The utilization of medicinal plants is a common practice among human populations. The present work aimed to carry out an ethno botanical survey to assess plant knowledge and use of medicinal plants by local people of four riverine communities at the municipality of Manacapuru. We collected information from one hundred and sixty-four local dwellers, selected at random, using semi-structured interviews, participant observations and guided tours. Health problems cited were ranked according to the International Statistic Classification of Diseases and Health Related Problems (CID-10) and agreement indexes were used to identify the main uses of each species. One hundred seventy-one medicinal plants were identified belonging to 65 families. The Lamiaceae (14 species), Asteraceae (9 species), Fabaceae and Euphorbiaceae (8 species) were to most common families. The most cited species were Mentha arvensis (mint), Ruta graveolens (common rue) and Citrus sinensis (sweet orange). Leaves were the most utilized plant part and leaf decoction the most common procedure used for preparing medicines. The most common problems cited were digestive tract ailments, respiratory system illnesses and problems with unclassified symptoms. Plants with agreement indexes greater than 25% were Plectranthus amboinicus, Chenopodium ambrosioides, Citrus aurantiifolia, Acmella oleracea, Plectranthus barbatus, Mentha arvensis, Citrus sinensis, Lippia origanoides, Lippia alba, Cymbopogon citratus and Ruta graveolens. These results confirm that populations living in Manacapuru still use medicinal plants as one of the ways of treating their most frequent ailments.
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