RESUMEN
The use of multipronged measures, including traditional Chinese medicine (TCM), has greatly increased in response to the COVID-19 pandemic, and we found the use of TCM and is positively correlated with the regional cure rate in China (R=0.77, P<10-5). We analyzed 185 commonly administered TCM recipes comprised of 210 herbs nationwide to reveal mechanistic insight. Eight out of the 10 most commonly used herbs showed anti-coronavirus potential by intersecting with COVID-19 targets. Intriguingly, 17 compounds from the 5 most commonly used herbs were revealed to have direct anti-SARS-CoV-2 potential by docking with the two core structures [CoV spike (S) glycoprotein (6SVB) and CoV 3CL hydrolase (6LU7)]. Seven reported COVID-19 drugs served as positive controls; among them, retionavir (-7.828 kcal/mol) and remdesivir (-8.738 kcal/mol) performed best with 6VSB and 6LU7, respectively. The top candidate was madreselvin B (6SVB: -8.588 kcal/mol and 6LU7: -9.017 kcal/mol), an appreciable component of Flos Lonicerae. Eighty-six compounds from 22 unlisted herbs were further identified among 2,042 natural compounds, completing our arsenal for TCM formulations. The mechanisms have been implicated as multifactorial, including activation of immunoregulation (Th2, PPAR and IL10), suppression of acute inflammatory responses (IL-6, IL-1α/ß, TNF, COX2/1, etc.), enhancement of antioxidative activity (CAT and SOD1), and modulation of apoptosis (inhibited CASP3). It is of interest to understand the biological mechanisms of TCM recipes. We then analyzed 18 representative remedies based on molecular targets associated with 14 medical conditions over the disease course, e.g., pyrexia, coughing, asthenia, lymphopenia, cytokine storm, etc. The significant level of coherence (SLC) revealed, in part, the potential uses and properties of corresponding TCMs. Thus, herbal plants coordinate to combat COVID-19 in multiple dimensions, casting a light of hope before effective vaccines are developed.
Asunto(s)
Infecciones por Coronavirus/tratamiento farmacológico , Medicamentos Herbarios Chinos/uso terapéutico , Medicina Tradicional China/métodos , Fitoterapia/métodos , Neumonía Viral/tratamiento farmacológico , Algoritmos , Antivirales/aislamiento & purificación , Antivirales/farmacología , Antivirales/uso terapéutico , Betacoronavirus/efectos de los fármacos , Betacoronavirus/fisiología , COVID-19 , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/genética , Desarrollo de Medicamentos , Medicamentos Herbarios Chinos/clasificación , Regulación de la Expresión Génica/efectos de los fármacos , Humanos , Simulación del Acoplamiento Molecular , Pandemias , Fitoterapia/clasificación , Neumonía Viral/epidemiología , Neumonía Viral/genética , SARS-CoV-2 , Transducción de Señal/efectos de los fármacos , Transducción de Señal/genética , Tratamiento Farmacológico de COVID-19RESUMEN
Several Cinnamomum species' barks are generally labeled as cinnamon, although only Cinnamomum verum carries the common name of true cinnamon. Cassia, a common name for a related species, is rarely used on labels; instead, various cassia types may also be labeled "cinnamon." Confusion of true cinnamon and cassia spices in foods generally does not present a risk to health, except possibly at the highest intake levels. However, clinical studies with Cinnamomum investigational products have been published that inadequately describe or lack botanical identification information. The results of such studies are confounded by an inability to determine which species was responsible for the observed effects. Due to differences in the quality and composition of various Cinnamomum species, safety and efficacy data are not generalizable or transferable. Pharmacopeial monographs for characterizing the identity, composition, purity, quality, and strength of Cinnamomum investigational products should be applied to remove the ambiguity of cinnamon.
Asunto(s)
Cinnamomum zeylanicum/clasificación , Ensayos Clínicos como Asunto/métodos , Medicina Basada en la Evidencia/métodos , Fitoterapia/clasificación , Preparaciones de Plantas/clasificación , Proyectos de Investigación , Terminología como Asunto , Cinnamomum zeylanicum/efectos adversos , Ensayos Clínicos como Asunto/normas , Comercio , Consenso , Seguridad de Productos para el Consumidor , Costos de los Medicamentos , Medicina Basada en la Evidencia/normas , Humanos , Seguridad del Paciente , Fitoterapia/efectos adversos , Fitoterapia/economía , Fitoterapia/normas , Preparaciones de Plantas/efectos adversos , Preparaciones de Plantas/economía , Preparaciones de Plantas/normas , Proyectos de Investigación/normas , Especificidad de la EspecieRESUMEN
The use of botanicals, often in the form of multi-ingredient herbal dietary supplements (HDS), has grown tremendously in the past three decades despite their unproven efficacy. This is paralleled by an increase in dietary supplement-related health complications, notably hepatotoxicity. This article reviews the demographics and motivations of dietary supplement (DS) consumers and the regulatory framework for DS in the US and other developed countries. It examines in detail three groups of multi-ingredient HDS associated with hepatotoxicity: OxyElite Pro (two formulations), green tea extract-based DS, and "designer anabolic steroids." These examples illustrate the difficulties in identifying and adjudicating causality of suspect compound(s) of multi-ingredient HDS-associated liver injury in the clinical setting. The article outlines future directions for further study of HDS-associated hepatotoxicity as well as measures to safeguard the consumer against it.
