Clinacanthus nutans:a review of the medicinal uses,pharmacology and phytochemistry

Clinacanthus nutans Lindau is known as snake grass belonging to the Acanlhaceae family.This plant has diverse and potential medicinal uses in traditional herbal medicine for treating skin rashes,insects and snake bites,lesions caused by herpes simplex virus,diabetes,and gout in Malaysia.Indonesia.Thailand and China.Phylochemieal investigations documented the varied contents of bioaclive compounds from litis plant namely flavonoids,glycosides,glycoglyeerolipids.cerebrosides and monoacylmonogalatosylglycerol.The pharmacological experiment proved that various types of extracts and pure compounds from this species exhibited a broad range of biological properties such as anti-inflammatory,antiviral,antioxidant,and anti-diabetic activities.The lindings of toxicity study showed that extracts from this plant did not show any toxicity thus it can be used as strong therapeutic agents for specific diseased conditions.However,further experiments on chemical components and their mode of action showing biological activities are required to elucidate the complete phytochemical profile and assess to confirm their suitability tor future drugs.This review summarizes the medicinal uses,phytochemistry and pharmacology of this plant in order to explore its therapeutic potential and gaps necessitating for prospected research work.

Therapeutic and Medicinal Uses of <i>Aloe vera</i>: A Review

The plant Aloe vera is used in Ayurvedic, Homoeopathic and Allopathic streams of medicine, and not only tribal community but also most of the people for food and medicine. The plant leaves contains numerous vitamins, minerals, enzymes, amino acids, natural sugars and other bioactive compounds with emollient, purgative, anti-microbial, anti inflammatory, antioxidant, aphrodisiac, anti-helmenthic, antifungal, antiseptic and cosmetic values for health care. This plant has potential to cure sunburns, burns and minor cuts, and even skin cancer. The external use in cosmetic primarily acts as skin healer and prevents injury of epithelial tissues, cures acne and gives a youthful glow to skin, also acts as extremely powerful laxative.

Diospyros lycioides Desf:Review of its botany, medicinal uses,pharmacological activities and phytochemistry

Diospyros lycioides Desf.(D. lycioides) is traditionally used as herbal medicine against various human and animal ailments in tropical Africa. The present paper reviewed information on botany, medicinal uses, phytochemistry and pharmacological activities of D. lycioides. This review was compiled using scientific literature from electronic search engine such as PubMed,Scopus, ScienceDirect, Springerlink, BioMed Central, Scielo, Medline and Science domain.Additional literatures were obtained from book chapters, books, dissertations, websites and other scientific publications. D. lycioides is used as traditional medicine in 50% of the countries where the species is native in tropical Africa. This study recorded 22 medicinal uses of D.lycioides which included abdominal pains, infertility in women, sexually transmitted infections,and used as chewing sticks(or mouthwash), toothbrushes and ethnoveterinary medicine. D.lycioides extracts demonstrated anti-adhesive, anti-inflammatory, antimetastatic, antioxidant,antifungal, antiproliferative, mutagenicity and antibacterial activities. Future research should focus on the pharmacological properties, phytochemistry, clinical trials and pharmacokinetics of D. lycioides which will enhance the therapeutic potential of the species.

Acacia karroo Hayne:Ethnomedicinal uses,phytochemistry and pharmacology of an important medicinal plant in southern Africa

Acacia karroo(A.karroo) has been used as herbal medicine by the indigenous people of southern Africa for several centuries.The potential of.4.karroo as herbal medicine,its associated phytochemistry and biological activities are reviewed.The extensive literature survey revealed that A.karroo is traditionally used to treat or manage 32 and five human and animal diseases and ailmenls.respectively.The species is used as herbal medicine for diseases and ailments such as colds,diarrhoea,dysentery,flu.malaria,sexually transmitted infections(STis),wounds,and also as colic and ethnovetcrinary medicine.Multiple classes of phytochemicals such as flavonoids.phenols,phytosterols,proanthocyanidin.tannin,terpenes as well as several minerals have been identified from leaves and roots of A.karroo.Scientific studies on A.karroo indicate that it has a wide range of pharmacological activities which include antibacterial,antifungal,antigonococcal.antihelmintic,antilisterial,antimalarial,antimycobacterial,antioxidant.HIV-1 reverse transcriptase,anti-inflammatory and analgesic.Acacia karroo has a lot of potential as a possible source of pharmaceutical products for the treatment of a wide range of both human and animal diseases and ailments.Future research should focus on the mechanisms of action of the different plant parts used as herbal medicines.isolated compounds,their efficacy,toxicity and clinical relevance.

