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Chapter 1

INTRODUCTION

Rationale

Since ancient times, man used traditional medicines utilizing what are found in

their surroundings for curing different diseases. But as years pass, man significantly

shifted dependence on traditional and natural medicines to commercially manufactured

chemical-containing medicines at high consumed rates (Macaraeg, 2015).

Moreover, these commercial medicines were expensive, hindering access to

effectice sure, let alone the risk of adverse effects.

A wound is an injury, usually involving division of tissue or rupture of the

integument or mucous membrane, due to external violence or some mechanical agency

rather than disease (http://www.dictionary.com/browse/wound).

Healing is an interaction of a complex cascade of cellular events that generates

resurfacing, reconstitution and restoration of tensile strength of injured skin. Wound

healing is a natural restorative response to tissue injury.

In day-to-day living, it becomes almost inevitable that people sustain wound by

accident and then shrug it off if it seems not serious or life-threatening, thinking that the

body’s natural ability to repair itself and protect itself from infection will promote healing

in no time. Instead, the wound won’t heal and it can lead to more serious, complicated,

and severe one due to infection. Infection caused by bacteria which may later become
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worse and may cause Sepsis and worst, death. Antibiotics are expensive, there are people

who receives minimum wage that can’t afford it.

So, the researcher decided to study Balikutkut (Heliotropium indicum) as anti-

bacterial agent especially for external wound healing purposes. The researcher tried to

create and develop a natural or indigenous source of treatment that can be used as natural

medicine to minimize the cost of treating external wounds (Macaraeg, 2015). This

proposed treatment has, according to available literature, chemical property in the form of

pyrrolizidine alkaloids that may cure wounds.

This paper emphasizes the study of Balikutkut scientifically known as

Heliotropium indicum (Family Boraginaceae), a plant that is popularly known as stinker,

which grows especially in Brazilian northern and northeast region. In the Philippines, this

can be found in backyards or even in the fields as weed. It is a sub shrub up that grows to

1 meter high, widely distributed in Brazilian states. Its leaves are displayed alternate,

opposite in the same individual, penduculate inflorescences white to purple corolla,

mitriforme fruit and ellipsoid pale and smooth seed (Rheuters, 2015).

The researcher chose this study to minimize the increasing number of people who

are infected of various diseases caused by a wound and to give a full understanding about

the Balikutkut (Heliotropium indicum).


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Conceptual Framework

The researcher presumed that the Balikutkut may be among the plants that have

anti-bacterial. Hence, health benefits from the isolated leaf extract served as the basis of

this idea.

As shown in Figure 1, the samples of Balikutkut leaves were brought to the

University of the Philippines-Diliman campus for the botanical identification and

authentication to determine the specific species of the plant sample.

After isolating the leaf extract from the Balikutkut leaves, it underwent processing

methods: evaporation – preparation for the test of alkaloids and tannins. The presence of

Alkaloid and Tannins supported the possibility of Balikutkut leaves wound healing

activity.

In the process, the different concentrations of the extract, namely 75% and 95%

were prepared and subjected to further phytochemical screening and wound healing

activity tests. To identify the wound healing activity of the Balikutkut leaf extract, the

two concentrations of the extract were applied in cream form to the laboratory rats.

In the output, the phytochemical constituents as well as wound healing activity of

the leaf extract were determined.


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Conceptual Paradigm

INPUT PROCESS OUTPUT

 Sample plant  Identification of


identification active constituents:
 Collection of leaves
 Preparation of o Alkaloids
Balikutkut leaves for o Tannins
Phytochemical
Screening  Identification of
 Phytochemical wound-healing effect
Screening
Balikutkut of Balikutkut leaf
o Test for
(Heliotropium Alkaloids extract
indicum) leaves o Test for  Identifying the
Tannins Balikutkut leaf
 Preparation of extract concentration
Balikutkut leaf extract with comparable
in cream form with wound-healing effect
these concentrations to positive control
o 75%
o 95%
 Negative control
 Positive control
 Application of
treatments to Rattus
albus rats
 Data Analysis
o One-way
ANOVA
o Tukey’s HSD

Figure1. Research paradigm of the study , showing the entire framework of procedures

and methods within which the study takes place.


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Statement of the Problem

The main objective of the study was to determine the wound-healing effect

property of Balikutkut (Heliotropium indicum) leaf extract.

Specifically, it sought to answer the following:

1. What are the phytochemical constituents present in Balikutkut (Heliotropium

indicum) leaf extract?

