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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
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