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INDEX – GJRMI - Volume 3, Issue 1, January 2014
MEDICINAL PLANTS RESEARCH
Horticulture
EFFECT OF MILK THISTLE (SILYBUM MARIANUM) PLANT PARTS (SEEDS AND LEAVES) TO
CONTROL THE ALLOXAN INDUCED DIABETES IN RABBITS
Ahmad Hafiz Shakeel, Abbasi Karim Yar
1–7
Ethno-Medicine
ETHNOMEDICINAL PRACTICES OF KURUMBA TRIBES, NILIGIRI DISTRICT, TAMIL NADU,
INDIA, IN TREATING SKIN DISEASES
Deepak P, Gopal GV
8–16
INDIGENOUS MEDICINE
Ayurveda – Kaumarabhritya
STABILITY STUDY OF SWARNAPRASHANA YOGA WITH RESPECT TO BASELINE
MICROBIAL PROFILE
Bhaskaran Jyothy Kothanath, Cholera Meera, Patel Kalpana Shanthibhai, Shrikrishna Rajagopala 17–23
Ayurveda – Review Article
KAMADUGHA RASA AN EFFECTIVE AYURVEDIC FORMULATION FOR PEPTIC ULCER: A
REVIEW
Maurya Santosh Kumar, Arka Ghosh, Yadav Amit Kumar, Kumar Dileep, Singh Anil Kumar 24–32
COVER PAGE PHOTOGRAPHY: DR. HARI VENKATESH K R, PLANT ID – INFLORESCENCE OF A CULTIVAR OF JAPA
(HIBISCUS ROSA-SINENSIS L.), OF THE FAMILY MALVACEAE PLACE – THIRTHAHALLI, SHIVAMOGGA DISTRICT,
KARNATAKA, INDIA
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 1–7
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
ISSN 2277-4289 | www.gjrmi.com | International, Peer reviewed, Open access, Monthly Online Journal
EFFECT OF MILK THISTLE (SILYBUM MARIANUM)
PLANT PARTS (SEEDS AND LEAVES) TO CONTROL THE
ALLOXAN INDUCED DIABETES IN RABBITS
Ahmad Hafiz Shakeel1*, Abbasi Karim Yar
2
1,2 Institute of Horticultural Sciences, University of Agriculture, Faisalabad, Pakistan
*Corresponding Author: [email protected]
Received: 07/10/2013; Revised: 20/12/2013; Accepted: 25/12/2013
ABSTRACT
A lab experiment was conducted at Medicinal and Aromatic Plant Research Lab, Institute of
Horticultural Sciences, University of Agriculture, Faisalabad, to check the effect of milk thistle
(Silybum marianum) plant parts for the cure of type II diabetes. Silybum marianum (milk thistle
plant) is well known to cure chronic hepatic diseases and disorders for centuries. The antioxidant
properties present in the milk thistle plant parts have also valuable effects on diabetes mellitus type
II. Data were collected and analyzed statistically by using Fischer’s analysis of variance techniques
and by using tuckey’s test at 5% probability treatment, mean were with at ten days interval for a
period of one month. Blood fasting glucose (mg/dl), mean daily blood glucose (mg/dl) and body
weight (g) of all the rabbits were recorded. The result showed that a gradual decrease occurred in
blood fasting glucose level (mg/dl) and mean daily blood glucose level (mg/dl) of rabbits in group 3,
group 4 and group 5 that were treated with milk thistle plant powdered seed, leaves and seed+leaves
with 1:1 ratio respectively. While the rate of increase in the body weight (g) of rabbits in group 3 that
were treated with milk thistle plant powdered seed was slow than other groups while the control
group in which no drug was given to the induced diabetic rabbits , the rate of increase in body weight
(g) was significantly high as compared to others groups
KEY WORDS: Milk thistle, silymarin, induced diabetes type II, alloxan, Silybum marianum plant
parts, anti-diabetic herb
Research article
Cite this article:
Ahmad Hafiz S., Abbasi Karim Y., (2014), EFFECT OF MILK THISTLE (SILYBUM MARIANUM)
PLANT PARTS (SEEDS AND LEAVES) ON ALLOXAN INDUCED DIABETES IN RABBITS,
Global J Res. Med. Plants & Indigen. Med., Volume 3(1): 1–7
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 1–7
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
INTRODUCTION
Milk Thistle is a herb of ancient times. It is
a member of the sunflower family which
contains many medicinal constituents. Milk
thistle plant’s history is much long for its uses
to detoxifying the liver from harmful effects
but it has also some newer applications
including cancer as well as in diabetes
(Wellington and Jarvis, 2001). Milk thistle
plant is native to the Mediterranean region in
the world and can be grown in much type of
soils. Milk thistle plant can also tolerate the
drought conditions. This plant has purple
flowers. Dioscorides, who was a 1st century
Greek physician, identified the milk thistle
plant flowers as a herbal remedy by using this
plant as an antidote for snake bites. In the
1900's milk thistle plants were used for the
treatment of different kind of liver diseases in
Germany and give milk thistle plant as high
priority calling as Mary thistle on the name of
Virgin Mary because it has white because it has
white striations on the leaves and the people
thought that it contain the Virgin Mary's milk.
The major chemical constituent is silymarin,
present in the fruits, seeds and leaves of Milk
thistle plant that is used clinically anti-ulcer,
anti-hepatotoxic, anti-arthritic and anti-
inflammatory agent (Alarcon de la Lastra et al.,
1992; Flora et al., 1998). It has also been
investigated that silymarin acts through
increasing the intracellular concentration of
glutathione or an anti-oxidative effect by the
scavenging of reactive oxygen species and the
antioxidant potential (Soto et al., 2003).
Silymarin (flavanolignan compounds) present
in the milk thistle plants considered as one of
the most valuable drug that can be used in type
II diabetes mellitus as a natural remedy (Soto et
al., 2004) and this plant may also be
therapeutically important for type I diabetes
mellitus (Matsuda et al., 2005). Moreover it has
been reported that the compound present in the
milk thistle plants causes significant reduction
in triglyceride and free fatty acids (Skottova et
al., 2004).
Milk thistle (Silybum marianum) is an
annual herb belongs to one of the largest family
of plant kingdom Asteraceae (Compositae). It
is a tall, edible plant that can grow up to 3
meter height with reddish-purple flowers, large
leaves and thorny stem which clearly
distinguish it from others. Milk thistle plant has
a complex compound (silymarin) in which
many flavanolignans are present: Silybinin
(silybin A, silybin B, isosilybin A and
isosilybin B), silychristin, isosilychristin,
silydianin, and also contain one flavonoid
taxifolin. These flavanolignan compounds are
present in all plant parts i.e. leave, roots and
seed (fruit) (Kroll et al., 2007). Milk thistle
plant extract have been used as medicinal
purpose for hundreds of years. Milk thistle
plant that contains flavanolignans are used to
treat liver cirrhosis, chronic hepatitis (liver
inflammation), and gallbladder disorders. Some
literatures also show that milk thistle plant has
properties to lower down cholesterol levels, to
lower down the blood glucose level; and to
reduce the breast cancer and prostate gland
cancer cells growth (NCCAM, 2009). The
mechanism of action of milk thistle plants that
contains flavanolignans compounds (silymarin)
is not clearly understood yet, however the data
in the literature represent that silibinin is
present in silymarin take action in four different
ways: (i) for regulators and scavengers of the
intracellular content of glutathione act as
antioxidants; (ii) act as regulators and
stabilizers for cell membrane permeability that
prevent toxic agents of liver from entering
hepatocytes; (iii) to stimulate the liver
regeneration act as promoters of ribosomal
RNA synthesis; and (iv) for the transformation
of stellate hepatocytes into myofibroblasts act
as inhibitors to prevent liver cirrhosis.
Silymarin also has anti-inflammatory, anti-
diabetic and anti carcinogenic properties
(Fraschini et al., 2002).
In Europe milk thistle plants are cultivated
first and very effective against jaundice, used
as a liver tonic against many liver disorders to
cure the liver and spleen (Mayer et al., 2005).
Moreover, Silybum marianum plants are using
as a natural remedy for digestive and upper
gastrointestinal tract complaints, liver and
biliary tract diseases, menstrual problems and
varicose veins for centuries. For its hepato-
protective and antioxidant activities the first
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 1–7
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
effect of milk thistle have showed in various
illnesses of different organs such as CNS,
kidneys, lungs, prostate, pancreas, and skin
(Gazak et al., 2007). According to
pharmacological studies, silymarin is a safe
herbal product for its physiological doses that
are not harmful unless therapeutic dosages are
not properly administrated (Wu et al., 2009).
Diabetes mellitus is a health problem that is
continuously increasing day by day, which
causes considerable morbidity, death and long-
term complications even in developed
countries. Milk thistle (Silybum marianum)
plants have antioxidant properties, used in the
control of oxidative metabolic derangement in
diabetes (Maddux et al., 2001).
