A Qualitative Ethnopharmacological Analysis of Cannabis-Based Formulations for Insomnia in Thai Traditional Medicine Recipes
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Abstract
This qualitative research analyzes 34 cannabis-containing formulations for insomnia treatment from Thai Traditional Medicine (TTM) texts. The analysis identified 121 distinct herbs, with Myristica fragrans (9.34%), Cannabis sativa (6.96%), Wurfbainia testacea (3.18%), Borneol camphor (2.98%), and Aquilaria crassna (2.78%) being the most commonly utilized. Cannabis flowers were predominantly utilized (85.71%), preferred over leaves, seeds, and stems, demonstrating traditional practitioners’ recognition of higher cannabinoid concentration in inflorescences. Formulations were categorized into three therapeutic categories: Direct Formula (targeting specific symptoms), Supportive Formula (promoting overall well-being), and Compound Medicine (restoring body balance). The phytochemical effects on sleep regulation were demonstrated through a sophisticated understanding reflected in the predominant taste properties: Spicy-Pungent (28.24%), Fragrant-Cool (19.08%), and Toxic-Narcotic (13.74%). The research identified 18 processed materials and various vehicle substances including cannabis leaf water and alcohol, indicating advanced pharmaceutical preparation techniques predating modern medicine. The findings from this systematic analysis provide a foundation for developing alternative therapies for insomnia and support efforts to preserve the heritage of Thai traditional medicine.
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1. Department for Development of Thai Traditional and Alternative Medicine, Office of International Cooperation. Thai Traditional Medicine at a Glance. Nonthaburi: Department for Development of Thai Traditional and Alternative Medicine; 2016. 15-28 p.
2. Chokevivat V, Chuthaputti A. The role of Thai traditional medicine in health promotion. The 6th Global Conference on Health Promotion; 2005.
3. Datham S, Puthongking P, Ratha J, Siriparu P, Padumanonda T. Phenolic Profiling with Antioxidant Activity of Thai Traditional Medicines: Phikud Bencha Thien, Kot and Keson Remedies. Trop J Nat Prod Res. 2023;7(8):3726-3730.
4. Natan K, Punfa W, Khanaree C, Nakpanao U, Insathian T, Suriyakhup W. The Compilation and Analysis of Anti-Insomnia Recipes in Thai Traditional Medicine Textbooks. J Educ Manag Res Innov. 2023;5(4):1075-1090.
5. Edinoff AN, Nix CA, Odisho AS, Babin CP, Derouen AG, Lutfallah SC, Cornett EM, Murnane KS, Kaye AM, Kaye AD. Novel designer benzodiazepines: comprehensive review of evolving clinical and adverse effects. Neurol Int. 2022;14(3):648–663.
6. Sun CF, Pola AS, Su KP, Lin BY, Kablinger AS, Trestman RL. Benzodiazepine use for anxiety disorders is associated with increased long-term risk of mood and substance use disorders: a large-scale retrospective cohort study. Drug Alcohol Depend Rep. 2024;12:100270.
7. Telles S, Pathak S, Kumar A, Mishra P, Balkrishna A. Ayurvedic doshas as predictors of sleep quality. Med Sci. Monit. 2015; 21:1421-1427.
8. Amin MR, Ali DW. Pharmacology of Medical Cannabis. Adv Exp Med Biol. 2019; 1162:151-165.
9. Walsh KB, McKinney AE, Holmes AE. Minor Cannabinoids: Biosynthesis, Molecular Pharmacology and Potential Therapeutic Uses. Front Pharmacol. 2021; 12:777804.
10. Legare CA, Raup-Konsavage WM, Vrana KE. Therapeutic Potential of Cannabis, Cannabidiol, and Cannabinoid-Based Pharmaceuticals. Pharmacology. 2022;107(3-4):131-149.
11. Bukowska B. Current and Potential Use of Biologically Active Compounds Derived from Cannabis sativa L. in the Treatment of Selected Diseases. Int J Mol Sci. 2024;25(23):12738.
