b 160 Medicines

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    Medicinal Plants

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    Ancient archaeological records of

    medicinal plants

    3500 BCE - India had an extensive pharmacopoeia.Much of that knowledge is still used as part of theAyurveda medical system

    2250 BCE Egypt and Babylon were trading

    medicinal plants900 BCE - Archaeological records demonstrate the

    use of medicinal and psychoactive plants in theNew World

    330 BCE - One of the Theophrastuss students,Alexander the Great, sent medicinal plants fromAsia back to Greece for cultivation

    2000 YA - The first written Chinese recordsalthough use is probably as ancient as Indias

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    Use of Medicinal Plants

    Use of medicinal plants developed from

    informal experimentation and based on a

    general familiarity with medicinal plants.This knowledge was amassed via

    experimentation over many generations and

    was handed down orally from person toperson often woman to woman in

    traditional cultures.

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    Theophrastus

    370-285 BCE

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    History of Herbals

    Dioscorides, in the 1st Century AD, was a Greekphysician who described the medicinal properties

    of plants - he described the use of 500 species of

    plants in his bookDe Materia Medica

    The first herbal written in the Anglo-Saxon worldwas an 11th Century book known as the

    Herbarium of Apuleius Platonicus

    The first herbal to break from Dioscorides andprint descriptions of local flora, with accurate

    drawings of the plants was by Leonhart Fuchs, his

    extremely well illustrated herbalDe Historia

    Stirpium was published in 1543

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    Page from Vienna Dioscorides

    Arabic 6th

    Century

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    Page from Arabic edition of

    Dioscorides herbal 1334

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    Title page from Fuchs

    herbal 1543

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    Page from Fuchs Herbal 1543

    Aconitum or Wolfs bane

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    More from Fuchs Herbal 1543

    Nicotiana - Tobacco

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    English Herbals

    The earliest printed English herbal was anonymous

    volume from 1525 published by Richard Banckes

    In 1526, Peter Treversi published an English translation of

    a French herbal

    In 1538, William Turner published an herbal entitled

    Libelluls de re Herbaria Novus

    In 1551, Henry F. Lyte published an English translation of

    Rembert Dodoens herbal Stirpium Historiae Pemptades

    Sex which was valued because of its all inclusive treatment

    of many plants and excellent plates illustrating flowers

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    Best English Herbals

    In 1597, John Gerard published his outstandingbookThe Herball, Or Generall Historie of Plantes

    - it is a huge volume of 1392 pages and 2200

    woodcut illustrations of plants - it was widely

    used by physicians and became widely quoted andreferenced - the book has remained in print for

    400 years

    The last major herbal published in English wasJohn Rays herbal, published in 1688 - it is also a

    major taxonomic work and Ray was the first

    person to divide the flowering plants into two

    main groups - the dicots and monocots

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    Cover of

    Gerards

    Herbal

    1597

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    Page from Gerards Herbal - 1597

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    Title Page of John Rays

    Herbal - 1688

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    Page from John Rays Herbal - 1688

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    Ginseng root Panax

    pseudoginseng

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    Foxglove

    Digitalis purpurea

    Foxglove may be

    useful as a way to

    cure people ofgrosse and slimie

    flegme and

    naughtie humors from Gerards

    Herbal - 1597

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    William Withering

    - holding a foxglove

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    Witherings work on Foxglove

    Began experiments with foxglove in 1775 -Withering had heard about an old family cure fordropsy

    Reported his findings in a paper published in1785, An Account of the Foxglove and Some of

    its Medical Uses Powdered foxglove leaf is still prescribed in

    tablets or capsules to treat congestive heart failure

    The somewhat crude powdered drug is called

    Digitalis after the plant Foxglove produces more than 30 different cardiac

    glycosides - two in particular - Digoxin andDigitoxin are produced from foxglove and

    prescribed to heart patients around the world today

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    Foxglove - Digitalis purpurea

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    Urgent need to study medicinal plants

    The utility of plants in current therapy

    There has been a rush to develop synthetic

    medicines based on plant medicines, butoften the synthetic medicines dont work

    as well as the original plant medicines.

    For example quinine and malaria

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    Efficacy of Quinine

    Quinine is traditional and effective preventative ofmalaria

    Synthetic preventatives such as chloroquine,maloprim, and fansidar have largely replaced theuse of quinine

    Many strains ofPlasmodium have developed

    resistances to the synthetics and the synthetics aremore toxic. It is recommended that people do nottake fansidar for more than 3 months due to

    potential liver damage.

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    Malaria Cycle

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    Anopheles freeborni mosquito intermediate

    host and vector forPlasmodium sp.

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    Historical distribution of Malaria

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    Red areas show countries with malaria today

    O f th f Q i i

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    One of the sources of Quinine

    Cinchona succirubra

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    Cinchona pubescens

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    Timeline of Quinine Use

    1633, a Jesuit priest named Father Calancha described howto use quinine bark to cure fevers

    1645 Father Bartolome Tafur took some bark to Rome andmany of the clergy used it

    Cardinal John de Lugo wrote a pamphlet to be distributedwith the bark - use of the bark became so widespread thatin the papal conclave of 1655 no one died of malaria

    1654 English aware of use of quinine bark

    1735, a French botanist named Joseph de Jussieu

    journeyed to South America and found and described thetree that is the source of the bark - he sent samples toSweden where in 1739, Carl Linneaus named the treegenus Cinchona

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    Timeline of Quinine Use 20 to 40 species ofCinchona - the species are very

    hard to tell apart and the species will hybridize, sothe exact number of species is unknown mostlyunderstorey trees

