âÕ¡Ÿ≈¿Ÿ¡‘ªí≠≠“¥â“π°“√·æ∑¬å‰∑¬ ªï ÚıÙ˘. ÕâÕ¡„Àâª√–™“™πµâÕß„™â°“√·æ∑¬å·ºπªí®®ÿ∫—π ∑”„Àâ°“√„™â (‡Õ° “√Õ—¥ ”‡π“) ¡.ª.∑.. Àπâ“ Ò-ı. ∫√‘°“√√—°…“¥â«¬°“√·æ∑¬åæ◊Èπ∫â“π≈¥πâÕ¬≈ß. Õ¬à“ß‰√°Áµ“¡ Ú. ß“π°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ”π—°ß“π “∏“√≥ ÿ¢ ®—ßÀ«—¥¢Õπ·°àπ. √“¬ß“π°“√‡ «π“À¡Õæ◊Èπ∫â“π ªï ÚıÙ˘. (‡Õ° “√ °≈ÿà¡µ—«Õ¬à“ß∑’Ë∑”°“√»÷°…“¬—ß¡’Õÿ¥¡§µ‘∑’Ë¡ÿàß¡—Ëπ„π°“√∑’Ë®– Õ—¥ ”‡π“) ¡.ª.∑. Àπâ“ Ò-Û. „Àâ°“√√—°…“ºŸâªÉ«¬ ·≈– ◊∫∑Õ¥¿Ÿ¡‘ªí≠≠“µàÕ‰ª ‡æ√“–¬—ß‡ªìπ Û. °‘Ëß·°â« ‡°…‚°«‘∑, «‘∑—»πå ®—π∑√‚æ∏‘Ï»√’, ª√–‡ √‘∞ ∂“«√¥ÿ≈¬å ∂‘µ¬å, ‡¡∏‘π’ ‡®â“∑√—æ¬å, »‘¢‘π √—µπ∑‘æ¬å. À¡Õæ◊Èπ∫â“π·≈–°“√¥Ÿ·≈ ÿ¢¿“æ¢Õß ∑’Ëæ÷Ëß¢Õßª√–™“™π„π°“√√—°…“ºŸâªÉ«¬∑’Ë‡®Á∫ªÉ«¬¥â«¬‚√§‡©æ“– ™“«∫â“πÕ’ “π: °√≥’»÷°…“. ¢Õπ·°àπ : §≥– “∏“√≥ ÿ¢»“ µ√å ∑âÕß∂‘Ëπ ‚√§‡√◊ÈÕ√—ß ·≈–‚√§∑’Ë°“√·æ∑¬å·ºπªí®®∫—π‰¡à “¡“√∂ÿ ¡À“«‘∑¬“≈—¬¢Õπ·°àπ; ÚıÛˆ. Àπâ“ Ù-˜. ˆÙ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

Abstract Traditional Health Care and Healing by Folk Healers: Case Study in Amphur Muang , Khon Kaen Province Pratakwal Sugsamran Provincial Health Office, Nakhon Sri Thammarat Province This descriptive research study on traditional health care and healing with folk medicine was conducted in the rural areas of 14 tambons in Amphur Muang, Khon Kaen Province. The purposes of the study were to determine the types of illnesses and symptoms, both physical and mental, that are still currently treated by folk healers, the transfer of knowledge about folk medicine, and factors affecting the existence of folk healers. The subjects were folk healers who do not hold a license as a traditional Thai medicine practitioner but who have not less than 20 years of experience. Fifty-five subjects were selected by systematic random sampling, including magic healers, herbalists, mor nammon (holy water healers), ritual healers, massage healers, midwives, and healers having more than one area of expertise. It was found that folk healers are in a relatively low financial stratum and receive a low fee for healing. The treatment procedures are mostly mixed, usually involving “blowing methods” combined with other types of treatments. Midwives no longer help to deliver babies but provide pre- and post-natal care and treatment for some minor illnesses. Health conditions and symptoms that folk healers often and successfully treat are kum lerd (baby or young child crying constantly without any obvious health problem), inflamed wounds, herpes zoster, fresh wounds and accidental injuries. The medicinal plants used are those found or grown in the village and community forest. The herbs are prepared and prescribed in the forms of ya fon (sanding medicine), ya foon (powdered medicine), pills, paste, poultice, and herbal compress. Folk healers do not prescribe herbal medicines to be taken together with modern medicines. The types of rituals used in the healing process are, e.g., lai pe (chasing evil spirit), su kwan (welcoming back the spiritual part of the body), sador kraw (performing a ceremony to change one’s bad fortune), son kwan (bringing back the spiritual part of the body that had been lost), and lum pe fa (traditional singing and dancing ceremony to help treat patients). Patients usually receive medical care from health service centers or hospitals before seeing folk healers; another group of patients are those who suffer from diseases that modern medicine cannot cure. Some folk healing processes are effective and some are only palliative. The textbooks on folk healing are still available but are not kept in good condition. The transfer of folk medicine knowledge is limited as there are only a very small number people who are interested in this field. Government offices have played a minor role in promoting, supporting or reviving folk medicine. Statistical analysis of the data showed that folk healers who used rituals in their treatment (healers that used mixed methods and ritual healers) are statistically significantly different from other types of healers (p<0.05), namely, they are older, have more patients, and more commonly transfer their knowledge. Signifi- cant correlations are found between the number of patients that healers treat in a month and massage treatment, treatment with folk medicine combined with modern medicine and diseases folk healers commonly treated. The study shows that the treatment of health conditions and symptoms with rituals, massage, and herbal medicine are still a way of life of people in the rural areas in Muang District, Khon Kaen Province, while there are various factors that either support or hinder the health-care system using folk medicine. Key words: folk medicine, folk healer, health care, healing «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine Journal of Thaiªï∑’Ë Traditional ˆ ©∫—∫∑’Ë Ò& ¡°√“§¡-‡¡…“¬πAlternative Medicine ÚııÒ Vol. 6 Vol. No. 6 1 No. January-April 1 January-April 20082008

π‘æπ∏åµâπ©∫—∫ °“√‡æ‘Ë¡ª√– ‘∑∏‘¿“æ°“√™—°π”√“°ÀπÕπµ“¬À¬“° (Stemona collinsae Craib.) „π ¿“æª≈Õ¥‡™◊ÈÕ ·≈–°“√π”µâπÕÕ°ª≈Ÿ°

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∫∑§—¥¬àÕ °“√¢¬“¬æ—π∏ÿåÀπÕπµ“¬À¬“°(Stemona collinsae Craib.) ‚¥¬°“√‡æ“–‡≈’È¬ß‡π◊ÈÕ‡¬◊ËÕ∑”„Àâ‰¥âµâπ®”π«π¡“° ·µà„π ¢—ÈπµÕπ¢Õß°“√™—°π”„Àâ‡°‘¥√“°„π ¿“æª≈Õ¥‡™◊ÈÕ∑”‰¥â§àÕπ¢â“ß¬“°. ¥—ßπ—Èπ®÷ß‰¥âÀ“‡∑§π‘§„π°“√‡æ‘Ë¡ª√– ‘∑∏‘¿“æ °“√™—°π”√“° ‚¥¬¥—¥·ª≈ß à«πª√–°Õ∫µà“ß Ê ¢ÕßÕ“À“√ Ÿµ√æ◊Èπ∞“π MS (Murashige and Skooge, 1962) ‚¥¬π” µâπÀπÕπµ“¬À¬“°∑’Ë¢¬“¬æ—π∏ÿå„πÕ“À“√ Ÿµ√ MS ∑’Ë‡µ‘¡πÈ”µ“≈ Û °./≈. ·≈–‡µ‘¡ “√§«∫§ÿ¡°“√‡®√‘≠‡µ‘∫‚µ Benzyladenine (BA) Ú ¡°./≈. ¡“∑¥≈Õß™°π”„À— ÕÕ°√“°„πÕ“À“√ â µ√Ÿ MS ∑’Ë¡’ª√¡“≥‘ NH4NO3 ÙÒÚ.ı ¡°./≈. KNO3 ‡∑à“°—∫ Ú,Û˜ı ·≈– Ú,¯ı ¡°./≈. πÈ”µ“≈ Û ·≈– ˆ °./≈. ·≈– 4-(indole-3-yl) butyric acid (IBA) Ò, Ú ¡°./≈. ‡ª√’¬∫‡∑’¬∫°—∫ Ÿµ√§«∫§ÿ¡§◊Õ MS ∑IBA’Ë¡’ Ò ¡°./≈. ·≈– πÈ”µ“≈ Û ·≈– ˆ °./≈. √«¡∑—ÈßÀ¡¥ Ò Ÿµ√ æ∫«à“°“√ ≈¥ª√‘¡“≥ NH4NO3 „Àâ‡À≈◊Õ‡æ’¬ß ÙÒÚ.ı ¡°./≈., ‡æ‘Ë¡ KNO3 ‡ªìπ Ú,Û˜ı ¡°./≈., ‡æ‘Ë¡πÈ”µ“≈‡ªìπ ˆ °./≈. ·≈– IBA Ò ¡°./≈. “¡“√∂™—°π”ÀπÕπµ“¬À¬“°„ÀâÕÕ°√“°‰¥â√âÕ¬≈– Ò ·≈–¡’Õ—µ√“°“√√Õ¥™’«‘µÀ≈—ß°“√¬â“¬ª≈Ÿ°√âÕ¬≈– Ò. §” ”§—≠ : ÀπÕπµ“¬À¬“°, °“√‡æ“–‡≈’È¬ß‡π◊ÈÕ‡¬◊ËÕ, °“√™—°π”√“°, °“√π”µâπÕÕ°ª≈Ÿ°

∫∑π” √Ÿâ®—°π”¡“„™âª√–‚¬™πå¡“π“π·≈â« ‡™àπ „™â¶à“‡ÀÁ∫‡À“„π —µ«å ÀπÕπµ“¬À¬“°‡ªìπæ◊™ °ÿ≈ Stemona «ß»å Stemo- ª√–‡¿∑‚§·≈–°√–∫◊Õ. ∫“ß™π‘¥„™â¶à“ÀπÕπ À√◊Õ„ à„π naceae ‡ªìπ‰¡â‡≈◊ÈÕ¬¡’√“°„µâ¥‘π®”π«π¡“° „∫‡ªìπ√ŸªÀ—«„® ‰Àª≈“√â“‡æ◊ËÕ°—πÀπÕπ·¡≈ß«—π·≈–·¡≈ß»—µ√Ÿæ◊™. √“¬ß“π §≈â“¬„∫æ≈Ÿ. ‡¡◊ËÕ∂÷ßƒ¥Ÿ·≈âßµâπ®–‚∑√¡≈ß§√—Èπ∂÷ßƒ¥ŸΩπ°Á®– °“√∑¥≈Õß¥â«¬πÈ”·≈–‡Õ∏“πÕ≈ °—¥ÀπÕπµ“¬À¬“° æ∫«à“ ‡®√‘≠‡µ‘∫‚µ·≈–·∑ßÀπàÕ¢÷Èπ¡“„À¡à. ¡ÿπ‰æ√™π‘¥π’È™“«∫â“π “√ °—¥‡Õ∏“πÕ≈ “¡“√∂∑”„ÀâÀπÕπ·¡≈ß«—πµ“¬‰¥âÕ¬à“ß À¡¥®¥¿“¬„π‡«≈“ Ù ™—Ë«‚¡ß À≈—ß°“√©’¥æàπÒ. „πª√–‡∑»‰∑¬ *ΩÉ“¬ªØ‘∫—µ‘°“√«‘®—¬·≈–‡√◊Õπª≈°æ◊™∑¥≈ÕßŸ ∂“∫—π«‘®—¬·≈–æ—≤π“ ¡’ ¡ÿπ‰æ√∑’Ë™“«∫â“π‡√’¬°ÀπÕπµ“¬À¬“°À≈“¬™π‘¥ ‡™àπ °”·æß· π ¡À“«‘∑¬“≈—¬‡°…µ√»“ µ√å «‘∑¬“‡¢µ°”·æß· π Pouzolzia pentandra Benn. «ß»å Urticaceae À√◊Õ Christia ®—ßÀ«—¥π§√ª∞¡ ˜ÛÒÙ †ΩÉ“¬‡§√◊ËÕß¡◊Õ«‘∑¬“»“ µ√å°≈“ß ∫“ß‡¢π ∂“∫—π«‘®—¬·≈–æ—≤π“·Ààß vespertilionis Bakh. f. «ß»å Leguminosae - Papilio- ¡À“«‘∑¬“≈—¬‡°…µ√»“ µ√å ®µÿ®—°√ °√ÿß‡∑æœ Ò˘ noideaeÚ, ·¡â·µàÀπÕπµ“¬À¬“°«ß»å Stemonaceae ¬—ß¡’

ˆı ˆˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

À≈“¬™π‘¥∑’Ë·µ°µà“ß°—π. »Ÿπ¬å§«“¡À≈“°À≈“¬∑“ßæ—π∏ÿ ‡¡≈Á¥¬“° µâÕß„™â«‘∏’·∫àß‡Àßâ“ À√◊Õ‡æ“–‡≈’È¬ß‡π◊ÈÕ‡¬◊ËÕ. ”À√—∫ °√√¡æ◊™ ¡À“«‘∑¬“≈—¬‡°…µ√»“ µ√å ‰¥â®”·π°™π‘¥™Õß ¢—ÈπµÕπ¢Õß°“√‡æ‘Ë¡ª√‘¡“≥µâπÀπÕπµ“¬À¬“°‚¥¬°“√‡æ“– ÀπÕπµ“¬À¬“°‚¥¬„™â‡§√◊ËÕßÀ¡“¬‚¡‡≈°ÿ≈µ√«® Õ∫≈“¬ ‡≈’È¬ß‡π◊ÈÕ‡¬◊ËÕ “¡“√∂∑”‰¥â¥’ ¡’ªí≠À“„π¢—ÈπµÕπ¢Õß°“√™—°π” æ‘¡æå¥’‡ÕÁπ‡Õ √à«¡°—∫°“√®”·π°¥â«¬Õπÿ°√¡«‘∏“π ‚¥¬ „ÀâßÕ°√“°∑”‰¥â§àÕπ¢â“ß¬“° ·≈–Õ—µ√“°“√√Õ¥™’«‘µÀ≈—ß°“√ æ‘®“√≥“®“°„∫·≈–¥Õ° “¡“√∂®”·π°‰¥â ˘ ™π‘¥ §◊Õ ¬â“¬ª≈Ÿ°¡’πâÕ¬. ¥—ßπ—Èπ §≥–ºŸâ«‘®—¬®÷ß»÷°…“À“«‘∏’°“√‡æ‘Ë¡ Stemona kerii, S. tuberosa Lour. S. tuberosa cf. ª√– ‘∑∏‘¿“æ°“√™—°π”√“°·≈–∑”„ÀâÕ—µ√“°“√√Õ¥™’«‘µÀ≈—ß phyllantha, S. burkillii, S. curtisii, S. collinsae Craib., °“√¬â“¬ª≈Ÿ°‡æ‘Ë¡¡“°¢÷Èπ. S. cochichinensis Unknown group-1 ·≈– Unknown group-2. ∫“ßµ”√“¬—ß¡’ÀπÕπµ“¬À¬“° ™◊ËÕ Clitorea √–‡∫’¬∫«‘∏’»÷°…“ hanceana Hemsl «ß»å Leguminosae (Fabaceae) - PapilionoideaeÛ ®÷ßÕ“®∑”„Àâ‡°‘¥§«“¡ —∫ π„π°“√»÷°…“ «— ¥ÿÿª°√≥å·≈–‡§√◊ËÕß¡◊Õ Õ ¢âÕ¡Ÿ≈Ù. ¥—ßπ—Èπ ®÷ß¡’§«“¡®”‡ªìπ∑’Ë®–µâÕß∑”°“√»÷°…“«‘®—¬µ√«® µâπÀπÕπµ“¬À¬“°™π‘¥ Stemona collinsae Craib. Õ∫·≈–√–∫ÿ™◊ËÕ«‘∑¬“»“ µ√å„Àâ™—¥‡®π ´÷Ëß·µà≈– °ÿ≈·≈–™π‘¥ (√Ÿª∑’Ë Ò) ¢ÿ¥¡“®“°ªÉ“∫π¿Ÿ‡¢“„πÕ”‡¿Õ»√’√“™“ ®—ßÀ«—¥™≈∫ÿ√’ æ—π∏ÿåÕ“®¡’ “√ÕÕ°ƒ∑∏‘Ï∑’Ë¡’ ¡∫—µ‘·≈–ª√‘¡“≥·µ°µà“ß°—π ‡™àπ ‡¡◊ËÕ æ.». ÚıÙˆ. „πª√–‡∑»®’π¡’°“√π”√“° Stemona tuberosa Lour., “√‡§¡’∑’Ë„™â„π°“√øÕ°¶à“‡™◊ÈÕ ·≈– “√‡§¡’∑’Ë„™â‡µ√’¬¡ Stemona sessilifolia (Miq.), Stemona japonica (BJ) Miq. Õ“À“√ Ÿµ√ Murashige and Skooge (¥Ÿµ“√“ß∑’Ë Ò). ¡“„™â„π°“√√–ß—∫Õ“°“√‰Õ ∫”∫—¥«—≥‚√§ œ≈œ √à«¡°—∫ ¡ÿπ ‡§√◊ËÕß¡◊Õ∑’Ë„™â„π°“√‡µ√’¬¡Õ“À“√ ‡™àπÀ¡âÕπ÷Ëß¶à“‡™◊ÈÕ, ‰æ√™π‘¥Õ◊Ëπ. ·µà°àÕπ∑’Ë®–π”‰ª„™â‡ªìπ¬“°Á¡’¢—ÈπµÕπ°“√ ‡§√◊ËÕß«—¥§«“¡‡ªìπ°√¥¥à“ß, µŸâª≈Õ¥‡™◊ÈÕ ·≈–Õÿª°√≥åµ—¥™‘Èπ ∑”≈“¬æ‘… ‚¥¬π”√“°¡“≈â“ß„Àâ –Õ“¥·≈â«π”¡“≈«°À√◊Õπ÷Ëß à«πæ◊™. ®π°√–∑—Ëß‰¡à‡ÀÁπ·°π ’¢“«∑’Ë√“° π”‰ªµ“°·Àâß ·≈–À—Ëπ„Àâ¡’ ¢π“¥‡≈Á°°àÕππ”‰ªª√ÿß‡ªìπµ”√—∫¬“À√◊Õ∫“ßµ”√“°Áπ”¡“‡™◊ËÕ¡ «‘∏’°“√ °—∫πÈ”º÷Èß°àÕππ”‰ª„™âı. πÕ°®“°π’È ÀπÕπµ“¬À¬“°∫“ß™π‘¥¬—ß °“√‡æ‘Ë¡ª√– ‘∑∏‘¿“æ°“√™—°π”√“°ÀπÕπµ“¬À¬“° „Àâ “√ƒ∑∏‘Ï°”®—¥»—µ√Ÿæ◊™‰¥â ‡™àπ ¶à“ÀπÕπ°—¥°‘π„∫·≈–‡æ≈’È¬ (Stemona collinsae Craib.) „π ¿“æª≈Õ¥‡™◊ÈÕ ÕàÕπ, °”®—¥‡™◊ÈÕ‚√§æ◊™ ‡™àπ Rhizotonia solani ·≈– Erwinia µ—¥¬Õ¥·≈–µ“¢â“ß¡“‡≈’È¬ß·≈–‡æ‘Ë¡ª√‘¡“≥¬Õ¥„πÕ“À“√ caoatovate √«¡∑—Èß≈°πÈ”¬Ÿ ÿßÛ. “√ÕÕ°ƒ∑∏‘ÏÕ¬Ÿà„π°≈ÿà¡·Õ≈§“ Ÿµ√ MS ∑’Ë‡µ‘¡πÈ”µ“≈ Û °√—¡/≈. ·≈–‡µ‘¡ “√§«∫§ÿ¡°“√ ≈Õ¬¥å ‰¥â·°à 16,17-didehydro-16(E)-stemofoline ·≈– ‡®√‘≠‡µ‘∫‚µ BA Ú ¡°./≈. (√Ÿª∑’Ë Ú) ‡æ◊ËÕ„Àâ‰¥â®”π«π 16,17-didehydro-4(E)-16(E)-stemofoline. “√π’Èæ∫¡“°„π µ—«Õ¬à“ß‡æ’¬ßæÕ ”À√—∫°“√∑¥≈ÕßÀ“ Ÿµ√°“√™—°π”√“°∑’Ë ÀπÕπµ“¬À¬“°™π‘¥ Stemona collinsae Craib.ˆ (√Ÿª∑’Ë Ò). ‡À¡“– ¡. ‡≈◊Õ°µ—¥¬Õ¥„Àâ™‘¥‚§π ¬“« Ú.ı-Û ´¡. ¢÷Èπ‰ª. ÀπÕπµ“¬À¬“° °≈ÿ Stemona ‡ªìπæ◊™∑’Ë„™â à«π¢Õß√“° ∑”°“√∑¥≈Õß„π√Ÿª·∫∫ ÿà¡ªí®®—¬Õ¬à“ß ¡∫Ÿ√≥å (factorial in ¡“∑”ª√–‚¬™πå ·µà ‘Ëß∑’Ë™“«∫â“π¢ÿ¥®“°ªÉ“¡“¢“¬¡—°µ‘¥ à«π completely randomized design) ®”π«π Ò ´È” ‚¥¬

¢Õß‡Àßâ“∑’Ë„™â¢¬“¬æ—π∏ÿå¥â«¬. √“°∑’Ë‡ÀÁπ‡ªìπ°Õ¢π“¥„À≠àπ—Èπ ∑¥≈Õß‡æ‘Ë¡ª√‘¡“≥‚ª·µ ‡´’¬¡‰π‡µ√∑ (KNO3) ≈¥ª√‘¡“≥ µâÕß„™â‡«≈“π“πÀ≈“¬ªï°«à“®–‡®√‘≠‡µ‘∫‚µ‰¥â¢π“¥π—Èπ ·Õ¡‚¡‡π’¬¡‰π‡µ√∑ (NH4NO3) „π Ÿµ√Õ“À“√æ◊Èπ∞“π MS. ª√–°Õ∫°—∫ÀπÕπµ“¬À¬“°·µà≈– “¬æ—π∏ÿå¡’°“√µ‘¥Ωí°·≈– ∑”°“√≈¥ NH4NO3 „Àâ‡À≈◊Õ‡æ’¬ß ÙÒÚ.ı ¡°./≈. ‡æ‘Ë¡ KNO3 µ‘¥‡¡≈Á¥‰¥â¡“°πâÕ¬·µ°µà“ß°—π À“°ºŸâ„™â ¡ÿπ‰æ√¬—ß¢ÿ¥ ‡ªìπ ÚÛ˜ı, Ú¯ı¡°./≈. ‡µ‘¡πÈ”µ“≈ Û, ˆ °√—¡/≈. ·≈– ÀπÕπµ“¬À¬“°®“°ªÉ“¡“„™â‚¥¬‰¡à¡’°“√¢¬“¬æ—π∏ÿåÀ√◊Õª≈Ÿ° IBA Ò, Ú ¡°./≈. ‡ª√’¬∫‡∑’¬∫°—∫ Ÿµ√§«∫§ÿ¡§◊Õ MS ∑’Ë‡µ‘¡ ‡æ‘Ë¡‡µ‘¡°Á¡’‚Õ°“ ‡ ’Ë¬ß∑’Ë®–∑”„Àâ‡°‘¥°“√ Ÿ≠æ—π∏ÿå. «‘∏’°“√ IBA. Ò ¡°./≈. ·≈– πÈ”µ“≈ Û ·≈– ˆ °./≈. Õ’° Ú Ÿµ√ ¢¬“¬æ—π∏ÿå “¡“√∂∑”‰¥â∑—Èß°“√‡æ“–‡¡≈Á¥ ·µà∫“ß “¬æ—π∏ÿåµ‘¥ ‰¥â∑—ÈßÀ¡¥ Ò µ√Ÿ (µ“√“ß∑’Ë Ú). ‡≈’È¬ßµâπÀπÕπµ“¬À¬“°π“π Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ˆ˜

µ“√“ß∑’Ë Ò Õß§åª√–°Õ∫¢ÕßÕ“À“√ Ÿµ√ Murashige and Skooge “√‡§¡’ ª√‘¡“≥∑’Ë„™â„πÕ“À“√ Ò ≈‘µ√ (¡°.)

Ò. ·Õ¡‚¡‡π’¬¡‰π‡µ√∑ (NH4NO3) Òˆı Ú. ‚ª·µ ‡´’¬¡‰π‡µ√∑ (KNO3) Ò˘ Û. ·¡°π’‡´’¬¡´—≈‡øµ (MgSO4.7H2O) Û˜ Ù. ·¡ß°“π’ ´—≈‡øµ (MnSO4.H2O) Òˆ.˘ ı. ´‘ß§å´—≈‡øµ (ZnSO4.7H2O) ¯.ˆ ˆ. §Õª‡ªÕ√å´—≈‡øµ (CuSO4.5H2O) .Úı ˜. ·§≈‡´’¬¡§≈Õ‰√¥å (CaCl2.2H2O) ÙÙ ¯. ‚ª·µ ‡´’¬¡‰Õ‚Õ‰¥¥å (KI) .¯Û

˘. ‚§∫Õ≈∑å§≈Õ‰√¥å (CoCl2.6H2O) .Úı Ò. ‚ª·µ ‡´’¬¡‰¥‰Œ‚¥√‡®πøÕ ‡øµ (KH2PO4) Ò˜ ÒÒ. °√¥∫Õ√‘§ (H2BO3) ˆ.Ú ÒÚ. ‚´‡¥’¬¡‚¡≈‘∫‡¥∑ (Na2H2PO4.2H2O) .Úı ÒÛ. ‡øÕ√— ´—≈‡øµ (FeSO4.7H2O) Ú˜.¯ ÒÙ. ‚´‡¥’¬¡‡Õ∏’≈’π ‰¥Õ“¡’π‡µµ√“Õ´’‡µ√∑ (Na2.EDTA) Û˜.Ú Òı. ‰∏Õ“¡’π‰Œ‚¥√§≈Õ‰√¥å .Ò Òˆ. π‘‚§µ‘π‘§·Õ´‘¥ .ı Ò˜. ‰æ√‘¥Õ°´’π‰Œ‚¥√§≈Õ‰√¥å .ı Ò¯. °≈—¬´’πÚ Ò˘. ¡—¬‚ÕÕ‘π‚π ‘µÕ≈ Ò

µ“√“ß∑’Ë Ú Ÿµ√Õ“À“√∑’Ë„™â„π°“√™—°π”√“°ÀπÕπµ“¬À¬“° „π ¿“æª≈Õ¥‡™◊ÈÕ

Ÿµ√Õ“À“√ NH4NO3 ¡°./≈. KNO3 ¡°./≈. IBA ¡°./≈. πÈ”µ“≈ ¡°./≈. MS1 Òˆı Ò˘ Ò Û MS2 Òˆı Ò˘ Ò ˆ M1 ÙÒÚ.ı ÚÛ˜ı Ò Û M2 ÙÒÚ.ı ÚÛ˜ı Ú Û M3 ÙÒÚ.ı ÚÛ˜ı Ò ˆ M4 ÙÒÚ.ı ÚÛ˜ı Ú ˆ M5 ÙÒÚ.ı Ú¯ı Ò Û M6 ÙÒÚ.ı Ú¯ı Ú Û M7 ÙÒÚ.ı Ú¯ı Ò ˆ M8 ÙÒÚ.ı Ú¯ı Ú ˆ

Ú ‡¥◊Õπ ·≈â«∑”°“√∫—π∑÷°¢âÕ¡Ÿ≈√âÕ¬≈–¢Õß°“√ÕÕ°√“°. ‡¡◊ËÕ ‰«â„π‚√ß‡√◊Õπ ı-˜ «—π ‡æ◊ËÕ∑”°“√ª√—∫ ¿“æ ·≈â«≈â“ß«ÿâπÕÕ° π”µâπÕÕ°ª≈°„π ¿“æ‚√ß‡√◊ÕπŸ ∫—π∑÷°√âÕ¬≈–¢Õß°“√√Õ¥™’«‘µ. ®“°√“°„Àâ –Õ“¥ ·≈–¬â“¬ª≈Ÿ°≈ß„π«— ¥ÿª≈Ÿ°∑’Ë¡’Õ—µ√“ à«π °“√ª√—∫ ¿“æ·≈–»÷°…“°“√‡®√‘≠‡µ‘∫‚µ¢ÕßµâπÀπÕπ ∑√“¬À¬“∫µàÕ¢ÿ¬¡–æ√â“« Ù:Û. ‡°Á∫µâπ°≈â“‰«â„π°√–‚®¡∑’Ë„Àâ µ“¬À¬“°®“°°“√‡æ“–‡≈’È¬ß‡π◊ÈÕ‡¬◊ËÕÀ≈—ß°“√¬â“¬ª≈Ÿ° πÈ”∫πÀ≈—ß§“‡æ◊ËÕ√—°…“§«“¡™◊Èπ√âÕ¬≈– ˜-¯ ª√–¡“≥ Ú- π”µâπ°≈â“ÀπÕπµ“¬À¬“°∑’Ë∂Ÿ°™—°π”„ÀâßÕ°√“° ‰ªµ—Èß Û —ª¥“Àå ·≈â«®÷ß¬â“¬¡“∑’Ë§«“¡™◊Èπª√°µ‘. —ß‡°µ°“√‡®√‘≠ ˆ¯ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

µ“√“ß∑’Ë Û °“√™—°π”√“°ÀπÕπµ“¬À¬“° „π ¿“æª≈Õ¥‡™◊ÈÕ ‚¥¬„™âÕ“À“√ Ò Ÿµ√

Ÿµ√ NH4NO3 KNO3 IBA πÈ”µ“≈ √âÕ¬≈–¢Õß°“√ßÕ°√“° √âÕ¬≈–¢Õß°“√√Õ¥™’«‘µ Õ“À“√ ¡°./≈. ¡°./≈. ¡°./≈. ¡°./≈. „π¢«¥‡¡◊ËÕÕ“¬ÿ Ú ‡¥◊Õπ À≈—ß¬â“¬ª≈Ÿ°π“π Ú ‡¥◊Õπ MS1 Òˆı Ò˘ Ò Û ı  MS2 Òˆı Ò˘ Ò ˆ Ò ı M1 ÙÒÚ.ı ÚÛ˜ı Ò Û Ò ı M2 ÙÒÚ.ı ÚÛ˜ı Ú Û Ò ı M3 ÙÒÚ.ı ÚÛ˜ı Ò ˆ Ò Ò M4 ÙÒÚ.ı ÚÛ˜ı Ú ˆ Ò Úı M5 ÙÒÚ.ı Ú¯ı Ò Û ¯ ı M6 ÙÒÚ.ı Ú¯ı Ú Û ¯ Ò M7 ÙÒÚ.ı Ú¯ı Ò ˆ Ò ı M8 ÙÒÚ.ı Ú¯ı Ú ˆ Ò ˜ı

‡µ‘∫‚µ·≈–∫—π∑÷°¢âÕ¡Ÿ≈µà“ß Ê. °“√‡æ‘Ë¡ª√‘¡“≥πÈ”µ“≈‡ªìπ ˆ °./≈. ∑”„ÀâÕ—µ√“°“√ ßÕ°√“°‡æ‘Ë¡¢÷Èπ ´÷Ëß Õ¥§≈âÕß°—∫°“√∑¥≈Õß°“√„™â„πÀπàÕ‰¡â º≈°“√»÷°…“·≈–«‘®“√≥å Ω√—Ëß˜ ‚¥¬πÈ”µ“≈∑’Ë‡æ‘Ë¡¢÷Èπ®–™à«¬≈¥§«“¡‡µàß¢Õß‡´≈≈å. ”À√—∫ ∏“µÿ‰π‚µ√‡®π®–™à«¬ àß‡ √‘¡°“√‡®√‘≠‡µ‘∫‚µ∑“ß„∫·≈–≈”µâπ °“√‡æ‘Ë¡ª√– ‘∑∏‘¿“æ°“√™—°π”√“°ÀπÕπµ“¬À¬“°„π À“°æ◊™‰¥â√—∫‰π‚µ√‡®π¡“°¢÷Èπ §“√å‚∫Œ—¬‡¥√µ∑’Ëº≈‘µ‰¥â®“° ¿“æª≈Õ¥‡™◊ÈÕ °√–∫«π°“√ —ß‡§√“–Àå· ß®–∂Ÿ°π”‰ª„™â √â“ß‚ª√µ’π∑’Ë‡ªìπ °“√≈¥ NH4NO3 „Àâ‡À≈◊Õ‡æ’¬ß ÙÒÚ.ı ¡°./≈. ‡æ‘Ë¡ ‚ª√‚µæ≈“ ¡®÷ß‰¡àæÕ∑’Ë®–„™â √â“ß‡´≈≈Ÿ‚≈ ºπ—ß‡´≈≈å®÷ß§àÕπ KNO3 ‡ªìπ ÚÛ˜ı ¡°./≈. ‡æ‘Ë¡πÈ”µ“≈ ˆ °√—¡/≈. ·≈–‡µ‘¡ ¢â“ß∫“ß ¡’¢π“¥„À≠à ·≈–¡’πÈ”Õ¬Ÿà‡µÁ¡∑’Ë‡√’¬°«à“ Õ“°“√Õ«∫πÈ”. IBA Ò ¡°./≈. „π Ÿµ√Õ“À“√æ◊Èπ∞“π MS “¡“√∂™—°π” πÕ°®“°π’È ¬—ß¡’º≈µàÕ°“√‡°‘¥√“° ‚¥¬∑”„Àâ§“√å‚∫Œ—¬‡¥√µ∑’Ë ÀπÕπµ“¬À¬“°ßÕ°√“°‰¥â∑°µ—«Õ¬à“ßÿ (√âÕ¬≈– Ò) (µ“√“ß∑’Ë ‡§≈◊ËÕπ¬â“¬≈ß Ÿà√“°≈¥≈ß ®÷ß∑”„Àâ°“√‡®√‘≠‡µ‘∫‚µ¢Õß√“° Û). ‡ªìπ‰ª„πÕ—µ√“∑’Ë™â“°«à“ à«π∫π¢Õßæ◊™. ¥—ßπ—Èπ „π™à«ß™—°π” °“√∑¥≈Õß™—°π”„ÀâÀπÕπµ“¬À¬“° (Stemona √“°°àÕπ°“√π”æ◊™ÕÕ°ª≈Ÿ°§«√¡’°“√ª√—∫µâπæ◊™„Àâ≈¥°“√

collinsae Craib.) ÕÕ°√“°„π ¿“æª≈Õ¥‡™◊ÈÕ (√ª∑’ËŸ Û-ı) æ∫ Õ«∫πÈ”≈¥≈ß ‚¥¬≈¥ª√‘¡“≥ NH4NO3 ·µà‡æ‘Ë¡ KNO3 ·∑π «à“ Ÿµ√∑’Ë‡À¡“– ¡§◊Õ M3. Õ“À“√ Ÿµ√π’Èª√–°Õ∫¥â«¬ Õ“À“√ ‡æ√“–«à“‚æ·∑ ‡´’¬¡®–™à«¬ àß‡ √‘¡°“√ —ß‡§√“–Àå· ß¢Õßæ◊™ æ◊Èπ∞“π MS ‚¥¬≈¥ NH4NO3 „Àâ‡À≈◊Õ‡æ’¬ß ÙÒÚ.ı ¡°./≈. ‰¥â¥’¢÷Èπ ∑”„ÀâÕ—µ√“√Õ¥™’«‘µÀ≈—ß°“√¬â“¬ª≈°¥’¢÷ÈπŸ ´÷Ëß Õ¥§≈âÕß ‡æ‘Ë¡ KNO3 ‡ªìπ ÚÛ˜ı ¡°./≈. ‡µ‘¡πÈ”µ“≈ ˆ °√—¡/≈. ·≈– °—∫√“¬ß“π«‘®—¬„π¢â“«∑’Ëæ∫«à“º≈º≈‘µ®–‡æ‘Ë¡¢÷Èπ‡¡◊ËÕæ◊™‰¥â√—∫ IBA Ò ¡°./≈. ‡π◊ËÕß®“°¡’Õ“À“√À≈“¬ Ÿµ√∑’Ë “¡“√∂™—°π” ‚æ·∑ ‡´’¬¡‡æ‘Ë¡¢÷Èπ. πÕ°®“°π’È ‚æ·∑ ‡´’¬¡¬—ß∑”„Àâºπ—ß ÀπÕπµ“¬À¬“°„ÀâßÕ°√“°‰¥â√âÕ¬≈– Ò ‡™àπ MS2, M1, M2, ‡´≈≈å¢Õßæ◊™Àπ“¢÷Èπ ∑”„Àâ‚√§‡¢â“∑”≈“¬‰¥â¬“°¢÷Èπ¯. M3, M4, M7, M8. ‡¡◊ËÕπ”µâπ°≈â“‰ªª√—∫ ¿“æ·≈–¬â“¬ª≈Ÿ° °“√‡æ‘Ë¡ª√‘¡“≥ IBA ™—°π”√“° ‰¡à¡’º≈µàÕ°“√ßÕ°√“° „π‚√ß‡√◊Õπ æ∫«à“ µ√∑’Ë∑”„Àâ‰¥âÕ—µ√“°“√√Õ¥™’«‘µ Ÿ ß Ÿ ¥ÿ §◊Õ M3 ∑’Ë ‡ÀÁπ‰¥â®“°°“√„™â IBA ‡æ’¬ß Ò ¡°./≈. “¡“√∂™—°π”„Àâ ·≈– M6 (µ“√“ß∑’Ë Û). ·µà Ÿµ√ M3 „™âª√‘¡“≥ KNO3 ·≈– ‡°‘¥√“°‰¥â√âÕ¬≈– Ò ‡À¡◊Õπ°—∫°“√„™â Ú ¡°./≈. (µ“√“ß IBA πâÕ¬°«à“ Ÿµ√ M6 àßº≈„Àâµâπ∑ÿπ°“√º≈‘µµâπ°≈â“∂Ÿ°°«à“ ∑’Ë Û). ®÷ß‡ÀÁπ«à“ Ÿµ√ M3 ‡À¡“–∑’Ë ÿ¥. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ˆ˘

√Ÿª∑’Ë Ò µâπ·≈–¥Õ°ÀπÕπµ“¬À¬“° (Stemona collinsae Craib.) √Ÿª∑’Ë Ù µâπ°≈â“·≈–√“°ÀπÕπµ“¬À¬“°„πÕ“À“√ Ÿµ√ M5-M8