2. What is the wound healing effect of Balikutkut leaf extract in ointment form in

terms of time?

3. Is there significant difference in the wound healing activity of Balikutkut leaf

extract?

4. What leaf extract concentration exhibits greatest effect of wound healing activity

base on zone of inhibition?

Null Hypothesis

The following null hypothesis was tested at the 0.05 level of significance:

There is no significant difference in the wound healing activity of Balikutkut leaf

extract.
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Scope and Limitation of the Study

The study investigated the wound healing effect of Balikutkut (Heliotropium

indicum) ethanolic leaf extract on Albino rats (Rattus albus). The study used 12 Albino

rats which were bought in Virgen Milagrosa University Foundation – College of

Pharmacy, located in Martin P. Posadas Avenue, San Carlos City, Pangasinan.

One hundred grams of fresh leaves of Balikutkut was collected from Barangay

Mamarlao and Bacnar, San Carlos City, Pangasinan.

The study did not consider parameters like heterogeneity of the rats (e.g., sex,

color, blood typing). The researchers limited this study on determining any

phytochemical properties of the ethanolic leaf extracts of Balikutkut as well as its the

wound healing effect without isolating any bacterial specimen or testing its antibiotic

properties.

Significance of the Study

Since people face day to day wear and tear including accidental cuts and bruises

on the skin as a result of physical activity, accidents in our daily lives, people tend ignore

these not until major infection has set in. A few others would likely apply topical

treatments in an attempt to prevent infection and promote faster healing. Thus, a

scientific search for an effective and low-cost remedy for such cases is a must. This study

provides new insights over the assumption that a safe and effective medication for
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wounds is important. Thus, the findings on this study would be beneficial for the

following:

Department of Health. The agency may gain important insights about new health

alternatives available in nature as regards natural remedies that can serve as a baseline of

further studies to discover more benefits from Balikutkut plant and aid in the

dissemination of information to the public.

Health Education. Individual alertness and knowledge with regard to minor or

severe wounds which may lead to infections and the health benefits of Balikutkut as a

wound healing

Health Care Practitioners. This research study will contribute to the current pool

of knowledge on the anti-bacterial activity of Balikutkut. Further, this study will help

health care providers to gain knowledge and practice needed in determining appropriate

and best response in curing external wounds.

Science Research Students. In line to the profession through discovery of new

drugs, we, the researchers motivate them to conduct more studies through the use of

herbal plants for a cheaper and effective source of medicine like Balikutkut leaf and to

discover more therapeutic actions of the said herbal plant.

Pharmaceutical Companies. This study can enhance the conduct of research on

the anti-bacterial effect of Balikutkut leaves. Further, this will encourage them to develop

a drug from Balikutkut that may be beneficial to the community.


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Future Researchers. This research could also enhance their knowledge in

connection with their courses as well as in the continuity of this study. Further, this study

may initiate the practical application of theories, concepts and principles of research

process that they have learned in the classroom.


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Chapter 2

METHODOLOGY

This part of the study presents the research methods and data gathering

procedures that was used by the researcher for acquiring the needed data. It includes

discussion regarding the sources of information, data collection and research instruments

that is used for the study. This chapter also deals with formulation of the research design

that would serve as the groundwork of the study.

Research Design

The study used a descriptive experimental research design as it deals with the

observation of an experimental research wound healing effect of the Balikutkut

(Heliotropium indicum) ointment applied on albino rats (Rattus Albus). Descriptive

research uses systematic observation to describe a specific behavior. It creates very

detailed records and observed many subject. In experimental research, one variable is

intentionally manipulated by the researchers. The participants are put into groups through

a random assignment.

The objectives of the study and the review of pertinent literature were the primary

bases of the research methodology. The researcher applied a systematic and scientific

approach in dealing with data and information. The data and information gathered from

the research were used for the attainment of the objectives and solutions to the problems

engaged in the study.


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Duration and Locale of the Study

The study was conducted at the laboratories of the College of Pharmacy building

of Virgen Milagrosa University Foundation (VMUF), San Carlos City, Pangasinan

because of the availability of good facilities and services which helped the researchers

attain objective of determining the wound healing effect of Balikutkut leaves. Direct

information on achieving the objective of the study was provided to the researchers from

the procedures they themselves conducted. The places where other requisite processes of

the study were as follows:

The dried Balikutkut (Heliotropium indicum) sample plant species were submitted

for authentication at the University of the Philippines, Diliman, Quezon City through the

help of Dean Sheila De Vera Miranda, of Virgen Milagrosa University Foundation-

College of Pharmacy.

