Bartolome Et Al. - Group 1

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ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL

PANAG-AGAS: EXPLORING THE TRADITIONAL PRACTICES OF


QUACK DOCTORS

_________________

A Qualitative Research

Presented to
The Faculty of Science, Technology, Engineering, Mathematics (STEM)
Ilocos Sur National High School
Senior High School
Vigan City

____________________

In Partial Fulfillment of the


Requirements for the Subject
Practical Research 1

____________________

by:

KRISTIEN MAY ALGRINE B. BAJET

ROBELLRO T. BARTOLOME

FRANSISCO B. BASILIO

2022
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL ii

CERTIFICATION

This qualitative research entitled “PANAG-AGAS: EXPLORING THE


TRADITIONAL PRACTICES OF QUACK DOCTORS” prepared and
submitted by Kristien May Algrine B. Bajet, Robellro T. Bartolome,
Fransisco B. Basilio in partial fulfillment of the requirements for the subject,
Practical Research 1, Second Semester, School Year 2021-2022 has been
examined and is recommended for acceptance and approval for Oral Examination.

JEFFERSON R. GANNABAN, MAED Bio


Research Adviser
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL iii

APPROVAL SHEET

Approved by the Panel of Examiners for oral examination with the grade
of passed.

EUEGENE R. AGUILAR, MAME


Chairman

JOAN PAULET A. ALCANTARA, MAT Eng


Panel Member

THEN-THEN P. CARIAGA, BSEd Math


Panel Member

Accepted and approved in partial fulfill of the requirements for the subject,
Practical Research 1, Second Semester, School Year 2020-2021.

RICKY F. BOSQUE, Ed.D


Officer-In-Charge, Subject Group Head
Science, Technology, Engineering, Mathematics (STEM)/
Accountancy, Business and Management (ABM)

EDITHA C. BAGCAL
Principal IV
Ilocos Sur National High School

Date: May 21, 2022


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL iv

ACKNOWLEDGEMET

“If it takes a village to raise a child, then it takes a supportive community

to author a research paper.”

The researchers are completely dependent on one another. They look

forward to somebody who is always willing to lend a helping hand when they are

most needed. In fact, there is no perfect way to express gratitude for all of these

blessings. The researchers would like to express their heartfelt appreciation to the

following individuals who have made significant contributions to the success of

their research:

Mrs. Editha C. Bagcal, Principal IV of Ilocos Sur National High School

(ISNHS), for her cooperation, compassion, and unwavering commitment in

approving consent to the researchers' study for completion;

Mr. Rommel R. Rabo, Assistant Principal II for Academics of Ilocos Sur

National High School (ISNHS), for his desire, support, and undeniable effort in

giving the researchers the approval for the completion of the study;

Dr. Ricky F. Bosque, Officer-in-Charge, Subject Group Head of Science,

Technology, Engineering, Mathematics (STEM) and Accountancy, Business

Management (ABM), for his support, effort, and cooperation for giving approval

in the completion of the study;

Dr. Peter John A. Frial, a panel member during the title proposal, for

approving and improving the title and the structure of the study, and for supplying

the necessary information that made the researchers have a more comprehensive

view on the topic.

Mr. Eugene R. Aguilar, chairman of the panel, who shared additional


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL v

ideas and suggestions that became instruments that the researchers used to refine

the study;

Mr. Then-then P. Cariaga, one of our panel members, for his ideas,

suggestions, comments, and assistance that contributed to the development and

improvement of the study;

Ms. Joan Paulet A. Alcantara, one of the panel members and the

researchers’ ever-dearest adviser, for sacrificing their time and energy to ensure

that the research paper would live up to the expectations and standards in STEM.

The paper would not exist today if it weren’t for her diligence in meticulously

editing and copywriting the manuscript;

Mr. Jefferson R. Gannaban, research adviser, for his insightful

comments, motivation, guidance, and support from conceptualization to

finalization of the research study.;

Mr. Gaylord Brent R. Rabang, for his words of encouragement, and

constructive criticism that improved the researchers’ manuscript to a higher

degree;

To the informants of the study, for their cooperation in giving insights

and experiences that they shared to the researchers;

Mr. and Mrs. Cresencio B. Bartolome, Mr. and Mrs. Christopher B.

Bajet Sr., and Mr. and Mrs. Lemuel N. Basillio, their parents, for their

unconditional love, motivation, endless support, and guidance for them to

accomplish their research paper;

Their relatives, schoolmates, friends, and everyone who became a great

contribution in accomplishing their study until the end. For their words of
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL vi

encouragement, motivation, support, love during the period that the study was

conducted;

All of the people whose names were not mentioned, who contributed to

conducting, development, and accomplishment of this study;

The highest of all, Almighty God, for his blessings, love, direction, and

strength to complete this study.

R.T.B.
K.M.A.B.B.
F.F.B.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL vii

DEDICATION

This piece of work is sincerely dedicated to


Our Almighty Father, who is the foundation among all things.
everything we have in life, the
blessings, love, direction, and strength to complete this study
We sincerely thank you from the bottom of our hearts.
because YOU stayed with us the entire time.
Because YOU have never abandoned us in times of success or failure.
For YOU have given us more than we could have asked for.
But more than we deserve.

To our dearest parents,


who have been our source of inspiration
and gave in strength when we thought of giving up,
who continually provided their moral, spiritual, emotional, and financial
support.

To our sisters, brothers, nephews, nieces, and all our relatives,


who shared us the skills and knowledge we need,
the backbone and inspiration of our dreams.

To our beloved teachers, classmates, and schoolmates,


who serve as our second parents and siblings,
who never failed to extend their arms when needed,
who shared their words of advice and encouragement
to finish this study.

To the next generation of researchers,


one of the key reasons of the publication of the study.
We hope that this work would branch out new knowledge,
and would lead to new discoveries.
May it inspire you all to conduct research that will be of
significant contribution in the community, society, and country.

To our beloved Alma Mater, Ilocos Sur National High School


which became our second home and nurturing environment,
which molded our characters and disposition,
which opened new doors of opportunities and possibilities,
which made us be more scientifically and mathematically inclined.

And to everyone with whom we shared our successes and failures,


We thank you from the bottom of our hearts.
Sincere appreciation
God bless.

Bell
Ten
Frankie
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL viii

ABSTRACT

The study aimed to explore the background experiences of quack doctors

in Ilocos Sur in healing patients during the COVID-19 pandemic. Furthermore, it

also discussed the traditional healing methods involved particularly herbal

medicine, and other methods used in curing main and minor clinical symptoms of

COVID-19.

The study made use of a qualitative approach, specifically it is an

exploratory case study that used judgement or purposive sampling among the

respondents in different cities and municipalities of Ilocos Sur. These respondents

served as the primary informants who were selected because of their experience

and deep knowledge on traditional healing. The use of semi-structured interview

in local language and participant observation provided a free listing of their

verbatim accounts were noted and recorded as primary narratives.

Considering the result of the study, the findings are revealed as follows:

(1) on background experiences, the informants revealed that they temporarily

stopped offering their healing services to the public because of their age, fear that

they are to be infected by COVID-19, and mainly the lack of protective equipment.

However, they still conducted these healing methods on their close friends,

neighbors, and family.

(2) On herbal medicine used, the quack doctors uses oregano (Oreganum

vulgare), lagundi (Vitex negundo), leaves of bayog (Dendrocalamus merrillianus

Elm), and leaves of suha or pomelo (Citrus maxima), with the use of the decoction

method in curing major symptoms of COVID-19, which are fevers and coughs.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL ix

They also use leaves of a sugar apple or “atis” tree (Annona squamosa), ginger

(Allium Sativum), leaves of a guava tree (Psidium guajava), and guyabano

(Annona muricata) for treating minor symptoms of COVID-19, which are

headaches, vomiting, and diarrhea.

(3) On other traditional methods conducted, they all revealed that they

use the “hilot” in curing both main and minor clinical symptoms of COVID-19,

this includes a mixture of water and herbal oils, namely peppermint and coconut.

They also made mention of the use of a matchstick, and acupressure in

determining the sickness of the patient. Several studies and research conducted

found that using these plant material can be effective in curing the said diseases,

while only few discusses on the other traditional methods used.

The findings entail the following: quack doctors in Ilocos Sur had to stop

their services due to certain factors, their use of different herbal medicine is

effective as backed by different studies, and the other traditional healing methods

they conduct lack scientific foundation to supply its effectiveness. Moreover, it is

recommended by the researchers that the local government should help in aiding

these quack doctors by either giving them materials needed, or financial assistance

because they have been a part of the culture, and rich heritage of Ilocos Sur; and

promote more research that discusses both medicinal plants and other traditional

healing methods.

The use of traditional healing methods in a period wherein technology and

modernization are rampant can be considered bizarre for some since medical

assistance is available to the public. However, they still play an important role in

the culture of a certain group of people for they carry the rich and diverse culture
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL x

of the people comprising the group, they are accessible especially to the ones who

live on rural areas, and affordable to the ones who are not economically

advantaged. This is why the creation and promotion of research surrounding these

topics would still remain and be significant. Not to mention, it can also branch out

new knowledge on botany, and some of the methods still lack scientific evidence

and foundation and with the help of further research, it will solidify their

effectiveness in treating different ailments and sicknesses.

