#HealthEducation

Perimenopause, often misunderstood as a sudden transition late in a woman’s life, can begin as early as one’s 30s, introducing a myriad of surprising symptoms. This transitional phase, preceding menopause, is gaining attention for the range of unexpected experiences it presents to women. It’s vital for Thai women to understand these developments to accurately interpret their health changes and seek appropriate care.

For many Thai women, the notion of menopause has always been associated with an abrupt cessation of menstruation typically happening in their 50s, but recent insights highlight that perimenopause can commence much earlier. Dr. Natalia Llarena, an OBGYN specializing in reproductive endocrinology, emphasizes that perimenopause can start before the age of 40 and persist for several years. Importantly, it carries distinctive symptoms like irregular menstrual cycles, hot flashes, and mood swings which are frequently overlooked.

Once a symbol of prosperity in India, the pot belly has shifted from status symbol to a mounting health concern. A 2021 Lancet study positioned India second in global obesity rates, with about 180 million adults overweight or obese. Projections suggest this could rise to 450 million by 2050, approaching one‑third of the country’s population.

Central obesity, the fat that concentrates around the abdomen, poses distinct health risks beyond overall weight gain. Data from India’s National Family Health Survey shows more than 40% of urban women and 12% of men already face abdominal obesity. Alarmingly, nearly half of women aged 30–49 meet the country’s abdominal obesity criteria, defined by waist measurements above regional thresholds.

Perimenopause is often seen as a late-life transition, but it can begin in the 30s. This phase, which leads up to menopause, brings a spectrum of unexpected experiences. For Thai women, understanding these changes helps interpret health signals accurately and seek appropriate care.

Many Thai readers associate menopause with a sudden stop in periods in the 50s. Yet new insights show perimenopause can start before 40 and last several years. An obstetrician-gynecologist specializing in reproductive endocrinology notes that irregular cycles, hot flashes, and mood swings are common but frequently overlooked signs.

In India, the “pot belly” was once seen as a mark of affluence and success. Considered synonymous with aging gracefully or living a life of ease, it was a common archetype reflected in novels, films, and even cartoons. However, what was once a cultural depiction of prosperity has transformed into a major health concern. With India ranking second globally in obesity rates as of 2021, according to a Lancet study, an alarming 180 million Indians were categorized as overweight or obese. This number is projected to skyrocket to 450 million by 2050, nearly enveloping a third of the nation’s estimated population.

Cyperus rotundus, known in Thai as แห้วหมู (also หญ้าแห้วหมู or หัวแห้วหมู), has for generations stood in Thai herbal cabinets and village gardens. This unassuming sedge, prized for its tubers, embodies resilience and healing. Today, scientists are rediscovering its potential, linking ancestral wisdom with contemporary research. As Thai daily life faces stress and chronic conditions, readers seek remedies that blend tradition with evidence.

In Thailand’s rural heartlands from Mae Hong Son to the south, the plant’s nut-shaped tubers have long been used in home remedies. Thai traditional healers have employed แห้วหมู for digestive issues, menstrual discomfort, fever, and mood regulation. Similar systems—Ayurveda, Traditional Chinese Medicine, and Islamic Tibb—also recognize the herb under names such as Musta, Xiang Fu, and Nutgrass. In Thai practice, แห้วหมู features in formulas for longevity, women’s health, and digestive wellness, with roots in medical texts and temple paintings.

For centuries, the humble แห้วหมู (Cyperus rotundus L.)—also known as หญ้าแห้วหมู or หัวแห้วหมู in various parts of Thailand—has held an esteemed place in traditional Thai herbal medicine cabinets and village gardens. Revered across Asia and beyond for its underground tubers, this unassuming sedge has been a symbol of resilience and healing. Today, a wave of renewed scientific interest is validating aspects of its age-old uses, connecting ancestral knowledge with the rigors of modern clinical research. With daily lives increasingly marked by stress, chronic conditions, and lifestyle diseases, Thai readers are seeking both hope and evidence in remedies that endure from the past.