√Ÿª∑’Ë Ú ÀπÕπµ“¬À¬“° (Stemona collinsae Craib.) °àÕππ”¡“ √Ÿª∑’Ë ı µâπ°≈â“·≈–√“°ÀπÕπµ“¬À¬“°„πÕ“À“√ Ÿµ√ M1-M8 ™—°π”√“°

√Ÿª∑’Ë Û µâπ°≈â“·≈–√“°ÀπÕπµ“¬À¬“°„πÕ“À“√ Ÿµ√ M1-M4 √Ÿª∑’Ë ˆ µâπ°≈â“‡°Á∫‰«â„π°√–‚®¡∑’Ë„ÀâπÈ”∫πÀ≈—ß§“‡æ◊ËÕ√—°…“ §«“¡™◊Èπ ˜-¯% ª√–¡“≥ Ú-Û —ª¥“Àå ˜ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

√Ÿª∑’Ë ˜ µâπ°≈â“∑’Ë¬â“¬ÕÕ°¡“ª≈Ÿ°„π‚√ß‡√◊Õππ“π Û-Ù ‡¥◊Õπ √Ÿª∑’Ë Ò µâπ°≈â“∑’Ëª≈Ÿ°≈ß·ª≈ßπ“π Ò ‡¥◊Õπ

√Ÿª∑’Ë ¯ ª√‘¡“≥√“°‡¡◊ËÕ‡√‘Ë¡ª≈Ÿ°≈ß·ª≈ß ¡’√“° Ù-ı √“° √Ÿª∑’Ë ÒÒ µâπ°≈â“∑’Ëª≈Ÿ°≈ß·ª≈ßπ“π ÒÙ ‡¥◊Õπ

√Ÿª∑’Ë ˘ µâπ°≈â“∑’Ë¬â“¬ª≈Ÿ°≈ß°√–∂“ßπ“π Ò ‡¥◊Õπ √Ÿª∑’Ë ÒÚ ª√‘¡“≥√“°À≈—ßª≈Ÿ°≈ß·ª≈ßπ“π ÒÙ ‡¥◊Õπ ¡’√“° Ûı- Ùı √“° Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ˜Ò

°“√ª√—∫ ¿“æ·≈–»÷°…“°“√‡®√‘≠‡µ‘∫‚µ¢ÕßµâπÀπÕπ ¡°./≈. ‡æ‘Ë¡ KNO3 ‡ªìπ ÚÛ˜ı ¡°./≈. ‡æ‘Ë¡πÈ”µ“≈ ˆ °./≈. µ“¬À¬“°À≈—ß°“√¬â“¬ª≈Ÿ° ·≈–‡µ‘¡ IBA Ò ¡°./≈. “¡“√∂™—°π”ÀπÕπµ“¬ À¬“°„Àâ °“√¬â“¬ª≈Ÿ°µâπÀπÕπµ“¬À¬“°∑’Ë‰¥â®“°°“√‡æ“–‡≈’È¬ß ÕÕ°√“°·≈–¡’Õ—µ√“°“√√Õ¥™’«‘µÀ≈—ß°“√¬â“¬ª≈Ÿ°‰¥â√âÕ¬≈– ‡π◊ÈÕ‡¬◊ËÕ „π™à«ßƒ¥ŸÀπ“«µâπ°≈â“∑’Ë‡°Á∫‰«â„π°√–‚®¡‡æ◊ËÕ√—°…“ Ò. º≈°“√«‘®—¬π’È “¡“√∂π”‰ª‡æ‘Ë¡ª√– ‘∑∏‘¿“æ°“√¬â“¬ §«“¡™◊Èπ (√Ÿª∑’Ë ˆ) “¡“√∂¡’™’«‘µÕ¬Ÿà√Õ¥‰¥â ·µà‰¡à¡’°“√·µ° ª≈Ÿ°æ◊™™π‘¥Õ◊Ëπ Ê ∑’Ë‰¥â®“°°“√‡æ“–‡≈’È¬ß‡π◊ÈÕ‡¬◊ËÕ ∑”„Àâ¡’ ÀπàÕ‡æ‘Ë¡‡µ‘¡ À√◊Õ·¡â·µà¬Õ¥‡°à“∑’Ë¡’Õ¬Ÿà·≈â«µ“¬Õ¥°Á‰¡à¬◊¥ Õ—µ√“°“√√Õ¥™’«‘µÀ≈—ß°“√¬â“¬æ◊™ÕÕ°®“°¢«¥≈ß«— ¥ÿª≈Ÿ°‰¥â ¬“«ÕÕ°¡“ à«π ’¢Õß„∫¬—ß‡¢’¬«. ‡¡◊ËÕÕÿ≥À¿Ÿ¡‘ Ÿß¢÷Èπ Ú¯-Û ¥’¢÷Èπ. o´ ®÷ß‡√‘Ë¡¡’°“√‡®√‘≠‡µ‘∫‚µµ“¡ª√°µ‘. ”À√—∫°“√¬â“¬ª≈Ÿ°„π ƒ¥ŸÕ◊Ëπµâπ°≈â“ “¡“√∂‡®√‘≠‡µ‘∫‚µ‰¥âµ“¡ª√°µ‘ · ¥ß«à“ °‘µµ‘°√√¡ª√–°“» ªí®®—¬∑’Ë àßº≈„ÀâÀπÕπµ“¬À¬“°™–ß—°°“√‡®√‘≠‡µ‘∫‚µ ‰¥â·°à ¡À“«‘∑¬“≈—¬‡°…µ√»“ µ√å ‰¥â π—∫ πÿπ„Àâ∑ÿπ°“√«‘®—¬. Õÿ≥À¿Ÿ¡‘µË”. À≈—ß°“√¬â“¬ª≈Ÿ° Ú-Û ‡¥◊Õπ µâπ°≈â“¡’ÀπàÕÕàÕπ ‡°‘¥¢÷Èπ„À¡à „∫¡’°“√¢¬“¬¢π“¥„À≠à¢÷Èπ®“°‡¥‘¡ à«π∑’Ë∫√‘‡«≥ ‡Àßâ“¡’√“°‡æ‘Ë¡¢÷Èπ·≈–‡√‘Ë¡¡’°“√ √â“ß√“° – ¡Õ“À“√‰¥â ·≈– ‡Õ° “√Õâ“ßÕ‘ß ®“°°“√»÷°…“°“√‡®√‘≠‡µ‘∫‚µ æ∫«à“µâπ°≈â“∑’Ë¬â“¬ª≈Ÿ°≈ß∂ÿß Ò. æ√√≥√–æ’ Õ”π«¬ ‘∑∏‘Ï, ¡°‘® Õπ–«—™°ÿ≈, ∑‘π°√ ∑“µ√–°Ÿ≈. °“√„™â æ≈“ µ‘°‰¥âª√–¡“≥ Û-Ù ‡¥◊Õπ (√Ÿª∑’Ë ˜) ∂â“‡√‘Ë¡ª≈Ÿ°‡¥◊Õπ ¡ÿπ‰æ√°√«¬ªÉ“ ÀπÕπµ“¬À¬“° ·≈–¢Õ∫™–π“ß·¥ß §«∫§ÿ¡ °ÿ¡¿“æ—π∏å ‡ªìπµâπ‰ª ®–„Àâ√“°ª√–¡“≥ Ù-ı √“° (√Ÿª∑’Ë ¯) ÀπÕπ·¡≈ß«—π„πø“√å¡ —µ«å. ‡Õ° “√ª√–°Õ∫°“√ —¡¡π“«‘™“°“√ ∂“∫—π‡∑§‚π‚≈¬’√“™¡ß§≈ §√—Èß∑’Ë Ò˘ «—π∑’Ë ÚÚ-Ú˜ ¡°√“§¡ ÚıÙı. ·µà„π°√≥’∑’Ëµâπ°≈â“¬â“¬ª≈Ÿ°®“°¢«¥≈ß«— ¥ÿª≈Ÿ°„πµÿ≈“§¡ Àπâ“ ÚÙÛ-Ù. ∂÷ß∏—π«“§¡ ´÷Ëß‡ªìπƒ¥ŸÀπ“«µâπ°≈â“®–‰¡à§àÕ¬‡®√‘≠‡µ‘∫‚µ Ú. ¡≥±“ «ß»å¡≥’‚√®πå. ÀπÕπµ“¬À¬“° : æ◊™∑’Ë‡√’¬°™◊ËÕ‡À¡◊Õπ°—π·µà ‡ªìπæ◊™µà“ß™π‘¥°—π. «“√ “√¢à“«»Ÿπ¬åªØ‘∫—µ‘°“√«‘®—¬·≈–‡√◊Õπª≈Ÿ° ¬Õ¥®–‰¡à¬◊¥¬“«‡æ‘Ë¡¢÷ÈπÀ√◊Õ‰¡à¡’°“√·µ°ÀπàÕ„À¡à ®÷ß∑”„Àâ æ◊™∑¥≈Õß ∂“∫—π«‘®—¬·≈–æ—≤π“ °”·æß· π ¡À“«‘∑¬“≈—¬ °“√‡°‘¥√“°„À¡à„π™à«ßæ—°µâππâÕ¬ ·≈–‡¡◊ËÕ‡ª√’¬∫‡∑’¬∫°“√ ‡°…µ√»“ µ√å °”·æß· π π§√ª∞¡ ªï∑’Ë Ò˘ ©∫—∫∑’Ë Ú °√°Æ“§¡- ¬â“¬ª≈Ÿ°µâπ≈ß°√–∂“ß·≈–≈ß·ª≈ß æ∫«à“°“√ª≈Ÿ°≈ß·ª≈ß ∏—π«“§¡ ÚıÙ¯. Àπâ“ Ú-ÚÛ. À√◊Õ http://clgc.rdi.ku.ac.th/newsletter/ news19_2.pdf. [cited 2008 Mar 1]. µâπÀπÕπµ“¬À¬“°‡®√‘≠‡µ‘∫‚µ‰¥â¥’°«à“ (√Ÿª∑’Ë ˘ ·≈– Ò) Û. π—π∑«—π ∫ÿ≥¬–ª√–¿— √, Õ√πÿ™ ‚™§™—¬‡®√‘≠æ√. ¡ÿπ‰æ√‰¡âæ◊Èπ∫â“π ·≈–‡¡◊ËÕπ”µâπ°≈â“ª≈Ÿ°≈ß·ª≈ßπ“π ÒÙ ‡¥◊Õπ (√Ÿª∑’Ë ÒÒ) ¡’ (ı). ¡À“«‘∑¬“≈—¬¡À‘¥≈ ·≈–»Ÿπ¬åæ—π∏ÿ«‘»«°√√¡·≈–‡∑§‚π‚≈¬’ ™’«¿“æ·Ààß™“µ‘ æ.». ÚıÙÛ.Àπâ“ ÒÒ¯-ÚÚ. √“°ª√–¡“≥ Ûı-Ùı √“° (√Ÿª∑’Ë ÒÚ). Ù. «‘‡™’¬√ °’√µ‘π‘®°“≈. ÀπÕπµ“¬À¬“°.»π¬å§«“¡À≈“°À≈“¬∑“ßæ—π∏ÿŸ °√√¡æ◊™. ‡Õ° “√ª√–°Õ∫°“√®—¥π‘∑√√»°“√ß“π‡°…µ√ ª√–®”ªï √ÿª ÚıÙ¯. ¡À“«‘∑¬“≈—¬‡°…µ√»“ µ√å ®µÿ®—°√ °√ÿß‡∑æœ. ı. Herbs for Relieving Cough and Asthma. Stemona root. [cited 2003 °“√‡æ‘Ë¡ª√– ‘∑∏‘¿“æ°“√™—°π”√“°ÀπÕπµ“¬À¬“° Sep 19]. Available from:http//A:\Stemona%20Root%20-%20ENatural HealthCenter_com%20(e2121_com).htm (Stemona collinsae Craib.) „π ¿“æª≈Õ¥‡™◊ÈÕ·≈–∑”„Àâ¡’ ˆ. Jiwajinda S, Hirai N, Watanabe K, Santisopasri V, Chuengsamarnyart Õ—µ√“°“√√Õ¥™’«‘µÀ≈—ß°“√¬â“¬ª≈Ÿ° Ÿß “¡“√∂∑”‰¥â‚¥¬°“√ N, Koshimizu K, Ohigashi H. Occurrence of the insecticidal 16,17- didehydro-16(E)-stemofoline in Stemona collinsae. Phytochemistry „™â«‘∏’∑”„Àâ‡´≈≈å¡’°“√Õ«∫πÈ”πâÕ¬≈ß‚¥¬°“√≈¥‰π‚µ√‡®π 2001;56:693-5. ‡æ‘Ë¡‚æ·∑ ‡´’¬¡ ·≈–πÈ”µ“≈ ·≈–‡µ‘¡ “√§«∫§ÿ¡°“√‡®√‘≠ ˜. ¡≥±“ «ß»å¡≥’‚√®πå, »‘√‘«√√≥ ∫ÿ√’§”, √ß√Õß ÀÕ¡À«≈. °“√‡æ“– ‡≈’È¬ß‡π◊ÈÕ‡¬◊ËÕÀπàÕ‰¡âΩ√—Ëß‡™‘ßæ“≥‘™¬å. √“¬ß“π§«“¡°â“«Àπâ“ ‡µ‘∫‚µ IBA „π Ÿµ√Õ“À“√æ◊Èπ∞“π MS ‡æ◊ËÕ™à«¬°√–µÿâπ°“√ ‚§√ß°“√«‘®—¬∑ÿπÕÿ¥Àπÿπ«‘®—¬¡À“«‘∑¬“≈—¬‡°…µ√»“ µ√å ª√–®”ªï ‡°‘¥√“° §«∫§Ÿà°—∫«‘∏’°“√ª√—∫ ¿“æ·≈–ª≈Ÿ°„π«— ¥ÿª≈Ÿ°∑’Ë ÚıÙÚ. ‡À¡“– ¡ ‚¥¬ Ÿµ√Õ“À“√∑’Ë‡À¡“– ¡‰¥â·°à Ÿµ√ M3 ´÷Ëß„™â Ÿµ√ ¯. §≥“®“√¬å¿“§«‘™“ª∞æ’«‘∑¬“. ª∞æ’«‘∑¬“‡∫◊ÈÕßµâπ æ‘¡æå§√—Èß∑’Ë ¯. °√ÿß‡∑æœ : ”π—°æ‘¡æå¡À“«‘∑¬“≈—¬‡°…µ√»“ µ√å; ÚıÙÒ. Àπâ“ Ú˜˘- Õ“À“√æ◊Èπ∞“π MS ≈¥ª√‘¡“≥ NH4NO3 „Àâ‡À≈◊Õ‡æ’¬ß ÙÒÚ.ı ÛÒı. ˜Ú «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

Abstract Enhancement of Root Induction for Tissue Culture of Stemona collinsae Craib. and Transplanting Monthar Wongmaneeroj*, Rongrong Homhual*, Siriwan Burikam**, Suratwadee Jiwajinda* *Central Laboratory and Greenhouse Complex, Research and Development Institute at Kamphaengsaen, Kasetsart University, Kamphaengsaen Campus, Nakhon Pathom 73140. **Scientific Equipment Center, Research and Development Institute, Kasetsart University, Jatujak, Bangkok 10900. Tissue culture techniques for Stemona collinsae Craib. can propagate a considerable amount of plantlets, but the additional step of “root induction” is somewhat difficult. Therefore, the experiment in root induction techniques was conducted by modifying some ingredients in basic Murashige and Skooge (MS) media. Ini- tially, the plantlets grown in modified MS (1962) media [added sugar 30 mg/L and Benzyladenine (BA) 2 mg/ L] were regenerated; and root induction in various MS additives was later followed. The modifications of MS

media, such as adding 412.5 mg/L of NH4NO3, 2,375 or 3,850 mg/L of KNO3, 30 or 60 g/L of sugar, 1 or 2 g/L of 4-(indole-3-yl) butyric acid (IBA), were compared with two controlled formulas (MS with IBA 1 mg/L with 30

or 60 g/L of sugar). The results showed that plantlets grown in media with 412.5 mg/L of NH4NO3, 2375 mg/

L of KNO3, 60 g/L of sugar and 1 g/L of IBA had the highest percentage (100%) of root induction and survival percentage (100%). Key words: Stemona collinsae Craib., tissue culture, root induction, transplanting «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine Journal of Thaiªï∑’Ë Traditional ˆ ©∫—∫∑’Ë Ò& ¡°√“§¡-‡¡…“¬πAlternative Medicine ÚııÒ Vol. 6Vol. No. 6 No.1 1January-April January - April 20082008 π‘æπ∏åµâπ©∫—∫ Notes on the genus Kaempferia L. (Zingiberaceae) in Thailand

Chayan Picheansoonthon*† Supachai Koonterm*

Abstract The genus Kaempferia L. (Ziniberaceae) is one of the important medicinal plant genera in Thailand. As a result of herbarium investigation and intensive field studies, 16 taxa are enumerated for Thailand in this account. Distinguishable morphological characteristics of these species are given. Photographic illustrations of some key species are included. The ethnobotany of the genus Kaempferia in Thailand is also discussed in four main aspects: food, medicine, belief, and horticulture. Key words: genus Kaempferia L. (Zingiberaceae), Thailand, taxonomy, ethnobotany

Introduction study, including for future drug development. Our fo- The family Zingiberaceae is one of the most im- cus on the genera Caulokaemferia K.Larsen, portant but least known medicinal plant families in Elettariopsis Baker., Gagnepainia K.Schum., Thailand. Several taxa of the family form the plant Hedychium J. König, Hemiorchis Kurz, and group known in Thai folk taxonomy as wan, a me- Stahlianthus Kuntze of the family Zingiberaceae re- dicinal plant group in the Thai materia medica and sulted in the report of several new taxa and new recorded in the traditional Thai medical literature. records for Thailand,1-10 with several more reports to The plants either have or lack underground storage be published. roots or stems; some may be used for medicinal pur- The genus Kaempferia L. constitutes several wan poses, but some are believed to possess certain spiri- known in the Thai literature, such as Wan Krachai- tual or magical effects. dam (K. parviflora Wall. ex Baker), Wan Thao Nang- During the past decade, we have been working haeng (K. angustifolia Roscoe), Wan Karchae-chan (K. to establish basaline knowledge about this plant group galanga L.), and Wan Chang-njang (K. marginata indigenous to Thailand, including taxonomic studies Carey), to name a few. Some of the wan in this genus and ethnopharmacological documentation for further are still taxonomically unknown, a few of which may be new to science, while some taxa are currently

* Pharmaceutical Botany and Pharmacognosy Research Unit, under intensive research for various aspects of drug Faculty of Pharmaceutical Sciences, Khon Kaen University, development, e.g. K. galanga L. and K. parviflora Wall. Khon Kaen 40002, Thailand ex Baker. † The Academy of Science, The Royal Institute of Thailand, Sanam Suea Pa, Khet Dusit, Bangkok 10300, Thailand This paper is a preliminary report on this genus

˜Û ˜Ù «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

in two main aspects, taxonomy and ethnobotany, re- Haniffia cyanescens (Ridl.) Holtt.18 sulting from our specimen-based investigation and intensive field research throughout Thailand and Laos, Generic features combined with previous reports on the genus. The Schumann (1903) considered the trilocular ovary objective of the paper is to set up the most up-to- with axile placentation a key character of the genus date baseline information on the genus Kaempferia Kaempferia L.19 However, this character is common L. for future studies on all aspects, including new to other genera and seems to be variable within the drug development. genus.14 Therefore, a combination of several diagnostic characteristics, both vegetative and floral mor- Taxonomy phology, is essential for taxonomic decision at any species level. History The vegetative characters of taxa found in South- The genus Kaempferia L. was established in 1753 east Asia are often associated with the fleshy rhi- with two species: K. galanga L. and K. rotunda L.11,12 zomes, usually short, with several roots in a fascicle. The former taxon was first described by a German The roots of some species, particularly those with botanist, Engelbert Kaempfer (1651-1716), and was inflorescence separated from and preceding leaf- chosen to be the lectotype for the genus by Hitchcock shoots, are fibrous with terminal globular to fusiform and Green, and by Phillips.13,14 Since then, several storage tubers. Leaves range from one to a few; they new taxa from Asia and Africa have been described. are filiform to very broad, rising from the rhizomes, Baker (1890) listed four subgenera with a total of usually with keeled sheathes, short to long petioles, 22 species in his account on the genus Kaempferia L. small, inconspicuous, or without ligules. One to a few for British India: Sincorus Horan. (12 species), large ovate to orbicular prostrate or accumbent leaves Protanthium Horan. (2 species), onolophus Wall. (7 are characteristic of some taxa, e.g. K. galanga L., K. species), and Stachyanthesis Benth. (1 species).15 laotica Gagnep., K. marginata Carey. Narrowly linear However, some of these taxa have currently been to filiform leaf blades are unique to a certain group, transferred to other related genera, i.e. Boesenbergia i.e., K. fissa Gagnep., K. fallax Gagnep., and K. filifolia Kuntze, Camptandra Ridl., Caulokaempferia K.Larsen, K. Larsen. However, from our intensive studies on and Stahlianthus Kuntze. Much later, Kam (1980) made the herbarium specimens available and our investi- the exemplary and lucid analyses on the taxonomic gation of living specimens, these characters can vary history of the genus and pointed out that the subge- greatly within a species. nus Sincorus (Horan.) Baker includes the generic type, The inflorescence of all species found in Thai- and, therefore, should become subgenus Kaempferia.14 land is either separated from (in all taxa preceding She tentatively recognized three groups as sections the appearance of the leaf-shoots), or terminal on and of Asiatic species: Sect. Kaempferia (the K. galanga contemporaneous with the leaf-shoots. The terminal group), Sect. Protanthium (Horan.) Benth. (the K. ro- inflorescence often forms a pedunculate head, and all tunda group), and Sect. Stachyantheis Benth., with its primary bracts are always fertile. However, the only one taxon, K. scaposa (Dalz.) Benth.14 radical inflorescence is either sessile or very shortly In his account, Gagnepain (1908) enumerated 13 pedunculated, with 2-4 sterile sheathing bracts. The taxa for Indochina.16 Although most of his species non-tubular primary bract is always accompanied by are currently accepted, three have been placed under a shortly bilobed or bilobed-to-the-base bracteole, and a different genus, Boesenbergia Kuntze. In 1924, Rid- subtends only one flower. ley reported five species in his treatment of the Malay A combination of the overall floral morphology is Penninsula.17 Holttum (1950) accepted four of Ridleyûs characteristic of the Asiatic Kaempferia species. The accounts, but transferred K. cyanescens Ridl. to labellum is separated from the lateral staminodes al- Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ˜ı most to the base, and is often deeply bilobed, except and petaloid anther crests, never çZingiber-likeé, as that of K. parviflora Wall. ex Baker. The lateral in the genus Zingiber. Also, the Kaempferia is also staminodes are always petaloid and the anther crest distinguishable by its more or less bilobe bracteoles, is always conspicuous and could be entire or den- while the bracteole is absent in the Cornukaempferia. tate, straight or reflexed, and narrow or orbicular. Moreover, the stigma is always cup-shaped with cili- The Thai Taxa ated rims and the stylodial glands are paired and Of the 15 taxa accounted for in Thailand,20,21 six needle-like. were also reported for China.22 K. candida Wall. was However, morphological features can be greatly later reported to also be found in Thailand23 and a variable, even within the same taxon. Therefore, until new taxon, K. grandifolia Saensouk & Jenjitt., was the range of character variation of these generic fea- also added.24 All currently known Thai taxa can be tures is fully understood, a single diagnostic charac- divided into two groups, the K. galanga-group and ter cannot be used for taxonomic decision-making. the K. rotunda-group. The former group is characterized by a short multiflorous inflorescence that appears Relationship earlier before the leaves, while the latter group in- As pointed out by Holttum (1971), the genus cludes species in which the inflorescence has few Kaempferia L. is morphologically closely related to flowers and is terminal on the leaf-shoots. In Thai- the genera Boesenbergia O.Kuntze and Scaphochlamys land, three species, K. candida Wall, K. grandifolia Baker.18 Both Kaempferia and Boesengergia possess Saensouk & Jenjitt., and K. rotunda L., represent the one flower in the axil of each bract, with one or two former group. To set up baseline information on the bracteoles. In contrast with the not-two-ranked bract genus for further studies, all the Thai taxa will be arrangement and the often flat and bilobed labella of discussed here briefly. the Kaempferia, those of the Boesenbergia are two- ranked, and the labella often saccate with the distal 1. K. angustifolia Roscoe in Trans. Linn. Soc. 8: 351. part often being entire or crenate, and often reddish 1807; Monandr. Pl. t. 04. 1828; Roxb., Fl. Ind. 1: 17. toward the apex. These characters clearly are dis- 1820; Horan., Monogr.: 21. 1862; Bak. in Hook., Fl. Br. tinct enough to differentiate the two genera.18 Ind. 6: 219. 1894; Schum. in Engl., Pflanzenr. 4(46), 20 The rhizomes of the Kaempferia are either short Heft: 86. 1904; Sirirugsa in Nord. J. Bot. 9: 259. 1989 & fleshy elements or fleshy tuber-bearing roots, while in Thai For. Bull. (Bot.) 19: 8-9. 1992.ÐÐK. roxburghiana those of the Scaphochlamys are less fleshy, often long Schult., Mant. 1: 83. 1822.ÐÐK. undulata Teysm. et creeping.18 The short and compact inflorescence of Binn. in Neederl. Kruidk. Arch. 3:391. 1855. (non Link the Kaempferia comprises one flower to each bract. in Dietr. Syn.); Icon. T. 376. 1914. Plate II:5. The flower is accompanied by a more or less deeply Type: Bangladesh, Roxburgh s.n. (holotype K) bilobe bracteole or by two narrow separated bracteoles. The labellum is deeply bilobed (except K. parviflora This medicinal taxon is a variable species with Wall. ex. Baker), the anther crest is often large and the leaves ranging from small (about 4 × 1 cm) to petaloid, and the filament always very short, whereas quite large (14-20 × 4-10 cm). The distinguishable those inflorescences of the Scaphochlamys consist of characteristic of this species are the erect elliptic- several flowers to each bract; however, the labellum oblong leaves with undulate margins, the inflores- is never so deeply bilobed, and the filament is always cence borne in the two innermost leaf-sheaths, the present.18 quadrangulate and white (with a purple blotch at the The Kaempferia L. is also related to the genus center) anther crest (about 3.5 cm long) with a bifid Cornukaempferia J.Mood & K.Larsen in general habit.25 apex, and the glabrous ovary. The labella of this spe- However, the Kaempferia always produces large, flat, cies are lilac with purple blotch at the center, obo- ˜ˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

Fig. 1 K. angustifolia Roscoe, showing the plant habit, leaves and flower.

Fig. 2 K. candida Wall., showing the rhizome, roots, and an Fig. 3 K. candida Wall., showing a rhizome, roots, and an in- inflorescence. florescence and details of the flowers. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ˜˜ vate and bilobe (in the middle), while the staminodes Type: Myanmar, tenasserim, Wallich 6593 (Lectotype are white, obovate-oblong or oblong. K) This species can be found in (its natural habitat) This beautiful species is recognized here as con- in Ubon Ratchathani Province of Thailand, but it is specific to K. pulchra Ridl. It is also variable in plant wildly cultivated, especially in northeastern Thailand, habit. However, it can be readily distinguished by for spiritual and medicinal purposes. The cultivated its erect leaf blades, with 1-10 cm long petioles and ones seem to be much larger in habit. the triangular (2-5 mm long) ligules, long hairy pedunculated (1-20 cm) inflorescences, and violet 2. K. candida Wall., Pl. Asiat. Rar. 1: 47, t. 56. 1830; flowers with large orbicular to oblong crests with Bak. in Hook., Fl. Br. Ind. 6: 222. 1894; Schum. in variable apices. Engl., Pflanzenr. 4(46), 20 Heft: 87. 1904; Gagnep. in This taxon is also widely distributed: from India Lecomte, Fl. Gén. I.-C. 6: 47. 1908; Jenjitt. & K.Larsen and Myanmar to Thailand and Peninsular Malaysia. in Thai For. Bull. (Bot.) 28: 45-46, figs. 1-2. 2000; T.L.Wu It can be found from the northern part of the country & K.Larsen in Z.L. Wu & PH. Raven, Fl. China 24: to Peninsular Thailand, often along the streams on 369. 2000. limestone boulders in mixed deciduous forests. This species is widely cultivated in Thailand for horticul- Type: Myanmar, Wallich 6585 (holotype K) tural purposes. The leaves are edible and the rhi- This edible taxon can be easily recognized by zomes are medicinal. its radical inflorescences arising from the rhizomes before the appearance of the leaf-shoot, white erect 4. K. fallax Gagnep. in Bull. Soc. Bot. Fr. 4. ser. 3: lateral staminodes with yellow patches at the base, 259. 1903; Schum. in Engl., Pflanzenr. 4(46), 20 Heft: and white reflexed labellum apically two-lobed for 437. 1904; Gagnep. in Lecomte, Fl. Gén. I.-C. 6: 48. about one-third its length, with two yellow lines at 1908; Sirirugsa in Nord. J. Bot. 9: 259. 1989 & in Thai the center. The inflorescences appear from as early For. Bull. (Bot.) 19: 4-5. 1992. as March until late July. Type: Laos, Harmand s.n. (holotype P) This species is distributed from Myanmar and China (southwest Yunnan) through Vietnam, Laos and This taxon can be distinguished by its 2-4 linear Cambodia.22 In Thailand it was recorded in leaves (not more than 1 cm wide), sessile inflores- Kanchanaburi Province.23 However, the authors also cences with pure white, night-blooming flowers, obo- found this species in Tak, Mae Hong Son, and Chiang vate lateral staminodes, deeply bilobed lips, and quad- Mai. rate bilobed crests. It is closely related to K. fissa Gagnep. and K. filifolia K.Larsen. in plant habit and 3. K. elegans Wall. ex Baker. in Hooker, Fl. Br. Ind. its white flowers. However, the leaves of the latter 6:222. 1890; Schum. in Engl., Pflanzenr. 4(46), 20 Heft: two taxa are filiformis and the anther crests are ei- 82. 1904; Ridl., Fl. Mal. Pen. 4:245. 1924; Holtt. in Gard. ther square or rectangular with apices ranging from Bull. Sing. 13:123. 1950; Chung, Lime. Fl. Mal. 2: 711. straight to bifurcate. 1973; Sirirugsa in Nord. J. Bot. 9: 259. 1989 & in Thai This species can be found thoughout southern For. Bull. (Bot.) 19: 5-6. 1992; T.L.Wu & K.Larsen in Laos. It often grows in sandy soils near the banks of Z.L.Wu & PH. Raven, Fl. China 24: 369. 2000.ÐÐK. rivers or in paddy fields in Nakhon Phanom, crawfurdii Wall., Cat. in ed.ÐMonolophus elegans Wall., Ubonratchathani and Amnat Charoen provinces in Pl. Asiat. Rar. 1:24. t. 27. 1830; Horan., Monogr. :22.1862. northeastern Thailand. ÐÐK. pulchra Ridl. in J. Str. Br. Asiat. Soc. Bengal 32: 107. 1899. 5. K. filifolia K.Larsen in Bot. Tidsskr. 58: 201. 1962; Sirirugsa in Nord. J. Bot. 9: 259. 1989 & in Thai For. ˜¯ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

Fig. 4 K. elegans Wall. ex Baker, showing the plant habit, flowers and leaves.

Fig. 5 K. elegans Wall. ex Baker, showing detail of the flowers. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ˜˘

Fig. 6 K. fallax Gagnep., showing the plant habit and a flower. Fig. 7 K. fallax Gagnep., showing detail of the flower.

Fig. 8 K. filifolia K.Larsen, showing the plant habit and a flower. Fig. 9 K. filifolia K.Larsen, showing detail of the flower. ¯ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

Bull. (Bot.) 19: 5. 1992. Type: probably Hort. Cliff. Type: Thailand, Phu Wat (Mukdahan Province), Kerr This generic type species is one of the impor- 21500 (holotype K) tant medicinal plants used in Thai traditional medi- This taxon was described from the specimen cine. It can be readily distinguished from other taxa collected by A.F.G. Kerr in 1932 from çPu Wat (Nakawn by its two horizontal (flat on the ground), ovate-to- Panom)é, which is nowadays Phu Wat of Mukdahan suborbicular, unequal-side, sessile leaves with inflo- Province in northeastern Thailand. The type speci- rescence enclosed in the two leaf-sheaths, and white men was described as closely related to K. fissa flowers. The lateral staminodes are obovate-cuneate Gagnep. and K. fallax Gagnep, but it differs in the or oblanceolate and the labellum is divided to the larger habits and anther crests. All three taxa possess base with a purple blotch at the base. The anther pure white, night-blooming flowers. The connective crest is 4-5 × 2-3 mm, deeply bilobed, each lobe be- appendage of this taxon may be described as rectan- ing rounded or unequally toothed. gular with bifurcate apex, while those of the two lat- This taxon is distributed over a wide range: from ter species are short bifurcate and square respec- India to Myanmar, China, Thailand, Indochina, Malay tively. However, these characters, which are used for Peninsula and Java. It can be found in bamboo for- taxonomic decision-making, are variable, especially ests, often in evergreen and deciduous forests, in all the length of the leaves and corolla tubes. parts of Thailand. It is widely cultivated in Thai home During the past few years, the authors have made gardens as the leaves and rhizomes are used for food several visits to the sites of this taxon in Phu Phan and medicine. National Park (Sakon Nakhon Province), Phu Wat (type location, formerly Nakhon Phanom, but now Mukdahan 7. K. glandifolia Saensouk & Jenjitt. in Nord. J. Bot. Province), Khong Chiam and Sirindhorn Districts 21: 139-140, Figs. 1-2. 2001. (Ubonratchathani Province), including several other Type: Thailand, Khon Kaen Province, Kok Phu Takla, locations in southern Laos, to monitor and study the Saensouk 55 (holotype BKF) living populations. At this stage we suspect that this species may be conspecific to K. fissa Gagnep. A This unique species can be readily distinguished molecular study to confirm our hypothesis is in by its inflorescences on separate shoots arising from progress. rhizomes appearing before the pseudostems, the 4-5 large (12.5-20 × 15-20 cm) almost horizontal (near the 6. K. galanga L., Sp. Pl.: 2. 1753; Roxb., Pl. Ind. 1: 5. ground) suborbicular leaves, and the pedunculated 1820; Bak. in Hook., Fl. Br. Ind. 6: 218. 1890; Schum. (0.5-3 cm) inflorescences with pure white flowers. The in Engl., Pflanzenr. 4(46), 20 Heft: 77. 1904; Gagnep. anther crest of the flower is oblong with a conspicu- in Lecomte, Fl. Gén. I.-C. 6: 45. 1908; Ridl., Fl. Mal. ously bilobed apex. Pen. 4:245. 1924; Holtt. in Gard. Bull. Sing. 13:117. So far the taxon is known only from the type 1950; Larsen in Bot. Tidsskr. 58: 201. 1962; Chung, location in a restricted area of Khon Kaen Province in Lime. Fl. Mal. 2: 703. 1973; Burtt & Smith in northeastern Thailand. The leaves and rhizomes are Dassanayake, Fl. Cey. 4: 508. 1983; Sirirugsa in Nord. used by the local people for medicinal purposes. J. Bot. 9: 259. 1989 & in Thai For. Bull. (Bot.) 19: 11. 1992; T.L.Wu & K.Larsen in Z.L.Wu & PH. Raven, Fl. 8. K. glauca Ridl. in J. Asiat. Soc. Bengal: 107. 1899; China 24: 369. 2000.ÐÐK. sessilis König in Retz., Obs. Schum. in Engl., Pflanzenr. 4(46), 20 Heft: 78. 1904; 3: 67. 1783.ÐÐK. humilis Salisb., Prodr. 6. 1796.ÐÐK. Gagnep. in Lecomte, Fl. Gén. I.-C. 6: 51. 1908; Sirirugsa plantaginifolia Salisb. in Trans. Hort. Soc. 1: 286. 1808. in Nord. J. Bot. 9: 259. 1989 & in Thai For. Bull. (Bot.) 19: 13. 1992. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ¯Ò

Fig. 10 K. glandifolia Saensouk & Jenjitt., showing flowers. Fig. 11 K. glandifolia Saensouk & Jenjitt., showing detail of its flower.

Fig. 12 K. glandifolia Saensouk & Jenjitt., showing the plant habit and leaves. ¯Ú «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

1 cm long) elliptic-linear to linear leaf blade (up to 1 Type: Thailand, Curtis 3252 (lectotype K) cm wide) with the hooded and acute apex, broadly This taxon is placed among the K. galanga group, triangular ligule (about 1 mm long), and the obovate plants with 2-3 flat, near-the-ground leaves and inflo- anther crest with rounded or crenate apex. The flow- rescences produced in the innermost leaf-sheaths. ers of this taxon are violet with the obovate staminodes However, K. glauca Ridl. can be differentiated from and the lip divided to the base (each lobe obovate). other species of the same group by its glacous leaves, This species is distributed in northeastern Thai- inflorescence with hairy peduncle and violet flowers, land (Ubonratchathani and Amnat Charoen provinces) obovate-cuneate to suborbicular lateral staminodes, and southern Laos (Champasak Province). It can be suborbicular labellum (divided to the base) with white found in open areas and in paddy fields. It is used by blotch near the base, large violet recurved reniform the local people for medicinal purposes. anther crest, and the hairy calyx tube and ovary. This species is distributed in Thailand and Laos. 11. K. marginata Carey ex Roscoe, Monandr. Pl. Scitam.t. 93. 1824; Horan. Monogr.: 21. 1862; Bak. in 9. K. laotica Gagnep. in Bull. Soc. Bot Fr. 54: 166. Hook., Fl. Br. Ind. 6: 219. 1894; Schum. in Engl., 1907; Gagnep. in Lecomte, Fl. Gén. I.-C. 6: 51. 1908; Pflanzenr. 4(46), 20 Heft: 78. 1904; Sirirugsa in Nord. Sirirugsa in Nord. J. Bot. 9: 259. 1989 & in Thai For. J. Bot. 9: 259. 1989 & in Thai For. Bull. (Bot.) 19: 10. Bull. (Bot.) 19: 14. 1992. 1992; T.L.Wu & K.Larsen in Z.L.Wu & PH. Raven, Fl. China 24: 370. 2000. Type: Laos, Xiang-kouang, Spire 309 (holotype P) Type: Myanmar, Tenasserim, Carey no. ? (lectotype This taxon is also in the K. galanga group, plants K) usually with two flat, near-the-ground leaves and inflorescences produced in the innermost leaf-sheaths. This species resembles and may be conspecific It differs from K. elegans Wall. ex Baker and K. glauca to K. galanga L. However, the major differences of Ridl. by its sessile inflorescences and glabrous calyx both taxa are the color of the leaf margin and color of tubes and ovaries. However, it is similar to K. the labellum. The leaf margin of K. marginata Carey roscoeana Wall., but differs in the following charac- is purple in color, while that of K. galanga L. is green. ters: the lower leaf surface is hairy and the anther The labellum of the former is purple, sometimes with crest rectangular with the entire or emarginate apex longitudinal white bands near the margin, whereas (compared with the leaves, both sides are glabrous that of the latter is white with a purple marking at and the anther crest is small, ovate keeled with the the base. entire apex). The flower of this species is white with This taxon is distributed in a range from India, obovate-cuneate staminodes and deeply divided obo- Myanmar, China, Thailand, Laos and Cambodia. In vate lips with purple blotch at the center. Thailand, it can be often seen in open areas, paddy This species is distributed in evergreen forests fields, or evergreen forests in the northern, northeast- in northeastern Thailand and in Laos. ern, and upper southern regions of the country. It is also used by the local people for food and medicine. 10. K. larsenii Sirirugsa in Nord. J. Bot. 9: 257. 1989. Fig. 1 H-P & in Thai For. Bull. (Bot.) 19: 14. 1992. 12. K. parviflora Wall. ex Baker. in Hook., Fl. Br. Ind. 6: 221. 1894; Schum. in Engl., Pflanzenr. 4(46), 20 Heft: Type: Thailand, Ubonratchathani, Nilviset 19 (holo- 78. 1904; Sirirugsa in Nord. J. Bot. 9: 259. 1989 & in type C, isotype BKF) Thai For. Bull. (Bot.) 19: 6-7. 1992. This species can be placed in the K. galanga L. Type: Myanmar, Bank of the Attran River, Wallich group. It can be differentiated by its petiolated (about 6587 (lectotype K) Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ¯Û

Fig. 13 K. laotica Gagnep., showing the plant habit, leaves and flowers.