Keywords: traditional healing, herbal medicine, COVID-19, background


experiences of quack doctors
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL xi

TABLE OF CONTENTS

Page

Title Page ............................................................................................................... i

Certification........................................................................................................... ii

Approval Sheet ..................................................................................................... iii

Acknowledgement................................................................................................ iv

Dedication ........................................................................................................... vii

Abstract .............................................................................................................. viii

Table of Contents ................................................................................................ xi

Chapter I: THE PROBLEM

Introduction .................................................................................................... 1

Research Question.......................................................................................... 5

Scope and Delimitation .................................................................................. 5

Related Literature and Studies ....................................................................... 6

On The History of Traditional Medicine in the Philippines ........................ 7

On The Herbal Plants Used in Traditional Medicine in the Philippines ...... 8

On The Other Traditional Healing Methods .............................................. 11

On Treating COVID-19 with Traditional Medicine .................................. 12

Conceptual Framework ................................................................................ 14

Operational Definition of Terms .................................................................. 16

Methods ........................................................................................................ 17

Research Design ........................................................................................ 18

Study Locale and Informants .................................................................... 21

Data Gathering Procedure, Tools, and Analysis ....................................... 23

Data Analysis ............................................................................................ 24

Ethical Considerations .............................................................................. 25


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL xii

Chapter II: PRESENTATION, ANALYSIS, AND DISCUSSION

On The Background of Traditional Healers of Ilocos Sur ........................... 28

On The Experiences in Curing During COVID-19...................................... 31

On Herbal Plants Used ................................................................................. 32

On Other Traditional Practices Used ........................................................... 34

On Differences of Herbal Plants and Other Traditional Practices ............... 37

On Effectiveness of Traditional Healing Practices ...................................... 38

Chapter III: SUMMARY, CONCLUSION, AND RECOMMENDATION

Summary ...................................................................................................... 40

Conclusion.................................................................................................... 43

Recommendations ........................................................................................ 44

Bibliography........................................................................................................ 47

Appendices .......................................................................................................... 65

Curriculum Vitae................................................................................................. 78

List of Figures and Tables

Conceptual Framework ................................................................................ 15

Profile of Informants .................................................................................... 22

Thematic Analysis........................................................................................ 72
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 1

Chapter I
THE PROBLEM
Introduction

In high-income countries, the healthcare system and workforce faced the

following challenges because of the rise of COVID-19 cases: lack of personal

protection equipment (PPE), delay in response strategy, and shortage of hospital

beds (Emanuel, 2020) (Gondi, 2020) (Ranney, 2020). Soon after, with the rise of

its spread, it also affected other countries including the Philippines and with this,

it also encountered similar problems (Livingston, 2021) (Tee, 2021). According

to Guerra & Gustavo (2020), on April 24, 2020, the Philippine government stated

that there are recorded incidents wherein hospitals denied patients emergency

treatment because they claimed they did not have vacant beds in their intensive

care units. Additionally, a report published by ABS-CBN stated that Mayor Joy

Belmonte of Quezon City said in an interview that hospitals sent home three

patients, who have shown to have mild or minor symptoms of COVID-19, because

of the lack of space in healthcare facilities.

To have a comprehensive view on the symptoms of COVID-19, according

to a meta-analysis and systematic review conducted by researchers, Li et al.

(2020), and the Centers for Disease Control and Prevention, the main clinical

symptoms of COVID-19 include the following: fever (88.5%), cough (68.6%),

fatigue (35.8%), and dyspnea or shortness of breath (21.9%) while the minor

symptoms are headaches (12.1%), diarrhea (4.85), and vomiting (3.9%). They are

classified as main and minor due to the percentage of the people who experienced

these sicknesses because of COVID-19.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 2

This pandemic also became a threat to nurses’ physical and psychological

well-being due to workload, low income, growing population (Shaukat, 2020),

and poor management of the Department of Health funds by reports shown by the

Commission on Audit which justified as to why some resigned and migrated to

other countries to continue their work (De los Santos, 2021) (Finch, 2013).

Furthermore, Santos (2020) stated that the Philippines is one of the world’s top

sources of nurses. However, The University of the Philippines Population Institute

(UPPI) and Demographic Research and Development Foundation, Inc. (DRDF)

explained that despite the huge number of health professionals that the country

produces every year, there is still a shortage of health workforce employed to meet

the standard requirement for the country’s growing population. In addition to that,

in April of 2021, the nurses of St. Luke Hospital mass resigned, having 66 down

to 43 some of which reasoned for inadequate salary, and heavy workload. These

pieces of evidence are proof that the Philippines has only limited health

professionals, particularly nurses, especially during the time of the COVID-19

pandemic.

In an economic view, this pandemic led to drastic income loss and high

unemployment rates (Dang & Nguyen, 2020) which made more people especially

the least economically advantaged citizens have no primary source of income and

just be dependent on the government’s distribution of the “ayuda”, or financial

aid (Gozum et al., 2021).

Medical treatment is not that affordable especially during the pandemic

since as stated, there were many people who lost their jobs. According to a study

conducted by Rivera et al., (2018), Filipino patients have to pay a minimum of

PhP 7,000 for medical expenses that include medical supplies (PhP 4,000.00),
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 3

diagnostic tests (PhP 2,000.00), and post-discharge expenses (PhP 1,000.00). Not

only that but it is usually the economically disadvantaged that are likely to be

exposed and be vulnerable to the virus since they are living in tight and

overcrowded places (Patel et al., 2020).

Problems related to the medical sector and finance caused some patients

to transition to the use of traditional medicine. To elaborate, they opted for this

type of treatment because of the lack of health professionals (UPPI & DRDF,

2020), financial instability (Mendoza- Dreisbach & Dreisbach, 2018); and since it

is perceived that these are effective in alleviating health concerns (Rondilla,

2021).

To define traditional medicine, according to the study of Fokunang et al.,

(2011), traditional medicine refers to the health practices, approaches, knowledge,

and beliefs incorporating plant, animal and mineral based medicines, spiritual

therapies, manual techniques, and exercises, applied singularly or in combination

to treat, diagnose and prevent illnesses or maintain well-being. As explained by

the researchers on traditional and complementary medicine and wellness, Bodeker

& Ong (2005), it is believed that the practice of traditional medicine in the

Philippines have existed for years even before the Spanish colonization that has

been rooted by ethnic and Indigenous groups and has been heavily influenced by

the Chinese.

To compare and contrast, traditional and medical approaches are both

used in treating diseases, but they differ in the process involved in terms of

foundation, procedures, and its popularity. Traditional healing is stemmed on

beliefs, and religions that makes use of plant, animal, and certain mineral

materials; and this is more prevalent to the economically disadvantaged


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 4

communities, and in rural areas than that of urbanized areas (Baniya, 2014)

(Schoonover, 2014) while the medical treatment focuses more on medication,

diets, and lifestyle changes of treating diseases backed with scientific knowledge

and the involvement of researches, case studies, and technology (Dulmen, 2007).

Cariño (2012) affirmed that the Philippines has an estimate of 110

ethnolinguistic groups and each of these groups has distinct identities, language

used, and practices that include medicine. The practices are somewhat similar to

each other since the knowledge on traditional practices is inherited from their great

ancestors (Olowa, et al., 2012). Although there are research papers that feature

different indigenous people and groups on how they do traditional medicine on

certain diseases, only few studies are done about the quack doctors or “albularyo”

or “manangagas” present in Ilocos Sur.

In the investigation of Castañeda et al. (2021), they mentioned that Ilocos

Sur is rich in culture, heritage, and beliefs and traditional healing methods are

common especially now with the surge of COVID-19. There is an existing study

conducted by Relon (2018) regarding about the existence of traditional healing in

the province. However, it only featured the common terminologies used by quack

doctors on healing in certain Ilokano communities. There are also limited studies

discussing what traditional procedures are made by local quack doctors if a patient

has COVID-19 symptoms.

Research surrounding traditional medicine are relevant, and significant

even in the modern world and should be conducted even if technology and

modernization is rampant because for the following reasons: it can open

opportunities for more research ideas to future researchers and students on the

fields of botany, and medicine making them have more knowledge, and a deeper
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 5

understanding on medicinal plants; it can contribute to preserving, promoting, and

emphasizing the traditions and culture in the Philippines; and it can make the

locals of the communities be more aware of these traditional healing methods.

This study explored these methods conducted in the province. Specifically,

the researchers aimed to know what particular traditional practices are being done

by traditional healers or quack doctors in Ilocos Sur in curing main and minor

COVID-19 clinical symptoms particularly the plant material that they use and

other traditional healing services that they may offer to patients.

Research Question

This study sought to explore the particular traditional practices made

by quack doctors in Ilocos Sur in curing COVID-19 symptoms.

Specifically, it aimed to seek answers to the following questions:

1. What are the experiences of quack doctors in curing COVID-19 by

utilizing traditional practices?

2. What herbal medicine and processes are used by traditional healers to cure

main and minor COVID-19 symptoms?

3. What traditional healing methods do these quack doctors use to cure main

and minor COVID-19 symptoms?

Scope and Delimitation

The COVID-19 cases continue to rise, having recorded more than

3,000,000 as of March of 2022 (DOH, 2022) and there are instances wherein a lot

of people can still experience symptoms of the said virus. Some people turn to

over-the-counter medications and/or see quack doctors in the hopes of resolving

their difficulties (Gupta, 2010). The medicinal practices used by quack doctors in

healing are deeply rooted in our history and customs, having been practiced by
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 6

Filipinos long before the Spaniards colonized the country, and influenced by

Chinese ethnic medicine (Wootton, 2006).

The research study made use of the qualitative approach. The respondents

are three (3) selected quack doctors living in Ilocos Sur who have been in the field

of traditional healing for at least ten (10) years. These respondents were chosen

by the researchers because of their experience of using traditional practices when

it comes to conducting traditional healing.

The study confined itself to the exploration of the

particular traditional practices made by quack doctors in Ilocos Sur in curing

COVID-19 symptoms. It also aimed to explore the experiences of quack doctors

in curing COVID-19 symptoms using traditional practices.

Related Literature and Studies

The primary purpose of a literature review is to assist readers in

understanding the whole body of available research on a topic, informing readers

on the strengths and weaknesses of studies within that body (De Los Reyes &

Kazdin, 2008). This chapter includes the conducted investigation from past studies

which the researchers believed to have a similarity on the current topic they are

studying. The technical terms used, and research questions or subtopics are

carefully discussed by comparing and contrasting this study to past ones. The

process of integrating findings across many studies pertinent to a particular

research question is an ideal first step toward according to legitimacy and

scholarliness to a research study (LeCompte et al., 2003).

Establishing this review helped the researchers do the following: lay a

foundation which guided the researchers in conducting the study; limit the scope

of their inquiry (Duff, 2002); make a reliable context which future researchers can
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 7

use to have a broader view on the research questions; and make readers have a

more in-depth background knowledge about the study (Neely et al., 2010).

To organize and ensure that the flow of information is coherent and

connected, this review contains the following subcategories:

a) On The History of Traditional Medicine in the Philippines;

b) On The Herbal Plants Used in Traditional Medicine in the Philippines;

c) On The Other Traditional Healing Methods; and

d) On Treating COVID-19 with Traditional Medicine

On The History of Traditional Medicine in the Philippines

Traditional healers have been a part of the Philippine Health Care System

(Galan, 2018). According to the American Historical Association, and the study

of Joven (2020), it stated that although the first ever records that accounts these

types of treatments date back from the 16th century, much information about the

Philippines during the pre-colonial eras are destroyed by the Spaniards. However,

according to the former Director General of the Philippines Institute of Traditional

and Alternative Health Care, Alfonso T. Lagaya, the Philippines already had

different kinds of traditional practices present long way before the Spanish

colonization. He explained that there were shamans or “babaylans”, who are

believed to be the first spiritual healers in the country, that were present during

those times. To clarify, they were men, women, and transgender women that serve

as beneficent healers and priestesses/priests of Philippine indigenous religions

(Nono, 2014). The traditional practices back then that they used were heavily

inspired by both superstitious beliefs rooting from Anitism, or Bathalism and

Chinese ethnic medicine because this was the religion that was mainly practiced

before Christianity, and the relations of the Chinese merchants and the Filipinos
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 8

were developed as early as the ninth century up until to the eleventh (Fernandez,

2004).

