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Ethnobotany of the Balti community, Tormik
valley, Karakorum range, Baltistan, Pakistan
Abbas et al.
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38
DOI 10.1186/s13002-016-0114-y
RESEARCH Open Access
Ethnobotany of the Balti community,
Tormik valley, Karakorum range, Baltistan,
Pakistan
Zaheer Abbas1
, Shujaul Mulk Khan2*
, Arshad Mehmood Abbasi3,4*
, Andrea Pieroni5
, Zahid Ullah6
,
Muhammad Iqbal1
and Zeeshan Ahmad2
Abstract
Background: Limited health facilities and malnutrition are major problems in the Karakorum Range of Northern
Pakistan, often resulting in various human disorders. Since centuries, however, local communities in these areas
have developed traditional methods for treating various ailments and local foods capes that can be significant for
devising public health and nutritional policies. This study was intended to document the ethnobotanical
knowledge of the local peoples in the Tormik Valley, especially in the medical and food domains.
Methods: Field trips were undertaken in 14 different villages of the study area from 2010 to 2012. Ethnobotanical
data were gathered using semi-structured interviews and group conversation with 69 informants. Details about
local uses of plant species were recorded along with demographic characteristics of the visited communities.
Relative frequency citation index (RFCi) and preference ranking index (PRi) tools were applied to determine the
cultural significance of the reported species.
Results: Sixty-three plant species, with a predominance of Asteraceae and Fabaceae family members, as well as
their detailed folk uses were documented. Forty-three percent of the species were used to treat various diseases,
21 % were consumed as wild fruits and vegetables and 53 % of the species had multipurpose applications. Thymus
linearis Benth, Hippophae rhamnoides ssp. turkestanica L. and Convolvulus arvensis L. were found to be the most
utilized medicinal plant species, i.e. those with significant RFCi values (0.54, 0.51 and 0.48, respectively). Betula utilis
D. Don was the most versatile taxon (seven different ways of utilization); being this species a common and easily
accessible subalpine tree and then under anthropogenic pressure, the implementation of concrete strategies aimed
at its in-situ and ex-situ conservation is strongly recommended.
Conclusion: The valleys in the Karakorum Mountains in the Northern Pakistan host significant Traditional
Knowledge on local food and medicinal plant species, which need to be reconsidered and cautiously re-evaluated
by ethnopharmacologists, and public health/nutrition actors. Furthermore, germane trans-disciplinary investigations
are suggested to ensure the dynamic conservation of precious local knowledge systems, as well as plant diversity in
Pakistani mountain regions.
Keywords: Ethnobotany, Medicinal plants, Indigenous knowledge, Karakorum, Pakistan
* Correspondence: shuja60@gmail.com; arshad799@yahoo.com
2
Department of Plant Sciences, Quaid-i-Azam University, Islamabad, Pakistan
3
Department of Environmental Sciences, COMSATS Institute of Information
Technology, Abbottabad, Pakistan
Full list of author information is available at the end of the article
© 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38
DOI 10.1186/s13002-016-0114-y
Background
Human beings have been using plants since ancient
times for many purposes and early on they especially
developed several ways of using plant resources in
order to counteract diseases [1, 2]. Many field studies
in the last decades have shown that traditional peoples,
local communities, and indigenous societies around the
world retain a tremendous local plant knowledge, remark-
ably embedded into daily practices and mainly orally
transmitted [3, 4].
Natural resources and associated biological diversity
provide the basis of livelihood for human populations.
Consequently, humans have a great impact on local
vegetation and vice versa [5]. Ethnobotany is the bur-
geoning interdisciplinary scientific field which covers all
sorts of interactions and relationships between plants
and people. The history of medicinal plant use by
humans to treat diverse ailments dates back to ancient
civilizations [6, 7]. Even though the advent of allopathic
medicine has somehow minimized the role of medicinal
plants in favor of synthetic drugs, a number of modern
drug discoveries have been based on medicinal plants
used by indigenous peoples [8]. In Pakistan approxi-
mately 6000 species of higher plants are found [9, 10].
At least 12 % of the flora species are used medicinally,
several of which are exported [11]. Of these species, the
active constituents of approximately 500 species are
known. Diversity in plants and variations in plant-people
interactions are further influenced by the selection of
wild plants for food and other native cultural uses. One
of the primary objectives of ethnobotanical investiga-
tions is the documentation of indigenous knowledge
associated with these plant species which is diminishing
day by day in general, and among people living in close
proximity to the forest in particular [12].
The people of remote areas in any region rely on
local resources in order to treat various health disor-
ders [13–15]. Ethnobotanical information can provide
an important feedback for public health and environ-
mental policies through the understanding of socio-
cultural backgrounds and the analysis of ethnic-based
strategies to combat diseases [16]. In mountainous ecosys-
tems such as the Karakorum range, often inadequate
nutrition remains a major problem resulting in various
diseases. The local inhabitants in these areas have devel-
oped traditional methods of curing such common health
problems, which in turn can provide important data for
devising public health policies [17]. The Karakorum
mountain range, situated at the junction of western and
central Asiatic regions of Tethyan flora, is one of the
most diverse habitats in the world [18]. The Baltistan
province of Pakistan is home to more than a dozen geo-
graphically isolated and botanically unexplored valleys
in the Karakorum Range [19]. Although a number of
previous ethnobotanical investigations have been con-
ducted in surrounding areas [13, 14, 18–24], many of
these studies did not use quantitative methods [9].
Moreover, Tormik Valley repeatedly went unnoticed,
perhaps due to its high altitude, harsh and hostile cli-
mate, inaccessibility and prevailing poverty. A large
proportion of its inhabitants depend on herbal remed-
ies. They are known as the trustees of cultural know-
ledge whether related to plants, animals, fungi, lichens,
or stones. However, no in-depth ethnomedicinal survey
in this valley has been conducted thus far. Therefore,
the current study records and documents the medicinal
uses of plant species by the inhabitants of the region
aiming to: (i) document traditional knowledge of plant
species used by the Balti communities; (ii) quantify the
ethnomedicinal plant uses employing relative frequency
of citation (RFC) and preference ranking (PR) indices;
(iii) highlight the most interesting and novel medicinal
plants that have never previously been reported in
nearby areas and whose phytochemistry and pharma-
cology should be further investigated.
Methods
Study area
Geography
Tormik Valley is situated on the right bank of the Indus
River in Baltistan District, in the Karakorum mountain
range, of Northern Pakistan. The valley covers a land
area of 2750 km2
, of which about 1010 km2
(36 %) en-
compasses natural pastures, at an elevation range of
2000–6000 m asl. Despite being a narrow valley, it is
home to 27 permanent villages (main villages) and six-
teen temporary summer settlements (sub-Alpine settle-
ments) situated on the banks of the Tormik River [19].
Floristically, the valley belongs to the eastern Irano-
Turanian sub region [9].
Climate and topography
The climate is characterized by a prolonged and hostile
winter with repeated snowfall which severely restrains
daily activities. The lower terrain is rugged, stony and
exhibits a dry desert environment, but at higher eleva-
tions frequent precipitation gives rise to relatively
richer vegetation. No weather station exists in the re-
gion; however, data from Skardu, which is 55 km away,
shows a mean monthly temperature of 11.5 °C, with a
winter minima of −23.2 °C and a summer maxima of
41 °C [20].
Ethnographic background
Overall in the Baltistan region (province), Mongol, Mon,
Hor, Brokpa and Kashmiris are the prominent ethnic
groups [21] with the local languages being Balti and
Shina (Broq-skat); however, the studied valley hosts a
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 2 of 15
single ethnic group: the Balti. This ethnic group is com-
prised of thirty-one lineage groups known as qoum and
speaks Balti as their local language. The population of
the valley is approximately 5,000 inhabitants [22] com-
prising 706 households. The people of this region mi-
grated to the study area from other parts of Baltistan, as
well as other regions, before the birth of the founder of
Buddhism, Guatama Budha (563 BC) [23, 24].
Socio-economic profile
A large proportion of the valley population is very poor
and depends upon agriculture, livestock rearing, and the
production of fuelwood, wool blankets (Qaar), gem-
stones, and thatched goods (baskets and grass holders),
as well as other forest resources. There is no formal
marketing of medicinal plants which indirectly benefits
herbal businessmen (middle men) rather than customers
who are the real custodians.
Ethnobotanical data collection
Ethnobotanical data was collected from 69 different in-
formants (including 37 males, 27 females and five local
herbalists) in the valley villages of Smurdo, Blaqchan,
Yuchung, Baripa, Khlajing, Pano, Rgialsakhor, Harimal,
Surbo, Sarfakhor, Bongree, Zaghar, Khlangma and Dunsa
from 2010 to 2012 (Fig. 1). Formal consent was received
from informants regarding data collection and publica-
tion; then the Participatory rural appraisal (PRA)
approach as mentioned in the Kyoto Protocol was ap-
plied with the consent of the informant. Ethical guide-
lines of the International Society of Ethnobiology (http://
www.ethnobiology.net) were strictly followed. The meth-
odology was designed with the sole purpose of obtaining
the invaluable wealth of local knowledge, with special
emphasis on medicinal plant use [21, 25]. The infor-
mants were classified into eight age groups, i.e.: 11–
20, 21–30, 31–40, 41–50, 51–60, 61–70 and above
70 years of age (Tables 1 and 2). Questions regarding the
vernacular name, availability, part(s) used, modes of prepar-
ation and administration, diseases treated, and cultural uses
were asked in the Balti native language, in which the first
author is fluent. Within the chosen sample, women often
disliked speaking with strangers due to their isolated social
organization and religious teachings. Therefore, female in-
formants always had to be introduced through their male
relatives (e.g. husband, father or brother) [25].
Fig. 1 Map showing the study area and the visited localities
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 3 of 15
Collected plant species were identified using the
Flora of Pakistan and other literature sources [26]. The
botanical names and respective families were confirmed
via the Angiosperm Phylogeny Group [27]. Collected
specimens were given voucher numbers and stored in
the Herbarium of Quaid-i-Azam University, Islamabad,
Pakistan.
Data analysis
Data were analyzed based on use reports of plant part(s)
of each species to treat a given health disorder. Trad-
itional remedies of each taxon along with diseases cured
were evaluated using the number of citations by the
informants. The significance of each plant species was
estimated by the relative frequency citation index (RFCi),
which indicates the local importance of each species.
RFCi values were calculated via the frequency of citation
(FC, the number of informants mentioning the use of
the species) divided by the total number of informants
participating in the survey (N), without considering the
use-category values as reported previously [28–30]. The
preference ranking index was calculated, as explained by
Asase et al. [31], according to the level of effectiveness
of the reported plant species. Each rank was given a
numeral (1, 2, 3, 4 or 5), with the most effective plants
assigned a value of 5.
Results and discussion
This work helps to understand traditional ecological
knowledge, which now also includes an analysis of how
this knowledge is adapted, linked, and transmitted
through generations [32].
Informant demographics
Elderly informants, who were mostly farmers, shep-
herds, wood cutters, teachers, tourist guides and house-
wives, have more ethnobotanical knowledge compared
to younger ones. This might be due to changing life-
styles, the urbanization of towns, a greater dependence
on allopathic medicines and the lack of interest by
younger generations. Two-thirds of the informants
were illiterate due to the lack of education facilities,
while the remaining one-third were educated (mostly
secondary school level or below) (Table 1).