The researchers conducted the phytochemical analysis and the preparation of the

Balikutkut (Heliotropium indicum) leaf extract and ointment at the College of Pharmacy

with the help of technical assistance laboratory technicians of the said College.

Actual experimentation involving incising wounds on laboratory rats to test the

wound healing effect of Balikutkut leaves extract in ointment form was conducted at the

Pathology-Microbiology laboratory of the College of Medicine, Virgin Milagrosa

University Foundation, San Carlos City, Pangasinan.


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Instrumentation and Data Collection

In this research, albino rats were used as study subjects to test if Balikutkut

(Heliotropium indicum) leaves can indeed heal wounds. In this laboratory experimental

research, 12 albino rats were randomly assigned for the control and experimental groups.

These was three replication (rats) per group: positive control group with Betadine® as

control treatment, non-intervention as negative control; and Balikutkut leaf extracts at

75% and 95% concentration as experimental treatments. The 12 albino rats came from

the same litter that minimized it not eliminated, potential variations and bias.

Material and Procedures

The research focused on the wound healing effect of Balikutkut (Heliotropium

indicum) ethanolic leaf extract. Fresh leaves were collected from Barangay Mamarlao

and Bacnar, San Carlos City, Pangasinan. Twelve laboratory albino rats were used as

laboratory animal subjects of this study.

Phytochemical Screening

One hundred grams of fresh leaves was used in phytochemical screening as well

as in the preparation of ointment for wound healing. In performing the phytochemical

analysis, screening of alkaloids was the first method. These test involved several

processes.

Several millilitres of 1% HCl was mixed with cooled 70 ml of Balikutkut leaf

extract.
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Screening for Alkaloids

Procedures:

The evaporated seventy (70) ml of balikutkut leaf extract must be cooled and

poured the seven (7) ml of one (1) % hydro chloric acid. The evaporated leaf extract with

one (1) % hydro chloric acid was stir; it was put on the electric hot plate where it was

filtered. Another seven (7) ml of 1 % HCL was put on small plate where it was performed

in stirred type. The second batch of stirred leaf extract was filtered and was divided into

four. On the four test tubes containing leaf extract three drops of the reagents was added,

these reagents are Mayer, Valler, Wagner and Bouchardat test. The four test tubes was

then put in the centrifuge machine for few minutes.

Screening for Unsaturated Sterols and Triterpenes

The 30 ml of the ethanolic leaf extract was evaporated to dryness on a water bath.

The residue was cooled and 15 ml of light petroleum ether was added. The procedure was

mixed and filtered. The additional volume of petroleum ether was repeated as needed

until the last volume of petroleum was colorless. He ethereal filtrates were combined and

the defatted residues were set aside for screening for flavonoids and leucoanthocyanins.

The chloroformic solution were dried over anhydrous sodium sulphate and were filtered

and divided equally into 3 dry test tubes.


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Lieberman-Buschard test

Seven ml of the filtrate was poured in a suitably dry test tube, then added 0.3 ml

of acitic anhydride and were mixed gently. One drop of concentrated sulphuric acid was

added. The color changes were immediately observed every five minutes then after over

sixty minutes. The test was concurrently with 5 ml portion on standard solution prepared

from plants known to contain unsaturated sterols or triterpenes.

Salkowski test

The 5 ml of the filtrate was transferred to a dry test tube. The ring test with

concentrated sulphuric acid was performed and was shook after 1-2 minutes and then

color changes were observed. A cherry red color is indicative of the presence of

unsaturated sterols. The same test was also conducted with the standard solution.

Screening for Flavonoids

Defatted residue from a steam bath in 30 ml was dissolved in 50% ethanol. Two

ml of the filtrate were then filtered and placed on three test tubes. On test tube number 1,

0.5 ml of concentrated hydrochloric acid was added and put in a steam bath for about five

minutes and the color changes was observed. The test solutions were allowed to stand at

room temperature for one hour before recording the result. On test tube number 2, 0.5 ml

of concentrated HCl and 3-4 magnesium ruminas was added. A careful observation of the
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color changes was done. Definite color is formed within ten minutes. It was cooled with

an equal volume of water. A 1.0 ml of octyl alcohol was added.

Screening for Steroid (Cardio Active) Glycosides

Presence of unsaturated steroil (Liebermann-Burchard test)

The result of the preceding test was used as basis for this test.

