Okhaldhunga is a hilly district with fragile socioeconomic conditions, limited access to health care, social stigma, and poor resource management, where most people rely on medicinal plants for primary health care. The use of medicinal plants for primary health care varies with socioeconomic attributes. Following the intra-cultural analysis, we documented and tested the hypothesis that use of medicinal plants in Champadevi, Okhaldhunga, Nepal, depends on socioeconomic variables. We interviewed 224 respondents, 53.12% female and 46.88% male, including 31 Brahmin, 157 Chhetri, 13 Dalit, and 23 Janajati, and conducted three focused group discussions and seven key informant interviews to record the ethnomedicinal plants used in Champadevi rural municipality, Okhaldhunga District. The relative frequency of citation (RFC) was computed to know the importance of the species. A generalized linear model (GLM) was used to see the relationship between medicinal plants reported with the sociocultural variables, which include age, gender, occupation, education, ethnicity, and religion. We documented 149 medicinal plants, including 69 herbs, 22 shrubs, nine climbers, 48 trees, and one parasitic plant, belonging to 68 families and 130 genera, and used to treat 48 distinct diseases and ailments. Plant parts, leaf, and digestive disorders were frequently treated during healing. Curcuma angustifolia was the most cited species with RFC 0.9554. The respondents' knowledge of medicinal plant use varied significantly with age (p = 0.0001) and occupation (p = 0.003). Changes in land use, population decline of medicinal plant species, and unsustainable harvesting practices constituted the local threats to medicinal plants and associated knowledge. Elders died without passing on their knowledge to the younger generations during sociocultural transformation, and youth disinterest coupled with the free availability of allopathic medicine led to knowledge erosion. The use of medicinal plants in Champadevi, Okhaldhunga, was significantly depended on two socioeconomic variables age and occupation. Ethnomedicinal plants are essential in the primary healthcare system in Nepal; however, their availability and practices are declining. Thus, plans regulating land use change and human migration, acknowledging traditional healthcare practices, and raising awareness of the significance of traditional medical practices as complementary healthcare practices should be strengthened.

中文翻译：

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尼泊尔 Okhaldhunga 区 Champadevi 乡村的民族药用植物

奥哈丁加是一个丘陵地区，社会经济条件脆弱，获得医疗保健的机会有限，存在社会耻辱，资源管理不善，大多数人依靠药用植物来获得初级医疗保健。药用植物在初级卫生保健中的使用因社会经济属性而异。在文化内分析之后，我们记录并检验了这样的假设：尼泊尔 Okhaldhunga 的 Champadevi 药用植物的使用取决于社会经济变量。我们采访了 224 名受访者，其中 53.12% 为女性，46.88% 为男性，其中包括 31 名婆罗门人、157 名切特里人、13 名达利特人和 23 名贾纳贾提人，并进行了 3 次专题小组讨论和 7 名关键知情人访谈，以记录奥哈丁加市 Champadevi 农村地区使用的民族药用植物。区。计算相对引用频率 (RFC) 以了解该物种的重要性。广义线性模型（GLM）用于观察报告的药用植物与社会文化变量之间的关系，其中包括年龄、性别、职业、教育、种族和宗教。我们记录了 149 种药用植物，包括 69 种草本植物、22 种灌木、9 种攀缘植物、48 种树木和 1 种寄生植物，属于 68 科、130 属，用于治疗 48 种不同的疾病和病症。植物部位、叶子和消化系统疾病在愈合过程中经常得到治疗。Curcuma angustifolia 是被引用最多的物种，RFC 0.9554。受访者对药用植物用途的了解随年龄 (p = 0.0001) 和职业 (p = 0.003) 的不同而存在显着差异。土地利用的变化、药用植物物种数量的减少以及不可持续的采伐做法对当地的药用植物和相关知识构成了威胁。在社会文化转型期间，长辈们在没有将知识传授给年轻一代的情况下就去世了，而年轻人的漠不关心加上免费提供的对抗疗法导致了知识的侵蚀。Okhaldhunga 的 Champadevi 药用植物的使用很大程度上取决于两个社会经济变量：年龄和职业。民族药用植物对于尼泊尔的初级医疗保健系统至关重要；然而，它们的可用性和实践正在下降。因此，应加强规范土地利用变化和人口迁移的计划，承认传统医疗实践，并提高对传统医疗实践作为补充医疗实践重要性的认识。