Fig. 14 K. laotica Gagnep., showing detail of its flower. Fig. 15 K. laotica Gagnep., showing detail of its flower. ¯Ù «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

Fig. 16 K. larsenii Sirirugsa, showing the plant habit and infloresence.

Fig. 17 K. parviflora Wall. ex Baker, showing the plant habit. Fig. 18 K. parviflora Wall. ex Baker, showing detail of its flower. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ¯ı

This is the most famous Thai taxon in recent Pl. t. 97. 1828; Wight, Icon. T. 2029. 1853; Bak. in times. Its rhizome is claimed to possess a potent male Hook., Fl. Br. Ind. 6: 222. 1890; Schum. in Engl., aphrodisiac effect, known locally as wan krachai dam, Pflanzenr. 4(46), 20 Heft: 87. 1904; Gagnep. in Lecomte, or krachai dam. This taxon possesses grayish to black Fl. Gén. I.-C. 6: 47. 1908; Valet., Bull. Jard. Bot. rhizomes and the erect ovate or elliptic leaf blades, Buitinzorg ser. 2. 27: 109. 1918; Ridl., Fl. Mal. Pen. with 1-10 cm long petioles. The inflorescence is pe- 4:246. 1924; Holtt. in Gard. Bull. Sing. 13:120. 1950. dunculated (5-6 cm) with a few small flowers easily Plate II: 4; Burtt & Smith in Dassanayake, Fl. Cey. 4: recognized by the white oblong staminodes, the obo- 509. 1983; Sirirugsa in Nord. J. Bot. 9: 259. 1989 & in vate purple lip (darker in the middle) with the Thai For. Bull. (Bot.) 19: 7-8. 1992; T.L.Wu & K.Larsen emarginated apex, and suborbicular (1-1.5 × about 2 in Z.L.Wu & PH. Raven, Fl. China 24: 369. 2000.ÐÐK. mm) anther crest. longa Jacq., Pl. Hort. Schönbr. tab. 317. 1798.ÐÐK. This species is distributed over an area from vercicolor Salisb. in Trans. Hort. Soc. 1: 286. 1808. India and Myanmar to Thailand and Laos. In Thai- Type: Roscoe ill? land, it can be found in deciduous forests or moist bamboo forests in Tak and Kanchanaburi provinces. This species, including K. candida Wall. and K. It is currently widely cultivated in Thailand for its glandifolia Saensouk & Jenjitt., belongs to a group black rhizomes. characterized by its radical inflorescences arising from the rhizomes before the appearance of the leaf-shoot. 13. K. roscoeana Wall., Bot. Reg. t.1212. 1829; Horan., However, it can be differentiated from the later two Monogr.:21. 1862; Hook. f., Bot. Mag. T. 5600. 1866; taxa by its characteristic leaves and flowers. This taxon Bak. in Hook., Fl. Br. Ind. 6: 220. 1894; Schum. in possesses 2-4, erect, ellictic or lanceolate-oblong leaves Engl., Pflanzenr. 4(46), 20 Heft: 78. 1904; Sirirugsa in with the upper surface being glabrous and the lower Nord. J. Bot. 9: 259. 1989 & in Thai For. Bull. (Bot.) 19: surface hairy, and hairy petioles about 1-2 cm long. 13-14. 1992. The oblong lateral staminodes are white (or light purple) with a purple tint, and the purple labellum is Type: Myanmar, cultivated at K, Wallich no. ? (holo- deeply bilobed (each lobe is elliptic), often with two type K) darker purple blotches at the base of each lobe. The This species is characterized by its usually two anther crest is characteristically oblong (9-12 × 3-4 large sessile suborbicular leaves and white flowers mm) with the trilobed apex, the outer lobes are acute with yellow spot at the base of the labella. The leaves and elongated but the middle one is shorter (the apex are flat on the ground, both sides glabrous, and often being entire or emarginate). the upper surface mottled dark green. The staminodes This taxon is distributed from India through Sri are obovate and the labellum is deeply divided to Lanka, southern China, Indochina, Malay Peninsula form the obovate lobes with crenate or emarginate and Java. In Thailand it had been recorded in all parts apex. The anther crest is characteristically rectangu- of the country. It can be found on limestone hills, lar (3-3.5 × 1-3 mm) with the entire or emarginate open lower montane forests, open grassy areas, and apex. in mixed deciduous forests, from as low an altitude This taxon is distributed in a range from India, as 50 m to above 1800 m on Doi Sam Phi Nong in Nepal and Myanmar, to Thailand. It can be found in Chiang Dao Wildlife Sanctuary (Chiang Mai Pro- the bamboo and dry dipterocarp forests in Tak, Chiang vince). Mai, Kanchanaburi, Nakhon Ratchasima and Prachuap Khiri Khan provinces of Thailand. 15. K. siamensis Sirirugsa in Nord. J. Bot. 9: 257, 259. 1989. Fig. 1 A-G & in Thai For. Bull. (Bot.) 19: 9-10. 14. K. rotunda L., Sp. Pl.: 3. 1753; Roscoe, Monand. 1992. ¯ˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

Fig. 19 K. roscoeana Wall., showing the leaves and flowers. Fig. 20 K. roscoeana Wall., showing detail of the flower.

Fig. 22 K. rotunda L., showing rhizome, roots and an Fig. 21 K. rotunda L., showing detail of the flower. infructescence. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ¯˜

Fig. 23 K. siamensis Sirirugsa, showing the plant habit. Fig. 24 K. siamensis Sirirugsa, showing detail of the flower.

Fig. 25 K. spoliata Sirirugsa, showing detail of the flower. ¯¯ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

Range on the Thai-Cambodian border. So far it is Type: Thailand, Sakhon Nakhon, Yuktathat 133 (holo- known only from the type location currently under type E, isotype PSU) the military control and closed to public access. It This Thai endemic taxon was described from possesses most of the Kaempferia characters, but the the specimen collected from Phu Phan National Park. absence of the two lateral staminodes itself has placed It can be readily distinguished by its solitary, pros- this species in the most unique taxon of the genus. trate, sessile, suborbicular, glabrous leaf with con- The original description of this taxon stated that spicuous ligule, oblong purple staminodes with ç...leaves 6-7, radical, sessile; blade linear 6-8(-13) × rounded or slightly undulate apex, purple obovate- 0.6-0.8(-1) cm, apex acuminate, base cuneate, upper cuneate, bilobed (with the apex divided to the middle) surface glabrous, under surface villous... .é 20,21 How- labellum, and deeply divided anther crest. ever, the first author made two visits, in 2004 and This species can be found in the type locations 2006, to the type location and its neighboring areas and its nearby evergreen forests. to study the living population and has collected some specimens. The living specimens are quite different 16. K. spoliata Sirirugsa in Nord. J. Bot. 9: 259. 1989. from the earlier descriptions. Fig. 1 Q-V & in Thai For. Bull. (Bot.) 19: 3. 1992. Type: Thailand, Sisaket, Maxwell 76-493 (holotype L, Ethnobotany isotype BK, AAU) Ethnobotany is the multidisciplinary study of the This taxon is described from the specimen col- direct interrelationship between people of any ethnicity lected from Chong Bat Lak in the Phanom Dongrak and plants in their environment, with the focus on

Fig. 26 Dok Din (K. candia Wall.) is sold in local markets in Thong Pha Pum District of Kanchanaburi Province, Thailand. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ¯˘ food, medicine, dwelling, clothing, and art, culture a combination of a literature survey and our field re- and beliefs.27-29 Research in the area of ethnobotany search. can be focused on a certain ethnic group or traditional society, certain geographical regions, or cer- Food tain plant groups.27 Methodologies employed in eth- Some taxa in the genus Kaempferia L. are ed- nobotanical and ethnobiological research, including ible and are available in local markets from as early research in traditional medicine, have been discussed as the end of March and throughout the rainy season in detail elsewhere.30,31 (May-October), and some are grown in home gar- The senior author and his students have been dens. working on the ethnobotany of the ginger family The rhizomes and leaves of K. galanga L., known (Zingiberaceae) in Thailand during the past decade, locally as pro hom (‡ª√“–ÀÕ¡), are used as a spice in and the results of that research will be published in a local Thai delicacy. The rhizomes, together with the near future. The research methods employed have chillies and other ingredients are mixed and ground been discussed in detail in a separate publication.32 into a paste, which is used as a base for making a Part of the result of our ethnobotanical research on curry. The leaves, washed and cut into the very thin the ginger family in Thailand will be discussed here pieces, are used for seasoning the curry. Leaves of briefly to complete our treatment of the genus other taxa known locally as pro pa (‡ª√“–ªÉ“), i.e., K. Kaempferia L. The information reported here is from marginata Carey, K. elegans Wall. ex Baker, can also

Fig. 27 Wan Krachai Dum (K. parviflora Wall. ex Baker) sold Fig. 28 Sun-drying Krachai Dum (K. parviflora Wall. ex Baker) in Chatuchak Market (Bangkok) after harvesting ˘ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

be utilized for the same purpose. However, rhizomes local people living along the western Thai-Myanmar of other species are not used as substitutes for those border, in areas such a Kanchanaburi, Tak, and Mae of K. galanga L. since they are too bitter. Hong Son provinces, as dok din literally means çflowers Flowers of K. candida Wall. appearing before the of the soilé). leaf-shoots are collected from the wild by locals for The young inflorescences of K. grandifolia either household use or for sale in local markets. It is Saensouk & Jenjitt. are edible. The people living used as a vegetable not only steamed or fried and around the type location call the plant toob-moob or eaten with nam prik, the Thai chilli dip, but also put toob-moob bai yai. The young inflorescences are into soup. This edible flower is known among the blanched and eaten as a vegetable.

Table 1. List of the wans in the genus Kaempferia L. No. Thai Name Botanical Names Use 1. Wan Chao Noi Maha Phrom K. aff. rotunda L. Medicinal & spiritual («à“π‡®â“πâÕ¬¡À“æ√À¡) 2. Wan Phaya Nok-kum K. aff. parviflora Wall. Medicinal & spiritual («à“πæ≠“π°§ÿâ¡) 3. Wan Khum-dong K. aff. roscoeana Wall. Spiritual («à“π§ÿâ¡¥ß) 4. Wan Nok Khum K. elegans Wall. ex Baker Spiritual («à“ππ°§ÿâ¡) 5. Wan Kam-bang K. aff. elegans Wall. ex Baker Spiritual («à“π°”∫—ß) 6. Wan Krachae Chan K. aff. galanga L. Medicinal & spiritual («à“π°√–·®–®—π∑πå) 7. Wan Mai-deed K. rotunda L. Medicinal & spiritual («à“π‰¡â¥’¥) 8. Wan Kai Dam K. rotunda L. Spiritual («à“π‰°à¥”) 9. Wan Pro Hom K. galanga L. Medicinal («à“π‡ª√“–ÀÕ¡) 10. Wan Pro Pa K. marginata Carey Medicinal («à“π‡ª√“–ªÉ“) K. roscoeana Wall. K. elegans Wall. ex Baker 11. Wan Krachai Dam K. parviflora Wall. ex Baker Medicinal & spiritual («à“π°√–™“¬¥”) 12. Wan Thao Nang Haeng K. angustifolia Roscoe Medicinal («à“π‡≤à“Àπ—ß·Àâß) 13. Wan Prab Samut K. angustifolia Roscoe Medicinal & spiritual («à“πª√“∫ ¡ÿ∑√) 14. Wan Petch Kong K. angustifolia Roscoe Medicinal & spiritual («à“π‡æ™√§ß) 15. Wan Hom K. galanga L. Medicinal & spiritual («à“πÀÕ¡) 16. Wan Thippa-nate K. rotunda L. Medicinal & spiritual («à“π∑‘æ¬å‡πµ√) 17. Wan Teen Yen K. aff. galanga L. Medicinal («à“πµ’π‡¬Áπ) 18. Wan Pro Noi Kaempferia sp. Medicinal & spiritual («à“π‡ª√“–πâÕ¬) Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ˘Ò

Medicine the name pro tung song (The Two Pro).34 In one of the oldest publications in the Thai herbal In northeastern Thailand, the local people living literature, King Narai Remedies, two crude drugs made around the type location (Phu Wiang District of Khon from the genus Kaempferia L. are formulated in Kaen Province) of K. grandifolia Saensouk and Jenjitt. several herbal recipes. The herb pro pom (‡ª√“–ÀÕ¡) use the leaves and rhizomes, blending them with refers to the rhizomes of K. galanga L. and the crude husked rice, as an anti-herpes medication. The rhi- drug known as wan pro pa (‡ª√“–ªÉ“) may refer to any zomes of K. filifolia K. Larsen boiled with water are of three taxa, K. marginata Carey, K. elegans Wall. ex used for leucorrhoea in Ubonratchathani Province. Baker, and K. roscoeana Wall.33 Selections from the Rhizomes of K. larsenii Sirirugsa, ground and applied Thai traditional medical literature state that pro hom externally, are used to treat inflammation caused by is characteristically pungent and bitter in taste but insects bites. possesses a carminative effect, while pro pa, although Recently, wan krachai dam (K. parviflora Wall. having the same taste, also has an antipyretic ef- ex Baker), or currently known in short as çKrachai fect.32 Pro hom (K. galanga L.) is recognized in two Damé, has become a popular herb. The purplish black forms, the çredé and the çwhiteé forms, and some- rhizomes of this taxon are claimed to produce a male times they are prescribed together as a set of drugs aphrodisiac effect. This species currently is cultivated under the name pro hom tung song (The Two Pro nationwide to serve consumer demand and the price Hom), i.e. pro hom daeng (daeng = red) and pro hom has increased tremendously, although it sometimes khao (khao = white). Both pro hom and pro pa are fluctuates. Research to prove this claim is ongoing. also occasionally prescribed as a set of drugs under

Fig. 29 Wan Nok Kum (K. elegans Wall. ex Baker), a beautiful species grown as a garden plant or a pot plant, can be seen in most plant shops throoughout Thailand. ˘Ú «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

Belief ported by the Thai Traditional Medical Knowledge Fund The genus Kaempferia L. comprises several plants of the Ministry of Public Health. The authors would like known in the Thai folk taxonomy as wan, a plant to thank Datuk Seri Lim Chong Keat for his encourage- group, most of which have underground storage roots ment and support and the curators and staff members of or stems; such plants are used as a medicine, or are BKF (Bangkok Forest Herbarium), QBG (Queen Sirikit believed to produce certain spiritual effects. Taxo- Botanic Garden Herbarium), PSU (Prince of Songkla Uni- nomically, they are certain plants in several plant fami- versity Herbarium), SING (Singapore Herbarium), K (Royal lies, such as Araceae, Zingiberaceae, Liliaceae, Botanic Gardens Kew Herbarium), and P (Natural History Amaryllidaceae, and Orchidaceae, among others. Museum Herbarium, Paris) for herbaruim access, and the From our research work on this folk plant group, we staff of our research group: Mr. Chalermchoke Boonchit, recognized some wans in this genus. Table 1 shows Mr. Jeeradej Mayoe, Mr. Piyapong Yupparach, and Mrs. the list of the wans which, according to modern tax- Pornpimon Wongsuwan for field assistance. onomy, belong to the Kaempferia L. with their ver- nacular names and uses. The çspiritualé uses shown in Table 1 are associated with a wide ranges of uses, including help in attracting other people, protection people from ghosts References and evil, and protection of skin/bodies against any 1. Picheansoonthon C, Koonterm S, Chaiyoot A, Sukrong S. 2008. A kind of weapons. Resulting from our intensive field new species of Caulokaempferia (Zingiberaceae) from Laos, with further information on other Caulokaempferia species from Laos. Nat Hist trips throughout the country, we have collected these Bull Siam Soc 2008; (in press). wans and identified them scientifically. Some folk taxa 2. Picheansoonthon C, Chaiyoot A, Sukrong S. Jirawongsia, a new genus may turn out to belong to the same scientific taxon. of the family Zingiberaceae. Folia malaysiana 2008;9 (in press). This may be a result of the plants in this genus being 3. Picheansoonthon C, Wongsuwan P. Notes on the genus Hedychium quite variable vegetatively. K. angustifolia Roscoe is Koenig (Zingiberaceae) in Thailand. J Royal Inst Thail 2008; (in press). 4. Picheansoonthon P, Yupparach P. Notes on the genus Elettariopsis a good example, since the leaves can vary greatly in Bak. (Zingiberaceae) in Thailand. J Thai Trad Alt Med 2007; 5:267-78. size and coloration, and hence have different vernacu- 5. Picheansoonthon P, Lim CK, Chaiyoot A, Sukrong S. A new species lar names. of Caulokaempferia (Zingiberaceae) from southern Thailand. Folia malaysiana 8:53-6. Horticulture 6. Picheansoonthon C, P. Mokkamul. A new species of Caulokaempferia (Zingiberaceae) from southern Laos. Nat Hist Bull Siam Soc 2006;54:75- Some taxa in the genus Kaempferia L. have or 80. may have horticultural potential. K. elegans Wall. ex 7. Picheansoonthon C, Mokkamul P. Two new species of Hedychium Baker has been developed for this purpose owing to Koenig (Zingiberaceae) from Thailand. Folia malaysiana 2005;6:17-26. 8. Picheansoonthon C, Mokkamul P. A new species of Caulokaempferia its beautiful leaves and flowers. It is commonly used from southern Thailand. Folia malaysiana 2004;5:1-8. as a garden decoration or as a pot plant. Leaf color, 9. Picheansoonthon C, P. Mokkamul. Two new Caulokaempferia form, and coloration of this taxon are selected and (Zingiberaceae) from northeastern Thailand. Folia malaysiana 2004; cultivated according to market value. 5:69-80. Several other species, including K. roscoeana 10. Mokkamul P, C. Picheansoonthon. A new Caulokaempferia (Zingibe- raceae) from southern Thailand. Folia Malaysiana 2004;5:187-194. Wall., and K. galanga L., are also currently grown as 11. Linnaeus C. Species Plantarum (first edition). 1753;2. pot plants. 12. Linnaeus C. Genera Plantarum (fifth edition). 1754;3. 13. Burtt BL, Smith RM. Key species in the taxonomic history of Acknowledgements Zingiberaceae. Notes RBG Edinb 1972;31:177-228. 14. Kam YK. Taxonomic studies in the genus Kaempferia (Zingiberaceae). This study is part of the research project entitled Notes RBG Edinb 1980;38:1-12. çStudies on fundamental botanical knowledge and DNA 15. Baker JG. Scitamineae. In: Hooker JD: Flora of British India. Vol. 6. fingerprints of the Thai medicinal wané, financially sup- London. 1890. pp 225-33. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ˘Û

16. Gagnepain. Zingiberacees. In: Lecomte. Flora Generale de LûIndochine. Commemorating the 50th Anniversary of His Magesty the Kingûs Vol. 6. 1908. pp 70-5. Accession to the Throne on çThai Medicinal Plantsé. The Charoen 17. Ridley HN. 1924. Flora of the Malay Peninsula. Vol. 4. London: L. Thani Princess Hotel, Changwat Khon Kaen. 23-25 January 1997. p. Reeve & Co., Ltd. 1924. p. 233-85. 206-28. 18. Holttum RE. Zingiberaceae of the Malay Peninsula. The Gardensû 28. Coton CM. Ethnobotany: principles and applications. Chichester: John Bulletin (Singapore) 1971;13:72-8. Wiley & Sons. 1996. p. 2. 19. Schumann K. 1903. Zingiberaceae. In: Engler A (ed.). Das pflanzenreich. 29. Martin GJ. Ethnobotany. London: Chapman & Hall. 1995. p. xx-xxxiv. Heft 20. Weinheim (Germany): Verlag von H.R. Engelmann. 1903. p. 30. Virapongse A, Picheansoonthon C. Researching traditional medicine: 64-88. a review and evaluation of objectives and methodologies. J Roy Inst 20. Sirirugsa P. The genus Kaempferia (Zingiberaceae) in Thailand. Nord J Thail 2005;30:958-69. Bot 1989;9:267-60. 31. Virapongse A, Picheansoonthon C, Luecha P. Recent advances in 21. Sirirugsa P. Taxonomy of the genus Kaempferia (Zingiberaceae) in quantitative ethnobotanical research. J Roy Inst Thail 2004;29:1032- Thailand. Thai For Bull 1992;19:1-15. 45. 22. Wu TL, Larsen K. Zingiberaceae. In: Wu ZY, Raven PH. Flora of 32. Picheansoonthon C, Kayormdock W, Chantachon S, Chokevivat V. China. Beijing: Science Press 2000;24:37. Traditional medical knowledge of the Phu Tai ethnic group in 23. Jenjittikul T, Larsen K. Kaempferia candida Wall. (Zingiberaceae), a northeastern Thailand. Part 1 Methodology and sample healers. J new record for Thailand. Thai For Bull 2000;28:45-9. Thai Trad Alt Med 2007;5:173-80. 24. Saensouk S, Jenjittikul T. Kaempferia grandifolia, sp. nov. (Zingibe- 33. Picheansoonthon C, Chawalit M, Jirawongse V. An explanation of raceae) a new species from Thailand. Nord J Bot 2002;21:139-42. King Narai Remedies: a special edition commemorated the 60th birthday 25. Mood J, Larsen K. Cornukaempferia, a new genus of Zingiberaceae anniversary of His Magesty the King, December 5th 1999. Amarin from Thailand. Nat Hist Bull Siam Soc 1997;45:217-21. Publishing and the Wisdom Foundation. Bangkok: Amarin Printing 26. Searle RJ. A new combination and new synonymy in Kaempferia and Publishing Public Co. 2005. p. 446, 663-6. (Zingiberaceae: Hedychieae). Telopea 1999;8:375-6. 34. Picheansoonthon P, Jirawongse V. Manual of Thai traditional pharmacy, 27. Picheansoonthon C. Ethnobotany and the search for new drugs. In: vol 5. Khana Phesatch. Bangkok: Amarin Printing and Publishing Public The National Research Council of Thailand, Khon Kaen University, Co. 2005. p. 317, 319. and the Pharmacognosy Society of Thailand. Report on the Seminar

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˘Ù Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ˘ı

´â“¬‰ª¢«“:√». ¥√.™¬—πµå æ‘‡™’¬√ ÿπ∑√ (ºŸâ‡¢’¬π), ». ¥√.æ‡¬“«å ‡À¡◊Õπ«ß…å≠“µ‘, º». ¥√.»√’ ¡æ√ ª√’‡ª√¡, ¥√.∑«’»—°¥‘Ï ∏‘µ‘‡¡∏“‚√®πå, Õ“®“√¬å ÿ∑‘»“ · ß ¡ à«π, »“ µ√“®“√¬å ¥√.«‘‡™’¬√ ®’√«ß å (∂à“¬∑’ËªÉ“À‘π π§√§ÿπÀ¡‘ß ¡≥±≈ ¬Ÿππ“π ª√–‡∑» “∏“√≥√—∞ª√–™“™π®’π ‡¡◊ËÕæ.». ÚıÛ˜)

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‡°√‘Ëππ” ·Ààß·≈â«¬—ß¡’°“√‡ª≈’Ë¬π√–¥—∫À≈“¬§√—Èß ∂“π∑’Ëª√–™ÿ¡®÷ß‰¡à √–À«à“ß«—π∑’Ë Ù - ˜ æƒ…¿“§¡ æ.». ÚııÒ ¡’°“√ª√–™ÿ¡ „§√à –¥«°π—° ”À√—∫ºŸâæ‘°“√∑“ß “¬µ“ ·µàºŸâ®—¥°“√ª√–™ÿ¡ —¡¡π“√–¥—∫¿Ÿ¡‘¿“§§√—Èß∑’Ë ˘ ¢Õß À¿“æ§πµ“∫Õ¥‚≈° ‰¥â·°âªí≠À“‚¥¬¡’ºŸâ§Õ¬Õ”π«¬§«“¡ –¥«° πÕ°‡Àπ◊Õ®“° ¿Ÿ¡‘¿“§‡Õ‡™’¬·ª´‘øî° ‡√◊ËÕß°“√π«¥ (The 9th World Blind ‡®â“Àπâ“∑’Ë¢Õß Àæ—π∏åºŸâæ‘°“√®’π (China Disabled Personsû Union Asia Pacific Regional Seminar on Massage) ∑’Ë Federation) ·≈â«¬—ß¡’Õ“ “ ¡—§√§◊Õπ—°»÷°…“®“° °√ÿßªí°°‘Ëß “∏“√≥√—∞ª√–™“™π®’π ºŸâ‡¢’¬π‰¥â¡’‚Õ°“ √à«¡°—∫ ¡À“«‘∑¬“≈—¬·æ∑¬å®’πªí°°‘Ëß ÚÚ §π ¡“§Õ¬„Àâ§«“¡™à«¬ §≥–¢Õß¡Ÿ≈π‘∏‘ àß‡ √‘¡Õ“™’æ§πµ“∫Õ¥ ª√–‡∑»‰∑¬ ‰ª√à«¡ ‡À≈◊ÕºŸâ‡¢â“√à«¡ª√–™ÿ¡ µ—Èß·µà°“√µâÕπ√—∫·≈– àß¢÷Èπ√∂‡¢â“ ª√–™ÿ¡ —¡¡π“¥—ß°≈à“« ‡ÀÁπ«à“‡ªìπ‡√◊ËÕßπà“ π„® ‡æ√“–‡ªìπ ‚√ß·√¡®“° π“¡∫‘π, °“√æ“®“°ÀâÕß‚∂ß√«¡¢Õß‚√ß·√¡‰ª ª√– ∫°“√≥åµ√ß§√—Èß·√°∑’Ë‰¥â‰ª√à«¡ª√–™ÿ¡ —¡¡π“¢Õß§π ÀâÕßª√–™¡,ÿ °“√æ“‰ª‡¢â“ÀâÕßπÈ” ·≈–°“√¥·≈¢≥–‡≈’È¬ßÕ“À“√Ÿ µ“∫Õ¥„π√–¥—∫ “°≈ ®÷ß¢Õπ”‡√◊ËÕß√“«¡“‡≈à“ Ÿà°—πøíß ‡ªìπµâπ. ∫—µ√°ÿ≠·®ÀâÕßæ—°¡’ªÿÉ¡„Àâ§≈”‰¥â«à“§«Ë”À√◊ÕÀß“¬ °“√ª√–™ÿ¡§√—Èßπ’È®—¥¢÷Èπ∑’Ë‚√ß·√¡¡‘µ√¿“æ °√ÿßªí°°‘Ëß Õ¬à“ß‰√ ‡æ◊ËÕ –¥«°‡«≈“®– Õ¥‡¢â“™àÕß°ÿ≠·®‡æ◊ËÕ‡ªî¥ÀâÕß. (Beijing Friendship Hotel) ‚√ß·√¡¥—ß°≈à“«‡ªìπ‚√ß·√¡‡°à“ Õ“ “ ¡—§√·≈–‡®â“Àπâ“∑’Ë¢Õß Àæ—π∏åµ≈Õ¥®πæπ—°ß“π ‡√‘Ë¡„Àâ∫√‘°“√¡“µ—Èß·µàªï æ.». ÚÙ˘˜ Õ“≥“∫√‘‡«≥¢Õß ‚√ß·√¡‰¥â√—∫°“√Õ∫√¡¡“Õ¬à“ß¥’. ∑ÿ°§π¡’®‘µÕ“ “§Õ¬„Àâ ‚√ß·√¡°«â“ß¢«“ß¡“° ‡Õ° “√¢Õß‚√ß·√¡√–∫ÿ«à“‡ªìπ‚√ß·√¡ ∫√‘°“√¥â«¬§«“¡‡¢â“„® ¥Ÿ·≈â«πà“™◊Ëπ„®. °“√ª√–™ÿ¡ —¡¡π“ ‰µ≈å·∫∫ «π (garden-style hotel) ∑’Ë„À≠à∑’Ë ÿ¥„π‡Õ‡™’¬ ¥”‡π‘π‰ª¥â«¬§«“¡√“∫√◊Ëπ ‡æ√“–§≥–ºŸâ‡¢â“ª√–™ÿ¡‡Õß°Á‰¥â „π‡π◊ÈÕ∑’Ë∂÷ß ÛÛı, µ“√“ß‡¡µ√ ‚¥¬‡π◊ÈÕ∑’Ë√“« Ú, ™à«¬µπ‡Õß ‚¥¬À≈“¬§π¡’§πµ“¥’π”¡“ ·≈–∫“ß§π™à«¬µ—« µ“√“ß‡¡µ√ ®—¥‡ªìπ «π·∫∫®’π‚∫√“≥ ¡’µâπ‰¡â Ÿß„À≠à√à¡√◊Ëπ ‡Õß‰¥â¥’¡“°. ∑’Ë‚¥¥‡¥àπ¡“°§◊Õ π“¬ À—« ‡™Áß ŒÕ§ ª√–∏“π ¡“° µ—«Õ“§“√‡ªìπÕ“§“√ Ÿß‡æ’¬ß ı ™—Èπ À≈—ß§“∑√ß®’π°«à“ Ò ¿Ÿ¡‘¿“§‡Õ‡™’¬·ª´‘øî°®“° ‘ß§‚ª√å ´÷Ëß¡“æ√âÕ¡ ÿπ—¢π”∑“ßπà“ À≈—ß ‡©æ“–Õ“§“√∑’Ë®—¥‡ªìπÀâÕßæ—°¡’ ¯ À≈—ß °“√ª√–™ÿ¡ √—°µ—«Àπ÷Ëß. §ÿ≥‡æ™√√—µπå ‡µ™«—™√“ ª√–∏“π¡Ÿ≈π‘∏‘ àß‡ √‘¡ —¡¡π“®—¥¢÷Èπ∑’ËÕ“§“√ Ú ·≈– Õ“§“√ ¯ Õ“™’æ§πµ“∫Õ¥‡≈à“«à“ §ÿ≥ŒÕ§æ—°Õ¬Ÿà§π≈–™—Èπ„πÕ“§“√ ‚¥¬∑’Ë‡ªìπ‚√ß·√¡‡°à“ ∑“ß‡¥‘π¿“¬„πÕ“§“√®÷ß§àÕπ¢â“ß ‡¥’¬«°—π ‰¥â‚∑√»—æ∑å§ÿ¬°—π Õ∫∂“¡‡∫Õ√åÀâÕß §√Ÿà‡¥’¬«§ÿ≥ ·§∫ª√–¡“≥ Ò ‡¡µ√§√÷Ëß πÕ°®“°¡’°“√‡≈’È¬«À—°¡ÿ¡À≈“¬ ŒÕ§°Á¡“∂÷ß∑’ËÀâÕßæ√âÕ¡ ÿπ—¢π”∑“ß. ‡®â“¿“æ¢Õß°“√ª√–™ÿ¡ —¡¡π“§√—Èßπ’È ‰¥â·°à À¿“æ§π *ª√–∏“π°√√¡°“√«‘™“™’æ “¢“°“√·æ∑¬å·ºπ‰∑¬ µ“∫Õ¥‚≈° (World Blind Union), Àæ—π∏åºŸâæ‘°“√®’π,