According to the study conducted by Gutierrez (2019), when the Spaniards

colonized the country, it is heavily speculated that the ancestral belief and the

influence of the Catholic church merged. In fact, reports have shown that Spanish

missionaries were so devoted in investigating the traditional medicine present in

the country. This explains as to why there are religious amulets or “agimat”,

prayers, and rituals involved in traditional healing of today.

However, even with time evolving, traditional practices continue to exist

and it is mainly because of the following: (1) The prevalence of traditional

medicine use in low-income countries is estimated to be between 40% and 71%

(Bodeker & Kronenberg, 2002). According to the World Bank, the Philippines is

considered to be a low-income country as it is based on the reports on the gross

national income per capita recorded in 2021. Additionally, according to the report

shown by the Department of Trade and Industry, the overall provincial score of

Ilocos Sur is estimated to be 38.5, which is relatively lower than that of highly

urbanized cities. This suggests that the province has a lesser income rate than that

of other provinces. This reasons out as to why some residents would opt to be

treated with these procedures making it popular and be practiced up until today;

and (2) the national government interference. These procedures are not being

prohibited by the national government and traditional healers are free to practice

these procedures for it heavily reflects our long cultural heritage, it is non-

invasive, and it does not compromise the safety of the patients (Lagaya, 2005).

On The Herbal Plants used in Traditional Medicine


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 9

Herbalism is a traditional medicinal or folk medicine practice based on the

use of plants and plant extracts (Pan et al., 2014). Human societies have been in

close contact with their environments since the beginning of their formation and

used the ingredients of the environment to obtain food and medicine (Jamshidi-

Kia et al., 2018). The World Health Organization (1997) even stated that herbal

medicine in traditional medical practice is an important resource which can be

mobilized for the attainment of the common goal of health for all. In the

Philippines, the use of herbal medicine is a major form of traditional medicine

(Liu, 2021). Filipino traditional medicine, herbal medicine in particular, plays a

significant role for many years making it well accepted in the rural areas

(Maramba- Lazarte, 2020).

The indigenous Manobo people, and traditional healers of Agusan Del Sur

utilizes Lunas Lunasia amara Blanco from the tree, “lunas-kahoy”, and the vine,

“lunas-bagon” to treat snake bites, gastralgia and adynamic conditions of

digestive system, infected eyes, diarrhea, stomach pains, tuberculosis, swollen

limbs, and skin diseases, and they use these as insect repellents (Dapar, 2017).

Residents in the northern part of Surigao del Sur use a total of 62 different

plant species to treat different kinds of diseases and ailments, namely, cough,

diarrhea and stomachache, and kidney infection (Gruyal, 2014).

Bangcolod (2013) determined that the Kalanguya tribe in Tinoc, Ifugao

uses the leaves of sambong (Blumea balsamifera), Chinese chaste tree or lagundi

(Vitex negundo), and rhizomes of ginger (Zingiber officinale) with water to cure

cough. They also use calamansi (Citrus macrocarpa) to lower hypertension which

is proven to be effective (Asgary & Keshvari, 2013); Acmella oleracea or

Spillanthes acmella to treat toothaches which also contributes as to why the plant
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 10

is called the “toothache plant” (Puroshotaman, 2018); and cogon grass (Imperata

cylindrica) and corn (Zea mays) to treat the urinary tract of a person.

As reported by Abe (2013), the Ivatan people of the Bataan Island use 138

different species of plants for foods, medicines, and other uses. They use papaya

(Carica papaya), blue porter weed (Stachytarpheta jamaicensis), banana (Musa

sapientum), and seashell devil’s backbone (Pedilanthus tithymaloides), for

treating constipation, cuts and wounds, diarrhea, and dislocations and fractures,

respectively. They also use gumamela (Hibiscus rosa-sinensis) for treating

exogenous diseases, certain infectious and parasitic diseases, injuries, poisonings

and other consequences of external factors, diseases of the skin and subcutaneous

tissues, and even fever (Aziz et al., 2021). In addition to that, malunggay (Moringa

oleifera) is also used for diseases of the circulatory system as it is effective in

doing so (Dubey, 2013), and coconut (Cocos nucifera) is used for diseases of the

genitourinary system.

As mentioned by Del Fiero (2013), states that traditional healers in

Southwest Cebu use biomedical care to patients with ailments. Mayana (Coleus

atropurpureus) for treating wounds, swelling, bruises, sprains, and cysts; Limang-

sugat (Pseuderanthemum bicolor) for hyperacidity, stomachache, and gas pain

and body/back pains; lagundi (Vitex negundo) to cure cough, kidney problems,

and swelling; Mangagaw (Euphorbia hirta) in dengue and measles; Dila-dila

(Onychium siliculosum) for hyperacidity, stomachaches, and pain experienced due

to irregular eating habits; sibuyas (Allium cepa) is used for cancer, and cysts; and

guyabano (Annona muricata) for diabetes, hypertension, and ascaris infection.

The Ati-Negrito group in the Guimaras Island uses guava (Psidium

guajava); sambong (Blumea balsamifera); coconut (Cocos nucifera), candle bush


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 11

(Senna alata), gumamela (Hibiscus rosa-sinensis, and Indian snowberry (Breynia

vitis-idaea) for treating white spot, boils, and child sleeplessness, malaise, and

fatigue (Ong, 2014).

According to the study of Del Fiero (2013), the methods of using these

plants in curing different ailments are the following but not limited to: (a)

extraction (b) decoction (c) expression (d) and infusion. Extraction involves the

separation of medicinally active portions of plant tissues (Swami et al., 2008).

Decoction refers to mashing of the leaves of the plant and then boiling it

with water to extract the desired materials (Suresh, 2014). Expression involves

pounding or squeezing the raw plant to an affected area (Del Fiero, 2013). Infusion

entails the extraction process involving the submerging of the plant materials in

water for a certain period of time and then applying it to the affected areas.

(Abubakar & Haque, 2020) (Azwanida, 2015).

From the various studies cited, we have traditional healers from all around

the country and despite of the differences in location, there are evident similarities

in the (a) use of plants like for example, the use of the coconut (Cocos nucifera),

and gumamela (Hibiscus rosa-sinensis) by both the Ivatan, and the Ati-Negrito

communities; and (b) the processes involved in using those plants, but the diseases

that are meant to be cured with those plants somehow differ.

On The Other Traditional Healing Methods

Filipino faith healers attribute their ability to cure to God. As a result, they

offer their services not because of monetary gains but rather of the desire to help

their community and other people using their talent (Labastida et al., 2016).

Rebuya (2020) claimed that traditional healing is a part of the Filipino

culture that has been passed down through many generations, and is continuously
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 12

being practiced, especially in barrios and barangays in the country. The study

concluded that the traditional healers of the Partido area in Camarines Sur have

procedures and rituals such as the “oràsyon”, “hilot”, and “himolso” while using

healing paraphernalia specifically oil, and candles.

Cebuano traditional healing practices or “panambal” comprise the use of

“himolso” (pulse checking), “palakaw” (petition), “pasubay” (determining what

causes the sickness and its possible means of healing), “pangalap” (searching) of

medicinal plants for “palina” (fumigation), “tayhop” (gentle-blowing), “tutho”

(saliva-blowing),“tuob” (boiling), “orasyon”(mystical prayers), “hilot”(massage),

and “barang” (sorcery) (Berdon et al., 2016).

As determined in the study conducted by Relon (2018), Ilokano folk

healers mostly use “panagilot”, which is the essentially same with “hilot”; and

“orasyon”. The methods’ presence were the only ones that were mentioned, and

it did not really specify nor emphasized as to what diseases are being healed to

what type of process. Although there are recorded studies stating the specific

traditional healing practices made by quack doctors from all around the country,

there are still limited studies discussing what specific procedures that are done by

quack doctors in the Philippines exclusively in curing COVID-19 main and minor

symptoms.

On Treating COVID-19 with Traditional Medicine

Since there are only limited research discussing the use of traditional

medicine in the Philippines in curing COVID-19, the Chinese traditional medicine

is elaborated because our traditional methods are heavily influenced by them

(Lagaya, 2005). Traditional Chinese herbal medicine therapy is a mixture of

Chinese herbs prescribed by Chinese herbalists depending on the differentiation


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 13

of the patient’s syndrome according to Chinese diagnostic patterns (inspection,

listening, smelling, inquiry, and palpation) (Li et al., 2020). It had been used to

treat and prevent viral infection pneumonia diseases and had accumulated a large

number of clinical experiences and effective prescriptions (Ren et al., 2020). It

was reported that during the pandemic, traditional Chinese herbal medicine

treatments were reported to have successfully prevented and treated SARS.

Reports by the Beijing Municipal Health Commission revealed that two (2)

patients who had developed symptoms of COVID-19 were discharged from the

hospital on January 24, 2020 and January 25, 2020 after Chinese traditional

medicine treatment was given. Additionally, a study conducted by Khadka (2021)

affirmed that in the survey that they used wherein 774 respondents were

questioned, most of them recommended medicinal plants and the use of folk or

traditional medicine to prevent and cure COVID-19.

From the different kinds of literature presented, the researchers can

conclude that the Philippines has traditional healers from all around the country

with distinct healing practices and herbal medicine used to cure different kinds of

diseases, in which methods are heavily inspired by the Chinese due to trading

systems developed before the Spanish colonization. From reports and studies

conducted in China, it is proven that the use of herbal and traditional medicine is

effective in curing and preventing COVID-19. The researchers conducted this

study not to question the effectivity of traditional medicine but to determine the

particular traditional methods and herbal medicine used by quack doctors residing

in Ilocos Sur in order to cure COVID-19 symptoms.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 14

Conceptual Framework

A case study is an in-depth, multifaceted investigation using qualitative

research methods, of a single social phenomenon (Crowe et al., 2011). It is the

detailed examination and defining of a single example of a class or a phenomena

rather than analyzing and modelling casual relations (Gerring, 2004) (Starman,

2013). A book published by Yin (2003) made mentioned that when choosing a

case study, one of the requirements that should be considered is that the focus of

the study is to answer “how” and “why” questions. Since the study only focuses

the group of traditional healers and what herbal medicine, traditional practices

they use; how do they use these herbal medicine; and why they conduct their

healing practices, overall, having an in-depth understanding of a topic that aims

to generate knowledge and/or inform policy development, a case study,

specifically an exploratory case study, is the most applicable method to use

(Thomas, 2021). To define an exploratory case study, a type of case study that

aims to further extend our understanding of complex social phenomena, this

includes behaviors, actions, and events (Ogawa, n.d.).

