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The Rama are one of three indigenous groups of eastern Nicaragua. A total of 206 plant species, in 157 genera and 70 families, were documented as medicinals in three years of fieldwork. Most (75%) Rama medicinals are native to eastern Nicaragua, and are used to treat more than 30 human ailments. Over 70% have some bioactive principle, most are herbs (37%) or trees (36%), and leaves are the most frequently utilized plant part. Most herbal remedies are prepared as decoctions and are administered orally. Most medicinal plants are wild, but some important species are introduced domesticates native to the New World and Old World tropics. The Rama people are the most highly acculturated group of eastern Nicaragua, and accordingly, their use of the native flora has changed the most. In addition, this group occupies a small area, and has few unaltered traditional practices left. Therefore, this study is important because it provides a written record of the oral history of a group whose cultures and natural resources are disappearing very quickly.

Ethnomedicine Of The Rama Of Southeastern Nicaragua