12. Hoch E, Volkow ND, Friemel CM, Lorenzetti V, Freeman TP, Hall W. Cannabis, cannabinoids and health: a review of evidence on risks and medical benefits. Eur Arch Psychiatry Clin Neurosci. 2025;275(2):281–292.
13. Hansen JS, Boix F, Hasselstrøm JB, Sørensen LK, Kjolby M, Gustavsen S, Hansen RM, Petersen T, Sellebjerg F, Kasch H, Rasmussen PV, Finnerup NB, Saedder EA, Svendsen KB. Pharmacokinetics and pharmacodynamics of cannabis-based medicine in a patient population included in a randomized, placebo-controlled, clinical trial. Clin Transl Sci. 2024;17(1): e13685.
14. Department of Thai Traditional and Alternative Medicine, Ministry of Public Health. Collection of conserved Thai traditional medicine wisdom: National Thai medicine formulas incorporating cannabis. Nonthaburi: Ministry of Public Health; 2021. 415 p.
15. Pichiansunthorn C, Chavalit M, Jeerawong V. Explanation of the Royal Pharmacopoeia of King Narai: Special Edition for the 72nd Birthday Anniversary of the Great King, December 5, 1999. 2nd ed. Bangkok: Amarin Printing and Publishing; 2005.
16. Office of Chiang Mai Provincial Public Health, Lanna Thai Traditional Medicine Confederation, Chiang Mai Thai Traditional Medicine Association. Manual of 9 medicinal tastes and Thai traditional medicine formulations. Key N Printing; 2021. 260 p.
17. Nutmakul TH. Tastes of herbal medicine affecting on principal tastes (Ya Rot Prathan) classification: A discriminant analysis. J Thai Trad Alt Med. 2020;18(1):135-146.
18. Department of Medical Sciences, Ministry of Public Health. Thai Herbal Pharmacopoeia 2021 Supplement 2024. O-Vit (Thailand) Co., Ltd; 2024. 115 p.
19. Department of Thai Traditional and Alternative Medicine. Handbook on the Use of Thai Medicine and the National List of Essential Medicines (1st ed.). Bangkok: Thammasat University Press; 2015. 25 p.
20. Bunpean A, Singweratham N. Analysis of herbal poultices for knee pain relief in hospitals in the Office of the Permanent Secretary, Ministry of Public Health, Thailand. Trop J Nat Prod Res. 2025;9(2):776-781.
21. Harbaugh CM, Matsumoto RR. The inhibitory activity of nutmeg essential oil on GABAA α1β2γ2s receptors. J Ethnopharmacol. 2021; 278:114292.
22. Jaiswal Y, Liang Z, Zhao Z. Botanical drugs in Ayurveda and Traditional Chinese Medicine. J Ethnopharmacol. 2017; 207:56-72.
23. Mondino A, Castelli F. Cannabinoids, endocannabinoids, and sleep. Front Neurosci. 2020; 14:738.
24. Kolla BP, Mansukhani S, Bostwick JM. Cannabis and sleep disorders: Not ready for prime time? A review of the literature. J Clin Sleep Med. 2022;18(4):1045-1055.
25. Kuhathasan N, Minuzzi L, MacKillop J, Frey BN. The use of cannabinoids for insomnia in daily life: naturalistic study. J Med Internet Res. 2021;23(10):e25730
26. Tang M, Zhong W, Guo L, Zeng H, Pang Y. Role of borneol as enhancer in drug formulation: A review. Chin Herb Med. 2024;3(2):120-130.
27. Chen HQ, Wei JH, Yang JS, Zhang Z, Yang Y, Gao ZH, Sui C, Gong B. Chemical constituents of agarwood originating from the endemic genus Aquilaria plants. Chem Biodivers. 2012;9(2):236-250.
28. Gritsanapan W, Tangyuenyongwatana P. Standardization of Prasaplai, a Thai traditional preparation for antidysmenorrhea. Botanics. 2015; 6:1.