Asunto(s)
Enfermedad Hepática Inducida por Sustancias y Drogas/epidemiología , Suplementos Dietéticos/efectos adversos , Hígado/efectos de los fármacos , Fitoterapia/efectos adversos , Preparaciones de Plantas/efectos adversos , Plantas Medicinales/efectos adversos , Sistemas de Registro de Reacción Adversa a Medicamentos , Animales , Enfermedad Hepática Inducida por Sustancias y Drogas/diagnóstico , Enfermedad Hepática Inducida por Sustancias y Drogas/patología , Enfermedad Hepática Inducida por Sustancias y Drogas/terapia , Seguridad de Productos para el Consumidor , Suplementos Dietéticos/clasificación , Humanos , Hígado/metabolismo , Hígado/patología , Seguridad del Paciente , Farmacovigilancia , Fitoterapia/clasificación , Preparaciones de Plantas/clasificación , Plantas Medicinales/clasificación , Pronóstico , Medición de Riesgo , Factores de Riesgo , Terminología como Asunto , Pruebas de ToxicidadRESUMEN
Botanical dietary supplements (BDS) are complex mixtures of phytochemicals exhibiting complex pharmacology and posing complex research challenges. For 25 years, clinical pharmacologists researching BDS have confronted a litany of issues unlike those encountered with conventional medications. Foundational to these concerns is the Dietary Supplement Health and Education Act of 1994, which exempted BDS from premarket safety and efficacy trials. In the ensuing period, safety concerns regarding multi-ingredient products formulated as "proprietary blends" and herb-drug interactions have garnered significant attention. Idiosyncrasies unique to BDS can affect the outcome and interpretation of in vitro and in vivo studies, and although "omics" approaches hold promise in uncovering BDS efficacy mechanisms, purposeful adulteration threatens their safety. Despite a quarter century of public use, healthcare professionals still know little about BDS, thus it falls to industry, government, and academia to join forces in promoting a new paradigm for BDS research and product development.
Asunto(s)
Suplementos Dietéticos/efectos adversos , Fitoterapia/efectos adversos , Preparaciones de Plantas/efectos adversos , Plantas Medicinales/efectos adversos , Animales , Seguridad de Productos para el Consumidor , Suplementos Dietéticos/clasificación , Suplementos Dietéticos/historia , Suplementos Dietéticos/normas , Contaminación de Medicamentos , Interacciones de Hierba-Droga , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Seguridad del Paciente , Fitoterapia/clasificación , Fitoterapia/historia , Fitoterapia/normas , Preparaciones de Plantas/clasificación , Preparaciones de Plantas/historia , Preparaciones de Plantas/normas , Plantas Medicinales/clasificación , Control de Calidad , Medición de Riesgo , Terminología como AsuntoRESUMEN
ETHNOPHARMACOLOGICAL RELEVANCE: Many Chinese medicinal materials (CMMs) have changed over centuries of use, particularly in terms of their botanical identity and processing methods. In some cases, these changes have important implications for safety and efficacy in modern clinical practice. As most previous research has focused on clarifying the evolution of CMMs by analyzing traditional Chinese materia medica ("bencao") literature, assessments of historical collections are needed to validate these conclusions with material evidence. AIM OF THE STUDY: Historical collections of Chinese medicines reveal the market materials in circulation at a given moment in time, and represent an underexploited resource for analyzing the evolution of Chinese herbal medicines. This study compares specimens from a rare collection of CMMs from the 1920s with contemporary market materials; by highlighting examples of changes in botanical identity and processing that remain relevant for safe clinical practice in the modern era, this work aims to stimulate further research into previously unexplored historical collections of Chinese medicines. MATERIALS AND METHODS: 620 specimens of CMMs that were collected from Chinese pharmacies in the Malay peninsula in the 1920s were examined macroscopically and compared with current pharmacopoeia specifications and authentic contemporary samples. These historical specimens, which are stored in the UK in the Economic Botany Collections (EBC) of Royal Botanic Gardens Kew, were morphologically examined, photographed, and compared to authentic CMMs stored at the Bank of China (Hong Kong) Chinese Medicines Center at Hong Kong Baptist University, as well as authentic herbarium-vouchered specimens from the Leon Collection (LC) at the Kew EBC. Case studies were selected to illustrate examples of historical changes in botanical identity, used plant parts, and processing methods. RESULTS: This investigation confirmed that confusion due to shared common names and regional variations in the botanical identity of certain CMMs has been a persistent issue over time. Additionally, historical changes in processing methods and the plant parts used were observed for some CMMs. In some cases, these changes have direct implications for the safe clinical practice of Chinese medicine. CONCLUSIONS: This preliminary assessment illustrated the significant potential of collections for clarifying historical changes in CMMs. More research is needed to investigate pre-modern collections of CMMs, including a more comprehensive assessment of the holdings in the Kew EBC and other European collections that have not yet been explored from the perspective of Chinese medicine.