In Thai gardens and temple grounds, the coral plant, Jatropha multifida, known locally as fin ton, malako farang, and ma hung daeng, stands out with fiery, coral-like foliage. It has long been valued in traditional medicine and remains a living link between folk wisdom and contemporary science. This plant embodies both beauty and a cautionary tale about natural remedies.

Jatropha multifida is a striking member of the Euphorbiaceae family. It was introduced to Asia from the Americas centuries ago and is still grown across Bangkok and northern Thailand as living fences and as a plant with medicinal significance. Thai herbal lore uses the plant’s latex for wounds and skin problems, while roasted roots aid digestion and leaf decoctions act as purgatives. In some Southeast Asian communities and beyond, seeds and oils have been used for skin and rheumatic conditions. In Indonesia and the Philippines, its local name even translates to “iodine,” reflecting its healing reputation for cuts and abrasions. Data from Southeast Asian botanical references shows the plant’s wide traditional applications, though care is advised given its potent biological activity.

In the lush tapestry of Southeast Asian gardens and hedgerows, the fiery foliage of Jatropha multifida—known in Thailand as ‘fin ton’ or sometimes ‘malako farang’ and ‘ma hung daeng’—stands as a quiet testament to both botanical beauty and ancient healing. Revered in traditional medicine across continents, this coral-like shrub is more than an ornamental; it is a living bridge between folk wisdom and the frontiers of scientific exploration.

The significance of Jatropha multifida, called in English the coral plant, takes root in a heritage that spans tropical America to the old civilizations of Asia and Africa. In Thai herbal lore, the plant’s bark, leaves, roots, and especially the latex have been treasured for their medicinal properties. Across Thailand, it has been included in remedies like the Tri-Kesornmas or Tri-Kasorn-Mas formula—a classical herbal composition valued for its purported energizing and restorative powers (JAPSON Online). Yet, like many traditional remedies, the legacy of Jatropha multifida is complex: straddling hope and hazard, promise and caution.

Recent commentary from the Financial Times editorial board has highlighted an alarming trend in American public health initiatives that could offer significant learning opportunities for nations like Thailand. The article, titled “America’s astonishing act of self-harm,” delves into how specific policies and societal choices have led to unexpected negative health outcomes, despite the country’s vast resources and technological advancements. Although the specifics of the article aren’t accessible, this theme resonates globally, inviting a broader analysis of the implications for Thailand and Southeast Asia.

Rock salt, or เกลือสินเธาว์, sits quietly at the intersection of tradition and science in Isan and across Thailand. For generations, it has shaped daily cooking, healing rituals, and cultural identity. As modern research weighs in, what should Thai readers know about its benefits, risks, and enduring significance?

Tradition holds that rock salt is more than a seasoning. In many Thai communities, it has been used to ease digestive woes, cleanse wounds, support oral health, and purify spaces during rituals. Passed down through families, these practices connect people to the land and to centuries of local knowledge.

San Phra Hom, known across Thai highland villages and city markets, continues to captivate healers and scientists with its fragrant promise of wellbeing. In northern Thailand it’s called Keiang Pa Yai and among Karen communities it’s referred to as Porki. Botanically, it’s Eupatorium fortunei. Today, researchers are examining its traditional uses through the lens of modern science, creating a dialogue between ancient wisdom and clinical inquiry that matters for health-conscious Thais and curious readers worldwide.

San Phra Hom, a name echoing through Thai highland villages and bustling city markets alike, has captivated healers and scientists with its fragrant promise of wellness. Known variously as “Keiang Pa Yai” in northern Thailand, “Porki” among Karen communities, and by its scientific designation Eupatorium fortunei, this unassuming leafy herb bridges generations, cultures, and continents. Today, as modern science peels back the layers of botanical mystery, San Phra Hom finds itself at the crossroads of ancient tradition and clinical scrutiny, heralding a new chapter in natural medicine for health-conscious Thais and curious global citizens alike.