˘ˆ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ˘˜

»Ÿπ¬å∫√‘À“√°“√π«¥¢Õß§πµ“∫Õ¥®’π (China Blind Mas- ª√–∏“π¿Ÿ¡‘¿“§‡Õ‡™’¬·ª´‘øî°¢Õß À¿“æ§πµ“∫Õ¥‚≈°. sage Administration Center), ¡“§¡§πµ“∫Õ¥ŒàÕß°ß ª√–∏“πºŸâ¥”‡π‘π√“¬°“√„πæ‘∏’‡ªî¥§◊Õ π“¬´ÿπ‡´’¬π‡µãÕ √Õß (The Hong Kong Society for the Blind) ·≈– ∂“∫—π¢Õß ª√–∏“π Àæ—π∏åºŸâæ‘°“√®’π. À¡Õπ«¥µ“∫Õ¥®’π (China Institute of Blind Massage). À≈—ßæ‘∏’‡ªî¥‡ªìπ°“√∂à“¬¿“æÀ¡Ÿà ´÷Ëß‡®â“¿“æ®—¥°“√π” °“√ª√–™ÿ¡§√—Èßπ’È ‡®â“¿“ææ¬“¬“¡√—°…“‡«≈“Õ¬à“ß ¿“æ∑’Ë∂à“¬¡“·®°ºŸâ‡¢â“√à«¡ª√–™ÿ¡„π«—π√ÿàß¢÷Èπ ‚¥¬¡â«π„ à‰«â ‡§√àß§√—¥ ‚¥¬°”Àπ¥„ÀâºŸâ‡¢â“ª√–™ÿ¡‡¢â“π—Ëßª√–®”∑’Ë§√÷Ëß™—Ë«‚¡ß „π°≈àÕß°√–¥“…Õ¬à“ß¥’ ‡ªìπ¿“æ¢π“¥ Ò x ÚÙ π‘È«. °àÕπæ‘∏’‡ªî¥ª√–™ÿ¡ ·≈–∑ÿ°‡™â“ - ∫à“¬ ®–„Àâ‡¢â“ª√–™ÿ¡°àÕπ °“√ª√–™¡«—π·√°À≈—ßæ‘∏’‡ªî¥·≈–∂à“¬¿“æÀ¡ÿ Ÿà‡ªìπ√“¬ß“π °”Àπ¥‡«≈“ Ò π“∑’ ‚¥¬®—¥µ“√“ß°“√ª√–™ÿ¡‰«â‰¡à·πàππ—°. ¢Õßª√–‡∑»µà“ßÊ ¯ ª√–‡∑» ‚¥¬π”‡ πÕ‡√’¬ßµ“¡≈”¥—∫Õ—°…√ π—Ëπ§◊Õ‡√‘Ë¡°“√ª√–™ÿ¡¿“§‡™â“‡«≈“ ˘ π“Ãî°“ ·≈–¡’‡«≈“æ—° ‰¥â·°à ∫—ß°≈“‡∑» ®’π ŒàÕß°ß ≠’ËªÿÉπ ‡°“À≈’„µâ ¡“‡≈‡´’¬ ‰∑¬ °≈“ß«—π∂÷ß Ú ™—Ë«‚¡ß ®“°‡∑’Ë¬ß∂÷ß∫à“¬ Ú ‚¡ß. ·≈–‡«’¬¥π“¡. ¿“…“∑’Ë„™â„π°“√ª√–™ÿ¡¡’ Û ¿“…“§◊Õ ®’π Õ—ß°ƒ… ·≈– ªí≠À“¢ÕßÀ¡Õπ«¥∑’Ëµ“∫Õ¥À√◊Õæ‘°“√∑“ß “¬µ“¡’ ≠’ËªÿÉπ ‚¥¬¡’≈à“¡§Õ¬·ª≈.Ÿâ‡¢â“ª√–™ º ÿ¡∑ÿ°§π®–‰¥â√—∫ÀŸøíß §≈â“¬ Ê °—π. π—Ëπ§◊Õ ‚≈°ªí®®ÿ∫—π¬à“ß‡¢â“ Ÿà¬ÿ§‚≈°“¿‘«—µπå ‚¥¬π”ªÑ“¬™◊ËÕ∑’Ë‰¥â√—∫·®°‰ª·≈°ÀŸøíß∑—Èß¿“§‡™â“·≈–¿“§∫à“¬. √–∫∫‡»√…∞°‘®∑—Ë«‚≈°‡ªìπ√–∫∫∑’Ë°≈¬ÿ∑∏å°“√µ≈“¥‡ªìπµ—« ªÑ“¬™◊ËÕπ’È„ÀâºŸâ‡¢â“ª√–™ÿ¡§≈âÕß§Õ „™â·∑π§ŸªÕßÕ“À“√∑—Èß Û º≈—°¥—π∑’Ë ”§—≠ (Market Econony) ∑”„ÀâÀ¡Õπ«¥°≈ÿà¡π’È ¡◊ÈÕ„π‚√ß·√¡∑’Ëæ—°¥â«¬. ºŸâ∫√√¬“¬∫“ß§π∫√√¬“¬‡ªìπ¿“…“ µâÕß‡º™‘≠°—∫‚≈°·Ààß°“√·¢àß¢—π. À≈—ß®“°°“√π«¥‡ªìπÕ“™’æ Õ◊ËππÕ°®“° Û ¿“…“À≈—° ‡™àπ ®“°‡«’¬¥π“¡ π”≈à“¡·ª≈‡ªìπ ∑’Ë‰¥â√—∫§«“¡π‘¬¡·≈– “¡“√∂ √â“ß√“¬‰¥â‰¥â¥’ ∑”„Àâ§πª√°µ‘ ¿“…“Õ—ß°ƒ…‰ª‡Õß ®÷ß “¡“√∂Õà“π§”·ª≈∑’Ë‡µ√’¬¡‰«â≈à«ßÀπâ“ ‡¢â“ ŸàÕ“™’æπ«¥‡æ‘Ë¡¢÷ÈπÕ¬à“ß°â“«°√–‚¥¥„πª√–‡∑» à«π„À≠à. ‰¥âÕ¬à“ß¥’. ºŸâ∫√√¬“¬®“°‡°“À≈’„µâ„™â¿“…“‡°“À≈’ ‡®â“¿“æ®—¥ πÕ°®“°π’È ‡¡◊ËÕª√–‡∑»ª√– ∫¿“«–«‘°ƒµ∑“ß‡»√…∞°‘® ≈à“¡‰«â„Àâ ´÷Ëß¡’°“√‡µ√’¬¡§”·ª≈‰«â≈à«ßÀπâ“ ∑”„Àâ°“√∫√√¬“¬ Õ“™’æπ«¥°Á‰¥â°≈“¬‡ªìπ∑“ßÕÕ° ”À√—∫§πµ°ß“π®”π«π¡“° √“∫√◊Ëπ ‰¥â‡π◊ÈÕÀ“ “√–·≈–√—°…“‡«≈“‰¥â¥’. ‡™àπ À≈—ß«‘°ƒµ‡»√…∞°‘®„πª√–‡∑»‰∑¬ ‡¡◊ËÕ æ.». ÚıÙ, √–À«à“ß≈ß∑–‡∫’¬π‡¢â“ª√–™¡ÿ ºŸâ‡¢â“ª√–™¡®–‰¥â√—∫‡Õ° “√ÿ «‘°ƒµ‚√§´“√å „πŒàÕß°ß ‡¡◊ËÕ æ.». ÚıÙÙ. Ú ‡≈à¡ §◊Õ‚ª√·°√¡°“√ª√–™ÿ¡·≈–∫∑§—¥¬àÕ. ‚ª√·°√¡°“√ ‚≈°·Ààß°“√·¢àß¢—π ∑”„Àâ∫√‘°“√π«¥µâÕß¡’°“√æ—≤π“ ª√–™ÿ¡æ‘¡æå‡ªìπ Ú ¿“…“§◊Õ ¿“…“Õ—ß°ƒ…·≈–Õ—°…√‡∫√≈„π §ÿ≥¿“æ‡æ◊ËÕª√–‚¬™πå¢ÕßºŸâ∫√‘‚¿§ √—∞®÷ß¡—°‡¢â“‰ª¥Ÿ·≈∑—Èß„π ‡≈à¡‡¥’¬«°—π. à«π∫∑§—¥¬àÕ ”À√—∫§πµ“¥’‡ªìπ¿“…“Õ—ß°ƒ… ¥â“π§ÿ≥¿“æ·≈–§«“¡ª≈Õ¥¿—¬. ”À√—∫§πµ“∫Õ¥‡ªìπÕ—°…√‡∫√≈. ∑“ßÕÕ° ”À√—∫À¡Õπ«¥∑’Ëµ“∫Õ¥ À√◊Õæ‘°“√∑“ß “¬µ“ ®÷ßµâÕß √â“ß ¡¥ÿ≈„Àâ‡À¡“– ¡√–À«à“ß°“√§ÿâ¡§√Õß™à«¬‡À≈◊Õ “√–°“√ª√–™ÿ¡ „π∞“π–ºŸâ¥âÕ¬‚Õ°“ °—∫°“√æ—≤π“»—°¬¿“æ‡æ◊ËÕ„Àâ “¡“√∂ ™◊ËÕÀ—«¢âÕÀ≈—° (Theme) ¢Õß°“√ª√–™ÿ¡§√—Èßπ’È§◊Õ °“√ ·¢àß¢—π°—∫§πª√°µ‘‰¥â. ¢âÕ √ÿª∑’Ë™—¥‡®π ”À√—∫°“√ª√–™ÿ¡ æ—≤π“, °“√°â“«√ÿ¥‰ª¢â“ßÀπâ“ ·≈–°“√·∫àßªíπ (Developing, —¡¡π“§◊ÕÀ¡Õπ«¥∑’Ëæ‘°“√∑“ß “¬µ“ À√◊Õµ“∫Õ¥®–µâÕß Advancing, and Sharing). æ—≤π“»—°¬¿“æ¢Õßµπ‡Õß„Àâ¡’§«“¡‡ªìπ¡◊ÕÕ“™’æ∑’Ëª√–™“™π æ‘∏’‡ªî¥°“√ª√–™ÿ¡®—¥¢÷ÈπÕ¬à“ß‡√’¬∫ßà“¬ ¡’ºŸâ°≈à“«§” ¬Õ¡√—∫¬‘Ëß¢÷Èπ‡√◊ËÕ¬ Ê ‚¥¬µâÕß™à«¬‡À≈◊Õ´÷Ëß°—π·≈–°—π ¥—ß ª√“»√—¬ Ù §π §◊Õ Ò) π“¬À«“ß´‘π‡´’¬π √Õßª√–∏“π §”¢«—≠À√◊ÕÀ—«¢âÕÀ≈—°¢Õß°“√ª√–™ÿ¡ —¡¡π“§√—Èßπ’È§◊Õ ç°“√ Àæ—π∏åºŸâæ‘°“√®’π, Ú) ¡‘ ´‘ ‡°√´ ™“π ª√–∏“π°√√¡°“√ æ—≤π“, °“√°â“«√ÿ¥‰ª¢â“ßÀπâ“ ·≈–°“√·∫àßªíπé. °“√π«¥¿Ÿ¡‘¿“§‡Õ‡™’¬·ª´‘øî°¢Õß À¿“æ§πµ“∫Õ¥‚≈°. ¡‘ ´‘ ª√–‡∑»∑’Ë¡’§«“¡°â“«Àπâ“ ·≈–‡¢â¡·¢Áß„π°“√‰¥â√—∫°“√ ‡°√´ ™“π ¬—ß‡ªìπª√–∏“π°‘µµ‘¡»—°¥‘Ï¢Õß§≥–‡®â“¿“æ°“√ π—∫ πÿπ®“°¿“§√—∞„π¿Ÿ¡‘¿“§ ‰¥â·°à ≠’ËªÿÉπ ‡°“À≈’ ®’π ·≈– ª√–™¡§√—Èßπ’È¥â«¬,ÿ Û) π“¬´Ÿ´‘ ‡À«‘π ºŸâÕ”π«¬°“√°Õß°“√·æ∑¬å ‰∑¬. ‚¥¬‡©æ“–≠’ËªÿÉπ¡’ª√–«—µ‘Õ—π¬“«π“π„π°“√ àß‡ √‘¡ ∑∫«ß°“√·æ∑¬å·Ààß™“µ‘®’π, ·≈– Ù) π“¬À—« ‡™ÁßŒÕ§ Õ“™’æ¢ÕßÀ¡Õπ«¥µ“∫Õ¥, ¡’°“√»÷°…“Õ∫√¡Õ¬à“ß‡ªìπ√–∫∫, ˘¯ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

¡’°“√æ—≤π“º ¡º “π°“√π«¥°—∫§«“¡√Ÿâ·¢πß∑’Ë„°≈â‡§’¬ß§◊Õ Ù) ´“∫ÿ‚√ ´“´“¥– Õ“ “ ¡—§√≠’ËªÿÉπ„π¡“‡≈‡´’¬ °“√Ωíß‡¢Á¡ ·≈–°“√√¡¬“ (moxibustion). ¢âÕ ”§—≠πÕ°®“° ∫√√¬“¬‡√◊ËÕß°“√ Õπ¿“§ªØ‘∫—µ‘ ‡æ◊ËÕ¬°√–¥—∫°“√π«¥√—°…“. °“√¥Ÿ·≈§πµ“∫Õ¥„πª√–‡∑»·≈â« ≠’ËªÿÉπ¬—ß·∫àßªíπ - ‡®◊Õ®“π ı) ™Ÿ®‘ ´“™‘¥– ®“°≠’ËªÿÉπ ∫√√¬“¬‡√◊ËÕß∑—»π–¢Õß ·°àª√–‡∑»Õ◊Ëπ‚¥¬ àßÕ“ “ ¡—§√‰ª™à«¬‡À≈◊Õª√–‡∑»µà“ßÊ §πµ“∫Õ¥µàÕ∏ÿ√°‘®°“√π«¥ - ®“°º≈°“√ ”√«®∑—»π§µ‘¢Õß ¥â«¬°“√ π—∫ πÿπ¢Õß‰®°â“ (JICA) ·≈–¡Ÿ≈π‘∏‘≠’ËªÿÉπ. π—°‡√’¬π·≈–ºŸâ‡¢â“Ωñ°Õ∫√¡„π‚√ß‡√’¬π·≈–»Ÿπ¬åøóôπøŸ ¿“æ§π ”À√—∫®’π ¡’ºŸâæ‘°“√∑“ß “¬µ“∂÷ß ÒÚ ≈â“π§π∑—Ë«ª√–‡∑». µ“∫Õ¥. ªí®®ÿ∫—π∞“π–∑“ß‡»√…∞°‘®¢Õßª√–‡∑»¥’¢÷Èπ°«à“·µà°àÕπ¡“° ˆ) À«“ßÕ’È ®“°®’π ∫√√¬“¬‡√◊ËÕß §«“¡§‘¥·≈– ®÷ß‰¥â„Àâ§«“¡ ”§—≠°—∫§ÿ≥¿“æ™’«‘µ¢Õßª√–™“™π ‚¥¬‡©æ“– ∂“π°“√≥åªí®®ÿ∫—π·≈–°“√æ—≤π“°“√»÷°…“«‘™“™’æπ«¥ °“√¥Ÿ·≈™à«¬‡À≈◊Õª√–™“°√∑’Ë¥âÕ¬‚Õ°“ ¡“°¢÷Èπ, ¡’°“√ÕÕ° ”À√—∫§πµ“∫Õ¥. °ÆÀ¡“¬·≈–¥”‡π‘ππ‚¬∫“¬™à«¬‡À≈◊ÕºŸâæ‘°“√∑“ß “¬µ“Õ¬à“ß °“√∫√√¬“¬∑—Èß ÒÚ √“¬°“√ „π¿“§‡™â“ «‘∑¬“°√¡’°“√ ™—¥‡®π ∑—Èß‚¥¬¿“§√—∞ ·≈–™¡√¡ ¡“§¡ ¡Ÿ≈π‘∏‘µà“ßÊ. √—°…“‡«≈“‚¥¬‡§√àß§√—¥. «‘∑¬“°√∑’Ë‡µ√’¬¡°“√¡“Õ¬à“ß¥’§◊Õ °“√ª√–™¡ —¡¡π“«—π∑’Ëÿ Ú ¿“§‡™â“ ‡ªìπ°“√ª√–™¡«‘™“°“√ÿ Õ“®“√¬å´“∫ÿ‚√ ´“´“¥– ´÷Ëß‡π◊ÈÕÀ“‡ªìπ°“√ªØ‘«—µ‘§«“¡§‘¥„π ‚¥¬¿“§·√°À—«¢âÕ‡√◊ËÕß∑ƒ…Ø’·≈–‡∑§‚π‚≈¬’°“√π«¥„À¡àÊ ¡’ °“√ Õπ, ‡ª≈’Ë¬π®“°„Àâ Õπ‡√◊ËÕß∑ƒ…Ø’°àÕπ ªØ‘∫—µ‘∑’À≈—ß «‘∑¬“°√ ˆ §π ¥—ßπ’È ‡ªìπ„Àâ‡√‘Ë¡®“°°“√ ÕπªØ‘∫—µ‘·≈â«®÷ßµ“¡¥â«¬∑ƒ…Ø’. Õ“®“√¬å Ò) ®°—ßŸ ®“°®’π ∫√√¬“¬‡√◊ËÕß º≈°“√π«¥ Û ¢—ÈπµÕπ ´“´“¥–‡ªìπ§√π«¥™“«≠’ËªŸ ÿÉπ∑’Ë¡’°“√Ωñ°Õ∫√¡¡“Õ¬à“ß‡ªìπ√–∫∫ „πºŸâªÉ«¬¬Õ°‡Õ«‡©’¬∫æ≈—π. ‚¥¬‡√’¬π‡ªìπÀ¡Õπ«¥À≈—° Ÿµ√ Û ªï ·≈–‡√’¬π‡ªìπ§√Ÿπ«¥Õ’° Ú) ¡“∫Ÿ∫ Õ“Àå´—π ®“°∫—ß°≈“‡∑» ∫√√¬“¬‡√◊ËÕß Ú ªï ‡§¬¡“∫√√¬“¬‡√◊ËÕß°“√Ωíß‡¢Á¡‚¥¬À¡Õπ«¥µ“∫Õ¥∑’Ë “‡Àµÿ¢ÕßÕ“°“√ª«¥‡Õ«. ¡Ÿ≈π‘∏‘ àß‡ √‘¡Õ“™’æ§πµ“∫Õ¥. °“√∫√√¬“¬§√—Èßπ’È √ÿª®“° Û) §ÿ≥‡æ™√√—µπå ‡µ™«—™√“ ª√–∏“π¡Ÿ≈π‘∏‘ àß‡ √‘¡ ª√– ∫°“√≥å°“√»÷°…“∑¥≈Õß, ¡’°“√‡µ√’¬¡°“√∫√√¬“¬‚¥¬ Õ“™’æ§πµ“∫Õ¥ ª√–‡∑»‰∑¬ ∫√√¬“¬‡√◊ËÕß °“√π«¥√—°…“ ¡’ºŸâ™à«¬∑”¿“æ‡≈◊ËÕπ·∫∫æ“«‡«Õ√åæÕ¬π∑å„ÀâÕ¬à“ß¥’. πà“ ‚¥¬§πµ“∫Õ¥„πª√–‡∑»‰∑¬. ‡ ’¬¥“¬∑’Ë‡«≈“®”°—¥ ∑”„ÀâµâÕßµ—¥‡π◊ÈÕÀ“ÕÕ°‰ª∫“ß à«π. Ù) π“¬·æ∑¬åÕ“°‘Œ‘‚√ ‚Õ°“µ– ®“°≠’ËªÿÉπ ∫√√¬“¬ ¿“§∫à“¬¢Õß«—π∑’Ë Ú ‡ªìπ°“√ª√–™ÿ¡ªØ‘∫—µ‘°“√·≈° ‡√◊ËÕß °“√∑∫∑«π«√√≥°√√¡‡°’Ë¬«°—∫ª√–‚¬™πå·≈–º≈¢â“ß ‡ª≈’Ë¬π‡√’¬π√Ÿâ∑—°…–°“√π«¥‡æ◊ËÕ ÿ¢¿“æ ·∫àß‡ªìπ Ù ÀâÕß ¢Õß ‡§’¬ß®“°°“√π«¥·∫∫Õ—π¡“·≈–™‘Õ—µ ÷. ®’π ≠’ËªÿÉπ ‡°“À≈’ ª√–‡∑»≈–ÀâÕß. ÀâÕß∑’Ë Ù ‡ªìπ¢Õß‰∑¬·≈– ı) ¡‘ À«ß ‰Àà º‘ß ®“°ŒàÕß°ß ∫√√¬“¬‡√◊ËÕß°“√ ‡«’¬¥π“¡. ·¬°‚√§·≈–°≈ÿà¡Õ“°“√„π°“√√—°…“‡ÕÁπ∫“¥‡®Á∫‚¥¬°“√π«¥. ¡’À¡Õπ«¥µ“∫Õ¥‰∑¬‰ª√à«¡ª√–™¡§√—Èßπ’Èÿ Ù §π§◊Õ‰¥â·°à ˆ) π“¬·æ∑¬å‡§Õ‘™‘ ‚¬™‘°“«“ ®“°≠’ËªÿÉπ ∫√√¬“¬ §√Ÿ‡§√◊ËÕß »√’∫—«æ—π∏ÿå °√√¡°“√¡Ÿ≈π‘∏‘§Õ≈øï≈¥å‡æ◊ËÕ§π ‡√◊ËÕßº≈°“√π«¥µàÕ√–∫∫ª√– “∑Õ—µ‚π«—µ‘. µ“∫Õ¥ª√–‡∑»‰∑¬, ÿ‡«∑¬å ∑Õß‡≈‘» ª√–∏“π ¡“§¡§π ¿“§À≈—ß À—«¢âÕ‡√◊ËÕß°“√»÷°…“·≈–Ωñ°Õ∫√¡°“√π«¥ ¡’ µ“∫Õ¥·Ààßª√–‡∑»‰∑¬ “¢“¿“§‡Àπ◊Õ, ≥—∞æß…å Õÿàπ·°â« «‘∑¬“°√∫√√¬“¬ ˆ ‡√◊ËÕß‰¥â·°à °√√¡°“√∫√‘À“√ ¡“§¡§πµ“∫Õ¥·Ààßª√–‡∑»‰∑¬ ·≈– √‘µ Ò) À¬“ß ´‘π º‘ß ®“°®’π ∫√√¬“¬‡√◊ËÕß „®∏‘µ“ §√Ÿπ«¥»Ÿπ¬åΩñ°Õ“™’æ§πµ“∫Õ¥ π“¡™—¬‡¢µ ´÷Ëß‡ªìπ ª√– ∫°“√≥å°“√√—°…“‚¥¬°“√π«¥∫√‘‡«≥∑âÕß‡æ◊ËÕ∫√√‡∑“ Àπà«¬Ωñ°Õ∫√¡¢Õß¡Ÿ≈π‘∏‘ àß‡ √‘¡Õ“™’æ§πµ“∫Õ¥. πÕ°®“° Õ“°“√°àÕπ‡°‘¥‚√§. π’È¡’ ‡Õ°°¡≈ ·æ∑¬π—π∑å ´÷Ëßµ“æ‘°“√·µà‰¡à∫Õ¥ π‘∑ Ú) ‚Œ ‚´ß ¬—ß ®“°‡°“À≈’‰µâ ∫√√¬“¬‡√◊ËÕß°“√π«¥ ®∫√—∞»“ µ√å®“°®ÿÃ“œ ·≈–ª√‘≠≠“‚∑∑“ß∫√‘À“√®“° √—°…“Õ“°“√ª«¥À≈—ß®“° “‡Àµÿµà“ßÊ. ¡À“«‘∑¬“≈—¬·≈ß§“ ‡µÕ√å ª√–‡∑»Õ—ß°ƒ… ™à«¬‡ªìπ≈à“¡. Õ’° Û) ®“ß ‚° ‡©’¬ß ®“°®’π ∫√√¬“¬‡√◊ËÕß ∑—»π–„π Û §π„π§≥– §◊Õ §ÿ≥‡æ™√√—µπå ‡µ™«—™√“ ª√–∏“π¡Ÿ≈π‘∏‘ àß °“√®—¥°“√»÷°…“·≈–°“√ Õπ·°àºŸâæ‘°“√∑“ß “¬µ“. ‡ √‘¡Õ“™’æ§πµ“∫Õ¥°—∫§≥Õ”æ√ÿ ‡µ™«—™√“ ¿√√¬“ ·≈–ºŸâ‡¢’¬π. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ˘˘

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‡ª√“–ÀÕ¡ (Kaempferia galanga L) °: ≈—°…≥–«‘ —¬; ¢: ¥Õ°; §: „∫ª√–¥—∫; §-¶: „∫ª√–¥—∫¬àÕ¬; ß: À≈Õ¥°≈’∫‡≈’È¬ß; ®: ·©°°≈’∫¥Õ° (¥â“πÀ≈—ß); ©-™: ·©°°≈’∫¥Õ° (¥â“π¢â“ß); ´-¨: °≈’∫¢â“ß: ≠: °≈’∫ª“°; Æ: Õ—∫‡√≥Ÿ·≈–√¬“ß§åÕ—∫‡√≥Ÿ; Ø: √—ß‰¢à·≈–µàÕ¡πÈ”µâÕ¬; ∞: º≈: ±-≥: ‡¡≈Á¥; (¿“æ: ‡©≈‘¡‚™§ ∫ÿ≠®‘µ) Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ÒÛ

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¬“« Ò.ı-Ú ‡´πµ‘‡¡µ√ ª≈“¬¡πÀ√◊ÕÀ¬—°‡≈Á°πâÕ¬ ‡° √‡æ» ‡¡∑Õ°´’´‘ππ“‡¡µ °—¥®“°‡ª√“–ÀÕ¡· ¥ßƒ∑∏‘Ï¢¬“¬À≈Õ¥ ºŸâ ¡∫Ÿ√≥å¡’ Ò Õ—π °â“π‡° √‡æ»ºŸâ¬“«ª√–¡“≥ Ú ¡‘≈≈‘‡¡µ√ ‡≈◊Õ¥·¥ß‡ÕÕÕ√åµ“„πÀπŸ∑¥≈Õß˘,Ò º‘«‡°≈’È¬ß Õ—∫‡√≥Ÿ°«â“ßª√–¡“≥ Ú ¡‘≈≈‘‡¡µ√ ¬“« Û-Ù À¡“¬‡Àµÿ‡§√◊ËÕß¬“π’È·æ∑¬å·ºπ‰∑¬‡√’¬° ç‡ª√“–ÀÕ¡¢“«é ¡‘≈≈‘‡¡µ√ √¬“ß§åÕ—∫‡√≥Ÿ°«â“ß Ú-Û ¡‘≈≈‘‡¡µ√ ¬“« Ù-ı À“°‰¥â®“°æ◊™∑’Ë¥â“π≈à“ß¢Õß„∫¡’ ’¢“«·°¡‡¢’¬«∂÷ß ’‡¢’¬«ÕàÕπ ¡‘≈≈‘‡¡µ√ ª≈“¬À¬—°‡ªìπ Ú æŸ ≈÷°ª√–¡“≥ Û ¡‘≈≈‘‡¡µ√ ·≈–‡√’¬° ç‡ª√“–ÀÕ¡·¥ßé À“°‰¥â®“°æ◊™∑’Ë¥â“π≈à“ß¢Õß„∫¡’ ’ ·µà≈–æŸ√Ÿª„∫ÀÕ° ª≈“¬¡πÀ√◊ÕÀ¬—°‡ªìπ´’Ëøíπ √—ß‰¢à„µâ«ß°≈’∫ ·¥ßÕ¡πÈ”µ“≈∂÷ß ’·¥ß‡√◊ËÕ Ê ·≈–®—¥‰«â‡ªìπ®ÿ≈æ‘°—¥‡√’¬° °«â“ßª√–¡“≥ Ú.ı ¡‘≈≈‘‡¡µ√ ¬“« Û-Ù ¡‘≈≈‘‡¡µ√ º‘«‡°≈’È¬ß ç‡ª√“–ÀÕ¡∑—Èß ÚéÒÒ ¿“¬„π¡’ 3 ™àÕß ·µà≈–™àÕß¡’ÕÕ«≈®”π«π¡“°ÿ µàÕ¡πÈ”À«“π¬“« Û-ı ¡‘≈≈‘‡¡µ√ º≈·∫∫º≈·Àâß·µ°Ò,Û,ı,ˆ ∂‘Ëπ°”‡π‘¥·≈–°“√°√–®“¬æ—π∏ÿå æ◊™™π‘¥π’È¡’‡¢µ°“√°√–®“¬ ‡Õ° “√Õâ“ßÕ‘ß æ—π∏ÿåµ—Èß·µàª√–‡∑»Õ‘π‡¥’¬ ‡Õ‡™’¬µ–«—πÕÕ°‡©’¬ß„µâ §“∫ ¡∑√ÿ Ò. ™¬—πµå æ‘‡™’¬√ ÿπ∑√, ·¡âπ¡“ ™«≈‘µ, «‘‡™’¬√ ®’√«ß å. §”Õ∏‘∫“¬µ”√“ æ√–‚Õ ∂æ√–π“√“¬≥å ©∫—∫‡©≈‘¡æ√–‡°’¬√µ‘ ˜Ú æ√√…“ ¡À“√“™“ ¡≈“¬Ÿ ·≈–™«“ ¡—°æ∫„πªÉ“‰ºà ªÉ“¥‘∫ ·≈–ªÉ“º≈—¥„∫ „π ı ∏—π«“§¡ æÿ∑∏»—°√“™ ÚıÙÚ. æ‘¡æå§√—Èß∑’Ë Ú. °√ÿß‡∑æœ : ”π—° ª√–‡∑»‰∑¬æ∫‰¥â∑ÿ°¿“§ ·≈–¡’ª≈Ÿ°∑—Ë«‰ª‡ªìπÕ“À“√·≈– æ‘¡æåÕ¡√‘π∑√å·≈–¡Ÿ≈π‘∏‘¿Ÿ¡‘ªí≠≠“; ÚıÙ¯. Àπâ“ ÙÙˆ. ı,ˆ Ú. Pharmacopoeia of the Peopleûs Republic of China. Vol. 1. English ‡ªìπ¬“ ¡ÿπ‰æ√ edition. Beijing: Chemical Industry Press; 1997. p. 196. ≈—°…≥–‡§√◊ËÕß¬“ ™‘Èπ à«π¢Õß‡Àßâ“·ÀâßÀ—Ëπµ“¡¢«“ß√Ÿª°≈¡ Û. «ÿ≤‘ «ÿ≤‘∏√√¡‡«™. “√“πÿ°√¡ ¡ÿπ‰æ√. °√ÿß‡∑æœ : ‚Õ.‡Õ æ√‘Èπµ‘Èß ‡Œ“ å; ÚıÙ. Àπâ“ Ú˜¯. À√◊Õ‡°◊Õ∫°≈¡ ‡ âπºà“π»Ÿπ¬å°≈“ß Ú-Û ‡´πµ‘‡¡µ√ Àπ“ Û-ı Ù. ‡ ß’Ë¬¡ æß…å∫ÿ≠√Õ¥. ‰¡â‡∑»‡¡◊Õß‰∑¬ √√æ§ÿ≥¢Õß¬“‡∑»·≈–¬“‰∑¬. ¡‘≈≈‘‡¡µ√ À√◊ÕÕ“®‡ªìπ™‘Èπ à«π¢Õß‡Àßâ“·Àâß√Ÿª√à“ß‰¡à·πàπÕπ °√ÿß‡∑æœ : ‚√ßæ‘¡æå‡øóòÕßÕ—°…√; ÚıÒÙ. Àπâ“ ÛÚ˘-Û. ı. Sirirugsa P. Taxonomy of the genus Kaempferia (Zingiberaceae) in º‘«πÕ° ’πÈ”µ“≈À√◊Õ ’πÈ”µ“≈Õ¡‡À≈◊Õß Õ“®æ∫√Õ¬·º≈‡ªìπ∑’Ë Thailand. Thai For Bull 1992;19:1-15. ‡°‘¥®“°√“° À√◊ÕÕ“®¡’ à«π¢Õß√“°µ‘¥¡“¥â«¬ º‘«√Õ¬µ—¥µ“¡ ˆ. Flora of China Editorial Committee, eds. Flora of China. Vol. 24 (Flagellariaceae through Maranthaceae). Beijing: Science Press; 2000. ¢«“ß ’ÕÕ°¢“« À√◊Õ ’¢“«·°¡‡À≈◊Õß ¡’·ªÑß ‡π◊ÈÕ‡ª√“– À—°ßà“¬ p. 369-70. ¡’°≈‘ËπÀÕ¡‡©æ“– √ ‡ºÁ¥Ú ˜. Institute of Thai Traditional Medicine (Department for Development Õß§åª√–°Õ∫∑“ß‡§¡’ ‡ª√“–ÀÕ¡¡’Õß§åª√–°Õ∫‡§¡’‡ªìππÈ”¡—π of Thai Traditional and Alternative Medicine, Ministry of Public Health) and Institute of Health Research (Chulalongkorn University). √–‡À¬ßà“¬ (volatile oil) √âÕ¬≈– .Ò˜-Ú˜ ‚¥¬Õß§å Pharmacognostic Specification of Thai Crude Drugs. Bangkok: Printing ª√–°Õ∫‡§¡’¢ÕßπÈ”¡—π√–‡À¬ßà“¬Õ“®·µ°µà“ß°—π‰ªµ“¡·À≈àß Office of the War Veterans Organization of Thailand Under Royal Patronage of His Majesty the King; 2007. p. 25. ∑’Ë¡“ ¡’√“¬ß“π«à“πÈ”¡—π‡ª√“–ÀÕ¡¡’ “√°≈ÿà¡‡Õ ‡∑Õ√å (esters) ¯. Tewtrakul S, Yuenyongsawad S, Kummee S, Atsawajaruwan L. ‰¥â·°à ‡Õ∑‘≈-æ“√“-‡¡∑Õ°´’´‘ππ“‡¡µ (ethyl-p-methoxycin- Chemical components and biological activities of volatile oil of Kaempferia galanga Linn. Sonkhlanakarin J Sci Technol 2005;27(suppl. namate) √âÕ¬≈– ÛÒ.¯, ‡¡∑‘≈´‘ππ“‡¡µ (methyl cinnamate) 2):503-7. √âÕ¬≈– ÚÛ.Ú, §“√å‚«π (carvone) √âÕ¬≈– ÒÒ.Ò, ¬§“≈‘ª∑Õ≈Ÿ ˘. Othman R, Ibrahim H, Mohd MA, Awang K, Gilani AH, Mustafa MR. Vasorelaxant effects of ethyl cinnamate isolated from Kaempferia (eucalyptol) √âÕ¬≈– ˘.ˆ, ‡æπ∑“‡¥°‡§π (pentadecane) galanga on smooth muscle of the rat aorta. Planta Med 2002;68:655- √âÕ¬≈– ˆ.Ù¯ 7. Ò. Othman R, Ibrahim H, Mohd MA, Mustafa MR, Awang K. Bioassay- ¢âÕ∫àß„™â - guided isolation of a vasorelaxant active compound from Kaempferia µ”√“ √√æ§≥¬“‰∑¬«à“‡ª√“–ÀÕ¡¡’√ ‡ºÁ¥¢¡ÿ √√æ§ÿ≥ galanga L. Phytomedicine 2006;13:51-6. Ò,Û ÒÒ. ™¬—πµå æ‘‡™’¬√ ÿπ∑√, «‘‡™’¬√ ®’√«ß å. §Ÿà¡◊Õ‡¿ —™°√√¡·ºπ‰∑¬ ‡≈à¡ ı ¢—∫≈¡„π≈”‰ â ·°â‡ ¡À– ‡®√‘≠‰ø∏“µÿ §≥“‡¿ —™. æ‘¡æå§√—Èß∑’Ë Ú. °√ÿß‡∑æœ : ”π—°æ‘¡æåÕ¡√‘π∑√å; ÚıÙ¯. ¢âÕ¡Ÿ≈®“°°“√»÷°…“«‘®—¬æ√’§≈‘π‘°æ∫«à“ “√‡Õ∑‘≈-æ“√“- Àπâ“ ÛÒ˘. «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine Journal of Thaiªï∑’Ë Traditional ˆ ©∫—∫∑’Ë Ò& ¡°√“§¡-‡¡…“¬πAlternative Medicine ÚııÒ Vol. 6 Vol. No. 6 1 No. January-April 1 January-April 20082008

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·≈–§«“¡¡—Ëπ§ß¢Õß√à“ß°“¬‰¥â¥—ßµàÕ‰ªπ’È π—∫ πÿπº≈¢Õß°“√µÕ∫ πÕß¢Õß√à“ß°“¬µàÕ°“√Ωñ°/ÕÕ° Ò. °“√µÕ∫ πÕß¢Õß√à“ß°“¬µàÕ°“√Ωñ° º≈®“°°“√ °”≈—ß°“¬¥â«¬°“√«à“¬πÈ”. ÕÕ°°”≈—ß°“¬¥â«¬°“√«à“¬πÈ”∑à“ø√’ ‰µ≈å “¡“√∂∑”„Àâ‡°‘¥°“√ Ò.Û §«“¡∑π∑“π¢Õß√–∫∫°“√À“¬„®·≈–°“√‰À≈ æ—≤π“ ¡√√∂¿“æ√à“ß°“¬„π¥â“πµàÕ‰ªπ’È ‡«’¬π‡≈◊Õ¥ °“√ÕÕ°°”≈—ß°“¬¥â«¬°“√«à“¬πÈ”™à«¬‡æ‘Ë¡ Ò.Ò §«“¡∑π∑“π·≈–§«“¡·¢Áß·√ß¢Õß°≈â“¡‡π◊ÈÕ „π ª√– ‘∑∏‘¿“æ°“√∑”ß“π¢ÕßªÕ¥ À—«„® ·≈–°“√‰À≈‡«’¬π §π∑’Ë¡’ªí≠À“ª«¥§Õ‡√◊ÈÕ√—ß¡—°æ∫«à“§«“¡·¢Áß·√ß·≈–§«“¡ ‡≈◊Õ¥‰ª‡≈’È¬ß à«πµà“ß Ê ¢Õß√à“ß°“¬¥’¢÷Èπ ´÷Ëßπà“®–∑”„Àâ¡’°“√ ∑π∑“π¢Õß°≈â“¡‡π◊ÈÕ§Õ≈¥≈ß. °“√ÕÕ°°”≈—ß°“¬¥â«¬°“√ ¢®—¥¢Õß‡ ’¬µà“ß Ê ÕÕ°®“°∫√‘‡«≥∑’Ë¡’æ¬“∏‘ ¿“æ‰¥â¥’¢÷Èπ ‡À¬’¬¥¬◊¥·≈–∫√‘À“√§Õ “¡“√∂™à«¬∫√√‡∑“Õ“°“√ª«¥‰¥â ·≈–‡ªìπÕ’°°≈«‘∏“πÀπ÷Ëß∑’Ë„™âÕ∏‘∫“¬°“√≈¥Õ“°“√ª«¥¿“¬ ‚¥¬‡©æ“–„π√“¬∑’Ë¡’ “‡Àµÿª«¥®“°µ—«°≈â“¡‡π◊ÈÕ‚¥¬µ√ß À≈—ß°“√ÕÕ°°”≈—ß°“¬„ππÈ”¢ÕßºŸâ ŸßÕ“¬ÿ. ∑—Èßπ’È®“°°“√≈¥Õ“°“√À¥‡°√Áß¢Õß°≈â“¡‡π◊ÈÕ®“°°“√‡À¬’¬¥ Ú. √Ÿª·∫∫·≈–‚ª√·°√¡°“√∑”ß“π¢Õß°≈â“¡‡π◊ÈÕ ¬◊¥°≈â“¡‡π◊ÈÕπ—Ëπ‡Õß. πÕ°®“°π’È§«“¡·¢Áß·√ß·≈–§«“¡ °√–¥Ÿ°§Õ·≈–À¡Õπ√Õß°√–¥Ÿ°, °≈â“¡‡π◊ÈÕ·≈–‡ÕÁπ ∑π∑“π¢Õß°≈â“¡‡π◊ÈÕ§Õ∑’Ë‡æ‘Ë¡¢÷Èπ Õ“®¡’ à«π™à«¬∑ÿ‡≈“Õ“°“√ ¬÷¥¢âÕµàÕ°√–¥Ÿ°§Õ ¡’Àπâ“∑’Ë ”§—≠™à«¬„π°“√·∫°√—∫πÈ”Àπ—° ª«¥„π√“¬∑’Ë¡’ “‡Àµÿ¡“®“°æ¬“∏‘ ¿“æ¢Õß°√–¥Ÿ°µâπ§Õ‰¥â »’√…–·≈–™à«¬„π°“√‡§≈◊ËÕπ‰À«§Õ„π∑‘»∑“ßµà“ß Ê ‡™àπ°â¡ ‡ß¬ ‡π◊ËÕß®“°ª√– ‘∑∏‘¿“æ°“√∑”ß“π¢Õß°≈â“¡‡π◊ÈÕ∑’Ë¥’¢÷Èπ “¡“√∂ À—π´â“¬-¢«“ À√◊Õ‡Õ’¬ß§Õ‰ª¡“. „π§π∑’Ë¡’ªí≠À“ª«¥§Õ √Ÿª ™à«¬≈¥§«“¡‡§√’¬¥∑’Ë‡°‘¥¢÷Èπ¿“¬„π¢âÕµàÕ·≈–°√–¥Ÿ°‰¥â. ‚¥¬ ·∫∫°“√∑”ß“π¢Õß°≈â“¡‡π◊ÈÕ§Õ∑’Ë√—°…“ ¡¥ÿ≈¢Õß à«π‚§âß‡«â“ ∑—Ë«‰ª °“√«à“¬πÈ”∑à“ø√’ ‰µ≈å (√Ÿª∑’Ë Ò) ºŸâ«à“¬®–∑”°“√À¡ÿπ ¢Õßµâπ§Õ (cervical lordosis, √Ÿª∑’Ë Ú) ·≈–∑’Ë∑”„Àâ‡°‘¥°“√ À√◊ÕÀ—π§Õ‡æ◊ËÕ∑”°“√À“¬„®∑ÿ° Ê Û ™à«ß∑à“ (strokes) À√◊Õ ‡§≈◊ËÕπ‰À«¢Õß§Õπ—Èπ®–·µ°µà“ß®“°§πª√°µ‘ ‡™àπ °“√°â¡ ®—ßÀ«–°“√®â«ß·¢π. ©–π—Èπ∂â“«à“¬ Û ™à«ß∑à“„π°“√«à“¬ Òı »’√…–æ¬—°Àπâ“‚¥¬∑’Ë‰¡à‰¥â¬°»’√…–¢÷Èπ (cranio-cervical flex- π“∑’ ºŸâ«à“¬µâÕßÀ—π§Õ‰ª¥â“π´â“¬·≈–¢«“√«¡ª√–¡“≥ Òˆˆ §√—Èß ion, √Ÿª∑’Ë Û) ´÷Ëß‡ªìπ°“√‡§≈◊ËÕπ∑’Ë¢Õß°√–¥Ÿ°§Õ à«π∫ππ—Èπ À√◊Õ‡©≈’Ë¬À—π¢â“ß≈– ¯Û §√—Èß. „π°“√«à“¬∑à“ø√’ ‰µ≈å∑’Ë∂Ÿ°µâÕß ª√°µ‘‡°‘¥®“°°“√∑”ß“π¢Õß°≈â“¡‡π◊ÈÕ≈÷°¢Õß§Õ ‰¥â·°à longus ®÷ß‡ªìπ°“√∫√‘À“√§Õ∑’Ë¥’„π‡«≈“‡¥’¬«°—π ‡æ√“–°“√‡ß¬ (¬◊¥) §Õ colli, ·≈– longus capitis, ·µà„π§π∑’Ë¡’ªí≠À“ª«¥§Õπ—Èπ ·≈–°“√À—π§Õπ—Èπ®–Õ¬Ÿà„π™à«ßÕß»“°“√‡§≈◊ËÕπ‰À«∑’Ëª≈Õ¥¿—¬ °“√∑”ß“π¢Õß°≈â“¡‡π◊ÈÕ≈÷°¢Õß§Õ®–≈¥≈ß ·µà°“√∑”ß“π¢Õß ‰¡à∑”„Àâ‡°‘¥°“√∫‘¥À¡ÿπÀ√◊Õ‡À¬’¬¥‡ß¬¡“°‡°‘π‰ª ·≈– °≈â“¡‡π◊ÈÕ™—Èπµ◊Èπ∑’Ë„™â„π°“√°â¡§Õ∑’ËÕ¬Ÿà™—ÈππÕ° ‡™àπ Sterno- ‡π◊ËÕß®“°®–Õ“»—¬®—ßÀ«–¢Õß°“√À¡ÿπ¢Õß≈”µ—«‡¢â“™à«¬ ®÷ß¡’ cleidomastoid (SCM) ·≈– anterior scalene (AS) °≈—∫ ‚Õ°“ ‡°‘¥Õ—πµ√“¬µàÕ°√–¥Ÿ°§ÕπâÕ¬°«à“°“√«à“¬πÈ”∑à“Õ◊Ëπ Ê ‡æ‘Ë¡¢÷Èπ. °“√‡ª≈’Ë¬π·ª≈ß¥—ß°≈à“«π’Èæ∫‰¥âµ—Èß·µà√–¬–µâπ Ê ‡™àπ °“√«à“¬∑à“º’‡ ◊ÈÕ, °“√«à“¬∑à“°∫. πÕ°®“°π’È°“√«à“¬∑à“ø√’ ¢Õß°“√‡√‘Ë¡¡’Õ“°“√ª«¥§Õ ‡π◊ËÕß®“°°≈â“¡‡π◊ÈÕ§Õ™—Èπ≈÷°‡ªìπ ‰µ≈å¬—ß„Àâª√–‚¬™πå„π‡√◊ËÕß¢Õß§«“¡·¢Áß·√ß·≈–§«“¡∑π∑“π ¢Õß°≈â“¡‡π◊ÈÕ·¢π ‰À≈à –∫—° –‚æ° ·≈–¢“ ‡™àπ‡¥’¬«°—∫ °“√«à“¬πÈ”∑à“Õ◊Ëπ Ê ¥â«¬. Ò.Ú §«“¡ÕàÕπµ—« ‚¥¬‡©æ“–¢Õß¢âÕ‰À≈à (gleno- humoral joint), ¢âÕµàÕ°√–¥Ÿ° —πÀ≈—ß à«π§Õ „π®—ßÀ«–¢Õß °“√‡À¬’¬¥·¢π‡æ◊ËÕ≈ß ŸàπÈ” ·≈–°“√À—πÀπâ“·≈–§Õ‡æ◊ËÕ°“√ À“¬„®, §«“¡ÕàÕπµ—«¢Õß°√–¥Ÿ° —πÀ≈—ß à«π‡Õ«„π®—ßÀ«– °“√‡µ–‡∑â“ ‡ªìπµâπ. ®“°°“√»÷°…“‡ª√’¬∫‡∑’¬∫Õß»“°“√ ‡§≈◊ËÕπ‰À«¢Õß°√–¥Ÿ°§Õ√–À«à“ßπ—°«à“¬πÈ” °—∫§π∑’Ë‰¡à„™àπ—° «à“¬πÈ”„π™à«ßÕ“¬‡¥’¬«°—πÿ æ∫«à“π—°«à“¬πÈ”¡’Õß»“°“√‡§≈◊ËÕπ‰À« √Ÿª∑’Ë Ò °“√«“¬πà È”∑“ø√à µ‰µ≈’ å(¥«¬§«“¡°√â ≥“®“°».πæ. ¡™ÿ —¬ ‡©≈’Ë¬„π°“√À—π»’√…–À√◊Õ§Õ‰ª∑“ß¥â“π¢â“ß¡“°°«à“ ´÷Ëß ∫«√°‘µµ‘) Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 Ò˜