Medicinal plants with hepatoprotective activity in Iranian folk medicine

There are a number of medicinal combinations in the Iranian traditional medicine which are commonly used as tonic for liver.In this review,we have introduced some medicinal plants that are used mainly for the treatment of liver disorders in Iranian folk medicine,with focus on their hepatoprotective effects particularly against CCI_4 agent.In this study,online databases including Web of Science.PubMed.Scopus,and Science Direct were searched for papers published from January 1970 to December 2013.Search terms consisted of medicinal plants,traditional medicine,folk medicine,hepatoprotective.Iran,liver,therapeutic uses,compounds,antioxidant.CCI_4.anti-inflammatory,and antihepatotoxic,hepatitis,alone or in combination.Allium hirtifolium Boiss..Apium graveolens L..Cynara scolyinus.Berberis vulgaris L..,Calendula officinalis,Nigella sativa L..Taraxacum officinale.Tragopogon porrifolius.Prangos ferulacea L..Allium sativum,Marribium vulgare,Ammi majus L..Citrullus lanatus Thunb.Agrimonia eupatoria L.and Primus armeniaca L.are some of the medicinal plants that have been used for the treatment of liver disorders in Iranian folk medicine.Out of several leads obtained from plants containing potential hepatoprotective agents,silymarin,P-sitosterol,betalain,neoandrographolide.phyllanthin.andrographolide.curcumin.picroside.hypophyllanlhin.kutkoside,and glycyrrhizin have been demonstrated to have potent hepatoprotective properties.Despite encouraging data on possibility of new discoveries in the near future,the evidence on treating viral hepatitis or other chronic liver diseases by herbal medications is not adequate.

Syzygium cumini(L.)Skeels:A review of its phytochemical constituents and traditional uses

Syzygium cumini(S.cumini)(L.) Skeels(jambolan) is one of the widely used medicinal plants in the treatment of various diseases in particular diabetes.The present review has been primed to describe the existing data on the information on botany,phytochemical constituents,traditional uses and pharmacological actions of 5.cumini(L.) Skeels(jambolan).Electronic database search was conducted with the search terms of Eugenia jambolana,S.cumini,jambolan,common plum and java plum.The plant has been viewed as an antidiabetic plant since it became commercially available several decades ago.During last four decades,numerous folk medicine and scientific reports on the antidiabetic effects of this plant have been cited in the literature.The plant is rich in compounds containing anthocyanins,glucoside,ellagic acid,isoquercetin,kaemferol and myrecetin.The seeds are claimed to contain alkaloid,jambosine,and glycoside jambolin or antimellin,which halts the diastalic conversion of starch into sugar.The vast number of literatures found in the database revealed that the extracts of different parts of jambolan showed significant pharmacological actions.We suggest that there is a need for further investigation to isolate active principles which confer the pharmacological action.Hence identification of such active compounds is useful for producing safer drugs in the treatment of various ailments including diabetes.

Effects of China's National Essential Medicines Policy on the Use of Injection in Primary Health Facilities

The overuse of injection exists more than 20 years since economic reform in China.It is a persistent problem and seems becoming a new challenge in the new health reform period.This study was designed to assess the effect of national essential medicines policy(NEMP) on injection use at primary health facilities in China by investigating their prescription information.Questionnaires were designed and disseminated to collect empirical data on injection use at 120 primary health facilities in 6 provinces from January to September in 2010 and 2011.The injection use was measured as the indicator as the percentage of prescriptions with one or more injections.The results showed that the percentage of prescriptions with one or more injections was decreased from 38.91% to 36.82%(2 =11.158,P=0.001) in the all survey areas during the NEMP reform.The difference in level of the injection use in 2011 was significant among the eastern,central and western regions(2 =223.584,P=0.000);level of the injection use in western region was the lowest(27.73%),while that in the central region was the highest(43.10%).The level of the injection use in 2011 among different provinces was also of great difference(26.00%-58.25%,range:32.25%).The level of the injection use in 2011 was still much higher than the standard suggested by WHO for developing countries(13.4%-24.1%).It was concluded that NEMP has improved injection use in China,but the injection abuse situation remains serious,indicating that one of the priorities to the next stage of NEMP is to promote the rational use of drugs,especially the injection use.