Milk thistle plant is mostly used for liver
diseases and a number of literatures,
publications and research is done on milk
thistle plant as hepato-protecting drug but the
research as anti-diabetic effect of this plant is
limited and not much explained. A huge
research is required to check the anti-diabetic
effect of this plant. Keeping these facts in
mind, an experiment was conducted to
evaluate the effect of milk thistle (Silybum
marianum) plant parts e.g. seeds and leaves for
the cure of alloxan induced type II diabetes in
rabbits.
MATERIALS AND METHODS
An experiment was planned and conducted
at Medicinal and Aromatic Plant Research Lab,
Institute of Horticultural Sciences, University
of Agriculture, Faisalabad, Pakistan. The effect
of milk thistle plant parts (seeds and leaves in
powder form) was checked for the control of
alloxan induced type II diabetes in rabbits.
Seeds and leaves of milk thistle (Silybum
marianum) plant were collected from the wild
from the nearby fields and were authenticated
by experts in the field of taxonomy. After
collecting the leaves they were oven dried in
the lab after drying, the leaves and seeds were
grinded in the grinder separately into powder
form. After performing this action they were
stored at room temperature.
15 young and non-diabetic healthy rabbits
were procured from the market and they were
kept under observation for the period of about
one month at Medicinal and Aromatic Plant
Research Lab, Institute of Horticultural
Sciences, University of Agriculture, Faisalabad,
Pakistan. The institutional ethics committee
approval was taken prior to the experiment.
The fasting blood glucose level (mg/dL), mean
daily blood glucose level (mg/dL) and body
weight (g) of all rabbits were checked with the
help of ACCU check glucometer, weight
balance and mercury thermometer respectively.
Induction of diabetes in rabbits
After checking the fasting blood glucose
level (mg/dL), mean daily blood glucose level
(mg/dL) and body weight (g) of all rabbits, the
rabbits were orally administrated by alloxan
chemicals @120 mg/kg body weight to induce
the diabetes in rabbits. These chemicals were
used to induce the type II diabetes in the rabbits
as it destroys insulin producing cells in animals
(El-Demerdash et al., 2005). After seven days
of alloxan administration, the increase in the
fasting blood glucose level (mg/dL), mean
daily blood glucose level (mg/dL) and body
weight (g) of the rabbits were checked with the
help of proper instruments.
Animal Treatments:
All the induced diabetic rabbits were
divided into five groups, each containing three
rabbits.
Group 1: This group was taken as control (T0)
and all three rabbits were administrated with no
drugs and treatments.
Group 2: This group was taken as (T1) and
each rabbit was treated with standard drug i.e.
Glucophage, dional in this group.
Group 3: In this group all the rabbits were
orally administrated with powdered seeds of
milk thistle plant @ 500mg. The drug was
given three times in a day to all the rabbits.
This group was taken as (T2).
Group 4: In this group all the rabbits were
orally administrated with powdered leaves of
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 1–7
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
milk thistle plant @ 500mg three times in a
day. This group was taken as (T3).
Group 5: In this group each rabbit was orally
administrated with powdered seed and leaves
mixed with 1:1 ratio @ 500mg three times in a
day. This group was taken as (T4).
The following parameters were evaluated @ 10
days intervals for a period of one month of all
the groups.
Clinical Parameters:
Fasting blood glucose level (mg/dL)
Daily mean glucose level (mg/dL)
Body weight (g)
Statistical analysis:
The experiment was carried out in a
completely randomized design (CRD) for five
groups of rabbits. Data were collected and
analyzed statistically by using Fischer’s
analysis of variance techniques and by using
tuckey’s test at 5% probability treatment mean
were compared (Steel et al., 1997).
RESULTS AND DISCUSSION
The results of after thirty days application
of Silybum marianum plant parts i.e. seed and
leaves and standard drug indicates that group 3
and group 5 in which milk thistle powdered
seed and leaves+seed (1:1 ratio) used
significantly decreased the fasting blood
glucose level of rabbits (89.000 mg/dL and 113
mg/dL respectively) and the fasting blood
glucose level were recovered to normal after 30
days application of Silybum marinanum seed.
Group 2 and Group 4also significantly reduced
the fasting blood glucose level while in control
group the fasting blood glucose increased to
179 mg/dL (Al-Jassabi et al., 2011). In another
experiment, “The role of silymarin in
prevention of alloxan-induced diabetes mellitus
in balb/C mice”showed that silymarin which is
a flavonoid mixture from milk thistle plant
parts significantly reduced the fasting blood
glucose level upto normal (from 163± 10
mg/dL to 109 ± 4.8 mg/dL) after two month
study. (Huseini et al., 2006). Results showed
that combination of Eclipta Alba extract and
silymarin significantly lowered the fasting
blood glucose level to 111.00 ±3.45 mg /dL.
So it is suggested that silymarin in milk thistle
plant parts decreases the fasting blood glucose
level significantly.
Fig.1 Effect of milk thistle plant parts (seed and leaves) on the fasting blood glucose level
(FBGL) (mg/dl) after 30 days in induced diabetic rabbits.
0
20
40
60
80
100
120
140
160
180
200
1 2 3 4 5Fast
ing
Blo
od
Glu
cose
Le
vel (
mg/
dl)
o
f R
abb
its
Groups
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 1–7
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
Fig. 2 Effect of milk thistle plant parts (seeds and leaves) on mean daily blood glucose level
(MDBGL) (mg/dl) after 30 days in induced diabetic rabbits.
Fig. 3 Effect of milk thistle plant parts (seeds and leaves) on body weights (g) after 30 days in
induced diabetic rabbits.
The results of 30 days application of
standard drug and milk thistle plant parts on
daily mean blood glucose level (mg/dL) were
markedly significant. Group 3 (T2) and group 5
(T4) in which milk thistle seeds and
seeds+leaves used exhibited significant
decrease in daily mean blood glucose level
(95.333mg/dL and 121.33mg/dL respectively)
and all the rabbits were recovered to normal
daily mean blood glucose in group 3, while the
other two groups also exhibited significant
decrease in daily mean blood glucose level than
control, but the rate of decrease is less as
compared to T2 (group 3). Vellussi et al.,
(1997) evaluated the daily mean blood glucose
levels in long term treatment with silymarin of
diabetic patient and the result was 202±19
mg/dl at base line and significantly decreased
to 156 after 12 month. So it is suggested that
milk thistle plant parts having falavanolignans
compound (silymarin) markedly reduce the
daily mean blood glucose level.
After 30 days applications of Silybum
marianum plant parts on body weight (g) of
rabbits, he results indicates that the body
weight (g) of group 2 and group 3 are
significantly low than control group while other
two groups exhibit more body weight (group
5= 2123.0g and group 4= 2037.3g) than that of
control (1924.3 g). The graphical representation
is also given in fig. 3. Vellussi et al., (1997)
checked the body weight (g) by using silymarin
(milk thistle plant extract) in cirrohotic diabetic
patients and results indicated that silymarin
0
50
100
150
200
1 2 3 4 5Me
an D
aily
Blo
od
Glu
cose
Le
vel
(md
/dl)
of
Rab
bit
s
Groups
1600
1700
1800
1900
2000
2100
2200
1 2 3 4 5
Bo
dy
We
igh
t (g
) o
f R
abb
its
Groups
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 1–7
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
significantly decreased the body weight 63 ± 4
Kg to 58 ± 2.3 Kg). So it is indicated that milk
thistle (Silybum marianum) plant parts only
seeds (having flavanolignan compounds) have
valuable effects on the body weight of induced
diabetic rabbits.
CONCLUSION
From the results obtained, it is clear that the
milk thistle (Silybum marianum) plant has great
potential to control the chemically induced
diabetes mellitus in animal and recover the
diabetic animals to normal condition. Hence
further studies are required on other animals to
ascertain and establish similar effect.
Pharmacological research is to be done to learn
the pharmaco-kinetics & dynamics of the drug,
which would help the research community to
understand the effect of the drug in a better way
so that such an effective drug could be used to
treat diabetes on Human subjects as well.
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Source of Support: NIL Conflict of Interest: None Declared
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 8–16
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
ISSN 2277-4289 | www.gjrmi.com | International, Peer reviewed, Open access, Monthly Online Journal
ETHNOMEDICINAL PRACTICES OF KURUMBA TRIBES, NILIGIRI
DISTRICT, TAMIL NADU, INDIA, IN TREATING SKIN DISEASES
Deepak P1*, Gopal GV
2
1, 2Regional Institute of Education, University of Mysore, Mysore, Karnataka, India.
