This dissertation is based upon research of an emergent ethnomedicine in a botanically rich area, the Western Cape of South Africa. It examines the interface between ethnobotany and medical anthropology by investigating the biological and social factors related to the knowledge, use and trade of medicinal plants by Cape bush doctors. Incredible syncretism was observed in the identity formation of this homogenous urban group of healers who combined elements of a globally recognized eco-religion and sociopolitical movement Rastafari with several South African cultures through knowledge of medicinal plants. By rejecting colonial principals, including capitalistic biomedical systems, bush doctors have crafted a niche acquiring knowledge and herbal remedies for the treatment of common ailments. Transmission amongst Rastas and trail-and-error experimentation with herbs emphasize that plant knowledge is situational and arises through relationships. From an estimated 200 bush doctors in the Cape, 62 almost exclusively middle-aged coloured males were interviewed. They declared their mission was 'to heal all people' through a reintroduction of KhoiSan healing traditions, an indigenous ancestry largely rejected by coloureds during apartheid. An ethnobotany of bush doctors revealed that of 192 species, 181 were medicinal and included various herbs important to most South African cultural groups. This largely herbaceous pharmacopeia is narrow compared to the region's high biodiversity and thirty-three species were identified as conservation priorities. The presence of bush doctors at transportation hubs as herbal hawkers creates a diversified economy through cultivation of relationships with primarily disadvantaged coloured and black consumers. The consumption, trade and sale of local plants by bush doctors represent efforts to embody the landscape; it reasserts coloured links to indigeneity, renews respect for their heritage and affords rights to resources. By evoking tradition within their tolerant philosophy, leaders of this emergent ethnomedicine develop a racially equitable and ecologically sustainable platform for health care evidenced by medicinal plant gardens in townships and transmission of diverse ethnomedical knowledge. Bush doctors are legitimized through the performance of transmission. This phytomedicinal knowledge reifies an ideology, repositioning coloureds in a moderate stance between colonial biomedicine and traditional African ethnomedicines, but also creates a unified South African medicine.

Exploitation of botanical resources has resulted in significant decreases in the sizes of some plant populations, especially for species that have a high commercial value and are important to the lives and livelihoods of rural communities. Medicinal plant resources are used and traded commercially in both rural areas and urban centres, and over-exploitation has become a deterministic factor in the extinction risks to certain species. The main aim of the study was to design a risk assessment model to determine the impact of the medicinal plant trade on the Witwatersrand (centred around Johannesburg) on indigenous plant resources. The goal was to incorporate trade variables correlated with harvesting risks together with biological characteristics of the harvested species to predict which species are most threatened by the trade and are thus high on the list for conservation priority. The study required semi-quantitative surveys of the medicinal plants sold by traders in the Witwatersrand to be conducted. In 1994 and 2001, the plants sold in 50 muti shops and by 100 vendors in the Faraday Street market respectively were inventoried. Quantitative trade data were also captured, including volume, pricing structures and plant size (e.g. bark thickness and bulb diameter). A scientific sampling strategy was adhered to throughout the study to add statistical validity to the results. In a novel approach to analysing ethnobotanical data, the frequency of plant occurrences in the markets was analysed using measures (analysed by EstimateS) of species diversity traditionally used in ecology. The measures allowed for sampling strategies and sizes to be compared between data sets and for the number of species likely to be sold in the region to be estimated. Furthermore, data sets could be compared in terms of species richness, diversity, evenness and complimentarity. Another novel approach taken in the thesis was to estimate the number of individual plants harvested annually by gatherers, specifically the number of trees that are debarked and the number of whole bulbs that are removed. In order to estimate the number of trees debarked, a study was conducted to determine the relationship between bark thickness and stem diameter for six species. The results made it possible to estimate the condition of the resource in the wild from market records (i.e. bark thicknesses) and to see how the availability of larger trees has declined for species such as Warburgia salutaris between 1994 and 2001. Results for bulbs showed that there has been a significant decrease in the diameter of Eucomis autumnalis bulbs present in the markets in the same period, suggesting significant levels of resource depletion. The thesis explored the use of a multivariate methodology for assessing the extinction risks of species and assigning species harvested for the medicinal plant trade to various hierarchies of risk and conservation priority. Hierarchical and non-hierarchical cluster analysis (Ward’s and K-means respectively) methods were found to be effective in assigning species to clusters of similar risk and conservation priority. From a combined list of 392 ethnospecies recorded in the muti shops and Faraday market, a short-list of 119 higher risk species was identified using four to five trade variables. This list was further reduced to 87 species to ascertain conservation priorities based on the additional inclusion of seven biological variables in the assessment. From this list, approximately 31 species were identified as having higher conservation priority and would be candidates for further research, management and protection within the ambit of conservation and sustainable utilisation programmes. These species would further benefit from Orange Listing or having their IUCN Red List status re-evaluated. The methods developed in this study are recommended for other ethnobotanical studies. Furthermore, the risk assessment method could be applied to the assessment of species similarly traded in other medicinal plant markets or applied to the assessment of species under threat from other stressors at a regional, provincial and/or national level using the appropriate variables.

Thesis (MScConsEcol (Conservation Ecology and Entomology))--Stellenbosch University, 2008. / Medicinal plants represent an important asset to the livelihoods of many people in developing countries. This is the case for South Africa where most of the rural and also urban communities rely on medicinal plants for their primary healthcare needs and income generation. Harvesting for domestic usage is not generally detrimental to the wild populations of medicinal plants. However, the shift from subsistence to commercial harvesting is posing unprecedented extinction threat to the wild populations of medicinal plants. The purpose of this investigation was to: (1) document the most traded/used species of medicinal plants in the Cape Peninsula, including parts used, sourcing regions, harvesting frequencies and seasons as well as the conservation status of these species; (2) to profile and investigate the rationales for the involvement of stakeholders in medicinal plants related-activities; and to (3) assess constraints and opportunities for sustainable management of medicinal plants in the Cape Peninsula. Triangulation techniques such as semi-structured questionnaires, formal and informal interactions with key informants from the Cape Peninsula and surroundings, personal observations and field visits were used to gather relevant data for this investigation. Accordingly, about 170 medicinal plant species were found to be actively traded or used in the study area. These species were mostly traded/used for their underground parts; shoot, barks and in many cases the whole plant is uprooted. The bulk of traded/used species were from the wild populations, harvested on monthly basis and the Western and Eastern Cape provinces acted as the main source regions. Some of the traded/used species are rare, vulnerable, endangered, critically endangered and are declining from the wild. Nonetheless, there are subtitutes for some of these medicinal plant species. Traders and collectors were mainly men in the Cape Peninsula. Cultural considerations, economic conditions and the burden imposed by the number of dependents were the factors influencing local communities to engage in medicinal plants related-activities. Despite the fact that the majority of the informants acknowledged the decline of medicinal plants from wild stocks, an overwhelming number of them expected an upsurge in the future demand for natural remedy due to its popularity among South Africans. Similarly, the majority of the respondents were aware of the conservation status of the plants that they were using, but this did not prevent them from trading/using some protected species. Encouragingly, an overwhelming number of the informants were willing to use cultivated species and cultivate some of the most used medicinal plant species if seeds and land were freely provided. It is noteworthy that these results were influenced by the gender, age, category and time of involvement in medicinal plants, ethnicity and residence status of the respondents as well as the source of supply of medicinal plants. It is recommended that species that have been identified of concern should be prevented from further commercial harvesting. Competent conservation organizations like CapeNature should focus on practical skills development of people who have expressed willingness to cultivate medicinal plants or are already doing so, especially in plant propagation and basic gardening techniques.