Ethnobotanical profiling of the medicinal flora of Kotli,Azad Jammu and Kashmir,Pakistan:Empirical reflections on multinomial logit specifications

Objective:To report the indigenous people's uses of plants from a multidimensional perspective in a remote area where strong ethnobotanical cultural practices prevail. Methods:An ethnobotanical survey was conducted in the field during 2014-2016. Ethnobotanical data were gathered from 182 informants through oral interviews and semi-structured questionnaires. The distribution of plants was explored using both descriptive and graphical methods. Further,a Multinomial Logit Specification was applied to find out the probability of the occurrence of diverse utilization of plants in multipurpose domains. Results:The study identified 202 plant species distributed among 71 families and 156 genera. Ethnobotanical data indicate that there are more medicinal(36.96%) uses of plants as compared to all other use categories. The output from the Multinomial Logit Specifications(MLS) model reveals that perennial and non-woody plants are exploited more for medicinal and food uses than annual and woody plants. In the context of ethnomedicinal uses,aerial plant parts particularly leaves are more extensively used for the preparation of herbal recipes as compared to underground parts. Conclusions:The results of the study emphasize the need to create awareness among the local communities about the conservation status of plant species in order to maintain a sustainable resource of plant-derived materials into the future. The novel econometric approach employed in this study adds a new insightful methodology to the existing body of literature in the field of ethnobotany. We strongly recommend conservation measures,alongside phytochemical and pharmacological studies on the useful plant species identified in this study in order to ensure their sustainable and effective utilization.

Ethnobotanical survey of medicinal plants traded in herbal markets of Kahramanmaras¸

Most people in the world still use medicinal plants to treat and prevent disease.In Anatolia,studies have shown that people have used plants for centuries to treat many diseases.Herbal markets play an important role in the supply of medicinal plants and the transmission of cultural heritage.In this study,we investigated the traditional uses of medicinal plants traded in Kahramanmaras¸herbal markets.We also analyzed the threats that may arise from the use of medicinal plants and the measures that can be taken to protect these plants.For these purposes,ethnomedicinal data were collected using semistructured and open-ended questionnaires of herbalists and local people.Ethnobotanical indices(e.g.,Relative Frequency of Citation,Use Value,Relative Importance,and Informant Consensus Factor)were used to quantify the use and cultural importance of medicinal plants sold at Kahramanmaras¸herbal markets.We identified 62 taxa(11 imported)of plants that are used in traditional folk medicines.The top three plant taxa sold per year by herbalists at Kahramanmaras¸herbal markets are Licorice(Glycyrrhiza glabra;140 kg),Thyme(Thymus sp.;109 kg),and Carob(Ceratonia siliqua;106.5 kg).The plant parts and mode of utilization used most are leaves(28 reports)and infusion(36 reports),respectively.The highest ICF value was detected for endocrine system ailments(0.78),and the next highest two values were lymphatic system(0.75)and respiratory system ailments(0.72).We determined that Urtica dioica,G.glabra,Thymus sp.,Mentha x piperita have widely traditional uses,with high ethnobotanical index values and use reports.In addition,according to IUCN criteria,26 of 62 taxa identified in the research are under threat to various degrees on a global scale.

Use of Chinese Herbal Medicine Therapies in Comprehensive Hospitals in Central China: A Parallel Survey in Cancer Patients and Clinicians

Summary： Chinese herbal medicine （CHM）, as the largest application category of traditional Chinese medicine （TCM）, is widely accepted among cancer patients in China. Herbal slice （HS） and Chinese patent drug （CPD） are commonly used CHM in China. This study aimed to investigate the utilization of CHM among clinicians and cancer patients in central China. Five hundred and twenty-five patients and 165 clinicians in 35 comprehensive hospitals in central China were asked to complete an anonymous questionnaire that was designed to evaluate the use of CHM. The results showed that 90.74% clinicians and 72.24% cancer patients used CHM during cancer treatment. The educational backgrounds of the clinicians and the age, education level, annual income, and cancer stage of the cancer patients were re- lated to use of CHM. More than 90% clinicians and cancer patients had used CPD. Comparatively, the percentage of HS use was 10% lower than that of CPD use among clinicians and cancer patients. More clinicians preferred to use CHM after surgery than cancer patients did （20.41% vs. 5.37%）. Enhancing physical fitness and improving performance status were regarded as the most potential effect of CHM on cancer treatment （85.71% among clinicians and 94.07% among cancer patients）, in comparison with directly killing tumor cells （24.49% among clinicians and 31.36% among patients）. As for refusal rea- sons, imprecise efficacy was the unanimous （100%） reason for clinicians＇ rejection of CHM, and 95.58% patients objected to using CHM also for this reason. Furthermore, the side effects of CHM were more concerned by clinicians than by patients （33.33% vs. 15.81%）. In conclusion, our survey revealed that CHM was popularly accepted by clinicians and cancer patients in central China. The reasons of use and rejection of CHM were different between clinicians and cancer patients.