29. Bansal V, Malviya R, Deeksha, Malaviya T, Sharma PK. Phytochemical, pharmacological profile and commercial utility of tropically distributed plant Bauhinia variegata. Global J. Pharmacol. 2014;8(2):196-205.
30. Ashokkumar K, Simal-Gandara J, Murugan M, Dhanya MK, Pandian A. Nutmeg (Myristica fragrans Houtt.) essential oil: A review on its composition, biological, and pharmacological activities. Phytother Res. 2022;36(7):2839-2851.
31. Yeom JW, Cho CH. Herbal and Natural Supplements for Improving Sleep: A Literature Review. Psychiatry Investig. 2024;21(8):810-821.
32. Fan R, Jia Y, Chen Z, Li S, Qi B, Ma A. Foods for Sleep Improvement: A Review of the Potential and Mechanisms Involved. Foods. 2025;14(7):1080.
33. Zhang Y, Long Y, Yu S, Li D, Yang M, Guan Y, Zhang D, Wan J, Liu S, Shi A, Li N, Peng W. Natural volatile oils derived from herbal medicines: A promising therapy way for treating depressive disorder. Pharmacol Res. 2021; 164:105376.
34. Touwaide A, Appetiti E. Food and medicines in the Mediterranean tradition. A systematic analysis of the earliest extant body of textual evidence. J Ethnopharmacol. 2015; 167:11-29.
35. Mazzara E, Torresi J, Fico G, Papini A, Kulbaka N, Dall’Acqua S, Sut S, Garzoli S, Mustafa AM, Cappellacci L, Fiorini D, Maggi F, Giuliani C, Petrelli R. A comprehensive phytochemical analysis of terpenes, polyphenols and cannabinoids, and micromorphological characterization of 9 commercial varieties of Cannabis sativa L. Plants. 2022; 11(7):891.
36. Livingston SJ, Quilichini TD, Booth JK, Wong DCJ, Rensing KH, Laflamme-Yonkman J, Castellarin SD, Bohlmann J, Page JE, Samuels AL. Cannabis glandular trichomes alter morphology and metabolite content during flower maturation. Plant J. 2020;101(1):37-56.
37. García-Domínguez M. Role of the endocannabinoid system in fibromyalgia. Curr Issues Mol Biol. 2025; 47(4):230.
38. Chaachouay N, Azeroual A, Bencharki B, Douira A, Zidane L. Cannabis sativa L.: a review on traditional uses, botany, phytochemistry, and pharmacological aspects. Trad Integr Med. 2023; 8(1):97–116.
39. Ye Z, Lai H, Ning J, Liu J, Huang J, Yang S, Jin J, Liu Y, Liu J, Zhao H, Ge L. Traditional Chinese medicine for insomnia: Recommendation mapping of the global clinical guidelines. J Ethnopharmacol. 2024; 322:117601.
40. Nutmakul T. Tastes of herbal medicine affecting on principal tastes (Ya Rot Prathan) classification: A discriminant analysis. J Thai Tradit Altern Med. 2020;18(1):135-146.
41. Sattayakhom A, Wichit S, Koomhin P. The Effects of Essential Oils on the Nervous System: A Scoping Review. Molecules. 2023;28(9):3771.
42. Suroowan S, Abdallah HH, Mahomoodally MF. Herb-drug interactions and toxicity: Underscoring potential mechanisms and forecasting clinically relevant interactions induced by common phytoconstituents via data mining and computational approaches. Food Chem Toxicol. 2021; 156:112432.
43. Moreira D, Teixeira S, Monteiro M, De-Oliveira AC, Paumgartten F. Traditional use and safety of herbal medicines. Rev Bras Farmacogn. 2014; 24:248-257.
44. Touwaide A, Appetiti E. Knowledge of Eastern materia medica (Indian and Chinese) in pre-modern Mediterranean medical traditions: a study in comparative historical ethnopharmacology. J Ethnopharmacol. 2013;148(2):361-378.