*Corresponding Author: Email: [email protected]; Phone: + 91 – 8123784724
Received: 16/11/2013; Revised: 24/12/2013; Accepted: 31/12/2013
ABSTRACT
Skin diseases have always been associated with a specific relation with the quality of patient’s
daily life and personal hygiene. In Nilgiri district, most of the tribal settlements are dominant with
variety of skin diseases which are more prevalent among the children, due to the poor hygienic
condition in these settlements. Some of these infections are common and difficult to control because
the causal agents of these infections have acquired antibiotic resistance and hence it is the need of
the hour to develop new remedies with higher efficacy. In the present attempt, the Kurumba
settlements in three taluks Kundah, Kotagiri and Coonoor were selected. The medicinal knowledge
was documented through semi structured interviews with the Kurumba healers. The study
documented the ethno medicinal aspect of 25 plant species belonging to 25 genera and 19 families
which are used by the Kurumba tribe for skin diseases and this aboriginal knowledge was
documented, as following botanical identity, family, local name, uses and preparations. The present
study reveals that the aboriginal knowledge of Kurumbas on various plants used for skin diseases
will pave way for new pharmacological studies for treating the skin ailments more effectively.
KEYWORDS: Ethnobotany, Kurumba, Nilgiris
Research article
Cite this article:
Deepak P, Gopal GV (2014), ETHNOMEDICINAL PRACTICES OF KURUMBA
TRIBES, NILIGIRI DISTRICT, TAMIL NADU, INDIA, IN TREATING SKIN
DISEASES, Global J Res. Med. Plants & Indigen. Med., Volume 3(1): 8–16
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 8–16
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INTRODUCTION
Man has been depending on plants for
medicinal purpose before the beginning of the
written records. Studies now have shown that
ethnobotanically derived phytochemicals have
greater activity than compounds derived from
random screening and therefore a greater
potential for products had developed (Cox and
Balick, 1996; Flaster, 1996). There are reports
of intensive Ethnobotanical survey carried out
in different parts of India viz Bihar (Gupta,
1963), Orissa (Jain, 1971), Arunachal Pradesh
(Pal, 1984), Assam (Borthakur, 1976), Madhya
Pradesh (Shukla et al., 2001), Karnataka
(Gopal, 1985). However the Ethnobotanical
information on Tamil Nadu are mostly a
collective study on various tribal groups like
Kanikar tribes of the Tirunelveli district
(Mohan et al., 2008), traditional knowledge of
Malasars of Velliangiri Holy hills
(Subramanyam et al., 2008), medicinal
practices of Kattunayakas of Mudumalai
(Udayan et al., 2007), Ethnobotanical survey
of Malayali tribes of Thiruvannamalai district
(Subbaiah et al., 2012) etc. but there are very
few plants listed in the available literature on
traditional medicinal practices for various skin
ailments viz. boils, sores, scabies, ringworm
and eczema. Majority of the skin infections are
caused by a variety of fungi and yeasts viz.
Tricophyton, or Microsporium etc. Ringworm
is a fungal skin infection caused by different
type’s fungi and is generally classified by its
location on the body viz. Groin Ringworm,
Scalp Ringworm, Nail ringworm, Body
ringworm, Beard Ringworm etc. These
infections produces red ring like areas,
sometimes with small blisters on the skin; the
condition can be quite itchy and even painful.
Recurrence is common because the fungi can
survive indefinitely on the skin. Even with
proper treatment, a susceptible person may
have repeated infections (Falguni and Minoo,
2011). Hence the present study aimed at
investigating the diversity of traditional
medicines used for the management of various
skin infections among the Kurumbas and
thereby enriching the existing repository of
traditional aboriginal practices for effective
management of the skin ailments.
The Nilgiri district, also called ‘The
Nilgiris’, is a hilly area of, 2549.0 sq.kms,
located between 11°10’ and 11°30
’ North
latitude and between 76°25’ and 77°40
’ East
longitude, part of Nilgiris being in the Nilgiri
Biosphere Reserve (NBR) in the Western
Ghats which is one of the 24 ‘biodiversity hot
spots’ of the world. The NBR is known for its
rich biodiversity (Daniels, 1992). Six primitive
tribes viz., Todas, Kotas, Irulas, Kattunayakas,
Paniyas and Kurumbas live here. Among the
six tribes, the Kurumbas are the expert healers
using herbal medicines. On the basis of hill
residence, clan organization, dialects and belief
system, the Kurumbas of Nilgiri District are
divided in to five ethnic groups. They are Alu
or Palu Kurumbas, Betta Kurumbas, Jenu or
Teen Kurumbas, Mullu Kurumbas and Urali
Kurumbas. Among these five divisions of
Kurumbas, Alu Kurumbas are experts in
traditional medicinal practices (Parthasarathy,
2007). The present work indicates the multiple
formulations in which the medicinal plants
have been used exclusively for the skin
diseases by the Kurumba tribes of three taluks
Kundah, Kotagiri and Coonoor (Figure– 1).
MATERIALS AND METHODS
Ethnobotanical explorations were carried
out during 2009–10 in 73 tribal settlements of
the Kurumba tribes in the three taluks namely
Kundah, Kotagiri and Coonoor. The
Ethnobotanical information specifically related
to skin diseases were collected from the tribal
healers belonging to these communities who
practice herbal medicine and we documented it
with the help of semi structured interviews
which consist of the information highlighting
their expertise to cure the disease, plant part
recommended as medicine, adjuvant in a
recipe, mode of application, drug preparation,
dosage and duration, local names of the plants
etc. During the process of documentation
consistent explorations were carried out to the
specific habitat for identification and collection
of the particular therapeutic plant cited by the
healer. The information gathered was
confirmed by different tribal groups dwelling
in different places of the study area.
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 8–16
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Figure 1: Location map of the study area
The medicinal plants were identified,
photographed and collected for preparing
herbarium. The herbarium was prepared by
following the procedure described in methods
and approaches in Ethnobotany (Jain, 1989).
Plants were characterized based on the
identification keys given in standard
identification manuals, The Flora of Presidency
of Madras (Gamble, 1975), The Flora of Tamil
Nadu Carnatic (Mathew, 1983) and The Flora
of South Indian Hill Station (Fyson, 1932).
The preliminary ethno pharmacological
validation of these medicinal practices is
considered as the primary step to establish that
these plants are safe and effective for usage.
This also ensures that further studies carried on
these plants will bear better results. Hence the
validation of these remedies was carried out
using a non experimental method (Heinrich et
al., 1992) and the validation score of each plant
species is mentioned in the table – 1.
Table 1: List of medicinal plants collected from Traditional healers of the Kurumba tribes of 3
taluks of Niligiri
Sl.
No
Botanical Name
Common Name,
Part Used
Family Medicinal
Uses
Mode of
administration
Validation
Score
1 Siegesbeckia orientalis
L. (Nadukadachi),
Leaf
Asteraceae Wounds and
parasitic
skin problems
Leaf paste is used as
an External ointment
on the wounds and
the affected areas
3
2 Coleus parviflorus
Benth.
(Nila) Tuber
Lamiaceae Itching, boils
on the skin
Paste of the tuber
along with neem
leaves is used
4
3 Chenopodium
ambrosioides L.
(Kannada: Jaregida)
Entire Plant
Chenopodiaceae For 1 month
old baby to
remove the
body odour
Paste is applied on
the entire body before
bathing the baby
4
4 Tinospora cordifolia
(Wild) Miers ex Hook.
F. & Thoms. (Kannada
:Amrithavalli) Leaf
Menispermaceae White rashes
appearing on
the body
Decoction of stem is
consumed orally
4
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5 Plantago lanceolata L.
(Neela kare) Leaves
Plantaginaceae Boils on the
legs
Leaf paste is used as
an external ointment
4
6 Lantana camera L.
(Kannada : Parale
gida) Flowers
Verbenaceae Skin
inflammations
Flower is squeezed
and the juice is put on
the affected area on
the skin
2
7 Trichodesma
zeylanica,R.Br
(Jalke maram) Root
Boraginaceae Round patches
appearing on
the skin
Root is grinded into
paste and applied on
the affected region
externally
4
8 Eucalyptus polybractea
R. T.
Baker (Kannada
:Karpura mara), Leaf
and bark
Myrataceae Used for round
patches
appearing in
between the
fingers
Leaf paste is used
along with various
medicinal preparation
3
9 Bidens pilosa L. (Katu
kunni) Leaf
Asteraceae White patches
appearing on
the legs
Leaf paste is used as
an external ointment
3
10 Passiflora calcarata
Mast. (Potul), Leaf
Passifloraceae Skin diseases Leaf juice is applied
externally
4
11 Aloe vera (L.) Burm.f.
(Tamil: Sotru
Kattrazhai), Leaf
Liliaceae Hair and skin
Diseases
Leaf paste is applied
on the Hair and also
on the affected region
on the skin
4
12 Breynia rhamnoides,
Muell.(Poolan), Root
and leaf
Euphorbiaceae White patches
on the skin all
over the body
Root and leaf paste is
used
3
13 Ipomoea alba L.
(Velutha) Leaf
Convolvulaceae For skin
diseases
Leaf paste is used
directly as an external
ointment
4
14 Shuteria vestita, W&A
(Kannada: Kadu
belaga) Leaf
Fabaceae
Boils
appearing
on the skin
Leaf paste is used
directly as an external
ointment
1
15 Clematis gauriana
Roxb.