Asunto(s)
Medicamentos Herbarios Chinos/clasificación , Etnobotánica/clasificación , Etnobotánica/tendencias , Medicina Tradicional China/tendencias , Fitoterapia/clasificación , Fitoterapia/tendencias , China , Medicamentos Herbarios Chinos/economía , Etnobotánica/economía , Humanos , Medicina Tradicional China/economía , Fitoterapia/economíaRESUMEN
We conducted a representative survey among young women to determine knowledge, use, and perceptions on barriers, benefits, and risks related to selected herbal drugs ( Crocus sativus, Borago officinalis, Citrus aurantium, Thymus vulgaris, Matricaria chamomilla, Lavandula angustifolia, Valeriana officinalis, Hypericum perforatum, and Panax ginseng) in Gorgan by using an internally validated questionnaire. There were 344 participants (mean age 16.3 years; 16.2% in science course). Saffron had most reported knowledge (n = 265, 77.0%) and ever use (n = 324, 94.1%). The average number of source of knowledge was 2.5; parents (n = 224, 65.1%) were the single most frequent source. Media (combined magazine, the Internet, TV, radio) was the source of knowledge for 283 (82.2%) participants. Actual use was "harmful" for the majority (n = 182, 52.9%; no idea n = 83, 24.1%). Parents and media provided knowledge on herbal drugs for most, supporting unsurprisingly high perceived knowledge but harmful actual experience. Programs to educate people are needed to not take herbal drugs lightly.
Asunto(s)
Fitoterapia , Preparaciones de Plantas , Plantas Medicinales , Adolescente , Femenino , Conocimientos, Actitudes y Práctica en Salud , Alfabetización en Salud/métodos , Alfabetización en Salud/estadística & datos numéricos , Humanos , Irán , Evaluación de Necesidades , Fitoterapia/clasificación , Fitoterapia/métodos , Fitoterapia/estadística & datos numéricos , Preparaciones de Plantas/efectos adversos , Preparaciones de Plantas/uso terapéutico , Plantas Medicinales/efectos adversos , Plantas Medicinales/clasificación , Estudiantes/estadística & datos numéricos , Adulto JovenRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Femenino , Historia del Siglo XVI , Fitoterapia/historia , Fitoterapia/métodos , Fitoterapia/tendencias , Plantas Medicinales/clasificación , Fitoterapia/clasificación , Fitoterapia/normasRESUMEN
ETHNOPHARMACOLOGICAL RELEVANCE: Considerable medicinal plant research in Brazil has focused on indigenous and mixed-race (caboclo and caiçara) communities, but relatively few studies have examined the medicinal plants and associated healing traditions of the descendants of enslaved Africans. This study surveyed the medicinal plants employed by a relatively isolated maroon community of Afro-Brazilians in the Atlantic coastal rainforests of Bahia, Brazil, a global biodiversity hotspot. The studied community is exceptional in that the residents were defacto slaves until several years ago, with no access to western medicine. We examined the following questions: 1) What medicinal plants are used in this community? 2) What are the principal taxonomic groups, life forms, source habitats, and geographical origins? 3) What species stand out as measured by use value and frequency indices? and 4) Is the community's geographical isolation and African ancestry reflected in their medicinal uses of the local flora? MATERIALS AND METHODS: The study was carried out in the Quilombo Salamina Putumuju maroon community in Bahia, Brazil. Data were collected from May to October 2014 from 74 individuals (37 men and 37 women) by means of semi-structured interviews, walk in the woods, and vouchering of identified species. We used the Cultural Value Index (CV), the Relative Frequency Index (RF), and the Use Value Index (UV) to determine the importance of medicinal plant resources. Continuity of African medicinal plant uses and traditions was determined through self-reporting and comparison with previously published works. RESULTS: We recorded 118 medicinal plant species distributed in 100 genera and 51 families. The best represented families were: Asteraceae, Fabaceae, Lamiaceae and Myrtaceae. Most plant medicines were used to treat respiratory, digestive systems, genitourinary, and skin problems. The most common medicinal life form was herbs (44%), followed by trees (28%) and shrubs (18%). Native species (55%) were used somewhat more than exotic species (45%), and non-cultivated species (51%) were slightly more numerous than cultivated species (49%). In spite of abundant nearby old-growth forests, trails and gardens were the most common collection sites. A mean of 13.2 medicinal plant species were cited per participant. The