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372 วารสารการแพทย์แผนไทยและการแพทย์ ทางเลือก ปีที่ 19 ฉบับที่ 2 พฤษภาคม-สิงหาคม 2564
another 0.89 million people die from second diabetes, ischemic heart disease, stroke,
hand smoke. About 80% from 100 million of chronic obstructive pulmonary disease and
people around the world who smoke are in cancer. A study in Southeast and South Asia
[1]
low- or middle- income countries . Data from found that 55% of all deaths were caused by
the Thailand Tobacco Consumption Survey chronic non-communicable diseases. Smok-
Project in 2011, indicated that 13 million smok- ing is one of the four major causes of chronic
ers (accounting for 24% of the population) were non-communicable diseases and especially
aged 15 and over. Among smokers, 46.6% affects oral and lung cancer, chronic respira-
[3]
were male while only 2.6% were female. This tory failure and heart disease . A smoking
survey report stated that reducing the num- cessation study was conducted for patients
ber of smokers was difficult. Current smokers with chronic non-communicable diseases in
who had previously considered quitting was hospitals under the management of a multi-
about 54.0%, but those who have successfully disciplinary team of pharmacists in Pak Nam
[4]
[2]
stopped smoking was only 27.2% . Chumphon Hospital . Patients with chronic
Non-communicable diseases (NCDs) diseases, hypertension and diabetes, who
are a major public health problem in many were still smoking were selected. The total
countries. They affect patients, families, so- quitting rate was 30.7% after one year. Average
cieties and economies and their incidence is number of cigarettes smoked per day and level
increasing. Patients with non-communicable of nicotine addiction (Fagerstrom score) were
diseases who cannot control their symptoms monitored at each stage of change and were
often develop severe complications leading found to be decreased significantly. However,
to disability and death. Most patients cannot a few existed studies suggested the use of tra-
control non-communicable diseases. Accord- ditional Thai medicine to ameliorate nicotine
ing to the Office of the Health Promotion Fund, addiction. Few studies have urged to consider
in 2009, 14 million people suffered from chronic the use of herbs and Thai traditional medicine
non-communicable diseases. Data from the for smoking cessation.
Bureau of Non-Communicable Diseases, The effectiveness of herbal white dahlia
Department of Disease Control, Ministry of seeds in smoking cessation was examined.
[2]
Public Health, Thailand reported an increas- Dried powder of white grass was packed in
ing mortality rate per 100,000 population with capsules for 12 weeks of oral administration.
chronic non-communicable diseases from Patients treated with white grass capsules
2003 to 2012; this included hypertension, were more likely to quit smoking, compared