DIETARY

SUPPLEMENTS &
HERBAL
MEDICATIONS 2
LEO EMMANUEL R. BUNAG, M.D.
FPSECP
CHAIRPERSON
DEPT. OF PHARMACOLOGY
SLU SCHOOL OF MEDICINE

OUTLINE
I.AMPALAYA
II.GUAVA
III.AKAPULKO
IV.LAGUNDI
V.SAMBONG
VI.NIYOG-NIYOGAN
VII.TSAANG GUBAT
VII.ULASIMANG BATO
IX.YERBA BUENA

OUTCOMES
RATIONALIZE

USE OF THE FOLLOWING HERBAL

MEDICATIONS:
1.AMPALAYA 6.NIYOG-NIYOGAN
2.GUAVA 7.TSAANG GUBAT
3.AKAPULKO 8.ULASIMANG BATO
4.LAGUNDI 9.YERBA BUENA
5.SAMBONG
IDENTIFY THE CLINICAL APPLICATION/S OF
HERBAL MEDICATIONS RECOMMENDED BY
THE DEPARTMENT OF HEALTH (DOH)

AMPALAYA
Momordica

charantia
(BITTER MELON/GOURD)
INDICATIONS:
-DIABETES MELLITUS (NON-INSULINDEPENDENT)
-LIVER & SPLEEN DISEASES
MOA: INCREASES PRODUCTION OF INSULIN
(PANCREAS BETA CELLS)

AMPALAYA:
OTHER PROPOSED MECHANISMS

POTENTIATION:
EFFECTS OF INSULIN

AMPALAYA
PLANT

PARTS :
1.FRUITS
(FLESHY GREEN, OBLONG
W/ POINTED ENDS, WRINKLED)
2.LEAVES (HEART-SHAPED)

AMPALAYA:
HYPOGLYCEMIC INGREDIENTS
MIXTURE:

1.PLANT INSULIN (POLYPEPTIDE P)

2.CHARANTINS (STEROIDAL SAPONINS)
3.ALKALOIDS

AMPALAYA: ADVERSE EFFECTS

PURGATIVE

EFFECT
INDUCES ABORTION
HYPOGLYCEMIA
(+ ORAL HYPOGLYCEMICS)
*large doses
*BITTER TASTE (+JUICE/CAPSULES OR
TABLETS)

BAYABAS (GUAVA)
Psidium

guajava
FRUIT-BEARING SHRUB OR SMALL TREE
VITAMIN CONTENTS: A & C

BAYABAS: INDICATIONS

BAYABAS: PLANT PARTS FOR

CLINICAL APPLICATION
FRESH

LEAVES
-DIRECT APPLICATION OR
POULTICE
-DECOCTION
-CHEWING
-GARGLING (MOUTHWASH)
FRUIT
(ROUND, GREEN, W/YELLOW
PULP & MANY SEEDS)

BAYABAS: ACTIVE INGREDIENTS

& ADVERSE EFFECTS
CHEMICALS:

EUGENOL,TANNIN,

SAPONINS
.
ADR CONSTIPATION
(ANTIDIARRHEAL)

AKAPULKO
NAMES
INDICATION/S
-Acassia alata
-TREATMENT:
-BAYAS-BAYABASAN
RINGWORM,
-RINGWORM BUSH
SKIN FUNGAL
INFS.,
& SCABIES
-STOMACH
PROBLEMS

AKAPULKO
PLANT

PART FOR TREATMENT:

1.LEAVES* (POULTICE)
*DARK GREEN, COMPOUND
2.FLOWERS
ACTIVE INGREDIENT CHRYSOPHANIC
ACID

AKAPULKO PREPARATIONS
TEA

(POTENCY 1 DAY)
OINTMENT/CRME/LOTION, SOAPS &
SHAMPOO
*ADR - IRRITATION

LAGUNDI
NAMES INDICATIONS
-Vitex nagundo -COUGHS
-5-LEAVED CHASTE -ASTHMA
TREE -FEVER & FLU
-PAIN
*LEAVES: PALMATE, SLIGHTLY HAIRY,
5-POINTED SPLAYED LIKE FINGERS
OF A HAND

LAGUNDI
PLANT PARTS FOR USE:
-LEAVES (FRESH OR DRIED)
-ROOTS
-FLOWERS
-SEEDS
PREPARATIONS:
COUGH SYRUPS, CAPSULES
& DROPS
PRECAUTIONS: 1.NOT > 1 WEEK
2.MODERATE USE - PREGNANCY

SAMBONG
NAMES
INDICATION/S
-Blumea
-DIURETIC:
balsamifera 1.DISSOLUTION & REMOVAL
OF KIDNEY STONES
2.EDEMA & HPN
-FEVER, PAIN & COLDS