¿“æ¥â“π¢â“ß¢Õß°√–¥Ÿ° —πÀ≈—ß °≈â“¡‡π◊ÈÕÀ≈—°∑’Ë™à«¬√—°…“ ¡¥ÿ≈¢Õß»’√…– §Õ ·≈–°√–¥Ÿ° µâπ§Õ. √Ÿª·∫∫À√◊Õ°“√‡§≈◊ËÕπ‰À«∑’Ë‰¡à‡À¡“– ¡À√◊Õ Cervical (Lordosis) ‡ª≈’Ë¬π·ª≈ß‰ªπ—Èπ ®÷ßÕ“®π”‰ª Ÿà°“√‡°‘¥Õ“°“√≈â“, °“√∫“¥ ‡®Á∫∑’Ë°≈â“¡‡π◊ÈÕ °√–¥Ÿ° —πÀ≈—ß À¡Õπ√Õß°√–¥Ÿ°·≈–¢âÕµàÕ ∫√‘‡«≥§Õ‰¥â. ¥—ß∑’Ë‰¥â°≈à“«‰«â·≈â«„πµÕπµâπ«à“°“√«à“¬∑à“ø√’

Thoracic (Kyphosis)

Lumbar (Lordosis)

Sacral (Kyphosis)

Coccyx (Tailbone) √Ÿª∑’Ë Ú ∑à“√à“ß°“¬∑’Ë∂Ÿ°µâÕß √Ÿª∑’Ë Û °“√æ¬—°Àπâ“‚¥¬‰¡à¬°»’√…–

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∫∑§—¥¬àÕ »“ µ√å¥â“π»≈ª°√√¡∫”∫‘ ¥„πª√–‡∑»‰∑¬Õ¬— „π™Ÿà «ß°à Õ√à “ß √à “ßµâ «— ¡’ºŸâ√Ÿâ√–¥∫π— °»— ≈ª°√√¡∫”∫‘ ¥∑— ’Ë¢÷Èπ∑–‡∫¬π’ (reg- istered art therapist-ATR) πâÕ¬ ¬—ßÕ¬Ÿà„π ¿“æµà“ß§πµà“ß∑”§≈â“¬°—∫∑’Ë‡°‘¥¢÷Èπ„πª√–‡∑» À√—∞Õ‡¡√‘°“„π™à«ßªÆ‘ π∏‘, ´÷Ëß‡ªìπ ¿“«°“√≥åª√°µ‘¢Õßß“π À«‘∑¬“∑’ËµâÕß√à«¡°—π∫Ÿ√≥“°“√. ∑—Èßπ’È∑—Èßπ—Èπ»‘≈ª°√√¡∫”∫—¥„πª√–‡∑»‰∑¬‡ªìπ ª√“°Ø°“√≥å∑’Ë‡°‘¥¢÷Èπ‡À¡“–‡®“– ∑’Ëß“π À«‘∑¬“°”≈—ß‡ªìπªí®®—¬Àπ÷Ëß¢Õß°“√‡®√‘≠‡µ‘∫‚µ¢Õßª√–‡∑»„π¢≥–∑’Ë°”≈—ß µâÕß°“√∑“ßÕÕ° ”À√—∫ —ß§¡∑’Ë¡’§«“¡°¥¥—π‡æ‘Ë¡¢÷Èπ ·≈–‡ªìπ∑“ß‡≈◊Õ°„À¡à ”À√—∫°“√·æ∑¬å·≈–°“√ “∏“√≥ ÿ¢ ´÷Ëß°Á ª√–®«∫‡À¡“–¥’°—∫°“√µ◊Ëπµ—«¢Õßπ—°ªØ‘∫—µ‘·≈–π—°«‘™“°“√¡À“«‘∑¬“≈—¬∑’Ë¡ÿàß¡—Ëπ∑’Ë®–∫Ÿ√≥“°“√»‘≈ª°√√¡∫”∫—¥„Àâ‡ªìπ »“ µ√å∑“ß‡≈◊Õ°Õ’°∑“ßÀπ÷Ëß„Àâ°—∫ —ß§¡«—≤π∏√√¡‰∑¬¥â“π ÿ¢¿“æ®‘µ∑’Ë«ß°“√«‘™“°“√·≈–«‘™“™’æ¬Õ¡√—∫ ·≈–√—∫√Õß ‡ªìπ∞“π«‘™“™’æ∑’Ë¡—Ëπ§ß. §” ”§—≠ : »‘≈ª°√√¡∫”∫—¥, ª√–‡∑»‰∑¬

ç»‘≈ª°√√¡∫”∫—¥é (art therapy) ‡ªìπ‡«™ªØ‘∫—µ‘„π «‘∑¬“»“ µ√å®‘µ«‘‡§√“–Àå Õ“®‡ªìπ¡‘µ‘Àπ÷Ëß¢Õß»‘≈ª°√√¡∑’Ë„™â„π ª√–‡∑»µ–«—πµ°°àÕπ æ.». ÚÙˆ¯ ‚¥¬®‘µ·æ∑¬å ¥√.‚π·≈π °√–∫«π°“√∫”∫—¥∑“ß®‘µ‡«™ ™à«¬øóôπøŸ ¿“æ®‘µ¡πÿ…¬å. ‡Õπ. ¥’. ´’. ‡≈«‘ Ò ·Ààß¡À“«‘∑¬“≈—¬π‘«¬Õ√å° ª√–‡∑» æÕ ◊∫‰¥â«à“„πª√–‡∑»‰∑¬ ¡’ºŸâ π„®‡°’Ë¬«°—∫»‘≈ª°√√¡ À√—∞Õ‡¡√‘°“ ·≈–®‘µ·æ∑¬å¡“√å°“‡√Áµ πÕ¡∫√«°å ≈Ÿ°»‘…¬å ∫”∫—¥Ú µ—Èß·µà æ.». ÚıÚ˘ ·≈–¡’°“√π”·π«§‘¥¡“ª√–¬ÿ°µå ¢Õß‡≈«‘ ‰¥â ◊∫ “π·π«§‘¥µàÕ¡“ ´÷Ëß‡ªìπºŸâ‡ πÕ™◊ËÕ®‘µ∫”∫—¥ ª√–ª√“¬„π∫“ß«‘™“™’æ∑’Ë‡≈Áß‡ÀÁπ§ÿ≥ª√–‚¬™πå„π°“√™à«¬ ·¢πßπ’È«à“ ùart therapyû ‡¡◊ËÕ æ.». ÚÙ˘ §Ÿà¢π“π°—∫·π«§‘¥ ‡À≈◊Õ‡æ◊ËÕπ¡πÿ…¬å¥â“π ÿ¢¿“æ®‘µ. ¡»√’ °‘µµ‘æß»åæ‘»“≈Û ùart as therapyû ¢ÕßÕ’¥‘∏ ‡§√‡¡Õ√å π—°»‘≈ª°√√¡∫”∫—¥‡≈◊ËÕß™◊ËÕ ‰¥â‡ πÕ ç®‘µ∫”∫—¥¥â«¬»‘≈ª–é ‡ªìπ«‘∏’∑“ß‡≈◊Õ°Àπ÷Ëß¢Õß®‘µ∫”∫—¥ ∑’Ë‡πâπ°√–∫«π°“√»‘≈ª°√√¡‡ªìπ‡Õ°‡∑». »‘≈ª°√√¡∫”∫—¥∂◊Õ „π°“√™à«¬‡À≈◊Õ∫ÿ§§≈∑’Ë¡’ªí≠À“¥â“πÕ“√¡≥å·≈–®‘µ„® ´÷Ëß ‡ªìπÕß§å§«“¡√Ÿâ·∫∫∫Ÿ√≥“°“√√–§π√–À«à“ß»‘≈ª°√√¡°—∫ ‡°‘¥®“° ¿“æ¿“¬„πÀ√◊Õ¿“¬πÕ°®‘µ„®¢Õß∫ÿ§§≈π—Èπ ·≈–¬—ß ª√“°Æ¡’°“√π”»‘≈ª°√√¡‰ª„™â√à«¡„π°√–∫«π°“√ªØ‘∫—µ‘¢Õß *§≥–»‘≈ª°√√¡»“ µ√å ¡À“«‘∑¬“≈—¬∫Ÿ√æ“ ∫ÿ§≈“°√¥â“π°“√»÷°…“ °“√ —ß§¡ ß‡§√“–Àå ·≈–°“√·æ∑¬å∑“ß ** ∂“∫—π√“™“πÿ°Ÿ≈ °√¡ ÿ¢¿“æ®‘µ °√–∑√«ß “∏“√≥ ÿ¢ ®‘µ‡«™ ‡™àπ∑’Ë ‚√ßæ¬“∫“≈»√’∏—≠≠“ ·≈– ∂“∫—π√“™“πÿ°Ÿ≈ °√¡ #∫∑§«“¡ª√–°Õ∫ —¡¡π“«‘™“°“√ çºŸâ‡™’Ë¬«™“≠¥â“π»‘≈ª°√√¡∫”∫—¥ §√—Èß∑’Ë Ûé «—π∑’Ë Û ‡¡…“¬π ÚııÒ ≥ ∂“∫—π√“™“πÿ°Ÿ≈ ÿ¢¿“æ®‘µ °√–∑√«ß “∏“√≥ ÿ¢ ∑’Ë¡’·ºπ°ß“π ç»‘≈ª°√√¡ °√ÿß‡∑æ¡À“π§√ ∫”∫—¥é ‚¥¬ºŸâ‡¢’¬π§π∑’Ë Ú (§√Ÿ ¡®‘µ√ À√◊Õ§√ŸÀπàÕ¬) ·≈– Ò˘ ÒÒ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

®‘µ·æ∑¬å πæ. ∑«’»—°¥‘Ï »‘√‘√—µπå‡√¢“ „™â»‘≈ª°√√¡∫”∫—¥‡¥Á° „π°‘®°√√¡∫”∫—¥æ√âÕ¡°—∫°“√æ—≤π“À≈—° Ÿµ√∑“ß‡«™»‘≈ª- ¿“«–Õ—µµ“«√≥å (ÕÕ∑‘ µ‘°) ¡“‡ªìπ√–¬–‡«≈“Àπ÷Ëß·≈â«, ºŸâ °√√¡∫”∫—¥˘. ‡¢’¬π§π∑’Ë Ò °Á‰¥â‡√‘Ë¡ß“ππ”√àÕß°“√∫”∫—¥‡¥Á°∑’Ë‰¥â√—∫º≈ °√–∑∫®“°¿—¬æ‘∫—µ‘Ù ·≈–¡’∫∑§«“¡‡™‘ß∑ƒ…Æ’À≈“¬§√—Èßı-ˆ ·µà ∑ƒ…Æ’ π‘¬“¡·≈–°√Õ∫ªØ‘∫—µ‘ πÕ°‰ª®“°π—Èπ‰¡àª√“°ØºŸâ∑’Ë∑”¥â“π ç»‘≈ª°√√¡∫”∫—¥é Õ¬à“ß ç»‘≈ª°√√¡∫”∫—¥é ‡ªìπ»“ µ√å¥â“π‡«™∫”∫—¥‚√§®‘µ∫“ß ®√‘ß®—ß¡“°π—° ‡æ√“–¬—ß¡’π—°»‘≈ª°√√¡∫”∫—¥„πª√–‡∑»‰∑¬ ™π‘¥ ‚¥¬‡©æ“–∑’Ë‡°‘¥®“°°“√°√–∑∫°√–‡∑◊Õπ®‘µ„®√ÿπ·√ß ‰¡à°’Ë§π ∑”„Àâ»‘≈ª°√√¡∫”∫—¥¬—ß‰¡à‡ªìπ∑’Ë·æ√àÀ≈“¬ ®π ‚¥¬„™âß“π»‘≈ª–ª√–‡¿∑µà“ß Ê ‡™àπ »‘≈ª–°“√· ¥ß, ∑—»π»‘≈ªá °√–∑—ËßÀ≈—ß®“°°“√®—¥ª√–™¡«‘™“°“√ÿ ç·π–π”»‘≈ª°√√¡∫”∫—¥é ‡ªìπ‡«™ªØ‘∫—µ‘∑“ß‡≈◊Õ°·∑π«‘∏’°“√√—°…“‚¥¬ ◊ËÕ π∑π“µ“¡ √–¥—∫™“µ‘·≈–°÷Ëßπ“π“™“µ‘˜ ®÷ß‡°‘¥°“√µ◊Ëπµ—«¢Õßπ—°«‘™“°“√ ·∫∫©∫—∫. ‡¡◊ËÕ‰¥â»÷°…“π‘¬“¡ ∑ƒ…Æ’·≈–°√Õ∫ªØ‘∫—µ‘¢Õß ‰∑¬¢÷Èπ ´÷Ëß‡ªìπ§«“¡À«—ß«à“®–‡ªìπ®ÿ¥µ—Èßµâπ°“√æ—≤π“ »“ µ√åπ’È¢Õßµà“ßª√–‡∑»Õ¬à“ß∂àÕß·∑â °Á®–‡¢â“„®«à“»‘≈ª°√√¡ »‘≈ª°√√¡∫”∫—¥„Àâ‡ªìπ√Ÿª∏√√¡„πª√–‡∑»‰∑¬ ◊∫‰ª. ∫”∫—¥™à«¬„π°“√æ—≤π“»—°¬¿“æ¡πÿ…¬å¥â“πµà“ß Ê ‰¥â¥â«¬ „πªí®®ÿ∫—π ç»‘≈ª°√√¡»“ µ√åé „π√–¥—∫Õÿ¥¡»÷°…“‰¥â ´÷Ëß»‘≈ª°√√¡∫”∫—¥„™â‰¥â°—∫∑ÿ°§π∑’Ë¡’ªí≠À“∑“ß®‘µ„® ‰¡à«à“ ¢¬“¬µ—«Õ¬à“ß°«â“ß¢«“ß„πª√–‡∑» ·µà§π à«π„À≠à¬—ß‡¢â“„® ®–‡ªìπ‡¥Á° §πÀπÿà¡ “«À√◊Õ§π™√“ §πæ‘°“√ §π∫°æ√àÕß µ‘ ‡æ’¬ß«à“ ç»‘≈ª°√√¡é §◊Õ °“√ √â“ß √√§å∑’Ë · ¥ßÕÕ° ∑“ß ªí≠≠“ ‡™àπ ‡¥Á°¡’ªí≠À“°“√ª√—∫µ—«∑’Ë‚√ß‡√’¬π, ªí≠À“ à«π ÿπ∑√’¬»“ µ√å ·≈–‡°’Ë¬«¢âÕß°—∫«‘∂’™’«‘µ ç»‘≈ªîπé ‡∑à“π—Èπ. ‡∑à“ µ—«„π§√Õ∫§√—«, §π„π«—¬∑”ß“π∑’Ë‡°‘¥§«“¡‡§√’¬¥®“°ß“π ∑’Ë∑√“∫¡’ ∂“∫—πÕÿ¥¡»÷°…“‰¡à°’Ë·Ààß∑’Ëª√–¬ÿ°µå·π«§‘¥„™â À√◊Õ‰¥â√—∫§«“¡°¥¥—π, ºŸâªÉ«¬ ÿ¢¿“æ®‘µ∑’Ë‰¡à™Õ∫„™â§”æŸ¥ ¡’ »‘≈ª°√√¡‡™‘ß°‘®°√√¡∫”∫—¥„π°“√ √â“ß‡ √‘¡°“√‡√’¬π√Ÿâ·≈– Õ“√¡≥å√ÿπ·√ß ·≈–µàÕµâ“π°“√√—°…“, ·¡â·µà§π∏√√¡¥“∑’Ë ‡¬’¬«¬“®‘µ„® ‡™àπ ¡À“«‘∑¬“≈—¬»√’π§√‘π∑√«‘‚√≤ ∑’Ë„™â Õ¬“° ”√«®§«“¡√Ÿâ ÷°π÷°§‘¥„π„®¢Õßµπ‡Õß ·≈–™à«¬§π™√“ »‘≈ª°√√¡∫”∫—¥æ—≤π“°“√ ÿ¢¿“æ®‘µ‡¥Á°·≈–™ÿ¡™π, ·≈– „Àâ¡’§«“¡À«—ß·≈–§«“¡ ÿ¢¡“°¢÷Èπ¥â«¬. πÕ°®“°π’È»‘≈ª°√√¡ ®ÿÃ“≈ß°√≥å¡À“«‘∑¬“≈—¬ „™â»‘≈ª°√√¡∫”∫—¥§πæ‘°“√„π ∫”∫—¥¬—ßª√“°Ø«à“ “¡“√∂„™â∫”∫—¥‚√§°—∫§πæ‘°“√ ·≈– ‚§√ß°“√ çArt for Allé ·≈–°”≈—ßæ¬“¬“¡∑’Ë®–æ—≤π“°“√ ∫”∫—¥‚√§∫“ß™π‘¥ ‡™àπ Õ—≈´‰Œ‡¡Õ√å ‰¥â¥â«¬. ºŸâ‡¢’¬π¢Õπ” »÷°…“¥â“π»‘≈ª°√√¡∫”∫—¥µàÕ‰ª„π§≥–»‘≈ª°√√¡»“ µ√å ¢âÕ§«“¡Õ∏‘∫“¬»‘≈ª°√√¡∫”∫—¥¢Õß¡À“«‘∑¬“≈—¬π‘«¬Õ√å° ‚§√ß°“√®—¥‡ «π“»‘≈ª°√√¡ºŸâæ‘°“√Õ¬à“ßµàÕ‡π◊ËÕß. µàÕ¡“‡√‘Ë¡ ª√–‡∑» À√—∞Õ‡¡√‘°“¡“‡ πÕª√–°Õ∫§«“¡‡¢â“„®„π·π«∑“ß ¡’°“√‡ «π“»‘≈ª°√√¡∫”∫—¥‚¥¬ºŸâ‡™’Ë¬«™“≠®“°µà“ßª√–‡∑» ¡“°¢÷Èπ¥—ßπ’È...... ¥â«¬ ‡™àπ∑’Ë ¡À“«‘∑¬“≈—¬∫Ÿ√æ“ À≈—ß‡°‘¥«‘π“»¿—¬ ÷π“¡‘∑’Ë ˆ çArt Therapy is a rapidly growing field, which ®—ßÀ«—¥¿“§„µâ. »“ µ√“®“√¬å ÿ™“µ‘ Õÿª∂—¡¿å Õ∏‘°“√∫¥’ ·≈– had its beginnings in the treatment of severely √Õß»“ µ√“®“√¬å‡∑æ»—°¥‘Ï ∑Õßπæ§≥ÿ §≥∫¥’§≥–»‘≈ª°√√¡ emotionally disturbed and physically handicapped »“µ√å„π¢≥–π—Èπ„Àâ°“√ π—∫ πÿπºŸâ‡¢’¬π∑’Ë Ò ¥”‡π‘π‚§√ß°“√ children and adults through the use of art. In re- »‘≈ª°√√¡∫”∫—¥√à«¡°—∫ºŸâ‡™’Ë¬«™“≠®“°µà“ßª√–‡∑»¯ ´÷Ëß‰¥â®ÿ¥ cent years it has expanded to reach a broad range ª√–°“¬·≈–®‘µ«‘≠≠“≥°“√∫ÿ°‡∫‘°„Àâ∫ÿ§≈“°√À≈“¬¿“§ à«π of populations, such as substance abusers, AIDS- ¢Õß¡À“«‘∑¬“≈—¬¡ÿàß¡—Ëπ∑’Ë®–æ—≤π“°“√»÷°…“»‘≈ª°√√¡∫”∫—¥ patients, homeless people, survivors of trauma, ‰¥â·°à°“√®—¥∫√√¬“¬, —¡¡π“·≈–Õ∫√¡‡™‘ßªØ‘∫—µ‘°“√Õ¬Ÿà and elderly people with Alzheimerûs disease and À≈“¬§√—Èß√à«¡°—∫ºŸâ‡™’Ë¬«™“≠®“°µà“ßª√–‡∑»À≈“¬ ”π—° ®π„π dementia. The art therapist frequently works in ∑’Ë ÿ¥‰¥â√à«¡¡◊Õ°—π„π ı Àπà«¬ß“π (æ¬“∫“≈»“ µ√å, »‘≈ª°√√¡- such settings as hospitals, community mental »“ µ√å, “∏“√≥ ÿ¢»“ µ√å, ·æ∑¬»“ µ√å, ·≈–°“√·æ∑¬å health centers, Child Life programs, shelters, pris- ·ºπ‰∑¬Õ¿—¬¿‡∫»√)Ÿ ®—¥µ—Èß»Ÿπ¬å»‘≈ª°√√¡∫”∫—¥‡Õ‡™’¬-·ª´‘øî° ons, nursing homes, and special and public ¢÷Èπ¿“¬„π¡À“«‘∑¬“≈—¬µ“¡«—µ∂ÿª√– ß§å‡æ◊ËÕ°“√„™â»‘≈ª°√√¡ schools.é Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ÒÒÒ

Õ¬à“ß‰√°Áµ“¡ „πµà“ßª√–‡∑» π‘¬“¡·≈–∑ƒ…Æ’¢Õß Ú. °“√®—¥∫√√¬“¬Õ∫√¡, ª√–™ÿ¡‡™‘ßªØ‘∫—µ‘°“√ »‘≈ª°√√¡∫”∫—¥¬—ß¡’¢âÕ‚µâ·¬âß°—π„π§«“¡À¡“¬·≈–„π·π«∑“ß ·≈– —¡¡π“«‘™“°“√. °√–∫«π°“√ªØ‘∫—µ‘. ´÷Ëß‡Õ≈‘‡πÕ√å Õ—≈·¡π °≈à“««à“»‘≈ª°√√¡ Û. ∑”°“√«‘®—¬»‘≈ª°√√¡∫”∫—¥. ∫”∫—¥ ´÷Ëßª√–°Õ∫¥â«¬§” Ú §” art °—∫ therapy ∑”„Àâ∑ƒ…Æ’ -»÷°…“‡ª√’¬∫‡∑’¬∫ª√– ‘∑∏‘¿“æ‚¥¬°“√ °“√ªØ‘∫—µ‘·¬°‡ªìπ Ú ·π« ‚¥¬ΩÉ“¬Àπ÷Ëß‡πâπÀ≈—°»‘≈ª°√√¡ ª√–‡¡‘π¥â“π®‘µ‡«™§«∫§Ÿà°—∫»‘≈ª°√√¡. ·≈–Õ’°ΩÉ“¬‡πâπÀ≈—°®‘µ‡«™∫”∫—¥. Õÿ≈¡—π¬÷¥ΩÉ“¬ ç®‘µ‡«™é -»÷°…“ª√– ‘∑∏‘º≈¢Õß°“√√—°…“ºŸâªÉ«¬ ‚¥¬ ¢Õßπ«¡∫Ÿ√«°å ∑’Ë √ÿª«à“ ç»‘≈ª°√√¡∫”∫—¥é ‡ªìπ°“√∑” »‘≈ª°√√¡∫”∫—¥. ®‘µ∫”∫—¥‚¥¬°“√µ‘¥µàÕ°—∫ºŸâªÉ«¬‰¡à‡©æ“–‡æ’¬ß°“√ π∑π“ Ù. °“√æ—≤π“À≈—° Ÿµ√»‘≈ª°√√¡∫”∫—¥‡æ◊ËÕº≈‘µπ—° ·µà√à«¡¥â«¬ ◊ËÕ∑“ß»‘≈ª°√√¡¥â«¬. »‘≈ª°√√¡∫”∫—¥„πª√–‡∑»‰∑¬„Àâ¡’ª√– ‘∑∏‘¿“æ·≈–∑—°…–. „πªí®®ÿ∫—π π—°»‘≈ª°√√¡∫”∫—¥∑”ß“π‰¥â∑—Èß·∫∫Õ‘ √– ı. °“√ª√– “πß“πÕß§å°√∑’Ë‡°’Ë¬«¢âÕß„Àâ‡ªìπ·°π ·≈–·∫∫√à«¡°—π°—∫·æ∑¬å ®‘µ·æ∑¬å π—°®‘µ«‘∑¬“ À√◊Õ‡ªìπ ·≈–‡§√◊Õ¢à“¬°“√∑”ß“π ·≈–Õ“®¡’°“√®—¥µ—Èß§≥–°√√¡°“√ Àπ÷Ëß„π°√–∫«π°“√√—°…“„π‚√ßæ¬“∫“≈ ·≈– ∂“π ß‡§√“–Àå »‘≈ª°√√¡∫”∫—¥·Ààß™“µ‘„πÕπ“§µ. ·≈–°—°°—πµà“ßÊ. „π°“√ªØ‘∫—µ‘»‘≈ª°√√¡∫”∫—¥„πµà“ß ª√–‡∑»‚¥¬‡©æ“–ª√–‡∑» À√—∞Õ‡¡√‘°“π—°»‘≈ª°√√¡∫”∫—¥ ‡Õ° “√Õâ“ßÕ‘ß µâÕßªØ‘∫—µ‘ß“π¿“¬„µâ°“√¥Ÿ·≈¢Õßπ—°»‘≈ª°√√¡∫”∫—¥Õ“«ÿ‚ Ò. Lewis NDC. The practical value of graphic art in personality studies (I. An introductory presentation of the possibilities) Psychoanal Rev ∑’Ë¢÷Èπ∑–‡∫’¬π (ATR) °—∫ ¡“§¡»‘≈ª°√√¡∫”∫—¥Õ‡¡√‘°—π 1925;12:316-22. (AATA) Õ¬à“ßπâÕ¬ Ò ªï ®÷ß®– “¡“√∂¢Õ√—∫„∫Õπÿ¡—µ‘∫—µ√®“° Ú. ‡≈‘»»‘√‘√å ∫«√°‘µµ‘. ∑”‡π’¬∫‡Õ° “√»‘≈ª°√√¡∫”∫—¥„πª√–‡∑»‰∑¬. „π: ‡≈‘»»‘√‘√å ∫«√°‘µµ‘, ·∫Á°´‡µÕ√å ‡®. °“√å‡´’¬, ∫√√≥“∏‘°“√. The Art Therapy Credential Board; ATCB. Àπ—ß ◊Õ°”Àπ¥°“√ ·≈–‡√◊ËÕß¬àÕ °“√ª√–™ÿ¡«‘™“°“√ ç·π–π” ªí®®ÿ∫—π„πª√–‡∑»‰∑¬Ÿâ§π‡√‘Ë¡√ º Ÿâ®—°§” ç»‘≈ª°√√¡∫”∫—¥é »‘≈ª°√√¡∫”∫—¥é. °√ÿß‡∑æœ : ”π—°æ‘¡æå°√ÿß‡∑æ‡«™ “√; ÚıÙ˘. ¡“°¢÷Èπ À≈—ß®“°¡’°“√øóôπ«‘™“‚¥¬°≈ÿà¡π—°«‘™“°“√ Àπâ“ ˆ. Û. ¡»√’ °‘µµ‘æß»åæ‘»“≈. Art therapy as a form of psychotherapy. ¡À“«‘∑¬“≈—¬·≈–π—°ªØ‘∫—µ‘®”π«πÀπ÷Ëß. ·µà°àÕπ§π à«π„À≠à «“√ “√®‘µ«‘∑¬“§≈‘π‘° ÚıÛ;Ò¯:ı¯-˜. Õ“®§ÿâπ‡§¬°—∫§” ç»‘≈ª–∫”∫—¥é ·µà§«“¡À¡“¬¢Õß Ú §”π’È Ù. ‡≈‘»»‘√‘√å ∫«√°‘µµ‘, ª√–¿“ ‚ Ã ®‘π¥“-π—π∑«√»‘≈ªá, ¡—¬ ‘√‘∑Õß∂“«√. »‘≈ª°√√¡∫”∫—¥‡¥Á°‡À¬◊ËÕπÈ”À≈“° ¥‘π∂≈à¡∑’ËÕ”‡¿Õ≈—∫·≈ ®—ßÀ«—¥ ·µ°µà“ß°—π ‘Èπ‡™‘ß ‚¥¬ »‘≈ª–∫”∫—¥ À¡“¬∂÷ß°“√∫”∫—¥‚¥¬°“√ Õÿµ√¥‘µ∂å. «“√ “√«‘®—¬√–∫∫ “∏“√≥ ÿ¢ Úıı;Û:ÛÚ˘-ÛÛÚ. „™â»‘≈ª– ‡™àπ „™â§”æŸ¥∑’Ë¡’»‘≈ª– ‡ ’¬ß¥πµ√’∑’Ë¡’§«“¡‰æ‡√“– ı. ‡≈‘»»‘√‘√å ∫«√°‘µµ‘, ‡∑æ»—°¥‘Ï ∑Õßπæ§ÿ≥, «√√≥– ÕŸπ“°Ÿ≈, ‡®¡ å Õ≈—π≈Õß‚°, ·∫Á°´‡µÕ√å ‡®. °“√å‡´’¬, ŒÕ≈≈’Ë ∑—ª‡ªÕ√å. »‘≈ª°√√¡∫”∫—¥: ÿπ∑√’¬å œ≈œ ¢≥–∑’Ë»‘≈ª°√√¡∫”∫—¥ À¡“¬∂÷ß°“√∫”∫—¥‚¥¬ §«“¡ —ß‡¢ª. «“√ “√«‘™“°“√ “∏“√≥ ÿ¢ ÚıÙ¯;ÒÙ:ÒıÒ-Ù. °“√„™â»‘≈ª°√√¡ ‡™àπ °“√„ÀâºŸâªÉ«¬∑”ß“π»‘≈ª– «“¥¿“æ ªíôπ ˆ. Õ”‰æ¢π‘…∞ ¡“π«ß»å‰∑¬, ‡≈‘»»‘√‘√å ∫«√°‘µµ‘. »‘≈ª°√√¡∫”∫—¥. Ò ∏√√¡»“ µ√å‡«™ “√ ÚıÙ˘;ˆ:ÚÙÛ-˜. · ¥ß¥πµ√’ œ≈œ. ‚¥¬π—°»‘≈ª°√√¡∫”∫—¥„πª√–‡∑»‰∑¬®– ˜. ªí≠≠“ «‘®‘π∏π “√, ‡∑æ»—°¥‘Ï ∑Õßπæ§ÿ≥, ‡≈‘»»‘√‘√å ∫«√°‘µµ‘. ∫Ÿ√æ“ µâÕßæ—≤π“√Ÿª·∫∫»‘≈ª°√√¡∫”∫—¥„Àâ™—¥‡®π·≈– Õ¥§≈âÕß °—∫°“√®—¥ª√–™ÿ¡«‘™“°“√ ç·π–π”»‘≈ª°√√¡∫”∫—¥é. ∏√√¡»“ µ√å ‡«™ “√ ÚıÙ˘;ˆ:Û˘-ÙÒ. °—∫ —ß§¡«—≤π∏√√¡∑âÕß∂‘Ëπ. ¯. ‡∑æ»—°¥‘Ï ∑Õßπæ§ÿ≥, ‡≈‘»»‘√‘√å ∫«√°‘µµ‘. °”‡π‘¥»‘≈ª°√√¡∫”∫—¥∑’Ë ºŸâ‡¢’¬π¢Õ‡ πÕªí®®—¬ ”§—≠„π°“√¢—∫‡§≈◊ËÕπæ—≤π“°“√ ¡.∫Ÿ√æ“. «“√ “√»‘≈ª°√√¡∫Ÿ√æ“ ÚıÙ¯;¯:ı˜-ˆ. ˘. ‡≈‘»»‘√‘√å ∫«√°‘µµ‘. «‘«—≤π“°“√»‘≈ª°√√¡∫”∫—¥ „πª√–‡∑»‰∑¬. »‘≈ª°√√¡∫”∫—¥«à“¢÷ÈπÕ¬Ÿà°—∫°‘®°√√¡‡∫◊ÈÕßµâπµàÕ‰ªπ’È «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° Úıı;Ú:Ò¯˜- Ò. °“√ √â“ß‡§√◊Õ¢à“¬√à«¡¡◊Õ·≈°‡ª≈’Ë¬π√–À«à“ß Ò¯˘. Àπà«¬ß“π »Ÿπ¬å»‘≈ª°√√¡∫”∫—¥ ·≈–√–À«à“ßπ—°ªØ‘∫—µ‘°—∫π—° Ò. Õ—»π’¬å ™ŸÕ√ÿ≥, ‡≈‘»»‘√‘√å ∫«√°‘µµ‘, ¡™—¬ ∫«√°‘µµ‘. »—æ∑å —∫ π: »‘≈ª–∫”∫—¥°—∫»‘≈ª°√√¡∫”∫—¥é. «“√ “√√“™∫—≥±‘µ¬ ∂“π «‘™“°“√„πª√–‡∑»∑—Èß¿“§√—∞·≈–¿“§‡Õ°™π. ÚıÙ¯;Û:¯˜ı. ÒÒÚ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

Abstract Art Therapy in Thailand Lertsiri Bovornkitti*, Somjit Kraisree** *Faculty of Fine and Applied Arts, Burapha University, Chonburi, **Rajanukul Institute, Department of Mental Health, Ministry of Public Health

Dr. Nolan D. C. Lewis, a psychiatrist at New York University started “Art Therapy” in the United States in 1924. His student, Margaret Nuamburg, continued the practice in the field, coining the term in 1957. The implementation of art in psychiatric practice, called “art in psychotherapy”, has been contradicted by a prominent art therapist, Edith Kramer, who named her practice as “art as therapy”, which considers the art component to be as powerful as the therapy itself. Art therapists in the United States are professionals (ATR) in both “art” and “therapy” and hold a degree in art therapy; their credentials are provided through the American Art Therapy Credentials Board Examination (ATCB). Art therapy in Thailand has been known since 1986; it is very likely that Somsree Kittipongpisal was the person who first mentioned art therapy in her book, but the actual enhancement of the field followed the conference on “An Introductory Course on Art Therapy”, held in Bangkok in 2006, organized by a collabora- tive group of artists and psychiatrists after the tsunami disaster in southern Thailand. Currently, art therapy practice has gained wider practice as the psychiatric staff of the Department of Mental Health at Rajanukul Institute of the Ministry of Public Health have been practicing art therapy among autistic children. The Faculty of Fine and Applied Arts, Chulalongkorn University, has applied “art for all” for treating disabled persons. The Faculty of Fine Arts, Srinakarinwirot University has been working with a community development scheme for children, and Burapha University has erected the Asia Pacific Art Therapy Center, incorpo- rating the Faculty of Nursing, Faculty of Fine and Applied Arts, Faculty of Public Health and Faculty of Medicine. Recently, the first author of this paper published his research work on art therapy for natural disaster victims. The authors suggest further activities for sustaining the development of art therapy in Thailand as follows; 1. Consortium of art therapy centers/units among practitioners and academics from both the state and private sector; 2. Short course training, seminar and workshops; 3. Research on art therapy: - Evaluation of the effectiveness of art therapy evaluation by comparing results between psychotherapy and art; - Studies on the efficacy of art therapy. 4. Establishing an educational program to produce efficient Thai art therapists; 5. Erecting an authorized national center to supervise art therapy practice in Thailand, i.e., setting up a Thai art therapy credentials board. Key words: art therapy, Thailand «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine Journal of Thaiªï∑’Ë Traditional ˆ ©∫—∫∑’Ë Ò& ¡°√“§¡-‡¡…“¬πAlternative Medicine ÚııÒ Vol.Vol. 6 6No. No. 1 1 January-April January - April 20082008