Presence of unsaturated lactones

On 5 ml of the ethanolic leaf extract in an evaporating dish, 5 ml of Keede reagent

was added and mixed well with a glass stirring rod. To the mixture, 2 ml of 1N sodium

hydroxide was added. It was mixed and observed for color development.

Presence of 2- dioxysugars (Ketter Killiani test)

A 10 ml of the ethanolic extract in an evaporating dish was dry on the steam bath.

A 3 ml of the ferric chloride reagent was added and stirred and mixed well and was

transferred in a small test tube. The test tube was held at 45° angle layer, 1 ml of

concentrated sulphuric acid allowing it to get down the inside wall of the test tube, at this

point, the shaking of the test tube was avoided.

A volume of the ethanolic extract was taken. For control, 2 ml of 10% Balkutkut

leaf extract was used in a separate test tube. A 10 ml of distilled water was added to each
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test tube. A stopper was put and the test tubes were shaked vigorously for 30 seconds. It

was allowed to stand and was observed for 30 minutes.

Screening for Tannins and Phenolic Compound

A 100 ml ethanolic extract was evaporated to dryness and on steam bath.

Evaporating dish from the steam bath was removed and 25 ml of hot distilled water was

added to residue. It was mixed with a stirring rod and allowed to cool at a room

temperature spontaneously. The cooled extract was centrifuged for several minutes and

the upper half from each tube used has decanted. 3-4 drops of 10% sodium chloride

solution was added to the decantated supernatant. Precipitation at this point is indicative

of salting-out reaction probably due to non-tannin component. Any precipitate was

filtered and 3 ml of filtrated was added to each of three test tubes. On tube number 1, 3

drops of 1% gelatin solution was added. On tube number 2, same amount of gelatin salt

reagent was added. And on tube number 3, several drops of ferric chloride TS was added.

Screening for Anthraquinone Heterosides

Borntrager Test

A 5 ml of ethanolic leaf extract was transferred to an evaporating dish and dry

over a steam bath. The residue in the dish with 5-10 ml of petroleum ether was defatted

and 50 ml of water was added to the defaulted residue. It was mixed and filtered into a
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small separator funnel. A 10 ml of benzene was added and shaked to mix well. The two

phases were allowed to separate. The aqueous layer (Bottom layer) was drain out and the

benzene phase (Upper layer) was transferred to a test tube. 5 ml of ammonia was mixed

and the benzene layer for the changing of color was observed.

Modified Borntrager Test

A 0.3 g rams of the Balikutkut leaf extract was place in a test tube. It was moisten

with water and a few drops of chloroform was added to enhance enzyme activity for a

firm stopper on the tube, cork was used from which was suspended a piece of picrate

paper. The tube was warm at 35-40° Celsius at room temperature for 3 hours.

Screening for Cynogenic Glycosides

Gulgnard Test

Two and a half grams of the crushed plant sample was placed in a test tube. Then

moistened with water and added with a few drops of chloroform to enhance enzyme

activity for a firm stopper on the tube. A cork was used in which was suspended a piece

of picrate paper. The researcher ensured that the paper strip not touch the inner side of the

test tube. The tube was then warmed between 35-40 degrees Celsius (kept at room

temperature for three hours.


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Preparation of Balikutkut Leaf Extract in Cream Form

Compounding Cream Base Procedure

The formula for making the cream base required the following ingredients and

amounts:

Ingredients Original Amount

Spermaceti 125 g

White wax 120 g

Mineral oil 560 g

Sodium base 5g

Purified water 190 ml

The cream base was prepared using the above formula and the following

procedure:

The spermaceti and white wax were cut into small pieces. Then, the spermaceti

and white wax were melted on the steam bath with the mineral oil and heating is

continued until the temperature of the mixture is 70⁰C. The experimental extract is then

mixed thoroughly with the cream base and applied sparingly on the induced superficial

wounds in the rats assigned in the treatment groups.

Once the cream form is ready, the experimentation procedures followed.


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Experiment Procedures

The albino rats were randomly assigned into the control experiment groups: three

rats for each of the negative control group, positive control group, experimental group

with BLEE at 75% and at 95% concentration. All in all, 12 albino rats were used in the

study, with three replicates for each group.

All rats were incised with wounds approximately 2 inches after being shaved of

its hair on the dorsolateral part of the left lumbar region, making sure that the wound did

not reach the hypodermal layer of the skin.

The test animals in the control group were left untreated of their wound during the

entire observation period. The test animals in the positive control group were treated with

Povidone Iodine, and those assigned in the experimental groups were treated with the two

experimental concentrations of BLEE in cream form.