It was solely concerned with the various experiences and approaches of

quack doctors in using traditional practices to treat COVID-19 symptoms.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 15

Quack Doctors of
Ilocos Sur

Background Herbal Medicine Other Traditional


Experiences Used Methods Used

Knowledge on
Processes involved Materials needed
traditional medicine

Main clinical
Purpose of
COVID-19
becoming a Procedures Done
symptoms it can
traditional healer
sure

Curing patients with Main clinical Main clinical


main and minor COVID-19 COVID-19
COVID-19 symptoms it can symptoms it can
symptoms cure cure

Minor clinical
COVID-19
symptoms it can
cure

Figure 1: The Conceptual Framework

As shown on the illustration above, three related factors are constituted on

exploring the traditional practices of quack doctors’ in COVID-19 symptoms

which includes (1) their background experiences; which includes the quack

doctor’s knowledge on traditional medicine, their purposes of becoming one, and

their experiences in curing patients with COVID-19 symptoms (2) herbal


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 16

medicine, which includes the processes involved, and the main and minor clinical

symptoms of COVID-19 that it can cure. Lastly, (3) and other traditional healing

methods. This includes the materials needed, the procedures done, and the main

and minor clinical symptoms of COVID-19 that it can cure. The study considered

quack doctors’ who have been in the field of healing for at least ten (10) years and

have cured patients with COVID-19 symptoms as the primary participants of the

study.

Operational Definition of Terms

The following terms were operationally defined in the context of the

study for clarity and better understanding:

COVID-19. It is a disease caused by SARS-CoV-2 that can result in

a respiratory tract infection, according to doctors. It can affect either the upper and

lower respiratory system (sinuses, nose, and throat) (windpipe and lungs)

(Sharma, 2020).

Cure. As stated in the Merriam-Webster dictionary, this refers to the

substance or treatment that heals a disease or condition.

Experience. This refers to having the ability to remember, imagine,

and recognize that can be enhanced with the use of practice and time (Dewey,

n.d).

Herbal medicine/ Medicinal Plants. This refers to the herbal remedies

or plant materials to heal the sick (Meuss, 2000).

Influence. According to the Merriam-Webster dictionary, this refers to

the act of creating an effect without the use of visible force or direct order.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 17

Quack Doctor/ Traditional Healer. These refer to the people who

practice a form of medicinal system without qualification, training and registration

from the appropriate council or authority (Hammerschmidt, 2005). They are the

informants of the study.

Symptoms. It is associated with diseases or medical conditions

(Pennebaker, 2012). According to the National Cancer Institute, this refers to the

physical or mental trait that is thought to indicate the presence of sickness,

especially one that is visible to the patient.

Traditional Practices/Healing Methods. These refers to the health

practices, approaches, knowledge, and beliefs incorporating plant, animal and

mineral based medicines, spiritual therapies, manual techniques, and exercises,

applied singularly or in combination to treat, diagnose and prevent illnesses or

maintain well-being (Fokunang et al., 2011).

Methods

This portion presents a discussion of the following elements: research

design, which is the conceptual blueprint within which research is conducted

(Akhtar, 2016); the sample of the study, the procedure to select a sample from a

group for a certain kind of research purpose (Waters, 2021); data gathering tools,

procedures, and analysis; which is the process of gathering, measuring, and

analyzing information on variables of interest, in an established systematic

fashion that enables one to answer stated research questions (Gill et al., 2008)

and ethical issues, which are referred to as doing what is morally and legally right

in research (Parveen & Showkat, 2017), that were utilized in the study.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 18

Research Design

This study developed an exploratory case study on the traditional practices

of quack doctors. The cases focused on the experiences and ways of quack doctors

in curing COVID-19 symptoms using traditional practices. The study investigates

the phenomenon of quack doctors in conducting treatments in the field of healing.

The researchers investigated what certain herbal plants and traditional

practices that they use and conduct in their healing process. The researchers

conducted in-person in-depth interviews with the respondents to obtain their

experiences in curing COVID-19 symptoms by utilizing traditional practices.

The use of local language interviews and observation as research tools

allowed the respondents to be observed and interviewed in their natural

environment. The observation of respondents was conducted privately after

obtaining their consent.

This study involved a profound understanding of the traditional practices

of quack doctors. In addition, the study focused on accumulating knowledge about

different ways that traditional practices are being utilized by quack doctors in

curing COVID-19 symptoms. The discussion is intended to analyze the

highlighted issues of quack doctors’ perspectives on curing. It is to explore equally

the methods of curing by utilizing the traditional practices of quack doctors that

could be questioned and investigated in terms of their culture and how they present

themselves in day-to-day practice

To supply a more comprehensive viewpoint of the research design, the

following phases are provided and described:

Phase 1: The conceptual phase


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 19

The study of Brink et al. (n.d.) expounded that this phase of research

involves activities with a strong conceptual element. Conceptualisation refers to

the process of developing refining abstract ideas. During this phase, the

researchers categorise and label their impressions. Thus, the activities include

thinking, rethinking, theorising, making decision, and reviewing ideas with

colleagues, research partners or mentors/supervisors (Hanacek, 2010). During this

phase, the researchers, with the help of brainstorming, gathered all the possible

research ideas and narrowed it until only three research topics remained. The

research topics were then proposed and approved by a panel, consisting of the

research adviser, and a teacher who is knowledgeable in research. After that, the

researchers established the purpose and significance of the study; formulated the

appropriate research questions; used reliable sources to read and assess literature

published surrounding the topic; defined terminologies in the context of the study;

and developed a conceptual framework fit for the study.

Phase 2: Construction of research design

The aim of this phase of research is to prepare a general plan of the real

research (Cohen, 2018). During this phase, the researchers determined what

qualitative method and data gathering procedure are the most suitable in the study

then, the researchers asked for permission from the school principal and local

officials through a letter to allow the researchers to conduct the study. After that,

the researchers carefully selected the participants with the help of a criteria

specifically made for the study. The researchers explained to the participants the

necessary information about the research being conducted like objectives,

purpose, and the like.; informed them about their rights as participants; and let
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 20

them sign an agreement that they truly understood the terms and conditions of the

study and that they are willing to take part.

Phase 3: Empiric phase

In this phase, the researchers implemented all the plans that they made in

the previous phases (Hanacek, 2010). The researchers formally began the data

gathering process and executed the said procedures that was mapped in phase 2.

The data gathered in this phase was collected by the researchers to create copies

of it so that it will lessen the probability of the data being lost; and was used and

examined in the next phase.

Phase 4: Analytic phase

Once the data collection and surveying activities have yielded sufficient

and relevant data, it is time to systematically organize the data so that it can be

interpreted and analysed by the researchers (Hanacek, 2010). Data in this phase

must be summarised and subjected to various types of analysis and interpretation

(Brink et al., n.d.) During this phase, the researchers systematically organized, and

analysed the data gathered from phase 3. However, before doing so, the

information was first examined for completeness and accuracy to ensure the

study’s credibility. After that, the researchers summarized, and interpreted the

data, made sense of the results, and drew the proper conclusions.

Phase 5: Disseminative phase

In this phase, the researchers communicated the result of the study to

others who may find it useful. (Hanacek, 2010). The researchers presented and

defended the research study to a panel that consists of teachers that were either
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 21

selected by the researchers. With this, it will be the time for the panel to evaluate

the study, and to give some points of improvements and insights that the

researchers could make to better the study, these may include additional

information, structure, data presentation and analysis, and the like. After that, the

researchers implemented their pieces of advice, revised, and finalized the study.

It was then published, book binded, and presented in the Science, Technology,

Engineering, and Mathematics (STEM) library for future researchers to use as a

reference, or to use as a source of information to further understand the topic

surrounding the study.

Study Locale and Informants

The study was conducted at different cities and/or municipalities of Ilocos

Sur, particularly at the locations where the quack doctors are currently using to

practice traditional medicinal procedures.

The researchers used purposive sampling to identify the traditional healers.

Purposive sampling is a non-random sampling technique where participants are

selected deliberately based on their expertise of the given research topic (Bernard,

2010). In relation to that, the study features ethnobotany for it discusses medicinal

plants, and informant selection is highly relevant for this specific type of research,

as people are constantly looked upon for knowledge and information (Tongco,

2007) (Giday, 2009).

These participants were selected because of their deep understanding and

knowledge when it comes to traditional medicine and practices as shown in their

years of experience. The sample size is only three (3) because the study wants to

have an in-depth understanding of a certain topic. According to Boddy (2016) and

Sandelowski (1995), the sample size in a study is dependent on the study and the
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 22

method used. For studies that requires to develop a theory, it would need a large

sample size while case studies only need a small one. The distribution of the

informants is presented in Table 1.

The profile of the 3 respondents includes the general information of the

quack doctors namely: gender, city/municipality, years of experience, and marital

status.

Table 1: Profile of the Informants

Informants Gender City/Municipality Years Of Marital


Experience as a Status
Traditional Healer

A Male Vigan City 32 years Married

B Male Vigan City 39 years Married

C Male Bantay 10 years Married

The informants were selected specifically for this study through careful

consideration based on the following criteria:

1. should be a resident of Ilocos Sur;

2. should be a traditional healer that have cured patients during the COVID-

19 pandemic;

3. should be a traditional healer for at least 10 years and;

4. willing to participate in the study


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 23

Data Gathering Procedure, Tools, and Analysis

Interviews are one of the most important data gathering tools in qualitative

research (Myers, 2007). These involve a conversation between the research and

the subject towards developing understanding of central themes and research

questions (Lochrie et al., 2015).

Aside from questionnaires, the researchers conducted interviews for it is

practically advantageous since it does not rely on literacy and has a better response

rate than that of questionnaires (Gubrium & Holstein, 2001).

The researchers used a semi-structured interview. To define, a semi-

structured interview is the set of questions that is designed to ascertain subjective

responses from persons regarding a particular situation or phenomenon they have

experienced. It employs a relatively detailed interview guide or schedule and may

be used when there is sufficient objective knowledge about an experience or

phenomenon (McIntosh, 2015). The researchers used this type of interview since

it gives the informants more power and control over what gets discussed in the

interview and how it gets discussed (Low,2013). Participants are free to respond

to these open-ended questions as they wish, and the researcher may probe these

responses (Bartholomew et al., n.d.).

