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The purpose of this research was to study the correlation between the treatment pattern of folk medicine healers to represent meaning of hemorrhoids and the treatment and knowledge of hemorrhoids treatment. Qualitative research and purposive sampling were used in order to preserve local health care wisdom, link the principles of health care with folk medicine and understand the way of life and beliefs of folk medicine healers. The participants selected the expert folk medicine healer in Sisaket who used herbal medicine in hemorrhoid treatment and received certificate or renewed certificate in 2017. 19 healers out of a total of 243 healers were selected. The research instrument was a focus group, knowledge management and in-depth interviews. The study found folk medicine healers in Sisaket believe hemorrhoids are an abnormality of the four elements (earth, water, wind and fire) those expression of earth element which most cause is patient behavior. They believe the disease is derived from person’s karma or supernatural. They used mantras or perform rituals of faith along with the preparation of herbal medicine or treatment for the mind and body at the same time. In the treatment process, they have different treatments depending on inherited knowledge. Each formula used varies according to each area of them inhabited. In most cases, the treatments used oral drugs and antidote when patients got well. The formulas were developed as oral drugs, suppositories and fumigation treatments. They have different treatments, but there is a correlation between the beliefs of Buddhism and the law of karma, as well as the use of herbal medicines to treat hemorrhoids. Should have systematic knowledge management and continue to develop in Thai medical treatments.
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