Observations on the wounds for any healing were done on a daily basis every

morning. The rate of wound healing were graded as follows:

+++ - Completely healed

++ - moderately healed

+ - slightly healed

- - no reaction/healing effect yet


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Data Analysis

This study employed a descriptive documentary type statistics. The researchers

used descriptive statistics to provide summaries about the samples, particularly mean

healing effect. The descriptive ratings using plus and minus symbols were converted to

numeric values 0 (for no healing effect) up to 3 (complete healing) to enable statistical

analysis. To statistically compare the wound healing effects of the experimental leaf

extracts with those of the controls, one-way ANOVA was used. If statistically significant

differences were found to exist, Tukey’s HSD was conducted to determine what specific

treatment or treatments caused the statistical significance.

The formula for one way ANOVA is:

MSSb
F = -------------
MSSw

Where: F = ANOVA statistic

MSSb = mean sum of squares between

MSSw = mean sum of squares within

A statistical software was used throughout the study in the analyses of all

gathered data.
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Chapter 3

RESULTS AND DISCUSSION

This chapter presents the various results from the overall preliminary,

phytochemical screening and the confirmation of the wound healing activity of the

Balikutkut (Heliotropium indicum) leaves in cream form in Albino rats (Rattus albus).

What are the phytochemical constituents present in Heliotropium indicum

(Balikutkut) leaf extract?

I. Phytochemical Screening

Table I presents the result of the phytochemical screening for determining the

presence of chemical constituents.

The findings revealed that there are chemical constituents present in the ethanolic

extracts, namely alkaloids, tannins and phenolic compounds, deoxy sugars and cardiac

glycosides, unsaturated sterols and flavonols. Meanwhile, the extract does not contain

saponins, anthraquinone heterosides and cyanogenic glycosides, since there were no

precipitates obtained upon the addition of any of the said active constituents. The

confirmatory tests revealed that the leaf extract is composed of different chemical

constituents that indicate many potential health-related benefits. This implies that aside

from the known therapeutic activity of Balikutkut, this plant has the potential of being a

wound healing agent as manifested by the presence of different chemical constituents.


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Table 1. Phytochemical Screening Results of Balikutkut Ethanolic Leaf Extract (BLEE)

Qualitative Test Positive Result Actual result Remark


A. Screening for
Alkaloids
1. Mayer’s Reagent Production of ppt. Production of ppt. Positive
2. Wagner’s Reagent Production of ppt. Production of ppt. Positive
3. Bouchardat’s Reagent Production of ppt. Production of ppt. Positive
4. Valser’s Reagent Production of ppt. Production of ppt. Positive
B. Screening of
Unsaturated Sterols,
and Triterpenes
1. Lieberman’s Burchard Color change/ blue or Green color solution Positive
Test green sol.
2. Salkowski Test Color change/ cherry Light green color Negative
red solution solution
C. Screening for
Flavonoids
1. Bate-Smith Matcalf Red violet color Light green color Negative
Test
2. Cyanidin Test Color change/green Green solution Positive
red
D. Screening for Steroid
(Cardio active
glycosides)
1. Kedde Reaction Purple clor No development of Negative
purple color
2. Keller- Killiani Test Purple ring Development of Positive
purple ring color
E. Screening for Saponins
1. Froth Test Formation of froth and No formation of Negative
Foam froth and foam
F. Screening for Tannin
and Phenolic
Compound
1. Gelatin Test Production of ppt. Production of ppt. Positive
2. Gelatin Black Test Production of ppt. Production of ppt. Positive
3. Ferric Chloride Test Greenish Greenish black color Positive
Blue/Greenish Black solution
color
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G. Screening for
Anthraquinone
Heterosides
1. Borntrager Test Color change/cherry Colorless solution Negative
red or pink sol.
2. Modified Borntrager Color change/cherry Colorless solution Negative
Test red or pink sol.
H. Sceening for
Cyanogenic
Glycosides
1. Gulgnard Test Appearance of various No appearance of Negative
shades of Red with 15 various shades of
minutes Red within 15
minutes

As the table shows, the plant extract possesses alkaloids, tannins, and unsaturated

sterols, and triterpenes. These observations are attributed to the presence of metabolites

like alkaloids and tannins whose anti-bacterial activity has been previously attributed

(Osungumma, Adedeji, 2011). Additionally, balikutkut leaf extract does not contain

saponins, heterosides and cyanogenic glycosides.

