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Contemporary Phytomedicines
Contemporary Phytomedicines
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A SCIENCE PUBLISHERS BOOK
A SCIENCE PUBLISHERS BOOK
CRC Press
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Preface v
Acronyms and Abbreviations ix
Definitions xiii
Herbal Glossary xvii
1. Introduction to Phytomedicine 3
2. Phytopharmacovigilance 13
3. Phytopharmacoeconomics 18
4. Phytopharmacoepidemiology 21
5. Phytopharmacogenomics 25
6. Ethics in Phytomedicine 28
7. Herbosomes 31
8. Nanophytomedicine 43
9. Metabolomics and Phytomedicine 48
10. Clinical Research in Ayurveda 52
11. Excepients for Phytodrugs 58
12. Certifications for Phytodrug Industry 61
13. Dietary Supplement Health and Education (DSHEA) 63
14. Acts Related to Banned or Restricted Phytoingredients 67
15. Comfrey Based Herbal Products 74
16. Herbal Bioenhancers 77
Active Ingredient
Active ingredients refer to ingredients of herbal medicines with therapeutic
activity. In herbal medicines where the active ingredients have been identified, the
preparation of these medicines should be standardized to contain a defined amount
of the active ingredients, if adequate analytical methods are available. In cases where
it is not possible to identify the active ingredients, the whole herbal medicine may be
considered as one active ingredient.
Botanical; Botanical Product
A finished, labeled product that contains vegetable matter, which may include plant
materials (see below), algae, macroscopic fungi, or combinations of these. Depending
in part on its intended use, a botanical product may be a food, drug, medical device,
or cosmetic.
Botanical Drug Substance
A drug substance derived from one or more plants, algae, or macroscopic fungi. It
is prepared from botanical raw materials by one or more of the following processes:
pulverization, decoction, expression, aqueous extraction, ethanolic extraction,
or other similar process. It may be available in a variety of physical forms, such
as powder, paste, concentrated liquid, juice, gum, syrup, or oil. A botanical drug
substance can be made from one or more botanical raw materials (see Single-Herb
and Multi-Herb Botanical Drug Substance or Product). A botanical drug substance
does not include a highly purified or chemically modified substance derived from
natural sources.
Botanical Ingredient
A component of a botanical drug substance or product that originates from a botanical
raw material.
Botanical Raw Material
Fresh or processed (e.g., cleaned, frozen, dried, or sliced) part of a single species of
plant or a fresh or processed alga or macroscopic fungus.
Complementary/alternative medicine (CAM)
The terms “complementary medicine” or “alternative medicine” are used inter-
changeably with traditional medicine in some countries. They refer to a broad set
of health care practices that are not part of that country’s own tradition and are not
integrated into the dominant health care system.
xiv Contemporary Phytomedicines
Ethnobotany
Ethnobotany is the study of how people of a particular culture and region make of
use of indigenous plants.
Ethnomedicine
Ethnomedicine is a study or comparison of the traditional medicine practiced by
various ethnic groups, and especially by indigenous peoples. The word ethnomedicine
is sometimes used as a synonym for traditional medicine.
Ethnopharmacology
Ethnopharmacology is a related study of ethnic groups and their use of drugs.
Ethnopharmacology is distinctly linked to plant use, ethnobotany, as this is the main
delivery of pharmaceuticals.
Ethnopharmacy
Ethnopharmacy is the interdisciplinary science that investigates the perception and
use of pharmaceuticals (especially traditional medicines, but not only), within a
given human society.
Extraction
The commonly employed technique for removal of active substance from the crude
drug is called extraction.
Herbal medicines
Herbal medicines include herbs, herbal materials, herbal preparations and finished
herbal products, that contain as active ingredients parts of plants, or other plant
materials, or combinations.
• Herbs: crude plant material such as leaves, flowers, fruit, seed, stems, wood,
bark, roots, rhizomes or other plant parts, which may be entire, fragmented or
powdered.
