Prescription to reduce heart palpitations, a mid-18th century prescription in the New Kingdom of Granada / Formulación para reducir las palpitaciones cardiacas, una receta médica de mediados del siglo xviii en el Nuevo Reino de Granada

Abstract The human being, throughout history, has used plants to prevent and cure diseases. It is important to know that for a long time, the mechanism through which those plants worked was unknown, making herbal medicine a purely empirical science. Medical prescriptions in the 19th century in the Kingdom of Nueva Granada were considered a significant medical advance as a result of knowledge and medical practices in the old continent. Medical literature of the time achieved, despite the lack of studies, the development of new schemes with exact dosages and new therapeutic possibilities. The medical prescription presented in this article was used in the management of heart palpitations, a frequent symptom nowadays, described as thoracic and/or neck beating, underlying various cardiac and non-cardiac diseases. The recipe for the palpitations of the historical archive "Cipriano Rodríguez Santa María" is a mixture of herbal agents that, as reviewed in the medical literature, showed to have anti-inflammatory, anxiolytic, and antioxidant effects, among others, allowing a beneficial effect on cardiac palpitations. Due to the lack of information on the posology, safety in its use, contraindications, and possible adverse effects, its potential use should have been underestimated at that time for the control of palpitations or as phytochemical agents directed to treat diseases causing this symptom.

Resumen A lo largo de la historia, el ser humano ha utilizado plantas para prevenir, aliviar y curar enfermedades. Cabe destacar que durante mucho tiempo se desconoció el mecanismo por el cual su uso era beneficioso, lo que hacía de la fitoterapia una ciencia netamente empírica. Las recetas médicas eran consideradas un avance médico significativo, resultado de conocimientos y prácticas traídas desde el viejo continente. Pese a la carencia de estudios locales, la literatura médica de la época permitió utilizar la biodiversidad de América para el desarrollo, investigación y uso de nuevos esquemas fitoterapéuticos con dosificaciones establecidas e indicaciones de uso, incluso un lugar específico de dispensación, ampliando aún más las posibilidades terapéuticas. La receta médica que se expone en este artículo era empleada en el manejo de las palpitaciones cardiacas, síntoma frecuente aún en la actualidad, descrito como golpes en tórax y/o cuello, subyacente en diversas enfermedades cardiacas y no cardiacas. La receta para las palpitaciones del archivo histórico Cipriano Rodríguez Santa María es una mezcla de agentes herbarios que, al realizar una revisión en la literatura médica, evidencian efectos antiinflamatorios, ansiolíticos y antioxidantes entre otros, sustentando un posible efecto beneficioso en las palpitaciones cardiacas. Debido a la ausencia de información sobre la posología, seguridad en su uso, contraindicaciones y posibles efectos adversos, es subestimado su potencial uso en aquel entonces para el control de las palpitaciones o como unos agentes fitoquímicos dirigidos para tratar enfermedades causantes de dicho síntoma.

Basic principles of pharmaceutical science in Ayurvĕda.

Pharmaceutical is one of the allied branches of science, which is closely associated with Medical science. Today pharmaceutical chemistry and pharmacognosy are playing important role in treatment for a disease and its prevention. Herbal medicines are being used by about 80% of the world population mostly in the developing countries in the primary health care. There has been an upsurge in demand for the Phyto-pharmaceutical products of Ayurvĕda in western nations, because of the fact that the synthetic drugs are considered to be unsafe. Due to this many national and multinational pharmaceutical companies are now concentrating on manufacturing of Ayurvĕdic Phyto-pharmaceutical products. Ayurvĕda is the Indian traditional system of medicine, which also deals about pharmaceutical science. The Ayurvĕdic knowledge of the pharmaceutical science is scattered in Ayurvĕdic classical texts. Săranghadhara Samhita, which is written by Săranghadhara, explain systematically about the information of the Ayurvĕdic pharmaceutical science and also updated it. Industrialized manufacturing of Ayurvĕdic dosage forms has brought in new challenges like deviation from basic concepts of medicine preparation. Săranghadhara Samrhită the devout text on pharmaceutics in Ayurvĕda comes handy to solve such problems, as the methods described are very lucid and easy to follow.

Standardization of Ayurvĕdic formulations : a scientific review.

Safety and efficacy of a drug mainly depends on the method of preparation. To assess the quality of a finished product, there should be some basic standards as well as methods of preparation. There are several parameters for testing the quality of a chemical drug, which have, are true indicators. So, there is no problem in assessing a synthetic drug's quality. As far as the preparation used in Ayurvĕdic system of medicine, a drug formulation or design may not be a problem, because many formulations are well documented in classical texts. But, there is confusion with respect to standards to be followed while preparing a formulation as well as basic parameters to assess the quality of the finished product. In Ayurvĕda, pañcavidhakaşăyakalpana are the basic pharmaceutical preparations, from which all the other preparations are developed. A specific method for each and every preparation and some basic standards of finished products are mentioned in Ayurvĕdic texts to maintain their quality. This information may some times vary from text to text. To overcome this problem Sărangdhara mentioned detailed information about various formulations with respect to their methods of preparation as well as basic standards and are documented in Sărangdhara Samhita.

Medico-historical review of drug Kustha.

Kustha is well known for its cures since ancient times. Atharvaveda considers this as a potent plant next to Soma (a divine plant) in curing several diseases. It is also called Takmanashana (which cures fevers) in Atharvaveda. It grows in Himalayas and Kasmir. In Ayurveda, root of Kustha is used for fevers, skin diseases, headache etc. Almost all Nighantus carry the description of Kustha with several synonyms. Some scholars consider two varieties of Kustha i.e. sweetish and bitter, but one with bitter taste is the real Kustha. Pushkarmool (Inula recemosa Hook.f.) is available in the market as sweet variety of Kustha. Thus its medico-historical importance and other details have been presented in this article.