Taxonomic diversity
According to Dickoré [33], the Karakorum Range ex-
hibits a wide array of landscape patterns and a diverse
ecology supporting a unique composition of flora. The
flora of the Karakorum Mountains is poor in species
number, but dominated by taxonomically complex
groups. In total, 63 plant species belonging to 32 families
and 55 genera were documented as used by the Balti
community (Table 3). The two most important families
were Asteraceae and Fabaceae with 7 species each,
followed by Rosaceae with 6 species in terms of ethno-
botanical usage. Six families were represented by two
species and 20 families by only a single species each.
Among genera, Artemisia, Astragalus, Juniperus and
Trifolium each featured two ethnomedicinally important
species. With respect to growth habit, herbs were the
dominate form (88 %), followed by trees (8 %) and
shrubs (4 %).
Reported species were classified into three main clas-
ses on the basis of their nature of usage, i.e., ethnome-
dicinal (26 spp., 43 %), wild edible including fruits and
vegetables (23 spp., 21 %), and cultural plants (34 spp.,
Table 1 Characteristics of the study participants
Categories Number Percentage
Gender
Men 27 39.13
Women 42 60.87
Total 69
Age group
Below 50 years 20 28.99
Above 50 years 49 71.01
Education level
Illiterate 46 66.67
Primary 5 7.25
Middle 5 7.25
High school 9 13.04
Graduate 2 2.90
Masters 2 2.90
Socioeconomics
Farmers 19 27.53
Shepherds 5 7.25
Hunters 5 7.25
Wood cutters 8 11.59
Teachers 5 7.25
House wives 27 39.13
Table 2 Total number and percentage of interviewees per age
group
Age group No of interviewees Male Female Percentage
11–20 3 2 1 4.35
21–30 6 5 1 8.70
31–40 4 2 3 5.80
41–50 7 4 2 10.14
51–60 20 9 11 28.98
61–70 23 3 20 33.34
Above 70 6 2 2 8.70
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 4 of 15
Table 3 Folk medicinal plant uses recorded in Tormik Valley, Karakorum Mountain Range
Latin name/family/
voucher number
Local name Parts used Drug description Diseases treated RFCi
(n = 69)
PRi
Allium carolinianum Redoute.
Alliaceae
QAU 127126
Chong Bulb A fresh bulb decoction is taken
three times a day while a bulb
paste is applied topically on
painful joints and bones
Gastrointestinal disorders,
bone or joint pain
0.17 1
Artemisia scoparia Waldst.
& Kit.
Asteraceae
QAU 127156
Khobustae Flower & leaves The flowers and leaves are boiled
and the decoction is taken
twice a day
Abdominal worms,
urethritis
0.20 2
Berberis pseudumbellata
R. Parker
Berberidaceae
QAU 127186
Skiorbu Flower, fruit, seed Seeds and fresh fruits are eaten
while a flower decoction is
recommended three times a day
Jaundice 0.39 3
Bergenia ciliata (Haw.) Sternb.
Saxifragaceae
QAU 127281
Schapur Rhizome A decoction of rhizome is taken
twice a day while a paste is applied
topically on eyelids
Stomach ulcer, eye ache 0.30 3
Cicer microphyllum Royle.
Fabaceae
QAU 127253
Stranjungstwa Whole plant Fresh plants are collected and
cooked in water as a vegetable.
It is suggested the plant is eaten
raw once a day
Kidney stones, urinary
problems
0.32 3
Convolvulus arvensis L.
Convolvulaceae
QAU 127220
Thringthringmo Whole plant Fresh plants are boiled in water as
a vegetable and eaten with wheat
bread twice a day
Constipation 0.48 4
Cousinia thomsonii C.B.Clarke.
Asteraceae
QAU 127162
Charchu Flower The flower is boiled in water and
applied topically on infected
areas as needed
Dermatitis 0.14 1
Delphinium brunonianum
Royle
Ranunculaceae
QAU 127278
Makhoting Whole plant The whole plant is dried and ground
with water and the paste is then
applied on the head as hair tonic
Hair tonic 0.36 3
Descurainia sophia (L.) Webb
ex Prantl
Brassicaceae
QAU 127197
Khashir Whole plant A decoction of the whole plant is
made and recommended thrice daily
Asthma, constipation 0.16 1
Equisetum arvense L.
Equisetaceae
QAU 127121
Thangshing stwa Whole plant A decoction of the whole plants is
taken twice daily
Urinary tract disorders 0.28 1
Fagopyrum esculentum
Moench.
Polygonaceae
QAU 127266
Bro Seed The seeds are ground and the
powder is taken with water three
times a day as needed
Stomach ulcer, tumour,
jaundice
0.45 4
Hippophae rhamnoides ssp.
turkestanica L.
Eleagnaceae
QAU 127225
Karsoq Fruit & leaves A fresh fruit paste is taken twice
daily while a decoction of leaves
is taken twice a day/a leaf paste
is rubbed on infected parts
Gastrointestinal
disorders,dermatitis
0.51 5
Hyoscyamus niger L.
Solanaceae
QAU 127297
Landungstwa Seed The seeds are ground with water
and the paste is applied on aching
teeth and gums twice a day
Toothache 0.12 1
Juniperus excelsa M. Bieb.
Cupressaceae
QAU 127123
Shukpa Fruit The fresh fruits are boiled and the
decoction is taken twice a day
as needed
Stomach ulcer, fever 0.13 1
Mentha royleana Wall.
Lamiaceae
QAU 127139
Foling Leaves A decoction of leaves is made and
taken three times a day
Abdominal pain &
gastric problems
0.42 4
Onosma hispida Wall. &
G.Don.
Boraginaceae
QAU 127193
Kangmar Whole plant The whole plant is cooked in water
as a vegetable and taken twice a
day as needed
Jaundice, constipation 0.25 2
Pimpinella diversifolia DC. Kohniod Whole plant 0.26 2
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 5 of 15
53 %). Furthermore, cultural plants were further catego-
rized into 11 use categories, i.e., beverages (4 spp.), hut
and fencing (9 spp.), thatching (3 spp.), agricultural tools
(4 spp.), domestic fuel (7 spp.), fodder and forage (11
spp.), wool weaving tools (6 spp.), bio-repellant (1 sp.),
evil repellant (1 sp.), fragrance and affection (5 spp.),
and polo stick making (3 spp.) (Fig. 2).
Vernacular nomenclature
Vernacular nomenclature represents the local names of
plant species used for medicinal or cultural purposes. In
some cases the local names of plant species provide clues
about myths, social associations, habitat type, growth
habit, stem structure, fruit and medicinal uses. For in-
stance, the vernacular name of Equisetum arvense L. is
thangshing stwa (from thangshing: Pinus and stwa: grass)
which means “Pinus like grass”. This name has been given
due to the similarity in leaf shape between these two taxa.
Solanum nigrum L. is referred to as drumba shokhlo (from
drumba: homegarden and shokhlo: type of grape), as its
fruit (berry) resembles grapes (Vitis spp.). Pleurospermum
candollei (DC.) Benth. ex C. B. Clark. grows in rocky habi-
tats of the study area, and as a result it is called braq
shunadun (from braq: rocky, type of shundun which
grows in rocky areas). Pulsatilla wallichiana Ulbr. has a
rather long name locally, namely Zgiongmo-nana-loqpari-
mandoq. Interestingly, it refers to the relationship of a
daughter-in-law and her mother-in-law. In the Baltistan
region, particularly in rural areas, people live in joint
families. Due to the often hostile relationship between
daughters-in-law and mothers-in-law, it has been a burn-
ing topic of the society, especially among women. Regard-
ing the naming of this taxon, it is said that the flowers of
the species are always seen opposite to each other in
direction when they bloom, exemplifying the antagonistic
relationship of these two ladies. Similarly, Onosma hispida
Wall. & G.Don. is known as kangmar (from kangma: foot
and marfo: red) which means “plant with red foot”.
Biowa-charchu (from biowa: rat) is the local name of
Astragalus psilocentros (L.) A.Gray, as this species is used
to stop rats from nesting in homes, stores, cattle barns,
etc. Chenopodium foliosum Asch. is called spang-osae
Table 3 Folk medicinal plant uses recorded in Tormik Valley, Karakorum Mountain Range (Continued)
Apiaceae
QAU 127140
The whole plant is boiled in
water and the soup is taken
three times a day
Fever, stomach ulcer,
as a blood purifier
Pleurospermum candollei (DC.)
Benth. ex C.B. Clarke
Apiaceae
QAU 127141
Braqshundun Whole plant A decoction of the whole plant
is made and taken twice a day
Jaundice 0.32 3
Pulsatilla wallichiana Ulbr.
Ranunculaceae
QAU 127280
Zgiongmonana
Loqparimandoq
Flower Dried flowers are ground and the
powder is applied topically on
infected skin twice a day
Dermatitis 0.13 1
Rheum australe D.Don.
Polygonaceae
QAU 127272
Shoot Root The fresh and clean root is boiled in
water and the decoction is given
three times a day
Asthma, fever,
pneumonia
0.38 3
Rumex nepalensis Spreng.
Polygonaceae
QAU 127271
Rashona Leaves The leaves are first boiled and chopped;
then the paste is applied on infected
skin two times in a day
Dermatitis 0.19 1
Solanum nigrum L.
Solanaceae
QAU 127295
Drumbashokhlo Fruit The fruits are toasted and applied to
aching teeth three times in a day
Toothache 0.23 2
Tanacetum falconeri Hook.f.
Asteraceae
QAU 127180
Tyalo Whole plant A decoction of the whole plant is
recommended once a day
Body ache, fever 0.36 3
Thymus linearis Benth.
Lamiaceae
QAU 127243
Tumbruk Flower Flowers are boiled in water and the
decoction is taken twice daily
Abdominal pain,
vomiting
0.54 5
Tribulus terrestris L.
Zygophyllaceae
QAU 127310
Kokoring Whole plant A decoction of the whole plant is
taken orally twice a day, whereas
for body itching the decoction is
used as a bath
Urinary disorders,body
itching
0.33 3
Urtica dioica L.
Urticaceae
QAU 127308
Khaeshing Whole plant The whole plant is boiled in water
and the decoction is taken orally
thrice daily, whereas boiled and
chopped leaves are applied on
pimples and pustules
Joint pain, blood tonic,
pimples
0.28 2
RFCi relative frequency citation index, PRi preference ranking index
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 6 of 15
(from spang: grassy habitat and osae: mulberry) indicating
the type of mulberry which grows among grasses. This
name has been assigned to the species given its resem-
blance to the mulberry tree (Morus spp.) in the shape of
its fruit. According to the local people, Codonopsis clema-
tidea C.B. Clark is eaten extensively by sheep. Therefore,
it has been given the name loo-sunma (from loo: sheep
and sunma: vegetable) which means “the vegetable of
sheep”. However, the etymology of many other local
names of plant species was not known; for instance, via
for wild rose or rhringthringmo for Convolvulus arvensis.
Ethnomedicinal uses
Traditional Medicines (TMs) are used worldwide and
hence have global economic importance [25]. In devel-
oping countries, TMs are often the only accessible and
affordable source of treatment [34]. Therefore, herbal
remedies are the world’s therapeutic means to combat
diseases for a large proportion of people in developing
countries, in both rural areas and urban centers [27]. A
total of 26 species representing 26 genera and 26 families
were used to treat 11 different human ailments, namely
gastro-intestinal diseases, dermatitis, jaundice, hepatitis,
cancer, pneumonia, tonic, asthma, urinary disorders, joint
pain and eye pain (Table 3). Recorded plant species were
also examined for part(s) used, remedy preparation, route
of administration and given dosage for a particular ail-
ment. Eleven different parts of these 26 plants were being
utilized in the region (Figs. 3 and 4). Regarding routes of
administration, 62 % of species were taken orally and 15 %
of species were reportedly applied externally, while
23.07 % were used either orally or externally.