• Herbal materials: in addition to herbs, fresh juices, gums, fixed oils, essential
oils, resins and dry powders of herbs. In some countries, these materials may be
processed by various local procedures, such as steaming, roasting, or stir-baking
with honey, alcoholic beverages or other materials.
• Herbal preparations: the basis for finished herbal products and may include
comminuted or powdered herbal materials, or extracts, tinctures and fatty oils
of herbal materials. They are produced by extraction, fractionation, purification,
concentration, or other physical or biological processes. They also include
preparations made by steeping or heating herbal materials in alcoholic beverages
and/or honey, or in other materials.
• Finished herbal products: herbal preparations made from one or more herbs.
If more than one herb is used, the term mixture herbal product can also be used.
Finished herbal products and mixture herbal products may contain excipients in
addition to the active ingredients. However, finished products or mixture products
to which chemically defined active substances have been added, including
synthetic compounds and/or isolated constituents from herbal materials, are not
considered to be herbal.
Definitions xv
Herbalism
See herbal medicine.
Marker Compound
A constituent of a medicinal herb, which is used for quality control and assurance of
herbal product is known as marker compound.
Materia Medica proper
Materia Medica proper is defined as knowledge of natural history, physical
characteristics, and chemical properties of drugs. It includes study of herbs, minerals
and drugs from animal kingdom.
Multi-Herb (Botanical Drug) Substance or Product
A botanical drug substance or drug product that is derived from more than one
botanical raw material, each of which is considered a botanical ingredient. A multi-
herb botanical drug substance may be prepared by processing together two or more
botanical raw materials, or by combining two or more single-herb botanical drug
substances that have been individually processed from their corresponding raw
materials. In the latter case, the individual single-herb botanical drug substances may
be introduced simultaneously or at different stages during the manufacturing process
of the dosage form.
Pharmacopoeia
Pharmacopoeia literally means “drug-making”. Pharmacopoeia is a book describing
drugs, chemicals, and medicinal preparations; especially: one issued by an officially
recognized authority and serving as a standard.
Pharmacognosy
Pharmacognosy is the study of the physical, chemical, biochemical and biological
properties of drugs, drug substances or potential drugs or drug substances of natural
origin as well as the search for new drugs from natural sources.
Phytomedicine
Herbal-based traditional medical practice that uses various plant materials in
modalities considered both preventive and therapeutic.
Phytopharmacology
Phytopharmacology is field of study of the effects of drugs on plants.
Phytopharmaceutical Science
Phytopharmaceutical Science is the development of drugs from plants and other
natural compounds.
Plant Material
A plant or plant part (e.g., bark, wood, leaves, stems, roots, flowers, fruits, seeds, or
parts thereof) as well as exudates thereof.
xvi Contemporary Phytomedicines
Introduction to
Phytomedicine
1.1 Phytomedicine
The term phytomedicine (phyto+medicine) was coined by a French physician Henri
Leclerc in 1913. Henri Leclerc published Precis de phytotherapie (a handbook of
phytotherapy) in 1922. Henri Leclerc was credited with yet another publication, die
pflanzenheikunde in der Arztlichen Praxis in 1944 (Plant based curative science in
Medical Practice). Phytomedicine is defined as a herbal-based traditional medical
practice that uses various plant materials in modalities (Farlex 2012). Phytomedicine
is considered to be both preventive and therapeutic in nature and is also referred to as
phytotherapy, herbal therapy or medical herbalism.
William Powel in the year of 1934 coined the term Phytotherapy. Phytomedicine
should not be mixed with phytopharmacology, a term coined by David Macht, a
scientist of Russian origin (Macht 1936).
1.2.10 Pharmacopoeia
Pharmacopoeia is a book describing drugs, chemicals, and medicinal preparations;
especially one issued by an officially recognized authority and serving as a standard.
Pharmacopoeia is derived from ancient Greek world pharmakopoiia (pharmakon+
poi–). All the principle countries of the world have their national pharmacopoeias.