Before the researchers gathered any kind of information, the researchers

had a consultation with the school principal for them to be allowed in conducting

the study. After their approval, the researchers interviewed locals from

municipalities and/or cities in and near Vigan City to search out and assess any

quack doctors present in the province. The final participants were identified based

on the criteria previously stated.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 24

The researchers gave their schedule according to their preference or time

of availability. After that, the interview questions were also given in preparation

for the interview to be conducted. If misunderstanding occurs, the researchers can

make use of any language the informants are comfortable with.

During the interview proper, the researchers first asked their consent to be

photographed and to be documented by taking videos of the interview to show

transparency and credibility in the conduct of the study. If for any reason, they

disagree with this condition, the researchers would respect their decision and

privacy, and would opt to only record the audio in the interview given that they

have granted us their permission.

Data Analysis

For the analysis of this study, transcriptions of the audio recording were

done and translations of the answers into English were made. The extraction of

information from interviews, which is obtained from the respondents, was also

done to further analyze the information.

This study took time to understand the gathered information obtained

from respondents. The thematic analysis of the information given by the

respondents is strictly understood to ensure accuracy. It specifically requires time

and deep understanding.

The objective in this case is confined to explore the different ways quack

doctors can cure COVID-19 symptoms by utilizing traditional practices. It

assesses the experiences and origins of traditional practices done by quack doctors

in the field of healing.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 25

The control group was asked about their experiences in curing COVID-

19 symptoms by utilizing traditional practices. For clarification, follow-up

questions were necessary to obtain sufficient information from the respondents.

Ethical Considerations

The consideration of ethical issues is crucial throughout all stages of the

qualitative study to keep the balance between the potential risks and the likely

benefits of the research (Arifin, 2018). In alignment with this principle, certain

measures were conducted such as the distribution of the informed consent form,

privacy, and confidentiality, ensuring accuracy, and voluntary participation.

Presented below are the mentioned concepts to elaborate how the researchers

fulfilled them throughout the study. This is done to ensure that the research is

ethical, and since it is an obligation of the researchers (Connelly, 2014).

Informed Consent

Informed consent letters are essential parts of the research process

(Connelly, 2014) and as stated by University of Michigan Research Ethics and

Compliance, it should contain the key elements of a research study and what their

participation will involve. In alignment with this, the researchers created an

informed consent letter draft, written in English, Filipino, and in Ilokano, that

contained the necessary information that the respondents should know in

participating in the data gathering process such as the significance, objectives, and

benefits of the study. The researchers also emphasized the pertinent terms and

conditions that will be strictly applied throughout the process of data-gathering

such as the flow of the interview, the cost of the study or whether or not the

informant would be compensated for participating in the study, and the

foreseeable risks in the future. It was checked by the research adviser, finalized
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 26

by the researchers, and signed by the respondents that had expressed their

willingness to participate.

Privacy and Confidentiality

In pursuant of the Data Privacy Act of 2012, the researchers used the

information that the respondents would share for the completion and development

of the study. However, it would be done while they are highly observing privacy

and confidentiality among the respondents. One of the researcher’s

responsibilities is to give assurances of confidentiality and anonymity (McHaffie

2000), this will be done by ensuring the anonymity of the respondents by using

pseudonyms or letters as their names and making their personal information that

they might share in the data gathering process that are outside of the research

boundary redacted. Anonymity in a face-to-face interview is impossible so every

effort should be made to ensure that the principle of confidentiality is upheld

(Streubert & Carpenter, 1999). The researchers would not disclose any of their

personal information such as exact location, name of relatives, affiliated

organizations, and the like that the participant may share. This is done so that no

one is able to identify the source (Behi & Nolan, 1995). Participants would also

be given a written assurance that audio tapes would be destroyed on completion

of the study (Walker, 2007).

Accuracy

To ensure the accuracy in the transcription process, rather than transcribing

the respondents’ answers during the interview proper, the researchers recorded the

interviews that would be destroyed on the completion of the study.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 27

Voluntary Participation

The participation of the study is purely voluntary. According to the

Human Subjects Office of the University of Iowa, participants of a study can

refuse to be in the study at all, and it is in their right to stop participating at any

time after the researchers have conducted the study. So, if for any reason, the

participants would not want to be included, and would refuse to continue the

interview, the researchers would respect their decision and would then find other

participants that will replace their participation.


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Chapter II
PRESENTATION, ANALYSIS AND DISCUSSION

This chapter presents the discussions of the research questions along with

some background of the quack doctors, their experiences during the COVID-19

pandemic, herbal medicine used, and other traditional methods that they may

conduct on treating patients that have symptoms of COVID-19.

As described the University of San Diego California, this chapter also

features a summary of the results that were obtained in the study, describes how

those results address the topic under investigation and the issues that the research

was designed to address, and may expand upon the implications of those findings.

On The Background of Traditional Healers of Ilocos Sur

On Attaining the Ability to Cure. When the informants were asked as to

what or who influenced and how they had the ability to cure with traditional

practices, they all had different answers. Informant A stated that it was his

grandmother, who was also a traditional healer, who influenced him to start and

continue the family tradition of healing. He said, “When my grandmother was on

her death bed, she held unto my arms and said that she will pass her knowledge

and ability to me since I was the closest to her. I was maybe 10-11 at that time and

this encouraged me to go study various institutions to further strengthen his

knowledge on medicinal herbs and other traditional methods. I already knew some

of the methods she did. However, as a child, I cannot remember all of them so, I

went to study” This conforms to the study conducted by Rebuya (2008), which

states that folk medicine by means of herbal medicine and other traditional

practices is passed from generation to generation. A book published by Fajardo &


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 29

Pansacola (2017), even stated that one does not apply to be a traditional healer.

The potential and talent to become one is discerned by a master who transfers the

knowledge appropriate to the would-be healer’s spiritual maturity.

Informant B claimed, “It was a calling from God. As a devoted Roman

Catholic, I believe that if He calls you to do something, you should never reject it.

So, when He called me to help, I did not deny nor hesitate since it is against my

will. I owe it to Him that I always have good health and with this ability, I can get

to help the people have that also.” while informant C said, “I kept seeing visions

of God. Before, I always felt His presence even in my house. I believe that these

happen because I devotedly attend masses every first Friday of the month and

during Sundays in our local church. Also, a group of people, who were my friends,

that were also traditional healers saw how I have the potential in healing since

they said to me that they saw a ‘halo’ coming from my head, which was a sign of

having the ability to cure. Since I had no idea what traditional healing is, they

taught me personally. Through their teachings and the guidance of God, I learned

how to cure.”

Their claims support the idea presented in the studies conducted by

Furnham (1994) and Mansfield et al. (2002), which both states that divine and/or

traditional healing is linked to religious beliefs in general; and an investigation by

Village (2005), which concluded that traditional healing can be viewed as the

action of a supernatural being, or God as primarily working through the healers as

their ‘natural’ channels to cure the sick.

On the Purpose of Being a Quack Doctor. Informant B and C believe that

having the ability to cure was a calling from God, so they continue to practice it.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 30

Informant B said, “I do not consider being a quack doctor as a profession, because

for me, it is my vocation, a calling from God” while Informant A said, “I really

want to help the people who are in need, and I felt somehow obligated to continue

the family tradition since it was personally passed by my late grandmother. Out of

all her grandchildren, she chose me.”

However, they also added that above all, it was to help cure the diseases

experienced by the people who cannot have the economic standing of purchasing

medicine and inability to pay medical help. Informant A revealed, “A lot of people

get sick, and the hospitals are far away. Instead of making them travel, I offer

these services. I also never make anyone pay for my service. All of these are pure

volunteer work. I was a public servant during my younger years, and I am used to

sacrificing my time just for others. My past colleagues even jokingly say to me

that I can be the richest retired public servant if I charge my patients.” Informant

B also said, “I know what it is like to be in hardships especially when it comes to

health, I personally experienced those kinds of situations before, so I refuse to ask

for any financial amount after healing them.”

These claims were able to conform the studies conducted by Peprah et al.

(2018), and Shah et al. (2020). Peprah et al. (2018) asserted that traditional

healing is affordable because the quack doctors does not feel entitled to any

amount, and these doctors are easily accessible especially in rural areas. In Shah

et al (2020), it was found that the healers themselves did not and will not charge

any amount for their services because they believe that it is a gift from God and

that they should not capitalize on it. However, if given any money, it would be
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 31

either donated to the local church or be used in buying materials that they may

need in the future.

On The Experiences in Curing During COVID-19

The informants said that they stopped offering their healing services to the

public because of the lack of safety equipment and the fear of being infected with

COVID-19. Informant C even added, “Originally, I want to continue healing

because I believe that God will help me. I know that He gave me this gift just so

that I can share it to the ones that need it, but I temporarily stopped because of my

family. They say that it is too dangerous because a lot of people have died from

the virus and considering my age, I can be prone to it.” However, they claimed

that it remained open to those who they knew personally like their family

members, and neighbors since they are confident that they have no history of any

kind of travel outside of the country and with that, they can be sure that when their

patient has COVID-19 symptoms, they presume that they do not really carry the

said virus but rather believe that someone or something else have caused it. They

added that even though they have a desire to continue to help the people, it would

adversely affect their health if they proposed to continue since they were already

senior citizens. This is why it was only exclusive.

Their statement supports the study conducted by Jain (2020), and Ranney

et al. (2020) where it emphasized the inadequate number of Personal Protective

Equipment or PPE distributed in the world. A PPE includes gloves, medical

masks, goggles or a face shield, and gowns (WHO, 2020). This is important

because according to Anesthesia Patient Safety Foundation, doctors should utilize

appropriate PPE for all patients to avoid and lessen the spread of COVID-19 and
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 32

since they do not have these PPE, it is safer to make their healing services available

to a select few.

Their reason as to why they stopped their services were not questionable

because since they are senior citizens, they belong to the vulnerable group, and

they have a high mortality rate (Chen, 2021). Aging increases the risk of

infection. The elderly population is susceptible to several infectious diseases, and

this includes COVID-19 (Chakrabort, 2021). This means that they are likely be

the victims of COVID-19. A study by Dhama (2020) even stated that a significant

number of deaths occur from the elderly category.

On Herbal Plants Used

On Main Clinical Symptoms. This study wanted to explore what particular

herbal medicine are used by local quack doctors in healing COVID-19 symptoms

and the processes that were involved in using the said plans. To give context, main

symptoms of COVID-19 as stated in by Li et al. (2020), and the Centers for

Disease Control and Prevention, are fever, cough, fatigue, and shortness of breath

while minor symptoms include headaches, diarrhea, and vomiting.