Table 2 presents the wound healing effects of the different treatments employed in

this investigation.

Table 2. Effect of Balikutkut (Heliotropium indicum) leaf Extracts, positive and


Negative Controls on the Wounds Induced on Skin of Albino Rats (Rattus Albus)
Treatment Wound Healing Effect (Day Wound Healing Effect on
1 to Day 3) Day 4 to Day 7)
Experimental Group (75%
Balikutkut Leaf Extract +++ +++
concentration
Experimental Group (95%
Balikutkut leaf Extract +++ +++
Concentration
Positive Control (Betadine) +++ +++
Negative Control - +
Legend: +++ - completely healed + - slightly healed
++ - moderately healed - - np reaction/effect yet
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The table shows that the mean wound healing in albino rats (Rattus albus) treated

with Balikutkut leaf extracts at 75% concentrations was 3+, indicating complete healing

as early as the first three days, and such effect persisted consistently from the fourth until

the last day of observation. Likewise, the same observation was recorded on all seven

days of observation on superficial wounds in albino rats treated with 95% Balikutkut leaf

extract concentration.

As expected, Povidone Iodine proved effective in healing epithelial wounds in

albino rats, with the healing effect described as completely healed. Thus, the wound

healing effects of the two leaf extract concentrations of Balikutkut seemingly simulated

the effect of using Povidone iodine being the gold standard in treating superficial

wounds.

On the other hand, the wounds induced on the skins of albino rats randomly

assigned in the negative control (no treatment) group demonstrated spontaneous wound

healing on the fourth day with only a slight degree of healing on the seventh and last day

of observation. This spontaneous wound healing on the negative control rats is

attributable to the physiologic ability of the animal skin in regenerating new skin cells

replacing dead cells and tissues.

The positive control group, 75% and 95% concentrations of Balikutkut leaves

were compared to determine any difference in the effectiveness of the treatments

conducted with those of the negative and positive controls. One-way ANOVA was used

to determine any significant difference.


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Table 3 presents the one way Analysis of Variance comparing the wound healing

effect of Balikutkut leaf extracts at 75% and 95% concentrations with those of the

negative and positive controls.

The Balikutkut leaf extract with concentrations of 75% and 95% were compared

to the negative control group and statistical significance was found (F 3,4 = 25.000, p<.05).

There is significant difference in the wound healing effect of Balikutkut leaf extract in the

form of ointment on superficial wounds induced in Albino rats. The wound induced on

the positive control was completely healed by the Balikutkut leaf extracts at 75% and

95% concentration in the same way as how Betadine® completely healed the wounds

treated with it on the third day of the said observation on the wounds induced in the three

(3) rats completely healed.

Table 3. ANOVA Table on Wound Healing Activity of Balikutkut Leaf Ethanolic Extract
(BLEE)

Sum of Squares df Mean Square F Sig.


Between Groups 9.375 3 3.125s 25.000 .005
Within Groups .500 4 .125

According to a study (2017), the wound healing contracting ability of ethanolic

leaf extract of Heliotropium indicum in different concentration on excision wound model

was significantly greater than the control group.

Tukeys’ HSD analysis (Table 3) reveals that based on pairwise comparison, the

induced wound on the albino rats in the negative control group showed significant

difference in terms of wound healing when compared against the Betadine® (positive
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control) group of animal subjects and those in the experimental group of rats treated with

75% and 95% concentrations of Balikutkut leaf extracts.

On the other hand, there is no significant difference between the Balikutkut leaf

extracts at 75% and 95% concentrations when compared against each other in terms of

their wound healing effect, and when compared with that of the positive control group

using Betadine® (p>.05), indicating that the wound healing effect of the experimental

leaf extract in the form of cream were comparable to the wound healing property of

Betadine® (Povidone Iodine).

To determine which treatment group caused the statistical significance, psot hoc

Tukey’s HSD analysis was conducted.

Pairwise comparison of the various treatments presented in Table 4a reveal that

negative control consistently differed statistically with those of the positive control group

(Povidone Iodine) and with the two Balikutkut leaf extract cream application in terms of

their wound healing effects (p<.05).

However, 75% Balikutkut leaf extract in cream form did not significantly differ

with that of the positive control (Povidone Iodine) and with the 95% Balikutkut leaf

extract in cream form (p>.05). Considering the efficacy of Povidone Iodine in wound

healing, this means to say that the two concentrations of Balikutkut leaf extracts were

comparable to Povidone iodine in their efficacy in promoting wound healing. Harmonic

mean values (Table 4b) further amplify this consistent wound healing effects of the

various treatment applications.