highest CV was recorded for Cymbopogon citratus (0.20) followed by Lippia alba (0.19) and Stryphnodendron cf. adstringens (0.17). The highest RF included C. citratus (0.69), L. alba (0.59), and Eugenia uniflora (0.55). The highest UV figures were recorded for S. cf. adstringens (1.68), followed by Sida cf. cordifolia (0.97) and C. citratus (0.93).Fifteen species (13%) of this maroon medicinal flora trace their ancestry to Africa or African-derived healing traditions. CONCLUSION: The Salamina maroon community maintains considerable knowledge of the medicinal value of the local flora. However, little of this knowledge is derived from the surrounding old-growth tropical forests. Their pharmacopoeia is a hybrid mix of wild and cultivated species, natives and exotics. Among those species representing the community's isolation and African ancestry, most are associated with spiritual and magical medicine.
Asunto(s)
Etnobotánica/clasificación , Medicina Tradicional , Plantas Medicinales/clasificación , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Biodiversidad , Brasil , Ecosistema , Femenino , Bosques , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Fitoterapia/clasificación , Encuestas y Cuestionarios , Adulto JovenRESUMEN
RESUMO Este trabalho objetivou verificar se os profissionais de nível superior, ligados a Estratégia de Saúde da Família (ESF) do Município de Petrolina-PE percebem a importância, utilização e indicações de Plantas Medicinais e Fitoterápicos. Trata-se de um estudo transversal de caráter exploratório e descritivo, no qual participaram 96 profissionais de nível superior locados em Unidades da ESF. Os dados foram obtidos através de entrevista individual utilizando questionário semiestruturado. Para análise estatística, foi utilizado o teste Pearson Qui quadrado. As plantas medicinais mais citadas foram o Boldo (Plectranthus barbatus A.) e a Camomila (Matricaria recutita L.). Os fitoterápicos foram indicados apenas por 5 (5,2%) médicos e os mais citados foram Guaco® e Maracugina®. 36 (37,5%) dos profissionais acham que não estão preparados para repassar as informações sobre o uso de plantas medicinais e apenas 35 (36,5%) se sentem preparados para prescrever fitoterápicos. Observa-se a necessidade de capacitação e motivação desses profissionais para a utilização correta e segura das Plantas Medicinais e Fitoterapia.
ABSTRACT This study aimed to determine if the top-level professionals of the Strategy of Health of the Family, perceive the importance, use and indications of phytotherapy and Medicinal Plants. This is a cross-sectional, exploratory and descriptive study, with the participation 96 professionals serving in the family health strategy units. Data were collected through individual interviews in a semi-structured questionnaire. For statistical analysis, we used the Pearson Chi-square test. The most cited medicinal plants were the Boldo (Plectranthus barbatus A.) and Chamomile (Matricaria recutita L.). The phytotherapics were indicated only for 5 (5.2%) physicians and the most cited were Guaco® and Maracugina®. 36 (37.5%) of the professionals think are not prepared to pass on the information about the use of medicinal plants and only 35 (36.5%) feel prepared to prescribe phytotherapy. One observes the need for training and motivation of these professionals for the correct and safe use of Medicinal Plants and phytotherapy.
Asunto(s)
Humanos , Plantas Medicinales/clasificación , /clasificación , Fitoterapia/clasificaciónRESUMEN
RESUMO Os fitoterápicos à base de leite de janaguba (Himatanthus drasticus (Mart.) Plumel), usados para o tratamento de câncer, úlcera gástrica e outras doenças, são muito vendidos em mercados públicos de Fortaleza (CE). No entanto, registros mencionam que é comum a troca deste leite por látex de mangabeira (Hancornia speciosa Gomes). O trabalho objetivou avaliar a qualidade físico-química, química e microbiológica de amostras comerciais do leite de janaguba. Dez amostras comerciais foram adquiridas de um mercado de Fortaleza; quatro amostras autênticas de látex de janaguba foram obtidas da chapada do Araripe e uma amostra de látex de mangabeira foi obtida em Paracuru (CE). Foram determinados o aspecto geral, densidade, pH, resíduo seco, volume de sedimentação, perfil cromatográfico e qualidade microbiológica das amostras. Os resultados mostraram elevada contaminação microbiológica nas preparações comerciais e adulteração em seis destas amostras, o que aponta a urgente implantação de uma efetiva farmacovigilância dos fitoterápicos a fim de tornar seu consumo mais seguro e racional.
ABSTRACT The herbal medicines made from janaguba milk (Himatanthus drasticus (Mart.) Plumel), used to treat gastric ulcer, cancer and other diseases, and arewidely sold in the public markets of Fortaleza (CE). However, records mention that it is common to make fake copies of the milk by using mango tree latex (Hanconia speciosa Gomes). This study aimed to evaluate the chemical, physical-chemical and microbiological quality of commercial samples of janaguba milk. Ten commercial samples were purchased from a Fortaleza market; four authentic samples of janaguba latex were obtained from the Araripe plateau, and one mango tree latex sample was obtained in Paracuru (CE). We determined the general appearance, density, pH, dry residue, sedimentation volume, chromatographic profile and microbiological qualities. Results showed high microbiological contamination in the commercial preparations and evidence of tampering in six of these samples, which indicates the need for an urgent implementation of an effective pharmacovigilance strategy for herbal medicines in order to make its consumption more secure and rational.
Asunto(s)
Apocynaceae/microbiología , Leche/microbiología , Fitoterapia/clasificación , Látex/análisisRESUMEN
Objetivou-se conhecer as plantas medicinais, as formas de usos e indicações terapêuticas atribuídas pelas comunidades Pau-Arrastado, Salinas e Resolvido. Utilizaram-se entrevista semiestruturada e turnês guiadas e seguiu-se metodologia botânica usual. Amostraram-se 93 pessoas (51,9% do total). As espécies foram agrupadas em 18 categorias de doenças, de acordo com a Organização Mundial de Saúde (OMS). Calculou-se o Fator de Consenso dos Informantes (FCI) e a Importância Relativa (IR). Referiram-se 81 espécies, em 40 famílias botânicas e 69 gêneros, sendo 75,3% nativas. A família mais destacada foi Fabaceae (18,5%), as folhas foram as partes mais usadas (32%) e o preparo mais adotado foi a tintura (38,2%). Destacaram-se os sistemas corporais: agentes de infecções bacterianas e virais (27,2%), doenças do aparelho digestivo (22,4%) e genitourinário (19,5%). Croton campestris A. St. Hil. e Ximenia americana L. foram as espécies mais versáteis, com IR (2,00). Houve maior consenso para as plantas indicadas no tratamento de doenças do fígado. (AU)
The purpose of this work is to know more about medicinal plants, forms of usage and therapeutic indications determined by the communities of Pau-Arrastado, Salinas and Resolvido. We used semi-structured interviews, guided tours and followed the usual botanical methodology. The study sample included 93 individuals (51.9% of the total). Species were grouped into 18 categories of disease, according to the World Health Organization (WHO). We calculated the Factor of Informant Consensus (FIC) and the Index of Relative Importance (IRI). They included eighty-one (81) species, belonging to 40 botanical families and 69 genera were referred, of which 75.3% were native ones. The most prominent family was Fabaceae (18.5%), and the leaves were the most used parts (32%). The preparation method most used was dye (38.2%). The highlights were the body systems: agents of bacterial and viral infections (27.2%), digestive system diseases (22.4%) and genitourinary diseases (19.5%). Croton campestris A. St. Hil. and Ximenia americana L. were the most versatile with an IRI of 2.00. There was a greater consensus for the plants indicated for the treatment of liver diseases.(AU)
Asunto(s)
Humanos , Farmacopea Brasileña , Fitoterapia/clasificación , Plantas Medicinales/clasificación , Brasil/etnología , Participación de la Comunidad , Etnobotánica , Población RuralRESUMEN
Although currently available drugs are useful in controlling early onset complications of diabetes, serious late onset complications appear in a large number of patients. Considering the physiopathology of diabetes, preventing beta cell degeneration and stimulating the endogenous regeneration of islets will be essential approaches for the treatment of insulin-dependent diabetes mellitus. The current review focused on phytochemicals, the antidiabetic effect of which has been proved by pancreatic beta cell protection/regeneration. Among the hundreds of plants that have been investigated for diabetes, a small fraction has shown the regenerative property and was described in this paper. Processes of pancreatic beta cell degeneration and regeneration were described. Also, the proposed mechanisms for the protective/regenerative effects of such phytochemicals and their potential side effects were discussed.