Based on the interviews, in treating fevers and coughs, informant A uses

oregano (Origanum vulgare), lagundi (Vitex negundo), and leaves of bayog

(Bambusa spinosa) while informant C uses the leaves of suha (Citrus maxima)

and lagundi (Vitex negundo). They both use the process of decoction. According

to them, this include boiling the plant materials for a long period of time,

preferably 50-60 minutes, and then straining the leaves to separate it from the

liquid substance created. This will then be drunk by the patient.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 33

Their use of lagundi (Vitex negundo), oregano (Origanum vulgare), and

leaves of suha (Citrus maxima) as treatment for coughs and fevers has been proven

to be effective by multiple recent studies, this includes Alegado-Bagaoisan et

al.(2020), Veenstra & Johnson (2019), and Anmol et al (2021). In their

investigations, they recognized the mentioned plants to be medicinal. This means

that they have the potential to cure both coughs and fevers if used properly. The

process of decoction in using medicinal plants was also mentioned in the

investigation of Luo et al. (2000), which they said that it is the process to extract

the medical elements of plants that was introduced more than 1000 years ago in

China. In addition to that, the use of these herbal plants can be seen in various

parts of the country. Studies of Abad et al. (2015), Sagun-De Vera (2017), Fiscal

(2017), Valdez (2015), and Molina et al. (2020) made mentioned of the use of

lagundi and oregano in various areas of the Philippines as herbal medicine that are

used in treating both coughs and fevers and they also included the process of

decoction in intaking said plants.

On Minor Clinical Symptoms. Informants A and C use the leaves of guava

(Psidium guajava) to treat diarrhea and vomiting. Informant A directly feeds the

patient while Informant C uses the method of decoction while in curing headaches,

Informant A uses the leaves of sugar apple or “atis” (Annona squamosa) and

informant C uses ginger (Allium Sativum), and guyabano (Annona muricata) in

which they also both use the decoction method.

Their use of ginger (Allium Sativum) as treatments to alleviate headaches

is proven to be effective by the studies of Andrada (2021), Nguyen (2020), and

Mustafa (n.d.) wherein according to them, ginger has been found to be useful in
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 34

neurological disorders since it reduces both pain and nausea thus have the

potential to treat headaches, and migraines. Ong (1999) and Prasana (2019)

recognized the use of the sugar apple as a treatment used in Malaysia and Africa

respectively. On the other hand, utilizing the leaves of guava to treat diarrhea and

vomiting has proven to be effective as shown in the study of Fratiwi (2015),

Goncalves et al. (2008), Lu et al. (2018), and Kumar et al. (2021). According to

them, after further research and clinical experiments, the guava leaf extract has

the potential to treat diarrhea and vomiting because of the antibacterial elements

present in the plant material.

Some symptoms were treated not with herbal plants but with another

traditional method that is to be discussed in the next part.

On Sourcing the Plants. Informants A, when asked as to where he source

these plant materials, answered that he has these plants because of their neighbors,

and from his own backyard since he cultivates them while Informant C said,

“Because I do not have a large area for a garden, I cannot plant them. So, I ask my

neighbors for these plants and since they know that I am a quack doctor, they let

me have them. For plants that I and my neighbors do not have, I go to the market

and use the either my pocket money or the donations that I received voluntarily

from patients but most of the time, my money is spent. If the market does not have

these plants, I make them bring the plant material or I instruct them on what to do

with it.”

On Other Traditional Practices Used

It was revealed that not all symptoms were treated with herbal medicine

but with other traditional methods specifically shortness of breath, and fatigue.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 35

Based on the interviews, all of the informants used the same method, which is by

massaging or “hilot” with essential oils, in healing both main and minor

symptoms of COVID-19. Though the method is the same, the materials and

process differ. Informant A, according to him, massages the torso and the back of

the patient with the use of peppermint oil (Mentha × piperita) and a spotlight, this

consists of a yellow light that has a V-shaped plastic protector that was originally

used by his late grandmother, is then used by means of maneuvering it in a circular

motion to detect and lessen the cause of the pain. Informant B and C both massages

the parts of the body of the patient that is experiencing pain with the use of a

mixture of coconut oil (Cocos nucifera), and water. They also emphasized that

during the massage, they say a sacred prayer, which they did not disclose, that

would further make the method more effective.

The book published by Fajardo & Pansacola (2017) described “hilot” as

the ancient healing art of quack doctors in the Philippines that treats illnesses with

the use of herbs and even essential oils that is still being practiced from all around

the country with different variations and modifications, adapting to location,

culture, and tradition. This can explain as to why in this study it was found that

not all quack doctors practiced the same kind of healing and some used different

materials.

It was also found that all informants use a method that determines whether

or not your sickness is caused by natural causes or by supernatural beings.

Informant A uses the patient’s hand and. According to them, they use a

matchstick, that was prayed over with a sacred prayer, against each of your fingers

and if one would feel pain, it is because someone or something may have caused
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 36

it and if not, then it is because of natural causes. He also made mention of using

acupressure. They elaborated, “I press certain parts of the palm and different parts

of the body and each of the points are related to an internal organ that is needed to

be healed and be taken care of.” He also added that this particular method was

taught to him when studying traditional medicine. Informant B and C uses the

palms of the patient. They align the palms together and if the left and right little

fingers are not equal in length, this means that the patient is either under a spell,

caused by a witch or colloquially known as the “mambabarang” or

“mangkukulam” and if they are equal, the sickness is caused from natural causes.

In the systematic reviews conducted by Chen et al. (2014) and Lee &

Frazier (2011), they defined acupressure as an effective strategy of using fingers

and hands to stimulate acupoints and manage various symptoms of diseases such

as nausea, headaches, and abdominal pain. To define acupoints, these refer to the

anatomically defined areas on the skin relative to certain landmarks on the body,

specifically the internal organs (Oleson, 2013).

In the article published by Evasco (n.d.), the mangkukulam is a

mythological creature in the Philippines that has the power to inflict pain unto

someone. However, they can be detected by quack doctors, they can also heal the

sicknesses that were caused by them (Mariano, 2016).

Despite the literature cited to define and elaborate on the different

traditional healing methods, they still lack scientific foundation because only few

research and investigation has been done in order to prove and assert that they are

effective in healing.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 37

On Differences of Herbal Plants and Other Traditional Practices

Informants A and C asserted that during the healing process, they use the

“hilot” process, colloquially known as “panaghilot”, and then they prescribe an

herbal medicine, so they said that there was only a minimal difference in herbal

plants and other traditional practices. Informant C said, “What differentiates the

two are: the processes involved, the patients to be cured, and the difficulty of

conducting them.” He even further stated that herbal medicine is for the symptoms

and illnesses that are not life-threatening nor can endanger the patient’s life while

the traditional practices are used if it cannot be cured by herbal medicine. This

statement abides with Informant A’s answer. He said, “I treat my patients with

medicinal plants if the sickness is not that severe and I conduct the ‘hilot’ if the

herbal medicine is not enough.” Informant C also stated that it is harder for him

to conduct the traditional methods than just using herbal medicine because the

processes involved are much simpler. Informant A justified this, saying, “I am

already old, I am not strong like what I was before so, when I conduct the ‘hilot’,

my arms tend to be weak since not only am I applying pressure in my left hand,

but my right controls the light I am using, and it is heavy. It is easier to just use

herbal medicine. What keeps me going is the mindset of getting to heal.”

Informant B said, “Doing the ‘hilot’ is effective on its own because I let God guide

and use my hands to heal the patient. However, it is tiring”

This idea agrees with the study of Wachtel-Galor & Benzie (2011), which

states that the use of herbal medicines is for health promotion and therapy for

chronic, as opposed to life-threatening, conditions. However, usage of traditional

remedies increases when conventional medicine is ineffective in the treatment of

disease. In the study of Canter & Ernst (2004), it stated that the use of herbal plants
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 38

is used as supplements which makes the healing process slower and less time

efficient thus only used on sicknesses that are not life-threatening. However, this

does not mean that herbal medicine is ineffective. As cited in the study conducted

by Valdez (2015), it talked about the advantage of using herbal medicine over

other medicines and they elaborated this by adding that a patient can take herbal

medicine as a part of their daily diet and there is no need for prescription, whereas

commercial artificial medicine requires prescription especially for sicknesses that

does not require over-the-counter medicine.

On Effectiveness of Traditional Healing Practices

Informant A and C said that when comparing the two, pertaining to herbal

plants and other traditional practices, there is no better choice because they are

both effective. However, informant A added, “Herbal medicine is much more

preferable to use in kids, ages 18 below, while adults should be given the ‘hilot’

and be prescribed a herbal medicine if applicable. This is because the body of a

child is simpler than that of an adult, and with herbal medicine, it can easily cure

them.” In addition to that, Informant C added that, “Faith is highly needed during

the process of healing.” Which agreed to the statement made by Informant B that

states, “Without and having a low level of faith, which means having little to no

hope in being healed, can delay or even worsen the healing process.” So, faith

plays an important role in the effectiveness of the traditional healing

practices. This principle is backed by a study conducted by Sharma et al (2020)

wherein it stated that patients who have been healed of such medicine and

practices believed that the healing of disease can only be brought about by

religious faith through prayer or other rituals that can stimulate a divine presence

and power. Studies by Pearson (1995), and Woolmer (1999) even determined that
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 39

failure to heal is due to the sinfulness of those who are ill, but most importantly,

the lack of faith among those praying for healing.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 40

Chapter III
SUMMARY, CONCLUSION AND RECOMMENDATION

This chapter presents the summary of the findings, the conclusion drawn

from the results of the study and the recommendations forwarded to the

improvement of the promotion of herbal medicine, and other traditional practices

that are being conducted by local traditional healers or quack doctors.

The purpose of the summary is to give the reader a brief overview of the

study (University of Washington, 2006). It will contain the significant

information, and the overview of the study (Setia, 2007). The conclusions were

based on the purpose, research questions and results of the study. The implications

of these findings and the recommendations will also be explained.

Recommendations were based on the conclusions and purpose of the study

(Mamabolo, 2006).

Summary

Traditional healing is found to be related to a community’s religion and

rich culture and tradition because it reveals the people’s ethnobotanical knowledge

and overall ideas surrounding folk medicine, which includes herbal medicine, and

traditional practices. (Furnham, n.d.) (Mansfield et al.,n.d.) (Berdon, 2016).

Gaining the ability to cure traditionally can be either from a relative that is

experienced in using traditional medicine, and from the influence of religion in

one’s life. (Rebuya, 2008) (Fajardo & Pansacola, 2017). Traditional healers cure

the sick because they consider it as their help and service to the people who cannot

afford medical attention and they believe that they are God’s channels to heal the

ones who are in need (Village, 2005). They do not and will not even charge any
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 41

financial amount from their patients since most of them feel that it is unnecessary

(Shah et al., 2020).