Comparative analysis of our findings with previous works
The present study is the first ever comprehensive
ethnobotanical investigation of Tormik Valley. How-
ever, the findings of the current study were compared
with those of previous ethnobotanical investigations
carried out in neighboring regions, as well as other
countries. This study revealed that most medicinal
plants were herbaceous, followed by trees and shrubs.
The dominant herbaceous medicinal species in the
flora of Karakorum are similar to those reported by
previous studies [28].
Fig. 2 Ethnobotanical use categories of plant species
Fig. 3 Number of ethnomedicinal uses of various plant parts
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 7 of 15
Majority of the mentioned plant species are confined
to Tormik Valley due to its unique micro climatic condi-
tions. Some plants were also found in the adjacent re-
gions as well as countries like China. Our findings are in
contrast to certain previous ethnobotanical studies in
neighboring regions as well as to other parts of the
world, where different plant species were reported with
respect to their preferred use [29–35].
As far as ethnobotanical importance is concerned, the
uses of certain medicinal plants are the most significant
(Table 3), as there is zero similarity in uses with [36–38]
and few similarities with [39, 40]. This study reveals that
more than half of the medicinal plant species were re-
ported for the first time from Tormik Valley regarding
their use (Table 3) [14, 41].
Interestingly, indigenous knowledge of plants and their
uses change with respect to geographic area and ethnic
group. For instance, the roots of Astragalus psilocentros
Fisch.are used to treat the flu and tooth aches in other
areas of central Karakorum [42], but in Tormik Valley
the whole plant is used to cover holes in the walls of
homes and cattle barns to prevent rats or mice from en-
tering. The comparative medicinal knowledge of the
ethnobotanical flora of the study area reveals diverse re-
gional uses in the valleys of the Karakorum and Hima-
layan belts. Powder made from the berries of Juniperus
communis L. is rubbed on rheumatic and painful swell-
ing as well as burnt as incense in homes in Astor valley
[43], but in Tormik Valley the same species is used as
fuelwood only. The fruits of Juniperus excelsa M. Bieb.
are used to treat stomach ulcers and fever in our study
area, but according to [44] they are used for urinary
tract problems. In the same way, the whole plant of
Delphinium brunonianum Royle is used as a hair tonic
in the current study area, which was also reported by
along with other uses (i.e., baldness, diarrhea, stomach
ache) in the valleys of Central Karakorum National Park
(CKNP). In India and the lesser Himalayas of Pakistan
Solanum nigrum has folk value as a liver tonic, to allevi-
ate indigestion, to relieve eye pain, and to treat skin in-
fections [45], but in the current study area the same
species is used to alleviate toothache only. A leaf and
flower decoction of Artemisia scoparia Waldst. & Kit. is
used to treat abdominal worms in the study area as well
as in Swat (Utror and Gabral) Pakistan [46], but it is
used as a purgative in Gujrat [47]. The bulb of Allium
carolinianum Redoute. is found to be effective for
gastrointestinal disorders, bone pain and joint ailments
but [48] reported its use to treat flu, fever and cough in
Khunjerab Hunza. In the study area Thymus linearis is
used to alleviate abdominal pain and vomiting while in
Astore [43] reported its effectiveness in treating abdom-
inal worms. Convolvulus arvensis is used as both a wild
vegetable and a medicinal species to cure constipation,
as also described by [47]. Likewise the fruits of Hippophe
rhamnoides are used to treat gastrointestinal disorders
and a paste made from its boiled leaves cures skin dis-
eases. However, Khan and Khatoon [28] reported that
Fig. 4 Classification of plant species based on part(s) used in traditional medicines. Wp: whole plant, Fl: flower, Sd: seed, Fr: fruit, Lvs: leaves, B:
bark, Rt: root, Rh: rhizome, Fl + Lvs: flower and leaves, Rt + Fl: root and flower, Fr + Lvs: fruits and leaves
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 8 of 15
the same species is effective for treating cardiac diseases,
cancer and stomachache. In “Ladakh”, the district of
India bordering Baltistan, this plant is used to treat
gynecological disorders, i.e. irregular menstrual cycles,
amenorrhea or dysmenorrhoea [49], and to improve di-
gestion [50]. Pimpinella diversifolia DC is one of the
most common medicinal herbs for abdominal disorders,
fever and blood purification and it is also used in the
Lesser Himalayan region of Pakistan to alleviate gas
problems and indigestion [13, 51]. In Baltistan jams, pills
and powders of Hippophae rhamnoides ssp. turkestanica
are now commercially produced. However, currently the
distribution status of this species is badly affected by
over utilization and the lack of community awareness
about its sustainability. Its local and regionally varied
medicinal uses indicate that inhabitants can easily access
and utilize this species, which is well-distributed along
the valley floor of the Karakorum Mountains.
Relative frequency of citation and preference ranking
Various ethnobotanical tools such as relative cultural
importance indices are used to measure cultural prefer-
ence of plant species in a particular area. We used the
Relative Frequency of Citation index (RFCi) and the
percentage of people with traditional knowledge (PPK)
to assess the ethnobotanical knowledge of the local in-
formants regarding medicinal uses of the reported plant
species; these results are presented in Table 3. From a
medicinal point of view Thymus linearis, Hippophae
rhamnoides ssp. turkestanica and Convolvulus arvensis
exhibited significant RFCi values (0.54, 0.51 and 0.48,
respectively). These species also have the greatest fre-
quency of encounter and PPK values (53.6, 50.7, and
47.8 %), with resultant PR values of 5, 5 and 4, respect-
ively. High RFCi values indicate a greater number of
citations by informants. A flower decoction of Thymus
linearis is used to treat abdominal pain and vomiting.
Bano et al. [21] reported that in Skardu Valley an infu-
sion of T. linearis is used to treat cough, cold, pneumo-
nia and other respiratory disorders. Although these uses
were different than those observed in our study, the
RFCi value is the same for both areas.
The fruits and leaves of Hippophae rhamnoides ssp.
turkestanica are used for medicinal purpose, and local
inhabitants use the whole plant in making huts and
fences. In Tormik Valley H. rhamnoides was ranked sec-
ond with a 0.51 RFCi value. The same species has been
reported as characteristic and the top ranked species in
Skardu Valley (RFC = 0.9) as its fruits are extensively
used to treat arthritis pain and cough, to relieve skin
inflammation in eczema and as a remedy for heart prob-
lems, ulcers, jaundice and urinary disorders [52]. Abbasi
et al. [13] reported that Solanum nigrum showed the high-
est frequency of encounter (58 %) and a corresponding PR
value of 5 in the Lesser Himalayas of Pakistan. However,
in the present study its PPK value was only 22.3 %. In light
of the diverse medicinal uses and variation in RFCi values
of the same plant species in the region, it can be hypothe-
sized that these plant species have diverse medicinal
importance and applications in the incised valleys of the
Karakorum and Himalayan mountain ranges. Secondly,
different ethnic groups in the upper (i.e., Hunza, Astore,
Gilgit and Baltistan) and lower parts (Abbottabad,
Haripur, Murree, Mansera, etc.) of north Pakistan possess
different ethnoecological and traditional knowledge, par-
ticularly about plant diversity.
Wild food species
The reliance of indigenous peoples and local communi-
ties on plant resources account for up to 95 % of their
survival requirements [53]. Among the potential uses of
plants those related to medicine and food have central
importance because they are essential to human survival.
A remarkable diversity of using edible wild plant species
exists among the inhabitants of Tormik valley concern-
ing food selection. Twenty-three species including 8
species of edible wild fruits and 13 species of vegetables
were reported to be used by the inhabitants of the area
(Table 3). To our knowledge six species of vegetables,
including Cerastium fontanum Baumg., Cicer microphyl-
lum Royle., Onosma hispida, Pleurospermum candollei,
Scorzonera hondae Kitam. and Silene vulgaris (Moench)
Garcke. and two species of edible wild fruits, i.e. Cheno-
podium foliosum and Cousinia thomsonii C. B. Clarke.
have never been reported before from the study area and
its surroundings. However, the rest of the botanical taxa
were similar to those reported previously [13, 54]. Inhab-
itants of the valley try to derive benefit from the avail-
able species either for a change of taste or to fulfill their
nutritional requirements unintentionally, as they do not
have nutritionists nor do they care about it. This is also
rationalized by [55], but the long-term utilization of wild
plants is threatened due to development of edible foods
markets.
Cultural aspects of botanical taxa
The results presented in Table 4 demonstrate that 34
plant species have various indigenous uses among local
peoples according to their cultural requirements (Fig. 2).
Inhabitants of Tormik Valley use 11 plant species as
fodder and forage. Grass species such as Bromus pecti-
natus Thunb. and Poa pratensis L. are cut and fed to
livestock in fresh condition or stored for the winter
season when vegetation totally vanishes in the valley.
Ribes alpestre wall. exDecne., Rosa spp. Spiraea canes-
cens D.Don and Tamaricaria elegans (Royle) Qaiser &
Ali are used in making huts and fencing. Hut construc-
tion is a common tradition in mountainous regions
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 9 of 15
Table 4 Food and other non-medicinal plant uses recorded in Tormik Valley, Karakorum
Plant species/family/voucher number Local name Cultural uses No. of uses
V F FF HF DW WW FA B AT T PS BR ER
Artemisia brevifolia Wall.
Asteraceae
QAU127152
Bustae - - - - + - - - - - - - - 1
Aster himalaicus C.B. Clarke
Asteraceae
QAU127157
Ghzima - - + - - - + - - - - - - 2
Astragalus frigidus A.Gray
Fabaceae
QAU127249
Shashal - - + - - - - - - - - - - 1
Astragalus psilocentros Fisch.
Fabaceae
QAU127251
BiowaCharchu - - - - - - - - - - - + - 1
Berberis pseudumbellata R. Parker
Berberidaceae
QAU127186
Skiorbu - - - - - - - - - + - - - 1
Betula utilis D.Don.
Betulaceae
QAU127187
Staqpa - - - - + + + + + + + - 7
Bromus pectinatus Thunb.
Poaceae
QAU127133
Troyuk - - + - - - - - - - - - - 1
Cerastium fontanum Baumg.
Caryophyllaceae
QAU27207
Bloghar + - + - - - - - - - - - - 2
Chenopodium album L.
Amaranthaceae
QAU127212
Snio + - + - - - - - - - - - - 2
Chenopodium foliosum Asch.
Amaranthaceae
QAU127215
SpangOsae - + - - - - - - - - - - - 1
Cicer microphyllum Royle.
Fabaceae
QAU127253
Stranjung
Stwa
+ - - - - - - - - - - - - 1
Codonopsis clematidea C.B. Clark
Campanulaceae
QAU127203
Loo sunma - - + - - - - - - - - - - 1
Colutea paulsenii Freyn.
Fabaceae
QAU127257
Rbana - - - - - - - - - + - - - 1
Convolvulus arvensis L.
Convolvulaceae
QAU127220
Thringthring-mo + - - - - - - - - - - - - 1
Cousinia thomsonii C. B. Clarke.
Asteraceae
QAU127162
Charchu - + - - - - - - - - - - - 1
Datura fastuosa L.
Solanaceae
QAU127296
Datura - - - - - - - - - - - - + 1
Fragaria nubicola Lindl. ex Lacaita
Rosaceae
QAU127282
KarochaeMarochae - + - - - - - - - - - - - 1
Geranium pratense L.