Analysis of macro and micro nutrients in some Indian medicinal herbs grown in Jaunpur (u.p.) soil

Concept of trace elements being “the Inorganic Switches” has evolved during the last several decades. Ayurveda, the traditional Indian medicinal system also emphasises the importance of minor and trace elements in human health and disease. To evaluate elemental contents of some commonly used as health promoter and fever, 5 medicine herbs (stems) namely Guduchi, Vach, Mulahati, Joytishmati and Vidhara have been analyzed for four minor (Na, K, Mg and Ca) and eight trace elements (Cr, Mn, Fe, Co, Ni, Cu, Zn and Cd) by atomic absorption spectrometry and flame photometry. Their accuracy was measured by replicate analyses. In general, elemental contents were found in varying amounts with large range. It is observed that many of medicinal herbs are enriched in one or more elements. Since these elements are bioavailable in natural form, probably in combination with organic constituents, these are likely to be easily assimilated by human bodies. Besides them, two toxic elements Ni and Cd were also found in insignificant amounts as these are likely to have originated from environmental contamination.

Evaluation of Clinical Efficacy of Combined Use of Acupuncture and Medicine in Treating Sleep Disorder in Patients with Anxiety Disorder

[Objectives]To evaluate the clinical efficacy of combined acupuncture and medicine in the treatment of sleep disorders in patients with anxiety disorders.[Methods]A total of 300 anxiety patients with sleep disorders were randomly selected and divided into a research group and a control group,with 150 cases in each group.The control group was administered with western medicine,and the research group was treated with acupuncture and medicine to compare their clinical treatment effects.[Results]The total effective rate of treatment in the research group was significantly higher than that in the control group;after treatment,both the PSQI and SAS scores of the two groups were significantly reduced,and the reduction degree of the research group was higher than that of the control group,the difference was statistically significant(P<0.05).[Conclusions]Combined use of acupuncture and medicine to treat sleep disorders in patients with anxiety disorders has better curative effect and fewer adverse reactions,so it has high clinical application value.

The method of external use of Chinese medicine in prevention of epidemic disease and its application in COVID-19

The ancient people of our country have accumulated rich experience in prevention of epidemic disease in the course of fighting the epidemic for thousands of years,and invented effective methods of external use of Chinese medicine for preventing epidemic,some of these methods have been still used today,in addition to ensuring the health and safety of ancient people in China.In the COVID-19 ravaged China today,all kinds of protective supplies for the general public is difficult to get,so the study of external use of Chinese medicine that preventing epidemic for modern society is still very significant and valuable.According to the characteristics of COVID-19 and the theory of combination of disease-syndrome,based on the applicability and feasibility for modern society,combed out three methods of external use of Chinese medicine,including medicine hanging,medicine smearing and medicine fumigation,and made corresponding application recommendations for hospitals,communities,families to prevent epidemic disease.

Public Health Campaigns and Medicine Use Awareness: A Systematic Literature Review

This study investigates the medicine awareness, which can be defined as the increase in knowledge and understanding of the general public on appropriate medicine use. Objective: To identify the characteristics of Public Health campaigns that focus on medicine use and/or medicine awareness. Study Design: Systematic review focusing on pre- and post-campaign surveys. Methods: Electronic databases: PubMed, Science Direct, Web of Knowledge, Scopus, Global Health, and Google Scholar were searched. Articles within the last 10 years, with a focus on adults over the age of 18 were used to report findings. Results: A total of 4336 studies were reviewed after which eight were identified, which focused on medicines use and/or awareness. Most campaigns emphasized the knowledge and understanding of patients on the importance of appropriate medicine use and drew a comparison from pre- to post-campaign results. A limited number of Public Health campaigns demonstrated an increase in the level of medicines use awareness of patients. Various tools were used to portray the message across in the campaigns. These included, video, written information, face to face approaches, as well as educational games. Four studies demonstrated a statistically significant increase, in awareness of the public in regards to medication. However, the remaining studies were not successful in portraying a significant impact. Conclusion: Most campaigns demonstrated a limited increase in level of medicine use awareness in their post-campaign surveys. The results support the need for a comprehensive Public Health campaign that focuses on medicine use.