SAMBONG
PLANT PARTS FOR USE:
1.LEAVES
(GREEN, OBLOID,
PYRAMIDAL PATTERN)
2.ROOTS
*ACTIVE INGREDIENT: BLUMEA CAMPHOR
OR NGAI
PREPARATIONS:
1.DECOCTION (TEA/SPONGE BATH)
2.TABLET

SAMBONG:
ADR & PRECAUTIONS
ADR:

ALLERGY
(ITCHING & SKIN IRRITATION)
AVOID: -PREGNANCY
-BREAST FEEDING

SUMMARY

AMPALAYA
-INDICATION: DIABETES MELLITUS
(NON-INSULIN DEPENDENT)
-MECHANISMS: INCREASED INSULIN
PRODUCTION
-ADVERSE REACTIONS: PURGATIVE &
ABORTIFACIENT
-DRUG INTERACTION: + ORAL
HYPOGLYCEMICS

SUMMARY
GUAVA

-INDICATION: 1.WOUND DISINFECTION

2.TREATMENT OF
TOOTH
DECAY & GUM
INFECTION
-ADVERSE REACTION: CONSTIPATION

SUMMARY
AKAPULKO

-INDICATION: ANTIFUNGAL
-ADR: IRRITATION
LAGUNDI
-INDICATION: RESPIRATORY PROBLEMS
-PRECAUTIONS: = > 1 WEEK INTAKE
= MODERATE USE:
PREGNANCY

SUMMARY
SAMBONG

-INDICATION: DIURETIC
-ADR: ALLERGY
-AVOID: PREGNANCY & BREASTFEEDING

END OF LECTURE
THANK

YOU FOR LISTENING!

GOD BLESS!

OTHER HERBAL DRUGS

RECOMMENDED BY THE DOH
HERBAL DRUG INDICATION/S
-NIYOG-NIYOGAN -REMOVAL OF
(SHRUB)
INTESTINAL WORMS
=Quisqualis indica
(ASCARIS & TRICHINA)
=CHINESE HONEY
=DRIED MATURE SEEDS (BLACK)
(CRACKED & INGESTED)
=ADRs: DIARRHEA, ABDOMINAL PAIN,
DISTENTION & HICCUPS
(CONSECUTIVE INTAKE OR TAKEN
FRESH)

OTHER HERBAL DRUGS

RECOMMENDED BY THE DOH
HERBAL DRUG INDICATION/S
-TSAANG GUBAT (SHRUB) -INTESTINAL
=Ehretia microphylla
MOTILITY
=LEAVES -MOUTHWASH
(DECOCTION) -TYPE 1 ALLERGY
*HIGH FLUORIDE CONTENT (STRENGTHENS TEETH)
=MIXTURE: TRITERPENES
=COUNTER: HISTAMINE RELEASE
(MAST CELLS)
*ACTIVE INGREDIENTS: ROSEMARINIC ACID
& MICROPHYLLONE
=PILLS, CAPSULES & TEA
*LEAVES -IN CLUSTERS OR SHORT BRANCHES,
TOOTHED OR LOBED

OTHER HERBAL DRUGS

RECOMMENDED BY THE DOH
HERBAL DRUG INDICATION/S
= ULASIMANG BATO -ARTHRITIS
(ROOTED HERB)
& GOUT
=Peperonia pellucida -ANTIPYRETIC
=PANSIT-PANSITAN
*+ IBUPROFEN
=LEAVES (KNEE JOINT RHEUMATISM)
(FRESH: SALAD OR TEA)
*SHINY, HEART-SHAPED
=EDIBLE (ENTIRE PLANT: RAW OR COOKED; SALAD)
=INHIBITION: PROSTAGLANDIN SYNTHESIS
(ANALGESIA, ANTIINFLAMMATORY, ANTIPYRETIC*)
*COMPARABLE TO ASPIRIN
=REDUCTION OF URIC ACID LEVELS
ALLOPURINOL (66%) vs. ULASIMANG BATO (44%)

10 HERBAL DRUGS
RECOMMENDED BY THE DOH
HERBAL DRUG INDICATION/S
-YERBA BUENA -RELIEF OF BODY
-Clinopodium douglasii
ACHES & PAIN
-PEPPERMINT
(TOOTACHE,
-LEAVES (DECOCTION)
HEADACHE &
STOMACHACHE)
-AROMATIC HERB (MINT FAMILY)
*OBLONG-SHAPED, TOOTHED MARGINS
-SALADS & FLAVORING AGENT; SCENTS OR FRAGANCES
-PULEGONE, MENTHOL, MENTHENE
-AVOID: PREGNANCY & EXCESSIVE INTAKE
-TEA OR CAPSULES

END OF ADDITIONAL SLIDES

ON HERBAL MEDICATIONS