Geraniaceae
QAU127234
PorStwa - - + - - - - - - - - - - 1
Hippophae rhamnoides ssp. turkestanica L.
Eleagnaceae
QUA127225
Karsoq - + - + - - - - - - - - - 2
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 10 of 15
Table 4 Food and other non-medicinal plant uses recorded in Tormik Valley, Karakorum (Continued)
Hylotelephium ewarsii (Ledeb.) H.Ohba
Crassulaceae
QAU127221
Gongchu - - - - - - + - - - - - - 1
Juglans regia L.
Juglandaceae
QAU127311
Starga - - - - - + - - - - - - - 1
Juniperus communis L.
Cupressaceae
QAU127122
Oshuk - - - - + - - - - - - - - 1
Juniperus excelsa M. Bieb.
Cupressaceae
QAU127223
Shukpa - - - - + - - - - - - - + 2
Lonicera heterophylla Decne.
Caprifoliaceae
QAU127205
Said - - - - + + - - + - - - - 3
Lotus corniculatus L.
Fabaceae
QAU127254
Spangol - - + - - - - - - - - - - 1
Mentha royleana Wall.
Lamiaceae
QAU127239
Foling + - - - - - - - - - - - - 1
Onosma hispida Wall. & G. Don.
Boraginaceae
QAU127193
Kangmar + - - - - - - - - - - - - 1
Papaver nudicaule L.
Papaveraceae
QAU127248
Nilo - - - - - - + - - - - - - 1
Pimpinella diversifolia DC.
Apiaceae
QAU127140
Kohniod + - - - - - - + - - - - - 2
Pleurospermum candollei (DC.) Benth. ex C. B. Clark.
Apiaceae
QAU127141
Braq Shandun + - - - - - - - - - - - - 1
Poa pratensis L.
Poaceae
QAU127137
Rastwa - - + - - - - - - - - - - 1
Potentilla salesoviana Steph.
Rosaceae
QAU127284
SniarmaStwa - - - - - - - - - - - + - 1
Prunus armeniaca L.
Rosaceae
QAU127312
Chuli - - - - - - - - - - + - - 1
Rhododendron hypenanthum Balf.f.
Ericaceae
QAU127226
Sursur - - - - - - - + - - - - - 1
Ribes alpestre wall. ex Decne.
Grossulariaceae
QAU127236
Skioruru - + - + - - - - - - - - - 2
Rosa brunonii Lindl.
Rosaceae
QAU127286
SiaMarpho - + - + - - - + - - - - - 3
Rosa webbiana Wall.
Rosaceae
QAU127287
SiaSarfo - + - + - - - - - - - - - 2
Rumax nepalensis Spreng.
Polygonaceae
QAU127271
Rashona + - - + - - - - - - - - - 2
Scorzonera hondae Kitam.
Asteraceae
SkiniSmaghra + - - - - - - - - - - - - 1
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 11 of 15
which are principally used in summer to rear livestock.
The twigs, branches and stems of these species are used
to build huts. Moreover, fences are built around home
gardens, vegetable patches and other crop fields to
protect them from herbivorous animals. Betula utilis,
Juniperus spp. Lonicera heterophylla Decne. and Tamari-
caria elegans are among the species used as domestic
fuel for cooking purposes. Locals keep goats and sheep
as an essential part of their life. The wool and hair (of
sheep and goats) are woven to create different clothes,
local blankets and carpets. To this end, people use
Betula utilis, Juglans regia L., Lonicera heterophylla L.
and Spiraea canescens to make the tools required for
weaving. The flowers of Aster himalaicus C.B. Clarke.,
Betula utilis, Hylotelephium ewarsii (Ledeb.) H.Ohba.,
Papaver nudicaule L. and Trifolium repens L. are kept in
homes and held in the hand for fragrance. Flowers of
affection are mostly given by shepherds/pastoralist to
their loved ones and villagers with ice when there is no
ice in the main valley.
The leaves, stems and roots of Pimpinella diversifolia,
Rhododendron hypenanthum Balf.f. and Rosa brunonii
Lindl. are used in making beverages like tea and coffee.
Betula utilis, Lonicera heterophylla, Spiraea canescens
are used to make domestic and agricultural tools like
ploughs and field planning tools, as well as the handles
of shovels, spades, axes, etc. The small twigs and
branches of Berberis pseudumbellata R.Parker, Betula
utilis, Colutea paulsenii Freyn. and Spiraea canescens
are used to thatch different baskets and grass carriers
(locally called Chorong). Baskets of different sizes and
shapes are mostly used to collect fruits from trees to
protect them from squeezing/pressing and for transpor-
tation. Three plant species are used for making polo (a
common game in the region) sticks which are used as
well as sold to the people of surrounding areas. The
branches of Potentilla salesoviana Steph are stuck in the
holes of house walls to deter or prevent the entrance of
rats, snakes, insects, centipedes, millipedes and other
arthropods. The perception of locals about ailments of
unknown origin involves the presence of evil, and Juni-
perus excelsa is used as an evil repellant. Our findings of
the cultural uses of plants have few comparisons in
adjacent regions; nevertheless these findings can be
compared with a few other studies from the Himalayas
[12, 21, 43].
Highly utilized species
Though the numbers of uses mentioned are fairly low,
but they are sufficient to indicate that human beings try
to fulfill their daily life necessities from easily available
and abundant species. This is supported by the different
uses of the valley natives, who try to utilize resources
from forest dominant plant species. For example Betula
Table 4 Food and other non-medicinal plant uses recorded in Tormik Valley, Karakorum (Continued)
QAU127177
Silene vulgaris (Moench) Garcke.
Caryophylaceae
QAU127209
Bostwa + - - - - - - - - - - - - 1
Solanum nigrum L.
Solanaceae
QAU127298
Drumba
shokhlo
- + - - - - - - - - - - - 1
Spiraea canescens D.Don
Rosaceae
QAU127289
Skhsi - - - + - + - - + + + - + 6
Tamaricaria elegans (Royle) Qaiser & Ali
Tamaricaceae
QAU127305
Ongbu - - - + + - - - - - - - - 2
Taraxacum officinale F.H.Wigg
Asteraceae
QAU127181
Khosmas + - - - - - - - - - - - - 1
Trifolium pratense L.
Fabaceae
QAU127259
Ol - - + - - - - - - - - - - 1
Trifolium repens L.
Fabaceae
QAU127258
Hltabuksuk - - + - - - + - - - - - - 2
Urtica dioica L.
Urticaceae
QAU127308
Khaeshing + - - - - - - - - - - - - 1
V wild edible vegetable, F wild edible fruit, FF fodder and forage, HF hut and fencing, DW domestic wood, WW wool weaving, FA fragrance and affection, B
beverages, AT agricultural tools, T thatching, PS polo stick, BR bio-propellant, ER evil repellant
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 12 of 15
utilis shows seven different ways of utilization. This
subalpine tree, is thus under severe anthropogenic pres-
sure [56, 57]. Among other species Berberis psuedumbel-
laeta, Juniperus excelsa, Pimpinella diversifolia and
Spiraea canescens also have four uses. These species are
also described as exploited in other areas of the Himalayas
in Pakistan [58, 59]. Hippophe rhamnoides, Juniperus
communis, Rosa brunonii Lindl and Rosa webbiana Wall
were used in three different ways.
The growth habit and body form of plant species are
of great interest to people when exploring different
utilization techniques. The results showed that species
with a robust body form, i.e. shrubs and trees, are under
more human pressure than herbaceous soft bodied spe-
cies. As Trifolium repens, Solanum nigrum, Rumex nepa-
lensis Spreng., Ribes alpestre, Pleurospermum candollei,
Onosma hispida, Mentha royleana Wall., Lonicera het-
erophylla, Cousinia thomsonii, Convolvulus arvensis,
Cicer microphyllum, Chenopodium album, Cerastium
fontanum, Astragalus frigidus A.Gray and Urtica dioica
L. have just two uses each and another 40 species only a
single use.
Traditional medicine: a hope for mountain dwellers
Plants have been vital sources of curative traditional
medicine preparations for human beings since ancient
times [4, 60]. According to the World Health organization
(WHO), Traditional medicine is any “health practice,
approaches, knowledge and beliefs incorporating plant,
animal and mineral based medicines, spiritual therapies,
manual techniques and exercises applied to treat, diagnose
and prevent illnesses” [61]. It is an undeniable fact that
forest inhabitants have an intimate relationship with the
indigenous flora and maintain immense knowledge on the
uses of various forest products over centuries [45, 61] and
struggle to meet their life necessities from them. For the
people of remote areas herbal remedies are easily obtain-
able and effective drugs for treating their health issues.
Therefore, they intentionally, as well as unintentionally,
transfer their invaluable indigenous knowledge from one
generation to the next orally without any written text.
Implications for public health and environmental policies
From the results provided in Table 3 it is clear that
stomach related health problems (ulcers, constipation,
GIT infections, jaundice), and skin diseases (dermatitis)
are the most prevalent health problems in the area.
Stomach disorders are likely due to malnutrition and un-
hygienic food utilization. Skin problems can be attrib-
uted to the high altitude of the study area, where
radiation from the sun tends to be more intense and po-
tentially mutagenic. People traditionally treat such dis-
eases with food-medicines, which in many cases are
quite effective. Hence, the present findings provide very
important insights for public-health officials, to formu-
late health policies taking into account the common
health issues and Traditional Medicine (TM) practiced
by the local people as part of their primary healthcare.
Conclusion
The present study revealed that the valleys in the
Karakorum Mountains in Northern Pakistan support a
notable Traditional Knowledge on the local plants.
Wild food plants have represented the milestone of the
traditional food systems and could still represent a pillar
of the local food sovereignty, while medicinal plants play a
vital role, which need to be reconsidered and carefully re-
evaluated by ethnopharmacologists and public health ac-
tors. The collected data may be also of interest to initia-
tives aimed at fostering sustainable rural development in
an area that faces serious economic problems, widespread
illiteracy, and isolation. The findings of this paper advo-
cate the need for comprehensive trans-disciplinary re-
searches aimed to ensure the dynamic conservation of
invaluable local knowledge systems, as well as plant diver-
sity in Pakistani mountain regions.
Acknowledgement
We are very grateful to the men and women of Tormik Valley for sharing
their indigenous knowledge. We are also very grateful to Mubashar Hassan
of the Aga Khan Rural Support Program, Baltistan Region, Pakistan, who
provided field equipment and helped in map designing.
Funding
This paper is a part of PhD study conducted by Mr. Zaheer Abbas (first
author), who is PhD student in Hazara University Mansehra-Pakistan. No
funding was provided by any source to conduct this survey.
Availability of data and materials
We have already included all data in the manuscript, that were collected
during the field survey.
Authors’ contributions
ZA: designed the study and collected data. SMK: supervised the project,
analyzed data and provided technical support. AMA: participated in data
evaluation and manuscript write-up. AP: contributed to the structure and dis-
cussion contents of the study; ZU: helped in the collection and identification of
plant species. MI: helped in the field survey. ZA: helped in data preparation for
various analyses and editing drafts of the MS. All authors read and approved
the final manuscript.
Competing interests
The authors declare that they have no competing interests.
Consent for publication
Our manuscript does not contains any individual's person data.
Ethics approval and consent to participate
This study is based on field survey instead of human or animal trails.
Therefore ethical approval and consent to participate is not required.
However, formal consent was received from informants regarding data
collection and publication; then the Participatory Rural Appraisal (PRA)
approach as mentioned in the Kyoto Protocol was applied with the consent
of the informants. Ethical guidelines of the International Society of
Ethnobiology (http://www.ethnobiology.net) were strictly followed.
Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 13 of 15
Author details
1
Department of Botany, Hazara University, Mansehra, Pakistan. 2
Department
of Plant Sciences, Quaid-i-Azam University, Islamabad, Pakistan. 3
Department
of Environmental Sciences, COMSATS Institute of Information Technology,
Abbottabad, Pakistan. 4
School of Light Industry and Food Sciences, South
China University of Technology, Guanzhou, China. 5
University of Gastronomic
Sciences, Bra/Pollenzo, Italy. 6
Center for Plant Sciences and Biodiversity,
University of Swat, Swat, Pakistan.
Received: 5 February 2016 Accepted: 26 August 2016
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  • 1. Ethnobotany of the Balti community, Tormik valley, Karakorum range, Baltistan, Pakistan Abbas et al. Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 DOI 10.1186/s13002-016-0114-y
  • 2. RESEARCH Open Access Ethnobotany of the Balti community, Tormik valley, Karakorum range, Baltistan, Pakistan Zaheer Abbas1 , Shujaul Mulk Khan2* , Arshad Mehmood Abbasi3,4* , Andrea Pieroni5 , Zahid Ullah6 , Muhammad Iqbal1 and Zeeshan Ahmad2 Abstract Background: Limited health facilities and malnutrition are major problems in the Karakorum Range of Northern Pakistan, often resulting in various human disorders. Since centuries, however, local communities in these areas have developed traditional methods for treating various ailments and local foods capes that can be significant for devising public health and nutritional policies. This study was intended to document the ethnobotanical knowledge of the local peoples in the Tormik Valley, especially in the medical and food domains. Methods: Field trips were undertaken in 14 different villages of the study area from 2010 to 2012. Ethnobotanical data were gathered using semi-structured interviews and group conversation with 69 informants. Details about local uses of plant species were recorded along with demographic characteristics of the visited communities. Relative frequency citation index (RFCi) and preference ranking index (PRi) tools were applied to determine the cultural significance of the reported species. Results: Sixty-three plant species, with a predominance of Asteraceae and Fabaceae family members, as well as their detailed folk uses were documented. Forty-three percent of the species were used to treat various diseases, 21 % were consumed as wild fruits and vegetables and 53 % of the species had multipurpose applications. Thymus linearis Benth, Hippophae rhamnoides ssp. turkestanica L. and Convolvulus arvensis L. were found to be the most utilized medicinal plant species, i.e. those with significant RFCi values (0.54, 0.51 and 0.48, respectively). Betula utilis D. Don was the most versatile taxon (seven different ways of utilization); being this species a common and easily accessible subalpine tree and then under anthropogenic pressure, the implementation of concrete strategies aimed at its in-situ and ex-situ conservation is strongly recommended. Conclusion: The valleys in the Karakorum Mountains in the Northern Pakistan host significant Traditional Knowledge on local food and medicinal plant species, which need to be reconsidered and cautiously re-evaluated by ethnopharmacologists, and public health/nutrition actors. Furthermore, germane trans-disciplinary investigations are suggested to ensure the dynamic conservation of precious local knowledge systems, as well as plant diversity in Pakistani mountain regions. Keywords: Ethnobotany, Medicinal plants, Indigenous knowledge, Karakorum, Pakistan * Correspondence: shuja60@gmail.com; arshad799@yahoo.com 2 Department of Plant Sciences, Quaid-i-Azam University, Islamabad, Pakistan 3 Department of Environmental Sciences, COMSATS Institute of Information Technology, Abbottabad, Pakistan Full list of author information is available at the end of the article © 2016 The Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 DOI 10.1186/s13002-016-0114-y
  • 3. Background Human beings have been using plants since ancient times for many purposes and early on they especially developed several ways of using plant resources in order to counteract diseases [1, 2]. Many field studies in the last decades have shown that traditional peoples, local communities, and indigenous societies around the world retain a tremendous local plant knowledge, remark- ably embedded into daily practices and mainly orally transmitted [3, 4]. Natural resources and associated biological diversity provide the basis of livelihood for human populations. Consequently, humans have a great impact on local vegetation and vice versa [5]. Ethnobotany is the bur- geoning interdisciplinary scientific field which covers all sorts of interactions and relationships between plants and people. The history of medicinal plant use by humans to treat diverse ailments dates back to ancient civilizations [6, 7]. Even though the advent of allopathic medicine has somehow minimized the role of medicinal plants in favor of synthetic drugs, a number of modern drug discoveries have been based on medicinal plants used by indigenous peoples [8]. In Pakistan approxi- mately 6000 species of higher plants are found [9, 10]. At least 12 % of the flora species are used medicinally, several of which are exported [11]. Of these species, the active constituents of approximately 500 species are known. Diversity in plants and variations in plant-people interactions are further influenced by the selection of wild plants for food and other native cultural uses. One of the primary objectives of ethnobotanical investiga- tions is the documentation of indigenous knowledge associated with these plant species which is diminishing day by day in general, and among people living in close proximity to the forest in particular [12]. The people of remote areas in any region rely on local resources in order to treat various health disor- ders [13–15]. Ethnobotanical information can provide an important feedback for public health and environ- mental policies through the understanding of socio- cultural backgrounds and the analysis of ethnic-based strategies to combat diseases [16]. In mountainous ecosys- tems such as the Karakorum range, often inadequate nutrition remains a major problem resulting in various diseases. The local inhabitants in these areas have devel- oped traditional methods of curing such common health problems, which in turn can provide important data for devising public health policies [17]. The Karakorum mountain range, situated at the junction of western and central Asiatic regions of Tethyan flora, is one of the most diverse habitats in the world [18]. The Baltistan province of Pakistan is home to more than a dozen geo- graphically isolated and botanically unexplored valleys in the Karakorum Range [19]. Although a number of previous ethnobotanical investigations have been con- ducted in surrounding areas [13, 14, 18–24], many of these studies did not use quantitative methods [9]. Moreover, Tormik Valley repeatedly went unnoticed, perhaps due to its high altitude, harsh and hostile cli- mate, inaccessibility and prevailing poverty. A large proportion of its inhabitants depend on herbal remed- ies. They are known as the trustees of cultural know- ledge whether related to plants, animals, fungi, lichens, or stones. However, no in-depth ethnomedicinal survey in this valley has been conducted thus far. Therefore, the current study records and documents the medicinal uses of plant species by the inhabitants of the region aiming to: (i) document traditional knowledge of plant species used by the Balti communities; (ii) quantify the ethnomedicinal plant uses employing relative frequency of citation (RFC) and preference ranking (PR) indices; (iii) highlight the most interesting and novel medicinal plants that have never previously been reported in nearby areas and whose phytochemistry and pharma- cology should be further investigated. Methods Study area Geography Tormik Valley is situated on the right bank of the Indus River in Baltistan District, in the Karakorum mountain range, of Northern Pakistan. The valley covers a land area of 2750 km2 , of which about 1010 km2 (36 %) en- compasses natural pastures, at an elevation range of 2000–6000 m asl. Despite being a narrow valley, it is home to 27 permanent villages (main villages) and six- teen temporary summer settlements (sub-Alpine settle- ments) situated on the banks of the Tormik River [19]. Floristically, the valley belongs to the eastern Irano- Turanian sub region [9]. Climate and topography The climate is characterized by a prolonged and hostile winter with repeated snowfall which severely restrains daily activities. The lower terrain is rugged, stony and exhibits a dry desert environment, but at higher eleva- tions frequent precipitation gives rise to relatively richer vegetation. No weather station exists in the re- gion; however, data from Skardu, which is 55 km away, shows a mean monthly temperature of 11.5 °C, with a winter minima of −23.2 °C and a summer maxima of 41 °C [20]. Ethnographic background Overall in the Baltistan region (province), Mongol, Mon, Hor, Brokpa and Kashmiris are the prominent ethnic groups [21] with the local languages being Balti and Shina (Broq-skat); however, the studied valley hosts a Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 2 of 15
  • 4. single ethnic group: the Balti. This ethnic group is com- prised of thirty-one lineage groups known as qoum and speaks Balti as their local language. The population of the valley is approximately 5,000 inhabitants [22] com- prising 706 households. The people of this region mi- grated to the study area from other parts of Baltistan, as well as other regions, before the birth of the founder of Buddhism, Guatama Budha (563 BC) [23, 24]. Socio-economic profile A large proportion of the valley population is very poor and depends upon agriculture, livestock rearing, and the production of fuelwood, wool blankets (Qaar), gem- stones, and thatched goods (baskets and grass holders), as well as other forest resources. There is no formal marketing of medicinal plants which indirectly benefits herbal businessmen (middle men) rather than customers who are the real custodians. Ethnobotanical data collection Ethnobotanical data was collected from 69 different in- formants (including 37 males, 27 females and five local herbalists) in the valley villages of Smurdo, Blaqchan, Yuchung, Baripa, Khlajing, Pano, Rgialsakhor, Harimal, Surbo, Sarfakhor, Bongree, Zaghar, Khlangma and Dunsa from 2010 to 2012 (Fig. 1). Formal consent was received from informants regarding data collection and publica- tion; then the Participatory rural appraisal (PRA) approach as mentioned in the Kyoto Protocol was ap- plied with the consent of the informant. Ethical guide- lines of the International Society of Ethnobiology (http:// www.ethnobiology.net) were strictly followed. The meth- odology was designed with the sole purpose of obtaining the invaluable wealth of local knowledge, with special emphasis on medicinal plant use [21, 25]. The infor- mants were classified into eight age groups, i.e.: 11– 20, 21–30, 31–40, 41–50, 51–60, 61–70 and above 70 years of age (Tables 1 and 2). Questions regarding the vernacular name, availability, part(s) used, modes of prepar- ation and administration, diseases treated, and cultural uses were asked in the Balti native language, in which the first author is fluent. Within the chosen sample, women often disliked speaking with strangers due to their isolated social organization and religious teachings. Therefore, female in- formants always had to be introduced through their male relatives (e.g. husband, father or brother) [25]. Fig. 1 Map showing the study area and the visited localities Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 3 of 15