A recent Financial Times editorial raises important questions about how nations shape public health, offering learning for Thailand as it strengthens its own system. The piece, titled America’s astonishing act of self-harm, examines how policy choices and societal trends can influence health outcomes even in resource-rich countries. While the full article isn’t accessible here, its themes echo worldwide, inviting a careful look at implications for Thailand and Southeast Asia.

The COVID-19 era reshaped health policy across the globe, drawing attention to prevention, chronic disease management, and health education. For Thailand, these discussions come at a moment when the nation seeks to balance traditional practices with modern, evidence-based medicine. Public health strategies are under renewed scrutiny as Thai officials aim to protect communities while preserving cultural values.

In the world of traditional Thai medicine, few remedies have endured as universally and unassumingly as “เกลือสินเธาว์”—also known as rock salt, เกลือหิน, or เกลือเทศ. This simple crystalline mineral, gleaned from underground salt beds in Thailand’s northeast, has quietly shaped rituals of healing, daily cuisine, and even cultural identity. But as modern science investigates the claims of ancient tradition, what does evidence reveal about the true health benefits—and potential risks—of this everyday ingredient?

Coriander, known in Thai as ผักชีลา, is a familiar scent in kitchens and herbal shops across Thailand. Beyond its role as a garnish, this herb—Coriandrum sativum—has a long history in Thai traditional medicine. Its journey from folklore to modern science reflects local wisdom, global exchange, and growing evidence of real health benefits.

For many Thai households, ผักชีลา is more than flavor. Generations of traditional healers have used its seeds, leaves, and roots to ease digestion, calm nerves, and support general well-being. Today, clinical research is starting to illuminate how these traditional practices may align with scientific findings, while Thai consumers continue to value the plant’s everyday practicality and therapeutic promise.

Across Thai kitchens and herbal pharmacies, few names resonate with more familiarity than ผักชีลา (also known as coriander or cilantro globally, and Coriandrum sativum in scientific circles). This humble herb, instantly recognizable from the aroma wafting from “tom yum” soup or sprinkled over spicy salads, is more than a culinary afterthought. In Thai traditional medicine, ผักชีลา holds a time-honoured place as a herbal remedy—its journey through folklore and modern science is a compelling saga of local wisdom, global exchange, and increasing scientific validation.

Orange peel from the beloved Citrus sinensis—known locally as ส้มจีน or ส้มเกลี้ยง—has long been a staple in Thai and Southeast Asian healing. Dried peels are common in homes and markets, used in teas, herbal blends, soups, and congee to ease coughs, digestion, and abdominal discomfort. Traditional practitioners describe it as warming and qi-balancing, helping sluggish stomachs, nausea, and respiratory congestion. In Thai kitchens, sun-dried peels sit ready to top a pot of boiling water at the first sign of illness, reflecting a deep-rooted belief in their restorative power.

Baeckea frutescens, known locally in Thailand as สนทราย, grows across Southeast Asia in sandy soils and scrubby hills. For generations, Thai communities have trusted it as part of traditional health practices. Today, scientists are examining its traditional uses to understand what, if any, real benefits lie behind the folklore. The question for Thai readers is clear: can a small, aromatic shrub hold up under modern scientific scrutiny?

Across generations, Baeckea frutescens has been more than a plant. It appears in everyday life as a soothing tea, a topical salve, and even in ritual practices. Contemporary interest in natural remedies brings renewed attention to these customary methods, inviting collaboration between community knowledge and laboratory research. For health-minded readers in Thailand, exploring this plant means weighing cultural wisdom against evidence from rigorous studies.

Orange peel—a simple byproduct of the beloved ส้มจีน (Citrus sinensis)—is perhaps one of the most recognized yet underrated ingredients in traditional Thai and Asian medicine. Known locally by various names like ส้มเกลี้ยง, its dried peel has woven itself into the region’s herbal pharmacopoeia for centuries, acting as a remedy, a culinary enhancer, and a symbol of good health. Today, as modern science uncovers new therapeutic benefits from what was once considered mere waste, orange peel stands as a shining example of how Thailand’s ancestral healing wisdom and contemporary research can intersect for better public health.