    1820 the French chemists Joseph Pelletier and

    Joseph Caventou isolated the alkaloid quininefrom the bark and identified it was the activeingredient in Peruvian bark

    1861, an Australian named Charles Ledger

    obtained seeds from an Aymara Indian namedManuel Incra

    by 1930, the Dutch orchards in Java produced 22million pounds of quinine, 97% of the worlds

    market

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    Charles Ledger 1818-1906

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    Chemical structure of quinine

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    Properties of Quinine

    Quinine itself is an odorless white powder with an

    extremely bitter taste

    It can be used to treat cardiac arrhythmias as wellas malaria - it is also used as a flavoring agent

    Quinine prevents malaria by suppressing

    reproduction of thePlasmodium and also helps

    prevent some of the fevers and pain associated

    with malaria

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    Quinine fluoresces under UV light

    Raymond Fosberg in the

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    Raymond Fosberg in the

    field in 1948

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    Cinchona bark drying in the sun in

    Ecuador, 1944

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    Arrow Poisons

    Documented use of arrow poisons

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    Documented use of arrow poisons

    around the world

    Monkshood Aconitum ferox

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    Monkshood Aconitum ferox

    source of Acontine

    Monkshood

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    Monkshood

    Aconitum ferox in the wild

    Fi t Eth b t i l Ch i l

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    First Ethnobotanical Chemical

    Isolation - Strychine

    1805 Leschenault describes the preparation ofthe Javanese dart poison Upas Tieute.

    1809 Magendie and Delile publish accounts ofexperiments on mechanism of action of the

    poison. 1819 Pelletier and Caventou isolate strychine

    from other sources. Magendie uses strychine inclinical medicine.

    1824 Pelletier and Caventou isolate strychinefrom upas tieute

    1963 total synthesis of strychine by Woodwardet al.

    Strychnos nux-vomica - source of

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    Strychnos nux-vomica - source of

    Strychine

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    Strychnos nux-vomica

    leaves and seeds

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    Strychnos

    Interestingly there are about 200 species in

    the genus Strychnos but only 6 actually

    contain strychine S. nux-vomica, S. ignatii(St. Ignatius bean), S. colubrina (snake

    wood) and S. guianensis. Strychine is

    commonly used in rat poison. It has beenused to stimulate circulation, but that cannot

    be recommended because it frequently

    poisons the patient.

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    Curares

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    Calabash curare from Strychnos

    guianensis carried in gourd

    Crescentia cujete source

    of calabash gourd

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    Tube Curares made from members of

    Chondrodendron and other moonseeds -

    Menispermaceae

    Chondrodendron tomentosum leaves and vine

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    Tube and Calabash Curares

    The bamboo tube curare yielded

    tubocurarine and the calabash gourd curare

    yielded toxiferine - both are useful as ananaesthetic in open-heart surgery - these are

    muscle relaxants which kill by relaxing

    muscles which allow breathing

    Bark being scraped to start

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    Bark being scraped to start

    preparation of curare

    Liquid dripped through shavings to

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    Liquid dripped through shavings to

    extract Curare

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    Curare added to arrow/dart tips

    Waorani man

    i i i f l i

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    Toxicities of several arrow poisons

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    Anti-tumor medicines from

    Arrow Poisons? There is a possibility that plants producing arrow

    poisons may also have value in producing anti-tumor medicines. Spjut and Perdue (1976)

    surveyed 76 species from 63 genera in 29 familiesand found that 46 of the species had been screenedfor anti-tumor activity. Of these 52% of thespecies and 75% of the genera had been found tohave anti-tumor activity. This high anti-tumor

    activity probably comes from the fact that arrowpoison plants almost all produce cardenolideglycosides that are cytotoxic (kill cells).

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    Herbal Medicines Today

    Though many modern cultures make extensive use

    of herbal remedies, most notably in India and

    China, much of Western medicine has moved

    away from herbal medicines. In Great Britain

    there is still a tradition of homeopathic doctors and

    herbal Culpeper Shops. Homeopathy is based on

    using minute quantities of substances that inmassive doses produce effects similar to those of

    the disease being treated.

    Nicholas Culpeper

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    Nicholas Culpeper

    1616-1654

    C lpepers Infl ence on

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    Culpepers Influence on

    Homeopathy

    Graves patent medicine a

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    G p

    Laudanum product

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    Medicines from Plants

    About 25% of the prescription drugs used in the

    western world have active ingredients that are

    derived from plants often the only way to

    acquire these drugs is through growing and

    harvesting the plants because synthetic substitutes

    are not as effective.

    89 plant derived drugs that are currently used inwestern medicine as prescription medicines were

    discovered by studying folk knowledge of the

    plants properties

    Strychnos toxifera

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    y f

    source of D-tubocurarine

    Mexican yam Dioscorea villosa

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    y

    Source of cortisone

    Indian snakeroot Rauwolfia

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    f

    serpentina Source of resperine

    Madagascar periwinkle Catharanthus

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    g p

    roseus Source of vincristine

    White Hellebore Veratrum album

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    Source of hypotensive alkaloids

    Medicinal Plants in

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    the Amazonian Basin

    3 million square miles in size, supports theworlds largest rainforest with an estimated80,000 species of plants, about 15% of the

    worlds species The northwest section of the Colombian

    Amazon is home to 70,000 Indians in 50ethnic groups that speak many languagesfrom 12 linguistic families. They have beenrecorded to use in medicines almost 1600plants from 596 genera in 145 families

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    Cannabis sativa and C. indica

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    Cannabis sativa and C. indica

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    Cannabis sativa x indica hybrid

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    High tech Cannabis growing

    in the Netherlands

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    UK Police Bust of High-Tech Growth

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    World Cannabis Laws