Scientific Rationality, Adoption and Perceived Effectiveness of Ethno Medical Practices on Liver Related Disorders in Idukki District of Kerala, India

Abstract

Liver-related diseases, including jaundice, hyperlipidemia, and other hepatic disorders, constitute a significant public health concern across all age groups, particularly in rural areas where access to formal healthcare is often limited and reliance on traditional remedies remains high. In this context, the present study aimed to evaluate the scientific rationality, adoption, and perceived effectiveness of ethno-medicinal practices employed in the management of liver-related ailments. A total of thirteen ethno-medicinal practices involving thirteen medicinal plant species were systematically documented and subjected to scientific evaluation by experts. The assessment of rationality was based on the presence of phytochemical constituents and their established pharmacological activities. The analysis revealed that eleven of the documented practices were scientifically rational, while two were classified as irrational. The rational practices were rich in bioactive compounds such as alkaloids, flavonoids, saponins, tannins, terpenoids, and glycosides, which are well-documented for their hepatoprotective, antioxidant, and antihyperlipidemic effects. Adoption analysis indicated a high level of acceptance, with eleven practices being adopted by more than 50 percent of the respondents, and several practices recording adoption levels exceeding 80 percent. Notably, all scientifically rational practices were perceived as effective by the respondents, reflecting a strong alignment between traditional knowledge and empirical outcomes. The study establishes a clear and positive association between scientific rationality and the adoption of ethno-medicinal practices. The widespread acceptance and perceived efficacy of these practices highlight the critical importance of documenting, validating, and promoting indigenous knowledge systems. Integrating scientifically validated ethno-medicinal practices into agricultural extension services and public healthcare frameworks can facilitate sustainable, cost-effective, and culturally congruent approaches to managing liver-related disorders, particularly in resource-constrained rural settings.