Embora medicamentos disponíveis atualmente sejam úteis no controle de complicações da Diabetes, complicações aparecem em grande número de pacientes. Considerando-se a fisiopatologia do Diabetes, a prevenção da degeneração de células beta e o estímulo da regeneração endógena de ilhotas será abordagem essencial para o tratamento de diabetes mellitus insulino-dependente. A presente revisão aborda compostos fitoquímicos, cujo efeito é provado na proteção/regeneração de células beta de pâncreas. Entre centenas de plantas que têm sido investigadas para o diabetes, pequena fração tem mostrado propriedade regenerativa, que será descrita neste trabalho. Os processos de degeneração e de regeneração das células beta do pâncrease são descritos. Além disso, mecanismos propostos para efeitos de proteção e regeneração desses compostos fitoquímicos e seus possíveis efeitos colaterais também serão discutidos neste trabalho.
Asunto(s)
Células Secretoras de Insulina/clasificación , Fitoterapia/clasificación , Páncreas , Diabetes Mellitus/prevención & control , Diabetes Mellitus Tipo 1/clasificaciónRESUMEN
RESUMO O estudo etnofarmacológico pode ser definido como exploração científica interdisciplinar dos agentes biologicamente ativos, tradicionalmente utilizados por populações humanas e que fazem parte de um acervo de conhecimento compartilhado. Desta forma o presente estudo teve como objetivo o estudo etnofarmacológico de plantas medicinais, no entorno de floresta urbana na Reserva Biológica Poço D’Anta em Juiz de Fora/MG visando a implantação da fitoterapia no Sistema Único de Saúde. Para este, realizou-se levantamento com três diferentes amostras: profissionais de saúde, domicílios em geral e especialistas locais. Quanto aos profissionais de saúde, pôde-se constatar que nenhum entrevistado soube conceituar o termo “Fitoterápico” e que não conheciam as políticas vigentes. Constatou-se que há aceitabilidade da implantação de Fitoterapia na saúde pública, porém, o conhecimento do tema é limitado. A partir das entrevistas nos domicílios em geral e com os especialistas locais, selecionou-se um total de 20 espécies botânicas para análise estatística e confirmação farmacológica. Esses resultados possibilitaram confrontar o conhecimento cultural com científico, com base em 14 espécies que poderiam ser cultivadas em horto na Reserva Biologica Poço D´Anta, com base em suas relevâncias locais. Os resultados obtidos podem subsidiar a aproximação do saber popular em relação ao científico, servindo de base para manutenção e fomento da implantação da Fitoterapia no sistema único de saúde.
ABSTRACT The ethnopharmacological study can be defined as an interdisciplinary scientific exploration of biologically active agents, traditionally used by human populations and part of a shared body of knowledge. Thus, the current study focused on the ethnopharmacological research of medicinal plants, in the surroundings of the urban forest in the Biological Reserve PoçoD’Anta in Juiz de Fora / MG, aiming on the implementation of the herbal medicine in the Public Health System. For this purpose, a survey was held with three different groups: health professionals, members of the community and local experts.Concerning the health professionals, it could be verified that none of the participants were able to explain the term Phytotherapic and neither they had knowledge about the relevant and applicable policies.The acceptability for the implantation of Phytotherapy for public health use was observed, but the knowledge about this subject is limited. From the interviews with members of the community and local experts, a total of 20 plant species were selected for a statistical analysis and pharmacological confirmation. These results made possible to compare the cultural knowledge with the scientific one, defining 14 species that could be grown in the garden of the Biological Reserve Poço D’Anta, based on their local relevance. The results can support the approximation of the popular knowledge with the scientific one, providing a basis for the maintenance and promotion of the Phytotherapy in the Public Health System.
Asunto(s)
Humanos , Sistema Único de Salud , Etnofarmacología/instrumentación , Ambiente , Fitoterapia/clasificación , Plantas Medicinales , Terapias Complementarias/clasificaciónRESUMEN
OBJECTIVE: To observe the effect of cold or hot properties of traditional Chinese medicines (TCM) on biological effect indexes, and analyze the contribution of variables on cold or hot properties, in order to preliminarily establish the discrimination mode for the biological effects of cold or hot properties. METHOD: Rats were randomly divided into the blank control group, cold TCM groups (Coptidis Rhizoma, Scutellariae Radix, Phellodendri Cortex, Gardeniae Fructus, Sophorae Flavescentis Radix and Gentianae Radix) and hot TCM groups (Aconiti Lateralis Preparata Radix, Zingiberis Rhizoma, Alpiniae Officinarum Rhizoma, Zanthoxyli Pericarpium, Cinnamomi Cortex and Evodiae Fructus), and orally administered with 10 mL x kg(-1) of corresponding TCM water decoctions for 30 d, twice a day. Altogether 53 biological effect indexes correlated to cold or hot properties of traditional Chinese medicines were founded by searching literatures. The data warehouse were established by using data-mining software Clementine12.0. Data of the blank control group, cold TCM groups (Coptidis Rhizoma, Phellodendri Cortex, Gardeniae Fructus, Sophorae Flavescentis Radix, Gentianae Radix) and hot TCM groups (Aconiti Lateralis Preparata Radix, Zingiberis Rhizoma, Alpiniae Officinarum Rhizoma, Zanthoxyli Pericarpium, Cinnamomi Cortex) were selected into a training set. C5.0 algorithm and C&R classification and regression algorithm were adopted to define the importance of variable, create the decision trees, and test hot or cold properties of Evodiae Fructus and Scutellariae Radix. RESULT: According to C&R classification and regression algorithm, SDH activity of livers was the most important hot or cold property, with the significance closed to 30%. It was followed by triglyceride, liver Na' -K' -ATPase enzyme, muscle glycogen and platelet distribution width, with the accuracy up to 97.39% in models. C5.0 algorithm showed that liver SDH activity was the most important hot or cold property, with the significance closed to 40%. It was followed by triglyceride, GOT, muscle glycogen and liver Na(+)-K(+)-ATPase enzyme, with the accuracy up to 98.26% in models. The possibilities that Evodiae Fructus is in hot property and Scutellariae Radix is in cold property were 100. 00% and 77.78% by using both C&R classification and regression algorithm and C5.0 algorithm. CONCLUSION: The SDH activity of liver is the most important biological effect index to distinguish cold and hot properties of TCMs. The discrimination pathway or mode of cold and hot properties is closely related to energy metabolism.
Asunto(s)
Medicamentos Herbarios Chinos/farmacología , Medicina Tradicional China/métodos , Evaluación de Resultado en la Atención de Salud/métodos , Plantas Medicinales/química , Algoritmos , Animales , Medicamentos Herbarios Chinos/clasificación , Frutas/química , Hígado/efectos de los fármacos , Hígado/metabolismo , Glucógeno Hepático/metabolismo , Masculino , Fitoterapia/clasificación , Fitoterapia/métodos , Raíces de Plantas/química , Plantas Medicinales/clasificación , Distribución Aleatoria , Ratas Sprague-Dawley , Rizoma/química , ATPasa Intercambiadora de Sodio-Potasio/metabolismo , Succinato Deshidrogenasa/metabolismo , Triglicéridos/metabolismoRESUMEN
The Economic Botany Data Collection Standard (EBDCS) has been successfully followed by ethnobotanists investigating plant uses in many parts of the world. However, we have encountered some cases in our study of traditional medicine where the standard seems incomplete and inaccurate when it is applied to plant uses of rural or indigenous societies in developing countries. We propose two categories to be added to the EBDCS: Cultural Diseases and Disorders, and Ritual/Magical Uses. Adding these categories, we believe will give a more accurate insight into traditional medicine and will contribute to developing an integrative ethnomedicinal data collection protocol, which will make ethnomedicinal studies more comparable.
Asunto(s)
Etnobotánica/clasificación , Medicina Tradicional , Fitoterapia/clasificación , Extractos Vegetales/clasificación , Plantas Medicinales/clasificación , Terminología como Asunto , Conducta Ceremonial , Características Culturales , Etnobotánica/normas , Conductas Relacionadas con la Salud/etnología , Conocimientos, Actitudes y Práctica en Salud/etnología , Humanos , Magia , Medicina Tradicional/normas , Fitoterapia/normas , Extractos Vegetales/normas , Extractos Vegetales/uso terapéuticoRESUMEN
BACKGROUND: As the use of the Internet continues to increase across all age groups and education levels, with usage in the US around 78%, consumers are increasingly turning to the Internet for health related information. OBJECTIVE: To assess the completeness, accuracy, and consumer friendliness of information on the Internet pertaining to drug-Complementary and Alternative Medicine (CAM) interactions with cardiac drugs. METHODS: A review of online information was performed across three search engines and ten drug-CAM pairs. RESULTS: Overall, the quality of the drug-CAM interaction information available online to consumers is fairly poor. Only one site contained an interaction checker that provided interaction information for all ten pairs, but with an accuracy rate of 50%. Reading levels ranged from 10.5-23.5, with a mean of 16.7. A value greater than 22 indicates a graduate level reading skill. CONCLUSION: Web site developers should be cautious in presenting drug-CAM interaction information unless it is comprehensive and regularly maintained. Consumers should also know how to evaluate sites before trusting the content where the consequences are potentially severe.
