title: Pattern of traditional medicine use by adult Saudi patients with neurological disorders.
abstract: BACKGROUND
  Traditional medicine (TM) has been established as a two-edged sword. On one edge numerous forms of TM have been proven safe and effective, while on the other edge various modes of TM have been shown to be futile and potentially dangerous. Resorting to TM, especially for chronic diseases, is common world-wide and includes Saudi Arabia. Most neurological diseases are chronic. No data is available on the utilization of TM among patients with neurological disorders. We conducted this study to assess for the prevalence, pattern, perception and triggers for TM use by the adult Saudi patients with neurological disorders.
  
  
  METHODS
  A survey written in Arabic and comprised of 15 questions was used to collect data on the practice of TM among the neurology patients of King Saud University Ambulatory Clinic. The questions in the survey pertain mainly to the frequency of TM practice, its form and the patient's opinion of this practice. The data was collected through a face to face interview by three medical students who were instructed on the survey questions prior to the launch of the study.
  
  
  RESULTS
  292 patients completed the survey (35.9% males and 64.0% females). 67% (n = 196) of the sample used TM. Cupping or what is commonly known as "hojamah" was the most prevalent method (45.4%) followed by herbs, skin cauterization and the Reciting of the Holy Quran (42.3%, 33.7% and 20.4% respectively). The prevalence of TM use did not differ across gender (chi-sq = 2.02; p-value = 0.15), level of education (chi-sq = 4.02; p-value = 0.40), health status (chi-sq = 2.29; p-value = 0.68), age groups (chi-sq = 5.12; p-value = 0.16), or perception toward TM (chi-sq = 2.67; p-value = 0.26) in this population.
  
  
  CONCLUSIONS
  The practice of TM is common among the neurology patients of Saudi Arabia. Cupping, herbs, and skin cauterization, which can be harmful when wrongly employed, are frequently utilized in this patient population. Measures and policies to endorse the appropriate use of TM by Saudi society must be implemented promptly.
authors.affiliation: Department of Internal Medicine, King Saud University, Riyadh, Saudi Arabia. ymohammad@ksu.edu.sa.
authors.forename: Yousef
authors.initials: Y
authors.lastname: Mohammad
authors.affiliation: Department of Internal Medicine, King Saud University, Riyadh, Saudi Arabia. An1410@gmail.com.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Ahmari
authors.affiliation: Department of Internal Medicine, King Saud University, Riyadh, Saudi Arabia. F.a.dashash@gmail.com.
authors.forename: Fahad
authors.initials: F
authors.lastname: Al-Dashash
authors.affiliation: Department of Internal Medicine, King Saud University, Riyadh, Saudi Arabia. Faalhussain@ksu.edu.sa.
authors.forename: Fawaz
authors.initials: F
authors.lastname: Al-Hussain
authors.affiliation: Department of Internal Medicine, King Saud University, Riyadh, Saudi Arabia. Firas_dm@hotmail.com.
authors.forename: Firas
authors.initials: F
authors.lastname: Al-Masnour
authors.affiliation: Department of Internal Medicine, King Saud University, Riyadh, Saudi Arabia. A_stonecold_a@hotmail.com.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Masoud
authors.affiliation: Department of Community Medicine, King Abdul Aziz University, Riyadh, Saudi Arabia. jradiho@NGHA.MED.SA.
authors.forename: Hoda
authors.initials: H
authors.lastname: Jradi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008519:Medicine, Traditional / Q000706:statistics & numerical data*; D008875:Middle Aged; D009422:Nervous System Diseases / Q000628:therapy*; D010342:Patient Acceptance of Health Care; D012529:Saudi Arabia; D012867:Skin; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult