Ethnobotanical study of medicinal plants used for cancer treatment at the province of Nador, Morocco

Morocco has varied wealth of aromatic and medicinal plants (AMPs) which are commonly used for prevention and treatment of vario us diseases or as complementary therapy such for cancer diseases. An ethnobotanical study was carried out in the province of Nador, located northeast of Morocco. A total of 418 persons were interviewed, information about their profile, type of medicinal pl ants existing in this area, plant characteristics and uses of those existing plants. Results showed 35 species distributed in 23 families, the most represented were Lamiaceae (7), Apiaceae (5) and Fabaceae (3). This study revealed that the population mainl y used seeds (28%), leaves (26%), aerial parts (20%) and fruits (14%). Moreover, it has shown that Nerium oleander were used by the local population for cancer treatments. Biological activity of N. oleander showed an antimicrobial effect on Escherichia col i , Pseudomonas aeruginosa and Staphylococcus aureus

Marruecos tiene una riqueza vegetal muy variada de plantas aromáticas y medicinales (AMP) y se utilizan com únmente para la prevención y el tratamiento de diversas enfermedades o como terapia complementaria, como las enfermedades del cáncer. Se llevó a cabo un estudio etnobotánico en la provincia de Nador, situada al noreste de Marruecos. Se entrevistó a un tota l de 418 personas, información sobre su perfil, tipo de plantas medicinales existentes en esta zona, características de las plantas, usos de las plantas existentes, etc. Los resultados mostraron una alta riqueza de especies de 35 especies distribuidas en 2 3 familias, las más representadas fueron Lamiaceae (7), Apiaceae (5) y Fabaceae (3). Este estudio reveló que la población utilizó preferentemente semillas (28%), hojas (26%), partes aéreas (20%) y frutos (14%). Además, se ha demostrado que la población loc al utilizaba Nerium oleander para tratamientos contra el cáncer. La actividad biológica de N. oleander mostró un efecto antimicrobiano sobre Escherichia coli , Pseudomonas aeruginosa y Staphylococcus aureus

Accidental Poisoning with Nerium Oleander in Dairy Goat in the Santiago Metropolitan Region in Chile / Intoxicación accidental con Nerium oleander en lechería caprina en la Región Metropolitana de Santiago en Chile / Intoxicação acidental com oleandro de Nerium em laticínios de cabras na região metropolitana de Santiago, no ChileResumo

Abstract A small dairy goat farm in central Chile stocked their troughs with ornamental plants and grasses, which were obtained after pruning the gardens of neighboring sectors. Twelve hours after the goats ingested this food, the farm registered a death toll of eight goats, all of which were adult females in their productive stage, before entering the milking parlor. The mortality episode lasted 84 hours and produced mortality and morbidity values of 48 and 54 percent, respectively (n = 52). During a visit to the farm, clinic inspections, autopsies, and sample tissues were obtained for microscopic analysis (the tissues specimens were fixed in 10% buffered formaldehyde solution). The clinic inspection and microscopic analysis both confirmed that the animals had cardiovascular disease. The lesions were compatible with those produced by cardiac glycosides. During the site visit, Nerium oleander was found in the troughs, which suggested that the animals were poisoned by eating this plant. There was a high presence of this plant in the poisoned area, and it was not associated with the mortality episode before the on-site visit, which indicates that the authors should conduct training and inform producers about the handling and feeding of their animals.

Resumen En establecimiento de pequeño productor caprino (n = 52) en la zona central de Chile, se les administraron en comederos plantas ornamentales y pastos que fueron obtenidos posterior a la poda de jardines en sectores aledaños. A las 12 horas post ingesta de este alimento se encuentran 8 caprinos, hembras, adultos, productivos muertos previo al ingreso a sala de ordeña. El episodio de mortandad se extendió por 84 horas generando una mortalidad del 48 % y una morbilidad del 52 %. Se realizó visita, inspección clínica, necropsia y análisis microscópico de especímenes fijados en solución formolada tamponada al 10 %. La inspección clínica confirma la presencia de animales con afección cardiovascular, al igual que el análisis microscópico. Las lesiones son compatibles con las producidas por glucósidos cardiotóxicos, al recorrer el lugar se observa la presencia de Nerium oleander en comederos de lote afectado, lo que sugiere la intoxicación de estos animales. La presencia de esta planta en la zona de la intoxicación es elevada y antes de nuestra visita no fue asociada al episodio de mortandad, lo que nos indica que se debe realizar capacitación e informar a productores sobre el manejo y alimentación de sus animales.