(Meenae), Leaf and
stem
Ranunculaceae Wounds and
skin Diseases
The paste is applied
on the wound and
sundried, then the
patient is required to
take bath separately
2
16 Ruta graveolens L.
(Tamil: Aruvadam)
Leaf
Rutaceae Skin diseases Leaf is mixed with oil
(any oil like coconut
or sunflower oil) and
boiled for 15 mins
and applied in warm
condition
4
17 Euphorbia hirta L.
(Tamil:
Ammanpatcharisi)
Leaf and Latex
Euphorbiaceae For pimples The latex is applied
externally
4
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18 Leucas biflora (Vahl.)
R.Br.
(Kannada:
Kaduthumbae) Whole
plant
Lamiaceae Skin irritations Paste of the whole
plant is mixed with
the coconut oil and
applied extensively
on the affected area.
4
19 Colocasia esculenta
(L.)
Schott. (Tamil:
Chembu) Leaves
and Rhizome
Araceae Small red
colour boils
appearing on
the skin
Juice of the leaves
and rhizome paste is
mixed with gingelly
oil to prepare a gel
and this is applied
externally for 21 days
to cure skin disease
4
20
Curcuma longa L.
(Tamil: Manjal)
Rhizome
Zingiberaceae Itching and
also for skin
glowing skin
Paste is applied on
the skin
4
21 Murraya koenigii L.
(Tamil: Karivepilla)
Leaves
Rutaceae Skin
inflammations
Leaves are boiled
along with coconut
oil and applied on the
affected part in warm
condition
4
22 Hibiscus rosa sinensis
L.
(Tamil: Chembarathi )
Flowers
Malvaceae Good for hair Boiled along with oil
and applied regularly
on the head for
cooling effect
4
23 Cymbopogon citratus
L.
(Tamil: Karppura pul)
Roots
Poaceae For pimples Garlic and grass root
paste is applied on
the body and then hot
water bath is given
4
24 Ocimum basilicum,var.
purpurasens
(Tamil: Katu thulasi)
Entire plant
Lamiaceae Skin
inflammations
after the insect
bites
Leaf paste is
externally applied
4
25 Vitex negundo L.
(Tamil: Nochhi)
Leaves
Verbenaceae Rejunvating
skin
Boiled leaf is
consumed on a
regular basis
4
1,2,3,4 evaluation (4, presumably active; 3 likely to be active; 2, only Ethnobotanical information validates the popular
use among the Kurumba tribes of Niligiris; 1, presumably in active)
RESULTS
A total of 25 plant species belonging to 25
genera, 19 families were used as traditional
remedies for various skin ailments (Table: 1).
This data gathered were the results of the field
visits carried during 2009–10 (Figure – 2). The
preliminary analysis of the data gathered
clearly projects (Figure - 3) that leaves (49%)
are primarily used for the medicinal
preparations for the skin ailments followed by
flower (13%), root (13%), bark (11%), rhizome
(5%), stem (3%) and latex (3%). The study
reveals that most of the preparations are
administered in the form of paste and applied
on the infected area externally except in the
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case of Vitex negundo and Tinospora cordifolia
which were consumed orally along with warm
water. However, the preparations for species
like Murraya koenigii, Hibiscus rosa sinensis,
Colocasia esculenta, Leucas biflora and Ruta
graveolens are boiled in gingelly oil or coconut
oil and then was applied on the infected area.
But the quantity and duration of administration
depends on the severity of the infection.
Certain medicinal plants like Murraya koenigii,
Hibiscus rosa sinensis and Aloe vera were
domesticated in most of the tribal villages due
to the frequent medicinal usage of the same or
various ailments apart from the skin diseases.
DISCUSSION
Communities living in the three taluks like,
Kundah, Conoor and Kotagiri have been
practicing the herbal medicine to cure skin
diseases like skin boils, fungal infections on
the skin etc., which are prevalent in the above
said areas. These skin diseases are very
common among these tribal settlements due to
the unhygienic conditions in which they live
and also the infections got aggravated due to
seasonal changes and some of these infections
were also transmitted from the cattle’s like
sheep. Aggravation of the infection was judged
from the degree of itching narrated by the
patients.
Figure 3: Glimpses of the field visit carried during 2009-10 to the study area
Plate A: Skin infection on the palm of the tribal women
Plate B: Traditional healer collecting the plant sample
Plate C: A Kurumba woman showing her certification for practicing traditional healing
Plate D: Documentation process of traditional knowledge from a traditional healer
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 8–16
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Figure 3: Analysis of plant parts used in the remedies
Though some medical assistance is
available in these three taluks, the tribal’s
living in the remote areas is unable to get the
facility and also due to the poor socio
economic background they are not able to
afford the readily available ointments for skin
diseases. Hence majority of the families
depend on the herbal medicines which is more
readily available. Certain medicinal plants that
are used for skin ailments by the Kurumba
tribes are also used in other regions. For
instances Leucas biflora and Colocasia
esculenta are being used to treat skin ailments
by the Kani tribes of Tirunelveli hills (Ayyanar
and Ignacimuthu, 2005). Similarly the plant
species Lantana camara is also used both by
the Kurumba and Irula healers of Kodiakkarai
Reserve forest (Subramanyam and Steven,
2009). But the quantity and duration of
administration depends on the severity of the
infection. According to this non experimental
method of validity 18 plant species fall under
the score of 4. Hence they are considered to be
most likely effective remedy as these data is
supported by the ethnobotanical,
phytochemical and pharmacological studies
carried by earlier workers. Four plant species
have a validating score of 3 in addition to their
ethnobotanical data, the phytochemical and
pharmacological information of these plants
validates their use in India, hence the plant may
exert a physiological action on the patient and
is more likely to be effective than those at the
lowest level of validity. Under 2 and 1 score, 2
plant species and 1 plant species fall
respectively. This is based on the popular
usage within the group of a particular
geographic region and 1 for presumably
phytochemically inactive.
CONCLUSION
Hence the present study clearly proved that
these remedies form an important database for
the identification and purification of important
therapeutic compounds and antimicrobial trials
to prove their efficacy and also to develop new
herbal products for the management of various
skin diseases.
ACKNOWLEDGEMENTS
We thank all the traditional medicinal
practitioners of Kurumba tribes of Kundah,
Kotagiri and Conoor taluk for supporting the
study by sharing their knowledge and Mr.
Sudhakar who accompanied us to all the
Kurumba settlements of the study area.
Leaf49%
Flower13%
Rhizome5%
Root13%
Tuber3%
Bark11%
Latex3%
Stem3%
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Source of Support: NIL Conflict of Interest: None Declared
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ISSN 2277-4289 | www.gjrmi.com | International, Peer reviewed, Open access, Monthly Online Journal
STABILITY STUDY OF SWARNAPRASHANA YOGA WITH RESPECT TO
BASELINE MICROBIAL PROFILE
Bhaskaran Jyothy Kothanath1*, Cholera Meera
2, Patel Kalpana Shanthibhai
3,
Shrikrishna Rajagopala4
1PhD Scholar, Dept. Of Kaumarabhritya, I.P.G.T. & R.A, Jamnagar, Gujarat, India
2Head, Microbiology Laboratory, I.P.G.T. & R.A, Jamnagar, Gujarat, India
3Professor & HOD, Dept. Of Kaumarabhritya, I.P.G.T. & R.A, Jamnagar, Gujarat, India
4Assistant Professor, Dept. Of Kaumarabhritya, I.P.G.T. & R.A, Jamnagar, Gujarat, India
*Corresponding Author: [email protected]
Received: 10/12/2013; Revised: 26/12/2013; Accepted: 01/01/2014
ABSTRACT
Administration of Gold in children is a unique practice explained in Ayurveda.
Kashyapasamhitha has mentioned the administration of pure gold triturated over a clean stone along
with water, honey and ghee as ‘Swarnaprashana’. In the present study, stability with respect to its
microbial profile of Swarnaprashana Yoga prepared with Swarna Bhasma, ghee and honey in a
specific proportion was carried out. Three samples of Swarnaprashana Yoga named A, B and C,
prepared and stored during different climatic and temperature conditions were studied at regular
intervals for a period of 3 months to analyse mycological findings and presence of microorganisms
by Wet mount preparation and Gram stain test respectively. Sample A and B were stored at room
temperature while sample C in refrigerator. At the end of the study, sample A did not reveal presence
of microbes after 3 months of preparation of the sample. Sample B showed presence of many gram
negative pleomorphic rods at the end of 1 month of preparation. Presence of many gram negative
rods was found in Sample C at the end of 3 months of preparation. The findings of the present study
reveal that microbial contamination in Swarnaprashana Yoga has relation with the changes in
climatic conditions and temperature. In the present study, the stability of Swarnaprashana Yoga with
respect to microbiological findings was 3 months when stored at room temperature during warm and
dry climatic conditions, 1 month and 2 months when stored in room temperature and refrigerator
respectively during cold and humid climatic conditions.
KEYWORDS: Stability, Microbial Profile, Swarnaprashana Yoga, Climatic condition
Research article
Cite this article:
Bhaskaran Jyothy. K., Cholera M., Patel Kalpana S., Shrikrishna R., (2014),
STABILITY STUDY OF SWARNAPRASHANA YOGA WITH RESPECT TO
BASELINE MICROBIAL PROFILE, Global J Res. Med. Plants & Indigen. Med.,
Volume 3(1): 17–23
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 17–23
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
INTRODUCTION
Swarnaprashana (oral administration of
gold) is a very unique practice of internal
administration of gold explained in Ayurveda
especially for the benefit of children.
Kashyapasamhita mentioned the term
Swarnaprashana for administration of gold
with the benefits of improvement in factors like
intellect, digestion and metabolism, physical
strength, immunity, complexion, fertility and
life span. According to the classic,
Swarnaprashana Yoga (formulation of gold)
has to be prepared by triturating pure gold
along with water, ghee and honey on a clean
stone. The administration of this Yoga has been
told for children with specific indications and
contraindications (Hemaraja Sarma 2006).
Many other texts of Ayurveda have also
explained internal administration of gold
(Jadavji Trikamji, 2005, Harisastri Paradakara,
2002 & Shivaprasad Sharma, 2006). From the
above cited references it can be understood that
this specific formulation has to be freshly
prepared and administered.
People do get attracted by knowing the
above said benefits of Swarnaprashana, but the
preparation of the formulation on daily basis in
present busy life style make them quite hesitant
in approaching the clinicians. Although there
are many formulations available in the name of
Swarnaprashana in the market there are no
uniform protocol followed in their preparation,
storage, and information of shelf life period etc.
This also discourages the public from accepting
this unique formulation with complete
confidence. A formulation which is prepared in
specific proportion with good quality
ingredients and stored well in good hygiene for
at least an acceptable time period could surely
improve acceptance of such a formulation
among public.
As Swarnaprashana is administered in
children even from new born period, it was
necessary to prepare the formulation in a better
dosage form which is also free from any
microbial contamination. Stability of a
pharmaceutical product is the capability of a
particular formulation in a specific container or
closure system, to remain within its physical,
chemical, microbiological, therapeutic and
toxicological specifications at a defined storage
condition (Linda Ed Felton, 2013). Thus in the
present study an attempt was taken to check the
stability of Swarnaprashana Yoga with respect
to its microbial profile in 3 samples prepared
and stored in two different climatic conditions
and temperature set ups at regular intervals for
a period of 3 months.
MATERIALS AND METHODS
Samples of Swarnaprashana Yoga labelled
‘A’ and ‘B’ (stored at room temperature) and
‘C’ (refrigerated) were prepared and studied to
check microbial contamination at regular
intervals for a period of 3 months. The study
was conducted at Microbiology laboratory,
Institute for post graduate teaching and
research in Ayurveda, Jamnagar, Gujarat, India.
Contents of samples:
All the three samples contained 1 g of
Swarna Bhasma (Ash of gold), unequal
quantities of 22 g of ghee and 248 g of honey
triturated well for about 8 hours in Akika
Khalvayantra (Mortar and pestle made of semi-
precious stone, Akika). This specific proportion
was followed to fix the dosage form as drops
which will be easier in administration in
children. Swarna Bhasma was procured from
the Department of Rasashastra and Bhaishajya
kalpana, Institute for Post Graduate Teaching
and Research in Ayurveda, Gujarat Ayurved
University, Jamnagar, Gujarat, India. Honey
(Grade A) was procured from Khadi
gramodyog, Jamnagar and Ghee (Agmark Cow
ghee) from standard local market which were
also evaluated for microbial contamination
before the preparation of Swarnaprashana
Yoga.
Preparation time:
The samples were prepared in two different
batches. Sample ‘A’ was prepared and
preserved during the months of April to June,
2012 and samples ‘B’ and ‘C’ were prepared
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and preserved during the months of September
to November, 2013. The preparation was done
with utmost care to avoid any sort of
contamination by using sterile vessels and
gloved hands. Cap and mask were worn during
the entire preparation period. To ensure further
safety, glass bottles for storage were sterilised
by rinsing with 10% sodium hypochlorite
(chemical sterilisation method) and then kept in
hot air oven (physical sterilisation method).
Storage:
The 1st batch sample (sample ‘A’) was
stored at room temperature in a dry and dark
place to avoid exposure to direct sunlight and
wind. The 2nd
batch sample was stored in two
parts; one part at room temperature (sample
‘B’) and the other in refrigerator (sample ‘C’).
No preservatives were added to the samples for
storage.
All the three samples were subjected to
stability study with respect to microbial
contamination at regular intervals for a period
of 3 months the details of which are cited
below.
Microbial profile:
Microbial contamination was assessed by two
methods to check any mycological findings and
bacteriological findings. The details of the
procedures followed are given below.
1. Wet mount test:
Aim: To rule out any mycological
findings.
Specimen: Samples A, B and C.
Procedure: A drop of selected samples were
taken on 3 grease free glass slides marked
A, B and C respectively and covered with
cover slips for microscopic examination.
2. Gram stain test:
Gram staining is a differential staining
technique that differentiates bacteria into
two groups: gram-positive and gram-negative.
The procedure is based on the ability of
microorganisms to retain colour of the
stains used during the gram stain reaction.
Gram-negative bacteria are decolourized by
any organic solvent, losing the colour of the
primary stain. Gram-positive bacteria are
not decolourized and will remain as purple.
After decolourization step, a counter stain is
used to impart a pink colour to the decolorized
gram-negative organisms. The Gram stain
procedure enables bacteria to retain colour of
the stains, based on the differences in the
chemical and physical properties of the cell
wall (Alfred E Brown, 2001).
Aim: To rule out presence of bacterial
finding
Specimen: Sample A, B and C.
Procedure: The smear was covered with
crystal violet and allowed to stand for a few
seconds. Then the stain was washed off,
using a wash bottle of distilled water.
Excess water was drained off. The smear
was covered with Gram’s iodine solution
and allowed to stay for a minute. Gram’s
iodine was later poured off and the smear
was flooded with acetone for a few
seconds. The excess acetone was removed
by rinsing the slide with water for a few
seconds. Later the smear was covered with
safranin for 30 seconds. It was then gently
washed for a few seconds, blot dried with
bibulous paper, and air-dried. The slide was
examined under oil immersion.
OBSERVATIONS
Following findings were observed at the
end of the study. The tables I, II and III show
the observations in the samples A, B and C
respectively during the tests at regular intervals
for a period of 3 months.
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Sample ‘A’ (Table I) preserved at room
temperature during the month of April to June
2012 did not show presence of any mycological
or bacteriological findings at the end of 3
months after preparation of the sample.
Sample ‘B’ (Table II) preserved in room
temperature during the month of September to
November 2013 showed presence of many
gram negative pleomorphic rods after 37th
day
of preparation of the sample. But no
mycological findings were observed. Once
there was positive finding of bacterial
contamination the sample was not subjected to
further tests but discarded.
Sample ‘C’ (Table III) preserved in
refrigerator during the month of September to
November 2013 did not reveal any positive
mycological findings at the end of 3 months.
But in gram stain test there was presence of
many gram negative rods arranged singly on
86th
day of preparation of sample. As the
sample showed positive finding of bacterial
contamination it was not subjected to further
tests but discarded.
Table I- Observation of Sample ‘A’ preserved in room temperature
Sl.no. Test done after preparation Observation
Wet Mount test Gram Stain
1. 30 days No Fungal filaments No Microorganism
2. 37 days No Fungal filaments No Microorganism
3. 44 days No Fungal filaments No Microorganism
4. 51 days No Fungal filaments No Microorganism
5. 58 days No Fungal filaments No Microorganism
6. 65 days No Fungal filaments No Microorganism
7. 72 days No Fungal filaments No Microorganism
8. 79 days No Fungal filaments No Microorganism
9. 86 days No Fungal filaments No Microorganism
Table II – Observations of Sample ‘B’ preserved in room temperature
Sl.no. Test done
after
preparation
Observation
Wet Mount test Gram Stain
1. 30 days No Fungal filaments No Microorganism
2. 37 days No Fungal filaments Many Gram negative
pleomorphic rods
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Table III – Observations of Sample ‘C’ preserved in Refrigerator
Sl.no. Test done
after
preparation
Observation
Wet Mount test Gram Stain
1. 30 days No Fungal filaments No Microorganism
2. 37 days No Fungal filaments No Microorganism
3. 44 days No Fungal filaments No Microorganism
4. 51 days No Fungal filaments No Microorganism
5. 58 days No Fungal filaments No Microorganism
6. 65 days No Fungal filaments No Microorganism
7. 72 days No Fungal filaments No Microorganism
8. 79 days No Fungal filaments No Microorganism
9. 86 days No Fungal filaments Many gram negative rods
DISCUSSION
Swarnaprashana is a widely used formulation and being practised among Ayurvedic practitioners. But at present there are no uniform protocols followed in the preparation, storage and administration of this formulation. It is need of the hour to incorporate some constructive steps to prepare and store this unique formulation in good quality for a reasonable time period which will be helpful for the safe usage in infants and children. Swarnaprashana Yoga prepared in the present study contained Swarna Bhasma, ghee and honey in a specific proportion which was selected for a better dosage form in children.