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Table 4a. Tukey’s HSD post hoc analysis on the wound healing effect of Balikutkut leaf
extract

(I) Treatment (J) Treatment Mean Std. Sig. 95% Confidence


Difference Error Interval
(I-J) Lower Upper
Bound Bound
Positive
-2.50000* .35355 .007 -3.9393 -1.0607
control
Negative Experimental
-2.50000* .35355 .007 -3.9393 -1.0607
control 75%
Experimental
-2.50000* .35355 .007 -3.9393 -1.0607
95%
Negative
2.50000* .35355 .007 1.0607 3.9393
control
Positive Experimental
.00000 .35355 1.000 -1.4393 1.4393
control 75%
Experimental
.00000 .35355 1.000 -1.4393 1.4393
95%
Negative
2.50000* .35355 .007 1.0607 3.9393
control
Experimental Positive
.00000 .35355 1.000 -1.4393 1.4393
75% control
Experimental
.00000 .35355 1.000 -1.4393 1.4393
95%
Negative
2.50000* .35355 .007 1.0607 3.9393
control
Experimental Positive
.00000 .35355 1.000 -1.4393 1.4393
95% control
Experimental
.00000 .35355 1.000 -1.4393 1.4393
75%
*. The mean difference is significant at the 0.05 level.

Harmonic mean analysis reveals that indeed, the two experimental preparations of

Balikutkut leaf extracts were comparable to the wound healing effect of the positive

control treatment (Betadine).


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Table 4b. Harmonic mean comparison of wound healing effects of Control and
Experimental Treatments

Treatment N Subset for alpha = 0.05


1 2
Negative control 2 .5000
Positive control 2 3.0000
Experimental 75% 2 3.0000
Experimental 95% 2 3.0000
Sig. 1.000 1.000
Means for groups in homogeneous subsets are displayed.
a. Uses Harmonic Mean Sample Size = 2.000.
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Chapter 4

SUMMARY, CONCLUSIONS AND RECOMMENDATIONS

This chapter presents the summary of the study, the conclusions inferred and the

corresponding recommendations advocated.

Summary

This study focused on the determination of the wound healing activity of the leaf

extract of Balikutkut (Heliotropium indicum, Fam. Boraginaceae). The plant was gathered

from the barangays of Mamarlao and Bacnar, San Carlos City, Pangasinan and was

utilized in this study. It underwent plant authentication in the University of the

Philippines. The leaf extracts of Balikutkut was subjected to extraction, phytochemical

analysis and conversion of leaf extract into ointment at the Virgen Milagrosa University

Foundation-College of Pharmacy Instrumentation Laboratory.

The results of the phytochemical analysis and wound healing activity was

accurately observed, recorded and compared. The wound healing activity on induced

wounds in albino rats (Rattus albus) of the two concentrations (75% and 95%) of the

Balikutkut, negative control and one positive control group (Betadine) was compared

and subjected to statistical treatment in which one-way ANOVA was used for the

comparison of results.
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Findings

The investigation showed that Balikutkut leaf extracts contain alkaloids, tannins

and phenolic compounds, deoxy sugars and cardiac glycocides, unsaturated sterols and

flavonols which are constituents that have the ability to heal external wounds.

Furthermore, the 75% and 95% concentration of Balikutkut leaf extracts

demonstrated wound healing activity comparable to that of the effect of Betadine

treatment in the test animals, based the actual wound healing observations and on the

ANOVA and Tukey’s statistical analyses conducted (p<.05). Meanwhile, the wound

healing effect of both 75% and 95% extract concentrations of Balikutkut and the positive

control were significantly different with that of the negative control group (p>.05).

Conclusion

Based from the experiment done and to the obtained results, the researchers

concluded that the leaf extract from Balikutkut (Heliotropium indicum) leaves has the

ability to heal external wounds that is comparable to that of Betadine.

Recommendations

Based on the conclusions, the following recommendations are hereby suggested:

1. That Balikutkut (Heliotropium indicum) leaf extract be further subjected to more

laboratory test as to phytochemical analysis to determine the phytochemical

constituents that are present


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2. To evaluate the wound healing activity of Balikutkut leaf extracts in different set

of test animals aside from the Albino rats (Rattus albus).

3. Determination of what is the ideal concentration of Balikutkut leaf extract to be

used in experiment that is capable of exhibiting optimal wound healing effect.