1.2.13 Addendum
Addendum is an addition required to be made to a document by its author subsequent
to its printing or publication.
1.2.14 Monograph
A monograph is a paper on a single topic.
Shen Hung (3000 B.C.), the great Chinese emperor, wrote an account of 365
medicinal plants in his work, Pen Tsao. ching (Divine Husbandman’s Materia
Medica). The work is considered to be the earliest extant Chinese Pharmacopoeia.
Shen Nong documented the use of Ma Huang (Ephedra) in the treatment of
respiratory illness like bronchitis and asthma. Hammurabi, a king of Babylonia
(1800 B.C.), wrote an account on usage of medicinal plants. He documented the
use of peppermint in the treatment of digestive system ailments. Hammurabi
prescribed the use of mint for digestive disorders (Charles 1976; Liu 1982).
Hippocrates (400 B.C.) wrote the first Greek herbal text. He explained the role
of diet, exercise, and medicine in maintaining optimal health. Galen (200 A.D.),
practitioner of herbal medicine, classified diseases according to the human
anatomy. He further indicated specific remedies to cure diseases (Scarborough
1978; Kline 1997). Avicenna (1100 A.D.), the great Arabian physician, wrote the
Canon of Medicine. Dioscorides, a Roman physician, wrote De Materia Medica,
which described the medicinal use of plants ranging from almond to wormwood.
De Materia Medica was the first systematic pharmacopoeia and was translated
and preserved by the Arabs, and finally translated back into Latin by the 10th
century (Ducourthial 2005).
Culpepper (1600 A.D.) wrote the principle and practice of herbal medicine in his
work The English Physician. In his work, Culpepper has described 1653 drugs
with information on the mode of preparation and dose. Many of his unpublished
manuscripts were published after his death, but many more were lost in the
Great Fire of London in 1666 (McCarl 1996). Marcus Aurelius (A.D. 161–180)
explained the use of opium (Papaver somniferum) in the treatment of headache,
epilepsy, asthma, and skin diseases. In fact, he documented the use of medicinal
herbs in his work Meditations (Porter 1995).
Ayurveda originated from Artharva Veda and Vedic era is considered to be
the time when Ayurveda flourished as a medical science. It is estimated that
around 1000 B.C., two major texts of Ayurveda, Charaka Samhita and
Sushruta Samhita were composed. Charaka and Sushruta are respected names
in the fields of medicine and surgery respectively. Both the texts have dealt in
detail with the use of medicinal plants (Indian Herbal Pharmacopoeia 1998).
Chebulicmyrobalans (Terminalia chebula), Arjuna (Terminalia arjuna), Guggul
(Commiphoramukul), Shatavari (Asparagus officinalis) and Ashwagandha
(Withania somnifera) are popular medicinal plants targeted for application in
modern science (Kapoor 1990).
The time period between 1488 to 1682 is known as the age of herbals (Gaebler
1964). Otto Brunfels wrote a herbal text in 1488, which was published in 1534.
This period produced a number of distinguished herbalists like Gesner Conard,
Leohard Fuchs, Hieronymus Boch, William Turner, and John Parkinson (Debus
1968). Friedrich Wilhelm Serturner (1783–1841) isolated morphine from
Papaver somniferum in 1805 and showed the medical world that certain chemical
constituents are responsible for curative actions of plant based remedies. The
Introduction to Phytomedicine 7
scientific community will always remain thankful to Serturner for his great
service to the world of medicinal plants (Asimov 1982; Court 1985).
Felix Hoffman isolated aspirin from willow bark (Salix spp.). His work
augmented the rational use of willow bark by ancient people. The bark was
used in the treatment of arthritis and rheumatism. Aspirin is still prescribed in
reducing pain and stiffness associated with joints (Dombrowski and Alfermann
1995). William Withering (1741–1799) reported to the scientific community
about the separation of the cardiac glycoside, digoxin from foxglove (Digitalis
purpurea). The discovery of digoxin proved to be a milestone in the history of
medicine (particularly cardiology) as digoxin was once upon a time a first line
drug in treating cardiac oedema.