The present study was carried out to observe the stability of Swarnaprashana Yoga with respect to microbial contamination of the samples prepared and preserved in two different climatic and temperature conditions. Thus a baseline microbial profile was studied at regular intervals for a period of 3 months. At the end of the study it was observed that sample ‘A’ preserved at room temperature during the months of April to June 2012 did not show presence of any microbes at the end of 3 months. Sample ‘B’ preserved in room
temperature during the months of September to November 2013 showed presence of many gram negative pleomorphic rods on 37
th day of
the Gram stain test. But no mycological finding was observed in it. Sample ‘C’ preserved in refrigerator showed negative results in wet mount test at the end of 3 months. But in gram stain test it showed presence of many gram negative rods arranged singly on 86
th day of
preparation. After the samples revealed positive finding of bacterial contamination they were not subjected to further tests but discarded.
Stability is usually expressed in terms of shelf life, which is the time period from when the product is produced until the time it is intended to be consumed or used. Several factors are used to determine a product's shelf life, ranging from organoleptic qualities to microbiological safety. The factors which may be considered when determining whether a prepared product requires time/temperature control during storage, distribution, sale and handling may be categorised under intrinsic, extrinsic and other factors (FDA report, 2001).
Intrinsic factors include moisture content, pH and acidity, nutrient content, biological structure, redox potential, naturally occurring and added antimicrobials. Extrinsic factors
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include types of packaging/atmospheres, effect of time/temperature conditions on microbial growth, storage/holding conditions and processing steps (FDA report, 2001).
The prepared Swarnaprashana Yoga in this present study contained Swarna Bhasma, ghee and honey. No preservatives were added to the formulation. The factors which might have influenced the findings of the tests in the samples are discussed here in detail.
Microorganisms need water in an available form to grow in a product, the measure of which can be named as water activity of a product. Water activity is defined as the ratio of water vapor pressure of the prepared product to the vapor pressure of pure water at the same temperature (James M. Jay, 2000). Thus the aw describes the degree to which water is bound in the product, its availability to participate in chemical or biochemical reactions and its availability to facilitate growth of microorganisms. Microorganisms generally have optimum and minimum levels of aw for growth. Gram negative bacteria are generally more sensitive to low aw than Gram positive bacteria (FDA report, 2001). Honey, an ingredient of Swarnaprashana Yoga of the present study was of comparatively higher quantity than ghee. Approximate aw value of honey is < 0.60 (Bibek Ray, 2004).
Honey is
hygroscopic in nature. The amount of water honey absorbs is dependent upon the relative humidity of the air. Although the water activity value of honey is high, a change in that value might have taken place in the samples due to change in climatic conditions and temperature. Positive findings of gram negative rods was found in the sample B stored at room temperature during the months of September to November 2013 and sample C which was refrigerated during the same period. In Jamnagar where the present study was carried out, September to November are the months with an average temperature of 21.7ºC to 34.26ºC when the atmosphere is usually cold compared to the months of April to June with an average temperature of 24.9ºC to 39ºC (http://www.meoweather.com/history/India/na/22.466667/70.066667/Jamnagar.html) which is
usually hot and dry. There was no positive finding of microbial contamination in sample A stored at room temperature during the month of April to June which may be due to the hot and dry climatic conditions. Thus the cold weather might have contributed to the change in water activity of honey which was observed as positive findings in microbial contamination in samples B and C.
The level of microorganisms in the air is controlled by degree of humidity, size and level of dust particles, temperature and air velocity and resistance of microorganisms to drying. Generally dry air with low dust content and higher temperature has low microbial level. Microbial contamination of a product from the air can be reduced by removing potential sources, controlling dust particles in the air, reducing humidity level etc. (Bibek Ray, 2004). The month of September in 2013 received heavy rain fall in Jamnagar district and during October to December 2013 received average 27% higher rainfall in Jamnagar district (http://www.imdagrimet.gov.in/sites/default/files/rainfall_map/Gujsearf-SPR.jpg) during which, low temperature, high humidity and moisture content of the atmosphere might have also influenced the positive microbial contamination findings in the samples during those period.
CONCLUSION
Shelf life is the time period from when the product is produced until the time it is intended to be consumed or used. Several factors are used to determine a product's shelf life, ranging from organoleptic qualities to microbiological safety. For the purpose of this study, key consideration was the stability of Swarnaprashana Yoga with respect to microbiological safety of the product.
The present study was an initial attempt in analysing the microbial contamination in the samples of Swarnaprashana Yoga prepared in two different climatic conditions and stored at two different temperature set ups. The stability of Swarnaprashana Yoga with respect to only microbiological findings were studied for a
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period of 3 months when stored at room temperature and refrigerator during April to June 2012 and September to November 2013. The findings of the study indicates that warm, dry and less humid climatic conditions does not favour any microbial contamination when handled hygienically. However the cold climatic conditions favoured microbial contamination even when handled hygienically and preserved in both room temperature and refrigerator. Thus the study advocates that
Swarnaprashana Yoga prepared using the above ingredients should be consumed within 3 months during warm and dry climatic conditions and within 2 months during cold climatic conditions. As this was a baseline attempt, further studies are to be carried out in sophisticated laboratories, at various climatic conditions to establish the stability of Swarnaprashana Yoga with respect to microbial contamination.
REFERENCES
Alfred E Brown (2001), Benson:
Microbiological Applications, 8th
Edition, The McGraw−Hill Companies,
pg. 64.
Bibek Ray (2004), Fundamental of Food
Microbiology, 3rd
Edition, CRC Press
LLC, 2000 N.W, pg.72 & 37–38.
FDA (2001), http://
www.fda.gov/Food/FoodScienceResear
ch/SafePracticesforFoodProcesses/ucm
094145.htm last updated: 06/03/2013,
retrieved on 1.12.2013.
Harisastri Paradakara (2002), Ashtangahridaya
by Vagbhata with Sanskrit
Commentaries of Arunadatta and
Hemadri, Edited by Harisastri
Paradakara Vaidya, 9th
Edition,
Chaukhambha Orientalia, Varanasi:
pg.778 & 781.
Hemaraja Sarma (2006), Kasayapa Samhita by
Vrddha Jivaka, revised by Vatsya with
Vidyotini Hindi Commentary, Reprint,
Chaukhambha Sanskrit Sansthan,
Varanasi; pg.4–5.
http://www.imdagrimet.gov.in/sites/default/file
s/rainfall_map/Gujsearf-SPR.jpg last
retrieved on 1.12.2013.
http://www.meoweather.com/history/India/na/2
2.466667/70.066667/Jamnagar.html last
retrieved on 1.12.13.
Jadavji Trikamji (2005), Susrutha Samhita by
Susruta with Dalhanacharya Varanasi:
Chaukhamba Orientalia; pg. 388- 389 &
395.
James M. Jay (2000), Modern food
microbiology, 6th Edition, Aspen
publication, Gaithersburg, Maryland,
pg. 41.
Linda Ed Felton (2013), Remington: Essentials
of Pharmaceutics. 1st Edition,
Pharmaceutical Press, UK. pg. 37.
Shivaprasad Sharma (2006),
Ashtangasamgraha by Vagbhata with
Sasilekha Sanskrit Commentary,
Edited by Shivaprasad Sharma, 1st
Edition, Chaukhambha Sanskrit Series
office, Varanasi: pg.914.