Resumo No estabelecimento de um pequeno produtor de cabras (n = 52) na zona central do Chile, plantas ornamentais e pastagens foram administradas em alimentadores que foram posteriormente podados por jardins em setores próximos. Às 12 horas após a ingestão deste alimento, são oito cabras, fêmeas, adultos, mortos produtivos antes de entrar na sala de ordenha. O episódio da morte prolongou-se por 84 horas, gerando uma mortalidade de 48% e uma morbidade de 52%. Foram realizadas visita, inspeção clínica, necropsia e análise microscópica das amostras fixadas em solução formolada tamponada a 10%. A inspeção clínica confirmou a presença de animais com doença cardiovascular e a análise microscópica. As lesões são compatíveis com as produzidas pelos glicosídeos cardiotóxicos, ao atravessar o local, observa-se a presença de oleandro de Nerium nos alimentadores do lote afetado, o que implica na intoxicação desses animais. A presença desta planta na zona de envenenamento é alta e, antes da nossa visita, não estava associada ao episódio da morte, o que indica que o treinamento deve ser realizado e informa os produtores sobre o manuseio e a alimentação de seus animais.

Evaluation of the Bio-insecticidal Effects of Three Extracts on the Larvae of the Green Lacewing Chrysoperla carnea (Stephen) under the Laboratory Conditions

Aims: To control aphids without the misdeeds of the chemical insecticides. To make sure of the harmlessness of three bio-aphicides. Study Design: Experimental device in complete random block with three replications. Place and Duration of Study: Laboratory of bio-insecticidal entomology, Regional Center of Agricultural Research of Kenitra, INRA- Morocco and the Biodiversity and Natural Resources Laboratory of Sciences Faculty, Ibn Tofail kenitra, morocco. The experiments were done between March and December 2017. Methodology: The present study highlighted the lethal and sublethal effects of three bio-aphicides plants collected from the Gharb region of morocco: Capsicum frutescens, Nerium oleander and Melia azedarach, tested in five concentrations of their plant material against Chrysoperla carnea larvaes. Adding to these concentrations, two controls were used: one without any treatment (blanc) and another treated with a chemical insecticide (Deltamethrine). Results: The obtained results indicated that the aqueous extract of the Nerium oleander was harmful to the larvae of the Chrysoperla carnea. Indeed, the insecticidal activity of different concentrations increased with the exposure time, reaching about 10; 16 and 20% of mortality, respectively by applying 10; 15 and 20 g/20 ml after three days of exposure. However, low concentrations of 2 and 5 g/20 ml caused no effect whatever the duration of exposure. Also, the corrected mortality rate caused by the aqueous extract of Nerium oleander, at the concentrations tested is much lower than that caused by the insecticide Deltamethrin. Conclusion: Nerium oleander plant is harmful to the larvae of the Chrysoperla carnea at concentrations of 10; 16 and 20%. At these concentrations, the aqueous extracts of hot pepper and melia are not haurmful to the larvae of the green lacewing, so they can be recommended as a biological insecticide. Moreover, other works on these two extracts are outstanding in our laboratory.

Chemical Constitutes of Cardiac Glycosides in Scurrula parasitica and Its Nerium indicum by UPLC-Q-TOF-MS/MS / 中国实验方剂学杂志