Asunto(s)
Información de Salud al Consumidor/clasificación , Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos/clasificación , Interacciones de Hierba-Droga , Internet/estadística & datos numéricos , Uso Significativo/estadística & datos numéricos , Fitoterapia/clasificación , Medicamentos bajo Prescripción/clasificación , Información de Salud al Consumidor/estadística & datos numéricos , Minería de Datos/métodos , Humanos , Revelación de la VerdadRESUMEN
Based on traditional medicine and traditional medicine knowledge and knowledge systems and their internal relations which consist of the main theoretical basis of traditional Mongolian medicine, classification and nomenclature system of the traditional Mongolian medicine were proposed.
Asunto(s)
Medicina Tradicional Mongoliana , Terminología como Asunto , Humanos , Fitoterapia/clasificaciónRESUMEN
El objetivo principal de este trabajo es el estudio comparativo de los indicadores bibliométricos de pervivencia, circulación y productividad de la Revista de Fitoterapia hasta el año 2003, con una revisión hasta 2009, frente a otras revistas españolas de Farmacia y Farmacología; para ello se han efectuado revisiones en los directorios de publicaciones periódicas ISSN (International Standard Serial Number o Número Internacional Normalizado de Publicaciones Seriadas), el Ulrichs Periodicals Directory, y la CDU (Clasificación Decimal Universal), así como en bases de datos especializadas, nacionales e internacionales: IME (Índice Médico Español), ICYT (Índice Español de Ciencia y Tecnología), IBECS (Índice Bibliográfico Español en Ciencias de la Salud), IPA (International Pharmaceutical Abstracts), SCI Expanded (Science Citation Index Expanded), MEDLINE (Index Medicus), EMBASE (Excerpta Medica data BASE), BIOSIS Previews, Analytical Abstracts, FSTA (Food Science and Technology Abstracts), Scifinder Scholar y Chemistry Citation Index, empleándose la adecuada estrategia de búsqueda para recuperar la información en cada una de las bases de datos utilizada. Según los resultados obtenidos, se puede considerar que la Revista de Fitoterapia, con 10 años de pervivencia y una notable difusión en las bases de datos analizadas, ocupa un lugar preferente entre las revistas científicas vigentes de su misma disciplina (AU)
The main objective of this work is the comparative study of bibliometric indicators of survival, circulation and productivity of the journal Revista de Fitoterapia until 2003, with a review until 2009, compared to other Spanish journals of Pharmacy and Pharmacology; for it have made revisions on the boards of journals ISSN (International Standard Serial Number), Ulrichs Periodicals Directory, and UDC (Universal Decimal Classification), as well as specialized databases, national and international: IME (Spanish Medical Index), ICYT (Spanish Index on Science and Technology), IBECS (Spanish Bibliographic Index on Health Sciences), IPA (International Pharmaceutical Abstracts), SCI Expanded (Science Citation Index Expanded), MEDLINE (Index Medicus), EMBASE (Excerpta Medica Data Base), BIOSIS Previews, Analytical Abstracts, FSTA (Food Science and Technology Abstracts), SciFinder Scholar and Chemistry Citation Index, using the appropriate search strategy to retrieve the information in each of the databases used. According to our results, we can consider that the jornal Revista de Fitoterapia, with 10 years of survival and widely circulated in the databases analyzed, occupies a privileged place within the current scientific journals of their own discipline (AU)
O objectivo principal deste trabalho é o estudo comparativo dos indicadores bibliométricos da existência, da circulação e da produtividade da Revista Fitoterapia até 2003, com uma revisão até 2009, em comparação com outras revistas espanholas de Farmácia e Farmacologia. Para o efeito fizeram-se revisões nos directórios de publicações periódicas ISSN (International Standard Serial Number), Ulrich's Periodicals Directory, e CDU (Classificação Decimal Universal), assim como em bases de dados especializadas, nacionais e internacionais; IME (índice Médico Espanhol), ICYT (Índice Espanhol de Ciência e Tecnologia), IBECS (Índice Bibliográfico Espanhol em Ciências da Saúde), IPA (International Pharmaceutical Abstracts), SCI Expanded (Science Citation Index Expanded), Medicus MEDLINE (Index Medicus), EMBASE (Excerpta Medica Data Base), BIOSIS Previews, Analytical Abstracts, FSTA (Food Science and Technology Abstracts), SciFinder Scholar e Química Citation Index, usando a estratégia de busca adequada para recuperar as informações em cada uma das bases de dados utilizadas. Segundo os nossos resultados, podemos considerar que a revista de Fitoterapia com 10 anos de existência e amplamente divulgada nas bases de dados analisados, ocupa um lugar privilegiado entre as revistas científicas vigentes da mesma área disciplinar (AU)