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„π‡≈◊Õ¥À≈—ßß¥Õ“À“√ ÒıÙ.Ù ± ÚÙ.˜Ú ¡°./¥≈. ∑’Ë‰¥â√—∫ ¢—ÈπµÕπ¡’‚Õ°“ À“¬®“°Õ“°“√ª«¥§Õ ª«¥À≈—ß¡“°°«à“‡ªìπ ¬“ºßÕ∫‡™¬«—π≈– Ò.ı °√—¡‰¡à “¡“√∂≈¥πÈ”µ“≈, Œ’‚¡°≈Õ- ˆ.ÛÚ ‡∑à“ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ√âÕ¬≈– ˘ı ‡ªìπ Ò.˜˜-ÚÙ.¯¯ ∫‘π‡Õ«—π´’ ·≈–‰¢¡—π„π‡≈◊Õ¥Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘. ‡∑à“ √–¥—∫π—¬ ”§—≠πâÕ¬°«à“ .Ò ¡’‚Õ°“ À“¬®“° Õ“°“√ ·¢π¢“ÕàÕπ·√ß¡“°°«à“‡ªìπ Ù.ı˘Ò ‡∑à“ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ ∑“ß‡≈◊Õ°„À¡à¢Õß°“√√—°…“‚√§À¡Õπ√Õß°√–¥Ÿ°‡ ◊ËÕ¡ √âÕ¬≈– ˘ı ‡ªìπ Ú.Ò˜-˘.˘˘ ‡∑à“ √–¥—∫π—¬ ”§—≠πâÕ¬°«à“ «√æ®πå ‡À≈à“«‘∑«— .Ò ¡’‚Õ°“ À“¬®“°Õ“°“√ª«¥‡ ’¬«™“¡“°°«à“‡ªìπ Ù.Ù ‡∑à“ °≈ÿà¡ß“πÕ“¬ÿ√»“ µ√å ‚√ßæ¬“∫“≈√“™«‘∂’ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ√âÕ¬≈– ˘ı ‡ªìπ Ú.ÒÛ-˜.¯ ‡∑à“ √–¥—∫π—¬ «“√ “√°√¡°“√·æ∑¬å ÚıÙ˘;ÛÒ:ˆ¯-˜˜. ”§—≠πâÕ¬°«à“ .Ò µ“¡≈”¥—∫ º≈°“√√—°…“∑’Ë ¯ —ª¥“Àå ‚√§À¡Õπ√Õß°√–¥°‡ ◊ËÕ¡‡ªìπ‚√§∑’Ëæ∫∫àÕ¬„πºŸ Ÿâ ßÕ“¬Ÿ ÿ∑’Ë ºŸâªÉ«¬∑’ËªØ‘∫—µ‘µ—«§√∫∑—Èß Ù ¢—ÈπµÕπ¡’‚Õ°“ À“¬®“°Õ“°“√ ‡°‘¥®“°°“√‡ ◊ËÕ¡¢ÕßÀ¡Õπ√Õß√–À«à“ß¢âÕ°√–¥Ÿ° —πÀ≈—ß®π ª«¥§Õ ª«¥À≈—ß¡“°°«à“‡ªìπ ı.˜Û ‡∑à“ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ ∑”„Àâ à«π¢ÕßÀ¡Õπ√Õß°√–¥Ÿ°¬◊Ëπ‰ª°¥∑—∫‡ âπª√– “∑À√◊Õ √âÕ¬≈– ˘ı ‡ªìπ Ú.ÛÙ-ÒÙ.˘ˆ ‡∑à“ √–¥—∫π—¬ ”§—≠πâÕ¬ ‰¢ —πÀ≈—ß ∑”„ÀâºŸâªÉ«¬¡’Õ“°“√ ª«¥»’√…– ª«¥§Õ ª«¥À≈—ß °«à“ .Ò ¡’‚Õ°“ À“¬®“°Õ“°“√·¢π¢“ÕàÕπ·√ß¡“°°«à“‡ªìπ §«“¡º‘¥ª°µ‘¢Õß√“°ª√– “∑·≈–‰¢ —πÀ≈—ß °“√√—°…“∑—Ë«‰ª Û.˘Ù ‡∑à“ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ√âÕ¬≈– ˘ı ‡ªìπ Ú.Ò-˜.¯˘ ‡∑à“ ‡™àπ °“√„™â¬“·°âª«¥¬“·°âÕ—°‡ ∫ °“¬¿“æ∫”∫—¥ °“√ºà“µ—¥ √–¥—∫π—¬ ”§—≠πâÕ¬°«à“ .Ò ¡’‚Õ°“ À“¬®“°Õ“°“√ª«¥ ‡ªìπµâπ ´÷Ëß∑”„ÀâºŸâªÉ«¬¥’¢÷Èπ·µà‰¡àÀ“¬¢“¥À√◊Õ°≈—∫¡“‡ªìπ´È”‰¥â ‡ ’¬«™“¡“°°«à“‡ªìπ Û.˜ı ‡∑à“ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ√âÕ¬≈– ˘ı ºŸâ«‘®—¬‰¥â§‘¥§âπ«‘∏’°“¬°√√¡∫”∫—¥ Ù ¢—ÈπµÕπ (Self natural ‡ªìπ Ú.ÒÚ-ˆ.˜ ‡∑à“ √–¥—∫π—¬ ”§—≠πâÕ¬°«à“ .Ò µ“¡ therapy; immobilization with medication, neck and ≈”¥—∫ ·µà°“√µÕ∫ πÕßµàÕ°“√°√–µÿâπ«ß®√ª√– “∑ ‰¡à¥’¢÷Èπ waist exercise, hanging, jogging or rope jumping) Õ¬à“ß¡’π—¬ ”§—≠. º≈°“√√—°…“∑’Ë Ù —ª¥“ÀåºŸâªÉ«¬∑’ËªØ‘∫—µ‘µ—« ‡æ◊ËÕ√—°…“ºŸâªÉ«¬„ÀâÀ“¬®“°Õ“°“√¥—ß°≈à“« ‚¥¬¡’«—µ∂ÿª√– ß§å §√∫∑—Èß Ù ¢—ÈπµÕπ¡’Õ“°“√· ¥ß¥’¢÷Èπ Ò.˜Ò ‡∑à“ ™à«ß§«“¡ ‡æ◊ËÕ»÷°…“ª√– ‘∑∏‘¿“æ¢Õß°“√√—°…“¥â«¬«‘∏’°“¬°√√¡∫”∫—¥ Ù ‡™◊ËÕ¡—Ëπ√âÕ¬≈– ˘ı ‡ªìπ .Ùı-ˆ.˘˘ ‡∑à“ √–¥—∫π—¬ ”§—≠‡∑à“°—∫ ¢—ÈπµÕπ„πºŸâªÉ«¬‚√§À¡Õπ√Õß°√–¥Ÿ°‡ ◊ËÕ¡ ‡ªìπ°“√»÷°…“ .Û˘ ·≈–∑’Ë ¯ —ª¥“ÀåºŸâªÉ«¬∑’ËªØ‘∫—µ‘µ—«§√∫∑—Èß Ù ¢—ÈπµÕπ ·∫∫‰ª¢â“ßÀπâ“‡ªìπ√–¬–‡«≈“ ¯ —ª¥“Àå „πºŸâªÉ«¬‚√§À¡Õπ ¡’Õ“°“√· ¥ß¥’¢÷Èπ Ò.¯¯ ‡∑à“ ™à«ß§«“¡‡™◊ËÕ¡—Ëπ√âÕ¬≈– ˘ı ‡ªìπ √Õß°√–¥Ÿ°‡ ◊ËÕ¡∑’Ë¡“µ√«®∑’Ë·ºπ°Õ“¬ÿ√»“ µ√å √.æ.√“™«‘∂’µ—Èß .ı-˜.ÚÛ ‡∑à“ √–¥—∫π—¬ ”§—≠‡∑à“°—∫ .Û˜ Õ“® √ÿª‰¥â«à“ ·µà«—π∑’Ë Ò ¡°√“§¡ æ.». ÚıÙˆ - ÛÒ ∏—π«“§¡ æ.». ÚıÙ¯ °“√√—°…“¥â«¬«‘∏’°“¬°√√¡∫”∫—¥ “¡“√∂∑”„ÀâÕ“°“√¢ÕßºŸâ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ÒÒı

ªÉ«¬‚√§À¡Õπ√Õß°√–¥Ÿ°‡ ◊ËÕ¡™π‘¥ Õ“°“√ª«¥§Õ ª«¥À≈—ß ·≈â«æ‘…®“°‡ÀÁ¥Õ“®°àÕ„Àâ‡°‘¥Õ—πµ√“¬µàÕ√à“ß°“¬®π∂÷ß∑”„Àâ Õ“°“√·¢π¢“ÕàÕπ·√ß Õ“°“√ª«¥‡ ’¬«™“ À“¬‰¥â„π√–¬–‡«≈“ ‡ ’¬™’«‘µ‰¥â. ‡ÀÁ¥æ‘…¡’Õ¬Ÿà Û °≈ÿà¡¥â«¬°—π §◊Õ °≈ÿà¡∑’Ë Ò ¡’ Ù-¯ —ª¥“Àå·µà‰¡àæ∫°“√¥’¢÷Èπ¢Õß°“√µÕ∫ πÕßµàÕ°“√ æ‘…√ÿπ·√ß ‡¡◊ËÕ°‘π·≈â«∑”„Àâµ“¬‰¥â, °≈ÿà¡∑’Ë Ú ¡’æ‘…∑”„Àâ‡°‘¥ °√–µÿâπ«ß®√ª√– “∑„π°“√√—°…“¥—ß°≈à“«. Õ“°“√¡÷π‡¡“ ‡°‘¥¿“æÀ≈Õπ ¡’º≈µàÕ√–∫∫∑“ßª√– “∑ ·≈– °≈ÿà¡∑’Ë Û ‡ªìπæ‘…µàÕ√–∫∫∑“ß‡¥‘πÕ“À“√ ∑”„Àâ‡°‘¥§≈◊Ëπ‰ â ª√– ‘∑∏‘¿“æ¢Õß¢‘ß„π°“√ªÑÕß°—πÕ“°“√§≈◊Ëπ‰ âÕ“‡®’¬π Õ“‡®’¬π ‚¥¬‡ÀÁ¥æ‘… à«π„À≠à®–¡’ ’ «¬ ¡’°≈‘ËπÀÕ¡©ÿπ ¡’ À≈—ß°“√ºà“µ—¥‡ªî¥™àÕß∑âÕß∑“ßπ√’‡«™ «ß·À«π. ‡ÀÁ¥æ‘…∫“ß™π‘¥¡’æ‘…√ÿπ·√ßÕ“®· ¥ßÕ“°“√¿“¬„π µâÕßµ“ π—π∑‚°¡≈*, ‡¥àπ»—°¥‘Ï æß»å‚√®πå‡ºà“* √–¬–‡«≈“ ¯-ÒÚ ™—Ë«‚¡ßÀ≈—ß°‘π. ∫“ß™π‘¥∑”„Àâ‡°‘¥Õ“°“√ *¿“§«‘™“ Ÿµ‘»“ µ√åπ√’‡«™«‘∑¬“ §≥–·æ∑¬»“ µ√å ¡À“«‘∑¬“≈—¬∏√√¡»“ µ√å Õ“‡®’¬π ¡÷π‡¡“ „® —Ëπ ‡«’¬π»’√…– ÕàÕπ‡æ≈’¬À√◊ÕÕ“®∑âÕß√à«ß ®—ßÀ«—¥ª∑ÿ¡∏“π’ ¿“¬„π‡«≈“ Û-ˆ π“∑’ æ‘…¢Õß‡ÀÁ¥®–‡¢â“‰ª∑”≈“¬√–∫∫ ®¥À¡“¬‡Àµÿ∑“ß·æ∑¬åœ ÚıÙ˘;¯˘:ÒÛ-ˆ. ª√– “∑ µ—∫ ‰µ ·≈–√–∫∫ª√– “∑µ“. ”À√—∫°“√™à«¬‡À≈◊Õ °“√»÷°…“·∫∫ double blind randomized controlled ºŸâªÉ«¬®“°°“√°‘π‡ÀÁ¥æ‘…°àÕπ∑’Ë®–π” àß‚√ßæ¬“∫“≈ µâÕß∑”„Àâ trial ‡æ◊ËÕª√–‡¡‘πª√– ‘∑∏‘¿“æ¢Õß¢‘ß„π°“√ªÑÕß°—πÕ“°“√ ºŸâªÉ«¬Õ“‡®’¬π‡æ◊ËÕªÑÕß°—π‰¡à„Àâæ‘…·≈àπ‰ª Ÿà°√–· ‡≈◊Õ¥‰¥â §≈◊Ëπ‰ âÕ“‡®’¬πÀ≈—ß°“√ºà“µ—¥‡ªî¥™àÕß∑âÕß∑“ßπ√’‡«™„π™à«ß ·≈â«π”ºŸâªÉ«¬ àß‚√ßæ¬“∫“≈„°≈â∫â“π∑—π∑’ ‡æ◊ËÕ‡ªìπ°“√ªÑÕß°—π ‡¥◊Õπ¡’π“§¡ ÚıÙ¯-‡¡…“¬π ÚıÙ˘ „πºŸâªÉ«¬ ÒÚ √“¬ Õ“¬ÿ Õ—πµ√“¬∑’Ë®–‡°‘¥¢÷Èπ µâÕß‰¡à°‘π‡ÀÁ¥∑’Ëª√ÿß‰¡à ÿ° ·≈–‰¡à§«√ Ú-ˆ ªï ÿà¡·∫àß‡ªìπ Ú °≈ÿà¡ Ê ≈– ˆ √“¬; °≈ÿà¡ °‡°Á∫‡ÀÁ¥ÕàÕπ ‰¥â À√◊Õ¥Õ°µŸ¡¡“°‘π ‡π◊ËÕß®“°‡ÀÁ¥„π√–¬–π’È¬—ß‰¡à √—∫¬“¢‘ß Ú À≈Õ¥ (·§ª´Ÿ≈) (À≈Õ¥≈– .ı °√—¡) Ò ™—Ë«‚¡ß “¡“√∂·¬°‰¥â«à“‡ªìπ‡ÀÁ¥™π‘¥„¥ ·≈–°“√‡°Á∫‡ÀÁ¥ªÉ“¡“∫√‘‚¿§ °àÕπ°“√ºà“µ—¥ ·≈–°≈ÿà¡ ¢ ‰¥â√—∫¬“À≈Õ°. ª√–‡¡‘πº≈°“√ µâÕß√–¡—¥√–«—ß‡ªìπæ‘‡»… §«√‡≈◊Õ°∫√‘‚¿§‡©æ“–‡ÀÁ¥∑’Ë√Ÿâ®—° »÷°…“¥â«¬ visual analogue nausea score (VANS) ¢Õß ‡§¬π”¡“ª√ÿßÕ“À“√°‘π‡∑à“π—Èπ®÷ß®–ª≈Õ¥¿—¬∑’Ë ÿ¥. ®”π«π§√—Èß∑’ËÕ“‡®’¬π·≈–º≈¢â“ß‡§’¬ß Ú, ˆ, ÒÚ ·≈– ÚÙ ™—Ë«‚¡ßÀ≈—ßºà“µ—¥. º≈°“√»÷°…“· ¥ß«à“ºŸâªÉ«¬°≈ÿà¡¬“¢‘ß∑’Ë¡’ «‘∑¬“°“√√–∫“¥¢Õß°“√ «π≈â“ßæ‘…∑“ß≈”‰ â„À≠à„π Õ“°“√§≈◊Ëπ‰ âÕ“‡®’¬π¡’®”π«ππâÕ¬°«à“°≈ÿà¡§«∫§ÿ¡Õ¬à“ß¡’ ºŸâªÉ«¬»—≈¬°√√¡ π—¬ ”§—≠∑“ß ∂‘µ‘ (Ú˘ √“¬À√◊Õ√âÕ¬≈– Ù¯.Û ‡∑’¬∫°—∫ Ù π«≈æ√√≥ ‚æ∏‘ “√ °ÿ≈, ®ÿ¡æ≈ «‘≈“»√—»¡’, ‡ “«√ æ“≥‘™¬å √“¬À√◊Õ√âÕ¬≈– ˆˆ.˜) ·≈–®”π«π§√—Èß∑’ËÕ“‡®’¬ππâÕ¬°«à“ «‘ —¬, æ≈—∫æ≈÷ß µ—Èß °ÿ≈∑Õß, π‘≥—∞π—π∑å æ√¡‚ ¿“, ¿“≥ÿ«—≤πå Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘; ∑’Ë‡«≈“ Ú ·≈– ˆ ™—Ë«‚¡ßºŸâªÉ«¬∑’Ë‰¥â ‡≈‘» ‘∑∏‘™—¬ √—∫¬“¢‘ß¡’ VANS πâÕ¬°«à“°≈ÿà¡¬“À≈Õ°Õ¬à“ß¡’π—¬ ”§—≠∑“ß ¿“§«‘™“»—≈¬»“ µ√å §≥–·æ∑¬»“ µ√ å ‚√ßæ¬“∫“≈√“¡“∏‘∫¥’ °∑¡. ÒÙ ∂‘µ‘ ·µà∑’Ë‡«≈“ ÒÚ ·≈– ÚÙ ™—Ë«‚¡ß‰¡à·µ°µà“ß°—π‚¥¬π—¬ ®¥À¡“¬‡Àµÿ∑“ß·æ∑¬åœ Úıı;˘:ÚÛÒ-ı. ”§—≠∑“ß ∂‘µ‘. √ÿª«à“¢‘ß¡’ª√– ‘∑∏‘¿“æ„π°“√ªÑÕß°—πÕ“°“√ °“√≈â“ßæ‘…∑“ß≈”‰ â„À≠à‡ªìπ°“√·æ∑¬å∑“ß‡≈◊Õ°∑’Ë‰¥â√—∫ §≈◊Ëπ‰ âÀ≈—ß°“√ºà“µ—¥‡ªî¥™àÕß∑âÕß∑“ßπ√’‡«™. §«“¡ π„®„πªí®®ÿ∫—π. °“√»÷°…“π’È‡æ◊ËÕÀ“¢âÕ¡Ÿ≈∑“ß«‘∑¬“°“√ √–∫“¥¢Õßæƒµ‘°√√¡π’È„πºŸâªÉ«¬πÕ° ·ºπ°»—≈¬°√√¡ ‚¥¬ ∫∑‡√’¬π®“°°“√°‘π‡ÀÁ¥æ‘…„πª√–‡∑»‰∑¬ „™â·∫∫ Õ∫∂“¡¢âÕ¡Ÿ≈‡°’Ë¬«°—∫°“√ «π≈â“ßæ‘…∑“ß≈”‰ â„À≠à ª√– “∑ ‚Àµ√¿«“ππ∑å ‰¥â·°à «‘∏’°“√, ·À≈àß∑’Ë„™â, ·À≈àß¢âÕ¡Ÿ≈∑’ËºŸâªÉ«¬‰¥â√—∫, ªí®®—¬∑’Ë °√¡°“√·æ∑¬å °√–∑√«ß “∏“√≥ ÿ¢ ¡’º≈µàÕ°“√µ—¥ ‘π„®„π°“√ªØ‘∫—µ‘, ·≈–º≈¢Õß°“√ªØ‘∫—µ‘. «“√ “√°√¡°“√·æ∑¬å ÚıÙ˘;ÛÒ:˜¯-¯. ºŸâªÉ«¬∑’ËµÕ∫·∫∫ Õ∫∂“¡¡’∑—ÈßÀ¡¥ Ò,˘Û˘ §π Õÿ∫—µ‘°“√ „π™à«ßƒ¥ŸΩπ ®–¡’‡ÀÁ¥ªÉ“‡ªìπ®”π«π¡“° ª√–™“™π °“√ «π≈â“ßæ‘…∑“ß≈”‰ â„À≠à‡∑à“°—∫√âÕ¬≈– Ù.˜ ·∫àß¢âÕ¡Ÿ≈ π‘¬¡‡°Á∫¡“√—∫ª√–∑“π‡ªìπÕ“À“√‚¥¬¢“¥§«“¡√–¡—¥√–«—ß ‡ªìπ°≈ÿà¡∑’Ë¡’‚√§∑“ß≈”‰ â„À≠à·≈–∑«“√Àπ—° ·≈–ºŸâªÉ«¬Õ◊Ëπ Ê. ∫“ß§√—ÈßÕ“®‡°Á∫‡Õ“‡ÀÁ¥∑’Ë¡’æ‘…ª–ªπ¡“¥â«¬ À“°∫√‘‚¿§‡¢â“‰ª ºŸâÀ≠‘ß√—∫°“√ «π≈â“ßæ‘…∑“ß≈”‰ â„À≠à√âÕ¬≈– ¯Û ·≈–ºŸâ™“¬ ÒÒˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

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§√—«‡√◊Õπ. «‘‡§√“–Àå¢âÕ¡≈‚¥¬„™â ∂‘µ‘°“√∑¥ Õ∫∑’,Ÿ ANOVA, º≈°“√»÷°…“‰¡à· ¥ß§«“¡·µ°µà“ß ”§—≠‚¥¬π—¬ ∂‘µ‘¢Õß Kruskal-Wallis test ·≈– Pearsonûs Product Moment Cor- §–·ππÕ“°“√§≈◊Ëπ‰ â√–À«à“ß°≈ÿà¡∑—Èß Õß, „π«—π∑’Ë Ò ·≈– Ú relation „π™à«ß‡¥◊Õπ∏—π«“§¡ ÚıÙ¯ ∂÷ß¡°√“§¡ ÚıÙ˘. °≈ÿà¡∑’Ë‰¥â√—∫¬“¢‘ß¡’°“√Õ“‡®’¬π∫àÕ¬°«à“°≈ÿà¡‰¥â√—∫¬“‰¥‡¡π °≈ÿà¡µ—«Õ¬à“ß à«π„À≠à (√âÕ¬≈– ıÒ.¯) ¡’§–·ππ Œ—¬¥√‘‡πµÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘ ·µà„π«—π∑’Ë Û - ˜ ¢Õß æƒµ‘°√√¡°“√∫√‘‚¿§º—°º≈‰¡â ¥∑’Ë∂Ÿ°µâÕß„π√–¥—∫µË” ¡’°“√ °“√√—°…“®”π«π§√—Èß¢Õß°“√Õ“‡®’¬π‰¡à·µ°µà“ß°—π∑—Èß Ú °≈ÿà¡. √—∫√Ÿâªí≠À“‡°’Ë¬«°—∫º—°º≈‰¡â ¥√–¥—∫¡“° (§à“‡©≈’Ë¬ = Û.¯) °≈ÿà¡∑’Ë‰¥â√—∫¬“¢‘ß¡’Õ“°“√ßà«ßπÕππâÕ¬°«à“°≈ÿà¡∑’Ë‰¥â√—∫¬“‰¥ ¡’§«“¡∂’Ë¢Õß°“√‰¥â√—∫¢âÕ¡Ÿ≈¢à“« “√‡°’Ë¬«°—∫º—°º≈‰¡â ¥ ‡¡πŒ—¬¥√‘‡πµÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘. √ÿª«à“¬“¢‘ß¡’ √–¥—∫ª“π°≈“ß (§à“‡©≈’Ë¬ = Ú.Ú), √âÕ¬≈– ¯ı.Ù ‡≈◊Õ° ª√– ‘∑∏‘¿“æ„π°“√√—°…“∫√√‡∑“Õ“°“√§≈◊Ëπ‰ âÕ“‡®’¬π„π µ√’ ∫√‘‚¿§º—°º≈‰¡âª≈Õ¥ “√æ‘…À√◊Õº—°æ◊Èπ∫â“π‡æ◊ËÕ ÿ¢¿“æ¢Õß ¡’§√√¿å‰¡à·µ°µà“ß®“°¬“‰¥‡¡πŒ—¬§√‘‡πµ ·µà¡’Õ“°“√º≈¢â“ß µπ‡Õß·≈– ¡“™‘°„π§√Õ∫§√—« ‚¥¬√âÕ¬≈– ˆÛ.Û ‡≈◊Õ° ‡§’¬ß¢Õß¬“πâÕ¬°«à“. ∫√‘‚¿§º—°æ◊Èπ∫â“πÀ√◊Õº—°ª≈Õ¥ “√æ‘…¡“°°«à“º—°º≈‰¡â ¥ „π∑âÕßµ≈“¥∑—Ë«‰ª. °≈ÿà¡∑’Ë‰¡à‰¥â√—∫°“√»÷°…“·≈–°≈ÿà¡ª√–∂¡ ª√– ‘∑∏‘º≈‡ª√’¬∫‡∑’¬∫√–À«à“ß°«“«‡§√◊Õ¢“«°—∫‡Õ ‚µ√ »÷°…“¡’§–·ππæƒµ‘°√√¡°“√∫√‘‚¿§º—°º≈‰¡â ¥µË”°«à“°≈ÿà¡ ‡®π¡â“ —ß¬ÿ§√à«¡À√◊Õ‰¡à√à«¡°—∫¡’¥√äÕ°´’¬å‚ª√‡® ‡∑Õ- Õ“™’«»÷°…“¢÷Èπ‰ªÕ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘ (§à“æ’ = .Ò). ‚√π·Õ»’‡∑µ„π°“√√—°…“Õ“°“√‡æ»∂¥∂Õ¬„π µ√’«—¬ §«“¡∂’Ë„π°“√‰¥â√—∫¢âÕ¡Ÿ≈¢à“« “√ ¡’§«“¡ —¡æ—π∏å∑“ß∫«°°—∫ °àÕπ·≈–À≈—ßÀ¡¥√–¥Ÿ æƒµ‘°√√¡°“√∫√‘‚¿§º—°º≈‰¡â ¥Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘ (r «’√–æ≈ ®—π∑√å¥’¬‘Ëß*, ¡“≈‘π’· ß∂«—≈¬å** = .ÛÛ, §à“æ’ < .). πÕ°®“°π’È ª√–™“™π„π‡¢µ‡∑»∫“≈ *§≥–·æ∑¬»“ µ√å ¡À“«‘∑¬“≈—¬ ß¢≈“π§√‘π∑√å, ·≈–**‚√ßæ¬“∫“≈»π¬åÀ“¥Ÿ ¬—ß¡’§–·ππ§«“¡‡™◊ËÕ (§à“æ’ = .Ò) ‡®µ§µ‘ (§à“æ’ = .Ú) „À≠ã, Õ”‡¿ÕÀ“¥„À≠à ®—ßÀ«—¥ ß¢≈“ §«“¡∂’Ë„π°“√‰¥â√—∫¢âÕ¡Ÿ≈¢à“« “√‡√◊ËÕßº—°º≈‰¡â ¥ (§à“æ’ < ®¥À¡“¬‡Àµÿ∑“ß·æ∑¬åœ Úıı;˘:Ò˜Ú-ˆ. .Ò) ·≈–æƒµ‘°√√¡°“√∫√‘‚¿§º—°º≈‰¡â ¥ (§à“æ’ = .Û) °“√»÷°…“ª√–‡¡‘π‡ª√’¬∫‡∑’¬∫√–À«à“ß°«“«‡§√◊Õ¢“«¢π“¥ ¡“°°«à“ª√–™“™ππÕ°‡¢µ‡∑»∫“≈Õ¬à“ß¡’π—¬ ”§—≠∑“ß ∂‘µ‘. «—π≈– ı ¡‘≈≈‘°√—¡°—∫‡Õ ‚µ√‡®π¡â“ —ß¬ÿ§ (conjugated equine estrogen) «—π≈– .ˆÚı ¡‘≈≈‘°√—¡ √à«¡À√◊Õ‰¡à√à«¡ °“√»÷°…“‡ª√’¬∫‡∑’¬∫¢‘ß°—∫¬“‰¥‡¡πŒ—¬¥√‘‡πµ„π°“√ °—∫¡’¥√äÕ°´’¬å‚ª√‡® ‡∑Õ‚√π·Õ»’‡∑µ (medroxyproges- √—°…“¿“«–§≈◊Ëπ‰ âÕ“‡®’¬π„π µ√’µ—Èß§√√¿å terone acetate) «—π≈– Ú.ı ¡‘≈≈‘°√—¡ „π°“√∫√√‡∑“Õ“°“√ ‡¥àπ»—°¥‘Ï æß»å‚√®πå‡ºà“*, ®√‘π∑√å∑‘æ¬å ¡ª√– ‘∑∏‘Ï*, Õ∏‘µ“ ‡æ»∂¥∂Õ¬ (climacteric symptoms) „π µ√’«—¬°àÕπ·≈– ®—π∑‡ π“ππ∑å* À≈—ßÀ¡¥√–¥Ÿ ˆ √“¬ ÿà¡·∫àß‡ªìπ°≈ÿà¡°«“«‡§√◊Õ Û √“¬ *¿“§«‘™“ µ‘»“ µ√åπ√’‡«™«‘∑¬“Ÿ §≥–·æ∑¬»“ µ√å ¡À“«‘∑¬“≈—¬∏√√¡»“ µ√å ·≈–°≈ÿà¡‡Õ ‚µ√‡®π Û √“¬. º≈°“√»÷°…“· ¥ß«à“À≈—ß°“√ ®—ßÀ«—¥ª∑ÿ¡∏“π’ √—°…“§à“‡©≈’Ë¬¢Õß mofified Greene climacteric scale ®¥À¡“¬‡Àµÿ∑“ß·æ∑¬å Úıı;˘:Ò˜Û-˘. (MGSC) „π°≈ÿà¡ ° ·≈– ¢ „π‡¥◊Õπ∑’Ë Ò, Û ·≈– ˆ ≈¥≈ß °“√»÷°…“·∫∫ double-blind randomized controlled µ“¡≈”¥—∫®“° Ú˘ /ÛÚ.Úˆ ‡ªìπ Ò˜.¯ˆ/ Ò¯.Ò; ÒÚ.ıˆ/ trial ‡æ◊ËÕ‡ª√’¬∫‡∑’¬∫ª√– ‘∑∏‘¿“æ√–À«à“ß¢‘ß°—∫¬“‰¥‡¡π ˘.ı˜ ·≈– ˘.˘/¯.Òˆ. §«“¡æ÷ßæÕ„®∑“ß‡«™°√√¡ª√–‡¡‘π®“° Œ—¬¥√‘‡πµ„π°“√∫√√‡∑“Õ“°“√§≈◊Ëπ‰ âÕ“‡®’¬π„π µ√’¡’§√√¿å MGSC ‰¡à¡’§«“¡·µ°µà“ß ”§—≠‚¥¬π—¬ ∂‘µ‘ (§à“æ’ .ı). ®”π«π Ò˜ √“¬ ·∫àß°≈ÿà¡·∫∫ ÿà¡‡ªìπ Ú °≈ÿà¡ Ê ≈– °“√„™âµ—«™’È«—¥ª√–°Õ∫„π‡≈◊Õ¥¯ı (‡Õ µ√“¥‘ÕÕ≈, ŒÕ√å‚¡π √“¬. °≈ÿà¡∑’Ë Ò ‰¥â√—∫¬“¢‘ß Ò À≈Õ¥ (.ı °√—¡) «—π≈– Ú §√—Èß °√–µÿâπøÕ≈≈‘‡§‘≈, ·≈–≈Ÿ∑’‰π´‘ß°åŒÕ√å‚¡π) ‰¡à¡’°“√‡ª≈’Ë¬π ·≈–°≈ÿà¡∑’Ë Ú ‰¥â√—∫¬“‰¥‡¡πŒ—¬¥√‘‡πµ Ò À≈Õ¥ (ı ¡°.) ·ª≈ß∑’Ë·µ°µà“ßÕ¬à“ß¡’π—¬ ”§—≠√–À«à“ß Ú °≈ÿà¡. ÿª«à“ √ «—π≈– Ú §√—Èß‡ªìπ‡«≈“ ˜ «—π, ª√–‡¡‘π‚¥¬ visual analogue °«“«‡§√◊Õ¢“«ª√–°Õ∫¥â«¬ŒÕ√å‚¡πæ◊™¡’°“√ÕÕ°ƒ∑∏‘Ï§≈â“¬ nausea score (VANS), ®”π«π§√—Èß∑’ËÕ“‡®’¬π ·≈–º≈¢â“ß‡§’¬ß. °—∫‡Õ ‚µ√‡®π (phytoestrogen) “¡“√∂≈¥À√◊Õ∫√√‡∑“ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ÒÒ˘

Õ“°“√‡æ»∂¥∂Õ¬„π«—¬°àÕπ·≈–À≈—ßÀ¡¥√–¥Ÿ. °≈«‘∏“π≈¥°“√· ¥ßÕÕ°¢ÕßÀπà«¬æ—π∏ÿ°√√¡ SIRT1.