Objective: To establish a method for identifying cardiac glycosides in Scurrula parasitica and its Nerium indicum host by UPLC-Q-TOF-MS/MS. With safflower parasitoids with sweet-scented osmanthus trees as the host and their host osmanthus tree samples used for control, the chemical constituents of the cardiac glycosides were identified by comparison between the cardiac glycoside reference substances and literatures, so as to analyze the correlation between the safflower parasitoid and its host oleander glycoside components,and evaluate the host' s impact on the quality of Taxilli Herba. Method: Samples of S. parasitica (parasitic on N. indicum and Osmanthus fragrans),N. indicum and O. fragrans were collected. Samples of S. parasitica and its O. fragrans host were taken for control. All of the samples were extracted through ultrasonic extraction with 70%ethanol. ACQUITY UPLC HSS T3 C18(2.1 mm×100 mm,1.8 μm) column was adopted with mobile phase A comprising 0.1%formic acid water and mobile phase B comprising acetonitrile for gradient elution. The sample size was 0.5 μL. The flow rate was 0.6 mL·min-1. The column temperature was maintained at 40℃. MassLynx V4.1 software was used to analyze the data. Identification and correlation of chemical constitute of cardiac glycosides in S. parasitica and its N. indicum host were performed through analysis on cardiac glycosides reference substances,relevant literatures,elemental composition of compounds and positive and negative ion mode mass spectrometry data. Result: A total of 26 compounds of cardiac glycoside were identified,including 25 compounds of cardiac glycoside from N. indicum host,and 5 compounds of cardiac glycoside from S. parasitic(parasitic on N. indicum). none of cardiac glycosides were found in S. parasitica (parasitic on O. fragrans ) and its O. fragrans host. Conclusion: It was rapid,accurate and comprehensive to identify cardiac glycosides in S. parasitica (parasitic on N. indicum) and its N. indicum host by UPLC-Q-TOF-MS/MS. S. parasitica itself does not contain cardiac glycosides,its host may impact the quality of S. parasitica by delivering cardiac glycosides, a kind of its characteristic compound.

Correlation study on chemical constitutes of cardiac glycosides in Taxillus chinensis and its Nerium indicum host by UPLC-Q-TOF-MS/MS / 中国中药杂志

To build up an identification method on cardiac glycosides in Taxillus chinensis and its Nerium indicum host, and evaluate the influence on medicine quality from host to T. chinensis, ultra-performance liquid chromatography coupled with quadrupole-time-of-flight tandem mass-mass spectrometry(UPLC-Q-TOF-MS/MS)was applied. The samples of T. chinensis(harvested from N. indicum)and its N. indicum host were collected in field. The samples of T. chinensis(harvested from Morus alba)and its M. alba host was taken as control substance. All samples were extracted by ultrasonic extraction in 70% ethanol. Chromatographic separation was performed on an ACQUITY UPLC HSS T3 C_(18)(2.1 mm×100 mm,1.8 μm)column at 40 ℃. Gradient elution was applied, and the mobile phase was consisted of 0.1% formic acid water and acetonitrile. The 0.5 μL of sample solution was injected and the flow rate of the mobile phase was kept at 0.6 mL·min~(-1) in each run. It was done to identify cardiac glycosides and explore the chemical composition correlation in T. chinensis and its N. indicum host by analyzing positive and negative ion mode mass spectrometry data, elemental composition, cardiac glycoside reference substance and searching related literatures. A total of 29 cardiac glycosides were identified, 28 of it belonged to N. indicum host, 5 belonged to T. chinensis(harvested from N. indicum host), none of cardiac glycoside was identified in T. chinensis(harvested from M. alba host). The result could provide a reference in evaluating the influence in T. chinensis medicine quality from host. It was rapid, accurate, and comprehensive to identify cardiac glycosides in T. chinensis and its N. indicum host by UPLC-Q-TOF-MS/MS.

Influence of traditional medicines on the activity of keratinocytes in wound healing: an in-vitro study / 대한해부학회지

Natural medicinal systems such as Ayurveda and folk medicine has remedies for wound management. However, the exact cellular and extracellular mechanisms involved in the healing process and its influence on keratinocytes is less discussed. Therefore, the present study was designed to evaluate the effect of certain natural wound healing medicines on the biology of the keratinocytes/HaCaT cells. Test materials such as honey (H), ghee (G), aqueous extracts of roots of Glycyrrhiza glabra (GG) and leaves of Nerium indicum (NI) were considered. The HaCaT cells were treated with the test materials singly and in combinations (H+G, all combined [Tot]) for a specific period (24, 48, and 72 hours). The cells were then subjected to cytotoxicity/proliferation and migration/scratch assays. All the test materials, except NI, were non-cytotoxic and showed increased cell proliferation at variable concentrations. Significant observations were made in the groups treated with honey (100 µg/ml at 48 hours, P<0.05; 1,000 µg/ml at 72 hours, P<0.05), GG (all concentrations at 48 hours, P<0.05; 750 µg/ml at 72 hours, P<0.05), H+G (250 µg/ml at 24 hours, P<0.001; 500 µg/ml at 48 and 72 hours, P<0.05), and Tot (50 µg/ml at 24, 48 and 72 hours, P<0.01). In the in-vitro wound healing assay, all the treated groups showed significant migration and narrowing of the scratch area by 24 and 48 hours (P<0.001) compared to control. The results obtained from the present study signifies the positive influence of these natural wound healing compounds on keratinocytes/HaCaT cells.

Cytotoxic, antioxidant and antimicrobial activities of Nerium oleander collected in Morocco

Objective: To investigate the cytotoxic, antioxidant and antibacterial activities of ethanolic and aqueous crude extracts of Nerium oleander (N. oleander) leaves. Methods: Cytotoxic activities were evaluated by WST-1 bioassay on two human cancer cell lines, namely human colon adenocarcinoma cell line HT-29 and human breast cancer cell line MDA-MB-231. The antioxidant property of N. oleander extracts was assessed by DPPH scavenging and β-carotene bleaching tests. The agar disc diffusion method was used for the determination of antimicrobial activity against different strains. Results: Using cell viability indices, the WST-1 test revealed that both extracts reduced cell viability in both cell lines. Our results also showed that aqueous extract was more active than ethanolic extract, with IC50 values of (1.67±0.22) μg/mL and (2.36±0.44) μg/mL on MDA-MB-231 cells, and (2.89±0.35) μg/mL and (5.09±0.52) μg/mL on HT29 cells, respectively. The study of the antioxidant activity showed that N. oleander extracts had a considerable scavenging capacity and exerted a significant preventive effect against the oxidation of β-carotene by the peroxide radicals. However, the antibacterial test showed that both ethanolic and aqueous extracts of N. oleander had a moderate antibacterial effect limited only to Gram-positive bacteria. Conclusions: Our results shows that N. oleander aqueous and ethanolic extracts have significant cytotoxic activities against tumor cell lines and possesses a strong antioxidant capacity, suggesting the presence of active compounds in N. oleander leaves that could be a potential source of phytochemicals with high medicinal value to be used in cancer treatment and prevention.

Cytotoxic, antioxidant and antimicrobial activities of Nerium oleander collected in Morocco

Objective: To investigate the cytotoxic, antioxidant and antibacterial activities of ethanolic and aqueous crude extracts of Nerium oleander (N. oleander) leaves. Methods: Cytotoxic activities were evaluated by WST-1 bioassay on two human cancer cell lines, namely human colon adenocarcinoma cell line HT-29 and human breast cancer cell line MDA-MB-231. The antioxidant property of N. oleander extracts was assessed by DPPH scavenging and β-carotene bleaching tests. The agar disc diffusion method was used for the determination of antimicrobial activity against different strains. Results: Using cell viability indices, the WST-1 test revealed that both extracts reduced cell viability in both cell lines. Our results also showed that aqueous extract was more active than ethanolic extract, with IC

Evaluation of anxiolytic activity of aqueous extract of Nerium oleander flowers in albino rats

Background: Anxiety has become a very important area of research interest in psychopharmacology as it affects one-eighth of the population worldwide. Benzodiazepines are still the most commonly used drugs for anxiety despite a number of side effects.There is a need for newer antianxiety drugs with increased safety and efficacy, hence this study was undertaken to evaluate the anxiolytic activity of Nerium oleander flowers.Methods: Aqueous extract of Nerium oleander flowers (NA) was prepared using soxhalet apparatus. A total of 24 Albino rats aged 8-10 weeks of either sex weighing about 100-150g were obtained and divided into 4 groups of 6 rats each. Group I: Normal saline 10mL/kg. Group II: Diazepam 2mg/kg Group III: NA at a dose of 200 mg/kg Group IV: NA at a dose of 400mg/kg. The anxiolytic activity of Aqueous extract of NA was tested by elevated plus maze and digital actophotometer models. Data was analysed using one way ANOVA followed by Posthoc Tukey’s test.Results: In EPM model, the NA at 200, 400mg/kg doses showed that the number of entries and time spent in the open arms were increased significantly as compared to the control animals. (p<0.001). In Actophoptometer model, two different doses of NA (200 and 400mg/kg) showed a dose-dependent decrease in the locomotor activity, when compared to the control animals (p<0.001).Conclusions: Both the doses of aqueous extract of Nerium oleander flowers (200mg and 400mg/kg) possess anxiolytic activity and could be used as a new approach to treat anxiety.

Improved method for diagnosis of Nerium oleander poisoning in necropsy tissues / Método aprimorado para diagnóstico da intoxicação por Nerium oleander em tecidos de necropsia

Nerium oleander is an ornamental cardiotoxic plant found in tropical and subtropical areas of the World. Its toxicity is related to the content of cardioactive glycosides, mainly oleandrin, found throughout the plant. The present study aimed to describe a new and improved method for oleandrin detection in tissue samples. The determination of oleandrin was made after extraction with a modified QuEChERS technique and measurement by UFLC-MS/MS. A total of 36 guinea pigs (Cavia porcellus) were distributed into 3 groups (n=12): control group that received only water orally (CON), and two treated groups that received hydroalcoholic oleander extract at doses of 150mg.kg-1 (OLE 150) and 300mg.kg-1 (OLE 300) in single oral dose. After three hours, fragments of heart, kidneys, liver and brain were collected for determination of oleandrin levels. The extraction and chromatographic procedures were effective for oleandrin detection and quantification in tissues, with retention time of 1.2 min and detection limit of 0.001μg g-1. The chromatographic analysis of treated guinea pigs indicated that oleandrin is distributed equally among the analyzed tissues. The developed methodology is a reliable, effective and rapid form of diagnosis of N. oleander poisoning based on necropsy tissue samples.(AU)

Nerium oleander é uma planta cardiotóxica ornamental encontrada em áreas tropicais e subtropicais do mundo. Sua toxicidade é relacionada á presença de glicosídeos cardioativos, principalmente a oleandrina, encontrada em toda a planta. O presente estudo objetiva descrever um novo e aprimorado método para detecção da oleandrina em amostras de tecido. A determinação da oleandrina foi feita após extração utilizando técnica modificada de QuEChERS e mensuração por UFLC-MS/MS. Um total de 36 cobaios (Cavia porcellus) foi distribuído em três grupos (n=12): grupo controle que recebeu apenas água por via oral (CON), e dois grupos tratados que receberam extrato hidroalcóolico de oleander nas doses de 150mg.kg-1 (OLE 150) e 300mg.kg-1 (OLE 300) em uma única dose oral. Após três horas, fragmentos do coração, rins, fígado e cérebro foram coletados para determinação dos níveis de oleandrina. A extração e procedimentos cromatográficos foram eficientes na detecção e quantificação da oleandrina nos tecidos, com tempo de retenção de 1,2min e limite de detecção de 0,001μg g-1. A análise cromatográfica dos animais tratados indicou que a oleandrina é distribuída de forma equalizada pelos tecidos analisados. A metodologia desenvolvida representa uma forma de diagnóstica segura, efetiva e rápida da intoxicação por N. oleander a partir de amostras de tecidos de necropsia.(AU)

Nerium oleander Distillate Can Reduce Oxidative Deoxyribonucleic Acid Damage in Rats Fed with High Cholesterol Diet

Aim: To evaluate the effect of Nerium oleander distillate on the high cholesterol diet(HCD) induced oxidative deoxyribonucleic acid damage via assessing blood 8-hydroxy-2'-deoxyguanosine(8-OHdG) and superoxide dismutase(SOD) levels. Methodolody: Twenty-one male Sprague-Dawley rats were divided equally into three groups. The first group (control group) was fed a normal diet and administered 0.5 ml distilled water via gavage for 90 days. The second and third groups were fed with HCD. The second group was administered 0.5 ml distilled water and the third group was administered 0.5 ml Nerium oleander distillate(0.375 mg/rat) via gavage for 90 days, after being fed the HCD for two weeks. Blood samples were collected, and 8-OHdG and SOD levels were measured. Results: 8-OHdG levels were statistically significantly different in all groups. Highest 8-OHdG levels were determined in the second group whereas Nerium oleander treatment reduced the level of 8-OHdG. In addition, decreased SOD levels were detected in the rats fed with HCD(Groups 2 and 3) when compared to the control group. Conclusion: It may be stated that HCD may cause oxidative damage in deoxyribonucleic acid and Nerium oleander distillate may reduce this damage. Hence, Nerium oleander distillate may show beneficial effects in the treatments of diabetes mellitus, hypercholesterolemia, and metabolic syndrome. In the future, it should investigate the effect of Nerium oleander distillate on different antioxidant pathways.

Antifungal properties of selected plants of Apocynaceae family against the human fungal pathogen Candida albicans.

The ethnobotanical evaluation of plant based chemicals has proven themselves greatly in last few decades. Plants have been a rich source of therapeutic agents and form the basis of traditional medicine system. On the basis of this, in vitro antifungal activities of extracts of Catharanthus roseus, Nerium oleander and Taberenemontana divaricata leaf extracts were evaluated in the present study by 96 well microtiter plate assays using human fungal pathogen Candida albicans ATCC90028 strain. The activity was measured by spectophotometric methods to determine the Minimum Inhibitory Concentration (MIC). The Minimum Fungicidal Concentrations (MFC) for the extracts was also determined by a plate assay. The distilled water extract, petroleum ether extract, methanolic extract, ethyl acetate extract and sequential distilled water leaf extracts of all the plants showed potential activity against C. albicans ATCC 90028. The study ascertains the value of Apocynaceae plants, which could be of considerable interest to the development of new safer antifungals.

Exploring a natural MDR reversal agent：potential of medicinal food supplement Nerium oleander leaf distillate

Objective: To investigate the molecular effects of Nerium oleander leaf distillate on paclitaxel and vincristine resistant (MCF-7/Pac and MCF-7/Vinc) cells and sensitive (MCF-7/S) cell lines. Methods: Nerium oleander (N. oleander) leaf extract was obtained by hydrodistillation method.The toxicological effects of N. oleander distillate, previously suggested as medicinal food supplement, on drug resistant cells were evaluated by XTT tests. MDR modulation potential of the plant material was evaluated by flow cytometry and fluorescent microscopy. Paclitaxel and vincristine were applied to the sublines in combination with N. oleander distillate. Results:Fractional inhibitory indices show that N. oleander distillate did not increase the antiproliferative effects of anticancer drugs. N. oleander treatment in to MCF-7/Pac and MCF-7/Vinc did not inhibit P-gp activity and MDR1 gene expression level. Conclusions: As a result it may be suggested that although N. oleander distillate has some medicinal effects as food supplement it may not be suitable as an MDR modulator for drug resistant breast cancer cells.

Antifungal properties of selected plants of Apocynaceae family against the human fungal pathogen Candida albicans.

The ethnobotanical evaluation of plant based chemicals has proven themselves greatly in last few decades. Plants have been a rich source of therapeutic agents and form the basis of traditional medicine system. On the basis of this, in vitro antifungal activities of extracts of Catharanthus roseus, Nerium oleander and Taberenemontana divaricata leaf extracts were evaluated in the present study by 96 well microtiter plate assays using human fungal pathogen Candida albicans ATCC90028 strain. The activity was measured by spectophotometric methods to determine the Minimum Inhibitory Concentration (MIC). The Minimum Fungicidal Concentrations (MFC) for the extracts was also determined by a plate assay. The distilled water extract, petroleum ether extract, methanolic extract, ethyl acetate extract and sequential distilled water leaf extracts of all the plants showed potential activity against C. albicans ATCC 90028. The study ascertains the value of Apocynaceae plants, which could be of considerable interest to the development of new safer antifungals.

Non-fatal oleander poisoning: A case report.

In rural India, traditional methods are often employed for treatment of ailments and also for getting rid of unwanted pregnancy. Nerium oleander (common oleander) is one such plant, the leaves and roots of which are used in Indian traditional medicine and the root is often used by rural folk as abortifacient. In this paper, the case of a 20-year old girl who had developed signs and symptoms of oleander poisoning as a result of consumption of a drink prepared by boiling the root of oleander is presented. Even though oleander poisoning has been reported to be a common occurrence in many parts of India, it is a rare occurrence in the State of Manipur.