Mesua ferrea, enchantingly known in Thailand as “Bunnak” and regionally as สารภีดอย or นากบุต, radiates legacy not just from its fragrant white blossoms but from centuries of healing practice stretching across Southeast Asia. Revered in traditional Thai medicine and celebrated in the rituals of diverse cultures, the flower of Mesua ferrea has become emblematic of the delicate intersection between cultural heritage and emerging biomedical science. As contemporary researchers begin to illuminate the mechanisms behind its renowned therapeutic roles, Bunnak stands at the fascinating crossroads of ancient wisdom and scientific validation—inviting a new generation to rediscover the potential within a single, aromatic bloom.

Cumin, known in Thai as เทียนขาว (also called ยี่หร่า), weaves a long tapestry of use as both a spice and a traditional remedy. Across generations, Thai families have trusted its earthy warmth for digestion, bloating, and menstrual discomfort. Today, scientists are increasingly exploring cumin’s compounds to understand how ancient wisdom aligns with modern health science. The cumin seed thus stands at the crossroads of heritage and evidence-based medicine, offering insights for Thai readers on how everyday cooking may connect to wellness.

Mesua ferrea, known in Thailand as Bunnak and regionally as Nagkesar or Nagkesara, carries a deep healing heritage across Southeast Asia. Its fragrant white blossoms symbolize a bridge between traditional Thai medicine and the advancing science of today. As researchers uncover how its compounds work, Bunnak stands at the crossroads of culture and biomedical insight, inviting Thais to explore its potential with careful scrutiny.

Historically, Bunnak has been woven into temple gardens and folk medicine. Its flowers, celebrated for their sweet aroma, were used in remedies for fever, respiratory ailments, inflammation, and more. Local healers drew on multiple parts of the tree: leaves for bites and allergies, bark and roots for digestive and airway issues, seed oil for skin conditions and rheumatic pain, and the flowers themselves for respiratory and circulatory concerns. In Thai herbal practices, these approaches were often combined with other botanicals in composite formulas, reflecting a holistic view of health that has sustained communities for generations.

Sweet fennel, known locally as เทียนข้าวเปลือก, weaves together Thai herbal tradition and contemporary science. In markets and family kitchens, its dried seeds have long supported digestion, women’s health, and respiratory comfort. Now, international research is increasingly clarifying how these traditional uses align with evidence-based medicine.

Historically, Thai healers relied on tian khao pleuak to calm digestive upset, relieve abdominal discomfort, and freshen breath after meals. In rural communities, elders often brew fennel tea for infants’ colic and for adults with tummy troubles. The seeds’ oils are also blended in traditional remedies to ease flatulence and aid postpartum recovery. Thai traditional medicine views fennel as balancing the body’s wind element, a concept echoed in Thai culture and wellness practices.

Across generations, dried seeds of เทียนลวด—known in English as bitter fennel (Foeniculum vulgare) and bitter cumin (Centratherum anthelminticum)—have long featured in Southeast Asian folk medicine. In Thai communities, these seeds are valued for digestive comfort, antimicrobial potential, and soothing effects. Today, many health-conscious Thais seek a careful blend of ancestral wisdom and scientific validation, viewing เทียนลวด as both heritage and a gateway to contemporary herbal research.

Two plants share a common reputation in Asian traditional medicine, yet modern botany separates them clearly. Foeniculum vulgare belongs to the Apiaceae family and is celebrated for its feathery foliage and sweet-spicy aroma. Centratherum anthelminticum sits in the Asteraceae family and is recognized for its robust seeds with a mildly bitter profile. Both are embedded in regional healing practices, but their scientific profiles and uses merit careful, updated framing for Thai readers.