The study revealed that traditional healers in Ilocos Sur temporarily

stopped offering their healing services to the public but only made it exclusive to

their family and neighbors since they lack the necessary equipment, they have a

chance of being infected by the virus and since they are senior citizens, they are

the most vulnerable to be infected. Jain (2020), and Ranney et al. (2020)

emphasized that there is a shortage and inadequate amount of the distribution of

PPE (Personal Protective Equipment) in the world. A PPE includes gloves,

medical masks, goggles or a face shield, and gowns (WHO, 2020). This is

important because according to the Anesthesia Patient Safety Foundation, doctors

should utilize appropriate PPE for all patients to avoid and lessen the spread of

COVID-19.

It was also found that they use the following herbal plants in curing main

symptoms of COVID-19, which includes fevers and coughs, oregano (Oreganum

vulgare), lagundi (Vitex negundo), leaves of bayog (Dendrocalamus merrillianus

Elm), and leaves of suha or pomelo (Citrus maxima) and the process involved is

decoction. The main symptoms that cannot be solely cured with herbal plants are

fatigue and shortness of breath, which was treated with “hilot” or massage with

either coconut oil combined with water, or peppermint oil.

They also use leaves of a sugar apple or “atis” tree (Annona squamosa),

ginger (Allium Sativum), Leaves of a guava tree (Psidium guajava), and guyabano

(Annona muricata) for treating minor symptoms of COVID-19, which are

headaches, vomiting, and diarrhea. They also utilize the process of decoction, but
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 42

the leaves of guava are directly fed to the patient. They also conduct the

“panaghilot” in curing the mentioned symptoms. In determining the sickness of

a person, the use of a matchstick and acupressure is used. They use a matchstick

that is pressed against each of the patient’s fingers to determine what caused their

sickness. In the systematic reviews conducted by Chen et al. (2014) and Lee et al.

(2011), they defined acupressure as an effective strategy of using fingers and

hands to stimulate acupoints and manage various symptoms of diseases such as

nausea, headaches, and abdominal pain. To define acupoints, these refer to the

anatomically defined areas on the skin relative to certain landmarks on the body,

specifically the internal organs (Oleson, 2013). Unlike herbal medicine, there

are few research that has been conducted to further explore and prove that these

traditional methods are truly effective and have the potential to heal.

The difference between herbal medicine and other traditional methods is

the sickness that it can cure, the materials involved, and the procedures done.

Herbal medicine is only used for sicknesses that are not life-threatening nor severe

otherwise, traditional methods are conducted (Wachtel-Galor & Benzie, 2011).

Herbal medicine is preferred to be used on children, people age 18 below, while

the combination of herbal medicine and traditional practices on adults. Although

several studies have proven and tested the effectiveness of herbal medicine and

other traditional practices, the faith, and the belief of being cured is an important

aspect of the healing process since it will ensure the patient that they will be truly

healed (Pearson, 1995) (Woolmer, 1999).


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 43

Conclusion

From the summary of the findings that were synthesized from the gathered

data, the researchers therefore conclude the following:

• Quack doctors of Ilocos Sur, due to their age group and fear of

being infected with COVID-19, temporarily discontinued

providing their healing services to the general public. This also

because of the lack of personal protective equipment (PPE).

However, they made it exclusive to their close family members,

and neighbors. This is because they are sure that they do not

possess the virus.

• Quack doctors of Ilocos Sur use the following herbal plants in

curing main symptoms of COVID-19, which are fevers and

coughs, oregano (Oreganum vulgare), lagundi (Vitex negundo),

leaves of bayog (Dendrocalamus merrillianus Elm), and leaves of

suha or pomelo (Citrus maxima), with the use of the decoction

method, the process of boiling the plant material that is to be drank

by the patient. They also use leaves of a sugar apple or “atis” tree

(Annona squamosa), ginger (Allium Sativum), leaves of a guava

tree (Psidium guajava), and guyabano (Annona muricata) for

treating minor symptoms of COVID-19, which are headaches,

vomiting, and diarrhea. They also utilize the process of decoction,

but the leaves of guava are directly fed to the patient.

• Quack doctors of Ilocos Sur conduct the “panaghilot” in curing

the mentioned main and minor clinical symptoms. Aside from the

“hilot”, other traditional healing methods that were also mentioned


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 44

were with the use of a matchstick and acupressure. These are

conducted to determine the cause, natural or supernatural, and the

certain part of the body that the patient has complications. To

differentiate the two, herbal medicine is used with sicknesses that

are not life-threatening nor severe otherwise, traditional methods

are conducted. Herbal medicine is much more preferred to children

while other traditional methods for adults. In addition to that,

traditional methods are harder to conduct because there are

multiple procedures that are needed to be done. These other

traditional healing methods have little to no scientific foundation

due to the low number of available research literature.

Recommendations

This study revealed the experiences of quack doctors in Ilocos Sur in

treating patients with main and minor COVID-19 symptoms; the herbal medicine

used, and processes involved; and other traditional methods that they conduct. In

align with this, the following recommendations are hereby presented:

• Quack doctors in Ilocos Sur narrated that they temporarily

stopped their healing services to the public due to lack of

equipment and fear of being infected by the virus, because of this,

there should be financial support that they receive from the local

government, barangay officials to be exact, so that they could buy

a sufficient number of PPE (personal protective equipment). This

includes face masks, alcohol dispensers, and the like or the local

government can give these to them directly. These are necessary

to ensure their safety in case of treating a patient that is


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 45

susceptible to COVID-19 (Lauer et al., 2020) (Sheldon, 2019).

Also, have brief programs that will help them how to properly use

these equipment to maximize its capacity to lessen the spread of

the virus. As mentioned in Das (2020), protective equipment

should never be used without proper training or workshops so that

it can prevent future complications.

• The local government, barangay officials to be exact, should

make herbal plants be more accessible to quack doctors by means

of either giving financial support or by giving them these plants

directly. This way they can cultivate their own and the healing

practices would continue. Quack doctors are already considered

to be a major part of one’s culture and traditions (Nelms, 2006).

It is already a part of our society, and who we are as Filipinos.

These quack doctors are also the reflection of the culture of the

indigenous tribes and groups that we have in the country

(Struthers et al., 2004) (Cheetham, 1982). If these healers stop

their healing processes permanently, our culture would be at stake

because the knowledge in doing these practices would soon fade

(Thornton, 2009). There should be more research conducted on

what medicinal herbs are effective, and safe to use; and other

traditional healing methods these quack doctors can utilize. As

stated in Sharifi-Rad et al. (2017) and Van Wyk (2005), more

well-designed clinical trials and research are needed in order to

integrate and ascertain the real efficacy and safety of different

plant products and traditional healing methods.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 46

• Aside from the use of herbal medicine, there should be more

research that are aimed to find the effectivity of the other

traditional practices. Only a little amount of research literature has

been published on this matter, and to ensure that these can be safe,

and have the potential to heal different sicknesses, it is best if we

also focus on them.


ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 47

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APPENDICES
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Appendix A

Letter of Request
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Appendix B

Informed Consent
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Appendix C

Consent to Critique
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Appendix D

Interview Questions

I. Background Experiences

1. How many years have you been practicing traditional healing?


2. How were you able to learn the methods or process of traditional
healing?
3. What or who influence you about traditional healing?
4. Do you conduct any kind of ritual before conducting the traditional
healing?
5. Why do you conduct traditional healing?
6. During the outbreak of the COVID-19 pandemic, how many patients
have you healed?
7. How do you determine the sickness of a person?
II. Herbal medicine

1. What medicinal plants do you use in curing these symptoms


stated below and what processes are involved in using them?
a. Cough;
b. Fever;
c. Fatigue;
d. Shortness of breath;
e. Headaches;
f. Diarrhea; and
g. Vomiting
2. Why do you use these kinds of medicinal plants?
3. Where do you get or source these medicinal plants?
III. Other traditional healing methods

1. Aside from using herbal medicine, what healing practices do you


do in curing those said symptoms? Elaborate on how they are
conducted.
2. Is there a difference between herbal medicine in the use of other
traditional practises?
3. In what severity of sickness would you use traditional practises
over herbal medicine and vice versa?
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 70

Appendix E

Sample Transcription

Question: Ilang taon na po kayong albularyo o nagpapagaling gamit ang


tradisyonal na paraan?
Answer: Mahigit 32 na taon na ‘ata. 1990 ako nagstart tapos hanggang ngayon,
tuloy pa rin yung serbisyo ko.
Question: Paano niyo po ito natututuhan?
Answer: Mga huling hininga ni lola, hinawakan niya mga kamay ko at sinabi sa
akin na ibabahagi na niya ang kaniyang kaalaman at abilidad na magpagaling kasi
ako ang pinakamalapit sa kaniya. Mga 10-11 ako ng panhon na ‘iyon at ito nag-
udyok sa akin upang mas lalo ko pang palawakin ang aking kaalaman sa mga
medicinal na halaman at yung mga iba pang metodo. Alam ko na noon pa kung
ano mga ginagawa niya ngunit dahil bata pa ako noon, hindi ko na maaalala kaya
nag-aral ako.
Question: Sino o ano po ang nag-impluwensiya sa inyo upang maging albularyo?
Answer: Ang aking lola. Albularyo rin kasi siya.
Question: Bakit niyo po ito isinasagawa o bakit po kayo isang albularyo?
Answer: Gustong-gusto ko talagang tumulong sa aking kapuwa at naramdaman
ko na parang kinailangan kong ipagpatuloy ang tradisyon kasi personal na ipinasa
sa akin ng aking lola ang abilidad na ito at sa lahat ng puwedeng ipagpasa niya,
pinili niya ako. Maraming tao ang nagkakasakit at malayo-layo ang ospital kaya
imbes na magbyahe pa, inofferan ko sila ng aking service. At tsaka, hindi ako
nagpapabayad. Lahat ng ito ay puro volunteer na trabaho. Sa katunayan, dati
akong public servant at sanay na akong magsakripisyo ng oras para sa iba. Mga
katrabaho ko nga rati, kinakantiyawan ako na ako na ang pinakamayamang retired
na public servant kapag magpapabayad ako.
Question: Sa kasagsagan ng pandemya po, ilang pasyente ang lumapit at
naipagaling niyo po?
Answer: Nung una, gusto kong ipagpatuloy kasi naniniwala ako na tutulungan
ako ng Panginoon. Alam ko na binigay Niya sa akin ang regalong ito at inatasang
akong gamitin ito para sa iba ngunit kinailangan kong huminto muna dahil sa
aking pamilya. Sabi nila na delikado raw at maraming tao ang namatay dahil sa
virus at dahil sa edad ko, maaaring ma-infect din ako pero pinagaling ko mga
taong malalapit lang sa amin katulad ng mga kapitbahay, at mga kakilalang
kaibigan dahil alam ko ang kanilang travel history at sigurado ako na hindi nila
bitbit yung virus.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 71

