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Herbal Poultice Recipes for Knee Osteoarthritis in Health Region 3

Sivapol Suwanbundit , Nawapohn Charoenwittanadet , Pitchayapa Inprasit ,
†
‡
*,##
Nuengruethai Khemphet , Artit Laoruengthana , Wandee Yanpaisan , Bunleu Sungthong ,
**
§
¶
#
Surapol Natakankitkul , Jindaporn Puripattanavong , Kulthanit Wanaratna ,
‡‡
††
§§
Piyaruedee Chaisangmongkol , Monthaka Teerachaisakul , Krit Pongpirul ¶¶
*
§§
Nakhon Sawan Provincial Public Health Office, Nakhon Sawan 60000, Thailand
*
Health Promoting Center 3, Nakhon Sawan 60000, Thailand
†
Chuamsaeng Hospital, Nakhon Sawan 60120, Thailand
‡
Banphotphisai Hospital, Nakhon Sawan 60180, Thailand
§
Faculty of Medicine, Naresuan University, Phitsanulok 65000, Thailand
¶
Faculty of Pharmacy, Silpakorn University, Nakorn Pathom 73000, Thailand
#
Faculty of Pharmacy, Mahasarakham University, Maha Sarakham 44150, Thailand
**
Faculty of Pharmacy, Chiang Mai University, Chiang Mai 50200, Thailand
††
Faculty of Pharmacy, Prince of Songkla University, Songkhla 90110, Thailand
‡‡
Thai Traditional Medicine Research Institute, Department of Thai Traditional and Alternative Medicine,
§§
Bangkok 10110, Thailand
Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn
¶¶
University, Bangkok 10330, Thailand
## Corresponding author: mr.tungzaa@hotmail.com
Abstract
There are several herbal poultice recipes for knee osteoarthritis. However, there has been no systematic
analysis of evidence. This survey research aimed to collect herbal poultice recipes for knee osteoarthritis used in all
health-care facilities in Health Region 3 during May–September 2017. Descriptive statistics used for data analysis
included frequencies and percentages of herbal uses, names, recipe formulation, components, properties, categories
and cautions. It was found that there were 24 herbal poultice recipes containing 67 herbs from 26 families; of all
recipes, 19 were hot poultice and five were cold poultice, each made of 3–20 herbs. For hot poultice recipes, ginger
was mostly used in 16 recipes, cassumunar ginger in 10 recipes, and kaffir lime in nine recipes. Dried herbs were
used more than fresh herbs. Main health properties of hot poultice were blood circulation improvement and pain
and inflammation reduction. For cold poultice recipes, green chiretta was mostly used in four recipes, while Tili-
acora, cassumunar ginger and turmeric were used in three recipes. Fresh herbs were used more than dried herbs.
Main health properties of cold poultice were inflammation, heat and pain reduction. Both hot and cold poultice
recipes should be cautiously used in patients with an open wound, a skin disease, or herbal or alcohol allergies.

Key words: herbal poultice recipe, knee osteoarthritis