Collaborative Research with Traditional African Health Practitioners
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Collaborative research with traditional African health practitioners of the Nelson Mandela Metropole; antimicrobial, anticancer and anti-diabetic activities of five medicinal plants Mea van Huyssteen i Collaborative research with traditional African health practitioners of the Nelson Mandela Metropole; antimicrobial, anticancer and anti-diabetic activites of five medicinal plants By Mea van Huyssteen Submitted in fulfilment of the requirements for the degree of Philosophiae Doctor In the Faculty of Health Sciences At the Nelson Mandela Metropolitan University December 2007 Promoters: Dr M van de Venter Prof PJ Milne Co-promoter: Prof E Campbell ii “…the Black man does not do anything unless there is a very good reason for it … Thus the Bantu will not participate enthusiastically in a … project unless they fully understand the reason for undertaking it.” (Mutwa, 1965) iii Acknowledgements I would like to thank the following people and / or organizations: • NRF IKS focus area for funding the project. • MRC and NMMU, for a post-graduate bursary. • Dr Maryna van de Venter; for her support when I got depressed, her encouragement when I did well and practicality in the medicinal garden. • Prof Pieter Milne, for his unique insights into the research, his friendliness and support. • Nomathongo Kosi, for her private lessons in Xhosa culture, her friendship, leadership and belief in the project and in us (the researchers). • The Kosi family, for their accepting of me as a daughter in their house, for their willingness to help (always), without expecting rewards and with a lot of friendliness, patience and smiles. • Mercy Manci, president of Nyangazezizwe, for her support in the project, attendance at special events and for her lovely and patient ways. • Mike Pansti, initiator of this project, for his explanation of the African people and advice in what to do next. • Councillor Skosana, for his support. • Ekuphumleni Old Age Home and PE Association for the Aged (Mr Jonas, Mr Tlou, Mr Peter, Portia and Phelisa) for their attendance at the garden and support in providing the piece of land for the garden. • Mama Veveza for being the best security guard for the garden! • Mama Maginxa for her dreams, positive thoughts and hard work in the garden. • Mama Thomas, for translating, working and always having something nice to say. • Mama Fuyani for her blue dress and friendship. • Notaka, for her soft heart and hard work, she always put tears in my eyes. • Mama Kalipha, for her honesty, clear voice and guidance. • The Mntwaphi’s for their hard work, dedication and expertise. • Mama Mbalo, for her silent hard work. • Mama Damane, Mnangakana for their hard work in the garden. iv • Nyangazezizwe Traditional Healers Association for their support and initiative in the project. • Eastern Cape Task Team, especially their president, Tandiwe Mazamane, for her dedication to the project, and patience with the other healers. • Traditional Health Practitioners: Port Elizabeth Branch, for their views and input into the project. • My ma en pa, vir hul ondersteuning, liefde en belangstelling in my projek. • Willem vir sy teenwoordigheid wanneer ek uitgefreak het, sy liefde en verstaan (ek waardeer dit BAIE!!). • Oupa Jan, vir sy inspirasie, wysheid en leiding. v Table of contents Collaborative research with traditional African health practitioners of the Nelson Mandela Metropole; antimicrobial, anticancer and anti-diabetic activities of five medicinal plants..................................................................i Acknowledgements ......................................................................................iv Table of contents ..........................................................................................vi List of figures ...............................................................................................xii List of tables................................................................................................xix Abbreviations.............................................................................................xxv Thesis layout...........................................................................................xxviii Summary ....................................................................................................xxx 1 Introduction..............................................................................................1 1.1 Introduction........................................................................................1 1.2 The context of traditional healing in South Africa...............................2 1.3 Problem statement ............................................................................4 1.4 Primary aim .......................................................................................5 1.5 Background to this study ...................................................................5 2 Research setting ......................................................................................7 2.1 Introduction........................................................................................7 2.2 The African paradigm ........................................................................8 2.2.1 Beliefs and theories .......................................................................9 2.2.2 Training..........................................................................................9 2.2.3 Traditional African health and illness ...........................................11 2.3 Research setting..............................................................................13 2.3.1 Development of data generating and communication tools..........14 2.3.2 Traditional African health practitioners in the NMM......................16 2.4 Collaboration development..............................................................18 2.4.1 Indigenous knowledge .................................................................18 2.4.2 The medicinal garden...................................................................20 2.4.3 Medicinal plant research ..............................................................23 2.4.4 Challenges ...................................................................................24 vi 3 The selected plants................................................................................26 3.1 Introduction......................................................................................26 3.2 Bulbine frutescens (Asphodelaceae) ...............................................27 3.2.1 Traditional uses............................................................................28 3.2.2 Chemical constituents..................................................................28 3.2.3 Previous biological activity investigations.....................................29 3.3 Ornithogalum longibracteatum (Ornithogaloideae: Hyacinthaceae) 30 3.3.1 Traditional uses............................................................................31 3.3.2 Chemical constituents..................................................................31 3.3.3 Biological activity and toxicity.......................................................32 3.4 Ruta graveolens (Rutaceae)............................................................33 3.4.1 Traditional uses............................................................................34 3.4.2 Chemical constituents..................................................................35 3.4.3 Biological activity..........................................................................36 3.4.4 Toxicity.........................................................................................38 3.5 Tarchonanthus camphoratus (Asteraceae)......................................38 3.5.1 Traditional uses............................................................................40 3.5.2 Chemical constituents..................................................................40 3.5.3 Pharmacological investigations and toxicity .................................41 3.6 Tulbaghia violacea (Alliaceae).........................................................42 3.6.1 Traditional uses............................................................................43 3.6.2 Chemical constituents..................................................................44 3.6.3 Biological activity..........................................................................44 3.7 Extraction of medicinal plants ..........................................................46 3.7.1 Extraction of selected plants ........................................................47 3.7.2 Collaborative extraction of medicinal plants.................................48 4 Antimicrobial screening ........................................................................51 4.1 Infectious diseases ..........................................................................52 4.1.1 Conventional antimicrobial agents and microbial resistance........53 4.1.2 Selection of pathogens for this study ...........................................54 4.1.2.1 Bacillus subtilis.......................................................................................... 54 4.1.2.2 Staphylococcus aureus ............................................................................. 54 4.1.2.3 Escherichia coli ......................................................................................... 54 4.1.2.4 Klebsiella pneumoniae .............................................................................. 55 4.1.2.5