TREATMENTS USED FOR: (local name of the problem)
· Illness description (in basic English):
· First treatments (the last time the problem has come out in the family):
___ traditional medicinal plants
___ healer or witch doctor
___ medical officer
· Description and way of preparation of the remedy:
· How did you take the remedy, in what quantity and how many times?:
· Where did you find the plants?
___ not at home
· Have you already used this remedy?
· Which results have you obtained?
· What precautions should be observed during treatment?
(contraindications & side effects)
· And for the children?
(contraindications and directions for use)