Appendix F

Sample Translation

Question: How many years have you been practicing traditional healing?
Answer: I started conducting traditional healing since 1990 and up until now, I
still continue my service.
Question: How were you able to learn the methods or process of traditional
healing?
Answer: When my grandmother was on her death bed, she held unto my arms and
said that she will pass her knowledge and ability to me since I was the closest to
her. I was maybe 10-11 at that time and this encouraged me to go study various
institutions to further strengthen his knowledge on medicinal herbs and other
traditional methods. I already knew some of the methods she did. However, as a
child, I cannot remember all of them so, I went to study.
Question: What or who influence you about traditional healing?
Answer: My grandmother, who is also a traditional healer.
Question: Why do you conduct traditional healing?
Answer: I really want to help the people who are in need, and I felt somehow
obligated to continue the family tradition since it was personally passed by my
late grandmother. Out of all her grandchildren, she chose me. A lot of people get
sick, and the hospitals are far away. Instead of making them travel, I offer these
services. I also never make anyone pay for my service. All of these are pure
volunteer work. I was a public servant during my younger years, and I am used to
sacrificing my time just for others. My past colleagues even jokingly say to me
that I can be the richest retired public servant if I charge my patients.
Question: During the outbreak of the COVID-19 pandemic, how many patients
have you healed
Answer: Originally, I want to continue healing because I believe that God will
help me. I know that He gave me this gift just so that I can share it to the ones that
need it, but I temporarily stopped because of my family. They say that it is too
dangerous because a lot of people have died from the virus and considering my
age, I can be prone to it. But I still cured those who are near like my neighbors,
and close friends because I know their travel history and is sure that they do not
carry have the virus.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 72

Appendix G

Thematic Analysis

Question: How were you able to learn the methods or process of traditional
healing?
Informants Subtheme Main Theme
From my grandmother Relatives and education The traditional doctors
and school. from schools had different sources of
I learned it by myself Self-taught with information in order to
with the help of the Lord religious affiliation. learn the practices.
.
I learned this with the Friends that are also
help of my friends traditional healers.
because they are also
traditional healers who
introduced me this
process.

Question: What or who influenced you about traditional healing?


Informants Sub Theme Main Theme
My grandmother, who is Family and tradition Reasons as to how they
also a traditional healer. started practicing
God. It was a calling Religious affiliation traditional healing
from God.
Through the teachings Religious affiliation
of my fellow traditional
healers and the guidance
of God, I learned how to
cure.

Question: Why do you conduct traditional healing?


Informants Sub Theme Main Theme
I really want to help the Continue family Reasons as to why they
people who are in need, tradition, and to help the started practicing
and I felt somehow sick traditional healing
obligated to continue the
family tradition since it
was personally passed
by my late grandmother.
Out of all her
grandchildren, she chose
me
I want to use this talent God’s calling, and to
since it is given from help the sick
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 73

God and to help the


people who are in need.
This is a gift from God, God’s calling, and to
and I need to share it to help the sick
other people.

Question: During the outbreak of the COVID-19 pandemic, how many


patients have you healed
Informants Subtheme Main Theme
Only a few of my friends Their healing services The traditional doctors
and family because I am became exclusive to the temporarily stopped
scared that I may be people they know their healing services to
infected with the virus if personally. the public. However,
I were to be exposed to they made it exclusive to
the public. the people they know
I temporarily stopped They temporarily personally.
healing others because stopped healing until
of fear but I continued vaccines were available.
when I was fully
vaccinated and when
people would show that
they are also vaccinated.
Originally, I want to Their healing services
continue healing became exclusive to the
because I believe that people they know
God will help me. I personally.
know that He gave me
this gift just so that I can
share it to the ones that
need it, but I temporarily
stopped because of my
family. They say that it is
too dangerous because a
lot of people have died
from the virus and
considering my age, I
can be prone to it. But I
still cured those who are
near like my neighbors,
and close friends
because I know their
travel history and is sure
that they do not carry
have the virus.

Question: Is there a difference between herbal medicine in the use of other


traditional practises?
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 74

Informants Sub Theme Main Theme


Herbal medicine is much Age determines when to In terms of effectivity,
more preferable to use in use traditional healing there is no difference
kids, ages 18 below, methods between herbal medicine
while adults should be and the other traditional
given the ‘hilot’ and be practices. However, the
prescribed a herbal application of these
medicine if applicable. methods differs.
This is because the body
of a child is simpler than
that of an adult, and with
herbal medicine, it can
easily cure them
There is no difference. There is no difference
However, for me doing between the use of
the ‘hilot’ is effective on herbal medicine and
its own because I let God other traditional healing
guide and use my hands methods.
to heal the patient.
What differentiates the The concepts that
two are: the processes differentiate herbal
involved, the patients to medicine and other
be cured, and the traditional methods.
difficulty of conducting
them.

Question: In what severity of sickness would you use traditional practises over
herbal medicine and vice versa?
Informants Sub Theme Main Theme
I treat my patients with Use “hilot” for diseases Doing the “hilot” is
medicinal plants if the that are severe and much more preferred for
sickness is not that herbal medicine. sicknesses that are not
severe and I conduct the that severe or considered
‘hilot’ if the herbal mild. Otherwise, the
medicine is not enough. herbal medicine is used.
I use the ‘hilot’ because Only conducts the
like what I have said “hilot” because of its
earlier, it is effective on effectivity.
its own.
I use both, but I prefer to Uses herbal medicine for
use the herbal medicine all diseases especially if
if the sickness of the the patient is not in
patient is not that serious critical condition and
nor critical, but I always “hilot”.
do the ‘hilot’ to ensure
that they will be cured.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 75

Herbal Medicine Used


Main Symptoms Informant A Informant B Informant C
of COVID-19
Fever oregano Does not use any leaves of suha
(Origanum herbal medicine (Citrus maxima)
vulgare), lagundi but uses the and lagundi
(Vitex negundo), “panaghilot” (Vitex negundo)
and leaves of healing method Uses decoction
bayog (Bambusa with coconut oil method.
spinosa) and water.
Uses decoction
method.
Cough oregano leaves of suha
(Origanum (Citrus maxima)
vulgare), lagundi and lagundi
(Vitex negundo), (Vitex negundo).
and leaves of Uses decoction
bayog (Bambusa method.
spinosa)
Uses decoction
method.
Fatigue Uses the Uses the
Dyspnea “panaghilot” “panaghilot”
traditional traditional
method with method with
peppermint oil coconut oil and
and a spotlight. water.

Herbal Medicine Used


Minor Symptoms Informant A Informant B Informant C
of COVID-19
Headaches leaves of sugar Does not use any guyabano
apple or “atis” herbal medicine (Annona
(Annona but uses the muricata), ginger
squamosa). Uses “panaghilot” (Allium Sativum)
decoction healing method Uses decoction
method. with coconut oil method.
Diarrhea leaves of guava and water. leaves of guava
(Psidium (Psidium
guajava). guajava) Uses
Directly feeds to decoction
the patient. method.
Vomiting leaves of guava leaves of guava
(Psidium (Psidium
guajava). guajava) Uses
Directly feeds to decoction
the patient. method.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 76

Other Traditional Methods Used


Informant A Informant B Informant C
Main Symptoms Conduct Conduct Conduct
of COVID-19 “panaghilot” or “panaghilot” or “panaghilot” or
“hilot” and uses “hilot” and uses “hilot” and uses
Minor Symptoms peppermint oil a mixture of a mixture of
and “spotlight” coconut oil and coconut oil and
of COVID-19 that was inherited water. water.
from his
grandmother.
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 77

Appendix H

Documentation
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 78

CURRICULUM VITAE
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 79

CURRICULUM VITAE

Personal Profile

Name : KRISTIEN MAY ALGRINE B. BAJET

Permanent Address : Manueva, Santa, Ilocos Sur

Date of Birth : May 2, 2005

Civil Status : Single

Citizenship : Filipino

Religion : Roman Catholic

Parents : Mr. Christopher C. Bajet Sr.

Mrs. Melvina B. Bajet

Educational Background

Elementary : Basug Community School


Basug, Santa, Ilocos Sur
With Honors
S.Y. 2011- 2017
Secondary

Junior High School : Ilocos Sur National High School


Gomez Street, Barangay VII, Vigan City
Special Science Class
With Honors
S.Y. 2017- 2021

Senior High School : Ilocos Sur National High School


Gomez Street, Barangay VII, Vigan City
S.Y. 2021- Present
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 80

CURRICULUM VITAE

Personal Profile

Name : ROBELLRO T. BARTOLOME

Permanent Address : Brgy. 4, Solid West, Vigan City, Ilocos Sur

Date of Birth : December 29, 2004

Civil Status : Single

Citizenship : Filipino

Religion : Roman Catholic

Parents : Mr. Cresencio B. Bartolome

Mrs. Jennifer T. Bartolome

Educational Background

Elementary : St. Paul College of Ilocos Sur


Rizal Ave, Bantay, Ilocos Sur
With Honors
S.Y. 2011- 2017
Secondary

Junior High School : Ilocos Sur National High School


Gomez Street, Barangay VII, Vigan City
Special Mathematics Class
With High Honors
S.Y. 2017- 2021

Senior High School : Ilocos Sur National High School


Gomez Street, Barangay VII, Vigan City
S.Y. 2021- Present
ILOCOS SUR NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL 81

CURRICULUM VITAE

Personal Profile

Name : FRANCISCO F. BASILIO

Permanent Address : Brgy. 1, Vigan City, Ilocos Sur

Date of Birth : August 19, 2005

Civil Status : Single

Citizenship : Filipino

Religion : Roman Catholic

Parents : Mr. Lemuel N. Basilio

Mrs. Lorna F. Basilio

Educational Background

Elementary : Little Angels Montessori Schools of Cebu


H. Cortes St., Banilad, Mandaue City, Cebu
S.Y. 2011- 2017
Secondary

Junior High School : Ilocos Sur National High School


Gomez Street, Barangay VII, Vigan City
Special Science Class
S.Y. 2017- 2021

Senior High School : Ilocos Sur National High School


Gomez Street, Barangay VII, Vigan City
S.Y. 2021- Present

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