Source of Support: IPGT & RA, Jamnagar, Gujarat,
India
Conflict of Interest: None Declared
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Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
ISSN 2277-4289 | www.gjrmi.com | International, Peer reviewed, Open access, Monthly Online Journal
KAMADUGHA RASA AN EFFECTIVE AYURVEDIC FORMULATION FOR
PEPTIC ULCER: A REVIEW
Maurya Santosh Kumar1*, Arka Ghosh
2, Yadav Amit Kumar
3, Kumar Dileep
4,
Singh Anil Kumar5
1, 2, 3, 4Faculty of Ayurveda, Institute of Medical Sciences, Rajiv Gandhi South Campus, Banaras Hindu
University, Mirzapur–231001, Uttar Pradesh, India 5Department of Dravyaguna, Faculty of Ayurveda, Institute of Medical sciences, Banaras Hindu University,
Varanasi–221005, Uttar Pradesh, India
*Corresponding Author: Email: [email protected]
Received: 10/12/2013; Revised: 25/12/2013; Accepted: 01/01/2014
ABSTRACT
At the present time PUD (peptic ulcer diseases) is common problem in societies due to various
behavioral and environmental factors. Further excessive use of NSAID’s (non steroidal anti inflammatory
drugs) and infection of Helicobacter pylori also contribute major part in pathogenesis of PUD. PUD is
gastrointestinal disorder that has been recognized since ancient time. In Ayurveda, it is equivalent to
amlapitta (hyperacidity/acid peptic disorders) and is common throughout the world and prevalence
has been estimated to approximately 11–14% for men and 8–11% for women. The usage of synthetic
drugs such as antacids, H2 receptor blockers and proton pump inhibitors have abbreviated due to their
side effects. These crises lead to the search for natural products from plant or mineral origin
possessing potential anti–ulcer activity. Rasaushadhis (mineral and herbo–mineral ayurvedic
medicines) are unique dosage forms having benefit of longer shelf life, better therapeutic efficacy at
low dose. Kamadugha Rasa is one of them and effectively used for anti ulcer activity. The
ingredients of Kamadugha Rasa like bhasmas (Powder obtained by calcinations of mixture of
minerals and herbs or any one) of Mukta (pearl), Pravala (coral: Corallium rubrum), Shankha (conch
shell), Shukti (oyster shell) and Varatika (cowries shell: Cyprea moneta Linn.) are the sudha varga
dravyas (calcium containing group) which are known for their importance in the management of
Amlapitta, Pittaja vikara, (disorder related to biological fire or metabolic catabolic enzymes), Jirna
Jwara (chronic fevers) and Somaroga (The condition in which there is an excessive urination in
women). In the present review, an attempt was made to understand the possible mode of action of
Kamadugha Rasa as a gastro-protective and for its anti–ulcer activity.
KEYWORDS: Kamadugha Rasa, Amlapitta, Rasaushadhis, Peptic Ulcer Disease, Anti–Ulcer
Activity
Review article
Cite this article:
Kumar Maurya Santosh, Arka Ghosh, Kumar Yadav Amit, Kumar Dileep, Singh Anil Kumar.,
(2014), KAMADUGHA RASA AN EFFECTIVE AYURVEDIC FORMULATION FOR PEPTIC
ULCER: A REVIEW, Global J Res. Med. Plants & Indigen. Med., Volume 3(1): 24–32
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 24–32
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
INTRODUCTION
The demand of herbal drugs is increasing
day by day due to their excellent efficacy,
fewer side effects and good faith by Indian
community on herbal medicine and also their
products (Rawat et al., 2003). The drugs which
are available in Ayurvedic system of medicine
are obtained either from herbal, animal and
mineral sources. Rasaushadhis (mineral and
herbo-mineral ayurvedic medicines) are unique
dosage forms having benefit of long shelf life
and better therapeutic efficacy at lower dose. In
the current kinetic era, Rasaushadhis have
given Ayurveda a complete novel health care
look (Chaudhary and Singh, 2010).
Kamadugha Rasa is a unique Kharaliya
Rasayana (medicine prepared in mortar and
pestle) which contains equal amount of Mukta
bhasma (calcined pearl), Pravala bhasma
(calcined coral: Corallium rubrum), Shankha
bhasma (calcined conch shell), Shukti bhasma
(calcined oyster shell) and Varatika (cowries
shell: Cyprea moneta Linn.), Shuddha Gairika
(purified red ochre) and Guduchi Satva (cold
water extract of Tinospora cordifolia). It is a
completely balanced healing agent which is
designed to tackle the various types of diseases
ailments such as Amlapitta, Pittaja vikara,
Jirna Jwara and Somaroga (Hariprapannaji,
1999, Palbag et al., 2013). It is also advised in
many complications of Amlapitta (Anonymous,
2006) like Parinama shula (duodenal ulcer),
Annadrava shula (abdominal pain related with
poor digestion) and other Gastro-intestinal
disturbances which are now a day’s regarded as
the most commonly occurring diseases due to
present life style and food habits. Since times
immemorial, this drug has been most widely
and successfully used in clinical practice.
Several variations of Kamadugha Rasa have
also been mentioned in many classical texts
(table 1) and are described in various chapters
of Jwara (fevers) (Hariprapannaji, 1999) and
Amlapitta (Hariprapannaji, 1999). In addition,
it is also indicated in many diseases such as
unmada (psychosis), apasmara (epilepsy),
pradara (leucorrhooea), mutra daha (burning
micturation), raktarsha (bleeding piles), vrana
(ulcer/wound) produced due to Amlapitta
(Anonymous, 2006; Anonymous, 2000),
bhrama (vertigo), daha (burning sensation),
murcha (loss of consciousness), rakta pitta
(bleeding diathesis/ innate haemorrhage) and
trishna (thirst) (Joshi and Rao, 2003).
Peptic ulcer disease (PUD), encircling
gastric and duodenal ulcer is a major
gastrointestinal disorder (Valle, 2005). An ulcer
forms when there is an imbalance between
aggressive forces, i.e., the aggressive power of
acid and pepsin and defensive factors mucus
layer, mucosal blood flow, PGs (prostaglandin)
and growth factors (Sairam et al., 2003; Szabo
et al., 1998). However, in majority of patients,
acid secretion is within normal limits or is
moderately raised. It can occur at any age,
including infancy and childhood, but are most
common in the middle aged adults (Beer and
Berkow, 2006). Lifetime prevalence is
approximately 11–14% for men and 8–11% for
women (Le and Fantry, 2008). In the present
times, approximately 80% of the patients that
suffers from PUD are mainly associated with
the Helicobacter pylori infections (Warren and
Marshall, 1983; Matsukura, 1995). The
excessive consumption of NSAID’s (non
steroidal anti inflammatory drugs) is also one
of the main contributing factors for the
development of PUD (Wallace, 2000).
However, various behavioral and
environmental factors such as smoking (Kaur et
al., 2012), excessive consumption of alcohol,
improper diets and excessive stress leads to the
generation of PUD. Current therapy for the
treatment of PUD mainly includes various
combinations of antacids, H2 receptor blockers
(ranitidine, famotidine) and proton pump
inhibitors (omeprazole, lansoprazole) (Rao et
al., 2004). The aim of such therapy is attributed
to the reduction of gastric acid production and
strengthening of gastric mucosa (Hoogerwerf
and Pasricha, 2001). The complete cure of
peptic ulcers is still one of the challenging
problems, since the disease is likely believed to
re–occur in the future (Bandyopadhyay, 2002).
Most of the synthetic drugs are cost effective
and can produce several health problems that
generate unusual adverse effects in the body.
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Hence, there is a necessity to discover newer,
cheaper, and safe antiulcer agents. Herbal
medicines have been shown to produce
promising results in the treatment of PUD.
They have often shown to reduce the
aggressive factors and strengthening the
mucosal defensive layers, thus serving as
important tools in the prevention of gastric
ulcers (Laloo et al., 2013).
Table 1: Kamadugha Rasa in classical Ayurvedic texts
Jwaradhikara
(Hariprapannaji,
1999)
Amlapittadhikara
(Hariprapannaji,
1999)
Amlapittadhikara
(Hariprapannaji,
1999)
Ratna Pradhana
Yoga
(Joshi and Rao,
2003)
Ingredients Swarna Gairika,
Ghrita, Amalaki
Swarasa (juice of
Emblica
officinalis)
Guduchi Sattva,
Swarna Gairika,
Abhraka Bhasma
Karsha
Mukta Bhasma,
Pravala Bhasma,
Shukti Bhasma,
Kapardika Bhasma,
Shankha Bhasma,
Shuddha Gairika,
Guduchi Sattva all
in equal quantity
Swarna Gairika,
Guduchi Sattva,
Sharkara, Amalaki
swarasa
Preparation Bharjana (frying)
of Swarna Gairika
is done with
Ghrita, powdered
and seven bhavana
(trituration) given
with Amalaki
swarasa.
All the ingredients
are finely powdered
and mixed well.
All the ingredients
are taken in equal
quantity and
triturated
homogeneously.
Shodhita Swarna
Gairika triturated
with Amalaki
swarasa
continuously for 21
days, dried and
powdered. Mix
Guduchi Sattva
equal to it and also
mix Sugar equal to
both and grind well.
Indication Pitta roga,
Prameha
(diabeties),
Pradara, Pandu
roga (anemia),
Kamala
(jaundice), Daha,
Trishna, Bhrama,
Jirna jwara
Prameha, Pradara Jirna jwara,
Bhrama, Unmada,
Pitta roga,
Amlapitta and
Somaroga.