4. Replication of this study is advocated to validate its findngs.


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ACKNOWLEDGMENT

The success of this study will not be attained without those people who directed

and guided us, and so we, the researchers, offer this part to recognize them and to say

how much we appreciated what they have done for the research.

To Mrs. Carmelita Magleo and Mrs. Evelyn Mendoza, Senior High

Coordinators of Speaker Eugenio Perez National Agricultural School, with their

paramount motivations, approval to conduct this research and love for every researcher

and for sharing their expertise and ascertained their suggestions for the improvement of

this research;

To Mr. Raymundo B. Ambanloc, School Principal IV of Speaker Eugenio Perez

National Agricultural School, for the logistical and moral support to finish the research

with scientific endeavour;

To Mr. Alison Gutierrez, our research adviser who diligently equipped our

knowledge and passions he needs as an outstanding researcher.

To Mr. Alvin C. Franza and Mr. Elmer D. Bernardino of Virgen Milagrosa

University Foundation who helped us perform the laboratory tests.

To our family especially our parents for the moral and financial support,

sacrifices and understanding, they kept on bestowing to us that enable us to pursue this

endeavour.
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Above all, to our Almighty God, with His unconditional love and mercy, the

knowledge that He has given to us and His Divine Presence will still continue guiding us

in everything we do. The Glory and honour is raise unto You.


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BIBLIOGRAPHY

Adelaja AA, A. M. (2008). Evaluation of the Histo-Gastroprotective and Antimicrobial Activities Of


Heliotropium indicum Linn (Boraginaceae). Malaysian J. Med. Sci.

Ashoka M, S. C. Stimulation of Immune Functtion Activity of the Extract of Heliotropium indicum


leaves. J. pharmacol.

Dash GK, M. P. (2011). Studies on Wound healing Activity of Heliotropium indicum. ISRN
Pharmacology.

Dupont S, C. N. (2006). In vitro antimacrobial activity of Australian herb Extracts against Food
Relted Bacteria.

Trease GE, E. W. (1989). A Textbook of Pharmacognosy. London: Baillere Tinal.


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APPENDIX A
CERTIFICATION OF AUTHENTICATION
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APPENDIX B
CERTIFICATION OF WOUND HEALING ACTIVITY RESULTS
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SPEAKER EUGENIO PEREZ NATIONAL AGRICULTURAL SCHOOL
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A
PPENDIX C
CERTIFICATION OF PHYTOCHEMICAL SCREENING
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APPENDIX D
PREPARATION OF THE EXTRACT
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PREPARATION OF THE EXTRACT


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APPENDIX E

PHYTOCHEMICAL ANALYSIS

Screening for Alkaloids

Screening for Tannins


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APPENDIX F

INDUCING OF WOUND ON TEST ANIMALS


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CURRICULUM VITAE

NAME: Kenneth B. Rosario

AGE: 17 years old

DATE OF BIRTH: January 30, 2000

PLACE OF BIRTH: Brgy. Bacnar San Carlos City,

Pangasinan

CIVIL STATUS: Single

CITIZENSHIP: Filipino

RELIGION: Roman Catholic

PARENTS:

Mr. Arnold P. Rosario

Mrs. Yolanda B. Rosario

EDUCATIONAL BACKGROUND:

ELEMENTARY: Bacnar Elementary School

SECONDARY: Speaker Eugenio Perez National Agricultural School


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CURRICULUM VITAE

NAME: Airra Mae R. Frias

AGE: 17 years old

DATE OF BIRTH: February 29, 2000

PLACE OF BIRTH: Mamarlao San Carlos City,

Pangasinan

CIVIL STATUS: Single

CITIZENSHIP: Filipino

RELIGION: Roman Catholic

PARENTS:

Mr. Manuel D. Frias

Mrs. Gloria R. Frias

EDUCATIONAL BACKGROUND:

ELEMENTARY: Central 1 Elementary School

SECONDARY: Speaker Eugenio Perez National Agricultural School


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CURRICULUM VITAE

NAME: Jay Mark M. Domantay

AGE: 17 years old

DATE OF BIRTH: March 1, 2000

PLACE OF BIRTH:Bolingit, San Carlos City, Pangasinan

CIVIL STATUS: Single

CITIZENSHIP: Filipino

RELIGION: Roman Catholic

PARENTS:

Mr. Jimmy V. Domantay

Mrs. Marian M. Domantay

EDUCATIONAL BACKGROUND:

ELEMENTARY: Ano Elementary School

SECONDARY: Speaker Eugenio Perez National Agricultural School

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