“√ °—¥ Myristica fragrans Houtt °√–µÿâπ‡´≈≈å ƒ∑∏‘Ïµâ“πÕπÿ¡Ÿ≈Õ‘ √–¢Õß “√ °—¥‡¡≈Á¥¡–¢“¡¥â«¬ ‡®Õ√å·§µ„Àâ‡°‘¥Õ–æÕª‚∑ ‘ ‚¥¬≈¥°“√· ¥ßÕÕ° ‡¡∏“πÕ≈ ¢ÕßÀπà«¬æ—π∏ÿ°√√¡ SIRT1 ¬ÿ∑∏π“ ÿ¥‡®√‘≠ ®‘πµπ“ ®‘√∂“«√*, «‘ “µ√’ §ß‡®√‘≠ ÿπ∑√†, ∞‘µ‘æ√ ‡¥™¥«ß®—π∑√å†, §≥–‡∑§π‘§°“√·æ∑¬å ¡À“«‘∑¬“≈—¬√—ß ‘µ Õ≈‘ “ ‚≈à«≥‘™æ—≤πå‡, ¿—∑√‘¥“ ß«πÀ¡Ÿà‡, ¬ß ¿Ÿà«√«√√≥¤ «“√ “√ “∏“√≥ ÿ¢¡À“«‘∑¬“≈—¬∫Ÿ√æ“ Úıı;Ú:ÒÙˆ-¯. *¿“§«‘™“®ÿ≈™’««‘∑¬“ §≥–·æ∑¬»“ µ√å ®ÿÃ“≈ß°√≥å¡À“«‘∑¬“≈—¬,†¿“§«‘™“ °“√∑¥ Õ∫ƒ∑∏‘Ïµâ“πÕπÿ¡Ÿ≈Õ‘ √–¢Õß “√ °—¥‡¡∏“πÕ≈ ™’««‘∑¬“ ¡À“«‘∑¬“≈—¬∫Ÿ√æ“, ‡∫—≥±‘µ«‘∑¬“≈—¬ ®ÿÃ“≈ß°√≥å¡À“«‘∑¬“≈—¬, ®“°‡¡≈Á¥¡–¢“¡ „π°“√≈¥Õπÿ¡Ÿ≈Õ‘ √–™π‘¥ DPPH ·≈– Lipid ¤¿“§«‘™“°ÿ¡“√‡«™»“ µ√å §≥–·æ∑¬»“ µ√å ®ÿÃ“≈ß°√≥å¡À“«‘∑¬“≈—¬ peroxide æ∫«à“¡’ƒ∑∏‘Ï ¥—ßπ—Èπƒ∑∏‘Ïµâ“πÕπÿ¡Ÿ≈Õ‘ √–¢Õß “√ ®¥À¡“¬‡Àµÿ∑“ß·æ∑¬åœ Úıı;˘:ÚÙÚÚ-¯. °—¥‡¡∏“πÕ≈®“°‡¡≈Á¥¡–¢“¡Õ“®¡’ª√–‚¬™πåµàÕ ÿ¢¿“æ‰¥â. ≈Ÿ°®—π∑πå‡∑» [Myristica fragrans Houtt (nutmeg)] ‡ªìπæ◊™ ¡ÿπ‰æ√∑’Ë¡’√“¬ß“π«à“ “√ °—¥¡’ƒ∑∏‘Ïµâ“π·∫§∑’‡√’¬ »‘≈ª°√√¡∫”∫—¥‡¥Á°‡À¬◊ËÕπÈ”À≈“° ¥‘π∂≈à¡∑’ËÕ”‡¿Õ≈—∫·≈ ·≈–‰«√— ·≈–∑”≈“¬‡´≈≈å¡–‡√Áß ·µà°≈«‘∏“π°“√ÕÕ°ƒ∑∏‘Ï¬—ß ®—ßÀ«—¥Õÿµ√¥‘µ∂å ‰¡à‡ªìπ∑’Ë∑√“∫™—¥. °“√»÷°…“‡æ◊ËÕ¥Ÿº≈¢Õß “√ °—¥≈Ÿ°®—π∑πå ‡≈‘»»‘√‘√å ∫«√°‘µµ‘ ‡∑»µàÕ°“√‡æ‘Ë¡®”π«π‡´≈≈å¡–‡√Áß™π‘¥‡®Õ√å·§µ¥â«¬«‘∏’ MTT §≥–»‘≈ª°√√¡»“ µ√å ¡À“«‘∑¬“≈—¬∫Ÿ√æ“ assay »÷°…“°“√‡°‘¥·ÕæÕª‚∑ ‘ ‚¥¬¬âÕ¡‡´≈≈å¥â«¬ “√ «“√ “√«‘®—¬√–∫∫ “∏“√≥ ÿ¢ Úıı;Ò:ÛÒ˘-ÛÚ. ·Õπ‡π°´‘π «’ ·≈–¥Ÿ°“√· ¥ßÕÕ°¢ÕßÀπà«¬æ—π∏ÿ°√√¡ SIRT »‘≈ª°√√¡∫”∫—¥‡ªìπ»“ µ√å·¢πßÀπ÷Ëß∑’Ë∂°π”¡“„™â‡ªìπ«‘∏’Ÿ 1 ¥â«¬«‘∏’ RT-PCR æ∫«à“ “√ °—¥≈°®—π∑πå‡∑»‡¢â¡¢âπŸ Ù ·≈– ∫”∫—¥¿“«–º‘¥ª√°µ‘∑“ß®‘µ„®„π√Ÿª·∫∫µà“ß Ê ‚¥¬‡©æ“– Ò ‰¡‚§√°√—¡/¡‘≈≈‘≈‘µ√ ¬—∫¬—Èß°“√‡æ‘Ë¡®”π«π‡´≈≈å‡®Õ√å·§µ ª√–‡¿∑∑’Ë‡°‘¥®“°‰¥â√—∫°“√∑”√â“¬®‘µ„®. §≥–ºŸâ«‘®—¬π’È‰¥âπ” ‚¥¬°“√°√–µÿâπ„Àâ‡°‘¥·ÕæÕª‚∑ ‘ . ‡¡◊ËÕ«—¥¥â«¬«‘∏’°“√¬âÕ¡¥â«¬ «‘∏’°“√‰ªª√–¬ÿ°µå„™â„π‡¥Á°ºŸâªÉ«¬∑’Ë‰¥â√—∫º≈°√–∑∫∑“ß®‘µ„® ·Õπ‡π°´‘π«’ æ∫«à“ “√ °—¥„πª√‘¡“≥‡æ’¬ß Ò ‰¡‚§√°√—¡/ ®“°¿—¬∏√√¡™“µ‘ ¯ √“¬ æ∫«à“‰¥âº≈ ˜ √“¬ (√âÕ¬≈– ¯˜.ı) ¡‘≈≈‘≈‘µ√ “¡“√∂≈¥°“√· ¥ßÕÕ°¢ÕßÀπà«¬æ—π∏°√√¡ÿ SIRT ®÷ß √ÿª«à“»‘≈ª°√√¡∫”∫—¥‡ªìπ«‘∏’∑“ß‡≈◊Õ°∑’Ë„™â‰¥âº≈„πºŸâªÉ«¬ 1 ‰¥â ·≈–°≈«‘∏“πÀπ÷Ëß„π°“√°√–µÿâπ·ÕæÕª‚∑ ‘ ‡°‘¥®“°°“√ „π√–¬–‡√‘Ë¡·√°∑’ËÕ“°“√¬—ß‰¡à√ÿπ·√ß∂÷ß√–¥—∫∑’ËµâÕß‰¥â√—∫°“√ ≈¥°“√· ¥ßÕÕ°¢ÕßÀπà«¬æ—π∏°√√¡ÿ SIRT 1. √ª«à“ “√ÿ °—¥ √—°…“∑“ß®‘µ‡«™. ≈Ÿ°®—π∑πå‡∑»°√–µÿâπ„Àâ‡´≈≈å‡®Õ√å·§µµ“¬‚¥¬·ÕæÕª‚∑ ‘ ‚¥¬ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ°ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol.ªï∑’Ë 6 ˆ©∫ No.—∫∑’Ë 1 ÒJanuary-April¡°√“§¡-‡¡…“¬π 2008ÚııÒ

®¥À¡“¬∂÷ß∫√√≥“∏‘°“√ Traditional Chinese Medicine

‡√’¬π ∫√√≥“∏‘°“√«“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å ∑“ß‡≈◊Õ° º¡¢Õ¢Õ∫§ÿ≥Õ“®“√¬å ¡™—¬∑’Ë°√ÿ≥“¡Õ∫«“√ “√°“√ ·≈â« ¡’‚Õ°“ ‰¥â —¡º— ‡Õ° “√«‘™“°“√®“°ª√–‡∑»®’π‡ªìπ ·æ∑¬å·ºπ‰∑¬œ „Àâº¡¡’‚Õ°“ ª√–®”. º¡¢Õ‡√’¬π«à“‡∑à“∑’Ë ‰¥âÕà“π‡æ‘Ë¡æŸπ§«“¡√Ÿâ·≈–√—∫ ∑√“∫«“√ “√°“√·æ∑¬å·ºπ®’π ∑√“∫°‘®°√√¡°“√·æ∑¬å·¢πß ∑ÿ°©∫—∫„™â™◊ËÕ¿“…“Õ—ß°ƒ…«à“ π’È„πª√–‡∑»‰∑¬. „π«“√ “√ Journal of Traditional Chi- ©∫—∫‡¥◊Õπ°—π¬“¬π-∏—π«“§¡ nese Medicine ·≈– ¡“§¡ Úıı Àπâ“ Ûı ¡’®¥À¡“¬ ·≈–Õß§å°√µà“ß Ê °Á„™â Tradi- ∂÷ß∫√√≥“∏‘°“√‡√◊ËÕß Thai Tra- tional Chinese Medicine ditional Medicine (À√◊Õ Tra- ‡™àπ°—π (°√ÿ≥“ ¥Ÿ¿“æÀπâ“ª° ditional Thai Medicine). «“√ “√ª√–°Õ∫). À“°Õ“®“√¬å º¡¢ÕÕπÿ≠“µÕÕ°§«“¡‡ÀÁπ µâÕß°“√ª°«“√ “√®“°Õß§å°√ —ÈπÊ «à“‡√◊ËÕßπ’ÈµâÕß¡Õß√Ÿª Õ◊Ëπ ™à«¬·®âß¥â«¬ º¡®–®—¥ àß »—æ∑å„π§«“¡À¡“¬∑’Ë‡ªìπ®√‘ß ¡“„Àâ. Õ¬à“·ª≈‰∑¬‡ªìπÕ—ß°ƒ… À√◊Õ ¿“ °‘® «—≥π“«‘∫Ÿ≈ ·ª≈Õ—ß°ƒ…‡ªìπ‰∑¬. º¡„π æ∫. (‡°’¬√µ‘π‘¬¡), ∫¿.æ®. (·æ∑¬å ∞“π–Õÿªπ“¬°·≈–‡≈¢“∏‘°“√ ·ºπ®’π) ¡“§¡·æ∑¬å®’π„πª√–‡∑»‰∑¬ “¡À≈«ß À§≈‘π‘° ®—ßÀ«—¥ ·≈–∑”‡«™ªØ‘∫—µ‘„π “¢“°“√ ππ∑∫ÿ√’ ·æ∑¬å·ºπ®’π‡ªìπÀ≈—°¡“π“π «—π∑’Ë Ò °¡¿“æ—π∏åÿ ÚııÒ

®“°∫√√≥“∏‘°“√... Õπ‚¡∑π“°—∫§«“¡ ”‡√Á®¢Õß§ÿ ≥À¡Õÿ ·≈–¢Õ∫§≥ ”Àÿ √—∫ ®¥À¡“¬∂÷ß∫√√≥“∏‘°“√ ´÷Ëß‡ªìπÀ≈—°∞“π∑’Ë‡ªìπª√–‚¬™πå.

ÒÚ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine Journal of Thaiªï∑’Ë Traditional ˆ ©∫—∫∑’Ë Ò& ¡°√“§¡-‡¡…“¬πAlternative Medicine ÚııÒ Vol. 6 Vol. No. 6 1 No. January-April 1 January-April 20082008

®¥À¡“¬∂÷ß∫√√≥“∏‘°“√ æ®π“πÿ°√¡ À√◊Õ “√“πÿ°√¡

‡√’¬π∫√√≥“∏‘°“√«“√ “√°“√·æ∑¬å·ºπ‰∑¬œ º¡‰¥âÕà“πæ®π“π°√¡»—æ∑å·æ∑¬å·≈–‡¿ —™°√√¡·ºπ‰∑¬ÿ ∑’Ëæ‘¡æå„π«“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ·≈â« √Ÿâ ÷°«à“°“√∫√√¬“¬»—æ∑å°√–‡¥’¬¥‰ª∑“ß “√“πÿ°√¡¡“°°«à“æ®π“πÿ°√¡ ‡æ√“–„Àâ¢âÕ¡Ÿ≈¡“°‡°‘π‰ª. º¡¢ÕÕπÿ≠“µπ”π‘¬“¡§” æ®π“πÿ°√¡·≈– “√“πÿ°√¡¡“ª√–°Õ∫§«“¡§‘¥‡ÀÁπ¥—ßπ’È. æ®π“πÿ°√¡Ò° π. Àπ—ß ◊Õ«à“¥â«¬∂âÕ¬§”„π¿“…“„¥¿“…“Àπ÷Ëß ‡√’¬ßµ“¡≈”¥—∫µ—«Õ—°…√ ‚¥¬∑—Ë«Ê‰ª®–∫Õ°§«“¡À¡“¬ ·≈–∑’Ë¡“¢Õß§”µâπ¥â«¬. (Õ. dictionary). “√“πÿ°√¡Ò¢ π. Àπ—ß ◊Õ∑’Ë√«∫√«¡§«“¡√Ÿâ∑ÿ°·¢πßÀ√◊Õ‡©æ“–·¢πß„¥·¢πßÀπ÷Ëß ¡—°‡√’¬ßµ“¡≈”¥—∫Õ—°…√. (Õ. encyclopaedia). ‚¥¬§«“¡‡ÀÁπ·≈–ª√– ∫°“√≥å¢Õßº¡ æ®π“πÿ°√¡§«√ª√–°Õ∫¥â«¬§”»—æ∑åæ√âÕ¡π‘¬“¡ —Èπ Ê ‡√’¬ßµ“¡≈”¥—∫Õ—°…√ à«π “√“πÿ°√¡®–„Àâ§«“¡À¡“¬¢Õß§”»—æ∑å·≈– “√–√“¬≈–‡Õ’¬¥µà“ß Ê ∑’Ë‡°’Ë¬«°—∫§”»—æ∑åπ—Èπ. dictionaryÚ° n. a book of alphabetically listed words in a language, with definitions, etymologies, pronunciations, and other information. encyclopediaÚ¢ n. a book or set of books giving information on all branches of knowledge, generally in articles alphabetically arranged.

¬°µ—«Õ¬à“ß: ‚√§À◊¥ „πæ®π“πÿ°√¡®–°≈à“«‡æ’¬ß«à“‡ªìπ‚√§À≈Õ¥≈¡Õ—°‡ ∫‡√◊ÈÕ√—ß™π‘¥Àπ÷Ëß ¡—°‡°’Ë¬«‡π◊ËÕß°—∫°√√¡æ—π∏ÿå; „π “√“π°√¡®–∫√√¬“¬‡æ‘Ë¡®“°∑’Ë°≈à“«„πæ®π“πÿ °√¡ÿ ¢¬“¬§«“¡‡√◊ËÕßæ—π∏°√√¡,ÿ °≈«‘∏“π°“√‡°‘¥‚√§æ√âÕ¡ “√°àÕ‚√§, æ¬“∏‘ ¿“æ, «‘∑¬“°“√√–∫“¥, ≈—°…≥–‡«™°√√¡, °“√ªÑÕß°—π·≈–°“√√—°…“Õ¬à“ß≈–‡Õ’¬¥; ¡’‡Õ° “√Õâ“ßÕ‘ßÀ√◊Õ∫√√≥“πÿ°√¡æÕ ¡§«√.

‡Õ° “√Õâ“ßÕ‘ß Ò. æ®π“πÿ°√¡©∫—∫√“™∫—≥±‘µ¬ ∂“π æ.». ÚıÙÚ. æ‘¡æå§√—Èß∑’Ë Ò. °√ÿß‡∑æœ : π“π¡’∫ÿä§ åæ—∫≈‘‡§™—Ëπ å; ÚıÙˆ. Àπâ“ ˜ıÛ(°), ÒÒ¯Ù(¢). Ú. Websterûs New World Dictionary of the American Language, College Edition. Cleveland: The World Publishing Co.; 1958. p. 407(°), 478 (¢).

“‚√®πå «√√≥æƒ°…å °√√¡°“√®—¥∑”æ®π“πÿ°√¡»—æ∑å·æ∑¬å·≈–»—æ∑å ‘Ëß·«¥≈âÕ¡ √“™∫—≥±‘µ¬ ∂“π

ÒÚÒ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ°ªï∑’Ë ˆ ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ Vol. 6 No.ªï∑’Ëˆ©∫ 1 January-April—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π 2008 ÚııÒ

¿“§ºπ«° æ®π“πÿ°√¡»—æ∑å·æ∑¬å·≈–‡¿ —™°√√¡·ºπ‰∑¬ (Ù)

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°√¡æ≤π“°“√·æ∑¬— ·ºπ‰∑¬·≈–°“√·æ∑¬å ∑“ß‡≈å Õ°◊ ´ß‡ª÷Ë πÀπì «¬ß“π„π à ß°— ¥°√–∑√«ß “∏“√≥ — ¢ÿ ∑’Ë√—∫º¥™Õ∫„π°“√‘ ∂à“¬∑Õ¥Õß§å§«“¡√Ÿâ·≈–‡∑§‚π‚≈¬’¥â“π°“√·æ∑¬å·ºπ‰∑¬ „π√–∫∫∫√‘°“√ ÿ¢¿“æ ‰¥â√à«¡¡◊Õ°—∫ ”π—°«‘∑¬“»“ µ√å √“™∫—≥±‘µ¬ ∂“π ®—¥∑”æ®π“πÿ°√¡»—æ∑å·æ∑¬å·≈–‡¿ —™°√√¡·ºπ‰∑¬ ©∫—∫√“™∫—≥±‘µ¬ ∂“π¢÷Èπ ‚¥¬¡’‡ªÑ“À¡“¬∑’Ë ®—¥∑”æ®π“πÿ°√¡»—æ∑å·æ∑¬å·≈–‡¿ —™°√√¡·ºπ‰∑¬Õ¬à“ßπâÕ¬ Ò, §” ‡æ◊ËÕ„™â‡ªìπ‡Õ° “√Õâ“ßÕ‘ß. ∫∑§«“¡π’È®÷ßπ” »—æ∑®“°º≈°“√æå ®“√≥“¢Õß§≥–Õπ‘ °√√¡°“√∑ÿ ß—È Ú §≥–∑¬Õ¬¡“≈ßæ¡æ‘ „πå «“√ “√°“√·æ∑¬·ºπ‰∑¬·≈–°“√·æ∑¬å ∑“ßå ‡≈Õ°◊ ‡æÕ√◊Ë ∫ø— ß§«“¡§í ¥‡À‘ π¢ÕßºÁ Ÿâ∑’Ë‡°¬«¢’Ë Õß„π«â ™“™‘ æ·æ∑¬’ ·ºπ‰∑¬å ‡æÕπ”¢◊Ë Õ§â ¥‡À‘ π∑Á ·µ°µ’Ë “ß‡ πÕ§≥–Õπà °√√¡°“√ÿ „Àâæ‘®“√≥“ª√—∫ª√ÿßµàÕ‰ª.

»—æ∑å·æ∑¬å·ºπ‰∑¬‡√’¬ßµ“¡≈”¥—∫Õ—°…√ ∑â“¬∑Õ¬ π. à«π ÿ¥¢Õß°–‚À≈°»’√…–¥â“πÀ≈—ß. °√–À«—¥ °. Ò. µ«—¥, «—¥‡¢â“¡“‚¥¬‡√Á«, √—¥√÷ß Ú. ¬âÕπ π“¿’ π. Ò. –¥◊Õ. Ú. ∑âÕß. Û. ∫√‘‡«≥√Õ∫ –¥◊Õ (µ“¡À≈—° °”¥âπ π. ∑â“¬∑Õ¬, à«π∑’Ë§Õ°—∫»’√…–µàÕ°—π. «‘™“π«¥‰∑¬). ®—°√“»Ÿπ¬å, ®—°√“ Ÿ√¬å, ®—°√å∑√“ Ÿπ¬å °Á ®—°√å∑√“ Ÿπ¬å¥Ÿ„π π“¿’. ‡√’¬°. ®—°√“»Ÿπ¬å, ®—°√“ Ÿ√¬å ¥Ÿ„π π“¿’. »ÿ≠∑–°–≈“ π. ™◊ËÕ≈¡ª√–®”‡ âπªîß§≈“. ®—π∑°√–≈“ π. ™◊ËÕ≈¡ª√–®”‡ âπÕ‘∑“. Ÿ≠∑°≈“ π. ™◊ËÕ≈¡ª√–®”‡ âπªîß§≈“. ®—π∑°≈“ π. ™◊ËÕ≈¡ª√–®”‡ âπÕ‘∑“. Ÿ≠æ√–‡¡√ÿå ¥Ÿ Ÿπ¬åæ√–‡¡√ÿ. ®—π∑–°“≈“ π. ™◊ËÕ≈¡ª√–®”‡ âπÕ‘∑“. Ÿπ¬åæ√–‡¡√ÿ π. –¥◊Õ. ¥—ßµ”√“‚√§π‘∑“π§”©—π∑å ÒÒ [Ûı/ µ–§“° ¥Ÿ À—«µ–§“°. ˜¯] µÕπÀπ÷Ëß«à“ ç...‡ âπ ‘∫∑à“πæ√√≥“ „π§√√¿“‡ªπ

*§≥–Õπÿ°√√¡°“√∑’Ëª√÷°…“ ª√–∏“π: πæ.«‘™—¬ ‚™§«‘«—≤π, √Õßª√–∏“π √».¥√.™¬—πµå æ‘‡™’¬√ ÿπ∑√, Õπÿ°√√¡°“√ ».¥√.°”®√ ¡πÿ≠ªî®ÿ, ».¥√.°“≠®π“ π“§ °ÿ≈, ».¥√.°ƒ…≥“ ™ÿµ‘¡“, ».(æ‘‡»…) ™≈∏‘√“ —µ¬“«—≤π“, ».¥√.πæ.ª≥µ ¡‘§–‡ π, ».¥√.πæ. ¡™—¬ ∫«√°‘µµ‘, æ≠. ¡∫Ÿ√≥å ‡°’¬√µ‘π—π∑πå, π“ßπ—¬π“ «√“Õ—»«ªµ‘, πæ.ª√“‚¡∑¬å ‡ ∂’¬√√—µπå, ºŸâÕ”π«¬°“√°Õßª√–°Õ∫‚√§»‘≈ª–À√◊ÕºŸâ·∑π, π“¬ ÿæ®πå ·®âß‡√Á«, π“¬ª«‘µ «àÕß«’√–, π“¬ ¡∫—µ‘ æ≈“¬πâÕ¬, π“¬ªîòπ·°â« µ—ππ«≈, π“¬∫ÿ≠¡’ ∑Õß»√’, π“¬ª√–°Õ∫ Õÿ∫≈¢“«, π“¬¡π“«ÿ∏ ºÿ¥º“¥, π“¬¬ß¬ÿ∑∏ µ√’πÿ™°√, π“ß‡¬Áπ®‘µ√ ‡µ™–¥”√ß ‘π, Õπÿ°√√¡°“√·≈–‡≈¢“πÿ°“√¥√.Õ—≠™≈’ ®Ÿ±–æÿ∑∏‘, Õπÿ°√√¡°“√·≈–ºŸâ™à«¬‡≈¢“πÿ°“√ π“ß “« ¡∑√ß »°ÿπµπ“§, π“ß°—π∑‘¡“ ‘∑∏‘∏—≠°‘®. †§≥–Õπÿ°√√¡°“√®—¥∑”œ ª√–∏“π : πæ.«‘™—¬ ‚™§«‘«—≤π, √Õßª√–∏“π √».¥√.™¬—πµå æ‘‡™’¬√ ÿπ∑√, Õπÿ°√√¡°“√ ».¥√.æ‡¬“«å ‡À¡◊Õπ«ß…å≠“µ‘, æ≠. ¡∫Ÿ√≥å ‡°’¬√µ‘π—π∑πå, π“ßπ—¬π“ «√“Õ—»«ªµ‘, πæ. ª√“‚¡∑¬å ‡ ∂’¬√√—µπå, √.µ. À≠‘ß»‘√‘æß…å ·æ∑¬“ππ∑å, π“¬ ¡»—°¥‘Ï Àå≈’≈–‡¡’¬√, æ.∑. Õâ¡ · ßªí≠À“, π“¬«ÿ≤‘ «ÿ≤‘∏√√¡‡«™, π“¬ ÿ«—≤πå µ—Èß®‘µ√‡®√‘≠, ª√–∏“π°√√¡°“√«‘™“™’æ “¢“·æ∑¬å·ºπª√–¬ÿ°µåÀ√◊ÕºŸâ·∑π, π“ß°—≠®π“ ¥’«‘‡»…, π“ßæ√ ∑‘æ¬å ‡µ‘¡«‘‡»…, Õπÿ°√√¡°“√·≈–‡≈¢“πÿ°“√¥√.Õ—≠™≈’ ®Ÿ±–æÿ∑∏‘, Õπÿ°√√¡°“√·≈–ºŸâ™à«¬‡≈¢“πÿ°“√π“ß “« ¡∑√ß »°ÿπµπ“§, π“ß°—π∑‘¡“ ‘∑∏‘∏—≠°‘®, π“ß¡“≈“ √âÕ¬ ”‚√ß, π“ß “«®‘√—™¬“ ·°â« π∏¬“, π“ß “«∏π“∏‘ª ©‘¡·æ.

ÒÚÚ Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ÒÚÛ

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µâπ¢“¢«“ ·¢âß¢«“¥â“π„π ºà“πΩÉ“‡∑â“ ‚§ππ‘È«‡∑â“¢«“∑—Èß »’√…–·≈â«°≈—∫≈ß¡“ ‘Èπ ÿ¥∑’Ë®¡Ÿ°¥â“π¢«“ ¡’≈¡ª√–®” ı π‘È« ·≈â«°≈—∫¬âÕπ¢÷Èπ¡“µ“¡Àπâ“·¢âß¢«“ ¢÷Èπ‰ªπ¡ ‡ âπ™◊ËÕ Ÿ√¬å°“≈“, Ÿ≠∑°≈“, »ÿ≠∑–°“≈“ ¥—ß§—¡¿’√å ¢â“ß¢«“ ‰ª„µâ§“ß ≈Õ¥¢“°√√‰°√¢â“ß¢«“ ·≈â«‰ª ‘Èπ ÿ¥ ·ºππ«¥ [Ú/˘Û] µÕπÀπ÷Ëß«à“ ç...‡Õπ‡ âπÀπ÷Ëß™◊ËÕ«à“ ∑’Ëµ“¢â“ß¢«“. ¥—ß§—¡¿’√å·ºππ«¥ [Ú/˘Ù] µÕπÀπ÷Ëß«à“ ªîß§≈“π—Èπ·≈àπÕÕ°¡“·µàπ“¿’·≈â«≈ß‰ª‡Õ“µâπ¢“‡∫◊ÈÕß¢«“ ç...‡Õπ‡ âπÀπ÷Ëß™◊ËÕ«à“∑«“√’π—Èπ·≈àπÕÕ°¡“®“°π“¿’·≈â« ·≈â«‡°’Ë¬«°√–À«—¥‰ª‡Õ“ —πÀ≈—ß ·Ωß·π∫¢÷Èπ‰ªµ“¡ µ≈Õ¥≈ß‰ª‡Õ“‡∑â“¢«“·≈â«°≈—∫¢÷Èπ¡“µ“¡·§àßºà“π¢÷Èπ‰ª °√–¥Ÿ° —πÀ≈—ß‡∫◊ÈÕß¢«“ ·≈â«·≈àπ¢÷Èπ‰ª‡°’Ë¬«‡Õ“»’»– µ“¡π¡¢«“ ·≈àπ‡¢â“‰ª„µâ§“ß¢«“·≈â«·µ°ÕÕ°‡ªπ√“° ·≈â«≈ß¡“‡Õ“π“ ‘°¢«“Õ¬Ÿàª√–®”≈¡Õ—π™◊ËÕ«à“ Ÿ≠∑°≈“ ®—°¢ÿ¢«“·≈...é À√◊Õ„πµ”√“‚√§π‘∑“π§”©—π∑å ÒÒ [Ûı/ Õ¬Ÿà‡∫◊ÈÕß¢«“π—Èπ·≈...é À√◊Õ„πµ”√“‚√§π‘∑“π§”©—π∑å ÒÒ ˘Û] µÕπÀπ÷Ëß«à“ ç...Àπ÷Ëß‡ âπ∑–«“§–µ“ ∫“ßµ”√“°≈à“«æ‘ [Ûı/¯Û] µÕπÀπ÷Ëß«à“ ç...‡ âπªîß§–≈“‡∫◊ÈÕß¢«“‰ª ªîß§– ª≈“¬ ∑–«“√’°”Àπ¥À¡“¬ ∫“ß∏‘∫“¬∑–«“√–®—π∑√å ‡ âπ ≈“∑’¶“¬“« °≈à“«¥—ß‡ âπÕ‘∑“‰´â ®“°§√√¿“¢«“‰ª ·≈àπ π’È¡’π“¡ “¡ µ“¡ºŸâ·æ∑¬å‡§¬ ”§—≠ «‘∂’¥”‡π‘ππ—Èπ ‡ âπ ≈ß„πÀ—«‡Àπà“¢“ ‡≈’È¬«≈Õ¥µ≈Õ¥À≈—ß ÿ¥»√’ —ß≈ßπ“»“ ‡¥’¬«°—πÕ¬à“°—ß¢“ ·≈àπÕÕ°·µàπ“¿’ ¢â“ß¢«“π’È·≈àπ≈ß¡“ ª√–®”≈¡ Ÿ√¬å°“≈“ ´’°¢â“ß¢«“‡ªπ ”§—≠...é. µ“¡·π«·Ààß¢“¢«“ ŸàÀπâ“·¢âß®πΩÉ“∑â“« µ≈Õ¥π‘È«∑—ÈßÀâ“ ‡ âπ¿Ÿ ”æ«—ß ¥Ÿ ‡ âπ®—π∑–¿Ÿ —ß, ‡ âπ®—π∑¿Ÿ —ß. π‘È« æ≈‘È«°≈—∫¢÷Èπµ“¡·¢âß‡¢à“ Àπâ“¢“¢÷Èπ‰ª‡Õ“ ™“¬‚§√ß ‡ âπ√—µ§’π’ ¥Ÿ ‡ âπ ‘¢‘π’. ÿ¥®π‡µâ“π¡ ¢÷Èπ§“ß·≈àπµ≈Õ¥‡¢â“ ‡Õ“≈Ÿ°µ“‚¥¬π‘¬¡ ‡ âπ√“°®—°…ÿ ¥Ÿ ‡ âπ À—»√—ß ’, ‡ âπ À— √—ß…’, ‡ âπ À— √—ß…’. ‡ªπ√“°®—°…ÿ ¡ „Àâ°√Õ°°≈—∫À≈—∫≈◊¡·≈ ‡ªπ‡ âπ®—°…ÿ ‡ âπ√“°µ“¢«“ ¥Ÿ ‡ âπ∑«“√’, ‡ âπ∑–«“√’. ¢«“...é, ‡ âπ∑–«“§–µ“ ‡ âπ∑–«“√–®—π∑√å ‡ âπ√“°µ“¢«“ ‡ âπ√“°µ“´â“¬ ¥Ÿ ‡ âπ À—»√—ß ’, ‡ âπ À— √—ß…’, ‡ âπ À— √—ß…’. °Á‡√’¬°. ‡ âπ√ÿ™” π. ™◊ËÕ‡ âπª√–∏“π‡ âπÀπ÷Ëß„π‡ âπª√–∏“π ‘∫ ¡’∑“ß ‡ âπ∑–«“§–µ“ ¥Ÿ ‡ âπ∑«“√’, ‡ âπ∑–«“√’. ‡¥‘π‡√‘Ë¡®“°∫√‘‡«≥ –¥◊Õ ·≈àπ¢÷Èπ‰ª√“«π¡¢â“ß¢«“ ºà“π ‡ âπ∑–«“√–®—π∑√å ¥Ÿ ‡ âπ∑«“√’, ‡ âπ∑–«“√’. ‰ª∑’Ë§Õ §“ß ·≈–‰ª ‘Èπ ÿ¥∑’ËÀŸ¢â“ß¢«“ ¥—ß§”Õ∏‘∫“¬¿“æ ‡ âπ∑“√’ ¥Ÿ ‡ âπ°“≈∑“√’. ·ºππ«¥ [Ù/Û] µÕπÀπ÷Ëß«à“ ç...ı. √ÿ™” √“°‚ µ¢«“...é ‡ âππ—π∑°√–À«—¥ ¥Ÿ ‡ âπ ÿ¢ÿ¡—ß. À√◊Õ„π§—¡¿’√å·ºππ«¥ [Ú/˘Ù] µÕπÀπ÷Ëß«à“ ç...‡Õπ‡ âπ ‡ âπª√–∏“π Ò, ‡ âπª√–∏“π ‘∫ π. ·π«À≈—°„π°“√¢—∫ Àπ’Ëß™◊ËÕ«à“Õ≈—ß°π—ÈπÕÕ°¡“·µàπ“¿’¢â“ß¢«“¢÷Èπ‰ª√“«π¡¢«“ÿ ‡§≈◊ËÕπ∏“µÿ∑—Èß Ù „π√à“ß°“¬ Ò ·π« ∑ÿ°·π«¡’®ÿ¥‡√‘Ë¡ ·≈àπ‡¢â“‰ª„µâ§“ß·≈â«ÕÕ° ‡ªπ√“°ÀŸ¢«“·≈...é À√◊Õ„π µâπ∫√‘‡«≥√Õ∫ Ê –¥◊Õ ·≈â«·¬°°—π‰ªµ“¡ à«πµà“ß Ê µ”√“‚√§π‘∑“π§”©—π∑å ÒÒ [Ûı/˘ı] µÕπÀπ÷Ëß«à“ ç...Àπ÷Ëß ¢Õß√à“ß°“¬ ‰ª ‘Èπ ÿ¥∑’ËÕ«—¬«–µà“ß Ê ª√–°Õ∫¥â«¬ ‡ âπ ‚ µ‡ âπ™◊ËÕ ÿÿ¡Õÿ ¢ –¡“π“¡°√·∑â ÕÕ°®“°π“¿’·ºà ¢÷Èπ Õ‘∑“ ‡ âπªîß§≈“ ‡ âπ ÿ¡π“ ‡ âπ°“≈∑“√’ ‡ âπ À—»√—ß ’ ‰ª®—∫√“«π¡¢«“ ¢÷Èπ‰ª√“«•Õ§“ß «“ß‰ª‡Õ“ÀŸ¢«“π“ ‡ âπ∑«“√’ ‡ âπ®—π∑–¿Ÿ —ß ‡ âπ√ÿ™”( ÿµ—ß) ‡ âπ ÿ¢ÿ¡—ß ·≈–‡ªπ√“°‚ µª√– “∑Àπ“...é, ‡ âπ√ÿ∑—ß ‡ âπÕÿ≈≈—ß°– ‡ âπ ‡ âπ ‘¢‘π’ „πÀ≈—°«‘™“π«¥‰∑¬®—¥«à“‡ âπª√–∏“π ‘∫¡’ ÿ¢ÿ¡Õÿ –¡“ °Á‡√’¬°. §«“¡ ”§—≠¡“°°«à“‡ âπÕ◊Ëπ Ê „π√à“ß°“¬ ¥—ß§—¡¿’√å ‡ âπ√ÿ∑—ß ¥Ÿ ‡ âπ√ÿ™”. ·ºππ«¥ [Ú/˘Û] µÕπÀπ÷Ëß«à“ ç...·≈¡’‡Õπ Ò ‡ âπ‡ªπ ‡ âπ≈“«ÿ —ß ¥Ÿ ‡ âπ®—π∑–¿Ÿ —ß, ‡ âπ®—π∑¿Ÿ —ß. ª√–∏“π·°à‡Õπ∑—ÈßÀ≈“¬·≈..é. ‡ âπ ‘∫, ‡ âπª√–∏“π Ò, ‡ âπ À—»√—ß ’, ‡ âπ À— √—ß…’, ‡ âπ À— √—ß…’ [‡ âπ –À—¥ –√—ß ’] ‡ÕÁπ Ò ª√–°“√ °Á‡√’¬°. π. ™◊ËÕ‡ âπª√–∏“π‡ âπÀπ÷Ëß„π‡ âπª√–∏“π ‘∫ ¡’∑“ß‡¥‘π ‡ âπªîß§≈“, ‡ âπªîß§–≈“ π. ™◊ËÕ‡ âπª√–∏“π‡ âπÀπ÷Ëß„π‡ âπ ‡√‘Ë¡®“°∫√‘‡«≥ –¥◊Õ ·≈àπ≈ß‰ªµâπ¢“´â“¬ ·¢âß´â“¬¥â“π ª√–∏“π ‘∫ ¡’∑“ß‡¥‘π‡√‘Ë¡®“°∫√‘‡«≥ –¥◊Õ ·≈àπ≈ß‰ª „π ºà“πΩÉ“‡∑â“ ‚§ππ‘È«‡∑â“´â“¬∑—Èß ı π‘È« ·≈â«°≈—∫¬âÕπ ∫√‘‡«≥À—«Àπà“«·≈â«·≈àπ‰ªµ“¡µâπ¢“¢â“ß¢«“ ·≈â«‡≈’È¬« ¢÷Èπ¡“µ“¡Àπâ“·¢âß´â“¬ ¢÷Èπ‰ªÀ—«π¡´â“¬ ‰ª„µâ§“ß ≈Õ¥ ¢÷Èπ‰ª·π∫·π«°√–¥Ÿ° —πÀ≈—ß¥â“π¢«“ ·≈àπ¢÷Èπ‰ª∫π ¢“°√√‰°√¢â“ß´â“¬ ·≈â«‰ª ‘Èπ ÿ¥∑’Ëµ“¢â“ß´â“¬. ¥—ß§—¡¿’√å Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January-April 2008 ÒÚı