Intoxicação natural e experimental por Nerium oleander (Apocynaceae) em bovinos no Rio Grande do Sul / Natural and experimental poisoning by Nerium oleander (Apocynaceae) in cattle in Rio Grande do Sul

Descreve-se a intoxicação natural e experimental por Nerium oleander em bovinos no Rio Grande do Sul, Brasil. Dois de oito bovinos morreram subitamente após consumirem folhas de galhos de N. oleander que haviam sido podados e jogados no piquete onde os animais eram mantidos. Não foram observados sinais clínicos em uma vaca, mas um terneiro de 4 meses de idade apresentou decúbito lateral, movimentos de pedalagem, vocalização e morte. As alterações macroscópicas mais importantes observadas na vaca morta naturalmente e em duas novilhas intoxicadas experimentalmente ocorreram no coração que apresentava petéquias e equimoses no átrio esquerdo, coágulos e hemorragias no endocárdio do ventrículo esquerdo e áreas levemente pálidas no septo interventricular e em porções do miocárdio dos ventrículos. Na histologia, havia necrose de coagulação de fibras cardíacas individuais e de pequenos agrupamentos, caracterizada por aumento de eosinofilia citoplasmática e núcleos picnóticos. Essas lesões eram mais acentuadas no músculo papilar. O diagnóstico foi fundamentado na presença da planta no potreiro onde estavam os animais, quadro clínico-patológico compatível e reprodução experimental em dois bovinos nas doses de 0,5 e 1,0g/kg de folhas frescas da planta.

This paper describes natural and experimental poisoning of cattle by Nerium oleander in Rio Grande do Sul. Two out of eight cattle died acutely after consumption of leaves of Nerium oleander, branches of which had been cut and placed into a paddock where the animals were kept. An affected cow did not show clinical signs, but a 4-month-old calf presented lateral recumbence, paddling, vocalization and death. Main gross findings in the cow naturally poisoned and in two experimentally intoxicated heifers were observed in the heart and included hemorrhages in the left atrium, clots and hemorrhages in the left ventricular endocardium, and pale areas in the interventricular septum and ventricular myocardium. Histologically, there was coagulation necrosis of individual cardiac fibers or small groups of fibers, characterized by enhanced cytoplasmic eosinophily and picnotic nuclei. These lesions were most severe in the papillary muscle. The diagnosis was based on presence of the trimmed N. oleander in the paddock where the animals stayed, evidence of consumption of the plant, consistent clinical and pathological findings, and experimental reproduction of the disease through oral administration of 0.5 and 1.0g/kg of its green leaves to two cattle.

Digitalis-like Toxic Symptoms Occurring after Accidental Nerium indicum Poisoning

Although Nerium indicum poisoning is a globally rare occurrence, Nerium oleander poisoning is known to occur frequently in the Mediterranean regions. To our knowledge, this is the first reported case of accidental Nerium indicum poisoning in Korea. Its poisoning symptoms and signs are similar to that of digitalis poisoning, because of the presence of cardiac glycosides in Nerium indicum. A 16-year-old boy was admitted to the emergency department four hours prior to the accidental ingestion of Nerium indicum petals. The patient complained of nausea, vomiting, and dizziness. His initial vital signs were stable; laboratory blood test results were within normal levels, except for the blood digoxin level (1.5 ng/dL). An electrocardiogram (ECG) analysis showed normal sinus rhythm, progressive PR prolongation and second-degree Morbiz type I AV block. Conservative treatments including activated charcoal administration were conducted, because toxic symptoms and signs were not severe. The patient was admitted to the intensive care unit for close observation. His ECG was converted to normal rhythm after 1 day and the toxic symptoms and signs were completely resolved after 4 days.

Hot-compressing and Rubbing with Decoction of Jiazhutao and Mature Vinegar for Prolapse of Lumbar Intervertebral Disc:A Report of 32 Cases / 广州中医药大学学报

【Objective】To devise an effective method for the treatment of prolapse of lumbar intervertebral disc.【Methods】Forty-seven patients with prolapse of lumbar intervertebral disc were randomized into two groups by random number table.Group A(n=32)was treated with hot-compressing and rubbing with decoction of Jiazhutao(Nerium indicum Mill.)and mature vinegar.Group B(n=15)was given Capsule Fenbid orally and Danshen Injection for intravenous drip.The two groups both received two treatment courses(30 days in all).After treatment,therapeutic effect was compared and the toxic and side effects were observed.【Results】Of 32 patients in group A,23(71.88%)were cured,5(15.62%)markedly effective,2(6.25%)effective,2(6.25%)ineffective,and the total effective rate was 93.75%.Of 15 patients in group B,5(33.33%)were cured,4(26.67%)markedly effective,3(20.00%)effective,3(20.00%)ineffective,and the total effective rate was 80.00%.The effect in group A was superior to that in group B(P