Ethnobotanical survey of medicinal plants used for the treatment of diabetes, cardiac and renal diseases in the North centre region of Morocco (Fez-Boulemane).

In order to make an inventory of herbal remedies commonly used in the treatment of diabetes, hypertension and renal diseases in the North centre region of Morocco, 1527 patients (1095 diabetic patients, 274 with renal disorders and 158 with cardiac disorders) and 25 traditional herbal healers were interviewed in four different areas of Fez-Boulemane region. More than 1153 of the total patients interviewed (76%) used regularly medicinal plants to treat diabetes, cardiac and renal diseases. These data showed that phytotherapy has always be practiced in this region. All the persons interviewed have indicated that the reasons of using phytotherapy is that the plant medicines are cheapest (54%) and more efficient (38%) than modern medicine. They also reported that the result of phytotherapy is better (72%). Our survey started at May 1997. About 90 plants were cited (54 plants for diabetes, 11 for cardiac diseases, 19 for hypertension and 33 for renal diseases). The plants reported have been identified and are presented in a table with the vernacular name, useful parts, ecological distribution and medicinal uses. Only 12% of the total patients have a relative knowledge of the toxic plants. The result indicated that nine plants are extremely toxic at high doses and chronic treatment. Fifty nine percent of the interviewers have indicated that they used medicinal plants from the experience of the other.

[Antihypertensive effect of Herniaria glabra saponins in the spontaneously hypertensive rat]. / Effet antihypertenseur des saponines de herniaria glabra chez le rat spontanément hypertendu.

We studied the antihypertension action of Herniaria glabra saponins and compared the effect with that of furosemide. Spontaneously hypertensive rats were treated with H. glabra saponins at a dosage of 200mg/Kg of body weight. Treatment led to progressive decline in both systolic and diastolic blood pressures. After one month of therapy, pressures were: 141,60+/-7,51 / 90,40+/-5.46mmHg versus 187,60+/-5,94/119,10+/-7.79mmHg (p<0,001). We did not observe any change in heart rate. H. glabra saponins were able to lower blood pressure by a multifactorial mechanism.

Effects of saponins from Herniaria glabra on blood pressure and renal function in spontaneously hypertensive rats.

Experiments were performed on male and female spontaneously hypertensive rats weighing 310-340 g (10 animals per group). The oral administration of 200 mg/kg/day of saponins from Herniaria glabra for 30 days, resulted in a significant decrease in blood pressure in hypertensive rats. The systolic and diastolic blood pressure decreased significantly and respectively from 187.60 +/- 20.63/119.00 +/- 7.09 mmHg at day 0 (D0) to 141.60 +/- 7.51/90.40 +/- 7.68 mmHg at day 30 (D30), p < 0.001 (vs. 186.30 +/- 11.27/114.10 +/- 12.00 mm Hg at D0 to 154.50 +/- 6.38/132.3 +/- 7.68 mmHg at D30 in furosemide-treated group, p < 0.001). Control animals receiving placebo did not show any significant variation in the mean arterial pressure. The effect of saponins of Herniaria glabra on renal function was evaluated in spontaneously hypertensive rats using clearance techniques. Glomerular filtration rate was constant in the control rats and increased significantly in the hypertensive rats after saponins treatment (5.55 +/- 0.32 vs. 6.03 +/- 0.43 ml.min-1.kg-1 in the control (C) and saponins (S) groups, respectively, p < 0.05). Saponins administration provoked an increase in urinary flow (59.38 +/- 5.85 ml.kg-1.24 h-1 vs. 36.92 +/- 5.17 ml.kg-1.24 h-1, p < 0.001). Saponins also increased potassium excretion (6.89 +/- 0.81 mmol.kg-1.24 h-1 vs. 5.40 +/- 0.51 mmol.kg-1.24 h-1, p < 0.001) and sodium excretion (10.74 +/- 1.21 mmol.kg-1.24 h-1 vs. 7.25 +/- 0.54 mmol.kg-1.24 h-1, p < 0.001) as well as chloride excretion (13.59 +/- 1.04 mmol. kg-1.24 h-1 vs. 9.67 +/- 0.77 mmol.kg-1.24 h-1, p < 0.001). It is concluded that chronic oral administration of saponins from Herniaria glabra decreased the arterial blood pressure and affected salt and water transport in renal tubules.