Klie isolated reserpine from Rauwolfia serpentina and the alkaloid remained
as the drug of choice for the treatment of hypertension for almost 50 years
(Venkata Rao 2010). Jean Robiquet reported the isolation of antitussive alkaloid,
codeine from the opium plant. Clark Noble did a great service for humanity
by discovering Vinca alkaloids from the Madagascar periwinkle (Catharanthus
roseus Linn). Vinca alkaloids (vinblastine and vincristine) are prized drugs for
treating leukemia. Discovery of taxol from Pacific yew (Taxus brevifolia) by
Mansukh C. Wani and silymarin from milk thistle (Silybum marianum) by Jack
Masquelier are some recent examples of drug obtained from plants.
Before the discovery of antibiotics (penicillin and streptomycin), analgesics and
steroids, man was completely dependent on medicinal plants as the healthcare
system. With the discovery of phytochemicals, the whole interest of the scientific
community shifted to organic synthesis and several drugs were synthesized. The
growing popularity of the allopathic system of medicine was a major setback for
herbal medicine. Emergency treatment and surgical advances are the gifts of the
modern healthcare system to modern man (Asimov 1982).
Today we can see the renaissance of herbal system of medicine. Ayurveda and
Traditional Chinese Medicine (TCM) are popular systems of healing in western
countries. Recent studies have shown that an increasing number of patients are
consulting doctors for alternative systems of healing. Relative safety and cost
effectiveness may be factors responsible for the renaissance of the herbal system
of medicine (Bone 1996; Shweta and Boaz 2015).
FOOTNOTES:
459 18 ita] ei D
460 Heading 1 amore DLT
461 40 Qui] Oui S
462 45 Architesis (architesis) CEHGDL Archtesis S archtesis T
463 73 Ebria CE
464 180 Molia S
465 213 temporat SGD temꝑat CEHL
466 262 Carnis EL
467 281 sic CEHGDL si S
468 325 quod erit S et erit CEHGDL
469 368 detinuere CE
470 389 hyemps C
471 390 Sic C
472 409 Paragr. here CEHT
473 417 impugnat ED impungnat SHL
474 450 Text SH₂ Illa quidem fatuos que ligat arte viros
CEHGTDL
475 454 in thalamis S interius CEHGDL
476 470 viuit C
477 471 laborat CE
478 487 f. Two lines om. DL No paragr. CEHT
479 501 nos CEGDL non SHTH₂
480 507 Si CE
481 529 Liam SL
482 637 No paragr. SD
483 643 seruisia CE
484 775 gignit CEDL gingnit SH
485 785 sibi SEHH₂ fraus CGDL
486 786 fraus capit SEHH₂ surripit CGDL
487 789 ista SG ipsa CEHD ipse L
488 799 Stans C
489 805 eciam CEHDLT etenim S sellas] cellas CEL
490 810 ffurta EDLT
491 812 Thethis (thethis) SCEHGT Thetis D tethis L
492 Cap. xv. Heading 1 ciue illo S illo ciue CEHGDLT
493 2 ministerium] officium CE
494 876 cadet CE
495 881 Quis valet in speculo D Quisquis valet speculo L
496 Cap. xvi. Heading 2 f. eciam de variis EDL
497 949 Ordinary paragraph CEDL
498 955 sibi CEHGDLH₂ vbi S
499 975 No paragr. CEHTD
Exquo de errore in singulis temporalium
gradibus existente tractatum est, iam quia
vnumquemque sub legis iusticia gubernari
oportet, tractare vlterius intendit de illis qui
iuris ministri dicuntur, quamuis tamen ipsi
omnem suis cautelis iusticiam confundunt, et
propter mundi lucrum multipliciter eneruant.