  • 5. Collected plant species were identified using the Flora of Pakistan and other literature sources [26]. The botanical names and respective families were confirmed via the Angiosperm Phylogeny Group [27]. Collected specimens were given voucher numbers and stored in the Herbarium of Quaid-i-Azam University, Islamabad, Pakistan. Data analysis Data were analyzed based on use reports of plant part(s) of each species to treat a given health disorder. Trad- itional remedies of each taxon along with diseases cured were evaluated using the number of citations by the informants. The significance of each plant species was estimated by the relative frequency citation index (RFCi), which indicates the local importance of each species. RFCi values were calculated via the frequency of citation (FC, the number of informants mentioning the use of the species) divided by the total number of informants participating in the survey (N), without considering the use-category values as reported previously [28–30]. The preference ranking index was calculated, as explained by Asase et al. [31], according to the level of effectiveness of the reported plant species. Each rank was given a numeral (1, 2, 3, 4 or 5), with the most effective plants assigned a value of 5. Results and discussion This work helps to understand traditional ecological knowledge, which now also includes an analysis of how this knowledge is adapted, linked, and transmitted through generations [32]. Informant demographics Elderly informants, who were mostly farmers, shep- herds, wood cutters, teachers, tourist guides and house- wives, have more ethnobotanical knowledge compared to younger ones. This might be due to changing life- styles, the urbanization of towns, a greater dependence on allopathic medicines and the lack of interest by younger generations. Two-thirds of the informants were illiterate due to the lack of education facilities, while the remaining one-third were educated (mostly secondary school level or below) (Table 1). Taxonomic diversity According to Dickoré [33], the Karakorum Range ex- hibits a wide array of landscape patterns and a diverse ecology supporting a unique composition of flora. The flora of the Karakorum Mountains is poor in species number, but dominated by taxonomically complex groups. In total, 63 plant species belonging to 32 families and 55 genera were documented as used by the Balti community (Table 3). The two most important families were Asteraceae and Fabaceae with 7 species each, followed by Rosaceae with 6 species in terms of ethno- botanical usage. Six families were represented by two species and 20 families by only a single species each. Among genera, Artemisia, Astragalus, Juniperus and Trifolium each featured two ethnomedicinally important species. With respect to growth habit, herbs were the dominate form (88 %), followed by trees (8 %) and shrubs (4 %). Reported species were classified into three main clas- ses on the basis of their nature of usage, i.e., ethnome- dicinal (26 spp., 43 %), wild edible including fruits and vegetables (23 spp., 21 %), and cultural plants (34 spp., Table 1 Characteristics of the study participants Categories Number Percentage Gender Men 27 39.13 Women 42 60.87 Total 69 Age group Below 50 years 20 28.99 Above 50 years 49 71.01 Education level Illiterate 46 66.67 Primary 5 7.25 Middle 5 7.25 High school 9 13.04 Graduate 2 2.90 Masters 2 2.90 Socioeconomics Farmers 19 27.53 Shepherds 5 7.25 Hunters 5 7.25 Wood cutters 8 11.59 Teachers 5 7.25 House wives 27 39.13 Table 2 Total number and percentage of interviewees per age group Age group No of interviewees Male Female Percentage 11–20 3 2 1 4.35 21–30 6 5 1 8.70 31–40 4 2 3 5.80 41–50 7 4 2 10.14 51–60 20 9 11 28.98 61–70 23 3 20 33.34 Above 70 6 2 2 8.70 Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 4 of 15
  • 6. Table 3 Folk medicinal plant uses recorded in Tormik Valley, Karakorum Mountain Range Latin name/family/ voucher number Local name Parts used Drug description Diseases treated RFCi (n = 69) PRi Allium carolinianum Redoute. Alliaceae QAU 127126 Chong Bulb A fresh bulb decoction is taken three times a day while a bulb paste is applied topically on painful joints and bones Gastrointestinal disorders, bone or joint pain 0.17 1 Artemisia scoparia Waldst. & Kit. Asteraceae QAU 127156 Khobustae Flower & leaves The flowers and leaves are boiled and the decoction is taken twice a day Abdominal worms, urethritis 0.20 2 Berberis pseudumbellata R. Parker Berberidaceae QAU 127186 Skiorbu Flower, fruit, seed Seeds and fresh fruits are eaten while a flower decoction is recommended three times a day Jaundice 0.39 3 Bergenia ciliata (Haw.) Sternb. Saxifragaceae QAU 127281 Schapur Rhizome A decoction of rhizome is taken twice a day while a paste is applied topically on eyelids Stomach ulcer, eye ache 0.30 3 Cicer microphyllum Royle. Fabaceae QAU 127253 Stranjungstwa Whole plant Fresh plants are collected and cooked in water as a vegetable. It is suggested the plant is eaten raw once a day Kidney stones, urinary problems 0.32 3 Convolvulus arvensis L. Convolvulaceae QAU 127220 Thringthringmo Whole plant Fresh plants are boiled in water as a vegetable and eaten with wheat bread twice a day Constipation 0.48 4 Cousinia thomsonii C.B.Clarke. Asteraceae QAU 127162 Charchu Flower The flower is boiled in water and applied topically on infected areas as needed Dermatitis 0.14 1 Delphinium brunonianum Royle Ranunculaceae QAU 127278 Makhoting Whole plant The whole plant is dried and ground with water and the paste is then applied on the head as hair tonic Hair tonic 0.36 3 Descurainia sophia (L.) Webb ex Prantl Brassicaceae QAU 127197 Khashir Whole plant A decoction of the whole plant is made and recommended thrice daily Asthma, constipation 0.16 1 Equisetum arvense L. Equisetaceae QAU 127121 Thangshing stwa Whole plant A decoction of the whole plants is taken twice daily Urinary tract disorders 0.28 1 Fagopyrum esculentum Moench. Polygonaceae QAU 127266 Bro Seed The seeds are ground and the powder is taken with water three times a day as needed Stomach ulcer, tumour, jaundice 0.45 4 Hippophae rhamnoides ssp. turkestanica L. Eleagnaceae QAU 127225 Karsoq Fruit & leaves A fresh fruit paste is taken twice daily while a decoction of leaves is taken twice a day/a leaf paste is rubbed on infected parts Gastrointestinal disorders,dermatitis 0.51 5 Hyoscyamus niger L. Solanaceae QAU 127297 Landungstwa Seed The seeds are ground with water and the paste is applied on aching teeth and gums twice a day Toothache 0.12 1 Juniperus excelsa M. Bieb. Cupressaceae QAU 127123 Shukpa Fruit The fresh fruits are boiled and the decoction is taken twice a day as needed Stomach ulcer, fever 0.13 1 Mentha royleana Wall. Lamiaceae QAU 127139 Foling Leaves A decoction of leaves is made and taken three times a day Abdominal pain & gastric problems 0.42 4 Onosma hispida Wall. & G.Don. Boraginaceae QAU 127193 Kangmar Whole plant The whole plant is cooked in water as a vegetable and taken twice a day as needed Jaundice, constipation 0.25 2 Pimpinella diversifolia DC. Kohniod Whole plant 0.26 2 Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 5 of 15
  • 7. 53 %). Furthermore, cultural plants were further catego- rized into 11 use categories, i.e., beverages (4 spp.), hut and fencing (9 spp.), thatching (3 spp.), agricultural tools (4 spp.), domestic fuel (7 spp.), fodder and forage (11 spp.), wool weaving tools (6 spp.), bio-repellant (1 sp.), evil repellant (1 sp.), fragrance and affection (5 spp.), and polo stick making (3 spp.) (Fig. 2). Vernacular nomenclature Vernacular nomenclature represents the local names of plant species used for medicinal or cultural purposes. In some cases the local names of plant species provide clues about myths, social associations, habitat type, growth habit, stem structure, fruit and medicinal uses. For in- stance, the vernacular name of Equisetum arvense L. is thangshing stwa (from thangshing: Pinus and stwa: grass) which means “Pinus like grass”. This name has been given due to the similarity in leaf shape between these two taxa. Solanum nigrum L. is referred to as drumba shokhlo (from drumba: homegarden and shokhlo: type of grape), as its fruit (berry) resembles grapes (Vitis spp.). Pleurospermum candollei (DC.) Benth. ex C. B. Clark. grows in rocky habi- tats of the study area, and as a result it is called braq shunadun (from braq: rocky, type of shundun which grows in rocky areas). Pulsatilla wallichiana Ulbr. has a rather long name locally, namely Zgiongmo-nana-loqpari- mandoq. Interestingly, it refers to the relationship of a daughter-in-law and her mother-in-law. In the Baltistan region, particularly in rural areas, people live in joint families. Due to the often hostile relationship between daughters-in-law and mothers-in-law, it has been a burn- ing topic of the society, especially among women. Regard- ing the naming of this taxon, it is said that the flowers of the species are always seen opposite to each other in direction when they bloom, exemplifying the antagonistic relationship of these two ladies. Similarly, Onosma hispida Wall. & G.Don. is known as kangmar (from kangma: foot and marfo: red) which means “plant with red foot”. Biowa-charchu (from biowa: rat) is the local name of Astragalus psilocentros (L.) A.Gray, as this species is used to stop rats from nesting in homes, stores, cattle barns, etc. Chenopodium foliosum Asch. is called spang-osae Table 3 Folk medicinal plant uses recorded in Tormik Valley, Karakorum Mountain Range (Continued) Apiaceae QAU 127140 The whole plant is boiled in water and the soup is taken three times a day Fever, stomach ulcer, as a blood purifier Pleurospermum candollei (DC.) Benth. ex C.B. Clarke Apiaceae QAU 127141 Braqshundun Whole plant A decoction of the whole plant is made and taken twice a day Jaundice 0.32 3 Pulsatilla wallichiana Ulbr. Ranunculaceae QAU 127280 Zgiongmonana Loqparimandoq Flower Dried flowers are ground and the powder is applied topically on infected skin twice a day Dermatitis 0.13 1 Rheum australe D.Don. Polygonaceae QAU 127272 Shoot Root The fresh and clean root is boiled in water and the decoction is given three times a day Asthma, fever, pneumonia 0.38 3 Rumex nepalensis Spreng. Polygonaceae QAU 127271 Rashona Leaves The leaves are first boiled and chopped; then the paste is applied on infected skin two times in a day Dermatitis 0.19 1 Solanum nigrum L. Solanaceae QAU 127295 Drumbashokhlo Fruit The fruits are toasted and applied to aching teeth three times in a day Toothache 0.23 2 Tanacetum falconeri Hook.f. Asteraceae QAU 127180 Tyalo Whole plant A decoction of the whole plant is recommended once a day Body ache, fever 0.36 3 Thymus linearis Benth. Lamiaceae QAU 127243 Tumbruk Flower Flowers are boiled in water and the decoction is taken twice daily Abdominal pain, vomiting 0.54 5 Tribulus terrestris L. Zygophyllaceae QAU 127310 Kokoring Whole plant A decoction of the whole plant is taken orally twice a day, whereas for body itching the decoction is used as a bath Urinary disorders,body itching 0.33 3 Urtica dioica L. Urticaceae QAU 127308 Khaeshing Whole plant The whole plant is boiled in water and the decoction is taken orally thrice daily, whereas boiled and chopped leaves are applied on pimples and pustules Joint pain, blood tonic, pimples 0.28 2 RFCi relative frequency citation index, PRi preference ranking index Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 6 of 15
  • 8. (from spang: grassy habitat and osae: mulberry) indicating the type of mulberry which grows among grasses. This name has been assigned to the species given its resem- blance to the mulberry tree (Morus spp.) in the shape of its fruit. According to the local people, Codonopsis clema- tidea C.B. Clark is eaten extensively by sheep. Therefore, it has been given the name loo-sunma (from loo: sheep and sunma: vegetable) which means “the vegetable of sheep”. However, the etymology of many other local names of plant species was not known; for instance, via for wild rose or rhringthringmo for Convolvulus arvensis. Ethnomedicinal uses Traditional Medicines (TMs) are used worldwide and hence have global economic importance [25]. In devel- oping countries, TMs are often the only accessible and affordable source of treatment [34]. Therefore, herbal remedies are the world’s therapeutic means to combat diseases for a large proportion of people in developing countries, in both rural areas and urban centers [27]. A total of 26 species representing 26 genera and 26 families were used to treat 11 different human ailments, namely gastro-intestinal diseases, dermatitis, jaundice, hepatitis, cancer, pneumonia, tonic, asthma, urinary disorders, joint pain and eye pain (Table 3). Recorded plant species were also examined for part(s) used, remedy preparation, route of administration and given dosage for a particular ail- ment. Eleven different parts of these 26 plants were being utilized in the region (Figs. 3 and 4). Regarding routes of administration, 62 % of species were taken orally and 15 % of species were reportedly applied externally, while 23.07 % were used either orally or externally. Comparative analysis of our findings with previous works The present study is the first ever comprehensive ethnobotanical investigation of Tormik Valley. How- ever, the findings of the current study were compared with those of previous ethnobotanical investigations carried out in neighboring regions, as well as other countries. This study revealed that most medicinal plants were herbaceous, followed by trees and shrubs. The dominant herbaceous medicinal species in the flora of Karakorum are similar to those reported by previous studies [28]. Fig. 2 Ethnobotanical use categories of plant species Fig. 3 Number of ethnomedicinal uses of various plant parts Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 7 of 15