45. Sukma M, Chaichantipyuth C, Murakami Y, Tohda M, Matsumoto K, Watanabe H. CNS inhibitory effects of barakol, a constituent of Cassia siamia Lamk. J Ethnopharmacol. 2002;83(1-2):87-94.
46. Poursaleh Z, Vahedi E, Movahhed M, Ahmadian-Attari MM, Jafari M, Kashani LMT, Khodadoost M, Sahebkar A. Sedative effects of a traditional polyherbal formulation (Monavvem) in patients with chronic insomnia: A randomized double-blind placebo-controlled trial. Eur J Integr Med. 2022; 49:101608.
47. Hajhashemi V, Rabbani M, Ghanadi A, Davari E. Evaluation of antianxiety and sedative effects of essential oil of Ducrosia anethifolia in mice. Clinics. 2010;65(10):1037-1042.
48. Siriyong T, Chanphool H, Jitjum S, Laohaprapanon S, Voravuthikunchai SP. Therapeutic efficacy and safety of traditional Thai herbal medicines for insomnia: A double-blind randomized controlled trial. Adv Integr Med. 2025.
49. Mahendra P, Bhandari Bisht S. Anti-anxiety activity of Coriandrum sativum assessed using different experimental anxiety models. Indian J Pharmacol. 2011; 43:574-577.
50. Shi QW, Li L, Huo CH, Zhang M, Wang YF. Study on natural medicinal chemistry and new drug development. Chin Tradit Herb Drugs. 2010; 41:1583-1589.
51. Venkatachalam D, Thavamani S, Kumar S. Sedative activity of ethanolic and aqueous extracts of Euphorbia hirta. J Phytopharmacol. 2018; 7:29-32.
52. Naz R, Ayub H, Nawaz S, Islam ZU, Yasmin T, Bano A, Wakeel A, Zia S, Roberts TH. Antimicrobial activity, toxicity and anti-inflammatory potential of methanolic extracts of four ethnomedicinal plant species from Punjab, Pakistan. BMC Complement Med Ther. 2020;20(1):185.
53. Salehi B, Zakaria ZA, Gyawali R, Ibrahim SA, Rajkovic J, Shinwari ZK, Khan T, Sharifi-Rad J, Ozleyen A, Turkdonmez E, Valussi M, Tumer TB, Monzote Fidalgo L, Martorell M, Setzer WN. Piper Species: A Comprehensive Review on Their Phytochemistry, Biological Activities and Applications. Molecules. 2019;24(7):1364.
54. Wink M. Modes of action of herbal medicines and plant secondary metabolites. Medicines. 2015;2(3):251-286.
55. Palagini L, Manni R, Aguglia E, Amore M, Brugnoli R, Bioulac S, Bourgin P, Micoulaud Franchi JA, Girardi P, Grassi L, Lopez R, Mencacci C, Plazzi G, Maruani J, Minervino A, Philip P, Royant Parola S, Poirot I, Nobili L, Biggio G, Geoffroy PA. International expert opinions and recommendations on the use of melatonin in the treatment of insomnia and circadian sleep disturbances in adult neuropsychiatric disorders. Front Psychiatry. 2021; 12:688890.
56. Mennella JA, Spector AC, Reed DR, Coldwell SE. The bad taste of medicines: Overview of basic research on bitter taste. Clin Ther. 2013;35(8):1225-1246.
57. Karadag E, Samancioglu S, Ozden D, Bakir E. Effects of aromatherapy on sleep quality and anxiety of patients. Nurs Crit Care. 2017;22(2):105-112.
58. Irwin MR, Olmstead R, Carroll JE. Sleep disturbance, sleep duration, and inflammation: A systematic review and meta-analysis of cohort studies and experimental sleep deprivation. Biol Psychiatry. 2016;80(1):40-52.
59. Lucas CJ, Galettis P, Schneider J. The pharmacokinetics and the pharmacodynamics of cannabinoids. Br J Clin Pharmacol. 2018;84(11):2477-2482.