Rakta pitta, trishna,
Daha, Bhrama,
Murcha
As long as samprapti (etiopathogenesis) of
Amlapitta is concerned, it is explained with the
help of samprapti of grahani roga mentioned
by Charaka. In Amlapitta the Nidanas
(etiology) are predominantly from the non
compliance of dietetic code of selection and
eating. However psychological status of a
person also plays an important role. The
etiological factors like Ati snigdha ahara, Ati
ruksha ahara, Vishamashana, Akale bhojana,
Akale anashana Veganigraha (suppression of
natural urges) (Sharma, 1988), Vidahi anna
sevana, Vidahi pana sevana, Dusta anna sevana
(Upadhaya, 1981) and seasonal variation etc.
cause the vitiation of Dosha (especially
liquidity of Pitta) and Agni which results in
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Agnimandhya (digestive weakness). Once
Agnidushti occurs it results in Ajirna
(indigestion). In this state of whatsoever food
material are consumed by an unwise person,
become Vidagdha (acidic) and are converted
into Shukta (acid) form which leads to
formation of Amavisha. Thus, Amavisha (acidic
dietary toxins in the body) produced disturbs
the Grahani and once it happened it further
produces the Amadosha (excessive
accumulation of dietary toxins) and vicious
cycle starts. Amavisha Produced by this
Samprapti when mixes with Pitta, it will
produce Amlapitta (Jadavji, 2004). In the
present review an attempt has been made to
understand and explore the possible mode of
gastro-protective and anti–ulcer activity of
Kamadugha Rasa.
MODE OF ACTION OF KAMADUGHA
RASA
Ayurvedic Perspective
Some of the ingredients of Kamadugha
Rasa such as pravala and mukta have dipana
(appetizer) and pachana (digestive) properties
(Kulkarni, 2006) maintain the normalcy of agni
(digestive fire) and thus help in curing and
preventing the production of ulcers (Ghosh and
Baghel, 2011). The kshariya (alkaline) nature
of these drugs would reduce the amliyata
(acidic nature) and help in vrana ropana
(promotes wound healing). These are sita virya
dravyas (the drug having cold potency or
cooling effect usually resembles to
endothermic) which does Pitta shamana
(pacify the biological fire) and Vrana ropana.
Shankha Bhasma being Sita Virya, alkaline in
nature, Grahi (absorption enhancing), it is
indicated in gastrointestinal disorders like
Amlapitta, Parinama Shula, Grahani (Irritable
bowel syndrome) and Agnimandhya (Shastri,
1989) which is clinically proved (Pandey,
2000). Gairika is another ingredient which is
madhura (Sweet), kashaya (Astringent),
snigdha (smooth), hima (cold), rakta pitta hara
(effective in bleeding diathesis) and Vrana
ropaka. These properties are very necessary in
the healing of ulcer. Guduchi Satva being
another important ingredient is known for its
Rasayana property (Upadhyay et al., 2010). It
is having tikta (Bitter), kashaya rasa with
madhura vipaka (post digestive effect which is
sweet in nature), snigdha guna and is tridosha
shamaka (pacify three Bio energy Principles,
Vata, Pitta, and Kapha), dipaniya. These all
would support in the anti ulcer activity along
with Rejuvenation.
Pitta is having tiksna (sharpness), usna
(heat), sara (mobility), laghu (lightness),
snigdha, etc. properties by which it brings
biochemical changes at the cellular and tissue
levels. Pitta maintains digestion, thirst, appetite
energy production and body temperature,
colour, complexion. Pitta is Drava (liquid) in
consistency, inspite of which, it performs
actions similar to Agni, in the course of process
of digestion, largely due to its actual Teja (heat)
component (discarding its liquidity-Drava).
This fact is inferred from the way in which
Pachaka Pitta (digestive component of
biological fire) performs pachana (digestive)
Karma (action). The capacity of digestion also
depends on the qualitative increase of Usna
Guna of Pitta. Conceptually it was concluded
that substances having the properties like
ruksha, kasaya, laghu had the effect to decrease
the drava guna of pitta and maintaining the
proper function of agni. Similarly substances
having madhura, sita properties, decreased the
usna property of pitta to maintain the proper
function of agni.
Modern Perspective
Kamadugha Rasa mainly contains calcium
compounds chiefly calcium carbonate (CaCO3),
calcium oxide (CaO) and some amount of
calcium silicates. Calcium carbonate is widely
used in the treatment of peptic ulcer
(Loevenhart and Crandall, 1927; Meletis et al,
2008). It is a fast acting antacid and reduces
gastric acidity resulting in an increase in the pH
of stomach (Akhter, 2007). Calcium being the
main ingredient plays an important role in
many physiological activities not only related
to bones but also includes blood clotting, nerve
conduction, muscle contraction, regulation of
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 24–32
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
enzyme activity and cell membrane function. It
takes part in production of many enzymes and
hormones which regulate digestion process and
metabolism. (Piste et al., 2013). Calcium is
essential for the normal transport of nutrients
through membranes, blood coagulation and
muscle functioning (Piste et al., 2013). Calcium
also helps in regulating potassium and
magnesium balance in the body (Swaminathan,
2003). It prevent blood loss if ulcers are
bleeding, heal the ulcers by muscle contraction
and hardening and also reduces the pain by
regulating nerve function (Piste et al., 2013)
and perhaps most importantly, Calcium is the
main buffer used in the body to neutralize acids
and maintains the proper pH (Akhter, 2007).
Even it is evident that excess intake of calcium
leads to production of peptic ulcers instead of
healing. The administration of calcium both
orally or intravenously, stimulates acid
secretion and increases circulating
concentration of gastrin (Petersen et al., 1984).
Stimulation of acid secretion by the parietal
cells occurs by at least three major pathways:
the cholinergic transmitter such as
acetylcholine, histamine, which is locally
released in the gastric epithelium and the
hormone gastrin. The effect of histamine is
mediated by increasing adenylate cyclase
activity, whereas the effects of the
acetylcholine and gastrin seem to involve an
increase in cytosolic free calcium (Zhou et al.,
1997). Kamadugha Rasa contains not only
calcium but also other minerals thus reducing
excess absorption of calcium. Magnesium is
one of the minerals which is said to reduce the
absorption of calcium in the intestine.
However, the action of magnesium is very
weak; hence it may not hinder the absorption of
calcium to large extent. Kamadugha Rasa also
contains many elements like iron, oxygen,
sodium, zinc, aluminium, silicon potassium and
others which are essential minerals for the
maintenance of healthy body. The presence of
zinc, aluminium and magnesium also helps in
the ulcer healing process (Varas et al., 1991;
Frommer 1975; Watanabe T, et al., 1995; Itoh
et al., 2004; McIntosh and Sutherland, 1940).
Kamadugha Rasa displays gastroprotective
activity against different ulcer inducing agents,
as well as it has ability to decrease gastric
secretion (Chandra et al., 2010).
Ingredients of Kamadugha Rasa are
individually useful in peptic ulcer. Kirtikumar
et al., 2010 performed a comparative clinical
study between Jala Shukti Bhasma and Mukta
Shukti Bhasma with reference to Amlapitta
(Parmar, 2010; Chouhan et al., 2010) which
justifies this claim. The study conducted by
Pandya (1968) assesses the effectiveness of
Pravalapanchamrita (formulation containing
Mukta Bhasma, Shankha Bhasma, Shukti
Bhasma, Varatika Bhasma and Pravala
Bhasma) in patients of Amlapitta and conclude
that it is a highly effective medicine (Pandya,
1968). Momin Ali (1970) evaluated the effect
of Shukti Bhasma against Amlapitta to observe
its clinical efficacy (Ali, 1970). Shankha
Bhasma acts like antacid. Its acid neutralizing
capacity, speed of antacid action and prolonged
buffering action were excellent (Pandey, 2000).
Shankha Bhasma causes noteworthy decrease
in ulcer index in both the indomethacin and
cold resistant stress models for studying PUD.
Thiobarbituric acid reacting substances
(TBARS) of stomach in the indomethacin
treated rats were also reduced by Shankha
Bhasma, but serum calcium level was not
altered (Pandith et al., 2000). Guduchi satva is
the most effective drug against hyperacidity as
observed in pylorus ligated (Shay) rat model
(Prashanth et al., 2011). Treatment with a
formulation containing guduchi has been
shown to reduce ulcer index and total acidity,
with an increase in the pH of gastric fluid in
pylorus–ligated rats and in the ethanol–induced
gastric mucosal injury in rats. (Bairy et al.,
2001; Kaur et al., 2012; Chandan et al., 2013)
CONCLUSION
In the present era, various types of
allopathic drugs are used to treat PUD, but the
most important lacunas in them are their side
effects. Some alternative therapies from the
natural sources are used in the treatment of
peptic ulcer disease. Kamagudha rasa, a
herbo–mineral formulation is widely used for
the treatment of PUD in common practice. It is
Global J Res. Med. Plants & Indigen. Med. | Volume 3, Issue 1 | January 2014 | 24–32
Global Journal of Research on Medicinal Plants & Indigenous Medicine || GJRMI ||
expected that this formulation would be
beneficial for society to eradicate this problem
and their further use would also be expected.
The advanced research may discover its exact
mechanism in PUD. In context to the present
review, it can be concluded that the ingredients
of Kamadugha Rasa can be regarded as the
contributing factors in the treatment of peptic
ulcer disease. It is worthy of exploring the
opportunity of employing the therapeutic
advantages of Kamadugha Rasa.
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