  • 9. Majority of the mentioned plant species are confined to Tormik Valley due to its unique micro climatic condi- tions. Some plants were also found in the adjacent re- gions as well as countries like China. Our findings are in contrast to certain previous ethnobotanical studies in neighboring regions as well as to other parts of the world, where different plant species were reported with respect to their preferred use [29–35]. As far as ethnobotanical importance is concerned, the uses of certain medicinal plants are the most significant (Table 3), as there is zero similarity in uses with [36–38] and few similarities with [39, 40]. This study reveals that more than half of the medicinal plant species were re- ported for the first time from Tormik Valley regarding their use (Table 3) [14, 41]. Interestingly, indigenous knowledge of plants and their uses change with respect to geographic area and ethnic group. For instance, the roots of Astragalus psilocentros Fisch.are used to treat the flu and tooth aches in other areas of central Karakorum [42], but in Tormik Valley the whole plant is used to cover holes in the walls of homes and cattle barns to prevent rats or mice from en- tering. The comparative medicinal knowledge of the ethnobotanical flora of the study area reveals diverse re- gional uses in the valleys of the Karakorum and Hima- layan belts. Powder made from the berries of Juniperus communis L. is rubbed on rheumatic and painful swell- ing as well as burnt as incense in homes in Astor valley [43], but in Tormik Valley the same species is used as fuelwood only. The fruits of Juniperus excelsa M. Bieb. are used to treat stomach ulcers and fever in our study area, but according to [44] they are used for urinary tract problems. In the same way, the whole plant of Delphinium brunonianum Royle is used as a hair tonic in the current study area, which was also reported by along with other uses (i.e., baldness, diarrhea, stomach ache) in the valleys of Central Karakorum National Park (CKNP). In India and the lesser Himalayas of Pakistan Solanum nigrum has folk value as a liver tonic, to allevi- ate indigestion, to relieve eye pain, and to treat skin in- fections [45], but in the current study area the same species is used to alleviate toothache only. A leaf and flower decoction of Artemisia scoparia Waldst. & Kit. is used to treat abdominal worms in the study area as well as in Swat (Utror and Gabral) Pakistan [46], but it is used as a purgative in Gujrat [47]. The bulb of Allium carolinianum Redoute. is found to be effective for gastrointestinal disorders, bone pain and joint ailments but [48] reported its use to treat flu, fever and cough in Khunjerab Hunza. In the study area Thymus linearis is used to alleviate abdominal pain and vomiting while in Astore [43] reported its effectiveness in treating abdom- inal worms. Convolvulus arvensis is used as both a wild vegetable and a medicinal species to cure constipation, as also described by [47]. Likewise the fruits of Hippophe rhamnoides are used to treat gastrointestinal disorders and a paste made from its boiled leaves cures skin dis- eases. However, Khan and Khatoon [28] reported that Fig. 4 Classification of plant species based on part(s) used in traditional medicines. Wp: whole plant, Fl: flower, Sd: seed, Fr: fruit, Lvs: leaves, B: bark, Rt: root, Rh: rhizome, Fl + Lvs: flower and leaves, Rt + Fl: root and flower, Fr + Lvs: fruits and leaves Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 8 of 15
  • 10. the same species is effective for treating cardiac diseases, cancer and stomachache. In “Ladakh”, the district of India bordering Baltistan, this plant is used to treat gynecological disorders, i.e. irregular menstrual cycles, amenorrhea or dysmenorrhoea [49], and to improve di- gestion [50]. Pimpinella diversifolia DC is one of the most common medicinal herbs for abdominal disorders, fever and blood purification and it is also used in the Lesser Himalayan region of Pakistan to alleviate gas problems and indigestion [13, 51]. In Baltistan jams, pills and powders of Hippophae rhamnoides ssp. turkestanica are now commercially produced. However, currently the distribution status of this species is badly affected by over utilization and the lack of community awareness about its sustainability. Its local and regionally varied medicinal uses indicate that inhabitants can easily access and utilize this species, which is well-distributed along the valley floor of the Karakorum Mountains. Relative frequency of citation and preference ranking Various ethnobotanical tools such as relative cultural importance indices are used to measure cultural prefer- ence of plant species in a particular area. We used the Relative Frequency of Citation index (RFCi) and the percentage of people with traditional knowledge (PPK) to assess the ethnobotanical knowledge of the local in- formants regarding medicinal uses of the reported plant species; these results are presented in Table 3. From a medicinal point of view Thymus linearis, Hippophae rhamnoides ssp. turkestanica and Convolvulus arvensis exhibited significant RFCi values (0.54, 0.51 and 0.48, respectively). These species also have the greatest fre- quency of encounter and PPK values (53.6, 50.7, and 47.8 %), with resultant PR values of 5, 5 and 4, respect- ively. High RFCi values indicate a greater number of citations by informants. A flower decoction of Thymus linearis is used to treat abdominal pain and vomiting. Bano et al. [21] reported that in Skardu Valley an infu- sion of T. linearis is used to treat cough, cold, pneumo- nia and other respiratory disorders. Although these uses were different than those observed in our study, the RFCi value is the same for both areas. The fruits and leaves of Hippophae rhamnoides ssp. turkestanica are used for medicinal purpose, and local inhabitants use the whole plant in making huts and fences. In Tormik Valley H. rhamnoides was ranked sec- ond with a 0.51 RFCi value. The same species has been reported as characteristic and the top ranked species in Skardu Valley (RFC = 0.9) as its fruits are extensively used to treat arthritis pain and cough, to relieve skin inflammation in eczema and as a remedy for heart prob- lems, ulcers, jaundice and urinary disorders [52]. Abbasi et al. [13] reported that Solanum nigrum showed the high- est frequency of encounter (58 %) and a corresponding PR value of 5 in the Lesser Himalayas of Pakistan. However, in the present study its PPK value was only 22.3 %. In light of the diverse medicinal uses and variation in RFCi values of the same plant species in the region, it can be hypothe- sized that these plant species have diverse medicinal importance and applications in the incised valleys of the Karakorum and Himalayan mountain ranges. Secondly, different ethnic groups in the upper (i.e., Hunza, Astore, Gilgit and Baltistan) and lower parts (Abbottabad, Haripur, Murree, Mansera, etc.) of north Pakistan possess different ethnoecological and traditional knowledge, par- ticularly about plant diversity. Wild food species The reliance of indigenous peoples and local communi- ties on plant resources account for up to 95 % of their survival requirements [53]. Among the potential uses of plants those related to medicine and food have central importance because they are essential to human survival. A remarkable diversity of using edible wild plant species exists among the inhabitants of Tormik valley concern- ing food selection. Twenty-three species including 8 species of edible wild fruits and 13 species of vegetables were reported to be used by the inhabitants of the area (Table 3). To our knowledge six species of vegetables, including Cerastium fontanum Baumg., Cicer microphyl- lum Royle., Onosma hispida, Pleurospermum candollei, Scorzonera hondae Kitam. and Silene vulgaris (Moench) Garcke. and two species of edible wild fruits, i.e. Cheno- podium foliosum and Cousinia thomsonii C. B. Clarke. have never been reported before from the study area and its surroundings. However, the rest of the botanical taxa were similar to those reported previously [13, 54]. Inhab- itants of the valley try to derive benefit from the avail- able species either for a change of taste or to fulfill their nutritional requirements unintentionally, as they do not have nutritionists nor do they care about it. This is also rationalized by [55], but the long-term utilization of wild plants is threatened due to development of edible foods markets. Cultural aspects of botanical taxa The results presented in Table 4 demonstrate that 34 plant species have various indigenous uses among local peoples according to their cultural requirements (Fig. 2). Inhabitants of Tormik Valley use 11 plant species as fodder and forage. Grass species such as Bromus pecti- natus Thunb. and Poa pratensis L. are cut and fed to livestock in fresh condition or stored for the winter season when vegetation totally vanishes in the valley. Ribes alpestre wall. exDecne., Rosa spp. Spiraea canes- cens D.Don and Tamaricaria elegans (Royle) Qaiser & Ali are used in making huts and fencing. Hut construc- tion is a common tradition in mountainous regions Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 9 of 15
  • 11. Table 4 Food and other non-medicinal plant uses recorded in Tormik Valley, Karakorum Plant species/family/voucher number Local name Cultural uses No. of uses V F FF HF DW WW FA B AT T PS BR ER Artemisia brevifolia Wall. Asteraceae QAU127152 Bustae - - - - + - - - - - - - - 1 Aster himalaicus C.B. Clarke Asteraceae QAU127157 Ghzima - - + - - - + - - - - - - 2 Astragalus frigidus A.Gray Fabaceae QAU127249 Shashal - - + - - - - - - - - - - 1 Astragalus psilocentros Fisch. Fabaceae QAU127251 BiowaCharchu - - - - - - - - - - - + - 1 Berberis pseudumbellata R. Parker Berberidaceae QAU127186 Skiorbu - - - - - - - - - + - - - 1 Betula utilis D.Don. Betulaceae QAU127187 Staqpa - - - - + + + + + + + - 7 Bromus pectinatus Thunb. Poaceae QAU127133 Troyuk - - + - - - - - - - - - - 1 Cerastium fontanum Baumg. Caryophyllaceae QAU27207 Bloghar + - + - - - - - - - - - - 2 Chenopodium album L. Amaranthaceae QAU127212 Snio + - + - - - - - - - - - - 2 Chenopodium foliosum Asch. Amaranthaceae QAU127215 SpangOsae - + - - - - - - - - - - - 1 Cicer microphyllum Royle. Fabaceae QAU127253 Stranjung Stwa + - - - - - - - - - - - - 1 Codonopsis clematidea C.B. Clark Campanulaceae QAU127203 Loo sunma - - + - - - - - - - - - - 1 Colutea paulsenii Freyn. Fabaceae QAU127257 Rbana - - - - - - - - - + - - - 1 Convolvulus arvensis L. Convolvulaceae QAU127220 Thringthring-mo + - - - - - - - - - - - - 1 Cousinia thomsonii C. B. Clarke. Asteraceae QAU127162 Charchu - + - - - - - - - - - - - 1 Datura fastuosa L. Solanaceae QAU127296 Datura - - - - - - - - - - - - + 1 Fragaria nubicola Lindl. ex Lacaita Rosaceae QAU127282 KarochaeMarochae - + - - - - - - - - - - - 1 Geranium pratense L. Geraniaceae QAU127234 PorStwa - - + - - - - - - - - - - 1 Hippophae rhamnoides ssp. turkestanica L. Eleagnaceae QUA127225 Karsoq - + - + - - - - - - - - - 2 Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 10 of 15