Traditional Chinese Medicine Is Widely Used for Cardiovascular Disease

A review article by Hao et al.(J Am Coll Cardiol 2017;69(24):2952– 66)has had huge repercussions among those familiar with traditional Chinese medicine(TCM)in the international academic community.It evaluated the effi cacy and safety of TCM for cardiovascular disease and the pharmacological effect of active TCM ingredients on the cardiovascular system and potential mechanisms.We have several comments:Firstly,we give a brief summary addressing nonpharmacotherapy in TCM,including acupuncture,moxibustion,Qigong,and Tai Chi.Secondly,we have added traditional antiarrhythmic drug– related randomized controlled trials to make the coverage more comprehensive.Lastly,we support the concept that research into,development of,and application of active ingredients is part of modern TCM.

Census Ethnobotanical Study of Some Plants Used in Traditional Medicine in the City of Meknes

An ethnobotanical survey was conducted in the city of Meknès over a period of two years, from 2009 to 2011 with 1000 people (615 women, 385 men). Through the questionnaire, schedules were established to collect information on the use of therapeutic medicinal plants by the local population. This research has focused primarily on the general population, herbalists and healers. The present investigation has enumerated 194 species distributed in 165 genera and 72 families. The most represented families are Lamiaceae (18%), the Aseraceae, (17%), the Apiaceae (14%) and the Fabaceae (10%). The results of the survey show that 54% of individuals use both herbal medicine and modern medicine, 26% of individuals use herbs and 20% use modern medicine. We are interested in the use of plants in different ages and sexes. We report that 31% of the population is aged between 51 and 60 years, 29% between 41 and 50 years, 23% between 31 and 40 years, 10% between 21 and 30 years, 3% less than 20 years and 4 % > 60 years. We note the predominance of women over men. Women use up to 61% against 39% of men. The analysis of our results shows that herbal medicine takes a place in the self-medication of the population studied. However, we emphasize an important point: Ignorance of toxic plants, in fact, only 19% of the target population recognizes these plants.

Published papers about Salvia miltiorrhiza Bunge used in traditional Chinese medicine

Chu Kedan, Ji Guolu, Shi Hong, Xie Weirong, Zhang Yuqin, Zhang Xiaoqin. Study of the alcohol extraction process of Shenhu granules. Strait Pharmaceutical Journal, 2011, 23（03）： 21-24. Email： chukd5917@ 163.com

Research Progress on Medicinal Active Components of Endophytes in Plants

Endophytes are a type of microorganisms which live in plant tissues and have no obvious disease symptoms to plants,mainly including fungi,bacteria and actinomycetes.Endophytes can produce the same or similar active substances as host plants,so they have become a hot spot in the research of natural medicinal active products in recent years.Endophytes provide abundant resources for searching medicinal active substances because of their abundant species and huge reserves.In this paper,the species,structural characteristics,separation methods and pharmacological studies of active products of endophytic fungi were reviewed,in order to provide theoretical reference for the research of medicinal active components of endophytic fungi.

Cultivation and Primary Processing of Medicinal Chrysanthemums

The morphological characteristics and growth habits of medicinal chrysanthemums are described,the cultivation techniques are summarized from the aspects of nursery,transplanting and field management,and the harvest and primary processing technology are introduced in detail.

Erratum to “Census Ethnobotanical Study of Some Plants Used in Traditional Medicine in the City of Meknes” [American Journal of Plant Sciences 5 (2014) 2480-2496]

An ethnobotanical survey was conducted in the city of Meknès over a period of two years, from 2009 to 2011 with 1000 people (615 women, 385 men). Through the questionnaire, schedules were established to collect information on the use of therapeutic medicinal plants by the local population. This research has focused primarily on the general population, herbalists and healers. The present investigation has enumerated 194 species distributed in 165 genera and 72 families. The most represented families are Lamiaceae (18%), the Aseraceae, (17%), the Apiaceae (14%) and the Fabaceae (10%). The results of the survey show that 54% of individuals use both herbal medicine and modern medicine, 26% of individuals use herbs and 20% use modern medicine. We are interested in the use of plants in different ages and sexes. We report that 31% of the population is aged between 51 and 60 years, 29% between 41 and 50 years, 23% between 31 and 40 years, 10% between 21 and 30 years, 3% less than 20 years and 4 % > 60 years. We note the predominance of women over men. Women use up to 61% against 39% of men. The analysis of our results shows that herbal medicine takes a place in the self-medication of the population studied. However, we emphasize an important point: Ignorance of toxic plants, in fact, only 19% of the target population recognizes these plants.