·ºππ«¥ [Ú/˘Ù] µÕπÀπ÷Ëß«à“ ç...‡Õπ‡ âπÀπ÷Ëß™◊ËÕ À—»√—ß ’ π—Èπ‰ª‡°’Ë¬«‡Õ“ª“°‡¿“–∑«“√§∏∑«“√¡Ÿ µ√π—Èπ·≈...éŸ À√◊Õ π—Èπ ·≈àπÕÕ°¡“·µàπ“¿’π—Èπ·≈â« °Á·≈àπ≈ß‰ªµ“¡µâπ£“ „πµ”√“‚√§π‘∑“π§”©—π∑å ÒÒ [Ûı/˘˜] µÕπÀπ÷Ëß«à“ ‰ªµ≈Õ¥‡∑â“∑—Èß Ú ¢â“ß´â“¬·≈â«°Á°≈—∫¬âÕπ¢÷Èπ¡“µ“¡ ç...Àπ÷Ëß‡ âπ°—ß¢ÿßπ—Èπ ·≈àπ®√®—≈®“°π“¿’ °√–À«—¥√Õ∫ ·§àß´â“¬·≈â«¢÷Èπ‰ª‡Õ“À—«π¡´â“¬·≈â«·≈àπ‡¢â“‰ª„µâ§“ß ∑«“π¡’ §Ÿµ¡—°§–æπ—°ß“π ...é, ‡ âππ—π∑°√–À«—¥ ‡ âπ°ÿ ·≈â«¢÷Èπ‰ª·µ°ÕÕ°‡ªπ√“°®—°…ÿ‡∫◊ÈÕß´â“¬·≈...é À√◊Õ„π ¢ÿß ‡ âπ°—ß¢ÿß °Á‡√’¬°. µ”√“‚√§π‘∑“π§”©—π∑å ÒÒ [Ûı/˘Û] µÕπÀπ÷Ëß«à“ ç...Àπ÷Ëß ‡ âπ ÿµ—ß ¥Ÿ ‡ âπ√ÿ™”. À— √—ß ’‡ÕÁπ Õ—π‡ âππ’È∑à“πæ‘ª√“¬ „πÕÿ∑√¢â“ß´â“¬À¡“¬ ‡ âπ ÿ¡π“ [ ÿ¡¡–π“, ÿ¡–π“] π. ™◊ËÕ‡ âπª√–∏“π‡ âπÀπ÷Ëß„π ·≈àπ≈ß‰ª‚¥¬µâπ¢“ µ≈Õ¥≈ßΩÉ“‡∑â“‡≈à“ ·≈àπºà“π‡Õ“π‘È« ‡ âπª√–∏“π ‘∫ ¡’∑“ß‡¥‘π‡√‘Ë¡®“°∫√‘‡«≥ –¥◊Õ ·≈â« ∫“∑“ µâππ‘È« ‘Èπ∑—ÈßÀâ“ ¬âÕπ¢÷Èπ¡“¢â“ß´â“¬æ≈—π µ≈Õ¥ ·≈àπµ√ß¢÷Èπ‰ª„π∑√«ßÕ° ¢—È«À—«„® ¢÷Èπ‰ªµ“¡≈”§Õ ‘Èπ ∑Õ¥‡µâ“π¡´â“¬ ·≈àπº—πº“¬£â“ß•Õπ—Èπ ≈Õ¥¢“°—π‰°≈ ÿ¥∑’Ë‚§π≈‘Èπ ¥—ß§—¡¿’√å·ºππ«¥ [Ú/˘Û] µÕπÀπ÷Ëß«à“ æ≈—π ÿ¥‡ âππ—Èπ‡ªπ√“°µ“ ∫—ß§—∫„Àâ°≈—∫°√Õ° À≈—∫ ç...‡Õπ‡ âπÀπ÷Ëß™◊ËÕ«à“ ÿ¡π“π—Èπ·≈àπ¡“·µàπ“¿’·≈â« °Á ≈◊¡ÕÕ°‡ªπ∏√√¡¥“ ª√–®”µ“¢â“ß´â“¬Àπ“...é, ‡ âπÀ— √—ß ’ ‡¢â“‰ª„πæ“¬„πÕ°µ“¡≈”•Õ¢÷Èπ‰ª‡ªπ≈‘Èπ·≈...é À√◊Õ„π ‡ âπ√“°µ“´â“¬ ‡ âπ√“°®—°…ÿ °Á‡√’¬°. µ”√“‚√§π‘∑“π§”©—π∑å ÒÒ [Ûı/¯Ù] µÕπÀπ÷Ëß«à“ ç... ¡–ÿ ‡ âπ —ß§‘π’ ¥Ÿ ‡ âπ ‘¢‘π’. π“æ≈—π ∑’ËÕ¬Ÿà ÿ¡–π“π—Èπ µ√ß°≈“ß Ÿ≠π–π“¿’ ‡≈àπ‡≈¬ ‡ âπ —¡ª– “‚ ¥Ÿ ‡ âπ®—π∑–¿Ÿ —ß, ‡ âπ®—π∑¿Ÿ —ß. µ√ß¢÷Èπ‰ª ¢—È«À—«„®Õÿ√–π’È ·π∫•ÕÀÕ¬«‘∂’ µ≈Õ¥≈‘Èπ ‘Èπ ‡ âπ ‘°¢‘≥’, ‡ âπ ‘°¢‘π’ ¥Ÿ ‡ âπ ‘¢‘π’. ∑ÿ°‡ âπ...é, ‡ âπ ÿ ÿ¡π“ °Á‡√’¬°. ‡ âπ ‘¢‘π’ π. ™◊ËÕ‡ âπª√–∏“π‡ âπÀπ÷Ëß„π‡ âπª√–∏“π ‘∫ ¡’∑“ß ‡ âπ ÿ¡–π“ ¥Ÿ ‡ âπ ÿ¡π“. ‡¥‘π‡√‘Ë¡®“°„µâ –¥◊Õ ·≈àπ≈ß‰ª∑’ËÀ—«Àπà“« ∑«“√‡∫“ ‡ âπ ÿ ÿ¡π“ ¥Ÿ ‡ âπ ÿ¡π“, ‡ âπ ÿ¡–π“. ·≈– ‘Èπ ÿ¥∑’ËÕ«—¬«–‡æ» ¥—ß§”Õ∏‘∫“¬¿“æ·ºππ«¥ [Ù/ ‡ âπÀ— √—ß ’ ¥Ÿ ‡ âπ À—»√—ß ’, ‡ âπ À— √—ß…’, ‡ âπ À— √—ß…’. Û] µÕπÀπ÷Ëß«à“ ç...ˆ. ‘¢‘π’ ∑«“√‡∫“...é À√◊Õ„π§—¡¿’√å ‡ âπÕ‘∑“ π. ™◊ËÕ‡ âπª√–∏“π‡ âπÀπ÷Ëß„π‡ âπª√–∏“π ‘∫ ¡’∑“ß ·ºππ«¥ [Ú/˘Ù] µÕπÀπ÷Ëß«à“ ç...‡Õπ‡ âπÀπ÷Ëß™◊ËÕ«à“§‘™π—Èπ ‡¥‘π‡√‘Ë¡®“°∫√‘‡«≥ –¥◊Õ·≈àπ≈ß‰ª∫√‘‡«≥À—«Àπà“« ÕÕ°·µàπ“¿’·≈àπ‰ª‡Õ“À—«‡Àπà“≈ß‰ª≈”≈÷ßπ—Èπ·≈...é ·≈– ·≈â«·≈àπ‰ªµ“¡µâπ¢“¢â“ß´â“¬®π∂÷ßÀ—«‡¢à“ ·≈â«‡≈’È¬«¢÷Èπ ç...‡Õπ™◊ËÕ ‘°¢‘π’ ·≈àπ·µàπ“¿’ÕÕ°‰ª‡∫◊ÈÕßÕß§™“µ·≈...é ‰ª·π∫·π«°√–¥Ÿ° —πÀ≈—ß¥â“π´â“¬ ·≈àπ¢÷Èπ∫π»’√…– À√◊Õ„πµ”√“‚√§π‘∑“π§”©—π∑å ÒÒ [Ûı/˘ˆ] µÕπÀπ÷Ëß«à“ ·≈â«°≈—∫≈ß¡“ ‘Èπ ÿ¥∑’Ë®¡Ÿ°¥â“π´â“¬ ¡’≈¡ª√–®”‡ âπ™◊ËÕ ç...Àπ÷Ëß‡ âπÕ—π™◊ËÕ«à“ √—µ§’π’Àπ“π“¡æ‘ª√“¬ —ß§‘π’°Á ®—π∑°√–≈“ ®—π∑°≈“ À√◊Õ®—π∑–°“≈“ ¥—ß§—¡¿’√å·ºππ«¥ ∫√√¬“¬ ‡ âπ‡¥’¬«À¡“¬¡’ Õßπ“¡ ‡ âππ’È·≈àπÕÕ°¡“ [Ú/˘Û] µÕπÀπ÷Ëß«à“ ç...‡Õπ‡ âπÀπ÷Ëß™◊ËÕ«à“Õ‘∑“π—Èπ ·≈àπ ·µàπ“¿’„µâ ≠ß“¡Ÿ µ≈Õ¥µ√ß‰¡à‡¢Á¥¢“¡ ‡ªπ≈÷ß§–™“µ‘¡ÿµ ÕÕ°¡“·µàπ“¿’·≈â«‰ª‡Õ“À—«‡Àπà“ ‰ª‡Õ“µâπ¢“‡∫◊ÈÕß´â“¬ ¡—°...é, ‡ âππ’È„πºâÀ≠‘ß‡√’¬°‡ âπ ‘¢‘π’Ÿ „πºâ™“¬‡√’¬°‡ âπ§‘™,Ÿ ·≈â«‰ª‡Õ“ —πÀ≈—ß ·π∫¢÷Èπ‰ªµ“¡°√–¥° —πÀ≈—ß´â“¬·≈â«Ÿ ‡ âπ ‘°¢‘π’ ‡ âπ ‘°¢‘≥’ ‡ âπ§‘™ ‡ âπ§‘™¨– ‡ âπ√—µ§’π’ ·≈àπºà“π°√–À«—¥¢÷Èπ‰ª∫π»’»–·≈â«°≈—∫≈ß¡“‡Õ“π“ ‘° ‡ âπ —ß§‘π’ °Á‡√’¬°. ´â“¬ Õ¬Ÿàª√–®”≈¡®¡Ÿ°Õ—π«à“®—π∑°≈“‡∫◊ÈÕß´â“¬π—Èπ·≈...é ‡ âπ ‘∫ ¥Ÿ‡ âπª√–∏“π Ò, ‡ âπª√–∏“π ‘∫. À√◊Õ„πµ”√“‚√§π‘∑“π§”©—π∑å ÒÒ [Ûı/˜˘] µÕπÀπ÷Ëß«à“ ‡ âπ ÿ¢ÿ¡Õÿ –¡“ ¥Ÿ ‡ âπ√ÿ™”. ç...‡°‘¥‡ªπ‡ âπÕ‘∑“ „Àâ»‘≈“πå°”‡√‘∫√“≠ ‡ âππ’È«‘∂’ºà“π ‡ âπ ÿ¢ÿ¡—ß π. ™◊ËÕ‡ âπª√–∏“π‡ âπÀπ÷Ëß„π‡ âπª√–∏“π ‘∫ ¡’∑“ß ·µàπ“¿’æ“¥À—«‡Àπà“ ·≈àπµ≈Õ¥≈ßµâπ¢“ ‡≈’È¬«µ≈Õ¥πà“ ‡¥‘π‡√‘Ë¡®“°∫√‘‡«≥ –¥◊Õ ·≈àπ‰ª ‘Èπ ÿ¥∑’Ë∑«“√Àπ—° ¥—ß —πÀ≈—ß°≈à“« ·π∫°√–¥Ÿ° —πÀ≈—ß√“« ºà“π¢÷Èπ‰ª®π ÿ¥ §”Õ∏‘∫“¬¿“æ·ºππ«¥ [Ù/Û] µÕπÀπ÷Ëß«à“ ç...ÒÛ. ÿ¢ÿ¡—ß ‡»’¬√ ·≈â«‡°’Ë¬«‡≈’È¬«µ≈∫≈ß π“»‘°µ√ß´â“¬®”‡π’¬√ √“°∑«“√Àπ—°...é À√◊Õ„π§—¡¿’√å·ºππ«¥ [Ú/˘Ù] µÕπ ª√–®”≈¡ ∂‘µ‡ ∂’¬√ ®—π∑–°“≈“∑ÿ°√“µ√’...é. Àπ÷Ëß«à“ ç...‡Õπ‡ âπÀπ÷Ëß™◊ËÕπ—π∑°√–À«—¥π—ÈπÕÕ°¡“·µàπ“¿’ ‡ âπÕÿ√—ß ¥Ÿ ‡ âπ®—π∑–¿Ÿ —ß, ‡ âπ®—π∑¿Ÿ —ß. ÒÚˆ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡-‡¡…“¬π ÚııÒ

‡ âπÕÿ≈≈—ß°– ¥Ÿ ‡ âπ√ÿ™”. §π√«∫(™“¬) ∑—Èß Ú ¢â“ß‡¢â“é ·≈–§—¡¿’√å‰¥â∫√√¬“¬≈—°…≥– ‡ âπ‡ÕÁπ ¥Ÿ‡ âπ. Õ«—¬«–π’È«à“ ç...¢â“ßπÕ°‡°≈’È¬ß¢â“ß„π‡ªìπ¥—ßºâ“´—∫√–¥Ÿ∑’Ë À—«µ–§“° π. ·ßà°√–¥Ÿ°‡™‘ß°√“π∑’ËÕ¬Ÿà„µâ∫—Èπ‡Õ«. µ–§“° ‡ªóôÕπ·≈â« ‡¢“ÀàÕ‡»…‡π◊ÈÕ‰«â ·¡âπ®–°≈à“««à“ ¢â“ß„πÕÿ∑√ °Á‡√’¬°. π—Èπ‡ªìπ¥—ß¢â“ß„π¢Õßº≈¢πÿπ≈–¡ÿ¥ ¥—ßπ’È°Á™Õ∫ ¡—π‡ªìπ Õÿ∑√ π. Ò. ∑âÕß Ú. „π§—¡¿’√å«‘ ÿ∑∏‘¡√√§·ª≈ ¿“§ Ú µÕπ Ò ∑’Ë∑’ËÀ¡ŸàÀπÕπ (µ—«æ¬“∏‘) Õ—π¡’·µ°µà“ß°—π∂÷ß ÛÚ [Û˘/ˆı] „Àâ§«“¡À¡“¬·µ°µà“ßÕÕ°‰ª«à“‡ªìπ çÕ«—¬«– µ√–°Ÿ≈...é. ∑’ËÀÿâ¡‰ â (ªÉÕß) §≈â“¬‚ªßºâ“∑’Ë‡°‘¥¢÷Èπµ√ß°≈“ßºâ“‡ªï¬°∑’Ë «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬åå å∑“ß‡≈åå ◊Õ°◊◊ Journal of Thai Traditional & Alternative Medicine Journal of Thai°√¡æ—≤π“°“√·æ∑¬å Traditional & Alternative·ºπ‰∑¬ ·≈–°“√·æ∑¬ Medicineå∑“ß‡≈◊Õ° Department of TraditionalVol. 6 and No. Alternative 1 January - MedicineApril 2008

§”·π–π” ”À√—∫ºâŸπ‘æπ∏å

°“√‡µ√’¬¡·≈– àßµâπ©∫—∫ °≈àÿ¡Õ“°“√‚√§„À¡à ∑’Ë‰¡à‡§¬√“¬ß“π¡“°àÕπ À√◊Õæ∫‰¡à∫àÕ¬ Ò. ª√–‡¿∑∫∑§«“¡ ·≈–¡’À≈—°∞“πÕ¬à“ß§√∫∂â«π π‘æπ∏åµâπ©∫—∫ (original article) ‡ªìπ√“¬ß“πº≈°“√ ∫—π∑÷°‡«™°√√¡ ‡ªìπ∫∑§«“¡√“¬ß“πºâªÉ«¬∑’Ë¡’≈—°…≥–Ÿ »÷°…“ §âπ§«â“ «‘®—¬ ª√–°Õ∫¥â«¬≈”¥—∫‡π◊ÈÕ‡√◊ËÕß¥—ßµàÕ‰ªπ’È ‡«™°√√¡ ·≈–/À√◊Õ°“√¥”‡π‘π‚√§ ∑’Ë‰¡àµ√ß·∫∫ ∑’Ëæ∫‰¡à∫àÕ¬. ™◊ËÕ‡√◊ËÕß ™◊ËÕºâŸπ‘æπ∏å ∫∑§—¥¬àÕ∑—Èß¿“…“‰∑¬·≈–¿“…“Õ—ß°ƒ… ‚§√ß √â“ß∫∑√“¬ß“πºâªÉ«¬ª√–°Õ∫¥â«¬Ÿ ∫∑π” æ√√≥π“°√≥’ §” ”§—≠ ∫∑π” √–‡∫’¬∫«‘∏’»÷°…“ º≈°“√»÷°…“ «‘®“√≥å ¢âÕ¬ÿµ‘ ºâŸªÉ«¬ «‘®“√≥åÀ√◊Õ¢âÕ —ß‡°µ ·≈–‡Õ° “√Õâ“ßÕ‘ß. °‘µµ‘°√√¡ª√–°“» ·≈–‡Õ° “√Õâ“ßÕ‘ß. §«“¡¬“«¢Õß‡√◊ËÕß‰¡à ª°‘≥°– (miscellaneous) ‡ªìπ∫∑§«“¡¢π“¥‡≈Á°∑’Ë §«√‡°‘π Ú Àπâ“æ‘¡æå°√–¥“… ‡Õ Ù. ‡π◊ÈÕÀ“Õ“®‡¢â“¢à“¬ À√◊Õ‰¡à‡¢â“¢à“¬∫∑§«“¡µà“ß Ê ∑’Ë°≈à“«¡“ ∫∑ª√‘∑—»πå (review article) ‡ªìπ∫∑§«“¡∑’Ë√«∫√«¡ ¢â“ßµâπ ‡™àπ ∫—π∑÷°‡«™°√√¡ ‡«™°√√¡∑—π¬ÿ§ ∫∑∫√√≥π‘∑—»πå §«“¡√âŸ‡√◊ËÕß„¥‡√◊ËÕßÀπ÷Ëß ®“°«“√ “√À√◊ÕÀπ—ß ◊Õµà“ß Ê ∑—Èß √“¬ß“πº≈°“√»÷°…“«‘®—¬ —ß‡¢ª À√◊Õ√“¬ß“π‡∫◊ÈÕßµâπ „π·≈–µà“ßª√–‡∑» ª√–°Õ∫¥â«¬ ∫∑π” «‘∏’°“√ ◊∫§âπ ®¥À¡“¬∂÷ß∫√√≥“∏‘°“√ (letter to the editor) À√◊Õ ¢âÕ¡Ÿ≈ ‡π◊ÈÕÀ“∑’Ë∑∫∑«π ∫∑«‘®“√≥å ·≈–‡Õ° “√Õâ“ßÕ‘ßÀ√◊Õ ®¥À¡“¬‚µâµÕ∫ (correspondence) ‡ªìπ‡«∑’„™âµ‘¥µàÕµÕ∫‚µâ ∫√√≥“πÿ°√¡. §«“¡¬“«¢Õß‡√◊ËÕß‰¡à§«√‡°‘π Ú Àπâ“æ‘¡æå √–À«à“ßπ—°«‘™“°“√ºâŸÕà“π°—∫‡®â“¢Õß∫∑§«“¡∑’Ëµ’æ‘¡æå„π °√–¥“… ‡Õ Ù. «“√ “√„π°√≥’ºâŸÕà“π¡’¢âÕ§‘¥‡ÀÁπ·µ°µà“ß µâÕß°“√™’È„Àâ‡ÀÁπ ∫∑§«“¡æ‘‡»… (special article) ‡ªìπ∫∑§«“¡ª√–‡¿∑ §«“¡‰¡à ¡∫Ÿ√≥å À√◊Õ¢âÕº‘¥æ≈“¥¢Õß√“¬ß“π ·≈–∫“ß§√—Èß °÷Ëß∫∑∫√√≥π‘∑—»πå°—∫∫∑§«“¡øóôπ«‘™“∑’Ë‰¡à ¡∫Ÿ√≥åæÕ∑’Ë®– ∫√√≥“∏‘°“√Õ“®«‘æ“°¬å π—∫ πÿπÀ√◊Õ‚µâ·¬âß. ∫√√®‡¢â“‡ªìπ∫∑§«“¡™π‘¥„¥™π‘¥Àπ÷Ëßÿ À√◊Õ‡ªìπ∫∑§«“¡· ¥ß ¢âÕ§‘¥‡ÀÁπ‡°’Ë¬«‚¬ß°—∫‡Àµÿ°“√≥åªí®®ÿ∫—π∑’ËÕ¬àŸ„π§«“¡ π„® Ú. °“√‡µ√’¬¡µâπ©∫—∫ ¢Õß¡«≈™π‡ªìπæ‘‡»…. ™◊ËÕ∫∑§«“¡ ∫∑§«“¡øóôπ«‘™“ (refresher course) ‡ πÕ§«“¡√âŸ„π ª√–°Õ∫¥â«¬ Õß§å§«“¡√âŸ®”‡æ“–‡√◊ËÕß ∑’Ëπ”¡“√◊ÈÕøóôπ‡æ‘Ë¡‡µ‘¡§«“¡√âŸ ∑”πÕß - ™◊ËÕ‡√◊ËÕß §«√ —Èπ °–∑—¥√—¥ ·≈– ◊ËÕ‡ªÑ“À¡“¬À≈—° ‡¥’¬«°—∫π”‡ πÕ„π°“√ª√–™ÿ¡øóôπ«‘™“ À√◊Õ°“√®—¥Õ∫√¡·æ∑¬å ¢Õß°“√»÷°…“ ‰¡à„™â§”¬àÕ §«“¡¬“«‰¡à§«√‡°‘π Ò µ—«Õ—°…√ ‡ªìπ§√“«Ê ‰ª. æ√âÕ¡™àÕß‰ø. ∂â“™◊ËÕ¬“«¡“°µ—¥‡ªìπ™◊ËÕ√Õß ™◊ËÕ‡√◊ËÕßµâÕß¡’ √“¬ß“π‡∫◊ÈÕßµâπ (preliminary report) À√◊Õ√“¬ß“π ¿“…“‰∑¬·≈–¿“…“Õ—ß°ƒ… ‰¡à„ à«≈’∑’Ëπà“‡∫◊ËÕ ‡™àπ ç°“√»÷°…“...é —ß‡¢ª (short communication) ‡ªìπ°“√π”‡ πÕ√“¬ß“πº≈ À√◊Õ ç°“√ —ß‡°µ....é. °“√»÷°…“«‘®—¬∑’Ë¬—ß‰¡à‡ √Á® ¡∫Ÿ√≥å µâÕß»÷°…“µàÕ‡æ◊ËÕ‡°Á∫ - ™◊ËÕºâŸπ‘æπ∏å„Àâ¡’∑—Èß¿“…“‰∑¬ ·≈–¿“…“Õ—ß°ƒ… ¢âÕ¡Ÿ≈‡æ‘Ë¡‡µ‘¡. (‰¡à„™â§”¬àÕ). √“¬ß“πºâŸªÉ«¬ (case report)/∫—π∑÷°‡«™°√√¡ (clinical - Àπà«¬ß“πÀ√◊Õ ∂“∫—π∑’ËºâŸπ‘æπ∏å∑”ß“π. note) ‡ªìπ°“√√“¬ß“πºâªÉ«¬∑’Ë‰¡à∏√√¡¥“Ÿ À√◊Õ∑’Ë‡ªìπ‚√§ À√◊Õ - ™◊ËÕ·≈–∑’ËÕ¬àŸ¢ÕßºâŸπ‘æπ∏å ∑’Ë„™âµ‘¥µàÕ‡°’Ë¬«°—∫

µâπ©∫—∫·≈–∫∑§«“¡∑’Ëµ’æ‘¡æå·≈â«. descriptive À√◊Õ quasi-experiment, °“√ àÿ¡µ—«Õ¬à“ß ‡™àπ - ·À≈àß∑ÿπ π—∫ πÿπ°“√»÷°…“. °“√ àÿ¡µ—«Õ¬à“ß·∫∫ßà“¬ ·∫∫À≈“¬¢—ÈπµÕπ, «‘∏’À√◊Õ¡“µ√°“√ ∫∑§—¥¬àÕ ∑’Ë„™â»÷°…“ (interventions) ‡™àπ √Ÿª·∫∫°“√»÷°…“ °“√√—°…“ ‡ªìπ‡π◊ÈÕ§«“¡¬àÕµ“¡≈”¥—∫‚§√ß √â“ß¢Õß∫∑§«“¡ ‰¥â·°à ™π‘¥·≈–¢π“¥¢Õß¬“∑’Ë„™â. ∂â“‡ªìπ¡“µ√°“√∑’Ë√âŸ®—°∑—Ë«‰ª„Àâ√–∫ÿ ∫∑π” «— ¥ÿ·≈–√–‡∫’¬∫«‘∏’°“√»÷°…“ º≈°“√»÷°…“ ·≈– „π‡Õ° “√Õâ“ßÕ‘ß. ∂â“‡ªìπ«‘∏’„À¡à Õ∏‘∫“¬„ÀâºâŸÕà“π‡¢â“„®·≈â« «‘®“√≥å‰¡à‡°‘π Úı §” À√◊Õ Òı ∫√√∑—¥ „™â¿“…“√—¥°ÿ¡‡ªìπ π”‰ª„™âµàÕ‰¥â, «‘∏’°“√‡°Á∫¢âÕ¡Ÿ≈, «‘∏’°“√«‘‡§√“–Àå¢âÕ¡Ÿ≈ ·≈– ª√–‚¬§ ¡∫√≥å¡’§«“¡À¡“¬„πµ—«‡Õß‰¡àµâÕßÀ“§«“¡À¡“¬µàÕŸ ∂‘µ‘∑’Ë„™â. µâÕß‡ªìπª√–‚¬§Õ¥’µ (‡©æ“–¿“…“Õ—ß°ƒ…) ‰¡à§«√¡’§”¬àÕ º≈°“√»÷°…“ (results) µâÕß‡¢’¬π∑—Èß¿“…“‰∑¬·≈–¿“…“Õ—ß°ƒ…. ·®âßº≈∑’Ëæ∫µ“¡≈”¥—∫À—«¢âÕ¢Õß·ºπ°“√»÷°…“Õ¬à“ß ∫∑§—¥¬àÕ¿“…“‰∑¬¢Õß∫∑§«“¡¿“…“Õ—ß°ƒ…„Àâ„ à™◊ËÕ ™—¥‡®π ¥Ÿ‰¥âßà“¬. ∂â“º≈‰¡à´—∫´âÕπ‰¡à¡’µ—«‡≈¢¡“°∫√√¬“¬ ‡√◊ËÕß ™◊ËÕºâŸπ‘æπ∏å‡ªìπ¿“…“‰∑¬‰«â‡Àπ◊Õ‡π◊ÈÕ§«“¡¬àÕ ”À√—∫ ‡ªìπ√âÕ¬·°â« ·µà∂â“µ—«‡≈¢¡“° µ—«·ª√¡“° §«√„™âµ“√“ß À√◊Õ ∫∑§—¥¬àÕ¿“…“Õ—ß°ƒ…¢Õß∫∑§«“¡¿“…“‰∑¬°Á‡™àπ‡¥’¬«°—π ·ºπ¿Ÿ¡‘‚¥¬‰¡àµâÕßÕ∏‘∫“¬µ—«‡≈¢„πµ“√“ß´È”Õ’°„π‡π◊ÈÕ‡√◊ËÕß, „Àâ„ à™◊ËÕ‡√◊ËÕß ™◊ËÕ‡µÁ¡ºâŸπ‘æπ∏å‰«â‡Àπ◊Õ‡π◊ÈÕ§«“¡¬àÕ. ·ª≈§«“¡À¡“¬¢Õßº≈∑’Ë§âπæ∫À√◊Õ«‘‡§√“–Àå ·≈– √ÿª‡ª√’¬∫ §” ”§—≠ (key words) ‡∑’¬∫°—∫ ¡¡µ‘∞“π∑’Ë«“ß‰«â. „ à‰«â∑â“¬∫∑§—¥¬àÕ ‡ªìπÀ—«¢âÕ‡√◊ËÕß ”À√—∫∑”¥—™π’§” «‘®“√≥å (discussion) ”§—≠ (keyword index ¢Õßªï«“√ “√ (volume) ·≈–¥—™π’ ‡√‘Ë¡¥â«¬°“√«‘®“√≥åº≈°“√»÷°…“µ√ß°—∫«—µ∂ÿª√– ß§å ‡√◊ËÕß ”À√—∫ Index Medicus ‚¥¬„™â Medical Subject Head- ¡¡µ‘∞“π¢Õß°“√«‘®—¬ À√◊Õ·µ°µà“ß‰ª®“°º≈ß“π∑’Ë¡’ºâŸ ings (MeSH) terms ¢Õß U.S. National Library of Medi- √“¬ß“π‰«â°àÕπÀ√◊Õ‰¡à Õ¬à“ß‰√, ‡æ√“–‡Àµÿ„¥®÷ß‡ªìπ‡™àππ—Èπ, cine ‡ªìπ·π«∑“ß°“√„Àâ§” ”§—≠. «‘®“√≥åº≈∑’Ë‰¡àµ√ßµ“¡∑’Ë§“¥À«—ß Õ¬à“ß‰¡àªî¥∫—ß ·≈â«®∫ ∫∑π” À√◊Õ¿Ÿ¡‘À≈—ß·≈–‡Àµÿº≈ ∫∑§«“¡¥â«¬¢âÕ¬ÿµ‘. ∫“ß«“√ “√·¬°¢âÕ¬ÿµ‘‡ªìπÀ—«¢âÕµà“ßÀ“°. ‡ªìπ à«π¢Õß∫∑§«“¡∑’Ë∫Õ°‡Àµÿº≈ π”‰ª àŸ°“√»÷°…“ ·µà ¢âÕ¬ÿµ‘ (conclusions) µâÕß‰¡à∑∫∑«π«√√≥°√√¡ À√◊Õ¿Ÿ¡‘À≈—ß ·≈–‡Àµÿºº≈¡“°¡“¬ º≈∑’Ë‰¥âµ√ß°—∫«—µ∂ÿª√– ß§å°“√«‘®—¬À√◊Õ‰¡à „Àâ¢âÕ ∑’Ë‰¡à‡°’Ë¬«°—∫®ÿ¥¡àÿßÀ¡“¬¢Õß°“√»÷°…“ ‡ªìπ à«π∑’ËÕ∏‘∫“¬„ÀâºâŸ ‡ πÕ·π–∑’Ëπ”º≈°“√«‘®—¬‰ª„™âª√–‚¬™πåÀ√◊Õ„Àâª√–‡¥Áπ Õà“π√âŸ«à“®–µÕ∫§”∂“¡Õ–‰√ ·≈–„Àâ√«¡«—µ∂ÿª√– ß§å¢Õß°“√ §”∂“¡°“√«‘®—¬ ”À√—∫°“√«‘®—¬µàÕ‰ª. ¢âÕ¬ÿµ‘Õ“®„ à‰«â„πÀ—«¢âÕ »÷°…“‡ªìπ√âÕ¬·°â«„π à«π∑â“¬¢Õß∫∑π” ‰¡àπ‘¬¡„ àº≈°“√ ‡¥’¬«°—π°—∫«‘®“√≥å°Á‰¥â. »÷°…“·≈– √ÿª. µ“√“ß √Ÿª ·≈–·ºπ¿Ÿ¡‘ √–‡∫’¬∫«‘∏’»÷°…“ §«√·¬°æ‘¡æåµà“ßÀ“°‰¡à§«√ Õ¥·∑√°‰«â„π‡π◊ÈÕ‡√◊ËÕß, ·µà ‡¢’¬π™’È·®ß·¬°‡ªìπ Ú À—«¢âÕ„À≠à §◊Õ «— ¥ÿ ·≈–«‘∏’°“√ §«√‡«âπ∑’Ë«à“ß‰«â„π‡π◊ÈÕ‡√◊ËÕßæÕ‡ªìπ∑’Ë‡¢â“„® æ√âÕ¡°—∫‡¢’¬π·®âß »÷°…“ ‰«â„π°√Õ∫«à“ À—«¢âÕ«— ¥„Àâ∫Õ°√“¬≈–‡Õ’¬¥¢Õß ‘Ëßπ”¡“»÷°…“ÿ ‡™àπ „ àµ“√“ß∑’Ë Ò À√◊Õ „ à√Ÿª∑’Ë Ò ºâŸªÉ«¬ §πª√°µ‘ —µ«å æ◊™ √«¡∂÷ß®”π«π ·≈–≈—°…≥–‡©æ“– ¢Õßµ—«Õ¬à“ß∑’Ë»÷°…“ ‡™àπ ‡æ» Õ“¬ÿπÈ”Àπ—° µâÕß∫Õ°∂÷ß°“√ °‘µµ‘°√√¡ª√–°“» (acknowledgments) Õπÿ≠“µ®“°ºâŸ∑’Ë‡¢â“√—∫°“√»÷°…“ ·≈–°“√¬Õ¡√—∫®“°§≥– §«√¡’‡æ’¬ß¬àÕÀπâ“‡¥’¬« ·®âß„Àâ∑√“∫«à“‰¥â√—∫°“√™à«¬ °√√¡°“√æ‘®“√≥“®√‘¬∏√√¡„π°“√»÷°…“ ‘Ëß¡’™’«‘µ µ≈Õ¥®π ‡À≈◊Õ∑’Ë ”§—≠®“°∑’Ë„¥∫â“ß ‡™àπ ºâŸ∫√‘À“√ ºâŸ™à«¬‡À≈◊Õ∑“ß Õÿª°√≥åµà“ß Ê ∑’Ë„™â„π°“√»÷°…“. ‡∑§π‘§∫“ßÕ¬à“ß ·≈–ºâŸ π—∫ πÿπ∑ÿπ°“√«‘®—¬. °“√„ à™◊ËÕ§π À—«¢âÕ√–‡∫’¬∫«‘∏’»÷°…“ ‡√‘Ë¡¥â«¬√Ÿª·∫∫ ·ºπ°“√ ™à«¬¡“° Ê ∑”„Àâ∫∑§«“¡¥âÕ¬§«“¡¿Ÿ¡‘∞“π ‡æ√“–ºâŸÕà“π®– »÷°…“ (study design) ‡™àπ randomized, double blind, Õπÿ¡“π«à“ß“π à«π„À≠à¡’§π™à«¬∑—ÈßÀ¡¥. Journal of Thai Traditional & Alternative Medicine Vol. 6 No. 1 January - April 2008 ÒÚ˘

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Û.ˆ.Ú °ÆÀ¡“¬ Ù. µ“√“ß √Ÿª ·≈–·ºπ¿Ÿ¡‘ Ò. æ√–√“™∫—≠≠—µ‘‡§√◊ËÕß ”Õ“ß ÚıÛÚ. ª√–°“» µ“√“ß √Ÿª ·≈–·ºπ¿Ÿ¡‘ ∑’Ë®—¥∑”·≈–π”‡ πÕ‰¥â§√∫∂â«π °√–∑√«ß “∏“√≥ ÿ¢ ©∫—∫∑’Ë Û˜ æ.». ÚıÛÚ, √“™°‘®®“ ®–°√–µâÿπ§«“¡ π„®ºâŸÕà“π∫∑§«“¡·≈–∑”„Àâ‡¢â“„®‡π◊ÈÕÀ“ πÿ‡∫°…“‡≈à¡∑’Ë Òˆ, µÕπ∑’Ë ÒÚ˘. (≈ß«—π∑’Ë Òı ‘ßÀ“§¡ ∫∑§«“¡‰¥â√«¥‡√Á« à«π¡“°ºâŸÕà“π®–Õà“π™◊ËÕ‡√◊ËÕß ∫∑§—¥¬àÕ ÚıÛÚ). æ‘®“√≥“µ“√“ß·≈–√Ÿª °àÕπ®–µ—¥ ‘π„®«à“®–Õà“π∫∑§«“¡µàÕ Ú. Preventive Health Amendments of 1993, ‰ªÀ√◊Õ‰¡à. Pub L No. 103-183, 107 Stat. 2226. (Dec 14, 1993). Ù.Ò µ“√“ß Û.ˆ.Û æ®π“πÿ°√¡ µ“√“ß‡πâπ°“√®—¥√–‡∫’¬∫¢Õß§”æŸ¥ µ—«‡≈¢ ·≈– Ò. æ®π“πÿ°√¡√“™∫—≥±‘µ ∂“π æ.». ÚıÙÚ. ‡§√◊ËÕßÀ¡“¬µà“ß Ê ∫√√®ÿ≈ß„π§Õ≈—¡πå‡æ◊ËÕ· ¥ß ¢âÕ¡Ÿ≈ ·≈– æ‘¡æå§√—Èß∑’Ë Ò. °√ÿß‡∑æ¡À“π§√: π“π¡’∫ÿä§ åæ—∫≈‘‡§™—Ëπ å; §«“¡ —¡æ—π∏å¢Õß¢âÕ¡Ÿ≈ ·π«∑“ß°“√®—¥∑”µ“√“ß ¡’¥—ßπ’È ÚıÙˆ. Àπâ“ ıÙı. - ·¬°·µà≈–µ“√“ßÕÕ°®“°‡π◊ÈÕÀ“∫∑§«“¡ µ“√“ß Ú. Stedmanûs medical dictionary. 26th ed. ≈–Àπ÷ËßÀπâ“°√–¥“… ·≈–‰¡à§«√‡ πÕµ“√“ß ‡ªìπ¿“æ∂à“¬. Baltimore: Williams & Wilkins; 1995. Apraxia; p. 119-20. -À—«§Õ≈—¡πå ‡ªìπµ—«·∑πÕ∏‘∫“¬¢âÕ¡Ÿ≈„π§Õ≈—¡πå Û.˜ «’¥‘∑—»πå §«√®– —ÈπÀ√◊Õ¬àÕ Ê ·≈–Õ∏‘∫“¬√“¬≈–‡Õ’¬¥„π‡™‘ßÕ√√∂„µâ ≈”¥—∫∑’Ë. ™◊ËÕ‡√◊ËÕß («’¥‘∑—»πå). ‡¡◊Õß∑’Ëº≈‘µ: ·À≈àßº≈‘µ; µ“√“ß. ªï∑’Ëº≈‘µ. - ·∂«‡ªìπ¢âÕ¡≈∑’Ë —¡æ—π∏å°—∫§Õ≈—¡πåŸ À—«·∂« (row Ò. HIV+/AIDS: the facts and the future (video- headings) „™âµ—«‡¢â¡®–∑”„Àâ‡¥àπ¢÷Èπ. cassette). St. Louis (MO): Mosby-Yearbook; 1995. - ‡™‘ßÕ√√∂ ®–‡ªìπ§”Õ∏‘∫“¬√“¬≈–‡Õ’¬¥∑’Ë∫√√®ÿ„π Û.¯ ◊ËÕÕ‘‡≈°∑√Õπ‘° µ“√“ß‰¥â‰¡àÀ¡¥ ‰¡à§«√„™â‡≈¢°”°—∫‡æ√“–Õ“® —∫ π°—∫‡≈¢ Û.¯.Ò ∫∑§«“¡«‘™“°“√ °”°—∫¢Õß‡Õ° “√Õâ“ßÕ‘ß „Àâ„™â‡§√◊ËÕßÀ¡“¬µ“¡≈”¥—∫π’È * † ‡ ≈”¥—∫∑’Ë. ™◊ËÕºâŸπ‘æπ∏å. ™◊ËÕ‡√◊ËÕß. ™◊ËÕ«“√ “√ (™π‘¥¢Õß ¤ ¦ # ** ◊ËÕ) ªï∑’Ëæ‘¡æå [«—π ‡¥◊Õπ ªï ∑’Ë§âπ¢âÕ¡Ÿ≈]; ªï∑’Ë (‡≈à¡∑’Ë): -‡¡◊ËÕºâŸÕà“π Õà“πµ“√“ß·≈â«§«√‡¢â“„®‰¥â ¡∫Ÿ√≥å [®”π«π¿“æ]. ·À≈àß¢âÕ¡Ÿ≈ ‚¥¬‰¡àµâÕßÀ“§«“¡À¡“¬‡æ‘Ë¡‡µ‘¡„π∫∑§«“¡ ¥—ßπ—Èπ ™◊ËÕ Ò. Morse SS. Factors in the emergence of in- µ“√“ß§«√ —Èπ ‰¥â„®§«“¡ §Õ≈—¡πå‡√’¬ß≈”¥—∫§«“¡ ”§—≠ fectious diseases. Emerg Infect Dis (serial on the (‡«≈“∑’Ë»÷°…“, °“√¥”‡π‘π‚√§) ®“°´â“¬‰ª¢«“ ‡√’¬ß≈”¥—∫¢Õß Internet) 1995 Jan-Mar [cited 1996 Jun 5]; 1(1):[24 ·∂«®“°∫π≈ß≈à“ß. screens]. Available from: http://www.cdc.gov/ncidod/ - ∫∑§«“¡Àπ÷Ëß‡√◊ËÕß§«√¡’µ“√“ß‰¡à‡°‘π Û-ı µ“√“ß EID/eid.htm À√◊Õ‡π◊ÈÕÀ“ Ò, §”µàÕ Ò µ“√“ß. ∂â“¡’µ“√“ß¡“°®–∑”„Àâ Û.¯.Ú √“¬ß“π«‘®—¬„π√Ÿª·∫∫Õ‘‡≈°∑√Õπ‘° °“√®—¥Àπâ“¬“°≈”∫“° „™â‡«≈“¡“°·≈– ‘Èπ‡ª≈◊Õß. ∂â“ºâŸπ‘æπ∏å Ò. CDI, clinical dermatology illustrated (mono- ¡’¢âÕ¡Ÿ≈¡“°„Àâ‡≈◊Õ°‡©æ“–¢âÕ¡Ÿ≈∑’Ë ”§—≠π”‡ πÕ‡ªìπµ“√“ß„π graph on CD-ROM). Reeves JRT, Maibach H. CMEA ∫∑§«“¡ Õ“®®–¡’µ“√“ß¢âÕ¡Ÿ≈Õ◊Ëπ Ê ·¬°‰«â∂â“ºâŸÕà“π π„®®÷ß Multimedia Group, producers. 2nd ed. Version 2.0. San ®– àß„Àâ. Diego: CMEA; 1995. -µâÕß¢ÕÕπÿ≠“µ ·≈–· ¥ß§«“¡¢Õ∫§ÿ≥ °√≥’ Û.¯.Û ·øÑ¡¢âÕ¡Ÿ≈§Õ¡æ‘«‡µÕ√å π”¢âÕ¡Ÿ≈„πµ“√“ß¡“®“°∫∑§«“¡¢ÕßºâŸÕ◊Ëπ. Ò. Hemodynamics III: the ups and down of he- Ù.Ú √Ÿª·≈–·ºπ¿Ÿ¡‘ modynamics (computer program). Version 2.2. Or- √Ÿª·≈–·ºπ¿Ÿ¡‘ª√–°Õ∫ ®– ◊ËÕ§«“¡À¡“¬‰¥â™—¥‡®π lando (FL): Computerized Educational Systems; 1993. ‡πâπ®ÿ¥ ”§—≠ ·≈–¡’ª√– ‘∑∏‘¿“æ¡’·π«∑“ß¥—ßπ’È ÒÛÚ «“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“ß‡≈◊Õ° ªï∑’Ëˆ©∫—∫∑’Ë Ò ¡°√“§¡ - ‡¡…“¬π ÚııÒ

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