  • 12. Table 4 Food and other non-medicinal plant uses recorded in Tormik Valley, Karakorum (Continued) Hylotelephium ewarsii (Ledeb.) H.Ohba Crassulaceae QAU127221 Gongchu - - - - - - + - - - - - - 1 Juglans regia L. Juglandaceae QAU127311 Starga - - - - - + - - - - - - - 1 Juniperus communis L. Cupressaceae QAU127122 Oshuk - - - - + - - - - - - - - 1 Juniperus excelsa M. Bieb. Cupressaceae QAU127223 Shukpa - - - - + - - - - - - - + 2 Lonicera heterophylla Decne. Caprifoliaceae QAU127205 Said - - - - + + - - + - - - - 3 Lotus corniculatus L. Fabaceae QAU127254 Spangol - - + - - - - - - - - - - 1 Mentha royleana Wall. Lamiaceae QAU127239 Foling + - - - - - - - - - - - - 1 Onosma hispida Wall. & G. Don. Boraginaceae QAU127193 Kangmar + - - - - - - - - - - - - 1 Papaver nudicaule L. Papaveraceae QAU127248 Nilo - - - - - - + - - - - - - 1 Pimpinella diversifolia DC. Apiaceae QAU127140 Kohniod + - - - - - - + - - - - - 2 Pleurospermum candollei (DC.) Benth. ex C. B. Clark. Apiaceae QAU127141 Braq Shandun + - - - - - - - - - - - - 1 Poa pratensis L. Poaceae QAU127137 Rastwa - - + - - - - - - - - - - 1 Potentilla salesoviana Steph. Rosaceae QAU127284 SniarmaStwa - - - - - - - - - - - + - 1 Prunus armeniaca L. Rosaceae QAU127312 Chuli - - - - - - - - - - + - - 1 Rhododendron hypenanthum Balf.f. Ericaceae QAU127226 Sursur - - - - - - - + - - - - - 1 Ribes alpestre wall. ex Decne. Grossulariaceae QAU127236 Skioruru - + - + - - - - - - - - - 2 Rosa brunonii Lindl. Rosaceae QAU127286 SiaMarpho - + - + - - - + - - - - - 3 Rosa webbiana Wall. Rosaceae QAU127287 SiaSarfo - + - + - - - - - - - - - 2 Rumax nepalensis Spreng. Polygonaceae QAU127271 Rashona + - - + - - - - - - - - - 2 Scorzonera hondae Kitam. Asteraceae SkiniSmaghra + - - - - - - - - - - - - 1 Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 11 of 15
  • 13. which are principally used in summer to rear livestock. The twigs, branches and stems of these species are used to build huts. Moreover, fences are built around home gardens, vegetable patches and other crop fields to protect them from herbivorous animals. Betula utilis, Juniperus spp. Lonicera heterophylla Decne. and Tamari- caria elegans are among the species used as domestic fuel for cooking purposes. Locals keep goats and sheep as an essential part of their life. The wool and hair (of sheep and goats) are woven to create different clothes, local blankets and carpets. To this end, people use Betula utilis, Juglans regia L., Lonicera heterophylla L. and Spiraea canescens to make the tools required for weaving. The flowers of Aster himalaicus C.B. Clarke., Betula utilis, Hylotelephium ewarsii (Ledeb.) H.Ohba., Papaver nudicaule L. and Trifolium repens L. are kept in homes and held in the hand for fragrance. Flowers of affection are mostly given by shepherds/pastoralist to their loved ones and villagers with ice when there is no ice in the main valley. The leaves, stems and roots of Pimpinella diversifolia, Rhododendron hypenanthum Balf.f. and Rosa brunonii Lindl. are used in making beverages like tea and coffee. Betula utilis, Lonicera heterophylla, Spiraea canescens are used to make domestic and agricultural tools like ploughs and field planning tools, as well as the handles of shovels, spades, axes, etc. The small twigs and branches of Berberis pseudumbellata R.Parker, Betula utilis, Colutea paulsenii Freyn. and Spiraea canescens are used to thatch different baskets and grass carriers (locally called Chorong). Baskets of different sizes and shapes are mostly used to collect fruits from trees to protect them from squeezing/pressing and for transpor- tation. Three plant species are used for making polo (a common game in the region) sticks which are used as well as sold to the people of surrounding areas. The branches of Potentilla salesoviana Steph are stuck in the holes of house walls to deter or prevent the entrance of rats, snakes, insects, centipedes, millipedes and other arthropods. The perception of locals about ailments of unknown origin involves the presence of evil, and Juni- perus excelsa is used as an evil repellant. Our findings of the cultural uses of plants have few comparisons in adjacent regions; nevertheless these findings can be compared with a few other studies from the Himalayas [12, 21, 43]. Highly utilized species Though the numbers of uses mentioned are fairly low, but they are sufficient to indicate that human beings try to fulfill their daily life necessities from easily available and abundant species. This is supported by the different uses of the valley natives, who try to utilize resources from forest dominant plant species. For example Betula Table 4 Food and other non-medicinal plant uses recorded in Tormik Valley, Karakorum (Continued) QAU127177 Silene vulgaris (Moench) Garcke. Caryophylaceae QAU127209 Bostwa + - - - - - - - - - - - - 1 Solanum nigrum L. Solanaceae QAU127298 Drumba shokhlo - + - - - - - - - - - - - 1 Spiraea canescens D.Don Rosaceae QAU127289 Skhsi - - - + - + - - + + + - + 6 Tamaricaria elegans (Royle) Qaiser & Ali Tamaricaceae QAU127305 Ongbu - - - + + - - - - - - - - 2 Taraxacum officinale F.H.Wigg Asteraceae QAU127181 Khosmas + - - - - - - - - - - - - 1 Trifolium pratense L. Fabaceae QAU127259 Ol - - + - - - - - - - - - - 1 Trifolium repens L. Fabaceae QAU127258 Hltabuksuk - - + - - - + - - - - - - 2 Urtica dioica L. Urticaceae QAU127308 Khaeshing + - - - - - - - - - - - - 1 V wild edible vegetable, F wild edible fruit, FF fodder and forage, HF hut and fencing, DW domestic wood, WW wool weaving, FA fragrance and affection, B beverages, AT agricultural tools, T thatching, PS polo stick, BR bio-propellant, ER evil repellant Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 12 of 15
  • 14. utilis shows seven different ways of utilization. This subalpine tree, is thus under severe anthropogenic pres- sure [56, 57]. Among other species Berberis psuedumbel- laeta, Juniperus excelsa, Pimpinella diversifolia and Spiraea canescens also have four uses. These species are also described as exploited in other areas of the Himalayas in Pakistan [58, 59]. Hippophe rhamnoides, Juniperus communis, Rosa brunonii Lindl and Rosa webbiana Wall were used in three different ways. The growth habit and body form of plant species are of great interest to people when exploring different utilization techniques. The results showed that species with a robust body form, i.e. shrubs and trees, are under more human pressure than herbaceous soft bodied spe- cies. As Trifolium repens, Solanum nigrum, Rumex nepa- lensis Spreng., Ribes alpestre, Pleurospermum candollei, Onosma hispida, Mentha royleana Wall., Lonicera het- erophylla, Cousinia thomsonii, Convolvulus arvensis, Cicer microphyllum, Chenopodium album, Cerastium fontanum, Astragalus frigidus A.Gray and Urtica dioica L. have just two uses each and another 40 species only a single use. Traditional medicine: a hope for mountain dwellers Plants have been vital sources of curative traditional medicine preparations for human beings since ancient times [4, 60]. According to the World Health organization (WHO), Traditional medicine is any “health practice, approaches, knowledge and beliefs incorporating plant, animal and mineral based medicines, spiritual therapies, manual techniques and exercises applied to treat, diagnose and prevent illnesses” [61]. It is an undeniable fact that forest inhabitants have an intimate relationship with the indigenous flora and maintain immense knowledge on the uses of various forest products over centuries [45, 61] and struggle to meet their life necessities from them. For the people of remote areas herbal remedies are easily obtain- able and effective drugs for treating their health issues. Therefore, they intentionally, as well as unintentionally, transfer their invaluable indigenous knowledge from one generation to the next orally without any written text. Implications for public health and environmental policies From the results provided in Table 3 it is clear that stomach related health problems (ulcers, constipation, GIT infections, jaundice), and skin diseases (dermatitis) are the most prevalent health problems in the area. Stomach disorders are likely due to malnutrition and un- hygienic food utilization. Skin problems can be attrib- uted to the high altitude of the study area, where radiation from the sun tends to be more intense and po- tentially mutagenic. People traditionally treat such dis- eases with food-medicines, which in many cases are quite effective. Hence, the present findings provide very important insights for public-health officials, to formu- late health policies taking into account the common health issues and Traditional Medicine (TM) practiced by the local people as part of their primary healthcare. Conclusion The present study revealed that the valleys in the Karakorum Mountains in Northern Pakistan support a notable Traditional Knowledge on the local plants. Wild food plants have represented the milestone of the traditional food systems and could still represent a pillar of the local food sovereignty, while medicinal plants play a vital role, which need to be reconsidered and carefully re- evaluated by ethnopharmacologists and public health ac- tors. The collected data may be also of interest to initia- tives aimed at fostering sustainable rural development in an area that faces serious economic problems, widespread illiteracy, and isolation. The findings of this paper advo- cate the need for comprehensive trans-disciplinary re- searches aimed to ensure the dynamic conservation of invaluable local knowledge systems, as well as plant diver- sity in Pakistani mountain regions. Acknowledgement We are very grateful to the men and women of Tormik Valley for sharing their indigenous knowledge. We are also very grateful to Mubashar Hassan of the Aga Khan Rural Support Program, Baltistan Region, Pakistan, who provided field equipment and helped in map designing. Funding This paper is a part of PhD study conducted by Mr. Zaheer Abbas (first author), who is PhD student in Hazara University Mansehra-Pakistan. No funding was provided by any source to conduct this survey. Availability of data and materials We have already included all data in the manuscript, that were collected during the field survey. Authors’ contributions ZA: designed the study and collected data. SMK: supervised the project, analyzed data and provided technical support. AMA: participated in data evaluation and manuscript write-up. AP: contributed to the structure and dis- cussion contents of the study; ZU: helped in the collection and identification of plant species. MI: helped in the field survey. ZA: helped in data preparation for various analyses and editing drafts of the MS. All authors read and approved the final manuscript. Competing interests The authors declare that they have no competing interests. Consent for publication Our manuscript does not contains any individual's person data. Ethics approval and consent to participate This study is based on field survey instead of human or animal trails. Therefore ethical approval and consent to participate is not required. However, formal consent was received from informants regarding data collection and publication; then the Participatory Rural Appraisal (PRA) approach as mentioned in the Kyoto Protocol was applied with the consent of the informants. Ethical guidelines of the International Society of Ethnobiology (http://www.ethnobiology.net) were strictly followed. Abbas et al. Journal of Ethnobiology and Ethnomedicine (2016) 12:38 Page 13 of 15
  • 15. Author details 1 Department of Botany, Hazara University, Mansehra, Pakistan. 2 Department of Plant Sciences, Quaid-i-Azam University, Islamabad, Pakistan. 3 Department of Environmental Sciences, COMSATS Institute of Information Technology, Abbottabad, Pakistan. 4 School of Light Industry and Food Sciences, South China University of Technology, Guanzhou, China. 5 University of Gastronomic Sciences, Bra/Pollenzo, Italy. 6 Center for Plant Sciences and Biodiversity, University of Swat, Swat, Pakistan. Received: 5 February 2016 Accepted: 26 August 2016 References 1. Gerique A. An introduction to ethnoecology and ethnobotany. Theory and methods. Integrative assessment and planning methods for sustainable agroforestry in humid and semiarid regions Advanced Scientific Training Loja. 2006. 2. Lulekal E, Kelbessa E, Bekele T, Yineger H. An ethnobotanical study of medicinal plants in Mana Angetu District, southeastern Ethiopia. J Ethnobiol Ethnomed. 2008;4:1. 3. Martin GJ. 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